Barriers and Facilitators to the Implementation and Adoption of a Continuous Quality Improvement Program in Surgery: A Case Study

Ms. ElChamaa: Research Associate, Office of Continuing Professional Development, University of Ottawa, Ottawa, Ontario, Canada, and Department of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada. Mr. Seely: Professor of Surgery, Divisions of Thoracic Surgery and Critical Care Medicine, University of Ottawa, Ontario, Canada, and Scientist, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada. Ms. Jeong: Research Associate, Office of Continuing Professional Development, University of Ottawa, Ottawa, Ontario, Canada, and Professor, Department of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada. Dr. Kitto: Director of Research, Office of Continuing Professional Development, University of Ottawa, Ottawa, Ontario, Canada, and Department of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada.

Correspondence: Simon Kitto, PhD, Department of Innovation in Medical Education, Director of Research, Office of Continuing Professional Development, University of Ottawa, 850 Peter Morand, Room 102M, Ottawa, ON K1G 3Z7, Canada; e-mail: [email protected].

This project was funded by the Ottawa Hospital Medical Organization—TOHAMO grant. The funding body had no involvement in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.

R.E. was the primary data collector and was involved in data analysis, interpretation, and writing of the manuscript. S.K. drove the design of the project, data analysis, interpretation, and writing of the manuscript. A.S. was involved in the design of the project, interpretation of findings, and writing on the manuscript. D.J. was involved in data analysis and interpretation.

Disclosures: The authors declare no conflict of interest.

Ottawa Health Science Network Research Ethics Board has provided ethics approval (documentation included in file inventory).

Ethics Approval and Consent to Participate: Protocol # 20160798: Surgical quality improvement cultural evaluation (SQICE): Assessing the impact of a quality improvement program on organizational quality culture.

Protocol approval valid until—December 05, 2017

I am pleased to inform you that this protocol underwent expedited review by the Ottawa Health Science Network Research Ethics Board (OHSN-REB) and was approved. No changes, amendments, or addenda may be made to the protocol or the consent form without the OHSN-REB's review and approval.

Francine F-A. Sarazin, PhD, CPsych, Vice-Chairperson, Ottawa Health Science Network Research Ethics Board.

Availability of data and materials: This is a qualitative research project using a single site case study example to study the implementation of a CQI initiative. We cannot release the qualitative data set because this could violate the confidentiality agreement we have without subjects.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's website (www.jcehp.org).

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