Rapid Cycle Implementation and Retrospective Evaluation of a SARS-CoV-2 Checklist in Labor and Delivery.
Liana ZuccoNadav LevyYunping LiToni GolenScott A ShainkerPhilip E HessSatya Krishna RamachandranPublished in: BMC health services research (2021)
We describe the influential factors of implementing a novel comprehensive obstetric workflow for care of the COVID-19 perioperative parturient during the first surge of the pandemic using the CFIR framework. Early workflow adoption was facilitated primarily by two domains, namely thoughtful innovation design and careful implementation planning in the setting of a long-standing culture of improvement. Factors initially assessed as barriers such as communication, culture and learning climate, transitioned into facilitators once a perceived benefit was experienced by healthcare teams. These results provide important information for the implementation of rapid change during a time of crisis.
Keyphrases
- sars cov
- healthcare
- quality improvement
- coronavirus disease
- primary care
- electronic health record
- respiratory syndrome coronavirus
- public health
- climate change
- depressive symptoms
- physical activity
- cardiac surgery
- loop mediated isothermal amplification
- mental health
- palliative care
- pregnant women
- patients undergoing
- health information
- cross sectional
- sensitive detection
- chronic pain