Learning how and why complex improvement interventions work: insights from implementation science

Many quality improvement (QI) interventions can be complex, comprising multiple inter-related components that target a range of factors which may lead to change. Some of these components can be focused on the nature of the improvement planned, the place where the change is to occur, the people who are involved and/or the structures and processes within the organisation itself.1 Understanding how the multiple components of such interventions work together to drive an improvement or in those instances where they fail to do so can be challenging. Without adequate assessment of the underlying processes and mechanisms through which change occurs, crucial learning on how best to deliver improvements may be lost to the wider system. The second Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS2) study is an example of a study in which a complex, multilevel and multifaceted intervention aimed to improve patient safety at care transitions in...
Source: Quality and Safety in Health Care - Category: Health Management Authors: Tags: Editorials Source Type: research