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In this issue of Critical Care Clinics, guest editor Paul Bergl brings his considerable expertise to the topic of Diagnostic Excellence in the ICU. - Provides in-depth, clinical reviews on the latest updates in Diagnostic Excellence in the ICU, providing actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.
Despite diagnosis being the key feature of a physician's clinical performance, this is the first book that deals specifically with the topic. In recent years, however, considerable interest has been shown in this area and significant developments have occurred in two main areas: a) an awareness and increasing understanding of the critical role of clinical decision making in the process of diagnosis, and of the multiple factors that impact it, and b) a similar appreciation of the role of the healthcare system in supporting clinicians in their efforts to make accurate diagnoses. Although medicine has seen major gains in knowledge and technology over the last few decades, there is a consensus that the diagnostic failure rate remains in the order of 10-15%. This book provides an overview of the major issues in this area, in particular focusing on where the diagnostic process fails, and where improvements might be made.
This book has helped and inspired physicians at all stages of their careers to get the most out of their professional and personal lives. This edition addresses how professionals are coping with changes in the practice of medicine effected by managed care. Through the eyes of these celebrated figures, readers will find ways of making their work both more effective and more enjoyable. This one-of-a-kind book will fascinate physicians, residents, and medical students seeking to preserve and enhance their passion for medicine.
This volume is part of a series of 18 monographs on service learning and the academic disciplines. These essays focus on nursing, examining partnerships between education and service, nurse and person, and profession and community. Chapters describe both theoretical and experiential ways in which nursing has begun to incorporate service-learning as a methodology in many diverse settings and with many communities of interest. Following the Introduction by Jane S. Norbeck, Charlene Connolly, and Jo Ellen Koerner, three theoretical essays include: "Humanistic Learning in the Context of Service: The Liberal Arts in Nursing Education" (Jean E. Bartels); "Preparing Nurses for Roles That Will Improve Community Health: Two National Programs Enhance Relationships between Providers and Educators" (Mary Kay Kohles, Maryalice Jordan-Marsh, and Margaret T. McNally); and "Service Education Partnerships Create Community Service-Learning Opportunities in a Rural Region" (Sharon P. Aadalen, Mary Kay Hohenstein, Mary I. Huntley, and Annette J. McBeth). Seven essays on classroom applications follow, including: "Service-Learning as a Pedagogy in Nursing" (Elaine Cohen, Susan Johnson, Lois Nelson, and Connie Peterson); "Case Study of a Service-Learning Project in a Nurse-Managed Clinic for Homeless and Indigent Individuals" (Carol L. Macnee, Deborah H. White, and Jean C. Hemphill); "A Case Study in Service-Learning Using a Collaborative Community-Based Caring Model" (Evelyn C. Atchison and Patricia A. Tumminia); "Community Empowerment through Service-Learning" (Leanne C. Busby, Cathy Taylor, and Linda Norman); "Nursing Clinical Education in an Urban Public School System" (Donna Miles Curry, Kimberley X. Hickok, and Kate Cauley); "The Community as Classroom: Service-Learning in Tillery, North Carolina" (Nina P. Shah and Mary A. Glascoff); and "Service-Learning Lessons from the Chambered Nautilus" (Evelyn D. Quigley, Betty Sayers, and Ruth Hanson). Sets of samples syllabi and assignments are provided for four of the essays. A 65-item annotated bibliography, organized by topic, and a list of practitioners is appended. (All papers contain references.) (SM)
- NEW and UNIQUE! Expanded coverage of interprofessional collaborative practice includes the latest Interprofessional Education Collaborative (IPEC) Core Competencies for Interprofessional Collaborative Practice. - NEW! Updated coverage of APRN roles related to implementation of healthcare in the U.S. reflects current and anticipated changes in APRN roles related to healthcare reform. - NEW! Coverage of IOM and QSEN has been updated and expanded. - NEW! Refocused International Development of Advanced Practice Nursing chapter has been rewritten to be more global and inclusive in focus, to reflect the state of advanced practice nursing practice throughout all major regions of the world. - NEW! Expanded content on the role of advanced practice nurses in teaching/education/mentoring and health policy related to the APRN role is featured in the 6th edition.
The report highlights the crucial role of engineering in achieving each of the 17 SDGs. It shows how equal opportunities for all is key to ensuring an inclusive and gender balanced profession that can better respond to the shortage of engineers for implementing the SDGs. It provides a snapshot of the engineering innovations that are shaping our world, especially emerging technologies such as big data and AI, which are crucial for addressing the pressing challenges facing humankind and the planet. It analyses the transformation of engineering education and capacity-building at the dawn of the Fourth Industrial Revolution that will enable engineers to tackle the challenges ahead. It highlights the global effort needed to address the specific regional disparities, while summarizing the trends of engineering across the different regions of the world.
The IABC Handbook of Organizational Communication THIS NEW EDITION of The IABC Handbook of Organizational Communication contains a comprehensive collection of practical knowledge about successful corporate communication and its effect on an organization as a whole. Thoroughly revised and updated to meet the realities of today’s organizational environment, the second edition of The IABC Handbook of Organizational Communication includes fresh case studies and original chapters. This vital resource contains information that is relevant to communicators in any organization, from global conglomerates to small businesses, public companies to private firms, and for-profits to nonprofits. The expert contributors cover a wealth of relevant topics, including how to excel at executive communication and executive coaching, an in-depth examination of communication counsel, a review of communication and ethics as a whole, a review of corporate social responsibility and sustainability issues, and how to prepare for communication during a crisis. The book also contains information on current issues and trends such as the effects of the recent recession and new technologies that affect strategic communication management. A review of internal and employee communication issues, the growing need for international and multicultural communication, and strategies for combining traditional and social media are explored in detail. Whether you are a professional communicator or a corporate executive without a background in the communication discipline, you will gain new insight into traditional and emerging issues in organizational communication and learn what it takes to reach stakeholders both inside and outside the organization.
This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.
Behind heart disease and cancer, medical error is now listed as one of the leading causes of death. Of the many medical errors that may lead to injury and death, diagnostic failure is regarded as the most significant. Generally, the majority of diagnostic failures are attributed to the clinicians directly involved with the patient, and to a lesser extent, the system in which they work. In turn, the majority of errors made by clinicians are due to decision making failures manifested by various departures from rationality. Of all the medical environments in which patients are seen and diagnosed, the emergency department is the most challenging. It has been described as a "wicked" environment where illness and disease may range from minor ailments and complaints to severe, life-threatening disorders. The Cognitive Autopsy is a novel strategy towards understanding medical error and diagnostic failure in 42 clinical cases with which the author was directly involved or became aware of at the time. Essentially, it describes a cognitive approach towards root cause analysis of medical adverse events or near misses. Whereas root cause analysis typically focuses on the observable and measurable aspects of adverse events, the cognitive autopsy attempts to identify covert cognitive processes that may have contributed to outcomes. In this clinical setting, no cognitive process is directly observable but must be inferred from the behavior of the individual clinician. The book illustrates unequivocally that chief among these cognitive processes are cognitive biases and other flaws in decision making, rather than knowledge deficits.
Chapter topics include: Clinical Reasoning and Diagnostic Error Theoretical Concepts to Consider in Providing Clinical Reasoning Instruction Developing a Curriculum in Clinical Reasoning Educational Approaches to Common Cognitive Errors General Teaching Techniques Assessment of Clinical Reasoning Faculty Development and Dissemination Lifelong Learning in Clinical Reasoning Remediation of Clinical Reasoning Novel Approaches and Future Directions Teaching Clinical Reasoning: Where do we go from here?