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Dr Lundberg has missed out the most important of all 'Things Amiss in Medicine':

23. Failure to provide basic, inexpensive, life-saving preventive and curative treatments for the majority poor, especially in low-income countries, resulting in unimaginable levels of avoidable human death and suffering, including the avoidable deaths of 21,000 children every day.

Dr Neil Pakenham-Walsh MB,BS, DCH, DRCOG
Coordinator, HIFA2015, CHILD2015 and HIFA-Zambia
Co-director, Global Healthcare Information Network
16 Woodfield Drive
Charlbury, Oxfordshire OX7 3SE, UK
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With thanks to our 2011 financial supporters: British Medical Association, CABI, Global HELP, International Child Health Group (Royal College of Paediatrics and Child Health), Joanna Briggs Institute, Network for Information and Digital Access, Public Library of Science, Rockefeller Foundation (Monitoring & Evaluation), Royal College of Midwives, Royal College of Nursing, THET, and UnitedHealth Chronic Disease Initiative.



At 16:43 17/09/2011, you wrote:
Dr George Lundberg, former Editor-in-Chief of JAMA, writing recently in MedPage Today, describes '22 Things Amiss in Medicine Today':

1. http://www.medpagetoday.com/Columns/28372

2. http://www.medpagetoday.com/Columns/28465

Regards,

Ash


From: Stephen Senn <[log in to unmask]>
To: [log in to unmask]
Sent: Saturday, 17 September 2011, 8:29
Subject: Re: What single idea will make the biggest impact on healthcare today?

I agree with Steve.  The sort of thing that Brent James is doing at Intermountain Healthcare in applying Deming to health care delivery strikes me as having enormous potential. However, unfortunately it might be a case of 'ought to make an impact' rather than 'will make an impact'.
Stephen

Stephen Senn

Professor of Statistics
School of Mathematics and Statistics
Direct line: +44 (0)141 330 5141
Fax: +44 (0)141 330 4814
Private Webpage: http://www.senns.demon.co.uk/home.html

University of Glasgow
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Glasgow G12 8QW

The University of Glasgow, charity number SC004401
________________________________________
From: Evidence based health (EBH) [ [log in to unmask]] On Behalf Of Steve Simon, P.Mean Consulting [[log in to unmask]]
Sent: 17 September 2011 04:46
To: [log in to unmask]
Subject: Re: What single idea will make the biggest impact on healthcare today?

Quality improvement. Healthcare professionals need to develop an ethic
of measuring what they are doing and learning from those measurements.
They need to identify inappropriate variation in health care delivery
and remove that variation. They need to publish information (with proper
risk adjustment) that will allow health care consumers to make good
choices in where they seek care.

This is not easy to do, of course. Measurement of the wrong things,
failure to recognize and account for appropriate variations in health
care delivery, and biased report cards will cause more problems than
they will solve. Doing quality improvement well is more than just number
crunching.

Steve Simon, [log in to unmask], Standard Disclaimer.
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