ArticleBMC health services research2021
How to sustainably build capacity in quality improvement within a healthcare organisation: a deep-dive, focused qualitative analysis.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- The integration of quality improvement and implementation science methods and frameworks in healthcare: a systematic review.BMC health services research · 2025Pooled it
- Built to last? Barriers and facilitators of healthcare program sustainability: a systematic integrative review.Implementation science : IS · 2023Pooled it
- A Service Held Together in Practice: A Qualitative Study of Interorganizational Collaboration in a Swedish Youth Mental Health and Substance Use Service.International journal of mental health nursing · 2026Article
- Article
- "We might be making mistakes, but we're learning, we're trying, and we're listening": embedding qualitative methods within the plan-do-study-act cycle to support the development of a pilot multidisciplinary ARFID pathway.Journal of eating disorders · 2026Article
- Development and Formative Assessment of an Innovative Blended Educational Course for Care of Small and Sick Neonates in India and SEARO Countries.Indian pediatrics · 2026Article
- Bridging organizational boundaries in complex care pathways: lessons from a Lean and Safety Management approach.BMC health services research · 2026Article
- From policy to practice and vice versa: a cross-sectional study of healthcare workers' perspectives on safeguarding public health service access for displaced populations in Iran.Frontiers in public health · 2026Article
- Continuous quality improvement across a South Australian health service and the role it plays in a learning health system: a qualitative study.BMC health services research · 2025Article
- Catalyzing System Change: 100 Quality Improvement Projects in 1000 Days.Journal of general internal medicine · 2024Article
- Motivational drivers for health professionals in a large quality improvement collaborative project in Brazil: a qualitative study.BMC health services research · 2024Article
- Article
- Knowledge boundaries for implementation of quality improvement interventions; a qualitative study.Frontiers in health services · 2024Article
- Unsafe care in residential settings for older adults: a content analysis of accreditation reports.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Article
- Enhancing Strategic Learning Through the Implementation of Robust Process Improvement in a Specialized Tertiary Care Hospital.Global journal on quality and safety in healthcare · 2023Article
- Seizing the opportunity: the emergence of shared leadership during the deployment of an integrated performance management system.BMC health services research · 2022Article
- What Does a Systems Approach to Quality Improvement Look Like in Practice?International journal of environmental research and public health · 2022Article
- Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project.BMJ open quality · 2021Observational
- Sustaining Quality Improvement to Increase Adverse Childhood Experience Questionnaire Response Rates and Proposal of Plan-do-study-act-assess Cycle.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA key characteristic of healthcare systems that deliver high quality and cost performance in a sustainable way is a systematic approach to capacity and capability building for quality improvement. The aim of this research was to explore the factors that lead to successful implementation of a program of quality improvement projects and a capacity and capability building program that facilitates or support these.
methodsBetween July 2018 and February 2020, the Southern Adelaide Local Health Network (SALHN), a network of health services in Adelaide, South Australia, conducted three capability-oriented capacity building programs that incorporated 82 longstanding individual quality improvement projects. Qualitative analysis of data collected from interviews of 19 project participants and four SALHN Improvement Faculty members and ethnographic observations of seven project team meetings were conducted.
resultsWe found four interacting components that lead to successful implementation of quality improvement projects and the overall program that facilitates or support these: an agreed and robust quality improvement methodology, a skilled faculty to assist improvement teams, active involvement of leadership and management, and a deep understanding that teams matter. A strong safety culture is not necessarily a pre-requisite for quality improvement gains to be made; indeed, undertaking quality improvement activities can contribute to an improved safety culture. For most project participants in the program, the time commitment for projects was significant and, at times, maintaining momentum was a challenge.
conclusionsHealthcare systems that wish to deliver high quality and cost performance in a sustainable way should consider embedding the four identified components into their quality improvement capacity and capability building strategy.
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Registered trials
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