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The ward round is broken

BMJ 2017; 358 doi: (Published 25 September 2017) Cite this as: BMJ 2017;358:j4390
  1. Matt Morgan, intensive care consultant
  1. mmorgan{at}

Doctors’ way of working would not be accepted by businesses making decisions with far less impact

You are the director of a multi-million pound coffee business. The working lives of your employees, not to mention your customers, are dependent on your actions today. Today, you will visit 10 of the lowest performing branches in your business. You will need to decide what is wrong with each branch and, more importantly, what to do about it. You may even need to close a store if the causes of poor performance cannot be rectified.

The method you have chosen to conduct this process is novel. You decide to drive from store to store throughout one morning with little or no prior knowledge of their problems. When you arrive, you plunge into masses of unfiltered, unstructured data. You are shown complex financial reports going …

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