This edited volume is a collection of original papers that provide in-depth discussion of how to manage QI ethically and how to manage the interface with research ethics. How does QI differ from research? What duty do physicians, nurses, and health administrators have to initiate and participate in sound QI activities? What is the responsibility of patients to cooperate with them? What practical strategies for QI management and oversight could clinicians and mangers use to ensure that QI does not harm patients?

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