More than a million patient safety incidents occur every year, and medical error is the third leading cause of death in the United States. Illuminating the experiences of those affected by medical error—patients, their loved ones, and physicians and other medical professionals—Talking with Patients and Families about Medical Error delves deeply into the challenges of communicating honestly and openly about mistakes in medical practice. cc Based on guidelines from the Institute for Professional and Ethical Practice and the authors' own experiences, the practice-based approaches outlined here offer concrete guidance on • initiating discussions • dealing professionally and compassionately with patients' reactions • who should be included in the conversation • what information should be documented in the medical record • how to respond to questions about financial compensation Aimed at promoting resolution and healing, this book stresses the importance of clear, empathetic communication that will improve clinical and organizational responses to medical missteps and mismanagement. It emphasizes five features of the physician-patient relationship deserving of special attention: transparency, respect, accountability, continuity, and kindness (TRACK). Narrative examples of common situations demonstrate how conversations about medical error can lead to healing.
Errors occur commonly in healthcare and can cause significant harm to patients. Most errors arise from a combination of individual, system, and communication failures. Neurologists may be involved in harmful errors in any practice setting and should familiarize themselves with tools to prevent, report, and examine errors. Although physicians, patients, and ethicists endorse candid disclosure of harmful medical errors to patients, many physicians express uncertainty about how to approach these conversations. A growing body of research indicates physicians often fail to meet patient expectations for timely and open disclosure. Patients desire information about the error, an apology, and a plan for preventing recurrence of the error. To meet these expectations, physicians should participate in event investigations and plan thoroughly for each disclosure conversation, preferably with a disclosure coach. Physicians should also anticipate and attend to the ongoing medical and emotional needs of the patient. A cultural change towards greater transparency following medical errors is in motion. Substantial progress is still required, but neurologists can further this movement by promoting policies and environments conducive to open reporting, respectful disclosure to patients, and support for the healthcare workers involved.
Distilling decades of research, this practical manual presents an innovative intervention for families of 6- to 10-year-olds (grades 1–5) with attention-deficit/hyperactivity disorder (ADHD). Family–School Success (FSS) focuses on improving children's behavior and academic performance by strengthening parent–child, teacher–student, and family–school relationships. Detailed guidelines are provided for implementing FSS with parent groups or individual families, including how to involve children in groups and collaborate with teachers. The authors discuss ways to deliver FSS effectively in school- and clinic-based settings, private practice, and primary care. In a convenient large-size format, the book features dozens of reproducible parent handouts and worksheets, assessment tools, and fidelity checklists, which can also be downloaded and printed. This book is in The Guilford Practical Intervention in the Schools Series, edited by Sandra M. Chafouleas.
The 637 documents in this volume span 1 February to 31 August 1819. As a founding member of the University of Virginia Board of Visitors, Jefferson helps to obtain builders for the infant institution, responds to those seeking professorships, and orchestrates the establishment of a classical preparatory school in Charlottesville. In a letter to Vine Utley, Jefferson details his daily regimen of a largely vegetarian diet, bathing his feet in cold water each morning, and horseback riding. Continuing to indulge his wide-ranging intellectual interests, Jefferson receives publications on the proper pronunciation of Greek and discusses the subject himself in a letter to John Adams. Jefferson also experiences worrying and painful events, including hailstorm damage at his Poplar Forest estate, a fire in the North Pavilion at Monticello, the illness of his slave Burwell Colbert, and a fracas in which Jefferson's grandson-in-law Charles Bankhead stabs Jefferson's grandson Thomas Jefferson Randolph on court day in Charlottesville. Worst of all, Jefferson's financial problems greatly increase when the bankruptcy of his friend Wilson Cary Nicholas leaves Jefferson responsible for $20,000 in notes he had endorsed for Nicholas.
This book reviews the status of a very exciting field OCo neutrino oscillations OCo at a very important time. The fact that neutrinos have mass has only been proved in the last few years and the acceptance of that fact has opened up a whole new area of study to understand the fundamental parameters of the mixing matrix. The book summarizes the results from all the experiments which have played a role in the measurement of neutrino oscillations and briefly describes the scope of some new planned experiments. Contributions include a theoretical introduction by Stephen Parke from FNAL, as well as articles from all the major experimental groups who have been pivotal in uncovering the nature of the neutrino mass. Sample Chapter(s). Chapter 1: Neutrino Oscillation Phenomenology (677 KB). Contents: Neutrino Oscillation Phenomenology (S J Parke); The Super-Kamiokande Experiment (C W Walter); Sudbury Neutrino Observatory (S J M Peeters & J R Wilson); Neutrino Oscillation Physics with KamLAND: Reactor Antineutrinos and Beyond (K M Heeger); K2K: KEK to Kamioka Long-Baseline Neutrino Oscillation Experiment (R J Wilkes); MINOS (P Vahle); The LSND and KARMEN Neutrino Oscillation Experiments (W C Louis); MiniBooNE (S J Brice); The OPERA Experiment in the CNGS Beam (D Autiero et al.); The T2K Experiment (D L Wark); The NO?A Experiment (G J Feldman); Double Chooz (G A Horton-Smith & T Lasserre); Daya Bay: A Sensitive Determination of ? 13 with Reactor Antineutrinos (K B Luk & Y Wang). Readership: Physicists, researchers and graduate students in high energy/nuclear and particle physics.
Concise, portable, and user-friendly, The Washington Manual® of Patient Safety and Quality Improvement covers essential information in every area of this complex field. With a focus on improving systems and processes, preventing errors, and promoting transparency, this practical reference provides an overview of PS/QI fundamentals, as well as insight into how these principles apply to a variety of clinical settings. Part of the popular Washington Manual® series, this unique volume provides the knowledge and skills necessary for an effective, proactive approach to patient safety and quality improvement.
The acclaimed historian presents a “captivating account of a surprisingly little-known period” at the close of the American Revolution (Kirkus, starred review). On October 19, 1781, Great Britain’s best army surrendered to General George Washington at Yorktown. But the future of the thirteen former colonies was far from clear. 13,000 British troops still occupied New York City, and another 13,000 regulars and armed loyalists were scattered from Canada to Georgia. Meanwhile, the American army had not been paid for years and was on the brink of mutiny. In Europe, America’s only ally, France, teetered on the verge of bankruptcy and was soon reeling from a disastrous naval defeat in the Caribbean. A stubborn George III dismissed Yorktown as a minor defeat and refused to yield an acre of “my dominions” in America. In Paris, Ambassador Benjamin Franklin confronted violent hostility toward France among his fellow members of the American peace delegation. In The Perils of Peace, Thomas Fleming moves between the key players in this drama and shows that the outcome we take for granted was far from certain. With fresh research and masterful storytelling, Fleming breathes new life into this tumultuous but little known period in America’s history.
Brand new research! The sequel to last year's runaway bestseller in this hot new field focuses on the rapid progress that has been made in the following areas of physical chemistry: theory, new materials, surfaces and interfaces, and processing. More than 100 scientists from major research groups have contributed to this timely volume, on this second anniversary of the discovery of these remarkable materials. This research was presented at the ACS National Meeting in Los Angeles in September 1988.
The Sex Offender Register examines the origins, history, structure and legalities of the UK sex offender register, and explores how political and public opinion has influenced the direction the policy of registration has taken. Delving into the origins of the UK sex offender register and how the registration policy has evolved, this book provides an understanding of the register and its contribution to public protection while attempting to see the register as a policy that has grown and developed and as having an organic life of its own. The sex offender register is designed as a form of public protection rather than a punishment, requiring offenders to notify the police of their circumstances and to accept a degree of offender management from the police. The book: • puts the development of the register in its political, social and ethical context • considers the position of children and young people as offenders • outlines the movement of registered offenders across international borders • analyses how offenders can be removed from the register • explores how other countries in the UK manage sex offenders through registers • asks questions about the efficacy of the register and what contribution it makes to public protection • looks at specific aspects of registration including the management of information • delves into the experience of life on the register • examines the influence of public opinion • discusses the role of the police as custodians of the register and as offender managers. Exploring the different pressures brought to bear on the register, this book provides an authoritative starting point for police officers, social workers, probation officers, magistrates, students of Criminology, Criminal Justice and Policing, and the general reader wanting to understand where the UK sex offender register originated from and how it operates today.
Focusing primarily on philosophical and methodological concepts rather than technical aspects of methods and procedures, this dictionary fills a crucial gap in the literature. In this indispensable volume, Thomas A Schwandt provides a guide to the terms and phrases which help shape the nature, purpose, logic, meaning and methods of qualitative inquiry. Intended as a reference book for this vocabulary, the volume examines the key concepts and issues which help shape the field. The definitions acknowledge the multiple and often-contested points of view that characterize qualitative inquiry.
The internationally acclaimed text Critical Care Nursing is designed to support undergraduate and postgraduate students and critical care nurses in practice to develop the knowledge and skills necessary to deliver high quality patient care to contribute to improved patient outcomes.The fifth edition has been fully updated with the latest evidence, resources and tools designed to help you master a range of competencies, from patient monitoring to delivering multidimensional interventions, using complex lifesaving equipment, and managing the deteriorating patient. There is a focus on the scope and principles of practice, quality and safety standards, ethical considerations, and increased support for nurses.Highly regarded by clinicians and students around the world, this book will encourage and challenge you to develop world-class practice and ensure the delivery of the higest quality care. - Latest research, technologies and care considerations collated by an internationally respected team of editors and contributors - Case studies, research vignettes and learning activities to support further learning - Practice tips, case studies and learning activities link theory to practice - Endorsed by the Australian College of Critical Care Nurses (ACCCN), the peak professional organisation representing critical care nurses in Australia - Accompanying adaptive quizzing to support students with assessment preparationInstructor resources on Evolve: - Case Study suggested responses - Learning Activity suggested responses - Additional Case Study answers - Image, Table, Box collectionStudent and Instructor resources on Evolve: - Additional Case Studies - Fully updated with the most recent research, data, procedures and guidelines from expert international critical care nursing clinicians and academics - Increased focus on pandemic-related considerations, including COVID-19, woven throughout all chapters
As the most common health-care intervention, prescription drug use shares the most important characteristics of the health-care system in the United States. When everything works well, it makes possible breathtakingly successful applications of science to the prevention and cure of human suffering. But everything doesn‘t always work well. Pharmaceu
This book seeks to track the origins of sex offender registers, their purpose and the law and policy that underpins them in various parts of the world. Sex offender registers are not really registers at all but a set of ‘legal requirements’ that fall automatically on a person convicted or cautioned for a designated sexual offence; the term ‘register’ is a form of shorthand for these requirements, designed to be a contribution to greater public protection and community safety. This book provides the first serious and detailed narrative of the conception and implementation of the sex offender registers. It seeks to do so in a clear and easy-to-follow text that will be both informed and critical and will also serve as a resource book for those wanting to make further study of the process of registration and monitoring. It looks in detail at the practice of implementing registers and considers questions about their effectiveness in monitoring sex offenders and the implications of someone being on a sex offender register. The book examines the legal challenges to registers and monitoring and the position of registrants in the context of human rights and seeks to place registers and monitoring in the wider context of what is being called the surveillance society. The Registration and Monitoring of Sex Offenders will be key reading for students of criminology and criminal justice, surveillance and human rights and practitioners in criminal justice fields of policing, probation, social work, children’s services, the judiciary, prison work and others.
More than a million patient safety incidents occur every year, and medical error is the third leading cause of death in the United States. Illuminating the experiences of those affected by medical error—patients, their loved ones, and physicians and other medical professionals—Talking with Patients and Families about Medical Error delves deeply into the challenges of communicating honestly and openly about mistakes in medical practice. cc Based on guidelines from the Institute for Professional and Ethical Practice and the authors' own experiences, the practice-based approaches outlined here offer concrete guidance on • initiating discussions • dealing professionally and compassionately with patients' reactions • who should be included in the conversation • what information should be documented in the medical record • how to respond to questions about financial compensation Aimed at promoting resolution and healing, this book stresses the importance of clear, empathetic communication that will improve clinical and organizational responses to medical missteps and mismanagement. It emphasizes five features of the physician-patient relationship deserving of special attention: transparency, respect, accountability, continuity, and kindness (TRACK). Narrative examples of common situations demonstrate how conversations about medical error can lead to healing.
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