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ORGANISATIONAL MATTER |
1 Schools of Public Health and Pharmacy, The University of North Carolina at Chapel Hill, NC 27599-7360, USA
2 Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire, USA
Correspondence to:
Dr J J Mohr, Schools of Public Health and Pharmacy, The University of North Carolina at Chapel Hill, CB#7360 Beard Hall, Chapel Hill, NC 27599-7360, USA;
Julie_mohr{at}unc.edu
ABSTRACT
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 North America. These characteristics were used to develop a tool for assessing the function of microsystems. Further research is needed to assess microsystem performance, outcomes, and safety, and how to replicate "best practices" in other settings.
Keywords: clinical microsystems; quality improvement; patient safety, practice based research
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