While I respect Dr. Williams review, I wholeheartedly disagree with his conclusion. Curing Health Care should yield thought provoking ideas about the "possibility" of a better health care system. Idealized goals may stand in stark contrast to current realities, yet it is those type of forward and optimistic thoughts like Dr. Berwick proposes, that pave the way for the health improvements we all desire. I'd like to know what Dr. Williams contribution to care has been, or is it rather, a drumbeat of critique, while others, myself included are challenged by the possibilities and never dissuaded by the challenges we face. If it is your first introduction to Dr. Berwick, I would recommend his book, Escape Fire as a preferred read on the possibilities that exist to improve healthcare. Dr. Jeff Kegarise
The authors attempt to compare two distinctly different "systems" by using industrial models as possible sources of safety methods that can benefit patient care. All of their models possess an organizational structure with a point of highest authority and points of delegated authority throughout their organization. Our nation's healthcare delivery system is, and always been a non-system, devoid of any aspect of an organizational structure. Curing Health Care, its very title, stands in stark contrast to the fact that the estimate of needless hospital deaths today is reported to be twice the annual estimate of such tragedies in 1990. Curing Health Care has made no discernible contribution to the efforts to improve the quality of healthcare and patient safety.