Greenville, SC (PRWEB) April 07, 2014
Dr. Williams says, “I have a clear vision of a 21st Century healthcare delivery system that should replace the current unorganized, dysfunctional, and all too often needlessly deadly non-system. That new system will provide mechanisms for meaningful accountability at the point of patient care, and go far beyond anyone’s imagination.”
Dr. Williams’ third book on healthcare, Find The Black Box (http://is.gd/UK4Uk0) is a well-intended challenge to those who have been seeking to improve the quality of healthcare and patient safety for the past quarter of a century while every new estimate of needless hospital deaths annually is found to be significantly greater than the previous estimate of such carnage. Therefore he seeks a courteous, and respectful consideration of his contrarian views on how to improve the quality of healthcare, and patient safety.
Dr. Williams says, “John James’ estimate of needless hospital deaths (http://is.gd/GzKOg3) published late last year was rapidly supported by Drs. Leape, Classen, and Makary (http://is.gd/Gag91b) the same month, and his estimate was quadruple the original estimate in 1990 by Brennan and Leape (http://is.gd/LTnBli). The consistent escalation of every estimate of needless hospital deaths annually should be considered the report card for all of the past efforts to improve the quality of healthcare and patient safety – and – it should be difficult to give a passing grade for those efforts.”
“Furthermore”, Dr. Williams goes on to say, “there are clearly evident reasons, at least to me, why those efforts during the past quarter of a century have been so glaringly ineffective. Healthcare and patient safety experts have been trying to incrementally change a system none of them can describe in detail, and that system has been recognized as a non-system since 2000 To Err Is Human (http://is.gd/2MSBhR), if not before.”
“Equally important”, Dr. Williams says, “has been the failure of every quality of healthcare and patient safety expert to recognize the fundamental facts; all medical care is local, and states license doctors, therefore each state is responsible to create, and maintain a functional healthcare delivery system for their citizens. Sadly, no governor, or state legislature, past or present, has ever recognized that responsibility, and made any effort to fulfill it.”
Dr. Williams continues with his series of Open Letters (http://is.gd/wdU2CM) in an effort to explain why it is impossible for him to provide a simple summary of the healthcare delivery system he envisions that could be offered to any governor, and state legislature interested in attempting to finally fulfill this most important responsibility to the citizens they promised to serve.