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Systematic review
Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies

Authors

  • Valerie M Vaughn Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center/University of Michigan, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  • Sanjay Saint Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center/University of Michigan, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  • Sarah L Krein Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center/University of Michigan, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  • Jane H Forman Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center/University of Michigan, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  • Jennifer Meddings Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center/University of Michigan, Ann Arbor, Michigan, USA Departmentof Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  • Jessica Ameling Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center/University of Michigan, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  • Suzanne Winter Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center/University of Michigan, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  • Whitney Townsend Taubman Health Sciences Library, University of Michigan, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  • Vineet Chopra Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center/University of Michigan, Ann Arbor, Michigan, USA PubMed articlesGoogle scholar articles
  1. Correspondence to Dr Valerie M Vaughn, Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA; valmv{at}umich.edu
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Citation

Vaughn VM, Saint S, Krein SL, et al
Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies
BMJ Quality & Safety 2019;28:74-84.

Publication history

  • Received November 3, 2017
  • Revised June 11, 2018
  • Accepted June 24, 2018
  • First published July 25, 2018.
Online issue publication 
December 31, 2018

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© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.