Thursday 9 January 2014

The consummate clinical leader cultivates the health ethics

The consummate leader cultivates the moral law, and strictly adheres to method and discipline; thus it is in his power to control success.

In respect of military method, we have, firstly, Measurement; secondly, Estimation of quantity; thirdly, Calculation; fourthly, Balancing of chances; fifthly, Victory.

Measurement owes its existence to Earth; Estimation of quantity to Measurement; Calculation to Estimation of quantity; Balancing of chances to Calculation; and Victory to Balancing of chances.

A victorious army opposed to a routed one, is as a pound's weight placed in the scale against a single grain.

The onrush of a conquering force is like the bursting of pent-up waters into a chasm a thousand fathoms deep.



From "Sun Tzu on the Art of War - The Oldest Military Treatise in the World"
Translated from the Chinese By Lionel Giles, M.A. (1910)

Discussion:

This part was translated with the principle of evidence-based medicine and application of a clinical pathway.

Translation:

The consummate clinical leader cultivates the health ethics, and strictly adheres to method and discipline; thus it is in his power to control success.

In respect of clinical evidence, we have, firstly, Measurement; secondly, Evaluation of validity; thirdly, Calculation of prognosis; fourthly, Balancing of values; fifthly, Making decision.

Measurement owes its existence to evidence; Evaluation of validity to Measurement; Calculation of prognosis to Evaluation of validity; Balancing of values to Calculation of prognosis; and Making decision to Balancing of values.

An efficient clinical team opposed to a well-established condition, is as a pound's weight placed in the scale against a single grain.

The onrush of a clinical pathway is like the bursting of pent-up waters into a chasm a thousand fathoms deep.


Ray Murakami

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