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  1. Andersson, Ann-Christine PhD, RN
  2. Idvall, Ewa PhD, RN
  3. Perseius, Kent-Inge PhD, RN
  4. Elg, Mattias PhD


This study evaluated the use of the Breakthrough Series Collaborative methodology in a Swedish county council improvement program, comparing measurements at the beginning and after 6 months. A questionnaire was used, and improvement processes and outcomes were analyzed. The results showed an overall large engagement in improvements, although the methodology and facilitators were seen as only moderately supportive.