Negative

(The discussion goes on.)

"Em... your view may be true, but I suppose there remains a continual improvement in the quality of care, even though it may not be as dramatic as the program first starts?" The nursing officer says.

"No, it's not only not useful; it has a direct and negative effect on the clinical care."

"How could that be?"

"Because they will come and give this and that instructions without being consulted. You see, perfunctory advice doesn't cost them any sweat and blood, but, once given, it becomes a medico-legal obligation of the in-charge doctor to comply and execute whatever being suggested - more investigations and elaborated treatment. Hospital stay is prolonged. Drug cost is increased. And the patient is often not better off!"