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Request for Proposals: Replacing Don's Right Knee
In his plenary speech opening the 15th Annual National Forum on Quality Improvement in Health Care on December 4, 2003, in New Orleans, LA, Dr. Donald Berwick issues a Request for Proposals to hospitals interested in performing his knee replacement surgery.

Boosting Arteriovenous (AV) Fistula Rates in ESRD Patients
By taking responsibility for the accesses placed in his patients and working with the vascular access surgeon and members of his dialysis team, nephrologist Dr. Vo Nguyen created a treatment system that results in over 90 percent of his patients having arteriovenous (AV) fistulae.

Conversation with Ada Sue Hinshaw
The Institute of Medicine’s report on nursing asserts that problems in the nursing environment have a direct impact on patient safety. Ada Sue Hinshaw, one of the lead authors of the report, discusses the urgent need to create a culture of safety, to strengthen nursing leadership, and to empower front-line nurses.

Cross-Cultural Challenges: Improving the Quality of Care for Diverse Populations
Dr. Robert Like, the director of a medical school center cultural diversity training center, explains why cultural competence is important – and how health care providers can work toward it.

Quality Pays: Incentives for Physicians
Dr. Thomas Lee details how pay-for-quality incentive structures can impact the health care system, ultimately resulting in improved outcomes for patients and more affordable health care.

Don Berwick’s Challenge: Eliminate Unnecessary Use of Antibiotics in Acute Otitis Media (AOM) Treatment
An article in this month’s issue of Pediatrics points to a strong accumulating evidence base which suggests that Acute Otitis Media (AOM) in children can be managed safely without antibiotics. As it is, however, AOM is one of the most frequent reasons for antibiotic prescription in American children. Are you willing to take a challenge?

Pursuing Perfection: The Journey to Organizational Transformation: An Interview with Jim Anderson, President and CEO, Cincinnati Children’s Hospital Medical Center
Jim Anderson, President and CEO of Cincinnati Children's Hospital Medical Center, a participant in IHI's Pursuing Perfection program, talks about his organization's transformation into a leader in improving child health.

Pursuing Perfection: The Journey to Organizational Transformation: An Interview with Dennis Keefe, CEO, Cambridge Health Alliance
This article features an interview with Dennis Keefe, CEO, Cambridge Health Alliance (CHA) in Cambridge, Massachusetts. CHA is a participant in IHI’s Pursuing Perfection program, and Dennis has been instrumental in its transformation.

Pursuing Perfection: The Journey to Organizational Transformation: An Interview with Mary Brainerd, CEO, HealthPartners Medical Group and Clinics
This article features an interview with Mary Brainerd CEO, HealthPartners Medical Group and Clinics in Bloomington, Minnesota. HealthPartners is a participant in IHI’s Pursuing Perfection program, and Mary has been instrumental in its transformation.

Improvement Report: Reduce Door-to-Balloon Time for Primary Angioplasty in Emergency Department Patients
Singapore Health Services reduced the median door-to-balloon time from 146 (pre-intervention) to 104 minutes.

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