title: Shattuck Lecture--Hidden barriers to improvement in the quality of care.
authors.affiliation: Department of Health Care Policy, Harvard Medical School, and Brigham and Women's Hospital, Boston, MA 02115, USA. mcneil@hcp.med.harvard.edu
authors.forename: B J
authors.initials: BJ
authors.lastname: McNeil
mesh_terms: D002986:Clinical Trials as Topic; D003363:Cost Control; D003657:Decision Making; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D005260:Female; D017048:Health Care Costs / Q000639:trends*; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control*; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care / Q000191:economics; D044469:Racial Groups; D012737:Sex Factors; D013675:Technology, High-Cost / Q000191:economics / Q000706:statistics & numerical data*; D014481:United States