Shortly after 1998, leading members of Georgia’s government, medical community, and public-spirited citizenry began considering ways in which some of Georgia’s almost $5 billion, 25-year settlement from the tobacco industry’s Master Settlement Agreement with the 50 states could be used to benefit Georgia residents. Given tobacco’s role in causing cancer, they decided to create an entity…
Understanding telecommunications, in all its forms, has never been more critical. Numerous sources promise to provide the information and insight needed. However, a coherent, concise presentation of the essentials, which could serve as a starting point for providing the reader with a foundation of knowledge to build on has been lacking.
American medicine defines the cutting edge in most fields of clinical research, training, and practice worldwide, and U.S.-based manufacturers of drugs, medical devices, and medical equipment are among the most innovative and competitive in the world. In large part, the United States has achieved primacy in these areas by focusing public and private resources on research in the life and physica…
The National Aeronautics and Space Administration’s (NASA’s) Bioastronautics Roadmap (BR) is “the framework used to identify and assess the risks of crew exposure to the hazardous environ- ments of space.” The BR was created to facilitate and support the successful accomplishment of the three Design Reference Missions: a one-year mission to the International Space Station, a month-long …
Millions of Americans today receive health care for mental or substance-use problems and illnesses. These conditions are the leading cause of combined disability and death among women and the second highest among men. Effective treatments exist and continually improve. However, as with general health care, deficiencies in care delivery prevent many from receiving appropriate treatments. That si…
Wireless. The word evokes those heady days long ago when radio ruled the entertainment world and families gathered around a console radio the size of a coffee table to marvel at a technology that emitted disembodied voices from far away
Hospital-based emergency and trauma care is critically important to the health and well-being of Americans. In 2003, nearly 114 million visits were made to hospital emergency departments (EDs)—more than one for every three people in the United States. About one-quarter of those visits were due to unintentional injuries, the leading cause of death for people aged 1 through 44. While most Ameri…
Every day the Food and Drug Administration (FDA) works to balance expeditious access to drugs with concerns for safety, consonant with its mission to protect and advance the public health. The task is all the more complex given the vast diversity of patients and how they respond to drugs, the conditions being treated, and the range of pharmaceutical products and supplements patients use. Review…
Seven years ago, the Institute of Medicine (IOM) Committee on the Quality of Health Care in America released its first report, To Err Is Hu- man, finding that an estimated 44,000 to 98,000 Americans may die an- nually due to medical errors. If mortality tables routinely included medical errors as a formal cause of death, they would rank well within the ten leading killers (IOM 2000). Two years …
During an influenza pandemic, healthcare workers will be on the front lines delivering care to patients and preventing further spread of the disease. Protecting the more than 13 million healthcare workers in the United States from illness or from infecting their families or the patients in their care is critical to limiting morbidity and mortality and preventing progression of a pandemic. The N…
This volume reports on discussions among multiple stakeholders about ways they might help transform health care in the United States. The U.S. healthcare system consists of a complex network of decentralized and loosely associated organizations, services, relationships, and participants. Each of the healthcare system’s component sectors—patients, healthcare profes- sionals, healthcare deliv…
The rapid pace of scientific discovery and technological innovation over the last several decades is unprecedented and raises the prospect of achieving dramatic improvements in the nation’s health and well-being. Yet stakeholders from across the healthcare system, from patients to practitioners to payers, are demanding fundamental improvements to a system that is seen as costly, fragmented, a…
Clinical effectiveness research (CER) serves as the bridge between the development of innovative treatments and therapies and their productive application to improve human health. Building on efficacy and safety determinations necessary for regulatory approval, the results of these investigations guide the delivery of appropriate care to individual patients. As the complexity, number, and diver…
Because of their potential to enable the development of new knowledge and to guide the development of best practices from the growing sum of individual clinical experiences, clinical data represent the resource most central to healthcare progress (Arrow et al., 2009; Detmer, 2003). Whether captured during product development activities such as clinical research trials and studies, or as a part …
The fundamental notion of the learning healthcare system—continuous improvement in effectiveness, efficiency, safety, and quality—is rooted in principles that medicine shares with engineering. In particular, the fields of systems engineering, industrial engineering, and operations research have long experience in the systematic design, analysis, and improvement of complex systems, notably i…
Though often hidden in the past,lesbians,gay men,and bisexual women area substantial and increasingly visible minority of the population.With the growing cultural openness about lesbian and gay identities in recent years,issues relating to sexual orientation have become more and more prominent in public discourse.In the 1980s and 1990s,psychological research and theory on gay,lesbian,and bi-s…
Accounting knowledge is a core business skill that both complements and enhances your other talents. Individuals promoted to management or supervisory roles from either line or staff jobs find that many of their new responsibilities involve knowing something about accounting. Congratulations on your promotion! You’ve come to the right place to start developing those accounting skills. If you …
The Institute of Medicine’s Committee on Optimizing Graduate Medi- cal Trainee (Resident) Hours and Work Schedules to Improve Patient Safety evaluated the literature concerning (1) the impact of current residents’ duty hours on patient safety and (2) the relationship of hours of work and sleep to performance. The principal aim of residency training in the United States is to prepare young d…