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"Medical error is the third leading cause of death in hospitals, resulting in disability, and in some cases, death. Despite its frequency, medical error has been largely invisible to the mainstream public. Within the medical system itself, medical error is often understood as the result of an isolated case of malpractice. When Medicine Goes Awry argues that the causes of medical error are not an anomaly, and are instead the outcome of a number of factors at play, ranging from political, to social, to economic. When Medicine Goes Awry explains that medical error is inevitable, and dismisses the common blame perspective associated with medical malpractice, instead asserting that medical error will continue to be inevitable given the relentless and expanding processes of medicalization. Shedding light on the ways these forces lead to medicine going awry, the book examines seven well- known cases of medical error. Taking an in-depth look at both patients and medical care providers, Juanne Nancarrow Clarke applies sociological research and theory to investigate the larger societal forces contributing to systemic medical error."--
Medical error often results in disability, pain, and suffering, and it is the third leading cause of death in hospitals. Despite its frequency, medical error has been largely invisible to the mainstream public. Within the medical system itself, medical error is often understood as the result of an isolated case of malpractice. When Medicine Goes Awry argues that the causes of medical error are not an anomaly but rather the outcome of a number of factors at play, ranging from political to social to economic. When Medicine Goes Awry dismisses the common blame perspective associated with medical malpractice, instead asserting that medical error is – and will continue to be – inevitable, given the relentless and expanding processes of medicalization. Shedding light on the ways these forces lead to medicine going awry, the book examines seven well-known cases of medical error. Taking an in-depth look at both patients and medical care providers, Juanne Nancarrow Clarke offers a novel approach to medical error or mishap that applies sociological research and theory to the larger societal forces contributing to a taxing and endemic medical problem.
Recounts how two California heart doctors performed countless surgeries and generated enormous profits for their hospital's management company before they were investigated for subjecting healthy patients to unnecessary medical procedures.
This compelling account of the author's experience with a chronic pain disorder and subsequent interaction with the American health care system goes to the heart of the workings of power and culture in the biomedical domain. It is a medical whodunit full of mysterious misdiagnosis, subtle power plays, and shrewd detective work. Setting a new standard for the practice of autoethnography, Susan Greenhalgh presents a case study of her intense encounter with an enthusiastic young specialist who, through creative interpretation of the diagnostic criteria for a newly emerging chronic disease, became convinced she had a painful, essentially untreatable, lifelong muscle condition called fibromyalgia. Greenhalgh traces the ruinous effects of this diagnosis on her inner world, bodily health, and overall well-being. Under the Medical Gaze serves as a powerful illustration of medicine's power to create and inflict suffering, to define disease and the self, and to manage relationships and lives. Greenhalgh ultimately learns that she had been misdiagnosed and begins the long process of undoing the physical and emotional damage brought about by her nearly catastrophic treatment. In considering how things could go so awry, she embarks on a cogent and powerful analysis of the sociopolitical sources of pain through feminist, cultural, and political understandings of the nature of medical discourse and practice in the United States. She develops fresh arguments about the power of medicine to medicalize our selves and lives, the seductions of medical science, and the deep, psychologically rooted difficulties women patients face in interactions with male physicians. In the end, Under the Medical Gaze goes beyond the critique of biomedicine to probe the social roots of chronic pain and therapeutic alternatives that rely on neither the body-cure of conventional medicine nor the mind-cure of some alternative medicines, but rather a broader set of strategies that address the sociopolitical sources of pain.
Brilliant scientific successes have helped shape our world, and are always celebrated. However, for every victory, there are no doubt numerous little-known blunders. Neuroscientist Simon LeVay brings together a collection of fascinating, yet shocking, stories of failure from recent scientific history in When Science Goes Wrong. From the fields of forensics and microbiology to nuclear physics and meteorology, in When Science Goes Wrong LeVay shares twelve true essays illustrating a variety of ways in which the scientific process can go awry. Failures, disasters and other negative outcomes of science can result not only from bad luck, but from causes including failure to follow appropriate procedures and heed warnings, ethical breaches, quick pressure to obtain results, and even fraud. Often, as LeVay notes, the greatest opportunity for notable mishaps occurs when science serves human ends. LeVay shares these examples: To counteract the onslaught of Parkinson’s disease, a patient undergoes cutting-edge brain surgery using fetal transplants, and is later found to have hair and cartilage growing inside his brain. In 1999, NASA’s Mars Climate Orbiter spacecraft is lost due to an error in calculation, only months after the agency adopts a policy of “Faster, Better, Cheaper.” Britain’s Bracknell weather forecasting team predicts two possible outcomes for a potentially violent system, but is pressured into releasing a ‘milder’ forecast. The BBC’s top weatherman reports there is “no hurricane”, while later the storm hits, devastating southeast England. Ignoring signals of an imminent eruption, scientists decide to lead a party to hike into the crater of a dormant volcano in Columbia, causing injury and death. When Science Goes Wrong provides a compelling glimpse into human ambition in scientific pursuit.
Emma Crosby's letters to family and friends in Ontario shed light on a critical era and bear witness to the contribution of missionary wives. They mirror the hardships and isolation she faced as well as her assumptions about the supremacy of Euro-Canadian society and of Christianity. They speak to her "good intentions" and to the factors that caused them to "go awry." The authors critically represent Emma's sincere convictions towards mission work and the running of the Crosby Girls' Home (later to become a residential school), while at the same time exposing them as a product of the times in which she lived. They also examine the roles of Native and mixed-race intermediaries who made possible the feats attributed to Thomas Crosby as a heroic male missionary persevering on his own against tremendous odds.
Argues for more transparent, democratic and safer healthcare practices to keep patients better informed and hold poor-performing doctors and flawed systems accountable.
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.