Children’s Hospital and Clinics Essays

Children’s Hospital and Clinics Essays Children’s Hospital and Clinics Essay Children’s Hospital and Clinics Essay Due to a patient near fatal accident, the children’s hospital and clinics were looking for any effort to provide a safety patient culture. Julie Morath was hired in 1999 to improve hospital operations; she wanted to make Safety the top priority of the hospital. Julie Morath directed and begun setting up the Patient Safety Initiative at Children’s Hospital and Clinics by making employees obtain the mindset of safety and building a culture. The key steps to her patient safety initiative were the blameless patient safety reporting system, making focus groups, and setting up a committee of patient safety practice. During each process of the patient safety initiative at Children’s Hospital and Clinics there were many positive and negative effects of each step. The key elements of Patient Safety Initiative were followed by three steps, the first step was presentations that she conducted to the hospital staff about the national research and medical errors. The second step was focus groups that focused on the patient safety issues at Children’s Hospitals and Clinics. The third step was to make the initiative more strategic by developing it. Morath wanted to create a culture where she had the concept of â€Å"do not harm† was clearly developed rather than expressly stated. She wanted to focus her culture based on collaboration among others and operations around the science and sense of safety. When she came into Children’s and clinic, her main objective was making safety the top priority. According to exhibit 10, you can see that the safety reports have been steady improving since she got hired. One of the key elements of Patient Safety Initiative was to transform the organizational culture in order to provide an environment that would be able to discuss medical accidents in a proper manner. She wanted to embrace a culture that welcoms communication about safety issues. She enforces the idea of learning from past mistakes rather then pointing fingers whenever there was a mistake. There was the patient safety dialogues which created a sessions which all of the employees come together to talk and discuss the research of medical safety. Blameless reporting was also part of building the culture and this was a system designed to report medical accidents without the fear of being punished. According to exhibit 7, the blameless report help make the line workers to find out how to eliminate breakdowns. One of the weaknesses of the building culture was everyone was not happy about this approach. Many employees believed itwould be more of the employee lack of ability instead of the failed system. Many were worried that it was hard to actually find out who the poor workers were because of the blameless reports. The second element was to develop the infrastructure that was required to direct safety improvements. This was a reporting system that examines serious accidents and it was responsible for approving all of the major policy changes. Patient safety steering committee was formed and they would set the goals for the safety initiative. Exhibit 9 below shows all of the members that were in the committee. When developing the infrastructure, this allowed focus event studies which they would be able to conduct investigations after any serious medical accidents. The focused event studies helped identified the sequences of events accurately as possible, and this helps tell all of the system failures. The weakness in the process of developing the infrastructure was that many employees had the concern that they didn’t have enough time, staff, or resources to follow up on the issues. There was another issue about the recommended changes that was forced and to meet the effectiveness of the change. The last concern about developing the infrastructure was if this approach actually changed the hospitals legal risk profile. The third element was to launch a project to examine the medication administration system at the hospital. This approach was to achieve the goal of having zero defects in the administration system. The purpose of the medication administration system was to improve the safety of the patient by moderating the system and processes. Safety action teams were formed and it was eight employees that came together to discuss the problems and they way it could be improved. The strength of this was that it could provide a powerful vehicle for workers to get out the unnecessary complexity and remove barriers. The barriers that Morath faced as she tried to encourage people to discuss medical errors more openly is one thing she did was she presented data from the Harvard Medical practice study on the frequency and the causes of medical errors. The staff then came to mind that the events that occur at children’s happen along with other colleagues. She convinced everyone that errors were a problem and that it happens to all care organizations. She then tried to persuade Children’s hospital staff about talking openly about errors because open discussion will eventually improve patient care. She then conducted focus groups, sheinvolved staff from other areas and she did get people more focus about coming up with ways to improve the patient safety. Overall, she conducted 18 groups that included many of the staff through the hospital and this created more awareness and many felt free to talk about their experiences with medical errors. According to exhibit 10, there issue was also the parents who were concerned so a parent group was formed to keep them updated on the information. When she conducted the strategic plan, she summarizes the components of the strategic plan by calling it SAFE. The acronym stand for safety, access, financial, and experience, each of the categories had a clear goal and what to do to accomplish them. My assessment of Morath’s leadership of the organization change process at Children’s hospital and Clinics was that she was really impassionate about safety. It stated in the article that her leadership was going to be hard to replace and all the effort she put into the hospital can go to a fad. The central challenge that she faced was that to change people mindsets towards accident in the medical field. She wanted to change it from a penalty environment to a learning experience environment. Another challenge she faced was getting employees to own to a mistake without the fear of getting in trouble. The key activities that she initiated was the learning from past mistakes environment instead of blaming. In stage 1 of the changing process, her system was very encouraging and more employees were more willing to share their mistakes. In stage 2 and 3, the system believed that mistakes occurred because of drawbacks in the processes rather then the ability of the staff. Judith Morath had the right mindset when it came to making safety the top priority at Children’s Hospital and Clinics. There were many issues such that dealt with disclosure and legal risk, accountability, measuring results, and leadership. When it came to disclosure and legal risk, she worried about the benefits of enhancing disclosure to patients and families exceeded the risk of additional lawsuits. There was a belief that the respect with the parents involvement in the safety improvement effort. She also had the challenge of accountability, many of the unit managers and administrators were concern over the blameless reporting and that staff should be responsible for the accident. They believed that there should be consequences and accountability for the poor performance. Also the measuring results didn’t match up well. According to exhibit 10, she wasn’t able tojustify the financial results and the benefits outweighed the costs.

Free Essays on Coincedences Lead To Consequences

Coincidences Lead to Consequences When people’s lives are determined by a â€Å"greater power† and the belief that the order of things is already decided is called fate. Some people, called fatalists, believe in this and that they have no power in determining their futures. Despite this, others believe that coincidence is the only explanation for the way their lives and others turn out. Thomas Hardy portrays chance and coincidence as having very significant roles in Tess of the D’Urbervilles. Three such coincidences were quite influential and had large effects on Tess’ future. The first was that Tess Durbeyfield’s father discovered that their family came from one of the oldest, and (at one time) one of the wealthiest families in England. Another event that takes place by mere chance in Tess’ life is when Tess slips a letter of confession underneath both her lover’s door and (by accident) his carpet, where he could not see it. The final coincidence would be the death of Tess’ father, which not only leaves Tess in a state of deprivation, but also the rest of her family including her mother and six siblings. All of these coincidences had consequences that would change Tess’ life. For the first sixteen years of her life, Tess Durbeyfield and her family lived in a middle-class situation in the town of Marlott. Since her father was a life holder of the cottage in which they lived, he out ranked the farm laborers. However, John Durbeyfield is not in good health when we meet him and he does not show much interest in working, and instead spends his time drinking. Upon returning home one evening, John meets a man named Parson Tringham who tells him that the Durbeyfield family is the â€Å"lineal representative of the ancient and knightly family of the d’ Urbervilles, who†¦ came from Normandy with William the Conqueror† (Hardy 18). This news suddenly changes John Durbeyfield’s view on his family’s lifestyle and... Free Essays on Coincedences Lead To Consequences Free Essays on Coincedences Lead To Consequences Coincidences Lead to Consequences When people’s lives are determined by a â€Å"greater power† and the belief that the order of things is already decided is called fate. Some people, called fatalists, believe in this and that they have no power in determining their futures. Despite this, others believe that coincidence is the only explanation for the way their lives and others turn out. Thomas Hardy portrays chance and coincidence as having very significant roles in Tess of the D’Urbervilles. Three such coincidences were quite influential and had large effects on Tess’ future. The first was that Tess Durbeyfield’s father discovered that their family came from one of the oldest, and (at one time) one of the wealthiest families in England. Another event that takes place by mere chance in Tess’ life is when Tess slips a letter of confession underneath both her lover’s door and (by accident) his carpet, where he could not see it. The final coincidence would be the death of Tess’ father, which not only leaves Tess in a state of deprivation, but also the rest of her family including her mother and six siblings. All of these coincidences had consequences that would change Tess’ life. For the first sixteen years of her life, Tess Durbeyfield and her family lived in a middle-class situation in the town of Marlott. Since her father was a life holder of the cottage in which they lived, he out ranked the farm laborers. However, John Durbeyfield is not in good health when we meet him and he does not show much interest in working, and instead spends his time drinking. Upon returning home one evening, John meets a man named Parson Tringham who tells him that the Durbeyfield family is the â€Å"lineal representative of the ancient and knightly family of the d’ Urbervilles, who†¦ came from Normandy with William the Conqueror† (Hardy 18). This news suddenly changes John Durbeyfield’s view on his family’s lifestyle and...

Ethics and Social Responsibility in International Business Research Paper

Ethics and Social Responsibility in International Business - Research Paper Example This essay stresses that passive responsibility refers to a case where the company shuns from indulging in socially risky acts while active responsibility is whereby companies engage in actions that directly advance social objectives. This paper declares that any successful attempt starts with the customer by understanding their tribulations and attempting to establish how these problems are related to their needs. With the increasing world economy currently, customers are getting to be more of a mix of international and local consumers. Today’s companies are trying to achieve competitive gain by providing services or products to attain the requirements of the international consumer. To make these companies to effectively develop and market their goods and or services globally a clear understanding of the social and ethical responsibilities should be established for all stakeholders. These ethical and social responsibility standards should be incorporated in a company’s DNA giving room for more conventional and positive effect on all stakeholders. Ethics usually centers on conduct or ethical evils that occur in a company, institution or any business enterprise. The conduct is thus analyzed from the p osition of an individual’s behavior or organizational behavior in general. It therefore essential that any time the firm’s morale standards are polished, the customer’s attitude and that of the society as a whole is positive towards the firm. Henceforth, the income accumulated form the sales are excessively likely to remain at all times high. For example I n the current world, big corporation’s opera ting internationally support their companies’ image with ethical standards and social responsibility bonds. In the past and even in the modern world, business involved inhuman activities like human trafficking, colonialism and slavery, this type of business only met the benefits of one party against the other. However, with the emergence of business ethics, the world of business has been transformed to a point where the demands of both parties are achieved without interfering with human rights as suggested by Trevino and Nelson (147). Therefore a compa ny is required to make as much profits as it can as it conforms to the ethical guidelines of the society both those set in the law and those personified under customary ethics. Ethics and social responsibility overcomes every aspect, small of big in international business. The following are some of the practical business areas where this is a main concern: Management strategy A great level of sustainable success is attainable in an employee/customer facilitating environment. Where employees, consumers and suppliers are treated kindly, their

Strategic Management Process Essay Example | Topics and Well Written Essays - 1250 words

Strategic Management Process - Essay Example Origin Energy Limited is a company that sees her self-be more than an energy retailer. Rather, the company claims to â€Å"find and produce gas, generate electricity and invest in renewable energy opportunities including wind, hydro, solar and geothermal†. As a fast-growing company in the energy industry (Australian Security Exchange, 2011), Origin Energy is endowed with a number of distinctive competencies that have been the reason behind the company’s performance and growth on the Australian Stock Exchange over the past years. Quoting Bianco from Kenneth R. Andrews’ 1971 definition of distinctive competencies, it can be said that distinctive competencies refer to â€Å"the set of activities that an organization could perform especially well in relation to its competitors.† This definition was given as an elaboration of the original theory of distinctive competencies developed by Philip Selznick in 1957 after he studied â€Å"vastly differing organizatio ns, from the Communist Party to the Tennessee Valley Authority†. Judging from the definition, it can be pointed out that Origin Energy’s foremost distinctive competencies are in the areas of diversity of business orientation.Origin Energy operates in several sectors of the energy industry. Among these sectors are oil and gas exploration and production, of which the company has several oil and gas reserves across Australia. This is, of course, a competitive advantage for crisis moments when oil and gas may be in adverse shortage. The fact that the reserves are spread across Australia in regions such as the Cooper Basin of South Australia, the Bass Strait, Queensland, Victoria and Tasmania means the company is assured of nationwide constant supply. This is because there is reduced need for transporting oil over long distances to get various parts of their oil stations with oil and gas supply. Still on oil and gas, the company has a gas field in Australia (Sustainability R eport, 2009). This makes Origin an International company that enjoys the benefits of foreign exchange. Apart from oil and gas exploration and production, Origin Energy is into wholesale and retail of gas and electricity (Silo Breaker, 2011). Silva (2011) observes that retail marketing especially â€Å"helps increase the revenues of stores and aims to improve the experience consumers get when they visit their favorite shops.† This is of course a benefit that Origin Energy is not exempted from. By wholesale and ret

Diary Entry of John Proctor Essay Example for Free

Diary Entry of John Proctor Essay Tomorrow is the day of my execution. For once of my life I lied, I confessed to something I do not believe, I betrayed my friend. I am a man of sin, I told Danforth that they were all involved in witchcraft, I thought I would not feel guilty about it since they are already dead and I am doing this for my family. My beloved wife Elizabeth needs a man in the household, and my children, they need a father. I thought putting my family as my first priority, even more important than honor and the truth; but I am wrong, seriously wrong. I used them, my neighbors, my friends in order to persuit my own happiness. I used them, I am a man of sin. I am now a man of sin, and this is all because of that lustful woman named Abigail Williams. I admit that I did like her at first, her beauty deeply attracted me and I did something that was a shame for my whole life, I betrayed my wife Elizabeth. I dont know what I was thinking back than, but I certainly regret it now. Elizabeth trusted me, our family were united, everything were fabulous until that woman came into my life. If there were anyone that is actually the devil, is must be her, Abagail Williams. She didnt just ruin the life of my household, but everyone in Salem, the Coreys, the Nurses, even the Putnams were ruined because of that devil and her so called witchcraft. Because of her, nobody in Salem could live the lives they had, everyone went crazy, everybody is accusing each other in order to keep themselves away from harm. Maybe Abagail didnt realise that the results will turn out to be like this, but this is reality. Its all because of her lust, her thirst for power, her wicked sick mind, its all because of her. It is Abagail that drove everyone mad. It is Abagail that made everyone suspiciouse of their neighbors and friends. It is Abagail that killed out people in Salem. And it is Abagail that made me have to lose my word, it is her that made me confess to a lie. It is Abagail Williams who turned me into the man that doesnt worth anymore credit, it is Abagail that killed me. Abagail Williams is not saint that confessed to the truth, but a murderer that slaughtered the nice people of Salem. Tomorrow is my last day living, how will the people of Salem view me? Maybe they will take me as the villian that blackened the saints names, or maybe they will see me as a man with honor, to die like a man not a coward that wouldve done anything to save my own life. I will die like a man.

Story Truth Vs. Happening Truth Using Tim Obriens work Essays -- Tim

The Effect of "Story Truth" vs. "Happening Truth" Literature is such a beautiful thing because it does not give us an answer to it's questions. There are so many iffy spots that leave us to develop our own thoughts and feelings toward the piece of work. This is an interesting factor because at many times it affects us in a different way and can develop us as an individual. When reading a piece of literature, one person can interpret it in different ways than another person reading the same piece of work. I remember analyzing poems with my English class in the previous years and when we were asked to interpret it, we all had different answers. Sometimes what I got out of the poem didnÂ’t even go close to the direction that my classmate was going in. However, when I saw it from her view I saw more of where they were coming from I learned more about them. I read, "The Things They Carried," in last year's English class. I think that this is the only book that my class as a whole read, which means a lot coming from a class where spark notes was their way out. The way Tim O'Brien wrot...

Health Care Challenges Memo Essay

There are many challenges that happen within the health care field. The most important is protecting the patient’s personal information and who is able to access this information. The National Health Information Network (NHIN) was formed to help improve upon the sharing of health care data. This was to help link data together for all involved to keep data secure when transferring over the internet. Within a health care organization a Hierarchy information system is used. This offers ease of network expansion and alteration for desktops used to be able to access necessary data. Both local area network (LAN) and wide area network (WAN) are used in within the organization. Two or more LANs are connected by a hub. The LAN is connected from different areas to form an internetwork. Within the health care field it is important that protected health information (PHI) is kept protected. There are measures that need to be taken to ensure that there are no unauthorized usages of this typ e of information. The HIPAA standards must be followed at all times whether it is administrative or patient care departments. Physical safeguards are in place to protect the hardware and facilities that store PHI. The facility that houses the health IT is housed has limited physical access to authorized personal only. There are restrictions on workstations to have access with PHI. The health IT system has safeguards built in to protect health information and to be able to control of access to it. Measures are set to limit access of information. Steps are taken to encrypt, and decrypt information being transmitted electronically to guard against unauthorized access of the information. In order for the organization to have control over who access the information steps need to be taken to protect patient data from being stolen. To do this users have a unique user identification protocols, automatic logoff, emergency access steps, and encryption and decryption mechanisms. Audit  controls need to be used to check activity of the IT system. Authentication of the entity or person that is attempting to access the information is a must to do. Transmission security of PHI that is being transmitted through the network needs to be protected. References Health Information: Management of a Strategic Resource (4th Ed.) (Abdelhak, Grostick, & Hanken) How Do I Ensure Security in Our System? (n.d). Retrieved from www.hrsa.gov/healthit/toolbox/HIVAIDSCAREtoolbox/SecurityAnd†¦