Abstract
We are wasting our time with the theory of bad apples [in medicine] and our defensive response to it in health care today, and we can best begin by freeing ourselves from the fear, accusation, defensiveness, and naivete of an empty search for improvement through inspection and discipline. The theory of continuous improvement proved better in Japan; it is proving itself again in American industries willing to embrace it, and it holds some badly needed answers for American health care.
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