Word: rightfulness
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...drugs and 4,000 procedures. But surgeon and author Atul Gawande says the very vastness of our knowledge gets in the way: doctors make errors because they simply can't remember it all. The solution, he outlines in his new book, The Checklist Manifesto: How to Get Things Right, isn't fancier technology or more training. It's as simple as an old-fashioned checklist, like those used by pilots, restaurateurs and construction engineers. When his research team introduced one in eight hospitals in 2008, major surgery complications dropped 36% and deaths plunged 47%. Gawande talked to TIME about...
...build a plan for that understanding. We don't prepare people for the idea that you really work in teams nowadays. [In medical school] you learn the physiology of the body. And then you learn the diagnoses and the treatments. You could get all of those first steps right and your patient will still die. Because you weren't able to get the radiologist and the nurse and the rest of your team working in sync. Who's going to teach that? We don't have the senior medical people who really understand how to do this...
...talk about health care reform. Do you think the Democrats have gotten it basically right or wrong when it comes to slowing the growth of medical spending? The core point at which health care costs explode is the point at which the doctor and the patient sit down together to make a decision about what they should do for care. We have not concentrated enough, in our thinking about reform, on that moment. What we want is care that is much better organized. We are going to need approaches like checklists to get rid of wasted care and to make...
...Afghanistan: Having proclaimed it "the right war" on the campaign trail, Obama initially sought to lower the benchmark of success to avoid nation-building or expansive counterinsurgency and instead focus narrowly on preventing al-Qaeda from restoring its presence there. But the commander he appointed to take charge of the war, General Stanley McChrystal, warned the White House last summer that the U.S. side was losing in Afghanistan and requested tens of thousands more troops to stop the Taliban's advance. After months of internal debate, Obama opted to send reinforcements, with the hopelessly optimistic caveat that they would begin...
...state peace between Israel and the Palestinians. To jump-start talks, Obama demanded that Israel halt all settlement construction on territory conquered in 1967 and pressed Arab states for more gestures toward normalizing ties with Israel. He had no luck on either front. Indeed, the gulf between Israel's right-wing government and the enfeebled Palestinian leadership of President Mahmoud Abbas is growing ever wider. Abbas has been eclipsed by the more radical Hamas movement, and his failure to deliver significant gains for his years of negotiating with Israel and the U.S. has left his popularity at an all-time...