...culture is difficult to observe, measure, or sketch. It can support and/or reinforce organizational structure, it could conflict with it, and it could be of an alternative to it. This paper will analyze organizational culture of Hospital. The author will attempt to identify and provide examples of the artifacts, values, and underlying assumptions of the Hospital culture. The data for this analysis was collected through direct observation, review of internal materials published by the Human Resources (HR) Department, and reports provided by external consultants and the State of Maryland. The observations are based on direct interactions with current employees of the Hospital. Employees observed represent executives, senior level management, clinical staff, and the bottom line. HR materials used for this analysis are published on the Hospital internal website that is only available to the Hospital employees and considered confidential. No direct quotations of these materials are available. HR materials reviewed are based on current organizational issues, reports provided by outside consultants, and policies and procedures. Information is also based on statistical data provided by the Hospital to the State of Maryland. The Hospital prides itself on...
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...Running Head: JAMES REASON'S SWISS CHEESE THEORY James Reason's Swiss Cheese Theory [Name of the Writer] [Name of the Institution] James Reason's Swiss Cheese Theory Introduction The model of Swiss cheese is a model of accident causation which is used risk management and its analysis in system of healthcare, aviation, and engineering. Swiss Cheeses Model compares human system to Swiss cheese slices. The slices are piled together with one another. Basically it was founded in 1990, by James T. Reason, a British psychologist of University of Manchester. The model gained wide acceptance and has been used by healthcare industry, emergency services organizations, aviation industry, and safety industry since it was developed. It is also known as cumulative act effect. According to a survey, in most of the cases, there can be four levels of failure for an accident: unsafe supervision, unsafe act of themselves, organizational influence, and preconditions for unsafe acts. James T. Reason, in his Swiss Cheese Model developed defenses of organization against the failure and represented barriers as slices of Swiss cheese. And individual weaknesses are shown by the holes in the slices as part of the system, and all holes are different in position and sizes in those slices. The failure of the system occurs when holes in slices simultaneously align in aggregate, giving permission, as James Reason's said “a trajectory of accident opportunity", so that in...
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...March 2014 with many of my other colleagues. At the time of the visit many emotions were running through me. I was very excited, anxious and nervous at the same time. One of the nurses directed us into a hall and explained about the safety precautions to be taken in order to prevent ourselves from any transmissible diseases. Later we were instructed to separate into groups and observe different types of wards. | First we visited the pediatric ward, where I observed some clinical nursing skills practiced by the nurses. Most of them were very polite and gentle with the patients, who performed their roles with absolute perfection. However there were some nurses who seemed to be ignorant and didn’t respond to patients’ needs. The doctors seemed to be very busy individuals whom weren’t punctual enough. Despite this they performed good communication and interaction skills with not only the patients but also with the people who came along with them and the nurses. They also helped the patients to acknowledge about their health and the procedures that they should undergo.Subsequently as I was observing the orthopedic ward, I was surprised when the doctor showed me the patient's file without seeking consent. In addition to this I also came across patient safety issues. The ICU was undersized, with not many beds available. | It made me realize that discrepancies can exist between what is taught on course and the way in which medicine is practiced in reality. From my own perspective, as a...
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...response to concerns regarding the provision of safe, high quality patient care This process is not in place. Develops criteria for extending the evaluation period This process is not in place Communicates to the appropriate parties the evaluation results and recommendations based on results This process is not in place Implements changes to improve performance. This process is not in place OVERVIEW : ONGOING PROFESSIONAL PRACTICE EVALUATION “The ongoing professional practice evaluation allows the organization to identify professional practice trends that impact on quality of care, and patient safety. Such identification may require intervention by the organized medical staff. The criteria used in the ongoing professional practice evaluation may include the following: Joint Commission recommends: Current practice for AHPs Review of operative and other clinical...
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...surgery centers and clinic. In addition to helathcare facilities they also operate patient transportation services (EMS vehicles and non-emergency patient transportation) and a home medical equipment supply company. The Compass Park Hospital Network has hired an independent contract service to analyse the structural stability of each of their facilities and requested improvements to any facility that they are leasing from the landlord. They have reviewed the report and begun to make multiple safety improvements throughout the facilities that they own. They have made sure that all walkways are safe and free of structural obstructions such as damages sidewalks and flooring. They have also ordered newly designed railing for patient care areas of the hospitals to assist patient that are having trouble walking and also act as a bumper to prevent patient beds or wheelchairs from damaging the internal ha;;ways of the hospital. To protect the facilities in the evnet of a fire they have ordered fire safety system that...
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...will handle medicines safely, securely and appropriately. Ensure that medicines are prescribed and given by people safely and follow published guidance about how to use medicines safely. b) Nurses and midwifery need to apply in their practice, circulars should read in-conjunction with standard guidelines. The code is the foundation of good nursing and midwifery practice and a key tool in safeguarding the health and wellbeing of the public. The people in your care must be able to trust you with their health and wellbeing. This code should be considered together with the nursing and midwifery council rules which they must follow. The principles of safe practice responsibility and accountability when administering medicines. c) Nice clinical guidelines is about enabling patients to make informed choices by involving and supporting them in decisions about prescribed medicines. All healthcare professionals who prescribe, dispense or review medicines or who have a role in making decisions about medicines with patients are reminded of their duty under the disability discrimination act 2005 to make reasonable...
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...Laboratory biosafety manual Third edition World Health Organization Geneva 2004 WHO Library Cataloguing-in-Publication Data World Health Organization. Laboratory biosafety manual. – 3rd ed. 1.Containment of biohazards - methods 2.Laboratories - standards 3.Laboratory infection - prevention and control 4.Manuals I.Title. ISBN 92 4 154650 6 (LC/NLM classification: QY 25) WHO/CDS/CSR/LYO/2004.11 This publication was supported by Grant/Cooperative Agreement Number U50/CCU012445-08 from the Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC. © World Health Organization 2004 All rights reserved. Publications of the World Health Organization can be obtained from Marketing and Dissemination, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; email: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to Publications, at the above address (fax: +41 22 791 4806; email: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning...
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...------------------------------------------------- Clinical trial From Wikipedia, the free encyclopedia | This article may be too long to read and navigate comfortably. Please consider splitting content into sub-articles and using this article for a summary of the key points of the subject.(October 2010) | Clinical trials are a set of procedures in medical research and drug development that are conducted to allow safety (or more specifically, information about adverse drug reactions and adverse effects of other treatments) and efficacy data to be collected for health interventions (e.g., drugs, diagnostics, devices, therapy protocols). These trials can take place only after satisfactory information has been gathered on the quality of the non-clinical safety, and Health Authority/Ethics Committee approval is granted in the country where the trial is taking place. Depending on the type of product and the stage of its development, investigators enroll healthy volunteers and/or patients into small pilot studies initially, followed by larger scale studies in patients that often compare the new product with the currently prescribed treatment. As positive safety and efficacy data are gathered, the number of patients is typically increased. Clinical trials can vary in size from a single center in one country to multicenter trials in multiple countries. Due to the sizable cost a full series of clinical trials may incur, the burden of paying for all the necessary people and services...
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...accordance with the philosophy of St Vincent’s Health Australia. The mission is based on the values of compassion, justice, human dignity, excellence and unity. The health service embraces the policies and principles of equal employment opportunity, occupational health and safety and quality improvement. JOB TITLE Title Division 1, Grade 2 Year 1 Registered Nurse Program Graduate Nurse Program Award Hours od Duty Nurses (Victorian Health Services) Award 2000 38 plus ADO entitlement Performance appraisal 6 weeks, At 6 weeks, 3 months, 6 months (end of probationary period), 9 months and 12 months and/or as required by the Nurse Unit Manger and/or Practice Development Nurse - Graduate Date October, 2010 BASIC JOB PURPOSE The Grade 2 Year 1 Registered Nurse, under the guidance of the Nurse Unit Manager or Associate Nurse Unit Manager, will be responsible for the delivery of high quality patient care within the healthcare team. The Grade 2 Year 1 Registered Nurse will Page 1 October 2010 Position Description Division One, Grade 2 Year 1 Registered Nurse be responsible for ensuring his / her own professional development in order to maintain clinical skills and knowledge. KEY RESPONSIBILITIES RESPONSIBILITY AREA 1: Continuum of Care The Grade 2 Year 1 Registered Nurse will ensure that the nursing care delivered is at the highest possible standard and in accordance with legislation affecting nursing practice. The Grade...
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...responsible for protecting and advocating public health. They are the official government agency that ensures our drug supply is safe and effective. This is achieved through the regulation and supervision of food safety, dietary supplements, veterinary products, cosmetics, vaccines, biopharmaceuticals, medical devices, prescription and pharmaceutical drugs that can be purchased over- the- counter. When a pharmaceutical company creates a new drug, it has to go through the FDA and is required to submit a New Drug Application (NDA) to the FDA. The FDA reviews the application to assure that there is an objective proof that the proposed drug is safe and effective. If the drug proves to be effective and safe, the FDA will approve it. However, the FDA requires some drugs to be furthered studied and require additional clinical trials. When the drug is officially approved, the FDA sends an approval letter to the company- this process may take many years. Some important steps taken for an approval are (2008 Internet Drug News Inc.): Synthesis & Purification - FDA estimates that it takes approximately eight-and-a-half years to study and test a new drug before it can be approved for the general public. This estimate includes early laboratory and animal testing, as well as later clinical trials using human subjects. Animal Testing (short term) - Generally, two or more species (one rodent, one non-rodent) are tested because a drug may affect one species differently from another. Animal Testing...
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...Protocol Provider’s participation in clinical trials as an investigator is critical in development and advancement in treating diseases with new medicines, devices or protocols. Advantages of participation include; professional development, recognition as a leader in the medical community, potential for increased compensation and personal satisfaction. It should be noted not ALL studies provide physician compensation. There is also an advantage to patients whose physician is also a clinical investigator, they can have confidence you will have the ability to consider any potential conflict between the study and their current treatment. The existing clinical trials department provides the necessary support to physicians and participants. The team is responsible managing a trial, providing the required documentation to the trial sponsor and FDA. The team also meets operational and oversight requirements of participating in a clinical trial. The physician’s primary responsibility remains with the patient and the providing assessments and recommendations to care. Clinical trial may provide possible treatment options through either new drugs, or there may not be at their disposal, without the clinical trials. Often time’s additional care and tests are paid for through the study sponsor which means there is little cost burden to the participant. Since these tests are paid by the sponsor, this means revenue potential to the practice. A2. Clinical Trial Phases A research study could...
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...Are Controlled Clinical Trials Really Ethical? Case Study In 2009, two cousins, Thomas and Brandon were diagnosed with the same type of deadly skin cancer within a 2 month time frame of each other. To date, here is no cure for skin cancer and once diagnosed the average life expectancy is approximately 8 months. Current standard of care treatments are aimed at shrinking the tumors and prolonging life. Unfortunately, these standard of care treatments only work in a very small percentage of patients and are very toxic with terrible side effects. Thomas learned of a new Phase 3 clinical research trial sponsored by Roche with an unapproved yet promising drug. His doctor explained that in earlier trials, a majority of volunteer patients who took the wonder drug had seen a drastic reduction in the size of their tumors with very few side effects. The only way ill patients can get the drug is by participating in this trial. The trial is a randomized controlled trial (RCT) which means half of the volunteers will get the experimental drug while the other half will be treated with another standard of care treatment. The purpose of the standard or control arm is to allow researchers to compare the long term effects of the new drug to that of the current standard treatment and determine whether it actually shrinks tumors and prolong remissions. Participants have a 50/50 chance of being placed in either arm of the study. Arm assignments are random and cannot be changed. With limited options...
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...is known as the cornerstone of Good Clinical Practice for ensuring patient safety. In a normal clinical paced environment, time is given to ensure patients are provided all the required information and the time to make a rational and voluntary decision to participate in a study. At times this process is not feasible do to emergency situations, such as when a patient arrives in the emergency room in a compromised mental and physical state that does not permit ample time for this process. Such cases may also be further aggravated when a family member or a Legal Authorized Representative (LAR) is not available to decide if the patient should participate in a clinical trial that offers a treatment may increase the of survival more than the current standard of treatment. We must than think of the patient’s best interest at this point. History of Informed Consent Following World War II, the Nazis who performed medical experiments on prisoners of war without obtaining their consent were convicted of murder, but not for their actions of conducting unethical research. Their actions helped bring to life the Nuremberg Code of 1948; the first legal document to enforce the idea that subjects’ participation in clinical research must be voluntary. Many of the elements that help make up the Nuremberg Code are included in the code of federal regulations (CFR) parts 50 and 312 and the International Conference on Harmonisation (ICH) E6 good clinical practice guidelines2. Some key guidelines...
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...Research Paper FDA Approval process for Clinical Trials If you, or someone you loved, were diagnosed with a terminal disease, would you chance using a non-FDA approved medication to increase your life expectancy? Many pharmaceutical companies have the medication that could save countless lives, but the FDA clinical trials for these medicines are problematic for enrollment, and thousands of patients are often turned down. New drugs are vitally important to improving the lives and health of Americans. Between 1986 and 2000, new drugs were responsible for 40 percent of the total increase in life expectancy. Yet, the FDA’s clinical trial process remains lengthy and expensive. It takes, on average, more than a decade to bring a new drug from the laboratory to the market. Polls show a clear majority of specialists believe the FDA clinical trial process is too slow and most report having been personally hindered in treating a patient due to the FDA approval process. The clinical trial process initiates when a drug developer submits an Investigational New Drug Application (IND) to the FDA. The IND application includes all available data on the proposed investigational drug, including the results of any animal testing. In reviewing IND applications, the FDA seeks to ensure that the proposed trial does not expose patients to “unreasonable risk of harm.” Clinical trials then move ahead in three mandatory human testing phases. Phase I consists of giving the investigational drug...
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...|Department: |Depression and Anxiety Service | |Base: |Newton Abbott | |Responsible To: |Local Team Clinical Lead | Job Purpose The principal purpose of the job is to improve the psychological health & wellbeing of people within an identified Devon locality. The post holder will be part of an Improving Access to Psychological Therapies (IAPT) service and will provide high intensity interventions - initially cognitive behavioural therapy (CBT). The post holder will work with clients who have a range of complex Anxiety and Depression related problems for which CBT is demonstrated to be clinically effective. The post holder will work with people with different cultural backgrounds and ages, using interpreters when necessary and should be committed to equal opportunities The post holder will act as a lead specialist for IAPT, providing professional clinical supervision to less experienced staff, trainees & students. As a senior clinician the post holder will be expected to contribute to the leadership of the local service providing support and undertake delegated responsibilities under the...
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