5 Matching Annotations
  1. Mar 2022
    1. Significantly, the emergence of cooperatives does not depend upon the surrender of self-interest.  This would be as impossible at all other levels of organization as in human affairs.  As biologists have long known, organisms that take the benefits of cooperation without cooperating in return will generally out-compete those that cooperate.  Cooperation emerges only when evolution discovers a form of organization in which it pays to cooperate.  To an extent, this form of organization can be achieved through reciprocal exchanges between members.  Members will benefit from providing goods and services to others if they receive benefits in exchange.  In human societies these exchange processes take the form of economic markets.  But these processes alone will not align the interests of members with the organization—there is nothing to prevent members from taking benefits without reciprocating.  Those who cheat in this way tend to end up in front.  Cooperation will be undermined.  Furthermore, systems of reciprocal exchange are unable to deal effectively with goods and services whose benefits can be obtained freely by anyone—i.e. where the benefits cannot be restricted to the individuals participating in the exchange (the ‘public goods’ of human economic systems).  In these cases, ‘free riders’ will be able to obtain benefits without giving anything in return, again undermining cooperation. 

      So we acknowledge the free rider problem 👏

  2. Jun 2021
  3. Mar 2021
  4. Nov 2018
    1. “The day is upon us where we need to strongly consider nurse practitioners and physician assistants as equal in the field,” he says. “We’re going to find a much better continuity of care for all our patients at various institutions with hospital medicine and … a nurse practitioner who is at the top of their license.”

      Hospitalists as QB should play leadership role in integrating all members of care team

    2. Hospitalists were seen as people to lead the charge for safety because they were already taking care of patients, already focused on reducing LOS and improving care delivery—and never to be underestimated, they were omnipresent, Dr. Gandhi says of her experience with hospitalists around 2000 at Brigham and Women’s Hospital in Boston. “At least where I was, hospitalists truly were leaders in the quality and safety space, and it was just a really good fit for the kind of mindset and personality of a hospitalist because they’re very much … integrators of care across hospitals,” she says. “They interface with so many different areas of the hospital and then try to make all of that work better.”

      role of hospitalists in safety and quality