When Donald Berwick, MD, MPP, published an article on 11 worthy aims
for clinical leadership in the health care system, flaws in the fragmented
US health care system had just been thrown into the light by Hillary Clinton's
reform efforts (JAMA.1994;272:797-805). Many of those defects, epitomized
by high spending, have grown. Others, such as lapses in patient safety, are
finally being addressed in a systematic fashion.
Vastag B. Donald M. Berwick, MD, MPP. JAMA. 2004;291(16):1945-1947. doi:10.1001/jama.291.16.1945