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  <titleInfo>
    <title>Quality by design</title>
    <subTitle>a clinical microsystems approach</subTitle>
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    <namePart>Godfrey, Marjorie M.</namePart>
    <namePart type="date">1956-</namePart>
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    <namePart>Foster, Tina, (Tina C.)</namePart>
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    <namePart>Johnson, Julie K.</namePart>
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    <namePart>Nelson, Eugene C.</namePart>
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    <namePart>Batalden, Paul B.</namePart>
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    <dateIssued encoding="marc">2026</dateIssued>
    <edition>Second edition.</edition>
    <issuance>monographic</issuance>
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  <language>
    <languageTerm authority="iso639-2b" type="code">eng</languageTerm>
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    <extent>xlviii, 512 pages ; 23 cm.</extent>
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  <abstract>"Quality by Design reflects the research and applied training conducted at Dartmouth Medical School and The Dartmouth Institute Microsystem Academy under the leadership of health care improvement gurus Gene Nelson, Paul Batalden, and Marjorie Godfrey. It's an ideal text for teaching the fundamentals of quality improvement in health care, providing a clear linkage of theory to practice. The second edition advances the clinical microsystem theory by addressing the organizational levels of macrosystems (large entities like hospitals and health care organizations) and mesosystems (intermediate levels of a health care organization, such as information systems, service line programs and centers, and clinical departments, which serve as a link between separate microsystems and support the microsystem by acting as a sort of mediator with the larger macrosytem) in more depth. Field-tested teaching techniques and tools for faculty, interprofessional improvement teams, and leaders of health care systems are presented. New and updated illustrative case studies bring the clinical microsystems approach to life"-- Provided by publisher.</abstract>
  <tableOfContents>Clinical microsystems - success characteristics of high-performing microsystems -- Developing high-performing microsystems -- Leading improvement of healthcare service systems: microsystems, mesosystems, and macrosystems -- Developing professionals and improving work life -- Transforming a primary care clinic to an NCQA-certified patient-centered medical home -- Partnership within the clinical microsystem's framework: coproducing good outcomes with patients and families -- Improving patient safety and reliability -- Creating an actionable healthcare information environment to inform intelligent action -- Interprofessional education and the clinical microsystem -- The new frontier of system improvement - mesosystems.</tableOfContents>
  <note type="statement of responsibility">edited by Marjorie M. Godfrey, [and 4 others].</note>
  <note>Includes index.</note>
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  <subject authority="lcsh">
    <topic>Medical care</topic>
    <geographic>United States</geographic>
    <topic>Quality control</topic>
    <topic>Mathematical models</topic>
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  <subject authority="lcsh">
    <topic>Health services administration</topic>
    <geographic>United States</geographic>
    <topic>Mathematical models</topic>
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  <subject authority="mesh">
    <topic>Delivery of Health Care</topic>
    <topic>methods</topic>
  </subject>
  <subject authority="mesh">
    <topic>Delivery of Health Care</topic>
    <topic>organization &amp; administration</topic>
  </subject>
  <subject authority="mesh">
    <topic>Models, Organizational</topic>
  </subject>
  <subject authority="mesh">
    <topic>Quality of Health Care</topic>
    <topic>organization &amp; administration</topic>
  </subject>
  <classification authority="lcc">RA399.A3 .Q343 2025</classification>
  <classification authority="ddc" edition="22">362.1068 Q252</classification>
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    <titleInfo>
      <title>Quality by design</title>
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    <originInfo>
      <publisher>San Francisco : Jossey-Bass, [2025]</publisher>
      <edition>Second edition</edition>
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    <identifier type="local">(DLC) 2025048846</identifier>
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  <identifier type="isbn">9781119218692</identifier>
  <identifier type="lccn">2025048845</identifier>
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