RESUMO
In two U.S. studies about medical errors in 2000 and 2001, family physicians offered their ideas on how to prevent, avoid, or remedy the five most often reported medical errors. Almost all reports (94 percent) included at least one idea on how to overcome the reported error. These ideas ranged from "do not make errors" (34 percent of all solutions offered to these five error types) to more thoughtfully proposed solutions relating to improved communication mechanisms (30 percent) and ways to provide care differently (26 percent). More education (7 percent) and more resources such as time (2 percent) were other prevention ideas.
Assuntos
Erros Médicos/prevenção & controle , Medicina de Família e Comunidade , Erros Médicos/classificação , Estados UnidosAssuntos
Demografia , Diagnóstico por Imagem/tendências , Política de Saúde/tendências , Telerradiologia/tendências , Previsões , Humanos , Ciência de Laboratório Médico/tendências , Avaliação de Resultados em Cuidados de Saúde , Satisfação do Paciente , Formulação de Políticas , Valores Sociais , Estados UnidosRESUMO
The administrative technologist of the future must have both education and experience in management, as well as in technical areas, says the author in this "Commentary" article. He goes on to define the qualities of leadership and to suggest a three-part management training curriculum.
Assuntos
Departamentos Hospitalares/organização & administração , Gestão de Recursos Humanos , Serviço Hospitalar de Radiologia/organização & administração , Capacitação em Serviço , Liderança , Tecnologia Radiológica/educação , Estados UnidosRESUMO
Body size and body composition have been suggested as the best explanation for the temporal trend toward early menarche over the last 100 years. There is evidence from human and animal studies that indicates that body size is not the primary factor in influencing the occurrence of menarche. The data actually show that diet may be a primary environmental control mechanism of menarche especially since it alters hormone levels. We see diet as an etiological factor in both the long term and immediate control of menarche. In the long term it influences body size and development leading to menarche. In the short term it acts at a critical state to precipitate the onset of menarche and related physiological changes. This hypothesis does not exclude other less important factors associated with menarche. Our data shows that the present trend toward early menarche can be reversed when a balanced vegetarian diet is selected in place of the ordinary American diet.
