BMJ Qual Saf 25 July 2018. doi: 10.1136/bmjqs-2017-007573
- This systematic review of 30 international studies identified five distinct domains which typified struggling healthcare organisations: (1) Poor organisational culture, (2) Inadequate infrastructure, (3) Lack of a cohesive mission and vision, (4) System shocks and (5) Dysfunctional external relations.
