Increasing the generalisability of improvement research with an improvement replication programme
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Updated: Jun 3, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
John Øvretveit1, Laura Leviton, Gareth Parry
1Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.
Abstract:
If a quality improvement is found effective in one setting, would the same effects be found elsewhere? Could the same change be implemented in another setting? These are just two of the 'generalisation questions' which decision-makers face in considering whether to act on reported improvement. In this paper, some of the issues are considered and a programme of research for testing improvements in different settings is proposed to build theory and practical guidance about implementation and results in different settings.
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