Atul Gawande

A prominent surgeon argues against modern medical practices that extend life at the expense of quality of life while isolating the dying, outlining suggestions for freer, more fulfilling approaches to death that enable more dignified and comfortable choices.

Medicine and What Matters in the End

Being Mortal

how to get things right

The checklist manifesto

Today we find ourselves in possession of stupendous know-how, which we willingly place in the hands of the most highly skilled people. But avoidable failures are common, and the reason is simple: the volume and complexity of our knowledge has exceeded our ability to consistently deliver it - correctly, safely or efficiently. In this groundbreaking book, Atul Gawande makes a compelling argument for the checklist, which he believes to be the most promising method available in surmounting failure. Whether you're following a recipe, investing millions of dollars in a company or building a skyscraper, the checklist is an essential tool in virtually every area of our lives, and Gawande explains how breaking down complex, high pressure tasks into small steps can radically improve everything from airline safety to heart surgery survival rates. Fascinating and enlightening, The Checklist Manifesto shows how the simplest of ideas could transform how we operate in almost any field.

How to Get Things Right

The Checklist Manifesto

In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel's edge. Complications lays bare a science not in its idealized form but as it actually is--uncertain, perplexing, and profoundly human. Complications is a 2002 National Book Award Finalist for Nonfiction.

A Surgeon's Notes on an Imperfect Science

Complications

Şiirsel Taş

İşler nasıl doğru yapılır

The New York Times bestselling author of Being Mortal and Complications reveals the surprising power of the ordinary checklist We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.

The struggle to perform well is universal, but nowhere is this drive to do better more important than in medicine. 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. His vivid stories take us to battlefield surgical tents in Iraq, 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. Finally, he gives a brutally honest insight into life as a practising surgeon. Unflinching but compassionate, Gawande's investigation into medical professionals and their progression from good to great provides a detailed blueprint for success that can be used by everyone.

A Surgeon's Notes on Performance

Better

We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies-neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference.

Checklist Manifesto, The (HB)

مرگ با تشریفات پزشکی

Was am Ende wirklich zählt. Über Würde, Autonomie und eine angemessene medizinische Versorgung

Sterblich sein

Komplikasyonlar

Чек-лист. Как избежать глупых ошибок, ведущих к фатальным последствиям

Together these twenty-one articles on a wide range of today's most leading topics in science, from Dennis Overbye, Jonathan Weiner, and Richard Preston, among others, represent the full spectrum of scientific inquiry, proving once again that "good science writing is evidently plentiful" (American Scientist).

The Best American Science Writing 2006

Ser Bom Não Chega

"Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He shows what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande also ponders the human factor that makes saving lives possible."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending. Full of eye-opening research and riveting storytelling, Gawande asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.

guan yu shuai lao yu si wang, ni bi xu zhi dao de chang shi = Being mortal : medicine and what matters in the end

Zui hao de gao bie

A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. 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 book 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, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Complications is a 2002 National Book Award Finalist for Nonfiction.

A corajosa narrativa de um médico que reconhece os limites da ciência e sabe de que modo ela pode nos proporcionar não apenas uma boa vida, mas também um bom fim. A medicina triunfou, transformou os perigos do parto, dos ferimentos e das doenças, antes atormentadores, em algo controlável. No entanto, no que diz respeito às inescapáveis realidades do envelhecimento e da morte, o que ela faz muitas vezes se contrapõe ao que deveria fazer. Quando falam sobre a perspectiva da morte, médicos recorrem a falsas esperanças e a tratamentos que encurtam a vida em vez de trazer conforto. Por meio de uma pesquisa reveladora e de histórias comoventes tanto de pacientes quanto da própria família, Gawande revela suas limitações. De maneira provocadora e honesta, Mortais reflete sobre o caminho que devemos percorrer para lidar sabiamente com a nossa própria finitude.

Nós, a medicina e o que realmente importa no final

Mortais

Komplikacje. Zapiski chirurga o niedoskonałej nauce

Ce înseamnă să mori cu demnitate? Medicina modernă poate că găseștemoduri din ce în ce mai eficiente de alupta cu bătrânețea și cu moartea,dar, în cele din urmă, cu toții suntem muritori. Întrebarea pe care o puneautorul este ce poate face medicina pentru a îmbunătăți nu doar viața, ciși sfârșitul acesteia. Pentru că, prea adesea, oamenii își trăiesc bătrânețea în scaune cu rotile, în aziluri în care sunt tratați ca niște copii, sau mor din cauza unor boli grave, chinuiți de medici care nu vor să recunoască faptul că au fost învinși și care insistăsă încerce pe pacient cele mai revoluționare tratamente, în ciuda suferințelorinimaginabile prin care acestatrebuie să treacă inutil. Atul Gawande argumentează că ultimele săptămâni sau luni din viața unui om pot fi trăite cu demnitate, alături de cei dragi și în mediul care l-a făcut fericit. Pentru că, de fapt, scopul principal nu ar trebui să fie o moarte bună, ci o viață bună – până la sfârșitul ei. O carte înțeleaptă și curajoasă, ce pune probleme la care nimeni dintre noi nu vrea să se gândească. The Sunday Times Dr. Gawande arată cum pacienții în faza terminală a bolii lor pot păstra aspecte importante ce țin de calitatea vieții. Wall Street Journal

Atul Gawande

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