@article{2004, keywords = {accountability, governance, quality and safety, quality management system}, author = {Simon C. Mathews and Peter Pronovost and Lee Daugherty Biddison and Brent G. Petty and Mark E. Anderson and Terry S. Nelson and Katie Outten and Ronald Langlotz and Denice Duda and Carrie A. Herzke and Kimberly S. Peairs and Sherita H. Golden and Matthew B. Lautzenheiser and Hailey J. James and Sanjay Desai V and Sara C. Keller and Leonard S. Feldman and Amit K. Pahwa and Stephen A. Berry}, title = {A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement.}, abstract = {

Payers, providers, and patients increasingly recognize the importance of quality and safety in health care. Academic Departments of Medicine can advance quality and safety given the large populations they serve and the broad spectrum of diseases they treat. However, there are only few detailed examples of how quality and safety can be organized. This article describes a practical model at The Johns Hopkins Hospital Department of Medicine and details its structure and operation within a large academic health system. It is based on a fractal model that integrates multiple smaller units similar in structure (composition of faculty/staff), process (use of similar tools), and approach (using a common framework to address issues). This organization stresses local, multidisciplinary leadership, facilitates horizontal connections for peer learning, and maintains vertical connections for broader accountability.

}, year = {2018}, journal = {Am J Med Qual}, volume = {33}, pages = {413-419}, month = {12/2018}, issn = {1555-824X}, doi = {10.1177/1062860617743324}, language = {eng}, }