An argument that physicians should be taken out of the quality management decisions:
The principle here is that if you want the checklist done, take the doctors out of it. They can concentrate on diagnostics, management and advising. Their fundamental asset is the relationship with the patient. Get the quality check done by someone specifically trained for the process.Anyone ever wonder why hospital operating rooms are always controlled by nurses before the surgery begins? Why is the ambulatory setting any different?
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Just a little adjustment: physicians need to drive the quality process. I hope I am preaching that you don’t have to do it yourself, but when management comes-a-calling, make sure it gets done by appropriate support staff.
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