The best practice

Americans have always thought their healthcare system was the best in the world. But starting in the late 1990s, shocking reports emerged that showed this was far from the truth. Treatment-related deaths or complications were found to be the fifth leading cause of death for Americans, and hundreds of thousands of patients were being harmed by botched medical procedures. Spurred by the quality crisis, a group of visionary physicians led by Donald Berwick and Paul Batalden embarked on a study of industrial quality improvement techniques, daring to apply them to the practice of medicine despite…