I’ve complained before about the uselessness of traditional industrial QI/Metrics in primary care. There is now more proof in the literature. The National Health and Nutrition Examination Survey (NHANES) is the annual comprehensive assessment of American health. They enroll about 10,000 people each study year and ask them a thousand questions,...
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Have you ever heard of the butterfly effect? It’s a classic concept in complex adaptive system theory. The idea is that the energy generated from a butterfly flapping its wings, added to another burst of energy, and so on, and so on, and so on, ultimately leads to a hurricane half...
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