On its initial publication, Forgive and Remember emerged as the definitive study of the training and lives of young surgeons. Now with an extensive new preface, epilogue, and appendix by the author, reflecting on the changes that have taken place since the book's original publication, this updated second edition of Charles L. Bosk's classic study is as timely as ever.
Briefe zwischen einem Hausarzt und einer Ethnologin
Author: Andrea Abraham,Bruno Kissling
Publisher: Schwabe AG
Qualität. Kaum ein Begriff der Gegenwart ist so ausgelaugt und wird so ungenau verwendet. Kaum etwas kann so missverständlich benutzt werden, wie die Qualität. In ihren Briefen reisen der Hausarzt Bruno Kissling und die Ethnologin Andrea Abraham diesem Begriff nach und führen die Leser an bekannte und weniger bekannte Orte der Qualität in der Medizin. Bruno schreibt mit seinem medizinischen Innenblick und mit über 30-jähriger Berufserfahrung. Andrea bringt mit ihrem Aussenblick die empirischen Ergebnisse ein, die sie in langjähriger Forschung im Feld der Hausarztmedizin erhoben hat. Die Autoren zeigen eindrucksvoll, dass es DIE Qualität in der Medizin nicht gibt. Qualität ist etwas unfertiges, stetig werdendes, eine Idee, die unser Denken durchflicht, ein Ziel, das Ärzte und Patienten gemeinsam anstreben. Das Ergebnis dieses Briefwechsels ist ein wissenschaftliches Buch in narrativer Form und allgemein verständlicher Sprache, gleichermassen geeignet für medizinische Fachpersonen und ein interessiertes nichtmedizinisches Publikum.
Positive Organizational Scholarship is an umbrella concept used to emphasize what elevates and what is inspiring to individuals and organizations by defining the possibilities for positive deviance rather than just improving on the challenging, broken, and needlessly difficult. Just as positive psychology explores optimal individual psychological states rather than pathological ones, positive organizational scholarship focuses attention on the generative dynamics in organizations that lead to the development of human strength, foster resiliency in employees, enable healing and restoration, and cultivate extraordinary individual and organizational performance. In this landmark volume, the first major resource for scholars and professionals in the field, authors comprehensively review basic principles, empirical evidence, and ideas for future research. An ideal resource for organizational scholars, students, practitioners, human resource managers, and professional associations, this handbook covers the full spectrum of organizational theories and outcomes that define, explain, and predict the occurrence, causes, and consequences of positivity.
Each chapter includes an ethical challenge presented as a clinical case scenario that readers may relate to in their daily practice of anesthesiology and surgery. The ethical issues surrounding each chapter’s content are examined in an easily understandable manner for the specific target audience to improve the understanding and management of ethical dilemmas in patient care. Informed consent issues for the adult and pediatric patient, perioperative considerations of do-not-resuscitate orders, ethical issues of drug shortages, transplantation ethics, surgical care of patients and futility, conscientious objection, informed consent and disclosure of surgeon experience, and research and publication ethics are included and based on the experience of the Editor and the roster of contributors.
women doctors and the evolution of health care in America
Author: Ann K. Boulis,Jerry A. Jacobs
Publisher: Cornell University Press
The number of women practicing medicine in the United States has grown steadily since the late 1960s, with women now roughly at parity with men among entering medical students. Why did so many women enter American medicine? How are women faring, professionally and personally, once they become physicians? Are women transforming the way medicine is practiced? To answer these questions, The Changing Face of Medicine draws on a wide array of sources, including interviews with women physicians and surveys of medical students and practitioners. The analysis is set in the twin contexts of a rapidly evolving medical system and profound shifts in gender roles in American society. Throughout the book, Ann K. Boulis and Jerry A. Jacobs critically examine common assumptions about women in medicine. For example, they find that women's entry into medicine has less to do with the decline in status of the profession and more to do with changes in women's roles in contemporary society. Women physicians' families are becoming more and more like those of other working women. Still, disparities in terms of specialty, practice ownership, academic rank, and leadership roles endure, and barriers to opportunity persist. Along the way, Boulis and Jacobs address a host of issues, among them dual-physician marriages, specialty choice, time spent with patients, altruism versus materialism, and how physicians combine work and family. Women's presence in American medicine will continue to grow beyond the 50 percent mark, but the authors question whether this change by itself will make American medicine more caring and more patient centered. The future direction of the profession will depend on whether women doctors will lead the effort to chart a new course for health care delivery in the United States.
Peter Angelos Numerous ethical issues arise in the care of oncology patients. Although much has been written in the last several decades on ethical issues in caring for patients, few volumes have sought to focus the exploration on ethical issues particularly relevant to the care of cancer patients. In 1999, the first edition of this book was published. Since that time, many changes have occurred in how some cancers are diagnosed and treated, but the central ethical issues have continued to challenge patients, families, and their health care providers. All of the chapters from the prior edition have been updated and there are seven new chapters in this expanded edition. In this second edition, the perspectives on what is an ethical issue have been broadened by bringing authors of differing backgrounds into the discussion. In Chapter 1, the perspective of a cancer patient is provided as an open letter to physicians. Although Parvez Kamangar is providing only one patient’s perspective, this is an essential voice that is not often heard in texts on medical ethics. In Chapters 2 and 3, the issues of communication and the physician-patient relationship are explored in order to better understand how the needs of patients and families can be met. In Chapter 4, Professor Tod Chambers highlights the challenges to providing ethical care to patients in a multicultural society.
Gain a thorough understanding of the key principles of patient safety with the subject's pioneer text -- Now in full color "This highly readable yet comprehensive book will appeal to every member of the healthcare team. It is a must for every physician's bookshelf." -- Abraham Verghese, MD, Professor, Stanford University and author of the bestselling Cutting for Stone "Bob Wachter's quest to improve the safety of American healthcare represents the very essence of a physician's duty to put the patient first. His unflinching candor about the nature and magnitude of our current safety problems is matched only by his passion for improvement." -- Mark R. Chassin, MD, MPP, MPH, President, The Joint Commission "Amazingly readable for such a wealth of important information. This book should be required reading for every health professional and every healthcare executive." -- Christine Cassel, MD, President and CEO, American Board of Internal Medicine "In a single volume, Wachter accomplishes the seemingly impossible: furnishing the novice with a highly accessible, easy-to-read introduction to patient safety, while providing a comprehensive, fully annotated reference for the experienced patient safety practitioner. All of the important issues are addressed in individual chapters, each with a lively and relevant clinical example and a “key points” summary at the end bracketing full, balanced and lucid descriptions. A true gem, destined to be a close companion for all of us who strive to make healthcare safe." -- Lucian Leape, MD, Professor, Harvard School of Public Health and Chair, Lucian Leape Institute of the National Patient Safety Foundation "There's no more prominent authority on patient safety than Bob Wachter. And there's no more effective primer on patient safety than this one." -- Atul Gawande, MD, MPH, Associate Professor, Harvard Medical School, staff writer for the New Yorker, and bestselling author of Complications and The Checklist Manifesto "Compelling: a must read for all concerned with patient safety. Bob Wachter has a unique voice, incorporating clinical experience, research expertise, and policy implications…all with the patient front and center." -- Peter J. Pronovost, MD, PhD, Professor and Director of the Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine Understanding Patient Safety, Second Edition is the essential book for anyone seeking to learn the core clinical, organizational, and systems issues of patient safety. Written in an engaging and accessible style by one of the world’s leading authorities on patient safety and quality, Understanding Patient Safety is filled with valuable cases and analyses, as well as tables, graphics, references, and tools. This classic reference is designed to make the patient safety field understandable to medical, nursing, pharmacy, hospital administration, and other trainees, and to be the go-to book for experienced clinicians and non-clinicians alike. The second edition has been revised to include coverage of the latest issues and trends, including: Information technology Measurements of safety, errors, and harm Checklist-based interventions Safety targets Policy issues in patient safety Balancing “no blame” and accountability Understanding Patient Safety, Second Edition delivers key insights to help you understand and prevent a a broad range of errors, including those related to medications, surgery, diagnosis, infections, and nursing care. The crucial contextual issues -- including errors at the person-machine interface, the role of culture, patient engagement in their own safety, and workforce and trainee considerations, are also well covered. Finally, the book provides a practical overview of how to organize an effective safety program, in both hospitals and clinics.
Everything you need to deliver safe patient care or to improve patient safety in your organization "This easy-to-read book provides an excellent overview of the patient safety movement in the United States....The author has written a useful book for the professional who needs a foundation in patient safety principles and theory. The book also provides a multitude of resources for the professional interested in gaining a more in-depth knowledge of the strategies and proponents of the patient safety movement."--Journal for Healthcare Quality Understanding Patient Safety is the essential book for anyone seeking to learn the key clinical, organizational, and systems issues in patient safety. Written in a lively and accessible style by one of the world's leaders in the fields of patient safety and quality, Understanding Patient Safety is filled with valuable cases and analyses, as well as up-to-date tables, graphics, references, and tools -- all designed to introduce the patient safety field to medical, nursing, pharmacy, hospital administration, and other trainees, and to be the go-to book for experienced clinicians and non-clinicians alike. Features: Concise coverage of the core principles of patient safety All the key insights to help you understand and prevent a broad range of errors: including medication errors, surgical errors, diagnostic errors, errors at the man-machine interface, and nursing-related errors A focus on how reporting systems, teamwork training, simulation, the malpractice system, and information technology can impact patient safety and quality A practical overview on how to implement an effective safety program in both hospital and ambulatory settings Realistic case studies that illustrate key points and clarify pivotal concepts A detailed glossary, key references, and useful tools, websites, tables, and graphics
Now revised and updated—the landmark patient safety primer written by the world’s leading authorities Medical errors are the unfortunate byproduct of an increasingly complex healthcare system. Now more than ever, keeping patients safe takes well-trained caregivers, relevant insights from a range of industries, additional investment—and a groundbreaking text like Understanding Patient Safety. Understanding Patient Safety is “must read” for those seeking to master the clinical, organizational, and systems issues of patient safety. In this bestselling primer, patient safety pioneer Robert Wachter and Kiran Gupta put all the essential tools and principles at your fingertips. Engaging and accessible, the book is filled with high-yield cases, analyses, tables, graphics, along with key points and references—all designed to help you optimize quality and safety. Understanding Patient Safety begins with an introduction to patient safety and medical errors. Its second section surveys specific types of medical errors, including those related to surgery, medications, diagnosis, transition and handoff, and infections. The third section covers proven solutions, from establishing reporting systems, to creating a culture of safety. The third edition reflects pivotal new developments in the field, including major updates in diagnostic errors, information technology and patient safety, ambulatory safety, and clinician burnout. Features: •Coverage of human factors and errors at the person-machine interface •Review of workplace issues, including supporting caregivers after major errors •How to organize an effective safety program •Coordination of patient education and training •Overview of the malpractice system •Discussion of the patient’s role
"Let me begin by recommending this book to anyone engaged in feminist research, as a contributor or a student of the field. It is superbly written, organized with amazing grace, highly inclusive of diverse research activities, and includes of some of the most well-known feminist scholars in a range of academic disciplines. This is a truly amazing handbook a huge enterprise, elegantly crafted by editor-author, Sharlene Nagy Hesse-Biber and completed by 52 other authors. The handbook is an outstanding contribution to feminist research, but beyond that, an excellent resource for students at all levels of inquiry and professional identification. There is nothing else to compete with its inclusiveness and intellectual prowess." -JOURNAL OF PHENOMENOLOGICAL PSYCHOLOGY The topic of feminist research has too often been neglected in standard research methods books-The Handbook of Feminist Research breaks that tradition! This unique volume illuminates on-going debates in the field of feminist research as well as the practical applications and issues for those whose research impacts social policy and social change. Edited by Sharlene Nagy Hesse-Biber, this Handbook reflects the most current thinking about feminist research emerging within and across the disciplines.
The only in-depth source to focus specifically on surgical complications, this reference provides practical information on the incidence, management, and avoidance of complications encountered during and after surgical procedures. Spanning the vast array of complications related to a wide variety of preoperative, intraoperative, and postoperative events such as organ transplant, amputations, nerve and fracture repair, wound repair, and skin grafting, this guide offers detailed guidance and techniques to recognize and control complications in the operating room, emergency ward, and intensive care unit.
Every pharmacist constantly makes ethical choices. Sometimes these choices are dramatic, life-and-death decisions, but often they are more subtle, less conspicuous choices that are nonetheless important. Assisted suicide, conscientious refusal, pain management, equitable and efficacious distribution of drug resources within institutions and managed care plans, confidentiality, and alternative and non-traditional therapies are among the issues that are of unique concern to pharmacists. One way of seeing the implications of such issues and the moral choices they pose is to look at the experiences and the choices that have had to be made in situations typically faced by pharmacists. This book is a collection of those situations based on the real experiences of practicing pharmacists. The use of case studies in health care ethics is not new, but in pharmacy it is. This text is an important teaching tool that will help pharmacy students and pharmacists address the increasing number of ethical problems arising in their profession. It is not merely a compilation of cases, but rather is organized for the systematic study of applied ethics. Part I shows how to distinguish ethical problems from other kinds of evaluative judgments and examines the sources of values in pharmacy, posing basic questions about the meaning and justification of ethical claims. Part II explores the basic principles of ethics as they have an impact on pharmacy. Specific cases from clinical settings present in a systematic way the various questions raised by each of the major ethical principles: benefiting the patient; distributing resources justly; respecting autonomy; dealing honestly with patients; keeping promises of confidentiality; and avoiding killing. Part III examines some of the special problems of contemporary pharmacy such as the linkages between pharmaceutical care and professional practice, human experimentation, reproductive issues, genetic technology, death and dying, and mental health.
Fred Luthans,Carolyn M. Youssef-Morgan,Bruce J. Avolio
Author: Fred Luthans,Carolyn M. Youssef-Morgan,Bruce J. Avolio
Publisher: Oxford University Press
Although there are as many answers to the question of how organizations can gain competitive advantage in today's global economy as there are books and experts, one lesson seems very clear: traditional answers and resources are no longer sufficient. This seminal book offers not only an answer regarding how to gain competitive advantage through people, but also a brand new, untapped human resource--psychological capital, or simply PsyCap. Generated from both the positive-psychology movement and the authors' pioneering work on positive organizational behavior, PsyCap is a rigorous concept: to be included in PsyCap, a given positive construct must be based on theory, research, and valid measurement, must be open to development, and must have measurable performance impact. The positive constructs that have been determined to best meet these PsyCap criteria--efficacy (confidence), hope, optimism, and resiliency--are covered in separate chapters in Psychological Capital and Beyond. Following an exploration of other potential positive constructs such as creativity, wisdom, well-being, flow, humor, gratitude, forgiveness, emotional intelligence, spirituality, authenticity, and courage, the authors summarize the research demonstrating the performance impact of PsyCap. They go on to provide the PsyCap Questionnaire (PCQ) as a measurement tool, and the PsyCap Intervention (PCI) as a development aid. Psychological Capital and Beyond provides theory, research, measurements, and methods of application for psychological capital, a resource that can be developed and sustained for competitive advantage. Each copy includes a complimentary PsyCap online self-assessment.
Krone der Schöpfung? Vor 100 000 Jahren war der Homo sapiens noch ein unbedeutendes Tier, das unauffällig in einem abgelegenen Winkel des afrikanischen Kontinents lebte. Unsere Vorfahren teilten sich den Planeten mit mindestens fünf weiteren menschlichen Spezies, und die Rolle, die sie im Ökosystem spielten, war nicht größer als die von Gorillas, Libellen oder Quallen. Vor 70 000 Jahren dann vollzog sich ein mysteriöser und rascher Wandel mit dem Homo sapiens, und es war vor allem die Beschaffenheit seines Gehirns, die ihn zum Herren des Planeten und zum Schrecken des Ökosystems werden ließ. Bis heute hat sich diese Vorherrschaft stetig zugespitzt: Der Mensch hat die Fähigkeit zu schöpferischem und zu zerstörerischem Handeln wie kein anderes Lebewesen. Anschaulich, unterhaltsam und stellenweise hochkomisch zeichnet Yuval Harari die Geschichte des Menschen nach und zeigt alle großen, aber auch alle ambivalenten Momente unserer Menschwerdung.
Von den Bergen Idahos nach Cambridge – der unwahrscheinliche »Bildungsweg« der Tara Westover. Tara Westover ist 17 Jahre alt, als sie zum ersten Mal eine Schulklasse betritt. Zehn Jahre später kann sie eine beeindruckende akademische Laufbahn vorweisen. Aufgewachsen im ländlichen Amerika, befreit sie sich aus einer ärmlichen, archaischen und von Paranoia und Gewalt geprägten Welt durch – Bildung, durch die Aneignung von Wissen, das ihr so lange vorenthalten worden war. Die Berge Idahos sind Taras Heimat, sie lebt als Kind im Einklang mit der grandiosen Natur, mit dem Wechsel der Jahreszeiten – und mit den Gesetzen, die ihr Vater aufstellt. Er ist ein fundamentalistischer Mormone, vom baldigen Ende der Welt überzeugt und voller Misstrauen gegenüber dem Staat, von dem er sich verfolgt sieht. Tara und ihre Geschwister gehen nicht zur Schule, sie haben keine Geburtsurkunden, und ein Arzt wird selbst bei fürchterlichsten Verletzungen nicht gerufen. Und die kommen häufig vor, denn die Kinder müssen bei der schweren Arbeit auf Vaters Schrottplatz helfen, um über die Runden zu kommen. Taras Mutter, die einzige Hebamme in der Gegend, heilt die Wunden mit ihren Kräutern. Nichts ist dieser Welt ferner als Bildung. Und doch findet Tara die Kraft, sich auf die Aufnahmeprüfung fürs College vorzubereiten, auch wenn sie quasi bei null anfangen muss ... Wie Tara Westover sich aus dieser Welt befreit, überhaupt erst einmal ein Bewusstsein von sich selbst entwickelt, um den schmerzhaften Abnabelungsprozess von ihrer Familie bewältigen zu können, das beschreibt sie in diesem ergreifenden und wunderbar poetischen Buch. » Befreit wirft ein Licht auf einen Teil unseres Landes, den wir zu oft übersehen. Tara Westovers eindringliche Erzählung — davon, einen Platz für sich selbst in der Welt zu finden, ohne die Verbindung zu ihrer Familie und ihrer geliebten Heimat zu verlieren — verdient es, weithin gelesen zu werden.« J.D. Vance Autor der »Hillbilly-Elegie«
Menschen, die sich oft ?rgern und zu Wutausbr?chen neigen, leiden ebenso unter ihren vulkanartigen Ausbr?chen wie ihre Umwelt. Und h?ufig ist ihnen ihre Entgleisung ebenso unerkl?rlich wie ihrem Umfeld. Selbst die stabilste Partnerschaft wird durch unkontrollierte Wutausbr?che auf eine harte Probe gestellt. Kollegen sind da h?ufig weit weniger tolerant als Familienmitglieder. W. Doyle Gentry zeigt in diesem Buch, warum Menschen zu Wutausbr?chen neigen, und weist Wege, wie sie ihren ?rger in den Griff bekommen k?nnen. Checklisten und einfache ?bungen helfen dabei. Der Autor geht besonders auf Beruf, Familie und Partnerschaft ein. Au?erdem gibt er Erziehungstipps, die Eltern helfen, schon fr?h Wutausbr?chen ihrer Kinder etwas entgegenzusetzen.