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Better quality improvement collaboratives

Ovretveit, J; Bate, SP; Cleary, P; Cretin, S; Gustafson, D; McInnes, K; ... Wilson, T; + view all (2002) Better quality improvement collaboratives. Quality and Safety in Health Care , 11 (4) 345 - 351. 10.1136/qhc.11.4.345.

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Abstract

Quality improvement collaboratives are increasinglybeing used in many countries to achieve rapidimprovements in health care. However, there is littleindependent evidence that they are more cost effectivethan other methods, and little knowledge about howthey could be made more effective. A number ofsystematic evaluations are being performed byresearchers in North America, the UK, and Sweden.This paper presents the shared ideas from two meetingsof these researchers. The evidence to date is that somecollaboratives have stimulated improvements in patientcare and organisational performance, but there aresignificant differences between collaboratives andteams. The researchers agreed on the possible reasonswhy some were less successful than others, andidentified 10 challenges which organisers and teamsneed to address to achieve improvement. In the absenceof more conclusive evidence, these guidelines are likelyto be useful for collaborative organisers, teams and theirmanagers and may also contribute to further researchinto collaboratives and the spread of innovations inhealth care.

Type:Article
Title:Better quality improvement collaboratives
DOI:10.1136/qhc.11.4.345
Additional information:Imported via OAI, 7:29:01 5th Oct 2005
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health Care > CHIME

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