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Thursday, July 1, 2021

Making Better Decisions: Lessons from Noise by Daniel Kahneman, Oliver Sibony, and Cass R. Sunstein

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The authors of Noise: A Flaw in Human Judgment* examine the random variations that occur in judgmental decisions and recommend ways to make...
Friday, May 21, 2021

Healthcare Safety Culture and Interventions to Reduce Preventable Medical Errors

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HSS OIG report cover We have previously written about the shocking number of preventable errors in healthcare settings that result in injury...
Tuesday, February 2, 2021

Organizational Change and System Dynamics Insights from The Tipping Point by Malcolm Gladwell

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The Tipping Point* is a 2002 book by Malcolm Gladwell (who also wrote Blink ) that uses the metaphor of a viral epidemic to explain how som...
Monday, December 14, 2020

Implications of Randomness: Lessons from Nassim Taleb

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Most of us know Nassim Nicholas Taleb from his bestseller The Black Swan . However, he wrote an earlier book, Fooled by Randomness * , in w...
Monday, November 9, 2020

Setting the Bar for Healthcare: Patient Care Goals from the Joint Commission

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Joint Commission HQ The need for a more effective safety culture (SC) in the field of healthcare is acute: every year tens of thousands of p...
Tuesday, August 25, 2020

How to Consider Unknown Unknowns: Hints from McKinsey

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Our July 31, 2020 post on medical errors discussed the importance of the “differential diagnosis” where a doctor thinks “I believe this pat...
Friday, July 31, 2020

Culture in Healthcare: Lessons from When We Do Harm by Danielle Ofri, MD

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In her book*, Dr. Ofri takes a hard look at the prevalence of medical errors in the healthcare system.   She reports some familiar statistic...