A few years ago, the Dean of the School of Business at the University of Leicester, Dr Zoe Radnor, tried to understand the reasons for the “bicycle book” that she discovered at an English hospital she was studying. All staff who arrived at work by bicycle routinely signed a register book at the front door. Hundreds of these registers, once full, had been collected and stored for decades in clearly marked boxes. “Why?” Professor Radnor asked. No one knew.
Donald M. Berwick, MD, MPP; Saranya Loehrer, MD, MPH; Christina Gunther-Murphy, MBA
Breaking the Rules for Better Care. JAMA. Published online April 27, 2017. doi:10.1001/jama.2017.4703
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