Ensuring Ethical Conduct of Quality Improvement Activities in Health Care

Principal Investigator: Mary Ann Baily
Funder: The Commonwealth Fund

This project researched policy options for ethical oversight of quality improvement activities in health care.  Quality improvement (QI) refers to a broad range of systematic, data-guided activities designed to improve the process of delivering clinical care. QI activities have elements in common with clinical research, including the potential to harm people affected by them. As a result, for some time there has been uncertainty about the relationship between QI and the system for protecting human subjects of research. The project produced a background paper for a meeting sponsored by the Institute of Medicine and the American Board of Internal Medicine Foundation, and policy recommendations.


The Hastings Center has never shied away from the toughest ethical challenges faced by society.



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