War is spreading through the galaxy—and it’s becoming abundantly clear that there’s an outside force at play in this explosive and hilarious new installment of the Epic Failure series that reads like Catch-22 meets David Weber. With the galaxy thrown into chaos by mutual breaches of the Two Hundred Years’ peace, what seemed like an isolated incident on the Thelicosa/Merida border has become an epidemic. In the midst of this chaos, the Thelicosan and Meridan fleets on their respective borders have come to a sort of tense peace after the events in Book II but now it’s clear: somebody wants war. And it’s not the Free Systems of the galaxy. No. It’s a mom-and-pop convenience store gone galactic. It’s the purveyors of balloons and nachos and supplies for bowling lanes. It’s the company that made the droids and a large part of the technology that all of the Free Systems are using in their militaries. It’s Snaggardirs. And they want to snag it all.
SYSTEM FAILURE provides a framework for understanding the ways in which education policy across organizational settings contributes to the school-to-prison pipeline, as documented in the literature and as observed by authors in empirical studies of justice-involved youth in regular public schools, juvenile court schools, probation settings, and alternative schools. Burch and contributors argue that education policy fails low-income justice-involved youth in three major ways: maintaining silence around issues of structural racism and civil rights, marginalizing youth voice and culture and language, focusing on schools or the criminal justice system, and overlooking intermediate settings including the role of for-profit and not-for-profit education companies. While the problem of the school to prison pipeline has been well documented, the book adds critical detail and description of a policy process that tolerates the school-to-prison pipeline and stalls efforts to abolish it. The book is intended for educators, students, policymakers and practitioners interested in a comprehensive introduction to the policy issues as well as advocates doing serious work on the issues.
The very first book on space systems failures written from an engineering perspective. Focuses on the causes of the failures and discusses how the engineering knowledge base has been enhanced by the lessons learned. Discusses non-fatal anomalies which do not affect the ultimate success of a mission, but which are failures nevertheless. Describes engineering aspects of the spacecraft, making this a valuable complementary reference work to conventional engineering texts.
War is spreading through the galaxy—and it’s becoming abundantly clear that there’s an outside force at play in this explosive and hilarious new installment of the Epic Failure series that reads like Catch-22 meets David Weber. With the galaxy thrown into chaos by mutual breaches of the Two Hundred Years’ peace, what seemed like an isolated incident on the Thelicosa/Merida border has become an epidemic. In the midst of this chaos, the Thelicosan and Meridan fleets on their respective borders have come to a sort of tense peace after the events in Book II but now it’s clear: somebody wants war. And it’s not the Free Systems of the galaxy. No. It’s a mom-and-pop convenience store gone galactic. It’s the purveyors of balloons and nachos and supplies for bowling lanes. It’s the company that made the droids and a large part of the technology that all of the Free Systems are using in their militaries. It’s Snaggardirs. And they want to snag it all.
A groundbreaking take on how complexity causes failure in all kinds of modern systems--from social media to air travel--this practical and entertaining book reveals how we can prevent meltdowns in business and life.
Annotation This timely resource offers engineers and managers a comprehensive, unified treatment of the techniques and practice of systems reliability and failure prevention, without the use of advanced mathematics.
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
