What to expect when you're evaluating healthcare improvement

"Although valuable, evaluation is often complicated by tensions and friction between evaluators, implementers and other stakeholders. Drawing on the literature, we suggest that these tensions can arise from a lack of shared understanding of the goals of the evaluation; confusion about roles, relationships and responsibilities; data burdens; issues of data flows and confidentiality; the discomforts of being studied and the impact of disappointing or otherwise unwelcome results. We present a possible approach to managing these tensions "

What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities
L Brewster, EL Aveling, G Martin, C Tarrant, M Dixon-Woods
BMJ Quality and Safety 2015;24:318-324 doi:10.1136/bmjqs-2014-003732

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