Does quality improvement improve quality?
Future Hospital Journal
Royal College of Physicians
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Dixon-Woods, M., & Martin, G. (2016). Does quality improvement improve quality?. Future Hospital Journal, 3 191-194. https://doi.org/10.7861/futurehosp.3-3-191
Although quality improvement (QI) is frequently advocated as a way of addressing the problems with healthcare, evidence of its effectiveness has remained very mixed. The reasons for this are varied but the growing literature highlights particular challenges. Fidelity in the application of QI methods is often variable. QI work is often pursued through time-limited, small-scale projects, led by professionals who may lack the expertise, power or resources to instigate the changes required. There is insufficient attention to rigorous evaluation of improvement and to sharing the lessons of successes and failures. Too many QI interventions are seen as ‘magic bullets’ that will produce improvement in any situation, regardless of context. Too much improvement work is undertaken in isolation at a local level, failing to pool resources and develop collective solutions, and introducing new hazards in the process. This article considers these challenges and proposes four key ways in which QI might itself be improved.
quality improvement, patient safety, healthcare organisation and delivery, evaluation, research design/methods, hospitals
Mary Dixon-Woods is funded by a Wellcome Trust Investigator award, WT097899
Wellcome Trust (097899/Z/11/Z)
External DOI: https://doi.org/10.7861/futurehosp.3-3-191
This record's URL: https://www.repository.cam.ac.uk/handle/1810/260182