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Death Takes Passage (Alaska Mysteries)
Sue Henry Manufacturer: Avon ProductGroup: Book Binding: Mass Market Paperback Similar Items:
ASIN: 0380788632 |
Book Description
In July of 1897, the S.S. Portland sailed from Skagway, Alaska, to Seattle, Washington, carrying two tons of Yukon gold--its arrival setting off the famed Klondike Gold Rush. Now, a hundred years later, amid great fanfare and publicity, another ship is recreating the fabled voyage. But this time Death is on board.A true Gold Rush buff, Alex Jensen is thrilled to be representing the Troopers on the Spirit of '98's historic journey down Alaska's spectacular Inside Passage even though it means having to dress up in an uncomfortable period costume and keeping an eye on the ton of gold the ship carries below. But as long as his lady love, the famous "musher" Jessie Arnold, is at his side, this leisurely trip through a giant maze of scenic straits, sounds, harbors and inlets is as close a thing to heaven as the quiet, serious policeman can imagine. That is, until an unexplained rash of shipboard robberies--followed by the strange disappearance and probable death of a crew member--pulls Alex rudely back to Earth.
Meanwhile, a stolen ketch sails north out of Douglas Island harbor in the Southeast Alaska Panhandle--silently cutting through the black waters of Gastineau Channel under cover o darkness, with a two-man crew and the bound I dead body of an innocent woman in the hold heading toward a fateful encounter that could write a grim new chapter in Alaska's history.
The only law officer in the vicinity, it is now Alex's duty to unravel the twisted skein of lies greed and lethal secrets that entangles the crew and passengers on this historic cruise, before Death once again hails the Spirit somewhere along the Inside Passage.
Customer Reviews:
Death Takes Passage.......2007-01-21
good book.......2005-01-26
Pirates of the Inside Passage.......2005-01-21
Passage to Adventure.......2003-01-31
Shipboard mystery.......2002-04-20
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DEATH TAKES PASSAGE (ALEX JENSEN) -- BARGAIN BOOK
SUE HENRY Manufacturer: Avon ProductGroup: Book Binding: Hardcover ASIN: B000K8SR1G |
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5 PBs by Sue Henry: Alaska Mysteries: 1. Beneath the Ashes. 2. Murder on the Iditarod Trail. 3. Deadfall. 4. Death Takes Passage. 5. Sleeping Lady.
Sue Henry ProductGroup: Book Binding: Paperback ASIN: B000QJHC4W |
Product Description
5 PBs by Sue Henry: Alaska Mysteries: 1. Beneath the Ashes. 2. Murder on the Iditarod Trail. 3. Deadfall. 4. Death Takes Passage. 5. Sleeping Lady.
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Death Takes Passage : An Alex Jensen Mystery (Alaska Mysteries Ser.)
Sue Henry Manufacturer: Morrow/Avon ProductGroup: Book Binding: Mass Market Paperback ASIN: B000HOOPA0 |
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Death Takes Passage : An Alex Jensen Mystery (Alaska Mysteries Ser.)
Sue Henry Manufacturer: Morrow/Avon ProductGroup: Book Binding: Mass Market Paperback ASIN: B000HOOQQI |
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Death Takes Passage : An Alex Jensen Mystery (Alaska Mysteries Ser.)
Sue Henry Manufacturer: Morrow/Avon ProductGroup: Book Binding: Mass Market Paperback ASIN: B000HOQTOA |
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THE SHADOW - Volume 9, number 2 - March 15th 1934: The Green Box - from the Shadow's Private Annals; Green Goods Racket; Fingers of Death; Murder Takes Passage; Cold Killing
Anonymous. (editor) (Maxwell Grant; John L. Chambliss; Don Lawrence; Winston Bouve; Conrad Gerson Manufacturer: Girasol Collectables ProductGroup: Book Binding: Paperback ASIN: B000GW0F7A |
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Outriders: Book One in the Birthright Project (Birthright Project)
Kathryn Mackel Manufacturer: Amazon Remainders Account ProductGroup: Book Binding: Paperback Similar Items:
ASIN: B000H2MJXM |
Customer Reviews:
Wonderful fantasy series.......2007-05-10
A fresh and gripping concept for Christian science fiction.......2007-01-17
outriders: book one birthright project.......2007-01-10
More! Give Me More!.......2006-12-17
A good read........2006-12-09
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Crossing the Quality Chasm: A New Health System for the 21st Century
Committee on Quality of Health Care in America , and Institute of Medicine Manufacturer: National Academies Press ProductGroup: Book Binding: Hardcover Similar Items:
ASIN: 0309072808 |
Customer Reviews:
This book will not get you there.......2001-12-10
The format of the book is to present evidence for quality problems in healthcare in America and make recommendations. The operational definition of quality used in the book is "The degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." There are thirteen recommendations presented initially and are discussed in relevant chapters. The recommendations vary in scope from suggesting that multiple parties need to be committed to quality as a way to decrease the burden of disease to suggestions that specific agencies fund pilot studies to look at how reimbursement can be aligned with quality. Six major parameters are discussed as guiding quality and it is suggested that 15 specific conditions be a focus for improving quality.
There is no difficulty in identifying literature studies that demonstrate quality problems in hospital and clinical populations. A survey of current research is included in Appendix A. A review of the tables in this appendix show the types of quality markers that are typically studied in the literature. The authors make the argument that errors due to quality lapses or deficiencies need to be actively worked on and that the current high error rates are not acceptable. Health care has become a major political issue and the political factions are shaping up to be government and business on one side and physicians and other health care providers on the other. There has been a major revamping of the health care system in the past decade to control costs. That required the active cooperation of the insurance industry and government. There is still medical inflation and limited access with 40 million Americans uninsured. Should we believe that another cooperative effort between industry and government will improve quality any more than it has controlled cost or improved access?
The authors acknowledge weaknesses in their suggestions about changing the face of American medicine, but they minimize the adverse impact of the current funding mechanisms for medical care and the issue of information systems integration and security. A good example can be found in their application of engineering principles to clinical settings - - where teams see patients for four hours of direct contact time and the remaining time is for documentation and returning calls. That plan would not be economically feasible in many settings. The high cost and lack of flexibility of the current reimbursement schemes are not mentioned as a potential reason why these plans won't work.
Information technology is seen as a way to enhance both productivity and safety. The authors suggest that e-mail can lead to productive exchanges between physicians and patients. Many physicians have been doing this for years. Many have also stopped with the advent of security concerns about medical privacy. With larger IT systems the critical issue is backward compatability with older systems. That usually requires custom designs that are extremely expensive. Those problems usually need to be solved before bedside computing and decision support can be developed. Security is acknowledged as a problem that needs to be solved. In spite of a federal initiative in this area, the important precedent to remember is how the financial privacy of Americans was protected. The authors point out that medical privacy requirements need to be more stringent than other industries. At the same time they point out that some opinions suggest that there is a trade off between privacy protections and the need to advance information technology in health care. If they are suggesting that the Internet should be at the heart of this infrastructure and the Internet is not secure, what does that mean?
A practical approach might be to focus on the areas where data is entered into computer systems and make sure that non-human analysis occurs at those levels. For example, all hospitals enter pharmacy orders into computer systems. Many hospitals require that physicians write separate discharge orders. Both of these points are areas where there could be immediate improvements in accuracy. A focused study and solution could be engineered now. The necessary software and hardware requirements could be placed on a central web site and available for download by hospital and clinic IT staff. Existing reviewers could be charged with documenting the baseline level of errors and the degree of improvement.
This book succeeds as a broad survey of what has been done about quality in certain settings. It contains some interesting ideas about what can possibly be accomplished by applying conceptual advances from other fields. It does not discuss the significant drawbacks of evidence based medicine. It lacks a practical plan for transitioning to a new system and in effect creates a new chasm. With a work like this, whether you like the conclusions depends a lot on your interpretation of the evidence and your personal experience. As a practicing physician and a previous quality reviewer I have significant areas of disagreement with what is presented in this book. Areas of controversy are not elaborated upon. I suppose you could say that level of analysis is not required, but recommendations about the future of health care in America should at least meet the criteria of "evidence based" and all the evidence should be discussed.
George Dawson, MD
Essential Reading for Everyone in Health Care.......2001-12-02
In it, the highly respected Institute of Medicine builds a powerful case for how the current health care system is severely broken and how it has produced a "chasm" between what we known must be done for patients (based on current science of medicine) and what is actually done. The information conveyed is shocking but true. Even more importantly, the Institute gives us a plan for building a new, more accountable quality-driven approach to health care.
Read it and perhaps you too will be motivated to take action to improve health care delivery in America.
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Breakfasts & Brunches (Culinary Institute of America)
The Culinary Institute of America Manufacturer: Lebhar-Friedman Books ProductGroup: Book Binding: Hardcover Similar Items:
ASIN: 0867309075 |
Book Description
This book is full of scrumptious recipes sure to please your entire family. Step-by-step instructions and helpful preparation tips from the classroom of the CIA, along with 100 full-color photographs.Customer Reviews:
Culinary Institute of America: Breakfast and Brunches.......2007-07-16
Loved it!.......2007-04-11
Perfect Waffles.......2007-03-26
Easy and Delicious .......2006-08-24
Great.......2006-04-27
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The Guide to Owning a Sugar Glider (Re Series)
Susan Fox Manufacturer: TFH Publications ProductGroup: Book Binding: Paperback Similar Items:
ASIN: 0793821584 |
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Teddy Bears: A Complete Guide to History, Collecting, and Care
Sue Pearson , and Dottie Ayers Manufacturer: Macmillan Distribution ProductGroup: Book Binding: Hardcover Similar Items:
ASIN: 0028604172 |
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Teddy Bears: A Complete Guide to History, Collecting, and Care
Sue and Dottie Ayers Pearson Manufacturer: Macmillan Distribution ProductGroup: Book Binding: Paperback ASIN: B000O8Z6C0 |
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Coats & Clark's Sewing Book Newest Methods A(Alterations) to Z(Zippers)
Illustrated Coats & Clark Manufacturer: New York: Coast & Clark Inc., Western Publishing, 1976 ProductGroup: Book Binding: Hardcover ASIN: B000KHKXBY |
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Coats & Clark's Sewing Book Newest Methods from A to Z
Manufacturer: Western Publishing Company, Inc. ProductGroup: Book Binding: Hardcover ASIN: B000E3GFLG |
Product Description
Revised and expanded Edition
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Coats & Clark's Sewing Book Newest Methods from a to Z
Manufacturer: Educational Bureau of Coats & Clark ProductGroup: Book Binding: Hardcover ASIN: B000GSICCY |
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Coats & Clark's Sewing Book Newest Methods from a to Z
Coats & Clark's Manufacturer: Educational Bureau ProductGroup: Book Binding: Hardcover ASIN: B000LCDAI6 |
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Coats & Clark's Sewing Book, Newest Methods from A to Z
Coats & Clark Inc Manufacturer: Educational Bureau of Coats & Clark Inc, NY ProductGroup: Book Binding: Hardcover ASIN: B000O6FR80 |
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Coats & Clark's sewing book: Newest methods, A (alterations) to Z (zippers)
Coats & Clark Manufacturer: Golden Press ProductGroup: Book Binding: Unknown Binding ASIN: 0307098656 |
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Coats & Clark's Sewing Book; Newest Methods From a to Z
Coats & Clark Manufacturer: Golden Press ProductGroup: Book Binding: Hardcover ASIN: B000RGVUZ6 |
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Coats & Clarks Sewing Book Newest Method
Coats & Clark Manufacturer: EDUCATIONAL BUREAU OF COATS & ProductGroup: Book Binding: Hardcover ASIN: B000TRYSI4 |
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COATS AND CLARK'S SEWING BOOK NEWEST METHODS FROM A TO Z
No Author Manufacturer: western Publishing Company ProductGroup: Book Binding: Hardcover ASIN: B000QADSAS |
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Sewing Book Newest Methods from A to Z
Coats & Clark's Manufacturer: Educational Bureau of Coats & Clark Inc. ProductGroup: Book Binding: Hardcover ASIN: B000MV2B5E |
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Pinewood Nematode, Bursaphelenchus Xylophilus: Proceedings of an International Workshop, University Of Evora, Portugal August 20-22, 2001 (Nematology Monographs and Perspectives)
Manufacturer: Brill Academic Publishers ProductGroup: Book Binding: Paperback ASIN: 9004132678 |
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Chinese Printmaking Today: Woodblock Printing in China, 1980-2000
Anne Farrer Manufacturer: British Library ProductGroup: Book Binding: Paperback Similar Items:
ASIN: 0712348239 |
Customer Reviews:
Ótima compra. Informações melhores ainda.......2007-05-14
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The New York City Garbage Wars
Manufacturer: 1st Books Library ProductGroup: Book Binding: Paperback ASIN: 0759614679 |
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