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Small changes can reduce adverse drug events. Hospitals looking for a quick fix to reduce adverse drug events usually find out it's not that easy. But implementing several minor changes can make a difference. That's what Luther/Midelfort in Eau Claire, WI, did when it revamped more than 10 processes over three years, resulting in fewer medication errors.
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Diana Dennison has suffered from manic depression since her teenage years in the 1960s but only realised that she had the condition when, in her 30s, she learnt that her uncle was manic depressive. Diana endured her low states with either no medication or with what was for her the unsatisfactory effect of tricyclic antidepressants. Her untreated hypomanic states cut a swathe through her life. She has never been hospitalised for her condition. Her marriage did not survive but her daughters did and she is now a proud and doting grandmother who skis and scuba dives. Only in the last 4 years did Diana seek help for the treatment of her condition. Diana is a free-lance writer, researcher and photographer.
Margo Orum is the author of Fairytales in reality: My victory over manic depression. Manic depression first appeared in her life 14 years ago, when she was 31. In the first 5 years she had seven episodes (four manias and three depressions). She then embarked on a period of personal growth, including therapy with a psychologist: a period that she now sees as a turning point in helping her to better manage her illness. In the 9 years since then, she has had only two episodes. Both occurred when she was temporarily off lithium. Currently Margo is completing a PhD in psychology and is a casual teacher at Macquarie University.
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Our nation's industries do not want for concepts, philosophies or ideas to improve effectiveness. Just-in-Time, continuous improvement, re-engineering, world-class manufacturing, time compression, manufacturing excellence, total quality control, and theory of constraints are examples of approaches to improving our businesses. All have merit and are, to some degree, related.
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