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Achieving greater clinician engagement and impact in health care improvement: a neglected imperative
Author(s) -
Scott Ian A,
Kallie Jennifer,
Gavrilidis Areti
Publication year - 2020
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/mja2.50438
Subject(s) - library science , citation , health care , translational research , medicine , sociology , political science , computer science , law , pathology
Health care in Australia faces many challenges. Research suggests, for example, that effective care is underused in 40% of clinical encounters,1 up to 60% of tests and treatments are not justified by evidence,2 and misuse or errors affect up to 20% of hospital admissions.3 These observations call for significant investment in systematised quality and safety improvement (QSI) activities which can improve patient outcomes across a variety of clinical settings. These include reducing surgical site infections in joint replacement surgery,4 reducing mishaps, complications and mortality during and after noncardiac surgery,5 or improving survival and optimising care processes of patients with acute cardiac disease.6

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