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ISBN:0739487752
Author: ATUL GAWANDE
ISBN13: 978-0739487754
Title: better
Format: rtf txt lrf lit
ePUB size: 1872 kb
FB2 size: 1186 kb
DJVU size: 1665 kb
Language: English
Category: Medicine
Publisher: METROPOLITAN; Book Club (BCE/BOMC edition (2007)

better by ATUL GAWANDE



He practices general and endocrine surgery at Brigham and Women’s Hospital and is professor in both the Department of Health Policy and Management at the Harvard School of Public Health and the Department of Surgery at Harvard Medical School. He is Executive Director of Ariadne Labs, a joint center for health systems innovation, and Chairman of Lifebox, a nonprofit organization making surgery safer globally.

Better is a rocky complicated emprise with a bubbling stream of truth ever flowing and his mindful goal on becoming better is illuminated. He converts the complicated to simple by breaking it down to a basic level of understanding as it hums loudly in our delicate ears--so we fully comprehend. com as one of the ten best books of 2007; and The Checklist Manifesto. His latest book is Being Mortal: Medicine and What Matters in the End.

Atul Gawande is a surgeon at a leading Boston hospital and an assistant professor at Harvard School of Public Health. For most people, this would probably be enough. What he wants is better. As in his previous, bestselling book, Complications, Gawande is preoccupied with what makes the difference between getting it right, say, 9. per cent and 9. 5 per cent of the time.

Atul Gawande is a practising surgeon in one of the hospitals in the US. His parents are both doctors. His debut book, Complications, was well received for his honest insight into the medical world. His second book, Better, carries the same theme. Gawande gives us glimpses of the troubles, dilemmas, difficulties that professionals in the medical world face. The first chapter talks about the habit of washing hands after you examine a patient. This sounds so trivial to us, but the chapter gives us a frightening picture of the consequences if a doctor does not follow this practice

Atul Gawande's insightful book illuminates the challenging choices members of the profession face every day. ―Susan Salter Reynolds, Los Angeles Times. describing professional moments of fear, guilt, embarrassment, and humor. Atul Gawande is not only adding to the small shelf of books by doctors that every layman should read. He's using medicine to help anyone who hopes to do anything better. Michael Lewis, author of The Blind Side. manages to capture medicine in all of its complex and chaotic glory, and to put it, still squirming with life, down on the page. With this book Gawande inspires all of us, doctor or not, to be better. Gawande is unassuming in every way, and yet his prose is infused with steadfast determination and hope.

Atul Gawande is the author of this great book. Atul is a surgeon at Brigham and Women’s Hospital in Boston. He also has won two National Magazine Awards, a MacArthur Fellowship, and been named one of the world’s hundred most influential thinkers by Foreign Policy and TIME. Through this book, he conveys his message that doctors are only human and therefore must always be diligent and resourceful in fulfilling their duties in clear, confident prose

In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.

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Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing

Surgeon's notes on Perfprmance
Reviews: 7
Grotilar
Loved this book. Read it twice. Very interesting true life examples. Anyone employed in a medical field or just interested would probably enjoy this. Book is divided into chapters each exploring a different concept and considering different points of view. Areas explored include:
achieving handwashing by healthcare workers to reduce the spread of infections,
attempts to erradicate polio in India by chasing hotspots,
reducing mortality in the Iraq/Afghanistan wars by new strategies of battlefield care,
aspects of chaperones for intimate physical examinations,
different systems for physician compensation,
ways to reform our malpractice laws,
the inhumaness of execution methods and the ethics that prevent physicians from participating,
development of Apgar scores and how they have reduced newborn mortality,
and examples of how doctors and facilities that are highly specialized show better outcomes.
.
The author explores how significant innovations have been made by those who investigate new approaches and are committed to improvement and how we should all strive to make improvements within our personal niche in healthcare. "How to Become a Positive Deviant"
Rarranere
I highly recommend, Better: a Surgeon's Notes on Performance! I really enjoyed reading this book very intriguing and informative. I am aware some of the information the Author talked about. Two Chapters caught my attention Casualties of War and The Doctors of the Death Chamber. I wanted to write about the two subjects. I have strong opinions, on the two: Extremely controversial topics its best left alone.

On Washing Hands very crucial in hospital environment, Doctors, Nurses and staff need to wash their hands constantly to help stop the spread of infection. Each year two million Americans acquire an infection while they are in the hospital. That's just the tip of the iceberg.

I believe, a Surgeon's Notes on Performance, it is important for all of us to read. Especially, if you are planning on staying in the hospital for any length of time. Atul Gawande touched on so many important issues. I think, some reviewers gave elegant reviews. The reviewers are the ones, basically, sold me on getting this book. I' am so happy, I had the opportunity to read it. At the end of the book there are excellent Notes on Sources.
Anayalore
More than expansion on Gawande's first book While Better looks at ways health care/medical providers can and should avoid errors, current practice modalities encourage brevity, financial gain, and doing more with less...short staff, limited experience, and not buying in to evidence-based practice. Good read, just don't read it before going to urgent care!
Gholbimand
Love this author, have read everything he has written! Somewhat disturbing, of course, regarding what goes on in the medical arena. But Atul is such an incredible writer, I have a very difficult time putting anything he writes down. He shares so much of himself, so refreshing and eye-opening! I know he is someone I'd like to know.
Truthcliff
I thought Atul Gawande's last book, Complications, was one of the best books written on the medical profession in a long while. In it, Gawande showed a deep respect and sympathy for patients while trying to be clear about what would help the medical establishment do a better job from a doctor's point of view. In this book, he covers some of the same ground but, as his title implies, here he is focused specifically on what it takes to do things better as a doctor. The chapters here are grouped under three big heading which Gawande feels are the categories of improvement: diligence, doing right, and ingenuity. Within that, he tells some fascinating stories.

Under diligence, he describes how simple persistence can improve performance significantly. For example, simple compliance with washing hands before and after each interaction with a patient would reduce unnecessary infections greatly and yet it is one of the poorest areas of performance in many medical establishment. My wife had a baby a couple weeks ago at a well-respected New York City hospital (that shall remain nameless) and, having read this book, I couldn't help but watch the hand washing. Though there was hand-washing going on, my anecdotal results were somewhat disappointing. It's scary. And yet, his stories of the effort to send polio the way of smallpox and the amazing success rates of medical teams in Iraq through no more than basic diligence with well-established methods give readers hope.

Under doing right, Gawande tells stories of the continuing debate over what constitutes right and wrong in medicine. What is the proper way to interact with someone who you have to examine naked? When is it fair to sue a doctor and how much is it worth? What should a doctor be paid for their services? Should a doctor participate in executions at prisons, considering the methods we use now are basically medical? When should a doctor continue treatment at all costs or let a patient die? These are questions with no easy answers and Gawande takes a balanced approach.

Under ingenuity, he discusses some simple, clever ideas that have helped improve performance in various areas. His wonderful chapter on childbirth focuses on the Apgar score for newborns. As most know, this is a number ubiquitous now at the birth of a baby. It wasn't even developed by an OB/GYN. It was developed by an anaesthesiologist. It required no new medical techniques. It simply required doctors and nurses to do a directed assessment of a baby at birth. And yet, this simple, ingenious change, dropped child mortality rates significantly as babies previously thought to have no chance were given a chance and hospitals competed to "improve" their Apgar scores. In this section he also has a discussion on how true analysis of doctor and hospital performance is rare but, when used, greatly improves success as well as a discussion of the amazing cleverness of doctors in the poorest parts of the world to do procedures with limited equipment. It was incredibly eye-opening.

It is a fact of life that all of us will have to encounter the medical establishment from time to time. It can be incredibly frustrating. Still, it's nice to know that there are doctors like Gawande trying to understand things and make them better. In addition, he is a fine writer who has a wealth of interesting history and personal anecdotes that help make his ideas clear. Everyone should take some time and read his work.