Background Quality improvement collaboratives (QIC) have proliferated internationally, but
there is little empirical evidence for their effectiveness. Method We searched Medline …

This article summarizes an extensive literature review addressing the question, How can we
spread and sustain innovations in health service delivery and organization? It considers …

Whenever possible, the recommendations listed in this document are evidence based.
Articles reviewed in this guideline revision covered evidence from the past 10 years through …

Background There were numerous efforts in the United States during the previous decade to
concentrate selected surgical procedures in high-volume hospitals. It remains unknown …

Objective: To empirically derive the optimal measure of pharmacologic cardiovascular
support in infants undergoing cardiac surgery with bypass and to assess the association …

Importance Quality assessment is an important instrument to ensure optimal surgical
outcomes, particularly during the adoption of new surgical technology. The use of the robotic …

Background Audit and feedback is widely used as a strategy to improve professional
practice either on its own or as a component of multifaceted quality improvement …

This paper reports on a qualitative field study of 16 hospitals implementing an innovative
technology for cardiac surgery. We examine how new routines are developed in …

Objective: We sought to determine whether hospital variations in surgical mortality were due
to differences in complication rates or failure to rescue rates (ie, case-fatality rates in patients …

Objective: To determine whether the relationship between hospital volume and mortality has
changed over time. Background: It is generally accepted that hospital volume is associated …