Bridging the quality chasm

doi:10.1136/bmj.323.7304.61

BMJ 2001;323:61-62 ( 14 July )

Editorials

Bridging the quality chasm

To improve health care we need to understand the motivations of those who work in it

The first 150 words of the full text of this article appear below.

Earlier this year the Institute of Medicine issued another report on health care quality, following its much heralded reporton patient safety in 1999. Crossing the Quality Chasm is unequivocalin its assertion: the defects of American health care are so widespreadthat they detract from the "health, functioning, dignity, comfort,satisfaction, and resources of Americans."¹The report fails, however, to create an equally compelling visionof how health care in the United States can be transformed. Weare not given a sense of how hundreds of thousands of healthcareworkers will be engaged in this enormoustask.

The authors of this report characterise their earlier one, To Err is Human: Building a Safer Health System,² as a "smallpart of an unfolding story of quality in American health care."Yet that report, on medical errors, provoked universal, dramaticcalls for action, while this latest report has received only . . . [Full text of this article]

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Healthcare professionals must be perceived as caring: Paul Buss
BMJ 2001 323: 869. [Extract] [Full Text]

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