The Joint Commission establishes National Patient Safety Goals to improve safety and reduce risks of harm in healthcare settings. One such goal is targeted medication management to prevent errors like administering the wrong drug. Meeting safety goals requires systems to reliably identify patients, clearly label medications, and check for allergies and interactions. Reducing medication errors improves outcomes and is a priority for quality improvement.
Businesses across the nation are involved in every aspect of their communities and the economy and can be powerful partners in terms of improving the health of the nation, said George Isham, a senior advisor at HealthPartners, Inc., a senior fellow at the HealthPartners Institute for Education and Research, and a co-chair of the Institute of Medicine (IOM) Roundtable on Population Health Improvement. On July 30, 2014, the IOM roundtable held a workshop at the New York Academy of Medicine (NYAM) in New York City to consider the role of business in improving population health beyond the usual worksite wellness and health promotion activities.
In welcoming participants to NYAM, the academy’s president, Jo Ivey Boufford, said that economic development is a crucial factor in achieving population health and that there are many opportunities to create win–win situations for business to promote population health in the communities where they live and serve. She added that in New York State business has been a fundamental
part of a large, multi-stakeholder group that is implementing a prevention agenda for the state and helping communities to identify and address priority needs.
Despite spending far more on medical care than any other nation and despite having seen a century of unparalleled improvement in population health and longevity, the United States has fallen behind many of its global counterparts and competitors in such health outcomes as overall life expectancy and rates of preventable diseases and
injuries.
A fundamental but often overlooked driver of the imbalance
between spending and outcomes is the nation’s inadequate investment in nonclinical strategies that promote health and prevent disease and injury population-wide, strategies that fall under the rubric of “population
health.
This document discusses a report from the Institute of Medicine (IOM) on the future of nursing. It examines eight recommendations from the IOM report to improve nursing and advance public health. One recommendation is discussed in more detail that contributes to better health outcomes in the U.S., with a focus on increasing access to care.
This document outlines an assignment for a nursing student to write a paper addressing challenges facing nurses today, key messages from the 2010 Institute of Medicine's Future of Nursing report, and the IOM's five core competencies for health professionals. The paper must be 1500-2000 words, cite at least five sources using APA style, and include an introduction, three main sections addressing each assignment point, and a conclusion.
The document describes the National Academies Press, which publishes books from various National Academies organizations. It provides information about accessing books from the press, including downloading PDFs for free, reading books online for free, exploring research tools, and being notified of new publications. It also provides customer service contact information and details about purchasing printed books and PDFs.
Inter-professional Education for Collaboration:
Learning How to
Improve Health from Inter-professional Models Across the
Continuum of Education to Practice
This document provides an overview of a workshop on building capacity to reduce bullying. The workshop, organized by the Institute of Medicine and National Research Council, brought together representatives from different sectors involved in bullying prevention. Presenters discussed research on effective bullying prevention programs in schools, with peers, families, communities, and online. Student and school personnel panels also shared perspectives. The goal was to identify successful conceptual models and interventions, discuss how to increase protective factors for youth, and explore appropriate roles for different groups in prevention. Over 200 people participated via webcast. The workshop aimed to help address the substantial public health problem of bullying and close remaining knowledge gaps.
Businesses across the nation are involved in every aspect of their communities and the economy and can be powerful partners in terms of improving the health of the nation, said George Isham, a senior advisor at HealthPartners, Inc., a senior fellow at the HealthPartners Institute for Education and Research, and a co-chair of the Institute of Medicine (IOM) Roundtable on Population Health Improvement. On July 30, 2014, the IOM roundtable held a workshop at the New York Academy of Medicine (NYAM) in New York City to consider the role of business in improving population health beyond the usual worksite wellness and health promotion activities.
In welcoming participants to NYAM, the academy’s president, Jo Ivey Boufford, said that economic development is a crucial factor in achieving population health and that there are many opportunities to create win–win situations for business to promote population health in the communities where they live and serve. She added that in New York State business has been a fundamental
part of a large, multi-stakeholder group that is implementing a prevention agenda for the state and helping communities to identify and address priority needs.
Despite spending far more on medical care than any other nation and despite having seen a century of unparalleled improvement in population health and longevity, the United States has fallen behind many of its global counterparts and competitors in such health outcomes as overall life expectancy and rates of preventable diseases and
injuries.
A fundamental but often overlooked driver of the imbalance
between spending and outcomes is the nation’s inadequate investment in nonclinical strategies that promote health and prevent disease and injury population-wide, strategies that fall under the rubric of “population
health.
This document discusses a report from the Institute of Medicine (IOM) on the future of nursing. It examines eight recommendations from the IOM report to improve nursing and advance public health. One recommendation is discussed in more detail that contributes to better health outcomes in the U.S., with a focus on increasing access to care.
This document outlines an assignment for a nursing student to write a paper addressing challenges facing nurses today, key messages from the 2010 Institute of Medicine's Future of Nursing report, and the IOM's five core competencies for health professionals. The paper must be 1500-2000 words, cite at least five sources using APA style, and include an introduction, three main sections addressing each assignment point, and a conclusion.
The document describes the National Academies Press, which publishes books from various National Academies organizations. It provides information about accessing books from the press, including downloading PDFs for free, reading books online for free, exploring research tools, and being notified of new publications. It also provides customer service contact information and details about purchasing printed books and PDFs.
Inter-professional Education for Collaboration:
Learning How to
Improve Health from Inter-professional Models Across the
Continuum of Education to Practice
This document provides an overview of a workshop on building capacity to reduce bullying. The workshop, organized by the Institute of Medicine and National Research Council, brought together representatives from different sectors involved in bullying prevention. Presenters discussed research on effective bullying prevention programs in schools, with peers, families, communities, and online. Student and school personnel panels also shared perspectives. The goal was to identify successful conceptual models and interventions, discuss how to increase protective factors for youth, and explore appropriate roles for different groups in prevention. Over 200 people participated via webcast. The workshop aimed to help address the substantial public health problem of bullying and close remaining knowledge gaps.
Bullying—long tolerated as just a part of growing up—finally has been recognized as a substantial and preventable health problem. Bullying is associated with anxiety, depression, poor school performance, and future
delinquent behavior among its targets, and reports regularly surface of youth who have committed suicide at least in part because of intolerable bullying. Bullying can also have harmful effects on children who bully, on
bystanders, on school climates, and on society at large. Bullying can occur at all ages, from before elementary school to after high school. It can take the form of physical violence, verbal attacks, social isolation, spreading
rumors, or cyber bullying.
Increased concern about bullying has led 49 states and the District of Columbia to enact anti-bullying legislation since 1999. In addition, researchon the causes, consequences, and prevention of bullying has expanded greatly in recent decades. However, major gaps still exist in the understanding of bullying and of interventions that can prevent or mitigate the effectsof bullying.
This publication examines reviewed research on bullying
prevention and intervention efforts as well as efforts in related areas of research and practice, implemented in a range of contexts and settings, including
• Schools
• Peers
• Families
• Communities
• Laws and Public Policies
• Technology
Combined with the more traditional employer occupational safety and health protection activities are newer employment-based programs to promote better health through helping workers quit smoking, lose weight, reduce stress, or exercise more regularly. In support of these efforts, some employers have made changes in their policies and facilities to support physical activity and healthier eating, and some employers connect with ommunity resources for health education, health fairs, and
other services. From company to company, the interest in, resources for, and ability to do more for employee health and well-being vary. Employees’ interest in, needs for, and priorities for these types of programs also vary.
1 Introduction and Overview 1
PART I
UNDERSTANDING BULLYING
2 Overview of Bullying and Victimization 9
3 Targets of Bullying and Bullying Behavior 19
PART II
CONTEXTS FOR PREVENTION AND INTERVENTION
4 School-Based Interventions 35
5 Family-Focused Interventions 49
6 Technology-Based Interventions 57
7 Community-Based Interventions 65
8 Peer-Led and Peer-Focused Programs 73
9 Laws and Public Policies 81
PART III
FUTURE DIRECTIONS AND OVERALL THEMES
10 Translating Bullying Research into Policy and Practice 91
11 Reflections of School Personnel and Student Perspectives 103
12 Final Thoughts 113
APPENDIXES
A References 121
B Workshop Agenda 131
C Workshop Statement of Task 139
This document contains the proceedings from a workshop on obesity and overweight in the armed forces held by the National Academies of Sciences, Engineering, and Medicine. The workshop addressed the problem of obesity and overweight in the military and its effects on recruitment, retention, resilience, and readiness. Presentations were given on service-specific issues related to obesity in the different military branches. The document explored innovative strategies to address obesity in the armed forces.
Subjective well-being refers to how people experience and evaluate their lives and specific domains and activities in their lives. This information has already proven valuable to researchers, who have produced insights about the emotional states and experiences of people belonging to different groups, engaged in different activities, at different points in the life course, and involved in different family and community structures. Research has also revealed relationships between people's self-reported, subjectively assessed states and their behavior and decisions. Research on subjective well-being has been ongoing for decades, providing new information about the human condition. During the past decade, interest in the topic among policy makers, national statistical offices, academic researchers, the media, and the public has increased markedly because of its potential for shedding light on the economic, social, and health conditions of populations and for informing policy decisions across these domains.
Industrialization of Biology: A roadmap to accelerate the advanced manufactur...Ilya Klabukov
The document is about registering for free PDF downloads from the National Academies Press online. It provides information about accessing publications from the National Academies of Sciences, Engineering, and Medicine. Key details include:
- Registering allows for instant access to free PDF downloads and notifications of new releases in fields of interest.
- Strict prohibitions on copying or distributing the PDF without permission.
- The PDF available is about industrializing biology to accelerate advanced manufacturing of chemicals.
Feeding Infants and Children From birth to 24 months.pdfTayeDosane
This document summarizes an existing report titled "Feeding Infants and Children from Birth to 24 Months: Summarizing Existing Guidance". The report was produced by the National Academies of Sciences, Engineering, and Medicine and examines guidelines on feeding recommendations for infants and young children. It abstracts recommendations from 38 eligible guideline documents on topics like breastfeeding, introduction of complementary foods, nutrient supplementation, and communication strategies. The report also evaluates the consistency of recommendations between guidelines and identifies gaps in evidence to help inform future guidance.
This document summarizes a report published by the Institute of Medicine about preventing and controlling hypertension through population-based policy and systems changes. The report was produced by the Committee on Public Health Priorities to Reduce and Control Hypertension in the U.S. Population and the Board on Population Health and Public Health Practice. It provides recommendations for the Centers for Disease Control and Prevention on implementing strategies targeting communities and healthcare systems to address hypertension at a population level.
This document summarizes a report published by the Institute of Medicine about preventing and controlling hypertension through population-based policy and systems changes. The report was produced by the Committee on Public Health Priorities to Reduce and Control Hypertension in the U.S. Population and provides 236 pages of analysis on this important public health issue. It examines policy approaches and makes recommendations to help reduce high blood pressure at a population level in the United States.
National Academies Press Communications and Tech for Violence Prevention Work...Cat Meurn
This document summarizes a workshop on using communication and technology for violence prevention. The workshop brought together researchers, practitioners, policymakers, and funders to discuss how new communication platforms can transform violence prevention efforts. Speakers addressed methodological considerations for these platforms, their potential to help reduce health disparities, and how to effectively frame violence prevention messages. The workshop aimed to spur multisector collaboration on innovative approaches to prevent interpersonal and self-directed violence globally.
Abstract
Approximately 20 percent of Americans are affected by mental health and substance use
disorders, which are associated with significant morbidity and mortality. While the evidence
base for the effectiveness of interventions to treat these disorders is sizable, a considerable gap
exists between what is known to be effective and interventions that are actually delivered in
clinical care. Addressing this quality chasm in mental health and substance use care is
particularly critical given the recent passage of the Patient Protection and Affordable Care Act
(ACA) and Mental Health Parity and Addiction Equity Act, which are changing the delivery of
care and access to treatments for mental health and substance use disorders. Increasing
emphasis on accountability and performance measurement, moreover, will require strategies to
promote and measure the quality of psychosocial interventions.
In this report, the study committee develops a framework that can be used to chart a path
toward the ultimate goal of improving the outcomes of psychosocial interventions for those with
mental health and substance use disorders. This framework identifies the key steps entailed in
successfully bringing an evidence-based psychosocial intervention into clinical practice. It
highlights the need to (1) support research to strengthen the evidence base on the efficacy and
effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements
that drive an intervention’s effect; (3) conduct systematic reviews to inform clinical guidelines
that incorporate these key elements; (4) using the findings of these systematic reviews, develop
quality measures—measures of the structure, process, and outcomes of interventions; and
(5) establish methods for successfully implementing and sustaining these interventions in regular
practice including the training of providers of these interventions. The committee intends for this
framework to be an iterative one, with the results of the process being fed back into the evidence
base and the cycle beginning anew. Central to the framework is the importance of using the
consumer perspective to inform the process.
The recommendations offered in this report are intended to assist policy makers, health
care organizations, and payers that are organizing and overseeing the provision of care for
mental health and substance use disorders while navigating a new health care landscape. The
recommendations also target providers, professional societies, funding agencies, consumers, and
researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is
provided to individuals receiving mental health and substance use services.
A Path Forward in Research
Making the Nation Safe from Fire
A Path Forward in Research Committee to Identify Innovative Research Needs to Foster Improved Fire Safety in the United States.
Board on Infrastructure and the Constructed Environment
Division on Engineering and Physical Sciences
This document summarizes a workshop discussing the need to improve fire safety in the U.S. through innovative research. Key points discussed include:
- The U.S. continues to lead in fire deaths and losses despite efforts since the 1970s.
- Federal funding of university fire research has declined 85% since the 1970s, limiting research scope and breadth.
- Workshop participants identified knowledge gaps in areas like fire behavior, materials, systems, tools, structures, and human behavior that could be addressed through increased research funding and coordination.
Review of doe's vision 21 research and development program nrcSteve Wittrig
This document summarizes information about the National Academies Press, which publishes books from the National Academy of Sciences, National Academy of Engineering, Institute of Medicine, and National Research Council. It provides details on how to access free and purchased books from their website, including downloading free PDFs, reading books online for free, purchasing printed books and PDFs. It also describes their research tools and notifications for new book publications. Contact information is given for customer service. The document notes that this book and thousands more are available at their website, www.nap.edu.
The document summarizes a workshop on opportunities to promote children's behavioral health through health care reform and beyond. The 3-day workshop brought together experts from government agencies, foundations, medical organizations, and academia to discuss funding opportunities for evidence-based prevention and interventions. Over 100 participants examined ways to strengthen the children's behavioral health system and ensure access to services. The workshop aimed to inform efforts to improve children's well-being and long-term outcomes.
A Lifetime of Health Information: An Ecosystem for Learning LINKSEmily Glenn
The resources listed below were presented within a slideshow for attendees at the Pathways Into Health conference on October 14, 2015. This handout condenses the information and provides direct links to sites.
The document provides instructions for writing a 250-300 word paragraph analyzing a specific point from Okakura Kakuzō's essay "The Range of Ideals" to explain why his thesis that "Asia is one" is problematic. The paragraph should directly engage with one point Okakura makes, provide specific details on its logical or factual mistakes, acknowledge the diversity of Asian nations and cultures, and cite the specific page(s) being referred to.
Ralph Waldo Emerson was an American essayist and philosopher born in 1803 who is considered the father of American literature. He developed the philosophy of transcendentalism and emphasized nonconformity, self-reliance, and finding inspiration from nature. Emerson had a profound influence on writers like Thoreau, Whitman, Hawthorne, Poe, and Dickinson and developed a complicated relationship with Thoreau as his former student and friend.
Bullying—long tolerated as just a part of growing up—finally has been recognized as a substantial and preventable health problem. Bullying is associated with anxiety, depression, poor school performance, and future
delinquent behavior among its targets, and reports regularly surface of youth who have committed suicide at least in part because of intolerable bullying. Bullying can also have harmful effects on children who bully, on
bystanders, on school climates, and on society at large. Bullying can occur at all ages, from before elementary school to after high school. It can take the form of physical violence, verbal attacks, social isolation, spreading
rumors, or cyber bullying.
Increased concern about bullying has led 49 states and the District of Columbia to enact anti-bullying legislation since 1999. In addition, researchon the causes, consequences, and prevention of bullying has expanded greatly in recent decades. However, major gaps still exist in the understanding of bullying and of interventions that can prevent or mitigate the effectsof bullying.
This publication examines reviewed research on bullying
prevention and intervention efforts as well as efforts in related areas of research and practice, implemented in a range of contexts and settings, including
• Schools
• Peers
• Families
• Communities
• Laws and Public Policies
• Technology
Combined with the more traditional employer occupational safety and health protection activities are newer employment-based programs to promote better health through helping workers quit smoking, lose weight, reduce stress, or exercise more regularly. In support of these efforts, some employers have made changes in their policies and facilities to support physical activity and healthier eating, and some employers connect with ommunity resources for health education, health fairs, and
other services. From company to company, the interest in, resources for, and ability to do more for employee health and well-being vary. Employees’ interest in, needs for, and priorities for these types of programs also vary.
1 Introduction and Overview 1
PART I
UNDERSTANDING BULLYING
2 Overview of Bullying and Victimization 9
3 Targets of Bullying and Bullying Behavior 19
PART II
CONTEXTS FOR PREVENTION AND INTERVENTION
4 School-Based Interventions 35
5 Family-Focused Interventions 49
6 Technology-Based Interventions 57
7 Community-Based Interventions 65
8 Peer-Led and Peer-Focused Programs 73
9 Laws and Public Policies 81
PART III
FUTURE DIRECTIONS AND OVERALL THEMES
10 Translating Bullying Research into Policy and Practice 91
11 Reflections of School Personnel and Student Perspectives 103
12 Final Thoughts 113
APPENDIXES
A References 121
B Workshop Agenda 131
C Workshop Statement of Task 139
This document contains the proceedings from a workshop on obesity and overweight in the armed forces held by the National Academies of Sciences, Engineering, and Medicine. The workshop addressed the problem of obesity and overweight in the military and its effects on recruitment, retention, resilience, and readiness. Presentations were given on service-specific issues related to obesity in the different military branches. The document explored innovative strategies to address obesity in the armed forces.
Subjective well-being refers to how people experience and evaluate their lives and specific domains and activities in their lives. This information has already proven valuable to researchers, who have produced insights about the emotional states and experiences of people belonging to different groups, engaged in different activities, at different points in the life course, and involved in different family and community structures. Research has also revealed relationships between people's self-reported, subjectively assessed states and their behavior and decisions. Research on subjective well-being has been ongoing for decades, providing new information about the human condition. During the past decade, interest in the topic among policy makers, national statistical offices, academic researchers, the media, and the public has increased markedly because of its potential for shedding light on the economic, social, and health conditions of populations and for informing policy decisions across these domains.
Industrialization of Biology: A roadmap to accelerate the advanced manufactur...Ilya Klabukov
The document is about registering for free PDF downloads from the National Academies Press online. It provides information about accessing publications from the National Academies of Sciences, Engineering, and Medicine. Key details include:
- Registering allows for instant access to free PDF downloads and notifications of new releases in fields of interest.
- Strict prohibitions on copying or distributing the PDF without permission.
- The PDF available is about industrializing biology to accelerate advanced manufacturing of chemicals.
Feeding Infants and Children From birth to 24 months.pdfTayeDosane
This document summarizes an existing report titled "Feeding Infants and Children from Birth to 24 Months: Summarizing Existing Guidance". The report was produced by the National Academies of Sciences, Engineering, and Medicine and examines guidelines on feeding recommendations for infants and young children. It abstracts recommendations from 38 eligible guideline documents on topics like breastfeeding, introduction of complementary foods, nutrient supplementation, and communication strategies. The report also evaluates the consistency of recommendations between guidelines and identifies gaps in evidence to help inform future guidance.
This document summarizes a report published by the Institute of Medicine about preventing and controlling hypertension through population-based policy and systems changes. The report was produced by the Committee on Public Health Priorities to Reduce and Control Hypertension in the U.S. Population and the Board on Population Health and Public Health Practice. It provides recommendations for the Centers for Disease Control and Prevention on implementing strategies targeting communities and healthcare systems to address hypertension at a population level.
This document summarizes a report published by the Institute of Medicine about preventing and controlling hypertension through population-based policy and systems changes. The report was produced by the Committee on Public Health Priorities to Reduce and Control Hypertension in the U.S. Population and provides 236 pages of analysis on this important public health issue. It examines policy approaches and makes recommendations to help reduce high blood pressure at a population level in the United States.
National Academies Press Communications and Tech for Violence Prevention Work...Cat Meurn
This document summarizes a workshop on using communication and technology for violence prevention. The workshop brought together researchers, practitioners, policymakers, and funders to discuss how new communication platforms can transform violence prevention efforts. Speakers addressed methodological considerations for these platforms, their potential to help reduce health disparities, and how to effectively frame violence prevention messages. The workshop aimed to spur multisector collaboration on innovative approaches to prevent interpersonal and self-directed violence globally.
Abstract
Approximately 20 percent of Americans are affected by mental health and substance use
disorders, which are associated with significant morbidity and mortality. While the evidence
base for the effectiveness of interventions to treat these disorders is sizable, a considerable gap
exists between what is known to be effective and interventions that are actually delivered in
clinical care. Addressing this quality chasm in mental health and substance use care is
particularly critical given the recent passage of the Patient Protection and Affordable Care Act
(ACA) and Mental Health Parity and Addiction Equity Act, which are changing the delivery of
care and access to treatments for mental health and substance use disorders. Increasing
emphasis on accountability and performance measurement, moreover, will require strategies to
promote and measure the quality of psychosocial interventions.
In this report, the study committee develops a framework that can be used to chart a path
toward the ultimate goal of improving the outcomes of psychosocial interventions for those with
mental health and substance use disorders. This framework identifies the key steps entailed in
successfully bringing an evidence-based psychosocial intervention into clinical practice. It
highlights the need to (1) support research to strengthen the evidence base on the efficacy and
effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements
that drive an intervention’s effect; (3) conduct systematic reviews to inform clinical guidelines
that incorporate these key elements; (4) using the findings of these systematic reviews, develop
quality measures—measures of the structure, process, and outcomes of interventions; and
(5) establish methods for successfully implementing and sustaining these interventions in regular
practice including the training of providers of these interventions. The committee intends for this
framework to be an iterative one, with the results of the process being fed back into the evidence
base and the cycle beginning anew. Central to the framework is the importance of using the
consumer perspective to inform the process.
The recommendations offered in this report are intended to assist policy makers, health
care organizations, and payers that are organizing and overseeing the provision of care for
mental health and substance use disorders while navigating a new health care landscape. The
recommendations also target providers, professional societies, funding agencies, consumers, and
researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is
provided to individuals receiving mental health and substance use services.
A Path Forward in Research
Making the Nation Safe from Fire
A Path Forward in Research Committee to Identify Innovative Research Needs to Foster Improved Fire Safety in the United States.
Board on Infrastructure and the Constructed Environment
Division on Engineering and Physical Sciences
This document summarizes a workshop discussing the need to improve fire safety in the U.S. through innovative research. Key points discussed include:
- The U.S. continues to lead in fire deaths and losses despite efforts since the 1970s.
- Federal funding of university fire research has declined 85% since the 1970s, limiting research scope and breadth.
- Workshop participants identified knowledge gaps in areas like fire behavior, materials, systems, tools, structures, and human behavior that could be addressed through increased research funding and coordination.
Review of doe's vision 21 research and development program nrcSteve Wittrig
This document summarizes information about the National Academies Press, which publishes books from the National Academy of Sciences, National Academy of Engineering, Institute of Medicine, and National Research Council. It provides details on how to access free and purchased books from their website, including downloading free PDFs, reading books online for free, purchasing printed books and PDFs. It also describes their research tools and notifications for new book publications. Contact information is given for customer service. The document notes that this book and thousands more are available at their website, www.nap.edu.
The document summarizes a workshop on opportunities to promote children's behavioral health through health care reform and beyond. The 3-day workshop brought together experts from government agencies, foundations, medical organizations, and academia to discuss funding opportunities for evidence-based prevention and interventions. Over 100 participants examined ways to strengthen the children's behavioral health system and ensure access to services. The workshop aimed to inform efforts to improve children's well-being and long-term outcomes.
A Lifetime of Health Information: An Ecosystem for Learning LINKSEmily Glenn
The resources listed below were presented within a slideshow for attendees at the Pathways Into Health conference on October 14, 2015. This handout condenses the information and provides direct links to sites.
The document provides instructions for writing a 250-300 word paragraph analyzing a specific point from Okakura Kakuzō's essay "The Range of Ideals" to explain why his thesis that "Asia is one" is problematic. The paragraph should directly engage with one point Okakura makes, provide specific details on its logical or factual mistakes, acknowledge the diversity of Asian nations and cultures, and cite the specific page(s) being referred to.
Ralph Waldo Emerson was an American essayist and philosopher born in 1803 who is considered the father of American literature. He developed the philosophy of transcendentalism and emphasized nonconformity, self-reliance, and finding inspiration from nature. Emerson had a profound influence on writers like Thoreau, Whitman, Hawthorne, Poe, and Dickinson and developed a complicated relationship with Thoreau as his former student and friend.
Raising Minimum An explanation of the its.docxbkbk37
This document discusses the key components of an essay arguing for or against raising the minimum wage. The essay would provide an explanation of the controversy around raising the minimum wage, including the background and current state of the issue. It would articulate a clear position and support that position with reasons backed by evidence from research. The essay would also have to address counterarguments and refute them with detailed rebuttals. It would conclude by restating the main argument and possibly suggesting a solution or policy. Sources would need to be cited in MLA style and include at least 5 non-internet sources.
Rail Project A goal of the Obama administration.docxbkbk37
The Obama administration promoted high-speed rail projects across major US states to adopt more environmentally friendly transportation initiatives and improve infrastructure. California accepted billions in federal grants to begin developing a high-speed rail line, though critics argue the projected ridership and costs make the project economically unfeasible, especially given California's budget issues. Supporters counter that large public works projects can have broader economic and social benefits beyond just transportation.
Racism toward Indigenous peoples in Canada.docxbkbk37
The document outlines requirements for an 8-page research paper examining racism toward Indigenous peoples in Canada. It must be in Chicago style with footnotes and bibliography, and discuss the prevalence of racism today, key contributing factors, and the concepts of meritocracy and white privilege in developing the thesis. Specifically, it should consider how beliefs about meritocracy factor into racist attitudes, the lack of understanding of white privilege and its impact, and how understanding these concepts could foster more inclusive attitudes. Five sources are required including the article by Brockham and Morrison.
This document provides instructions for a social issue paper on class, race and gender. Students must write a thesis statement and support it using at least 3 sources from the provided additional material. The paper must be formatted in MLA style and clearly relate to topics covered in the course.
The document discusses whether the Responsibility to Protect (R2P) doctrine could justify international intervention in Syria. Some argue multilateral attacks on Syria could be legitimate under R2P based on the requirements being met. However, many UN member states remain suspicious of R2P due to concerns it could be used to justify improper unilateral military action.
This article discusses racial disparities in hospital segregation in Jackson, Mississippi in the 1960s. It describes how the city's black community organized protests and filed lawsuits to desegregate white hospitals and gain equal access to healthcare. While progress was made through these efforts, racial inequities still persisted in the quality of facilities and treatment between black and white patients. The article provides insights into the political and social challenges of promoting desegregation and reducing healthcare disparities during the Civil Rights era.
Race alone is an inadequate category for studying labor histories because it does not account for other factors like gender. When telephone operator jobs transformed from predominantly white to black workers, African American women faced discrimination and stereotyping in their roles. Bell System's hiring policies and perceptions of black women were guided by wider societal racism and sexism. Bell publications portrayed African Americans in stereotypical, demeaning ways. The New York Telephone Company initially refused to hire African Americans in 1920 due to concerns about customer prejudice, and again in the 1930s during a period of high unemployment that exacerbated racial tensions. Prior to 1940, AT&T had very limited hiring of African American women for telephone operator jobs. The Civil Rights era prompted changes to Bell
QuickBooks uses windows API to follow orders to get updates.docxbkbk37
QuickBooks uses the Windows API to connect to Intuit servers to receive updates and data. Error code 12057 can occur if QuickBooks is unable to connect to the Intuit servers. This error may be caused by issues with the internet connection, outdated SSL settings, or incorrect date/time settings. The document provides steps to resolve this error such as checking internet options settings, updating the system date and time, installing Windows and QuickBooks updates, repairing the QuickBooks installation, and running QuickBooks as an administrator. Customer support should be contacted if the error persists after trying these troubleshooting steps.
Questions What are the purposes of Just.docxbkbk37
Offenders' cognitions serve to both make themselves feel better and balance their interactions with others and environments. Childhood trauma can influence offenders' distorted views of social reality. The psychological source of mental conflicts is examined. Prejudice is discussed as influencing criminal behavior, and whether one is prejudiced towards sex offenders. The main assessment activities and issues in correctional counseling are outlined. Issues in the termination stage and types of questions to avoid in assessment are identified. The importance of helping clients with feelings and defining beneficence vs. nonmaleficence are discussed. The benefit of motivational interviewing is also examined.
Questions to Each group you read about is.docxbkbk37
Several immigrant groups in 19th century America felt anxiety over changes brought by new immigrants. Mexicans/Tejanos, Texans, and Americans feared losing land and political power to increasing numbers of newcomers. Irish, German, and Chinese immigrants also faced xenophobia and fears that they would take economic opportunities and alter American culture. These documents from the Age of Expansion show prevalent fears and distrust of foreigners among native-born Americans.
Questions that must be answered in your plus other.docxbkbk37
This document outlines 4 questions to answer in a book report: 1) The 4 big ideas in the book. 2) How the book got its title. 3) What happens to the main character at the end. 4) What is liked most about the book. It provides guidance on the content to include in the writeup.
This woman finds meaning and purpose in her family and faith. She draws strength from her family, friends, and faith in God. She believes things happen for a reason and has hope for the future. She serves on the board of her church and a cemetery organization, which she finds rewarding as it allows her to help others and make a positive difference. Her most important belief is her faith in God, and she prays daily and is thankful for her blessings. She has tried to pass on her faith and values to her daughter.
Question Libya recently announced that it is claiming a.docxbkbk37
Libya claimed a 200-mile territorial sea zone, placing armed ships to enforce the claim and calling it a "line of death." The UN Security Council condemned Libya's actions as violating international law, which only recognizes 12 nautical miles of territorial waters. Authorized by Congress, the US sent ships and jets to patrol the 200-mile zone. After a Libyan ship fired at a US jet, US forces returned fire and destroyed two Libyan ships.
Question Use the Internet or the IGlobal Resource.docxbkbk37
This document provides instructions for two questions. Question 1 asks the reader to research scientific testing procedures and write the steps to provide evidence for a scientific claim. Question 2 asks the reader to watch a NASA video about detecting methane on Mars, discuss the challenges of collecting data on Mars, and how NASA is working to overcome these challenges. The reader is instructed to submit their responses in a Word document before a deadline.
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Motivation is an important factor in educating adult learners because it influences their willingness to learn. Sociocultural factors like cultural conditions can impact adult learners' needs, with some conditions more significant than others. Adults choose to learn based on access and opportunity, which influence their learning along with enhancing formal and non-formal learning activities. Neuroandragogy and andragogy are approaches to adult learning, with neuroandragogy incorporating brain research which is important to understanding adult learning and development.
Question share your perspective on personal data as a.docxbkbk37
Personal data has become a product that is collected and sold by companies, but individuals should maintain ownership over their own data. While data collection can enable useful services, people should give informed consent and have transparency about how their information is used. There are ongoing debates around balancing corporate interests, individual privacy and control, and developing policies that ensure data is handled ethically.
The document asks the reader to write a 1000+ word paper in APA format that supports the death penalty for certain crimes like rape of children, kidnapping, and torture. The paper must use at least 3 academic sources and include a word count. The reader is asked to argue that they agree with using the death penalty in cases involving those severe crimes.
Question In your what are the main workforce.docxbkbk37
The main workforce challenges facing the United States are adequate healthcare staffing and shortages of skilled professionals. The COVID-19 pandemic has exacerbated longstanding shortages and strained hospital resources. A future model of care delivery in the US must ensure adequate financing and a skilled mobile healthcare workforce. Mobile health clinics and teams of clinicians and health coaches could help increase access to affordable, tailored care that responds to community needs. However, this requires sufficient training and funding support to be successful.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
One health condition that is becoming more common day by day is diabetes.
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2. the report were chosen for their special competences and with regard for appropriate
balance. for this project was provided by The National Research Council and The
Commonwealth Fund. The views presented in this report are those of the Institute of
Medicine Committee on the Quality of Health Care in America and are not necessarily those
of the funding agencies. Library of Congress Cataloging-in-Publication Data To err is human
: building a safer health system / Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson,
editors. p. cm Includes bibliographical references and index. ISBN 0-309-06837-1 1. Medical
errors—Prevention. I. Kohn, Linda T. II. Corrigan, Janet. III. Donaldson, Molla S. R729.8.T6
2000 362.1—dc21 99-088993 Additional copies of this report are available for sale from
the National Academy Press, 2101 Constitution Avenue, N.W., Box 285, Washington, DC
20055; call (800) 624-6242 or (202) 334-3313 in the Washington metropolitan area, or
visit the NAP on-line bookstore at www.nap.edu. Discussion: National Patient Safety
GoalsORDER NOW FOR COMPREHENSIVE SOLUTION PAPERSThe full text of this report is
available on line at www.nap.edu/readingroom. For more information about the Institute of
Medicine, visit the IOM home page at www.iom.edu. Copyright 2000 by the National
Academy of Sciences. All rights reserved. Printed in the United States of America The
serpent has been a symbol of long life, healing, and knowledge among almost all cultures
and religions since the beginning of recorded history. The serpent adopted as a logotype by
the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche
Museen in Berlin. Copyright National Academy of Sciences. All rights reserved. To Err Is
Human: Building a Safer Health System National Academy of Sciences National Academy of
Engineering Institute of Medicine National Research Council The National Academy of
Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged
in scientific and engineering research, dedicated to the furtherance of science and
technology and to their use for the general welfare. Upon the authority of the charter
granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise
the federal government on scientific and technical matters. Dr. Bruce M. Alberts is president
of the National Academy of Sciences. The National Academy of Engineering was established
in 1964, under the charter of the National Academy of Sciences, as a parallel organization of
outstanding engineers. It is autonomous in its administration and in the selection of its
members, sharing with the National Academy of Sciences the responsibility for advising the
federal government..The National Academy of Engineering also sponsors engineering
programs aimed at meeting national needs, encourages education and research, and
recognizes the superior achievements of engineers. Dr. William A. Wulf is president of the
National Academy of Engineering. The Institute of Medicine was established in 1970 by the
National Academy of Sciences to secure the services of eminent members of appropriate
professions in the examination of policy matters pertaining to the health of the public. The
Institute acts under the responsibility given to the National Academy of Sciences by its
congressional charter to be an adviser to the federal government and, upon its own
initiative, to identify issues of medical care, research, and education. Dr. Kenneth I. Shine is
president of the Institute of Medicine. The National Research Council was organized by the
National Academy of Sciences in 1916 to associate the broad community of science and
technology with the Academy’s purposes of furthering knowledge and advising the federal
3. government. Functioning in accordance with general policies determined by the Academy,
the Council has become the principal operating agency of both the National Academy of
Sciences and the National Academy of Engineering in providing services to the government,
the public, and the scientific and engineering communities. The Council is administered
jointly by both Academies and the Institute of Medicine. Dr. Bruce M. Alberts and Dr.
William A. Wulf are chairman and vice chairman, respectively, of the National Research
Council. Copyright National Academy of Sciences. All rights reserved..To Err Is Human:
Building a Safer Health System Copyright National Academy of Sciences. All rights reserved.
To Err Is Human: Building a Safer Health System COMMITTEE ON QUALITY OF HEALTH
CARE IN AMERICA WILLIAM C. RICHARDSON (Chair), President and CEO, W.K. Kellogg
Foundation, Battle Creek, MI DONALD M. BERWICK, President and CEO, Institute for
Healthcare Improvement, Boston J. CRIS BISGARD, Director, Health Services, Delta Air Lines,
Inc., Atlanta LONNIE R. BRISTOW, Past President, American Medical Association, Walnut
Creek, CA CHARLES R. BUCK, Program Leader, Health Care Quality and Strategy Initiatives,
General Electric Company, Fairfield, CT CHRISTINE K. CASSEL, Professor and Chairman,
Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New
York City MARK R. CHASSIN, Professor and Chairman, Department of Health Policy, Mount
Sinai School of Medicine, New York City MOLLY JOEL COYE, Senior Vice President and
Director, West Coast Office, The Lewin Group, San Francisco DON E. DETMER, Dennis
Gillings Professor of Health Management, University of Cambridge, UK JEROME H.
GROSSMAN, Chairman and CEO, Lion Gate Management Corporation, Boston BRENT JAMES,
Executive Director, Intermountain Health Care, Institute for Health Care Delivery Research,
Salt Lake City, UT DAVID McK. LAWRENCE, Chairman and CEO, Kaiser Foundation Health
Plan, Inc., Oakland, CA LUCIAN LEAPE, Adjunct Professor, Harvard School of Public Health
ARTHUR LEVIN, Director, Center for Medical Consumers, New York City RHONDA
ROBINSON-BEALE, Executive Medical Director, Managed Care Management and Clinical
Programs, Blue Cross Blue Shield of Michigan, Southfield JOSEPH E. SCHERGER, Associate
Dean for Clinical Affairs, University of California at Irvine College of Medicine ARTHUR
SOUTHAM, Partner, 2C Solutions, Northridge, CA MARY WAKEFIELD, Director, Center for
Health Policy and Ethics, George Mason University GAIL L. WARDEN, President and CEO,
Henry Ford Health System, Detroit v Copyright National Academy of Sciences. All rights
reserved. To Err Is Human: Building a Safer Health System Study Staff JANET M. CORRIGAN,
Director, Division of Health Care Services, Director, Quality of Health Care in America
Project MOLLA S. DONALDSON, Project Co-Director LINDA T. KOHN, Project Co-Director
TRACY McKAY, Research Assistant KELLY C. PIKE, Senior Project Assistant Auxiliary Staff
MIKE EDINGTON, Managing Editor KAY C. HARRIS, Financial Advisor SUZANNE MILLER,
Senior Project Assistant Copy Editor FLORENCE POILLON vi Copyright National Academy of
Sciences. Discussion: National Patient Safety Goals.All rights reserved. To Err Is Human:
Building a Safer Health System Reviewers T his report has been reviewed in draft form by
individuals chosen for their diverse perspectives and technical expertise, in accordance
with procedures approved by the National Research Council’s Report Review Committee.
The purpose of this independent review is to provide candid and critical comments that will
assist the Institute of Medicine in making the published report as sound as possible and to
4. ensure that the report meets institutional standards for objectivity, evidence, and
responsiveness to the study charge. The review comments and the draft manuscript remain
confidential to protect the integrity of the deliberative process. The committee wishes to
thank the following individuals for their participation in the review of this report:
GERALDINE BEDNASH, Executive Director, American Association of Colleges of Nursing,
Washington, DC PETER BOUXSEIN, Visiting Scholar, Institute of Medicine, Washington, DC
JOHN COLMERS, Executive Director, Maryland Health Care Cost and Access Commission,
Baltimore JEFFREY COOPER, Director, Partners Biomedical Engineering Group,
Massachusetts General Hospital, Boston ROBERT HELMREICH, Professor, University of
Texas at Austin vii Copyright National Academy of Sciences. All rights reserved. To Err Is
Human: Building a Safer Health System viii REVIEWERS LOIS KERCHER, Vice President for
Nursing, Sentara-Virginia Beach General Hospital, Virginia Beach, VA GORDON MOORE,
Associate Chief Medical Officer, Strong Health, Rochester, NY ALAN NELSON, Associate
Executive Vice President, American College of Physicians/American Society of Internal
Medicine, Washington, DC LEE NEWCOMER, Chief Medical Officer, United HealthCare
Corporation, Minnetonka, MN MARY JANE OSBORN, University of Connecticut Health Center
ELLISON PIERCE, Executive Director, Anesthesia Patient Safety Foundation, Boston
Although the individuals acknowledged have provided valuable comments and suggestions,
responsibility for the final contents of the report rests solely with the authoring committee
and the Institute of Medicine. Copyright National Academy of Sciences. All rights reserved.
To Err Is Human: Building a Safer Health System Preface T o Err Is Human: Building a Safer
Health System. The title of this report encapsulates its purpose. Human beings, in all lines of
work, make errors. Errors can be prevented by designing systems that make it hard for
people to do the wrong thing and easy for people to do the right thing. Cars are designed so
that drivers cannot start them while in reverse because that prevents accidents. Work
schedules for pilots are designed so they don’t fly too many consecutive hours without rest
because alertness and performance are compromised. In health care, building a safer
system means designing processes of care to ensure that patients are safe from accidental
injury. When agreement has been reached to pursue a course of medical treatment, patients
should have the assurance that it will proceed correctly and safely so they have the best
chance possible of achieving the desired outcome..This report describes a serious concern
in health care that, if discussed at all, is discussed only behind closed doors. As health care
and the system that delivers it become more complex, the opportunities for errors abound.
Correcting this will require a concerted effort by the professions, health care organizations,
purchasers, consumers, regulators and policy-makers. Traditional clinical boundaries and a
culture of blame must be broken down. But most importantly, we must systematically
design safety into processes of care. This report is part of larger project examining the
quality of health care ix Copyright National Academy of Sciences. All rights reserved. To Err
Is Human: Building a Safer Health System x PREFACE in America and how to achieve a
threshold change in quality. The committee has focused its initial attention on quality
concerns that fall into the category of medical errors. There are several reasons for this.
First, errors are responsible for an immense burden of patient injury, suffering and death.
Second, errors in the provision of health services, whether they result in injury or expose
5. the patient to the risk of injury, are events that everyone agrees just shouldn’t happen.
Third, errors are readily understandable to the American public. Fourth, there is a sizable
body of knowledge and very successful experiences in other industries to draw upon in
tackling the safety problems of the health care industry. Fifth, the health care delivery
system is rapidly evolving and undergoing substantial redesign, which may introduce
improvements, but also new hazards. Over the next year, the committee will be examining
other quality issues, such as problems of overuse and underuse. The Quality of Health Care
in America project is largely ed with income from an endowment established within the
IOM by the Howard Hughes Medical Institute and income from an endowment established
for the National Research Council by the Kellogg Foundation. The Commonwealth Fund
provided generous for a workshop to convene medical, nursing and pharmacy
professionals for input into this specific report. The National Academy for State Health
Policy assisted by convening a focus group of state legislative and regulatory leaders to
discuss patient safety. Thirty-eight people were involved in producing this report. The
Subcommittee on Creating an External Environment for Quality, under the direction of J.
Cris Bisgard and Molly Joel Coye, dealt with a series of complex and sensitive issues, always
maintaining a spirit of compromise and respect. Discussion: National Patient Safety
Goals.ORDER NOW FOR COMPREHENSIVE SOLUTION PAPERSAdditionally the
Subcommittee on Designing the Health System of the 21st Century, under the direction of
Donald Berwick, had to balance the challenges faced by health care organizations with the
need to continually push out boundaries and not accept limitations. Lastly, under the
direction of Janet Corrigan, excellent staff has been provided by Linda Kohn, Molla
Donaldson, Tracy McKay, and Kelly Pike. At some point in our lives, each of us will probably
be a patient in the health care system. It is hoped that this report can serve as a call to action
that will illuminate a problem to which we are all vulnerable. William C. Richardson, Ph.D.
Chair November 1999 Copyright National Academy of Sciences. All rights reserved. To Err Is
Human: Building a Safer Health System Foreword T his report is the first in a series of
reports to be produced by the Quality of Health Care in America project. The Quality of
Health Care in America project was initiated by the Institute of Medicine in June 1998 with
the charge of developing a strategy that will result in a threshold improvement in quality
over the next ten years. Under the direction of Chairman William C. Richardson, the Quality
of Health Care in America Committee is directed to: • review and synthesize findings in the
literature pertaining to the quality of care provided in the health care system; • develop a
communications strategy for raising the awareness of the general public and key
stakeholders of quality of care concerns and opportunities for improvement; • articulate a
policy framework that will provide positive incentives to improve quality and foster
accountability; • identify characteristics and factors that enable or encourage providers,
health care organizations, health plans and communities to continuously improve the
quality of care; and • develop a research agenda in areas of continued uncertainty. This first
report on patient safety addresses a serious issue affecting the xi Copyright National
Academy of Sciences. All rights reserved. To Err Is Human: Building a Safer Health System
xii FOREWORD quality of health care. Future reports in this series will address other
qualityrelated issues and cover areas such as re-designing the health care delivery system
6. for the 21st Century, aligning financial incentives to reward quality care and the critical role
of information technology as a tool for measuring and understanding quality. Additional
reports will be produced throughout the coming year. The Quality of Health Care in America
project continues IOM’s longstanding focus on quality of care issues..The IOM National
Roundtable on Health Care Quality described how variable the quality of health care is in
this country and highlighted the urgent need for improving it. A recent report issued by the
IOM National Cancer Policy Board concluded that there is a wide gulf between ideal cancer
care and the reality that many Americans experience with cancer care. The IOM will
continue to call for a comprehensive and strong response to this most urgent issue facing
the American people. This current report on patient safety further reinforces our conviction
that we cannot wait any longer. Kenneth I. Shine, M.D. President, Institute of Medicine
November 1999 Copyright National Academy of Sciences. All rights reserved. To Err Is
Human: Building a Safer Health System Acknowledgments T he Committee on the Quality of
Health Care in America first and foremost acknowledges the tremendous contribution by
the members of two subcommittees. Both subcommittees spent many hours working
through a set of exceedingly complex issues, ranging from topics related to expectations
from the health care delivery system to the details of how reporting systems work. Although
individual subcommittee members raised different perspectives on a variety of issues, there
was no disagreement on the ultimate goal of making care safer for patients. Without the
efforts of the two subcommittees, this report would not have happened. We take this
opportunity to thank each and every subcommittee member for their contribution.
SUBCOMMITTEE ON CREATING AN ENVIRONMENT FOR QUALITY IN HEALTH CARE J. Cris
Bisgard (Cochair), Delta Air Lines, Inc.; Molly Joel Coye, (Cochair), The Lewin Group; Phyllis
C. Borzi, The George Washington University; Charles R. Buck, Jr., General Electric Company;
Jon Christianson, University of Minnesota; Charles Cutler, formerly of The Prudential
HealthCare; Mary Jane England, Washington Business Group on Health; George J. Isham,
HealthPartners; Brent James, Intermountain Health Care; Roz D. xiii Copyright National
Academy of Sciences. All rights reserved. To Err Is Human: Building a Safer Health System
xiv ACKNOWLEDGMENTS Lasker, New York Academy of Medicine; Lucian Leape, Harvard
School of Public Health; Patricia A. Riley, National Academy of State Health Policy; Gerald M.
Shea, American Federation of Labor and Congress of Industrial Organizations; Gail L.
Warden, Henry Ford Health System; A. Eugene Washington, University of California, San
Francisco School of Medicine; and Andrew Webber, Consumer Coalition for Health Care
Quality. SUBCOMMITTEE ON BUILDING THE 21ST CENTURY HEALTH CARE SYSTEM Don
M. Berwick (Chair), Institute for Healthca … Discussion: National Patient Safety Goals.