Robert Nash, Ramya Srinivasan, Bruno Kenway and James Quinn
The purpose of this paper is to assess whether clinicians have an accurate perception of the preventability of their patients’ mortality. Case note review estimates that…
Abstract
Purpose
The purpose of this paper is to assess whether clinicians have an accurate perception of the preventability of their patients’ mortality. Case note review estimates that approximately 5 percent of inpatient deaths are preventable.
Design/methodology/approach
The design involved in the study is a prospective audit of inpatient mortality in a single NHS hospital trust. The case study includes 979 inpatient mortalities. A number of outcome measures were recorded, including a Likert scale of the preventability of death- and NCEPOD-based grading of care quality.
Findings
Clinicians assessed only 1.4 percent of deaths as likely to be preventable. This is significantly lower than previously published values (p<0.0001). Clinicians were also more likely to rate the quality of care as “good,” and less likely to identify areas of substandard clinical or organizational management.
Research limitations/implications
The implications of objective assessment of the preventability of mortality are essential to drive quality improvement in this area.
Practical implications
There is a wide disparity between independent case note review and clinicians assessing the care of their own patients. This may be due to a “knowledge gap” between reviewers and treating clinicians, or an “objectivity gap” meaning clinicians may not recognize preventability of death of patients under their care.
Social implications
This study gives some insight into deficiencies in clinical governance processes.
Originality/value
No similar study has been performed. This has significant implications for the idea of the preventability of mortality.
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Sania Batool, Aroosha Butt and Beenish Niazi
This study examines different types of Corporate Social Responsibility (CSR) practices across the industries in Pakistan along with their effectiveness. The main aim of this study…
Abstract
This study examines different types of Corporate Social Responsibility (CSR) practices across the industries in Pakistan along with their effectiveness. The main aim of this study is to research the CSR practices and growing trends of CSR in developing countries like Pakistan. Companies adopting CSR as a vital part of their company have frequently been encouraged across the industry and by the governments of their respective countries. A total of 120 individuals from public and private sector institutions participated in this research. The findings suggest that CSR is very effective across the industry. Furthermore, the practices of CSR will result in better social welfare of society. CSR practices have worked a great deal in increasing a company’s goodwill and raising its brand name. The theoretical and practical implications of these findings have been discussed in this chapter. Lastly, this research concludes with details of top effective practices adopted by different companies within same industry as well as across different industries.
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Margie Foster, Hossein Arvand, Hugh T. Graham and Denise Bedford
This chapter applies strategic thinking and four-futures approach to developing a knowledge preservation and curation strategy. The authors explain how using the four futures as a…
Abstract
Chapter Summary
This chapter applies strategic thinking and four-futures approach to developing a knowledge preservation and curation strategy. The authors explain how using the four futures as a baseline refocuses traditional strategy development from linear projections from the present to complex future situations, options, and choices. The refocus also shifts the end stage from evaluation and judgment to continuous assessments of activities, learning, and refresh. A baseline structure is presented as a model for readers. The authors also discuss operationalizing, assessing, and sustaining a knowledge preservation and curation strategy.
The Planning Forum's Annual Conference in Washington, D.C. posted another attendance record. Some 1300 senior executives exchanged war stories, business theories, and points of…
Abstract
The Planning Forum's Annual Conference in Washington, D.C. posted another attendance record. Some 1300 senior executives exchanged war stories, business theories, and points of view with each other while attending three days of presentations by major company CEOs, consultants to leading corporations, noted academics, and practitioners of strategic management.
Many traditional companies have formalized the process of brainstorming, reducing it to an activity often characterized as the untrained leading the unwilling to do the…
Abstract
Many traditional companies have formalized the process of brainstorming, reducing it to an activity often characterized as the untrained leading the unwilling to do the unnecessary. However, many, if not most, successful innovations come from the “wrong” places—nonconformists with an obsession, individuals stumbling on new discoveries by accident, people finding new uses for products intended for different markets, and so on. After twenty‐five years of studying IBM, General Electric, Polaroid, and Xerox, James Brian Quinn of the Amos Tuck Business School at Dartmouth College found that not a single major product had come from the formal planning process.
We observe with pleasure that the French Analytical Control, which is known as the Controle Chimique Permanent Français, continues to make satisfactory progress. The value and…
Abstract
We observe with pleasure that the French Analytical Control, which is known as the Controle Chimique Permanent Français, continues to make satisfactory progress. The value and importance of the system of Control cannot fail to meet with appreciation in France—as it cannot fail to meet with appreciation elsewhere—so soon as its objects and method of working have been understood and have become sufficiently well known. From the reports which appear from time to time in l'Hygiène Moderne, the organ of the French Control, it is obvious that a number of French firms of the highest standing have grasped the fact that to place their products on the market with a permanent and authoritative scientific guarantee as to their nature and quality, is to meet a growing public demand, and must therefore become a commercial necessity. An ample assurance that the Controle Chimique Permanent Français is a solid and stable undertaking is afforded by the facts that it is under the general direction of so distinguished an expert as M. Ferdinand Jean and that he is assisted by several well‐known French scientists in carrying out the very varied technical work required.
Sellers, Danckwerts and L.J.J. Salmon
March 8, 1966 Damages — Remoteness — Breach of contract — Independent sub‐contractor carrying out building work — Contractor's obligation to supply sub‐contractor with step‐ladder…
Abstract
March 8, 1966 Damages — Remoteness — Breach of contract — Independent sub‐contractor carrying out building work — Contractor's obligation to supply sub‐contractor with step‐ladder for building work — Breach of obligation — Sub‐contractor's use of trestle in absence of proper equipment — Sub‐contractor's fall from trestle — Action by sub‐contractor for breach of contract — Whether accident caused by breach of contract.