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To Err Is Human

To Err Is Human PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309068371
Category : Medical
Languages : en
Pages : 312

Book Description
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

To Err Is Human

To Err Is Human PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309068371
Category : Medical
Languages : en
Pages : 312

Book Description
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

The Speaker's Committee first report 2007

The Speaker's Committee first report 2007 PDF Author: Great Britain: Parliament: House of Commons: Speaker's Committee
Publisher: The Stationery Office
ISBN: 9780215035882
Category : Political Science
Languages : en
Pages : 20

Book Description
The Committee's report sets out its comments on the findings of the 11th report of the Committee on Standards in Public LIfe (Cm. 7006, ISBN 9780101700627) on its review of the mandate, governance and accountability of the Electoral Commission. The Speaker's Committee has restricted its comments to recommendations directly relating to itself, or in relation to which it has a specific policy interest.

Speedbird

Speedbird PDF Author: Robin Higham
Publisher: Bloomsbury Publishing
ISBN: 0857722298
Category : Transportation
Languages : en
Pages : 516

Book Description
Between 1939 and 1946 BOAC (the British Overseas Airways Corporation) was the nationalised airline of Great Britain - and between 1946 and 1974 as such it exclusively operated all long-haul British flights. With its iconic 'Speedbird' logo and its central role in the glamorous 'jet age' of the 1950s and 1960s, BOAC achieved a near cult-status with admirers around the globe. Yet, to date there has been no comprehensive history of the organisation, covering its structure, fleet and the role it played in the critical events of the age - from World War II to the end of empire, a period when BOAC played a pivotal part in projecting British political power, even as that power was waning. During World War II, BOAC operated a limited wartime service and prepared for the return of commercial flight in the postwar era. But it was in the service of Britain's colonies - and latterly the process of decolonisation - that BOAC achieved its most pivotal role. The development of flight technology enabled much faster connections between Britain and her imperial possessions - as the colonies prepared for independence BOAC ferried diplomats, politicians and colonial administrators between London and the far-flung corners of Africa and Asia in much faster times than had previously been possible. In this book, acclaimed historian Robin Higham presents a unique comprehensive study of BOAC from the early jet travel of the de Havilland Comet and the Vickers VC10 to the dawn of supersonic passenger aviation. Highly illustrated and meticulously researched using previously unseen sources, this book will be essential reading for all aviation enthusiasts and anyone interested in the history of modern Britain.

Debates; Official Report

Debates; Official Report PDF Author: Assam (India). Legislature. Legislative Assembly
Publisher:
ISBN:
Category :
Languages : en
Pages : 558

Book Description


The Parliamentary Debates (official Report).

The Parliamentary Debates (official Report). PDF Author: Great Britain. Parliament. House of Commons
Publisher:
ISBN:
Category : Great Britain
Languages : en
Pages : 1796

Book Description
Contains the 4th session of the 28th Parliament through the 1st session of the 48th Parliament.

Abstracts of Reports

Abstracts of Reports PDF Author: India. Parliament. House of the People
Publisher:
ISBN:
Category : India
Languages : en
Pages : 594

Book Description


Votes and Proceedings of the House of Assembly

Votes and Proceedings of the House of Assembly PDF Author: Southern Rhodesia. Parliament. House of Assembly
Publisher:
ISBN:
Category : Zimbabwe
Languages : en
Pages : 470

Book Description


Parliamentary Papers

Parliamentary Papers PDF Author: Great Britain. Parliament. House of Commons
Publisher:
ISBN:
Category : Great Britain
Languages : en
Pages : 718

Book Description


Reform in the House of Commons

Reform in the House of Commons PDF Author: Michael Jogerst
Publisher: University Press of Kentucky
ISBN: 0813186285
Category : Political Science
Languages : en
Pages : 343

Book Description
One of the most significant changes in the British House of Commons has been the development in 1979 of a system of select committees charged with monitoring government ministries. Unlike previous experiments in parliamentary reform, these committees are staffed exclusively with backbench MPs, who regularly review executive policies and offer recommendations. Michael Jogerst reappraises the relationship between the executive and legislative branches in light of these new circumstances, which are likely to affect the entire governmental structure of the United Kingdom.

List of the Bills, Reports, Estimates, and Accounts and Papers, Printed by Order of the House of Commons, and of the Papers Presented by Command, Session 1861

List of the Bills, Reports, Estimates, and Accounts and Papers, Printed by Order of the House of Commons, and of the Papers Presented by Command, Session 1861 PDF Author: Great Britain. Parliament. House of Commons
Publisher:
ISBN:
Category : Government publications
Languages : en
Pages : 594

Book Description