Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
In Reply: We reply as the cochair
and project director of the IOM's National Roundtable on Health Care
Quality, but do not presume to speak for the roundtable as a whole. We
agree with Drs Early and Roberts that personal dedication to quality
lies at the heart of what it means to be a physician. We also believe
that such dedication should be supported in practice by systems of care
that use the science (and art) of quality measurement and improvement
to identify opportunities and facilitate action to improve. Personal
dedication amplified by scientific approaches to quality improvement
can change health care substantially and rapidly.
Chassin MR, Donaldson M. Defining and Improving Health Care Quality—Reply. JAMA. 1999;281(11):984–985. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-11-jbk0317
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