International Journal for Quality in Health Care, 2018, 1 doi: 10.1093/intqhc/mzx191 Editorial Editorial It is very challenging to scale up the improvements. However, between people and the technologies elements, tasks, environment improvements vary as some require exact emulation and some need and organization in the healthcare settings. adapting. Moreover, the context also inﬂuences on adaption. Øvret- veit et al.  studied about scaling-up improvements more quickly References and effectively. This study provided potential lessons for successful 1. Øvretveit J, Garofalo L, Mittman B. Scaling up improvements more scale-up of improvement changes such as context, pre-asses internal quickly and effectively. Int J Qual Health Care 2017: 1–6. doi:10.1093/ context, establish and invest in ‘3S’ scale-up system and applied and intqhc/mzx147. partnership research. Authors encouraged more and better investiga- 2. Chua WL, See MTA, Legio-Quigley H et al. Factors inﬂuencing the acti- tions into scale-up approaches and to give an overview of some of vation of the rapid response system for clinically deteriorating patients by the issues and possible ways forward based upon experiences at frontline ward clinicians: a systematic review. Int J Qual Health Care Kaiser Permanente, in Swedish county health systems, and in inter- 2017: 1–18. doi:10.1093/intqhc/mzx149. national health. Since healthcare has an underdeveloped capacity for 1,2,3 2,4,5 changing practice and organization while at the same time ensuring USMAN IQBAL and YU-CHUAN (JACK) LI efﬁcient and quality daily care. This study conveys an important Masters Program in Global Health & Development Department, message about the functions performed by a scale up infrastructure College of Public Health, Taipei Medical University, 250-Wuxing for improvement and its necessary role for accountability, protecting Street, Xinyi District, Taipei 11031, Taiwan, the time and deploying the investment needed to create the future International Center for Health Information Technology, healthcare that is needed. It also encourages more actionable research Taipei Medical University, 250-Wuxing Street, Xinyi District, into scale-up and shows the opportunities for researchers to advance Taipei 11031, Taiwan, implementation and improvement science and contribute to reducing Health Informatics Department, COMSATS Institute of suffering and costs in a more timely and effective way. To meet future Information Technology (CIIT), Islamabad, Park Road, challenges, authors suggested to have a step-change that how fast and Islamabad-44000, Pakistan, effective we implement inconsideration with better ways of caring Graduate Institute of Biomedical Informatics, College of patients and supporting self-care. Medicine Science and Technology, Taipei Medical University, Many patients suffer from harm or death due to unrecognized or 250-Wuxing Street, Xinyi District, Taipei 11031, Taiwan, and poorly managed deterioration particularly in hospital wards. Therefore, Department of Dermatology, Wan Fang Hospital, No. 111, the rapid response systems (RRS) has been developed to identify Section 3, Xinglong Road, Wenshan District, Taipei City, 116, patients at risk for clinical deterioration within the hospital in order Taiwan to deliver reliable, safe and quality care. Theoretically, there are sig- Address reprint requests to: Yu-Chuan (Jack) Li, MD, PhD, niﬁcant advantages of RSS over the traditional referral model of FACMI, FACHI, FIAHSI, Professor and Dean, College of care however, from last two decades the research still demonstrates Medicine Science and Technology (CoMST), Taipei Medical mixed evidence on the effectiveness. Chua et al.  reviewed about University; Director, International Center for Health the factors inﬂuencing the activation of the RRS for hospitalized Information Technology (ICHIT), Taipei Medical University, patients. It is interesting to know from this review that the factors Taipei, Taiwan; Chair, Department of Dermatology, Wan Fang inﬂuencing RRS activation originated from a combination of socio- Hospital, Taipei, Taiwan, 250-Wuxing Street, Xinyi District, cultural, organizational and technical aspects. If any institutions are Taipei 11031, Taiwan. Tel: +886-2-6636-2530 (Ext. 7601); striving for improvements in their existing RRS or considering to Fax: +886-2-6638-7537; E-mail: firstname.lastname@example.org; adopt the RRS should take into account the complex interactions email@example.com; firstname.lastname@example.org © The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: email@example.com 1 Downloaded from https://academic.oup.com/intqhc/advance-article-abstract/doi/10.1093/intqhc/mzx191/4851150 by Ed 'DeepDyve' Gillespie user on 07 June 2018
International Journal for Quality in Health Care – Oxford University Press
Published: Feb 12, 2018
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