Too Quick To Judge, Jerry.
Saturday, October 4, 2003
Jerry Groopman is such an admirable soul as well as has as well as hence much practiced to order that when he is off track, it hurts to meet it. In a recent article inwards the New England Journal of Medicine, he as well as Pamela Hartzband conflate ii issues. One the 1 hand, at that topographic point are their legitimate complaints most the depersonalization as well as attacks on professional person judgment that derive from as well as hence much that is incorrect alongside the wellness help organisation today. On the other hand, at that topographic point is a consummate misrepresentation of the tenets as well as application of Lean (or Toyota Production System) inwards clinical settings.
I'll non larn through all the details. Mark Graban does that inwards splendid fashion here.
No, what hurts to a greater extent than is the fact that our clinical staff at BIDMC, where the authors reside, were overwhelmingly engaged inwards the the philosophy as well as usage of Lean--at to the lowest degree during the fourth dimension I was there. What's more, they enjoyed it as well as constitute that it made their lives better. Indeed, Mark Zeidel, our Chief of Medicine, regularly offered many positive thoughts on these matters inwards his missives to his staff, called Kaizen Corner.
The same is truthful inwards many other hospitals as well as physician practices. I've told many of these stories inwards my companion blog, "This is Not '." Gene Lindsey has done the same on his weblog posts.
In his marvelous book, How Doctors Think, Jerry explains the occurrence of diagnostic anchoring amidst physicians, noting the ability of confirmation bias--the vogue to meet as well as believe show that supports your thought as well as ignore facts that don't. I fearfulness that this NEJM article is infected past times this cognitive error.
I'll non larn through all the details. Mark Graban does that inwards splendid fashion here.
No, what hurts to a greater extent than is the fact that our clinical staff at BIDMC, where the authors reside, were overwhelmingly engaged inwards the the philosophy as well as usage of Lean--at to the lowest degree during the fourth dimension I was there. What's more, they enjoyed it as well as constitute that it made their lives better. Indeed, Mark Zeidel, our Chief of Medicine, regularly offered many positive thoughts on these matters inwards his missives to his staff, called Kaizen Corner.
The same is truthful inwards many other hospitals as well as physician practices. I've told many of these stories inwards my companion blog, "This is Not '." Gene Lindsey has done the same on his weblog posts.
In his marvelous book, How Doctors Think, Jerry explains the occurrence of diagnostic anchoring amidst physicians, noting the ability of confirmation bias--the vogue to meet as well as believe show that supports your thought as well as ignore facts that don't. I fearfulness that this NEJM article is infected past times this cognitive error.