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- W2016112689 abstract "Most research on why health care quality improvement implementation succeeds or fails focuses on front-line or provider-based factors. However, background factors related to the structures and processes of projects themselves also pose challenges. Using a focused ethnographic assessment approach, we undertook a case study to characterize particularly challenging background factors in an ongoing implementation effort. We found that the organizational structure of the project under study sustained several key cultural differences in stakeholder agendas. Moreover, it fostered the emergence of strategic communication processes that, despite their immediate utility, sometimes undermined progress and threatened long-term relations by distorting flow in particularly patterned ways. These included a focus on the local and information reconfigurations or partiality that sometimes led to miscommunication or interpretive disjunctions between various stakeholders. Successful cross-organizational c..." @default.
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- W2016112689 date "2008-12-01" @default.
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- W2016112689 title "Enhancing Organizational Change and Improvement Prospects: Lessons from an HIV Testing Intervention for Veterans" @default.
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- W2016112689 doi "https://doi.org/10.17730/humo.67.4.6p5778357w511757" @default.
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