Patients involved in major trauma frequently suffer from severe blood loss and anemia, which can be challenging to treat. Additional issues are presented in the population of Jehovah’s Witness patients, who refuse transfusions of allogenic blood or its components. We established a stable hemodynamic status in a young Jehovah’s Witness patient with major trauma by applying principles of patient blood management.About the Patient Blood Management Case Report Series

This book gives a brief overview of the "Patient Blood Management" (PBM) concept and is addressed to health professionals as well as all persons generally involved into hospital management."Patient Blood Management" (PBM) is a multidisciplinary, evidence-based approach to improve perioperative care. The concept is based on three pillars that target modifiable risk factors for adverse outcome: i) preoperative screening, diagnosis an...

In 1991, the Institute of Medicine released a landmark report, which revealed that as many as 98,000 patients were dying every year owing to avoidable medical error. More recent research indicates that estimate was, if anything, a drastic understatement of the patient-safety epidemic in the US health care system.In Malpractice, neurosurgeon and attorney Dr. Larry Schlachter makes a case that most patients enter the system without any idea of the risks they face, due to a m...

Medical errors kill 24,000 Canadians each year, adversely affect hundreds of thousands, and cost close to two billion dollars. Victims of medical errors and their families who speak out often do so at considerable emotional, psychological, and financial expense. But their willingness to share their harrowing stories has helped to lay the foundation for numerous patient safety programs and continues to identify problems, provide solutions, and raise awareness.After the Error

In Why Hospitals Should Fly by John J. Nance, JD, the 2009 James A. Hamilton ACHE Book of the Year, he advanced a paradigm—a model of what a good, successful, safe and efficient hospital looks like. The name of the fictional hospital featured in that award-winning book could be stated in Naval terms as a clazz: A “St. Michael’s-clazz” hospital (like a Nimitz-clazz aircraft carrier). In this book, Charting the Course, written by John Nance, JD, and his wife, Kathleen Barth...

A doctor asked on Twitter, "What's one thing you wished you knew when you had to look after one of your own family members?"I needed over 1000 words to respond, although my 140 character-answer is this: I wish I'd known better how to just sit still, or at least act normally, with my father after his diagnosis with brain cancer.Luckily, my infant son Max was a lot wiser than I was. And I knew enough to bring Max and my dad together as much as possible. This is their story, a...

At the clinical, management, and policy levels, the use of knowledge and evidence in health care has become a worldwide priority. The contributors to Using Knowledge and Evidence in Health Care seek to broaden our understanding of the complexity involved in health care decision-making by integrating social science knowledge and exploring some of the challenges and limits of evidence in different health care contexts.Louise Lemieux-Charles and François Champagne have brough...

“We’re born in blood. Our family histories are contained in it, our bodies nourished by it daily. Five quarts run through each of us, along some sixty thousand miles of arteries, veins, and capillaries.”–fromFive QuartsIn the national bestseller Sleep Demons, Bill Hayes took us on a trailblazing trip through the night country of insomnia. Now he is our guide on a whirlwind journey through history, literature, mythology, and science by means of the great red river that runs f...

Written by the leading names in pediatric oncology and hematology, Nathan and Oski's Hematology and Oncology of Infancy and Childhood offers you the essential tools you need to overcome the unique challenges and complexities of childhood cancers and hematologic disorders. Meticulously updated, this exciting full-color set brings together the pathophysiology of disease with detailed clinical guidance to provide you with the most comprehensive, authoritative, up-to-date information for diagn...

This case report describes the poor outcome of a female patient who underwent elective nephrectomy. Unfortunately, the patient was suffering from undiagnosed preoperative platelet dysfunction and anemia, although blood count and clotting were almost within normal ranges two weeks earlier at the day of preoperative assessment for anesthesia. In this respect, intensive preoperative evaluation of the coagulation system embedded in a comprehensive patient blood management (PBM) concept might h...

Drawing upon real accounts of negligence, incompetence, and distrust, this book seeks to identify the key competencies of a good doctor, the ways in which medical care fails, and the roadblocks to ensuring that every licensed doctor is capable. Arguing that it is possible to improve patient care—by lifting the veils of secrecy and better informing patients, by establishing more effective ways of checking doctors' competence, and by ensuring that medical watchdogs protect the public—this di...

The Quality Playbook and the companion Workbook (which you can purchase separately on the publisher's website www.SecondRiverHealthcare.com) are about creating great clinical outcomes and safer care for patients, families, and communities; creating healthcare organizations that rank at the top of the nation’s rating lists; and doing what most organizations have been unable to do: deliver top quality at an affordable cost—true healthcare value. If one is embarking on a new quality prog...