Submitted by PeterElias on Sat, 06/08/2013 - 06:00
Two points:
Measuring something is not the same as improving it.
Improving something requires thinking of quality as a process rather than a product.
Before we think about how these two principles apply to medicine, let’s consider two approaches to coaching basketball: one using incentives tied to outcome metrics, and one using interventions designed to identify and address process problems.
Submitted by PeterElias on Fri, 02/22/2013 - 06:00
Darwin observed: “It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is most adaptable to change.” This profound observation is poorly understood and usually ignored by institutions and organizations.