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Understanding healthcare processes: how marginal gains can improve quality and value for children and families
  1. Claire Lemer1,
  2. Ronny Cheung1,
  3. Robert Klaber2,
  4. Natalie Hibbs3
  1. 1Department of General Paediatrics, Evelina London Children's Hospital, London, UK
  2. 2Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK
  3. 3GE Healthcare Finnamore, London, UK
  1. Correspondence to Dr Claire Lemer, Department of General Paediatrics, Evelina London Children's Hospital, Westminster Bridge Road, London SE1 7EH, UK; Claire.Lemer{at}


Understanding how to identify and improve clinical pathways has proven a key tool in quality improvement. These techniques originated beyond healthcare, but are increasingly applied to healthcare. This paper outlines the history of the technique transfer and how to use in clinical practice.

  • Paediatric Practice
  • Data Collection
  • Health Service

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