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If Health Care Is Going to Change, Dr. Brent James’s Ideas Will Change It – NYTimes.com

Interesting discussion of the healthcare industry here:

Magazine Preview – If Health Care Is Going to Change, Dr. Brent James’s Ideas Will Change It – NYTimes.com.

We have built up medical doctors in this country to be brilliantly intuitive gurus that are constantly making measured decisions. In reality, the result of all this coddling and sky-high spending on treatment is mediocre care. One face-palm quote:

Perhaps the clearest example is the Pronovost checklist. As many as 28,000 people in this country die each year from infections that come from intravenous lines. Several years ago, Peter Pronovost, a Johns Hopkins physician, developed a simple list of five steps that intensive-care doctors should take before inserting an IV line, in order to prevent the introduction of bacteria. The checklist reduced the infection rate to essentially zero at 108 hospitals in Michigan where it was adopted. Pronovost published the results in The New England Journal of Medicine in 2006. But most intensive-care doctors are still not using the checklist. To insert an IV line, they continue to rely on their own judgment.

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