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Deciding when quality and safety improvement interventions warrant widespread adoption

Evaluative criteria are needed to determine the likelihood of successful implementation and acceptable return on investment

Determining when a specific quality and safety improvement intervention (QSII) has sufficient evidence of effectiveness to warrant widespread implementation is highly controversial.1,2 Some large-scale QSIIs have been shown to be less effective than originally thought (Box).38 Reporting guidelines for QSII studies stipulate sufficient detail to allow users to gauge the feasibility and reproducibility of a specific QSII within local contexts.9 Some authors have focused on study designs and statistical methods used to evaluate QSIIs.10 An international expert group has distilled several key themes that researchers should consider and discuss when describing experiences with specific QSIIs.11

While considerable resources are being directed at QSIIs in Australia and elsewhere, recent literature reviews…