Ethan W. Gossett and P. D. Harms
Acute and chronic pain affects more Americans than heart disease, diabetes, and cancer combined. Conservative estimates suggest the total economic cost of pain in the United…
Abstract
Acute and chronic pain affects more Americans than heart disease, diabetes, and cancer combined. Conservative estimates suggest the total economic cost of pain in the United States is $600 billion, and more than half of this cost is due to lost productivity, such as absenteeism, presenteeism, and turnover. In addition, an escalating opioid epidemic in the United States and abroad spurred by a lack of safe and effective pain management has magnified challenges to address pain in the workforce, particularly the military. Thus, it is imperative to investigate the organizational antecedents and consequences of pain and prescription opioid misuse (POM). This chapter provides a brief introduction to pain processing and the biopsychosocial model of pain, emphasizing the relationship between stress, emotional well-being, and pain in the military workforce. We review personal and organizational risk and protective factors for pain, such as post-traumatic stress disorder, optimism, perceived organizational support, and job strain. Further, we discuss the potential adverse impact of pain on organizational outcomes, the rise of POM in military personnel, and risk factors for POM in civilian and military populations. Lastly, we propose potential organizational interventions to mitigate pain and provide the future directions for work, stress, and pain research.
Alasdair J.G. Gray, Werner Nutt and M. Howard Williams
Distributed data streams are an important topic of current research. In such a setting, data values will be missed, e.g. due to network errors. This paper aims to allow this…
Abstract
Purpose
Distributed data streams are an important topic of current research. In such a setting, data values will be missed, e.g. due to network errors. This paper aims to allow this incompleteness to be detected and overcome with either the user not being affected or the effects of the incompleteness being reported to the user.
Design/methodology/approach
A model for representing the incomplete information has been developed that captures the information that is known about the missing data. Techniques for query answering involving certain and possible answer sets have been extended so that queries over incomplete data stream histories can be answered.
Findings
It is possible to detect when a distributed data stream is missing one or more values. When such data values are missing there will be some information that is known about the data and this is stored in an appropriate format. Even when the available data are incomplete, it is possible in some circumstances to answer a query completely. When this is not possible, additional meta‐data can be returned to inform the user of the effects of the incompleteness.
Research limitations/implications
The techniques and models proposed in this paper have only been partially implemented.
Practical implications
The proposed system is general and can be applied wherever there is a need to query the history of distributed data streams. The work in this paper enables the system to answer queries when there are missing values in the data.
Originality/value
This paper presents a general model of how to detect, represent, and answer historical queries over incomplete distributed data streams.
Details
Keywords
A distinction must be drawn between a dismissal on the one hand, and on the other a repudiation of a contract of employment as a result of a breach of a fundamental term of that…
Abstract
A distinction must be drawn between a dismissal on the one hand, and on the other a repudiation of a contract of employment as a result of a breach of a fundamental term of that contract. When such a repudiation has been accepted by the innocent party then a termination of employment takes place. Such termination does not constitute dismissal (see London v. James Laidlaw & Sons Ltd (1974) IRLR 136 and Gannon v. J. C. Firth (1976) IRLR 415 EAT).
There are three main objectives of the research presented in this paper: to examine the challenges of using an electronic adverse incident recording and reporting system; to…
Abstract
Purpose
There are three main objectives of the research presented in this paper: to examine the challenges of using an electronic adverse incident recording and reporting system; to assess the method of using a prevention appraisal and failure model; and to identify the benefits of using quality costs in conjunction with incident reporting systems.
Design/methodology/approach
Action diary, documentation and triangulation are used to obtain an understanding of the challenges and critical success factors in using quality costing within an adverse incident recording and reporting system.
Findings
The paper provides healthcare professionals with the critical success factors for developing quality costing into an electronic adverse incident recording and reporting system. This approach would provide clinicians, managers and directors with information on patient safety issues following the effective use of data from an electronic adverse incident reporting and recording system.
Originality/value
This paper makes an attempt of using a prevention, appraisal and failure model (PAF) within a quality‐costing framework in relation to improving patient safety within an electronic adverse incident reporting and recording system.