Escape Fire: Designs for the Future of Health Care / Edition 1

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Overview

Dr. Donald Berwick offers health care professionals a ray of hope in this provocative book that contains eleven of his most compelling speeches. Berwick’s brilliant and impassioned speeches–delivered at the Institute for Healthcare Improvement’s annual National Forum on Quality Improvement in Health Care–explore the need to ensure every patient the benefit of care that draws on the best scientific knowledge available.

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.

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What People Are Saying

From the Publisher
"In this vibrant book, Don Berwick speaks about one of the most vexing issues of our time with compelling competence, penetrating clarity, relentless honesty, and heart-warming humor. In an era when so many public voices lack these qualities, Berwick gives us reason to hope that our most difficult social problems have solutions that are within reach. We are the solution, of course— if we are willing to emulate the intellectual and moral courage modeled by leaders like Don Berwick."
— Parker J. Palmer, author, The Courage to Teach and Let Your Life Speak

"[Berwick's] target is a health care system that has evolved primarily to serve the needs and interests of those who work in the system— doctors, nurses, administrators, payors, insurers— rather than the needs and interests of patients."
— from the Introduction by Frank Davidoff

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Product Details

  • ISBN-13: 9780787972172
  • Publisher: Wiley
  • Publication date: 1/28/2004
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 352
  • Sales rank: 809,318
  • Product dimensions: 6.26 (w) x 9.29 (h) x 1.17 (d)

Meet the Author

Donald M. Berwick, MD, MPP, is president, CEO, and cofounder of the Institute for Healthcare Improvement in Boston, Massachusetts. Dr. Berwick is a clinical professor of pediatrics and health care policy at the Harvard Medical School, and a pediatrician. An associate in pediatrics at Boston’s Children’s Hospital, he is also a consultant in pediatrics at Massachusetts General Hospital. Dr. Berwick is the coauthor of the books, Curing Health Care and New Rules, also available from Jossey-Bass.

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Table of Contents

Preface.

Acknowledgments.

Introduction (Frank Davidoff, MD).

1. Kevin Speaks.

2. Buckling Down to Change.

3. Quality Comes Home.

4. Run to Space.

5. Sauerkraut, Sobriety, and the Spread of Change.

6. Why the Vasa Sank.

7. Eagles and Weasels.

8. Escape Fire.

9. Dirty Words and Magic Spells.

10. Every Single One.

11. Plenty.

About the Author.

About the Commentary Authors.

Index.

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Customer Reviews

Average Rating 4.5
( 34 )
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See All Sort by: Showing 1 – 20 of 34 Customer Reviews
  • Anonymous

    Posted January 1, 2014

    Cathrine( cate)

    A girl with brown hair and brown eyes walks in ' am i alone here as i am in other places' she asks out loud

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    Posted January 1, 2014

    Sipher

    "Well, that's one way to get a girl topless. I guess..." he laughed.

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    Byrd

    "Holy sh<_>it. I am really fu<_>cking bored. She groaned.

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  • Anonymous

    Posted December 31, 2013

    Rosa

    She sits

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    Posted January 1, 2014

    Wes

    Stood and walked over to everyone. "Hey guys," he said.

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    Posted January 1, 2014

    Purity

    Looks at Lori and Andrew and snorts muttering under her breath

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  • Anonymous

    Posted December 28, 2013

    A figure

    Dish teh rp?

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  • Anonymous

    Posted December 27, 2013

    Scarlet

    She sits down on her lawn chair and yawns.

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  • Anonymous

    Posted December 27, 2013

    Alisha

    Slaps Marceline. "One Direction is fu.cking amazing! They are was better looking than yiur ugly a.ss"

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    Posted December 26, 2013

    Madi

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    Posted December 27, 2013

    Ben

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  • Anonymous

    Posted December 31, 2013

    Cc to marc

    If you see Aiden please tell him I need hin at our book please!

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  • Anonymous

    Posted December 25, 2013

    Lea

    (I said I disappeared already. I am Fae, I disappear.) She laughed and vanished, her voice comming behind. "No point. I shall go now. Thy army is useless. Daughter of Mine and Goddaughter shan't accept Undead help. Goodbye." She left.

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    Posted December 25, 2013

    Kolt

    *goes there*

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    Posted December 24, 2013

    Nero

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    Posted December 24, 2013

    Serene

    *she yawned loudly and peered arouns drinking something out of a McCafe (however you spell it) coffee cup*....*she finishes and looks around*

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  • Anonymous

    Posted December 25, 2013

    Neo Kai-Myro

    *he raises an eyebrow, sheathing the katana.* I have a suspicion vampires founded these myths to mislead people. I have to go, anyways. *he vanishes in an antimatter cloud.*

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  • Anonymous

    Posted December 24, 2013

    Purity

    Ran off and hid placing her face in her hands

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    Leafshine & hunter

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  • Anonymous

    Posted December 24, 2013

    The Figure

    (Everyone who touched me had their skin burnt off because I have a cross necklace) *Pushed Marcie off him and layed on his back.* I give... *He disappeared in a cloud of black smoke.*

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