Sunday, September 1, 2013

Unaccountable


Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care [Kindle Edition]

Author: Martin Makary | Language: English | ISBN: B008RYD43G | Format: PDF, EPUB

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
Free download Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care from with Mediafire Link Download Link Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why?

To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system. Books with free ebook downloads available Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care [Kindle Edition]
  • File Size: 712 KB
  • Print Length: 256 pages
  • Publisher: Bloomsbury Press; 1 edition (September 18, 2012)
  • Sold by: Amazon Digital Services, Inc.
  • Language: English
  • ASIN: B008RYD43G
  • Text-to-Speech: Enabled
  • X-Ray:
    Enabled
  • Lending: Enabled
  • Amazon Best Sellers Rank: #33,934 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
    • #1 in Kindle Store > Kindle eBooks > Nonfiction > Professional & Technical > Medical eBooks > Specialties > Pathology > Clinical Chemistry
    • #25 in Books > Medical Books > Medicine > Internal Medicine > Pathology > Clinical Chemistry
Dr. Marty Makary, a cancer surgeon at the renowned John's Hopkins School of Medicine, has written a provocative, well-researched, and quite scary book that should be read by physicians, nurses, patients, and hospital administrators. Here are some shocking statistics he gives: One in four hospital patients is hurt by a medical mistake. Thirty to forty percent of our health care dollars pays for fraudulent or unnecessary care. Ten to fifteen percent of patients are not given all their options regarding their care. Possibly the most shocking statistic of all: surgeons operate on the wrong body part 40 times per week!

To a physician like myself, these statistics are unfortunately not all that surprising. Medicine is administered by humans, and thus subject to human error. Makary writes that the key to improving health care outcomes (and excess cost) is greater transparency. Basically, doctors and hospitals need to be more open with their complication rates, alternative treatments, and be more willing to prevent bad doctors from practicing medicine. Because doctors and hospitals won't make these changes, the key is patient empowerment.

In that way Makary's book pushes patients to act in their best interests and not accept the status quo. It hearkens back to his contributions with author and medical essayist Atul Gawande in The Checklist Manifesto: How to Get Things Right. In my hospital, as many others around the country, many of his recommendations are, in fact, being instituted such as with the Keystone initiative. I believe Makary makes some great points which should be seriously considered by hospital administrators and physician leaders.

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care Download

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