
When We Do Harm
A Doctor Confronts Medical Error
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Narrado por:
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Ann M. Richardson
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De:
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Danielle Ofri MD
Acerca de esta escucha
Medical mistakes are more pervasive than we think. How can we improve outcomes? An acclaimed MD's rich stories and research explore patient safety.
Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it's a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there's no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation.
Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms.
While our healthcare system is - and always will be - imperfect, Dr. Ofri argues that it is possible to minimize preventable harms, and that this should be the galvanizing issue of current medical discourse.
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Reseñas de la Crítica
"What makes this book special is Ofri’s perceptive and compassionate nature; she sees her own patients as real people and is candid with readers about her concerns and vulnerabilities.... Thorough analysis of a challenging problem executed with a personal touch that makes it highly readable." (Kirkus Reviews, starred review)
"An essential read for anyone involved or interested in the care of patients." (Booklist)
"One of the leading physician-authors of our time, Danielle Ofri masterfully diagnoses the reasons for our pervasive problem of medical errors. Beyond a systematic dissection that every patient can understand, she provides solutions for how to get healthcare on track." (Professor Eric Topol, author of Deep Medicine)
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Historia
A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal - a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic.
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An essential read in a time of crisis
- De Kelly Heuer en 06-25-19
De: Travis Rieder
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State of the Heart
- Exploring the History, Science, and Future of Cardiac Disease
- De: Haider Warraich
- Narrado por: Neil Shah
- Duración: 11 h y 8 m
- Versión completa
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In State of the Heart, the journey to rid the world of heart disease is shown to be reflective of the journey of medical science at large. We are learning not only that women have as much heart disease as men, but that the type of heart disease women experience is diametrically different from that in men. We are learning that heart disease and cancer may have more in common than we could have imagined. And we are learning how human evolution itself may have led to the epidemic of heart disease
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Good information, bad organization
- De Conor Cox en 09-03-19
De: Haider Warraich
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The Problem of Alzheimer's
- How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It
- De: Jason Karlawish
- Narrado por: Jason Karlawish, Jonathan Todd Ross
- Duración: 13 h y 41 m
- Versión completa
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In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. Sixteen million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their 70s and 80s, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's traces Alzheimer’s from its beginnings to its recognition as a crisis.
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A must read
- De kara kuntz en 05-20-21
De: Jason Karlawish
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The Desperate Hours
- One Hospital's Fight to Save a City on the Pandemic's Front Lines
- De: Marie Brenner
- Narrado por: Kirsten Potter
- Duración: 15 h y 41 m
- Versión completa
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In the spring of 2020, COVID-19 arrived in New York City. Before long, America’s largest metropolis was at war against a virus that mercilessly swept through its five boroughs. In The Desperate Hours, award-winning journalist Marie Brenner, having been granted unprecedented 18-month access to the entire New York-Presbyterian hospital system, tells the story of the doctors, nurses, residents, researchers, and suppliers who tried to save lives across Manhattan, Queens, and Brooklyn and the northern periphery of the city.
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Way too much politics
- De Josh en 07-18-22
De: Marie Brenner
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Critical Care
- A New Nurse Faces Death, Life, and Everything in Between
- De: Theresa Brown
- Narrado por: Coleen Marlo
- Duración: 5 h y 24 m
- Versión completa
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In her former career as an English professor, Theresa Brown had been shielded from the harsh reality of death. That all changed the day she decided to become an oncology nurse. In Critical Care, Theresa writes powerfully and honestly about her first year on the hospital floor. With great compassion and a disarming sense of humor, she shares the trials and triumphs of her patients and comes to realize that caring for a patient means much more than simply treating a disease.
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Excellent all the way around!
- De Susan en 10-12-17
De: Theresa Brown
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Early
- An Intimate History of Premature Birth and What It Teaches Us About Being Human
- De: Sarah DiGregorio
- Narrado por: Ann Marie Gideon
- Duración: 9 h y 47 m
- Versión completa
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The heart of many hospitals is the Neonatal Intensive Care Unit (NICU). It is a place where humanity, ethics, and science collide in dramatic and deeply personal ways as parents, doctors, and nurses grapple with sometimes unanswerable questions: When does life begin? When and how should life end? And what does it mean to be human? Nearly 20 years ago, Dr. John D. Lantos wrote The Lazarus Case, a seminal work on ethical dilemmas in neonatology. He described the NICU as “a strong, strange, powerful place”. The
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Gripping read for this late preterm infant mom
- De R. Ash en 08-08-21
De: Sarah DiGregorio
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Doctored
- The Disillusionment of an American Physician
- De: Sandeep Jauhar
- Narrado por: Patrick Lawlor
- Duración: 10 h y 38 m
- Versión completa
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Hoping for the stability he needs to start a family, Sandeep Jauhar, an attending cardiologist, accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower.
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Frank, inside perspective on the follies of unintended consequences in medical reform
- De JW en 02-25-18
De: Sandeep Jauhar
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The Heart Healers
- The Misfits, Mavericks, and Rebels Who Created the Greatest Medical Breakthrough of Our Lives
- De: James Forrester MD
- Narrado por: Jonathan Yen
- Duración: 15 h y 45 m
- Versión completa
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At one time heart disease was a death sentence. By the middle of the 20th century, it was killing millions, and, as with the Black Death centuries before, physicians stood helpless. Visionaries, though, had begun to make strides earlier. On September 7, 1895, Ludwig Rehn successfully sutured the heart of a living man with a knife wound to the chest for the first time.
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Great review of the landmark achievements in Cardiology.
- De Trauma NP en 12-14-15
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The Undead
- Organ Harvesting, The Ice-Water Test, Beating Heart Cadavers - How Medicine Is Blurring the Line Between Life and Death
- De: Dick Teresi
- Narrado por: David Marantz
- Duración: 9 h y 58 m
- Versión completa
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Historia
Important and provocative, The Undead examines why even with the tools of advanced technology, what we think of as life and death, consciousness and nonconsciousness, is not exactly clear - and how this problem has been further complicated by the business of organ harvesting.
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Eye opening
- De Amy Giglio en 07-01-18
De: Dick Teresi
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Heart
- A History
- De: Sandeep Jauhar
- Narrado por: Patrick Lawlor
- Duración: 8 h y 43 m
- Versión completa
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Historia
For centuries, the human heart seemed beyond our understanding: an inscrutable shuddering mass that was somehow the driver of emotion and the seat of the soul. As cardiologist and best-selling author Sandeep Jauhar tells in The Heart, it was only recently that we demolished age-old taboos and devised the transformative procedures that changed the way we live. Deftly alternating between historical episodes and his own work, Jauhar tells the colorful and little known story of the doctors who risked their careers and the patients who risked their lives to know and heal our most vital organ.
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Fascinating Insight
- De Ironcharles en 10-27-18
De: Sandeep Jauhar
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When Breath Becomes Air
- De: Paul Kalanithi, Abraham Verghese - foreword
- Narrado por: Sunil Malhotra, Cassandra Campbell
- Duración: 5 h y 35 m
- Versión completa
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At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated.
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Phenomenal book!
- De A. Potter en 01-16-16
De: Paul Kalanithi, y otros
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The Price We Pay
- What Broke American Health Care - and How to Fix It
- De: Marty Makary MD
- Narrado por: Marty Makary MD
- Duración: 9 h y 29 m
- Versión completa
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One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
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Very important book!
- De Wayne en 05-17-21
De: Marty Makary MD
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Sometimes People Die
- De: Simon Stephenson
- Narrado por: Greg Miller Burns
- Duración: 12 h y 28 m
- Versión completa
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Returning to practice after a suspension for stealing opioids, a young doctor takes the only job he can find: a post as a physician at the struggling St. Luke's Hospital in east London. Amid the maelstrom of sick patients, overworked staff and underfunded wards, a more insidious secret soon declares itself: too many patients are dying. And a murderer may be lurking in plain sight.
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If you’re going to read this, the audio narration makes it
- De Abigail Segal en 12-25-22
De: Simon Stephenson
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- De: Danielle Ofri MD
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Despite modern medicine's infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion's share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to "make their case" to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements.
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Newbie review follows. Be ware
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What Doctors Feel
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While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care.
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Book resonates with outpatient internist
- De Juli W. en 09-19-22
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Complications
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Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form, but as it actually is - complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad.
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FALLIBILITY, MYSTERY AND UNCERTAINTY
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As the country's top forensic pathologist, Dr Richard Shepherd has spent a lifetime uncovering the secrets of the dead. When death is sudden or unexplained, it falls to Shepherd to establish the cause. Each post-mortem is a detective story in its own right - and Shepherd has performed over 23,000 of them. Through his skill, dedication and insight, Dr Shepherd solves the puzzle to answer our most pressing question: how did this person die?
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Boring!
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Twelve Patients
- Life and Death at Bellevue Hospital
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- Narrado por: Eric Manheimer
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In the spirit of Oliver Sacks Awakenings and the TV series House, Dr. Eric Manheimer's Twelve Patients is a memoir from the medical director of Bellevue Hospital that uses the plights of 12 very different patients - from dignitaries at the nearby UN, to supermax prisoners from Riker's Island, to illegal immigrants, and Wall Street tycoons - to illustrate larger societal issues.
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Awesome Book
- De NanaLyn en 08-06-12
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Blind Spots
- When Medicine Gets It Wrong, and What It Means for Our Health
- De: Marty Makary MD
- Narrado por: Marty Makary MD
- Duración: 10 h y 24 m
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In Blind Spots, Dr. Makary explores the latest research on critical topics ranging from the microbiome to childbirth to nutrition and longevity and more, revealing the biggest blind spots of modern medicine and tackling the most urgent yet unsung issues in our $4.5 trillion health care ecosystem. The path to medical mishaps can be absurd, entertaining, and jaw-dropping—but the truth is essential to our health.
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Outstanding and arguably daring
- De Scott J. Jones MD en 10-08-24
De: Marty Makary MD
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What Patients Say, What Doctors Hear
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Despite modern medicine's infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion's share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to "make their case" to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements.
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Newbie review follows. Be ware
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What Doctors Feel
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Book resonates with outpatient internist
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Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form, but as it actually is - complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad.
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FALLIBILITY, MYSTERY AND UNCERTAINTY
- De AnnH en 10-04-20
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Unnatural Causes
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- Narrado por: Dr Richard Shepherd
- Duración: 11 h y 46 m
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As the country's top forensic pathologist, Dr Richard Shepherd has spent a lifetime uncovering the secrets of the dead. When death is sudden or unexplained, it falls to Shepherd to establish the cause. Each post-mortem is a detective story in its own right - and Shepherd has performed over 23,000 of them. Through his skill, dedication and insight, Dr Shepherd solves the puzzle to answer our most pressing question: how did this person die?
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Boring!
- De Zoesmydog en 06-21-19
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Twelve Patients
- Life and Death at Bellevue Hospital
- De: Eric Manheimer
- Narrado por: Eric Manheimer
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In the spirit of Oliver Sacks Awakenings and the TV series House, Dr. Eric Manheimer's Twelve Patients is a memoir from the medical director of Bellevue Hospital that uses the plights of 12 very different patients - from dignitaries at the nearby UN, to supermax prisoners from Riker's Island, to illegal immigrants, and Wall Street tycoons - to illustrate larger societal issues.
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Awesome Book
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Lo que los oyentes dicen sobre When We Do Harm
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- Ashley
- 05-06-24
Very real reality of medicine
Tells it like it is and doesn’t sugar coat it. Medicine is not perfect and neither are those who are practitioners…
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- Jane Pilecki
- 08-11-20
Great information and story. Horrible reader.
I feel as though the reader thinks I am in 2nd grade. He airy, high-ish voice is very tiresome. As a woman, I don't feel as though the reader brings any gravitas to the topics because of her voice. She sounds like the little girl trying to get into a conversation, but never gets heard due to the stronger voices overbearing her. As well, her pronunciation of some terms (heme-onc) is wrong. The subject of this book is important. But the voice given to it seems to take away that importance. She doesn't even transmit the sarcasm of the writer when it is there in the words. This reader shoud be limited to reading childrens books and not those for adults.
The book is excellent, although a bit wordy at times. But overall, I wish I could read the book (I am blind) rather than listen to it.
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- Diane
- 03-22-21
I went through an event 12 years ago
I have a pacemaker/defibrillator.The two V tacks qualified me for it. The high amount of BP meds.7 Catapress and 2 Lopressor in 24 hours induced the ventricule tachycardia. 12 years after, my heart has only been paced less than 1% during sleep. my resting heart rate is 48-50. the lowest rate for my pacemaker is 50. My nightmare continues because the wire to my atrium is compromised (falling apart) they will have to remove and replace it before it turns into slivers, I'm not sure when.
This book has so many resources that I didn't know existed and why I couldn't find a lawyer or anyone who could help. I changed to a different hospital and doctors, but am weary, anxious and I didn't think about PTSD from my event and how it changed my life forever.
Thank you for the research and information. Thank you for writing this!
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