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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.
In 1945 some experts still considered the so-called sound barrier an impenetrable wall, while winged rocket planes remained largely relegated to science fiction. But soon a series of unique rocket-powered research aircraft and the dedicated individuals who built, maintained, and flew them began to push the boundaries of flight in aviation's quest to move ever higher, ever faster, toward the unknown. Beyond Blue Skies examines the thirty-year period after World War II during which aviation experienced an unprecedented era of progress that led the United States to the boundaries of outer space. Between 1946 and 1975, an ancient dry lakebed in California's High Desert played host to a series of rocket-powered research aircraft built to investigate the outer reaches of flight. The western Mojave's Rogers Dry Lake became home to Edwards Air Force Base, NASA's Flight Research Center, and an elite cadre of test pilots. Although one of them--Chuck Yeager--would rank among the most famous names in history, most who flew there during those years played their parts away from public view. The risks they routinely accepted were every bit as real as those facing NASA's astronauts, but no magazine stories or free Corvettes awaited them--just long days in a close-knit community in the High Desert. The role of not only the test pilots but the engineers, aerodynamicists, and support staff in making supersonic flight possible has been widely overlooked. Beyond Blue Skies charts the triumphs and tragedies of the rocket-plane era and the unsung efforts of the men and women who made amazing achievements possible.
For the first time, Stephen Grey tells the inside story of international prisons sanctioned by the U.S. Government and used by the CIA to hold and torture people suspected of terrorism. Using contacts deep inside the U.S. Government, Grey reveals how deeply the Bush administration is involved in the program and questions the truth of statements made by Secretary of State Condoleeza Rice. He also shines a spotlight on the heads of European nations who turned a blind eye to the program when it showed up in their back yards. Grey takes an unflinching look at a horrendous practice that scorns Geneva Convention rules and is powered by corruption at the highest levels of governments worldwide. Through his unprecedented access to CIA flight records and dozens of sources at the senior levels of the current administration, Grey has produced a story of flight plans, extreme torture, and the clash of religions and governmental posturing that goes on today. Ghost Plane tells the stories of individuals abducted at airports around the world and transported for interrogation and torture on a fleet of leased planes manned by CIA operatives. Grey paints a disburing ethical picture of the war on terror and lays the responsibility for abduction and torutre at the doorstep of Washington, D.C.
'Beyond the Astral Plane' by Ashley Manzo is a mesmerizing journey into realms beyond our own. This book explores the boundaries between dimensions, as a group of wizards discovers a way to cross into the astral plane. As they venture into this mysterious territory, they encounter entities of immense power and uncover ancient prophecies that hint at a looming catastrophe. With time running out, they must use their magical abilities to navigate this treacherous landscape and prevent a cosmic disaster. This thrilling tale combines elements of fantasy and science fiction, offering a unique perspective on interdimensional travel and cosmic magic.
A young boy looks at a plane in the sky and imagines flying one all the way to the moon.
Young Hawaiian surfer Sean Jones's simple life is turned upside-down when he witnesses a brutal murder. An FBI agent saves Sean's life and arranges for him to be flown back to LA, but a trap has been set to ensure he doesn't make it: when the plane reaches a preset altitude, the enraged reptiles are unleashed upon the unsuspecting passengers and crew¿