Improving Diagnosis in Health Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309377722
Total Pages : 473 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Improving Diagnosis in Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

How Doctors Think

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Publisher : HarperCollins
ISBN 13 : 0547348630
Total Pages : 325 pages
Book Rating : 4.5/5 (473 download)

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Book Synopsis How Doctors Think by : Jerome Groopman

Download or read book How Doctors Think written by Jerome Groopman and published by HarperCollins. This book was released on 2008-03-12 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

When Doctors Don't Listen

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Publisher : Macmillan
ISBN 13 : 0312594917
Total Pages : 350 pages
Book Rating : 4.3/5 (125 download)

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Book Synopsis When Doctors Don't Listen by : Dr. Leana Wen

Download or read book When Doctors Don't Listen written by Dr. Leana Wen and published by Macmillan. This book was released on 2013-01-15 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses how to avoid harmful medical mistakes, offering advice on such topics as working with a busy doctor, communicating the full story of an illness, evaluating test risks, and obtaining a working diagnosis.

When We Do Harm

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Publisher : Beacon Press
ISBN 13 : 0807037885
Total Pages : 274 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis When We Do Harm by : Danielle Ofri, MD

Download or read book When We Do Harm written by Danielle Ofri, MD and published by Beacon Press. This book was released on 2020-03-23 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical mistakes are more pervasive than we think. How can we improve outcomes? An acclaimed MD’s rich stories and research explore patient safety. Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it’s a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there’s no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation. Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms. While our healthcare system is—and always will be—imperfect, Dr. Ofri argues that it is possible to minimize preventable harms, and that this should be the galvanizing issue of current medical discourse.

Why Doctors Get it Wrong?

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Publisher : LAP Lambert Academic Publishing
ISBN 13 : 9783659819414
Total Pages : 164 pages
Book Rating : 4.8/5 (194 download)

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Book Synopsis Why Doctors Get it Wrong? by : Jeannegda Catherine Valverde Farías

Download or read book Why Doctors Get it Wrong? written by Jeannegda Catherine Valverde Farías and published by LAP Lambert Academic Publishing. This book was released on 2016-01-11 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Currently, despite scientific progress and that medicine is more complex than several centuries ago, its exercise is not free of mistakes, with occasionally fatal. Medical malpractice, adverse events related to iatrogenic ethical conduct of a doctor, and a good doctor-patient relationship protects you from any claims; today there are companies in the US dedicated to train health personnel to apologize and show empathy. This work detailing errors in various medical specialties: anesthesia, surgery, neurology, critical and transfusion medicine among others. The violent patient and negativity to accept therapeutic maneuvers are disturbing elements of medical practice. Autopsies are useful for correct diagnosis and determine true. The rise of telemedicine has complicated the health exercise, medical errors are considered "taboo" and the doctors are afraid to discuss and report. The future seems to be aimed at designing a computerized system for recording medical errors hand in hand with an active and informed decision making, knowledge of their rights patient, selecting your hospital and doctors more apt to achieve healing.

WHEN DOCTORS GET IT WRONG

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Author :
Publisher : Troubador Publishing Ltd
ISBN 13 : 1838591613
Total Pages : 296 pages
Book Rating : 4.8/5 (385 download)

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Book Synopsis WHEN DOCTORS GET IT WRONG by : Dr Nicholas Rae

Download or read book WHEN DOCTORS GET IT WRONG written by Dr Nicholas Rae and published by Troubador Publishing Ltd. This book was released on 2019-09-17 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are plenty of books on clinical errors, some written for doctors and others for lawyers. This book is for patients. It describes the principles of medicine and then explains what people can expect their general practitioner to do by way of diagnosis and treatment. It removes some of the mystery surrounding medical practice and explains how accidents can occur. This is almost a small medical textbook – but one that cuts through the technicalities to help people understand what has happened. The examples of what can go wrong in medical practice are actual UK general practitioner cases where lawyers requested a medical opinion in cases of alleged negligence. The examples give a guide to patients who are considering a complaint about a medical practitioner. They may also provide an explanation for patients and relatives to show that even if things have turned out badly the doctor may still have done all that was possible.

How Doctors Think

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Publisher :
ISBN 13 : 9788181930514
Total Pages : 320 pages
Book Rating : 4.9/5 (35 download)

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Book Synopsis How Doctors Think by : Jerome Groopman

Download or read book How Doctors Think written by Jerome Groopman and published by . This book was released on 2009-08-01 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: How Doctors Think is a window into the mind of the physician and an insightful examination of the all-important relationship between doctors and their patients. On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can with our help avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country's best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

Complications

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Publisher : Metropolitan Books
ISBN 13 : 1429972106
Total Pages : 292 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis Complications by : Atul Gawande

Download or read book Complications written by Atul Gawande and published by Metropolitan Books. This book was released on 2003-04-01 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Complications is a 2002 National Book Award Finalist for Nonfiction.

The Wrong Side of an Illness

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Publisher : iUniverse
ISBN 13 : 0595603874
Total Pages : 217 pages
Book Rating : 4.5/5 (956 download)

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Book Synopsis The Wrong Side of an Illness by : Owen Stanley Surman M.D.

Download or read book The Wrong Side of an Illness written by Owen Stanley Surman M.D. and published by iUniverse. This book was released on 2007-12-27 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Wrong Side of an Illness: A Doctor's Love Story is a non-fiction novel based on the memoirs of a general hospital psychiatrist whose life is turned upside down by physical signs of his wife's silent illness. What follows is his extraordinary account of their journey through her battle with ovarian cancer. His ability to translate emotion into prose allows him to share with his reader the subtle nuances of the narrator's altered role, the family's experience, the complexity of medical interactions in the setting of tragic illness, and the hope that follows from a loving marriage and a fulfilling career of patient care. Her fatal illness is the subject of a candid narration of love, loss, and recovery.

Medical Errors and Medical Narcissism

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763783617
Total Pages : 246 pages
Book Rating : 4.7/5 (836 download)

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Book Synopsis Medical Errors and Medical Narcissism by : John D. Banja

Download or read book Medical Errors and Medical Narcissism written by John D. Banja and published by Jones & Bartlett Learning. This book was released on 2004 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using the concept of medical narcissism the author examines both the psychological and biological factors involved when a physician decides not to disclose when a medical error has occurred.

How We Do Harm

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Publisher : St. Martin's Press
ISBN 13 : 1429941502
Total Pages : 320 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis How We Do Harm by : Otis Webb Brawley, MD

Download or read book How We Do Harm written by Otis Webb Brawley, MD and published by St. Martin's Press. This book was released on 2012-01-31 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: How We Do Harm exposes the underbelly of healthcare today—the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians' provide, insurance companies that don't demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm. Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs. Brawley's personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.

Unequal Treatment

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Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Cured

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Publisher : Flatiron Books
ISBN 13 : 1250193206
Total Pages : 433 pages
Book Rating : 4.2/5 (51 download)

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Book Synopsis Cured by : Jeffrey Rediger, M.D.

Download or read book Cured written by Jeffrey Rediger, M.D. and published by Flatiron Books. This book was released on 2020-02-04 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: When it comes to disease, who beats the odds — and why? When it comes to spontaneous healing, skepticism abounds. Doctors are taught that “miraculous” recoveries are flukes, and as a result they don’t study those cases or take them into account when treating patients. Enter Dr. Jeff Rediger, who has spent over 15 years studying spontaneous healing, pioneering the use of scientific tools to investigate recoveries from incurable illnesses. Dr. Rediger’s research has taken him from America’s top hospitals to healing centers around the world—and along the way he’s uncovered insights into why some people beat the odds. In Cured, Dr. Rediger digs down to the root causes of illness, showing how to create an environment that sets the stage for healing. He reveals the patterns behind healing and lays out the physical and mental principles associated with recovery: first, we need to physically heal our diet and our immune systems. Next, we need to mentally heal our stress response and our identities. Through rigorous research, Dr. Rediger shows that much of our physical reality is created in our minds. Our perception changes our experience, even to the point of changing our physical bodies—and thus the healing of our identity may be our greatest tool to recovery. Ultimately, miracles only contradict what we know of nature at this point in time. Cured leads the way in explaining the science behind these miracles, and provides a first-of-its-kind guidebook to both healing and preventing disease.

To Err Is Human

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Author :
Publisher : National Academies Press
ISBN 13 : 0309068371
Total Pages : 312 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis To Err Is Human by : Institute of Medicine

Download or read book To Err Is Human written by Institute of Medicine and published by National Academies Press. This book was released on 2000-03-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 AIDSâ€"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 consequenceâ€"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 agendaâ€"with state and local implicationsâ€"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 errorsâ€"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 careâ€"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 advocatesâ€"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

Snowball in a Blizzard

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Publisher : Basic Books
ISBN 13 : 0465098576
Total Pages : 313 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis Snowball in a Blizzard by : Steven Hatch

Download or read book Snowball in a Blizzard written by Steven Hatch and published by Basic Books. This book was released on 2016-02-23 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: There's a running joke among radiologists: finding a tumor in a mammogram is akin to finding a snowball in a blizzard. A bit of medical gallows humor, this simile illustrates the difficulties of finding signals (the snowball) against a background of noise (the blizzard). Doctors are faced with similar difficulties every day when sifting through piles of data from blood tests to X-rays to endless lists of patient symptoms. Diagnoses are often just educated guesses, and prognoses less certain still. There is a significant amount of uncertainty in the daily practice of medicine, resulting in confusion and potentially deadly complications. Dr. Steven Hatch argues that instead of ignoring this uncertainty, we should embrace it. By digging deeply into a number of rancorous controversies, from breast cancer screening to blood pressure management, Hatch shows us how medicine can fail-sometimes spectacularly-when patients and doctors alike place too much faith in modern medical technology. The key to good health might lie in the ability to recognize the hype created by so many medical reports, sense when to push a physician for more testing, or resist a physician's enthusiasm when unnecessary tests or treatments are being offered. Both humbling and empowering, Snowball in a Blizzard lays bare the inescapable murkiness that permeates the theory and practice of modern medicine. Essential reading for physicians and patients alike, this book shows how, by recognizing rather than denying that uncertainty, we can all make better health decisions.

The Price We Pay

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Author :
Publisher : Bloomsbury Publishing USA
ISBN 13 : 1635574129
Total Pages : 305 pages
Book Rating : 4.6/5 (355 download)

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Book Synopsis The Price We Pay by : Marty Makary

Download or read book The Price We Pay written by Marty Makary and published by Bloomsbury Publishing USA. This book was released on 2019-09-10 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: New York Times bestseller Business Book of the Year--Association of Business Journalists From the New York Times bestselling author comes an eye-opening, urgent look at America's broken health care system--and the people who are saving it--now with a new Afterword by the author. "A must-read for every American." --Steve Forbes, editor-in-chief, FORBES One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr. Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research, and his own experience, The Price We Pay paints a vivid picture of the business of medicine and its elusive money games in need of a serious shake-up. Dr. Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr. Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable. The Price We Pay offers a road map for everyday Americans and business leaders to get a better deal on their health care, and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well--a mission that can rebuild the public trust and save our country from the crushing cost of health care.

Patient Safety and Quality

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Author :
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/