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Articles by Don Berwick
Berwick on How to “Do It All” and Take Action to Improve Health Care Together
In the following interview, IHI President Emeritus and Senior Fellow Don Berwick offers a preview of his 2025 IHI Forum keynote. What’s on your mind right now when it comes to quality in health care? Right now, I’m seeing the development of work on quality in four phases, which today coexist. The first phase is the most familiar: project-by-project improvement. We pick a focused area, such as central venous line infections, or pressure ulcers, or waiting times.
Berwick on What Health Care Needs Today
In the following interview, IHI President Emeritus and Senior Fellow Don Berwick offers a preview of his 2024 IHI Forum keynote. What challenges do you observe facing health care professionals today, including within your own family? My daughter Jessica, my third child, is a third-generation physician in my family. My father was a doctor, I practiced medicine for about 20 years, and now Jessica is at least 10 years into her practice. Jessica is a hospitalist at Mass General Brigham.
Berwick on the Myth of Free-Market Health Care
"If we are smart enough to change our ideas and get our organizations to work together, we’re going to get better results. That’s not going to happen in a competitive environment.
Americans Should Be Able To Register To Vote When They Apply For Health Insurance On HealthCare.gov Online
The last time you renewed your driver’s license, you likely had the opportunity to register to vote at the same time. As former that rely on the federal marketplace for health insurance. The result: An estimated people each year would register to vote or update their registration information through HealthCare.gov, according to the think tank Demos.
Hospitals fall short of patient safety goals 20 years after 'To Err is Human'
At Signature Health, a safety-net hospital in Brockton, Mass., daily huddles take place at every staff shift change to discuss mistakes and near-misses. The goal is to raise awareness and anxiety about errors. In 2010, CEO Kim Hollon implemented the Lean method of process improvement throughout his organization. He added a safety-management system three years ago to improve how staffers think while performing potentially dangerous tasks, to protect both patients and themselves from harm.
Despite progress, we’re still waiting for a truly safer healthcare system
Terror. No softer word captures what I felt that night 45 years ago when I almost killed a baby. The decades have fogged a few of the details, but not the emotions: guilt, humiliation, self-loathing, loneliness. They flood back easily, untempered, with the memory. The core fact was simple: I gave the newborn infant the wrong blood transfusion. His heart rate rose astronomically, his blood pressure fell and his kidneys began to fail.
Theresa May: credit where it is due?
Social care tops that side of the ledger. The promised Green Paper – and, at that, only a Green Paper, not positive proposals for action – appears as far away as ever. The ill-fated decision to call the 2017 general election alongside the pledge on social care in the manifesto that essentially offered one part of the Dilnot reform without the other – the cap on individual liabilities – produced outrage among the elderly and better off and lost votes.
Developing new models of care in the PACS vanguards
This independent report was commissioned by NHS England as part of a package of support provided to primary and acute care system (PACS) vanguard sites by The King’s Fund. The PACS model is an attempt to bring about closer working between GPs, hospitals, community health professionals, social care and others.
Our most popular content of 2017 | The King's Fund
ReportLeading across the health and care system: lessons from experienceThis paper offers those who are leading new systems of care some guidance on how to address the challenges they face. It draws on the Fund’s work on the development of new care models, sustainability and transformation plans, and accountable care organisations. By Sally Hulks et al - 9 May 2017
Hospital bed numbers – can the downward trend continue? | The King's Fund
Since sustainability and transformation partnerships (STPs) published their plans late last year, the issue of the number of NHS hospital beds has been rising up the health care agenda. Alongside integrating health and social care and boosting primary and community services, some STPs – for example Dorset, Derbyshire and some STPs in London – have included proposals to reduce the number of hospital beds in their plans.
NHS hospital bed numbers
Introduction and policy context Interest in hospital capacity and, more specifically, the number of hospital beds has grown in recent years. This is, in part, due to mounting evidence that hospitals are struggling: bed-occupancy rates are above recommended levels, A&E performance remains challenged, and the waiting list for elective care is at the highest level since current recording began.
Organising care at the NHS front line
This report looks at the reality of caring for acutely ill medical patients at the NHS front line and asks how care in hospitals can be improved. It comprises a series of essays by frontline clinicians, managers, quality improvement champions and patients, and provides vivid and frank detail about how clinical care is currently provided and how it could be improved.
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