Download or read book Dealing with Medical Knowledge written by E. Carson and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a systematic and clear manner, the authors discuss the problems associated with clinical decision making and explore the current methods to solve them. In this monograph, they examine the results of combining the classical control system approach with the symbolic approaches which have been central to developments in artificial intelligence. Well illustrated with case studies, this volume will prove to be an invaluable resource to system scientists, engineers, computer scientists, and members of the medical community.
Download or read book Managing Medical Authority written by Daniel A. Menchik and published by Princeton University Press. This book was released on 2021-11-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: How the authority of medicine is continuously shaped by relationships among physicians, industry, colleagues, and organizations Exploring how the authority of medicine is controlled, negotiated, and organized, Managing Medical Authority asks: How is knowledge shared throughout the profession? Who makes decisions when your heart malfunctions—physicians, hospital administrators, or private companies who sell pacemakers? How do physicians gain and keep their influence? Arguing that medicine’s authority is managed in collegial competition across venues, Daniel Menchik examines the full range of stakeholders driving the direction of the field: medical trainees, clinicians, researchers, administrators, and even the corporations that develop groundbreaking technologies enabling longer and better lives. Menchik takes us into Superior Hospital to witness surgeries and executive negotiations. He moves outside the hospital to watch professional committees craft standards for treatments, case management, and professional ethics. At industry-sponsored meetings, he observes company representatives who train some experienced doctors on their technologies, while deterring others who they think might injure patients. Using an innovative ethnographic approach tying individual actions and their collective consequences, he considers how stakeholders ally across the various venues of medicine, even as they are sometimes pressed into competition within those venues. Menchik finds that these alliances and rivalries strengthen the authority of medicine as a whole. From place to place, and group to group, we see how a medical specialty renews and reinvigorates itself. Beginning within the walls of the hospital, and moving to the professional and commercial venues that shape it, Managing Medical Authority offers an agenda-setting take on the social organization of medical authority.
Download or read book Making Medical Knowledge written by Miriam Solomon and published by . This book was released on 2015 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: How is medical knowledge made? New methods for research and clinical care have reshaped the practices of medical knowledge production over the last forty years. Consensus conferences, evidence-based medicine, translational medicine, and narrative medicine are among the most prominent new methods. Making Medical Knowledge explores their origins and aims, their epistemic strengths, and their epistemic weaknesses. Miriam Solomon argues that the familiar dichotomy between the art and the science of medicine is not adequate for understanding this plurality of methods. The book begins by tracing the development of medical consensus conferences, from their beginning at the United States' National Institutes of Health in 1977, to their widespread adoption in national and international contexts. It discusses consensus conferences as social epistemic institutions designed to embody democracy and achieve objectivity. Evidence-based medicine, which developed next, ranks expert consensus at the bottom of the evidence hierarchy, thus challenging the authority of consensus conferences. Evidence-based medicine has transformed both medical research and clinical medicine in many positive ways, but it has also been accused of creating an intellectual hegemony that has marginalized crucial stages of scientific research, particularly scientific discovery. Translational medicine is understood as a response to the shortfalls of both consensus conferences and evidence-based medicine. Narrative medicine is the most prominent recent development in the medical humanities. Its central claim is that attention to narrative is essential for patient care. Solomon argues that the differences between narrative medicine and the other methods have been exaggerated, and offers a pluralistic account of how the all the methods interact and sometimes conflict. The result is both practical and theoretical suggestions for how to improve medical knowledge and understand medical controversies.
Download or read book Beyond the HIPAA Privacy Rule written by Institute of Medicine and published by National Academies Press. This book was released on 2009-03-24 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
Download or read book Medical Knowledge Extraction from Big Data written by Constantinos M. Koutsojannis and published by . This book was released on 2020 with total page 247 pages. Available in PDF, EPUB and Kindle. Book excerpt: Data mining refers to the activity of going through big data sets to look for relevant information. As human health care data are the most difficult of all data to collect and their primary direction is the treatment of patients, and secondarily dealing with research, almost the only vindication for collecting medical data is to benefit the disease. All data miners should take into account that Medical Knowledge Extraction is internally connected with the Evidence-Based Medical approach because it uses data for already treated or not patients and there are times that opposites to Guideline Based medical practice. Additonally all researchers should be aware when are dealing with medical databases they may face the possibility that their work will never be accepted or even used from health care professionals if all these obligations will not be correctly addressed from the early beginning.In the present book, one can find after the three introductory chapters, a number of successfully evaluated applications that have been developed after mining approaches in Big or smaller amount (according to the application) of medical Data in different fields of every day clinical practice from teams of experts.The challenging adventure of Medical Knowledge Extraction can be followed by ambitious researchers finally resulting in a successful decision support system, that some times is so novel that it will provide new directions for basic or clinical research further that the existed. At least this procedure will save the experience of the best doctors on duty and will help young residents to be better and better.
Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Download or read book Dealing with Medical Knowledge written by E. Carson and published by Springer. This book was released on 2013-05-05 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a systematic and clear manner, the authors discuss the problems associated with clinical decision making and explore the current methods to solve them. In this monograph, they examine the results of combining the classical control system approach with the symbolic approaches which have been central to developments in artificial intelligence. Well illustrated with case studies, this volume will prove to be an invaluable resource to system scientists, engineers, computer scientists, and members of the medical community.
Download or read book Medical Knowledge written by Open University and published by Taylor & Francis Group. This book was released on 2001 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Treatments and practices derived from scientific medical knowledge have directly benefited most people presently living in the Western world. But this 'orthodox' knowledge is not the only, nor even the major, source of wisdom about health and disease. Elsewhere, scientific medicine is frequently subordinate to traditional medical practices. In Western cultures, people who consult a doctor do so for only a minority of their complaints and many alternative therapies thrive. We all have lay knowledge of health and disease which we use every day. Why then do we hold scientific medical knowledge in such esteem that it lies at the heart of health-care systems? In this book, medical knowledge comes under scrutiny from an interdisciplinary team of authors that includes sociologists, historians, epidemiologists and human biologists. They begin by examining modern culture and the coexistence of lay beliefs, alternative and complementary therapies, and orthodox scientific views of health and disease. The historical development of medical knowledge is traced in three case studies: on tuberculosis, blood, and hysteria. This journey into the past reveals the profound changes that have taken place in medical knowledge and practice, but also illuminates the rich heritage that has survived in modern medicine. The book concludes by examining the influence of social and cultural factors on the theory and practice of medicine today, the place of ritual, medicine as a mechanism of social control, and factors affecting trust and communication in the relationship between doctor and patient. In so doing, it questions the taken-for-granted status of scientific medical knowledge in Western society.
Download or read book From Patient Data to Medical Knowledge written by Paul Taylor and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 20063 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can you make the best use of patient data to improve health outcomes? More and more information about patients' health is stored on increasingly interconnected computer systems. But is it shared in ways that help clinicians care for patients? Could it be better used as a resource for researchers? This book is aimed at all those who want to learn about how IT is transforming the way we think about medicine and medical research. The ideas explored here are taken from research carried out around the world, and are presented by a leading authority in Health Informatics based at University College London. This comprehensive guide to the field is split into three sections: What is health informatics? – an introduction Techniques for representing and analysing patient data and medical knowledge Implementation in the clinical setting: changing practice to improve health care outcomes Whether you are a health professional, NHS manager or IT specialist, this book will help you understand how data can be managed to provide the information you and your colleagues want in the most helpful and accessible way for both you and your patients.
Download or read book Complex Systems in Medicine written by David C. Aron and published by Springer Nature. This book was released on 2019-08-30 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique title explores complex systems in clinical medicine and the subsequent implementation of that knowledge into practice. Written conversationally and as a reflection on the journey of learning about complex systems, the book explores how knowledge of these systems can be applied to four key roles in academic medicine: clinical practice, education, research, and administration. Further, this title emphasizes how gaining an understanding of complex systems can greatly help a physician deal with the many challenges found in academic medicine. Unlike other books on complexity in medicine, which tend to focus on only one aspect of the management of patients, Complex Systems in Medicine deals with the multifaceted roles of a physician. The approach in this book is uniquely qualitative rather than mathematical, and is written to make it not only of interest to physicians, trainees, and allied health providers, but also to make it more accessible to a non-medical audience. The inclusion of personal anecdotes by the author provides concrete examples of the application of knowledge of complex systems in academic medicine. A first-of-its-kind contribution to the literature, Complex Systems in Medicine: A Hedgehog’s Tale of Complexity in Clinical Practice, Research, Education, and Management is not only a novel reference for medical professionals, it is an accessible tool for the non-medical audience hoping to learn more about complex systems and their direct relevance to medicine, a field that deals with the infinite variety of humans and their ills. It illustrates the consequences of the interactive elements of patient care that make medicine both a science and an art.
Download or read book Forgive and Remember written by Charles L. Bosk and published by University of Chicago Press. This book was released on 2011-09-09 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: The landmark study of how medical errors are managed among surgeons and other hospital staff—now in an updated edition with a new preface and epilogue. When it was first published, Forgive and Remember offered groundbreaking insight into the training and lives of young surgeons. It quickly emerged as the definitive sociological study on the subject. While medical errors are both inevitable and potentially devastating, Bosk found that they could be forgiven—as long as they were remembered and never repeated. In this second edition, Bosk reflects more than twenty years later on how things have changed, both in the medical profession and in sociology. With an extensive new preface, epilogue, and appendix by the author, this updated edition of Forgive and Remember is as timely as ever.
Download or read book Commonsense Reasoning written by Erik T. Mueller and published by Elsevier. This book was released on 2010-07-26 with total page 431 pages. Available in PDF, EPUB and Kindle. Book excerpt: To endow computers with common sense is one of the major long-term goals of Artificial Intelligence research. One approach to this problem is to formalize commonsense reasoning using mathematical logic. Commonsense Reasoning is a detailed, high-level reference on logic-based commonsense reasoning. It uses the event calculus, a highly powerful and usable tool for commonsense reasoning, which Erik T. Mueller demonstrates as the most effective tool for the broadest range of applications. He provides an up-to-date work promoting the use of the event calculus for commonsense reasoning, and bringing into one place information scattered across many books and papers. Mueller shares the knowledge gained in using the event calculus and extends the literature with detailed event calculus solutions to problems that span many areas of the commonsense world. Covers key areas of commonsense reasoning including action, change, defaults, space, and mental states. The first full book on commonsense reasoning to use the event calculus. Contextualizes the event calculus within the framework of commonsense reasoning, introducing the event calculus as the best method overall. Focuses on how to use the event calculus formalism to perform commonsense reasoning, while existing papers and books examine the formalisms themselves. Includes fully worked out proofs and circumscriptions for every example.
Download or read book The Master Adaptive Learner written by William Cutrer and published by Elsevier Health Sciences. This book was released on 2019-09-29 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tomorrow’s best physicians will be those who continually learn, adjust, and innovate as new information and best practices evolve, reflecting adaptive expertise in response to practice challenges. As the first volume in the American Medical Association’s MedEd Innovation Series, The Master Adaptive Learner is an instructor-focused guide covering models for how to train and teach future clinicians who need to develop these adaptive skills and utilize them throughout their careers. Explains and clarifies the concept of a Master Adaptive Learner: a metacognitive approach to learning based on self-regulation that fosters the success and use of adaptive expertise in practice. Contains both theoretical and practical material for instructors and administrators, including guidance on how to implement a Master Adaptive Learner approach in today’s institutions. Gives instructors the tools needed to empower students to become efficient and successful adaptive learners. Helps medical faculty and instructors address gaps in physician training and prepare new doctors to practice effectively in 21st century healthcare systems. One of the American Medical Association Change MedEd initiatives and innovations, written and edited by members of the ACE (Accelerating Change in Medical Education) Consortium – a unique, innovative collaborative that allows for the sharing and dissemination of groundbreaking ideas and projects.
Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Download or read book Toxicology and Environmental Health Information Resources written by Institute of Medicine and published by National Academies Press. This book was released on 1997-02-10 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: The environment is increasingly recognized as having a powerful effect on human and ecological health, as well as on specific types of human morbidity, mortality, and disability. While the public relies heavily on federal and state regulatory agencies for protection from exposures to hazardous substances, it often looks to health professionals for information about routes of exposure and the nature and extent of associated adverse health consequences. However, most health professionals acquire only a minimal knowledge of toxicology during their education and training. In 1967 the National Library of Medicine (NLM) created an information resource, known today as the Toxicology and Environmental Health Information Program (TEHIP). In 1995 the NLM asked the Institute of Medicine to examine the accessiblity and utility of the TEHIP databases for the work of health professionals. This resulting volume contains chapters on TEHIP and other toxicology and environmental health databases, on understanding the toxicology and environmental health information needs of health professionals, on increasing awareness of information resources through training and outreach, on accessing and navigating the TEHIP databases, and on program issues and future directions.
Download or read book Knowledge Coupling written by Lawrence L. Weed and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Knowledge Coupling discusses the premises upon which the coupling of knowledge to every action is based in the practice of medicine, as well as why these premises must change. In concrete terms, the volume explores the methods of structuring and using medical knowledge and medical records that enables implementation of new premises; it sets forth a specific approach to use of the computer. The work examines the new roles and skills that will be demanded of both patients and health care providers within the system based on these new premises. The author takes into account the broad implications of his philosophy for the social, economic, educational, and political structuring of the health care system.
