There is a bundle of elements that need attention and have been found to be important for quality improvement efforts to succeed. These include:
Other elements found to be important include physician involvement, motivation to change, resources for quality improvement, and quality improvement team leadership.
Kaplan HC, Brady PW, Dritz MC, Hooper DK, Linam WM, Froehle CM, and Margolis P. The influence of context on quality improvement success in health care: A systematic review of the literature. Milbank Quarterly, 88(4): 500–559, 2010.