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Lack of top-management commitment may stem from various reasons like lack of experience and training, resistance to change and hesitation in initiating improvement programs (Talib et al. 2011).
This combination of components provides a proven strategy for initiating improvement in clinical diabetes care for many primary care practices.
Poor organisational and information systems sometimes left staff struggling to deliver care effectively and disempowered them from initiating improvement.
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The present study demonstrated the potential of using 30-day mortality in quality improvement work when the hospitals, that is, both management and clinicians, took ownership of their results and initiated improvement initiatives.
Future research should examine whether and for what reasons health plans initiate improvement projects.
However, most learning from the programme evaluations and related literature applies both to externally and internally initiated improvement efforts.
To determine whether managed competition in the healthcare system leads to quality improvement in health plans, it is important to examine whether and for what reasons health plans initiate improvement efforts.
In other words, as in previous studies [ 3, 7, 8, 18], reputation protection appears to be an factor stimulating health plans to initiate improvement projects but fear for loosing market share is probably also an important issue.
Our industry is not waiting for any commission to initiate improvements in safety and environmental performance.
The trust, which is the largest in the NHS, admitted that it had let some cancer patients down and said it had initiated improvements.
"At patient level, it should lead to better individual treatment decisions; at service level, it should identify flaws and strengths and initiate improvements; and at a regional or national level, you can benchmark and determine policy and service direction".
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CEO of Professional Science Editing for Scientists @ prosciediting.com