THE COMMONWEALTH FUND ONE EAST 75TH STREET NEW YORK, NY 10021-2692 TEL 212.606.3800 FAX 212.606.3500 E-MAIL [email protected] http://www.cmwf.org Despite spending more than any other country, the U.S. health care system is marked by significant shortcomings in efficiency, quality, access, safety, and affordability. The consequences are serious: widespread disparities in health based on insurance st...

Quality improvement in health care has a long history that includes such epic figures as Ignaz Semmelweis, the nineteenth-century obstetrician who introduced hand washing to medical care, and Florence Nightingale, the English nurse who determined that poor living conditions were a leading cause of the deaths of soldiers at army hospitals. Systematic and sustained improvement in clinical quality...

Flawless execution rests in the hands of nurse managers. No one can work alone in health care any more. We are interdependent and know that the best outcomes happen when practices are organized around collegial supportive structures rather than autonomous competitive units. We are only as strong as our weakest link. If all managers see the big picture and look beyond their units for what is rig...

Growing concern about patient safety and healthcare quality has led some to borrow principles of reliability from industries with exceptional records of safety and reliability. Enhancing the quality of clinical decisions is fundamental to quality improvement. This paper argues that commitment to reliability enables the effective deployment of informatics tools that are, in turn, essential for e...

the main purpose followed in this study was to analyze the factors influencing on rural women’s participation in post harvest activities in asara, karaj. the statistical population included all the rural women who inhabit asara and are over 15 years of age (n= 2810). a sample of 110 rural women was selected through stratified random sampling method. a questionnaire was designed to collect data....