Quality Improvement: Theory and Practice in Healthcare

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This report by the NHS Institute for Innovation and Improvement presents and reviews evidence about how quality improvement has been implemented in a range of healthcare contexts.

It provides a guide to the main improvement approaches being applied, and offers a clinical perspective on improvement methods that have largely been brought into healthcare from other industries. 

The report examines a number of different improvement approaches, considering both their successes and limitations. These include:

  • Plan-Do-Study-Act (PDSA) cycles 
  • Statistical Process Control
  • Six Sigma
  • Lean
  • Theory of Constraints
  • Mass Customisation

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