Reprint of the original, first published in 1882.

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.

This eBook has been formatted to the highest digital standards and adjusted for readability on all devices. Over the period of two years author has devoted the intervals between official duties to collecting and collating materials for the study of sign language. As the few publications on the general subject, possessing more than historic interest, are meager in details and vague in expression, original investigation has been necessary. The high development of communication by gesture among the tribes of North America, and its continued extensive use by many of them, naturally directed the first researches to that continent, with the result that a large body of facts procured from collaborators and by personal examination has now been gathered and classified.

'Anthony Hoekema brings to the study of biblical prophecy and eschatology a maturity that is rare among contemporary works on the subject. Free of sensationalism, he evinces a reverence for the Scriptures and a measured scholarship...One of the best studies on eschatology available.' ---Christianity Today

Straight from the headlines comes the story of two students, one buried under the wrong name, one in a coma being cared for by the wrong family, and the heart wrenching discovery five weeks later that their identities had been mistakenly reversed.