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Table 5 Themes and sub-themes representing factors associated with high performing organisations

From: High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement

Theme Subtheme Number of strategies
1) Positive organisational culture 1a) Respect and trust between colleagues at all levels in clinical and non-clinical services [32, 31, 10, 33] 16
1b) Relentless quest and unwavering focus for excellence [3437] 13
1c) Recognition and compensation for good work [38, 34, 40, 37] 8
1d) Safe, non-threatening environment [41, 36] 17
1e) Promotes values for improvement [42, 41] 17
2) Receptive and responsive senior management 2a) Support [31, 10, 41, 34] 24
2b) Involvement [33, 34, 31] 5
2c) Access and visibility [42, 41] 8
2d) Commitment [35, 38, 42] 10
3) Effective performance monitoring 3a) Accurate measurement and goal setting [10, 34, 38, 43] 18
3b) Sophisticated data systems [37, 44, 45, 35, 43] 6
3c) Using data for continuous feedback and improvement [37, 10, 32, 47, 42, 40, 38, 33, 48] 28
3d) Accountability [44, 42, 34, 38] 8
4) Building and maintaining a proficient workforce 4a) Acquiring and developing talent [44, 31, 45, 42, 41, 40, 35] 9
4b) Aligning staff with the organisational vision [44, 31, 34, 38] 13
4c) Effective dissemination of policy and processes [32, 33, 43, 48] 6
4d) Mandatory and specialised training [32, 42, 40, 43, 33] 11
5) Effective leaders across the organisation 5a) Commitment and responsibility [10, 35, 38, 33] 5
5b) Support staff to enhance performance [10, 33, 48] 24
5c) Mutual respect [10, 33] 11
6) Expertise-driven practice 6a) Frontline autonomy and flexibility based on experience and expertise [10, 37, 34, 43] 18
6b) Trust and empowerment for innovation and creativity [42, 35, 34, 38] 20
7) Interdisciplinary teamwork 7a) Effective multi-disciplinary and multi-level collaboration and communication [10, 32, 31, 34, 41, 36, 40, 38, 33, 48] 22
7b) Collaboration with external health service providers [32, 47, 31] 12
7c) Coordinated patient focused care [10, 40, 48, 42, 38, 32, 45] 13