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Exploring the use of social network analysis methods in process improvement within healthcare organizations: a scoping review.
Francis, Troy; Davidson, Morgan; Senese, Laura; Jeffs, Lianne; Yousefi-Nooraie, Reza; Ouimet, Mathieu; Rac, Valeria; Trbovich, Patricia.
Afiliación
  • Francis T; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. troy.francis@theta.utoronto.ca.
  • Davidson M; HumanEra, Research and Innovation, North York General Hospital, Toronto, ON, Canada. troy.francis@theta.utoronto.ca.
  • Senese L; Program for Health System and Technology Evaluation, Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada. troy.francis@theta.utoronto.ca.
  • Jeffs L; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
  • Yousefi-Nooraie R; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
  • Ouimet M; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
  • Rac V; Department of Public Health Sciences, University of Rochester, New York, USA.
  • Trbovich P; Department of Political Science, Université Laval, Quebec, Canada.
BMC Health Serv Res ; 24(1): 1030, 2024 Sep 05.
Article en En | MEDLINE | ID: mdl-39237937
ABSTRACT

BACKGROUND:

Communication breakdowns among healthcare providers have been identified as a significant cause of preventable adverse events, including harm to patients. A large proportion of studies investigating communication in healthcare organizations lack the necessary understanding of social networks to make meaningful improvements. Process Improvement in healthcare (systematic approach of identifying, analyzing, and enhancing workflows) is needed to improve quality and patient safety. This review aimed to characterize the use of SNA methods in Process Improvement within healthcare organizations.

METHODS:

Relevant studies were identified through a systematic search of seven databases from inception - October 2022. No limits were placed on study design or language. The reviewers independently charted data from eligible full-text studies using a standardized data abstraction form and resolved discrepancies by consensus. The abstracted information was synthesized quantitatively and narratively.

RESULTS:

Upon full-text review, 38 unique articles were included. Most studies were published between 2015 and 2021 (26, 68%). Studies focused primarily on physicians and nursing staff. The majority of identified studies were descriptive and cross-sectional, with 5 studies using longitudinal experimental study designs. SNA studies in healthcare focusing on process improvement spanned three themes Organizational structure (e.g., hierarchical structures, professional boundaries, geographical dispersion, technology limitations that impact communication and collaboration), team performance (e.g., communication patterns and information flow among providers., and influential actors (e.g., key individuals or roles within healthcare teams who serve as central connectors or influencers in communication and decision-making processes).

CONCLUSIONS:

SNA methods can characterize Process Improvement through mapping, quantifying, and visualizing social relations, revealing inefficiencies, which can then be targeted to develop interventions to enhance communication, foster collaboration, and improve patient safety.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mejoramiento de la Calidad / Análisis de Redes Sociales Límite: Humans Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mejoramiento de la Calidad / Análisis de Redes Sociales Límite: Humans Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido