Spanning a decade (1992-2002), these speeches echo the theme that our health care system needs fundamental change and a revolutionary new design. Throughout the book, Berwick identifies innovations and ideas from a number of surprising sources—a girls' soccer team, a sinking ship, and the safety standards at NASA. Escape Fire takes its title from the 1949 Mann Gulch tragedy in which thirteen young firefighters were trapped in a wildfire on a Montana hillside. The firefighter's leader, Wag Dodge, devised a creative solution for avoiding the encroaching fire. He burned a patch of grass and lay down in the middle of the scorched earth. His team refused to join him, and most perished in the fire. Dodge survived. Berwick applies the lessons learned from the catastrophe to our ailing health care system—we must not let ingrained processes obstruct life-saving innovation. Not content to simply define the problems with our flawed system, Berwick outlines new designs and suggests practical tools for change: name the problem, build on success, take leaps of faith, look outside of the medical field, set aims, understand systems, make action lists, and—the most fundamental of all—never lose sight of the patient as the central figure.

Thirteen-year-old Nikki Roberts tries to help two children trapped by a forest fire but finds her efforts blocked by poachers who want her to become one of the fire's victims.

Can you save fire island before it’s too late? It was supposed to be a nice, relaxing weekend—with a little swimming, a lot of cocktails, and more hot bods than a year’s subscription to Men’s Health magazine. But when a vat of radioactive waste washes onto the beach, strange things start happening—and now an army of zombie drag queens is storming the coast! Can you save Fire Island before it’s too late? Or will you perish at the hands of a thousand shrieking divas? It all depends on the choices YOU make. If you run toward the nearest ferry terminal, turn to page 44. If you flirt with the cute twink, turn to page 55. If you throw caution to the wind and join the nearest circuit party, turn to page 80. What happens next? That depends on YOU! How does the story end? Only YOU can find out! Best of all, you can read this book again and again until you’ve had 29 amazing adventures!

An insightful, provocative, and witty exploration of the relationship between motherhood and art—for anyone who is a mother, wants to be, or has ever had one. What does a great artist who is also a mother look like? What does it mean to create, not in “a room of one’s own,” but in a domestic space? In The Baby on the Fire Escape, award-winning biographer Julie Phillips traverses the shifting terrain where motherhood and creativity converge. With fierce empathy, Phillips evokes the intimate and varied struggles of brilliant artists and writers of the twentieth century. Ursula K. Le Guin found productive stability in family life, and Audre Lorde’s queer, polyamorous union allowed her to raise children on her own terms. Susan Sontag became a mother at nineteen, Angela Carter at forty-three. These mothers had one child, or five, or seven. They worked in a studio, in the kitchen, in the car, on the bed, at a desk, with a baby carrier beside them. They faced judgement for pursuing their creative work—Doris Lessing was said to have abandoned her children, and Alice Neel’s in-laws falsely claimed that she once, to finish a painting, left her baby on the fire escape of her New York apartment. As she threads together vivid portraits of these pathbreaking women, Phillips argues that creative motherhood is a question of keeping the baby on that apocryphal fire escape: work and care held in a constantly renegotiated, provisional, productive tension. A meditation on maternal identity and artistic greatness, The Baby on the Fire Escape illuminates some of the most pressing conflicts in contemporary life.

Where does a fire escape lead? Can it really save lives? Is it, in fact, a way out of danger? These questions are at the heart of the 17 episodes in The Fire Escape Stories, Volume II, a coming-of-age collection set in the early 1960s that builds upon the nine tales in The Fire Escape Stories, Volume I, which are set in the 1950s. In Volume I, cousins Sally-Boy Boccanera and Mike Burns, are born one-minute apart on the same day in the same Brooklyn Hospital in 1948. The fire escape is the safe shared space where the two youths talk, play, and try to understand the world that is emerging. In Volume II, the fire escape transforms into a different space. It is where teenagers Sally-Boy and Mike share stolen beers, swap stories, take girls, and confront one another. In Volume II, life starts to change significantly for the boys. Decisions become more difficult and potentially serious consequences loom over every choice. Though the fire escape remains a sanctuary of sorts, as the boys grow and their paths threaten to diverge, the question begins to loom: Can the fire escape provide all the safety and answers they need? Slowly, the boys see distinctly different worlds emerging. Sometimes together, and at other times on their own, they confront the emotional confusion of adolescence and grapple with their choices, decisions, and directions. Other people enter the boys' lives, impacting their closeness to one another and posing challenges for them to consider...for better or for worse. Along the way, the boys experience laughter, sorrow, and change...and each realizes he must make a life-altering decision: Does he take the fire escape? Or does he choose a different route?

National Book Critics Circle Award Winner: “The terrifying story of the worst disaster in the history of the US Forest Service’s elite Smokejumpers.” —Kirkus Reviews A devastating and lyrical work of nonfiction, Young Men and Fire describes the events of August 5, 1949, when a crew of fifteen of the US Forest Service’s elite airborne firefighters, the Smokejumpers, stepped into the sky above a remote forest fire in the Montana wilderness. Two hours after their jump, all but three of the men were dead or mortally burned. Haunted by these deaths for forty years, Norman Maclean puts together the scattered pieces of the Mann Gulch tragedy in this extraordinary book. Alongside Maclean’s now-canonical A River Runs Through It and Other Stories, Young Men and Fire is recognized today as a classic of the American West. This edition of Maclean’s later triumph—the last book he would write—includes a powerful new foreword by Timothy Egan, author of The Big Burn and The Worst Hard Time. As moving and profound as when it was first published, Young Men and Fire honors the literary legacy of a man who gave voice to an essential corner of the American soul. “A moving account of humanity, nature, and the perseverance of the human spirit.” —Library Journal “Haunting.” —The Wall Street Journal “Engrossing.” —Publishers Weekly

The last chance detectives. Mike is missing. A manhunt ... the figure of a winged jaguar ... flares in the sky ... and a trail of clues lead out into the barren, unforgiving wilderness known as Fire Lake.

Rich in local color, this is a journey through the former Soviet Union. It is also a journey through the hearts and minds of ordinary Russians, Ukrainians, and their neighbors, as they scratch out a meager living, help one another through difficulties, and openly share their optimism -- and pessimism -- about the future. Kafkaesque, hilarious, heartwarming and sometimes bloodcurdling, the events recounted here are real, seen through the eyes of an American lawyer who has studied the former Soviet Union and knows how the game of life is played there.