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innovative approaches to quality, then we all lose, and the good ideas contained in the Institute of Medicine report simply will not be realized.

REFERENCES

Caldwell, C. Organization- and System-Focused Quality Improvement: A Response. Pp. 37-43 in Medicare: New Directions in Quality Assurance. Donaldson, M.S., Harris-Wehling, J., and Lohr, K.N., eds. Washington, D.C.: National Academy Press, 1991.


Institute of Medicine. Medicare: A Strategy for Quality Assurance. Lohr, K.N., ed. Washington, D.C.: National Academy Press, 1990. (See especially Volume I, Chapter 12.)



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