It’s Not What You’re Thinking by Dr. Rick van Pelt addresses the deep-rooted crises in healthcare—escalating costs, persistent safety issues, and the overwhelming burnout of caregivers. In this groundbreaking work, van Pelt introduces "Precision Problem Solving," a fresh, no-hypothesis approach that reveals how entrenched problem-solving methods have failed to transform the healthcare landscape. His methodology rejects conventional thinking and instead focuses on addressing conflict to create safe learning conditions, objective observation, and sustained solutions through comprehensive understanding of core functional problems.

With over thirty years of clinical experience, van Pelt outlines practical solutions for navigating the chaotic intricacies of healthcare. For example, he discusses how misaligned approaches to patient safety have hindered progress and why fragmented management systems continue to exacerbate burnout. He also explores the importance of interprofessional collaboration, offering insights into how healthcare systems can foster empowerment and ownership by eliminating conflict and focusing on comprehensive understanding.

This book offers a much-needed alternative for healthcare leaders, professionals, and administrators seeking to enact lasting, transformative change. It provides a methodology along with tools designed for practical implementation in complex environments where the stakes are high. It’s Not What You’re Thinking is essential reading for anyone ready to challenge the status quo and build a more reliable, sustainable system.