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Commentary

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.

Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 2016;91(7):962-6. doi:10.1097/ACM.0000000000001102.

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March 9, 2016
Kravet SJ, Bailey J, Demski R, et al. Acad Med. 2016;91:962-6.

Oversight of safety improvement programs in the ambulatory setting is challenging due to variations in outpatient processes and complexity of care. This commentary describes an ambulatory accountability structure that involves a quality advisory council, led by a physician and a nurse, which established accountability, standards, and best practices across a large health care system to engage frontline staff in developing and sustaining improvements.

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Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 2016;91(7):962-6. doi:10.1097/ACM.0000000000001102.