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Institute of Medicine 2003, www.iom.edu/subpage.asp?id=14980) Resource Tip: Take Action to Ensure that You get Quality Care with 20 Tips to Help Prevent Medical Errors from the Agency for health care Research and Quality. A failure to deliver: causes of sub-standard care What is wrong?

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Institute of Medicine 2003, www.iom.edu/subpage.asp?id=14980) Resource Tip: Take Action to Ensure that You get Quality Care with 20 Tips to Help Prevent Medical Errors from the Agency for health care Research and Quality. A failure to deliver: causes of sub-standard care What is wrong?

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• Structural factors in our health care system which result in poor quality care • Structural factors in our society which result in poor care. The first category can affect all Americans at random. The second disproportionately affects minority populations such as women, racial and ethnic minorities, elderly persons or disabled persons. Because these two causal categories impact quality of care so strongly, it is imperative that advocates be aware of the unique problems posed by each category as well as how to deal with them to create the best solutions. America’s health care system, while among the best in the world, faces multiple systemic barriers to providing the best care possible to every patient. In its 2003 State of Health Care Quality Report, the National Committee for Quality Assurance cites six main factors that prevent many Americans from receiving the highest standards of care. They include: • The slow pace with which new technology, information and guidelines are adopted

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