A recent advisory report on the NHS, chaired by Dr. Don Berwick, has valuable lessons for all healthcare systems: Sometimes we can hit a goal, but miss the point. But while the report acknowledges this truth, it also says the opposite can be true as well: sometimes we can set a goal we'll never be able to hit, and that, too, can be harmful to our healthcare system. So we bring the issue to laboratory quality requirements: do we have goals that are too hard (or too easy) to hit?

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