Jun. 14th, 2012

drwex: (VNV)
Mostly noting for my own future reference, but as always thoughts and comments are welcome.

Atul Gawande's commencement speech as printed in The New Yorker is short and to the point, which is roughly this:
Scientists have given a new name to the deaths that occur in surgery after something goes wrong [...] They call them a "failure to rescue." More than anything, this is what distinguished the great from the mediocre. They didn’t fail less. They rescued more.

Removing risk and reducing failure isn't nearly so important as expecting failure and having ideas of how to recover. The hospitals with the best outcomes (patient survival/patient health) aren't the ones with the lowest rates of post-surgical complication. They're the ones with the best plans for coping with complications.

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