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Winner of the 2009 Gradiva Award for Outstanding Psychoanalytic Publication! Within the title of her book, Making a Difference in Patients' Lives, Sandra Buechler echoes the hope of all clinicians. But, she counters, experience soon convinces most of us that insight, on its own, is often not powerful enough to have a significant impact on how a life is actually lived. Many clinicians and therapists have turned toward emotional experience, within and outside the treatment setting, as a resource. How can the immense power of lived emotional experience be harnessed in the service of helping patients live richer, more satisfying lives? Most patients come into treatment because they are too anxious, or depressed, or don’t seem to feel alive enough. Something is wrong with what they feel, or don’t feel. Given that the emotions operate as a system, with the intensity of each affecting the level of all the others, it makes sense that it would be an emotional experience that would have enough power to change what we feel. But, ironically, the wider culture, and even psychoanalysts, seem to favor "solutions" that aim to mute emotionality, rather than relying on one emotion to modify another. We turn to pharmaceutical, cognitive, or behavioral change to make a difference in how life feels. Because we are afraid of emotional intensity, we cut off our most powerful source of regulation. In clear, jargon-free prose that utilizes both clinical vignettes and excerpts from poetry, art, and literature, Buechler explores how the power to feel can become the power to change. Through an active empathic engagement with the patient and an awareness of the healing potential inherent in each of our fundamental emotions, the clinician can make a substantial difference in the patient’s capacity to embrace life.
Winner of the 2009 Gradiva Award for Outstanding Psychoanalytic Publication! Within the title of her book, Making a Difference in Patients' Lives, Sandra Buechler echoes the hope of all clinicians. But, she counters, experience soon convinces most of us that insight, on its own, is often not powerful enough to have a significant impact on how a life is actually lived. Many clinicians and therapists have turned toward emotional experience, within and outside the treatment setting, as a resource. How can the immense power of lived emotional experience be harnessed in the service of helping patients live richer, more satisfying lives? Most patients come into treatment because they are too anxious, or depressed, or don’t seem to feel alive enough. Something is wrong with what they feel, or don’t feel. Given that the emotions operate as a system, with the intensity of each affecting the level of all the others, it makes sense that it would be an emotional experience that would have enough power to change what we feel. But, ironically, the wider culture, and even psychoanalysts, seem to favor "solutions" that aim to mute emotionality, rather than relying on one emotion to modify another. We turn to pharmaceutical, cognitive, or behavioral change to make a difference in how life feels. Because we are afraid of emotional intensity, we cut off our most powerful source of regulation. In clear, jargon-free prose that utilizes both clinical vignettes and excerpts from poetry, art, and literature, Buechler explores how the power to feel can become the power to change. Through an active empathic engagement with the patient and an awareness of the healing potential inherent in each of our fundamental emotions, the clinician can make a substantial difference in the patient’s capacity to embrace life.
Following the success of her first book Clear Direction, the author now takes you into the dynamic world of healthcare. Reflecting on lessons learned from South African state hospitals, she illustrates tried-and-tested Lean concepts, tools and techniques to assist in streamlining In this guide you will discover theory, advice, examples and templates to help you answer these questions: What problem are we trying to solve? How will we engage staff in solving the key issues? How do we get it done? Which Lean tools will we use? Clear direction coupled with relentless leadership, structured methods and a desire to improve patient care are a recipe for success in any service delivery initiative. Rose encourages everyone in public healthcare to get behind the wheel and drive real change. Let this book inspire and motivate you to start your improvement journey towards excellence. Ms. Qedani Mahlangu, MEC: Gauteng Health In Making a Difference Rose blends the unique learning from working with state hospitals with her own extensive experience as an improvement coach. Illustrated with examples from the Gauteng Department of Health Service Delivery Improvement Initiative, she paints a vision of what can be achieved and the practical advice on how to do it. This book is essential reading for healthcare improvement practitioners. Dr. Anton GrUtter, CEO: Lean Institute Africa Bottom-up involvement meets top-down commitment in this powerful collection of Lean tools and techniques designed to transform the face of patient care. Making a Difference offers a way to connect strategy with activities on the ground, turning everyone into problem solvers who deliver value for our patients. Ms. Ruzivo Chigwedere, Strategic Advisor to the MEC: Gauteng Health, Lean Programme Leader
"In Compassionomics: The Revolutionary Scientific Evidence that Caring Makes a Difference, physician scientists Stephen Trzeciak and Anthony Mazzarelli uncover the eye-opening data that compassion could be a wonder drug for the 21st century. Now, for the first time ever, a rigorous review of the science - coupled with captivating stories from the front lines of medicine - demonstrates that human connection in health care matters in astonishing ways. Never before has all the evidence been synthesized together in one place."--Amazon.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
First Published in 2012. Routledge is an imprint of Taylor & Francis, an informa company.
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.