The former chairman of the board and chief executive officer of IBM, Lou Gerstner, once said that “It is not about bits, bytes and protocols, but profits, losses and margins.”1(p325) While Gerstner may have been referencing the financial profits and margins of a large company like IBM, how much more does this principle hold in the business of medicine and health? A protocol is not of any inherent value until we are able to appreciate its results and see its impact on patient outcomes.
Sauser Zachrison K, Schwamm LH. Implementation of Rapid Treatment and Interfacility Transport for Patients With Suspected Stroke by Large-Vessel OcclusionIn One Door and Out the Other. JAMA Neurol. Published online May 08, 2017. doi:10.1001/jamaneurol.2017.0324