Empowering Sustained Patient Safety: The Benefits of Combining Top-down and Bottom-up Approaches. Stewart, G., Manges, K., & Ward, M. 2014.
Empowering Sustained Patient Safety: The Benefits of Combining Top-down and Bottom-up Approaches [link]Paper  abstract   bibtex   
Implementation of TeamSTEPPS for improving patient safety is examined via descriptive qualitative analysis of semistructured interviews with 21 informants at 12 hospitals. Implementation approaches fit 3 strategies: top-down, bottom-up, and combination. The top-down approach failed to develop enough commitment to spread implementation. The bottom-up approach was unable to marshal the resources necessary to spread implementation. Combining top-down and bottom-up processes best facilitated the implementation and spread of the TeamSTEPPS safety initiative. © 2014 Wolters Kluwer Health \textbar Lippincott Williams \& Wilkins
@unpublished{ stewart_empowering_2014-1,
  title = {Empowering {Sustained} {Patient} {Safety}: {The} {Benefits} of {Combining} {Top}-down and {Bottom}-up {Approaches}},
  url = {http://www.scopus.com/inward/record.url?eid=2-s2.0-84916203155&partnerID=40&md5=95d69dbf72a0caa4ff473f81df239376},
  abstract = {Implementation of TeamSTEPPS for improving patient safety is examined via descriptive qualitative analysis of semistructured interviews with 21 informants at 12 hospitals. Implementation approaches fit 3 strategies: top-down, bottom-up, and combination. The top-down approach failed to develop enough commitment to spread implementation. The bottom-up approach was unable to marshal the resources necessary to spread implementation. Combining top-down and bottom-up processes best facilitated the implementation and spread of the TeamSTEPPS safety initiative. © 2014 Wolters Kluwer Health {\textbar} Lippincott Williams \& Wilkins},
  language = {English},
  author = {Stewart, G.L. and Manges, K.A. and Ward, M.M.},
  year = {2014}
}

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