When considering this, I often think of the Serenity Prayer.
God grant me the serenity
to accept the things I cannot change;
courage to change the things I can;
and wisdom to know the difference.
to accept the things I cannot change;
courage to change the things I can;
and wisdom to know the difference.
CKM can help provide the wisdom to know the difference. Well designed CKM can determine if patients received ideal care for specific disorders, i.e. early goal directed therapy for sepsis. If 100 patients all received perfect care and 20 died then there is nothing to change. However, if 100 patients received less than perfect care and 30 died, we need to have the courage to change the system.
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