Background Several types of audits have been used to promote quality improvement (QI) in
hospital care. However, in-depth studies into the mechanisms responsible for the …

Background While there is a considerable corpus of theoretical and empirical literature on
networks within and outside of the health sector, multiple research questions are yet to be …

Background Implementation science has a core aim–to get evidence into practice. Early in
the evidence-based medicine movement, this task was construed in linear terms, wherein …

Changing how we think about healthcare improvement Page 1 the bmj | BMJ 2018;361:k2014
| doi: 10.1136/bmj.k2014 1 QUALITY IMPROVEMENT Changing how we think about …

Background Healthcare represents a paradox. While change is everywhere, performance
has flatlined: 60% of care on average is in line with evidence-or consensus-based …

Victor Hugo once wrote “Greater than the march of mighty armies is an idea whose time has
come”. Complexity science is not a new idea, but in 2017 its time has surely come in relation …

Rationale, aims, and objectives “Implementation science,” the scientific study of methods
translating research findings into practical, useful outcomes, is contested and complex, with …

Health care is everywhere under tremendous pressure with regard to efficiency, safety, and
economic viability-to say nothing of having to meet various political agendas-and has …

Background Women at low risk of pregnancy complications benefit from continuity of
midwifery care, but no trial evidence exists for women with identified risk factors. We aimed …

Over the last thirty years, scholars of health care organizations have been searching for
concepts and images to illuminate their underlying, and shifting, modes of organizing …