• Publications
  • Influence
The triple aim: care, health, and cost.
Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care.Expand
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Disseminating innovations in health care.
Health care is rich in evidence-based innovations, yet even when such innovations are implemented successfully in one location, they often disseminate slowly-if at all. Diffusion of innovations is aExpand
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Performance of a Five-Item Mental Health Screening Test
We compared the screening accuracy of a short, five-item version of the Mental Health Inventory (MHI-5) with that of the 18-item MHI, the 30-item version of the General Health Questionnaire (GHQ-30),Expand
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Eliminating waste in US health care.
The need is urgent to bring US health care costs into a sustainable range for both public and private payers. Commonly, programs to contain costs use cuts, such as reductions in payment levels,Expand
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A user's manual for the IOM's 'Quality Chasm' report.
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,Expand
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What 'patient-centered' should mean: confessions of an extremist.
"Patient-centeredness" is a dimension of health care quality in its own right, not just because of its connection with other desired aims, like safety and effectiveness. Its proper incorporation intoExpand
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The science of improvement.
IN THE EARLY 1890S, DR WILLIAM HALSTED DEVELOPED radical mastectomy for breast cancer. Surgeons performed the Halsted procedure for more than 80 years even though there was little systematic evidenceExpand
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Continuous improvement as an ideal in health care.
  • D. Berwick
  • Medicine
  • The New England journal of medicine
  • 5 January 1989
Imagine two assembly lines, monitored by two foremen. Foreman 1 walks the line, watching carefully. "I can see you all," he warns. "I have the means to measure your work, and I will do so. I willExpand
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Five years after To Err Is Human: what have we learned?
Five years ago, the Institute of Medicine (IOM) called for a national effort to make health care safe. Although progress since then has been slow, the IOM report truly "changed the conversation" to aExpand
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The 100,000 lives campaign: setting a goal and a deadline for improving health care quality.
AHALF DECADE HAS ELAPSED SINCE THE INSTITUTE OF Medicine released2 landmarkreportsonhealthcare safety and quality, To Err Is Human and Crossing the Quality Chasm. Those studies helped articulate aExpand
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