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Comment by diomedes

4 days ago

perlmutter is also one of the best cancer centers in the country, things are often quite different at smaller hospitals

And in addition to variance among institutions, there variance in practice at each. The best groups have a consummate professional's focus on reducing their own. But even at another "one of the best", let alone at the merely good... my impression was "there's lots of holes in the cheese around here", and left me wondering whether/how a transient outsider might usefully help folks towards more of a safety culture. It seems a reoccurring opportunity.

  • providing top-level medical care requires a very rare combination of incredible technical skill, organization, humility, and life-long dedication to the craft. i would wager that it's largely a numbers game. how many humans on earth have that combination of skills and traits?