Eliminating Defects in Behavioral Health Treatment
Related Experiment Video
Updated: Nov 29, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Patrick Runnels1, Heather M Wobbe1, Peter J Pronovost1
1University Hospitals of Cleveland, Cleveland (all authors); Department of Psychiatry (Runnels, Wobbe) and Department of Anesthesia and Critical Care Medicine (Pronovost), School of Medicine, Case Western Reserve University, Cleveland.
Abstract:
To improve care, clinicians should seek to eliminate defects in behavioral health systems. The proposed framework to eliminate defects has three parts: designing a vision for defect-free care, designing analytics to guide care delivery, and identifying and alleviating defects that impede expected outcomes. To shepherd this process, psychiatrists need to embrace the role of systems engineer. An ideal system should work to not only help people recover (get better) from acute illness, but also manage chronic disease effectively (get well) and establish preventive care whenever possible (stay well).
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