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March 20, 2018

Quality of Health Care for Children: The Need for a Firm Foundation of Trustworthy Evidence

Author Affiliations
  • 1Kaiser Permanente Washington Health Research Institute, Kaiser Permanente Washington, Seattle
  • 2Departments of Health Services and Pediatrics, University of Washington, Seattle
JAMA. 2018;319(11):1096-1097. doi:10.1001/jama.2018.0161

Seventeen years have passed since the US National Academy of Medicine (NAM) (then the Institute of Medicine) published Crossing the Quality Chasm, a major effort to outline an approach to improving health care quality.1 One of the recommendations for improving care envisioned the broader use of evidenced-based clinical practice guidelines (CPGs) as a pathway toward standardization and improved outcomes. The success of this strategy would depend on the supply of trustworthy CPGs and the demand by both clinicians and organized health systems to deploy those CPGs. Quality metrics derived from CPGs were expected to be guideposts for health systems to gauge performance.