...described this issue as “the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim” (IOM, 1999). Medical errors include but are not limited to medication errors, errors associated with medical and surgical procedures, those associated with transcription and charting activities, adverse drug events, restraint-related injuries, or mistaken identities and are more likely to occur in the emergency room, operating room and critical care units (IOM, 1999; Rogers, Dean, Hwang & Scott, 2008). The purpose of this paper is to address the serious problem of medical errors in healthcare in general and specifically the techniques critical care nurses employ to identify, correct and/or interrupt such problems (Henneman, Gawlinski, Blank, Hennema, Jordan & McKenzie,...
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...Best Work Places MGT415: Group Behavior In Organizations Best Work Places With millions of existing companies, and over half a million new businesses attempting to start and develop every year (SBA, 2012), it is no small feat to be recognized in Fortune Magazine’s annual list of the 100 best workplaces for employees. Since 1998, Fortune Magazine has compiled this list of exceptional companies by taking into consideration employer and employee relations, workplace environments and employee satisfaction. This year’s top spot belonged to Google, with Wegman’s Food Market coming in at the number 5 spot, and Dreamworks Animation just missing the top ten with a spot at number 12 (Fortune, 2013). For each of these companies, it is easy to see they set an exceptional example of fostering group cohesiveness and rely heavily on employee motivation. For another year, Google Inc. has clenched the top spot on the list of best workplaces by Fortune Magazine. With over thirty five thousand employees, Google has made it a top priority to foster its work environment to offer its employees a rewarding work experience. According to George Homan’s theory of exchange in groups, a group becomes more attractive to potential members by offering maximum rewards but at a minimal cost to the new member (Losh, 2012). Google knows “that every employee has something important to say, and that every employee is integral to our success. We provide individually-tailored compensation packages that...
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...important to identify the errors that are occurring. These errors can be great or small. Reporting all errors in comfortable procedural manner will only improve the quality of care in an organization. If errors are not reported or downplayed there will not be the true reflection of what is going on, thus improvements will not occur. The staff must feel safe about reporting errors and understand that there will not be negative punishments for their report, but rewards for letting management know. Quality improves when they are all called to the attention of administrative staff. Ways to identify errors is to know the patients, know the staff, know plans of care, know policy and procedure and check and update all of these regularly, (Henneman, et. al., 2010). It is important to stop errors that are occurring. Those with experience and confidence have the ability to catch errors and correct them. It is important to have a good mix of staff with new and experienced staff mixed during shifts. The key to fixing errors are first to...
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...which the health professional has to work. Firstly, I have observed that the medications timings and omission due to work overload or absence of the patient on the floor are a frequent issue. Which is not reported to the MD, e.g., antibiotics which need to given on time otherwise the organism will resistant, and it will be a waste of time, money causes longer stay in the hospital. It may be due to the lack of awareness regarding medications and believe that it did not have harm/ adverse effect on the patient (Scott, & Henneman, 2017). Secondly, lack of knowledge or fear of incident reporting. It may be due to the adverse reaction of the colleagues and management. According to IOM 1999, for the patient safety, it is essential for the management to establish the trusting relationship among staff and encourage them to report incidences for the cause. The suggestion was made that the anonymous reporting should be established to increase the reported cases (Scott, & Henneman, 2017). Lastly, the education among staff is the key to success related to the new information technology. A lot of new introductions of technology create stress and burden for staff especially the senior nurses who used to document on papers. Nurses are spending more time on electronic chartings rather than the patient needs. I feel like the new technologies are making nurses robots and increasing responsibilities which is still not safe for the institution and the...
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...Stephan Scheeren & Sem Henneman CO1A 21 – 11 – 2012 Bedrijf: Nintendo Communicatieprobleem: De Wii console wordt slecht verkocht na een grote productiefout. De fout is inmiddels al opgelost maar is niet goed gecommuniceerd naar de consumenten. Uitdaging: Naar de consument communiceren dat het probleem met de Nintendo Wii is opgelost zodat de consument weer vertrouwen krijgt in het product(en merk). Beleid: Nintendo wil concurreren op de markt van serious games door de Wii aantrekkelijker te maken voor de consument tussen de 16 en 30 jaar. Missie: Nintendo wil niet alleen marktleider zijn op het gebied van kinder en familie games maar wil ook concurreren op de markt van serious games. Visie: Nintendo wil consoles maken voor het familie plezier door een nieuwe manier van spelen(Wii, 3DS) Strategie: Identiteit: De identiteit van Nintendo straalt een nieuwe vorm van gamen uit, het is een console voor jonge kinderen en de familie. Product: De Nintendo Wii is een product dat al een tijdje bestaat nu. Eens was het een nieuwe manier van gamen door je lichaam te gebruiken en was het een hele beleving voor iedereen om te ‘’Wiien’’. Nu de Wii heeft is dus al vroeg volwassen geworden en neigt nu naar de neergang, de Wii wordt alleen nog maar gekocht door jonge kinderen en huisvrouwen voor Wii Sport. Maar ondanks dat wordt de Wii nog steeds veel gekocht omdat het amper concurreert met de Xbox 360 en Playstation 3. Structuur: Cultuur: Huidige communicatiemiddelen:...
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...The Construction and conservation of the Abbey-Church of Saint-Foy in Conques By John Lester Art History 409, Fridays April 25, 2014 There are a thousand different architectural styles that can be utilized to build a church of God but Romanesque is one of the most beautiful architectural styles. The abbey-church of Saint-Foy has endured in its Romanesque form for nearly a millennium. Saint-Foy abbey-church was named for the reliquary in its possession and is located in the small town of Conques (Fig. 1). The initial founders, during the medieval period thought this site was gorgeous, a haven from the external world and the perfect location for a church. The original monastery was built in the eighth century by monks who wanted to escape Muslim persecution. They also brought the reliquary of St-Foy, which was stolen by a Benedictine monk from another monastery and installed in 866. Because of the theft of the reliquary this church was able to expand by becoming an important stop for pilgrims traveling to Santiago de Compostela. The monks started building the new church around the 11th century and finished by the middle of the 12th century. The distinctive look, Stages of construction, as-well-as architectural frame and decorative sculptures makes this abbey-church a very important and beautiful stop for the pilgrims on their way to Santiago de Compostela. Just like many other pilgrimage churches, St.-Foy is a crucifix form plan. Galleries were built on top of aisles...
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...Evidence-based practice has gained particular salience in nursing and health care and is also applicable to social practice.(Photo: Medioimages/Photodisc/Photodisc/Getty Images) In theory, practice and theory are the same. In practice, they are not. Evidence-based practice has gained prominence over more theoretical approaches in several areas, particularly in the field of health care. Theory-guided and evidence-based practice share the common goal of making the right decision and finding the most effective solution for a perceived problem. However, they have some core philosophical differences. Sponsored Links * Full-Text Journal Library Browse millions of journal articles from top academic publications. www.questia.com/Journals Features Greek philosopher(Photo: Maros Markovic/iStock/Getty Images) At its core, the divide between evidence-based practice and theory-guided practice can be traced back to an ancient divide often found in science and philosophy: That of rationalism versus empiricism. Extreme rationalists claim that our senses are limited and place all their trust in reason. In contrast, empiricists claim that sense experience is the source of all our concepts and knowledge. While their positions are not so extreme, theory-guided practice follows a rather rationalist approach, while evidence-based practice favor empirical knowledge. Read more : http://www.ehow.com/about_6646089_difference-practice-evidence-based-practice.html The movement for evidence-based...
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...Continuum of Care Presentation Annotated Bibliography Stephanie E Whitfield HCS/235 November 16, 2015 George Fisher Continuum of Care Presentation Annotated Bibliography Clemens-Cope, Lisa and Kenney, Genevieve. (2007). Low Income Parents' Reports of Communication Problems with Health Care Providers: Effects of Language and Insurance. Public Health Reports, 122, 206-216. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1820424/?tool=pubmed The research article discusses a study about parental reports of communication problems with health care providers, focusing on low-income families. The researchers use literature and quantitative analysis as the primary methods in their study, and they analyze data from the 1999 and 2002 National Survey of America's Families. The results show that 24.4% of low income parents reported poor communication with health care providers, and foreign-born parents were 11.8% more likely to report communication problems than American-born parents. The authors advise using professional translating services in hospitals and clinics to reduce communication barriers and improve health care. Flores, Glenn. Language Barriers to Health Care in the United States. The New England Journal of Medicine. Volume 355:229-231 (July 20, 2006), Number 3. http://content.nejm.org/cgi/content/full/355/3/229 This article discusses the grave medical miscommunications and the increased incidence of adverse clinical consequences that occur...
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...INTRODUCTION: The skeletal muscle is an important organ in the human body that allows for movement and support of the skeleton, helping the body execute various tasks from precise control movements (writing a letter or picking up a chalk) to more abrupt, powerful movements (lifting weights or running). The skeletal muscle is one of the main types of muscle in the body (the other two being cardiac and smooth muscles) that allows movement by contraction of the muscles. When a motor unit, a single nerve that innervates all the muscle fibers, activates these muscles fiber, it causes a muscle contraction. These muscle contraction occurs when motor neurons from the spinal cord leaves and activates multiple muscle fibers, the number of muscle fibers depend on the type of muscle. According to the Hennemen size principle, muscles that react rapidly and exert fine control have smaller motor units than those with larger, weight-involving muscles, whose movements are less precise, will require larger motor units. The means of movement and force generation is based on the skeletal muscles contraction. Contractile units of the skeletal muscles include thick myosin and thin actin myofillaments or fillaments. Sarcomere is the smallest contractile unit of a muscle fiber. The repetition of the sarcomere structure make up myofibrils and hundreds to thousands of these myofibrils make up a single muscle fiber (Sherwood 258). Contraction is initiated by an increased in the intracellular calcium...
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...Business Research for Decision Making IP 2 Tonja A. Brooks AIU Online Abstract This paper attempts to develop a framework for interrelationships among human resources information systems (HRIS), outsourcing, and corporate culture. This research investigates impacts of outsourcing HRIS on corporate culture. In this paper, we hypothesize that Outsourcing corporate HRIS is less desirable (1) if the quality of product and customer service matters for a firm, (2) if an organization is concerned with a loss of intellectual property, and (3) if an organization requires maintenance of a distinctive, human resource utility activity that is capable of meeting the challenges of fast changing customer demands in a dynamic business environment. In addition, this paper argues companies must be aware of the total costs associated with HRIS before outsourcing its human resource functions. Finally, the impact on employee morale and implementation must also be considered. By outsourcing HRIS, managers will be able to spend more time and resources dedicated to an employee’s professional career development. Business Research for Decision Making – IP 2 Introduction There has been a tremendous amount of research and studies done on corporate culture, outsourcing, and HRIS; however, there have been only menial research and studies done on Outsourcing HRIS and the sense that it has on the corporate culture. Hagood and Friedman [9] argue that the need for an organization to measuring...
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...sign recording, lack of knowledge, failure to respond to abnormal signs, lack of knowledge, lack of supervision and failure to report deterioration or seek advice, have all contributed to the suboptimal care of ward patients (Odell, Victor & Oliver, cited in McGloin et al. 1999; McQuilla et al. 1998; Smith & Wood 1998; Hodgetts et al. 2002, p. 1993). With constant observation established, patient safety is implemented and surveillance is then incorporated to be able to identify and prevent possible medical errors and adverse events that may be encountered. The purpose of surveillance is the early identification of risk and the need for intervention and to alert nurses to both anticipated and unanticipated changes in patient’s condition (Henneman, Gawlinski & Giuliano 2012). With both effective observation and surveillance integrated to the nursing practice,...
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...Course Project Leadership and Organizational Behavior in Action Title: Evaluating Reward Systems GM 591: Leadership and Organizational Behavior Table of Contents Introduction....................................................................................................................... 4 Problem statement.............................................................................................................. 4 Body................................................................................................................................... 4 What are reward systems................................................................................................... 4 How reward systems can improve companies.................................................................... 4 Case study Company - history on Oakley Inc..................................................................... 4 Job positions to be evaluated - National Sales Rep........................................................................................................... 4 - Outside Sales Rep............................................................................................................ 4 Reward systems................................................................................................................. 4 ...
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...ICNE YALE #98 ETHICAL PROBLEMS ENCOUNTERED BY NURSING STUDENTS IN TURKEY Fethiye Erdil and Fatos Korkmaz Nursing students increasingly encounter ethical problems during their clinical practice which sometimes infringe the rights of patients. However, so far there is no study in Turkey on the extent of problems from the perspective of nursing students, as well as how nurses are involved in ethical decision making process. This study is conducted at Hacettepe University Health Science Faculty Nursing Department with the aim of identifying the ethical problems confronted by nursing students. Eighty-four third class and 69 senior nursing students were volunteers to participate in this study. Their age ranged from 19 to 23 years. All participants have taken the course entitled ‘Nursing History and Deontology’ which include 14 hours ethical content. Students were asked to describe moral problems that they observed or encountered during their clinical practice. Ethical problems at clinical practice were reported as physical maltreatment of patients (28%), inappropriate approaches toward patients which cause psychological distress (24%), violation of privacy (21%), providing inadequate information (16%) and discrimination based on the social and economical status (16%). The reasons of these ethical problems were stated by students as the unprofessional conduct of physicians (34%) and nurses (44%), and ineffective hospital management (9%). The most striking finding of this study...
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...Abstract: Research indicates that the nutritional knowledge of athletes is minimal. Dietary behaviors may hinder health status and athletic performance. The purpose of this study was to compare nutrition knowledge and attitudes of college athletes at a Southern university (N=190). Male and female athletes were surveyed from all sports. The study examined knowledge of current dietary recommendations, sources of nutrients, healthy food choices, and the relationship between diet and disease processes. Significant differences in overall knowledge were noted between athletes’ collegiate sports and genders. The majority of athletes at this university had healthy attitudes about eating behaviors, but low knowledge scores. A problem facing America’s college youth today is the lack of available healthy fast foods or easily prepared foods. College students have little time and space when it comes to meal preparation within the confines of dorms, apartments, or shared housing. An additional concern is the knowledge needed to determine which food items to select. Current research indicates that as the athletes’ knowledge increases, nutritional quality of food choices improves (Kunkel, Bell, & Luccia, 2001). Nutritional Education and Training (NET) programs are taught to children in most public schools (Sizer & Whitney, 2000), yet few college-age students understand even the basic concepts of nutrition by the time they reach a university setting (Cho & Fryer, 1974; Grandjean, Hursh...
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...WORD COUNT 4399 The assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the...
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