Tom Bourne – författare

Major organisational disasters are not random. They are predictable. In the months and years before every catastrophic failure, before the Deepwater Horizon blowout, the Grenfell Tower fire, the Space Shuttle disasters, the Pike River explosion, the warning signs were already present. They were systematically unseen. Organisational blindness to accumulating risk is not a malfunction. In many organisations, it is the system working exactly as designed. This book explains why, and what can be done about it.The Blindspot Before the Disaster identifies the five organisational conditions that converge to produce this failure of sight: signal attenuation, normalised tolerance, structural secrecy, production gravity, and leadership detachment. Together they form the Blindspot Model, a practical diagnostic framework grounded in five decades of disaster scholarship and demonstrated across eleven of the most significant industrial catastrophes of the past forty years.This book is written for the leaders, safety professionals, and governance practitioners who are responsible for preventing harm before it occurs. It bridges the gap between rigorous academic disaster theory and the practical needs of people working in high-consequence environments. It does not assign blame. It offers something more useful: a structured, evidence-based way of seeing the danger that is already in the room.

Major organisational disasters are not random. They are predictable. In the months and years before every catastrophic failure, before the Deepwater Horizon blowout, the Grenfell Tower fire, the Space Shuttle disasters, the Pike River explosion, the warning signs were already present. They were systematically unseen. Organisational blindness to accumulating risk is not a malfunction. In many organisations, it is the system working exactly as designed. This book explains why, and what can be done about it.The Blindspot Before the Disaster identifies the five organisational conditions that converge to produce this failure of sight: signal attenuation, normalised tolerance, structural secrecy, production gravity, and leadership detachment. Together they form the Blindspot Model, a practical diagnostic framework grounded in five decades of disaster scholarship and demonstrated across eleven of the most significant industrial catastrophes of the past forty years.This book is written for the leaders, safety professionals, and governance practitioners who are responsible for preventing harm before it occurs. It bridges the gap between rigorous academic disaster theory and the practical needs of people working in high-consequence environments. It does not assign blame. It offers something more useful: a structured, evidence-based way of seeing the danger that is already in the room.

This classic textbook continues to provide the basic knowledge relevant to the practice of obstetrics and gynaecology. Comprehensive in scope, Dewhurst’s Textbook of Obstetrics & Gynaecology offers contributions from a noted panel of experts and contains an integrated approach that is designed to help deliver the highest possible care to patients.Since the publication of the previous edition, there have been a number of obstetric breakthroughs that are addressed in this new edition.  Written for both students and professionals, Dewhurst’s Textbook of Obstetrics & Gynaecology is a straightforward, authoritative and practice-based guide to women’s reproductive health.

This classic textbook continues to provide the basic knowledge relevant to the practice of obstetrics and gynaecology. Comprehensive in scope, Dewhurst’s Textbook of Obstetrics & Gynaecology offers contributions from a noted panel of experts and contains an integrated approach that is designed to help deliver the highest possible care to patients.

Since the publication of the previous edition, there have been a number of obstetric breakthroughs that are addressed in this new edition.  Written for both students and professionals, Dewhurst’s Textbook of Obstetrics & Gynaecology is a straightforward, authoritative and practice-based guide to women’s reproductive health.

This classic textbook continues to provide the basic knowledge relevant to the practice of obstetrics and gynaecology. Comprehensive in scope, Dewhurst’s Textbook of Obstetrics & Gynaecology offers contributions from a noted panel of experts and contains an integrated approach that is designed to help deliver the highest possible care to patients.

Since the publication of the previous edition, there have been a number of obstetric breakthroughs that are addressed in this new edition.  Written for both students and professionals, Dewhurst’s Textbook of Obstetrics & Gynaecology is a straightforward, authoritative and practice-based guide to women’s reproductive health.

This is a unique book in that it brings together the two key investigative techniques in Gynaecology and Obstetrics, namely ultrasound and endoscopy. So often in the past they were regarded by their exponents as rival techniques but it is now recognised that they are complementary to each other. Consequently future trainees in endoscopy should become efficient in transvaginal sonography and vice versa. Ultrasound can be used to study the morphology of the pelvic organs such as the endometrium, myometrium and ovaries, and being non-invasive, safe and convenient can be repeated as often as is deemed necessary to monitor changes over time; for example in the investigation of the infertile woman the development of the dominant follicle, the maturation of the endometrium and the formation of the corpus luteum can be documented throughout the menstrual cycle while growth of ovarian cysts can be precisely measured to determine the need for surgery. A seldom-mentioned strength of the ultrasound examination is its interactive quality, for example by performing abdominal palpation during the scan, the mobility of the uterus and ovaries can be assessed. Also the images as they appear can be shown to the patient to aid understanding. Ultrasound can also determine function and the use of Doppler has been used for example to access endometrial receptivity, follicular maturity and the likelihood of malignancy in the endometrium or ovary.

This is a unique book in that it brings together the two key investigative techniques in Gynaecology and Obstetrics, namely ultrasound and endoscopy. So often in the past they were regarded by their exponents as rival techniques but it is now recognised that they are complementary to each other. Consequently future trainees in endoscopy should become efficient in transvaginal sonography and vice versa. Ultrasound can be used to study the morphology of the pelvic organs such as the endometrium, myometrium and ovaries, and being non-invasive, safe and convenient can be repeated as often as is deemed necessary to monitor changes over time; for example in the investigation of the infertile woman the development of the dominant follicle, the maturation of the endometrium and the formation of the corpus luteum can be documented throughout the menstrual cycle while growth of ovarian cysts can be precisely measured to determine the need for surgery. A seldom-mentioned strength of the ultrasound examination is its interactive quality, for example by performing abdominal palpation during the scan, the mobility of the uterus and ovaries can be assessed. Also the images as they appear can be shown to the patient to aid understanding. Ultrasound can also determine function and the use of Doppler has been used for example to access endometrial receptivity, follicular maturity and the likelihood of malignancy in the endometrium or ovary.