Joint Commission journal on quality and patient safety / Joint Commission Resources
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Jt Comm J Qual Patient Saf · Nov 2006
ReviewRedesigning health systems for quality: Lessons from emerging practices.
It has been five years since the Institute of Medicine (IOM) report, Crossing the Quality Chasm, proposed systemwide changes to transform our health care system. What progress has been made? What lessons have been learned? How should we move forward? ⋯ Successful system redesign requires coordinating and managing a complex set of changes across multiple levels rather than isolated projects.
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In the case of an 11-year-old boy with stable physiological parameters, the deterioration in condition was so sudden that only a rapid response system could ensure any chance of survival.