Final answer:
Barriers to the spread, diffusion, and institutionalization of CQI innovations can include lack of resources and resistance to change. Facilitators, on the other hand, can include strong leadership commitment and adequate resources.
Step-by-step explanation:
Barriers to and facilitators to the spread, diffusion, and institutionalization of CQI (Continuous Quality Improvement) innovations can be influenced by various factors. Some barriers include lack of resources, resistance to change, and lack of leadership support. On the other hand, facilitators can include strong leadership commitment, adequate resources, and a supportive organizational culture. For example, if an organization has a strong leadership commitment to CQI and allocates resources to support its implementation, it can facilitate the spread and institutionalization of CQI innovations.