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Updated: Aug 12, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Why is quality assurance so difficult? A review of issues in quality assurance over the last decade
1Section of Physicians, The Royal Melbourne Hospital, Parkville, Victoria, Australia. Roger.Brown@mh.org.au
Abstract:
The quality assurance movement has been unable to produce major improvements in the realm of clinical practice because of an inability to make satisfactory measurements of process and/or outcome, together with the intrinsic difficulties associated with producing change. Progress in both these areas is likely to be slow. Improvements in the quality of care occurring as a result of the introduction of information technology into clinical practice may be seen more quickly.
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