Clinical Microsystem Action Guide

Clinical Microsystem Action Guide, Version 2.1

The Clinical Microsystem Action Guide is a collection of helpful tools, information, and ideas designed to assist clinical microsystems to increase self-awareness and engage in continuous improvement in health care delivery within their clinical microsystem and in partnership with supporting departments and other clinical microsystems.

Our years of experience in exploring, inquiring, and testing improvement ideas through the Center for the Evaluative Sciences at Dartmouth Medical School, the Dartmouth-Hitchcock system, the Institute for Healthcare Improvement, and health care systems throughout the United States, England, Sweden, and Norway have provided the background for the development of the Clinical Microsystem Action Guide. The people in the clinical microsystem who usually work together with technology support have been generous in their interest and energies to learn with us the tools and helpful information that will increase self-awareness to lead to action plans to improve their clinical microsystem. New knowledge and insights have been added based on this focused research.

This work will continue to evolve over time as the knowledge of clinical microsystems grows, and as more and more health care systems engage in the discovery of clinical microsystems, success characteristics, and test actions that can be taken to improve the health care delivery system and patient care outcomes.