%0 Journal Article %T For want of a four-cent pull chain %V 20 %P 986-990 %U http://qualitysafety.bmj.com/cgi/rapidpdf/bmjqs-2011-000221?ijkey=8dNmszQSJO4r221&keytype=ref %X The author, a noted French ethnographer, describes his care in an elite French hospital and follow up care with other clinicians. _place_holder; It presents 12 independent events that comprise the totality of care that clinicians often do not perceive; focusing especially on patient safety and pain management. _place_holder; The observations are oddly similar to those from any modern healthcare system, except that they offer a detail few would provide. _place_holder; _place_holder;The work focuses on the contradiction between excellent technical operations and the absence of civil behavior, kind patient care, the needs of patient safety. It addresses marketing of hospital services, staffing levels, conflicts between private enterprise and medical need, fragmented billing, disconnected after-care, and the absence of a coherent view of a patient's experience -the non-coordination of care. _place_holder;Finally it offers recommendations for improvements for patient care and safety. ER - End of Reference %J British Journal of Medecine %A Villette, Michel %D 2011-06-20 15:50:25