Beschreibung:
Spanning a decade (1992-2002), these speeches echo the theme that our health care system needs fundamental change and a revolutionary new design. Throughout the book, Berwick identifies innovations and ideas from a number of surprising sources a girls' soccer team, a sinking ship, and the safety standards at NASA. Escape Fire takes its title from the 1949 Mann Gulch tragedy in which thirteen young firefighters were trapped in a wildfire on a Montana hillside. The firefighter's leader, Wag Dodge, devised a creative solution for avoiding the encroaching fire. He burned a patch of grass and lay down in the middle of the scorched earth. His team refused to join him, and most perished in the fire. Dodge survived. Berwick applies the lessons learned from the catastrophe to our ailing health care system we must not let ingrained processes obstruct life-saving innovation. Not content to simply define the problems with our flawed system, Berwick outlines new designs and suggests practical tools for change: name the problem, build on success, take leaps of faith, look outside of the medical field, set aims, understand systems, make action lists, and the most fundamental of all never lose sight of the patient as the central figure.
Spanning a decade (1992-2002), these speeches echo the theme thatour health care system needs fundamental change and a revolutionarynew design. Throughout the book, Berwick identifies innovations andideas from a number of surprising sources--a girls' soccerteam, a sinking ship, and the safety standards at NASA. EscapeFire takes its title from the 1949 Mann Gulch tragedy in whichthirteen young firefighters were trapped in a wildfire on a Montanahillside. The firefighter's leader, Wag Dodge, devised a creativesolution for avoiding the encroaching fire. He burned a patch ofgrass and lay down in the middle of the scorched earth. His teamrefused to join him, and most perished in the fire. Dodge survived.Berwick applies the lessons learned from the catastrophe to ourailing health care system--we must not let ingrained processesobstruct life-saving innovation.Not content to simply define the problems with our flawedsystem, Berwick outlines new designs and suggests practical toolsfor change: name the problem, build on success, take leaps offaith, look outside of the medical field, set aims, understandsystems, make action lists, and--the most fundamental ofall--never lose sight of the patient as the centralfigure.
Preface ixAcknowledgments xvIntroduction xixFrank Davidoff, MD1. Kevin Speaks 12. Buckling Down to Change 113. Quality Comes Home 434. Run to Space 615. Sauerkraut, Sobriety, and the Spread of Change 936. Why the Vasa Sank 1277. Eagles and Weasels 1558. Escape Fire 1779. Dirty Words and Magic Spells 21110. Every Single One 23911. Plenty 269About the Author 297About the Commentary Authors 299Index 305