This article reports on an effort to explore the differences between two approaches to intuition and expertise that are often viewed as conflicting: heuristics and biases (HB) and naturalistic decision making (NDM). Starting from the obvious fact that professional intuition is sometimes marvelous and sometimes flawed, the authors attempt to map the boundary conditions that separate true intuiti...

The QIS is a revised long-term care survey process that was developed under the Centers for Medicare & Medicaid Services (CMS) oversight through a multi-year contract. It represents an effort to standardize how the survey process measures nursing home compliance with federal standards and the interpretative guidelines that define those standards. The QIS demonstration represents the culmination...

A known problem of traditional coverage metrics is that they do not assess oracle quality—that is, whether the computation result is actually checked against expectations. In this paper, we introduce the concept of checked coverage—the dynamic slice of covered statements that actually influence an oracle. Our experiments on seven open-source projects show that checked coverage is a sure indicat...

In order to allow a comparison of (otherwise incomparable) sets, many evolutionary multiobjective optimizers use indicator functions to guide the search and to evaluate the performance of search algorithms. The most widely used indicator is the hypervolume indicator. It measures the volume of the dominated portion of the objective space bounded from below by a reference point. Though the hyperv...

Hospital readmission rate has been a long-considered quality of care indicator in adult medicine, albeit with mixed reviews. As we begin to grapple with the quality significance and preventability of readmissions in pediatrics, however, we are outpaced by movement in the insurance industry. Section 3025 of the Affordable Care Act requires the Centers for Medicare and Medicaid Services to reduce...

When physicians are unwell, the performance of health-care systems can be suboptimum. Physician wellness might not only benefit the individual physician, it could also be vital to the delivery of high-quality health care. We review the work stresses faced by physicians, the barriers to attending to wellness, and the consequences of unwell physicians to the individual and to health-care systems....

There is a growing interest in instruments to assess the present and to predict the future performance of ecosystems that are or may be influenced by human activities.