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What can the UK learn from the USA about improving the quality and safety of healthcare?

Charles RV Tomson and Donald M Berwick
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DOI: https://doi.org/10.7861/clinmedicine.6-6-551
Clin Med November 2006
Charles RV Tomson
North Bristol NHS Trust
Roles: Consultant Renal Physician and Lead Clinician for Patient Safety
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Donald M Berwick
Institute for Healthcare Improvement, Cambridge, Massachusetts, USA
Roles: President and Chief Executive Officer
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Abstract

The US healthcare system provides evidence that spending more on healthcare does not result in better care, but also offers many lessons and surprises on how the quality and safety of healthcare can be improved. The US Institute of Medicine has clearly articulated what needs to be achieved. A series of US agencies, including the Joint Commission on Accreditation of Healthcare Organizations, the Centers for Medicare and Medicaid Services (CMS), other major players, and the Hospital Quality Alliance, routinely collect and report on numerous measures of the quality and safety of inpatient and outpatient healthcare. Most attention to improving care in the UK has focused on vertically integrated, closed healthcare systems, but the US experience provides additional models from the work of Quality Improvement Organizations and of numerous voluntary organisations that sponsor collaborative improvement.

Key Words
  • accreditation
  • patient satisfaction
  • quality improvement
  • quality of care
  • safety
  • © 2006 Royal College of Physicians
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What can the UK learn from the USA about healthcare?
Charles RV Tomson, Donald M Berwick
Clinical Medicine Nov 2006, 6 (6) 551-558; DOI: 10.7861/clinmedicine.6-6-551

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What can the UK learn from the USA about healthcare?
Charles RV Tomson, Donald M Berwick
Clinical Medicine Nov 2006, 6 (6) 551-558; DOI: 10.7861/clinmedicine.6-6-551
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