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You are here > Home > Reading Lists > Performance Improvement, Outcomes & Customer Service > Escape Fire: Designs for the Future of Healthcare

Escape Fire: Designs for the Future of Health Care
Donald Berwick, MD, MPP

Book Format
Hardcover, 352 pages
ISBN 0787972177
Jossey-Bass / IHI
November 2003
Price $35.00

(click below for hardbound book)

 

This book offers health care professionals an optimistic view. This provocative book contains eleven of Dr. Donald Berwick's 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.

This thought-provoking book presents a collection of eleven speeches spanning a decade. 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.

You may view an excerpt of this book here. 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.

The Institute for Healthcare Improvement (IHI) is a not-for-profit organization driving the improvement of health by advancing the quality and value of health care. IHI is a reliable source of energy, knowledge, and support for a never-ending campaign to improve health care worldwide. We develop and nurture will, energizing a movement for profound change in health care. We spread improvement knowledge across the globe, and provide methods, tools, and other supports, largely through partnerships, for thousands of health care organizations to turn knowledge into improved results. We initiate and support innovation efforts, so as to discover, cultivate, and demonstrate the feasibility of new, more capable, designs. We exercise academic rigor in this work. We work to change the skills, attitudes, and knowledge of the workforce, both in the ongoing development of young professionals and in life-long education, so as to reduce profession-specific silos that limit collaborative effort for the well-being of patients. We seek to improve joy in work, and to help all who work in health care to become better able to help improve care.

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.

(information directly from the publisher)

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