Download or read book To Err Is Human written by Institute of Medicine and published by National Academies Press. This book was released on 2000-03-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"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 consequenceâ€"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 agendaâ€"with state and local implicationsâ€"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 errorsâ€"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 careâ€"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 advocatesâ€"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

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Download or read book Federal Information Sources Systems written by and published by . This book was released on with total page 1212 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Download or read book Report written by Pennsylvania. Dept. of Health and published by . This book was released on 1911 with total page 714 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book GAO Documents written by United States. General Accounting Office and published by . This book was released on 1981 with total page 1138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catalog of reports, decisions and opinions, testimonies and speeches.

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Download or read book Technical Manual written by United States Department of the Army and published by . This book was released on 1982 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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Download or read book Report written by Michigan State Library and published by . This book was released on 1894 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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Download or read book Performance Evaluation of the Energy Information Administration Department of Energy written by Professional Audit Review Team (U.S.) and published by . This book was released on 1988 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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Download or read book Earthquake Resistant Design with Rubber written by James M. Kelly and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: My involvement in the use of natural rubber as a method for the protec 1976. At that time, tion of buildings against earthquake attack began in I was working on the development of energy-dissipating devices for the same purpose and had developed and tested a device that was even tually used in a stepping-bridge structure, this being a form of partial isolation. It became clear to me that in order to use these energy devices for the earthquake protection of buildings, it would be best to combine them with an isolation system which would give them the large displace ments needed to develop sufficient hysteresis. At this appropriate point in time, I was approached by Dr. C. J. Derham, then of the Malaysian Rubber Producers' Research Association (MRPRA), who asked if I was interested in looking at the possibility of conducting shaking table tests at the Earthquake Simulator Laboratory to see to what extent natural rubber bearings could be used to protect buildings from earthquakes. Very soon after this meeting, we were able to do such a test using a 20-ton model and hand-made isolators. The eady tests were very promising. Accordingly, a further set of tests was done with a more realistic five storey model weighing 40 tons with bearings that were commercially made. In both of the test series, the isolators were used both alone and with a number of different types of energy-dissipating devices to en hance damping.