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

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Bloomsbury Publishing USA, Sep 18, 2012 - Health & Fitness - 256 pages
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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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LibraryThing Review

User Review  - Sandydog1 - LibraryThing

Sometimes you hurry through a book because your TBR pile is the size of K2. I read this within one day. But towards the end, I began to realize how wonderful this book is, it is certainly as good as ... Read full review

LibraryThing Review

User Review  - GlennBell - LibraryThing

Excellent book. I appreciate the results of Marty's research. It is refreshing for someone to provide an honest and patient centric perspective on the current medical system. I agree that accountability is the key to improvement. I hope that his perspective will be adopted. Read full review

Contents

Introduction
1
Dr Hodad and the Raptor
9
Danger Zones
21
The New York Experiment
35
The Supersurgeon and the Shah
49
How I Like to Do It
57
Navigating the System
75
Tap the Power of Patient Outcomes
83
The AllAmerican Robot
153
Drivers of Culture
163
Healthonomics
181
Candid Cameras
193
A New Generation for Honest Medicine
201
What Accountability Looks Like
209
Conclusion
221
Notes
227

Impaired Physicians
95
Medical Mistakes
113
Ask Before You Give
129

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About the author (2012)

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 an advocate for health care innovation, writing in The Wall Street Journal and USA Today. He has written extensively on organizational culture, the science of measuring quality in medicine, and health care reform. Dr. Makary is principle investigator of a Robert Wood Foundation Grant to lower health care costs in the U.S. by creating physician-endorsed measures of appropriate medical care and directs the national “Improving Wisely” project to reduce waste in medicine. He is the author of the bestselling book Mama Maggie-a book about a Nobel prize nominee, and the forthcoming The Price We Pay. He speaks nationally on disruptive innovation in health care.

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