Notes from inside the operating room on what consulting frameworks miss, why methodology beats benchmarks, and how the four lenses change what hospital systems can actually fix.
Most perioperative consulting is performed by people who used to do the work. There is a structural reason that produces fragile recommendations, and a structural reason an active practitioner produces durable ones. The difference is not credential — it is methodology.
Read the post →The four-lens methodology is patient → team → day → institution. The order is not a stylistic choice. Reversing it is the most common failure mode in perioperative consulting, and the most reliable way to produce recommendations that don't survive the engagement.
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