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The NAM and the Quality of Health Care: Inflecting a Field

Two decades after the publication of two seminal Institute of Medicine reports, focal progress in quality improvement is undeniable, but wholesale, systemic improvement has been hard to bring to scale.

Berwick DM, Cassel C. The NAM and the quality of health care: Inflecting a field. New England Journal of Medicine. 2020 Aug 6;383(6):505-508.

In 1999 and 2001, the Institute of Medicine (now called the National Academy of Medicine, or NAM) published two landmark documents on health care quality and serious quality problems: To Err Is Human and Crossing the Quality Chasm. Two decades later, focal progress in quality improvement is undeniable, but wholesale, systemic improvement has been hard to bring to scale.

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