(美)阿圖·葛文德
白宮最年輕的健康政策顧問,影響奧巴馬醫改政策的關鍵人物,受到金融大鰐查理·芒格大力褒奬的醫學工作者。
《時代周刊》2010年全球“100位最具影響力人物”榜單中唯 一的醫生,2014年《展望》雜誌年度“全球十大思想傢”。
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. Gawandes gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable. At once unflinching and compassionate, Better is an exhilarating journey narrated by arguably the best nonfiction doctor-writer around (Salon). Gawandes investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.
Part I. Diligence 恪尽职守 On washing hands 勤洗手 美国疾病控制中心的信息显示,每年有200万人住院时受到感染,其中9万人死于该种感染。 [预感终于得到证实:进医院时人还好好的,出来就得了大病。] 手上的细菌数目为每平方厘米五千至五百万菌落形成单位(colony-formin...
評分之前总会好好写读书笔记,随着这一年工作的繁忙和惰性的增加,好久好久没有写读书笔记了。去年读完作者的《最好的告别》,一个系列里另外两本,最近读完了其中的这本《医生的精进》,共撰写了三个板块:勤奋、正直、创新,一共分了十一个章节。涉及医疗到真正的临床,医学人文...
評分关键词:洗手、塞麦尔维斯、产褥热、七步洗手法、夏洛特公主、产钳、循环医学。 普通老百姓没有知识,没有条件,没有资源,是不是不能搞创新? 两个例子,一正一反: 1、太监蔡伦,发明了造纸术。 2、油条小贩,发明了在油条里放洗衣粉使油条炸的又大又蓬松。 中国的教育使...
評分Suggestions for becoming a positive deviant: Ask an unscripted question; Don’t complain; Count something; Write something; Change.
评分Informative and thought provoking
评分還是being mortal寫得最好,complications次之。
评分Ingenuity. It is not a matter of superior intelligence but of character. It demands more than anything a willingness to recognize failure, to not paper over the cracks, and to change. It arises from deliberate, even obsessive, reflection on failure and a constant searching for new solutions.
评分Ingenuity. It is not a matter of superior intelligence but of character. It demands more than anything a willingness to recognize failure, to not paper over the cracks, and to change. It arises from deliberate, even obsessive, reflection on failure and a constant searching for new solutions.
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