關於這一集
A hospital team launches a promising healthcare quality improvement project, achieves great short-term wins, but as soon as the pilot ends or the champion leaves, momentum vanishes. Why do so many healthcare quality improvement projects stall after initial success? In this episode, Amar Shah helps us explore how health systems can move beyond isolated projects to build continuous improvement systems at scale. We trace the evolution of healthcare quality, from early inspection models, the Theory of Bad Apples, and the trap of projectitis, to building learning health systems across complex health networks.
References:
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- Dixon-Woods M, Bosk CL, Aveling EL, Goeschel CA, Pronovost PJ. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):167-205.
- Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. BMJ Qual Saf. 2012;21(10):876-884.
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- Kaplan HC, Provost LP, Froehle CM, Margolis PA. The Model for Understanding Success in Quality (MUSIQ): building a theory of context in healthcare quality improvement. BMJ Qual Saf. 2012;21(1):13-20.
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免責聲明: 本頁面嵌入的 Podcast 和封面圖片來自 Dr. Ulfat Shaikh, Physician and Healthcare Quality Improvement Advisor，歸其所有者所有，與 Listen Notes, Inc. 無關聯，也未獲得 Listen Notes, Inc. 背書。
