CHAPTER 8

Application Design

Maximum Efficiency or Minimum Necessary?

Lord Darlington: … I can resist everything except temptation.

Lady Windermere: You have the modern affectation of weakness.

—Oscar Wilde, Lady Windermere’s Fan

It wasn’t long before questions started to pour in: “Why in the world does our pastoral care staff have the ability to discontinue medications?” “Why do our technicians have the ability to edit cancer protocols?”

The short response to these probing questions was, “We’ll address that right away; it’s obviously not correct.” But the underlying problem was one that had to be addressed—if there were problems in these two areas, there were certainly problems in other areas as well, and a systematic approach to access and ...

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