title: Commentary: why quality improvement efforts in health care fail and what can be done about it.
abstract: When you scratch below the surface, there is a palpable frustration in the field of quality improvement. More often than not, these disappointments are rooted in the slow pace of progress seen with improvement initiatives. Little is written about the shortcomings of quality improvement in health care. Medicine, in general, shuns from publicly discussing its failures. This article will focus on 10 features of failing quality improvement efforts.
authors.affiliation: University of Pennsylvania Health System, Philadelphia, USA.
authors.forename: D J
authors.initials: DJ
authors.lastname: Shulkin
mesh_terms: D003659:Decision Making, Organizational; D017598:Efficiency, Organizational; D004649:Employee Incentive Plans; D010557:Personnel Administration, Hospital / Q000592:standards; D017410:Practice Guidelines as Topic; D012941:Social Responsibility; D017749:Total Quality Management / Q000458:organization & administration* / Q000592:standards