California's single-payer initiative: what went wrong?

Hormone replacement therapy and cardiovascular disease: what went wrong and where do we go from here?

Observational studies in humans and experimental studies in animals and isolated cells supported the widely held belief that hormone replacement therapy protects the cardiovascular system from disease. To nearly everyone's astonishment, the Women's Health Initiative Study and the Heart and Estrogen/Progestin Replacement Study overturned the conclusion that hormone replacement therapy protects t...

What Went Wrong and Where Do We Go From Here?

Observational studies in humans and experimental studies in animals and isolated cells supported the widely held belief that hormone replacement therapy protects the cardiovascular system from disease. To nearly everyone’s astonishment, the Women’s Health Initiative Study and the Heart and Estrogen/Progestin Replacement Study overturned the conclusion that hormone replacement therapy protects t...

Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?”

An important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. Yet contracting is highly imperfect in both single-payer and multi-payer health systems. Arguably, in a competitive, multi-payer environment, contractual innovation may occur...

What really went wrong? Root cause determination study and improvement initiative results.

Many incident investigations stop before identifying the real root cause or all root causes. In 2004 with the implementation of a new corporate-wide incident reporting electronic database, an evaluation was made possible as to the quality of incident investigations and reports at all sites within the case study organization. After reviewing almost 1,000 incident reports, the Occupational and Pr...

What Went Wrong in the Twentieth Century