This episode launches the author’s new book, Operational Blindness, and reads key sections that show what transformation looks like when hospitals stop treating symptoms and fix systems. It paints a vision where sterile processing connects to OR outcomes, surgeons stop hoarding instruments, and executives can trace costs to root causes. It also gives a precise definition of operational blindness — a systemic condition caused by measurement, reporting, and feedback failures — and offers diagnostic questions and a roadmap (Sterile By Design) for curing it so upstream teams become strategic value creators instead of hidden overhead.