Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective.
Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333.
Improvement efforts often face challenges associated with implementation and adherence, for example, the difficulty of engaging surgeons and other clinicians in checklist interventions. This commentary describes a model that uses a sociotechnical approach to guide implementation of improvement initiatives. The framework includes assessing whether systems are prepared for change, identifying leaders, and establishing goals.