Download Escape Fire: Designs for the Future of Health Care by Donald M. Berwick PDF

By Donald M. Berwick

Spanning a decade (1992-2002), those speeches echo the subject that our wellbeing and fitness care approach wishes primary swap and a progressive new layout. through the e-book, Berwick identifies concepts and concepts from a few incredible sources—a women' football group, a sinking send, and the protection criteria at NASA. break out hearth takes its identify from the 1949 Mann Gulch tragedy within which 13 younger firefighters have been trapped in a wildfire on a Montana hillside. The firefighter's chief, Wag stay away from, devised an artistic answer for fending off the encroaching fireplace. He burned a patch of grass and lay down in the course of the scorched earth. His staff refused to hitch him, and such a lot perished within the hearth. evade survived. Berwick applies the teachings realized from the disaster to our sick well-being care system—we must never enable ingrained procedures hinder life-saving innovation.Not content material to easily outline the issues with our mistaken process, Berwick outlines new designs and indicates functional instruments for switch: identify the matter, construct on luck, take leaps of religion, glance outdoor of the clinical box, set goals, comprehend platforms, make motion lists, and—the such a lot primary of all—never lose sight of the sufferer because the principal determine.

Show description

Read or Download Escape Fire: Designs for the Future of Health Care PDF

Similar health policy books

Priceless: Curing the Healthcare Crisis (Independent Studies in Political Economy)

Within the groundbreaking booklet beneficial, popular healthcare economist John Goodman unearths how sufferers, healthcare companies, employers, and staff are all trapped in a dysfunctional, bureaucratic, healthcare process fraught with perverse incentives that increase bills, decrease caliber, and make care much less available.

Responsible Tax Credits for Health Insurance

The authors chronicle adjustments in U. S. attitudes approximately wellbeing and fitness care and view coverage trade-offs and difficulties of a tax credit/voucher approach to finance medical insurance.

Infectious disease in aquaculture: Prevention and control

With an ever expanding call for for seafood that can not be met via trap fisheries by myself, becoming strain is being put on aquaculture creation. notwithstanding, infectious illnesses are a tremendous constraint.  Infectious disorder in aquaculture: prevention and keep an eye on brings jointly a wealth of modern examine in this challenge and its potent administration.

Abortion Free: Your Manual for Building a Pro-Life America One Community at a Time

Abortion is homicide. there is not any manner round it. you could try and justify it by way of claiming the well-being of the mum, however the fact is just a small percent (less than one-tenth of one percentage via a few counts) of the 1 million infants killed every year are to save lots of the mother's existence. as a substitute facts recommend that eighty five percentage of all abortions are played as a method of contraception and are 3 times likely to be by way of a girl on Medicaid.

Additional info for Escape Fire: Designs for the Future of Health Care

Sample text

They need well-designed systems that facilitate superb service, and they deserve reward and recognition for a job well done. Staff need a culture that acknowledges that the best care comes from people working as a team, not as “lone rangers” with sole responsibility for the success or failure of their actions. They desperately need new systems that make the environment safe for them and their patients, one that lets them admit mistakes so that better solutions can be designed for the future. This new culture requires that the power and autonomy demanded by many who work in health care must go hand in hand with the responsibility to meet the needs of patients.

To make ourselves uncomfortable? In the search for will, I always come back to those we serve. Our purpose comes from those we serve. Continual reconnection to this basic purpose is the only durable source of energy for systemic improvement. Let Kevin speak. Kevin is fifteen years old. When he was two, a catastrophic problem required the removal of a large portion of his small intestine—the part of the bowel that absorbs nutrition from food. Kevin now has “short gut syndrome”—too little bowel to sustain his growth and health—so for thirteen years he has been fed in part by special intravenous fluids through a plastic tube in a major vein.

They do everything twice instead of once. In the storm of the health care crisis—the variations on “pay or play” or the “Canadian option” or “managed competition”; in the various debates about rationing and protocols and incentive compensation, and even about TQM—it is so easy—frighteningly easy—to forget why we trouble ourselves in the first place. It is so easy— frighteningly easy—to become trapped in the sterile thesis that our institutions must survive simply because they must survive, or that our true, deep purpose is to gain and preserve market share in a vacant terrain of others whose purpose is precisely the same.

Download PDF sample

Rated 4.92 of 5 – based on 20 votes