...13 CASE Emanuel Medical Center: Crisis in the Health Care Industry The Haley Eckman Story On Friday, four-year-old Haley Eckman stayed home from school because of a slight fever. She complained that she was feeling very tired. That night, Haley’s temperature increased to 104°F. At 3:15 A.M., Mr. and Mrs. Eckman took Haley to the emergency department (ED) of Emanuel Medical Center (EMC) in Turlock, California. They registered at the admissions desk and waited for someone to see them. After what seemed like forever to the Eckmans, a triage nurse came out to evaluate Haley. He asked several questions, but failed to take her temperature – a routine procedure in that situation. He then disappeared, leaving the Eckmans to wait yet again. While they waited, Haley vomited. She said she felt very weak. The family asked if Haley could lie down in a bed while they waited to see a doctor. A staff member told them that there were no available This case study was prepared by Randall Harris, Kevin Vogt, and Armand Gilinsky as a basis for class discussion rather than to illustrate either effective or ineffective handling of an administrative situation. © 2004 by Randall Harris, Kevin Vogt, and Armand Gilinsky. Used with permission from Randy Harris. both13.indd 670 11/11/08 12:04:27 PM MORE PROBLEMS THAN THE ED 671 beds, and that they would have to wait. The Eckmans saw several empty beds across the hall from where they sat as the staff member said...
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...technically competent to perform tasks (Hood & Leddy 2010). There are three routes to becoming a registered nurse: a 3-year diploma program typically administered in hospitals; a 3-year associate degree usually offered at community colleges; and the 4-year baccalaureate degree offered at senior colleges and universities. Graduates of all three programs sit for the same NCLEX-RN© licensing examination. The associated degree has become a popular choice for many students because an ADN is less expensive than a university and can be obtained without traveling far from home. Although all three types of nurses are taking the same NCLEX-RN exam, it’s a measure of the minimum indicator of competency. Studies have shown that BSN nurses are shown to have stronger critical thinking and leadership skills. Hospitals are beginning to phase out associate degree nurses in favor of BSN-prepared nurses. Studies have shown that BSN nurses also possess stronger communication and problem solving skills (Johnson 1988) making them more suited for critical areas like the emergency room, Intensive Care Units or a post anesthesia care units. (Giger & Davidhizar, 1990). ), Dr. Linda Aiken and her colleagues at the University of Pennsylvania Numerous found that surgical patients have a "substantial survival advantage" if treated in hospitals with higher proportions of nurses educated at the baccalaureate or...
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...“Texas is the toughest state in the country to win an insanity defense case” Fox News, CNN, MSNBC, July 26, 2006 Andrea Yates grew up in Houston, Texas in a typical Roman Catholic family environment. Her family has been described as middle-class American family. Her father was a school teacher who taught shop. He would retire and then later suffer from Alzheimer’s. He passed away before the killings. Her mother worked to keep the house running and attend to the families 5 children. Andrea, born on July 2, 1964 was the youngest and considered the brightest of the siblings. She proved to be a high achiever coiled with personal motivation as demonstrated in her role as captain of the swim team, National Honor Society member, and valedictorian. She graduated from Milby High School in 1982. She went on to the University of Houston, where she completed a two-year pre-nursing program. Upon completion of the pre-nursing program, she was accepted to the University of Texas School of Nursing in Houston from which she graduated in 19986. Andrea then took a position with the University of Texas M.D. Anderson Cancer Center where she worked from 1986 to 1994 as a registered nurse (Denno, 2003). Andre met her future husband much the way any other person might. In 1989, Andrea and Russell (Rusty) were both living in the same apartment complex. Rusty, “a summa cum laude graduate of Auburn University, was designing computer systems for NASA” (Denno, 2003) was described as popular...
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...The Alternative Sentencing Policies and Solutions This comprehensive analysis describes the different possible alternative solutions for women, and juvenile offenders. The Bureau of Justice Grant programs developed incentives for other programs to decrease the overcrowded conditions for most state and federal prisons. These grant programs provided the information and incentives for state governments to expand, build, and adapt closed military bases as extension of the federal penal prison system. This initiative encouraged local and state courts to implement truth-in-sentencing and alternative sentencing concepts to lessen the burden of overcrowded prison systems. The grants divided in half for building prisons to increase the bed space for violent offenders, and the other half for alternative solutions to incarceration. The incentive funds used for more alternative solutions; prison islands, or barges, or closed military bases. Sentencing Drug Statistics The Bureau of Justice Statistics (BJS) reported four to one ratio of prisoners showed under the influence of drugs, or alcohol while committing the current crime, or at the time of the violation (Langan, P, & Levin, D, 2002). The BJS showed detailed statistics report of 400; 000 people arrested for drugs, or drug-related offenses; 70% sent to state prisons, 40% drug-related offenses, 32% alcohol-related offenses, and 20% other violent crimes. The survey researched by the Department of Justice (DOJ) along with the (BJS) report...
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...The Alternative Sentencing Policies and Solutions This comprehensive analysis describes the different possible alternative solutions for women, and juvenile offenders. The Bureau of Justice Grant programs developed incentives for other programs to decrease the overcrowded conditions for most state and federal prisons. These grant programs provided the information and incentives for state governments to expand, build, and adapt closed military bases as extension of the federal penal prison system. This initiative encouraged local and state courts to implement truth-in-sentencing and alternative sentencing concepts to lessen the burden of overcrowded prison systems. The grants divided in half for building prisons to increase the bed space for violent offenders, and the other half for alternative solutions to incarceration. The incentive funds used for more alternative solutions; prison islands, or barges, or closed military bases. Sentencing Drug Statistics The Bureau of Justice Statistics (BJS) reported four to one ratio of prisoners showed under the influence of drugs, or alcohol while committing the current crime, or at the time of the violation (Langan, P, & Levin, D, 2002). The BJS showed detailed statistics report of 400; 000 people arrested for drugs, or drug-related offenses; 70% sent to state prisons, 40% drug-related offenses, 32% alcohol-related offenses, and 20% other violent crimes. The survey researched by the Department of Justice (DOJ) along with the (BJS) report...
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...Failures in the Media During Columbine Shooting Lauren Barber History of U.S. Mass Media Professor Todd Schack November 10, 2009 Judgment Day April 20, 1999 marks the day of one of the bloodiest and most horrific school shootings in American history. Until the 2007 shooting at Virginia Technical Institute, it was the worst school shooting to date. On this day, two seniors, Eric Harris and Dylan Klebold, entered Columbine High School in Littleton, Colorado and went on a killing spree for approximately 49 minutes, leaving 24 injured and 15 dead, including themselves. The two students had been planning this attack on the school for over a year. Had their plan gone accordingly, the carnage would have been far more severe. The boys skipped their first period that day, arriving just before the lunch hour dressed in black trench coats carrying “several CO2 bombs, one semi-automatic 9mm handgun, a 9mm carbine rifle, a sawed-off 12-gauge shotgun, and a sawed-off 12-gauge pump shotgun” (“Columbine”). They were also each carrying a duffel bag containing a twenty-pound propane bomb (“Columbine”). They placed a bomb in the cafeteria, set to explode at 11:17 a.m., the time when the most students would be in one concentrated area. The homemade bomb was strategically placed in the cafeteria to blow the ceiling of the room out, bringing the library crashing down upon explosion, killing another room full of students and faculty simultaneously. The two boys would...
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...Collaboration to Build Healthier Communities A Report for the Robert Wood Johnson Foundation Commission to Build a Healthier America Wilder Research Wilder Research Wilder Research Report prepared for the RWJF Commission to Build a Healthier America by Paul W. Mattessich, Ph.D. Wilder Research Saint Paul, Minnesota Ela J. Rausch, M.P . .P Federal Reserve Bank of Minneapolis Minneapolis, Minnesota With support from the Robert Wood Johnson Foundation June 2013 Creating Healthy Communities Cross-sector partnerships are sparking widespread action to improve community health COATESVILLE , PA SEATTLE, WA Access to healthy foods Access to preventative care and healthy housing LOS ANGELES , CA Quality early child care and education CHICAGO, IL Data and evidence to build health into all policies and practices MIAMI , FL Opportunities for physical activity and healthy living health community development • community development finance • community planning • early child care/education • human services • housing Introduction “ Building a healthier America is feasible in years, not decades, if we collaborate and act on what is making a difference.” —Robert Wood Johnson Foundation In 2008, the Robert Wood Johnson Foundation convened a commission of nonpartisan leaders to identify opportunities to improve the health of all Americans by creating environments that protect and actively promote health. Their report, Beyond Health Care:...
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...to comprehensive wellness on a national scale. Research demonstrates that a monumental shift is underway in America’s physician industry as more and more doctors are “voting with their feet” and curtailing their practices by joining larger institutions, retiring early or joining concierge medicine (Rabin, 2014). Studies show that physicians are frustrated with our current ‘value by number’ system; they argue that they are overworked due to discounted insurance payments and increasing oversight. Our research foretells two alarming trends within the US physician landscape. The first concern is that there will be a shortage in primary-care physicians as early as the year 2020 and secondly, most medical practices will be owned by a hospital or affiliated with a large network within the next ten years (Kirchoff, 2013). The former concern places population health at risk and could reduce access to care while the latter has the potential to increase overall costs and reduce competition and innovation in the health care industry. The Affordable Care Act (ACA) marks a milestone in our nation’s history; it requires every U.S. citizen to obtain medical insurance or pay penalty and also, it places greater emphasis on physicians to increase coordinated care while reducing costs through quality improvements. The ACA’s mandates are not surprising given total healthcare expenditures are forecasted to reach 20% of federal spending by 2020, which approximately 86% is attributed...
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...Public Relations Cases This collection of contemporary international public relations case studies is an invaluable resource for teachers, researchers and students working in public relations, corporate communications and public affairs, as well as offering practitioners an indepth understanding of the effective use of public relations in a range of organizational contexts. Including cases from the UK, Norway, Sweden, Spain, South Africa, Canada and the USA, with a focus on such global corporations as Shell, BBC America, Worldcom, PriceWaterhouseCoopers and Marks & Spencer, it offers important insights into the development of public relations and communications strategies. These include: • • • • • • • • Corporate identity change and management Global reputation management Crisis management in the oil, shipping and tourism industries Developing strategic alliances between voluntary and private sector organizations Public relations support for international branding and market entry The importance of internal communications during international mergers The integration of public relations and marketing communications Business-to-business communication The cases examined in this book demonstrate the breadth of contemporary public relations practice and the increasing importance of the public relations function in both public and private sector organizations worldwide. Danny Moss is Co-Director of the Centre for Corporate and Public Affairs at the Manchester Metropolitan University...
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...common law in England. In the law of tort, negligence is the most widely used tort in the legal system. In order for a claimant who is seeking for remedy to successfully bring a claim in a negligence case, they must first prove these 3 factors: * The defendant held a legal duty against the claimant. Therefore, the defendant owed the claimant a duty of care. * The defendant had breach of that duty. * The claimant are suffering damages resulted in that breach of duty. These three factors will sometimes be shortened as duty, breach and damage. Duty of care This important factor of negligence came from a famous case of Donoghue v Stevenson (1932). In this case, the claimant, Ms Donoghue went to the Minchella’s Wellmeadow Café in Paisley with her friend. Her friend ordered a bottle of ginger beer that was contained in an opaque bottle. When she poured the remained ginger beer, a decomposed snail came out with her ice cream. Ms Donoghue became ill as she has consumed the contaminated beer. She could not sue the café under the rule of contract as she did not buy the beer herself. Therefore, she did not own a contract with the café. As a result, she sued the manufacturer of the ginger beer using the tort of negligence. Ms Donoghue won the case in the House of Lords. In this case Lord Atkins defined negligence as; "You must take reasonable care to avoid acts or omissions which you can reasonably foresee would be...
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...Tort Law Cases/Assignments Trial Procedures Lewis v. Robinson 2001 BCSC 643 British Columbia Supreme Court The plaintiff, Kenneth Lewis, was a delivery person. He knew that the defendants, Will Robinson and Marci Salach, were the new owners and occupants of the property, but Lewis didn't know that the defendants had a dog. Lewis entered the property and was confronted by Salach and her dog. She was holding the dog's leash at the time. Most times, the dog was chained to its doghouse on the defendants' property. However, on this particular day, Lewis arrived on the property, startling Salach and the dog. Salach asked Lewis to identify himself, received no response, and then warned him that the dog did not like strangers and to be careful. Lewis saw the defendant speaking, but claimed he couldn't hear her as the dog was barking. He tried to pet the dog and then tried to move out of the dog's range when the dog bit his hand. Prior to this incident, the dog had never attacked, bitten, or lunged at strangers, and there was no evidence of complaints from neighbours or friends. Lewis brought an action for damages, but his action was dismissed. For Discussion 1. Why did Lewis bring an action against the defendants . Lewis believed he was entitled to damages for the injury he suffered when the dog bit his hand. 2. Summarize the conflicting evidence. Lewis claimed...
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...Project Gutenberg Etext of Three Men in a Boat by Jerome K. Jerome Please take a look at the important information in this header. We encourage you to keep this file on your own disk, keeping an electronic path open for the next readers. Do not remove this. **Welcome To The World of Free Plain Vanilla Electronic Texts** **Etexts Readable By Both Humans and By Computers, Since 1971** *These Etexts Prepared By Hundreds of Volunteers and Donations* Information on contacting Project Gutenberg to get Etexts, and further information is included below. We need your donations. Three Men in a Boat by Jerome K. Jerome August, 1995 [Etext #308] Project Gutenberg Etext of Three Men in a Boat by Jerome K. Jerome *******This file should be named 3boat10.txt or 3boat10.zip******* Corrected EDITIONS of our etexts get a new NUMBER, 3boat11.txt. VERSIONS based on separate sources get new LETTER, 3boat10a.txt. Three Men in a Boat - Jerome K. Jerome - Scanned and First Proof David Price, email ccx074@coventry.ac.uk. Second proof: Margaret Price We are now trying to release all our books one month in advance of the official release dates, for time for better editing. Please note: neither this list nor its contents are final till midnight of the last day of the month of any such announcement. The official release date of all Project Gutenberg Etexts is at Midnight, Central Time, of the last day of the stated month. A preliminary version may often be posted for suggestion, comment and...
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...MIH514-Cross Cultural Perspectives 9/3/2013 Elizabeth Glasser Japanese Culture I am choosing to do my session long project on Japan. I think Japan is a very interesting and beautiful place. No other country in the world has experienced such a confluence of tradition, technology, and circumstance. Japan is the hub for cutting edge technology; it is the only country that has witnessed the wrath of the atomic bomb, and it has the most massive economy in the world. The Japanese have interesting and amazing traditions that have been passed on from generation to generation for thousands of years. Japanese people can be very modern but till hold onto traditions that have been passed on for centuries. They wear amazingly beautiful clothes, have interesting art techniques and have one the largest markets for music. Japan is also known for their Geisha girls, martial arts, and bizarre foods. Origins “The Japanese Archipelago includes more than 3,000 islands, covering a total area of 377,835 square kilometers. The four main islands, from north to south, are Hokkaido, Honshu, Shikoku, and Kyushu” (Szczepanski, n.d.). There is evidence that people inhabited Japan 30,000 years ago. According to Szczepanski (n.d.), these people were called Jomon and were hunter and gatherers who lived off the land. Japan first appears in the historical records of China in about 300 BC. There are many theories regarding the evolution of Japan. The most popular is that “Japanese...
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...U.S. Department of Justice Federal Bureau of Investigation 2012 The Strategic Information and Operations Center at FBI Headquarters is the 24/7 command post that monitors FBI operations and law enforcement activities around the globe. An FBI agent examines a potentially contaminated letter during a white powder training exercise. 2012 The FBI Story I A Message from FBI Director Robert S. Mueller, III For the FBI and its partners, 2012 was a year that reminded us once again of the seriousness of the security threats facing our nation. During the year, extremists plotted to attack—unsuccessfully, thanks to the work of our Joint Terrorism Task Forces—the U.S. Capitol, the New York Federal Reserve Bank, and other landmarks on U.S. soil. Tragically, on the 11th anniversary of 9/11, a hateful attack in Benghazi took the lives of the U.S. Ambassador to Libya and three other Americans. In the cyber realm, a rising tide of hackers took electronic aim at global cyber infrastructure, causing untold damages. High-dollar white-collar crimes of all kinds also continued to siphon significant sums from the pocketbooks of consumers. And in Newtown, Connecticut, 20 young children and six adults lost their lives in one of the worst mass shootings in American history, ending a year of violence that saw similar tragedies around the country. Working with its colleagues around the globe, the FBI is committed to taking a leadership role in protecting the nation. As you can see from...
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...SCaring for Kids After Trauma, Disaster and Death: A GUIDE FOR PARENTS AND PROFESSIONALS SECOND EDITION The New York University Child Study Center is dedicated to the understanding, prevention and treatment of child and adolescent mental health problems. The Center offers expert psychiatric services for and intervention. The Center’s mission is to bridge training supported by the resources of the worldclass New York University School of Medicine. children and families with emphasis on early diagnosis the gap between science and practice, integrating the finest research with patient care and state-of-the-art For more information, visit www.AboutOurKids.org. Changing the Face of Child Mental Health Caring for Kids After Trauma, Disaster and Death: A GUIDE FOR PARENTS AND PROFESSIONALS SECOND EDITION DEVELOPED BY: The faculty and staff of the New York University Child Study Center Harold S. Koplewicz, M.D., Director & Founder Marylene Cloitre, Ph.D., Director of the Institute for Trauma and Stress REVISED SEPTEMBER 2006 under the direction of Joel McClough, Ph.D., Director of the Families Forward Program, Institute for Trauma and Stress by Anita Gurian, Ph.D. Dimitra Kamboukos, Ph.D. Eva Levine, Ph.D. Michelle Pearlman, Ph.D. Ronny Wasser, B.A. Permission is granted for reproduction of this document by parents and professionals © 2006 1 C A R I N G F O R K I D S A F T E R T R A U M A , D I S A S T E R A N D D E A T H ...
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