Background Problems of quality and safety persist in health systems worldwide. We
conducted a large research programme to examine culture and behaviour in the English …

Context: The mixed results of success among QI initiatives may be due to differences in the
context of these initiatives. Methods: The business and health care literature was …

Context Despite serious and widespread efforts to improve the quality of health care, many
patients still suffer preventable harm every day. Hospitals find improvement difficult to …

Background Quality improvement (QI) efforts have become widespread in healthcare,
however there is significant variability in their success. Differences in context are thought to …

Objectives To review the empirical literature to identify the activities, time spent and
engagement of hospital managers in quality of care. Design A systematic review of the …

Fueled by public incidents and growing evidence of deficiencies in care, concern over the
quality and outcomes of care has increased in both the United Kingdom and the United …

There has been a plethora of published research related to total quality management (TQM)
in the last few decades. However, very few studies focused on cataloging critical factors of …

The literature on continuous quality improvement (CQI) has produced some evidence,
based on nonrandomized studies, that its clinical application can improve outcomes of care …

Background Middle managers have received little attention in extant health services
research, yet they may have a key role in healthcare innovation implementation. The gap …

Physicians today are confronted with increasing demand to ensure and improve care of their
patients. A variety of approaches claim to provide solutions to the problems of health care …