...Abstract Patient safety and Medical errors are one of the major concerns of healthcare industry. Our group decided to throw more light on the present situation of this issue. In this paper we have given a clear picture about the types of errors, how these errors occur and towards the end we have discussed on how to prevent these errors. The implementation of the actions to prevent errors discussed in our paper will help in improving and reducing them. In doing so, we can be leaders in an effort to provide the best care possible to all Americans. We have also discussed about the importance of patient safety. Reducing errors and improving how we respond to error is but a subset of the all-important issue of quality of care. TABLE OF CONTENTS Introduction ……………………………………………………………………………... 5 Regulatory Authority……………………………………………………………………. 5 Patient safety ……………………………………………………………………………. 6 Medical Errors ………………………………………………………………………….. 7 Why medical errors occur? .............................................................................................. 8 When errors are not reported ………………………………………………………….. 8 Types of Medical Errors ………………………………………………………………… 9 Sentinel Events ……………………………………………………………………….. 9 Diagnosis or evaluation ………………………………………………………………. 9 Medical decision-making …………………………………………………………… 10 Treatment and medication …………………………………….…………………..… 10 Dispensing ……………………………………………………………………………11 Procedural complications...
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...Benefits of Technology in Medicine In APA STYLE Abstract Thousands of people die each year as a result of medication errors. Medication errors can be attributed to faults in both humans and medication use systems. Therefore, it is necessary to address resolutions to both of these predicaments. The anticoagulant heparin is amongst the most implicated medications. Thus, it has been documented in the top five high-alert medications. Two notable events that triggered recent interest in this topic are the heparin overdoses that occurred in California, associated with actor Dennis Quaid’s newborn twins, and those affecting neonates in an Indiana hospital. The Failure Mode Effect Analysis (FMEA) is a proactive approach to error prevention. Implementation of an FMEA system would serve as a crucial method that will help to recognize potential failures of a product or process before adverse events occur. FMEA can help identify where the use of technology can be implemented to facilitate the reduction of medication errors, especially pertaining to heparin as in this case. Studies have shown how technology, such as computerized heparin nomagram system (HepCare), smart pump infusion technology, computerized physician order entry (CPOE), and the bar coding system, can reduce medication errors. Expanding nationwide awareness of these methods should result in a significant decline of medication errors...
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...Assignment 3RAI This report is all about understanding how and why organisations store, manage access and protect data. 1.1 Explain why an organisation needs to collect and record HR data Organisations need data as a point of reference or to be able to retrieve information whenever it is needed. Every organisation should keep accurate records and information on their employees in order to be able to use this information for planning ahead for the business. Organisations also need data as a legal requirement. HR data collection enables an organisation to measure against it supporting workforce planning, monitoring progress and development, developing initiatives for generic cases. It identifies and analyses information to aid the organisation in making ultimate decisions both beneficial to the organisation and its employees. 1) Comply with legislative and regulatory requirements regarding equal opportunities, equal pay audits, recruitment, assessing skills balance, absence recording. 2) Monitor training and performance for employees, assessing each individual employee for productivity and identifying training needs. That means assessing the productivity within the business. Being well informed about the workforce is the key to aim the ultimate goal of the organisation. Data collection enables the management team to make informed decisions about future activity. 1.2 Identify the range of HR data that organisations collect and how this supports HR practice ...
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...firms to analyze risks associated with the project, effects it will have whiledevelopment of project. This metrics will help in identifying the risk associated with the projectand will assist in highlighting the likelihood of occurrence of the risk and if it has any negativeeffects or causes any problems what initiatives are to be taken to minimize the risk, as it isdifficult to completely eliminate risk. After understanding the techniques for risk identificationand after using many techniques to identify some very effective and considerable risks that mayaffect the whole project very deeply, we get five risks that may affect the processing of complete project of IT in Xemba Translations. Some of these risks are most serious which means that if they cannot be overcome effectively before the occurrence of these risks in practical life, thenthey can easily ruin the whole project and may lead the project towards complete failure. These risks include: Security Risk Description The IT security breaches can also be the cause of great risks to a business. These include damage to brands, espionage and theft of property intellectual. Meanwhile, companies of allsizes have to deal with a number growing Internet-enabled devices, where most of the"endpoints" are connected to the Internet, especially in large corporations. The major risks of information security may be faced by Xemba Translations are due to the security of information. This risk mostly occurs due to reasons such as...
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...imperative for Gem Infosys to have a plan in place for incident-response / operational readiness in the event of an info security breach. This policy is to coincide with our current group and policies and procedures while expanding on how Gem Infosys will develop an incident-response team (interchangeably IRT), disaster recovery process (interchangeably DRP)and business-continuity plan (interchangeably BCP). The goal is for this to be considered a blueprint / foundation in the event Gem Infosys must deploy resources out in the event of an incident and even more importantly the steps and procedures so that down time is at a near zero time during such security risk. Even though “It takes the enterprise some time to assess the exact effects of the disaster” (Disaster Recovery: Best Practices, 2008). Gem Infosys’ is a small software company with a smaller computing environment currently consist of 10 pc’s, and 6 servers that range from file servers, web servers, and AD servers. At present there is a firewall protecting the network but from running an analysis of response time after the recent attack it took responders 6 hours to realize the breach, 24 hours to determine all the components that have been breached and an additional 24 hours to resolve the issue. This length of response time resulted in Gem Infosys networks being down for 48 complete hours (2 business days). This downtime resulted in great corporate loss and was quite costly. The following points are to outline...
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...MDA Airlines MDA Airlines Risk Register A. Risk Register “The candidate provides a risk register with 8 risks currently facing the business, with substantial detail.” Risk 1|Jet Fuel Prices Fluctuates | Description|Fuel is required to fly aircraft and with fuel prices always changing, it can be very difficult to budget for it on a monthly/annual basis. The cost of fuel is based on the price of crude oil per barrel and is set by global entities. | Source|Global jet fuel prices are always fluctuating. If not able to purchase enough fuel at a reasonable price to store for several months, the company could find themselves well over budget potentially grounding aircraft.| Likelihood of Occurrence|High - Crude oil is traded on the stock market daily with prices fluctuating based on supply and demand.| Severity of Impact|High - If MDA is not able to manage the budget, they could find themselves in a financial bind.| Controllability|Med - The hedging program is intended to mitigate risks associated with increasing crude oil prices and is also intended to make it easier to plan for future fuel costs.| Risk Response|Mitigate - The acquisition and purchase of a refinery were researched by logistics managers that monitored and studied the aircraft fuel supply chain, which discovered that over the years refiners have benefited from increased margins on the sale of fuel. This decision will save millions of dollars and insure a reliable fuel supply for the domestic...
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...Publisher: Global Journals Inc. (USA) Online ISSN: 2249-4596 & Print ISSN: 0975-5861 Investigation of Sigma Level at the Stage of Testing Cement after Packing and Improving it using FMEA Approach By Md. Golam Kibria, Md. Enamul Kabir & S. M. Mahbubul Islam Boby Khulna University of Engineering &Technology (KUET), Bangladesh Abstract- Sophisticated customer demands and advanced technology have changed the way of conducting business. Financial condition of a manufacturing company largely depends on the defect rate of a product. Understanding the key features, obstacles, and shortcomings of the six sigma method allows organizations to better support their strategic directions, and increasing needs for coaching, mentoring, and training. The objectives of this paper are to study and evaluate processes of the case organization, to find out the current sigma level and finally to improve the existing Sigma level through decreasing defects. According to objectives, current sigma level has been calculated, manufacturing process analyzed and suggestions given for improvement. Especially in analyzing phase different analysis tools like Production Layout, Process Block Diagram, Cause and Effect Diagram, Cheek Sheet, Process control chart are used. FMEA is used as improvement tool. By using this it has been possible to improve productivity by reducing defects rate. This research work has been carried out in a cement manufacturing company to show how to implement Six- Sigma in this...
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...collectively. The section on stress analyzes the negative impacts that stress can exert on organizations and methods for managing it to minimize its effect. The foundation of the section revolves around the “transactional theory of stress” which explains how stress is perceived and how individuals respond to it, taking into account the effects of both work and non-work influences on the overall organization. Due to the high cost organizations are faced with associated with employee stress, the section analyzes different practices and methods that can be utilized to manage stress and eliminate issues that cause it. Additionally, a number of different companies and their stress management practiced are discussed as well as resources that can be used to aid organizations. This book is an excellent resource and reference tool for project managers as they face a unique set of challenges based upon the nature of projects and the functionality of project organizations. The stress section was particularly beneficial in describing the stressful effects that scope creep can exert on project teams, mainly due to the unpredictable and unforeseen nature of scope creep. Understanding not only how to cope with stress, but understanding the effects stress has on a project team can enable project managers to better manage it in terms of minimizing the impact that scope creep can have on projects. It is not...
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...of M.Com. (Part - I) Roll No. : 38 hereby declare that the project title “disaster management ” for the subject strategic management submitted by me for semester - I of the academic year 2015-16, is based on actual work carried out by me under the guidance and supervision of PROF.vinodchadwani. I further state that this work is original and not submitted anywhere else for any examination. PLACEAmarkumarSuryawanshi ROLL NO: 38 DATE ACKNOWLEDGEMENT It is indeed a great pleasure and proud privilege to present this project work. I take this opportunity to express my gratitude and acknowledge to all the individuals involved both directly and indirectly for their valuable help and guidance. This project has been an attempt to give information about the “disaster management”. I expressed my deep since of gratitude to founder and president of VidyaPrasarakMandal. I express my heartful thanks to our honorable Principal for her constant support and motivation. I express special thanks to my guide Prof. Vinodchandwaniunder whose guidence the project conceived , planned and executed. I would also like to thank the college library and its staff for patiently listening and guiding me. I would like to thank my family also. Thank You. Index Chapter 1 Introduction People around the world face a wide variety of risks arising from health,weather, and policy related shocks (Fafchamps, 2001; Dercon, 2006). However, naturaldisasters, i.e.,...
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...Agency Name Project Name Risk Assessment and Management Process (RAMP) Version: (n) Date: (mm/dd/yyyy) Document History and Distribution 1. Revision History |Revision # |Revision Date |Description of Change |Author | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 2. Distribution |Recipient Name |Recipient Organization |Distribution Method | | | | | | | | ...
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...Risk Management Assesment Risk Management Assessment Baptist Hospital of Miami is currently analyzing the possibility of developing risk management strategies that will ensure to meet all needs or the organization related to quality management. Every plan needs to be approved by every member of the board of directors. The purpose of the Clinical Risk Management Plan is to support the vision and mission of Baptist Hospital of Miami as it pertains to risks associated with the safety of employees, patients, visitors, volunteer, staff, third parties; also operational risks and property risks. The risk management plan will basically guide the process of development and implementation of a risk management program. The risk management promotes the philosophy of Baptist Hospital of Miami that the risk management and patient safety is responsibility of members of the organization and team cooperation is essential for an effective and efficient functioning. Baptist Hospital of Miami believes that organizational errors should be addressed through the implementation of evidence-based practices, constructive feedback, and learning from error analysis. Clinical errors should be addressed by using the following: • Proper report and analysis of errors related to medical or patient care. • Proactive identification of hazards and unsafe conditions. • Open discussions of mistakes. • Open acceptance of system improvements. The...
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...Global Community Failure to Eradicate Genocide Name: Course: Tutor: Date: Abstract When it comes to global criminology, the subject is fatal in the sense of reprisals accustomed to it. In any case, international criminal activities are largely based geopolitical factors rather than the genuine purpose of ending human to human barbarism. This paper will attempt to prove that ‘global community’ commitment to end genocide events is categorically challenged by lack of sufficient devotion to ‘the pledge’ to eradicate the vice. The paper is structured into three main parts and one secondary part. The background will attempt to examine the scholarly effort attempting to relate the basis of global community pledge and the general act of genocide. A further sub category of this part will introduce the role played by United Nations in minimizing genocide. The second section will be substantial in analyzing past genocide events; courtesy of three relevant examples, Cambodia, Sri Lanka and Rwanda. In this section, the document will examine the various roles played by United Nations in fueling the genocide. The third section will examine 21 century events, and how United Nations has chosen a back player in preventing the occurrences of these genocides. The secondary section will attempt to examine the role played by International Criminal Court and how it has been challenged in limiting genocide events. Background Research has attempted relate the end of the holocaust and the emergence...
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...Assignment No. 6 1. Define quality. Quality is the degree to which the design specifications for a product or service are appropriate to its function and use, and the degree to which a product or service conforms to its design specifications. 2. What do you mean by inspection? Enumerate the objectives of inspection. Inspection is the most common method of attaining standardization, uniformity and quality of workmanship. It is the cost art of controlling the production quality after comparison with the established standards and specifications. It is the function of quality control. The objectives of inspection are the following: To detect and remove the faulty raw materials before it undergoes production. To detect the faulty products in production whenever it is detected. To bring facts to the notice of managers before they become serous to enable them discover weaknesses and over the problem. To prevent the substandard reaching the customer and reducing complaints. To promote reputation for quality and reliability of product. 3. What do you mean by ‘control’? Control is the process through which the standards are established and met with. This process consists of observing our activity performance, comparing the performance with some standard and then taking action if the observed performance is significantly too different from the standards 4. Define the control process. The control process involves a universal sequence of steps such as:...
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...B. Create a business contingency plan (BCP) that the company would follow if faced with a major business disruption (e.g., hurricane, tornado, terrorist attack, loss of a data center, the sudden loss of a call center in a foreign country, the collapse of a financial market or other catastrophic event) in which you include the following: Business Contingency Plan (BCP) Definition: “Business continuity planning (BCP) ‘identifies an organization's exposure to internal and external threats and synthesizes hard and soft assets to provide effective prevention and recovery for the organization, while maintaining competitive advantage and value system integrity’. It is also called business continuity and resiliency planning (BCRP). A business continuity plan is a roadmap for continuing operations under adverse conditions such as a storm or a crime,” (Business continuity planning, n.d.). 1. Analyze strategic pre-incident changes the company would follow to ensure the well-being of the enterprise: Notes: outline proactive suggestions that can be made in advance of potential risks actuating into disaster, e.g., training, drills, company policies and procedures and so forth. Create strategic pre-incident strategy that incorporates the following elements and considerations: • Identify potential risks for each IPC business operation in all its domestic and international locations. This identification process may include: Potential risks may be inherent to the various IPC business...
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...The Principles of DFX in context of DFSS The Principles of Design for X in the context of DFSS The Design for X is an effective technique for implementing Concurrent Engineering. It concentrates on a limited number of critical elements at a time, for example seven plus or minus2. The permit the present resources to be put into effective use. For example, Design for Assembly (DFA) concentrates on the enterprise process of an Assembly that is part of the life cycle production. DFA take into account five to nine key factors associated with the subject product, incorporating part symmetry, weight, fits, size, form features, orientation and so on. It takes into account 5-9 key factors associated with the assembly process such as gripping, special tooling, inserting, equipment, handling and so on (Filippi & Cristofolini, 2009). Careful examination of these issues and their association leads to a better design conclusion with respect of the ease of assembly. Additionally, an atmosphere of teamworking cooperation is formed, thus assembly efficiency is enhanced. The letter X in the DFX is composed of two sections: performance ability and life-cycle processes x. It is a concurrent approach to DFSS, but DFX concentrates on important business elements of concurrent engineering, that is, maximizing the utilization of the scarce resources to the DFSS team. In addition, DFX offers a systematic technique for analyzing design from a spectrum of perspectives. It empowers teamwork within...
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