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Commentary

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?

Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-6. 10.1136/bmjqs-2021-014447

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December 7, 2022
Mandel KE, Cady SH. BMJ Qual Saf. 2022;31(12):860-866.
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Successful quality improvement (QI) initiatives should encourage change at the individual, team, and organizational levels. The authors of this article summarize the “self-limiting cascade” of quality improvement approaches, whereby QI programs prioritize process-technical strengths (e.g., quality metrics, “zero harm” goals) over participants’ emotional experience and sociotechnical design elements, which can ultimately hinder program performance.

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Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-6. 10.1136/bmjqs-2021-014447

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