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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
With a long history and deep connection to the Earth’s resources, indigenous peoples have an intimate understanding and ability to observe the impacts linked to climate change. Traditional ecological knowledge and tribal experience play a key role in developing future scientific solutions for adaptation to the impacts. The book explores climate-related issues for indigenous communities in the United States, including loss of traditional knowledge, forests and ecosystems, food security and traditional foods, as well as water, Arctic sea ice loss, permafrost thaw and relocation. The book also highlights how tribal communities and programs are responding to the changing environments. Fifty authors from tribal communities, academia, government agencies and NGOs contributed to the book. Previously published in Climatic Change, Volume 120, Issue 3, 2013.
This volume from The NASA History Series presents an overview of the science of hypersonics, the study of flight at speeds at which the physics of flows is dominated by aerodynamic heating. The survey begins during the years immediately following World War II, with the first steps in hypersonic research: the development of missile nose cones and the X-15; the earliest concepts of hypersonic propulsion; and the origin of the scramjet engine. Next, it addresses the re-entry problem, which came to the forefront during the mid-1950s, showing how work in this area supported the manned space program and contributed to the development of the orbital shuttle. Subsequent chapters explore the fading of scramjet studies and the rise of the National Aerospace Plane (NASP) program of 1985–95, which sought to lay groundwork for single-stage vehicles. The program's ultimate shortcomings — in terms of aerodynamics, propulsion, and materials — are discussed, and the book concludes with a look at hypersonics in the post-NASP era, including the development of the X-33 and X-34 launch vehicles, further uses for scramjets, and advances in fluid mechanics. Clearly, ongoing research in hypersonics has yet to reach its full potential, and readers with an interest in aeronautics and astronautics will find this book a fascinating exploration of the field's history and future.
This introductory textbook introduces the basics of dating, the range of techniques available and the strengths and limitations of each of the principal methods. Coverage includes: the concept of time in Quaternary Science and related fields the history of dating from lithostratigraphy and biostratigraphy the development and application of radiometric methods different methods in dating: radiometric dating, incremental dating, relative dating and age equivalence Presented in a clear and straightforward manner with the minimum of technical detail, this text is a great introduction for both students and practitioners in the Earth, Environmental and Archaeological Sciences. Praise from the reviews: "This book is a must for any Quaternary scientist." SOUTH AFRICAN GEOGRAPHICAL JOURNAL, September 2006 “...very well organized, clearly and straightforwardly written and provides a good overview on the wide field of Quaternary dating methods...” JOURNAL OF QUATERNARY SCIENCE, January 2007
"This is a must-have for any researcher in vocational psychology or career counseling, or anyone who wishes to understand the empirical underpinnings of the practice of career counseling." -Mark Pope, EdD College of Education, University of Missouri - St. Louis past president of the American Counseling Association Today's career development professional must choose from a wide array of theories and practices in order to provide services for a diverse range of clients. Career Development and Counseling: Putting Theory and Research to Work focuses on scientifically based career theories and practices, including those derived from research in other disciplines. Driven by the latest empirical and practical evidence, this text offers the most in-depth, far-reaching, and comprehensive career development and counseling resource available. Career Development and Counseling includes coverage of: Major theories of career development, choice, and adjustment Informative research on occupational aspirations, job search success, job satisfaction, work performance, career development with people of color, and women's career development Assessment of interests, needs and values, ability, and other important constructs Occupational classification and sources of occupational information Counseling for school-aged youth, diverse populations, choice-making, choice implementation, work adjustment, and retirement Special needs and applications including those for at-risk, intellectually talented, and work-bound youth; people with disabilities; and individuals dealing with job loss, reentry, and career transitions Edited by two of the leading figures in career development, and featuring contributions by many of the most well-regarded specialists in the field, Career Development and Counseling: Putting Theory and Research to Work is the one book that every career counselor, vocational psychologist, and serious student of career development must have.