It shows how patients can protect themselves against an increasingly incompetant and dangerous medical profession.

    This encouraging change not only has benefited veterans but also provides a blueprint for salvaging America's own deeply troubled healthcare system. "Best Care Anywhere" shows how a government bureaucracy, working with little notice, is setting the standard for best practices and cost reduction while the private sector is lagging in both areas. Author Phillip Longman challenges conventional wisdom by explaining exactly how market forces work to lower quality and raise prices in the healthcare sector, and how U.S. medical practices have a weak basis in science. The book, expanded from a widely praised article in the "Washington Monthly," mixes hard facts with author Philip Longmans' compelling human story of the loss of his wife to cancer. Part manifesto, part moving memoir, "Best Care Anywhere" offers new hope for addressing a major problem of contemporary society that affects all of us.

    But starting in the late 1990s, shocking reports emerged that showed this was far from the truth. Treatment-related deaths or “complications” were found to be the fifth leading cause of death for Americans, and hundreds of thousands of patients were being harmed by botched medical procedures.Spurred by the quality crisis, a group of visionary physicians led by Donald Berwick and Paul Batalden embarked on a study of industrial “quality improvement” techniques, daring to apply them to the practice of medicine despite resistance from the medical community. The Best Practice tells the story of this burgeoning movement, and of how the medical landscape is being radically transformed—for the better.

    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.

    In Trump as President, Doug Wead offers a sweeping, eloquent history of President Donald J. Trump's first years in the White House, covering everything from election night to the news of today. The book will include never-before-reported stories and scoops, including how President Trump turned around the American economy, how he "never complains and never explains," and how his actions sometimes lead to misunderstandings with the media and the public. It also includes exclusive interviews with the Trump family about the Mueller report, and narrates their reactions when the report was finally released. Contains Interviews with the President in the Oval Office, chief of staff, Mick Mulvaney, Jared and Ivanka Kushner, Donald Trump, Jr., Eric and Lara Trump, and White House insiders.

    Filled with thought-provoking questions, ideas and solutions, this book will help you stay positive while dealing with life’s disappointments and the negativity that encompasses our society. Whereas, you can’t change the people and circumstances that try to get your goat, Hide Your Goat will help you stay positive when negativity surrounds you. The book focuses on six core principles.• The Courage to Recognize Who You Are• The Strength to Accept Where You Have Been* The Wisdom to Discern Where You Are Heading* The Knowledge to Acquire What it Takes To Get There* The Awareness to Exclude Who Is Stopping You* The Power to Change What Holds You BackHide Your Goat makes you aware of how your daily life intersects with a diverse group of people from different backgrounds, opinions and personalities. This book will make you think about yourself and dive deep below the surface to uncover feelings, thoughts and emotions that expose your goat. Regardless of its origin, the expression “gets my goat” is something that resonates with all of us. The fast-paced and stress-filled schedules we maintain “open the gate” to allow people and circumstances to “get our goat.” It’s time to discover, herd, teach, feed, gate, exercise and in the end, Hide Your Goat!

    

    Combining historical perspective with analysis of modern trends, this expanded edition charts the evolution of modern American health care, providing a complete examination of its organization and delivery while offering critical insight into the issues that the U.S. health system faces today. From a physician-dominated system to one defined by managed care and increasingly sophisticated technology, this essential text explains the transformation underway and the professional, political, social, and economic forces that guide it today and will in the future. Exhaustive in breadth and balanced in perspective, Health Care USA, Seventh Edition, provides students with a clearly organized, straightforward illustration of the complex structures, relationships and processes of this rapidly growing, $2.5 trillion industry. The seventh edition has been thoroughly revised to reflect recent developments in this dynamic industry. The latest edition features: - A comprehensive overview of the complex and evolving U.S. health care system, plus revised data, material and analysis throughout. - The latest benchmark developments in health care, including the response of public health to swine flu and the Obama administration's health care reform. - A look at the recent recession's effects on hospital finances. - New projections and data trends on the country's health care spending. - A forward-looking perspective on the future of the U.S. health care system.

     “You’re about as useful as a windshield wiper on a goat’s butt.” Keep this book handy, someday you’ll be glad you have it. “Let's play horse. I'll be the front end and you just be yourself.” Pick any of the many jaw-dropping insults then laugh at the look on your adversary’s face when you whip one out and use it on them. You’ll leave no doubt in their mind that you are a master of sarcastic insults! ADDED BONUS: In addition to the fresh and hilarious insults in this book, you’ll also find great sarcastic observations about life hidden inside this book’s pages, like… “I think the reason so many people have smart phones is because opposites attract!” You’re no idiot, so you need this book to start your new life as the master of sarcastic insults and put-downs! “Hey! Who left the Idiot Box open? Now they're everywhere!”

    Doctors suspected he was suffering from a rare and degenerative neurological disorder known as Multiple System Atrophy (MSA). However, Nigel also had many of the symptoms of both Parkinson’s disease and Lewy Body dementia and an official diagnosis was never made.For four years Nigel's wife, Eileen, kept a diary. This was her "safety valve" - an outlet for the daily stresses of caring for him at home, as his mental and physical health slowly deteriorated. In her diary she gives a frank and detailed account of his challenging and erratic behaviour, his bizarre hallucinations, the relentless struggle with his incontinence and the endless disturbed nights.Even in her darkest moments, Eileen's dry Scottish humour shines through - you will laugh one moment and be moved the next. You can’t help but smile at Nigel's trousers with the “appetite mechanism” and his special “anti-dandruff comb”.As the dementia advances, Nigel retreats into a busy world of army and lecturing duties, harking back to his earlier days. Eventually, the burden of running her own “one-woman nursing home” becomes too much for Eileen and her quest to find respite care begins. This presents challenges of its own. This true and touching account offers a unique insight into the day-to-day experience of caring for someone with dementia or a related illness.Some Amazon Five Star Reviews:★★★★★ Excellent - a great read★★★★★ Loved it★★★★★ Very eye opening★★★★★ Brilliant book★★★★★ Sad but a good read★★★★★ A gem★★★★★ Five stars

    Ezekiel J. Emanuel looks at individual physician practices and organizations who are already successfully driving change, and the specific practices they have instituted. They are not the titans everyone seems to know and assume to be the "best"; instead, Emanuel has chosen a select group -- from small physician offices to large multi-specialty group practices, accountable care organizations, and even for-profit companies--that are genuinely transforming care.Prescription for the Future shines a bright diagnostic light on the state of American healthcare and provides invaluable insights for healthcare workers, investors, and patients. The book gives all of us the tools to recognize the places that will deliver high-quality, effective care when we need it.

    Chapters cover cancer, infection, immune disorders, genetics, and disorders of each body system, highlighting pathophysiologic processes, resulting signs and symptoms, diagnostic test findings, and current treatments. Reader-friendly features include illustrations, checklists, and full-color miniguides illustrating the pathophysiology of specific disorders.This edition has new full-color miniguides on cancer pathophysiology and neuropathology. A new Focus on Genetics feature identifies gene-related discoveries and their implications for treatment or diagnosis. Review questions and answers follow current NCLEX-RN® requirements and alternate-format questions are included.

    Cole's harrowing account of his life spent in the ER and on the battlegrounds, fighting to save lives. In addition to his gripping stories of treating victims of gunshot wounds, stabbings, attempted suicides, flesh-eating bacteria, car crashes, industrial accidents, murder, and war, the book also covers the years during Cole's residency training when he was faced with 120-hour work weeks, excessive sleep deprivation, and the pressures of having to manage people dying of traumatic injury, often with little support.Unlike the authors of other medical memoirs, Cole trained to be a surgeon in the military and served as a physician member of a Marine Corps reconnaissance unit, United States Special Operations Command (USSOCOM), and on a Navy Reserve SEAL team. From treating war casualties in Afghanistan and Iraq to his experiences as a civilian trauma surgeon treating alcoholics, drug addicts, criminals, and the mentally deranged, TRAUMA is an intense look at one man's commitment to his country and to those most desperately in need of aid.

    The first communication guidebook designed expressly for nurses, From Silence to Voice helps nurses understand and overcome the self-silencing that often leads RNs to downplay their own expertise and their contributions to the care of the sick and the health of the public. Bernice Buresh and Suzanne Gordon teach nurses, nurse educators, and nurse researchers critical skills they can use to explain their work to other health-care professionals, journalists, policymakers, and political representatives.From Silence to Voice features stories about nurses who ensure that patients receive appropriate, timely, and even life-saving care, nurses who make all the difference while crises are underway but whose contributions are neglected in medical charts and thank-you notes, nurses who are left out altogether or obscured by the generic "nurse." However, the book also provides detailed accounts of nurses who do make their voices heard, who do make their concerns public- and it shows how those successes can be duplicated. Buresh and Gordon draw on real-world examples that will help nurses to gain respect for themselves as professionals, communicate well with both patients and health-care colleagues, understand how the news media work, collaborate with public relations professionals, write effective letters to the editor and publish op-ed pieces, appear on television and radio, and promote research on nursing About the Authors:Bernice Buresh writes and lectures on health care, nursing and the media. She has been a reporter for the Milwaukee Sentinel, a professor of journalism at Boston University and an adjunct professor of American Studies at Brandeis University. Buresh is president of the Writers' Room of Boston, Inc, which provides affordable workspace for writers.Suzanne Gordon is an award-winning journalist. She is the author of Life Support: Three Nurses on the Front Lines and co-editor of Caregiving: Readings in Knowledge, Practice, Ethics and Politics. She is an adjunct professor in the school of nursing at McGill University. Gordon is a health care commentator on Public Radio International's "Marketplace," and a popular lecturer on nursing and health care.

    It covers nearly seventy years of practice from World War II to the present day.The extraordinary situations described here are the result of more than 1,000 years of hands-on bedside knowledge. The vignettes contain wisdom and insight gained the hard way, from long experience in the trenches (sometimes in actual trenches) performing tasks that range from the most humble to the most skilled.These true stories run the gamut from birth to death. They deal with everything from war, ER, ICU, to childbirth, pediatrics, adult care, surgery, home and homeless healthcare, the psych ward, oncology, the nursing home, and finally hospice.The sacrifice and service of these nurses--their courage, kindness, and determination--is breathtaking.If you've ever wanted to know what goes on behind the scenes of a hospital--you've come to the right place.