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1. In the last century, what historical, social, political, and economic trends and issues have influenced today's health-care system?

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?

5. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions:

• What does the organization/agency do that supports the hallmarks of quality?

• What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession?

• How has the organization/agency affected facilities where you are practicing and your own professional practice?

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