Each year, hospital-acquired infections, prescribing and treatment errors, lost documents and test reports, communication failures, and other problems have caused thousands of deaths in the United States, added millions of days to patients' hospital stays, and cost Americans tens of billions of dollars. Despite (and sometimes because of) new medical information technology and numerous well-intentioned initiatives to address these problems, threats to patient safety remain, and in some areas are on the rise.
In First, Do Less Harm, twelve health care professionals and researchers plus two former patients look at patient safety from a variety of perspectives, finding many of the proposed solutions to be inadequate or impractical. Several contributors to this book attribute the failure to confront patient safety concerns to the influence of the "market model" on medicine and emphasize the need for hospital-wide teamwork and greater involvement from frontline workers (from janitors and aides to nurses and physicians) in planning, implementing, and evaluating effective safety initiatives.
Several chapters in First, Do Less Harm focus on the critical role of interprofessional and occupational practice in patient safety. Rather than focusing on the usual suspects—physicians, safety champions, or high level management—these chapters expand the list of "stakeholders" and patient safety advocates to include nurses, patient care assistants, and other staff, as well as the health care unions that may represent them. First, Do Less Harm also highlights workplace issues that negatively affect safety: including sleeplessness, excessive workloads, outsourcing of hospital cleaning, and lack of teamwork between physicians and other health care staff. In two chapters, experts explain why the promise of health care information technology to fix safety problems remains unrealized, with examples that are at once humorous and frightening. A book that will be required reading for physicians, nurses, hospital administrators, public health officers, quality and risk managers, healthcare educators, economists, and policymakers, First, Do Less Harm concludes with a list of twenty-seven paradoxes and challenges facing everyone interested in making care safe for both patients and those who care for them.
Автор: Tate Natasha Название: Inconvenient obsession ISBN: 0263886662 ISBN-13(EAN): 9780263886665 Издательство: Неизвестно Рейтинг: Цена: 2910.00 T Наличие на складе: Невозможна поставка. Описание: "The Carrington family's island is up for auction..."
Now, that's an invitation Ethan Hardesty just can't refuse. This groundskeeper's son turned global entrepreneur has it all. All, that is, except a piece of the Carrington estate--the island that holds all his most pleasurable and painful memories.
Ethan doesn't count on the beautiful Cate Carrington handling the transaction--and providing him with the perfect opportunity to take her into the bargain. But toying with the woman who was once the girl he loved and lost soon turns from a game into an all-out obsession....
Автор: Madden Jack Название: Inconvenient Facts: Proving Global Warming Is a Hoax ISBN: 197390845X ISBN-13(EAN): 9781973908456 Издательство: Неизвестно Цена: 14890.00 T Наличие на складе: Есть у поставщика Поставка под заказ. Описание: Contrary to the opinions of Al Gore and the UN climatologists, CO2 concentration IS NOT the dominant influence on the global average temperature of the planet. This is why there is NO global climate crisis. -- For more than 30 years environmental activists have been blaming PEOPLE for causing global warming by driving cars, flying on jets, and just by living our lives. People use fossil fuels including oil, gas, and coal, which produces carbon dioxide (CO2), a colorless, odorless, nontoxic gas. Human's emit CO2 when we exhale. The earth's oceans, soil, plants, animals and volcanoes are all natural sources of CO2 emissions. -- Global warming, and at times global cooling has existed for more than 2.5 billion years. It is known as "climate variability". -- The earth has managed to start and end four massive ice ages during the last 2.4 billion years, all before there was any human existence on the planet. Civilized human beings have only existed for about 6,000 years, and human industrial CO2 emissions have occurred for only 170 +/- years. -- Read the facts about why CO2 is NOT causing global warming, and why it never will. It is even more important for you to understand why this hoax is being perpetuated -- Global warming is not a climate issue. It is a political issue. Global warming is propaganda against God's creation, against American sovereignty, and against American Liberty -- Arm yourself with the Facts in the blockbuster book "Inconvenient Facts, proving Global Warming is a Hoax", the Common Sense facts for the Basket of Deplorables.
Автор: McClain Virginia Название: Victoria Marmot and the Inconvenient Prophecy ISBN: 1999461215 ISBN-13(EAN): 9781999461218 Издательство: Неизвестно Цена: 13790.00 T Наличие на складе: Есть у поставщика Поставка под заказ. Описание:
When Victoria Marmot helps rescue her brother from a corrupt magical government she also unleashes a cadre unsavory characters, a handful of helpless children, and a dragon. Now, with the Ministry of Magical Entities and an obsessed vampire ambushing them at every turn, Vic will have to call on all of her newfound powers--and enlist the help of all of her new friends--to solve the mystery of what really happened to her parents before MOME can silence her and everyone she holds dear.
Автор: Goslett Miles Название: Inconvenient Death ISBN: 1788543114 ISBN-13(EAN): 9781788543118 Издательство: Bloomsbury Рейтинг: Цена: 10880.00 T Наличие на складе: Есть у поставщика Поставка под заказ. Описание: The examination of one of the most mysterious episodes in recent British political history by a renowned investigative journalist.
Автор: Bastardi Joe Название: The Climate Chronicles: Inconvenient Revelations You Won`t Hear from Al Gore--And Others ISBN: 1983509388 ISBN-13(EAN): 9781983509384 Издательство: Неизвестно Цена: 17190.00 T Наличие на складе: Есть у поставщика Поставка под заказ. Описание: A revealing look by someone who has loved the weather since his first memory--and has worked in the field for over 40 years--at what is really inside the man-made "climate change" agenda. The author shows through countless examples, the exploitation, politicization, and weaponization of weather and climate in an effort to promote an agenda that runs counter to the foundations this nation was built on.
After three decades of massive rural-to-urban migration in China, a burgeoning population of over 35 million second-generation migrants living in its cities poses a challenge to socialist modes of population management and urban governance. In The Inconvenient Generation, Minhua Ling offers the first longitudinal study of these migrant youth from middle school to the labor market in the years after the Shanghai municipal government partially opened its public-school system to them. Drawing on multi-sited ethnographic data, Ling follows the trajectories of dozens of children coming of age at a time of competing economic and social imperatives, and its everyday ramifications on their sense of identity, educational outcomes, and citizenship claims. Under policies and practices of segmented inclusion, they are inevitably funneled through the school system towards a life of manual labor. Illuminating the aspirations and strategies of these young men and women, Ling captures their experiences against the backdrop of a reemergent global Shanghai.
Автор: Webb Terry Название: Thaddeus Stevens: The Making of an Inconvenient Hero ISBN: 194174611X ISBN-13(EAN): 9781941746110 Издательство: Неизвестно Цена: 11950.00 T Наличие на складе: Есть у поставщика Поставка под заказ.
Автор: Kuhn Eric, Fleck John Название: Science Be Dammed: How Ignoring Inconvenient Science Drained the Colorado River ISBN: 0816540055 ISBN-13(EAN): 9780816540051 Издательство: Mare Nostrum (Eurospan) Рейтинг: Цена: 38810.00 T Наличие на складе: Невозможна поставка. Описание: Science Be Dammed is an alarming reminder of the high stakes in the management--and perils in the mismanagement--of water in the western United States. It seems deceptively simple: even when clear evidence was available that the Colorado River could not sustain ambitious dreaming and planning by decision-makers throughout the twentieth century, river planners and political operatives irresponsibly made the least sustainable and most dangerous long-term decisions.
Arguing that the science of the early twentieth century can shed new light on the mistakes at the heart of the over-allocation of the Colorado River, authors Eric Kuhn and John Fleck delve into rarely reported early studies, showing that scientists warned as early as the 1920s that there was not enough water for the farms and cities boosters wanted to build. Contrary to a common myth that the authors of the Colorado River Compact did the best they could with limited information, Kuhn and Fleck show that development boosters selectively chose the information needed to support their dreams, ignoring inconvenient science that suggested a more cautious approach.
Today water managers are struggling to come to terms with the mistakes of the past. Focused on both science and policy, Kuhn and Fleck unravel the tangled web that has constructed the current crisis. With key decisions being made now, including negotiations for rules governing how the Colorado River water will be used after 2026, Science Be Dammed offers a clear-eyed path forward by looking back.
Understanding how mistakes were made is crucial to understanding our contemporary problems. Science Be Dammed offers important lessons in the age of climate change about the necessity of seeking out the best science to support the decisions we make.
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