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Article
Publication date: 4 July 2018

Julia Gilbert and Jeong-ah Kim

The purpose of this paper is to explore an identified medication error using a root cause analysis and a clinical case study.

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Abstract

Purpose

The purpose of this paper is to explore an identified medication error using a root cause analysis and a clinical case study.

Design/methodology/approach

In this paper the authors explore a medication error through the completion of a root cause analysis and case study in an aged care facility.

Findings

Research indicates that medication errors are highly prevalent in aged care and 40 per cent of nursing home patients are regularly receiving at least one potentially inappropriate medicine (Hamilton, 2009; Raban et al., 2014; Shehab et al., 2016). Insufficient patient information, delays in continuing medications, poor communication, the absence of an up-to-date medication chart and missed or significantly delayed doses are all linked to medication errors (Dwyer et al., 2014). Strategies to improve medication management across hospitalisation to medication administration include utilisation of a computerised medication prescription and management system, pharmacist review, direct communication of discharge medication documentation to community pharmacists and staff education and support (Dolanski et al., 2013).

Originality/value

Discussion of the factors impacting on medication errors within aged care facilities may explain why they are prevalent and serve as a basis for strategies to improve medication management and facilitate further research on this topic.

Details

Quality in Ageing and Older Adults, vol. 19 no. 2
Type: Research Article
ISSN: 1471-7794

Keywords

Available. Open Access. Open Access
Article
Publication date: 2 May 2022

Claire O’Brien, Laura Hogan, Peter Ward, William Howard, Rebecca Mooney, Paul Bernard and Grace Corcoran

Emergency Department (ED) presentations in older people are associated with a wide range of adverse events, which increase the risk of lengthy hospitalisation and poor outcomes…

1957

Abstract

Purpose

Emergency Department (ED) presentations in older people are associated with a wide range of adverse events, which increase the risk of lengthy hospitalisation and poor outcomes. Pathfinder is an inter-organisational initiative delivered in partnership between Beaumont Hospital Occupational Therapy and Physiotherapy departments and the National Ambulance Service. Pathfinder responds to non-serious and non-life-threatening emergency medical service (EMS) calls. This study aims to demonstrate how Pathfinder can safely treat a proportion of older people at home by using alternative care pathways (ACPs), therefore avoiding unnecessary ED presentations. Once a decision has been reached to treat the person at home, the Pathfinder follow-up team delivers functional rehabilitation and case management in the persons’ home over the subsequent days.

Design/methodology/approach

This paper outlines the Pathfinder assessment, management and interventions in one clinical case example. Outcome measures include the level of patient satisfaction obtained via routine telephone feedback questionnaire and re-presentation to Beaumont Hospital within 30 days.

Findings

This paper illustrates through a case example the benefit of a collaborative multi-disciplinary rapid response team for non-serious and non-life-threatening EMS calls in older adults. The patient in this case example had no further EMS calls or ED presentations for 30 days after Pathfinder intervention and reported a high level of satisfaction with the service.

Research limitations/implications

ED presentation was avoided through comprehensive multi-disciplinary assessment, including immediate access to intensive follow-up support in the person’s own home.

Practical implications

The Pathfinder service is improving access to ACPs for older people in the Beaumont Hospital catchment area. Pathfinder will now be spread nationally, with local adaptation, so that older people in other parts of Ireland will also benefit from this integrated model of care.

Originality/value

Patient feedback surveys confirm older adults want access to alternative care pathways.

Details

Irish Journal of Occupational Therapy, vol. 50 no. 1
Type: Research Article
ISSN: 2398-8819

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Publication date: 29 November 2014

Roberta Benjamin-Edwards

With 1,130 schools serving 500,000 +  students, California has the largest number of charter schools of any state in the country. The rapid expansion of charters over the last…

Abstract

With 1,130 schools serving 500,000 +  students, California has the largest number of charter schools of any state in the country. The rapid expansion of charters over the last decade has prompted the development of quality charter school leadership preparation programs in southwestern California (Benjamin-Edwards, R. (2012). The new reality for charter and autonomous school leaders. In K. B. Hughes & S. A. M. Silva (Eds.), Identifying leaders for urban charter, autonomous and independent schools: Above and beyond the standards (Vol. 18, pp. 315). Advances in Educational Administration. Bingley, UK: Emerald Group Publishing Limited.). Charter school leadership programs from Loyola Marymount and Fielding University as well as in-house leadership programs developed by large charter management organizations like KIPP and Green Dot provided the foundation for the Charter Autonomous School Leadership Academy (CASLA), which opened in 2011 at the California State University Dominguez Hills (CSUDH) in Carson, CA. This chapter will capture reflections from sitting administrators who graduated from CASLA about the impact of that program on their practice. It will highlight the specific components of the preparation program that these leaders identify as most strongly influencing their work. The chapter will include a discussion of components such as the leadership framework, field based project, and analysis of leadership dispositions including description of how learning in these areas assists work in charter and autonomous schools.

Details

Pathways to Excellence: Developing and Cultivating Leaders for the Classroom and Beyond
Type: Book
ISBN: 978-1-78441-116-9

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Article
Publication date: 5 May 2023

Jerome Carson

This paper aims to provide a living tribute to the mental health activist and international trainer Peter Bullimore.

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Abstract

Purpose

This paper aims to provide a living tribute to the mental health activist and international trainer Peter Bullimore.

Design/methodology/approach

Peter provided a list of people to who he wanted to provide tributes. Jerome approached all these people. All agreed.

Findings

Several people from around the world attest to the influence that Peter’s teaching and personality have had on their clinical practice and on their lives.

Research limitations/implications

The disappearance of an Open Mind has left a shortage of journals, which welcome the user perspective. Mental Health and Social Inclusion have always championed the voice of people with lived experience. These are selected tributes to one man’s work in the field of mental health.

Practical implications

These accounts provide insights into the work of a remarkable individual.

Social implications

Students of the mental health professions are mainly exposed to work produced by their peers. The history of mental health is filled with the stories of professionals, not the people who have used services.

Originality/value

Historically accounts of psychiatry are written by mental health professionals. Service user or lived experience accounts are often written from the perspective of the person’s story of illness and recovery. There are comparatively few, which celebrate the additional achievements of specific individuals with lived experience.

Details

Mental Health and Social Inclusion, vol. 28 no. 1
Type: Research Article
ISSN: 2042-8308

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Article
Publication date: 1 April 1987

Peter Newman

In the early 1980s Montgomery Ward, one of the most renowned names in American retailing, was showing large losses. Its historic emphasis on mail order had long since failed and…

68

Abstract

In the early 1980s Montgomery Ward, one of the most renowned names in American retailing, was showing large losses. Its historic emphasis on mail order had long since failed and its merchandising policy had become unfocussed. In 1985 they set about “revamping” the entire group. Mail order was abandoned, and instead of a disorganised range of merchandise they sharpened the mix into clearly defined product groups — big ticket lines, garden furniture, children's wear all featured. In order to develop this strategy they needed, above all, rapid and comprehensive management information so as to get the inventory under control. The solution? An EPoS system supplied — not by one of the American giant suppliers on the doorstep — but by a leading European company, Nixdorf. Peter Newman went to Chicago to assess the nature of Montgomery Ward's radical change.

Details

Retail and Distribution Management, vol. 15 no. 4
Type: Research Article
ISSN: 0307-2363

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Article
Publication date: 1 March 1930

The Empire Day Movement, which is associated with the Royal Empire Society, announces that with the object of inducing the Government to take effective action against the practice…

10

Abstract

The Empire Day Movement, which is associated with the Royal Empire Society, announces that with the object of inducing the Government to take effective action against the practice of selling blended butter, predominantly foreign, under labels and in packets which suggest English origin, a memorial has been signed by representative organisations and members of Parliament of all parties. The memorial, which has been sent to the President of the Board of Trade, the Minister of Agriculture, the Chairman of the Empire Marketing Board, and the Chairman of the Food Council, is as follows :—In the interests of the butter‐consuming public, as well as of agriculture and the promotion of Empire trade, we, the undersigned, call the attention of the Government to the continuance of certain practices to which allusion is made in the fourth report of the Imperial Economic Committee. In paragraph 243 the report says: Blended butter is at present sold under various proprietary brands. In certain cases these brands embody the names of counties or districts which are known to be important agricultural or dairying areas in the Home Country. The suggestion inevitably conveyed in such cases to the bulk of the consumers must be that such butter is of English origin.

Details

British Food Journal, vol. 32 no. 3
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 1 October 2003

Thomas Christiansen, William L. Berry, Peter Bruun and Peter Ward

A sample of 63 Danish companies is divided into four strategic groups. Each group represents a distinct manufacturing strategy. These strategic groups are then used to investigate…

3086

Abstract

A sample of 63 Danish companies is divided into four strategic groups. Each group represents a distinct manufacturing strategy. These strategic groups are then used to investigate relationships with the implementation of bundles of manufacturing practices such as JIT and TQM, and with operational performance. The results suggest that using strategic groups as a representation of companies' manufacturing strategy can improve the understanding of companies' implementation of bundles of manufacturing practices and of their operational performance. The results indicate that the degree of environmental fit differs amongst the groups and that companies do not necessarily have to conduct an extensive implementation of all bundles of manufacturing practices in order to perform well on important performance dimensions according to their manufacturing strategy. Finally, the study adds to the scarce literature on small country studies.

Details

International Journal of Operations & Production Management, vol. 23 no. 10
Type: Research Article
ISSN: 0144-3577

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Article
Publication date: 1 April 1982

The volume and range of food law enforcement in the field of purity and quality control has grown dramatically in recent times. Only those able to recall the subject from upwards…

154

Abstract

The volume and range of food law enforcement in the field of purity and quality control has grown dramatically in recent times. Only those able to recall the subject from upwards of half a century ago can really appreciate the changes. Compositional control now appears as more of a closely knit field of its own, keeping pace with the advances of food processing, new methods and raw materials. It has its problems but enforcement agencies appear well able to cope with them, e.g. the restructuring of meat, excess water content, fat content, the application of compositional standards to new products, especially meat products, but the most difficult of all areas is that of securing and maintaining acceptable standards of food hygiene. This is one of the most important duties of environmental health officers, with a considerable impact on health and public concern; and one of the most intractible problems, comparable in its results with the insidious onslaught of the ever‐growing problem of noise, another area dependent on the reactions of people; to use an oft repeated cliche — “the human element”.

Details

British Food Journal, vol. 84 no. 4
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 1 March 1996

Susan Frey‐Ridgway

Beatrix Potter is best remembered as the creator of the notoriously naughty bunny, Peter Rabbit. Peter and his circle of friends grace the pages of the little books, so called…

152

Abstract

Beatrix Potter is best remembered as the creator of the notoriously naughty bunny, Peter Rabbit. Peter and his circle of friends grace the pages of the little books, so called because they measure less than six inches tall. These children's classics have been delighting readers since The Tale of Peter Rabbit was first published in 1901. During Potter's lifetime the little books were read in the United Kingdom, America, and Canada. Foreign language translations of her work introduced her characters to children of other nations. Note the 1987 publishing event, the “new editions from the original watercolors,” which Warne used to great advantage! A flurry of books accompanied this event, by biographer Judy Taylor plus reprints (e.g., Linden). Today sales of the little books show no sign of abating. An industry of Peter Rabbit spinoff products has existed for almost as long as Peter has. Toys, games, videos, and collectibles of the Potter characters can be found on store shelves worldwide.

Details

Reference Services Review, vol. 24 no. 3
Type: Research Article
ISSN: 0090-7324

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Article
Publication date: 14 August 2007

Peter T. Ward, John K. McCreery and Gopesh Anand

This paper seeks to investigate whether linkages, proposed by previous researchers, among business strategies and structural and infrastructural investment decisions of…

2896

Abstract

Purpose

This paper seeks to investigate whether linkages, proposed by previous researchers, among business strategies and structural and infrastructural investment decisions of manufacturing are empirically supported.

Design/methodology/approach

A sample of 101 US manufacturing firms is classified into three groups based on their predominant business strategies. The classification is validated using analysis of variance (ANOVA) tests on the taxons and on the environment in which the firms operate. ANOVA tests on manufacturing investment decisions are then used to address the central question of the paper – whether the three business strategy groups differ in their emphasis on structural and infrastructural areas of manufacturing.

Findings

The three business strategy‐based groups of firms, labeled broad‐based competitors, differentiators, and price leaders, differ in their emphasis on several of the structural and infrastructural areas of manufacturing, thus supporting the contention of linkages among business strategy and manufacturing investment decisions.

Originality/value

The popular notion of linkages among business strategies and investments in structural and infrastructural areas of manufacturing is empirically tested.

Details

International Journal of Operations & Production Management, vol. 27 no. 9
Type: Research Article
ISSN: 0144-3577

Keywords

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