Rapid responses are electronic letters to the editor. They enable our users to debate issues raised in articles published on thebmj.com. Although a selection of rapid responses will be included online and in print as readers' letters, their first appearance online means that they are published articles. If you need the url (web address) of an individual response, perhaps for citation purposes, simply click on the response headline and copy the url from the browser window. Letters are indexed in PubMed.
Occasionally in healthcare you see people, or organisations, or
institutions doing wrong things for the wrong reasons. This isn't as
common as we might like to think and usually represents the "worst of all
worlds" - as very few parties ultimately benefit. Even those that make the
decision ultimately live to regret being initiators of "the action".
The appointment of Don Berwick to his current role was inspirational.
Clinicians far and wide on reading his eloquent and humane articles, or
having spent any time in his presence, cannot fail to acknowledge his
enthusiasm, his wisdom and his humility - hallmarks of a truly outstanding
Even with the complex political backdrop outlined in this article
American healthcare cannot but benefit, in time, from the continuance of
Don Berwick in his role. Clinicians and patients in America and around the
globe will be worse off if a wrong decision is made for the wrong reason.