RT Journal A1 Smith M, Halvorson G, Kaplan G T1 What's needed is a health care system that learns: Recommendations from an iom report JF JAMA JO JAMA YR 2012 FD October 24 VO 308 IS 16 SP 1637 OP 1638 DO 10.1001/jama.2012.13664 UL http://dx.doi.org/10.1001/jama.2012.13664 AB 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.