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Quality
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What is Quality?

Quality is a broad, cross-disciplinary concept studied in business, healthcare, nursing, marketing, and organizational management courses. It encompasses the standards, processes, and outcomes that determine how well a product, service, or system meets defined expectations. In healthcare contexts, quality is closely tied to patient safety, culturally competent communication, and holistic care planning. In business settings, frameworks such as Total Quality Management — referenced directly in course materials like Oakland's TQM textbook — provide structured approaches for analyzing how organizations improve performance and reduce deficiencies across operations.

The papers archived on this topic reflect a wide range of analytical approaches. Healthcare-focused essays examine quality through patient-centered lenses, including nursing care plans for terminally ill patients, quality of life concerns for those with renal failure, and psychiatric nursing challenges such as bipolar disorder management. Business-oriented work tends toward case studies and simulations, drawing on examples like the Tanglewood case and buyer behavior analysis to evaluate organizational decision-making. Some essays address quality at the intersection of culture and care, exploring how cultural differences in healthcare settings affect outcomes and communication effectiveness.

A strong essay on quality requires a clearly scoped thesis that identifies a specific dimension — process, outcome, or standard — rather than treating quality as a vague ideal. Evidence drawn from clinical data, established management frameworks, or well-analyzed case studies carries the most weight. The most common pitfall is defining quality too broadly at the outset, which leads to unfocused analysis; anchoring the argument in a concrete setting, such as patient safety by care setting or consumer behavior in a regulated market, keeps the discussion grounded and persuasive.

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Paper Doctorate
Ethical Legal Dilemma in Advanced Practice Nursing Case Study
Nurses often deal with ethical and legal dilemmas in the clinical field. The case study discussed in this paper illustrates an ethical-legal dilemma nurses encounter when caring and treating patients in Emergency department because of severe medical situation. A 30-year-old Hispanic male placed in the emergency department in serious condition after sustaining serious injuries following a car accident. The patient showed signs and symptoms of internal bleeding and nurses recommended immediate surgery in an effort to save his life. The patient declined any surgery performed on him based on his religious belief, and requests for Euthanasia. The ethical-legal dilemma in this case is whether to respect the patient's decision and ignore standards of care or disrespect the patient's independence in an effort to save his life. This paper presents a clinical case study, identifies the ethical-legal dilemma, and discusses the ethical principle that applies in this case.
Essay Doctorate
Information governance in healthcare management systems
Introduction Of the many enterprises that rely on information systems to attain their objectives, healthcare management is the most challenging and costly. The combination of highly complex application, systems and platform trade-offs, along with the need for continual government compliance makes information systems in healthcare one of the most difficult areas to attain best practices in of any IT area (Le Rouge, De Leo, 2010). The intent of this analysis is to evaluate the primary causes of information management (IM) or information technologies (IT) project failures and recommend three best practices that could guide organizations past these failures in the future. Second, determining the best approach to use project metrics and portfolio management to facilities or enable greater levels of IT governance as well. Third, this analysis will conclude with an analysis of the various types of government intervention occurring into healthcare today and debate how this hampers and slows down innovation and market growth. Analysis of Healthcare IT Project Failures And Best Practices Recovery There are a multitude of factors that lead to project failures in healthcare management, from lack of project direction and clarity of goals to lack of consistent system and application plans. The most common factor that leads to a healthcare IT project failure however is a lack of commitment and support for the project from the senior management of an organization (Le Rouge, De Leo, 2010). One of the foundational aspects of effective enterprise-wide IT change is having the senior management of any firm lead through example, showing the entire organization how they need to change in order for IM or IT systems to succeed (Le Rouge, De Leo, 2010). When an organization has this level of support from senior management, they can quickly attain complex, challenging objectives as everyone seeks to emulate the leader's behavior and excel. This ability of a leader of any healthcare management program to guide change effectively through the use of their own transformational leadership skills can even overcome scope complexity and a lack of clarity around secondary metrics of performance (Austin, Boxerman, 2008). Yet when a project lacks this level of support from a senior management team, it quickly degenerates and begins to fall apart over time. A transformational leader however can keep a complex project moving forward and avert its unraveling due to a lack of a consistent, unified focus. The second most cited reason for healthcare management IT projects failing are the lack of clarity surrounding project goals and objectives, and a lack of consistent measure of performance (Gough, 2001). Often project scope will begin to drift over time on projects when there is a lack of clear, well-defined objectives and the constraints of the project are not well-defined (Austin, Boxerman, 2008). Project goals and objectives that don't reflect the realities of time, cost and resource constraints of an enterprise actually increase the speed of a project failing over time as well (Wills, Sarnikar, El-Gayar, Deokar, 2010). Project goals and objectives that lack a clarity and focus are the second leading cause of IT failures in healthcare management, with lack of recognition for time, cost, and resource constraints acting as accelerators of decline (Helfert, 2009). A third major factor that leads to IT project failures in healthcare management is lack of consistent project management practices in how analytics, key performance indicators (KPIs) and metrics are used long-term over a projects' lifetime (Helfert, 2009). Too often the analytics, KPIs and metrics used in complex IT projects in healthcare management are misaligned to the long-term objectives of the enterprise (Austin, Boxerman, 2008). With the lack of consistency and coherence of one series of project objectives to the broader requirements of the enterprise, the project tends to become a lower priority and eventually fails (Mahmoud, Rice, 1998).
Essay Doctorate
Strategic Value of Business Intelligence: Lessons Learned
Analytics and Business Intelligence (BI) have the potential to completely redefine and make more customer-centric any enterprise. The tendency to celebrate technology alone is however short-sighted and lacks awareness of the broader, more strategic issues that surround successful BI and analytics implementations. This is an area of software where the ability to analyze terabytes of data very quickly while also testing hypotheses and evaluating trends can become more of a focus that using these systems for accomplishing strategies and long-term objectives (Todd, 2010). The ability to integrate analytics and Bi into an organization is predicated on having a very clear vision and mission for how a specific BI and analytics application or platform will be used to accelerate an enterprise to its objectives. The foundational elements of change management strategies must be in place as well, as the systems must reflect user needs, preferences and be integral to their roles if the overall system is to achieve its full potential (Todd, 2010). Case studies often provide a useful framework for evaluating how enterprises are getting the greatest value from their BI and analytics investments. Two case studies form the foundation of this analysis, the first detailing Exclusive Resorts, LLC and the second, Marshfield Clinic. Both of these case studies illustrate how critical it is to have a balance of technical and sociotechnical systems design and change management included in the development of any BI and analytics application. The intent of this analysis is to evaluate the lessons learned and potential for improvement in both case studies cited, including the need to continually stay vigilant to the needs of those the system was developed and designed for. One of the most fundamental best practices of effective BI and analytics implementations is the development of change management programs and frameworks well in advance of software being customized and implemented (Ghosh, Scott, 2011). The more effective a given change management strategy and program is, the greater the level of ownership a given enterprise system gains during the initial design and implementation phases of development (Todd, 2010). When this occurs the eventual launch of a new BI or analytics systems can attain an 80% or greater adoption rate globally (Ghosh, Scott, 2011). When systems reach this level of adoption, they have the potential to completely re-define the financial and operational performance of an enterprise. Both Exclusive Resorts, LLC and Marshfield Clinic have been able to attain this level of change management as can be seen in how effective their respective BI and analytics systems are in improving the performance of their businesses. As can be seen from both case studies, both have a very high level of authenticity and transparency associated with them, that leads to a correspondingly higher level of trust and adoption by associates in each company (Todd, 2010). Both Exclusive Resorts, LLC and Marshfield Clinic have been able to attain such remarkable success with their BI and analytics applications by concentrating on authenticity, transparency and trust, all powerful catalyst that drive up system adoption and in turn allow these powerful systems to deliver greater results than would have been possible without the sociotechnical change that occurred. The case studies are, in reality, as much about how to manage rapid and significant change as they about the technologies involved in these applications as wlel. With the reduction in fear regarding their jobs, the employees at Exclusive Resorts, LLC are able to use these technologies to better understand customers and improve satisfaction and loyalty. The intelligence gained from using analytics systems at Marshfield Clinic has the potential to save lives. Both transformations of these businesses started at the associate level, with highly effective use of change management strategies and the ability to manage sociotechnical systems to customer needs effectively.
Paper Masters
Stem cell research: current applications and developments
In this paper we are focusing on how the issue of stem cell research is continually misrepresented. This is accomplished through looking at: the press coverage, the use of Induced Pluripotent Stem Cells and how new techniques can avoid ethical debates. Once this takes place, is when we discuss how these kinds of perceptions have impacted the ability of researchers to find treatment options.
Paper Undergraduate
United States Has the Most
Interestingly enough, the United States "has the most expensive healthcare system in the world, [yet] 47 million Americans have no health insurance. Healthcare is the country's largest economic sector…. Four times larger than national defense… yet millions cannot afford to take care of their health needs". Despite being an international leader in science and technology, what has happened to the entire healthcare system in America? Fifteen years ago the subject was at the forefront of the new Clinton Administrator, but now, despite technological advances and increased modernization, America finds hospital emergency rooms stretched far beyond any reasonable capacity, the inability for many doctors to afford adequate malpractice insurance, costs for procedures escalating.
Paper Undergraduate
In Vitro Fertilization Serious Health
More and more couples who cannot have children the natural way resort to in vitro fertilization or IVF. A number of abnormalities and disorders have been reported with the success of this assisted reproductive technology. Despite its serious or fatal impact on health, the demand for ART and IVF has not tapered.
Paper Undergraduate
Event management principles and practices
The people of the globe have always fancied events. While some of these events were created with specific purposes of decision making, political support or for economic resolution, others have had a more entertaining…
Research Paper Undergraduate
Undercover Economist What I Learned
The title of Tim Harford's work The Undercover Economist is somewhat misleading. Rather than a renegade view of the science of economics, the text instead purports to give a clear and rational explanation for the…
Research Paper Undergraduate
Canada Salvation Army Canadian Salvation
The Salvation Army was founded by William Booth, a Methodist minister. He started it as the Christian Mission in the East End of London, England, in 1865. (the Salvation Army, the history, 2007).
Paper Undergraduate
Pepsi brand history and market position
Pepsi Cola Company (2008) is a world leader in foods and beverages with revenues of more than $39 billion and operates with more than 185,000 employees. It consists of PepsiCo American Foods of PAF, PepsiCo Americas…