Running a railway is a complex business beset with drama. The operation of heavy equipment at speed, twenty-four hours a day, across the full length of the country and using extremely technical signaling, track and mechanical engineering is no mean feat and throws up a constant stream of challenges. Fortunately, the highly professional railway staff are ready to deal with these daily obstacles using their expertise, dedication and, as is so often required, a sense of humour. Here Geoff Body and his son Ian have collated a selection of entertaining and revealing anecdotes that illustrate just how unexpected working on the railways can be.

Running a railway is a complex business. However organised it is, there will always be surprises: often hilarious, frequently unexpected, but sometimes serious. Along Different Lines includes such bizarre 'everyday' events as coping with hurricanes, rogue locomotives and runaway wagons; PR successes and otherwise; the Brighton Belle, Flying Scotsman and Mallard; training-course capers; a wino invasion; trackside antics; the Eurostar backdrop; the birth of a prison; and royal and other special occasions. Expert authors Geoff Body and Bill Parker lovingly compiled this entertaining collection in which railway professionals recall notable incidents from across their careers. This illustrated compilation provides an enjoyable look back at life on the railways.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.