Spread Improvement
Spreading improvement to other units
Spreading successful improvements to other areas of the hospital requires that the new process refined in the pilot get woven into the wider fabric of every day clinical work.
The IHI published a brief but very useful White Paper, “A Framework for Spread.”30 We highly recommend this resource, but summarize the field-tested themes here:
- Committed organizational leadership is crucial
- Begin planning for spread as early as possible
- Be specific in the aims of spread (who, what, where, when)
- Leverage existing infrastructure and identify infrastructure gaps
- Execute the spread plan but learn and revise as you go
Just as for the pilot, let the key principles for layering effective QI interventions guide your efforts to spread the improvement.
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