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Crossing the Quality Chasm: A New Health System for the 21st Century
Committee on Quality of Health Care in America, Institute of Medicine
Washington, DC, USA: National Academies Press; 2001
This report from the Institute of Medicine focuses on closing the quality gap between what we know to be good health care and the health care that people actually receive. The report recommends a redesign of the American health care system by providing six "Aims for Improvement": Safety, Effectiveness, Patient-Centeredness, Timeliness, Efficiency, Equity. These principles set forth a specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others to improve the US health care system.
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To Err Is Human: Building a Safer Health System
Kohn LT, Corrigan JM, Donaldson MS, eds. (Committee on Quality of Health Care in America, Institute of Medicine)
Washington, DC, USA: National Academies Press; 1999
This report lays out a comprehensive strategy to reduce medical errors for government, industry, consumers, and health care providers, and it calls on the United States Congress to create a national patient safety center to develop the new tools and systems needed to address persistent problems. Each chapter of the report contains a reference list, allowing the reader to select additional material in specific areas of interest.
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Boards, administrators, medical staffs and quality: Sorting out the roles
Reinertsen J. Boards, administrators, medical staffs and quality: Sorting out the roles. Trustee. Sept 2003;1-11.
This article attempts to clarify the roles of hospital administrators, Board members, and medical staff leaders of a hospital or health care system.
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A Theory of Leadership for the Transformation for Health Care Organizations
Reinertsen J. A Theory of Leadership for the Transformation for Health Care Organizations. The Reinertsen Group. May 2003. (Unpublished manuscript, revised January 2004.)
This paper proposes a conceptual framework for how to lead the quality transformation of health care organizations. It is useful for senior leaders as they develop and implement their next steps in an ongoing transformational agenda. It is also useful as a template for assessment of any one organization's progress in this difficult long-term task.
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Move Your Dot™: Measuring, Evaluating, and Reducing Hospital Mortality Rates
Institute for Healthcare Improvement. IHI Innovation Series white paper. Move Your Dot™: Measuring, Evaluating, and Reducing Hospital Mortality Rates. Boston, Massachusetts: Institute for Healthcare Improvement; 2003.
IHI Innovation Series white paper
In an effort to help hospitals know more about their organizational performance as it relates to mortality, and to reduce hospital deaths, a new statistical methodology has been developed as well as a simple analytical tool.
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Leading for Improvement: Whose Job Is It Anyway?
Bibby J, Reinertsen J. Leading for Improvement: Whose Job Is It Anyway? Pursuing Perfection and the NHS Modernisation Agency. October 2004. (Unpublished Manuscript).
This paper draws together the collective learning from the Pursuing Perfection communities from the United Kingdom about the unique contribution Chief Executives and Directors of Social Services must make to create a culture that embraces partnership and ambition and applies the best improvement knowledge to create transformation change.
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Leadership Guide to Patient Safety
Leadership is the critical element in a successful patient safety program and is non-delegable. Eight steps to achieving patient safety and high reliability are presented in this guide, developed by IHI.
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