While laboratories bog down in various quality initiatives, Simon Caulkin describes massive efficiency and outcome improvements that have been shown in a stroke unit. He thinks savings of over 20% could be made on the wards.
Was this acheived by demanding savings, appointing more managers, changing everything again, and increasing record-keeping? Of course not. It was done by analysing demand from the patient’s point of view, not an inspector’s, and redesigning the work to meet it.