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Clin Chest Med. 2007 Jun;28(2):459-72.

Current issues in quality improvement in cystic fibrosis.

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Clinical Research Section, Department of Medicine, Dartmouth Medical School, One Medical Center Drive, Lebanon, NH 03756, USA.


The modern history of cystic fibrosis (CF) is one of continuous improvement. Guidelines and evidence-based medicine provide a general roadmap for directing improvement efforts. Data and measurement are central to quality improvement (QI), a way of keeping score and staying on track. This article describes the history and context of QI in CF, the use of guidelines and data with some examples from the work of one regional consortium, some approaches to developing QI skills with a view to implementing and managing desired changes in CF clinic settings, and the potential benefits and impact of public reporting and data transparency.

[Indexed for MEDLINE]

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