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Table 2 Application of the model for improvement in the enrolled process redesign projects

From: Applying the quality improvement collaborative method to process redesign: a multiple case study

  Key elements of the model for improvement Specific and measurable aims (N)1 Measures of improvement1 Key changes1,2,3 PDSA1,3 Effect measurement (collaborative goals reached?)?4
    Provided by external change agent Established by the project team Evidence for improvement (one-stop-shop) implemented in redesign? Supplied change concepts used?   
No. Patient Group   Outcome Inter-mediate Outcome Process and/or intermediate Yes/No Comments    
1. Acute stomach complaints + (1) + n.a. + + - n.a. + - - (?)
2. Breast cancer - (0) + + - - - Already implemented + - - (?)
3. Breast cancer + (1) - - - - - Already implemented + . - (?)
4. Chronic Obstructive Pulmonary Disease + (1) + - - + - One-stop-shop is no solution for the existing bottleneck + + - (?)
5. Colon cancer + (4) + + + - + - + - - (?)
6. Colon cancer + (1) + + - - + - + - - (?)
7. Colon cancer - (0) + + + - + - + +/-* - (?)
8. Head- and neck cancer + (7) + + + + + - + - - (?)
9. Hematuria + (2) + + - - + - + . - (?)
10. Lung cancer + (2) + - + - +/- Three-stop-shop + + - (?)
11. Oesophageal atresia (children) - (0) + n.a. - - - n.a. + - - (?)
12. Open Chest Surgery + (6) + n.a. + + - n.a. + - - (?)
13. Small Orthopaedic interventions + (2) + + + + + - + + - (?)
14. Small Orthopaedic interventions + (3) + + - + + - + + - (?)
15. Benign Prostate Hypertrophy + (2) + + - - + - + - + (+)
16. Colon cancer + (5) + + + - +/- Three-stop-shop + - + (+)
17. Varicose veins + (5) + + - - + - + - + (+)
  1. 1 Data source: survey among project staff members. 2 Data source: survey among project leaders. 3 Data source: interviews among project staff members. 4 Data source: Sneller Beter database. + Yes, - No, . missing data, n.a. non applicable, because project only involves in-hospital care. * This project team used PDSA for testing and implementing a selection of the changes.