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

    Their clothes seem to have been put on their bodies to cover them rather than to fit them, none wears shoes. Two older girls stand by a table, the only piece of furniture I have seen in the house, apart from a rickety pram, which now stands in the doorway. The crumbling remains of a loaf of bread are being coated with jam, and eager fingers await them..." It's the end of the 1950s and Britain is changing. The war's long shadow is fading and while the country gets ready for the swinging sixties, Dot is embarking on an adventure of her own. After qualifying as a midwife, young Dot has taken a job as a health visitor in the back streets of Birmingham. There, she's not just responsible for the babies brought into this world, but an army of toddlers, tykes, and tots who all need a helping hand. For Dot it will be a heartrending journey - trying to help families with next to nothing, sharing the struggles of young mums, and discovering how the spirit of the community can overcome the toughest of circumstances.

    Rita’s Nursing Home perished beneath the rising waters of Hurricane Katrina. Louisiana’s attorney general immediately targeted the owners of St. Rita’s, Sal and Mabel Mangano, for prosecution. A national media frenzy erupted, labeling the couple as selfish, cold-hearted killers, willing to let beloved parents and grandparents drown—but the reality was much different. Flood of Lies tells the real story of the Manganos: a couple who sacrificed everything to save the lives of their beloved residents.

    Meeting a key need for students and novice clinicians, James Morrison, the author of the bestselling DSM-IV Made Easy, systematically takes the reader through every step of the process. He provides clear-cut principles and decision trees for evaluating information from a variety of sources and for constructing a valid working diagnosis that serves as a foundation for treatment. Special features include quick-reference tables, sidebars explaining key concepts, and over 100 case examples that bring the approach to life.

    He has kept a blog of his daily working life since 2003 and his award-winning writing is, by turn, moving, cynical, funny, heart-rending, and compassionate. From the tragic to the hilarious, the stories Tom tells give a fascinatingand at times alarming picture of life in inner-city Britain, and the people who are paid to mop up after it.

    . . a skier submerged for an hour in a frozen Norwegian lake . . . a comatose brain surgery patient whom doctors have declared a "vegetable."Twenty years ago all of them would have been given up for dead, with no realistic hope for survival. But today, thanks to incredible new medical advances, each of these individuals is alive and well . . .Cheating Death.In this riveting book, Dr. Sanjay Gupta-neurosurgeon, chief medical correspondent for CNN, and bestselling author-chronicles the almost unbelievable science that has made these seemingly miraculous recoveries possible. A bold new breed of doctors has achieved amazing rescues by refusing to accept that any life is irretrievably lost. Extended cardiac arrest, "brain death," not breathing for over an hour-all these conditions used to be considered inevitably fatal, but they no longer are. Today, revolutionary advances are blurring the traditional line between life and death in fascinating ways.Drawing on real-life stories and using his unprecedented access to the latest medical research, Dr. Gupta dramatically presents exciting accounts of how pioneering physicians and researchers are altering our understanding of how the human body functions when it comes to survival-and why more and more patients who once would have died are now alive. From experiments with therapeutic hypothermia to save comatose stroke or heart attack victims to lifesaving operations in utero to the study of animal hibernation to help wounded soldiers on far-off battlefields, these remarkable case histories transform and enrich all our assumptions about the true nature of death and life.

    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.

    Great care has been taken to select important concepts and to perfectly describe the anatomy of cells, organs, and organ systems. The plan that has been followed for eight editions of this text is to combine clear and accurate descriptions of anatomy with precise explanations of how structures function and examples of how they work together to maintain life. To emphasize the concepts of anatomy and physiology, the authors provide explanations of how the systems respond to aging, changes in physical activity, and disease, with a special focus on homeostasis and the regulatory mechanisms that maintain it. Timely and interesting examples demonstrate the application of knowledge in a clinical context.

       Overcoming the curse of failure that haunts the sons and daughters of Hollywood celebrities, Michael became a sensation when he successfully brought One Flew Over the Cuckoo’s Nest, starring his friend Jack Nicholson, to the screen after numerous setbacks, including his father’s own failed attempts to make it happen. This 1975 box-office phenomenon won Michael his first Oscar (the film won five total, including Best Picture), an award Kirk hadn’t won at the time, and solidified the turbulent, competitive father-son relationship that would shape Michael’s career and personal life.   In the decades that followed, Michael established a reputation for taking chances on new talent and proj­ects by producing and starring in the hugely successful Romancing the Stone and Jewel of the Nile movies, while cultivating a multifaceted acting persona—edgy, rebel­lious, and a little dark—in such films as Wall Street, Fatal Attraction, Basic Instinct, and Disclosure.   Yet as his career thrived, Michael’s personal life floundered, with an unhappy and tumultuous first mar­riage, rumors of infidelity (especially with leading ladies such as Kathleen Turner), and a headline-grabbing stint in rehab. Rocked by a series of tragedies, including Kirk’s strokes, his son Cameron’s incarceration, and his own fight against throat cancer, Michael has emerged trium­phant, healthy, and happy in his marriage to Catherine Zeta-Jones, a Welsh actress twenty-five years his junior, and their new young family.In Michael Douglas, Marc Eliot brings into sharp fo­cus this incredible career, complicated personal life, and legendary Hollywood family. Eliot’s fascinating portrait of the lows and remarkable highs in Michael’s life—in­cluding the thorny yet influential relationship with his father—breaks boundaries in understanding the life and work of a true American film star.

    Young, inexperienced and coming from a comfortable and sheltered background, she found herself dealing with survivors from Dunkirk and the victims of the blitz. Seeing these horrors at first hand had a profound and lasting effect upon her, and made her determined to train as a Nurse at St Thomas's Hospital.No Time For Romance is her story, the powerful and moving account of a young girl in wartime London, learning the hard way about medicine, injuries and death, as well as love and hope. It is a story both of personal courage and of the courage of the British people at war.

    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.

    Fizz: How Soda Shook Up the World charts soda’s remarkable, world-changing journey from awe-inspiring natural mystery to ubiquitous presence in all our lives. Along the way you’ll meet the patent medicine peddlers who spawned some of the world’s biggest brands with their all-healing concoctions, as well as the grandees of science and medicine mesmerized by the magic of bubbling water. You’ll discover how fizzy pop cashed in on Prohibition, helped presidents reach the White House, and became public health enemy number one. You’ll learn how Pepsi put the fizz in Apple’s marketing, how Coca-Cola joined the space race, and how soda’s sticky sweet allure defined and built nations. And you’ll find out how an alleged soda-loving snail rewrote the law books.Fizz tells the extraordinary tale of how a seemingly simple everyday refreshment zinged and pinged over our taste buds and, in doing so, changed the world around us.

    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.

    Scott doesn t just show you which sliders do what (every Lightroom book will do that). Instead, by using the following three simple, yet brilliant, techniques that make it just an incredible learning tool, this book shows you how to create your own photography workflow using Lightroom: Throughout the book, Scott shares his own personal settings and studiotested techniques. Each year he trains thousands of Lightroom users at his live seminars and through that he s learned what really works, what doesn t, and he tells you flat out which techniques work best, which to avoid, and why. The entire book is laid out in a real workflow order with everything step by step, so you can begin using Lightroom like a pro from the start. What really sets this book apart is the last chapter. This is where Scott dramatically answers his #1 most-asked Lightroom question, which is: Exactly what order am I supposed to do things in, and where does Photoshop fit in? You ll see Scott s entire start-to-finish Lightroom 5 workflow and learn how to incorporate it into your own workflow. Plus, this book includes a downloadable collection of some of the hottest Lightroom Develop module presets to give you a bunch of amazing effects with just one click! Scott knows first-hand the challenges today s digital photographers are facing, and what they want to learn next to make their workflow faster, easier, and more fun. He has incorporated all of that into this major update for Lightroom 5. It s the first and only book to bring the whole process together in such a clear, concise, and visual way. Plus, the book includes a special chapter on integrating Adobe Photoshop seamlessly right into your workflow, and you ll also learn some of Scott s latest Photoshop portrait retouching techniques and special effects, which take this book to a whole new level. There is no faster, more straight-to-the-point, or more fun way to learn Lightroom than with this groundbreaking book."

    Is Fort Knox empty? Why was Hitler so intent on capturing the Roman 'Spear of Destiny'? What's the government hiding in Area 51? Where did the Confederacy's $19 million in gold and silver go at the end of the Civil War? And did Lee Harvey Oswald really act alone? Meltzer sifts through the evidence; weighs competing theories; separates what we know to be true with what's still--and perhaps forever--unproved or unprovable; and in the end, decodes the mystery, arriving at the most likely solution. Along the way we meet Freemasons, Rosicrucians, Nazi propagandists, and the real DB Cooper.