The New York Times bestselling author of Complications examines, in riveting accounts of medical failure and triumph, how success is achieved in a complex and risk-filled profession The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect... read more
““In medicine, as in any profession, we must grapple with systems, resources, circumstances, people and our own shortcoming, as well. We face obstacles of seemingly unending variety. Yet somehow we must advance, we must refine, we must improve.””
“Consider asking of any challenge this question, “What keeps you from . . .””
““His combination of focus, aggressiveness and inventiveness is what makes him extraordinary.””
“To improve upon anything and in part adapted from Paul Auster “Gotham Handbook” Collected prose www.positivedeviance.org1. Ask an unscripted question2. Don’t complain3. Count something4. Write something5. Change”
Arriving at meaningful solutions is an inevitably slow and difficult process. Nonetheless, what I saw was: better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try.Highlighted by 166 Kindle customers
Lloyd was bitten by the positive deviance idea—the idea of building on capabilities people already had rather than telling them how they had to change.Highlighted by 131 Kindle customers
What the best may have, above all, is a capacity to learn and change—and to do so faster than everyone else.Highlighted by 124 Kindle customers
People underestimate the importance of diligence as a virtue. No doubt this has something to do with how supremely mundane it seems. It is defined as “the constant and earnest effort to accomplish what is undertaken.”Highlighted by 110 Kindle customers
MY FOURTH SUGGESTION was: Write something.Highlighted by 106 Kindle customers
MY THIRD ANSWER for becoming a positive deviant: Count something.Highlighted by 101 Kindle customers
Ask an unscripted question. Ours is a job of talking to strangers. Why not learn something about them?Highlighted by 101 Kindle customers
Good doctors, she finally said, understand one key thing: “This is not about them. It’s about the patient.” The good doctors didn’t always get the answers right, she said. Sometimes they still pushed too long or not long enough. But at least they stopped to wonder, to reconsider the path they were on. They asked colleagues for another perspective. They set aside their egos.Highlighted by 99 Kindle customers
MY SECOND SUGGESTION was: Don’t complain.Highlighted by 99 Kindle customers
The third requirement for success is ingenuity—thinking anew. Ingenuity is often misunderstood. It is not a matter of superior intelligence but of character. It demands more than anything a willingness to recognize failure, to not paper over the cracks, and to change. It arises from deliberate, even obsessive, reflection on failure and a constant searching for new solutions.Highlighted by 68 Kindle customers
Introduction 1
Part I Diligence 2
On Washing Hands 13
The Mop-Up 29
Casualties of War 51
Part II Doing Right 71
Naked 73
What Doctors Owe 84
Piecework 112
The Doctors of the Death Chamber 130
On Fighting 154
Part III Ingenuity 167
The Score 169
The Bell Curve 201
For Performance 231
Afterword: Suggestions for Becoming a Positive Deviant 249
Notes on Sources 259
Acknowledgments 271
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