Iforms. We thank Nancy Simmons, Neil Duncan, and Eileen Westwig for

Conclusions QI collaborative networks may promote behaviour transform by improving intrateam communication, JK184 molecular weight fostering competitionwith other institutions, and rising recognition for supplying high-quality care. Michael's Hospital, Toronto, Ontario, Canada two Division of Critical Care Medicine, Sunnybrook Overall health Sciences Centre, Toronto, Ontario, Canada three Interdepartmental Division of Essential Care Medicine, University of Toronto, Toronto, Ontario, Canada 4 Sunnybrook Research Institute, and Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada 5 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada Correspondence to Dr Katie N Dainty, Li Ka Shing Understanding Institute, St. Michael's Hospital, 30 Bond Street, Toronto, ON , Canada M5B 1W8; kndainty@gmail.com Received 11 Could 2013 Revised 26 October 2013 Accepted 21 December 2013 Published On the internet 1st 15 FebruaryABSTRACTBackground Multiorganisational high-quality improvement (QI) collaborative networks are promoted for enhancing top quality within healthcare. Lately, several large-scale QI initiatives have already been conducted within the intensive care unit (ICU) environment with effective quantitative final results. Having said that, the mechanisms by means of which such networks lead to QI success remain uncertain. We aim to understand ICU staff perspectives on collaborative QI primarily based on involvement within a multiorganisational improvement network and hypothesise about theoretical constructs that could possibly clarify the effect of collaboration in such networks. Procedures Qualitative study using a modified grounded theory approach. Key informant interviews were performed with staff from 12 neighborhood hospital ICUs that participated inside a cluster randomized control trial (RCT) of a QI intervention using a collaborative method in between 2006 and 2008. Data analysis followed the normal procedure for grounded theory utilizing continual comparative methodology. Final results The collaborative network was perceived to promote improved intrateam cooperation more than interorganisational cooperation, but friendly competition with other ICUs appeared to become a prominent driver of behaviour change. Bedsides, clinicians reported that belonging to a collaborative network offered recognition for the high-quality patient care that they currently supplied.Iforms. We thank Nancy Simmons, Neil Duncan, and Eileen Westwig for approving and facilitating loans of specimens. We thank Clint Rubin and Stefan Judex with the Stony Brook University Center for Biotechnology for access to microCT scanners. We thank James Thostenson and Morgan Hill from the AMNH Supplies Imaging Facility for access to their microCT scanner. Wyoming fossils had been collected beneath Bureau of Land Management permits to JIB (PA04-WY-113, PA10-WY185).(TIF)File S1 Supporting Infromation Tables S1 7.Competitors in collaborative clothing: a qualitative case study of influences on collaborative good quality improvement in the ICUKatie N Dainty,1 Damon C Scales,two,three Tasnim Sinuff,2,3 Merrick Zwarenstein4,Li Ka Shing Expertise Institute, St. Michael's Hospital, Toronto, Ontario, Canada 2 Division of Critical Care Medicine, Sunnybrook Well being Sciences Centre, Toronto, Ontario, Canada 3 Interdepartmental Division of Important Care Medicine, University of Toronto, Toronto, Ontario, Canada four Sunnybrook Analysis Institute, and Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada five Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada Correspondence to Dr Katie N Dainty, Li Ka Shing Understanding Institute, St. Michael's Hospital, 30 Bond Street, Toronto, ON , Canada M5B 1W8; kndainty@gmail.com Received 11 May 2013 Revised 26 October 2013 Accepted 21 December 2013 Published On the web Initially 15 FebruaryABSTRACTBackground Multiorganisational excellent improvement (QI) collaborative networks are promoted for enhancing high-quality within healthcare.