Managing Infectious Diseases in Child Care and Schools: A Quick Reference Guide

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Completely revised and updated to reflect the latest guidance and recommendations from the American Academy of Pediatrics, the new third edition of this award-winning quick reference guide provides the latest information on the prevention and management of infectious diseases.

Presented in an easy-to-use format, this 'must-have' guide provides:

• Content from AAP's premier source of information on infectious diseases, the Red Book
• Quick reference fact sheets on more than 50 common infectious diseases and symptoms that occur in children in group settings
• Easy-to-read explanations on how infectious diseases spread
• Strategies for limiting the spread of infection
• When exclusion is indicated and not indicated
• Guidance about which situations require immediate help
• Immunization schedules
• Ready-to-use sample letters and forms for parents or referrals

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Project Management in Health and Community Services

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Project Management in Health and Community Services Info

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In the health and community service industries, projects are increasingly used for the development of new services, and to achieve change in existing services, work practices and delivery models.

Until now, project workers in these fields have had to rely on books designed for architects, builders and IT administrators. This is the first textbook to take the principles of project management and place them into a context relevant for people working in health and community services. This book provides a critical guide to both the strategic and operational aspects of using projects and making them work.

Covering topics such as the lifecycle of a project, planning, execution and evaluation, risk management, change and effective teams, Project Management for Health and Community Services uses extensive international case studies and examples from the field. Written by authors with years of practical experience, this is a valuable resource for anyone studying or working on health and community services.

Project Management for Health and Community Services offers students and professionals practical problem solving strategies and provides a comprehensive guide to managing projects as well as tips on managing a team and the stakeholders..


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Population Health: An Implementation Guide to Improve Outcomes and Lower Costs

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Population Health: An Implementation Guide to Improve Outcomes and Lower Costs Info

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As healthcare moves from volume to value, payment models and delivery systems will need to change their focus from the individual patient to a population orientation. This will move our economic model from that of a "sick system" to a system of care focused on prevention, boosting patient engagement, and reducing medical expenditures. This new focus will shift traditional financial accountability from the payer model to provider directed models.

Population Health: An Implementation Guide to Improve Outcomes and Lower Costs covers not only the rationale for this transition, but also outlines successful practice models that are built to thrive in these new market dynamics. Besides the philosophical and the cultural aspects of these new models, it details the implementation and strategic initiatives required to succeed in today’s value- and population-oriented healthcare environment.

Describing what population health is, the book explains why it represents an opportunity for healthcare delivery systems, public health agencies, community-based organizations, and other entities to work together to improve health outcomes in the communities they serve.

The book clarifies how the new models will impact healthcare providers, how to manage populations, and how to handle the risk factors involved. It details new delivery models, such as primary care and medical neighborhoods, and outlines the value proposition of screening and prevention in assigned populations.

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Ethics in Health Services and Policy: A Global Approach

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Ethics in Health Services and Policy: A Global Approach Description

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This comprehensive textbook analyzes the ethical issues of health and health care in global perspective. Ideal for students of public health, medicine, nursing and allied health professions, public policy, and ethics, the book helps students in all these areas to develop important competencies in their chosen fields. Applying a comparative, or multicultural, approach, the book compares different perspectives on ethical issues in various countries and cultures, such as informed consent, withholding or withdrawing treatment, physician-assisted suicide, reproductive health issues, research with human subjects, the right to health care, rationing of limited resources, and health system reform. Applying a transnational, or cross-border, approach, the book analyzes ethical issues that arise from the movement of patients and health professionals across national borders, such as medical tourism and transplant tourism, ethical obligations to provide care for undocumented aliens, and the “brain drain” of health professionals from developing countries.

Comprehensive in scope, the book includes selected readings which provide diverse perspectives of people from different countries and cultures in their own words. Each chapter contains an introductory section centered on a specific topic and explores the different ways in which the topic is viewed around the globe.

Ethics in Health Services and Policy is designed to promote student participation and offers methods of activity-based learning, including factual scenarios for analysis and discussion of specific ethical issues.

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Introduction to Research: Understanding and Applying Multiple Strategies

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Introduction to Research: Understanding and Applying Multiple Strategies Description

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Bridge the gap between research and practice with Introduction to Research: Understanding and Applying Multiple Strategies, 5th Edition. This easy-to-read edition covers all the major research design strategies: qualitative, quantitative, naturalistic, experimental-type, and mixed method. And with the text’s up-to-date research information and references, you will have a solid foundation from which to critique and understand research designs and their applications to healthcare and human service settings.

• Case examples provide real-life snapshots of what it is like to participate in different types of research processes, identify research dilemmas relevant to chapter subjects, and alert you to problems you might encounter.
• Authors make the topics more accessible, so research becomes more relevant - and topics come to life.
• Covers experimental-type, naturalistic, and mixed method design strategies to improve your ability to compare, contrast, and integrate different methods.
• Presents complex information clearly in a highly readable, and easy-to-understand, manner.
• Includes detailed discussions of qualitative and quantitative methodologies, a unique and balanced focus that makes this text more comprehensive than others in its field.

• NEW! Up-to-date research methods, strategies, and references, like digital sources, visual methods, and geographical analysis, give you the latest information on research in diverse areas of health and human services.

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Who Shall Live? Health, Economics, And Social Choice (Expanded Edition) (Economic Ideas Leading to the 21st Century)

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Who Shall Live? Health, Economics, And Social Choice (Expanded Edition) (Economic Ideas Leading to the 21st Century) La revue

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In this classic book, Professor Victor Fuchs draws on his deep understanding of the strengths and limitations of economics and his intimate knowledge of health care institutions to help readers understand the problems every nation faces in trying to allocate health resources efficiently and equitably. Six complementary papers dealing with national health insurance, poverty and health, and other policy issues, including his 1996 presidential address to the American Economic Association, accompany the original 1974 text. Health professionals, policy makers, social scientists, students and concerned citizens will all benefit from this highly readable, authoritative, and nuanced discussion of the difficult choices that lie ahead..


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Stoned: A Doctor's Case for Medical Marijuana

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Stoned: A Doctor's Case for Medical Marijuana Info

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A doctor discovers the surprising truth about marijuana

No substance on earth is as hotly debated as marijuana. Opponents claim it’s dangerous, addictive, carcinogenic, and a gateway to serious drug abuse. Fans claim it as a wonder drug, treating cancer, anorexia, AIDS, chronic pain, glaucoma, arthritis, migraines, PTSD, and insomnia. Patients suffering from these conditions need—and deserve—hard facts based on medical evidence, not hysteria and superstition.

In Stoned, palliative care physician Dr. David Casarett sets out to do anything—including experimenting on himself—to find evidence of marijuana’s medical potential. He smears mysterious marijuana paste on his legs and samples pot wine. He poses as a patient at a seedy California clinic and takes lessons from an artisanal hash maker. In conversations with researchers, doctors, and patients around the world he learns how marijuana works—and doesn’t—in the real world.

Dr. Casarett unearths tales of near-miraculous success, such as a child with chronic seizures who finally found relief in cannabidiol oil. In Tel Aviv, he learns of a nursing home that’s found success giving marijuana to dementia patients. On the other hand, one patient who believed marijuana cured her lung cancer has clearly been misled. As Casarett sifts the myth and misinformation from the scientific evidence, he explains, among other things:

• Why marijuana might be the best treatment option for some types of pain
• Why there’s no significant risk of lung damage from smoking pot
• Why most marijuana-infused beer or wine won’t get you high

Often humorous, occasionally heartbreaking, and full of counterintuitive conclusions, Stoned offers a compassionate and much-needed medical practitioner’s perspective on the potential of this misunderstood plant..


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Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First

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In this rare, behind-the-scenes look at what goes on in hospitals across the country, a longtime medical insider and international authority on childbirth assesses the flawed American maternity care system, powerfully demonstrating how it fails to deliver safe, effective care for both mothers and babies. Written for mothers and fathers, obstetricians, nurses, midwives, scientists, insurance professionals, and anyone contemplating having a child, this passionate exposé documents how, in the most expensive maternity care system in the world, women have lost control over childbirth and what the disturbing results of this phenomenon have been. Born in the USA examines issues including midwifery and the safety of out-of-hospital birth, how the process of becoming a doctor can adversely affect both practitioners and their patients, and why there has been a rise in the use of risky but doctor-friendly interventions, including the use of Cytotec, a drug that has not been approved by the FDA for pregnant women. Most importantly, this gripping investigation, supported by many troubling personal stories, explores how women can reclaim the childbirth experience for the betterment of themselves and their children.

Born in the USA tells:

* Why women are 70% more likely to die in childbirth in America than in Europe

* What motivates obstetricians to use dangerous and unnecessary drugs and procedures

* How the present malpractice crisis has been aggravated by the fear of accountability

* Why procedures such as cesarean section and birth inductions are so readily usedIn this rare, behind-the-scenes look at what goes on in hospitals across the country, a longtime medical insider and international authority on childbirth assesses the flawed American maternity care system, powerfully demonstrating how it fails to deliver safe, effective care for both mothers and babies. Written for mothers and fathers, obstetricians, nurses, midwives, scientists, insurance professionals, and anyone contemplating having a child, this passionate exposé documents how, in the most expensive maternity care system in the world, women have lost control over childbirth and what the disturbing results of this phenomenon have been. Born in the USA examines issues including midwifery and the safety of out-of-hospital birth, how the process of becoming a doctor can adversely affect both practitioners and their patients, and why there has been a rise in the use of risky but doctor-friendly interventions, including the use of Cytotec, a drug that has not been approved by the FDA for pregnant women. Most importantly, this gripping investigation, supported by many troubling personal stories, explores how women can reclaim the childbirth experience for the betterment of themselves and their children.

Born in the USA tells:

* Why women are 70% more likely to die in childbirth in America than in Europe

* What motivates obstetricians to use dangerous and unnecessary drugs and procedures

* How the present malpractice crisis has been aggravated by the fear of accountability

* Why procedures such as cesarean section and birth inductions are so readily used.


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How We Do Harm: A Doctor Breaks Ranks About Being Sick in America

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How We Do Harm: A Doctor Breaks Ranks About Being Sick in America Description

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How We Do Harm exposes the underbelly of healthcare today―the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians' provide, insurance companies that don't demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm.

Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary―and often unproven―treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs.

Brawley's personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society―results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.

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Challenging Operations: Medical Reform and Resistance in Surgery

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In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority.



At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority.



At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

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Saving Gotham: A Billionaire Mayor, Activist Doctors, and the Fight for Eight Million Lives

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Saving Gotham: A Billionaire Mayor, Activist Doctors, and the Fight for Eight Million Lives Info

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The inside story of the most audacious public health campaign of the twenty-first century.

In 2002, a dynamic doctor named Thomas Frieden became health commissioner of New York City. With support from the new mayor, billionaire Michael Bloomberg, Frieden and his health department team prohibited smoking in bars, outlawed trans fats in restaurants, and attempted to cap the size of sodas, among other groundbreaking actions. The initiatives drew heated criticism, but they worked: by 2011, 450,000 people had quit smoking, childhood obesity rates were falling, and life expectancy was growing.

Saving Gotham is the behind-the-scenes story of the most controversial—and successful—public health initiative of our time. Thomas A. Farley, MD, who succeeded Frieden as health commissioner, introduces a team of doctors who accepted the challenge of public health: to care for each of New York City’s eight million inhabitants as their own patients. The biggest threats they faced were not cholera or chemical toxins or lack of medical care but instead habits like smoking and unhealthy eating. As these doctors pressed to solve these problems, they found themselves battling those who encouraged those habits, and they reshaped their own agency for a different sort of fight.

Farley shows what happens when science-driven doctors are given the political cover to make society-wide changes to protect people from today’s health risks—and how industries exploit legislatures, the courts, the media, and public opinion to undermine them. With Washington caught in partisan paralysis and New York City’s ideas spreading around the world, Saving Gotham demonstrates how government—local government—can protect its citizens and transform health for everyone.

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Patient Citizens, Immigrant Mothers: Mexican Women, Public Prenatal Care, and the Birth Weight Paradox (Critical Issues in Health and Medicine)

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Patient Citizens, Immigrant Mothers: Mexican Women, Public Prenatal Care, and the Birth Weight Paradox (Critical Issues in Health and Medicine) Info

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According to the Latina health paradox, Mexican immigrant women have less complicated pregnancies and more favorable birth outcomes than many other groups, in spite of socioeconomic disadvantage. Alyshia Gálvez provides an ethnographic examination of this paradox. What are the ways that Mexican immigrant women care for themselves during their pregnancies? How do they decide to leave behind some of the practices they bring with them on their pathways of migration in favor of biomedical approaches to pregnancy and childbirth?

This book takes us from inside the halls of a busy metropolitan hospital’s public prenatal clinic to the Oaxaca and Puebla states in Mexico to look at the ways Mexican women manage their pregnancies. The mystery of the paradox lies perhaps not in the recipes Mexican-born women have for good perinatal health, but in the prenatal encounter in the United States. Patient Citizens, Immigrant Mothers is a migration story and a look at the ways that immigrants are received by our medical institutions and by our society

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Relationship-Based Care: A Model for Transforming Practice

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Relationship-Based Care: A Model for Transforming Practice Info

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The result of Creative Health Care Management’s 25 years experience in transforming patient care, this book provides health care leaders with a practical approach for transforming their care delivery system into one that is patient and family centered and built on the power of relationships. Relationship-Based Care provides a practical framework for addressing current challenges and is intended to benefit health care organizations in which commitment to care and service to patients is strong and focused. It will also prove useful in organizations searching for solutions to complex struggles with patient, staff and physician dissatisfaction; difficulty recruiting and retaining and developing talented staff members; conflicted work relationships and related quality issues. Winner of the 2004 American Journal of Nursing Book of the Year Award..


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101 + Careers in Public Health, Second Edition

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101 + Careers in Public Health, Second Edition Info

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In just the past few years, interest in public health careers has soared. Public health degrees are more popular than ever—but what opportunities are outthere once you?ve earned that MPH? And do you have to have a degree in public health to break into this field? This updated and revised second edition of101+ Careers in Public Health provides an extensive overview of the numerous and diverse career options available and the many different roads to achievingthem. It includes both familiar public health careers and emerging opportunities. New to the second edition are public health careers in the military,public health and aging, and careers in cutting-edge areas such as nanotechnology and public health genetics. Readers will learn about modern approaches topublic health programs, including the evolving study of implementation science and the increased role of community participatory research.

The second edition also presents expanded information on getting started in public health, including the increasingly popular field of global health.Included are descriptions of careers in disease prevention, environmental health, disaster preparedness, nutrition, education, public safety, and manymore. Whether you are a student who wants to launch a career or a professional looking to change careers, this guide offers a straightforward introductionto the public health field. It details the training, salary ranges, and degree requirements for each job and alerts readers to alternative pathways beyondthe traditional MPH.

NEW TO THE SECOND EDITION:

• Public health careers in the military
• Public health and aging
• Expanded information on global health careers and how to get started in global health
• Careers in cutting-edge domains of public health, such as nanotechnology and public health genetics
• The evolving roles of implementation science and community participatory research
• MD or MPH? The differences between health care and public health

KEY FEATURES:

• Includes a detailed guide to educational paths, options, and training requirements at the bachelor?s, master?s, and PhD levels
• Offers guidance on navigating the job market through both traditional and nontraditional pathways
• Provides tips on landing the job you want
• Includes interviews with public health professionals who offer details of their day-to-day lives on the job
• Helps job seekers just starting out and those interested in career change

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The American Health Care Paradox: Why Spending More is Getting Us Less

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The American Health Care Paradox: Why Spending More is Getting Us Less La revue

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Foreword by Harvey V. Fineberg, President of the Institute of Medicine

For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We’ve left out of our tally the most impactful expenditures countries make to improve the health of their populations—investments in social services.

In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of “health care,” archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care “system” developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world.

Offering a unique and clarifying perspective on the problems the Affordable Care Act won’t solve, this book also points a new way forward.

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Cannabis for Lyme Disease & Related Conditions: Scientific Basis and Anecdotal Evidence for Medicinal Use

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Cannabis for Lyme Disease & Related Conditions: Scientific Basis and Anecdotal Evidence for Medicinal Use Description

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Lyme disease is a complex illness, often accompanied by various other infections and conditions. As a result, healing from Lyme disease can prove quite challenging; puzzling both patients and doctors alike. Conventional medicine, which uses long-term antibiotics to treat chronic Lyme disease, not only fails to help many Lyme disease patients, but also is notorious for causing damage to their body systems. Natural medicine, on the other hand, has proved helpful for many who have failed the conventional treatment path. Unfortunately, Lyme herbalists and naturopathic doctors are relatively scarce, and treatments can be expensive. Insurance does not typically cover herbal medicine and other natural treatments. This, along with the fact that many become confused and lost while trying to treat themselves naturally, leads many to feel their only choice is to opt for conventional treatment methods. It is clear that more practical herbal treatments, along with an in-depth and easy-to-understand guide to walk patients through the natural treatment process, are in great demand. In response to this problem, Cannabis for Lyme Disease and Related Conditions: Scientific Basis and Anecdotal Evidence for Medicinal Use was born. White's personal experience treating her own Lyme disease with cannabis and using it to lessen symptoms during treatment, along with the awareness that many people with Lyme disease are interested in using cannabis to treat themselves and/or ease their symptoms (but have many unanswered questions on how to do so) inspired her to write the book. The book aims to answer frequently asked questions and offer a foundation for developing a personalized treatment plan. The book also covers various aspects of cannabis and its medicinal uses, including its antibacterial properties, chemical constituents, strains, forms and methods of use and recipes, safety, and legal factors. White addresses how different cannabis strains and methods of consumption can ease discomfort during treatment by reducing some of the most prominent symptoms present in Lyme disease and related conditions..


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Population Health: Creating a Culture of Wellness

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Population Health: Creating a Culture of Wellness Description

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Practicing population based care is a central focus of the Affordable Care Act and a key component of implementing health reform. Wellness and Prevention, Accountable Care Organizations, Patient Centered Medical Homes, Comparative Effectiveness Research, and Patient Engagement have become common terms in the healthcare lexicon. Aimed at students and practitioners in health care settings, the Second Edition of Population Health: Creating a Culture of Wellness, conveys the key concepts of concepts of population health management and strategies for creating a culture of health and wellness in the context of health care reform. Beginning with a new opening chapter, entitled, “Building Cultures of Health and Wellness”, the Second Edition takes a comprehensive, forward-looking approach to population health with an emphasis on creating a culture of wellness. The revised text takes into consideration the Affordable Care Act and its substantial impact on how health science is taught, how health care is delivered and how health care services are compensated in the United States. Key Features: - Study and discussion questions are provided at the conclusion of each chapter to highlight key learning objectives and readings. - Case studies highlight real world applications of concepts and strategies, and links to web sites provide additional opportunities for expanding knowledge. - Each chapter can stand alone to highlight key population health issues and provide strategies to address them, allowing educators to choose specific chapters or sections that meet the learning objectives of the course..


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Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First

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Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First La revue

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In this rare, behind-the-scenes look at what goes on in hospitals across the country, a longtime medical insider and international authority on childbirth assesses the flawed American maternity care system, powerfully demonstrating how it fails to deliver safe, effective care for both mothers and babies. Written for mothers and fathers, obstetricians, nurses, midwives, scientists, insurance professionals, and anyone contemplating having a child, this passionate exposé documents how, in the most expensive maternity care system in the world, women have lost control over childbirth and what the disturbing results of this phenomenon have been. Born in the USA examines issues including midwifery and the safety of out-of-hospital birth, how the process of becoming a doctor can adversely affect both practitioners and their patients, and why there has been a rise in the use of risky but doctor-friendly interventions, including the use of Cytotec, a drug that has not been approved by the FDA for pregnant women. Most importantly, this gripping investigation, supported by many troubling personal stories, explores how women can reclaim the childbirth experience for the betterment of themselves and their children.

Born in the USA tells:

* Why women are 70% more likely to die in childbirth in America than in Europe

* What motivates obstetricians to use dangerous and unnecessary drugs and procedures

* How the present malpractice crisis has been aggravated by the fear of accountability

* Why procedures such as cesarean section and birth inductions are so readily used

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The Citizen Patient: Reforming Health Care for the Sake of the Patient, Not the System (H. Eugene and Lillian Youngs Lehman)

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The Citizen Patient: Reforming Health Care for the Sake of the Patient, Not the System (H. Eugene and Lillian Youngs Lehman) Info

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Conflicts of interest, misrepresentation of clinical trials, hospital price-fixing, and massive expenditures for procedures of dubious efficacy--these and other critical flaws leave little doubt that the current U.S. health-care system is in need of an overhaul. In this essential guide, preeminent physician Nortin Hadler urges American health-care consumers to take time to understand the existing system and to visualize what the outcome of successful reform might look like. Central to this vision is a shared understanding of the primacy of the relationship between doctor and patient. Hadler shows us that a new approach is necessary if we hope to improve the health of the populace. Rational health care, he argues, is far less expensive than the irrationality of the status quo.
Taking a critical view of how medical treatment, health-care finance, and attitudes about health, medicine, and disease play out in broad social and political settings, Hadler applies his wealth of experience and insight to these pressing issues, answering important questions for Citizen Patients and policy makers alike.

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Pandemic: Tracking Contagions, from Cholera to Ebola and Beyond

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Pandemic: Tracking Contagions, from Cholera to Ebola and Beyond Info

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Scientists agree that a pathogen is likely to cause a global pandemic in the near future. But which one? And how?

Over the past fifty years, more than three hundred infectious diseases have either newly emerged or reemerged, appearing in territories where they’ve never been seen before. Ninety percent of epidemiologists expect that one of them will cause a deadly pandemic sometime in the next two generations. It could be Ebola, avian flu, a drug-resistant superbug, or something completely new. While we can’t know which pathogen will cause the next pandemic, by unraveling the story of how pathogens have caused pandemics in the past, we can make predictions about the future. In Pandemic: Tracking Contagions, from Cholera to Ebola and Beyond, the prizewinning journalist Sonia Shah—whose book on malaria, The Fever, was called a “tour-de-force history” (The New York Times) and “revelatory” (The New Republic)—interweaves history, original reportage, and personal narrative to explore the origins of contagions, drawing parallels between cholera, one of history’s most deadly and disruptive pandemic-causing pathogens, and the new diseases that stalk humankind today.

To reveal how a new pandemic might develop, Sonia Shah tracks each stage of cholera’s dramatic journey, from its emergence in the South Asian hinterlands as a harmless microbe to its rapid dispersal across the nineteenth-century world, all the way to its latest beachhead in Haiti. Along the way she reports on the pathogens now following in cholera’s footsteps, from the MRSA bacterium that besieges her own family to the never-before-seen killers coming out of China’s wet markets, the surgical wards of New Delhi, and the suburban backyards of the East Coast.

By delving into the convoluted science, strange politics, and checkered history of one of the world’s deadliest diseases, Pandemic reveals what the next global contagion might look like— and what we can do to prevent it.

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The DOs: Osteopathic Medicine in America

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The DOs: Osteopathic Medicine in America La revue

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Overcoming suspicion, ridicule, and outright opposition from the American Medical Association,the osteopathic medical profession today serves the health needs of more than thirty millionAmericans. The DOs chronicles the development of this controversial medical movementfrom the nineteenth century to the present. Historian Norman Gevitz describes the philosophyand practice of osteopathy, as well as its impact on medical care. From the theories underlyingthe use of spinal manipulation developed by osteopathy's founder, Andrew Taylor Still, Gevitztraces the movement's early success, despite attacks from the orthodox medical community, anddetails the internal struggles to broaden osteopathy's scope to include the full range ofpharmaceuticals and surgery. He also recounts the efforts of osteopathic colleges to achieveparity with institutions granting M.D. degrees and looks at the continuing effort by osteopathicphysicians and surgeons to achieve greater recognition and visibility.

In print continuously since 1982, The DOs has now been thoroughly updated andexpanded to include two new chapters addressing recent and current challenges and to bring thehistory of the profession up to the beginning of the new millennium.

Overcoming suspicion, ridicule, and outright opposition from the American Medical Association,the osteopathic medical profession today serves the health needs of more than thirty millionAmericans. The DOs chronicles the development of this controversial medical movementfrom the nineteenth century to the present. Historian Norman Gevitz describes the philosophyand practice of osteopathy, as well as its impact on medical care. From the theories underlyingthe use of spinal manipulation developed by osteopathy's founder, Andrew Taylor Still, Gevitztraces the movement's early success, despite attacks from the orthodox medical community, anddetails the internal struggles to broaden osteopathy's scope to include the full range ofpharmaceuticals and surgery. He also recounts the efforts of osteopathic colleges to achieveparity with institutions granting M.D. degrees and looks at the continuing effort by osteopathicphysicians and surgeons to achieve greater recognition and visibility.

In print continuously since 1982, The DOs has now been thoroughly updated andexpanded to include two new chapters addressing recent and current challenges and to bring thehistory of the profession up to the beginning of the new millennium..


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Josie's Story

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Josie's Story Info

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Sorrel King was a 32-year-old mother of four when her eighteen-month-old daughter, Josie, was horribly burned by water from a faulty water heater in the family’s new Baltimore home. She was taken to Johns Hopkins—renowned as one of the best hospitals in the world—and Sorrel stayed in the hospital with Josie day-in and day-out until she had almost completely recovered. Just before her discharge, however, Sorrel noticed something was wrong—Josie was looking pale, she appeared severely dehydrated, and her eyes were rolling back in her head. Sorrel pleaded with the doctors and nurses (many of whom she had become close to) that something was wrong, and they agreed to stop administering Josie methadone, the narcotic they were using to wean her off morphine. Josie had begun noticeably improving when a new nurse approached her with a syringe of methadone. When Sorrel tried to stop her from administering the drug, the nurse said that the orders had been changed again. Sorrel, against her better judgment, decided that Hopkins must know best, and stepped back. Almost as soon as the drug had been injected into Josie’s system, she went into cardiac arrest. The doctors raced to save her, but by the time they stabilized her, Josie was brain dead, her organs shutting down one by one. She passed away shortly thereafter, her family having made the choice to take her off life support.


In the days and months that followed, Sorrel went through the tumultuous processes of grieving. For a while, she thought she would not survive; suicide and alcohol both seemed like viable escape possibilities, and Sorrel toyed with both. But ultimately it was her rage that kept her alive—rage at the doctors, at Hopkins, and at the medical institution that had allowed this to happen. She wanted the doctors to feel the same pain she had caused them. She wanted to destroy Hopkins “brick by brick.” Dizzy with grief, she came close to ending her marriage, but slowly pulled herself and her life back together, for the sake of her family, and for the memory of Josie.


It was around this time that Sorrel learned a staggering fact—though indeed an error, Josie’s death wasn’t a fluke in the statistical sense of the word. About 98,000 American patients die a year as the result of medical error, making it the fourth most prevalent cause of death in the US. Armed with this fact, the money from her settlement with Hopkins, and a vague awareness that Josie’s death could have been prevented, Sorrel began to penetrate the healthcare industry. An appearance on Good Morning America and a long article in the Baltimore Sun raised the public profiles of her and her mission, while speaking requests began to pour in from hospitals and healthcare groups across the world. For the most part, medical errors had simply not been talked about; most doctors involved in them were paralyzed by remorse and fear of lawsuits, while the patients were dead or badly injured and their families crippled by grief. Sorrel was helping to pull back the curtain on an all-too-common killer, and the world of healthcare knew it. Despite some initial resistance, most in the industry came to welcome her message, and to look to her for answers. With the help of other patient safety advocates—many of them doctors, and some of them the very Hopkins officials who had defended the hospital after Josie’s death—Sorrel and The Josie King Foundation began to develop and implement in hospitals basic programs that emphasize communication, respect of the patient, and attentiveness to their concerns. Rapid Response Teams, for instance, can be called from the beside by patients or their families who feel they are experiencing a serious change in their condition that is not getting sufficient attention from hospital floor staff. A team made up of doctors, nurses and a patient relations....


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Building a High-Reliability Organization: A Toolkit for Success

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Building a High-Reliability Organization: A Toolkit for Success La revue

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Building a High-Reliability Organization: A Toolkit for Success is a practical guide to becoming a high-reliability organization (HRO). HROs practice the highest standards of patient quality and prevent never events before they occur. In this first-of-its-kind book, written for real-world healthcare professionals on the front lines of patient safety, authors Gary L. Sculli, RN, MSN, ATP, and Douglas E. Paull, MD, FACS, FCCP, CHSE, take the concept of an HRO and break down what it means at the point of care. Through step-by-step instructions and a practical, straightforward approach, they demonstrate how your organization can ensure safe patient care, every day, for every patient.

After reading this book, you will:

- Possess a clear understanding of what constitutes high-reliability healthcare
- Be able to promote evidence-based, reliable methods to improve safety, including team training, fatigue management systems, and investment in patient safety infrastructure and technology
- Understand which elements and behaviors must be included in an overall plan to achieve high reliability at the front lines of care
- Become a transformational leader in your healthcare organization
- Be able to apply the principles of a fair and just culture to promote the reporting, discussion, and disclosure of adverse events

Table of Contents:

Preface and Precepts

Chapter 1: Situational Awareness Is Fundamental to High Reliability

Chapter 2: Situational Awareness Countermeasures

Chapter 3: Everyone on the Same Sheet of Music

Chapter 4: Yes You Need to Use the Checklist!

Chapter 5: Preoccupation With Failure It's an Attitude

Chapter 6: Recognizing That the Expert Is Not Always the Person in Charge

Chapter 7: Lab Coats and Scrubs, Meet Suits and Ties Sensitivity to Frontline Operations

Chapter 8: Just Response to Human Error: A Necessary Component of High-Reliability Organizations

Chapter 9: Standardize Communication and Processes to Create Equivalent Actors

Chapter 10: Ensuring Technical and Non-Technical Competence.


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