• What is context in health improvement and why does it matter?

    Posted on 02 Apr 2014 in Staff College News

    Too often, promising quality improvement initiatives are shown not to work, or if they do they don’t spread. Why not? Could it be that their design was good, the implementation and evaluation sound, but the context in which they were supposed to operate was too hostile to allow any progress? The message is simple: alongside the importance of what you do (intervention) and how you do it (implementation), the environment or context that you do it in also matters. It is the interaction between these three elements that makes for success. Understand the role of context and we grow nearer to understanding how to speed up and spread quality improvement in patient care.

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