{"id":"https://openalex.org/W2521189618","doi":"https://doi.org/10.7861/futurehosp.3-3-191","title":"Does quality improvement improve quality?","display_name":"Does quality improvement improve quality?","publication_year":2016,"publication_date":"2016-10-01","ids":{"openalex":"https://openalex.org/W2521189618","doi":"https://doi.org/10.7861/futurehosp.3-3-191","mag":"2521189618","pmid":"https://pubmed.ncbi.nlm.nih.gov/31098223"},"language":"en","primary_location":{"id":"doi:10.7861/futurehosp.3-3-191","doi":"https://doi.org/10.7861/futurehosp.3-3-191","is_oa":true,"landing_page_url":"https://doi.org/10.7861/futurehosp.3-3-191","pdf_url":"http://futurehospital.rcpjournal.org/content/3/3/191.full.pdf","source":{"id":"https://openalex.org/S2764359698","display_name":"Future Hospital Journal","issn_l":"2055-3323","issn":["2055-3323","2055-3331"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310311682","host_organization_name":"Royal College of Physicians","host_organization_lineage":["https://openalex.org/P4310311682"],"host_organization_lineage_names":["Royal College of Physicians"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Future Hospital Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","datacite","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"http://futurehospital.rcpjournal.org/content/3/3/191.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087401954","display_name":"Mary Dixon\u2010Woods","orcid":"https://orcid.org/0000-0002-5915-0041","observed_orcids":["https://orcid.org/0000-0002-5915-0041"]},"institutions":[{"id":"https://openalex.org/I241749","display_name":"University of Cambridge","ror":"https://ror.org/013meh722","country_code":"GB","type":"education","lineage":["https://openalex.org/I241749"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Mary Dixon-Woods","raw_affiliation_strings":["Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK","Department of Public Health and Primary Care, University of Cambridge, Robinson Way, Cambridge CB2 0SR, UK","professor of health services research, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK ;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK","institution_ids":["https://openalex.org/I241749"]},{"raw_affiliation_string":"Department of Public Health and Primary Care, University of Cambridge, Robinson Way, Cambridge CB2 0SR, UK","institution_ids":["https://openalex.org/I241749"]},{"raw_affiliation_string":"professor of health services research, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK ;","institution_ids":["https://openalex.org/I241749"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5028890942","display_name":"Graham Paul Martin","orcid":"https://orcid.org/0000-0003-1979-7577","observed_orcids":["https://orcid.org/0000-0003-1979-7577"]},"institutions":[{"id":"https://openalex.org/I153648349","display_name":"University of Leicester","ror":"https://ror.org/04h699437","country_code":"GB","type":"education","lineage":["https://openalex.org/I153648349"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Graham P Martin","raw_affiliation_strings":["College of Medicine, Biological Sciences and Psychology, University of Leicester, Leicester, UK","professor of health organisation and policy,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Medicine, Biological Sciences and Psychology, University of Leicester, Leicester, UK","institution_ids":["https://openalex.org/I153648349"]},{"raw_affiliation_string":"professor of health organisation and policy,","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5087401954"],"corresponding_institution_ids":["https://openalex.org/I241749"],"apc_list":null,"apc_paid":null,"fwci":54.1532,"has_fulltext":true,"cited_by_count":325,"citation_normalized_percentile":{"value":0.99930518,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"3","issue":"3","first_page":"191","last_page":"194"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.009600000455975533,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.9900000095367432},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.9049999713897705},{"id":"https://openalex.org/keywords/implementation-fidelity","display_name":"implementation fidelity","score":0.7749999761581421},{"id":"https://openalex.org/keywords/knowledge-sharing","display_name":"knowledge sharing","score":0.5350000262260437},{"id":"https://openalex.org/keywords/resource-pooling","display_name":"resource pooling","score":0.6150000095367432},{"id":"https://openalex.org/keywords/barriers-to-change","display_name":"barriers to change","score":0.33899998664855957}],"concepts":[{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.7090002298355103},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3485977053642273},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.042609453201293945},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.7861/futurehosp.3-3-191","doi":"https://doi.org/10.7861/futurehosp.3-3-191","is_oa":true,"landing_page_url":"https://doi.org/10.7861/futurehosp.3-3-191","pdf_url":"http://futurehospital.rcpjournal.org/content/3/3/191.full.pdf","source":{"id":"https://openalex.org/S2764359698","display_name":"Future Hospital Journal","issn_l":"2055-3323","issn":["2055-3323","2055-3331"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310311682","host_organization_name":"Royal College of Physicians","host_organization_lineage":["https://openalex.org/P4310311682"],"host_organization_lineage_names":["Royal College of Physicians"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Future Hospital Journal","raw_type":"journal-article"},{"id":"pmid:31098223","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31098223","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Future hospital journal","raw_type":"Journal Article"},{"id":"pmh:oai:www.repository.cam.ac.uk:1810/260182","doi":null,"is_oa":false,"landing_page_url":"https://www.repository.cam.ac.uk/handle/1810/260182","pdf_url":null,"source":{"id":"https://openalex.org/S4306401777","display_name":"Apollo (University of Cambridge)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I241749","host_organization_name":"University of Cambridge","host_organization_lineage":["https://openalex.org/I241749"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6465806","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6465806","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Future Hosp J","raw_type":"Text"},{"id":"doi:10.17863/cam.4409","doi":"https://doi.org/10.17863/cam.4409","is_oa":true,"landing_page_url":"https://doi.org/10.17863/cam.4409","pdf_url":null,"source":{"id":"https://openalex.org/S7407050737","display_name":"Apollo","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.7861/futurehosp.3-3-191","doi":"https://doi.org/10.7861/futurehosp.3-3-191","is_oa":true,"landing_page_url":"https://doi.org/10.7861/futurehosp.3-3-191","pdf_url":"http://futurehospital.rcpjournal.org/content/3/3/191.full.pdf","source":{"id":"https://openalex.org/S2764359698","display_name":"Future Hospital Journal","issn_l":"2055-3323","issn":["2055-3323","2055-3331"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310311682","host_organization_name":"Royal College of Physicians","host_organization_lineage":["https://openalex.org/P4310311682"],"host_organization_lineage_names":["Royal College of Physicians"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Future Hospital Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.6240000128746033,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/9","score":0.5199999809265137,"display_name":"Industry, innovation and infrastructure"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1612327884","display_name":null,"funder_award_id":"/WT097899","funder_id":"https://openalex.org/F4320311904","funder_display_name":"Wellcome Trust"},{"id":"https://openalex.org/G9000152801","display_name":null,"funder_award_id":"097899/Z/11/Z","funder_id":"https://openalex.org/F4320311904","funder_display_name":"Wellcome Trust"}],"funders":[{"id":"https://openalex.org/F4320311904","display_name":"Wellcome Trust","ror":"https://ror.org/029chgv08"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2521189618.pdf","grobid_xml":"https://content.openalex.org/works/W2521189618.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1488539917","https://openalex.org/W1964576355","https://openalex.org/W1965516437","https://openalex.org/W1983425713","https://openalex.org/W1997677416","https://openalex.org/W2000426055","https://openalex.org/W2020842956","https://openalex.org/W2038968272","https://openalex.org/W2053268472","https://openalex.org/W2056531136","https://openalex.org/W2058036013","https://openalex.org/W2079623751","https://openalex.org/W2083553487","https://openalex.org/W2106897391","https://openalex.org/W2111048948","https://openalex.org/W2111572130","https://openalex.org/W2115133509","https://openalex.org/W2119573062","https://openalex.org/W2124035609","https://openalex.org/W2132033829","https://openalex.org/W2137915883","https://openalex.org/W2139331906","https://openalex.org/W2145667053","https://openalex.org/W2153352637","https://openalex.org/W2153547614","https://openalex.org/W2157739502","https://openalex.org/W2163123962","https://openalex.org/W2168880999","https://openalex.org/W2172159458","https://openalex.org/W2205303542","https://openalex.org/W2261008349","https://openalex.org/W2285385863","https://openalex.org/W2343415600","https://openalex.org/W2580389126","https://openalex.org/W6757539500"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W2390279801","https://openalex.org/W4391913857","https://openalex.org/W2358668433","https://openalex.org/W4396701345","https://openalex.org/W2376932109","https://openalex.org/W2001405890","https://openalex.org/W4396696052"],"abstract_inverted_index":{"Although":[0],"quality":[1],"improvement":[2,80,102,111],"(QI)":[3],"is":[4,44,49,73,113],"frequently":[5],"advocated":[6],"as":[7,96],"a":[8,118],"way":[9],"of":[10,17,41,79,86,107],"addressing":[11],"the":[12,31,39,62,69,84,134],"problems":[13],"with":[14],"healthcare,":[15],"evidence":[16],"its":[18],"effectiveness":[19],"has":[20],"remained":[21],"very":[22],"mixed.":[23],"The":[24],"reasons":[25],"for":[26],"this":[27],"are":[28,94],"varied":[29],"but":[30],"growing":[32],"literature":[33],"highlights":[34],"particular":[35],"challenges.":[36],"Fidelity":[37],"in":[38,103,115,133,146],"application":[40],"QI":[42,47,92,148],"methods":[43],"often":[45,50],"variable.":[46],"work":[48,112],"pursued":[51],"through":[52],"time-limited,":[53],"small-scale":[54],"projects,":[55],"led":[56],"by":[57],"professionals":[58],"who":[59],"may":[60],"lack":[61],"expertise,":[63],"power":[64],"or":[65],"resources":[66,124],"to":[67,76,82,122],"instigate":[68],"changes":[70],"required.":[71],"There":[72],"insufficient":[74],"attention":[75],"rigorous":[77],"evaluation":[78],"and":[81,88,125,129,141],"sharing":[83],"lessons":[85],"successes":[87],"failures.":[89],"Too":[90,109],"many":[91],"interventions":[93],"seen":[95],"'magic":[97],"bullets'":[98],"that":[99],"will":[100],"produce":[101],"any":[104],"situation,":[105],"regardless":[106],"context.":[108],"much":[110],"undertaken":[114],"isolation":[116],"at":[117],"local":[119],"level,":[120],"failing":[121],"pool":[123],"develop":[126],"collective":[127],"solutions,":[128],"introducing":[130],"new":[131],"hazards":[132],"process.":[135],"This":[136],"article":[137],"considers":[138],"these":[139],"challenges":[140],"proposes":[142],"four":[143],"key":[144],"ways":[145],"which":[147],"might":[149],"itself":[150],"be":[151],"improved.":[152]},"counts_by_year":[{"year":2026,"cited_by_count":16},{"year":2025,"cited_by_count":24},{"year":2024,"cited_by_count":27},{"year":2023,"cited_by_count":36},{"year":2022,"cited_by_count":32},{"year":2021,"cited_by_count":62},{"year":2020,"cited_by_count":28},{"year":2019,"cited_by_count":59},{"year":2018,"cited_by_count":25},{"year":2017,"cited_by_count":12},{"year":2016,"cited_by_count":4}],"updated_date":"2026-10-17T09:40:24.721904","created_date":"2025-10-10T00:00:00"}
