Amazon.com: First, Do No Harm: The Cure For Medical Malpractice (9781929175390): Ira E. Williams: Books

Buy Used
Used - Acceptable See details
$4.47 & eligible for FREE Super Saver Shipping on orders over $25. Details

or
Sign in to turn on 1-Click ordering.
 
   
Have one to sell? Sell yours here
First, Do No Harm: The Cure For Medical Malpractice
 
 
Tell the Publisher!
I'd like to read this book on Kindle

Don't have a Kindle? Get your Kindle here, or download a FREE Kindle Reading App.

First, Do No Harm: The Cure For Medical Malpractice [Library Binding]

Ira E. Williams (Author)
4.1 out of 5 stars  See all reviews (7 customer reviews)


Available from these sellers.


Textbook Student FREE Two-Day Shipping for students on millions of items. Learn more

Formats

Amazon Price New from Used from
Library Binding --  
Paperback --  

Book Description

March 2004 1929175396 978-1929175390
In Hawaii, in 2001, a surgeon operated on a man to stabilize a disc injury in his spine. The titanium rod he needed to insert was not available in the operating room, so he reached for a nearby screwdriver, stuck it in the man’s back, and sewed up the incision. Two days later, the screwdriver broke and the wound opened. After three more attempts by the surgeon to remedy the situation, the patient was left a bedridden, incontinent paraplegic. Soon after, he died.

The issue of medical malpractice will not go away. In fact, in the years ahead, the problem – and the number of proposed remedies – will grow. Nationwide, doctors and other healthcare practitioners are leaving private practice, especially in high-risk areas where malpractice insurance premiums have skyrocketed. Rural hospitals are closing their doors; urban hospitals have difficulty staffing emergency rooms.

And yet, organized medicine cannot testify to what it is doing to mitigate the situation. Instead, it hides behind the robes of a judge. Medicine’s primary answer to a patient who questions an unacceptable outcome is, "Sue or forget it."

This important book offers a radical, yet practical, prescription to remedy the primary cause of medical negligence in America. The cure is simple, inexpensive, and workable. It will enable hospital medical staffs to evaluate a practitioner’s capabilities; it will restore community confidence in the medical profession; and it will be effective, in most cases, without the need for attorneys, judges, or juries. Medical malpractice can be cured. This book tells how.


Editorial Reviews

From The New England Journal of Medicine

Some specialty areas of medicine are again facing the problem of obtaining affordable liability insurance for medical negligence. Most medical providers and liability insurers blame the problem on plaintiffs' lawyers and wayward juries, whereas consumer groups and the plaintiffs' lawyers blame medical negligence and problems associated with business cycles in the insurance industry. Dr. Ira E. Williams, a board-certified oral and maxillofacial surgeon and dental anesthesiologist, has written a thoughtful book about medical negligence and malpractice litigation. He has outlined a plan to alleviate it. Ideas in the book deserve serious consideration. There is a catch, however. Doctors will have to consider the book's premises, which will fly in the face of the current attitudes of many doctors. For instance, Williams writes, "The great increase in medical malpractice suits has not been caused by a `litigious' society, rapacious attorneys, inadequate liability caps or greedy patients. Negligent medical care happens, and since almost no regulation of medical negligence occurs within the profession, the courts are the only recourse a harmed patient has." Furthermore, he states, "Tort reforms, past, present, and future, will continue to tip the scales of justice in favor of the doctor and against the patient." And, "The AMA [American Medical Association] Litigation Center is seeking to curb the effect of expert witnesses who would try to upgrade a standard of care." First, Do No Harm, a reader-friendly book, does not adequately document these premises. Nevertheless, various empirical-research studies published in reputable peer-reviewed journals are consistent with the general theme of the premises. Williams's proposed solution for reducing medical errors is to develop what he calls Individual Responsibility Peer Review, which places responsibility on the individual practitioner for self-regulation. He asserts that a line can be drawn between an iatrogenic outcome and negligence. In the individual-responsibility scheme, each medical practitioner "should create and utilize a current and acceptable standard of care for each procedure within his or her scope of practice." When bad outcomes occur, a committee of peers who truly act as neutral reviewers should assess the steps that were taken in the particular case and compare them with the protocol. The scheme is likened to the checklists that airplane pilots follow before starting the engines. Undoubtedly, detractors will say, justifiably, that medical treatment is more complicated and variable than flying a plane and that the development of a protocol for each medical treatment is impractical in terms of the time and details that would be required. Questions will arise about how to implement true peer review and about the willingness of doctors to sanction their colleagues. Most important is the issue of how the protocols and peer-review findings could be protected from use in legal proceedings. These are some of the serious problems with Williams's proposal, but they are not necessarily fatal to it. One of the largely ignored findings of the Harvard Medical Malpractice Study is that, although most physicians who responded to a survey were willing to admit that all doctors make mistakes, they were often unwilling to label substandard care the result of negligence. First, Do No Harm confronts this view head-on and proposes a way to start thinking seriously about how to reduce medical errors and maybe even the amount of malpractice litigation. Neil Vidmar, Ph.D.
Copyright © 2005 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

Review

"The author's approach [to medical malpractice reform] is noteworthy. An interesting read... Thought-provoking." -- Doody's Book Review Service, July 2004

Williams's solution is one that, if reason should prevail, might be worth a careful look. -- Library Journal, June 15, 2004, p. 90

Product Details

  • Library Binding: 208 pages
  • Publisher: Corinthian Books (March 2004)
  • Language: English
  • ISBN-10: 1929175396
  • ISBN-13: 978-1929175390
  • Product Dimensions: 9.3 x 6.4 x 0.9 inches
  • Shipping Weight: 15.8 ounces
  • Average Customer Review: 4.1 out of 5 stars  See all reviews (7 customer reviews)
  • Amazon Best Sellers Rank: #3,832,874 in Books (See Top 100 in Books)

More About the Author

Discover books, learn about writers, read author blogs, and more.

 

Customer Reviews

7 Reviews
5 star:
 (4)
4 star:
 (2)
3 star:    (0)
2 star:    (0)
1 star:
 (1)
 
 
 
 
 
Average Customer Review
4.1 out of 5 stars (7 customer reviews)
 
 
 
 
Share your thoughts with other customers:
Most Helpful Customer Reviews

3 of 4 people found the following review helpful:
4.0 out of 5 stars Thought provoking!, June 24, 2004
By 
K. McGregor (Simpsonville, SC United States) - See all my reviews
This review is from: First, Do No Harm: The Cure For Medical Malpractice (Library Binding)
Dr. Williams presents a practical solution to the medical malpractice "crisis" that seems so real. This book has changed my assumptions about the medical community.
Help other customers find the most helpful reviews 
Was this review helpful to you? Yes No


3 of 4 people found the following review helpful:
5.0 out of 5 stars Finally...a fresh perspective on medical malpractice!, June 20, 2004
By 
This review is from: First, Do No Harm: The Cure For Medical Malpractice (Library Binding)
A very well constructed discussion on a pressing and immediate topic. Dr William's book offers a qualified perspective in a clear framework while providing a unique recommendation on how to solve this growing problem impacting every American. I strongly recommend it as a must read to anyone with an interest in medical malpractice...both medical professionals and everyday patients alike.
Help other customers find the most helpful reviews 
Was this review helpful to you? Yes No


5 of 8 people found the following review helpful:
1.0 out of 5 stars Ignorant and Arrogant, September 24, 2004
By 
This review is from: First, Do No Harm: The Cure For Medical Malpractice (Library Binding)
I was very disappointed by this book as it really has nothing new. Identifed on the cover as "Dr. Ira E. Williams," the author is a DDS oral/maxillofacial surgeon who has obviously had "turf wars" with MD head and neck surgeons, and seems to have a lot of sour grapes. It is clear to Dr. Williams that he is the superior surgeon, and if he had been consulted could have solved most of the MDs' mistakes. He complained to the local Peer Review Organization about some of his colleagues, and they gave the opinion there was "no substandard care." He concludes that peer organizations have no teeth, and are run by good old boys more concerned with protecting their buddies than in good patient care. In fact, peer review organizations I have been involved in operate almost exactly like the IRPR he ends up recommending in his last chapter, and are staffed by diligent, caring people who honestly want the best for patients, though usually are less arrogant about being sure their approach is the only right one. Meanwhile, he ignores or belittles new approaches (like the aviation model) that actually stand likely to reduce the frightening statistics on medical errors. He gives his prejudice away on page 138 when he states "...the only solution is to identify, control, and discipline negligent practitioners," ignoring the fact that most errors are committed by competent, careful, and up-to-date doctors who are not perfect. Chastising people again and again to never make a mistake and punishing them when they do can never create faultless people, but has created the defensive-medicine mess we're in today.

This book promised a new idea, but really doesn't offer any advice except to try harder and stop whining.
Help other customers find the most helpful reviews 
Was this review helpful to you? Yes No

Share your thoughts with other customers: Create your own review
 
 
 
Most Recent Customer Reviews





Only search this product's reviews



Inside This Book (learn more)
First Sentence:
IN HILO, HAWAII, in 2001, Dr. Robert Ricketson, a surgeon, operated on a man to stabilize a disc injury in his spine. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
negligent patient care, negligent medical care, negligent care, harmed patients, surgical privileges, medical malpractice litigation, medical negligence, organized medicine, malpractice crisis, peer review committee, medical staff member, peer review system, substandard care, hospital medical staff, medical malpractice suits, medical injury, tort reform
Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, North Carolina, World War, Jacques Barzun, John Brownley, South Carolina, American Medical Association
New!
Books on Related Topics | Concordance | Text Stats
Browse Sample Pages:
Front Cover | Front Flap | Table of Contents | First Pages | Back Flap | Back Cover | Surprise Me!
Search Inside This Book:




Tag this product

 (What's this?)
Think of a tag as a keyword or label you consider is strongly related to this product.
Tags will help all customers organize and find favorite items.
Your tags: Add your first tag
 

Sell a Digital Version of This Book in the Kindle Store

If you are a publisher or author and hold the digital rights to a book, you can sell a digital version of it in our Kindle Store. Learn more

Customer Discussions

This product's forum
Discussion Replies Latest Post
No discussions yet

Ask questions, Share opinions, Gain insight
Start a new discussion
Topic:
First post:
Prompts for sign-in
 


Active discussions in related forums
Search Customer Discussions
Search all Amazon discussions
   
Related forums


Listmania!


Create a Listmania! list

So You'd Like to...


Create a guide


Look for Similar Items by Category


Look for Similar Items by Subject