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Challenges in Conducting a Hospital-Randomized Trial of an Educational Quality Improvement Intervention in Rural and Small Community Hospitals
1 Southern Methodist University and Baylor Health Care System, Dallas, TX
* To whom correspondence should be addressed. E-mail: dj.ballard{at}baylorhealth.edu.
 30 hospitals each. Of the 64 hospitals initially interested in
participating, 7 could not produce the required quality data and 10 refused consent to randomization.
Of the 23 hospitals randomized to the educational intervention, 16 completed the educational program,
1 attended the didactic sessions but did not complete the required quality improvement project, 3
enrolled in "make-up" sessions, and 3 were unable to attend. Of the 42 individuals who
attended educational sessions, 5 (12%) have left their positions. Quality improvement interventions
require several different approaches to engage participating organizations and should include plans
to train new staff given the high turnover of health care quality improvement personnel. (Am J Med
Qual XXXX;XX: xx-xx)
First published on November 4, 2008, doi:10.1177/1062860608324546 This article has been cited by other articles:
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