Julie J. Mohr

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BACKGROUND Clinical microsystems are the small, functional, front-line units that provide most health care to most people. They are the essential building blocks of larger organizations and of the health system. They are the place where patients and providers meet. The quality and value of care produced by a large health system can be no better than the(More)
The clinical microsystem puts medical error and harm reduction into the broader context of safety and quality of care by providing a framework to assess and evaluate the structure, process, and outcomes of care. Eight characteristics of clinical microsystems emerged from a qualitative analysis of interviews with representatives from 43 microsystems across(More)
Healthcare institutions continue to face challenges in providing safe patient care in increasingly complex organisational and regulatory environments while striving to maintain financial viability. The clinical microsystem provides a conceptual and practical framework for approaching organisational learning and delivery of care. Tensions exist between the(More)
Background: Approximately 70 percent of pediatric care occurs in ambulatory settings, yet there has been little research on errors and harm in these settings. Given the importance of understanding harm in ambulatory pediatrics, this study was funded by the develop a secure, Web-based tool for reporting errors; (2) identify the types and range of errors; and(More)
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