(BTW I worked in healthcare too) but what gets me is that was over 20 years ago and my experience today is the same.
e.g. if a reminder -> improved compliance -> improved effectiveness, reminder becomes part of treatment protocol, IIUC.
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yes, depends on the definition of "treatment" and "protocol" but that would be unfortunate interpretation of scope.
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See http://www.nytimes.com/2007/12/30/opinion/30gawande.html … for an example. (I think there was a better, similar article, but can't find it now.)
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