A consistent finding in articles on quality improvement in health care is that change is difficult to achieve. According to the research literature, the majority of interventions are targeted at health care professionals. But success in achieving change may be influenced by factors other than those relating to individual professionals, and theories may help explain whether change is possible. This article argues for a more systematic use of theories in planning and evaluating quality-improvement interventions in clinical practice.
It demonstrates how different theories can be used to generate testable hypotheses regarding factors that influence the implementation of change, and it shows how different theoretical assumptions lead to different quality-improvement strategies.
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Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives
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The Baldrige Performance Excellence Program is a customer-focused federal change agent that develops and disseminates evaluation criteria, manages the Malcolm Baldrige National Quality Award, promotes performance excellence and provides global leadership in the learning and sharing of successful strategies and performance practices, principles, and methodologies.
In the mids, U. After he died in a rodeo accident in July , Congress named the Award in recognition of his contributions. The Malcolm Baldrige National Quality Award is the highest level of national recognition for performance excellence that a U. Congress established the Baldrige Program in to recognize U.
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