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` 
Enigma by Fahmi Bhs
“When you are 
courting a nice girl 
an hour seems like a 
second. When you 
sit on a red-hot 
cinder a second 
seems like an hour. 
That's relativity.” 
Albert Einstein
The only way we can rescue American 
healthcare is to improve it: better care, 
better health, lower cost. 
Donald Berwick
Why ISTEW? 
Institute of 
Medicine Report 
2001 
“Quality 
problems are 
everywhere.”
Hospital blunders 'kill 90,000 patients' 
Rebecca Smith, Medical Editor, Daily Telegraph 
29.11.07 
• 1 in 10 patients 
unintentionally 
harmed 
• 50% avoided if 
lessons from previous 
events had been 
learned 
• £2 billion a year in 
extra bed days alone 
Department of Health, National Audit Office. A Safer Place for 
Patients: Learning to improve patient safety. HC 456 Session 2005-2006 
http://www.nao.org.uk.
17 years to apply 14% of research 
knowledge to patient care! 
Balas EA, Boren SA. Managing clinical knowledge for health care improvement. Yrbk 
of Med Informatics 2000; 65-70
“Quality Improvement” 
The combined and unceasing efforts of everyone – 
health care professionals, patients and their 
families, researchers, payers, planners, 
administrators, educators – to make changes that 
will lead to 
better patient outcome, better system 
performance, and better professional 
development. 
Batalden P, Davidoff F. Qual. Saf. Health Care 2007;16;2-3
Two jobs to do! 
• All healthcare professionals 
• Deliver the best possible care you can 
• Constantly try to improve the care you 
delver and the experience for patients 
and their carers 
Don Berwick, Former CEO 
Institute for Healthcare Improvement, 
USA
https://uws.ac.uk/improvementscience
Heart & Minds 
‘If you want to build a 
ship do not gather 
men together and 
assign tasks. Instead 
teach them the longing 
for the wide endless 
sea.’ 
(Saint Exupery, Little Prince)
IOM’s six “Aims for Improvement”
“The car design process begins with a design concept.” 
– Dacia lean manufacturing team, Romania
Creating a culture of Lean is to 
create an insatiable appetite for 
improvement
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Prezentare londra finala

  • 1. ` Enigma by Fahmi Bhs
  • 2. “When you are courting a nice girl an hour seems like a second. When you sit on a red-hot cinder a second seems like an hour. That's relativity.” Albert Einstein
  • 3. The only way we can rescue American healthcare is to improve it: better care, better health, lower cost. Donald Berwick
  • 4. Why ISTEW? Institute of Medicine Report 2001 “Quality problems are everywhere.”
  • 5. Hospital blunders 'kill 90,000 patients' Rebecca Smith, Medical Editor, Daily Telegraph 29.11.07 • 1 in 10 patients unintentionally harmed • 50% avoided if lessons from previous events had been learned • £2 billion a year in extra bed days alone Department of Health, National Audit Office. A Safer Place for Patients: Learning to improve patient safety. HC 456 Session 2005-2006 http://www.nao.org.uk.
  • 6. 17 years to apply 14% of research knowledge to patient care! Balas EA, Boren SA. Managing clinical knowledge for health care improvement. Yrbk of Med Informatics 2000; 65-70
  • 7. “Quality Improvement” The combined and unceasing efforts of everyone – health care professionals, patients and their families, researchers, payers, planners, administrators, educators – to make changes that will lead to better patient outcome, better system performance, and better professional development. Batalden P, Davidoff F. Qual. Saf. Health Care 2007;16;2-3
  • 8. Two jobs to do! • All healthcare professionals • Deliver the best possible care you can • Constantly try to improve the care you delver and the experience for patients and their carers Don Berwick, Former CEO Institute for Healthcare Improvement, USA
  • 10. Heart & Minds ‘If you want to build a ship do not gather men together and assign tasks. Instead teach them the longing for the wide endless sea.’ (Saint Exupery, Little Prince)
  • 11.
  • 12. IOM’s six “Aims for Improvement”
  • 13.
  • 14.
  • 15.
  • 16. “The car design process begins with a design concept.” – Dacia lean manufacturing team, Romania
  • 17. Creating a culture of Lean is to create an insatiable appetite for improvement