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Updated: Jun 24, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
The application of design principles to innovate clinical care delivery
Michael D Brennan1, Alan K Duncan, Ryan R Armbruster
1Division of Endocrinology, Metabolism and Internal Medicine, Mayo Clinic College of Medicine, USA. brennan.michael@mayo.edu
Abstract:
Clinical research centers that support hypothesis-driven investigation have long been a feature of academic medical centers but facilities in which clinical care delivery can be systematically assessed and evaluated have heretofore been nonexistent. The Institute of Medicine report "Crossing the Quality Chasm" identified six core attributes of an ideal care delivery system that in turn relied heavily on system redesign. Although manufacturing and service industries have leveraged modern design principles in new product development, healthcare has lagged behind. In this article, we describe a methodology utilized by our facility to study the clinical care delivery system that incorporates modern design principles.
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