title: Response to: 'Working smarter, not harder' by Professor Iedema.
authors.affiliation: Department of Medicine, St. Michael's Hospital, Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Christopher William
authors.initials: CW
authors.lastname: Hayes
authors.affiliation: The Dartmouth Institute for Health Policy and Clinical Practice, Geisel Medical School at Dartmouth, Lebanon, New Hampshire, USA.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Batalden
authors.affiliation: Institute for Healthcare Improvement, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Donald
authors.initials: D
authors.lastname: Goldmann
keywords: Patient safety; Quality improvement; Quality measurement