Abstract
Continuous quality improvement (CQI) and medical informatics specialists need to converge their efforts to create synergy for improving health care. Health care CQI needs medical informatics' expertise and technology to build the information systems needed to manage health care organizations according to quality improvement principles. Medical informatics needs CQI's philosophy and methods to build health care information systems that can evolve to meet the changing needs of clinicians and other stakeholders. This paper explores the philosophical basis for convergence of CQI and medical informatics efforts, and then examines a clinical computer workstation development project that is applying a combined approach.
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Selected References
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- Banks N. J., Palmer R. H., Berwick D. M., Plsek P. E. Improving the quality of ambulatory health care with enhanced medical information systems: using the computer to diagnose faulty clinical processes. J Med Syst. 1990 Dec;14(6):345–349. doi: 10.1007/BF00996714. [DOI] [PubMed] [Google Scholar]
- Berwick D. M. Controlling variation in health care: a consultation from Walter Shewhart. Med Care. 1991 Dec;29(12):1212–1225. doi: 10.1097/00005650-199112000-00004. [DOI] [PubMed] [Google Scholar]
- Greenes R. A., Shortliffe E. H. Medical informatics. An emerging academic discipline and institutional priority. JAMA. 1990 Feb 23;263(8):1114–1120. doi: 10.1001/jama.263.8.1114. [DOI] [PubMed] [Google Scholar]
- Kritchevsky S. B., Simmons B. P. Continuous quality improvement. Concepts and applications for physician care. JAMA. 1991 Oct 2;266(13):1817–1823. doi: 10.1001/jama.266.13.1817. [DOI] [PubMed] [Google Scholar]