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dc.contributor.authorDixon-Woods, Mary
dc.contributor.authorMartin, Graham
dc.date.accessioned2016-09-15T16:00:23Z
dc.date.available2016-09-15T16:00:23Z
dc.date.issued2016-10
dc.identifier.issn2055-3323
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/260182
dc.description.abstractAlthough 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.
dc.description.sponsorshipMary Dixon-Woods is funded by a Wellcome Trust Investigator award, WT097899
dc.languageEnglish
dc.language.isoen
dc.publisherRoyal College of Physicians
dc.subjectquality improvement
dc.subjectpatient safety
dc.subjecthealthcare organisation and delivery
dc.subjectevaluation
dc.subjectresearch design/methods
dc.subjecthospitals
dc.titleDoes quality improvement improve quality?
dc.typeArticle
dc.description.versionThis is the author accepted manuscript. The final version is available from the Royal College of Physicians via http://dx.doi.org/10.7861/futurehosp.3-3-191
prism.endingPage194
prism.publicationDate2016
prism.publicationNameFuture Hosp J
prism.startingPage191
prism.volume3
dc.identifier.doi10.17863/CAM.4409
dcterms.dateAccepted2016-07-22
rioxxterms.versionofrecord10.7861/futurehosp.3-3-191
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2016-10-01
dc.contributor.orcidDixon-Woods, Mary [0000-0002-5915-0041]
dc.identifier.eissn2055-3331
rioxxterms.typeJournal Article/Review
pubs.funder-project-idWellcome Trust (097899/Z/11/Z)
cam.issuedOnline2016-10-03
rioxxterms.freetoread.startdate2017-10-01


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