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SCOPEOUT: sustainability and spread of quality improvement activities in long-term care- a mixed methods approach.

BMC Health Serv Res · 2018 · PMC5848563 · PMID 29530038

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a decreasing trendno p-value reported
While this study showed a decreasing trend in continued QI activity on intervention units over time, there was evidence of spread of SCOPE activities (use of SCOPE binders) to non-intervention units.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.