advances in quality improvement include accounting for change, managing competing demands, and understanding that change is complex. Purely mechanistic approaches for change in complex systems are often inadequate; instead, more complex, adaptive approaches may be necessary. These barriers must be addressed in order to induce change, Titler concluded.
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3 Barriers to Quality Improvement and Quality Improvement Research ."
Advancing Quality Improvement Research: Challenges and Opportunities - Workshop Summary . Washington, DC: The National Academies Press,
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