When Evaluating Quality and Patient Safety, Which Approach Defines the Framework

When evaluating quality and patient safety, which approach defines the framework for Patient Safety and Quality Research Design (PSQRD) ?

A) Outcomes are driven mainly by Meaningful Use directives.
B) Consideration of current managerial processes has no effect on patient outcomes.
C) Patient safety is best achieved by minimizing changes to existing processes.
D) Quality and safety are based on organizational structure, management and clinical processes, and their linkages to patient outcomes.