If a quality improvement is found effective in one setting, would the same effects be found elsewhere? Could the same change be implemented in another setting? These are just two of the ‘generalisation questions’ which decision-makers face in considering whether to act on reported improvement. In this paper, some of the issues are considered and a programme of research for testing improvements in different settings is proposed to build theory and practical guidance about implementation and results in different settings.
- quality and safety improvement
- research methods
- healthcare quality
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Funding The Health Foundation.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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