Rabu, 20 Maret 2013

[P531.Ebook] Download Ebook The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods, by Naida Grunden

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The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods, by Naida Grunden

The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods, by Naida Grunden



The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods, by Naida Grunden

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The Pittsburgh Way to Efficient Healthcare: Improving Patient Care Using Toyota Based Methods, by Naida Grunden

Winner of a 2013 Shingo Research and Professional Publication Award

America’s healthcare system needs to change. Not only does our country spend 16 percent of its gross domestic product on healthcare, but despite spending more than other industrialized countries, our general health lags behind. While we have plenty of data identifying where healthcare in America falls short, we’ve precious little practical, hands-on information about how to fix it.

In The Pittsburgh Way to Efficient Healthcare, Naida Grunden provides a ingenious and optimistic look at how principles borrowed from industry can be applied to make healthcare safer, and in doing so, make it more effective and less costly. The book is a compilation of case studies from units in different hospitals around the Pittsburgh region that successfully applied industrial principles to the benefit of patients and the satisfaction of employees.

The Pittsburgh Way to Efficient Healthcare is written for all healthcare stakeholders – from clinicians to insurers to employers to those who have the greatest stake in healthcare quality improvement, the patients.

About the Author:

Naida Grunden has been a business and technical writer for over 25 years, specializing for the past six years in health and medical writing for the Pittsburgh Regional Health Initiative. She writes the PRHI Executive Summary newsletter, a publication she founded in 2001 (www.prhi.org). Her work has appeared in publications as varied as the Joint Commission Journal on Quality and Patient Safety and Air Line Pilot magazine.

Ms. Grunden received the 2006 Challenge Award from the American College of Clinical Engineering for her article on the VA wheelchair work in Biomedical Instrumentation and Technology magazine. Ms. Grunden completed her B.A. in English at California State University, East Bay, and her secondary English teaching credential at California State University, San Francisco. She lives in Bellingham, Washington. Visit her website at www.NaidaGrunden.com.

  • Sales Rank: #971400 in Books
  • Brand: Brand: Productivity Press
  • Published on: 2007-12-13
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.03" h x .56" w x 6.45" l, .95 pounds
  • Binding: Hardcover
  • 224 pages
Features
  • Used Book in Good Condition

Review

This book reports how managers― without more money or federal action―can use Toyota management principles to create an environment where it is difficult to make a mistake and people can take joy in work and deliver better and better patient care.
―Clare Crawford-Mason, co-author, The Nun and the Bureaucrat:  How They Found an Unlikely Cure for America’s Sick Hospitals and Thinking About Quality: Progress, Wisdom and the Deming Philosophy

... chock full of pearls, useful tools, and inspiring stories of people and organizations who made quality improvement concepts and principles spring to life.
―Robert M. Wachter, MD, Professor and Associate Chairman, Department of Medicine University of California, San Francisco, Chief of the Medical Service, UCSF Medical Center Editor, AHRQ WebM&M and Patient Safety Network

At a time when we are overwhelmed by the staggering evidence that health care systems that we depend on often fail us, here is a book that captures the power of real transformation.
―Frank Christopher, PBS producer of the series Remaking American Medicine

I love this book! Like the Toyota Production System on which these case study improvements were founded, it is clear, concise and visual…I can’t imagine a reader not being inspired to run out and find similar problems to tackle. I wish every reader the wherewithal to make equal progress!
―Cindy Jimmerson, President, Lean Healthcare West, author, A3 Problem Solving for Healthcare: A Practical Method for Eliminating Waste

What exactly is workflow re-design? Can it really make the health care experience safer and more effective, efficient, and rewarding for patients and providers? Ms. Grunden answers these questions through dozens of fascinating examples which really happened in Pittsburgh’s hospitals and are replicable virtually anywhere.
―Christopher Guadagnino, Managing Editor, Physician’s News Digest

About the Author

Naida Grunden has been a business and technical writer for over 25 years, specializing for the past six years in health and medical writing for the Pittsburgh Regional Health Initiative. She writes the PRHI Executive Summary newsletter, a publication she founded in 2001 (www.prhi.org). Her work has appeared in publications as varied as the Joint Commission Journal on Quality and Patient Safety and Air Line Pilot magazine.

Ms. Grunden received the 2006 Challenge Award from the American College of Clinical Engineering for her article on the VA wheelchair work in Biomedical Instrumentation and Technology magazine.

Ms. Grunden completed her B.A. in English at California State University, East Bay, and her secondary English teaching credential at California State University, San Francisco. She lives in Bellingham, Washington. Visit her website at www.NaidaGrunden.com.

Most helpful customer reviews

1 of 1 people found the following review helpful.
Better AND Cheaper
By Robert G. Burney
Efficiency means getting more for less, and Naida Grunden documents how PRHI has been encouraging efficiency in Pittsburgh. There are examples here for every hospital, but even more important is the way these gains were made. The approach to the problem. Open minds will be able to apply the Pittsburgh way to any healthcare setting.
Most experts agree that the biggest problem in healthcare today is cost. Reducing cost while providing the same or better service is what this book is all about.
Having followed the PRHI efforts for several years, I found the book a little short, particularly on the theory behind these efforts. It seems as if these changes were intuitive and easy. Trust me. Change is never easy. Perhaps this documentation will make similar changes easier for the rest of us.

0 of 0 people found the following review helpful.
Four Stars
By IT Setup Guy for Small Company
as advertised

4 of 4 people found the following review helpful.
Translating Lean/Toyota into Healthcare
By Tania R. Lyon
Full disclosure: I used to work with Naida Grunden at PRHI and was involved with some of the work she describes in her book. But it is precisely because I was buried in the weeds of the work that I appreciate Grunden's ability to extract a fair, accurate, and engaging narrative out of each story. She is a superb writer and I've found this book to be the ideal text for introducing healthcare workers to the connection between Toyota and healthcare.

I have since moved on from PRHI and am currently leading a hospital through a lean transformation. To that end I teach an 8 hour introductory course for every hospital employee. I assign portions of The Toyota Way by Jeffrey Liker and chapters from The Pittsburgh Way. Every time I teach the course, I have had participants ask me if they could keep their copy of The Pittsburgh Way a little longer in order to finish reading it. No one has ever asked to hold on to The Toyota Way!

The first chapter of The Pittsburgh Way--the gut-wrenching story of Steve and Diane Lares is a powerful emotional hook to the compelling need for a new way of organizing the delivery of care. The rest of the book translates abstract theory into practice--concrete healthcare practice. There's no better way to reach the frontlines in healthcare.

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Selasa, 05 Maret 2013

[J142.Ebook] Ebook William Trevor: The Collected Stories, by William Trevor

Ebook William Trevor: The Collected Stories, by William Trevor

Spend your time also for only couple of minutes to read an e-book William Trevor: The Collected Stories, By William Trevor Reviewing an e-book will certainly never reduce and squander your time to be useless. Reading, for some individuals become a need that is to do on a daily basis such as spending quality time for consuming. Now, what regarding you? Do you like to read a book? Now, we will certainly reveal you a brand-new book qualified William Trevor: The Collected Stories, By William Trevor that can be a new method to discover the knowledge. When reviewing this e-book, you could get one point to always keep in mind in every reading time, also detailed.

William Trevor: The Collected Stories, by William Trevor

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William Trevor: The Collected Stories, by William Trevor

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William Trevor: The Collected Stories, by William Trevor

From his debut collection, "The Day We Got Drunk on Cake," published in 1968, to "Family Sins" (1990), William Trevor has crafted the short story to perfection, giving us brilliant and subtle stories full of the reversals, surprises, and shadowy truths we discover in life itself. To read this volume is not just to encounter an extraordinary literary stylist, but to understand life as surely as though we were looking through the eyes of his protagonists and - deeper still - into their hearts. "William Trevor: The Collected Stories" includes the tales from his seven previous books, as well as four stories that have never appeared in book form in America. They depict the comforts and frustrations of life in rural Ireland, the complexities of family relationships, and the elusive grace of love. They portray the almost invisible strands that bind people to each other as well as the chains that imprison them in solitary yearning.

  • Sales Rank: #112293 in Books
  • Published on: 1993-12-01
  • Released on: 1993-12-01
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.20" h x 2.00" w x 6.10" l,
  • Binding: Paperback
  • 1280 pages

From Publishers Weekly
Tales from Trevor's seven highly acclaimed short-story collections tell of life in rural Ireland.
Copyright 1993 Reed Business Information, Inc.

About the Author
William Trevor is the author of twenty-nine books, including Felicia’s Journey, which won the Whitbread Book of the Year Award and was made into a motion picture. In 1996 he was the recipient of the Lannan Award for Fiction. In 2001, he won the Irish Times Literature Prize for fiction. Two of his books were chosen by The New York Times as best books of the year, and his short stories appear regularly in the New Yorker. In 1997, he was named Honorary Commander of the British Empire. He lives in Devon, England.

Most helpful customer reviews

115 of 117 people found the following review helpful.
WARNING: Intemperate Review Ahead!
By Eric J. Matluck
Not all stars are created equal. By awarding 5 stars to this book, the implication must be that they are stars of the purest gold. I have read some "5-star" novels and short story collections before, but little, in my experience, compares with this: the combination of an extraordinarily beautiful prose style, the seemingly effortless creation of literally hundreds if not thousands of alternately sympathetic and detestable (but always vividly memorable) characters, a profound insight into the psychology of the human mind to rival (and pretty easily surpass) that of any other writer alive, a recreation of atmosphere so real it clings, and a brilliant inventiveness when it comes to creating great story lines (and, often, superbly twisty [but never illogical] endings) places this collection among the very greatest of its kind. One measure of how deeply impressed I was with this book is that now, more than half a year since I finished it, I can look back through the table of contents and still remember not merely every story with tremendous vividness, but often where I was at the time I read it.
Stated broadly, Trevor's stories seem to fall into two distinct types, English and Irish. The former tend to be (as do many of the earlier stories) sharp and edgy, whereas the latter tend to be quiet and pastoral. Although it is the Irish stories that appear to garner the greatest praise from the critics, I prefer the greater cynicism (often bordering on, but never quite reaching, downright misanthropy) of the English stories.
Having to choose my favorites from among this potent collection is akin to separating gold coins that are 100% pure from those that are 99.975% pure (soft though they would be!), but three continue to haunt me just a little more than the others. "The Death of Peggy Meehan," one of the Irish stories, and one of the collection's shortest, tells the tale of a young lad who is taken to his first movie during a summer vacation, and how the fantasies he draws after seeing that movie color (for better or worse) the rest of his life. "In at the Birth," is, unusually for Trevor, a creepy ghost story that Rod Serling would have marveled over. In it, an elderly woman takes a baby-sitting job for a peculiar couple who turn out to be (and this is hardly among the most riveting revelations provided) childless. But rather than leave me frightened, it left me pondering the meaning of life, age, and human relationships. Finally, "The Hotel of the Idle Moon," is what I described to a friend as "the greatest short story ever written." Its title is especially evocative and, in its context, has a host (no pun intended!) of powerful resonances. The "set up" is baldly cliche: on a dark and stormy night a middle-aged couple stop in front of an estate, pretending that their car has broken down. Foul play, one can be sure, is bound to ensue. And so it does. But the play is much fouler and more upsetting than anything anyone can imagine (trust me, until you read this story you cannot imagine what happens). It is one of Trevor's gifts that such a story can't be adequately explained. It has to be read, felt, lived. Suffice it to say that by the end we realize that we have read nothing less than a parable of (very) contemporary times (I don't know when it was written) that manages, in a trice, to both limn and condemn humankind since the beginning of history.
High marks also to "The Table," which reads like a hilarious comedy of errors until the last line suddenly blackens everything that came before it with perfect (and perfectly uncanny) inevitability, "The Forty-Seventh Saturday," as poignant a story of loneliness as I know, and "O Fat White Woman" (the title may be funny; the story is anything but), which spins a tale of the tragedy that follows passive resistance. (And when is the last time you read a story that dealt with that? Why does it seem that Trevor is our only contemporary writer who consistently confronts such common yet seemingly taboo foibles?). As is usual with Trevor, the tragedy occurs on many planes and is of an inestimable magnitude.
Oh, heck, let me not forget "Nice Day at School," an incredibly sensitive and piercing drama, and the superb and highly regarded "In Isfahan," in which a married, middle-aged English man meets a married, youngish English woman on tour in Iran. They try to get close, but their chequered pasts prevent them. What we don't realize until the end, however, is that one of their pasts isn't real. Or is it? And what purpose does fantasy play in encroaching human relationships? Can it be used to repel as well as to lure? Or is it there to comfort? And, if so, comfort whom? Particularly rich stuff.
Amidst a sea of great short story collections, this one by William Trevor will always have its place at the top. There's a word for books like this, and that word is "perfect." May it never go out of print.

52 of 55 people found the following review helpful.
The Greatest Prose Writer in the English Language
By Tom O'Leary
This book sits perched in the backseat of my car, easily accessed for a quick William Trevor fix. Trevor is, for me, God's greatest current gift to literature. Each of these stories is a gem. The characters are complex and the situations they find themselves in moving, funny and unique. I recommend this book to anyone who loves language, wit and perfect storytelling.

32 of 33 people found the following review helpful.
the greatest of all short story collections
By asphlex
This is, perhaps,the finest of all books. With 85 magnificent stories, virtually every one a solid masterpiece,William Trevor stands at the ultimate heights of his genre. Each story is a compressed gem and,while I have to admit that not every one is the greatest thing ever written, when you are blown away by about 1100 pages of a 1261 page opus, it is worth it in the end. Even the lesser stories have their merits, beautiful writing and sincere exploration of character. This is a book that everyone should read. I understand that this is a bit of an ethusiastic cliche and it is not a statement I have made before. But the sometimes comedic, usually heartbreaking tales contained within this book are just about all anyone needs to learn the wide range of emotions suffered by humanity. Do not pass up this unique offer. You will never have a better opportunity to be entertained while learning everything about human nature.

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Senin, 18 Februari 2013

[N423.Ebook] Free PDF The Complete Guide to Connecting Audio, Video, and MIDI Equipment: Get the Most Out of Your Digital, Analog, and Electronic Music Setups (E

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The Complete Guide to Connecting Audio, Video, and MIDI Equipment: Get the Most Out of Your Digital, Analog, and Electronic Music Setups (E

This one-of-a-kind handbook describes through photos, line diagrams, and step-by-step instructions how the average student, enthusiast, voice-over talent, editor, engineer, musician, and/or producer can easily connect any of the various types of analog or digital audio, video, and MIDI equipment in their studio setups. Readers will also be able to identify, purchase, and connect the specific A/V and MIDI equipment necessary for any creative job. Easy to understand and fun to use, The Complete Guide to Connecting Audio, Video, and MIDI Equipment will bring a professional or home-based studio completely up to date and up to maximum speed, making the music come alive.

  • Sales Rank: #1045658 in Books
  • Published on: 2015-01-01
  • Original language: English
  • Number of items: 1
  • Dimensions: 11.00" h x .77" w x 8.50" l, .66 pounds
  • Binding: Paperback
  • 328 pages

About the Author
Valenzuela is a musician, recording/mixing engineer, and certified Pro Tools trainer based in Los Angeles.

Most helpful customer reviews

0 of 0 people found the following review helpful.
Very detailed book with visual & written details on different connections (don't expect explanations though).
By Average Bear
Very detailed, well written book. I was hoping it would get into explaining midi as well. It is a very detailed book with visual & written details on different connections.

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Sabtu, 16 Februari 2013

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  • Sales Rank: #2021996 in Books
  • Published on: 2010
  • Number of items: 2
  • Binding: Hardcover

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Senin, 11 Februari 2013

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  • Sales Rank: #390878 in eBooks
  • Published on: 2014-03-24
  • Released on: 2014-03-24
  • Format: Kindle eBook

Most helpful customer reviews

2 of 3 people found the following review helpful.
a generic book
By Jonas Ortega
I got this book thinking that it would be focused on rhodesian Ridgebacks. Not true, not even the pictures. I wanted to learn about this breed, but it didnt happened because there was hardly any info. I think this is a "copy paste" book. You just substitute the name of the breed, put a couple of pictures and a couple of pages (in an appendix), and voila, you get another book.

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Selasa, 05 Februari 2013

[P144.Ebook] Free Ebook Nephrology: Clinical Cases Uncovered, by Menna Clatworthy

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Nephrology is an important speciality; patients with acute or chronic kidney failure are encountered in every medical and surgical speciality, as well as in general practice. On most general medical rotations and on most surgical wards there are patients with renal problems. Renal medicine is taught on rotation during degree courses, and Foundation training programmes frequently include attachments in nephrology, urology, and renal transplantation. Nephrology: Clinical Cases Uncovered contains clinical presentations with real-life patient cases and outcomes as seen on the wards and in exams, and leads students through a practical approach to diagnosis and management of kidney disease.

Following a question-answer approach, including self-assessment material and a ‘refresher’ section on the basic science of this clinical area, Nephrology: Clinical Cases Uncovered features investigations and the treatment options available for patients with renal disease, including those requiring renal replacement therapy with dialysis and transplantation. Difficult concepts are clarified, using simple diagrams to explain the link between pathology and clinical presentation.

Nephrology: Clinical Cases Uncovered is ideal for medical students, junior doctors on the Foundation Programme, GP trainees, and specialist nurses and nurse practitioners. This book is also a useful refresher for nephrology trainees at the beginning of their specialist training programme.

  • Sales Rank: #1661713 in Books
  • Published on: 2010-03-08
  • Released on: 2010-02-26
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.70" h x .55" w x 7.50" l, 1.50 pounds
  • Binding: Paperback
  • 268 pages

Review
"This is a helpful resource for medical students, medicine interns and residents, and nephrology fellows, as well as a reference for teachers of nephrology ... I would recommend this for academic nephrologists and nephrology fellows, but mainly for residents and students on nephrology rotations." (Doody's, 9 March 2012)

"The presentation is lively and the author's experience and enthusiasm for teaching the subject over more than a decade is evident...This book should appeal not only to medical undergraduates but also to trainees in renal diseases and other related specialties." (Journal of Tropical Pediatrics, January 2011)"The beauty of this book is that it translates a lot of the very dry information provided in traditional text books into real-life scenarios. The cases are interesting to read and you always like to see if your own management plan corresponds to the expert's one. In summary this is a very useful book for all who work in renal medicine. The clear format makes it suitable for nurses as well as doctors, and explains the rationale behind a lot of the treatment decisions we make. Overall highly recommended." (Journal of Renal Nursing, may 2010)

About the Author
Dr Menna Clatworthy

Clinical Lecturer in Renal Medicine, University of Cambridge

Most helpful customer reviews

1 of 1 people found the following review helpful.
good foundation
By thomas wise
This series is excellent for establishing a basic foundation and understanding. Medical students, Pharmacists, PA,s and FNP's would find the material excellent.

1 of 3 people found the following review helpful.
not much useful information
By dongding
i was looking for a book that has esoteric diseases. This isn't it. I read about 15 cases and didn't learn a thing from them so i stopped reading. This book may be useful for medical students but not for a nephrology fellow or practicing nephrologist.

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Senin, 04 Februari 2013

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This new title in the award-winning Lecture Notes series provides a clinically-oriented approach to the study of gastroenterology and hepatology, covering both the medical and surgical aspects of gastrointestinal practice. It explores organ-specific disorders, clinical basics, and gastrointestinal emergencies, together with a detailed self-assessment section. As part of the Lecture Notes series, this book is perfect for use as a concise textbook or revision aid.

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  • Takes a clinically-oriented approach, covering both medical and surgical aspects of gastrointestinal practice
  • Includes sections devoted to the organ-specific disorders, clinical basics and gastrointestinal emergencies
  • Includes a detailed self-assessment section comprising MCQs, SAQs and short and long OSCE cases

Whether you need to develop or refresh your knowledge, Gastroenterology and Hepatology Lecture Notes presents 'need to know' information for all those involved in gastrointestinal practice.

  • Sales Rank: #3366594 in Books
  • Published on: 2011-04-25
  • Original language: English
  • Number of items: 2
  • Dimensions: 9.60" h x .50" w x 6.80" l, 1.10 pounds
  • Binding: Paperback
  • 232 pages

From the Back Cover
This new title in the award-winning Lecture Notes series provides a clinically-oriented approach to the study of gastroenterology and hepatology, covering both the medical and surgical aspects of gastrointestinal practice. It explores organ-specific disorders, clinical basics, and gastrointestinal emergencies, together with a detailed self-assessment section. As part of the Lecture Notes series, this book is perfect for use as a concise textbook or revision aid.

Key features include:

  • Takes a clinically-oriented approach, covering both medical and surgical aspects of gastrointestinal practice
  • Includes sections devoted to the organ-specific disorders, clinical basics and gastrointestinal emergencies
  • Includes a detailed self-assessment section comprising MCQs, SAQs and short and long OSCE cases

Whether you need to develop or refresh your knowledge, Gastroenterology and Hepatology Lecture Notes presents 'need to know' information for all those involved in gastrointestinal practice.

About the Author
Anton Emmanuel, University College Hospital, London

Stephen Inns, University College Hospital, London

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