ArticleFrontiers in health services2026
Quality as an organizational strategy: building a system of improvement.
Article in Frontiers in health services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Navigating paradox in child welfare: implications for improvement science in complex human service systems.Frontiers in health services · 2026Article
- Quality as an organizational strategy: building a system of improvement.Frontiers in health services · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Improvement science offers proven theories and methods that can be applied to specific projects, but they have rarely been applied to the leadership systems of healthcare organizations. This paper presents Quality as an Organizational Strategy (QOS), a method for building a system of improvement that embeds improvement science into leadership and strategy. QOS centers on five activities: defining and communicating purpose, viewing the organization as a system, building a system for obtaining information, planning to improve, and managing improvement efforts. Examples from healthcare settings illustrate how leaders use these activities to align vision, strategy, and culture while fostering continuous learning. QOS is designed to enable organizations to pursue achieving strategic aims and sustaining performance over time. By broadening project-based improvement to improving the organizations as a system, this paper expands the application of improvement science with a practical, generalizable approach for transforming complex health systems.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.