For content related to psychology, how we learn, how we make decisions.

An Obsession with Metrics

I precipitated a recent online discussion about healthcare’s obsession with measurement (quality metrics is the current buzz phrase) when I quoted two aphorisms that highlight some problems with metrics and targets:

Goodhart's Law: "When a measure becomes a target, it ceases to be a good measure,"

Campbell's Law: "The more a metric is used, the more likely it is to "corrupt the process it is intended to monitor."

One comment rubbed me the wrong way because it implied that measurement reduces harm:

a total stranger...

a total stranger one black day


(by edward estlin (e e ) cummings)


a total stranger one black day
knocked living the hell out of me-- 

who found forgiveness hard because
my(as it happened)self he was 

-but now that fiend and i are such
immortal friends the other's each.

 


 

Peter's Canon

Here I list what I like to call Peter's Canon: a list of books and articles I have read and consider important. If I get time, I will annotate at least some of them.

Cognitive sciences, behavior, psychology

Retirement is like playing Tetris

After four decades in medicine, I retired from the active practice of primary care 15 months ago.  I still get asked at least once a day: “Well, how’s retirement treating you?” My usual reply is that it is a learning process. A more accurate response would be that it is like playing Tetris, but with pieces that change shape and rotate unpredictably as they fall.

(For those not of a certain age, here is Tetris:

Slow down, you move too fast

Slow down, you move too fast.  It will all be over far too soon. 

 

I talked to a friend recently about a serious health experience. He had became ill suddenly and was hospitalized for six days. No one from his community came to visit. Only one person from work stopped by. No one called. He described being frightened by his illness and feeling vulnerable and alone in the hospital. He was devastated by what felt like abandonment in his time of crisis.