Clinical microsystems, part 3: Transformation of two hospitals using microsystem, mesosystem, and macrosystem strategies

Godfrey MM, Melin CN, Muething SE, Batalden PB, Nelson EC. Clinical microsystems, part 3: Transformation of two hospitals using microsystem, mesosystem, and macrosystem strategies. Joint Commission Journal on Quality and Patient Safety. 2008 Oct;34(10):591-603.

This article describes how two hospitals — a large, urban academic medical center and a rural, community hospital — chose a similar microsystem-based approach to improvement, customizing the engagement and the improvement targets on the basis of an understanding of the local context. The authors conclude that their improvement experience suggests tips and actions at all levels of the organization that could be adapted with specific context knowledge by others.

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