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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.
Following arthroscopic surgery on his right knee in 2006, Jerry Sorlucco faced a choice: Lose weight, or eventually face artificial knee replacements for both knees. His orthopaedic surgeon laid it on the line. At age 69 and 270 pounds, his knees simply weren't going to last much longer; they would continue to break down under the pounding of all that weight. To avoid the knife he would have to lose about a hundred pounds. A feat none of his patients had, so far, achieved in his many years of practice. So, as with many others, the surgeon began to mentally prepare Jerry for the latest and greatest artificial parts that lay in his future. Or so he thought. Breaking the mold, Jerry made one of the most important decisions of his life. Instead of accepting his surgeon's vision of his future, he decided instead to change his manner of living in order to lose weight. And lose weight he did, shrinking from 270 pounds to 168 in somewhat under two years. This is the story of how he did it without feeling deprived of anything, including the martini or two that he enjoys in the evening. True to his style, The Two Martine Diet is not your typical diet book. Jerry reaches out to the more than 60 million Americans, and 300 million people worldwide, who suffer from obesity, and offers them hope and an example of how they, too, can change their life around. Using his research and writing skill he lays out the dangers of our western diet, and the values of eating healthy foods and of physical activity and exercise. While the book is technically correct, Jerry isn't a scientist. Consequently, it's written in layman's language and easy to understand.
In 1996 the Institute of Medicine launched the Quality Chasm Series, a series of reports focused on assessing and improving the nation's quality of health care. Preventing Medication Errors is the newest volume in the series. Responding to the key messages in earlier volumes of the seriesâ€"To Err Is Human (2000), Crossing the Quality Chasm (2001), and Patient Safety (2004)â€"this book sets forth an agenda for improving the safety of medication use. It begins by providing an overview of the system for drug development, regulation, distribution, and use. Preventing Medication Errors also examines the peer-reviewed literature on the incidence and the cost of medication errors and the effectiveness of error prevention strategies. Presenting data that will foster the reduction of medication errors, the book provides action agendas detailing the measures needed to improve the safety of medication use in both the short- and long-term. Patients, primary health care providers, health care organizations, purchasers of group health care, legislators, and those affiliated with providing medications and medication- related products and services will benefit from this guide to reducing medication errors.
Packed with invaluable advice for a planned or unexpected hospital stay, it arms consumers with the tools to manage the dangerous pitfalls and medical minefields of hospitalization. A People's Medical Society Book.
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.
Provides practical advice on paying for health care services, finding long-term care and paying for long-term care.
“Let’s get the consumer in the game. The idea behind HSAs is a ‘supercharged IRA’ for health care...No other program is as tax advantaged.” –John W. Snow, Treasury Secretary “...HSAs can drastically lower an employer’s costs of providing employee health benefits. This may allow more small businesses to offer such benefits.” –Fed Brock, The New York Times “These accounts give workers the security of insurance against major illness, the opportunity to save tax-free for routine health expenses, and the freedom of knowing you can take your account with you whenever you change jobs.” –President George W. Bush “Laing’s new book (The Small Business Guide to HSAs) lives up to its name...an excellent explanation of how HSAs work...” –Greg Scandlen, The New York Post The Consumer’s Guide to HSAs answers the question “What’s in it for Me?” But responsibility doesn’t stop there. You must read your medical reports, check statements, and count your pills carefully. Ask questions. Keep records for future use, and soon you will realize as much of the benefits of consumer-driven health care and HSAs as possible.
" Scare headlines about the first human clones appear in our newspapers. Biotech companies brag about manufacturing human embryos as "products" for use in medical treatments. Events are moving so fast—and biotechnology seems so complicated—that many of us worry we can’t keep up. But now, Wesley J. Smith provides us with a guide to the brave new world that is no longer a figment of our imagination, but a reality just around the corner of our lives. Smith unravels the mystery of stem cells and shows what’s at stake in the controversy over using them for research. He describes the emerging science of human cloning—the most radical technology in history—and shows how it moves forward inexorably against the moral consensus of the world. But at the core of this highly readable and carefully researched book is a report on the gargantuan "Big Biotech" industry and its supporters in the universities and the science and bioethics establishments. Smith reveals how the lure of huge riches, mixed with the ideology of "scientism," threatens to impose on society a "new eugenics" that would dismantle ethical norms and call into question the uniqueness and importance of all human life. "At stake," he warns, "is whether science will continue to serve society, or instead dominate it." In Consumer’s Guide to a Brave New World, Smith presents a clear-eyed vision of two potential futures. In one, we will use biotechnology as a powerful tool to treat disease and improve the quality of our lives. But in another, darker scenario, we will be steered onto the antihuman path that Aldous Huxley and other prophetic writers warned against half a century ago. "