Medicine By Design

Publisher Description

Design Innovation for Health and Medicine offers an innovative approach for solving complex healthcare issues. In this book, three design experts examine a range of case studies to explain how design is used in health and medicine—exploring issues such as diverse patient needs, an ageing population and the impact of globalisation on disease. These case studies, along with high-profile industry projects conducted by the authors over the past decade, inform a novel framework for designing and implementing innovative solutions in this context. The book aims to assist designers, medical engineers, clinicians and researchers to shape the next era of healthcare.

In the history of medicine, hospitals are usually seen as passive reflections of advances in medical knowledge and technology. In Medicine by Design, Annmarie Adams challenges these assumptions, examining how hospital design influenced the development of twentieth-century medicine and demonstrating the importance of these specialized buildings in the history of architecture. At the center of this work is Montreal’s landmark Royal Victoria Hospital, built in 1893. Drawing on a wide range of visual and textual sources, Adams uses the “Royal Vic”—along with other hospitals built or modified over the next fifty years—to explore critical issues in architecture and medicine: the role of gender and class in both fields, the transformation of patients into consumers, the introduction of new medical concepts and technologies, and the use of domestic architecture and regionally inspired imagery to soften the jarring impact of high-tech medicine. Identifying the roles played by architects in medical history and those played by patients, doctors, nurses, and other medical professionals in the design of hospitals, Adams also links architectural spaces to everyday hospital activities, from meal preparation to the ways in which patients entered the hospital and awaited treatment. Methodologically and conceptually innovative, Medicine by Design makes a significant contribution to the histories of both architectural and medical practices in the twentieth century. Annmarie Adams is William C. Macdonald Professor of Architecture at McGill University and the author of Architecture in the Family Way: Doctors, Houses, and Women, 1870–1900 and coauthor of Designing Women: Gender and the Architectural Profession.

This advanced chemistry text has been updated to match the specification for A Level Chemistry from September 2000. The chemical storylines and related data include the latest developments and they are split clearly into AS and A2 units.

In the history of medicine, hospitals are usually seen as passive reflections of advances in medical knowledge and technology. In Medicine by Design, Annmarie Adams challenges these assumptions, examining how hospital design influenced the development of twentieth-century medicine and demonstrating the importance of these specialized buildings in the history of architecture. At the center of this work is Montreal's landmark Royal Victoria Hospital, built in 1893. Drawing on a wide range of visual and textual sources, Adams uses the "Royal Vic"--along with other hospitals built or modified over the next fifty years--to explore critical issues in architecture and medicine: the role of gender and class in both fields, the transformation of patients into consumers, the introduction of new medical concepts and technologies, and the use of domestic architecture and regionally inspired imagery to soften the jarring impact of high-tech medicine. Identifying the roles played by architects in medical history and those played by patients, doctors, nurses, and other medical professionals in the design of hospitals, Adams also links architectural spaces to everyday hospital activities, from meal preparation to the ways in which patients entered the hospital and awaited treatment. Methodologically and conceptually innovative, Medicine by Design makes a significant contribution to the histories of both architectural and medical practices in the twentieth century. Annmarie Adams is William C. Macdonald Professor of Architecture at McGill University and the author of Architecture in the Family Way: Doctors, Houses, and Women, 1870-1900 and coauthor of Designing Women: Gender and the Architectural Profession.

The profound transformations occurred in our modern age have been made possible by the unique combination of new technologies. Among them, me- cine has completely changed our perception of life. Longevity has been signi- cantly extended and linked to new lifestyles. The negative impact that pathologies and ageing have always had on the quality of our life is now mitigated by the availability of treatments daily applied to many individuals worldwide. For many years, pharmacological and surgical treatments have been supported by the introduction of biomedical devices. Biomedical implants have played a key role in the development of these treatments and achieved the objective of replacing tissue and organ structures and functionalities. Gra- ally, the scientific and clinical communities have understood that replacement could be improved by materials able to interact with the tissues and to parti- pate in their metabolism and functions. This approach soon led to biomedical implants with improved clinical performances, but also to a new aspiration; rather than replacing damaged tissues and organs scientists and clinicians nowadays aim at their partial or complete regeneration. As a consequence of this ambition, the disciplines of tissue engineering and regenerative medicine have recently emerged. It is the dawn of a fascinating era where scientists from various disciplines, clinicians, and industry will need to intensify their col- borative efforts to provide our society with new and affordable solutions.

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

A heart that once beat erratically has regained its natural rhythm. A woman paralyzed by an automobile accident is now able to resume her favorite hobby. Physicians using a robotic surgeon named da Vinci perform lifesaving operations. These are some of the feats of biomedical engineering, one of the fastest-moving areas in medicine. In this exhilarating book, award-winning writer Fen Montaigne journeys through this little-known world, sharing the stories of ordinary people who have been transformed by technology. From the almost commonplace pacemaker to the latest generation of artificial hearts, Montaigne tells the stories of pioneering patients, engineers, and surgeons. Taking the reader behind the scenes of a dozen of America's leading centers of biomedical engineering, Montaigne recounts the field's history while describing cutting-edge work in medical imaging, orthopedics, cardiovascular care, neurological therapies, and genetics. Through the stories of patients whose lives have been saved and improved by biomedical devices, Montaigne reveals the marriage of medicine and engineering to be one of society's greatest advances.