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.

The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement