Robert L. Wears's Books

Resilient Health Care, Volume 2

The Resilience of Everyday Clinical Work

By: Robert L. Wears,Erik Hollnagel

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Resilient Health Care, Volume 2

The Resilience of Everyday Clinical Work

By: Robert L. Wears,Erik Hollnagel

Health systems everywhere are expected to meet increasing public and political demands for accessible, high-quality care. Policy-makers, managers, and clinicians use their best efforts to improve efficiency, safety, quality, and economic viability. One solution has been to mimic approaches that have been shown to work in other domains, such as quality management, lean production, and high reliability. In the enthusiasm for such solutions, scant attention has been paid to the fact that health care as a multifaceted system differs significantly from most traditional industries. Solutions based on linear thinking in engineered systems do not work well in complicated, multi-stakeholder non-engineered systems, of which health care is a leading example. A prerequisite for improving health care and making it more resilient is that the nature of everyday clinical work be well understood. Yet the focus of the majority of policy or management solutions, as well as that of accreditation and regulation, is work as it ought to be (also known as ’work-as-imagined’). The aim of policy-makers and managers, whether the priority is safety, quality, or efficiency, is therefore to make everyday clinical work - or work-as-done - comply with work-as-imagined. This fails to recognise that this normative conception of work is often oversimplified, incomplete, and outdated. There is therefore an urgent need to better understand everyday clinical work as it is done. Despite the common focus on deviations and failures, it is undeniable that clinical work goes right far more often than it goes wrong, and that we only can make it better if we understand how this happens. This second volume of Resilient Health Care continues the line of thinking of the first book, but takes it further through a range of chapters from leading international thinkers on resilience and health care. Where the first book provided the rationale and basic concepts of RHC, the Resilience of Everyday Clinical Work b

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Page Count

326

Publisher

CRC Press

Published Date

ISBN 10

131706514X

ISBN 13

9781317065142

Still Not Safe

Patient Safety and the Middle-Managing of American Medicine

By: Robert L. Wears,Kathleen M. Sutcliffe

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Still Not Safe

Patient Safety and the Middle-Managing of American Medicine

By: Robert L. Wears,Kathleen M. Sutcliffe

Still Not Safe is the story of the rise of the patient-safety movement- and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization. Physician Robert Wears and organizational theorist Kathleen Sutcliffe trace the origins of patient safety to the emergence of market trends that challenged the place of doctors in the larger medical ecosystem: the rise in medical litigation and physicians' aversion to risk; institutional changes in the organization and control of healthcare; and a bureaucratic movement to "rationalize" medical practice- to make a hospital run like a factory. Weaving together narratives from medicine, psychology, philosophy, and human performance, Still Not Safe offers a counterpoint to the presiding, doctor-centric narrative of contemporary American medicine.--book jacket

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305

Published Date

ISBN 10

0190271264

ISBN 13

9780190271268

Harwood-Nuss' Clinical Practice of Emergency Medicine

By: Allan B. Wolfson,Robert L. Cloutier,Gregory W. Hendey,Louis J. Ling,Jeffrey J. Schaider,Carlo L. Rosen

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Harwood-Nuss' Clinical Practice of Emergency Medicine

By: Allan B. Wolfson,Robert L. Cloutier,Gregory W. Hendey,Louis J. Ling,Jeffrey J. Schaider,Carlo L. Rosen

Harwood-Nuss' Clinical Practice of Emergency Medicine presents a clinically focused and evidence-based summary of emergency medicine. Chapters are templated to include the clinical presentation, differential diagnosis, evaluation, management and disposition, with highlighted critical interventions and common pitfalls. Management and disposition are especially critical in the emergency department, and their emphasis is unique to Harwood-Nuss. Often, a diagnosis can not be made, given the constraints of an ED evaluation; thus, effecive management of the patient, with or without a confirmed diagnosis, is key. Also distinct to Harwood-Nuss is the High-Risk Chief Complaints section, which covers the key presentations in the ED: chest pain, abdominal pain, shortness of breath, altered mental status. When patients present in the ED, they don't present with a known diagnosis; this chapter walks the physician through possible differential diagnoses and the evaluation and management of these patients so that they can be stabilized and treated quickly and effectively.

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5611

Publisher

Lippincott Williams & Wilkins

Published Date

ISBN 10

146988948X

ISBN 13

9781469889481

Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

2-Volume Set

By: Ron Walls,Robert Hockberger,Marianne Gausche-Hill

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Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

2-Volume Set

By: Ron Walls,Robert Hockberger,Marianne Gausche-Hill

Since its revolutionary first edition in 1983, Rosen's Emergency Medicine set the standard for reliable, accessible, and comprehensive information to guide the clinical practice of emergency medicine. Generations of emergency medicine residents and practitioners have relied on Rosen’s as the source for current information across the spectrum of emergency medicine practice. The 9th Edition continues this tradition of excellence, offering the unparalleled clarity and authority you’ve come to expect from the award-winning leader in the field. Throughout the text, content is now more concise, clinically relevant, and accessible than ever before – meeting the needs of today’s increasingly busy emergency medicine practitioner. Delivers clear, precise information, focused writing and references; relevant, concise information; and generous use of illustrations provide definitive guidance for every emergency situation. Offers the most immediately relevant content of any emergency medicine reference, providing diagnostic and treatment recommendations with clear indications and preferred actions. Presents the expertise and knowledge of a new generation of editors, who bring fresh insights and new perspectives to the table. Includes more than 550 new figures, including new anatomy drawings, new graphs and algorithms, and new photos. Provides diligently updated content throughout, based on only the most recent and relevant medical literature. Provides improved organization in sections to enhance navigation and six new chapters: Airway Management for the Pediatric Patient; Procedural Sedation and Analgesia for the Pediatric Patient; Drug Therapy for the Pediatric Patient; Co-Morbid Medical Emergencies During Pregnancy; Drug Therapy in the Geriatric Patient; and Global and Humanitarian Emergency Medicine. Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

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3229

Publisher

Elsevier Health Sciences

Published Date

ISBN 10

0323390161

ISBN 13

9780323390163

Emergency Medicine

Concepts and Clinical Practice

By: John Marx,Robert Hockberger,Ron Walls

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Emergency Medicine

Concepts and Clinical Practice

By: John Marx,Robert Hockberger,Ron Walls

In an emergency, you only have one chance...and usually very little time...to make the right decision. How can you be certain you have the knowledge you need? Through six editions, Rosen’s Emergency Medicine has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority. Now, the seventh edition places the latest knowledge at your fingertips, while a more streamlined format makes it easy to find the exact information you seek more rapidly and conveniently than ever before. Presents more than 1,200 exquisite color illustrations that accurately capture the real-life appearance of patient symptoms and diagnostic imaging findings, helping you to reach a definitive diagnosis more easily. Includes "Cardinal Presentations" sections that provide quick and easy guidance on differential diagnosis and directed testing. Presents greatly expanded coverage of emergency ultrasound and emergency gynecological disorders to place the latest knowledge at your fingertips, as well as state-of-the-art coverage of emergency ultrasound, management of sepsis, new airway devices, updated protocols for adult and pediatric cardiac arrest, STEMI and NSTEMI/ACS, DVT and PTE, and much, much more. Features a streamlined format that focuses on the most need-to-know information so you can find answers more quickly.

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Page Count

3163

Publisher

Elsevier Health Sciences

Published Date

ISBN 10

0323076904

ISBN 13

9780323076906

Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

2-Volume Set

By: John Marx,Robert Hockberger,Ron Walls

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Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

2-Volume Set

By: John Marx,Robert Hockberger,Ron Walls

Rely on Rosen's Emergency Medicine for the latest answers on every facet of emergency medicine practice. For decades, this medical reference book has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority - to help you put the latest and best knowledge to work for your patients in the ER. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Practice confidently with easily actionable, dependable guidance on the entire breadth of emergency medicine topics. Get expert guidance on how to approach specific clinical presentations in the ER. The "Cardinal Presentations Section" provides quick and easy reference to differential diagnosis and directed testing for fever in the adult patient; dizziness and vertigo; chest pain; and over 20 other frequently seen presentations in the emergency department. Effectively apply the newest emergency medicine techniques and approaches, including evidence-based therapies for shock; high-cost imaging; evaluation and resuscitation of the trauma patient; cardiovascular emergencies; evaluation and risk stratification for transient ischemic attack (TIA) patients; and much more. Locate the answers you need quickly thanks to a user-friendly, full-color design, complete with more illustrations than ever before. Access the complete contents on the go from your laptop or mobile device at Expert Consult, fully searchable, with links to PubMed.

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3266

Publisher

Elsevier Health Sciences

Published Date

ISBN 10

1455749877

ISBN 13

9781455749874

Resilient Health Care

By: Professor Erik Hollnagel,Professor Jeffrey Braithwaite,Professor Robert L Wears

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Resilient Health Care

By: Professor Erik Hollnagel,Professor Jeffrey Braithwaite,Professor Robert L Wears

Health care is everywhere under tremendous pressure with regard to efficiency, safety, and economic viability - to say nothing of having to meet various political agendas - and has responded by eagerly adopting techniques that have been useful in other industries, such as quality management, lean production, and high reliability. This has on the whole been met with limited success because health care as a non-trivial and multifaceted system differs significantly from most traditional industries. In order to allow health care systems to perform as expected and required, it is necessary to have concepts and methods that are able to cope with this complexity. Resilience engineering provides that capacity because its focus is on a system’s overall ability to sustain required operations under both expected and unexpected conditions rather than on individual features or qualities. Resilience engineering’s unique approach emphasises the usefulness of performance variability, and that successes and failures have the same aetiology. This book contains contributions from acknowledged international experts in health care, organisational studies and patient safety, as well as resilience engineering. Whereas current safety approaches primarily aim to reduce or eliminate the number of things that go wrong, Resilient Health Care aims to increase and improve the number of things that go right. Just as the WHO argues that health is more than the absence of illness, so does Resilient Health Care argue that safety is more than the absence of risk and accidents. This can be achieved by making use of the concrete experiences of resilience engineering, both conceptually (ways of thinking) and practically (ways of acting).

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Page Count

297

Publisher

Ashgate Publishing, Ltd.

Published Date

ISBN 10

1409469808

ISBN 13

9781409469803

Book's by Robert L. Wears

Resilient Health Care, Volume 2

Resilient Health Care, Volume 2

Still Not Safe

Still Not Safe

Harwood-Nuss' Clinical Practice of Emergency Medicine

Harwood-Nuss' Clinical Practice of Emergency Medicine

Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

Emergency Medicine

Emergency Medicine

Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book

Resilient Health Care

Resilient Health Care

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