Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out:> How lean techniques of value-stream-mapping and rapid improvement events cut the average “door-to-balloon” time for heart attack patients at two hospitals from 90 minutes to 37.> What ThedaCare leaders did to replace medicine’s “shame and blame” culture with a lean culture based on continuous improvement and respect for people.> How the lean principle of “building in quality at the source” broke down divisions among medical specialties allowing teams to develop patient care plans faster.> Why traditional modern management is the single biggest impediment to lean healthcare.> How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six.> How the lean concept of “one piece flow” saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%.> How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did — and what it would do differently.Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-designed around patients, waste and errors are eliminated, quality improves, costs come down, and healthcare professionals have more time to spend with patients, who get even better care.

    The latest version is far superior, both in content and presentation, to previous versions. I give it my highest recommendation."--"Doody's Review Service"From the authors of "Basic and Clinical Pharmacology," the leading pharmacology textbook, here is the newest edition of the best review book available for medical pharmacology course exams and board examinations. This skill-building guide comes with over 1000 review questions and answers -- far more than most other pharmacology reviews -- and a chapter-based approach that facilitates use with course notes or larger texts. Features: A new full-color presentation Organized to reflect course syllabi, focusing on the clinical use and pharmacology of drug categories, rather than individual drugs Two complete practice exams A valuable appendix of test-taking strategies Chapters that include valuable learning aids such as: --Short discussion of the major concepts that underlie basic principles or drug groups--Explanatory figures and tables--Review questions followed by answers and explanations--Drug Trees in drug-oriented chapters that visually organize drug groups--A list of high-yield terms and definitions you need to know Skill Keeper questions that prompt you to review previous material to understand links between related topics A checklist of tasks you should be able to do, once you have finished the chapter Summary Tables that list the important drugs and include key information about their mechanisms of action, effects, clinical uses, pharmacokinetics, drug interactions, and toxicities

    Being Mortal by Atul Gawande - A 20-minute Summary Inside this Instaread Summary: • Overview of the entire book• Introduction to the important people in the book• Summary and analysis of all the chapters in the book• Key Takeaways of the book• A Reader's Perspective Preview of this summary: Chapter 1 Gawande grew up in Ohio. His parents were immigrants from India and both were doctors. His grandparents stayed in India, and there were few older people in his neighborhood, so he had little experience with aging or death until he met his wife’s grandmother, Alice Hobson. Hobson was seventy-seven and living on her own in Virginia. She was a spirited widow who fixed her own plumbing and volunteered with Meals On Wheels. However, Hobson was losing strength and height steadily each year as her arthritis worsened.Gawande’s father enthusiastically adopted the customs of his new country, but he could not understand the way in which seniors were treated in the US. In India, the elderly were treated with great respect and lived out their lives with family.In the United States, Sitaram Gawande, Gawande’s grandfather, likely would have been sent to a nursing home like most of the elderly who cannot handle the basics of daily living by themselves. However, in India, Sitaram Gawande was able to live in his own home and manage his own affairs, with family constantly around him. He died at the age of one hundred and ten when he fell off a bus during a business trip.Until recently, most elderly people stayed with their families. Even as the nuclear family unit became predominant, replacing the multi-generational family unit, people cared for their elderly relatives. Families were large and one child, usually a daughter, would not marry in order to take care of the parents.This has changed in much of the world, where elderly people end up struggling to live alone, like Hobson, rather than living with dignity amid family, like Sitaram Gawande.One cause of this change can be found in the nature of knowledge. When few people lived to be very old, elders were honored. Their store of knowledge was greatly useful. People often portrayed themselves as older to command respect. Modern society’s emphasis on youth is a complete reversal of this attitude. Technological advances are perceived as the territory of the young, and everyone wants to be younger. High-tech job opportunities are all over the world, and young people do not hesitate to leave their parents behind to pursue them.In developed countries, parents embrace the concept of a retirement filled with leisure activities. Parents are happy to begin living for themselves once children are grown. However, this system only works for young, healthy retirees, but not for those who cannot continue to be independent. Hobson, for example, was falling frequently and suffering memory lapses. Her doctor did tests and wrote prescriptions, but did not know what to do about her deteriorating condition. Neither did her family… About the Author With Instaread Summaries, you can get the summary of a book in 30 minutes or less. We read every chapter, summarize and analyze it for your convenience.

    Sherry Rupke of SwissRidge Kennels was the first breeder to deliberately cross Bernese Mountain Dogs and Poodles. Rupke loved everything about the Bernese, except for the short-lived breed’s genetic propensity for cancer. Plus it sheds. And it can be a little stubborn. Rupke decided to add Poodle to the hybrid equation to create an intelligent, lively, healthy and low- to non-shedding dog. Over the past decade, she’s built her Bernedoodle program with care to ensure that each scrupulously health-checked breeding dog has an impeccable pedigree, a calm temperament, and great conformation. Bernedoodles: A Head to Tail Guide takes readers on a journey from Rupke’s early days of breeding purebred dogs to establishing her highly successful hybrid program. This comprehensive, easy-to-read and entertaining book also covers everything you need to know about finding the right breeder and puppy, to caring for your Bernedoodle. You’ll discover the best training techniques for Bernedoodles (and any dog) from Rupke’s partner, Lucas Mucha. Anecdotes from owners of SwissRidge Bernedoodles, along with stunning photos, are likely to convince you that this fun, fun, affectionate, and allergy-friendly hybrid is the perfect companion dog.

    As a result of this, more and more people every day are searching for Information relating to this condition.It can be very confusing when a person is first diagnosed.I know that is true, because I am type 2 myself.If you DO find that your glucometer readings are a bit high, don't panic - stress causes the body to release hormones which further aggravate the situation.Just keep calm and snack on these super foods to lower your blood sugar levels quickly!

    Jakes challenges the faithful to be more effective in earning their livelihoods by providing a diverse range of strategies that will turn their work life into an abundant life. While focusing on his core mission to preach the gospel worldwide, T.D. Jakes has seen many good people not spend enough quality time with family, friends, and God. They have gotten so swept up in the daily grind that they have failed to live the rich life that God desires for each of His people. In his new book, Jakes provides readers with strategies that will help them rejuvenate their life and turn their "busyness" into a "business." All readers-not just entrepreneurs-will benefit from Jakes' insightful advice so that they can use the days God has blessed them with wisely and finish each day strong!

    Learn how to make a 5-cent wedding band, leather iPod case, and paracord bullwhip!

    No human being who stood on her decks that fateful night was alive to commemorate the event on its 100th anniversary. Their stories are with us, however, and the lessons remain. From the moment the world learned the Titanic had sunk, we wanted to know, who had survived? Those answers didn’t come until the evening of Thursday, April 18, 1912―when the Cunard liner Carpathia finally reached New York with the 706 survivors who had been recovered from Titanic’s lifeboats. Harold Bride, “Titanic’s surviving wireless operator,” relayed the story of the ship’s band. “The way the band kept playing was a noble thing. I heard it first while still we were working wireless when there was a ragtime tune for us. The last I saw of the band, when I was floating out in the sea with my lifebelt on, it was still on deck playing ‘Autumn.’ How they ever did it I cannot imagine.” There were stories of heroism―such as that of Edith Evans, who was waiting to board collapsible Lifeboat D, the last boat to leave Titanic, when she turned to Caroline Brown and said, “You go first. You have children waiting at home.” The sacrifice cost Evans her life, but as Mrs. Brown said later, “It was a heroic sacrifice, and as long as I live I shall hold her memory dear as my preserver, who preferred to die so that I might live.” There was mystery. There was bravery. There was suspense. There was cowardice. Most men who survived found themselves trying to explain how they survived when women and children had died. But mostly, there was loss. On her return to New York after picking up Titanic’s survivors, Carpathia had become known as a ship of widows. Rene Harris, who lost her husband, Broadway producer Henry Harris, in the disaster, later spoke of her loss when she said, “It was not a night to remember. It was a night to forget.” Drawing on a wealth of previously unpublished letters, memoirs, and diaries as well as interviews with survivors and family members, veteran author and writer Alan Rockwell brings to life the colorful voices and the harrowing experiences of many of those who lived to tell their story. More than 100 years after the RMS Titanic met its fatal end, the story of the tragic wreck continues to fascinate people worldwide. Though many survivors and their family members disappeared into obscurity or were hesitant to talk about what they went through, others were willing to share their experiences during the wreck and in its aftermath. This book recounts many of these first-hand accounts in graphic, compelling detail.

    As recently as 1918, a pandemic of influenza claimed over 50 million lives worldwide. The advent of drugs and vaccines led to an era of hope when we thought our battles with infectious disease were won, but our optimism has been eroded by the recognition that many pathogens have the capacity to transform themselves and escape our efforts to eradicate them. Are we now facing an inevitable repeat of a calamity such as the 1918 influenza pandemic or the Black Death? Can we anticipate and thwart such an event, or are we wilfully creating the conditions that would promote the emergence of new and highly virulent human infectious disease?Sunetra Gupta is Professor of Theoretical Epidemiology at the University of Oxford specialising in infectious diseases. She holds a bachelor's degree from Princeton University and a Ph.D. from the University of London. She has been awarded the Scientific Medal by the Zoological Society of London and the Royal Society Rosalind Franklin Award for her scientific research. She is also a novelist whose books have been awarded the Sahitya Akademi Award, the Southern Arts Literature Prize, shortlisted for the Crossword Award, and longlisted for the DSC and Orange Prizes.

    More than 1,000 questions cover everything from the fundamentals of gross and microscopic pathology to the latest findings in molecular biology and genetics. Based on two of the best-selling, most authoritative pathology textbooks-Robbins and Cotran Pathologic Basis of Disease, 7th Edition and Basic Pathology, 7th Edition-Robbins and Cotran Review of Pathology, 2nd Edition is an ideal aid for coursework, self-assessment, and examinations in pathology.Offers more than 1,000 questions that follow the clinical vignette style, emphasizing problem solving over rote memorization. Presented in both single-best-answer and extended-matching formats, they reflect levels of difficulty that prepare students for both examinations and the practice of medicine.Provides an answer and a detailed explanation for every question at the end of each chapter.Includes page references and a parallel organization to both Robbins and Cotran Pathologic Basis of Disease and Basic Pathology, making additional information easy to locate.Presents correlative laboratory, radiologic, and physical diagnostic data to enhance readers' understanding of pathophysiology and to integrate pathology with other medical disciplines.Uses numerous full-color illustrations to test readers' diagnostic skills.Delivers a 73-question chapter covering all subjects that mimics a comprehensive final examination.

    It's easy to get discouraged, frustrated, and burned out. Here's an author that understands the emotional rollercoaster and gives you the tools you need to keep from being overwhelmed, addressing such issues as dealing with friends and family, and how you can better handle the stress for better health. Written with compassion and a sprinkle of humor.

     What is it like to be the senior surgeon when a young woman is brought to casualty with a life-threatening bleed? What does the fear of cancer do to a person? Is it ever best not to tell the patient everything? Tender is the Scalpel’s Edge draws on Gautam Das’s real-life experiences working in Britain’s busy NHS hospitals, from the plunging depths of a patient dying on the operating table to the euphoria of a life saved by teamwork and skill. Described in exquisite detail and with extreme sensitivity, Gautam shares his journey from a medical student fighting his own inner demons to a senior NHS consultant surgeon. Shards of his earlier life in India add to the richness of the narrative in tales that observe life with all its contradictions, like the little village boy with bone cancer. While other anecdotes take in the lighter side of life, Tender is the Scalpel’s Edge is written to inform and engross the general reader, as well as those with a curiosity of life behind the surgeon’s mask. Written in a manner similar to other medical biographies including Henry Marsh’s Do No Harm, Atul Gawande’s Being Mortal and When Breath Becomes Air by Paul Kalanithi, Tender is the Scalpel’s Edge is a moving collection of true stories from a professional at the frontline of medical care.

    

    With extensive treatment of the heart of epidemiology-from study designs to descriptive epidemiology to quantitative measures-this reader-friendly text is accessible and interesting to a wide range of beginning students in all health-related disciplines. A unique focus is given to real-world applications of epidemiology and the development of skills that students can apply in subsequent course work and in the field. The text is also accompanied by a complete package of instructor and student resources available through a companion Web site.

    Dr Kendrick, a well-known statin sceptic and author of the bestselling The Great Cholesterol Con, has returned to the diet-heart-cholesterol battlefield to warn that people are being conned.In relaxed and humorous style, he lifts the rock to allow the reader to peer underneath. He points out that statins, even in high-risk individuals, increase life expectancy by a mere four days after five years of treatment. Yet adverse effects have been swept under the carpet by researchers who are closely tied to the industry.The way to avoid heart disease, and strokes, is simple - but, as this riveting book shows, it has nothing to do with lowering cholesterol levels.