Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective.
Approach to Improving Safety
Setting of Care
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.