Dear All.
I am medical doctor born in Poland, but living and working since over 30 years in Switzerland.
During the years of clinical work in the fields of neurology and radiology - from volunteer assistant to head of neuro-radiology department - I have discovered that to be "good doctor" one must reach - and act- beyond traditional standards of curative medicine. Intuitively I have fomulated several questions e.g
- what actions are most appropriate to help a specific patient ?
- can the best knowledge and necessary skills be adequately applied inside the current system of Health Care?
- what is the risk/effectiveness ratio of an invasive treatment?
After my 1976 habilitation lecture at the University of Bern I have followed with studies, publications, and teaching focused on elements of "third revolution in health care" as it was described by A.S. Relman in 1988 (assessment, appropriateness, accountability). These elements are also included in concepts of Health Technology Assessment and of Qualty of Care. When developing computer modell of implementation and disffusion of medical innovations I have also highly weighted following "human factors": sound medical reasoning, patients' expectations and experiences/satisfaction. But what to do when the quality care is not provided - for any reason - and unexpected adverse event happens?

The issues and experience described above became in last decade the core of my activity serving as expert to national (Swis Medical Association, States' and Federal Health Authorties, Hospitals Association) and international organizations and Health Policy Bodies. My postgraduate teaching includes issues of Safety and Effectiveness of Health Technolgies & Procedures, Quality of Care as well as Medical Decision Making. Two concise practice-oriented guides of Quality and of Riskmanagement and Safer Care (both in German) served as basis for training programmes. Currently, working with Patients Organisations, we are promoting shared-decision procedures.
Most recent work is related to situations "after harm" is done in the proces of care. The behavior of doctors' and other professionals is analysed and adequate solutions are proposed. Adequate approach to issues of disclosure, apology, repair/compensation and forgiveness are now recognised elements of Quality of Care. I am proud to work with leaders of "Sorry Works Coalition".
Equally important is engagement in work on Patients Safety Taxonomy (WHO, World Alliance and JCI) and Patient Safety Solutions.
The "side-effect" of these project is my study on better understanding of perception of pain, suffering, harm, error, guilt, sin, vengeance or foregiveness in various ethnic and religious groups. We all have increasingly to do with multiethnic patients populations and health care providers. Mutual understanding and communication between them influence both quality and outcomes of care.

Born in Tarnow, Poland. Medical School, doctorate and habilitation University of Cracow 1964,1968). Board certified in Radiology and Neuroradiology N-R), Habilitation at University of Berne(1976)
Master of Public Health degree from Universty of Texas SPH in Houston (1986).
Swiss citizenship (1990)
Former Head of N-R Depts. in teaching hospitals in Cracow, Aarau,Geneva and Lausanne.
Author of first Polish Handbook of Neuro-Radiology (1971), co-editor of first Spanish handbooks (two editions) of N-R.
Former medical direcfor of Swiss Institue for Health Care Organisation (1987-1995), Lecturer in Hospital Services at University of Zuerich (1991-1994).
Editor of guides: Quality in HC (1996 and 1999) and RM and Care Safety (2003)Founding Member and former Secretary(1991-1993) of International Soc. for Technology Assessment in Health Care (ISTAHC).
Leader of Swiss Programme:Public Health, QM, HTA in Poland and lecturer at postgraduate courses at University of Warsaw (1992-1996)
Expert for Swiss Cantonal and Federal Health Authorities (1988-2006)
Expert for Swiss Accreditation Service, SAS (2000-2005)
Member of Global Virtual Faculty Fairleigh Dickinson Univ. N.J.,USA (since 2003-)
Member of GLG Councils, N.Y. USA(since 2004 -)
Advisory Board for Europe of Joint Commission International 2006-
Medicine &Public Health Initiative, USA, representative for Europe since 2007
Senîor research fellow & expert RC-Consulting (since 1995- )