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

    Using this unique Japanese system, artists can plot and cross-section elements on a matrix diagram to create an infinite number of original characters, creatures, and multiformed beasts. Angels, demons, dragons, monsters, and robots are all included in this book, along with descriptions of costumes and personalities for each.Manga Matrix is unlike any other manga instructional guide and is an invaluable resource for both the budding artist and the polished professional.

    foreign aid. Law in a Lawless Land offers a rare and penetrating insight into the nature of Colombia's present peril. In a nuanced account of the human consequences of a disintegrating state, anthropologist Michael Taussig chronicles two weeks in a small town in Colombia's Cauca Valley taken over by paramilitaries that brazenly assassinate adolescent gang members. Armed with automatic weapons and computer-generated lists of names and photographs, the paramilitaries have the tacit support of the police and even many of the desperate townspeople, who are seeking any solution to the crushing uncertainty of violence in their lives. Concentrating on everyday experience, Taussig forces readers to confront a kind of terror to which they have become numb and complacent. "If you want to know what it is like to live in a country where the state has disintegrated, this moving book by an anthropologist well known for his writings on murderous Colombia will tell you."—Eric Hobsbawm

    think again.Academia Obscura is an irreverent glimpse inside the ivory tower, exposing the eccentric and slightly unhinged world of university life. Take a trip through the spectrum of academic oddities and unearth the Easter eggs buried in peer reviewed papers, the weird and wonderful world of scholarly social media, and rats in underpants.Procrastinating PhD student Glen Wright invites you to peruse his cabinet of curiosities and discover what academics get up to when no one's looking. Welcome to the hidden silly side of higher education.

    Do you have an idea for a board game, card game, role-playing game or tabletop game? Have you ever wondered how to get it published? For many years Brian Tinsman reviewed new game submissions for Hasbro, the largest game company in the US. With The Game Inventor's Guidebook: How to Invent and Sell Board Games, Card Games, Role-playing Games & Everything in Between! he presents the only book that lays out step-by-step advice, guidelines and instructions for getting a new game from idea to retail shelf.

    The book demands rigorous analysis on the part of students without requiring consistent use of sophisticated mathematical modeling to perform it. When the use of quantitative tools or formal modeling is indicated, it is only to perform the necessary analysis needed to inform and support a practical business solution. The guiding principle in the development of Matching Supply with Demand has been "real operations, real solutions." "Real operations" means that most of the chapters in this book are written from the perspective of a specific company so that the material in this text will come to life by discussing it in a real-world context. "Real solutions" means that equations and models do not merely provide students with mathematical gymnastics for the sake of an intellectual exercise.

    The book examines one quality of leadership per chapter, enabling students to apply concepts and skills to their leadership development. It provides self-assessment questionnaires, observational exercises, and reflection and action worksheets in each chapter. A new chapter on handling conflict has been added to the Second Edition, giving a multi-faceted view of conflict and methods for resolving conflict in leadership situations. Case studies have been added to the end of each chapter, including more global examples, and followed by questions to stimulate class discussion.

    Thisupdated and expanded edition retains the popular and innovativefeatures of previous editions-including Feature Problems, follow-upIntegrative and Practice Exercises to accompany every in-chapterExample, and Focus On application boxes, as well as new Keep inMind marginal notes. Topics covered include atoms and the atomictheory, chemical compounds and reactions, gases, Thermochemistry, electrons in atoms, chemical bonding, liquids, solids, andintermolecular forces, chemical kinetics, principles of chemicalequilibrium, acids and bases, electrochemistry, representative andtransitional elements, and nuclear and organic chemistry. Forindividuals interested in a broad overview of chemical principles andapplications

    We would all like to reach a stage where we are able to live off the income from our savings and investments. Sadly, only 5 out of every 100 people reach that stage. This highly accessible book is aimed at anyone who wants to learn how to make their first million in savings. The book provides real examples of ordinary people who have reached their financial goals and explains how you can do the same. It also provides practical ways of setting goals and keeping yourself motivated to achieve them, especially in tough times. How to Make Your First Million provides people from all walks of life with practical information on how to achieve financial freedom in a range of different ways and shows that it is possible for everyone to be financially free.

    On an annual basis, the industry is even more profitable than Hollywood. Today’s video games feature stunning, lifelike visuals and complex storylines - but they didn’t start out that way. The origin of video games can be traced back to World War II. In the 10 lectures of A History of Video Games, listeners will follow the development of the digital game from its roots in the war room to its proliferation in the 21st-century living room. Taught by journalist, podcast host, and video game historian Jeremy Parish, this lively course will track the tremendous leaps made in computing technology that allowed games to become increasingly sophisticated and the popular trends that pushed the boundaries of technology forward. The story of video games is not just about technology. It’s also about popular culture, economics, and globalization. Throughout these lectures, students will learn about the extremely profitable gaming industry, as well as the creative minds and ambitious projects that helped build it - and even encounter a few spectacular failures. Be prepared to: Witness the precipitous rise and fall of AtariExperience the birth of blockbuster gaming systems like NES and Sega GenesisLearn about the evolution of the console, PC, and portable gamingExplore the creation of iconic game series, such as Mario Bros., Pac-Man, and Pokémon From the simple pleasures of Pong to the complex online world of Fortnite, video games have come a long way over the course of seven decades, with no signs of slowing down anytime soon. Listeners will surely reminisce about their own experience with gaming as they learn more about this exciting industry, phenomenon, and pastime.

    This book also takes into account the period of emerging adulthood (ages 18-25), an area sometimes neglected but of particular interest to many students who see themselves reflected in the research. Looking for additional resources to help you understand the material and succeed in this course? MyDevelopmentLab contains study tools such as flashcards, self tests, videos, as well as MyVirtulTeen which allows you to raise your own virtual teenager, focusing on the ages 10 through 18. MyDevelpmentLab is available at www.mydevelopmentlab.com.

    Heather Masri, editor of Science Fiction: Stories and Contexts, has prepared an anthology that recognizes, and is designed to meet, the needs of students and instructors in an introductory survey course in science fiction.Grouped into major themes, her comprehensive selection of fiction — enjoyable and captivating stories, notable for their literary, philosophical, and cultural richness — are by classic and emerging writers from the nineteenth to the twenty-first centuries. The stories are uniquely complemented by contextual documents that suggest the scholarly, theoretical, and historical currents that drove the development of the genre, and informative editorial matter that contributes to the book’s flexibility for instructors and usefulness for students.

    It discusses the structure and content of the human word-store or mental lexicon with particular reference to the spoken language of native English speakers.

    Chapters also deal with key constituencies - students and faculty - in the context of a changing academic environment. While the contributors agree with critics who argue for ongoing reassessment of public institutions, they provide a more balanced perspective. They take issue with the crisis culture that has emerged among critics of current higher education practices, pointing out that higher education has faced challenges through its history. By illuminating the complex interplay between institutions and external forces, the book provides a key to guide the endeavors of faculty, students, and administrative leaders. Fully revised and updated, the second edition includes a new chapter on higher education markets.

    His department is facing draconian cuts and squalid quarters, while one floor above them the Economics Department is getting lavishly remodeled offices. His once-promising writing career is in the doldrums, as is his romantic life, in part as the result of his unwise use of his private affairs for his novels. His star (he thinks) student can't catch a break with his brilliant (he thinks) work Accountant in a Bordello, based on Melville's Bartleby. In short, his life is a tale of woe, and the vehicle this droll and inventive novel uses to tell that tale is a series of hilarious letters of recommendation that Fitger is endlessly called upon by his students and colleagues to produce, each one of which is a small masterpiece of high dudgeon, low spirits, and passive-aggressive strategies. We recommend Dear Committee Members to you in the strongest possible terms.