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Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
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New York Times Bestseller




"Every once in a while a book comes along that rocks the foundations of an established order that's seriously in need of being shaken. The modern American hospital is that establishment and Unaccountable is that book."-Shannon Brownlee, author of Overtreated

Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting.
Over the last ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why? To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market.



Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system.
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Adobe EPUB eBook, Kindle Book, OverDrive Read
Street Date:
9/18/2012
Language:
English
ISBN:
9781608198399
ASIN:
B008RYD43G
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APA Citation (style guide)

Marty Makary. (2012). Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Bloomsbury Publishing.

Chicago / Turabian - Author Date Citation (style guide)

Marty Makary. 2012. Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Bloomsbury Publishing.

Chicago / Turabian - Humanities Citation (style guide)

Marty Makary, Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Bloomsbury Publishing, 2012.

MLA Citation (style guide)

Marty Makary. Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Bloomsbury Publishing, 2012. Web.

Note! Citation formats are based on standards as of July 2010. Citations contain only title, author, edition, publisher, and year published. Citations should be used as a guideline and should be double checked for accuracy.
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      • bioText: Marty Makary, M.D., M.P.H. is a surgeon at Johns Hopkins Hospital and a professor of Health Policy at the Johns Hopkins School of Public Health. He is a regular medical commentator for CNN and FOX News, and appears weekly on a wide variety of programs to discuss health topics. Most recently he appeared on FOX News Reporting: BEWARE! DANGER AT THE DOCTOR. He is a leading patient-safety researcher and led the World Health Organization effort to develop ways to measure healthcare quality. He tweets @DrMartyMD.
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title
Unaccountable
fullDescription
New York Times Bestseller

"Every once in a while a book comes along that rocks the foundations of an established order that's seriously in need of being shaken. The modern American hospital is that establishment and Unaccountable is that book."-Shannon Brownlee, author of Overtreated

Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting.

Over the last ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why? To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market.

Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system.
reviews
      • premium: False
      • source: The Wall Street Journal
      • content: The problems he describes are real and disturbing . . . Dr. Makary argues that true reform will only come with full disclosure.
      • premium: False
      • source: Chicago Tribune
      • content: Makary's diagnosis is dangerous, damaging secrecy; his therapy is radical transparency . . . [His] argument is powerful . . . [He] makes a strong case that the system we have is a disaster for patients.
      • premium: False
      • source: Peter Pronovost MD, PhD, Executive Vice-President, Johns Hopkins Hospital
      • content: Unaccountable is a gripping story about what's wrong with the American healthcare system and what we might do to make it better.
      • premium: False
      • source: Peter Boyer, Senior Correspondent for Newsweek
      • content: A startling revelation of the dysfunction deeply embedded in the very culture of American medical practice, problems that health care reform scarcely begins to address.
      • premium: False
      • source: Michael E Johns, M.D., Chancellor, Emory University
      • content: This book should be read by all people, not just doctors and health administrators, so they can make wise decisions when it comes to choosing where, when and who will provide healthcare for themselves and their loved ones. You will be a wiser health consumer for reading this book.
      • premium: True
      • source: Publisher's Weekly
      • content:

        June 11, 2012
        We demand accountability from Wall Street and the White House, yet are shockingly reluctant to demand it from our hospitals, laments Makary, a Johns Hopkins surgeon and professor of health policy, in this urgent call for doctors and hospital administrators to ditch their dangerous culture of secrecy. Lifting the veil on the existing wealth of data from hundreds of hospitals’ rates of infections, surgical complications, and other negative patient outcomes, he argues that making those statistics public would force low performers to fix their problems and compete far more effectively rather than waste money on ad campaigns. Moreover, every patient should routinely be able to see a hospital’s re-admission rate; its surgical or treatment complication rates; its “never happen” events, like surgery on the wrong side of a patient; its safety-survey scores from its own workers; its volume of operations and treatments; and its programs to streamline access to patient records. For a noteworthy example, Makary dishes that one patient boasted that his surgeon operated on President Reagan—but had no clue Reagan suffered from complications caused by an improperly placed central-line for IV fluids and medication. This thought-provoking guide from a leader in the field is a must-read for M.D.s, and an eye-opener for the rest of us. Agent:Glen Hartley, Writer’s Representatives LLC.

      • premium: True
      • source: Kirkus
      • content:

        July 1, 2012
        A searing insider's look at what really goes on behind the scenes at major hospitals and how implementing simple steps toward transparency can empower patients and dramatically improve the culture and safety of health care. Makary, a cancer surgeon and professor of health policy at the Johns Hopkins Bloomberg School of Public Health, states in no uncertain terms that medical errors are a nationwide problem affecting thousands of unwitting patients. Often, hospital management operates on corporate models, pursuing profit over quality, resulting in overprescribed procedures and rushed or sloppy surgeries. Despite efforts to make medical care safer, a quarter of all patients in America are harmed by medical mistakes, a statistic that persists largely due to the "code of silence" that exists among doctors. The author argues that transparency, both within hospital personnel and between hospitals and the public, has the potential to radically decrease instances of preventable errors and to eliminate incompetent doctors. For example, making doctor's notes part of a shareable database of medical records increases accountability and allows patients to make more informed decisions about their health. Similarly, requiring hospitals to tally and share mortality rates for standard surgeries leads to quick improvements in practices. When a hospital's reputation is on the line, and potential patient dollars are at stake, the impetus to improve becomes significant. When New York state tried this tactic using heart-surgery death rates, the result was "big, broad improvements in mortality, statewide. With each passing year of public reporting, the state's average death rate went down." Providing an abundance of hospital-reported data alongside eye-opening anecdotes, Makary gives practical tips on how to navigate the system and receive quality care. However, he insists that without dramatic--though easily implemented--changes, little will improve. A galvanizing book full of shocking truths about the current state of health care.

        COPYRIGHT(2012) Kirkus Reviews, ALL RIGHTS RESERVED.

      • premium: True
      • source: Library Journal
      • content:

        April 15, 2012

        The Johns Hopkins surgeon who developed the checklist that inspired Atul Gawande's best-selling The Checklist Manifesto, Makary here challenges the lack of transparency in health care, which leaves patients ignorant and error rates uncomfortably high despite efforts to curb them.

        Copyright 2012 Library Journal, LLC Used with permission.

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New York Times Bestseller

"Every once in a while a book comes along that rocks the foundations of an established order that's seriously in need of being shaken. The modern American hospital is that establishment and Unaccountable is that book."-Shannon Brownlee, author of Overtreated

Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting.

Over the last ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why? To patients, the healthcare system is a black box....
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Unaccountable What Hospitals Wont Tell You and How Transparency Can Revolutionize Health Care
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What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
publisher
Bloomsbury Publishing