The Milbank quarterly
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The Milbank quarterly · Dec 2010
ReviewThe influence of context on quality improvement success in health care: a systematic review of the literature.
The mixed results of success among QI initiatives may be due to differences in the context of these initiatives. ⋯ Several contextual factors were shown to be important to QI success, although the current body of literature lacks adequate definitions and is characterized by considerable variability in how contextual factors are measured across studies. Future research should focus on identifying and developing measures of context tied to a conceptual model that examines context across all levels of the health care system and explores the relationships among various aspects of context.