| complications: a surgeons notes on an imperfect science: Complications Atul Gawande, 2002 In Gripping Accounts Of True Cases, Atul Gawande Performs Exploratory Surgery On Medicine Itself, Laying Bare A Science Not In Its Idealized Form But As It Actually Is Complicated, Perplexing And Profoundly Human. He Offers An Unflinching View From The Scalpel S Edge, Where Science Is Ambiguous, Information Is Limited, The Stakes Are High, Yet Decisions Must Be Made. Dramatic, Revealing Stories Of Patients And Doctors Explore How Daily Mistakes Occur, Why Good Surgeons Go Bad, And What Happens When Medicine Comes Up Against The Inexplicable: An Architect With Incapacitating Back Pain For Which There Is No Physical Cause; A Young Woman With Nausea That Won T Go Away; A Television Newscaster Whose Blushing Is So Severe That She Cannot Do Her Job. At Once Tough-Minded And Humane, Complications Is A New Kind Of Medical Writing, Nuanced And Lucid, Unafraid To Confront The Uncertainties That Lie At The Heart Of Modern Medicine, Yet Always Alive To The Possibilities Of Wisdom In This Extraordinary Endeavor. Highly Acclaimed Book That Is Destined To Be A Bestseller Literally Straight-From-The-Gut Writing |
| complications: a surgeons notes on an imperfect science: Better Gawande, 2007 Riveting Accounts Of Medical Failure And Triumph, And How Success Is Achieved In A Complex And Risk-Filled Profession The Struggle To Perform Well Is Universal, And Nowhere Is The Drive To Do Better More Important Than In Medicine, Where Lives Are On The Line With Every Decision. In His New Book, Atul Gawande Explores How Doctors Strive To Close The Gap Between Best Intentions And Best Performance In The Face Of Obstacles That Sometimes Seem Insurmountable. Gawande S Gripping Stories Of Diligence And Ingenuity Take Us To Battlefield Surgical Tents In Iraq, Delivery Rooms In Boston, A Polio Outbreak In India, And Malpractice Courtrooms In The Us. He Discusses The Ethical Dilemmas Of Doctors Participation In Lethal Injections, Examines The Influence Of Money On Modern Medicine, And Recounts The Contentious History Of Hand Washing. And As In All His Writing, Gawande Gives Us An Inside Look At His Own Life As A Surgeon, Offering A Firsthand Account Of Work In A Field Where Mistakes Are Both Unavoidable And Unthinkable. |
| complications: a surgeons notes on an imperfect science: Checklist Manifesto, The (HB) Atul Gawande, 2010-04 We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies-neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference. |
| complications: a surgeons notes on an imperfect science: Being Mortal Atul Gawande, 2014-10-16 AS HEARD ON BBC RADIO 4 'A GOOD READ' THE INTERNATIONAL BESTSELLER 'GAWANDE'S MOST POWERFUL, AND MOVING, BOOK' MALCOLM GLADWELL 'BEING MORTAL IS NOT ONLY WISE AND DEEPLY MOVING; IT IS AN ESSENTIAL AND INSIGHTFUL BOOK FOR OUR TIMES' OLIVER SACKS For most of human history, death was a common, ever-present possibility. It didn't matter whether you were five or fifty - every day was a roll of the dice. But now, as medical advances push the boundaries of survival further each year, we have become increasingly detached from the reality of being mortal. So here is a book about the modern experience of mortality - about what it's like to get old and die, how medicine has changed this and how it hasn't, where our ideas about death have gone wrong. With his trademark mix of perceptiveness and sensitivity, Atul Gawande outlines a story that crosses the globe, as he examines his experiences as a surgeon and those of his patients and family, and learns to accept the limits of what he can do. Never before has aging been such an important topic. The systems that we have put in place to manage our mortality are manifestly failing; but, as Gawande reveals, it doesn't have to be this way. The ultimate goal, after all, is not a good death, but a good life - all the way to the very end. |
| complications: a surgeons notes on an imperfect science: The Mayo Clinic David Blistein, Ken Burns, 2018-09-18 A photo-filled history of the world-renowned medical center, based on the award-winning PBS documentary by Ken Burns, Erik Ewers, and Christopher Loren Ewers. On September 30, 1889, W.W. Mayo and his sons Will and Charlie performed the very first operation at a brand-new Catholic hospital in Rochester, Minnesota. It was called Saint Mary’s. The hospital was born out of the devastation of a tornado that had struck the town six years earlier, after which Mother Alfred Moes of the Sisters of Saint Francis told the Mayos that she had a vision of building a hospital that would “become world renowned for its medical arts.” Based on the film by acclaimed documentary filmmaker Ken Burns, The Mayo Clinic: Faith, Hope, Science chronicles the history of this unique organization, from its roots as an unlikely partnership between a country doctor and a Franciscan order of nuns to its position today as a worldwide model for patient care, research, and education. Featuring more than 400 compelling archival and modern images, as well as the complete script from the film, the book demonstrates how the institution’s remarkable history continues to inspire the way medicine is practiced there today. In addition, case studies reveal patients, doctors, and nurses in their most private moments as together they face difficult diagnoses and embark on uncertain treatments. The film and this companion book tell the story of an organization that has managed to stay true to its primary value: The needs of the patient come first. Together they make an important contribution to the critical discussions about the delivery of health care today in America—and the world. |
| complications: a surgeons notes on an imperfect science: A Text Book of Medical Instruments S. Ananthi, 2006 About the Book: This book has therefore subdivided the realm of medical instruments into the same sections like a text on physiology and introduces the basic early day methods well, before dealing with the details of present day instruments currently in |
| complications: a surgeons notes on an imperfect science: When the Air Hits Your Brain: Tales from Neurosurgery Frank Vertosick Jr., 2008-03-17 The story of one man's evolution from naive and ambitious young intern to world-class neurosurgeon. With poignant insight and humor, Frank Vertosick Jr., MD, describes some of the greatest challenges of his career, including a six-week-old infant with a tumor in her brain, a young man struck down in his prime by paraplegia, and a minister with a .22-caliber bullet lodged in his skull. Told through intimate portraits of Vertosick’s patients and unsparing yet fascinatingly detailed descriptions of surgical procedures, When the Air Hits Your Brain—the culmination of decades spent struggling to learn an unforgiving craft—illuminates both the mysteries of the mind and the realities of the operating room. |
| complications: a surgeons notes on an imperfect science: Extinguish Burnout Robert Bogue, Terri Bogue, 2019 An authoritative and relevant guide that provides practical advice for how to avoid and recover from burnout and embark on the pathway to thriving. Trapped. Stuck. Helpless. These are the words that people experiencing burnout use to describe their lives, but they don't have to. The words used after extinguishing burnout are hopeful, thriving, flourishing, and powerful. Nearly everyone has experienced burnout. Some have escaped burnout's grips, but at what cost, and after how long? When we find ourselves succumbing to the pressures of today that move us towards burnout, we need a clear path to get out and avoid it in the future. That's what Rob and Terri Bogue have put together - a clear path out of burnout. In the book, you'll learn: - What causes burnout and how to escape - How to more realistically value the results you're getting - When to ask for and receive more support - What four simple physical self-care activities reduce burnout - How to change your self-talk for the better - What to do to manage your demands so you're not so exhausted - How to better recognize your personal value - How to integrate your self-image and reduce your stress - How to identify and eliminate barriers to your efficacy - How to build resilience against setbacks - Why hope is essential - Why failure isn't final - How to be detached without being disengaged Rob and Terri convert abstract concepts into tangible activities that you can do to escape burnout. They convert nearly incomprehensible research into practical steps anyone can take. Intentionally short chapters can be read in only a few minutes, so you don't have to commit to a long book or chapter to start feeling better. If you need to read one book about well-being, this is absolutely it. - Sharlyn Lauby, Author of HR Bartender |
| complications: a surgeons notes on an imperfect science: Open Heart Stephen Westaby, 2017-06-20 In gripping prose, one of the world's leading cardiac surgeons lays bare both the wonder and the horror of a life spent a heartbeat away from death When Stephen Westaby witnessed a patient die on the table during open-heart surgery for the first time, he was struck by the quiet, determined way the surgeons walked away. As he soon understood, this detachment is a crucial survival strategy in a profession where death is only a heartbeat away. In Open Heart, Westaby reflects on over 11,000 surgeries, showing us why the procedures have never become routine and will never be. With astonishing compassion, he recounts harrowing and sometimes hopeful stories from his operating room: we meet a pulseless man who lives with an electric heart pump, an expecting mother who refuses surgery unless the doctors let her pregnancy reach full term, and a baby who gets a heart transplant-only to die once it's in place. For readers of Atul Gawande's Being Mortal and of Henry Marsh's Do No Harm, Open Heart offers a soul-baring account of a life spent in constant confrontation with death. |
| complications: a surgeons notes on an imperfect science: Skill Christopher S. Ahmad, 2015-06 This book provides guidelines--via 40 practical tips and processes--to fulfill anyone's natural ability. It's about becoming the master of your own fate, your own skills and your own success. Greatness is not a natural gift... It is something achieved through hard work and diligent practice--not from dreaming, but from working. Commit to becoming the best: work hard, have a positive mindset, and practice, practice, practice.--Back cover. |
| complications: a surgeons notes on an imperfect science: How Doctors Think Jerome Groopman, 2010 On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can with our help avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track.Groopman draws on a wealth of research, extensive interviews with some of the country's best doctors, and his own experience as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his debilitating medical problems.How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together. |
| complications: a surgeons notes on an imperfect science: Complications Atul Gawande, 2010-07-09 The international bestseller from the author of Being Mortal In these gripping accounts of true cases, bestselling author Atul Gawande performs exploratory surgery on medicine itself, laying bare a science not in its idealised form, but as it actually is - complicated, perplexing and profoundly human. This is a stunningly well-written account of the life of a surgeon: what it is like to cut into people's bodies and the terrifying - literally life and death - decisions that have to be made: operations that go wrong; of doctors who go to the bad; why autopsies are necessary; what it feels like to insert your knife into someone. 'Written as tautly as a thriller' Observer |
| complications: a surgeons notes on an imperfect science: Complications in Surgery Michael W. Mulholland, Gerard M. Doherty, 2012-11-13 Complications in Surgery, Second Edition offers authoritative recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. This edition includes new information on surgical quality assessment and patient safety and updated information in the organ-specific chapters. |
| complications: a surgeons notes on an imperfect science: The Norm Chronicles David Spiegelhalter, Michael Blastland, 2013-05-30 Meet Norm. He's 31, 5'9, just over 13 stone, and works a 39 hour week. He likes a drink, doesn't do enough exercise and occasionally treats himself to a bar of chocolate (milk). He's a pretty average kind of guy. In fact, he is the average guy in this clever and unusual take on statistical risk, chance, and how these two factors affect our everyday choices. Watch as Norm (who, like all average specimens, feels himself to be uniquely special), and his friends careful Prudence and reckless Kelvin, turns to statistics to help him in life's endless series of choices - should I fly or take the train? Have a baby? Another drink? Or another sausage? Do a charity skydive or get a lift on a motorbike? Because chance and risk aren't just about numbers - it's about what we believe, who we trust and how we feel about the world around us. From a world expert in risk and the bestselling author of The Tiger That Isn't (and creator of BBC Radio 4's More or Less), this is a commonsense (and wildly entertaining) guide to personal risk and decoding the statistics that represent it. |
| complications: a surgeons notes on an imperfect science: Smart Surgeons; Sharp Decisions Uttam Shiralkar,, 2011-01-01 Winner of a HIGHLY COMMENDED AWARD in the Surgery category of the 2011 BMA Medical Book Competition. A vital question that concerns many: how to make surgery safer? Is it by tightening the regulations and imposing rigid protocols or by empowering surgeons with the resources to help them make safer decisions? This is the book for those who would choose the second option. What do you think separates smart surgeons from the rest? Why, on the other hand, do surgeons make blunders despite having experience and knowledge? There is only one answer to both questions - it is decision-making. Decision-making is an art and is at the heart of surgery. It decides between excellent and poor surgical performance. Although a vital part of professional activity, surgeons are not generally aware of how to optimize decision-making skills. Making a good decision is a skill that, like any skill, needs to be developed and this book reveals how surgeons can sharpen these skills. Presented here are the findings from decision science that surgeons, irrespective of specialty or seniority, can apply to everyday practice. Surgeons are required to adapt new strategies throughout their careers. Ideas taken from this book will help to speed up the learning curve. It offers answers to the questions which experienced surgeons may find difficult to explain. Equally, it answers the questions that trainees may even find difficult to ask. You are expected to be cognizant of the knowledge behind making decisions. Nonetheless, no-one tells you how to access this information easily. This book is the key to that vital information. This is a very helpful book, written in a friendly and accessible style. It provides many fascinating examples of the phenomenon which so interests us surgeons. Surgeons of all ages and specialties will find it helpful to know about themselves and how they are challenged. Mr Tony Giddings, Past President of the Association of Surgeons of GB & Ireland |
| complications: a surgeons notes on an imperfect science: Sabiston Textbook of Surgery E-Book Courtney M. Townsend, R. Daniel Beauchamp, B. Mark Evers, Kenneth L. Mattox, 2012-02-17 Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient. Consult it on the go with online access at expertconsult.com, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature. |
| complications: a surgeons notes on an imperfect science: Urolithiasis Michael E. Moran, 2013-10-30 Urolithiasis: A Comprehensive History provides a historical sojourn into the varied manifestations of kidney stone disease. Utilizing historical sources and integrating classic material with new concepts, this new volume provides depth and details on stone disease not found in modern overviews on the topic. This volume serves as a very useful tool for physicians and researchers dealing with kidney stone disease. Written by a renowned expert in the field, Urolithiasis: A Comprehensive History is an in depth resource that heightens our medical understanding of this ancient disease and is of great value to urologists, nephrologists, endocrinologists interested in stone disease. |
| complications: a surgeons notes on an imperfect science: Informed Consent and Clinician Accountability Steve Clarke, Justin Oakley, 2007-07-26 This timely book analyses and evaluates ethical and social implications of recent developments in reporting surgeon performance. It contains chapters by leading international specialists in philosophy, bioethics, epidemiology, medical administration, surgery, and law, demonstrating the diversity and complexity of debates about this topic, raising considerations of patient autonomy, accountability, justice, and the quality and safety of medical services. Performance information on individual cardiac surgeons has been publicly available in parts of the US for over a decade. Survival rates for individual cardiac surgeons in the UK have recently been released to the public. This trend is being driven by various factors, including concerns about accountability, patients' rights, quality and safety of medical care, and the need to avoid scandals in medical care. This trend is likely to extend to other countries, to other clinicians, and to professions beyond health care, making this text an essential addition to the literature available. |
| complications: a surgeons notes on an imperfect science: STEM Teachers and Teaching in the Digital Era Yifat Ben-David Kolikant, Dragana Martinovic, Marina Milner-Bolotin, 2020-02-20 This book brings together researchers from Israel and Canada to discuss the challenges today's teachers and teacher‐educators face in their practice. There is a growing expectation that the 21st century STEM teachers re‐examine their teaching philosophies and adjust their practices to reflect the increasing role of digital technologies. This expectation presents a significant challenge to teachers, who are often asked to implement novel technology‐rich pedagogies they did not have a chance to experience as students or become comfortable with. To exacerbate this challenge, the 21st century teachers function not only in a frequently‐changing educational reality manifested by continuous reforms, but are also bombarded by often contradictory and competing demands from the legislators, administrators, parents, and students. How do we break the vicious circle of reforms and support STEM teachers in making a real change in student learning? This book is unique for at least three reasons. First, it showcases research situated in Israel and Canada that examines the challenges today's teachers and teacher‐educators face in their practice. While the governments of both countries emphasize STEM education, their approaches are different and thus provide for interesting comparisons. Second, in addition to including research-based chapters, prominent scholars discuss the contributions in each of the book sections, problematizing the issues from a global perspective. Third, technology has a potential to empower teachers in this era of change, and this book provides the unique insights from each country, while allowing for comparisons, discussing solutions, and asking new questions. This book will be of interest to all involved in STEM teacher education programs or graduate programs in education, as well as to educational administrators interested in implementing technology in their schools. |
| complications: a surgeons notes on an imperfect science: Get Inside Your Doctor's Head Phillip K. Peterson, 2013-08-01 This concise and accessible guide to modern healthcare explains the 10 rules of medical decision-making—and when to break them. With so many medical tests and treatments to consider and so much information out there—some of it contradictory—it can be difficult to know what’s right for you. In Get Inside Your Doctor’s Head, Dr. Phillip K. Peterson explains the Ten Rules of Internal Medicine. Using real case examples, Peterson shows how following these commonsense rules will help you make better decisions about your medical care. Get Inside Your Doctor’s Head provides advice about when to seek treatment, when to get another opinion, and when to let time take its course. Using the Ten Rules can help you communicate more effectively with doctors and help you weigh their recommendations. As with all rules, there are occasional exceptions—and when evidence suggests that you are an exception, the relevant rule should be broken. Follow the Ten Rules to make decisions in the increasingly complicated medical world when you need guidance about health matters for yourself and your loved ones. |
| complications: a surgeons notes on an imperfect science: Patient-Centred Medicine in Transition Alan Bleakley, 2014-01-27 This book challenges functional models for more aesthetic and ethical models, where communication is grounded in values systems of cultures. Here, communication is treated as a distributed phenomenon involving networks of persons, activities and artifacts, and extends beyond doctor-patient relationships to working in and across teams around patients. The purpose of the book is to stimulate thinking about how patient care and safety may be improved through a focus upon the ‘non-technical’ work of doctors – interpersonal communication, teamwork and situation awareness in teams. The focus is then not on the personality of the doctor, but on the dynamics of relationships which form doctors’ multiple identities. |
| complications: a surgeons notes on an imperfect science: Making Things Happen Scott Berkun, 2008-03-25 In the updated edition of this critically acclaimed and bestselling book, Microsoft project veteran Scott Berkun offers a collection of essays on field-tested philosophies and strategies for defining, leading, and managing projects. Each essay distills complex concepts and challenges into practical nuggets of useful advice, and the new edition now adds more value for leaders and managers of projects everywhere. Based on his nine years of experience as a program manager for Internet Explorer, and lead program manager for Windows and MSN, Berkun explains to technical and non-technical readers alike what it takes to get through a large software or web development project. Making Things Happen doesn't cite specific methods, but focuses on philosophy and strategy. Unlike other project management books, Berkun offers personal essays in a comfortable style and easy tone that emulate the relationship of a wise project manager who gives good, entertaining and passionate advice to those who ask. Topics in this new edition include: How to make things happen Making good decisions Specifications and requirements Ideas and what to do with them How not to annoy people Leadership and trust The truth about making dates What to do when things go wrong Complete with a new forward from the author and a discussion guide for forming reading groups/teams, Making Things Happen offers in-depth exercises to help you apply lessons from the book to your job. It is inspiring, funny, honest, and compelling, and definitely the one book that you and your team need to have within arm's reach throughout the life of your project. Coming from the rare perspective of someone who fought difficult battles on Microsoft's biggest projects and taught project design and management for MSTE, Microsoft's internal best practices group, this is valuable advice indeed. It will serve you well with your current work, and on future projects to come. |
| complications: a surgeons notes on an imperfect science: Patient Safety Sidney Dekker, 2016-04-19 Increased concern for patient safety has put the issue at the top of the agenda of practitioners, hospitals, and even governments. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. Yet the discourse is often oversimplified and underdeveloped. Written from a scientific, human factors |
| complications: a surgeons notes on an imperfect science: Patient Safety Russell Kelsey, 2023-08-28 The second edition of this well-received book, the first to provide detailed guidance on how to conduct incident investigations in primary care, has been thoroughly revised and updated throughout to reflect the current nomenclature for different aspects of the investigatory process in the UK and the latest format for incident reporting. Key features: Explains how to recognise a serious clinical incident, how to conduct a root cause analysis (RCA) investigation, and how and when duty of candour applies Covers the technical aspects of serious incident recognition and report writing Includes a wealth of practical advice and 'top tips', including how to manage the common pitfalls in writing reports Offers practical advice as well as some new and innovative tools to help make the RCA process easier to follow Explores the all-important human factors in clinical incidents in detail, with multiple examples and worked-through cases studies as well as in-depth sample reports and analysis. At a time of increasing regulatory scrutiny and medico-legal risk, in which failure to manage appropriately can have serious consequences both for service organisations and for individuals involved, this concise and convenient book continues to provide a master class for anyone performing RCA and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for any clinical or governance leads in primary care, including GP practices, 'out-of-hours', urgent care centres, prison health and NHS 111. It also offers valuable insights to any clinician who is in training or working at the coal face who wishes to understand how serious clinical incidents are investigated and managed. |
| complications: a surgeons notes on an imperfect science: Cancer, Radiation Therapy, and the Market Barbara Bridgman Perkins, 2017-08-16 Cancer, Radiation Therapy, and the Market shows how the radiation therapy specialty in the United States (later called radiation oncology) co-evolved with its device industry throughout the twentieth-century. Academic engineers and physicians acquired financing to develop increasingly powerful radiation devices, initiated companies to manufacture the devices competitively and designed hospital and freestanding procedure units to utilize them. In the process they incorporated market strategies into medical organization and practice. This provocative inquiry concludes that public health policy needs to re-evaluate market-driven high-tech medicine and build evidence-based health care systems. |
| complications: a surgeons notes on an imperfect science: The Human Contribution J. T. Reason, 2008 The Human Contribution is vital reading for all professionals in high-consequence environments and for managers of any complex system. The book draws its illustrative material from a wide variety of hazardous domains, with the emphasis on healthcare reflecting the author's focus on patient safety over the last decade. All students of human factors - however seasoned - will also find it an invaluable and thought-provoking read. |
| complications: a surgeons notes on an imperfect science: Inside the Bone Box Anthony Ferner, 2018-07-11 Nicholas Anderton is a highly respected neurosurgeon at the top of his field. But behind the successful façade all is not well. Tormented by a toxic marriage, and haunted by past mistakes, Anderton has been eating to forget. His wife, meanwhile, has turned to drink. There are sniggers behind closed doors - how can a surgeon be fat, they whisper; when mistakes are made and his old adversary Nash steps in to take advantage Anderton knows things are coming to a head... |
| complications: a surgeons notes on an imperfect science: Patient Safety Alexander Gungov, 2018-10-30 In our time of well-publicized health care travails, in the USA and the UK and elsewhere, matters of financing too often subsume the dimension of patient care. In his latest book, Alexander L. Gungov studies a vital but neglected aspect of patient safety. Of the thousands of medical errors committed on a daily basis, in the bulk of unfortunate clinical decisions, a significant share pertains to various logical flows and epistemological fallacies. By focusing on the logical dimensions of clinical medicine, Gungov promotes awareness of the logical and epistemological traps that lie in the day-to-day care of patients. Such a focus not only allows us to avoid falling into them, but demonstrates the practical value of looking at medicine from a new philosophical perspective. That perspective involves a broad and unusual collection of philosophers. The discussion takes its starting point from J. S. Mill’s inductive methods and Giambattista Vico’s verum-factum principle, but then sets out a unique combination of Charles Sanders Peirce’s abductive reasoning, Immanuel Kant’s reflective judgment, as well as G. W. F. Hegel’s and D. P. Verene’s speculative thinking, all marshalled to present a novel philosophical account of clinical diagnostics. Interpretation of practical examples elucidate the logical aspect of medical errors and suggests strategies of overcoming them. The book as a whole demonstrates the value of Hans-Georg Gadamer’s hermeneutical insights into the enigmatic character of health. This much-needed book will be of interest to medical practitioners, health policy-makers, patients and their families, and to advanced students and scholars in medicine, the medical humanities, medical epistemology, and the philosophy of medicine in general. |
| complications: a surgeons notes on an imperfect science: Patient Safety Charles Vincent, 2011-07-20 When you are ready to implement measures to improve patient safety, this is the book to consult. Charles Vincent, one of the world's pioneers in patient safety, discusses each and every aspect clearly and compellingly. He reviews the evidence of risks and harms to patients, and he provides practical guidance on implementing safer practices in health care. The second edition puts greater emphasis on this practical side. Examples of team based initiatives show how patient safety can be improved by changing practices, both cultural and technological, throughout whole organisations. Not only does this benefit patients; it also impacts positively on health care delivery, with consequent savings in the economy. Patient Safety has been praised as a gateway to understanding the subject. This second edition is more than that – it is a revelation of the pervading influence of health care errors, and a guide to how these can be overcome. ... The beauty of this book is that it describes the complexity of patient safety in a simple coherent way and captures the breadth of issues that encompass this fascinating field. The author provides numerous ways in which the reader can take this subject further with links to the international world of patient safety and evidence based research... One of the most difficult aspects of patient safety is that of implementation of safer practices and sustained change. Charles Vincent, through this book, provides all who read it clear examples to help with these challenges From a review in Hospital Medicine by Dr Suzette Woodward, Director of Patient Safety. Access 'Essentials of Patient Safety – Free Online Introduction': www.wiley.com/go/vincent/patientsafety/essentials |
| complications: a surgeons notes on an imperfect science: Mind-Body Medicine in Inpatient Psychiatry David Lag Tomasi, 2020-03-30 David Tomasi presents new, groundbreaking research on the science and application of Mind-Body Medicine strategies to improve clinical outcomes in inpatient psychiatry settings. Much more than a list of therapeutic recommendations, this book is a thorough description of how Mind-Body Medicine can be successfully applied, from a therapeutic as well as from an organizational, cost-effective analysis viewpoint, to the full spectrum of psychiatric treatments. Furthermore, this study examines the role of multidisciplinary and interdisciplinary treatment teams, with a special focus on the profession and the role of psychotherapists and group therapists, thereby providing solid scientific evidence of the benefits of patient-provider therapeutic alliances. In this sense, this book serves as a guide for professionals and institutions both in the private and the public sphere, to learn effective treatment and management strategies. |
| complications: a surgeons notes on an imperfect science: Improving Health Care Safety and Quality Judith Healy, 2016-05-13 Responding to the public concern caused by recent hospital scandals and accounts of unintended harm to patients, this author draws on her experience of analysing the health care systems of over a dozen countries and examines whether greater regulation has increased patient safety and health care quality. The book adopts a new approach to mapping developments in health care systems in Europe, North America and Australia and pieces together evidence of which regulatory strategies and mechanisms work well to ensure safer patient care. It identifies the regulatory bodies, the regulatory principles and the implementation strategies adopted to improve governance in health care systems and suggests a conceptual framework for responsive regulation. The book will be of interest to government actors, health care professionals and medico-legal scholars. |
| complications: a surgeons notes on an imperfect science: Medical Education: Developing A Curriculum For Practice Fish, Della, Coles, Colin, 2005-11-01 This book is written by two eminent educators and clinicians in medicine, and provides a wealth of information and food for thought for those who have responsibility for curriculum development. Journal of Orthodontics What are the contemporary problems facing curriculum designers and developers? What are the key questions that ought to be addressed with regard to curriculum design for medical practice? How might a curriculum for practice in medical education be developed? Medical Educationoffers a detailed response to these questions and shows what form a curriculum for practice should take and how one can be developed. These ideas are presented in a highly practical and readable account that is essential reading for those involved in educating the doctors of the future and for policy makers in the field of medical education. It also offers useful advice for those in related fields of health care. The authors show that recent developments of curricula for postgraduate doctors have been founded on the misguided view (promoted by politicians and policy makers) that medical practice is routine, straightforward and able to be reduced to simple protocols that professionals must learn and follow. In this view, doctors are technicians who need merely to be trained through a simple curriculum. In contrast, this book shows that the practice of medicine as experienced by working doctors is complex, uncertain and unpredictable. This requires a curriculum that provides the opportunity to learn to exercise professional judgement and make decisions based on practical wisdom. |
| complications: a surgeons notes on an imperfect science: Subjects of Responsibility Andrew Parker, Austin Sarat, Martha Merrill Umphrey, 2011 How and why has the concept of responsibility come to pervade the fabric of American public and private life? How are ideas of responsibility instantiated in, and constituted by, the workings of social and political institutions? What place do liberal discourses of responsibility, based on the individual, have in today's biopolitical world, where responsibility is so often a matter of risk assessment, founded in statistical probabilities? Bringing together the work of scholars in anthropology, law, literary studies, philosophy, and political theory, the essays in this volume show how state and private bureaucracies play crucial roles in fashioning forms of responsibility, which they then enjoin on populations. How do government and market constitute subjects of responsibility in a culture so enamored of individuality? In what ways can those entities--centrally, in modern culture, those engaged in insuring individuals against loss or harm--themselves be held responsible, and by whom? What kinds of subjectivities are created in this process? Can such subjects be said to be truly responsible, and in what sense? |
| complications: a surgeons notes on an imperfect science: Behavioral Economics and Its Applications Peter Diamond, Hannu Vartiainen, 2012-01-12 In the last decade, behavioral economics, borrowing from psychology and sociology to explain decisions inconsistent with traditional economics, has revolutionized the way economists view the world. But despite this general success, behavioral thinking has fundamentally transformed only one field of applied economics-finance. Peter Diamond and Hannu Vartiainen's Behavioral Economics and Its Applications argues that behavioral economics can have a similar impact in other fields of economics. In this volume, some of the world's leading thinkers in behavioral economics and general economic theory make the case for a much greater use of behavioral ideas in six fields where these ideas have already proved useful but have not yet been fully incorporated--public economics, development, law and economics, health, wage determination, and organizational economics. The result is an attempt to set the agenda of an important development in economics--an agenda that will interest policymakers, sociologists, and psychologists as well as economists. Contributors include Ian Ayres, B. Douglas Bernheim, Truman F. Bewley, Colin F. Camerer, Anne Case, Michael D. Cohen, Peter Diamond, Christoph Engel, Richard G. Frank, Jacob Glazer, Seppo Honkapohja, Christine Jolls, Botond Koszegi, Ulrike Malmendier, Sendhil Mullainathan, Antonio Rangel, Emmanuel Saez, Eldar Shafir, Sir Nicholas Stern, Jean Tirole, Hannu Vartiainen, and Timothy D. Wilson. |
| complications: a surgeons notes on an imperfect science: Knocking on Heaven's Door Katy Butler, 2014-06-10 A blend of memoir and investigation of the choices we face when our terror of death collides with the technological imperatives of modern medicine-- |
| complications: a surgeons notes on an imperfect science: Why Software Sucks-- and what You Can Do about it David S. Platt, 2007 I've just finished reading the best computer book [ Why Software Sucks...] since I last re-read one of mine and I wanted to pass along the good word. . . . Put this one on your must-have list if you have software, love software, hate programmers, or even ARE a programmer, because Mr. Platt (who teaches programming) has set out to puncture the bloated egos of all those who think that just because they can write a program, they can make it easy to use. . . . This book is funny, but it is also an important wake-up call for software companies that want to reduce the size of their customer support bills. If you were ever stuck for an answer to the question, 'Why do good programmers make such awful software?' this book holds the answer. -- John McCormick, Locksmith columnist, TechRepublic.com I must say first, I don't get many computing manuscripts that make me laugh out loud. Between the laughs, Dave Platt delivers some very interesting insight and perspective, all in a lucid and engaging style. I don't get much of that either! -- Henry Leitner, assistant dean for information technology and senior lecturer on computer science, Harvard University A riotous book for all of us downtrodden computer users, written in language that we understand. -- Stacy Baratelli, author's barber David's unique take on the problems that bedevil software creation made me think about the process in new ways. If you care about the quality of the software you create or use, read this book. -- Dave Chappell, principal, Chappell & Associates I began to read it in my office but stopped before I reached the bottom of the first page. I couldn't keep a grin off my face! I'll enjoy it after I go back home and find a safe place to read. -- Tsukasa Makino, IT manager David explains, in terms that my mother-in-law can understand, why the software we use today can be so frustrating, even dangerous at times, and gives us some real ideas on what we can do about it. -- Jim Brosseau, Clarrus Consulting Group, Inc. A Book for Anyone Who Uses a Computer Today...and Just Wants to Scream! Today's software sucks. There's no other good way to say it. It's unsafe, allowing criminal programs to creep through the Internet wires into our very bedrooms. It's unreliable, crashing when we need it most, wiping out hours or days of work with no way to get it back. And it's hard to use, requiring large amounts of head-banging to figure out the simplest operations. It's no secret that software sucks. You know that from personal experience, whether you use computers for work or personal tasks. In this book, programming insider David Platt explains why that's the case and, more importantly, why it doesn't have to be that way. And he explains it in plain, jargon-free English that's a joy to read, using real-world examples with which you're already familiar. In the end, he suggests what you, as a typical user, without a technical background, can do about this sad state of our software--how you, as an informed consumer, don't have to take the abuse that bad software dishes out. As you might expect from the book's title, Dave's expose is laced with humor--sometimes outrageous, but always dead on. You'll laugh out loud as you recall incidents with your own software that made you cry. You'll slap your thigh with the same hand that so often pounded your computer desk and wished it was a bad programmer's face. But Dave hasn't written this book just for laughs. He's written it to give long-overdue voice to your own discovery--that software does, indeed, suck, but it shouldn't. |
| complications: a surgeons notes on an imperfect science: Healthcare Professionalism Lynn V. Monrouxe, Charlotte E. Rees, 2017-05-01 Healthcare Professionalism: Improving Practice through Reflections on Workplace Dilemmas provides the tools and resources to help raise professional standards within the healthcare system. Taking an evidence and case-based approach to understanding professional dilemmas in healthcare, this book examines principles such as applying professional and ethical guidance in practice, as well as raising concerns and making decisions when faced with complex issues that often have no absolute right answer. Key features include: Real-life dilemmas as narrated by hundreds of healthcare students globally A wide range of professionalism and inter-professionalism related topics Information based on the latest international evidence Using personal incident narratives to illustrate these dilemmas, as well as regulatory body professionalism standards, Healthcare Professionalism is an invaluable resource for students, healthcare professionals and educators as they explore their own professional codes of behaviour. |
| complications: a surgeons notes on an imperfect science: Management of Complications in Oral and Maxillofacial Surgery Michael Miloro, Antonia Kolokythas, 2012-02-21 Management of Complications in Oral and Maxillofacial Surgery is a comprehensive reference that covers the minor and major complications which may occur in all facets of oral maxillofacial surgery. Each chapter covers the potential complications encountered during the routine practice of oral and maxillofacial surgery, from the most commonly encountered complications, to those less frequent and more complex with which every competent oral and maxillofacial surgeon should be familiar. Drs. Miloro and Kolokythas address possible complications in every aspect of OMS, including anesthesia, third molar surgery, implant surgery, maxillofacial trauma, orthognathic surgery, temporomandibular joint surgery, cleft lip and palate surgery, head and neck oncologic surgery, soft and hard tissue reconstruction, free tissue transfer, and cosmetic facial surgery. The contributors to this textbook, recognized experts in their specific topic due to their surgical experience and expertise, focus on the prompt recognition of each complication, and consider preventative measures as well as precise management strategies considering the already compromised clinical circumstances. |
| complications: a surgeons notes on an imperfect science: Leveraging Lean in Healthcare Charles Protzman, George Mayzell, Joyce Kerpchar, 2018-06-28 Winner of a 2013 Shingo Research and Professional Publication AwardThis practical guide for healthcare executives, managers, and frontline workers, provides the means to transform your enterprise into a High-Quality Patient Care Business Delivery System. Designed for continuous reference, its self-contained chapters are divided into three primary s |
| complications: a surgeons notes on an imperfect science: Pediatric and Congenital Cardiac Care Paul R. Barach, Jeffery P. Jacobs, Steven E. Lipshultz, Peter C. Laussen, 2014-12-04 There are growing questions regarding the safety, quality, risk management, and costs of PCC teams, their training and preparedness, and their implications on the welfare of patients and families. This innovative book, authored by an international authorship, will highlight the best practices in improving survival while paving a roadmap for the expected changes in the next 10 years as healthcare undergoes major transformation and reform. An invited group of experts in the field will participate in this project to provide the timeliest and informative approaches to how to deal with this global health challenge. The book will be indispensable to all who treat pediatric cardiac disease and will provide important information about managing the risk of patients with pediatric and congenital cardiac disease in the three domains of: the analysis of outcomes, the improvement of quality, and the safety of patients. |
COMPLICATION Definition & Meaning - Merriam-Webster
The meaning of COMPLICATION is complexity, intricacy; especially : a situation or a detail of character complicating the main thread of a plot. How to use complication in a sentence.
COMPLICATION | English meaning - Cambridge Dictionary
Dave couldn't find his passport at the airport and then there were further complications when Fiona lost her baggage. If any complications arise, let me know and I'll help. If there are no …
Complication (medicine) - Wikipedia
Complications may adversely affect the prognosis, or outcome, of a disease. Complications generally involve a worsening in the severity of the disease or the development of new signs, …
COMPLICATION definition and meaning | Collins English Dictionary
A complication is a problem or difficulty that makes a situation harder to deal with. An added complication is the growing concern for the environment. A complication is a medical problem …
COMPLICATION Definition & Meaning - Dictionary.com
Shakira has cancelled her upcoming concert in Washington DC after "complications" with her previous show in Boston - an event that was also called off. Complication definition: . See …
complication noun - Definition, pictures, pronunciation and ...
Complications develop if the drug is not used properly. Definition of complication noun in Oxford Advanced Learner's Dictionary. Meaning, pronunciation, picture, example sentences, …
Complication - definition of ... - The Free Dictionary
1. the act of complicating. 2. a complicated or involved state or condition. 3. a complex combination of elements or things. 5. a concurrent disease, accident, or adverse reaction that …
Definition of complication - NCI Dictionary of Cancer Terms
In medicine, a medical problem that occurs during a disease, or after a procedure or treatment. The complication may be caused by the disease, procedure, or treatment or may be unrelated …
Complication - Definition, Meaning & Synonyms
A complication is a difficult circumstance or a confused condition, like the complication you cause when you invite a dozen strangers to Thanksgiving dinner. Complications can range from the …
Complication Definition & Meaning | Britannica Dictionary
The negotiations stalled when complications arose. Pneumonia is a common complication of AIDS. She experienced complications during her pregnancy. The patient died of complications …
COMPLICATION Definition & Meaning - Merriam-Webster
The meaning of COMPLICATION is complexity, intricacy; especially : a situation or a detail of character complicating the main thread of a plot. How to use complication in a sentence.
COMPLICATION | English meaning - Cambridge Dictionary
Dave couldn't find his passport at the airport and then there were further complications when Fiona lost her baggage. If any complications arise, let me know and I'll help. If there are no …
Complication (medicine) - Wikipedia
Complications may adversely affect the prognosis, or outcome, of a disease. Complications generally involve a worsening in the severity of the disease or the development of new signs, …
COMPLICATION definition and meaning | Collins English Dictionary
A complication is a problem or difficulty that makes a situation harder to deal with. An added complication is the growing concern for the environment. A complication is a medical problem …
COMPLICATION Definition & Meaning - Dictionary.com
Shakira has cancelled her upcoming concert in Washington DC after "complications" with her previous show in Boston - an event that was also called off. Complication definition: . See …
complication noun - Definition, pictures, pronunciation and ...
Complications develop if the drug is not used properly. Definition of complication noun in Oxford Advanced Learner's Dictionary. Meaning, pronunciation, picture, example sentences, …
Complication - definition of ... - The Free Dictionary
1. the act of complicating. 2. a complicated or involved state or condition. 3. a complex combination of elements or things. 5. a concurrent disease, accident, or adverse reaction that …
Definition of complication - NCI Dictionary of Cancer Terms
In medicine, a medical problem that occurs during a disease, or after a procedure or treatment. The complication may be caused by the disease, procedure, or treatment or may be unrelated …
Complication - Definition, Meaning & Synonyms - Vocabulary.com
A complication is a difficult circumstance or a confused condition, like the complication you cause when you invite a dozen strangers to Thanksgiving dinner. Complications can range from the …
Complication Definition & Meaning | Britannica Dictionary
The negotiations stalled when complications arose. Pneumonia is a common complication of AIDS. She experienced complications during her pregnancy. The patient died of complications …
