To Err Is Human

To Err Is Human
Available:
Author: Institute of Medicine,Committee on Quality of Health Care in America
Pages: 312
ISBN: 9780309068376
Release: 2000-03-01
Editor: National Academies Press

DESCRIPTION OF THE BOOK:

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

To Err Is Human

To Err Is Human
Available:
Author: Institute of Medicine,Committee on Quality of Health Care in America
Pages: 312
ISBN: 9780309261746
Release: 2000-04-01
Editor: National Academies Press

DESCRIPTION OF THE BOOK:

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

To Err Is Human to Forgive Divine

To Err Is Human  to Forgive Divine
Available:
Author: Andrew Anthony Bufalo
Pages: 225
ISBN: 0974579343
Release: 2004-01
Editor: All American Books

DESCRIPTION OF THE BOOK:

"In order to survive in the Marine Corps it helps to have a good sense of humor. This book is filled with jokes made at the expense of everyone: terrorists, officers, politicians, air-wingers, allies and of course... our sister services!"--Back cover.

To Err Is Human

To Err Is Human
Available:
Author: Elizabeth Murtaugh
Pages: 306
ISBN: 9780595194681
Release: 2001-08-01
Editor: iUniverse

DESCRIPTION OF THE BOOK:

Elizabeth Murtaugh masterfully exposes the engaging lives of her suspects in this compelling detective novel. Who would murder the pillar of Lakewoods quiet suburban community? When the murder is dismissed as accidental, Sue Carney, the Minister of Care of Lakewoods Catholic church evolves as an unlikely sleuth, learning more than she wishes to know about many suspect friends. The case keeps Sue and the readers of this who-done-it perplexed. It moves from Lakewood, out of the country and back again. It ends with questions about murder and forgiveness.

Bozo Sapiens

Bozo Sapiens
Available:
Author: Ellen Kaplan,Michael Kaplan
Pages: 304
ISBN: 9781608190911
Release: 2010-08-17
Editor: Bloomsbury Publishing USA

DESCRIPTION OF THE BOOK:

A lighthearted survey of the science of mistakes by the authors of Chances Are reveals how the human race is hard-wired to get things wrong in countless ways, citing such examples as successful racy advertisements for inferior products, our inclinations to favor dysfunctional relationship partners and the socially unacceptable behaviors of leaders. Reprint.

Keeping Patients Safe

Keeping Patients Safe
Available:
Author: Institute of Medicine,Board on Health Care Services,Committee on the Work Environment for Nurses and Patient Safety
Pages: 484
ISBN: 9780309187367
Release: 2004-03-27
Editor: National Academies Press

DESCRIPTION OF THE BOOK:

Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses’ working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

A Sea of Broken Hearts

A Sea of Broken Hearts
Available:
Author: John T. James Ph.D
Pages: 176
ISBN: 9781467097116
Release: 2007-07-12
Editor: AuthorHouse

DESCRIPTION OF THE BOOK:

This is a must-read for summer runners, baby-boomers, and anyone who suspects that they or a loved one has been harmed by medical errors in our health care system. Hundreds of thousands of Americans die each year from medical errors, but most mistakes are kept secret from patients. After learning a few basic tools of cardiology, the reader shares a journey of heartbreaking mystery and discovery as a father pieces together the events that led to the death of his 19-year old son, despite extensive evaluation by a “team” of cardiologists. That personal struggle opens into a broad-ranging examination of our profit-driven health care system. The story concludes with an appeal for ten patient’s rights to protect us all before we personally encounter the dangers of our health care system.

The Poet s Mistake

The Poet s Mistake
Available:
Author: Erica McAlpine
Pages: 297
ISBN: 9780691203768
Release: 2020-06-09
Editor: Princeton University Press

DESCRIPTION OF THE BOOK:

What our tendency to justify the mistakes in poems reveals about our faith in poetry—and about how we read Keats mixed up Cortez and Balboa. Heaney misremembered the name of one of Wordsworth's lakes. Poetry—even by the greats—is rife with mistakes. In The Poet's Mistake, critic and poet Erica McAlpine gathers together for the first time numerous instances of these errors, from well-known historical gaffes to never-before-noticed grammatical incongruities, misspellings, and solecisms. But unlike the many critics and other readers who consider such errors felicitous or essential to the work itself, she makes a compelling case for calling a mistake a mistake, arguing that denying the possibility of error does a disservice to poets and their poems. Tracing the temptation to justify poets' errors from Aristotle through Freud, McAlpine demonstrates that the study of poetry's mistakes is also a study of critical attitudes toward mistakes, which are usually too generous—and often at the expense of the poet's intentions. Through remarkable close readings of Wordsworth, Keats, Browning, Clare, Dickinson, Crane, Bishop, Heaney, Ashbery, and others, The Poet's Mistake shows that errors are an inevitable part of poetry's making and that our responses to them reveal a great deal about our faith in poetry—and about how we read.

Crossing the Quality Chasm

Crossing the Quality Chasm
Available:
Author: Institute of Medicine,Committee on Quality of Health Care in America
Pages: 360
ISBN: 9780309072809
Release: 2001-08-19
Editor: National Academies Press

DESCRIPTION OF THE BOOK:

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Patient Safety in Emergency Medicine

Patient Safety in Emergency Medicine
Available:
Author: Pat Croskerry,Karen S. Cosby
Pages: 428
ISBN: 0781777275
Release: 2009
Editor: Lippincott Williams & Wilkins

DESCRIPTION OF THE BOOK:

With the increased emphasis on reducing medical errors in an emergency setting, this book will focus on patient safety within the emergency department, where preventable medical errors often occur. The book will provide both an overview of patient safety within health care—the 'culture of safety,' importance of teamwork, organizational change—and specific guidelines on issues such as medication safety, procedural complications, and clinician fatigue, to ensure quality care in the ED. Special sections discuss ED design, medication safety, and awareness of the 'culture of safety.'

HCI International 2016 Posters Extended Abstracts

HCI International 2016     Posters  Extended Abstracts
Available:
Author: Constantine Stephanidis
Pages: 571
ISBN: 9783319405483
Release: 2016-07-04
Editor: Springer

DESCRIPTION OF THE BOOK:

This is the first volume of the two-volume set (CCIS 617 and CCIS 618) that contains extended abstracts of the posters presented during the 18th International Conference on Human-Computer Interaction, HCII 2016, held in Toronto, Canada, in July 2016. The total of 1287 papers and 186 posters presented at the HCII 2016 conferences was carefully reviewed and selected from 4354 submissions. These papers address the latest research and development efforts and highlight the human aspects of design and use of computing systems. The papers thoroughly cover the entire field of Human-Computer Interaction, addressing major advances in knowledge and effective use of computers in a variety of application areas. The papers included in this volume are organized in the following topical sections: design thinking, education and expertise; design and evaluation methods, techniques and tools; cognitive issues in HCI; information presentation and visualization; interaction design; design for older users; usable security and privacy; human modeling and ergonomics.

Human Error in Medicine

Human Error in Medicine
Available:
Author: Marilyn Sue Bogner
Pages: 428
ISBN: 9781351440219
Release: 2018-02-06
Editor: CRC Press

DESCRIPTION OF THE BOOK:

This edited collection of articles addresses aspects of medical care in which human error is associated with unanticipated adverse outcomes. For the purposes of this book, human error encompasses mismanagement of medical care due to: * inadequacies or ambiguity in the design of a medical device or institutional setting for the delivery of medical care; * inappropriate responses to antagonistic environmental conditions such as crowding and excessive clutter in institutional settings, extremes in weather, or lack of power and water in a home or field setting; * cognitive errors of omission and commission precipitated by inadequate information and/or situational factors -- stress, fatigue, excessive cognitive workload. The first to address the subject of human error in medicine, this book considers the topic from a problem oriented, systems perspective; that is, human error is considered not as the source of the problem, but as a flag indicating that a problem exists. The focus is on the identification of the factors within the system in which an error occurs that contribute to the problem of human error. As those factors are identified, efforts to alleviate them can be instituted and reduce the likelihood of error in medical care. Human error occurs in all aspects of human activity and can have particularly grave consequences when it occurs in medicine. Nearly everyone at some point in life will be the recipient of medical care and has the possibility of experiencing the consequences of medical error. The consideration of human error in medicine is important because of the number of people that are affected, the problems incurred by such error, and the societal impact of such problems. The cost of those consequences to the individuals involved in medical error, both in the health care providers' concern and the patients' emotional and physical pain, the cost of care to alleviate the consequences of the error, and the cost to society in dollars and in lost personal contributions, mandates consideration of ways to reduce the likelihood of human error in medicine. The chapters were written by leaders in a variety of fields, including psychology, medicine, engineering, cognitive science, human factors, gerontology, and nursing. Their experience was gained through actual hands-on provision of medical care and/or research into factors contributing to error in such care. Because of the experience of the chapter authors, their systematic consideration of the issues in this book affords the reader an insightful, applied approach to human error in medicine -- an approach fortified by academic discipline.

Overtreated

Overtreated
Available:
Author: Shannon Brownlee
Pages: 368
ISBN: 1596917296
Release: 2010-06-25
Editor: Bloomsbury Publishing USA

DESCRIPTION OF THE BOOK:

Our health care is staggeringly expensive, yet one in six Americans has no health insurance. We have some of the most skilled physicians in the world, yet one hundred thousand patients die each year from medical errors. In this gripping, eye-opening book, award-winning journalist Shannon Brownlee takes readers inside the hospital to dismantle some of our most venerated myths about American medicine. Brownlee dissects what she calls "the medical-industrial complex" and lays bare the backward economic incentives embedded in our system, revealing a stunning portrait of the care we now receive. Nevertheless, Overtreated ultimately conveys a message of hope by reframing the debate over health care reform. It offers a way to control costs and cover the uninsured, while simultaneously improving the quality of American medicine. Shannon Brownlee's humane, intelligent, and penetrating analysis empowers readers to avoid the perils of overtreatment, as well as pointing the way to better health care for everyone.

An Essay on Criticism

An Essay on Criticism
Available:
Author: Alexander Pope
Pages: 43
ISBN: CHI:56787625
Release: 1711
Editor: Unknown

DESCRIPTION OF THE BOOK:

Preventing Medication Errors

Preventing Medication Errors
Available:
Author: Institute of Medicine,Board on Health Care Services,Committee on Identifying and Preventing Medication Errors
Pages: 480
ISBN: 9780309101479
Release: 2007-01-11
Editor: National Academies Press

DESCRIPTION OF THE BOOK:

In 1996 the Institute of Medicine launched the Quality Chasm Series, a series of reports focused on assessing and improving the nation’s quality of health care. Preventing Medication Errors is the newest volume in the series. Responding to the key messages in earlier volumes of the seriesâ€"To Err Is Human (2000), Crossing the Quality Chasm (2001), and Patient Safety (2004)â€"this book sets forth an agenda for improving the safety of medication use. It begins by providing an overview of the system for drug development, regulation, distribution, and use. Preventing Medication Errors also examines the peer-reviewed literature on the incidence and the cost of medication errors and the effectiveness of error prevention strategies. Presenting data that will foster the reduction of medication errors, the book provides action agendas detailing the measures needed to improve the safety of medication use in both the short- and long-term. Patients, primary health care providers, health care organizations, purchasers of group health care, legislators, and those affiliated with providing medications and medication- related products and services will benefit from this guide to reducing medication errors.

Popes and Jews 1095 1291

Popes and Jews  1095 1291
Available:
Author: Rebecca Rist
Pages: 352
ISBN: 9780198717980
Release: 2016-01-07
Editor: Oxford University Press

DESCRIPTION OF THE BOOK:

Popes and Jews, 1095-1291 explores the relationship of the medieval papacy with the Jewish communities of western Europe, drawing together recent scholarly literature with path-breaking new source analysis. It provides a wide-ranging interpretive synthesis of papal-Jewish relations during the eleventh, twelfth, and thirteenth centuries, structured through important categories: Jewish writings about the papacy, papal attempts to protect Jews and thelimitations of their efforts, papal authorisation of the crusades, usury and moneylending, papal claims to jurisdiction over Jews, the place of Jews in a profoundly Christian medieval society, the relationshipbetween popes and the Jewish community of Rome, and the rhetorical power of papal discourse.

Health IT and Patient Safety

Health IT and Patient Safety
Available:
Author: Institute of Medicine,Board on Health Care Services,Committee on Patient Safety and Health Information Technology
Pages: 234
ISBN: 9780309221122
Release: 2012-04-15
Editor: National Academies Press

DESCRIPTION OF THE BOOK:

IOM's 1999 landmark study To Err is Human estimated that between 44,000 and 98,000 lives are lost every year due to medical errors. This call to action has led to a number of efforts to reduce errors and provide safe and effective health care. Information technology (IT) has been identified as a way to enhance the safety and effectiveness of care. In an effort to catalyze its implementation, the U.S. government has invested billions of dollars toward the development and meaningful use of effective health IT. Designed and properly applied, health IT can be a positive transformative force for delivering safe health care, particularly with computerized prescribing and medication safety. However, if it is designed and applied inappropriately, health IT can add an additional layer of complexity to the already complex delivery of health care. Poorly designed IT can introduce risks that may lead to unsafe conditions, serious injury, or even death. Poor human-computer interactions could result in wrong dosing decisions and wrong diagnoses. Safe implementation of health IT is a complex, dynamic process that requires a shared responsibility between vendors and health care organizations. Health IT and Patient Safety makes recommendations for developing a framework for patient safety and health IT. This book focuses on finding ways to mitigate the risks of health IT-assisted care and identifies areas of concern so that the nation is in a better position to realize the potential benefits of health IT. Health IT and Patient Safety is both comprehensive and specific in terms of recommended options and opportunities for public and private interventions that may improve the safety of care that incorporates the use of health IT. This book will be of interest to the health IT industry, the federal government, healthcare providers and other users of health IT, and patient advocacy groups.

When My Time Comes

When My Time Comes
Available:
Author: Diane Rehm
Pages: 256
ISBN: 9780525563853
Release: 2021
Editor: Vintage

DESCRIPTION OF THE BOOK:

A candid, compassionate consideration of the Right-to-Die movement, from the advocate, renowned radio host, and bestselling author, Diane Rehm, one of the most trusted voices in the nation. With a foreword by John Grisham. Through interviews with terminally ill patients, and with physicians, ethicists, spouses, relatives, and representatives of those who both support and vigorously oppose the movement, Diane Rehm gives voice to a broad range of people who are personally linked to the realities of medical aid in dying. Here, she presents the fervent arguments--both for and against--that are propelling the current debates across the nation about whether to adopt laws allowing those who are dying to put an end to their suffering. With characteristic evenhandedness, Rehm skillfully shows both sides of the argument, providing the full context for this highly divisive issue. When My Time Comes is a response to many misconceptions and misrepresentations of end-of-life care; it is a call to action--and to conscience--and it is an attempt to heal and soothe, reminding us that death, too, is an integral part of life.

Linne Ringsrud s Clinical Laboratory Science E Book

Linne   Ringsrud s Clinical Laboratory Science   E Book
Available:
Author: Mary Louise Turgeon
Pages: 688
ISBN: 9780323370615
Release: 2015-02-10
Editor: Elsevier Health Sciences

DESCRIPTION OF THE BOOK:

Using a discipline-by-discipline approach, Linne & Ringsrud's Clinical Laboratory Science: Concepts, Procedures, and Clinical Applications, 7th Edition provides a fundamental overview of the skills and techniques you need to work in a clinical laboratory and perform routine clinical lab tests. Coverage of basic laboratory techniques includes key topics such as safety, measurement techniques, and quality assessment. Clear, straightforward instructions simplify lab procedures, and are described in the CLSI (Clinical and Laboratory Standards Institute) format. Written by well-known CLS educator Mary Louise Turgeon, this text includes perforated pages so you can easily detach procedure sheets and use them as a reference in the lab! Hands-on procedures guide you through the exact steps you'll perform in the lab. Review questions at the end of each chapter help you assess your understanding and identify areas requiring additional study. A broad scope makes this text an ideal introduction to clinical laboratory science at various levels, including CLS/MT, CLT/MLT, and Medical Assisting, and reflects the taxonomy levels of the CLS/MT and CLT/MLT exams. Detailed full-color illustrations show what you will see under the microscope. An Evolve companion website provides convenient online access to all of the procedures in the text, a glossary, audio glossary, and links to additional information. Case studies include critical thinking and multiple-choice questions, providing the opportunity to apply content to real-life scenarios. Learning objectives help you study more effectively and provide measurable outcomes to achieve by completing the material. Streamlined approach makes it easier to learn the most essential information on individual disciplines in clinical lab science. Experienced author, speaker, and educator Mary Lou Turgeon is well known for providing insight into the rapidly changing field of clinical laboratory science. Convenient glossary makes it easy to look up definitions without having to search through each chapter. NEW! Procedure worksheets have been added to most chapters; perforated pages make it easy for students to remove for use in the lab and for assignment of review questions as homework. NEW! Instrumentation updates show new technology being used in the lab. NEW! Additional key terms in each chapter cover need-to-know terminology. NEW! Additional tables and figures in each chapter clarify clinical lab science concepts.

21st Century Learning for 21st Century Skills

21st Century Learning for 21st Century Skills
Available:
Author: Andrew Ravenscroft,Stefanie Lindstaedt,Carlos Delgado Kloos,Davinia Hernández-Leo
Pages: 553
ISBN: 3642332625
Release: 2012-08-14
Editor: Springer

DESCRIPTION OF THE BOOK:

This book constitutes the refereed proceedings of the 7th European Conference on Technology Enhanced Learning, EC-TEL 2012, held in Saarbrücken, Germany, in September 2012. The 26 revised full papers presented were carefully reviewed and selected from 130 submissions. The book also includes 12 short papers, 16 demonstration papers, 11 poster papers, and 1 invited paper. Specifically, the programme and organizing structure was formed through the themes: mobile learning and context; serious and educational games; collaborative learning; organisational and workplace learning; learning analytics and retrieval; personalised and adaptive learning; learning environments; academic learning and context; and, learning facilitation by semantic means.