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High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement

Overview of attention for article published in BMC Health Services Research, June 2015
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#30 of 4,575)
  • High Attention Score compared to outputs of the same age (98th percentile)
  • High Attention Score compared to outputs of the same age and source (98th percentile)

Mentioned by

twitter
127 tweeters
facebook
2 Facebook pages

Citations

dimensions_citation
36 Dimensions

Readers on

mendeley
191 Mendeley
Title
High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement
Published in
BMC Health Services Research, June 2015
DOI 10.1186/s12913-015-0879-z
Pubmed ID
Authors

Natalie Taylor, Robyn Clay-Williams, Emily Hogden, Jeffrey Braithwaite, Oliver Groene

Abstract

High performing hospitals attain excellence across multiple measures of performance and multiple departments. Studying high performing hospitals can be valuable if factors associated with high performance can be identified and applied. Factors leading to high performance are complex and an exclusive quantitative approach may fail to identify richly descriptive or relevant contextual factors. The objective of this study was to undertake a systematic review of qualitative literature to identify methods used to identify high performing hospitals, the factors associated with high performers, and practical strategies for improvement. Methods used to collect and summarise the evidence contributing to this review followed the 'enhancing transparency in reporting the synthesis of qualitative research' protocol. Peer reviewed studies were identified through Medline, Embase and Cinahl (Jan 2000-Feb 2014) using specified key words, subject terms, and medical subject headings. Eligible studies required the use of a quantitative method to identify high performing hospitals, and qualitative methods or tools to identify factors associated with high performing hospitals or hospital departments. Title, abstract, and full text screening was undertaken by four reviewers, and inter-rater reliability statistics were calculated for each review phase. Risk of bias was assessed. Following data extraction, thematic syntheses identified contextual factors important for explaining success. Practical strategies for achieving high performance were then mapped against the identified themes. A total of 19 studies from a possible 11,428 were included in the review. A range of process, output, outcome and other indicators were used to identify high performing hospitals. Seven themes representing factors associated with high performance (and 25 sub-themes) emerged from the thematic syntheses: positive organisational culture, senior management support, effective performance monitoring, building and maintaining a proficient workforce, effective leaders across the organisation, expertise-driven practice, and interdisciplinary teamwork. Fifty six practical strategies for achieving high performance were catalogued. This review provides insights into methods used to identify high performing hospitals, and yields ideas about the factors important for success. It highlights the need to advance approaches for understanding what constitutes high performance and how to harness factors associated with high performance.

Twitter Demographics

The data shown below were collected from the profiles of 127 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 191 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
Indonesia 1 <1%
United Kingdom 1 <1%
United States 1 <1%
Unknown 187 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 43 23%
Unspecified 28 15%
Student > Ph. D. Student 28 15%
Researcher 23 12%
Other 20 10%
Other 49 26%
Readers by discipline Count As %
Medicine and Dentistry 59 31%
Unspecified 34 18%
Nursing and Health Professions 26 14%
Business, Management and Accounting 23 12%
Social Sciences 15 8%
Other 34 18%

Attention Score in Context

This research output has an Altmetric Attention Score of 79. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 May 2019.
All research outputs
#217,180
of 13,644,722 outputs
Outputs from BMC Health Services Research
#30
of 4,575 outputs
Outputs of similar age
#4,279
of 230,469 outputs
Outputs of similar age from BMC Health Services Research
#2
of 158 outputs
Altmetric has tracked 13,644,722 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,575 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.5. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 230,469 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 158 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.