Comparing the Setting for Strengths and Weaknesses as Sites for an EBP QI Project Large Healthcare Organization

Strengths The organization has abundant resources such as sophisticated technology, specialized equipment, and spacious facilities. These tools provide an opportunity for data collection, analysis, and implementation of complex interventions. For example, the hospital has an EHR system that can generate a complete data set of a patient for analysis. Another strength of this organization is the interprofessional collaboration, which allows for an in-depth assessment, and inter-disciplinary care planning, and facilitates care continuity. Another strength is access to numerous medical research, clinical trials, and academic cooperation. This access to high-level research and well-informed opinion strengthens the development and use of scientifically validated interventions. Weaknesses One of the weaknesses of the large organization is the organizational complexity which causes stagnation in the decision-making process. Too many administrators and bureaucratic processes can result in delays and the inability to modernize. For instance, the complexity of protocol change approvals may involve tedious approval processes that in turn would slow down project timelines. It is possible, that despite the interdisciplinary cooperation, the organization may have fragmented care due to poor coordination and communication. Another potential weakness of the organization is that cost-cutting measures and productivity requirements can lead to a reallocation of focus from patient-centered to evidence-based practices. Community Health Clinic Strengths One of the strengths of the clinic is the focus on marginalized or vulnerable populations in the community, including the uninsured, the underinsured, and the marginalized communities. Thus, the implementation of the QI project based on EBP in the