Top Ten Challenges When Improving Healthcare Quality (University of Leicester / BMJ Quality and Safety)


This review analyses evaluation reports from five Health Foundation improvement programmes. It identifies ten key challenges:

  • Convincing people there is a problem of relevance to them.
  • Convincing people that the solution chosen is the right one.
  • Getting data collection and monitoring systems right.
  • Excessive ambition and “projectness” (project orientation).
  • Organisational cultures.
  • Capacities and contexts.
  • Tribalism and lack of staff engagement.
  • Leadership.
  • Incentivising participation and “hard edges”.
  • Securing sustainability.
  • Unintended consequences.

This article identifies important considerations when working to improve the quality of health services and discusses the risks and downsides. The authors suggest a range of tactics to respond to these challenges.

Full Text Link


Dixon-Woods, M. McNicol, S. [and] Martin, G. (2012). Ten challenges in improving quality in healthcare: lessons from the Health Foundation’s programme evaluations and relevant literature. BMJ Quality and Safety, October 2012, Vol.21(10), pp.876-84. (Click here to view the PubMed abstract).

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), Health Foundation, National, NHS, Practical Advice, Quick Insights, Standards, Systematic Reviews, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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