"Common findings show the difficulty of introducing large-scale interventions, and that effective leadership and clinical champions, adequate financial and educational resources, and dedicated promotional activities appear to be common factors in successful system-wide change."
Do large-scale hospital and system-wide interventions improve patient outcomes: a systematic review
R Clay-Williams, H Nosrati, FC Cunningham, K Hillman, J Braithwaite
BMC Health Services Research 2014, 14:369
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