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
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)