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Better: A Surgeon's Notes on Performance
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The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
Gawande's gripping stories take us to battlefield surgical tents in Iraq, to delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He examines the ethical dilemmas of doctors' participation in lethal injections, the influence of money on modern medicine, and the astoundingly contentious history of hand-washing. Offering a searingly honest first-hand account of work in a field where mistakes are both unavoidable and unthinkable, Better provides rare insight into the elements of success that illuminates every area of human endeavor.
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Audible Audiobook
Listening Length: 7 hours and 34 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Macmillan Audio
Audible.com Release Date: March 21, 2007
Whispersync for Voice: Ready
Language: English, English
ASIN: B000OYA7KU
Amazon Best Sellers Rank:
Loved this book. Read it twice. Very interesting true life examples. Anyone employed in a medical field or just interested would probably enjoy this. Book is divided into chapters each exploring a different concept and considering different points of view. Areas explored include:achieving handwashing by healthcare workers to reduce the spread of infections,attempts to erradicate polio in India by chasing hotspots,reducing mortality in the Iraq/Afghanistan wars by new strategies of battlefield care,aspects of chaperones for intimate physical examinations,different systems for physician compensation,ways to reform our malpractice laws,the inhumaness of execution methods and the ethics that prevent physicians from participating,development of Apgar scores and how they have reduced newborn mortality,and examples of how doctors and facilities that are highly specialized show better outcomes..The author explores how significant innovations have been made by those who investigate new approaches and are committed to improvement and how we should all strive to make improvements within our personal niche in healthcare. "How to Become a Positive Deviant"
Love this author, have read everything he has written! Somewhat disturbing, of course, regarding what goes on in the medical arena. But Atul is such an incredible writer, I have a very difficult time putting anything he writes down. He shares so much of himself, so refreshing and eye-opening! I know he is someone I'd like to know.
This is a brilliant book, really an essay on the vital importance of creative thinking and perseverance. I’ve enjoyed all of Gawande’s books as individual works of art and intelligence!
Atul nails the reality that being a doctor is difficult business. One of the main reasons it's so difficult is due to the reality that all people are human, and prone to mistakes and imperfections. Atul broaches issues from global health around the world to the individual psychology of medical residents. Highly recommend for those who hope to be inspired by the man who will now be leading the JP Morgan, Berkshire Hathaway, and Amazon healthcare company.
I highly recommend, Better: a Surgeon's Notes on Performance! I really enjoyed reading this book very intriguing and informative. I am aware some of the information the Author talked about. Two Chapters caught my attention Casualties of War and The Doctors of the Death Chamber. I wanted to write about the two subjects. I have strong opinions, on the two: Extremely controversial topics its best left alone.On Washing Hands very crucial in hospital environment, Doctors, Nurses and staff need to wash their hands constantly to help stop the spread of infection. Each year two million Americans acquire an infection while they are in the hospital. That's just the tip of the iceberg.I believe, a Surgeon's Notes on Performance, it is important for all of us to read. Especially, if you are planning on staying in the hospital for any length of time. Atul Gawande touched on so many important issues. I think, some reviewers gave elegant reviews. The reviewers are the ones, basically, sold me on getting this book. I' am so happy, I had the opportunity to read it. At the end of the book there are excellent Notes on Sources.
Wow! What a thoughtful book! Each chapter describes an issue in medicine and how individuals or communities brought about positive change. The book covers topics including hand washing, malpractice, Apgar scores, the treatment of individuals with cystic fibrosis, and surgery in India. At the end of the book, Gawande offers five useful and doable suggestions for improving performance in any field. I've recommended this book to many people.
More than expansion on Gawande's first book While Better looks at ways health care/medical providers can and should avoid errors, current practice modalities encourage brevity, financial gain, and doing more with less...short staff, limited experience, and not buying in to evidence-based practice. Good read, just don't read it before going to urgent care!
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