RT Journal A1 Perla RJ T1 THe physics of health care improvement JF JAMA JO JAMA YR 2011 FD June 1 VO 305 IS 21 SP 2223 OP 2224 DO 10.1001/jama.2011.735 UL http://dx.doi.org/10.1001/jama.2011.735 AB Healthcare professionals with a mandate to improve care delivery may recognize strong similarities between the challenges of a successful project and Newton's laws of motion that form the basis for classical mechanics.1 To the extent that improvement teams in health care (of various sizes and mass) can be viewed as bodies orbiting a hospital system (with varying degrees of attraction), a number of similarities can be noted. However, physics is the study of motion, whereas improvement science is, in many respects, the study of execution, or purposeful and goal-directed motion.2