Journal Article
Review

What defines a high-performing health system: a systematic review.

Ahluwalia SC, Damberg CL, Silverman M, et al. Joint Commission journal on quality and patient safety. 2017;43:450-459.

This systematic review sought to identify a consistently used definition of a high-performing health system. Less than 20% of the included studies defined patient safety as an aspect of high performance. In a related editorial, Dr. Peter Pronovost asserts that inconsistency in defining high performance reflects the need to focus on the purpose of health care in order to achieve transformative improvement.