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. 2019 May 10:365:l2068.
doi: 10.1136/bmj.l2068.

Spreading and scaling up innovation and improvement

Trisha Greenhalgh  1 , Chrysanthi Papoutsi  2
Affiliations

Spreading and scaling up innovation and improvement

Trisha Greenhalgh et al. BMJ. .

Abstract

Disseminating innovation across the healthcare system is challenging but potentially achievable through different logics: mechanistic, ecological, and social, say Trisha Greenhalgh and Chrysanthi Papoutsi

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Conflict of interest statement

Competing interests: We have read and understood BMJ policy on declaration of interests and declare the following interests: none.

Figures

Fig 1
Fig 1
Rapid cycle test of change model of spread used in implementation science. Drawing on insights and a previous diagram in a review by Barker
See this image and copyright information in PMC

Comment in

References

    1. Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 2004;82:581-629. 10.1111/j.0887-378X.2004.00325.x - DOI - PMC - PubMed
    1. NHS England NHS long term plan. NHS England, 2019.
    1. Barker PM, Reid A, Schall MW. A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa. Implement Sci 2016;11:12. 10.1186/s13012-016-0374-x - DOI - PMC - PubMed
    1. Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT. How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts. Soc Sci Med 2013;93:194-202. 10.1016/j.socscimed.2012.05.040 - DOI - PubMed
    1. Øvretveit J, Garofalo L, Mittman B. Scaling up improvements more quickly and effectively. Int J Qual Health Care 2017;29:1014-9. 10.1093/intqhc/mzx147 - DOI - PubMed

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