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American Journal of Medical Quality
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A 10-Rights Framework for Patient Care Quality and Safety

Douglas S. Wakefield, PhD

University of Missouri Center for Health Care Quality and Department of Health Management and Informatics

Marcia M. Ward, PhD

Department of Health Management and Policy, University of Iowa, marcia-m-ward{at}uiowa.edu

Bonnie J. Wakefield, PhD, RN

Harry S. Truman Memorial Veterans Hospital, and University of Missouri Sinclair School of Nursing

Recent reports in the lay and professional press document the failings of our patient care systems and have led to a multitude of suggestions for patient care quality and safety improvement initiatives. Given the complexity and range of services being offered, hospitals are launching numerous improvement initiatives in nearly all clinical care and support areas. This article describes a quality improvement framework, the "10 Rights," designed to help leaders better understand, organize, and prioritize patient care quality and safety issues and approaches. In addition to describing the framework, each Right is linked to 3 current national efforts at enhancing patient care quality and safety: the Joint Commission on Accreditation of Healthcare Organizations' National Patient Safety Goals, the National Quality Forum 30 Safe Practices, and the Centers for Medicare and Medicaid Services Hospital Quality Measures. (Am J Med Qual 2007;22:103-111).

Key Words: patient safety • quality of health care • quality indicators • health care • health care quality • access and evaluation • outcome and process assessment (health care)

American Journal of Medical Quality, Vol. 22, No. 2, 103-111 (2007)
DOI: 10.1177/1062860606298553


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