... Implementation Fidelity Gap. This paper introduces the concept of whether differences in strategic implementation fidelity are associated with measurable variations in patient–perceived service quality in public healthcare organizations. Design/methodology/approach A comparative cross–sectional study...

...Håkan Uvhagen; Mia von Knorring; Henna Hasson; John Øvretveit; Johan Hansson Purpose The purpose of this paper is to explore factors influencing early implementation and intermediate outcomes of a healthcare-academia partnership in a primary healthcare setting. Design/methodology/approach...

...Praveen T Rajasekhar; Colin J Rees; Catherine Nixon; James E East; Sally Brown Purpose – The quality improvement in colonoscopy study was a region wide service improvement study to improve adenoma detection rate at colonoscopy by implementing evidence into routine colonoscopy practice...

...Kate Bak; Elizabeth Murray; Eric Gutierrez; Jillian Ross; Padraig Warde Purpose – The purpose of this paper is to describe a jurisdiction-wide implementation and evaluation of intensity-modulated radiation therapy (IMRT) in Ontario, Canada, highlighting innovative strategies and lessons learned...

...Ali Mohammad Mosadeghrad Purpose – The purpose of this paper is to identify critical successful factors for Total Quality Management (TQM) implementation. Design/methodology/approach – A literature review was conducted to explore the critical successful factors for TQM implementation...

...Nicola Burgess; Zoe Radnor Purpose The purpose of this paper is to present findings relating to how Lean is implemented in English hospitals. Design/methodology/approach Lean implementation snapshots in English hospitals were conducted by content analysing all annual reports and web sites over...

... underlying conceptual concerns with the BSC system and its implementation pitfalls require full consideration. This paper then outlines some factors to be taken into account for “successful” BSC implementation in a NHS multi‐agency setting. These findings emerged from a series of focus groups that took place...

... framework for all their quality initiatives. The article explains SRHT’s approach to implementation and integration in addition to providing a flavour of the outcomes observed from the journey so far. In essence, many benefits were realised, some aspired to, some unexpected and all worthwhile and welcomed...

... if the implementation approach is well planned, executed, assessed and reviewed. There are five key steps that need to be contained within the implementation plan some of which include setting up a steering committee, agreeing the norms, values and behaviours for the organisation and determining indicators associated...

... programme required a phased implementation process, sound leadership, expert facilitation, good information systems, numerous training and development opportunities for managers, teamwork and the application of best practice in relation to project improvement teams. Moreover, the absence of all...

... in Scottish NHS acute trusts via the implementation of SIGN guidelines, and whether their implementation is being audited properly. It is argued that without clinical audit, guideline implementation is unlikely to succeed. This has important ramifications for the implementation of clinical governance...

...Mark Christopher Hackett The implementation of clinical governance presents a major challenge for NHS Trusts. The article provides a summary of the background to implementing governance; the results of locally organised research in an NHS Trust reveals clinicians’ perceptions and attitudes...

...Andrew Millard The aim of this project was to compare the intentions with reported action of health Trusts in Scotland to prioritise and implement published SIGN clinical guidelines. All health Trusts in Scotland were asked about plans for implementation, and resurveyed 15‐18 months later...

...Reuben Eldar; Revital Ronen Describes the three stages of implementation of a quality assurance programme (preparatory, development of quality assurance structure and process, appearance of quality assurance outcomes). Observes that it is advantageous to implement the programme by providing...

..., superiors and professionals and recommendations offered for more effective quality strategy implementation. Hospitals Implementation Kaizen Quality Research Surveys © MCB UP Limited 1994 The Welsh Office’s report A Quality Health Service for Wales[ 1 ] (AQHSW), 1990, offered...

...John Morgan; Trish Everett An approach based on a training and development package for the implementation of a quality assurance programme is described. The problems of implementation are analysed and conclusions drawn. © MCB UP Limited 1990 NATIONAL HEALTH SERVICE HEALTH CARE QUALITY...

... HEALTH CARE NATIONAL HEALTH SERVICE GOALS MANAGERS ACCOUNTABILITY EVALUATION IMPLEMENTATION PLANNING SCOTLAND GOAL SETTING IN THE NATIONAL HEALTH SERVICE: A PILOT STUDY 19 C an commercial goal setting be applied to the NHS? A Scottish pilot study is described. Goal Setting in the National...