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Donald Berwick is the most clearly heard evangelist of applying industrial methods of continuous quality improvement (CQI) to health care. This, his first book on the topic, describes a national demonstration project intended to show how such methods could be applied at 21 hospitals and clinics. It is a demonstration and how-to manual, complete with Appendices intended to guide those who want to implement the methods in their settings, and it is potentially a reference manual for physicians engaged in quality assurance. Judged by that standard, it is both a real asset and a real disappointment.
Berwick has previously argued
Curing Health Care: New Strategies for Quality Improvement. Ann Intern Med. ;114:1067. doi: 10.7326/0003-4819-114-12-1067_1
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Published: Ann Intern Med. 1991;114(12):1067.
Healthcare Delivery and Policy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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