Why is quality assurance so difficult? A review of issues in quality assurance over the last decade

Intern Med J. 2002 Jul;32(7):331-7. doi: 10.1046/j.1445-5994.2002.00240.x.


The quality assurance movement has been unable to produce major improvements in the realm of clinical practice because of an inability to make satisfactory measurements of process and/or outcome, together with the intrinsic difficulties associated with producing change. Progress in both these areas is likely to be slow. Improvements in the quality of care occurring as a result of the introduction of information technology into clinical practice may be seen more quickly.

Publication types

  • Review

MeSH terms

  • Australia
  • Humans
  • Job Satisfaction
  • Organizational Innovation
  • Outcome and Process Assessment, Health Care
  • Patient Satisfaction
  • Quality Assurance, Health Care / standards*
  • Quality Assurance, Health Care / trends
  • Quality Indicators, Health Care