Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective.

Wiegmann DA. Ann Surg. 2016;263:9-11.

Improvement efforts often face challenges associated with implementation and adherence, for example, the difficulty of engaging surgeons and other clinicians in checklist interventions. This commentary describes a model that uses a sociotechnical approach to guide implementation of improvement initiatives. The framework includes assessing whether systems are prepared for change, identifying leaders, and establishing goals.