Over the past few years, several large studies have shown,1,2,3,4and the Institute of Medicine has emphasized,5 that the qualityof health care in the United States is not nearly at the levelthat we should expect from the world's most expensive healthcare system. Problems with quality are pervasive throughoutboth outpatient and inpatient settings and may be responsiblefor thousands of deaths each year.3,4
In this issue of the Journal, Williams and colleagues,6 fromthe Joint Commission on Accreditation of Healthcare Organizations(JCAHO), present time-series data from their "core measures"program, in which hospitals seeking accreditation must collect. . . [Full Text of this Article]
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From the Division of General Medicine and the Center for Health Services Research in Primary Care, University of CaliforniaDavis, Sacramento.
Related Letters:
Quality of Care in U.S. Hospitals
Robbins R. A., Klotz S. A., Bender B. S., Saver B. G., Williams S. C., Loeb J. M., Jha A. K., Epstein A. M.
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N Engl J Med 2005;
353:1860-1861, Oct 27, 2005.
Correspondence
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