Spread is the process of taking a successful implementation process from a pilot unit or pilot population and replicating that change or package of changes in other parts of the organisation or other organisations.

During implementation, teams learn valuable lessons necessary for successful spread, including key infrastructure issues, optimal sequencing of tasks, and working with people to help them adopt and adapt a change.

Spread efforts will benefit from the use of the PDSA cycle. Units adopting the change need to plan how best to adapt the change to their unit and to determine if the change resulted in the predicted improvement.

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Science of Improvement: Spreading Changes

This resource is from the Institute for Healthcare improvement (IHI)

IHI provides an opportunity to access expertise, help, and encouragement for anyone, anywhere who wants to change health care profoundly for the better.