Q’s book group will be discussing the challenging and thought-provoking article in Future Hospital journal ‘Does Quality Improvement Improve Quality?‘ by Mary Dixon-Woods and Graham Martin.
We’ll have Twitter discussion discussion over the week 6-12 March – with a scheduled tweetchat on Wednesday 8th March at 8pm.
There may also be a face-to-face chat as part of this – this will be announced during the Twitter chat.
Too much improvement work is undertaken in isolation at a local level, failing to pool resources and develop collective solutions, and introducing new hazards in the process
Although quality improvement (QI) is frequently advocated as a way of addressing the problems with healthcare, evidence of its effectiveness has remained very mixed. The reasons for this are varied but the growing literature highlights particular challenges.
Fidelity in the application of QI methods is often variable. QI work is often pursued through time-limited, small-scale projects, led by professionals who may lack the expertise, power or resources to instigate the changes required. There is insufficient attention to rigorous evaluation of improvement and to sharing the lessons of successes and failures. Too many QI interventions are seen as ‘magic bullets’ that will produce improvement in any situation, regardless of context. Too much improvement work is undertaken in isolation at a local level, failing to pool resources and develop collective solutions, and introducing new hazards in the process. This article considers these challenges and proposes four key ways in which QI might itself be improved.