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CA) is to simplify the problems at hand it is a systematic approach that can lead, like a trail of clues, investigators to objective truths or at least well assumed ones. The U.S. Department of Health and Human Services endorsed this method as a practical approach as presented in their agency on research quality. The group acknowledged that "root cause analysis (CA) is a structured method used to analyze serious adverse events. Initially developed to analyze industrial accidents, CA is now widely deployed as an error analysis tool in health care. A central tenet of CA is to identify underlying problems that increase the likelihood of errors while avoiding the trap of focusing on mistakes by individuals."
This essay will address the case study of Mr. B's untimely death and apply a CA to the facts of the case. The essay will also use change theory to develop an improvement…… [Read More]
oot cause analysis
When the root cause analysis (CA) was carried out of General Motors the main problems that were identified were lack of efficiency due to communication and listening problems, the ever rising competition especially from Toyota with their Hybrid series, the redundancy in the design of their cars, the issue of environmental concern among the environmentalists and the whole issue of reliability of their brand.
Due to these identified challenges within the firm, the following are the recommended actions that are bound to make the company more efficient. There is need to have an efficient communication process especially over the quality alert and customer related issues so that the supply base as well as the employees understands the quality concern. The communication channel should purposefully have it in agenda to communicate clearly the failure modes and the subsequent corrective actions to be well communicated. This communication…… [Read More]
Explain why a root cause analysis was appropriate for this situation
A root cause analysis was appropriate for this particular situation in order to realize particularly what went wrong and the suitable way of fixing it. Imperatively, root cause analyses are utilized when sentry or adverse occurrences take place in the healthcare sector, post event. Basically, an assessment team is sent off, through the use of a toolbox approach with numerous approaches such as Fault-Tree-Analysis, Pareto Analysis, as well as brainstorming with the main objective of ascertaining the root or causes of the mistake or failure. The state of affairs is split into different steps and every one of them is comprehensively analyzed to determine the error or risks in within processes, human aspects and also equipment. These phases include the following:
1. Ascertain the incident to be analyzed
2. Form a team to be responsible for conducting the RCA…… [Read More]
Causes of Juvenile Delinquency
The problem of juvenile delinquency is becoming more complicated and universal, and crime prevention programs are either unequipped to deal with the present realities or do not exist. Many developing countries have done little or nothing to deal with these problems, and international programs are obviously insufficient. Developed countries are engaged in activities aimed at juvenile crime prevention, but the overall effect of these programs is rather weak because the mechanisms in place are often inadequate to address the existing situation. On the whole, current efforts to fight juvenile delinquency are characterized by the lack of systematic action and the absence of task-oriented and effective social work with both offenders and victims, whether real or potential. Analysis is further complicated by a lack of international comparative data. (WY, 2003) The paper is a meditation and investigation of the causes of juvenile delinquency. While it…… [Read More]
Two nationally recognized computer manufacturers compete for market share of lap top sales. Company B. has 50% market share for lap tops within the United States, while Company A has 10% share. Company A plans to use competitive advertising in order to acquire more market share. Since the remaining 40% U.S. market share is dispersed among various companies with no clear path to substantial acquisition, Company A decides that Company B's market share represents a target for its streamlined acquisition of market share. Effectively, Company A's advertising team devises to pull market share directly from Company B. Negative advertising poised to make Company B. appear to have inferior products relative to Company A's lap top offerings threatens Company B's market share.
However, Company B. does have a collective, non-physical barrier in place to thwart the results of negative advertising imposed by Company A. A few aspects combine to…… [Read More]
The debilitating economic conditions and return of foreign investors within the country has a direct impact on the financial circumstances of businesses on the stock market (Freeman & Logan, 2004).
Skyrocketing prices of consumer commodities and everyday necessities are observed when the nation is likely to experience poor financial and economic situation. Consumer conference gets badly damaged when the prices fluctuates on the higher side. These reasons only create imprecise ways of earning money and surviving for the livelihood, which escalates terrorism (Freeman & Logan, 2004).
The tourism industry of any nation gets equally affected if high incidents of terrorism are recorded. This is typically due to the reason that tourist, sightseers, and travelers would give less preference to the countries with increased episodes of the heinous crime in comparison to the rest of the countries. Even though, the country is making great efforts to promote its tourism industry on…… [Read More]
Brown, N..; Olsen, G.D. & Pracejus, J.W. (2003). "On the prevalence and impact of vague quantifiers in advertising: Cause related marketing." Journal of Advertising, 32(4):19
Fogel, E. (2005, January). "Cause-elated marketing: Does corporate America genuinely care?" Marketing Profs.com. etrieved February 20, 2005: http://www.marketingprofs.com/5/fogel2.asp
Holmes, C. (2004, April). "Brand Benefits - Cause elated Marketing." Business in the Community. Available: http://www.bitc.org.uk/resources/research/research_publications/brand_benefits.html
IEG. (2001). "IEG sponsorship report." Sponsorship.com, 20 (24): 4-5; From: Kelley & Kowalczyk, (2003), "Cause marketing: Opportunities for assisting exempt organizations and sponsors."
Kelley, C.L. & Kowalczyk, T.K. (2003). "Cause marketing: Opportunities for assisting exempt organizations and sponsors." The CPA Journal, 73(2):15
Marken, G.A. (2001). "P has to be more involved in company branding." Public
elations Quarterly, 46 (4): 31
NSPCC. (2002). "NSPCC - Cause related marketing." NSPCC Online. etrieved February 17, 2005: http://www.nspcc.org.uk/html/home/fundraisingvolunteering/causerelatedmarketing.htm
Pringle, H. & Thompson, M. (2000). "Brand Spirit - How cause related marketing builds brands." New…… [Read More]
Sigtek Case Analysis
The Total Quality initiative launched by Telwork for its subsidiary Sigtek represents a common practice for Corporate America; "remaking themselves into significantly better competitors" (Kotter, J. 1995. P. 59). For Sigtek, the manufacturer of "printed circuit boards for signal handling" (Harvard Business School. 1990) the task was to transform an organization that "began to face serious competition in its marketplace" (Harvard Business School. 1990), showed declining revenues, and demonstrated considerable mismanagement in implementing strategic operations. The Telwork-Sigtek Total Quality program as with all ostensible change dynamics has as the "basic goal to make fundamental changes in how business is conducted in order to help cope with a new, more challenging market environment" (Kotter, J. 1995. P. 59). Yet, these change efforts in most cases fall dramatically short of their intended marks, a reality which is explicated via the Kotter change model; an eight phase process outline which…… [Read More]
Managing Complaints: Improving Service in a 15-Bed Emergency Room
As chief operating officer, you are responsible for a 15-bed Emergency Room (ER), which has received many complaints within the last year regarding inadequate patient care, poor ER management, long wait times, and patients being sent away due to lack of space, staff or physicians to provide appropriate care.
Diagnoses: Root Causes of Clinic Complaints
The complaints at hand in viewing the lack of success in the ER at hand can be largely traced back to poor internal management within the ER. Employees operating within the ER have long been confused about the standards and protocols that the hospital has implemented which poorly effects the running of the ER from the time a new patient enters the facility. Many of the complaints lodged toward the ER make mention of an incompetent and insensitive ER staff who have led patients…… [Read More]
" (Dafler, 2005) Dafler relates that for more than thirty years children who were 'half-caste' "were forcibly removed from their families, often grabbed straight from their mother's arms, and transported directly to government and church missions." (Dafler, 2005) This process was termed to be one of assimilation' or 'absorption' towards the end of breeding out of Aboriginal blood in the population. At the time all of this was occurring Dafler relates that: "Many white Australians were convinced that any such hardship was better than the alternative of growing up as a member of an 'inferior' race and culture." (2005) it is plainly stated in a government document thus:
The destiny of the natives of Aboriginal origin, but not of the full blood, lies in their ultimate absorption by the people of the Commonwealth, and [the commission] therefore recommends that all efforts be directed towards this end." (eresford and Omaji, Our…… [Read More]
Mr. iley's agoraphobia is a matter of particular concern as this defensive response to his anxiety disorder has prevented the subject from engaging a normal, health, active, productive life. According to A.D.A.M. (2010), "panic disorder with agoraphobia is an anxiety disorder in which there are repeated attacks of intense fear and anxiety, and a fear of being in places where escape might be difficult, or where help might not be available. Agoraphobia usually involves fear of crowds, bridges, or of being outside alone." (A.D.A.M., p. 1) The fear of the outside world has inclined the subject in this case to increasingly shut himself off from others and from opportunities to experience life. The result, A.D.A.M. (2010) reports, is a deepening sense of isolation and a further descent into the irrational response mechanisms that have come to control Mr. iley's life.
One major demographic concern for Mr. iley might…… [Read More]
HSMS Gap Analysis and Hazard Identification Risk Assessments
Description of APM Terminals
Review of the Health and Safety Management System
Health and Welfare Hazards
Physical Hazard -- Working at Height - Scaffolding
Health & Welfare Hazard -- Noise
Action Plan 1 - Management System
Action Plan 2 -- Hazards and Risks
Barbour Checklist: BS OHSAS 18001 Audit Checklist
Occupational health and safety management has numerous benefits for business, not only an employer's duty of care, a legal and moral obligation but also critical part of business equal in importance to other business functions like finance, marketing and production. When health and safety is embedded as part of business, results would be, good company image and reputation, better employee motivation and morale, improved efficiency and ultimately increased profitability.
The implementation of a sound health, safety and environment (HSE)…… [Read More]
(Harvey, 2003) the suspicion of the United States of the "Soviet Expansionist tendencies" had increased by the 1970s and Harvey states as well that "The pervasive mentality of Washington officials during these years was dominated by the communist domino theory which led many Washington politicians to believe that the Soviet Union sought to take over the entire world." (2003) the United States had always received a safeguard provided by the shah for their Middle East interest of oil and it was this that resulted in the United States perceiving the Soviet-Afghanistan relations as a "considerable threat...before 1979." (Harvey, 2003)
Harvey reports that while Department of State records from the early 1970s report that the United States was indifferent to the relationship that was developing between the Soviet Union and Afghanistan that the truth is that "...Recently declassified ntelligence reports also reveal that the "official history record is false."
 Contrary…… [Read More]
Decision Analysis System Modeling
"DATA DECISION ANALYSIS SYSTEM MODELING USING SPEADSHEETS"
"Data Decision Analysis System Modeling Using Spreadsheets."
Spreadsheet is one of the most popular software packages on the planet. Daily, million of business people, students and individuals use spreadsheet program to build models to assist in solving decision problems they face on their work activities. Thus, employers generally look for individuals having experience and skills with spreadsheets. Typically, spreadsheets assist in developing varieties of management techniques in modeling environment. More importantly, spreadsheets assist in developing models and make decision within a business environment.
Within the present contemporary business environment, many business managers face daunting tasks to make effective decisions. With the fast-paced and dynamic changes within a competitive business environment, business people are often faced with extremely complex business alternatives. Evaluation of the alternatives and choosing the best option from these alternatives has become a daunting task…… [Read More]
Faith Community Hospital: Case Analysis and ecommendations
Modern day organizations, including community or not-for-profit ones, have to integrate political, legal, societal, cultural and economic concerns of the environment with corporate goals and interests. While many such environmental issues are relatively minor in the context of organizational legitimacy and survival, there are times when the issues go to core business practices or products. At such times, an organization must take immediate and effective corrective measures or be willing to be forced out of existence by various concerned publics and stakeholder groups (Metzler, 2001). A review of Faith Community Hospital's current situation indicates that its problems may be severe enough to challenge its very legitimacy and existence. Indeed, this is evident in the list of critical issues facing the management.
Situational Analysis: A close examination of the list of issues facing the management of Faith Community Hospital reveals the following environmental concerns:…… [Read More]
Over the years, given the awareness and exposure that came with the advent of media and the internet, human societies and cultural norms across the globe have evolved from being very conservative to moderate to liberal. With apparent increases in literacy rates, standards of living and awareness in general, people around the world have reconsidered many of their notions and have adopted more liberal approaches towards social norms and myths. That said, despite of moving towards liberal broad minded cultural notions, the practice of Abortion still attracts intensive debates in both developed and less developed societies. This paper particularly focuses on the degree to which poverty is related to the practice of Abortion and how this relationship does implicates on the lives of poor women. The paper also aims at proposing a policy that would help in tackling the said problem.
As medical sciences evolved and progressed for…… [Read More]
Mock Client Interview & Analysis
Dialogue between the social work counselor & Amal:
Social Work Counsellor: Good morning, Amal. How are you today?
Amal: (Gets up); says, 'I don't wanna be here. I'm normal, everyone else isn't'
Social Work Counsellor: Oh? Now why do you say that?
Amal: (Walks to the window & looks out); 'Because they're all against me. I don't fit in. I don't belong.
Social Work Counsellor: Please tell me more Amal. You can tell me anything.
Amal: The other kids are slow. They don't think, and only obey the teacher. I like to be active there isn't enough time for gym or recess like my old school. I'm bored there.
Social Work Counsellor: Have you told you teacher about your feelings, Amal?
Amal: No not like how I told you. The teacher doesn't ask me anything. I don't think the teacher likes me. The other kids…… [Read More]
Obesity cause Diabetes Type 2?
From the time people came into existence; they have witnessed changes in virtually every aspect of life including the global environment, food production, health concerns, demographic growth, and so forth. Nevertheless, the capacity to adapt to the changes has facilitated the inhabitants to survive and have an improved lifestyle. However, as the globe penetrated into the twenty-first century, the standard of living of numerous people has altered to a great extent due to the technological advancements and innovations. People are now in a race where everyone wants to win success, prosperity, and affluence because of which they have neglected or overlooked the aspect of their health (Stern & Kazaks, 2009). Therefore, health has become an escalating and emerging concern in this epoch across the world.
However, when taking health issues under consideration, obesity has been observed as one of the epidemics that have been witnessed…… [Read More]
Wake Up; Take a Shower; Take Breakfast With Other Family Members
Arrive at the bank; pick a waiting ticket; interaction with service staff; a member of staff in the next counter is having a difficult time with a customer
9:00 am: Arrive at my girlfriend's house; help her with laundry and other household chores; watch a movie together
12:30 pm: Having lunch with my girlfriend in a restaurant; in an adjacent table three women are talking about their dating experiences with men in different cultures
2:00 pm: At the parking lot a beggar stops me; he tells me he has no home or family
7:00 pm: Watching evening news -- robbery at a local store and unnecessary shooting of an innocent Black man by a White police officer
Sociology demonstrates that people's daily lives are shaped and constrained by the society (Dillon, 2010). By interacting with and/or watching other…… [Read More]
Chinua Achebe’s classic novel Things Fall Apart describes a critical juncture in Igbo society: the first point of contact with missionaries. Even prior to their arrival, the protagonist of the story, Okonkwo, contends with both personal and collective crises in his community. Okonkwo “was well known throughout the nine villages and beyond,” an introduction to a man whose power and prestige have become the cornerstones of his identity (Achebe, 1958, p. 1). However, Achebe (1958) also describes Okonkwo’s dark side: his severity, the way he would “pounce on people,” acting with violence and aggression to achieve his egoistic goals (Achebe, 1958, p. 1). As the community of Umuofia falls apart due to historical changes, external threats, and a leadership crisis, Okonkwo also falls apart due to his own existential crisis. Things Fall Apart has a strong ethical overtone, offering the reader insight into Igbo society but also into universal norms…… [Read More]
The speaker of Theodore Roethke’s poem “My Papa’s Waltz” reflects on his abusive father. Using an ABAB CDCD rhyme scheme and fixed meter, the poet underscores the main motifs of music and dance. The titular waltz is a structured dance set to a specific type of music. Constrained by the form of the waltz, the speaker seems to have internalized guilt and complicity in his father’s behavior by suggesting that it takes two people to waltz. His “clinging”(line 12) and having “hung on like death” (line 3) add another dimension of pathos to an already heart-wrenching story. The reader will protest the child having any responsibility for the father’s behavior, adding to the dramatic tension in the poem. Music and dance symbolism also add a potent degree of irony to the poem, as a waltz is typically associated with fine art and not with domestic violence. The subtle cues in…… [Read More]
Decisions in Paradise III With Paretto Analysis
Decisions in Paradise II
Cesar a ivera
Decisions in Paradise II
This is Nik's problem
Nik has landed on Kava an island that is faced with numerous challenges including tidal waves/tsunami; typhoons/hurricanes; tornadoes; floods; fires; volcanic eruptions; earthquakes; HIV / AIDS; petroleum spill; high risk for avian flu; and terrorism, and has been asked to helped establish a business there. Aside from the above problems that impact the potential business, other challenges include the location and site being a mess; H procedures being chaotic, disrupted and confused organizational structure; and conflicting and conflicted workforce due to diverse composition, beliefs, attitudes, and ideologies. Employees in the past, the wrong mix and too many, barely stayed and so business management and environment became increasingly chaotic.
Nik's tasks, according to Alex, consist of establishing a greater presence in Kava. Ways of establishing that presence…… [Read More]
Health Care -- Statistical Thinking in Health Care
The HMO pharmacy is inaccurately filling prescriptions. Prescribers blame pharmacy assistants, the assistants blame pharmacists and pharmacists blame prescribers. Analysis of their system show points ripe for change in order to improve accuracy. In addition, there are multiple measures that can be applied to substantially enhance the quality of the HMO pharmacy's work.
Process Map & SIPOC Analysis
Process Map of Prescription Filling Process
Process Map of Prescription Filling Process
Prescriber determines patient needs medication
Prescriber selects medication type
Prescriber selects medication dosage
Prescriber hand-writes prescription
Prescription delivered to pharmacy
Prescription entered into pharmacy computer system by pharmacy assistant
Pharmacist selects medication
Pharmacist measures medication
Pharmacist counsels patient about prescription
Medication delivered to patient
SIPOC Analysis of Business Process
SIPOC Analysis of Business Process
Determines need for medication
Determines type of medication
Determines…… [Read More]
Josie's case represents the complexities of youth and family advocacy. Being biracial presents additional advocacy issues. Moreover, Josie has admitted to suicidal ideation. It is important to take into account the situational, environmental, and structural variables that are at the root of Josie's behavioral problems in school, focusing advocacy on not just the family but also the school and community. It is also important to recognize that Josie's behavioral problems might have evolved from multiple factors, inviting a multidisciplinary advocacy team.
The key risk factors impacting this case include Josie's suicidal ideation, potential parental neglect, and the "peculiar difficulties in the developmental tasks of adolescence" that biracial children experience (Gibbs, 1987, p. 265). Advocacy also needs to focus on the home environment. Josie's mother may not be home a lot given the financial pressures of raising a child as a single parent. In addition to difficulties forming a cohesive social…… [Read More]
Almost every major counterinsurgency in the 20th century failed, according to van Creveld, a historian at Hebrew University, due not to ethnocentrism to unfamiliarity with guerrilla warfare. Ethnocentrism and belief in the nation's superiority over the other might have been present, but it may have been evinced only later due to frustration, or was a secondary factor (Pilkins, 2005). American failure in the Iraqi conflict is complex. Arrogance certainly present, unfamiliarity with guerrilla warfare may also play a significant part leading to American frustration and exacerbating their condescension and superciliousness.
Using two examples -- that of one of America's first battles at the start of its history and the ongoing Iraqi conflict, this essay demonstrates how U.S. military failure can be reduced to two possibly related factors: political corruption that creeps into the army and interferes with positions and posts, consequently destructing the moral and functioning of the…… [Read More]
Causes crime & process change): Choose country (*Iraq Afghanistan) crime (*Terrorism) relevant country. Obtain statistics crime show crime trends a period 8-9 years (e.g. 1995-2009). Then explain, criminological theories (*Conflict Theory Lableling Theory), crime relevant country (context), occurred place (causal factors), increased decreased years (change).
There has been much controversy in the last two decades regarding the issue of terrorism in Afghanistan, given that numerous countries have changed their international policies as a result of acknowledging the terrorist threat in the Middle East. ith the Taliban political group holding power for several years before the September 11, 2001, events at the orld Trade Center in New York, terrorism has reached a whole new level. It is difficult to determine the exact factors that fueled the terrorism movement in the country, with some of the most influential of them being the drug industry, the concept of jihad, and biased interpretation of…… [Read More]
"Real-time" communications is expedient as well as efficient which are two desired elements in the industry. The pursuit of foreign markets by the United States as well as those of the European and Latin American markets is causative factor in globalization. The companies that compete throughout the world are seeking methods for integration of all aspects of their corporation. Furthermore, companies sue 'international growth strategies for the express purpose of "acquiring suppliers of vital resources." (Abboushi, 1999) Expansion can also be accounted for due to the fact that companies in the United States seek expansion on an international basis because they are unable to obtain certain products in the United States.
II. Necessity: Policy Results
Another viewpoint is that globalization most likely arose out of necessity of some type. One example of the idea presented may be found in the Scandinavian Acta Sociologica in a work entitled" the Future of…… [Read More]
Does the research refine or add to a new theory?
The research adds to the quantitative material on the subject by adopting a qualitative, phenomenological approach. Suicide has increased alarmingly amongst African-American males (Thomas, 2009). The maternal voice is rarely, if ever, heard; Granting mothers of suicide victims this opportunity can help both practical and theoretical applied research in that social workers and counseling programs can be better structured to help families cope with the loss, as well as other programs aimed to alleviate the problem. The study may throw new light on suicide from a spiritual aspect, or from some other aspect, perhaps because it is considered taboo that has hitherto been overlooked. By describing the real experiences of African-American mothers who have lost a male child to suicide, underlying cultural and spiritual elements that render the subject taboo may emerge that will help us understand the phenomenon better.…… [Read More]
Voting is a privilege and a right. A right that was denied for millions of people. Only until the passing of the Voting ights Act did minorities have a chance to not only vote, but change the face of the government. Before 1965, minorities, especially blacks, faced violent opposition in an attempt to stifle their voices and control the way the government nominates its officials.
Now that President Obama has shown what can happen when minorities are given a voice in politics, there have come some major setbacks. The nation in the next presidential election will adopt one of two sides, a far left or a far right. With the recent death of Head Justice Scalia and the refusal of Congress to allow the nomination of Merrick Garland, it is safe to say the nation is in turmoil in several ways. To understand how things became so unstable it is…… [Read More]
Lens One: Structural Theories
Organizational structure refers to how work activities or tasks are divided, and how relationships are established and maintained (Corlett, n.d.). Bureaucratic organizations are structured formally and may result in a pyramidal shape with the bulk of employees at the bottom with the least amount of decision-making power (Corlett, n.d.). The bureaucratic organization can also take on the image of a machine (Morgan, 1998). Morgan (1998) adds that structural theories offer precision in the design and implementation of organizational details. For example, the work of teachers is highly formalized down to the details of lesson plans and the measurable outcomes in terms of test scores. A core goal of a mechanistic, bureaucratic organization is predictability. The machine image also demonstrates the ways an organization emphasizes speed, clarity, and efficiency. Structural theories illustrate how educators participate in chains of command, and there are legal and contractual bases of…… [Read More]
The procedure appears to have been rushed forward faster than was entirely necessary, which contributed to several other factors that had a direct impact on Mr. B's health and condition. This issue marks the intersection between human resource issues and medical issues in the case as described (Hoot & Aronsky 2008).
Over-administration of sedation clearly occurred, and the patient's potential nervousness might have contributed to increased blood pressure and thus led to a greater quantity of sedatives being administered than were needed. This is in part due to the speed with which the procedure was performed.
The patient's history does not appear to have been fully considered before sedatives were administered and other actions were taken. This at least in part a result of the lack of adequate staffing in the emergency department and the rush with which the procedure was accomplished. A better understanding of Mr. B's initial condition…… [Read More]
Application Quality Improvement Models Organizations Systems, Part I Analysis equired esources eadings Course Text: Applying Quality Management HealthCare: A Systems Approach eview Chapter 9, "Improving Processes Implementing
oot cause analysis
According to Nicolini (2011)
the first step in CA is identifying the incident to be analyzed. This step requires for the problem or incident to be clearly defined and identified. Identifying the problem will assist in determining what caused the incident and how the incident occurred. In the case study, the mother requested for pain medication, and this was within her right. The nurse performed the request, and it was approved by the pharmacist, but the incident occurred when the nurse did not check the IV line correctly. The nurse confused the infants IV line with the mothers, which resulted in the infant been administered with Morphine. This should be an indicator, and it should be recorded as a fact.…… [Read More]
sentinel event is reported to JCAHO through a root cause analysis and an action plan according to set timetables and procedures. In addition, a sentinel event can have numerous civil and criminal implications. Fortunately, through the methodical reporting and root cause analysis established by JCAHO, hospital administrators can develop highly effective risk management programs.
The Basics Of Sentinel Event Reporting
A reviewable sentinel event may be self-reported or reported after notification that JCAHO is aware of the event. Self-report uses a computerized form in the "Continuous Compliance Tools" subsection of the "Self-Report Sentinel Event" section on the "Joint Commission Connect" ™ intranet site (JCAHO, 2012, p. 13). The hospital must prepare a root cause analysis and action plan within 45 calendar days of the occurrence or awareness of the occurrence and must submit them to JCAHO within 45 calendar days of the known occurrence. If reviewability is determined more than…… [Read More]
Visionary Leadership Practises
Describe the concepts related to visionary leadership
Visionary Leadership is a theoretical model in which the quality and impact of an organizational leaders is largely driven by the stylistic distinctions, personality and strategic orientation of a specific leader. Such is to say that what distinguishes visionary leadership from other models is that the effective leader will have a direct role in defining the surrounding organizational culture, values and approach. This contrasts leadership in which one is expected to assimilate company culture and values into a compatible leadership style. The primary concept, then, of visionary leadership, is the channeling of one's independent perspective and objectives into a company-wide strategy. Additionally, this should mean that personnel at every level of the company feel some sense of independence and encouragement to innovate.
On this point, the text by Oxford Learning (2011) differentiates 'visionary leadership' from 'standard leadership,' identifying the latter…… [Read More]
Improving Customer Service on a Medical Surgical Nursing Unit
Quality Improvment Project-Customer service on the nursing unit
The hospital medical-surgical nursing unit is usually referred to as the "catch-all" department for different types of patients. This is because it includes renal patients, cancer patients, cardiac and surgical patient. It also includes other patients who do not particularly fall into any of these specialized units. The medical-surgical nursing unit is a conglomeration of all kinds of adults with all sorts of health problems and thus the nurses in this unit need to be dynamic, quick to respond and are almost on their toes at all times. Patients in the medical-surgical nursing unit are likely to develop changes in their condition quite rapidly and therefore they become more unstable even though they may have been admitted in a stable condition. This is because most patients in the medical-surgical nursing unit have unpredictable…… [Read More]
1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.
Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.
11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?
In terms of policy implementation and organizational philosophy, the human resources function…… [Read More]
" Nevertheless, the research to date indicates that participative management techniques can provide a major return on the investment. According to Angermeier, Dunford and Boss (2009, p. 127), "Employee perceptions of the extent to which their work climate is participative rather than authoritarian have important implications for critical work attitudes and behavior."
The research to date has confirmed that employees in highly participative work environments outperformed their counterparts in nonparticipative management organizations (Angermeier et al. 2009). For example, a study by Angermeier and his associates found that employees working in participative management settings provided 14% better customer service, committed 26% fewer clinical errors, demonstrated 79% lower burnout, and were 61% less likely to leave the organization than employees in more authoritarian work environment. According to Angermeier et al. (2009, p. 128), "These findings suggest that participative management initiatives have a significant impact on the commitment and productivity of individual employees."…… [Read More]
The prescriptions include wisdom, honesty, and courage, as well as human dignity, integrity, respect, health, and independence.
Part 3: Formulate possible evidence-based practices and an action plan that could work towards achieving improvement outcomes.
Provide insight into the diagnostic processes (e.g., root cause analysis) used to determine the primary causes of the problem. Consider both qualitative (cause-effect diagram, barrier analysis), and quantitative (theory testing or drill down analysis) methods.
Analyze the cost-effectiveness of your initiative and how your initiative mitigates risk and improves health care outcomes.
Countless interventions have been used for fall prevention amongst the elderly population. These include risk-assessment and management programs, I.e. Designed to screen those who are most at risk and to design interventions that will reduce their risk of falling; exercise programs slanted dot enhancing flexibility, endurance, and strength; education programs (including one-to -one counseling on methods to prevent falls); environmental modification in homes or…… [Read More]
Some of these causes include shift work/long work hours, sleepiness, social/familial disruptions, vulnerable groups, long-term effects, and injuries. This is an indication that various institutions should focus on the evaluation of the causes of risks faced by nurses at the workplace in order to adopt and integrate quality interventions towards enhancing the safety of the nurses (Alison Trinkoff et al., 2008). One of the effective and influential approaches towards promotion of safety of the nurses is transformation of the working schedule to offer sufficient opportunity for the practitioners to recapture their energies following stressful interaction with the patients.
This is through minimization of the working hours as well as integration of favourable shifts to operate in the favour of the nurses as they seek to enhance their safety. It will also improve concentration levels of the nurses at the workplace thus quality relationship between the patients and nurses in addition…… [Read More]
Mr. B Case Study
The case study in question which saw the loss of MR. B suggests many practical learning points in developing successful hospital emergency department (ED) procedures. This writing will propose a complete root cause analysis that takes into consideration of nine causative factors that led the sentinel event Mr. B's outcome. The factors will be listed in decreasing order of importance as it relates to the event.
The hospital appeared to be understaffed from all perspectives. At least 3 to 4 nurses and another 2-3 LPN's appeared to have been needed to suffice all the demands that were going on at that time. A simple back up staff was not enough.
Mr. B.'s narcotic addiction severely contributed to his ability to be sedated and complications were sure to follow.
The sedation policy must be reexamined as it may not be applicable any more. This…… [Read More]
Progistix, one of anada's largest thirst-party logistics service providers, specializes in providing companies with complete logistics in the technology, telecommunications, and retail industries. Progistix designs and executes customer-designed supply chain solutions for their client's business-to-business projects, for their business-to-technician projects, and for their business-to-consumer ventures. Progistix specializes in dealing with businesses that require rapid-order time, precise order selection and delivery, and information-rich typefaces. It handles more than $2 billion worth of products and parts per year, accomplishing approximately 1.1million business-to-customer and business-to- business orders and approximately 350,000 business-to technician requirements. Its three prominent companies include Bell anada as well as Xerox and Amazon.
This case involves Xerox.
In 1999, Xerox looking for ways to reduce inventory, whilst maintaining their level of customer service, employed Progistix to improve their service. Xerox became Progistix's largest client representing approximately 80% of their ritical Part's Network revenue. Progistix re-designed and ran the 14 parts…… [Read More]
Navistar International Corporation, formerly known as International Harvester Company, is a U.S. based holding company that owns the manufacturer of International brand commercial trucks. It is located in Warrenville, Illinois, with about 500 employees and revenues of almost $10 billion. Through a network of about 1,000 dealer outlets in North and South/Central America, and more than 90 global countries, it sells parts and contracts for services for large truck machinery. Most recently, the company has moved into financing for its customers and distributors, adding that niche to its marketing base (Navistar.com). The company has been vociferously criticized for spending over $6 million on lobby and not paying corporate taxes from 2008-10, instead receiving over $18 million in tax rebates -- all the while making a profit of almost $900 million and increasing executive pay by over 80% (Portero, 2011).
Trimco is a supplier to Navistar of kits that complete the…… [Read More]
Arborite Case Study
The need to increase profits and revenues has forced many establishments to evaluate and redefine the way they carry out strategies within the organization and the manner in which they deal with external factors affecting the company. The rationale being that an organization needs to constantly grow and evolve if it has to be competitive in a constantly changing market. Leaders and managers who head organizations should have the vision to realize the changes required and implement these changes in an appropriate and timely fashion.
Nutter of Arborite is faced with difficult choices. He has to decide among these choices in order to generate a positive return on assets from two manufacturing factories in Canada. There is a demand for the product -- high pressure laminates (HPL) in the market. There are three major companies that control the market. Arborite has 34% of the total Canadian market.…… [Read More]
Leadership 360 Complete eport, the first thing that stood out to me was the dramatic difference in how I perceive myself and how others perceive. I rated myself higher than the others rating me did on every single dimension. There was not one area where my perception of myself was lower than my raters' perceptions of me. In addition, my personal choice raters rated me more highly than my teammates did on every dimension but assertiveness, suggesting that I am not interacting in a teamwork setting in the same way that I might in other social contexts. It was, furthermore, disheartening to see that my teammates ranked me below average on every dimension but assertiveness. This indicates to me that I am not being realistic about how I interact with a group situation. I see myself as a more competent and more capable leader than I am actually being, which…… [Read More]
The objectives of this project will result in a reduced security risk due to incoming spam and junk email messages. Achievement of the objective will be difficult to measure because it represent something that will not happen if the project is successful. A reduction in threats due to the actions or inactions of employees will result in achievement of these objectives. An employee questionnaire or survey would be useful in determining if the policies result in a greater awareness and adherence to prescribed policies regarding how to treat spam in the company. Increased awareness and willingness to take actions to increase security, as measured by a survey conducted some time after the policies are in place will provide insight into the success or failure of the prescribed measures.
There are several contributing factors that will affect the outcome of the project and the ability to achieve the intended objectives…… [Read More]
There is also an inability to distinguish the product lines from that of the competitors, although the company has succeeded effectively in creating brand recognition for their products. Customer loyalty and brand loyalty of the past cannot always be counted upon to create the necessary profitability for the company.
This is obvious in the case of P & G. that the marketing strategy that the organization uses for different products differ considerably. The financial culture within an organization also affects the marketing culture in any market. Many established companies in the market spend considerable amount of time identifying the best mediums that can be used to market the products to the customer. Peter Drucker stated that markets are not passive entities beyond the control of the entrepreneur or organization. ather, they are interlinked. They can also be influenced. (Drucker, 1954)
G when establishing manufacturing plants for its products in regional…… [Read More]
In other, more charter-friendly states, there are multiple authorizers -- universities, state boards, even specially created bodies with expertise in charter school creation. The new bill before the state House and Senate will give the Board of Education an advising role on charter school applications prior to going before the local school board.
Patrick Henry School of Science and Arts opened Aug. 11, 2010 making it the 10th charter school to open in the state of Virginia since charter schools were allowed to open in 1998. However, if history repeats itself, Patrick Henry will have a bumpy road ahead. Including Patrick Henry only three charter schools are operating currently in the state of Virginia and Patrick Henry is the only one operating in the city of ichmond. At one time there were nine charter schools in Virginia, but most of them closed due to financial reasons. (citation)
According to the…… [Read More]
Sulzer Metco/Sulzer Eldim Division
Sulzer Eldim is a division of Sulzer Metco, a company under the Sulzer Metaplas umbrella. The company is a leader in the aerospace and industrial gas turbine industries, having developed long-term relationships with OEM manufacturers. Their technological, financial, and human resources have facilitated a long history of success. ecently, they have implemented a cellular manufacturing strategy, with a Zero Defects policy, which has greatly increased efficiency. They are now looking to implement a similar strategy across other departments. Their concerns regarding reduced efficiencies for low-volume orders are invalid. In addition, the concerns regarding reduced autonomy within divisions, will simply be transferred autonomy to core groups, as the semiautonomous manufacturing cells currently experience. A timeline for implementation of this strategy is provided.
For several decades, Sulzer Metaplas GmbH has been a leader in the coating services and thin film equipment industry. Sulzer Metaplas was founded under…… [Read More]
As to catheter straps, if fastened too tightly they can act as tourniquets, cutting off the needed flow of blood and presenting. And at least theoretically, use of straps brings about a risk of increasing the complications such as "…deep vein thrombosis and pulmonary embolism" in those patients with "impaired lower extremity circulation" (Billington 504). Research presented in this article shows that the problem of infection due to poorly attached catheters can be reduced significantly through the use of a product called "Bard StatLock" -- which, the authors insist, is an effective stabilization device because it allows movement (through a swivel clip), because it is a "sterile latex-free, tug-resistant product" (Billington 504). An article in the journal RN, incidentally, states that treating "hemodialysis catheter-related bacteremia" can cost a hospital up to $45,000.
ashing "Bloody Hands": An article in the Australian Nursing Journal asserts, "…hand hygiene is the single most effective…… [Read More]
Global warming has become an issue of major global concern. This research explores the complexities of the issues surrounding global warming and the development of models to help curb the human contributions to its continuation. This research focuses on the UAE and its initiatives to develop sustainable cities in the future.
Evolution of Cities
environmental change and Global warming
Field Work and Case Studies
The United Arab Emirates (UAE) covers an area of approximately 777 sq. km and has a population of over 5 1/2 million residents according to 2009 statistics (Department of Economic and Social Affairs Population Division. 2009). The country has the six largest oil reserves in the world and is one of the most developed economies in the Middle East. It has one of the most developed infrastructures in the Middle East as well. Global warming has become a key issue in developed nations that…… [Read More]
This refers to workers who are absent for reasons that are beyond their control, like sickness or injury. Innocent absenteeism is not culpable which means that it is blameless. In a labor relations circumstance this means that it cannot be remedied or treated by disciplinary actions. The second type is culpable absenteeism. This refers to workers who are absent without permission for reasons which are within their control. To be culpable is to be guilty. In a labor relations circumstance this means that progressive discipline can be used (Guidelines for Absenteeism Control, n.d.).
The kind of absenteeism should be identified and attendance records should be looked at frequently to be sure that a workers sick-leave days are disproportionate compared to other workers. If a supervisor suspects that a worker is exceptionally absent, this can be confirmed by reviewing the attendance records (Yorges, 2011). If all signs show that an employee…… [Read More]
Mildred's Case Study
Mildred's Story was made to form part of a 'ecognizing isk and Improving Patient Safety' course. The progression takes a novel method to educating healthcare professionals in regards to the significance of non-clinical services, behavior and attitudes in guaranteeing the safety of the patient. It attracts upon the experiences of patients that are within healthcare settings, and information achieved from other high-risk businesses, to come up with a strategy allowing healthcare workers to disapprovingly appraise and interfere in the development of patient danger. There are so numerous prospects of improvement in Mildred's case study, but the writers designated Effective communication & patient assessment to resolve the issue of (patient falls).With that said, instead the researcher has used the SPO model along with using formwork (FOCUS- PDSA) also using tools (Fishbone, 6 huts, flow chart and 5 whys) in order to improve effective communication and patient assessment to…… [Read More]
Narrow focus performance improvement area. This area focus chosen organization develop a QI plan. esearch methodologies integrating QI strategies performance measurements. esearch information technology applications components QI management.
Organizational QI plan
The Scottsdale Memorial Hospital seeks to reduce the waste of food within its operations and also to increase the health and satisfaction of its patients through the provision of more nutritional and tastier foods. In this effort, they have devised four specific goals, namely the completion of an internal study to assess current consumption and waste, the creation of a new menu (with the aid of a specialist chef), the delivery of the new menus to the patients and the completion of a new study for the new menu and the adjacent waste. The expectation is for the waste of food to be decreased after the implementation of the second menu.
The data necessary to complete this effort would…… [Read More]
After the change process has been developed a failure mode and effects analysis (FMEA) would need to be done. This analysis is done in order to project the likelihood that the process improvement plan will not fail. The interdisciplinary team for this entire process will consist of an emergency room physician, an N, an LPN, a clinical quality consultant, an H representative and an a patient safety advocate.
The process for conducting an FMEA is straightforward. A sturdy analysis can be obtained from interface matrices, boundary diagrams, and parameter diagrams. A lot of breakdowns are due to noise factors and shared interfaces with other parts or systems. In order to begin it is necessary to describe the system as a whole and its function. A good understanding simplifies further analysis. This way a person can see which uses of the system are desirable and which are not. It is imperative…… [Read More]
Ayers (2000, p. 4) describes a supply chain as "Life cycle processes supporting physical, information, financial, and knowledge flows for moving products and services from suppliers to end-users." A supply chain can be short, as in the case of a cottage industry, or quite long and complex as in the manufacture, distribution, and sales of automobiles. In fact, the automobile supply chain has its origin in the mining of the iron ore used to make many of its components.
Forward-looking companies and industries are beginning, now, to leverage the communication power of the Internet to improve their supply chain efficiencies. In the same way that early computers offered improved efficiency within the walls of a company, the promise of "Internet Technologies" (IT) now offers potentially far-reaching positive effects throughout a company's entire manufacturing supply chain. If the changes brought about by an "Internet revolution" such as thin-client technology; seamless integration…… [Read More]
Application Process Improvement Models Organizations Systems
A clinical practice improvement initiative
The strategy of treating patients with dementia must be dependent on a thorough neurological, psychiatric, and general therapeutic assessment of the nature and causes of the cognitive setbacks and related non-cognitive symptoms, in the setting of a strong collaboration with the patient and family. It is crucial to distinguish and treat general medical conditions, notably delirium, that may be answerable for or contribute to dementia symptoms (Ferrara, 2010).
Currently, the organization is embracing the Progressing evaluation strategy. This approach focuses on incorporating occasional monitoring of the advancement and development of cognitive and non-cognitive psychiatric and how they respond to intervention. With the end goal to provide prompt medication, improve patient safety, and provide convenient advice to the patient and family, it is ordinarily fundamental to see patients in routine follow-up at regular intervals. Frequent patient visits such as once…… [Read More]
interconnected as we live in nowadays, networks seem to be the central pieces in the puzzle. A failure in a network will damage the relation between the transmitter and the receptor to a degree to which communication between the two will no longer be possible. This assertion includes not only computer networks, most common nowadays, but also telecommunication or telephone networks.
In this sense, network management becomes essential, as a way to constantly check and improve the efficiency of a network activity. Today, most network management systems refer to the FCAPS framework as the best functional alternative. The FCAPS framework includes fault management, configuration management, accounting management, performance management and security management. We will be referring further on to fault management, as part of the FCAPS framework.
The fault management phase includes everything error-related, ranging from fault detection, to fault correction and isolation and to network recovery
. The errors…… [Read More]
Improving Local Health Care:
Quality health care is an important aspect in the modern health care system because of the necessity for quality and safety improvement measures. This concept is described as the extent in which health care services for patients and populations enhance the possibility of desired health outcomes. These services also need to be consistent with the existing professional knowledge in the field. Consequently, quality and improved care services are determined through evaluating the impact of these services on desired outcomes and the extent they adhere to procedures based on scientific and professional knowledge. As part of improving health care services, health care systems should adopt several process-improvement strategies. These strategies should recognize ineffective care, inefficiencies, and avoidable errors and then effect changes on the system to result in improved care.
Incorporating Unapplied Telecommunications Concepts:
Based on the last visit to the local health care system in the…… [Read More]
The first group will receive a placebo. The second group will receive a spiritual chakra treatment designed to correct electrochemical imbalances within the body. The third group will receive medication to treat psychosis. The specific medication does not matter and therefore will not be specified. The dose will be the same for each patient and therefore will be monitored to determine whether dosage is sufficient.
Therefore, the measurements will track each participant and determine which treatment is most effective given the parameters of the study. The placebo group is expected to see no difference, other than perhaps unrelated psychological improvement which will be tracked and recorded as standard error or standard margin of the error estimate. The second group will undergo a physical treatment of chakra adjustment to maximize the flow of energy throughout the body and remedy the physiological response. The treatment will be administered once per day over…… [Read More]
5 Why's Root Cause Analysis
1. Why won't workers share their floor secrets with management?
Because management does not respect them, and holds all the power in the relationship.
2. Why does management not respect the employees?
Because management holds all the power in the relationship and does not need to respect the employees
3. Why does management hold all the power in the relationship?
Because the organization is structured hierarchically
4. Why is the organization structured hierarchically?
Because the company has been around since 1903 and change is difficult.
5. Why is change difficult?
Because it entails radical transformations in organizational culture
Root Cause: Management is afraid of making radical transformations in organizational culture that would encourage participation and collaboration.
Tangible Benefits: Measurable outcomes (increased productivity on the floor = more pumps produced at lower cost to the company; increased sales; greater share of the market)
Intangible…… [Read More]