Attribution 4.0 International (CC BY 4.0)McNamara, MartinWard, MarieTeeling, Sean Paul2023-04-032023-04-032023-03-23McNamara, M., Ward, M. and Teeling, S.P. (2023) ‘Making a sustainable difference to people, processes and systems: whole-systems approaches to process improvement in health systems’, International Journal of Environmental Research and Public Health, 20(7), p. 5232. Available at: https://doi.org/10.3390/ijerph20075232.https://eresearch.qmu.ac.uk/handle/20.500.12289/13082https://doi.org/10.3390/ijerph20075232From Crossref journal articles via Jisc Publications RouterHistory: epub 2023-03-23, issued 2023-03-23Article version: VoRPublication status: PublishedSeán Paul Teeling - ORCID: 0000-0002-4102-7280 https://orcid.org/0000-0002-4102-7280The eighteen papers in this Special Issue, ‘Whole-Systems Approaches to Process Improvement in Health Systems’, address an enduring challenge in healthcare: to improve efficiency with existing or reduced resources, while maintaining safe and effective care [...]Licence for VoR version of this article starting on 2023-03-23: https://creativecommons.org/licenses/by/4.0/© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).http://creativecommons.org/licenses/by/4.0/Health, Toxicology and MutagenesisPublic Health, Environmental and Occupational Healtharticle2023-04-01