Two years ago, the Institute for Healthcare Improvement started its Open School, offering free online courses in systems skills such as outcome measurement, quality improvement, implementation, and leadership.
In both studies there is a factor related to the management of the improvement implementation as a project.
The factor "Software process improvement implementation strategy" defined by Montoni (2010) was considered to have a medium level of influence.
Top management support has been recognized as important for successful quality improvement implementation (for example, Powell 1995; Adam et al. 1997; Samson and Terziovski 1999).
Even though the objective was ambitious, Synapsis Brazil conducted successfully an official SCAMPI A appraisal on CMMI maturity level 5 in December 2012, after 12 month of process improvement implementation.
The why and how of quality improvement implementation is just as important to document as whether the project succeeded [ 12].
In this study we evaluated the effects of our tailored multi-faceted improvement implementation programme on GPs' role security and therapeutic commitment and, in addition, which professional related factors influenced the impact of the implementation programme.
In a perspective of quality improvement, implementation of evidence-based diagnostic and therapeutic practices and outcome monitoring have been shown to gradually improve outcomes in all types of hospitals and to decrease between-hospital variation [ 60, 61].
To overcome the water limitation and facilitate the continued expansion of soybean productivity and crop improvement, implementation of modern biotechnology such as genetic engineering of plants to produce drought-tolerant cultivars, rises as a potential solution [ 2].
Recent work addressed the impact of organisational quality improvement strategies on hospital patient safety and quality and supported the proposition that the scope of quality improvement implementation in hospitals is significantly associated with hospital-level quality indicators, even though the directions of the associations are not always systematically positive [ 12, 13].
