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Foreword 1. Symptoms of Stress in the Health Care System 2. Applying Quality Management to Health Care 3. Foundations of Quality Management 4. Using the Scientific Method to Define Problems 5. Organizing Quality Improvement Teams 6. The Diagnostic Journey 7. Implementing Successful Remedies 8. Holding and ExtAnding the Gains 9. Ten Key Lessons for Quality Improvement Afterword: Reflections on the Future