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This volume provides the important concepts necessary for a physician to participate in a reengineering process, develop decision-making skills based on probability and logic rather than “rules,” and to measure and analyze meaningful outcomes of care delivery. This approach has been developed over ten years in a medical student-based program and has been enthusiastically embraced by medical students without backgrounds in engineering or statistics. More specifically, this text will introduce physicians to relevant and available computer software, combined with an in depth knowledge of measurement, variation, and uncertainty. It provides a basis for the transformation of data into informa...
ABSTRACT: The Institute of Medicine report "To Err is Human," released in late 1999, raised the issue of human error in medicine to a new level of attention. This study examines the frequency, severity, and type (FST) of errors associated with postoperative surgical complications at a tertiary care, university-based medical center, addressing the intersection of three domains: patient safety, graduate medical education, and simulation-based training. The study develops and validates a classification system for medical error that is specific to surgery, affirming reliability internally and externally. Baseline data on the FST of errors is collected over a 12-month period. A hybrid, simulation...
This volume provides the important concepts necessary for a physician to participate in a reengineering process, develop decision-making skills based on probability and logic rather than “rules,” and to measure and analyze meaningful outcomes of care delivery. This approach has been developed over ten years in a medical student-based program and has been enthusiastically embraced by medical students without backgrounds in engineering or statistics. More specifically, this text will introduce physicians to relevant and available computer software, combined with an in depth knowledge of measurement, variation, and uncertainty. It provides a basis for the transformation of data into informa...
Published in 2004: This new edition of Comprehensive Geriatric Oncology still offers an exhaustive review of the biology of cancer and aging, of the epidemiologic trends in the country and in the world, and of the clinical trials that concern cancer prevention and cancer treatment in the elderly.
Completely updated with contributions by world leaders in surgery and the surgery specialties, this reference assists surgeons in the diagnosis and treatment of patients by considering disease as a derangement of normal physiology, thus allowing the surgeon to correlate the appropriate use of laboratory and radiologic modalities. Arranged according to specific organ systems, the book is easily accessible and reflects the impact that scientific discoveries and technical advances have had on our understanding of the physiologic processes in surgical patients.
This book reflects a broad spectrum of current opinions and progress in the surgical management of liver, pancreatic and biliary disease. The enormous advances in diagnostic imaging techniques and in interven tional, radiological and biliary approaches, the pathophysiological problems and their management manifest often as complications in the post-operative period, new techniques and the results of surgical approaches are all thorough ly documented. Historical background is commented upon by Dr. Kenneth Warren of Boston in the first chapter. Subsequent chapters deal with a variety of subjects but always emphasizing differences of opinion and approach and maintaining the discussive environment so typical to the present-day approach to the topic. Professor Bengmark's efforts to introduce a forum for wide discussion for diseases of the liver, pancreas and biliary tract and many recent advances in research and technology to aspects of the clinical management and outcome of patients is well rewarded in this balanced publication. Advances in this field of surgery have been and continue to be so rapid that such documentation is not only necessary but very welcome.
Despite a strong commitment to delivering quality health care, persistent problems involving medical errors and ineffective treatment continue to plague the industry. Many of these problems are the consequence of poor information and technology (IT) capabilities, and most importantly, the lack cognitive IT support. Clinicians spend a great deal of time sifting through large amounts of raw data, when, ideally, IT systems would place raw data into context with current medical knowledge to provide clinicians with computer models that depict the health status of the patient. Computational Technology for Effective Health Care advocates re-balancing the portfolio of investments in health care IT to place a greater emphasis on providing cognitive support for health care providers, patients, and family caregivers; observing proven principles for success in designing and implementing IT; and accelerating research related to health care in the computer and social sciences and in health/biomedical informatics. Health care professionals, patient safety advocates, as well as IT specialists and engineers, will find this book a useful tool in preparation for crossing the health care IT chasm.