The question often asked of a quality improvement initiative is whether the improvement process has been sustained within the organization. Rarely is the question answered satisfactorily. The sustainability of an improvement process is important as it justifies the investment of human and financial capital. The term 'evaporation of improvements' addresses the dilemma that between 33% to 70% of all innovations are reportedly not sustained (Fleiszer, Semenic, Ritchie, Richer, & Denis, 2015) . This evaporation of improvement captures the frustrating inability of many institutions to maintain the achieved improvement after the newness of the initial effort wears off (Buchanan, Fitzgerald, & Ketley, 2007). This article addresses the components of what makes a quality initiative sustainable by applying a framework developed that identifies components necessary within a sustainable quality initiative evident from the development process through to the implementation phase of the initiative which becomes part of the fabric of an organization.
Giardino, A. P., & Giardino, E. R. (2019). Sustainability in Quality Improvement and Patient Safety Initiatives. Journal of Nursing & Interprofessional Leadership in Quality & Safety, 2 (1). Retrieved from https://digitalcommons.library.tmc.edu/uthoustonjqualsafe/vol2/iss1/5
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