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Author: Eugene C. Nelson Paul B. Batalden Marjorie M. Godfrey
ISBN : B000S1LSTI
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Quality by Design reflects the research and applied training conducted at Dartmouth Medical School under the leadership of Gene Nelson, Paul Batalden, and Marjorie Godfrey. The book includes the research results of high-performing clinical microsystems, illustrative case studies that highlight individual clinical programs, guiding principles that are easily applied, and tools, techniques, and methods that can be adapted by clinical practices and interdisciplinary clinical teams. The authors
- describe how to develop microsystems that can attain peak performance through active engagement of interdisciplinary teams in learning and applying improvement science and measurement;
- explore the essence of leadership for clinical Microsystems;
- show what mid-level leaders can do to enable peak performance at the front lines of care;
- outline the design and redesign of services and planning care to match patient needs with services offered;
- examine the issue of safety;
- describe the vital role of data in creating a rich and useful information environment;
- provide a core curriculum that can build microsystems’ capability, provide excellent care, promote a positive work environment, and contribute to the larger organization.
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- File Size: 8642 KB
- Print Length: 508 pages
- Publisher: Jossey-Bass; 1 edition (March 16, 2007)
- Sold by: Amazon Digital Services, Inc.
- Language: English
- ASIN: B000S1LSTI
- Text-to-Speech: Enabled
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- Lending: Enabled
- Amazon Best Sellers Rank: #354,816 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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A Book Review
Quality by Design - A Clinical Microsystems Approach
Edited by Eugene C. Nelson, Paul B. Batalden and Marjorie M. Godfrey
First Edition, 459 pp., illustrated. Jossey-Bass 2007. ISBN: 978-0-7879-7898-3 (pbk)
Today most practicing clinicians know very little about quality improvement in health care and very few know how to do it the right way, partly because there are few publications serving as a "How-to Guide Book".
This Book "Quality By Design - A Clinical Microsystem Approach" published in 2007 by Jossey-Bass comes in handy for practicing physicians, academic or non academic. Now that the evidence of quality improvement work is a requirement for renewing the Specialty Board in Pediatrics, I believe that other specialties will follow suit soon.
The three authors are from the Center for the Evaluative Clinical Sciences at Dartmouth. They are the nation's leaders in developing and using measures of health care delivery system performance for the improvement of health care. They have written, published and taught extensively in the subject of quality improvement. Their series of 9 articles entitled "Microsystems in Health Care published in Joint Commission Journal on Quality and Safety" (2002-2003) was a landmark publication in health care literature.
What is different and unique in this book is its emphasis on quality improvement through the microsystem approach. To put it simply, the small system (microsystem like NICU) produced quality, safety and cost outcome at the front line of care. The outcome of a macrosystem (like hospital) can be no better than the outcomes of microsystems of which it is composed. Thus a microsytem is the most important building block of a health care system.