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Harvard Business Review online: Innovations in Health Care
"What we describe as a "health care system" is no system at all. It's a collection of fragmented, non-communicating parts, implicitly dangerous in design. During an average four day hospital stay, a patient sees 24 different clinicians and administrators; when a physician places an order for medications in a hospital, there are seventeen steps between when that order is given and when the medication reaches the patient's bedside - all opportunities for error. And this complexity happens within a single health care delivery organization. When multiple physicians, clinics, hospitals - and insurance companies - are involved in the care of a patient, the complexity can be overwhelming, both for the patient and clinicians."
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