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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 perfor...
This book assesses the Department of Energy's Environmental Management Science Programâ€"a new program that funds basic research related to environmental cleanup of the department's weapons complex. The authoring committee was established to advise the department on the structure and management of the program. The book provides recommendations on long-term challenges and opportunities for the program.
This book assesses the Department of Energy's Environmental Management Science Program--a new program that funds basic research related to environmental cleanup of the department's weapons complex. The authoring committee was established to advise the department on the structure and management of the program. The book provides recommendations on long-term challenges and opportunities for the program.
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 se...
The U.S. Geological Survey (USGS) established the National Water Quality Assesment (NAWQA) program in 1985 to assess water quality conditions and trends in representative river basins and aquifers across the United States. With this report, the NRC's Water Science and Technology Board has provided advice to USGS regarding NAWQA five separate times as the program evolved from an unfunded concept to a mature and nationally-recognized program in 2002. This report assesses the program's development and representative accomplishments to date and makes recommendations on opportunities to improve NAWQA as it begins its second decade of nationwide monitoring.
Twelve years into the Comprehensive Everglades Restoration Project, little progress has been made in restoring the core of the remaining Everglades ecosystem; instead, most project construction so far has occurred along its periphery. To reverse ongoing ecosystem declines, it will be necessary to expedite restoration projects that target the central Everglades, and to improve both the quality and quantity of the water in the ecosystem. The new Central Everglades Planning Project offers an innovative approach to this challenge, although additional analyses are needed at the interface of water quality and water quantity to maximize restoration benefits within existing legal constraints. Progress Toward Restoring the Everglades: The Fourth Biennial Review, 2012 explains the innovative approach to expedite restoration progress and additional rigorous analyses at the interface of water quality and quantity will be essential to maximize restoration benefits.