Opinion: Minimizing administrative harm: a key step to improving health care

Late on a Friday, I sit reviewing some of my patients’ old medical records instead of heading home to be with my family. I’ll likely be doing it next Friday, and the one after that.

This wasn’t my idea. The health system I work for discovered that some patients for whom CT scans were ordered never got them over the ensuing two to three years. So administrators decreed that clinicians like me must review the records of each patient who needed a CT scan, find out if the test was missed, determine if the missed test needs to be rescheduled, and report as to whether we reordered the scan or deemed it unnecessary.

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