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Quality Management in Health Care:
doi: 10.1097/QMH.0000000000000031
Original Articles

Increasing Capacity for Quality Improvement in Underresourced Primary Care Settings

Hudson, Shannon M. PhD, RN; Hiott, Deanna B. MSN, RN; Cole, Jeff MBA; Davis, Robert MS; Egan, Brent M. MD; Laken, Marilyn A. PhD, RN, FAAN

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While hospitals have widely adopted quality improvement (QI) initiatives, primary care practices continue to face unique challenges to QI implementation. The purpose of this article is to outline a strategy for promoting QI in primary care practices by introducing specially trained nurses. Two case examples are described, one with a QI nurse external to the practice and one with a nurse internal to the practice. Lessons learned and barriers and facilitators to QI in primary care are presented. Barriers and facilitators are identified in the following categories: practice infrastructure, practice leadership, and practice organizational culture. Implications for primary care practitioners and avenues for future work are discussed.

© 2014Wolters Kluwer Health | Lippincott Williams & Wilkins


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