Findings from a national improvement collaborative: are improvements sustained BMJ Quality & Safety, 04/13/2012
Glasgow JM et al. – This quasi–experimental evaluation found lower rates of improvements than normally reported in studies of QI collaboratives. The most striking observation was that a majority of hospitals increased their rates of discharges before noon, but after completing the collaborative their performance declined. Future work needs to qualitatively and quantitatively assess what organisational features distinguish those hospitals that can improve and sustain quality.