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Finding out about how others’ schemes to implement change succeed or why they fail can be extremely helpful. It can save time and effort and may accelerate improvements in service delivery. One of the stated aims of this journal is to publish such quality improvement reports along-side papers that report the results of relevant research. The editorial team are aware through discussion with colleagues, from papers presented at meetings, and reading local reports that many people are involved in useful and informative quality improvement projects that could have valuable messages for others. And yet in the past seven and a half years we have only published 12 quality improvement reports—the most recent one in December 1995.
We rely on submitted reports, and one of the reasons for this dearth of published quality improvement reports may be that people are simply too busy improving care to have time to write. But there may be other barriers. The standard form for writing papers in medical journals is the scientific IMRaD (introduction, methods, results, and discussion) structure. This is …
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