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This is the first major study of a significant post within the
British government. Drawing on a wide range of archival sources and
interviews with senior health professionals and politicians, this
book positions the Chief Medical Officer as one of the most
influential individuals within the Whitehall system, with personal
responsibility for the health of the population. Through a number
of case studies, including the 1950s smoking and lung caner issue,
and the AIDS and BSE crises of the 1980s and 1990s, "The Nation's
Doctor" examines how the CMO operates, drawing on expertise to
inform the direction of government health policy.
Implementing safety practices in healthcare saves lives and
improves the quality of care: it is therefore vital to apply good
clinical practices, such as the WHO surgical checklist, to adopt
the most appropriate measures for the prevention of
assistance-related risks, and to identify the potential ones using
tools such as reporting & learning systems. The culture of
safety in the care environment and of human factors influencing it
should be developed from the beginning of medical studies and in
the first years of professional practice, in order to have the
maximum impact on clinicians' and nurses' behavior. Medical errors
tend to vary with the level of proficiency and experience, and this
must be taken into account in adverse events prevention. Human
factors assume a decisive importance in resilient organizations,
and an understanding of risk control and containment is fundamental
for all medical and surgical specialties. This open access book
offers recommendations and examples of how to improve patient
safety by changing practices, introducing organizational and
technological innovations, and creating effective,
patient-centered, timely, efficient, and equitable care systems, in
order to spread the quality and patient safety culture among the
new generation of healthcare professionals, and is intended for
residents and young professionals in different clinical
specialties.
This book contains forewords by Chris Del Mar and James Hutchinson
respectively - Dean, Faculty of Health Sciences and Medicine, Bond
University, Australia; Chief of Infectious Diseases Control,
Memorial University of Newfoundland, Canada. Acute respiratory
infections make up a quarter of all primary care consultations.
This book is the ideal quick reference and teaching aid. In
presenting best evidence on the epidemiology, causes and management
of the most common acute respiratory infections, this book gathers
together a wealth of previously scattered original research and
information and offers solutions for practical application. It is
concise, clear and easy to use. Primary care professionals,
including doctors, nurses and health visitors will find it
invaluable, as will general practitioners in training. 'There is
much more to these diseases than most of us realise. It will not
take you long to find fascinating and useful material here. It
makes for a very interesting read. The evidence about management,
as well as diagnosis, is very important. Acute respiratory
infection is one of the famously important areas in which mistaken
beliefs by not only our patients, but also us doctors, of the
benefits of antibiotics makes to the contribution of bacterial
resistance. Graham Worrall has highlighted new forms of treatment
we often forget when we reach for the pad to write another 'safety'
prescription for antibiotic. There is a wealth of information
here.' - Chris Del Mar, in his Foreword. 'An objective, thoughtful
treatment of a subject that accounts for a large part of a primary
care physician's working life but inexplicably little of his or her
training. Thorough evaluation of the literature, often exposing
huge gaps in the study of these extremely common conditions, will
serve as an impetus for study and a guide to rational
decision-making. The straightforward approach with excellent
practical distillations of the evidence and resulting
recommendations is perfect for the busy physician or busy student.
As someone who teaches medical students about infections I have
longed for a concise resource to support my efforts at encouraging
prudent antibiotic prescription for respiratory tract infections. I
long no more.' - James Hutchinson, in his Foreword.
You may not know it, but an innovation has made our world a better
place. The use of alcohol-based handrubs protects us from
infectious diseases and saves millions of lives each year through
safer health care. Here is the story of this revolutionary
formulation, made available without patent and offered as a gift to
humanity by Professor Didier Pittet and his team at Hopitaux
Universitaires de Geneve (HUG). From bush doctors to giant
pharmaceutical corporations, everyone can now produce effective
handrubs, cheaply and easily. Didier Pittet's medical odyssey has
taken him to the four corners of the Earth. It also reveals a new
path open to human society, one that pro- mises a radical shift
from a predatory economic system to an economy of peace. "WHO is
fortunate that Didier Pittet said "yes" when the call went out for
his help. ...] Much can be learned from the story that is told so
well and so inspirationally in this book." Dr. Margaret Chan,
Director-General, World Health Organization.
Talvez voce nao tenha se dado conta, mas aconteceu uma inovacao que
mudou sua vida. Friccionando as maos com um gel hidroalcoolico,
voce se protege das doencas. Esta e a historia de um produto
revolucionario que nunca foi patenteado, um presente que o
professor Didier Pittet e sua equipe dos Hospitais Universitarios
de Genebra ofereceram a humanidade. Hoje, tanto aquele que pratica
a medicina em plena selva quanto os laboratorios farmaceuticos
podem fabricar essa solucao que garante mais seguranca na
assistencia a saude, permitindo salvar milhoes de vida. Acompanhar
a aventura medica de Didier Pittet e descobrir que outra humanidade
e possivel, aquela que nos leva de uma economia da predacao a uma
economia da paz. ''A OMS teve sorte quando Didier Pittet respondeu
ao seu chamado. Numerosas sao as licoes que podemos tirar da
historia magnificamente contada neste livro.'' Dra. Margaret Chan,
diretora-geral da OMS"
Eine revolutionare Entwicklung hat unser aller Leben grundlegend
ver- andert, und dies nahezu unbemerkt: die alkoholische
Handedesinfektion zum Schutz vor Ansteckung. Dieses Buch erzahlt
die einzigartige Geschichte eines weltverandernden Produkts.
Professor Didier Pittet und sein Team am Universitatsklinikum Genf
haben bewusst auf Patentschutz fur ihre Weiterentwicklung
verzichtet und diese so der Menschheit zum Geschenk gemacht. Jeder,
vom Grossunternehmen bis zum Buschdoktor, kann kunftig das
Desinfektionsmittel herstellen, das durch verbesserte Hygiene Leben
retten wird. Begleiten Sie Dr. Pittet bei seinem spannenden
Unterfangen und entdecken Sie dabei zugleich eine Seite der
menschlichen Natur, die die Abkehr vom Raubtierkapitalismus hin zu
einer Friedensokonomie beinhaltet. Didier Pittet kam, als die WHO
ihn rief; dessen konnen wir uns glucklich schatzen. Aus der
Geschichte, die dieses Buch so lebendig und mitreissend erzahlt,
konnen wir alle viel lernen." Dr. Margaret Chan, Generaldirektorin
der WHO"
Conciliation is the term used in the National Health Service to
describe a particular form of dispute resolution that is used in
relation to the complaints process. Conciliation has uses beyond
the resolution of complaints. It can be of value in any situation
where the clinical relationship has broken down. Equally, it may be
used in an attempt to restore relationships as part of conflict
management, either within the NHS or in other organisations where
conflict or disagreement exists. This concise, practical guide
clearly sets out the role of conciliation, and dispels the many
misconceptions surrounding procedures and expectations.
Conciliation in Healthcare provides invaluable resources for all
healthcare staff involved in complaints, either from an
operational, strategic or academic perspective. This includes
conciliators themselves and those involved in their training, and
staff with specific responsibilities for implementing complaints
procedures, both in the public and private sectors. It's also
highly recommended for those who provide advocacy and support for
complainants, as well as those against whom complaints have been
made.
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