Monday, April 28, 2008

Greetings from the front!


Dear friends,
The hour is late so this is simply a quick note to say hello! I am an anesthesiologist at a major teaching hospital in Boston and a managing partner with New Agreements Healthcare. As I will share with you in coming posts, I have been on quite a personal and professional journey through patient safety and quality improvement in healthcare. While there are many good things happening, it is my feeling that many of the ongoing initiatives in safety and quality overlook fundamental principles in system-based thinking and human dynamics as well as the input of experienced frontline caregivers, which frequently result in short-lived, unsustained improvement. My hope is that we can talk about some of these principles and then support or challenge these ideas with real stories and examples from the front line of care. The transformation of healthcare is coming whether we like it or not, and the choice that we have is either to be reactive or proactive in the process. I choose the latter!