National Academy of Medicine

Achieving Clinical Quality and Patient Safety: Education and Research as Critical Success Factors

By Darrell G. Kirch, David A. Davis, Linda A. Headrick, Nancy Davis
May 03, 2013 | Commentary

Health care delivery is changing in virtually every domain — affecting primary, tertiary, and quaternary care; crossing disciplines and engaging all health professions; and involving both processes and outcomes of care. All of these changes are marked by a major overarching theme quality improvement and patient safety (QI/PS). Simultaneously, medical research is shifting, broadening its scope to include health care delivery or implementation science studies of “what works in health care.”

Parallel to the changes in health care delivery and reinforced by the strengthening of health care delivery research, there is a similar evolution occurring in medical education. Possibly less familiar, these changes are no less profound. Academic medical centers (AMCs) and teaching hospitals in the United States are leading a major shift in the content and process of medical education through new models of competency-based learning and assessment and interprofessional team-based care.

 

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Disclaimer: The views expressed in this paper are those of the authors and not necessarily of the authors’ organizations, the National Academy of Medicine (NAM), or the National Academies of Sciences, Engineering, and Medicine (the National Academies). The paper is intended to help inform and stimulate discussion. It is not a report of the NAM or the National Academies. Copyright by the National Academy of Sciences. All rights reserved.