Discussion

Quality management evolved in manufacturing industries before methods and approaches were applied to healthcare. What were the characteristics of these approachesparticularly relative to measurement?  What factors prompted healthcare to adopt quality practices?  Are other industries the best model for healthcare?  Which of the new approaches identified in the Mayo Clinical Proceedings assigned reading provide the best framework for continuous quality improvement?

Lastly, discuss the differences between quality improvement and research activities such as a clinical trial.  Should quality improvement projects be subject to Institutional Review Board (IRB) review?  What are the pros and cons?

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