The distinction between #WorkAsImagined and #WorkAsDone is among the most useful things I have learned in my dalliance with #ImplementationScience

(I think it was a #CarlFlatley essay that taught it to me)

It seems wise when discussing hard things in #ICU — #resuscitation, #palliation, pain control — to be honest about whether we are discussing #AsImagined (or #AsWeAspireTo) or #AsDone