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Evaluating a Breakthrough Series Collaborative in a Swedish Health Care Context

Andersson, Ann-Christine PhD, RN; Idvall, Ewa PhD, RN; Perseius, Kent-Inge PhD, RN; Elg, Mattias PhD

Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e3182a95ff6

This study evaluated the use of the Breakthrough Series Collaborative methodology in a Swedish county council improvement program, comparing measurements at the beginning and after 6 months. A questionnaire was used, and improvement processes and outcomes were analyzed. The results showed an overall large engagement in improvements, although the methodology and facilitators were seen as only moderately supportive.

Author Information

Division of Quality Technology and Management (Drs Andersson and Elg) and HELIX Vinn Excellence Centre (Dr Elg), Linköping University, Linköping, Sweden; Development Department (Dr Andersson) and Nyckeln Competence Centre for Pedagogic in Health Care (Dr Perseius), Kalmar County Council, Kalmar, Sweden; Faculty of Health and Society, Malmö University, Malmö, Sweden (Drs Andersson and Idvall); Department of Intensive Care and Perioperative Medicine, Skåne University Hospital, Malmö, Sweden (Dr Idvall); and the Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Stockholm, Sweden (Dr Perseius).

Correspondence: Ann-Christine Andersson, PhD, RN, Development Department, Kalmar County Council, Box 601, 39136 Kalmar, Sweden (

This study has financial support from Swedish Association of Local Authorities and Regions, and Kalmar County Council Research and Development Delegation.

The authors declare no conflict of interest.

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Accepted for publication August 16, 2013

Published ahead of print: September 18, 2013

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