Improvements scale-up and rapid response systems in the hospitals

It is very challenging to scale up the improvements. However, improvements vary as some require exact emulation and some need adapting. Moreover, the context also influences on adaption. Øvretveit et al. [1] studied about scaling-up improvements more quickly and effectively. This study provided potential lessons for successful scale-up of improvement changes such as context, pre-asses internal context, establish and invest in ‘3S’ scale-up system and applied and partnership research. Authors encouraged more and better investigations into scale-up approaches and to give an overview of some of the issues and possible ways forward based upon experiences at Kaiser Permanente, in Swedish county health systems, and in international health. Since healthcare has an underdeveloped capacity for changing practice and organization while at the same time ensuring efficient and quality daily care. This study conveys an important message about the functions performed by a scale up infrastructure for improvement and its necessary role for accountability, protecting the time and deploying the investment needed to create the future healthcare that is needed. It also encourages more actionable research into scale-up and shows the opportunities for researchers to advance implementation and improvement science and contribute to reducing suffering and costs in a more timely and effective way. To meet future challenges, authors suggested to have a step-change that how fast and effective we implement inconsideration with better ways of caring patients and supporting self-care.