Berwick, (2005) is talking on a personal level towards improvement in patient care. Healthcare system in United States is improving, but it has not reached the level in which the author has satisfaction towards replacement of his right knee. It is difficult to internalize the overall view of the healthcare system since it does not follow the demands of the author that he summarizes using the dimension of “total quality” (Berwick, 2005). Total quality requires the health institutions to provide quality care or its patients and encourage them towards having good life. Many chronic diseases get presented in the hospitals and healthcare providers do not have many regards towards the success of the available treatments. The author is worried about the next visit to the surgeon because only 20% of knee surgeries are successful (Berwick, 2005). In order to seek self relief the authors sets five specifications to cub his terrific treatment.
The author directs the five specifications to the healthcare institutions for the purpose of improving the surgical services. The first specification is “no needless deaths”; the specification insists that surgeons should not go into operations that may result in death of the patient (Berwick, 2005). The author is not ready to give surgeons the licence to kill. The second specification is “no needless pain”; the specification urges the surgeons not to inflict pain or hurt the patient. Surgeons should be of help to the patient. The third specification is “no helplessness”; surgeons should provide choices on the patient. The fourth specification is “no unwanted waiting”; the author advocates for open-access model in all hospitals. The fifth specification is “no waste”; surgeons should not waste materials on raising the cost of treatment for the patients (Berwick, 2005). In overall, the author does not identify any hospital that can manage in providing all the five “total quality” (Berwick, 2005).
References:
Berwick, D. M. (2005). My right knee. Annals of internal medicine, 142(2), 121-125.
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