The past 7 years have seen unprecedented interest in patientsafety and the quality of health care.1,2,3 As physicians whosecareers are focused on improving quality and safety, we havewelcomed this change. However, we have also witnessed recentinitiatives that emphasize dissemination of innovative but unprovenstrategies, an approach that runs counter to the principle offollowing the evidence4 in selecting interventions that meetquality and safety goals, as well as the idea that interventionsshould be tailored to local needs and resources.5 These principleshave been used as safeguards in helping us pursue practicesthat have clear benefits . . . [Full Text of this Article]
Argument 1: We Cannot Wait
Argument 2: Any Effort to Improve Is Better Than the Current State of Affairs
Argument 3: Emulating Successful Organizations Can Speed Improvement
Argument 4: The Effectiveness of Some Quality-Improvement Strategies Is Obvious
Argument 5: Promising but Unproven Strategies Can Catalyze Innovation
Argument 6: The Framework of Evidence-Based Medicine Does Not Apply to Quality Improvement
Argument 7: Developing Evidence in Quality Improvement Is Too Costly
Conclusions
Source Information
From the University of California, San Francisco, Department of Medicine, San Francisco (A.D.A., C.S.L.); San Francisco Veterans Affairs Medical Center, San Francisco (C.S.L.); and Ottawa Health Research Institute, Ottawa (K.G.S.).
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