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Commentary
Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective.
March 23, 2016
Wiegmann DA. Ann Surg. 2016;263(1):9-11.
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.
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