High Reliability Healthcare
The Book
High Reliability Healthcare
Do you want better clinical outcomes, fewer errors, increased productivity, and highly reliable patient care? High Reliability Healthcare offers some actionable tips from the safest and most reliable industry ever: the Nuclear Navy. For over seventy-five years, the Nuclear Navy has operated highly enriched nuclear reactors with sailors in their twenties at the helm and has never experienced an accident. As Forbes reported, “The [US] Nuclear Navy has the best safety record of any industry.”
Jeffrey Kuhlman, MD, MPH, a retired Navy physician and physician to the president, and Robert Roncska, DBA, a retired Navy captain in the Nuclear Navy who carried the nuclear codes (AKA the football) for President George W. Bush, understand this better than anyone. After excelling as leaders in the military, they recognized that the organizational leadership and team-building skills they had learned in the US Nuclear Navy could be applied to healthcare—an industry in dire need of an upgrade. This ingenious pair met at the White House while working with President Bush as his emergency action team and later worked together at AdventHealth.
With hundreds of thousands of patients becoming permanently disabled or dying each year due to medical errors, it’s clear that the old approach to healthcare safety isn’t working. Kuhlman and Roncska propose applying the wisdom of an unlikely mentor—the US Nuclear Navy—to patient care. Don’t miss a chance to uncover what the best in their fields have seen and learned over the duration of their careers.
In High Reliability Healthcare, they provide practical tools to turn healthcare into a high-reliability organization—one that is safe and efficient even in a high-risk environment. They’re ready to bring to healthcare what the nuclear navy has been successfully practicing for over seventy-five years.

Applying the Secrets of the Nuclear Navy to Save Patient Lives
Signed copies available for preorder.