Implementing projects using the rapid-cycle approach.

The Quality Work Out, a rapid-cycle improvement initiative, was put into place to prepare a complex 5-hospital system for The Joint Commission and the concept of the "next patient." The patient care team, a group of 11 change agents, was tasked with developing, leading, and implementing projects using the rapid-cycle approach. The authors outline key strategies that led to a successful The Joint Commission survey and measurable change at the bedside.