TY - JOUR T1 - Engineering better ward rounds JF - Future Healthcare Journal JO - Future Healthc J SP - 84 LP - 84 DO - 10.7861/futurehosp.6-1-84 VL - 6 IS - 1 AU - David Levine Y1 - 2019/02/01 UR - http://www.rcpjournals.org/content/6/1/84.abstract N2 - Editor – The October issue’s attention to systems approaches in healthcare is timely. Belatedly, the NHS might now realise that it will benefit more from engineering approaches than from accountancy-based management consultants.In the same month’s Commentary, Dr Sinha describes the demise of well-organised ward rounds and explains why this degrades safe, high-quality care and staff morale.1 The Future Healthcare Journal article by Clarkson et al2 indicates how a systems approach might help resurrect effective ward rounds. In 2009, the Royal College of Physicians (RCP) asked me to report on an innovative ward round project in a district hospital. This project and its architect became key components of the 2012 guidance3 and I am disappointed that this did little to reverse the decline but not surprised given that such documents … ER -