TY - JOUR T1 - Ten tips for advancing a culture of improvement in primary care JF - BMJ Quality & Safety JO - BMJ Qual Saf SP - 582 LP - 587 DO - 10.1136/bmjqs-2018-008451 VL - 28 IS - 7 AU - Tara Kiran AU - Noor Ramji AU - Mary Beth Derocher AU - Rajesh Girdhari AU - Samantha Davie AU - Margarita Lam-Antoniades Y1 - 2019/07/01 UR - http://qualitysafety.bmj.com/content/28/7/582.abstract N2 - Embracing practice-based quality improvement (QI) represents one way for clinicians to improve the care they provide to patients while also improving their own professional satisfaction. But engaging in care redesign is challenging for clinicians. In this article, we describe our experience over the last 7 years transforming the care delivered in our large primary care practice. We reflect on our journey and offer 10 tips to healthcare leaders seeking to advance a culture of improvement. Our organisation has developed a cadre of QI leaders, tracks a range of performance measures and has demonstrated sustained improvements in important areas of patient care. Success has required deep engagement with both patients and clinicians, a long-term vision, and requisite patience. ER -