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Fig. 1 | Implementation Science

Fig. 1

From: A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa

Fig. 1

Rapid-cycle improvement. Integral to the Model for Improvement, an improvement approach developed by Associates in Process Improvement, rapid-cycle improvement is a disciplined way to iteratively test changes in a process at a larger and larger scale (Langley GJ, Nolan KM, Nolan TW, Norman CL, Provost LP. The improvement guide: a practical approach to enhancing organizational performance. San Francisco: Jossey-Bass Publishers; 2009). Based on a theory about what change will lead to improvement, a change is first tested at a very small scale, e.g., with one clinician and one patient, using the Plan-Do-Study-Act method. Based on the results of each cycle, further tests are planned or the change may be abandoned

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