Too Big to Succeed
Medicine in the United States is big business. We spend 50 percent more on health care per capita than other developed countries, but a multitude of measures indicate that we are not getting health-care value for our money. In Too Big to Succeed, author Dr. Russell J. Andrews details why health care in America has become more expensive but less effective and outlines a new paradigm for health-care delivery. Too Big to Succeed describes how American medicine is on an unsustainable course: costs are increasing while benefits are deteriorating in comparison with other developed nations. Beginning with the Hippocratic Oath and the the premedical student, Andrews traces the myriad ways in which the profit motive has infiltrated American medicine--including medical school training, current models of health-care delivery, medical professional societies, medical research, and medical drug and device development. Presenting an insider's look into the current crisis in health care, Andrews demonstrates that until both the physician and the patient return to the relationship that underlies medicine, physicians will not experience the joy of healing those who seek their help and patients will not appreciate that a good physician is a permanent part of their lives.
Too Big to Succeed
Medicine in the United States is big business. We spend 50 percent more on health care per capita than other developed countries, but a multitude of measures indicate that we are not getting health-care value for our money. In Too Big to Succeed, author Dr. Russell J. Andrews details why health care in America has become more expensive but less effective and outlines a new paradigm for health-care delivery. Too Big to Succeed describes how American medicine is on an unsustainable course: costs are increasing while benefits are deteriorating in comparison with other developed nations. Beginning with the Hippocratic Oath and the the premedical student, Andrews traces the myriad ways in which the profit motive has infiltrated American medicine--including medical school training, current models of health-care delivery, medical professional societies, medical research, and medical drug and device development. Presenting an insider's look into the current crisis in health care, Andrews demonstrates that until both the physician and the patient return to the relationship that underlies medicine, physicians will not experience the joy of healing those who seek their help and patients will not appreciate that a good physician is a permanent part of their lives.
Establishing, Managing, and Protecting Your Online Reputation
The availability of online health information combined with social media channels like Twitter and Facebook has created a new generation of patients. They are empowered. They have a voice in their own care that they never had before. And they're not afraid to use it. Bottom line: If doctors don't take steps to define themselves, patients will. Maybe you're not a big social media user - but your patients are. And they rely on social media sources when they're finding a doctor or a medical practice. In fact, a recent study concluded that, 80% of new patients and 60% of prospective new patients consulted physician review sites in making their decision. Given these stakes, you can't afford to leave your online reputation to chance.Kick off your social media efforts today with Establishing, Managing and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices, a comprehensive guide to physicians and social media not available anywhere else. In addition to unique insights from a practicing physician, social media pioneer and author Dr. Kevin Pho, (KevinMD) this book offers doctors a step-by step guide on how they can brand themselves on all of the major social media networks. It also provides insider tips on how to respond to online ratings and a guide on how to work with all of the major reviews sites. Don't let social media chatter define you. Take control of your online reputation now - or someone else will!From the Foreword, Robert Wachter, MD, says, ". . . whether we like it or not, our online reputation is becoming the main prism through which we will be known - to colleagues, to friends, to patients, to prospective employers. . . . With this realization comes the recognition that we can no longer afford to be passive observers of our online persona."NOTABLE FEATURES: * Written by Kevin Pho, MD and co-author Susan Gay. Dr. Pho's blog, KevinMD.com, has been voted the best medical blog, and he has over 100,000 subscribers on Facebook, Twitter, Google+, LinkedIn, and RSS. Contributor to USA Today, CNN, and the New York Times, and cited regularly by major media.The book covers: * Why an online presence is important for doctors * How patients use social media in choosing doctors and practices * A step-by-step guide for how practices can brand themselves on all of the major social media sites (LinkedIn, Facebook, YouTube, Twitter, blogs) and drive Google traffic through content * Profiles of the major ratings sites, including Vitals, Yelp, RateMDs.com, Angie's List, ZocDoc and Google+ Local * Tips for managing your online reputation * How to respond to online ratings* Guidelines to online professionalism* Anecdotes and case studies from Health 2.0 leaders like Susannah Fox, Kerri Morrone Sparling, "E-patient" Dave deBronkart, Natasha Burgert, Wendy Sue Swanson, and Bryan Vartabedian.Foreword written by Robert Wachter, MD, Dr. Wachter, a board certified internist, is Professor of Medicine at the University of California, San Francisco (UCSF), Associate Chairman of UCSF's Department of Medicine, Chief of the Medical Service at UCSF Medical Center, and Chief of UCSF's 50-faculty Division of Hospital Medicine.
Doctor, Please Help Me Die
Death comes for us all, and the desire to ease into that death is as ancient as humankind. The idea that sometimes it is better to die quickly and in control of that death--rather than linger in pain and misery once impending death is certain--has troubled yet comforted humankind. In Doctor, Please Help Me Die, author Tom Preston, MD, presents a thorough overview and discussion of end-of-life issues and physician-assisted death in America. Doctor, Please Help Me Die traces the history of patients seeking relief from suffering at the end of life and discusses how cultural and professional customs have inhibited many doctors from helping their patients at the end. Preston shows how most doctors fail their patients by not discussing dying with them and by refusing to consider legal physician aid in dying--ultimately deceiving the public in their refusal to help patients die. He discusses the religious, political, and legal battles in this part of the culture war and gives advice to patients on how to gain peaceful dying. Preston presents a strong argument for why every citizen who is dying ought to be extended an inalienable right to die peacefully, and why every physician has an ethical obligation to assist patients who want to exercise this right safely, securely, and painlessly.
Doctor, Please Help Me Die
Death comes for us all, and the desire to ease into that death is as ancient as humankind. The idea that sometimes it is better to die quickly and in control of that death--rather than linger in pain and misery once impending death is certain--has troubled yet comforted humankind. In Doctor, Please Help Me Die, author Tom Preston, MD, presents a thorough overview and discussion of end-of-life issues and physician-assisted death in America. Doctor, Please Help Me Die traces the history of patients seeking relief from suffering at the end of life and discusses how cultural and professional customs have inhibited many doctors from helping their patients at the end. Preston shows how most doctors fail their patients by not discussing dying with them and by refusing to consider legal physician aid in dying--ultimately deceiving the public in their refusal to help patients die. He discusses the religious, political, and legal battles in this part of the culture war and gives advice to patients on how to gain peaceful dying. Preston presents a strong argument for why every citizen who is dying ought to be extended an inalienable right to die peacefully, and why every physician has an ethical obligation to assist patients who want to exercise this right safely, securely, and painlessly.
Beyond the Checklist
The U.S. healthcare system is now spending many millions of dollars to improve "patient safety" and "inter-professional practice." Nevertheless, an estimated 100,000 patients still succumb to preventable medical errors or infections every year. How can health care providers reduce the terrible financial and human toll of medical errors and injuries that harm rather than heal?Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons of aviation safety and teamwork. In response to a series of human-error caused crashes, the airline industry developed the system of job training and information sharing known as Crew Resource Management (CRM). Under the new industry-wide system of CRM, pilots, flight attendants, and ground crews now communicate and cooperate in ways that have greatly reduced the hazards of commercial air travel.The coauthors of this book sought out the aviation professionals who made this transformation possible. Beyond the Checklist gives us an inside look at CRM training and shows how airline staff interaction that once suffered from the same dysfunction that too often undermines real teamwork in health care today has dramatically improved. Drawing on the experience of doctors, nurses, medical educators, and administrators, this book demonstrates how CRM can be adapted, more widely and effectively, to health care delivery.The authors provide case studies of three institutions that have successfully incorporated CRM-like principles into the fabric of their clinical culture by embracing practices that promote common patient safety knowledge and skills.They infuse this study with their own diverse experience and collaborative spirit: Patrick Mendenhall is a commercial airline pilot who teaches CRM; Suzanne Gordon is a nationally known health care journalist, training consultant, and speaker on issues related to nursing; and Bonnie Blair O'Connor is an ethnographer and medical educator who has spent more than two decades observing medical training and teamwork from the inside.
Under the Safety Net
This book records the many lessons learned from a truly extraordinary national experiment. The Health Care for the Homeless Program mobilized forces in nineteen big cities to reach out and bring critically needed services to homeless persons. Because of extraordinary commitment and energy of all those in nineteen cities who rose to the challenge and because of the hard work of new partners (such as Comic Relief) picked up along the way, these goals have, in the main, been realized. At the same time the very existence of the Health Care for the Homeless Program reflects the major failure or our nation's health care system, the failure to provide basic health coverage to more than thirty-five million of our citizens.
Food Service Manual for Health Care Institutions
The thoroughly revised and updated fourth edition of Foodservice Manual for Health Care Institutions offers a review of the management and operation of health care foodservice departments. This edition of the book--which has become the standard in the field of institutional and health care foodservice-- contains the most current data on the successful management of daily operations and includes information on a wide range of topics such as leadership, quality control, human resource management, product selection and purchasing, environmental issues, and financial management. This new edition also contains information on the practical operation of the foodservice department that has been greatly expanded and updated to help institutions better meet the needs of the customer and comply with the regulatory agencies' standards. TOPICS COVERED INCLUDE: Leadership and Management Skills Marketing and Revenue-Generating Services Quality Management and Improvement Planning and Decision Making Organization and Time Management Team Building Effective Communication Human Resource Management Management Information Systems Financial Management Environmental Issues and Sustainability Microbial, Chemical, and Physical Hazards HACCP, Food Regulations, Environmental Sanitation, and Pest Control Safety, Security, and Emergency Preparedness Menu Planning Product Selection Purchasing Receiving, Storage, and Inventory Control Food Production Food Distribution and Service Facility Design Equipment Selection and Maintenance Learning objectives, summary, key terms, and discussion questions included in each chapter help reinforce important topics and concepts. Forms, charts, checklists, formulas, policies, techniques, and references provide invaluable resources for operating in the ever-changing and challenging environment of the food- service industry.
Disability Rehabilitation Management Through Ict
Emerging technologies have been successfully employed within different disciplines improving the quality of life globally in India these have been employed to address the multifarious issues in a limited manner to improve the way of life for individuals with different disabilities. Indian Institute of Information Technology, Allahabad, therefore, organized International and National Seminars since 2008 to deliberate on the application of information communication technologies [ICT] in the rehabilitation of people with disabilities . Domain experts have recognized that management of differently abled individuals requires participation of multidisciplinary experts. We also require an enormous bank of skilled, qualified trained manpower with support to keep themselves in tune with latest technology and developments. We also face the problems of having to deal with individuals located countrywide; inadequate ICT-based infrastructure to assist with accessing services of experts that are based in urban areas. This is one of the major constraints for a sustained and effective therapeutic program. This is the fifth publication under the IIIT-A Series on e-Governance. It is a collection of 20 articles based on the presentations made in the Seminars. This book will of interest to all stakeholders in the disability rehabilitation management as the population of people with disabilities in growing. The articles cover the following four areas on disability rehabilitation management: - Rehabilitation of Differently Abled Persons: Overview and Issues - Infrastructure and potentials for use of ICT in Disability Rehabilitation - ICT Initiatives for Rehabilitation of Differently Abled Persons - Assistive Technology for Differently Abled Persons - the road ahead
The Downgrading of American Healthcare
This book exposes how regulatory and cultural changes taking place in our Country over the last forty years have fundamentally changed the delivery of medical care into the more politically appealing yet artificial concept of a healthcare system. This metamorphosis has resulted in lower standards, suboptimal quality and, effectively, a widespread downgrading of what once was an exceptional medical system. The book is written from the perspective of a practicing specialist, whose career has encompassed working for two major universities, the U.S. Army Medical Corp and, more recently, private medical practice. The author, born and raised in Latin America, has had the opportunity to personally experience all of these changes and the resulting healthcare downgrade, and is able to provide an insider's view of the current state of affairs, together with the only potential solution to a process that continues to threaten the quality of american medicine for generations to come.
Healthcare Business Intelligence, ＋ Website
Solid business intelligence guidance uniquely designed for healthcare organizations Increasing regulatory pressures on healthcare organizations have created a national conversation on data, reporting and analytics in healthcare. Behind the scenes, business intelligence (BI) and data warehousing (DW) capabilities are key drivers that empower these functions. Healthcare Business Intelligence is designed as a guidebook for healthcare organizations dipping their toes into the areas of business intelligence and data warehousing. This volume is essential in how a BI capability can ease the increasing regulatory reporting pressures on all healthcare organizations. Explores the five tenets of healthcare business intelligence Offers tips for creating a BI team Identifies what healthcare organizations should focus on first Shows you how to gain support for your BI program Provides tools and techniques that will jump start your BI Program Explains how to market and maintain your BI Program The risk associated with doing BI/DW wrong is high, and failures are well documented. Healthcare Business Intelligence helps you get it right, with expert guidance on getting your BI program started and successfully keep it going.
A New Name
The face of anorexia is not a glossy model in a perfume ad. It's a starving animal, circling the empty cupboards, blank-eyed and vacant. It's a face frozen in a rictus grin, mouthing lies. 'I'm fine, ' it says. 'Everything is under control.''I have always felt hungry, ' says Emma Scrivener. 'Not just for food, but for everything: from money to recognition. I'm a human chasm, a vortex of insatiable longing.'Rescued from a disorder that nearly killed her, Emma is now passionate about warning others about the dark and hidden world she inhabited for too long.Harrowing, heart-breaking, human and humorous, this book will grip you from start to finish.
Problems with Patients
When patient meets doctor, as well as engaging in a transaction with a clinical purpose, they react to one another as people. Their personalities and ability to form relationships in general also affect the professional interaction. As with other relationships, things can go wrong. The outcome of the consultation may not be what either individual hoped for or intended. Norton and Smith explore the factors that can cause problems in the doctor-patient relationship. Within a model studied from three theoretical perspectives, the authors emphasize the often unconscious personal aspects of the doctor-patient interaction, and offer concrete advice to help doctors manage their dealings with patients. This fresh look at an important but often neglected aspect of health care will be vital reading for all doctors, psychiatrists, clinical psychologists, social workers, medical students, health care administrators, and patients' rights advocates.
Handbook of Advanced Cancer Care
Currently, there is no comprehensive source of information available to non-specialist physicians and nurses providing end-of-life care for advanced cancer patients at a level between specialist oncology texts and nursing texts. Two eminent physicians from one of the world's foremost cancer centers have drawn together a remarkable team to provide a handbook which covers the full range of problems non-specialists will encounter. This highly accessible text covers general principles in oncology, each of the primary tumors, and management of specific symptoms and syndromes.
Medical Audit
The application of audit to resource allocation and clinical practice has emerged as a fundamental principle in Western medical systems over recent years. Used effectively, audit can have wide-ranging benefits for both the patient and the practitioner, in terms of resource management and quality of care. This book reviews the concepts behind audit and the approaches that individual specialties take. First, the book describes the philosophy of audit and the requirements of various agencies such as the Department of Health and the Royal College of Surgeons for audit. Second, the book outlines the specific requirements of the major specialties and third, the book gives practical suggestions for the development of an audit strategy. There are comparisons between audit performed in the United Kingdom and that performed in the United States and Sweden. Further, the need to consider the relationship between resource management and medical audit particularly with reference to the data requirements is emphasized. Throughout the book the concept of "completing the loop", i.e.the need to effect change from the audit activity is discussed as well as the educational value of audit. The editors have stressed that there are no hard and fast rules in creating an audit strategy and as yet there are few experts.
The Machine at the Bedside
This 1984 work examines concepts and strategies for using health care technology effectively and humanely at the bedside. Applying knowledge from the decision sciences, ethics, economics, sociology, the physical sciences, law, history, and clinical medicine, this book provides a multidisciplinary framework for practitioners, educators, policy makers, and the public who must decide about and implement the technological agents of health care. Twelve chapters present basic knowledge about this technology, from the forces that create and disseminate it to the perspectives and techniques crucial for directing its use. The second part of the book consists of twenty-three case studies depicting the benefits and liminations of the chief health care technologies of our times, such as electronic fetal monitoring, imaging technology, intensive care, and genetic diagnosis. By discussing both theory and practice in the context of legal, economic, ethical, and other concerns, this work will help prepare health care students and professionals to deal with the complex issues associated with the use of technology in health care.
International Handbook of Medical Education
The International Handbook of Medical Education: A Guide for Students takes the lead by giving students access to basic medical education, knowledge and skills, presented in a simple and interactive format. This handbook provides students with a tool to guide them on the road to success during their academic lives and beyond by helping to improve study skills, such as reading, writing, searching and research, and giving students essential information on assessment skills, such as answering multiple choice questions and preparing for objective structured clinical examination.
Best Practices in Medical Teaching
In medical education a lot of attention is given to what is said, but less consideration is given to how it is said. There is sometimes a misplaced focus on the content at the expense of the experience for the learner. Best Practices in Medical Teaching illustrates the general principles of effective medical presentation. Stahl and Davis are leading experts in medical communication and they effectively explain the practice and methods behind their success. Applying the principles of adult learning, they provide examples of how to design a successful lecture and teach the reader how to influence the behaviors of their audience. Each chapter ends with a chapter summary, progress check, and a performance self-assessment test to ensure that the concepts are understood. This book is an essential guide for all those involved in the process of educating the next generation of doctors and supporting them through their training.
Readings in American Health Care
The account of a Florida death row lawyer's decision to withdraw from the American capital punishment system.
Vaccines and Your Child
Paul A. Offit and Charlotte A. Moser answer questions about the science and safety of modern vaccines. In straightforward prose, they explain how vaccines work, how they are made, and how they are tested. Most important, they separate the real risks of vaccines from feared but unfounded risks. Offit and Moser address parental fears that children may receive too many vaccines too early, that the HPV vaccine may cause chronic fatigue or other dangerous side effects, that additives and preservatives in vaccines cause autism, and that vaccines might do more harm than good. There couldn't be a better moment or more pressing need for this book, which offers honesty--instead of hype--in the quest to protect children's health.
Five Fingers
Dr. Tom Kim, a physician specializing in Internal Medicine and Hematology-Oncology, is originally from North Korea. He managed to escape with part of his family during the Korean War at the age of six. His family eventually moved to the United States, and in 1979 Dr. Kim settled in Knoxville, Tennessee with his goal of "repaying his debt to America for the gift of a new life." Dr. Kim was raised in a strong Christian environment, where he was taught to follow the example of Christ and become a light to the world. He believes that all people are challenged to love their neighbors as Jesus commanded. This includes providing our poor neighbors with the health care they deserve, and not simply relying on the government to respond to this need.
Josie's Story
The "wrenching but inspiring" true story of a tragic medical mistake that turned a grieving mother into a national advocate (The Wall Street Journal).Sorrel King was a young mother of four when her eighteen-month-old daughter was badly burned by a faulty water heater in the family's new home. Taken to the world-renowned Johns Hopkins Hospital, Josie made a remarkable recovery. But as she was preparing to leave, the hospital's system of communication broke down and Josie was given a fatal shot of methadone, sending her into cardiac arrest. Within forty-eight hours, the King family went from planning a homecoming to planning a funeral.Dizzy with grief, falling into deep depression, and close to ending her marriage, Sorrel slowly pulled herself and her life back together. Accepting Hopkins' settlement, she and her husband established the Josie King Foundation. They began to implement basic programs in hospitals emphasizing communication between patients, family, and medical staff--programs like Family-Activated Rapid Response Teams, which are now in place in hospitals around the country. Today Sorrel and the work of the foundation have had a tremendous impact on health-care providers, making medical care safer for all of us, and earning Sorrel a well-deserved reputation as one of the leading voices in patient safety."I cried . . . I cheered" at this account of one woman's unlikely path from full-time mom to nationally renowned patient advocate (Ann Hood). "Part indictment, part celebration, part catharsis" Josie's Story is the startling, moving, and inspirational chronicle of how a mother--and her unforgettable daughter--are transforming the face of American medicine (Richmond Times-Dispatch).
What to Do When College Is Not the Best Time of Your Life
If college is supposed to be the best time of our lives, why are so many students unhappy? What causes a well-adjusted and academically successful high school graduate to suddenly flounder when he reaches college? Why might she start to skip classes, binge on alcohol, or engage in unsatisfying hook-ups? Where does the anger and self-doubt come from, and why is it directed at loving parents or the student himself? Drawing on years of experience treating college-age youth, David Leibow, M.D. provides fresh, honest, and realistic answers to these and other important questions. Instead of adventure, liberation, and a triumphant march into adulthood, many college students experience shame, regression, and social and academic failure. Yet by understanding themselves better and making reasonable changes, students can grow from these challenges and turn bad choices into wiser personal and educational decisions. Leibow focuses on issues common to college settings-anxiety and depression, drug and alcohol abuse, laziness and work avoidance, body-image problems, and unhealthy relationships-detailing coping strategies and professional resources that best respond to each crisis. His intimate knowledge of campus life and its unique challenges adds credibility and weight to his advice. Reorienting the expectations of parents and students while providing the tools for overcoming a variety of hurdles, Leibow shows how college can still become one of the best times of our lives.
How to Survive in Medicine
Medicine is a career that most people consider to be enviable. Whatever one's criteria for a good job, being a doctor ticks a lot of boxes: doctors are needed, respected, well remunerated and can make a difference between life and death Increasingly, doctors are experiencing stress, depression and anxiety, fuelled by the increasing demands of the health services, and the lack of resources to support them. Focussing on the causes, symptoms and management of psychological problems experienced by doctors at all stages in their careers, this book considers the difficulties and stressors of medicine as a career, linking to studies that look at what interventions are successful in the workplace and offering various solutions. Including: A study based over 20 years of doctors' stress factors Case histories to bring the subject to life Guidance on choosing a specialty, dealing with difficult people, stress and demands 37 A valuable resource both for trainers and doctors alike.
Elder Care: Precious Presence
Ninety percent of the population faces long-term care for their life or the life of a loved one. In Elder Care: Precious Presence, author Dr. Alex Kodiath presents personal, true stories of life in long-term care and reflects on the lessons that can be drawn from these stories. With almost twenty-five years of experience in social work in the medical field, Kodiath gives guidance on the spiritual nurturing of those in long-term care and discusses the importance of compassion in caregiving. Elder Care: Precious Presence provides the tools for professionals and families to understand the needs of the sick and the elderly and how to answer these basic needs with love and grace. The stories illustrate the concept of the spiritual grace of presence. Elder Care: Precious Presence provides hope. It demonstrates that the end of a loved one's life doesn't have to be a time of fear, confusion, and guilt. It can, instead, be a time of healing, a time of loving, and a time of dignity, acceptance, and peace.
Elder Care: Precious Presence
Ninety percent of the population faces long-term care for their life or the life of a loved one. In Elder Care: Precious Presence, author Dr. Alex Kodiath presents personal, true stories of life in long-term care and reflects on the lessons that can be drawn from these stories. With almost twenty-five years of experience in social work in the medical field, Kodiath gives guidance on the spiritual nurturing of those in long-term care and discusses the importance of compassion in caregiving. Elder Care: Precious Presence provides the tools for professionals and families to understand the needs of the sick and the elderly and how to answer these basic needs with love and grace. The stories illustrate the concept of the spiritual grace of presence. Elder Care: Precious Presence provides hope. It demonstrates that the end of a loved one's life doesn't have to be a time of fear, confusion, and guilt. It can, instead, be a time of healing, a time of loving, and a time of dignity, acceptance, and peace.
Professionalism in Medicine
Learning medical professionalism is a challenging, evolving, and life-long endeavor. Professionalism in Medicine: A Case-Based Guide for Medical Students helps begin this process by engaging students and their teachers in reflection on cases that resonate with the experiences of life in medicine. Through the book's seventy-two cases, commentaries, videos, and literature-based reviews, students explore the many challenging areas of medical professionalism. Readers will appreciate the provocative professionalism dilemmas encountered by students from the pre-clinical years and clinical rotations and by physicians of various specialties. Each case is followed by two commentaries by writers who are involved in health care decisions related to that case, and who represent a wide variety of perspectives. Authors represent 46 medical schools and other institutions and include physicians, medical students, medical ethicists, lawyers, psychologists, nurses, social workers, pharmacists, health care administrators, and patient advocates.
Designing Care
Today's health-care providers face growing criticism from policy makers and patients alike. As costs continue to spiral upward and concerns about quality of care escalate, the debate has focused on how to finance health care. Yet funding solutions can't address the underlying questions: Why have costs risen in the first place? And how can we improve the quality and affordability of care? In Designing Care, Harvard Business School professor Richard Bohmer argues that these fundamental questions must be answered. A medical doctor himself, Bohmer explains that health-care professionals are tasked with providing two very different types of care--sequential and iterative. With sequential care, a patient can be quickly diagnosed and given predictable, reliable, and low-cost care. But in the case of iterative care, a patient's condition is unknown, and tremendous resources may be required for diagnosis and treatment, often with uncertain outcomes. Bohmer shows that to reduce costs and manage care effectively, sequential and iterative care situations require different management systems. Through stories and cases drawn from years in the field, he reveals how health-care providers can successfully manage both modes. To do so, they must reevaluate traditional roles and embrace continuous learning across the organization. The benefits of this operational redesign? The predictable, responsive, and lower-cost care today's health-care leaders--and patients--seek.
Experimental Man
Bestselling author David Ewing Duncan takes the ultimate high-tech medical exam, investigating the future impact of what's hidden deep inside all of usDavid Ewing Duncan takes ""guinea pig"" journalism to the cutting edge of science, building on award-winning articles he wrote for Wired and National Geographic, in which he was tested for hundreds of chemicals and genes associated with disease, emotions, and other traits. Expanding on these tests, he examines his genes, environment, brain, and body, exploring what they reveal about his and his family's future health, traits, and ancestry, as well as the profound impact of this new self-knowledge on what it means to be human.David Ewing Duncan (San Francisco, CA) is the Chief Correspondent of public radio's Biotech Nation and a frequent commentator on NPR's Morning Edition. He is a contributing editor to Portfolio, Discover, and Wired and a columnist for Portfolio. His books include the international bestseller Calendar: Humanity's Epic Struggle to Determine a True and Accurate Year (978-0-380-79324-2). He is a former special producer and correspondent for ABC's Nightline, and appears regularly on CNN and programs such as Today and Good Morning America.
The Innovator's Prescription
A groundbreaking prescription for health care reform--from a legendaryleader in innovation . . .Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations.We need a cure, and we need it now.Harvard Business School's Clayton M. Christensen--whose bestselling The Innovator's Dilemma revolutionized the business world--presents The Innovator's Prescription, a comprehensive analysis of the strategies that will improvehealth care and make it affordable.Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field--Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine arange of symptoms and offer proven solutions.YOU'LL DISCOVER HOW"Precision medicine" reduces costs and makes good on the promise of personalized careDisruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors workPatient networks enable better treatment of chronic diseasesEmployers can change the roles they play in health care to compete effectively in the era of globalizationInsurance and regulatory reforms stimulate disruption in health care
The FDA and Worldwide Quality System Requirements Guidebook for Medical Devices
This new and expanded second edition maintains the organizational approach of the first and includes the requirements and guidance contained in the Quality System Regulation (QSReg), the ISO 13485:2003 standard, the ISO/TR 14969:2004 guidance document, and, as appropriate, a number of the FDA and Global Harmonization Task Force (GHTF) guidance documents.This second edition also addresses a number of additional topics, such as the incorporation of risk management into the medical device organization's QMS, QMS issues related to combination products, the key process interactions within a QMS, effective presentation of and advocacy for a QMS during FDA inspections and third-party assessments, and future FDA compliance and standards activities. The organization of the guidebook is based on the order of the requirements in the QSReg. For each substantive requirement section there is: A verbatim statement of the QSReg requirement. A description of the comparable requirement in ISO 13485:2003, focusing on any additions to or differences from the requirements contained in the QSReg.Excerpts of the FDA responses to relevant comment groups contained in the Preamble to the QSReg. Excerpts from various FDA guidance documents related to quality management systems. A description of the relevant guidance contained in ISO/TR 14969:2004, focusing on any additions to or differences from the guidance in the Preamble and other FDA guidance documents, and, if useful, excerpts from relevant GHTF guidances. Authors' notes giving guidance derived from the authors' sixty years of regulatory compliance experience. This guidance book is meant as a resource to manufacturers of medical devices, providing up-to-date information concerning required and recommended quality system practices. It should be used as a companion to the regulations/standards themselves and texts on the specific processes and activities contained within the QMS.
Critical Care of the Burned Patient
This interdisciplinary account provides an integrated and practical guide to the management and treatment of burns. Experts from all the major disciplines involved in critical care focus their attention on specific problems and areas of treatment involved in the care of burned patients. Although it is essentially a practical guide to the management of thermal injury, with explicit recommendations for courses of treatment, it also provides explanatory background information on the manifestations and clinical consequences of this common source of injury. Among them, the contributors encompass all the major facets of critical care of the burned patient: from initial assessment and monitoring, resuscitation, nutritional aspects, infection, anesthesia and surgical management, right through to postoperative care and prognosis. The volume will be useful to specialists in critical care, intensive and emergency medicine, surgery and anesthesia, and to all staff associated with intensive care and burns units.
Understanding Physician-Pharmaceutical Industry Interactions
This concise guide will help health professionals understand their relationship with the pharmaceutical industry.
Medical Receptionists and Secretaries Handbook
This best-selling classic has now been fully revised, expanded and updated. It has established itself over ten years and with three previous editions as the essential handbook for study and daily reference. Medical Receptionists and Secretaries Handbook, Fourth Edition contains vital information for all staff enabling them to work efficiently and effectively both within the NHS and private medical sectors. It encourages an understanding of the importance of administrative staff in providing high standards of patient care and promotes teamwork throughout the whole healthcare environment. No medical receptionist, secretary or healthcare administrator should be without it!
Caregiving
One of America's leading hospice experts offers practical, easy-to-follow advice for caregivers and a holistic approach to treating the infirm or the terminally ill.Author Douglas C. Smith organizes his material around "A Bill of Patient's Rights," a unique system he has taught to thousands throughout the country. He explains that the caregiver should enable patients to retain these rights: to be in controlto have a sense of purposeto know the truth to be comfortableto touch and be touchedto laugh to cry and express angerto explore the spiritual to have a sense of familyIncluded are easy-to-follow techniques and practical tools for improving care: assessment techniquesdialoguesmeditationslife reviewsbreathing exercisesbody revitalization methodsways that patients can evaluate and improve their own careand many othersFilled with inspirational stories and effective guidance, Caregiving also addresses how to communicate with difficult patients and those in denial, how to facilitate non-stressful family interaction, and other important topics. It will be invaluable to parents and children caring for their elders; physicians and nurses; social workers and home health aides; members of the clergy; and all facing the challenge of enriching patients' lives and spirits.
Home Nursing for Carers
Caring for a sick child or relative at home can be a daunting task, especially if longer-term care is involved. Advice on the best remedies and how to structure your care can be invaluable. This book covers all aspects of general home nursing, including the arrangement of the patient's room, meals, taking a temperature, and washing the patient. It also details numerous holistic treatments including herbal and plant remedies, baths, foot-baths, compresses and poultices. There are specific sections on pregnancy, birth, sleep, nursing the terminally ill and death. This is a comprehensive guide to holistic home care for those nursing children and adults through an illness.
Learning to Speak Alzheimer's
A guide to more successful communication for the millions of Americans caring for someone with dementia: "Offers a fresh approach and hope."--NPR Revolutionizing the way we perceive and live with Alzheimer's, Joanne Koenig Coste offers a practical approach to the emotional well-being of both patients and caregivers that emphasizes relating to patients in their own reality. Her accessible and comprehensive method, which she calls habilitation, works to enhance communication between carepartners and patients and has proven successful with thousands of people living with dementia. Learning to Speak Alzheimer's also offers hundreds of practical tips, including how to -Cope with the diagnosis and adjust to the disease's progression -Help the patient talk about the illness -Face the issue of driving -Make meals and bath times as pleasant as possible -Adjust room design for the patient's comfort -Deal with wandering, paranoia, and aggression ​"A true godsend to anyone caring for those afflicted with dementia."--Rudolph E. Tanzi, coauthor of Decoding Darkness: The Search for the Genetic Causes of Alzheimer's Disease
Risk: A Practical Guide for Deciding What's Really Safe and What's Really Danger
An indispensable and timely guide, Risk is the authority for assessing threats to your health and safety. We continually face new risks in our world. This essential family reference will help you understand worrisome risks so you can decide how to stay safe and how to keeps risks in perspective. Expert authors David Ropeik and George Gray include information on: - 50 top hazards - your likelihood of exposure - the consequences - ways to reduce your risk They cover topics such as: - cancer - biological weapons - indoor air pollution - pesticides - radiation
Consulting With Nlp: Neuro-linguistic Programming in the Medical Consultation
This extraordinary and practical book examines neuro linguistic programming (NLP) - the knowledge and skills to detect and affect thinking patterns - and applies it to each phase of the medical consultation. It outlines the NLP tools most useful to physicians who wish to understand and utilise the dynamic structure underlying the processes used by excellent communicators. It explains how improving communication skills and developing new models of consultation to incorporate into daily practice not only helps healthcare professionals become better communicators, but reassures patients, alleviating suffering and promoting healing. This book provides many case examples and includes skill based exercises to ensure easy and effective learning. There are unique, fresh perspectives on challenging areas such as anger and aggression, dealing with complaints, breaking bad news, the heartsink patient, uncovering hidden depression and telephone consulting skills. It is relevant to all healthcare professionals, and of special interest to general practitioners, GP trainers, counsellors and medical students.
Patients and Doctors
How patients heal doctorsIn Patients and Doctors, physicians from around the world share stories of the patients they'll never forget, patients who have changed the way they practice medicine. Their thoughtful reflections on a variety of themes--from suffering to humor to death--help us to understand the experience of doctoring, in all its ordinary and extraordinary aspects. In settings as diverse as Slovenia and Sweden, Cambodia and New Jersey, we learn what makes the healer feel graced with insight or scarred with misadventure. In Washington State, we anguish with patient and doctor alike when a young resident removes a screw from a little boy's foot; on the Israeli-Jordanian border, a woman goes into labor just as the air-raid sirens signal the beginning of the Gulf War. These compelling accounts remind us what is at stake in doctoring, reinforcing the value of stories in the teaching and practice of medicine: to calm, to validate, and to illuminate the human experience. "These stories illustrate humane physicians at their best."--Sharon Kaufman, author of The Healer's Tale
Limits to Medicine
"The medical establishment has become a major threat to health." This is the opening statement and basic contention of Ivan Illich's searing social critique. In Limits to Medicine Ivan Illich has enlarged on this theme of disabling social services, schools, and transport, which have become, through over-industrialization, harmful to man. In this radical contribution to social thinking Illich decimates the myth of the magic of the medical profession.
General Medical Knowledge for Eyecare Paraprofessionals
The Basic Bookshelf for Eyecare Professionals is a series that provides fundamental and advanced material with a clinical approach to clinicians and students.
How to Get Out of the Hospital Alive
Dr. Sheldon Blau almost died after undergoing open-heart surgery-not from the surgery or heart disease, but from infectious bacteria introduced during surgery. His in-hospital experiences made him a better doctor, and inspired him to write How to Get Out of the Hospital Alive. The book describes the role of each member of the medical team, shows patients how to become active, effective members of that team, and offers concrete advice about ways to avoid the most common hospital-related errors. Ten Things You Can Do to Get Out of the Hospital AliveMake sure all your known allergies are clearly marked on your chart, wrist band, or on a piece of paper taped above your bed.Mark the area of your body to be operated on with a felt-tip pen.Never eat or drink anything before surgery, even if the nurse brings you a food tray.Tell your anesthesiologist if you're on any type of medication.Have a reliable advocate with you as often as possible throughout your hospital stay.Write your name prominently on a piece of paper and tape it to the wall above your bed.Always ask the nurse to check the name and dosage of any medication he or she is about to give you.Don't let anyone bully you.Don't hesitate to get a second--or third--opinion.Trust your instincts.Visit us online at http: //www.mgr.com
The Youngest Science
From the 1920s when he watched his father, a general practitioner who made housecalls and wrote his prescriptions in Latin, to his days in medical school and beyond, Lewis Thomas saw medicine evolve from an art into a sophisticated science. The Youngest Science is Dr. Thomas's account of his life in the medical profession and an inquiry into what medicine is all about--the youngest science, but one rich in possibility and promise.He chronicles his training in Boston and New York, his war career in the South Pacific, his most impassioned research projects, his work as an administrator in hospitals and medical schools, and even his experiences as a patient. Along the way, Thomas explores the complex relationships between research and practice, between words and meanings, between human error and human accomplishment, More than a magnificent autobiography, The Youngest Science is also a celebration and a warning--about the nature of medicine and about the future life of our planet.
