title: Confessions of a chagrined trialist.
abstract: As a clinical trialist, I had thought that the methods I employed were far more challenging than those I had thought were needed for quality improvement. However, some personal experiences and participation in the Cliveden conference led me to a new appreciation of the methodological and conceptual challenges faced by those trying to improve medical systems.
authors: Johns Hopkins University, 550 N Broadway, Suite 1103, Baltimore, MD 21205, USA; sgoodman@jhmi.edu.
authors: Steven
authors: S
authors: Goodman
mesh_terms: D000739:Anecdotes as Topic; D003210:Concept Formation; D003226:Congresses as Topic; D006302:Health Services Research / Q000379:methods*; D011785:Quality Assurance, Health Care; D058996:Quality Improvement