For example, emergency services is a system of care that depends on the convergence of basics such as nurse triage, lab and imaging results, transport, tongue depressors, working blood pressure machines, computers, physician assessments, and medications. How well these basics converge at the point of care drives the departmental metrics for productivity, cost, quality and patient satisfaction. One or two micro fractures, such as a delayed reading of images or an offline computer, can diminish the quality of care on that day, even though lab, supply and nursing services have been precise with their provision of the essential basics.

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