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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

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.

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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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