That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems.To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system.This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes.Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?"Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care.To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves.First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

    This is a gripping medical narrative that brings readers into the complex world of newborn intensive care, where brilliant but imperfect doctors do all they can to coax life into their tiny, injured patients.

    Such was the opening line to many patient encounters in the emergency departments and clinics where I spent my career as a physician. Shadow me back through the years in a series of vignettes that will give you a peek into a world of medicine that few on the outside ever see. Along the way you may laugh a little, tear up a bit or even learn something, but through it all you will experience the highs and lows of the day to day practice of emergency and urgent care medicine. Put on your scrubs and come join me now: your first shift working in the emergency department is about to begin.

    

    Welcome to laughing until it hurts while covered in bodily fluids. Welcome to simple math at very high stakes. Welcome to an incredibly inappropriate sense of humor. Welcome to serving people on the most stressful days of their lives. Welcome to putting your hands in places you never imagined they'd be. Welcome to your front row seat to the ballad of life and death. That's not the welcome that this nurse was looking for, but that's the one he got. Irreverent and audacious, this brutally honest memoir covers what it’s like to come of age in an American Hospital. Welcome to a rollicking peak behind the curtain to what medical providers, and the health care system, are truly like.

    

    It reveals the unique experiences that filled Sheena's days as she looked after overwhelmed mums and dads and helped to bring their precious babies into the world.At the forefront of evolving medical practices, she was the first midwife to oversee a home water birth in her area, but also found herself at the centre of a traumatic delivery that resulted in a nine-year litigation case and tested her to her limits.Yet, whatever has come Sheena's way, ultimately, there are the strong mothers who taught her so much and the little miracles who have made every single moment as a midwife truly magical.

    It includes many clear, colorful examples and describes the five stages of skill acquisition, the nature of clinical judgement and experiential learning and the seven major domains of nursing practice. The narrative method captures content and contextual issues that are often missed by formal models of nursing knowledge. KEY TOPICS: The book uncovers the knowledge embedded in clinical nursing practice and provides the Dreyfus model of skill acquisition applied to nursing, an interpretive approach to identifying and describing clinical knowledge, nursing functions, effective management, research and clinical practice, career development and education, plus practical applications. MARKET: For nurses and healthcare professionals.

    Lara, a superstar nurse who tries to battle her way back from a near-ruinous prescription-drug addiction. The outspoken but compassionate Juliette, a fierce advocate for her patients. And Sam, a first-year nurse, struggling to find her way in a gossipy mean-girl climate she likens to “high school, except for the dying people.”The result is a riveting page-turner, insightful and thought-provoking, that will leave readers feeling smarter about their healthcare and undeniably appreciative of the incredible nurses who provide it.

    But Cullen was no mercy killer, nor was he a simple monster. He was a favorite son, husband, beloved father, best friend, and celebrated caregiver. Implicated in the deaths of as many as 300 patients, he was also perhaps the most prolific serial killer in American history.Cullen's murderous career in the world's most trusted profession spanned sixteen years and nine hospitals across New Jersey and Pennsylvania. When, in March of 2006, Charles Cullen was marched from his final sentencing in an Allentown, Pennsylvania, courthouse into a waiting police van, it seemed certain that the chilling secrets of his life, career, and capture would disappear with him. Now, in a riveting piece of investigative journalism nearly ten years in the making, journalist Charles Graeber presents the whole story for the first time. Based on hundreds of pages of previously unseen police records, interviews, wire-tap recordings and videotapes, as well as exclusive jailhouse conversations with Cullen himself and the confidential informant who helped bring him down, THE GOOD NURSE weaves an urgent, terrifying tale of murder, friendship, and betrayal.Graeber's portrait of Cullen depicts a surprisingly intelligent and complicated young man whose promising career was overwhelmed by his compulsion to kill, and whose shy demeanor masked a twisted interior life hidden even to his family and friends. Were it not for the hardboiled, unrelenting work of two former Newark homicide detectives racing to put together the pieces of Cullen's professional past, and a fellow nurse willing to put everything at risk, including her job and the safety of her children, there's no telling how many more lives could have been lost.In the tradition of In Cold Blood, THE GOOD NURSE does more than chronicle Cullen's deadly career and the breathless efforts to stop him; it paints an incredibly vivid portrait of madness and offers a penetrating look inside America's medical system. Harrowing and irresistibly paced, this book will make you look at medicine, hospitals, and the people who work in them, in an entirely different way.

    This is a deeply felt memoir about motherhood, survival and learning to live for whatever life throws at you." CLOVER STROUD, author of The Wild OtherAn extraordinary story of facing life s multiple (!) trials with love, resilience and courage, told in Emma s warm, funny and unflinchingly honest style. AMY McCULLOCH, author of Jinxed and The Potion DiariesWith four children (three of them triplets!) and a relationship break-up to contend with, some things get a little lost in the mix. Like symptoms. Emma Campbell bravely and honestly offers heartfelt thoughts on what happens when cancer becomes an unwelcome guest at an already crowded party. She shares her own terror and pain, mixed with the heartwarming and unexpected. The extraordinary kindness of people and the gritty detail of battling a life-threatening illness, all while being a single mum to four children. She opens up about her angels and demons, losing and then finding love again, a constant fear of death mixed with the joy and relief of living, the anxiety of cancer returning - then facing it when it does. This book has grown from Emma's blog Me And My Four. Eager to share with her followers in more detail, the secrets, the fears, the triumphs and the terrors that she faces each day, in a life as unpredictable as your own...www.meandmyfour.com

    This book not only teaches you how to drop unwanted pounds while enjoying your favorite foods, it also teaches you how to live longer and stay healthy by applying the power of intermittent fasting to your life today! Stop torturing yourself with grueling diets that restrict you from eating your favorite foods! The 5:2 diet makes losing weight easier and tastier than ever! Though the 5:2 diet itself is fairly new, the concept of fasting and the study of the benefits of intermittent fasting on human health are not. Leading scientists have been studying the amazing health benefits of fasting for over 20 years. Dr. Michael Mosley, founder of the 5:2 fast diet, popularized the fast diet months after he had gone to see his doctor for a routine checkup and was unexpectedly diagnosed with diabetes, high cholesterol and metabolic syndrome. Refusing to be treated with drugs, Dr. Michael Mosley set out to find a way to heal himself naturally. After not seeing any success with traditional dieting he decided to explore intermittent fasting. The 5:2 diet and intermittent fasting work! After only 3 months on the 5:2 diet he lost 20 pounds of fat, normalized his blood glucose and lowered his cholesterol and blood pressure. The fast diet also allowed him to maintain his ideal weight. Research professor of medicine at Washington University, Dr. Luigi Fontana proved through his studies on various organisms that a 25-30% reduction in calories could increase lifespan by 50% and prevent disease. With the 5:2 diet you can expect to lose 1 to 2 pounds of fat every week. On fast days, both women and men are encouraged to cut their calorie intake to about one quarter of what it normally is. Women should eat 500 calories on fast days and men should eat 600 calories. In a step by step way The 5:2 Diet for Beginners - How the 5:2 Diet Can Make Your Body a Fat-Burning Machine and Help You Live Longer will teach you everything you need to know about how to successfully apply the 5:2 diet to your life today for fast weight loss and better health. The 5:2 Diet for Beginners teaches you: What is the 5:2 diet? Why was the 5:2 diet created? Why fasting is so effective for weight loss and longevity How the 5:2 diet works What to eat on fast days 11 Quick tips to help you succeed on the 5:2 diet What to expect on the 5:2 diet Fast day 30 MINUTE recipes under 500 calories .....and more Here's a preview of what you'll learn: Why the 5:2 diet works The benefits of intermittent fasting How to make your fast days easy The 5:2 diet and high intensity training Exactly how your fast days and feed days will work How to maintain your ideal weight .....and much more! Dieting shouldn't be drudgery! You were meant to enjoy your life at your ideal wight with fabulous health! The 5:2 fast diet will keep you living happy and healthy for a really long time! D

    She takes us by her side down hospital corridors to visit the wards and meet her unforgettable patients.In the neonatal unit, premature babies fight for their lives, hovering at the very edge of survival, like tiny Emmanuel, wrapped up in a sandwich bag. On the cancer wards, the nurses administer chemotherapy and, long after the medicine stops working, something more important--which Watson learns to recognize when her own father is dying of cancer. In the pediatric intensive care unit, the nurses wash the hair of a little girl to remove the smell of smoke from the house fire. The emergency room is overcrowded as ever, with waves of alcohol and drug addicted patients as well as patients like Betty, a widow suffering chest pain, frail and alone. And the stories of the geriatric ward--Gladys and older patients like her--show the plight of the most vulnerable members of our society.

    She taught her family how to read Scott’s medical chart and to ask pointed questions, no longer leaving his care to the medical professionals who had overdosed him with drugs to the very brink of death in less than three days.“Jo, you have to tell people what they’ve done to me. You have to tell them!”pleaded her little brother, as he lay writhing in agony.In “For the Love of Scott!”, the author recollects her family’s poignant story of love, bewilderment, and lingering frustration when faced with catastrophic medical mistakes. Read the experiences of Scott Hamilton’s family members as they struggle through a storm of horrific medical errors that could have been prevented and recognize what you need to do when someone you love is faced with life-threatening circumstances created by health experts.It took Jo 27 years to put this heartbreaking event down on paper. Writing opened old wounds and required hours of research and documentation. It forced her family to relive a chapter in their own lives that they desperately wanted closed. Yet, they rallied together to help Jo with her mission to keep that promise.To help further her goals, Jo Hamilton will be donating a portion of the proceeds from the sale of her book, to the 1984 Olympic Gold Medal Winner, Scott Hamilton's foundation, The Scott Hamilton CARES Initiative. The Scott Hamilton CARES Initiative was created to help with cancer research, support cancer patients and their families, and find a cure cancer.

    In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong -- with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can -- with our help -- avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track.Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems.How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.