Finding my way through a bramble of monitors tangled in the dense undergrowth of thorny data. Morning rounds are a forest thick with prickly questions. Perfect strangers become patients. Personalities baroque as the 50 year-old Hispanic man admitted yesterday with back pain. In prison for 19 years, (in America for 20) Arms, chest, and thick neck all Hieronymus Bosch and guitar-string calligraph...

The concepts of peer review and the venerable morbidity and mortality conference are familiar improvement approaches to health care providers. These 2 entities are typically provider or patient centric and are not typically extended within hospitals and health systems as a tool for organizational learning for care process or system failures. Out of a desire to deepen our understanding and accel...

“Is every definition persuasive?” If essentialist views on are rejected and a pragmatic account adopted, where defining is speech act which fixes the meaning of term, then problem arises: if meanings not fixed by essence being itself, persuasive? To address problem, we refer to Douglas Walton’s impressive intellectual heritage—specifically argumentative potential definition. In finding some non...