Author: Dean R. Hess
Publisher: Jones & Bartlett Publishers
ISBN: 1449656285
Category : Medical
Languages : en
Pages : 1396
Book Description
A new edition of the classic text, Respiratory Care: Principles and Practice, Second Edition is a truly authoritative text for respiratory care students who desire a complete and up to date exploration of the technical and professional aspects of respiratory care. With foundations in evidence-based practice, this essential text reviews respiratory assessment, respiratory therapeutics, respiratory diseases, basic sciences and their application to respiratory care, the respiratory care profession, and much more. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
Respiratory Care
Author: Dean R. Hess
Publisher: Jones & Bartlett Publishers
ISBN: 1449656285
Category : Medical
Languages : en
Pages : 1396
Book Description
A new edition of the classic text, Respiratory Care: Principles and Practice, Second Edition is a truly authoritative text for respiratory care students who desire a complete and up to date exploration of the technical and professional aspects of respiratory care. With foundations in evidence-based practice, this essential text reviews respiratory assessment, respiratory therapeutics, respiratory diseases, basic sciences and their application to respiratory care, the respiratory care profession, and much more. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
Publisher: Jones & Bartlett Publishers
ISBN: 1449656285
Category : Medical
Languages : en
Pages : 1396
Book Description
A new edition of the classic text, Respiratory Care: Principles and Practice, Second Edition is a truly authoritative text for respiratory care students who desire a complete and up to date exploration of the technical and professional aspects of respiratory care. With foundations in evidence-based practice, this essential text reviews respiratory assessment, respiratory therapeutics, respiratory diseases, basic sciences and their application to respiratory care, the respiratory care profession, and much more. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
Making a Difference by Being Yourself
Author: Gregory E. Huszczo
Publisher: Nicholas Brealey
ISBN: 1857884493
Category : Psychology
Languages : en
Pages : 179
Book Description
What does "making a difference" mean to you? How do you find your true purpose in life? There are hundreds of ways to make a difference in the world, and we are all hard wired to seek purpose and happiness. The expression of that purpose, however, differs from person to person. Whereas one person may find fulfillment in volunteering, another may create an impact by being an authentic leader. The question is-what works for you? Making a Difference by Being Yourself deconstructs the puzzle by homing in on how your unique personality type frames the actions you take to impact others. Building on the powerful fundamentals of the Myers-Briggs Type Indicator® assessment, Greg Huszczo's dynamic framework identifies four types of individuals (Stabilizers, Harmonizers, Catalysts and Visionaries) and combines research and stories from more than 500 people to chart a journey of self-discovery and beyond. With dozens of exercises, assessment tools and examples, Making a Difference by Being Yourself delivers a complete toolkit to take personal insight and awareness to the next level-to live life consciously and to use your strengths and talents in ways that make a meaningful difference at work and in your relationships.
Publisher: Nicholas Brealey
ISBN: 1857884493
Category : Psychology
Languages : en
Pages : 179
Book Description
What does "making a difference" mean to you? How do you find your true purpose in life? There are hundreds of ways to make a difference in the world, and we are all hard wired to seek purpose and happiness. The expression of that purpose, however, differs from person to person. Whereas one person may find fulfillment in volunteering, another may create an impact by being an authentic leader. The question is-what works for you? Making a Difference by Being Yourself deconstructs the puzzle by homing in on how your unique personality type frames the actions you take to impact others. Building on the powerful fundamentals of the Myers-Briggs Type Indicator® assessment, Greg Huszczo's dynamic framework identifies four types of individuals (Stabilizers, Harmonizers, Catalysts and Visionaries) and combines research and stories from more than 500 people to chart a journey of self-discovery and beyond. With dozens of exercises, assessment tools and examples, Making a Difference by Being Yourself delivers a complete toolkit to take personal insight and awareness to the next level-to live life consciously and to use your strengths and talents in ways that make a meaningful difference at work and in your relationships.
The Comprehensive Respiratory Therapist Exam Review - E-Book
Author: James R. Sills
Publisher: Elsevier Health Sciences
ISBN: 0323073646
Category : Medical
Languages : en
Pages : 673
Book Description
Prepare for success on respiratory therapy credentialing exams! Updated to reflect the 2009 National Board of Respiratory Care (NBRC) content outlines, Sills' The Comprehensive Respiratory Therapist's Exam Review, 5th Edition helps you review for both entry and advanced level credentialing exams. It covers every testable subject, providing content review, self-assessment questions, and study hints. This title includes additional digital media when purchased in print format. For this digital book edition, media content is not included. Unique! Exam Hint boxes point out subjects that are frequently tested, helping you study, plan your time, and improve your test-taking skills. Self-study questions are included at the end of each chapter, accompanied by answers and rationales in the back of the book. Complexity level codes (recall, application, and analysis) help you prepare for questions in the way that is most appropriate (e.g., memorization for recall or synthesis for analysis). NBRC content outline coding provides a code for each topic so you can be sure that you have covered every topic that might appear on the exam. CRT and RRT level codes speed your review by identifying the individual topics for the CRT and RRT exams, as well as topics for both. One text now covers both the entry and advanced levels of Respiratory Therapists credentialing exams, so you need only one book to prepare for CRT and RRT credentials. Updated content reflects the NBRC's new examination content outlines, so you get an accurate, current review. New coverage includes subject areas such as CPAP/BiPAP titration during sleep, hemodynamic monitoring, hyperinflation therapy, laryngeal mask airway, high frequency ventilation, oxygen titration, thoracentesis, ultrasound, and ventilator-associated pneumonia protocols. An Evolve website includes both CRT and RRT practice exams.
Publisher: Elsevier Health Sciences
ISBN: 0323073646
Category : Medical
Languages : en
Pages : 673
Book Description
Prepare for success on respiratory therapy credentialing exams! Updated to reflect the 2009 National Board of Respiratory Care (NBRC) content outlines, Sills' The Comprehensive Respiratory Therapist's Exam Review, 5th Edition helps you review for both entry and advanced level credentialing exams. It covers every testable subject, providing content review, self-assessment questions, and study hints. This title includes additional digital media when purchased in print format. For this digital book edition, media content is not included. Unique! Exam Hint boxes point out subjects that are frequently tested, helping you study, plan your time, and improve your test-taking skills. Self-study questions are included at the end of each chapter, accompanied by answers and rationales in the back of the book. Complexity level codes (recall, application, and analysis) help you prepare for questions in the way that is most appropriate (e.g., memorization for recall or synthesis for analysis). NBRC content outline coding provides a code for each topic so you can be sure that you have covered every topic that might appear on the exam. CRT and RRT level codes speed your review by identifying the individual topics for the CRT and RRT exams, as well as topics for both. One text now covers both the entry and advanced levels of Respiratory Therapists credentialing exams, so you need only one book to prepare for CRT and RRT credentials. Updated content reflects the NBRC's new examination content outlines, so you get an accurate, current review. New coverage includes subject areas such as CPAP/BiPAP titration during sleep, hemodynamic monitoring, hyperinflation therapy, laryngeal mask airway, high frequency ventilation, oxygen titration, thoracentesis, ultrasound, and ventilator-associated pneumonia protocols. An Evolve website includes both CRT and RRT practice exams.
How to Be a Respiratory Therapist: A Comprehensive Guide
Author: Simon Meadows
Publisher: Richards Education
ISBN:
Category : Medical
Languages : en
Pages : 514
Book Description
"How to Be a Respiratory Therapist: A Comprehensive Guide" is the ultimate resource for aspiring and practicing respiratory therapists. This extensive book and course guide offers a thorough exploration of respiratory care, from foundational concepts to advanced clinical practices. With 15 detailed chapters, practical exercises, and real-world case studies, this guide covers every aspect of respiratory therapy, including patient assessment, mechanical ventilation, pharmacology, and professional development. Whether you're starting your career or seeking to enhance your skills, this guide provides the knowledge and tools needed to excel in this critical field and make a meaningful impact on patient care.
Publisher: Richards Education
ISBN:
Category : Medical
Languages : en
Pages : 514
Book Description
"How to Be a Respiratory Therapist: A Comprehensive Guide" is the ultimate resource for aspiring and practicing respiratory therapists. This extensive book and course guide offers a thorough exploration of respiratory care, from foundational concepts to advanced clinical practices. With 15 detailed chapters, practical exercises, and real-world case studies, this guide covers every aspect of respiratory therapy, including patient assessment, mechanical ventilation, pharmacology, and professional development. Whether you're starting your career or seeking to enhance your skills, this guide provides the knowledge and tools needed to excel in this critical field and make a meaningful impact on patient care.
Allied Health Services
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309038960
Category : Medical
Languages : en
Pages : 361
Book Description
With estimates of their numbers ranging from one million to almost four million people, allied health care personnel make up a large part of the health care work force. Yet, they are among the least studied elements of our health care system. This book describes the forces that drive the demand for and the supply of allied health practitionersâ€"forces that include demographic change, health care financing policies, and career choices available to women. Exploring such areas as credentialing systems and the employment market, the study offers a broad range of recommendations for action in both the public and private sectors, so that enough trained people will be in the right place at the right time.
Publisher: National Academies Press
ISBN: 0309038960
Category : Medical
Languages : en
Pages : 361
Book Description
With estimates of their numbers ranging from one million to almost four million people, allied health care personnel make up a large part of the health care work force. Yet, they are among the least studied elements of our health care system. This book describes the forces that drive the demand for and the supply of allied health practitionersâ€"forces that include demographic change, health care financing policies, and career choices available to women. Exploring such areas as credentialing systems and the employment market, the study offers a broad range of recommendations for action in both the public and private sectors, so that enough trained people will be in the right place at the right time.
The Comprehensive Respiratory Therapist Exam Review
Author: James R. Sills, MEd, CPFT, RRT
Publisher: Elsevier Health Sciences
ISBN: 0323241344
Category : Medical
Languages : en
Pages : 651
Book Description
Find out how and what to review for the all-new 2015 National Board of Respiratory Care (NBRC) Exam with The Comprehensive Respiratory Therapist's Exam Review, 6th Edition. It covers every topic in the NBRC Detailed Content Outline, providing study hints, in-depth content review, and self-assessment questions with rationales so you retain more information. Sills' latest review also offers students and practicing respiratory therapists realistic experience with the new Therapist Multiple Choice Exam (TM-CE) through a 140-question TM-CE practice test on its accompanying Evolve website. Self-study questions at the end of each chapter include an answer key with rationales to help you analyze your strengths and weaknesses in content learned. UNIQUE! Exam Hint boxes point out point out subjects that are frequently tested, helping you study, plan your time, and improve your test-taking skills. Rationales for each question provide feedback for correct and incorrect answers so you understand why an answer is correct or incorrect and retain information better. Difficulty level codes (recall, application, analysis) for each question on Evolve help you prepare for questions in the way that is most appropriate (e.g., memorization for recall or synthesis for analysis). Special NBRC coding of topics corresponds to every topic covered in the NBRC Detailed Content Outline (DCO) so you can easily review each of the testable topics. Secure Evolve website lets you experience the actual NBRC testing environment in a computerized format. NEW! Therapist Multiple Choice Exam (TM-CE) practice test aligns with the new 2015 NBRC Written Exam. UPDATED! Revised content reflects the 2015 NBRC Detailed Content Outline and examination matrix so you know exactly what to expect on the exams - and can review each of the areas covered on the matrix. NEW! More analysis-type questions added to the end-of-chapter self-study questions reflect changes in the matrix content outlines. NEW! Greater consistency in formulas, abbreviations, and equations achieved through aligning the text and Evolve site to comprehensive Abbreviation and Equation Glossaries. EXPANDED! 22 clinical simulations feature shortened sections and align with the new 2015 NBRC Clinical Simulation Exam in both study mode and exam mode, giving you the opportunity to practice this difficult portion of the Registry Exam on Evolve. NEW! Standard Normal Range Guide features reference tables with normal values of various parameters used in respiratory care assessment. EXPANDED! New practice exams on Evolve, including one 140-question TM-CE with automatic scoring to delineate entry and advanced credentialing levels, let you assess your understanding in both study (untimed) and exam (timed) modes.
Publisher: Elsevier Health Sciences
ISBN: 0323241344
Category : Medical
Languages : en
Pages : 651
Book Description
Find out how and what to review for the all-new 2015 National Board of Respiratory Care (NBRC) Exam with The Comprehensive Respiratory Therapist's Exam Review, 6th Edition. It covers every topic in the NBRC Detailed Content Outline, providing study hints, in-depth content review, and self-assessment questions with rationales so you retain more information. Sills' latest review also offers students and practicing respiratory therapists realistic experience with the new Therapist Multiple Choice Exam (TM-CE) through a 140-question TM-CE practice test on its accompanying Evolve website. Self-study questions at the end of each chapter include an answer key with rationales to help you analyze your strengths and weaknesses in content learned. UNIQUE! Exam Hint boxes point out point out subjects that are frequently tested, helping you study, plan your time, and improve your test-taking skills. Rationales for each question provide feedback for correct and incorrect answers so you understand why an answer is correct or incorrect and retain information better. Difficulty level codes (recall, application, analysis) for each question on Evolve help you prepare for questions in the way that is most appropriate (e.g., memorization for recall or synthesis for analysis). Special NBRC coding of topics corresponds to every topic covered in the NBRC Detailed Content Outline (DCO) so you can easily review each of the testable topics. Secure Evolve website lets you experience the actual NBRC testing environment in a computerized format. NEW! Therapist Multiple Choice Exam (TM-CE) practice test aligns with the new 2015 NBRC Written Exam. UPDATED! Revised content reflects the 2015 NBRC Detailed Content Outline and examination matrix so you know exactly what to expect on the exams - and can review each of the areas covered on the matrix. NEW! More analysis-type questions added to the end-of-chapter self-study questions reflect changes in the matrix content outlines. NEW! Greater consistency in formulas, abbreviations, and equations achieved through aligning the text and Evolve site to comprehensive Abbreviation and Equation Glossaries. EXPANDED! 22 clinical simulations feature shortened sections and align with the new 2015 NBRC Clinical Simulation Exam in both study mode and exam mode, giving you the opportunity to practice this difficult portion of the Registry Exam on Evolve. NEW! Standard Normal Range Guide features reference tables with normal values of various parameters used in respiratory care assessment. EXPANDED! New practice exams on Evolve, including one 140-question TM-CE with automatic scoring to delineate entry and advanced credentialing levels, let you assess your understanding in both study (untimed) and exam (timed) modes.
Make the World a Better Place
Author: Robert Kozma
Publisher: John Wiley & Sons
ISBN: 1394173474
Category : Architecture
Languages : en
Pages : 391
Book Description
MAKE THE WORLD A BETTER PLACE “This book is a must read for all with an interest in the future of design.” —Jim Spohrer, PhD, Retired Industry executive, International Society of Service Innovation Professionals “The world is in need of better design, and Kozma’s book shows us how to get there.” —Mark Guzdial, Director, Program in Computing for the Arts and Sciences, College of Literature, Science, and the Arts, Professor of Electrical Engineering and Computer Science, College of Engineering, University of Michigan Design services, products, experiences, and places that transform the world for the better Make the World a Better Place: Design with Passion, Purpose, and Values presents an insightful and hands-on discussion of design as a profoundly human activity and challenges us all to use design to transform the world for the better. The book explains how and why the design industry lost its way, and how to re-ignite the idealism that once made it a force for good. Make the World a Better Place describes a set of moral principles, based on our shared humanity, that can be used to create “good” designs: designs that reduce harm, increase well-being, advance knowledge, promote equality, address injustice, and build supportive, compassionate relationships and communities. Dr. Kozma applies philosophy, psychology, sociology, and history to the world of design, including: Examples and case studies of designs—both good and bad Seven principles of good design, based on the impact designs have on people An approach to design as a “moral dialog among co-creators,” in which the seven principles can be applied to intentionally improve the world Comprehensive explorations of a person-resource-activity model that explains how technology shapes designs Detailed analyses of the strengths and pitfalls of five design traditions, which include the scientific, technical-analytic, human-centered, aesthetic, and social movement traditions
Publisher: John Wiley & Sons
ISBN: 1394173474
Category : Architecture
Languages : en
Pages : 391
Book Description
MAKE THE WORLD A BETTER PLACE “This book is a must read for all with an interest in the future of design.” —Jim Spohrer, PhD, Retired Industry executive, International Society of Service Innovation Professionals “The world is in need of better design, and Kozma’s book shows us how to get there.” —Mark Guzdial, Director, Program in Computing for the Arts and Sciences, College of Literature, Science, and the Arts, Professor of Electrical Engineering and Computer Science, College of Engineering, University of Michigan Design services, products, experiences, and places that transform the world for the better Make the World a Better Place: Design with Passion, Purpose, and Values presents an insightful and hands-on discussion of design as a profoundly human activity and challenges us all to use design to transform the world for the better. The book explains how and why the design industry lost its way, and how to re-ignite the idealism that once made it a force for good. Make the World a Better Place describes a set of moral principles, based on our shared humanity, that can be used to create “good” designs: designs that reduce harm, increase well-being, advance knowledge, promote equality, address injustice, and build supportive, compassionate relationships and communities. Dr. Kozma applies philosophy, psychology, sociology, and history to the world of design, including: Examples and case studies of designs—both good and bad Seven principles of good design, based on the impact designs have on people An approach to design as a “moral dialog among co-creators,” in which the seven principles can be applied to intentionally improve the world Comprehensive explorations of a person-resource-activity model that explains how technology shapes designs Detailed analyses of the strengths and pitfalls of five design traditions, which include the scientific, technical-analytic, human-centered, aesthetic, and social movement traditions
The Respiratory Therapist's Legal Answer Book
Author: Anthony L. DeWitt
Publisher: Jones & Bartlett Learning
ISBN: 9780763734404
Category : Respiratory therapists
Languages : en
Pages : 1608
Book Description
Each day a new law or regulation affects the way respiratory therapists perform their jobs. This basic legal guide contains the extensive information respiratory therapists need to know about the court system, lawyers, law, and litigation. Written by the author, a lawyer and therapist with 13 years of clinical experience ranging from floor therapy to administrative and management functions, this book combines the author's knowledge of the complex interactions in the legal system and how the legal system relates to therapy delivered at the bedside. A resource for students and professionals, the book presents 16 areas of the law, including medical negligence, hospital law and employment law. The text also contains a series of questions and answers about the subject areas of the law, and provides extensive guidance for therapists navigating the treacherous currents of ever changing laws. This is a book for anyone who treats respiratory therapy patients or manages therapists. Most legal texts are written either by non-lawyers or non-therapists. Non-lawyers do not understand the complex interactions in the legal system, and are not permitted to give advice. Non-therapists may understand the law very well, but be unable to relate to how therapy is delivered at the bedside. This book is written by a therapist who is a lawyer, and who has been at the bedside. With thirteen years of clinical experience ranging from floor-therapy to administration and management functions, the author understands how a hospital works. The result is a book that is useful both as a course-book and as a reference
Publisher: Jones & Bartlett Learning
ISBN: 9780763734404
Category : Respiratory therapists
Languages : en
Pages : 1608
Book Description
Each day a new law or regulation affects the way respiratory therapists perform their jobs. This basic legal guide contains the extensive information respiratory therapists need to know about the court system, lawyers, law, and litigation. Written by the author, a lawyer and therapist with 13 years of clinical experience ranging from floor therapy to administrative and management functions, this book combines the author's knowledge of the complex interactions in the legal system and how the legal system relates to therapy delivered at the bedside. A resource for students and professionals, the book presents 16 areas of the law, including medical negligence, hospital law and employment law. The text also contains a series of questions and answers about the subject areas of the law, and provides extensive guidance for therapists navigating the treacherous currents of ever changing laws. This is a book for anyone who treats respiratory therapy patients or manages therapists. Most legal texts are written either by non-lawyers or non-therapists. Non-lawyers do not understand the complex interactions in the legal system, and are not permitted to give advice. Non-therapists may understand the law very well, but be unable to relate to how therapy is delivered at the bedside. This book is written by a therapist who is a lawyer, and who has been at the bedside. With thirteen years of clinical experience ranging from floor-therapy to administration and management functions, the author understands how a hospital works. The result is a book that is useful both as a course-book and as a reference
Certified Respiratory Therapist Exam Review Guide
Author: Craig L. Scanlan
Publisher: Jones & Bartlett Publishers
ISBN: 1449659578
Category : Medical
Languages : en
Pages : 628
Book Description
The Ultimate Review Guide for the CRT Exam! Certified Respiratory Therapist Exam Review Guide is a comprehensive study guide for respiratory therapy students and graduates of accredited respiratory therapy education programs who are seeking to take the entry-level Certified Respiratory Therapist (CRT) credentialing exam from the National Board for Respiratory Care (NBRC). This unique review guide devotes extensive coverage to two problematic areas for credentialing exam candidates, which are not covered in any other review guides: 1) test-taking skills, and 2) key points to remember in taking the NBRC computerized exams. Special emphasis is also given to material and subject areas which have proven to be especially challenging for exam candidates such as basic pulmonary function testing, arterial blood gas interpretation [ABGs], monitoring critically ill patients, neonatal and pediatric care, recommending modifications to therapy, and more. Certified Respiratory Therapist Exam Review Guide is authored by experts who take the credentialing exam annually, so you can be confident that the content and format of this guide is current! Key features include: Comprehensive discussion of material on the NEW CRT Exam Matrix Over 700 practice questions and answers with explanations Extensive Guidance on Study and Test-Taking Skills Specific Advice on Making Good Answer Choices and Avoiding Bad Ones Hundreds of Summary Tables and Illustrations Each new print copy of this review guide includes a CD-ROM with test questions that can be sorted and graded. Please note: Electronic formats of this review guide do not include the CD ROM.
Publisher: Jones & Bartlett Publishers
ISBN: 1449659578
Category : Medical
Languages : en
Pages : 628
Book Description
The Ultimate Review Guide for the CRT Exam! Certified Respiratory Therapist Exam Review Guide is a comprehensive study guide for respiratory therapy students and graduates of accredited respiratory therapy education programs who are seeking to take the entry-level Certified Respiratory Therapist (CRT) credentialing exam from the National Board for Respiratory Care (NBRC). This unique review guide devotes extensive coverage to two problematic areas for credentialing exam candidates, which are not covered in any other review guides: 1) test-taking skills, and 2) key points to remember in taking the NBRC computerized exams. Special emphasis is also given to material and subject areas which have proven to be especially challenging for exam candidates such as basic pulmonary function testing, arterial blood gas interpretation [ABGs], monitoring critically ill patients, neonatal and pediatric care, recommending modifications to therapy, and more. Certified Respiratory Therapist Exam Review Guide is authored by experts who take the credentialing exam annually, so you can be confident that the content and format of this guide is current! Key features include: Comprehensive discussion of material on the NEW CRT Exam Matrix Over 700 practice questions and answers with explanations Extensive Guidance on Study and Test-Taking Skills Specific Advice on Making Good Answer Choices and Avoiding Bad Ones Hundreds of Summary Tables and Illustrations Each new print copy of this review guide includes a CD-ROM with test questions that can be sorted and graded. Please note: Electronic formats of this review guide do not include the CD ROM.
Evaluating Critical Care
Author: William J. Sibbald
Publisher: Springer Science & Business Media
ISBN: 3642567193
Category : Medical
Languages : en
Pages : 387
Book Description
Measuring the quality of a complex service like critical care that combines the highest technology with the most intimate caring is a challenge. Recently, con sumers, clinicians, and payers have requested more formal assessments and comparisons of the quality and costs of medical care [2). Donabedian [1) pro posed a framework for thinking about the quality of medical care that separates quality into three components: structure, process, and outcome. An instructive analogy for understanding this framework is to imagine a food critic evaluating the quality of a restaurant. The critic might comment on the decoration and lighting ofthe restaurant, how close the tables are to each other, the extent ofthe wine list and where the chef trained. These are all evaluations of the restaurant structure. In addition, the critic might comment on whether the service was courteous and timely - measures of process. Finally, the critic might comment on outcomes like customer satisfaction or food poisoning. Similarly, to a health care critic, structure is the physical and human resources used to deliver medi cal care. Processes are the actual treatments offered to patients. Finally,outcomes are what happens to patients, for example, mortality, quality of life,and satisfac tion with care (Table 1). There is a debate about which of these measurements is the most important measure of quality.
Publisher: Springer Science & Business Media
ISBN: 3642567193
Category : Medical
Languages : en
Pages : 387
Book Description
Measuring the quality of a complex service like critical care that combines the highest technology with the most intimate caring is a challenge. Recently, con sumers, clinicians, and payers have requested more formal assessments and comparisons of the quality and costs of medical care [2). Donabedian [1) pro posed a framework for thinking about the quality of medical care that separates quality into three components: structure, process, and outcome. An instructive analogy for understanding this framework is to imagine a food critic evaluating the quality of a restaurant. The critic might comment on the decoration and lighting ofthe restaurant, how close the tables are to each other, the extent ofthe wine list and where the chef trained. These are all evaluations of the restaurant structure. In addition, the critic might comment on whether the service was courteous and timely - measures of process. Finally, the critic might comment on outcomes like customer satisfaction or food poisoning. Similarly, to a health care critic, structure is the physical and human resources used to deliver medi cal care. Processes are the actual treatments offered to patients. Finally,outcomes are what happens to patients, for example, mortality, quality of life,and satisfac tion with care (Table 1). There is a debate about which of these measurements is the most important measure of quality.