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Center for the Evaluative Clinical Sciences at Dartmouth

John Wiley & Sons, Inc.

Copyright © 2007 by The Health Care Improvement Leadership Development Program. All rights reserved.

Published by Jossey-Bass A Wiley Imprint

989 Market Street, San Francisco, CA 94103-1741 www.josseybass.com

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, or on the Web at www.copyright.com. Requests to the publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, 201-748-6011, fax 201-748-6008, or online at http://www.wiley.com/go/permissions.

Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Library of Congress Cataloging-in-Publication Data

Quality by design : a clinical microsystems approach / [edited by] Eugene C. Nelson, Paul B. Batalden, Marjorie M. Godfrey; foreword by Donald M. Berwick.—1st ed. p.; cm.

Includes bibliographical references and index. ISBN: 978-0-7879-7898-3 (pbk.)

1. Medical care—United States—Quality control—Mathematical models. 2. Health services administration—United States—Mathematical models. I. Batalden, Paul B. II. Godfrey, Marjorie M. III. Nelson, Eugene C.

[DNLM: 1. Delivery of Health Care—methods. 2. Delivery of Health Care—organization & administration. 3. Models, Organizational. 4. Quality of Health Care—organization & administration. W 84.1 Q1535 2007] RA399.A3Q343 2007

362.1068—dc22 2006036606

Printed in the United States of America FIRST EDITION

PB Printing 10 987654321

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