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As hospitals respond to the national call for health care that is safe, efficient, effective, equitable, timely, and patient-centered, the question of what hospitals are doing to improve quality of care has emerged. A previous brief (Hospital Quality Improvement Activities: A Snapshot of the State of the Art, HRET, 2008) presented an overview of results from a 2006 survey of 470 hospital chief quality officers (CQOs).This second brief addresses two critical topics studied in the survey: staff training and involvement in quality improvement (QI), and nurse staffing levels.These topics help identify where QI activity is found within a hospital.They also address changing roles and relationships as hospitals go through the process of culture change to adopt new proven approaches to patient care.
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