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Books > Business & Economics > Business & management > Ownership & organization of enterprises > Public ownership / nationalization
How amenable is public enterprise to the implementation of national distributional policies? This is the question explored here by Professor Ramanadham. Originally published in 1988, he examines the various channels through which distributional effects take place through their operations, and draws attention to the implicit conflicts of interest among consumers, workers, and tax payers. He focuses on the problems associated with the use of public enterprises as instruments of distributional goals and examines the question of whether direct budgetary measures on the part of government would be preferable. There are detailed analyses of the distributional implications of wage incomes, prices, and surpluses in the public enterprise sector. Finally, the author comments from the distributional angle on the results of privatization. Here is a detailed study of the way in which public enterprise may be employed as an instrument of redistribution of income and wealth, also of the extent to which this is feasible.
Originally published in 1986, this volume brings together papers on the organisational structure of select public enterprises from nine countries, developed and developing. They are set in different forms, work in different sectors and have diverse experiences, often on similar issues. The papers are written by top executives of the respective enterprises and, therefore, contain an authentic presentation of the problems and processes of organisation. The editor has included, at the beginning, an analytical review on certain fundamental aspects of organisational structure which, for the purpose of this volume, has been conceived in wide terms. Every one of these aspects is not exactly covered by every empirical paper. At the end he has provided a comparative review, trying to keep to a minimum repetition of material from the papers.
Today, it is not uncommon for practices and hospitals to be on their second or third EHR and/or contemplating a transition from the traditional on-premise model to a cloud-based system. As a follow-up to Complete Guide and Toolkit to Successful EHR Adoption ( (c)2011 HIMSS), this book builds on the best practices of the first edition, fast-forwarding to the latest innovations that are currently leveraged and adopted by providers and hospitals. We examine the role that artificial intelligence (AI) is now playing in and around EHR technology. We also address the advances in analytics and deep learning (also known as deep structured or hierarchical learning) and explain this topic in practical ways for even the most novice reader to comprehend and apply. The challenges of EHR to EHR migrations and data conversions will also be covered, including the use of the unethical practice of data blocking used as a tactic by some vendors to hold data hostage. Further, we explore innovations related to interoperability, cloud computing, cyber security, and electronic patient/consumer engagement. Finally, this book will deal with what to do with aging technology and databases, which is an issue rarely considered in any of the early publications on healthcare technology. What is the proper way to retire a legacy system, and what are the legal obligations of data archiving? Though a lot has changed since the 2011 edition, many of the fundamentals remain the same and will serve as a foundation for the next generation of EHR adopters and/or those moving on to their second, third, fourth, and beyond EHRs.
Pharmaceuticals constitute a relatively small share of the total Health Care expenditure in most developed economies, and yet they play a critical role in the ongoing debate over how best to advance, improve, and afford Health Care. Despite this, and perhaps because of this, the industry has had, for many years, an outsized claim to fame and controversy, praise and criticisms, and support and condemnation. Unfortunately, many participants in the debate do not fully understand the complexities of the industry and its role in the overall Health Care system. The analytical tools of economics provide a strong foundation for a better understanding of the dynamics of the pharmaceutical industry, its contribution to Health and Health Care, and its dual and often conflicting priorities of affordability and innovation, as well as the various Private and Public Policy initiatives directed at the sector. Everyone is affected by Big Pharma and the products they produce. At the Drug store, the physician's office, in front of the television, in everyday conversations, Drugs are a part of our lives. Society shapes our values toward Drugs and Drugs shape society. ("The Pill" and minor tranquilizers are good examples.) And, of course, the way Congress deliberates and Big Pharma responds has a huge impact on how Drugs affect our lives. This book is well-researched on the subject of the pharmaceutical industry, its struggles with Government, and its relationship to the consumer from the early twentieth century until the present. The Dynamic Tension between the three participants - Government, Big Pharma, and the People - is described and explained to lead to an understanding of the controversies that rage today. The author describes how the Government, its many investigatory efforts, and the ultimate legislative results affect the industry and the consequences of their activities are explored in light of their effects on other players, including the patients and consumers who rely on both Government and Big Pharma for their well-being and who find sometimes unexpected consequences while giving special attention to the attitudes, beliefs, and misadventures of less-than-optimal Drug use. Stakeholders are identified with physicians as a major focus, as well as describing the significance of prescriptions as social objects and the processes by which physicians make choices on behalf of their patients. The author ties it all together with how Big Pharma affects and is affected by each of these groups. The author utilizes his 50-plus years' experience as an academic, practicing pharmacist, and Big Pharma employee to describe the scope of the pharmaceutical industry and how it affects us on a daily basis, concluding with an inside look at Big Pharma and how regulations, marketing, and the press have affected their business, both good and bad.
Pharmaceuticals constitute a relatively small share of the total Health Care expenditure in most developed economies, and yet they play a critical role in the ongoing debate over how best to advance, improve, and afford Health Care. Despite this, and perhaps because of this, the industry has had, for many years, an outsized claim to fame and controversy, praise and criticisms, and support and condemnation. Unfortunately, many participants in the debate do not fully understand the complexities of the industry and its role in the overall Health Care system. The analytical tools of economics provide a strong foundation for a better understanding of the dynamics of the pharmaceutical industry, its contribution to Health and Health Care, and its dual and often conflicting priorities of affordability and innovation, as well as the various Private and Public Policy initiatives directed at the sector. Everyone is affected by Big Pharma and the products they produce. At the Drug store, the physician's office, in front of the television, in everyday conversations, Drugs are a part of our lives. Society shapes our values toward Drugs and Drugs shape society. ("The Pill" and minor tranquilizers are good examples.) And, of course, the way Congress deliberates and Big Pharma responds has a huge impact on how Drugs affect our lives. This book is well-researched on the subject of the pharmaceutical industry, its struggles with Government, and its relationship to the consumer from the early twentieth century until the present. The Dynamic Tension between the three participants - Government, Big Pharma, and the People - is described and explained to lead to an understanding of the controversies that rage today. The author describes how the Government, its many investigatory efforts, and the ultimate legislative results affect the industry and the consequences of their activities are explored in light of their effects on other players, including the patients and consumers who rely on both Government and Big Pharma for their well-being and who find sometimes unexpected consequences while giving special attention to the attitudes, beliefs, and misadventures of less-than-optimal Drug use. Stakeholders are identified with physicians as a major focus, as well as describing the significance of prescriptions as social objects and the processes by which physicians make choices on behalf of their patients. The author ties it all together with how Big Pharma affects and is affected by each of these groups. The author utilizes his 50-plus years' experience as an academic, practicing pharmacist, and Big Pharma employee to describe the scope of the pharmaceutical industry and how it affects us on a daily basis, concluding with an inside look at Big Pharma and how regulations, marketing, and the press have affected their business, both good and bad.
In the absence of a widely accepted and common definition of social enterprise (SE), a large research project, the "International Comparative Social Enterprise Models" (ICSEM) Project, was carried out over a five-year period; it involved more than 200 researchers from 55 countries and relied on bottom-up approaches to capture the SE phenomenon. This strategy made it possible to take into account and give legitimacy to locally embedded approaches, thus resulting in an analysis encompassing a wide diversity of social enterprises, while simultaneously allowing for the identification of major SE models to delineate the field on common grounds at the international level. These SE models reveal or confirm an overall trend towards new ways of sharing the responsibility for the common good in today's economies and societies. We tend to consider as good news the fact that social enterprises actually stem from all parts of the economy. Indeed, societies are facing many complex challenges at all levels, from the local to the global level. The diversity and internal variety of SE models are a sign of a broadly shared willingness to develop appropriate although sometimes embryonic-responses to these challenges, on the basis of innovative economic/business models driven by a social mission. In spite of their weaknesses, social enterprises may be seen as advocates for and vehicles of the general interest across the whole economy. Of course, the debate about privatisation, deregulation and globalised market competition-all factors that may hinder efforts in the search for the common good-has to be addressed as well. The second of a series of four ICSEM books, Social Enterprise in Latin America will serve as a key reference and resource for teachers, researchers, students, experts, policy makers, journalists and other categories of people who want to acquire a broad understanding of the phenomena of social enterprise and social entrepreneurship as they emerge and develop across the world.
In the absence of a widely accepted and common definition of social enterprise (SE), a large research project, the "International Comparative Social Enterprise Models" (ICSEM) Project, was carried out over a five-year period; it involved more than 200 researchers from 55 countries and relied on bottom-up approaches to capture the SE phenomenon. This strategy made it possible to take into account and give legitimacy to locally embedded approaches, thus resulting in an analysis encompassing a wide diversity of social enterprises, while simultaneously allowing for the identification of major SE models to delineate the field on common grounds at the international level. These SE models reveal or confirm an overall trend towards new ways of sharing the responsibility for the common good in today's economies and societies. We tend to consider as good news the fact that social enterprises actually stem from all parts of the economy. Indeed, societies are facing many complex challenges at all levels, from the local to the global level. The diversity and internal variety of SE models are a sign of a broadly shared willingness to develop appropriate-although sometimes embryonic-responses to these challenges, on the basis of innovative economic/business models driven by a social mission. In spite of their weaknesses, social enterprises may be seen as advocates for and vehicles of the general interest across the whole economy. Of course, the debate about privatisation, deregulation and globalised market competition-all factors that may hinder efforts in the search for the common good-has to be addressed as well. The first of a series of four ICSEM books, Social Enterprise in Asia will serve as a key reference and resource for teachers, researchers, students, experts, policy makers, journalists and other categories of people who want to acquire a broad understanding of the phenomena of social enterprise and social entrepreneurship as they emerge and develop across the world.
Steep socioeconomic hierarchy in post-industrial Western society threatens public health because of the physiological consequences of material and psychosocial insecurities and deprivations. Following on from their previous books, the authors continue their exploration of the geography of early mortality from age-related chronic conditions, of risk behaviors and their health outcomes, and of infant and child mortality, all due to rigid hierarchy. They divide the 50 states into those that gave their electoral college votes to Trump and those that gave theirs to Clinton in the 2016 presidential election and compare the two sets for socioeconomic and public health profiles. They deliberately apply only simple standard statistical methods in the public health analyses: t-test, Mann-Whitney test, bivariate regression, and backward stepwise multivariate regression. The book assumes familiarity with basic statistics. The authors argue that the unequal power relations that result in eroding public health in the nation and, in particular, in the Trump-voting states, largely cascade from the collapse of American industry, and they analyze the Cold War roots of that collapse. In two largely independent chapters on economics, they explore both the suppression of countervailing forces, such as organized labor, and the diversion of technical resources to the military as essential foundations to the population-level suffering that expressed itself in the 2016 presidential election. This interdisciplinary book has several primary audiences: creators of public policies, such as legislators and governmental staff, public health professionals and social epidemiologists, economists, labor union professionals, civil rights advocates, political scientists, historians, and students of these disciplines from public health through the social sciences.
This book explores the hospital via organisational ethnography (OE), an approach that involves a mix of fieldwork methods designed to analyse the hospital which also includes participatory observation, qualitative interviews and shadowing. One way to define a hospital is by its high level of formal organisation, resulting in written or digital communication as the main source of communication in patient journals, minutes and medical and quality guidelines. In contrast, in this book, the aspects of the informal organisation will be the focus. In spite of the many formal regulations of healthcare, hospitals are also chaotic organising places where many different groups of people interact in order to negotiate, to practice and to make sense of daily work tasks. The underlying argument is that, in the mundane everyday life of hospitals, frontline workers and their interactions with patients and local managers remain at the core of organising hospitals. The overall purpose of this book is to report stories back from the field of healthcare, demonstrating how people, spaces and work (as examples of events) become important elements of organising hospitals. The book will be of interest to students and scholars in and across healthcare management, organisation studies, ethnography, sociology, qualitative methods, anthropology, service management and cultural studies.
Contemporary public administration research has marginalized the importance of "taking history seriously." With few exceptions, little recent scholarship in the field has looked longitudinally (rather than cross-sectionally), contextually, and theoretically over extended time periods at "big questions" in public administration. One such "big question" involves the evolution of American administrative reform and its link since the nation's founding to American state building. This book addresses this gap by analyzing administrative reform in unprecedented empirical and theoretical ways. In taking a multidisciplinary approach, it incorporates recent developments in cognate research fields in the humanities and social sciences that have been mostly ignored in public administration. It thus challenges existing notions of the nature, scope, and power of the American state and, with these, important aspects of today's conventional wisdom in public administration. Author Robert F. Durant explores the administrative state in a new light as part of a "compensatory state"-driven, shaped, and amplified since the nation's founding by a corporate-social science nexus of interests. Arguing that this nexus of interests has contributed to citizen estrangement in the United States, he offers a broad empirical and theoretical understanding of the political economy of administrative reform, its role in state building, and its often paradoxical results. Offering a reconsideration of conventional wisdom in public administration, this book is required reading for all students, scholars, or practitioners of public administration, public policy, and politics.
Healthcare Affordability: Motivate People, Improve Processes, and Increase Performance applies the Theory of Affordability across the Healthcare Enterprise. Affordability is realized when the Value delivered exceeds the Patient's requirements, while the expense for the quality resources required to deliver that Value is at a Cost less than the revenue received from the competitive pricing applied to the care. The aim of healthcare affordability is to attain performance excellence in all areas across the entire Healthcare Enterprise. The Healthcare Enterprise involves 5 types of providers: Healthcare Providers, Medicine and Pharmaceutical Providers, Machine and Device Providers, Service and Supplier Providers, and Insurance and Payment Providers. Obviously, one key focal point of healthcare affordability is affordable healthcare, a condition that has been chased for decades, but has yet to be achieved. This book provides a useful framework and foundation for any organization to pursue and achieve Affordability. Although there are many methods used to accomplish performance improvement, this approach has been proven successful with many organizations. It integrates strategic vision and direction, with operational goals and objectives and tactical targets and tasks. This book also provides a leadership strategy and structure for change and transformation, and a designed plan to execute an 18-month implementation program. Features: Affords patients and providers a better, faster, safer, and more affordable and profitable experience and approach Offers solutions for current state dilemmas, and provides a framework for future state success Increases the speed of delivery, improves the quality, and decreases the cost of care Provides methods and tools for linking and integrating strategic, operational and tactical goals Healthcare Affordability: Motivate People, Improve Processes, and Increase Performance provides readers with methods and means for solving the complex problem of affordable healthcare.
Networks and other collaborations are central to the public sector's ability to respond to their diverse responsibilities, from international development and regional governance, to policy development and service provision. Great strides have been made toward understanding their formation, governance and management, but more opportunities to explore methodologies and measures is required to ensure they are properly understood. This volume showcases an array of selected research methods and analytics tools currently used by scholars and practitioners in network and collaboration research, as well as emerging styles of empirical investigation. Although it cannot attempt to capture all technical details for each one, this book provides a unique catalogue of compelling methods for researchers and practitioners, which are illustrated extensively with applications in the public and non-profit sector. By bringing together leading and upcoming scholars in network research, the book will be of enormous assistance in guiding students and scholars in public management to study collaboration and networks empirically by demonstrating the core research approaches and tools for investigating and evaluating these crucially important arrangements.
Co-production occurs when citizens actively participate in the design and delivery of public services. The concept and its practice are of increasing interest among policymakers, public service managers and academics alike, with co-production often being described as a revolutionary solution to public service reform. Public Service Management and Asylum: Co-production, Inclusion and Citizenship offers a comprehensive exploration of co-production from the public administration and service management perspectives. In doing so, it discusses the importance of both streams of literature in providing a holistic understanding of the concept, and based on this integration, it offers a model which differentiates co-production on five levels. The first three refer to the role of the public service user in the design and delivery of services (co-construction, participative co-production and co-design) and the other two focus on inter-organisational relationships (co-management and co-governance). This model is applied to the case of asylum seekers in receipt of social welfare benefits in Scotland to explore the implications for social inclusion and citizenship. It argues that as public service users, asylum seekers will always play an active role in the process of service production and while co-production does not provide asylum seekers with legal citizenship status, if offers an opportunity for asylum seekers to act like citizens and supports their inclusion into society. It will be of interest to researchers, academics, policymakers, public services managers, and students in the fields of public management, public administration, organizational studies.
Public goods are typically defined only in reference to the good itself but, as this book argues, the public goods can be better understood if contextual variables are incorporated. This book discusses the production and provision of public goods. It asserts that changes related to public goods are better understood if the category of goods are not decided solely by the properties of the good itself. We also need to focus on how the enabled utility of a good is influenced by the production and the provision of the good. The book opens with a brief introduction to common conceptions of public goods and a review of the existing literature - highlighting the limitations of current definitions of public goods. It presents a new multi-layered approach to public goods. This has implications for the discourse on public goods and for our understanding of the societal and environmental impact of public goods. The implications are illustrated in several areas; public goods in ancient history, privatization, innovation, competitiveness and prices, democracy and political standards, and economic growth. The book provides a provocative argument for a new way to analyze public goods which will appeal to scholars and students interested in the economic analysis of public goods, arguments regarding the privatizing or nationalizing of production and services, and method of modelling and measuring sustainable business activities.
Never has the need for church planting been more acute or more necessary. The world around us is beset with problems of every kind-political, social, economic, racial, and moral. The list is endless, and the difficulties are systemic and entrenched. The best minds, institutions, and efforts are being marshaled to address these problems, but are we getting to the root issues? Could it be that the solutions lie elsewhere? Indeed, the greatest reformer to ever live told us the hope we need comes from the church. Yes, the church, as anemic and as irrelevant as it may seem to some (or many). Jesus said of the community He would birth, "You are the light of the world and the salt of the earth" (Matt. 5:13-14). The church, in all its forms, from small to big, whether found in the countryside or in megacities is God's redeeming force for society, for culture, and for the nations. The church is God's secret weapon and His change agent for the world. He's all in on the church. As such the church is God's organizational servant on the earth. It's to be an enterprise of the highest quality. It's to sparkle with kingdom power, love, and truth. As Ephesians 3:10 states, "[God's] intent was that now, through the church, the manifold wisdom of God should be made known to the rulers and authorities in the heavenly realms." For such a task, outstanding leaders are needed. Great leaders are not just for the arenas of business, politics, or the military. The church must also focus on recruiting, training, and deploying the best. As the leader goes, so goes the organization. This book assists in the great endeavor of planting churches. It gives church planters a biblical and conceptual framework so they can be armed with a map for how to go about establishing new works. This framework is rooted in the humble yet glorious, small yet significant, quiet yet powerful ways of Jesus.
The Healthcare industry is one of the largest and rapidly developing industries. Over the last few years, healthcare management is changing from disease centered to patient centered. While on one side the analysis of healthcare data plays an important role in healthcare management, but on the other side the privacy of a patient's record must be of equal concern. This book uses a research-oriented approach and focuses on privacy-based healthcare tools and technologies. It offers details on privacy laws with real-life case studies and examples, and addresses privacy issues in newer technologies such as Cloud, Big Data, and IoT. It discusses the e-health system and preserving its privacy, and the use of wearable technologies for patient monitoring, data streaming and sharing, and use of data analysis to provide various health services. This book is written for research scholars, academicians working in healthcare and data privacy domains, as well as researchers involved with healthcare law, and those working at facilities in security and privacy domains. Students and industry professionals, as well as medical practitioners might also find this book of interest.
Eve Shapiro has been writing about patient-centered care, physician-patient communication, and relationships between doctors and their patients since 2007. In Joy in Medicine? What 100 Healthcare Professionals Have to Say about Job Satisfaction, Dissatisfaction, Burnout, and Joy, Eve turns her attention to those on the healthcare delivery side of this "sacred interaction." These healthcare professionals share their enthusiasm, joys, frustrations, disappointments, insights, advice, stories, fears, and pain, explaining how it looks and feels to work in healthcare today no matter who you are, where you work, or what your position is in the organizational hierarchy. The healthcare professionals who provide patient care deserve our collective interest in their humanity. Without some insight into who they are and the forces with which they struggle every day, we cannot fully appreciate the obstacles to providing the care we all want for ourselves and our families during the best of times, let alone in the uncertain times that lie ahead.
Never before has there been such strong recognition of the importance of community-based green spaces to local communities and urban redevelopment. This book is an autoethnographic account of the challenges and breakthroughs of learning to lead together. The interwoven stories provide first-hand, evocative examples of how an ecological and community approach to organisational development and urban regeneration helped shift the business as usual paradigm. It will help you identify and step beyond individualistic and 'heroic' notions of leadership, and will inspire you to find your own way of embracing natural and shared authority. The book focuses on the experiences of developing an environmental education charity in London; Global Generation. It shows how action research, nature practice and storytelling has successfully grown shared purpose, trust and collaboration, both within Global Generation and in the wider community. The style and structure of the book reflects the participatory approach that it presents. The author, Jane Riddiford, deliberately challenges the norms of authorship, which is shaped by the dominant Western narrative - objective, authorless and 'othered'. This book goes beyond this narrow framework, combining different styles of writing, including traditional and autobiographical storytelling, diary entries and co-writing. Along with practice accounts of what happened, challenges raised and lessons learned, each chapter will also include other people's descriptions of their experience of being involved in the process.
Organizations are ethically, morally, and legally required to maintain safe workplaces that protects employees, visitors and anyone who frequents their establishments. But why do organizations that employee uniformed security personnel as part of their overall workplace violence prevention program still struggle to create and maintain the safest possible workplaces? To meet these obligations organizations often employ uniformed security officers to deter, observe, and report criminal behavior, and in some contexts, they physically interact with dangerous individuals to protect employees, consumers and visitors from violent behaviors. Unfortunately, many organizations don't utilize their security personnel to their fullest potential and organizational and community members continue to be victims of workplace violence. This book identifies the flawed principles, policies and personnel decisions that organizations use, and it provides practical solutions to address them. The book covers two major themes: the misapplication of law enforcement community safety principles to private, free-market businesses and the use of risk aversive philosophies to their security officer's activities. This book covers the principles, policies and personnel necessary for maximizing the effectiveness of uniformed security personnel to successfully mitigate potential workplace violence and create and maintain safe organizations. There is a strong need for this book since workplace violence prevention has taken on a new focus due to increases in workplace violence incidents and new laws requiring organizations to take a more serious approach to workplace violence prevention. The healthcare and campus markets are most affected by these laws and are under public scrutiny because of their vulnerable populations. These two markets combined employ the most non-contract, propriety private security personnel in the country. Both markets rely on uniform security officers to create and maintain safe communities and play an important role in their respective workplace violence prevention plans.
Nonprofit organizations are conventionally positioned as generators of social and cultural forms of capital for the common good. As such they occupy a different space to other types of organizations such as corporate firms that exist primarily to generate economic capital for private owners/shareholders. Recent years, however, have seen professionalization promoted widely by funders, policy-makers and nonprofit practitioners across the globe. At the same time, there has been an increasing cross-over of employees from private and public bodies into nonprofits. But do such shifts open up space for the wholesale importation of managerialism into and commercialization of the nonprofit sphere? Are nonprofits at risk of being reconstituted as primarily economic entities, serving the interests of a leadership elite? How are such changes in an organization's trajectory brought about? What are the consequences for trustees, staff, members and the nature of managerial work? The authors engage with critical questions such as these through a unique insider account of one professional institute experiencing unprecedented changes that challenge its very reason for being. Drawing on a three-year ethnography, they narrate organizational inhabitants' struggles in their search for purpose and analyze the myriad of changes within different aspects of organizing including structure, strategizing, pay and reward, governance and leadership. The book will enable readers to reframe and rethink organizational change as a process involving power, persuasion and authority, and will be of value to researchers, students, academics and practitioners interested in managerial work and organizational change in non-profit organizations.
In patient care, inaccuracy often leads to error: the patient does not receive the right medication, the nurse is mistaken about the patient, the doctor is mistaken about the condition. Human error in care is now a well-known occurrence, and medicine has borrowed many tools from aviation to improve safety, such as simulation training, limitation of working time, use of checklists, and so forth. All these tools contribute to improving human factors in healthcare. Often due to the lack of communication between professionals, healthcare accidents are avoidable. The only solution is the standardization of communication through phraseology. But make no mistake, the subject of communication is vast and much more complex to teach than we imagine. Communication is not only an exchange of words, of meaning, of a sender-receiver scheme; it also carries the essence of all social and cooperative life by its tone, by its moment, by the listening and availability it demands from the other person, by the words chosen, by those not said voluntarily, and those referred to as "tacit" (what we no longer need to say but the other guesses). The Medical Phraseology Guide for Superior Patient Safety: How to Improve Communications Between Caregivers, through concrete and proven examples, gives readers the keys to improve communication with their healthcare colleagues. The author proposes 26 rules that are detailed and easy applicable in everyday life. These rules are inspired by the tools and checklist developed and used by commercial airline pilots. Today, more than ever, caregivers face new situations, and they have to adapt to caring for an unusual number of patients, sometimes in new environments. Given this new environment, it becomes clear that teamwork and communication are indispensable tools for improving efficiency and safety in patient care.
This book analyses central questions in the continuing debate about success factors in corruption prevention and the efficacy and value of anti-corruption agencies (ACAs). How do ACAs become valued within a polity? What challenges must they overcome? What conditions account for their success and failure? What contributions can corruption prevention make to good governance? And in what areas might they have little or no effect on the quality of governance? With these questions in mind, the authors examine the experience of Hong Kong's Independent Commission Against Corruption (ICAC), widely regarded as one of the few successful examples of an ACA. The book is grounded in an analysis of ICAC documents and surveys, the authors' survey of social attitudes towards corruption in Hong Kong, and interviews with former officials.
In patient care, inaccuracy often leads to error: the patient does not receive the right medication, the nurse is mistaken about the patient, the doctor is mistaken about the condition. Human error in care is now a well-known occurrence, and medicine has borrowed many tools from aviation to improve safety, such as simulation training, limitation of working time, use of checklists, and so forth. All these tools contribute to improving human factors in healthcare. Often due to the lack of communication between professionals, healthcare accidents are avoidable. The only solution is the standardization of communication through phraseology. But make no mistake, the subject of communication is vast and much more complex to teach than we imagine. Communication is not only an exchange of words, of meaning, of a sender-receiver scheme; it also carries the essence of all social and cooperative life by its tone, by its moment, by the listening and availability it demands from the other person, by the words chosen, by those not said voluntarily, and those referred to as "tacit" (what we no longer need to say but the other guesses). The Medical Phraseology Guide for Superior Patient Safety: How to Improve Communications Between Caregivers, through concrete and proven examples, gives readers the keys to improve communication with their healthcare colleagues. The author proposes 26 rules that are detailed and easy applicable in everyday life. These rules are inspired by the tools and checklist developed and used by commercial airline pilots. Today, more than ever, caregivers face new situations, and they have to adapt to caring for an unusual number of patients, sometimes in new environments. Given this new environment, it becomes clear that teamwork and communication are indispensable tools for improving efficiency and safety in patient care.
The Institute of Medicine, Centers for Medicare and Medicaid, The Joint Commission, and other regulatory and accrediting bodies all agree that hospitals must be transformed into places where each patient receives quality care, every single time. In other words, zero defects. Helping to ensure quality at every level, high-reliability methods offer healthcare leaders the tools they need to achieve this noble goal. Leading High-Reliability Organizations in Healthcare details the attributes and practices that help high-reliability organizations (HROs) excel in the service they provide to their customers. Explaining what it takes to achieve high reliability in healthcare settings, it defines reliability as much more than just being safe, it describes how to measure reliability and paves the way to higher reliability. The book presents proven tools, concepts, and skills that leading healthcare organizations are using to improve safety and quality, including mistake proofing, Lean Six Sigma, and reliability engineering. It details the roles and responsibilities of the two key organizational components involved in achieving high reliability: leadership and the reliability "engineers" who apply reliability methods both technically and socially throughout the healthcare value stream. Rick Morrow, executive in HROs and now System Director of Quality, Safety, and Process Improvement at CHRISTUS Health, one of the largest non-profit healthcare systems, identifies the necessary infrastructure, methods, and analytics required to achieve and sustain higher reliability. He also suggests applications of high reliability concepts that have proven to work well in healthcare settings. The book includes numerous case studies that illustrate success stories of healthcare organizations achieving higher reliability, some achieving zero defects for years. It also contains case studies that examine examples of failures, so you can avoid making the same mistakes.
This research-based book investigates the effects of digital transformation on the cultural and creative sectors. Through cases and examples, the book examines how artists and art institutions are facing the challenges posed by digital transformation, highlighting both positive and negative effects of the phenomenon. With contributions from an international range of scholars, the book examines how digital transformation is changing the way the arts are produced and consumed. As relative late adopters of digital technologies, the arts organizations are shown to be struggling to adapt, as issues of authenticity, legitimacy, control, trust, and co-creation arise. Leveraging a variety of research approaches, the book identifies managerial implications to render a collection that is valuable reading for scholars involved with arts and culture management, the creative industries and digital transformation more broadly. |
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