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Small scale success through rapid PDSA cycles is a significant accomplishment and should be celebrated. Now that you’ve proven a change is an improvement, you need incorporate the change into existing workflows. Sustaining improvement can be challenging and the following materials will help ensure your project becomes embedded in culture and processes.


  • Enhancing Project Spread and Sustainability: A classic resource which provides helpful tips, practical advice and a framework for successful spread and sustainment of performance improvement.
  • Sustainability Model, National Health Service: An assessment tool to identify project specific activities needed for skillful sustainment