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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Published on: February 16, 2011

Quality: the Mayo Clinic approach.

Stephen J Swensen1, James A Dilling, Dawn S Milliner

  • 1Department of Radiology, Mayo Clinic Rochester, Rochester, Minnesota 55905, USA. swensen.stephen@mayo.edu

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|July 9, 2009
PubMed
Summary
This summary is machine-generated.

Achieving highly reliable patient care necessitates a systemic shift in medical practice, integrating quality as a core business strategy. This involves disciplined scientific application, updated provider training, and strong leadership commitment to improve outcomes, safety, and service.

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Medical Quality Improvement

Background:

  • Traditional medical practice beliefs often hinder the development of highly reliable care systems.
  • Quality in healthcare is increasingly recognized as a composite of patient outcomes, safety, and service.
  • Leadership must view quality improvement as a strategic business imperative, not merely a regulatory burden.

Purpose of the Study:

  • To outline the essential components for developing highly reliable patient care.
  • To present a strategic framework for guiding healthcare improvement initiatives.
  • To share insights from the Mayo Clinic experience on achieving reliable care.

Main Methods:

  • Adoption of a systems-based approach to healthcare delivery.
  • Disciplined application of scientific principles to clinical practice.
  • Modification of healthcare provider training programs.
  • Integration of quality as a fundamental business strategy by leadership.

Main Results:

  • A 4-part strategic construct (Culture, Infrastructure, Engineering, Execution) was developed to guide improvement.
  • Mayo Clinic's experience demonstrated the critical role of leadership commitment.
  • Significant organizational challenges and broad initiatives are necessary for reliable care.

Conclusions:

  • Developing highly reliable care requires a paradigm shift from traditional medical practice.
  • A strategic, systematic approach encompassing culture, infrastructure, engineering, and execution is crucial.
  • Sustained leadership commitment and organizational adaptation are key to enhancing patient care quality and reliability.