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Will You Add? - The Operation Was a Success--The Patient Died – 250,000+ Deaths Annually
When I do Consulting I often recommend that the Company should offer to pay their Managers and Employees Extra Money for doing Extra Work or Extra Money for getting the Work done in Record Time. Quite often they balk at this idea because they feel they are already paying good or even great compensation for these people to do the work they were hired for.That’s all well and good however when one department or division is behind on something, many times this can impede the growth or forward progress in one or more other areas of the Company. Even though the Employees or Management may feel that they are working to their full capacity, when you throw some extra Bonus Money on the table, you will soon find one or more people that will be willing to work through Lunch, come in or stay late, or possibly work all or part of a weekend.Always appreciate that one of the three ways to Motivate anyone is with Greed.This site actually required more Words in this Article then what I had written so all of this is simply filler. I truly believe the above Tip is as strong as it needs to be without making it extra wordy. But what do I know? Well I just checked and the Editor Software says I still need more fill so at this point I'm rambling about nothing. Make sure and check our Site for a great collec
These estimates of death due to error are lower than those in a recent Institutes of Medicine report, and if the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.
Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the U.S., following heart disease and cancer.
Lack of technology is certainly not a contributing factor to the U.S.'s low ranking.
• Among 29 countries, the United States is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population. 17
• Japan ranks highest on health, whereas the U.S. ranks among the lowest.
• It is possible that the high use of technology in Japan is limited to diagnostic technology not matched by high rates of treatment, whereas in the U.S., high use of diagnostic technology may be linked to more treatment.
• Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked, whereas they are very low i
So what do you do if you have an established web site and you simply cannot make the transition to squeeze page only? Well, you guessed it: put an opt in form on every web page, except for perhaps sales pages.Put it where they can see it when they first get to your web site or web page (above the fold, so to speak). Put it again at the end of each web page. And if you have long web pages, put an opt in box several times throughout the web page.Offer your visitors some free gift of incredible value to induce them to opt in.Now, what about sales pages? Generally, if you include an opt in form on your sales page, your sales page conversion rate will go down. However, if your sales page is your main point of entry for some class of visitors, then you might want to include an opt in form, so that you have the option of continuing to contact the ones that don’t buy from you right up front.Or you can use a pop under web form that will ask the visitor for their name and email after they have closed the web page. In this way, you know that the visitor has made the decision not to purchase (they closed the page) and therefore you have nothing to lose by asking to opt them in now.Of course, if you really want to make the most amount of money, structure things so that only your subs
This information is a follow-up to the Institute of Medicine report December, 1999, but the data was hard to reference as it was not in peer-reviewed journal. Now it is published in JAMA which is the most widely circulated medical periodical in the world.
DEATHS PER YEAR:
1. 12,000 -----unnecessary surgery 8
2. 7,000 -----medication errors in hospitals 9
3. 20,000 ----other errors in hospitals 10
4. 80,000 ----infections in hospitals 10
5. 106,000 ---non-error, negative effects of drugs 2
250,000 deaths per year from iatrogenic--death induced in a patient by a physician's activity, manner, or therapy, especially of a complication of treatment causes--is outrageous!! Yet, the majority of people continue to trust the medical profession to 'cure' them, inspite of all the evidence to the contrary.
Dr. Starfield cites these warnings in interpreting the numbers:
• most of the data are derived from studies of hospitalized patients.
• these estimates are for deaths only and do not include negative effects that are associated with subsequent disability, discomfort or no relief from the presenting issue.
• the estimates of death due to error are lower than those in the IOM report. 1
If the higher estimates are cited, the deaths due to iatrogenic causes would range from 230,000 to 284,000. In any case, 225,000 deaths per year, constitutes the third leading cause of death in the United States, after deaths from heart disease and cancer. Even if these figures are overestimated, there is a wide margin between these numbers of deaths and the next leading cause of death (cerebrovascular disease).
Another analysis concluded that between 4% and 18% of consecutive patients experience negative effects in outpatient settings, with:
• 116 million extra physician visits
• 77 million extra prescriptions
• 17 million emergency department visits
• 8 million hospitalizations
• 3 million long-term admissions
• 199,000 additional deaths
• $77 billion in extra costs
The high cost of health care system is considered at a deficit, but is tolerated under the propagandized belief that better health results from more expensive care. However, evidence from a few studies indicates that as high as 20% to 30% of patients receive inappropriate and/or inadequate care. An estimated 44,000 to 98,000 among them die each year as a result of medical errors. 2
The high cost of the health care might be tolerated if it resulted in better health, but does it? Of 13 countries in a recent comparison,3,4 the United States ranks an average of 12th (second from the bottom) for 16 available health indicators. The ranking of the U.S. on several indicators was:
• 13th (last) for low-birth-weight percentages
• 13th for neonatal mortality and infant mortality overall 14
• 11th for post neonatal mortality
• 13th for years of potential life lost (excluding external causes)
• 11th for life expectancy at 1 year for females, 12th for males
• 10th for life expectancy at 15 years for females, 12th for males
• 10th for life expectancy at 40 years for females, 9th for males
• 7th for life expectancy at 65 years for females, 7th for males
• 3rd for life expectancy at 80 years for females, 3rd for males
• 10th for age-adjusted mortality
The poor performance of the U.S. was recently confirmed by a World Health Organization study, which used different data and ranked the United States as 15th among 25 industrialized countries.
There is a perception that the Americans "behave badly" by smoking, drinking, and perpetrating violence, therefore their ‘bad behavior’ is the cause of a poor health ranking. However, the data does not support this assertion.
The proportion of females who smoke ranges from 14% in Japan to 41% in Denmark; in the United States, it is 24% (fifth best). For males, the range is from 26% in Sweden to 61% in Japan; it is 28% in the United States (third best).
The U.S. ranks fifth best for alcoholic beverage consumption. The U.S. has relatively low consumption of animal fats (fifth lowest in men aged 55-64 years in 20 industrialized countries) and the third lowest mean cholesterol concentrations among men aged 50 to 70 years among 13 industrialized countries.
These estimates of death due to error are lower than those in a recent Institutes of Medicine report, and if the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.
Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the U.S., following heart disease and cancer.
Lack of technology is certainly not a contributing factor to the U.S.'s low ranking.
• Among 29 countries, the United States is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population. 17
• Japan ranks highest on health, whereas the U.S. ranks among the lowest.
• It is possible that the high use of technology in Japan is limited to diagnostic technology not matched by high rates of treatment, whereas in the U.S., high use of diagnostic technology may be linked to more treatment.
• Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked, whereas they are very low in
You have built an email opt-in list of hundreds, maybe even thousands of names, email addresses, phone numbers. You gave out bonuses, tediously composed a series of seven follow-up emails, sent the opt-ins to your sales page. You made a few dollars, sold way less than you expected, and to make matters worse, your tests and tracking show that most of your emails aren’t opened, let alone read. People are unsubscribing as fast as new ones are signing up.What happened? You were made to believe that marketing via targeted email opt-in lists and composing a sales page is all that is needed, and the money will start rolling in. Apparently, something is still missing.Think about how, where and why YOU buy what, and from whom. Very specific steps have to be happening in order for a “potential” customer to become a “possible” customer and finally a “definite” customer. The ultimate goal is, that your opt-ins become “repeat” customers.First step: Does your product provide the solution to your opt-ins’ problems? Put yourself in the shoes of the people signing up on your email opt-in squeeze page. Could they be submitting their contact information simply to receive the freebie? Does your squeeze page give visitors a clear understanding of what your product offers and what problems it can solve? If you w
Dr. Starfield cites these warnings in interpreting the numbers:
• most of the data are derived from studies of hospitalized patients.
• these estimates are for deaths only and do not include negative effects that are associated with subsequent disability, discomfort or no relief from the presenting issue.
• the estimates of death due to error are lower than those in the IOM report. 1
If the higher estimates are cited, the deaths due to iatrogenic causes would range from 230,000 to 284,000. In any case, 225,000 deaths per year, constitutes the third leading cause of death in the United States, after deaths from heart disease and cancer. Even if these figures are overestimated, there is a wide margin between these numbers of deaths and the next leading cause of death (cerebrovascular disease).
Another analysis concluded that between 4% and 18% of consecutive patients experience negative effects in outpatient settings, with:
• 116 million extra physician visits
• 77 million extra prescriptions
• 17 million emergency department visits
• 8 million hospitalizations
• 3 million long-term admissions
• 199,000 additional deaths
• $77 billion in extra costs
The high cost of health care system is considered at a deficit, but is tolerated under the propagandized belief that better health results from more expensive care. However, evidence from a few studies indicates that as high as 20% to 30% of patients receive inappropriate and/or inadequate care. An estimated 44,000 to 98,000 among them die each year as a result of medical errors. 2
The high cost of the health care might be tolerated if it resulted in better health, but does it? Of 13 countries in a recent comparison,3,4 the United States ranks an average of 12th (second from the bottom) for 16 available health indicators. The ranking of the U.S. on several indicators was:
• 13th (last) for low-birth-weight percentages
• 13th for neonatal mortality and infant mortality overall 14
• 11th for post neonatal mortality
• 13th for years of potential life lost (excluding external causes)
• 11th for life expectancy at 1 year for females, 12th for males
• 10th for life expectancy at 15 years for females, 12th for males
• 10th for life expectancy at 40 years for females, 9th for males
• 7th for life expectancy at 65 years for females, 7th for males
• 3rd for life expectancy at 80 years for females, 3rd for males
• 10th for age-adjusted mortality
The poor performance of the U.S. was recently confirmed by a World Health Organization study, which used different data and ranked the United States as 15th among 25 industrialized countries.
There is a perception that the Americans "behave badly" by smoking, drinking, and perpetrating violence, therefore their ‘bad behavior’ is the cause of a poor health ranking. However, the data does not support this assertion.
The proportion of females who smoke ranges from 14% in Japan to 41% in Denmark; in the United States, it is 24% (fifth best). For males, the range is from 26% in Sweden to 61% in Japan; it is 28% in the United States (third best).
The U.S. ranks fifth best for alcoholic beverage consumption. The U.S. has relatively low consumption of animal fats (fifth lowest in men aged 55-64 years in 20 industrialized countries) and the third lowest mean cholesterol concentrations among men aged 50 to 70 years among 13 industrialized countries.
These estimates of death due to error are lower than those in a recent Institutes of Medicine report, and if the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.
Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the U.S., following heart disease and cancer.
Lack of technology is certainly not a contributing factor to the U.S.'s low ranking.
• Among 29 countries, the United States is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population. 17
• Japan ranks highest on health, whereas the U.S. ranks among the lowest.
• It is possible that the high use of technology in Japan is limited to diagnostic technology not matched by high rates of treatment, whereas in the U.S., high use of diagnostic technology may be linked to more treatment.
• Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked, whereas they are very low i
College education in the United State is becoming excessively expensive with each passing day. Various kinds of federal and non-federal financial aids are available for students However, not only are they difficult to obtain, but also they are often not enough to abbreviate the gap in the cost of education. In attempt to make higher education easily accessible to more Americans, the federal and state governments have developed qualified tuition programs, commonly known as 529 programs. There are two types of 529 programs; first, prepaid tuition plan and second, college savings program.Prepaid tuition plan allows the parents and grandparents to lock in tuition in the current tuition rates, that is, prevalent in recognized public colleges and universities. At present, the state government operates these plans. Prepaid tuition plans not only provide better rate of return on investment, but also involve absolutely no risk to the principal.College saving programs allow parents to make contributions to an account, which has been specifically created to pay for the beneficiary’s qualified higher education expenses as books, tuition fees, supplies and boarding. College savings programs are usually associated with investment risks, that is, their value fluctuate according to the market conditions and the i
• 3 million long-term admissions
• 199,000 additional deaths
• $77 billion in extra costs
The high cost of health care system is considered at a deficit, but is tolerated under the propagandized belief that better health results from more expensive care. However, evidence from a few studies indicates that as high as 20% to 30% of patients receive inappropriate and/or inadequate care. An estimated 44,000 to 98,000 among them die each year as a result of medical errors. 2
The high cost of the health care might be tolerated if it resulted in better health, but does it? Of 13 countries in a recent comparison,3,4 the United States ranks an average of 12th (second from the bottom) for 16 available health indicators. The ranking of the U.S. on several indicators was:
• 13th (last) for low-birth-weight percentages
• 13th for neonatal mortality and infant mortality overall 14
• 11th for post neonatal mortality
• 13th for years of potential life lost (excluding external causes)
• 11th for life expectancy at 1 year for females, 12th for males
• 10th for life expectancy at 15 years for females, 12th for males
• 10th for life expectancy at 40 years for females, 9th for males
• 7th for life expectancy at 65 years for females, 7th for males
• 3rd for life expectancy at 80 years for females, 3rd for males
• 10th for age-adjusted mortality
The poor performance of the U.S. was recently confirmed by a World Health Organization study, which used different data and ranked the United States as 15th among 25 industrialized countries.
There is a perception that the Americans "behave badly" by smoking, drinking, and perpetrating violence, therefore their ‘bad behavior’ is the cause of a poor health ranking. However, the data does not support this assertion.
The proportion of females who smoke ranges from 14% in Japan to 41% in Denmark; in the United States, it is 24% (fifth best). For males, the range is from 26% in Sweden to 61% in Japan; it is 28% in the United States (third best).
The U.S. ranks fifth best for alcoholic beverage consumption. The U.S. has relatively low consumption of animal fats (fifth lowest in men aged 55-64 years in 20 industrialized countries) and the third lowest mean cholesterol concentrations among men aged 50 to 70 years among 13 industrialized countries.
These estimates of death due to error are lower than those in a recent Institutes of Medicine report, and if the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.
Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the U.S., following heart disease and cancer.
Lack of technology is certainly not a contributing factor to the U.S.'s low ranking.
• Among 29 countries, the United States is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population. 17
• Japan ranks highest on health, whereas the U.S. ranks among the lowest.
• It is possible that the high use of technology in Japan is limited to diagnostic technology not matched by high rates of treatment, whereas in the U.S., high use of diagnostic technology may be linked to more treatment.
• Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked, whereas they are very low i
Rejuvenation refers to procedures used for reversing the aging process and regaining youthfulness. When people get older their health, strength, intelligence and attractiveness diminishes. History of all societies is full of people have searched for ways to regain the charm of youth. The most famous is Alexander the Great who searched in the east for such an elixir. However it is ironical that Alexander died very young. In the future rejuvenation may become reality through research on stem cells, biochemical repair or with nanotechnology.History of RejuvenationMany stories and myths tell us of the quest for rejuvenation. In olden days it was believed that magic or supernatural powers could bring back youth. In the16th century many expeditions were undertaken around the Caribbean islands and into Florida to find the “Fountain of Youth” but the fountain was never discovered. There were some prevalent beliefs that certain potions or chemicals may restore youth.The scientific method for rejuvenation started when quest for rejuvenation reached its height with alchemy. All over Europe the alchemists were looking for mythical substances (Philosopher?s stone) which could turn anything into gold and also restore youth. Although the goal was not achieved, alchemy laid the foundation for scientific me
• 7th for life expectancy at 65 years for females, 7th for males
• 3rd for life expectancy at 80 years for females, 3rd for males
• 10th for age-adjusted mortality
The poor performance of the U.S. was recently confirmed by a World Health Organization study, which used different data and ranked the United States as 15th among 25 industrialized countries.
There is a perception that the Americans "behave badly" by smoking, drinking, and perpetrating violence, therefore their ‘bad behavior’ is the cause of a poor health ranking. However, the data does not support this assertion.
The proportion of females who smoke ranges from 14% in Japan to 41% in Denmark; in the United States, it is 24% (fifth best). For males, the range is from 26% in Sweden to 61% in Japan; it is 28% in the United States (third best).
The U.S. ranks fifth best for alcoholic beverage consumption. The U.S. has relatively low consumption of animal fats (fifth lowest in men aged 55-64 years in 20 industrialized countries) and the third lowest mean cholesterol concentrations among men aged 50 to 70 years among 13 industrialized countries.
These estimates of death due to error are lower than those in a recent Institutes of Medicine report, and if the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.
Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the U.S., following heart disease and cancer.
Lack of technology is certainly not a contributing factor to the U.S.'s low ranking.
• Among 29 countries, the United States is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population. 17
• Japan ranks highest on health, whereas the U.S. ranks among the lowest.
• It is possible that the high use of technology in Japan is limited to diagnostic technology not matched by high rates of treatment, whereas in the U.S., high use of diagnostic technology may be linked to more treatment.
• Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked, whereas they are very low i
Wrongful death refers to a lawsuit which alleges that the victim was killed as a consequence of negligence or misdeed of another. Usually, wrongful death occurs as a result of personal injury accidents, medical malpractice, auto accidents, workplace accidents, dangerous or defective products, mesothelioma and other accidents. When the proximate cause of the wrongful death of the decedent roots from reckless, careless or negligent acts of another, his actions are often subject to personal injury and/or wrongful death suits.The loss of a family member causes great pain, turmoil, as well as inconceivable loss of the family. In the stage of grieving, it is hard or impossible to function in everyday life and carry on, let alone think about making a wrongful death claim. This stage leaves the decedent’s family feeling powerless with so many questions unanswered. When you are ready to receive settlement or filing a wrongful death suit, an experienced wrongful death lawyer can be of great help. Though a wrongful death claim cannot replace your loss but it is as close to justice.If you have lost a loved one due to the negligence of a person or a company, you may have the right to receive compensation from an insurance company or from the person or company responsible for said death. Surviving family member
These estimates of death due to error are lower than those in a recent Institutes of Medicine report, and if the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.
Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the U.S., following heart disease and cancer.
Lack of technology is certainly not a contributing factor to the U.S.'s low ranking.
• Among 29 countries, the United States is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population. 17
• Japan ranks highest on health, whereas the U.S. ranks among the lowest.
• It is possible that the high use of technology in Japan is limited to diagnostic technology not matched by high rates of treatment, whereas in the U.S., high use of diagnostic technology may be linked to more treatment.
• Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked, whereas they are very low in Japan, far lower than can be accounted for by the common practice of having family members rather than hospital staff provide the amenities of hospital care.
The JAMA article is a momentous occasion, because the AMA seldom acknowledges any mistakes or failures in publications widely dispersed. It is noteworthy, however, the most widely used wire service in the world, Reuter's, did not pick up the article. The JAMA is the largest and one of the most respected medical journals in the entire world.
The JAMA article makes it clear that doctors are the third leading cause of death in the U.S. killing nearly a quarter million people a year. The only more common causes are cancer and heart disease. This statistic is likely to be seriously underestimated as much of the coding only describes the cause of organ failure and does not address iatrogenic causes at all. Japan has benefited from recognizing that technology is wonderful, but just because a diagnoses is made, one is not obligated to ‘cut it out’ or ‘bomb it with chemicals.’ Their health statistics reflect this aspect of their philosophy—the mental causes for physical illness and the metaphysical way to overcome the—as much of their treatment is not treatment at all, but loving care rendered in the home. 20
Emotional and spiritual sustenance and healing, not treatment, is the answer. Drugs, surgery and hospitals are rarely the answer to chronic health problems. Facilitating the God-given healing capacity that all of us have is the key. Improving the diet, exercise, and lifestyle are basic. Effective interventions for the underlying emotional and spiritual wounding behind most chronic illness are clues to maximizing health and eliminating disease.
Related Articles:
Author Affiliation: Department of Health Policy and Management, Johns Hopkins School of Hygiene and Public Health, Baltimore, Md. Corresponding Author and Reprints: Barbara Starfield, MD, MPH, Department of Health Policy and Management, Johns Hopkins School of Hygiene and Public Health, 624 N Broadway, Room 452, Baltimore, MD 21205-1996 (e-mail: bstarfie@jhsph.edu).
REFERENCES:
1. Schuster M, McGlynn E, Brook R. How good is the quality of health care in the United States? Milbank Q. 1998;76:517-563.
2. Kohn L, ed, Corrigan J, ed, Donaldson M, ed. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999.
3. Starfield B. Primary Care: Balancing Health Needs, Services, and Technology. New York, NY: Oxford University Press; 1998
4. World Health Report 2000. Available at: http://www.who.int/whr/2000/en/report.htm. Accessed June 28, 2000.
5. Kunst A. Cross-national Comparisons of Socioeconomic Differences in Mortality. Rotterdam, the Netherlands: Erasmus University; 1997.
6. Law M, Wald N. Why heart disease mortality is low in France: the time lag explanation. BMJ. 1999;313:1471-1480.
7. Starfield B. Evaluating the State Children's Health Insurance Program: critical considerations. Annu Rev Public Health. 2000;21:569-585.
8. Leape L. Unnecessary surgery. Annu Rev Public Health. 1992;13:363-383.
9. Phillips D, Christenfeld N, Glynn L. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351:643-644.
10. Lazarou J, Pomeranz B, Corey P. Incidence of adverse drug reactions in hospitalized patients. JAMA. 1998;279:1200-1205.
11. Weingart SN, Wilson RM, Gibberd RW, Harrison B. Epidemiology and medical error. BMJ. 2000;320:774-777.
12. Wilkinson R. Unhealthy Societies: The Afflictions of Inequality. London, England: Routledge; 1996.
13. Evans R, Roos N. What is right about the Canadian health system? Milbank Q. 1999;77:393-399.
14. Guyer B, Hoyert D, Martin J, Ventura S, MacDorman M, Strobino D. Annual summary of vital statistics1998. Pediatrics. 1999;104:1229-1246.
15. Harrold LR, Field TS, Gurwitz JH. Knowledge, patterns of care, and outcomes of care for generalists and specialists. J Gen Intern Med. 1999;14:499-511.
16. Donahoe MT. Comparing generalist and specialty care: discrepancies, deficiencies, and excesses. Arch Intern Med. 1998;158:1596-1607.
17. Anderson G, Poullier J-P. Health Spending, Access, and Outcomes: Trends in Industrialized Countries. New York, NY: The Commonwealth Fund; 1999.
18. Mold J, Stein H. The cascade effect in the clinical care of patients. N Engl J Med. 1986;314:512-514.
19. Shi L, Starfield B. Income inequality, primary care, and health indicators. J Fam Pract.1999;48:275-284.
20. Hay, Louise L. Heal Your Body. Hay House, Inc. 1988; 1-83.
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