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By Gregory S. Ogrinc, MD, MS Linda A. Headrick, MD, MS Amy J. Barton, PhD, RN, FAAN, ANEF Mary A. Dolansky, PhD, RN, FAAN Wendy S. Madigosky, MD, MSPH, FAAFP Rebecca S. (Suzie) Miltner, PhD, RN, FAAN and Allyson G. Hall, PhD, MBA/MHS &#8220Across various health professions and medical specialties, a new focus on ensuring that race, ethnicity, gender, geography, and socioeconomic status do not affect the quality of care has emerged. To ensure that this focus remains, and this momentum continues, we need to firmly embed a new dual axiom: there is no quality without equity, and there is no equity without quality.&#8221&#8213 Kedar Mate, MD, President and CEO, Institute for Healthcare Improvement, from the Foreword to the fourth edition.Fundamentals of Health Care Improvement: A Guide to Improving Your Patient&#8217s Care, 4th edition, is intended to help health professional learners diagnose, measure, analyze, change, and lead improvements in health care, with the aim to shape reliable, 

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