Mea sententia

Two points:

1. Measuring something is not the same as improving it. 
2. 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.

It is all too easy to forget that it is (or should be) entirely about the patient.

Horseshit on a trail run is fitting and pleasant, but in the work place is painfully destructive.

…a meaningfully usable and user friendly EHR.

It’s impossible to learn from one’s mistakes while busy denying or hiding them.

I recently read an online discussion about whether or not patients should have direct access to their own EKG.

First hike of the season and it’s official: I’m out of shape.
 
The plan was to do Baldpate via the AT from Grafton Notch, and I was enthusiastic enough to be fully packed before I went to bed the night before, up at 5:00, on the road at 6 and at the trailhead by 7:30:

W.S. Gilbert might have been writing about patients when he penned this lyric:

Things are seldom what they seem; 
Skim milk masquerades as cream.

I think there are some lessons to be learned from a recent scandal involving poor quality and safety failures at Stafford Hospital in England.

It’s easy to take people for granted.