Exploring the key differences between the delivery of local quality improvement projects and multisite ‘scaling up’ programmes: learning from kidney services

[摘要] Between 2014 and 2019, four key qualityimprovement programmes were delivered inkidney services that required a national rollout of improvement interventions that hadbeen developed and tested at a single site. Asexpected, this ‘Scaling Up’ presented a set ofdelivery challenges as the work was extendedacross multiple sites that were distinct tothose seen during the local developmentphase. Some of these were anticipated, otherswere not.

[学科分类] 药学

[关键词] healthcare quality improvement;teamwork;professional role;governance;collaborative;breakthrough groups