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Data to knowledge to improvement: creating the learning health system

Paige McDonald and colleagues detail key domains, tools, and actions required to enact learning health systems for continuous intelligent improvement in healthcare

Despite an increased focus on quality improvement in healthcare over the past 50 years, many of the same problems persist. This disconnect has been described as the 60-30-10 challenge: only 60% of care, on average, aligns with evidence or consensus based guidelines; another 30% of care is waste or of low value; and 10% of patients experience adverse events.1 These statistics have persisted for over three decades.2 Even with technology providing increasing volumes of data and more sophisticated analytical techniques such as machine learning and artificial intelligence, progress continues to be painfully slow.

Learning health systems provide a pathway towards continuous improvement and innovation in healthcare through the routine collection, analysis, and more timely use of data. The US Institute of Medicine fir ....

Joshua Rubin , Paigel Mcdonald , Paul Simpson , T Foley Thomas , Sarah Gilman , Jeffrey Braithwaite , Kenneth Harwood , Robert Verheij , Jessica Phillips , Paige Mcdonald , Tomj Foley , Rachael Hinton , Newcastle University , Health Foundation , Mq Health , Research Future Fund , Us National Science Foundation , Improvecarenow Pediatric Inflammatory Bowel Disease Improvement Network , Research Council , National Health , Us Institute Of Medicine , Science Foundation , Medical Research Council , Medical Research Future , Open Access , Creative Commons Attribution Non Commercial ,

Tackling climate change: the pivotal role of clinicians

Tackling climate change: the pivotal role of clinicians
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Anuradha Pichumani , Philip Crowley , Jeffrey Braithwaite , Sustainable Healthcare ,