A user's manual for the IOM's 'Quality Chasm' report.

Full Abstract

Fifteen months after releasing its report on patient safety (To Err Is Human), the Institute of Medicine released Crossing the Quality Chasm. Although less sensational than the patient safety report, the Quality Chasm report is more comprehensive and, in the long run, more important. It calls for improvements in six dimensions of health care performance:
safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity; and it asserts that those improvements cannot be achieved within the constraints of the existing system of care. It provides a rationale and a framework for the redesign of the U.S. health care system at four levels:
patients' experiences; the "microsystems" that actually give care; the organizations that house and support microsystems; and the environment of laws, rules, payment, accreditation, and professional training that shape organizational action.

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Author information

Author/s: Berwick, Donald M (DM);

Affiliation: Institute for Healthcare Improvement, Boston, USA.

Journal and publication information

Publication Type: Journal Article

Journal: Health affairs (Project Hope) (Health Aff (Millwood)), published in United States. (Language: eng)

Reference: -2002 May-Jun; vol 21 (issue 3) : pp 80-90

Dates: Created 2002/05/23; Completed 2002/06/27; Revised 2004/11/17;

PMID: 12026006, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: Health Aff (Millwood). 2002 Jul-Aug;21(4):295. (PMID: 12117143)

CommentIn: Health Aff (Millwood). 2002 Jul-Aug;21(4):295-6. (PMID: 12117144)

CommentIn: Health Aff (Millwood). 2002 Jul-Aug;21(4):296. (PMID: 12117145)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Decision Making
Delivery of Health Care - organization & administration; standards
Efficiency, Organizational
Evidence-Based Medicine
Health Services Accessibility
Humans
Institute of Medicine (U.S.)
Medical Errors - prevention & control
Organizational Culture

Organizational Culture
Patient-Centered Care
Safety Management
Social Justice
Systems Analysis
Time Management
Total Quality Management - organization & administration
Treatment Outcome
United States

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