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Article
Publication date: 12 July 2013

Matthew D. Smith, Julian D. Birch, Mark Renshaw and Melanie Ottewill

The purpose of this paper is to evaluate the common themes leading or contributing to clinical incidents in a UK teaching hospital.

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Abstract

Purpose

The purpose of this paper is to evaluate the common themes leading or contributing to clinical incidents in a UK teaching hospital.

Design/methodology/approach

A root‐cause analysis was conducted on patient safety incidents. Commonly occurring root causes and contributing factors were collected and correlated with incident timing and severity.

Findings

In total, 65 root‐cause analyses were reviewed, highlighting 202 factors implicated in the clinical incidents and 69 categories were identified. The 14 most commonly occurring causes (encountered in four incidents or more) were examined as a key‐root or contributory cause. Incident timing was also analysed; common factors were encountered more frequently during out‐hours – occurring as contributory rather than a key‐root cause.

Practical implications

In total, 14 commonly occurring factors were identified to direct interventions that could prevent many clinical incidents. From these, an “Organisational Safety Checklist” was developed to involve departmental level clinicians to monitor practice.

Originality/value

This study demonstrates that comprehensively investigating incidents highlights common factors that can be addressed at a local level. Resilience against clinical incidents is low during out‐of‐hours periods, where factors such as lower staffing levels and poor service provision allows problems to escalate and become clinical incidents, which adds to the literature regarding out‐of‐hours care provision and should prove useful to those organising hospital services at departmental and management levels.

Details

International Journal of Health Care Quality Assurance, vol. 26 no. 6
Type: Research Article
ISSN: 0952-6862

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Book part
Publication date: 5 November 2024

Juan Camilo Cardenas, Manuela Navarrete, Carla Panyella and Mónica Pinilla-Roncancio

Universities can play an important role in decarbonizing cities and tackling inequalities in urban settings. Both challenges are particularly critical in Latin America and the…

Abstract

Universities can play an important role in decarbonizing cities and tackling inequalities in urban settings. Both challenges are particularly critical in Latin America and the Caribbean where demographic transition toward urban areas and the persistent inequalities have increased the ecological footprint of human activities and the economy in general. In this chapter, we will discuss how universities can contribute in a multifaceted manner to the achievement of SDG11, its specific targets, and explore the synergies between SDG11 and other important Sustainable Development Goals (SDGs) in the Latin American and the Caribbean Region. The chapter presents the experience of the Center of the Sustainable Development Goals for Latin America and the Caribbean (CODS) in monitoring the progress in the achievement of the SDGs in the region. In addition, the trajectory of the Universidad de los Andes in Colombia is used to illustrate the challenges and the possibilities for a higher education institution in contributing to moving toward a more sustainable urban setting. These strategies include not only education and research, but also how it has intervened in the immediate neighborhood of the campus, the close ties with the city administration over decades, and close interactions with the private sector at the local and national levels.

Details

Higher Education and SDG11: Sustainable Cities and Communities
Type: Book
ISBN: 978-1-83797-420-7

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Book part
Publication date: 18 February 2011

Debbie Pushor, Julian Kitchen and Darlene Ciuffetelli Parker

October 10th, 2010

Abstract

October 10th, 2010

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Narrative Inquiries into Curriculum Making in Teacher Education
Type: Book
ISBN: 978-0-85724-591-5

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Article
Publication date: 12 June 2017

Philip Birch and Nick Crofts

332

Abstract

Details

Journal of Criminological Research, Policy and Practice, vol. 3 no. 2
Type: Research Article
ISSN: 2056-3841

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Article
Publication date: 1 January 1954

Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).

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Abstract

Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).

Details

Aslib Proceedings, vol. 6 no. 1
Type: Research Article
ISSN: 0001-253X

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Book part
Publication date: 20 September 2018

Ron Stevens, Trysha L. Galloway, Ann Willemsen-Dunlap and Anthony M. Avellino

This chapter describes a neurodynamic modeling approach which may be useful for dynamically assessing teamwork in healthcare and military situations. It begins with a description…

Abstract

This chapter describes a neurodynamic modeling approach which may be useful for dynamically assessing teamwork in healthcare and military situations. It begins with a description of electroencephalographic (EEG) signal acquisition and the transformation of the physical units of EEG signals into quantities of information. This transformation provides quantitative, dynamic, and generalizable neurodynamic models that are directly comparable across teams, tasks, training protocols, and team experience levels using the same measurement scale, bits of information. These bits of information can be further used to dynamically guide team performance or to provide after-action feedback that is linked to task events and team actions.

These ideas are instantiated and expanded in the second section of the chapter by showing how these data abstractions, compressions, and transformations take advantage of the natural information redundancy in biologic signals to substantially reduce the number of data dimensions, making the incorporation of neurodynamic feedback into Intelligent Tutoring Systems (ITSs) achievable.

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Building Intelligent Tutoring Systems for Teams
Type: Book
ISBN: 978-1-78754-474-1

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Article
Publication date: 1 January 1970

FREDERICK M. WIRT

This article employs a system analytic framework to categorize the available research literature on the politics of education in order to explain the inter‐relationship of private…

208

Abstract

This article employs a system analytic framework to categorize the available research literature on the politics of education in order to explain the inter‐relationship of private and public interests and of different levels in primary and secondary American schools. The objectives are several: to explain and develop the analytical framework of David Easton; to illustrate its heuristic utility by categorizing empirically‐based research within the components of that framework, and to suggest and encourage future research directions in the subject. Education has escaped application of traditional policy analysis in America because educators have convinced scholars and laymen that they are “non‐political,” a label which even most political scientists have accepted without challenge. However, during the 1960s, a few scholars in education and political science began to apply political analytical methods to public school conflict. This research has begun to change perceptions of education and to provide a beginning set of research projects whose data support tentative generalization about the policy‐making process and the total system of public schools. This orientation is bound to increase because of increasing national government intervention in local schools, both through integration and financial policies. These have provoked growing conflict locally over the proper direction of school policies. In this article, we see how such stress is transmitted in the form of “demands” and “supports” into the “political system”, that persistent social mechanism known in all societies in different forms provides an “authoritative allocation of values and resources”. The political system, in this case public school bodies, “converts” such “inputs” into “outputs” of public policy, which in their administration create outcomes which later cause a “feedback” into the political system as the material for new policy demands. For each component of this Eastonian system, this article examines relevant research, providing an extensive annotated bibliography. From this review, it is possible to suggest lines of needed research.

Details

Journal of Educational Administration, vol. 8 no. 1
Type: Research Article
ISSN: 0957-8234

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Article
Publication date: 1 February 1940

Under this heading are published regularly abstracts of all Reports and Memoranda of the Aeronautical Research Committee, Reports and Technical Notes of the U.S. National Advisory…

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Abstract

Under this heading are published regularly abstracts of all Reports and Memoranda of the Aeronautical Research Committee, Reports and Technical Notes of the U.S. National Advisory Committee for Aeronautics and publications of other similar research bodies as issued

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Aircraft Engineering and Aerospace Technology, vol. 12 no. 2
Type: Research Article
ISSN: 0002-2667

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Article
Publication date: 1 January 1964

CANADA, until the last generation or two, has been basically a pioneer country but two world wars have changed all this and the economy has moved from an agricultural to a…

61

Abstract

CANADA, until the last generation or two, has been basically a pioneer country but two world wars have changed all this and the economy has moved from an agricultural to a manufacturing community able to provide a standard of living second to that of the United States. (At the present time only 10.8 per cent of Canadians live on farms according to the 1961 census.) Natural resources, such as timber, wheat and mining, continue to play, however, an important role in the life of the nation. As in most developing and pioneer countries, learning has had to assume a secondary role compared with other enterprises and activities. This is gradually beginning to change as more people continue in school and the percentage of individuals attending university increases. Established organizations, like the National Film Board and the Canadian Broadcasting Corporation, catering to mass culture, have been strengthened and enlarged and new establishments, like the Canada Council and the Stratford Shakespearean Festival, of narrower function and appeal, have been set up. The Library movement, not the least of learning agencies, is gaining strength every day. In this paper some of the interesting new developments of the last ten years in the latter field will be discussed. Of necessity, much is abbreviated; a lot is ignored. Data selected has been based on the most recent sources; hence the variety in dates.

Details

New Library World, vol. 65 no. 7
Type: Research Article
ISSN: 0307-4803

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Book part
Publication date: 30 November 2011

Matt A. Barreto, Betsy L. Cooper, Benjamin Gonzalez, Christopher S. Parker and Christopher Towler

With its preference for small government and fiscal responsibility, the Tea Party movement claims to be conservative. Yet, their tactics and rhetoric belie this claim. The shrill…

Abstract

With its preference for small government and fiscal responsibility, the Tea Party movement claims to be conservative. Yet, their tactics and rhetoric belie this claim. The shrill attacks against Blacks, illegal immigrants, and gay rights are all consistent with conservatism, but suggesting that the president is a socialist bent on ruining the country, is beyond politics. This chapter shows that Richard Hofstadter's thesis about the “paranoid style” of American politics helps characterize the Tea Party's pseudo-conservatism. Through a comprehensive analysis of qualitative interviews, content analysis and public opinion data, we find that Tea Party sympathizers are not mainstream conservatives, but rather, they hold a strong sense of out-group anxiety and a concern over the social and demographic changes in America.

Details

Rethinking Obama
Type: Book
ISBN: 978-0-85724-911-1

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