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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.
The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
The Annotated Standing Orders of the New South Wales Legislative Council is a comprehensive commentary charting the purpose, development and modern operation of the rules of procedure of the Legislative Council. Canvassing over 150 years of proceedings of the House and its committees, the Annotated Standing Orders provides interesting anecdotes and important precedents to rules in common use today and rules less seldom used, even obscure. The work renders the seemingly complex and impenetrable language and practice of parliamentary procedure in the Westminster tradition, as it has developed in the Legislative Council, accessible to members, parliamentary officers and others with an interest in parliamentary law, practice and procedure.Key features:A concise summary of the purpose and development of each current rule.Explanations and examples of the practical operation of regularly used rules and the creative use of seldom used procedures.A chronology of the adoption, repeal and amendment of the rules and orders of the Legislative Council since 1824.Practical illustration of the role of parliamentary procedure in upholding the core principles of freedom of speech, the rights of the minority, and the function of the Council as a House of Review.