From the fly-leaf:

Imagine that two doctors in the same city give different diagnoses to identical patients - or that two judges in the same court give different sentences to people how have committed matching crimes.   Now imagine that the same doctor and the same judge make different decisions depending on whether it is morning or afternoon, or Monday rather than Wednesday, or they haven't yet had lunch.  These are examples of noise: variability in judgments that should be identical.

Essentially this book is how to move from bad judgments to good better judgements - ideal for life, business and relationships.  It is 'out of the box' thinking that will stretch anyone interested to learn. 

The book itself is in as new condition, it is a first edition and would fit well on any collector's shelf.