Buy Used
Condition: Used: Good
Comment: This book has already been loved by someone else. It MIGHT have some wear and tear on the edges, have some markings in it, or be an ex-library book. Over-all itâ?TMs still a good book at a great price! (if it is supposed to contain a CD or access code, that may be missing)
Have one to sell? Sell on Amazon
Flip to back Flip to front
Listen Playing... Paused   You're listening to a sample of the Audible audio edition.
Learn more
See this image

Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes Hardcover – February 3, 2004

See all 3 formats and editions Hide other formats and editions
Amazon Price New from Used from
"Please retry"
$3.39 $0.01

The 20/20 Diet: Turn Your Weight Loss Vision Into Reality
Dr. Phil and his team have created a plan that you can start following right now and continue working for the rest of your life.

Editorial Reviews Review

With a mix of horrifying medical accidents and warmly logical problem solving, Internal Bleeding provides a serious, if graphic, look at an industry where a simple mistake can lead directly to death. Happily, authors (both are medical doctors) Robert Wachter and Kaveh Shojania have as many practical solutions as they have tragic errors. Generally based on updated systems and protocols in processes like computerized prescription writing and physically initialing specific body parts to be operated on, their solutions are both sympathetic and angry. Pointing out impatient, overworked or generally stubborn doctors and nurses that are resistant to changing procedures, they also are quick to detail the overwhelming combination of low funds and the drive for profit that keep hospitals from always providing the optimum working (and healing) conditions. Most helpful to nervous patients (and you'll almost certainly be nervous after reading this) is a short chapter offering advice on how to insure you're well informed on all aspects of your health care. While the language--and solutions--presented are often complex, the knowledgeable, personal slant provided by both authors lends a new perspective to the continuing debate between abstract policies and daily practices in health care. --Jill Lightner

From Publishers Weekly

Although the title of this dense book is more than a little alarmist, Wachter and Shojania, professors of medicine at the University of California, San Francisco, convincingly argue that a flawed hospital system, rather than flawed individuals, is responsible for the thousands of deaths that result from medical mistakes each year. Many of the chapters begin with terrifying but now familiar stories of patients who received fatal overdoses of chemotherapy drugs or had the wrong leg removed in surgery. The authors explain that because of the fragmentation of care in modern medicine, errors are often due to communication problems that arise during patient "handoffs." They also point out that medicine lacks the kind of safeguards used in other high-tech industries like the commercial airline business. While acknowledging the many challenges underfunded hospitals face, Wachter and Shojania offer practical solutions, such as using computers to prescribe drugs instead of relying on often-illegible handwritten notes and employing "hospitalists," who are doctors who focus on integrating care between departments and the inpatient and outpatient settings. As a result, their book should satisfy both those seeking gory details about the patient who left the operating table with a sponge in her body and those looking for a thoughtful analysis of this serious public health problem.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

Best Books of the Month
Best Books of the Month
Want to know our Editors' picks for the best books of the month? Browse Best Books of the Month, featuring our favorite new books in more than a dozen categories.

Product Details

  • Hardcover: 448 pages
  • Publisher: Rugged Land (February 3, 2004)
  • Language: English
  • ISBN-10: 1590710169
  • ISBN-13: 978-1590710166
  • Product Dimensions: 9.1 x 6.4 x 1.5 inches
  • Shipping Weight: 1.6 pounds
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (23 customer reviews)
  • Amazon Best Sellers Rank: #709,212 in Books (See Top 100 in Books)

More About the Author

Robert Wachter is Professor and Associate Chair of the Department of Medicine at the University of California, San Francisco. He coined the term "hospitalist" in 1996 and is generally considered the father of the hospitalist field, the fastest growing specialty in the history of medicine. He is past president of the Society of Hospital Medicine, and past chair of the American Board of Internal Medicine.

Bob is an international leader in healthcare quality, safety, and policy. For the past 8 years, Modern Healthcare magazine has named him one of the 50 most influential physician-executives in the U.S., the only academic physician to achieve this status. He has served on the healthcare advisory boards of several companies, including Google. His blog, Wachter's World, is one of the nation's most popular healthcare blogs.

His new book is, "The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age." Abraham Verghese called it "simply brilliant" and Atul Gawande said, "I kept thinking, 'Exactly!' while reading it, and that is a measure of Wachter's accomplishment in telling the tale."

He and his wife, the author and journalist Katie Hafner, live in San Francisco.

Customer Reviews

Well, I immediately bought the book and could not put it down.
Amazon Customer
Very well written and although the errors described are deplorable and terrible, I felt compassion in most cases for the medical personnel who committed the errors.
Lenny C. Husen
Excellent book for both the medical field and lay people alike.
Debra Howard

Most Helpful Customer Reviews

35 of 37 people found the following review helpful By Monica J. Kern VINE VOICE on April 28, 2004
Format: Hardcover Verified Purchase
I strongly suspect that the publishers insisted on the title of this book over the objections of the authors, because (as another reviewer has noted) the title is clearly sensationalistic and very much out of line with the even-handed and level-headed treatment of the rest of the book. Indeed, the title is perhaps the ONLY thing I would criticize about this otherwise excellent and gripping description of the underlying causes of medical mistakes and what can be done about them.
I cannot praise the quality of the writing enough. The authors accomplish just the right blend of fascinating case studies and theoretical analysis. They make their basic point (that any system run by humans is fallible and medical mistakes are inevitable) very effectively in the beginning pages of the book by describing two case studies where mistakes were made...with the punch line being that the mistakes were committed by the authors themselves. Beginning the book this way was in part so effective because it gets across the message that the vast majority of mistakes that are made are not the result of negligent, careless, or malicious physicians; rather, they are the inevitable consequence of a system that struggles to cope with the complexity of the ever-changing demands of a never-ending stream of patients.
The second most admirable feature of this book, in my opinion, is that it does not merely criticize but also offers suggestions for improving the delivery of medical services to eliminate errors, from such simple steps as physicians "signing their sites" (to prevent, say, amputation of the wrong limb) to computerizing medication orders (to prevent errors due to physicans' notoriously poor handwriting) to more systemic changes in malpractice law.
Read more ›
Comment Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again
17 of 20 people found the following review helpful By Amazon Customer on February 20, 2004
Format: Hardcover
I highly recommend this book!
I first saw Dr. Wachter on IMUS. The interview was terrific. Not only was the subject matter interesting, the doctor spoke in a language anyone could understand, and he was funny to boot. He made a great analogy about calling his favorite Chinese take-out restaurant to place an order. Before they hung up, they repeated the order back to him (like the world would end if he got the wrong kind of soup), but nurses and pharmacists have not been trained to do the same when a prescription is phoned in. The just say thanks to the doctor and hang up.
Well, I immediately bought the book and could not put it down. So many of these types of books speak to other medical personnel, this one is for everyone. I have recommended it to my book club (15 suburban Moms) and the discussions have been quite interesting. We all have our own stories to share about the medical process. Who doesn't have a story about a doctors appointment with an ailing parent or a 2:00am emergency room visit with their toddler? I now feel better equipped to deal with these situations.
Comment Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again
12 of 14 people found the following review helpful By A Customer on February 9, 2004
Format: Hardcover
Nearly every disease or medical condition has a group that works to bring attention to the importance of spending time and money to understand and control it. A key activity for these groups is to bring the disease to the attention of the public in an effort to influence the flow of money and talent to their cause. Some diseases affect such a small number of people that it is impossible to reach a critical mass of affected or interested people to be able to influence politics or market forces. Others may affect a large number of people, but fail to receive the support of the public and those that fund research. In the 1980s AIDS was in this latter category until the a critical mass of activists took up the cause and moved it high on the list of diseases receiving support from federal sources, private industry (pharmaceutical companies), and the public at large.
In the last few years it has become it has become clear that medical errors can be thought of as an epidemic (though not a new one) needing the same kind of support that led to significant improvements in the transmission and treatment of AIDS 15 years ago. There have been a number of reports about the problem in the medical and lay press, but it remains a disease that doesn't yet have many energetic and vocal activists. Internal Bleeding may change that.
Wachter and Shojania have written an entertaining and easy to read overview of the problem, including the work done by a handful of very talented researchers to understand the root causes and potential solutions. It is full of anecdotes of medical mistakes with a more thoughtful analysis of them than what one can learn from the newspaper or nightly news. The book is likely to engage the public more than previous academic reports and TV news segments. It may move medical mistakes and healthcare quality overall, up on the list of our nation's priorities more successfully than other efforts to date.
Comment Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again
19 of 24 people found the following review helpful By A Customer on January 21, 2004
Format: Hardcover
A fearless and eye-opening look at the terrible mistakes that occur in medical settings. Not just a collection of horrific anecdotes (though there are PLENTY of those.) There are REAL solutions set forth here and I hope someone is paying attention. To their credit, the authors reveal what lay people have never before been privy to--some of which falls into the "Yikes! Maybe ignorance really IS bliss" category, but makes for engrossing reading.
I could not put it down until the last page. This should be required reading for policymakers and potential patients alike.
Comment Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again

Most Recent Customer Reviews