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What's Needed Is a Health Care System That Learns:  Recommendations From an IOM Report

Mark Smith, MD, MBA; George Halvorson; Gary Kaplan, MD
JAMA. 2012;308(16):1637-1638. doi:10.1001/jama.2012.13664.
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The US health care system is characterized by information overload. There is more to do, more to know, and more to manage than at any time in history. Yet in one of many paradoxes, available knowledge is too rarely applied to improve care, while information generated by the care experience is too rarely synthesized to improve available knowledge.

Health care lags other industries like banking, retail, and transportation in its ability to meet the needs of patients, to offer choice, to adapt, and to become safer and more affordable. What's needed is a care system that consistently delivers reliable performance and constantly improves, systematically and seamlessly, with each care experience—in short, a system with an ability to learn. The good news is that opportunities exist to build one.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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