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The health care quality challenge and the Clinical Nurse Leader role (CNL).(Editorial)

Publication: Online Journal of Rural Nursing & Health Care
Publication Date: 22-MAR-06
Format: Online
Delivery: Immediate Online Access

Article Excerpt
In 2001, the Institute of Medicine (IOM) released the report Crossing the Quality Chasm: A New Health System for the 21st Century (Institute of Medicine 2001). Based on a large body of evidenced documenting severe problems in the American health care system, the report identifies six aims for...

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...quality improvement. These are that health care should be:

1. Safe-prevents harm to patients (Institute of Medicine, 2004).

2. Effective-refers to care that is evidence-based (Institute of Medicine, 2001).

3. Patient-centered-addresses care that reflects the qualities of compassion, empathy and responsiveness to the needs values, and expressed preferences of the individual patient (Institute of Medicine, 2001).

4. Timely-considers access to care as a critical factor influencing the quality of rural health care (Institute of Medicine, 2001).

5. Efficient-refers to optimizing resources and minimizing waste to obtain the best value for investments...

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