the digital doctor hope hype and harm at the dawn of medicine s computer age

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The Digital Doctor Hope Hype And Harm At The Dawn Of Medicine S Computer Age

Author : Robert Wachter
ISBN : 1260019608
Genre : Business & Economics
File Size : 29. 81 MB
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The New York Times Science Bestseller from Robert Wachter, Modern Healthcare’s #1 Most Influential Physician-Executive in the US While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare’s ills. But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital. Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America’s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point? Logically enough, we’ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . . Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation’s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story. "We need to recognize that computers in healthcare don’t simply replace my doctor’s scrawl with Helvetica 12," writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it’s not too late to get it right." This riveting book offers the prescription for getting it right, making it essential reading for everyone – patient and provider alike – who cares about our healthcare system.

Man Muss Kein Held Sein

Author : Chesley B. Sullenberger
ISBN : 9783641051334
Genre : Biography & Autobiography
File Size : 77. 48 MB
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Am 15. Januar 2009 startet der Inlandsflug 1549 in New York. In einer Höhe von etwa 1000 Metern – die Maschine befindet sich gerade über der Bronx – kollidiert ein Schwarm Wildgänse mit dem Airbus, an Bord sind 150 Passagiere und fünf Besatzungsmitglieder. Kapitän Sullenberger meldet Schubverlust in beiden Triebwerken und entscheidet sich wegen der geringen Flughöhe für eine hochriskante Notwasserung. Nur sechs dramatische Minuten nach dem Start trifft die Maschine im Gleitflug auf dem Hudson auf, rund anderthalb Kilometer vom Times Square entfernt. Rettungskräften gelingt die Evakuierung der Passagiere. Die Bilder von der spektakulären Landung und Rettungsaktion gehen bald um die Welt. Chesley Sullenberger, der sich eher ungern als »Der Held vom Hudson« tituliert sah, blickt nun auf sein Leben zurück und beschreibt, wie er zu dem Ausnahmepiloten wurde, der in schwierigster Notsituation Augenmaß und Entschlusskraft bewahrt und der Verantwortung für die ihm anvertrauten Mitmenschen gerecht wird. Er berichtet von seiner Kindheit in Texas, wie er bereits im Alter von fünf Jahren den Traum hegte, Pilot zu werden, und bereits mit sechzehn seinen ersten Soloflug bestritt; er erzählt von den prägenden Jahren bei der Air Force und seinen Erlebnissen als Flugkapitän, seit er 1980 zur zivilen Luftfahrt wechselte. Sullenberger ist überzeugt, dass seine gesammelten Lebenserfahrungen ihn auf die dramatischen Augenblicke, die sein Leben radikal verändern sollten und die er minutiös und mitreißend schildert, vorbereitet haben, als er sich – entgegen der Anweisung aus dem Flughafentower – für die Landung im Hudson entschied. Hier, so der Kapitän, konnte er auf all das an Einsichten und Tugenden zurückgreifen, was er nicht nur in seinem Beruf, sondern für sein gesamtes Leben als unerlässlich ansieht: Disziplin und Pflichtgefühl, Genauigkeit und Sorgfalt, Verantwortungsgefühl und Vertrauen, aber auch den Mut, notfalls im Alleingang eine Entscheidung zu treffen.

Sterblich Sein

Author : Atul Gawande
ISBN : 9783104035840
Genre : Self-Help
File Size : 80. 31 MB
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Ein Buch über das Sterben, das das Leben lehrt Die Medizin scheint über Krankheit und Tod zu triumphieren, doch sterben wir so trostlos wie nie zuvor. Der Bestsellerautor und renommierte Arzt Atul Gawande schreibt in seinem beeindruckenden Buch über das, was am Ende unseres Lebens wirklich zählt. Ungewöhnlich offen spricht er darüber, was es bedeutet, alt zu werden, wie man mit Gebrechen und Krankheiten umgehen kann und was wir an unserem System ändern müssen, um unser Leben würdevoll zu Ende zu bringen. Ein mutiges und weises Buch eines großartigen Autors, voller Geschichten und eigener Erfahrungen, das uns hilft, die Geschichte unseres Lebens gut zu Ende zu erzählen. »Dieses Buch ist nicht nur weise und sehr bewegend, sondern gerade in unserer Zeit unbedingt notwendig und sehr aufschlussreich.« Oliver Sacks »Die medizinische Betreuung ist mehr auf Heilung ausgelegt als auf das Sterben. Dies ist Atuls Gawandes stärkstes und bewegendstes Buch.« Malcolm Gladwell

Distracted Doctoring

Author : Peter J. Papadakos
ISBN : 9783319487076
Genre : Medical
File Size : 34. 63 MB
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Examining-room computers require doctors to record detailed data about their patients, yet reduce the time clinicians can spend listening attentively to the very people they are trying to help. This book presents original essays by distinguished experts in their fields, addressing this critical problem and making an urgent case for reform, because while electronic technology has revolutionized the practice of medicine, it also poses a unique challenge to health care. Smartphones in the hands of doctors and nurses have become dangerously seductive devices that can endanger their patients. Distracted Doctoring is written for anesthesiologists and surgeons, as well as general practitioners, nurses, and health care administrators and students. Chapters include Electronic Challenges to Patient Safety and Care; Distraction, Disengagement, and the Purpose of Medicine; and Managing Distractions through Advocacy, Education, and Change.

Electronic Health Records And Medical Big Data

Author : Sharona Hoffman
ISBN : 9781107166547
Genre : Law
File Size : 67. 67 MB
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This book provides interdisciplinary analysis of electronic health record systems and medical big data, offering a wealth of technical, legal, and policy insights.

The Second Machine Age

Author : Erik Brynjolfsson
ISBN : 9783864702228
Genre : Political Science
File Size : 47. 33 MB
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Computer sind mittlerweile so intelligent geworden, dass die nächste industrielle Revolution unmittelbar bevorsteht. Wer profitiert, wer verliert? Antworten auf diese Fragen bietet das neue Buch der Technologie-Profis Erik Brynjolfsson und Andrew McAfee. Seit Jahren arbeiten wir mit Computern - und Computer für uns. Mittlerweile sind die Maschinen so intelligent geworden, dass sie zu Leistungen fähig sind, die vor Kurzem noch undenkbar waren: Sie fahren Auto, sie schreiben eigene Texte - und sie besiegen Großmeister im Schach. Dieser Entwicklungssprung ist nur der Anfang. In ihrem neuen Buch zeigen zwei renommierte Professoren, welch atemberaubende Entwicklungen uns noch bevorstehen: Die zweite industrielle Revolution kommt! Welche Auswirkungen wird das haben? Welche Chancen winken, welche Risiken drohen? Was geschieht dabei mit den Menschen, was mit der Umwelt? Und was werden Gesellschaft und Politik tun, um die Auswirkungen dieser "neuen digitalen Intelligenz" für alle bestmöglich zu gestalten? Dieses Buch nimmt Sie mit auf eine Reise in eine Zukunft, die schon längst begonnen hat.

The Handbook Of Health Behavior Change Fifth Edition

Author : Marisa E. Hilliard, PhD
ISBN : 9780826180148
Genre : Medical
File Size : 79. 71 MB
Format : PDF, ePub
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This revised and updated fifth edition of the highly acclaimed “gold standard” textbook continues to provide a foundational review of health behavior change theories, research methodologies, and intervention strategies across a range of populations, age groups, and health conditions. It examines numerous, complex, and often co-occurring factors that can both positively and negatively influence people’s ability to change behaviors to enhance their health including intrapersonal, interpersonal, sociocultural, environmental, systems, and policy factors, in the context of leading theoretical frameworks. Beyond understanding predictors and barriers to achieving meaningful health behavior change, the Handbook provides an updated review of the evidence base for novel and well-supported behavioral interventions and offers recommendations for future research. New content includes chapters on Sun Protection, Interventions With the Family System, and the Role of Technology in Behavior Change. Throughout the textbook, updated reviews emphasize mobile health technologies and electronic health data capture and transmission and a focus on implementation science. And the fifth edition, like the previous edition, provides learning objectives to facilitate use by course instructors in health psychology, behavioral medicine, and public health. The Handbook of Health Behavior Change, Fifth Edition, is a valuable resource for students at the graduate and advanced undergraduate level in the fields of public or population health, medicine, behavioral science, health communications, medical sociology and anthropology, preventive medicine, and health psychology. It also is a great reference for clinical investigators, behavioral and social scientists, and healthcare practitioners who grapple with the challenges of supporting individuals, families, and systems when trying to make impactful health behavior change. NEW TO THE FIFTH EDITION: Revised and updated to encompass the most current research and empirical evidence in health behavior change Includes new chapters on Sun Protection, Interventions With the Family System, and the Role of Technology in Behavior Change Increased focus on innovations in technology in relation to health behavior change research and interventions KEY FEATURES: The most comprehensive review of behavior change interventions Provides practical, empirically based information and tools for behavior change Focuses on robust behavior theories, multiple contexts of health behaviors, and the role of technology in health behavior change Applicable to a wide variety of courses including public health, behavior change, preventive medicine, and health psychology Organized to facilitate curriculum development and includes tools to assist course instructors, including learning objectives for each chapter

R Ckkehr Nach Missing

Author : Abraham Verghese
ISBN : 3458357009
Genre :
File Size : 36. 76 MB
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Personalized Medicine

Author : Barbara Prainsack
ISBN : 9781479856909
Genre : Medical
File Size : 78. 53 MB
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Inside today's data-driven personalized medicine, and the time, effort, and information required from patients to make it a reality Medicine has been personal long before the concept of “personalized medicine” became popular. Health professionals have always taken into consideration the individual characteristics of their patients when diagnosing, and treating them. Patients have cared for themselves and for each other, contributed to medical research, and advocated for new treatments. Given this history, why has the notion of personalized medicine gained so much traction at the beginning of the new millennium? Personalized Medicine investigates the recent movement for patients’ involvement in how they are treated, diagnosed, and medicated; a movement that accompanies the increasingly popular idea that people should be proactive, well-informed participants in their own healthcare. While it is often the case that participatory practices in medicine are celebrated as instances of patient empowerment or, alternatively, are dismissed as cases of patient exploitation, Barbara Prainsack challenges these views to illustrate how personalized medicine can give rise to a technology-focused individualism, yet also present new opportunities to strengthen solidarity. Facing the future, this book reveals how medicine informed by digital, quantified, and computable information is already changing the personalization movement, providing a contemporary twist on how medical symptoms or ailments are shared and discussed in society. Bringing together empirical work and critical scholarship from medicine, public health, data governance, bioethics, and digital sociology, Personalized Medicine analyzes the challenges of personalization driven by patient work and data. This compelling volume proposes an understanding that uses novel technological practices to foreground the needs and interests of patients, instead of being ruled by them.

Principles And Practice Of Case Based Clinical Reasoning Education

Author : Olle ten Cate
ISBN : 9783319648286
Genre : Education
File Size : 76. 95 MB
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This book is open access under a CC BY 4.0 license. This volume describes and explains the educational method of Case-Based Clinical Reasoning (CBCR) used successfully in medical schools to prepare students to think like doctors before they enter the clinical arena and become engaged in patient care. Although this approach poses the paradoxical problem of a lack of clinical experience that is so essential for building proficiency in clinical reasoning, CBCR is built on the premise that solving clinical problems involves the ability to reason about disease processes. This requires knowledge of anatomy and the working and pathology of organ systems, as well as the ability to regard patient problems as patterns and compare them with instances of illness scripts of patients the clinician has seen in the past and stored in memory. CBCR stimulates the development of early, rudimentary illness scripts through elaboration and systematic discussion of the courses of action from the initial presentation of the patient to the final steps of clinical management. The book combines general backgrounds of clinical reasoning education and assessment with a detailed elaboration of the CBCR method for application in any medical curriculum, either as a mandatory or as an elective course. It consists of three parts: a general introduction to clinical reasoning education, application of the CBCR method, and cases that can used by educators to try out this method.

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