Healthcare's shifting paradigms
From process orientation (what professional is doing)
To outcomes orientation (value of what professional is doing)
From focus on provider-patient relationship
To focus on work setting as a learning organization
From do no harm as an individual responsibility
To safety as a system concern
From caregiving that is time and place bound
To caregiving with time and place limitations removed
From focus of care that emphasizes patient compliance
To focus of care that emphasizes best practices
From workarounds being the norm
To crucial conversations being the norm
From decision making based on training and experience
To evidence-based decision making
From organizations that encourage professional silos
To organizations that encourage interdisciplinary collaboration
From seeking cost reductions
To continuously decreasing waste
From emphasis on discharge planning
To emphasis on lifestyle change