The Economics of Checklists

I just took a relative to a local hospital’s emergency room. Like Atul Gawande described in his book, The Checklist Manifesto, a nurse first noted “four physiological data points–body temperature, pulse, blood pressure, respiratory rate.” Had we been in that hospital 50 years ago, the…

Negative Externalities: The Unexpected Economics of Hand Washing

Sometimes economics can involve a lot more than money. My local hospital is engaged in a hand washing campaign. The problem is that physicians ignore the mandate, even more than nurses and other hospital personnel. Yes, a doctor is busy…

Cheesecake Medicine?

Could Cheesecake Factory help us fix our healthcare system? Touring the kitchen of a Cheesecake Factory restaurant, you would see arrival, refrigeration and storage areas, and cutting, mixing, chopping and combining zones. Preparing the 308 dinner choices that their menu…