title: Understanding healthcare processes: how marginal gains can improve quality and value for children and families.
abstract: Understanding how to identify and improve clinical pathways has proven a key tool in quality improvement. These techniques originated beyond healthcare, but are increasingly applied to healthcare. This paper outlines the history of the technique transfer and how to use in clinical practice.
authors.affiliation: Department of General Paediatrics, Evelina London Children's Hospital, London, UK.
authors.forename: Claire
authors.initials: C
authors.lastname: Lemer
authors.affiliation: Department of General Paediatrics, Evelina London Children's Hospital, London, UK.
authors.forename: Ronny
authors.initials: R
authors.lastname: Cheung
authors.affiliation: Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK.
authors.forename: Robert
authors.initials: R
authors.lastname: Klaber
authors.affiliation: GE Healthcare Finnamore, London, UK.
authors.forename: Natalie
authors.initials: N
authors.lastname: Hibbs
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D002675:Child, Preschool; D003258:Consumer Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D017598:Efficiency, Organizational; D005190:Family / Q000523:psychology*; D005260:Female; D005858:Germany; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008910:Minnesota; D019982:Organizational Case Studies; D017060:Patient Satisfaction; D058996:Quality Improvement / Q000458:organization & administration*
keywords: Data Collection; Health Service; Paediatric Practice