5.9 million children under age five died in 2015, 16 000 every day. Globally, under-five mortality rate has decreased by 53%, from an estimated rate of 91 deaths per 1000 live births in 1990 to 43 deaths per 1000 live births in 2015. The average annual rate of reduction in under-five mortality has accelerated from 1.8%  a year over the period 1990–2000 to 3.9%  for 2000–2015 , but remains insuf...

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...