...associated infections (HAIs). The World Health Assembly (WHA) held on 18th May 2012 passed a resolution that addressed the issue of patient safety and quality in health care (Briš & Keclíková, 2012). WHA called for continued improvements in health care quality and patient safety (Briš & Keclíková, 2012). Therefore, there is a need to evaluate the existent health care systems in order to identify the causes of risks and come up with a plan that can improve health care standards. The plan should also aim at improving the safety techniques applied in other high risk industries, such as the mass transportation, chemical engineering, and nuclear power generation sectors (Shillito, Arfanis, & Smith, 2010). According to the accident causation model developed by Reason in 1990, accidents are caused by many factors that work in concert (Shillito, Arfanis, & Smith, 2010). Such accidents must be prevented by instituting the necessary checks and controls within the system (Shillito, Arfanis, & Smith, 2010). According to Shillito, Arfanis, and Smith (2010), checking behavior can improve the quality and safety of the health care system. Many countries are looking for methods that can be used to measure the safety of their health care systems (McConchie, Shepheard, Waters, McMillan, & Sundararajan, 2009). This paper demonstrates the critical importance of quality and patient safety and how it can influence and impact the...
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...associated infections (HAIs). The World Health Assembly (WHA) held on 18th May 2012 passed a resolution that addressed the issue of patient safety and quality in health care (Briš & Keclíková, 2012). WHA called for continued improvements in health care quality and patient safety (Briš & Keclíková, 2012). Therefore, there is a need to evaluate the existent health care systems in order to identify the causes of risks and come up with a plan that can improve health care standards. The plan should also aim at improving the safety techniques applied in other high risk industries, such as the mass transportation, chemical engineering, and nuclear power generation sectors (Shillito, Arfanis, & Smith, 2010). According to the accident causation model developed by Reason in 1990, accidents are caused by many factors that work in concert (Shillito, Arfanis, & Smith, 2010). Such accidents must be prevented by instituting the necessary checks and controls within the system (Shillito, Arfanis, & Smith, 2010). According to Shillito, Arfanis, and Smith (2010), checking behavior can improve the quality and safety of the health care system. Many countries are looking for methods that can be used to measure the safety of their health care systems (McConchie, Shepheard, Waters, McMillan, & Sundararajan, 2009). This paper demonstrates the critical importance of quality and patient safety and how it can influence and impact the...
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...a question of this nature than just to end the pain and suffering of the person that is requesting to end their life. The financial burden that it would place on all of the people involved with the persons estate, with all of the charges for extended care and medications that we all know that insurance and either Medicare or Medicaid do not cover. There are always co-pays and many other things that are not covered by insurance and it is too soon to be able to know what kind of coverage that the Affordable Care Act will provide the terminally ill patients. It is my opinion that if I were facing such a situation that I would not want to burden my family with all of the expenses of a long illness and would be more than happy to be able to avoid all of the suffering and pain involved in a terminal illness of any type. Living wills are a legal form of choosing weather or not you want to be resuscitated and put on life support in the case of a horrible accident. It seems to me that this is a form of choosing to end your life and not have to exist as a vegetable or suffer the indignity of being paralyzed or in a comatose state. I for one do not just want to live just for the sake of...
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...This book is all about how things around will be affected by a simple or small change. This book is entitled “The Tipping Point” and is written by Malcolm Gladwell. I believe this is the best book among the three that I’ve read. For me this is the most interesting book of the three. The reason for that is because the different stories here are more relatable than the stories from the other two books. There are so many things that are interesting about this book. The first thing that caught my attention was the first part of the book which contains the acclaims for this book. Just by reading those lines, you would get the feeling that there are a lot of things that you would learn from the book. True enough, once you’ve finished reading the book you would make certain realizations about life and agree with what Gladwell says in the book. The next part that caught my attention is the part where he talked about yawning being contagious. Before reading this part I already know that yawning is a contagious act, that if one person sees you yawning he or she would also yawn few moments after you started yawning. What I didn’t know is that just by also reading the word “yawn”, a person would also be yawning, and I’ve experienced it first hand when I read this part. I yawned a few times before I finished reading that part, and after reading that part I said to myself that I shouldn’t read when I’m tired especially when there is the word “yawn”. Next thing is chapter 1 when he started...
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...HISTORY OF DENTISTRY ANCIENT DAYS - 5000 BC- A Sumerian text of this date describes “tooth worms” as the cause of dental decay. - 2600 BC-Death of Hesy-Re, an Egyptian scribe, often called the first “dentist.” - 1700-1550 BC- Ebers Papyrus, refers to diseases of the teeth and various toothache remedies. - 500-300 BC- Hippocrates and Aristotle write about dentistry, including the eruption pattern of teeth, treating decayed teeth and gum disease, extracting teeth with forceps, and using wires to stabilize loose teeth and fractured jaws - 100 BC- Celsus (Roman medical writer) writes extensively in his important compendium of medicine on oral hygiene, stabilization of loose teeth, and treatments for toothache, teething pain, and jaw fractures. - 166-201 AD- The Etruscans practice dental prosthetics using gold crowns and fixed bridgework. MIDDLE AGES THE BEGINNING OF PROFESSIONALISM - 700-A medical text in China mentions the use of “silver paste,” a type of amalgam. - 1210- A Guild of Barbers is established in France. Barbers eventually evolve into two groups: * Surgeons-educated and trained to perform complex surgical operations * Lay barbers, or barber-surgeons, who performed more routine hygienic services including shaving, bleeding and tooth extraction. - 1400- A series of...
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...uncertainty with handling or honoring complexity and ambiguity when confronted with times of struggle. Traditional models of care fall short as patients and families define their expectations of the healthcare system. Nurses bear witness to the discomfort caused by the unknown in their daily practice. They are challenged to address their feelings, unsure of what to anticipate, what to say, or how to respond to their patients. Uncertainty diminishes the opportunity for meaningful dialogue between nurses and other people. Nurses attempting to ease the discomfort of ambiguity by providing patients or families with reassurance, offering advice on how to fix problems, or avoiding talking about situations often express dissatisfaction. Nurses should be invited to explore ambiguity and seek understanding through dialogue and nursing knowledge. Encouraging nurses to define the meaningfulness in nursing practice that embraces human science theory will help relieve some of the ambiguity that exists in current practice. This article will explore the concept of ambiguity, highlight how nursing theory based on human science can support practice, and propose recommendations for practice. urrent trends in the healthcare system call for nurses to build the capacity to practice in situations that require complex decision making on the part of practitioners, patients,...
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...What is Balanced Scorecard? In the early 1990s, Balanced Scorecard was developed as a new approach to performance measurement due to troubles of short-termism and past orientation in management accounting (Kaplan and Norton 1992). Balanced scorecard is a strategic planning and management system that is widely used in business and industry, government, and nonprofit organizations to side with business activities to improve internal and external communications and monitor organization performance against strategic goals (Balanced Scorecard Basics n.d) The balanced scorecard has changed from its simple performance measurement structure to a full strategic planning and management system. The balanced scorecard has evolved from its early application as a simple performance measure framework to a full strategic planning, a simple public presentation-measuring framework to a full strategic planning (Balanced Scorecard Basics n.d).The new balanced scorecard transforms an eye-catching but unreceptive document into the "marching orders" for the organization on a daily basis. It offers a framework that provides performance measurements as well as helping planners identify what should be through and considered. It also enables executives to truly implement their policies (Balanced Scorecard Basics n.d) The balanced scorecard does not only focus on attaining financial objectives, furthermore, it emphasizes the nonfinancial objectives that an organization must accomplish to convene and...
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...(hospitals etc), have been changed. This work has not been submitted for any previous award. Date …17/5/2015……. Managing the Needs of Patients with Diabetes Mellitus LO1 Type 2 diabetes is a serious chronic condition affecting the body’s ability to regulate blood glucose levels. According to Diabetes UK (2012), there were 2.9 million people in the UK diagnosed with diabetes in 2012, and this is estimated to increase to 5 million by 2025. Up to 90% of people with diabetes are thought to be type 2. According to Diabetes UK (2006), many are unaware they have the condition and it can lead to long-term complications including eye problems, kidney disease, foot ulcers and cardiovascular disease. Gregg et al (2005), states advances in preventative medicine have seen an effective reduction in the burden of risk from hypertension and hyperlipidaemia but the incidence of diabetes has continued to rise, driving cardiovascular rates. There has been much done in recent years to identify people who are at high risk of developing diabetes. This assignment will discuss the link between diabetes, obesity and cardiovascular disease. It will also identify lifestyle and behaviour changes involving the multi-disciplinary team and structured patient education of diabetics. The case study for this assignment is Mrs Smith, newly diagnosed with type 2 diabetes and a family history of heart disease and diabetes. She leads a sedentary...
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...Restrained, sincere, fair minded presentation Appropriate level of vocabulary Correct grammar | Vivid, concrete language Emotionally loaded language Connotative meanings Emotional examples Vivid descriptions Narratives of emotional events Emotional tone Figurative language | | Effect | | Evokes a cognitive, rationale response | Demonstrates author's reliability, competence, and respect for the audience's ideas and values through reliable and appropriate use of support and general accuracy | Evokes an emotional response | Definitions Logos: The Greek word logos is the basis for the English word logic. Logos is a broader idea than formal logic--the highly symbolic and mathematical logic that you might study in a philosophy course. Logos refers to any attempt to appeal to the intellect, the general meaning of "logical argument." Everyday arguments rely heavily on ethos and pathos, but academic arguments rely more on logos. Yes, these arguments will call upon the writers' credibility and try to touch the audience's emotions, but there will more often than not be logical chains of reasoning supporting all claims. Ethos: Ethos is related to the English word ethics and refers to the trustworthiness of the speaker/writer. Ethos is an effective...
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...he had little time to chat, Farrell used the near-collision as an opportunity to quickly mention a recent conversation with a nurse from Falmouth Hospital on Cape Cod. An active participant in the TeleStroke service, Falmouth Hospital was regularly honored for its adherence to best practices in stroke care. “Recently some Falmouth nurses asked how we can convince other MGH departments—such as in critical-care pediatrics—to provide similar telemedicine consultation services,” Farrell stated, adding “Their nurse stroke coordinator, Jean Estes, is a huge cheerleader for TeleStroke.” Dr. Schwamm continued moving toward his office as he replied, No tC Shawn, don’t we already have too much to do? I need to see patients, complete the analysis for a study I am working on, submit a grant application. Next week I will speak at an international neurology conference. Telemedicine can certainly be invaluable in many clinical domains, but there just are not enough hours in the day for us to get involved beyond stroke care. Before entering his office and shutting his door, Dr. Schwamm added one last remark: “We can’t do everything, Shawn—but we can do TeleStroke very well.” Shawn Farrell was not a medical doctor. A graduate of the Boston University School of Management, he had worked as an operational manager in several Boston area hospitals...
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...2. Buddhist Socio-Political Philosophy 2.1. Meaning of Political Philosophy Political philosophy is the study of a person?s political and ideological formulations; it deals with the state, the government and the sovereignty or the ruler. In a given society, the state and the government need to regulate the power relations among people. It is the conceptualization of such relations that is central to political philosophy. In a given society, a distinct institution may structure these power relations between people. For example, in India caste is a key instrument in the structuralization of power relations, engendered to establish hegemonic and subordinate relations among people.[footnoteRef:2] [2: Kancha Ilaiah, God as Political Philosopher,...
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...organisation: A multiple criteria approach based on balanced scorecard E. Grigoroudis n, E. Orfanoudaki, C. Zopounidis Technical University of Crete, Department of Production Engineering and Management University Campus, Kounoupidiana, 73100 Chania, Greece a r t i c l e i n f o Article history: Received 5 July 2010 Accepted 11 April 2011 Processed by Triantaphyllou Available online 20 April 2011 Keywords: Health service Multicriteria analysis Case study Performance measurement Balanced scorecard Business strategy a b s t r a c t The Balanced Scorecard (BSC) methodology focuses on major critical issues of modern business organisations: the effective measurement of corporate performance and the evaluation of the successful implementation of corporate strategy. Despite the increased adoption of the BSC methodology by numerous business organisations during the last decade, limited case studies concern non-profit organisations (e.g. public sector, educational institutions, healthcare organisations, etc.). The main aim of this study is to present the development of a performance measurement system for public health care organisations, in the context of BSC methodology. The proposed approach considers the distinguished characteristics of the aforementioned sector (e.g. lack of competition, social character of organisations, etc.). The proposed measurement system contains the most important financial performance indicators, as well as non-financial performance indicators that are...
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...theory, alcoholism is a learned response. This often happens at a young age. A child may see things around them or on TV of people drinking and they tend to believe that is the right thing to do. This addiction is primarily believed to be because of society's influences. This often will affect persons who mostly drink in groups. This theory is based more on the peer pressure a person might receive, so they often turn to alcohol drinking problems during college years. Moreover, it has become a public health concern because of its effect on the future of a child. The goal of the current study is to assess the primary psychosocial factors that predict problem drinking among college students. Variables examined included demographic variables, personality, drinking history, alcohol expectancies, drinking motives, stress and coping, activity involvement, and peer and family influence. Evidence from studies of college drinking indicated that the variables associated with...
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...Service QualityLEARNING OBJECTIVESAfter completing this chapter, you should be able to: 1. Describe and illustrate the five dimensions of service quality. 2. Use the service quality gap model to diagnose quality problems for a service firm. 3. Describe how the SERVQUAL survey instrument is used to measure gaps in a service firm's quality. 4. Illustrate how Taguchi methods and poka-yoke methods are applied to quality design in services. 5. Construct a "house of quality" as part of a quality function deployment project. 6. Construct a statistical process control chart for service operation. 7. Use a fishbone chart in a cause-and-effect analysis. 8. Compare and contrast the quality program features espoused by Philip Crosby and W. Edward Deming. 9. Describe the features of an unconditional service guarantee and its managerial benefits.10. Discuss the concept of a service recovery.Service "with a smile" used to be enough to satisfy most customers. Today, however, some service firms differentiate themselves in the marketplace by offering a "service guarantee." Unlike a product warranty, which promises to repair or replace the faulty item, service guarantees typically offer the dis satisfied customer a refund, discount, or free service. Take, for example, the First Interstate Bank of California. After interviewing its customers, the bank management discovered that they were annoyed by a number of recurring problems, such as inaccurate statements and broken automatic teller machines...
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... quality, and services for millions of Americans with health and behavioral health needs. Social workers practice as part of health caretailing the factors necessitating health care reform in the United States. Second, it analyzes whether a constitutionally protected right to make personal health care decisions exists under the Fifth and Fourteenth Amendments' Due Process Clauses. Finally, the article analyzes the susceptibility of government-sponsored health care-specifically proposals which include a public option-to due process challenges and makes suggestions to avoid any potential fundamental rights violations. [PUBLICATION ABSTRACT] quirement to purchase health insurance. It also examines some recent Canadian constitutional law cases to anticipate possible future legal challenges to health care reform in the United States. INTRODUCTION The question of the reform of the American system of financing health care has, of course, recently been a central focus of debate in American politics. Because the author of this paper is something of a "political junkie" and keeping current on this issue seemed a desirable part of being a law professor at the current moment, I decided to investigate and examine what legal issues have been involved in the health care reform debate. To a fair degree, what I discovered was that the health care issue is primarily focused on politics, ethics, and economics, rather than on legal issues. But a variety of legal issues have surfaced in...
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