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4 Opportunities
Pages 37-39

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From page 37...
... Adapting a lesson from randomized trial advocate Tom Chalmers, Davidoff proposed quality improvement interventions be assessed using the most rigorous methods possible immediately after the intervention has been introduced. In this way, the strength of study results may increase due to the ability to randomize.
From page 38...
... Examples of such changes would include teaching collaborative skills, training physicians in the manner that health care should be delivered, and encouraging provider partnerships. Academic and editorial cultures also need to change in order for quality improvement and quality improvement research to develop.
From page 39...
... Indeed, as Titler noted, because of the complexity of the health care system and the often conflicting needs of various stakeholders, it is extremely difficult to prioritize among strategies to develop quality improvement and quality improvement research.


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