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Medical Malprocess
http://thesystemmd.com
When I see someone or something that is sick, I am compelled to help. The sickest patient I know goes by the name Healthcare System. He is getting worse but we need him at his best. This blog is my way to begin a national conversation about healing healthcare.
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WHO is practicing medicine?
This is not a silly or trivial question. Practicing medicine without a license is dangerous, costly and illegal. Yet people do it thousands of time every day without getting caught Yesterday at our clinical conference, the big problem was Baby X. We ...
And the “best” doctor is…
Of course you want the best car or job or school or doctor, but how do you know which is the best? Word-of-mouth? Name or logo recognition? Most expensive? An objective measure is clearly better: resale value of the car; how much the job pays; test s...
Infinite chances to kill us
Healthcare puts you at risk: there are infinite opportunities for mistakes that can harm even kill you while you are awaiting the promised cure. The problem really struck home to me yesterday while receiving sign-out – transfer of the responsibili...
We are plagued with systems Stinkers.
We all need to be systems thinkers. Many are, but not bureaucrats and regulators in Washington and in State capitals. You may call them systems Stinkers. Systems Stinkers think in straight lines. They see a problem; reason their way to an answer wit...
Safety First – NOT!
There is a recent push in U.S. hospitals to inculcate a “culture of safety.” Can anyone be against safety? I can and you will be too, if you want healthcare to improve. Safety refers to eliminating accidents, mistakes and errors that lead...

