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Less than 25% of projects (59/258) represented actual QI and were successful. Project category was predictive of success, specifically those aimed at preventive care or education. CONCLUSION Less than a quarter of trainee QI projects represent successful QI. IMPLICATIONS Hospitals and training programs should identify interventions to improve trainee QI experience.Lean has gained recognition in healthcare as a quality improvement tool. The purpose of this research was to examine the extent to which quality improvement projects in health
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