Xiaoxia Lin, Xianrui Chen, Yanhui Chen, Ping Xu, Shan Chen
Sleep initiation patterns and sleep quality among toddlers in the southeast of China: initial study results
BMC pediatrics
background organizational learning critical delivering safe highquality surgical care especially low middleincome countries lmics perioperative outcomes remain poor current investments lmics prioritize physical infrastructure equipment staffing investments organizational learning equally important support innovation creativity continuous improvement surgical quality study aims assess extent health facilities tanzanias lake zone perform learning organizations perspectives surgical providers insights gained study motivate future quality improvement initiatives investments improve surgical outcomes methods conducted crosssectional analysis using data adapted survey explore key components organizational learning including supportive learning environment effective learning processes encouraging leadership sample included surgical team members leaders 20 facilities health centers district hospitals regional hospitals calculated average responses individual facilities responses 5 7point scale 4 5point scale considered positive examined variation responses facility characteristics using oneway anova students ttest used univariate multiple regression assess relationships facility characteristics perceptions organizational learning results ninetyeight surgical providers leaders participated survey mean facility positive response rate 951 sd 61 time reflection least favorable domain score 625 sd 358 variation facility characteristics including differences time reflection comparing level care p002 location p001 differences trying new approaches p0008 capacity building p0008 information transfer p001 comparing public versus faithbased facilities multivariable analysis suburban centers less time reflection urban facilities adjusted difference 048 95 ci 095 001 p0046 surgical team members reported positive responses compared surgical team leaders conclusion found high overall positive response rate characterizing organizational learning surgery 20 health facilities tanzanias lake zone findings identify areas improvement provide baseline assessing effectiveness change initiatives future research focus validating adapted survey exploring impact strong learning environments surgical outcomes lmics organizational learning crucial surgery research funding policy work dedicated improving learning cultures health facilities