scholarly journals Organisational culture and safety: an interdependent relationship

2002 ◽  
Vol 25 (6) ◽  
pp. 181 ◽  
Author(s):  
Geoff Clark
Keyword(s):  
Health Care ◽  
Human Error ◽  
Large Scale ◽  
The United States ◽  
Organisational Culture ◽  
System Failures ◽  
The Public ◽  
The United Kingdom ◽  
The Subject ◽  
Health Care Safety

Since the early 1990s,a body of evidence regarding the lack of quality in health care has emerged in many countries including Australia, the United Kingdom, New Zealand and the United States of America. It has brought the subject of health care safety to the top of the policy agenda and the forefront of the public debate worldwide. Studies show not only that failure of quality occurs, but also that it inflicts harm and wastes resources on a large scale. Experts in risk management, both within and outside the health care industry, emphasize system failures and system-driven errors over direct human error, and accentuate the crucial role that organisational culture plays in ensuring safety. Examination of the interrelationship between culture and safety in organisations demonstrates that organisational relationships influence both culture and safety and that effective two-way communication is pivotal to the success of the development of a corporate 'safety culture'.

Medical regulation for the public interest in the United Kingdom

2018 ◽  
pp. 77-92
Author(s):  
William Roche
Keyword(s):  
Health Care ◽  
United Kingdom ◽  
Public Interest ◽  
Historical Development ◽  
Medical Profession ◽  
The Public ◽  
Medical Regulation ◽  
High Profile ◽  
The United Kingdom ◽  
The Subject

Regulation of the medical profession has a long history in the United Kingdom but a number of high profile failures of National Health Service (NHS) organisations to deliver safe health care and the unlawful killing of more than 200 patients by one rogue doctor have led to a clamour for change. Many of these tragedies have been the subject of public inquiries and have created significant public disquiet about the role and effectiveness of the medical regulator. United Kingdom governments have responded to these inquiries by means of a combination of strengthening professional regulation and the introduction of new mechanisms of appeal against the sanctions imposed on doctors by tribunals. The historical development of medical regulation is reviewed and the more recent changes to address the public interest and crises in the confidence in the regulation of health care are described.

Health

2010 ◽  
Author(s):  
Richard Freeman ◽  
Heinz Rothgang
Keyword(s):  
United States ◽  
Health Care ◽  
International Health ◽  
The United States ◽  
Modern State ◽  
Health Issues ◽  
Health It ◽  
Industrial Countries ◽  
The Public ◽  
The United Kingdom

This article focuses on the public aspects of health systems, on the ways in which concerns for health and health care are expressed in politics and policy. It first reviews the origins and development of health policy in the modern state, pointing to the different ways that development has been understood by welfare state scholars. It then discusses the different standard forms of health system, describing the ways health care is paid for, provided, and regulated in advanced industrial countries, and comments on the emergence of a new domain of international and global health. It takes the United Kingdom, Germany, and the United States as archetypes of respective systems in regulation patterns. International health issues are interesting not least because they cut across the logic of comparison.

Denial of Health Care and Informed Consent in English and American Law

1992 ◽  
Vol 18 (1-2) ◽  
pp. 37-71
Author(s):  
Frances H. Miller
Keyword(s):  
United States ◽  
Health Care ◽  
Informed Consent ◽  
The United States ◽  
Health Care Rationing ◽  
Legal Obligation ◽  
The United Kingdom ◽  
American Law ◽  
Care Rationing ◽  
Increased Pressure

Health care rationing has gained greater visibility in the United States and the United Kingdom, for quite different reasons. As patients in both countries become more aware that potentially beneficial medical services can be denied them on economic — as opposed to purely medical — grounds, they are beginning to seek help from the judiciary. This Article contends that as rationing becomes more explicit, the doctrine of informed consent will come under increased pressure. The Article suggests that courts and legislatures consider imposing a legal obligation on physicians to inform their patients when potentially effective treatment is to be withheld for economic or other non-clinical reasons.

scholarly journals Health Care Coalitions as Response Organizations: Houston After Hurricane Harvey

2017 ◽  
Vol 11 (6) ◽  
pp. 637-639 ◽  
Author(s):  
Lori Upton ◽  
Thomas D. Kirsch ◽  
Melissa Harvey ◽  
Dan Hanfling
Keyword(s):  
Health Care ◽  
Human Services ◽  
Large Scale ◽  
The United States ◽  
Operational Planning ◽  
Advisory Council ◽  
East Texas ◽  
Health And Human Services ◽  
Department Of Health ◽  
Response Information

AbstractHealth care coalitions play an increasingly important role in both preparedness for, response to, and recovery from large scale disaster events occurring across the United States. The actions taken by the South East Texas Regional Advisory Council (SETRAC) in response to the landfall of Hurricane Harvey, and the consequential flooding that ensued, serve as an excellent example of how health care coalitions are increasingly needed to play a unifying role in response. This paper highlights a number of the strategic planning, operational planning and response, information sharing, and resource coordination and management activities that were undertaken for the response to Hurricane Harvey. The successful response to this devastating storm in the Houston, Texas area serves as an example to other regions across the country as they work to implement the 2017-2022 health care capabilities articulated by the Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response. (Disaster Med Public Health Preparedness. 2017;11:637–639)

Health Care Cost Containment in Large American Cities

1989 ◽  
Vol 18 (1) ◽  
pp. 87-100 ◽  
Author(s):  
Perry Moore
Keyword(s):  
Health Care ◽  
Cost Containment ◽  
Local Governments ◽  
Health Care Cost ◽  
The United States ◽  
Public Agencies ◽  
The Public ◽  
Survey Results ◽  
The Cost ◽  
American Cities

This research provides information about the health care cost containment efforts of local governments and agencies across the United States, particularly in large American cities. Survey results indicate that while the public sector lags behind the private sector, public agencies are beginning to match the cost containment efforts of private employers. While initiation of these efforts represents considerable recent progress, their tangible benefits are not yet apparent.

Health care Online

2000 ◽  
Vol 1 (2) ◽  
pp. 24-25
Keyword(s):  
Health Care ◽  
Health Care Policy ◽  
Central Government ◽  
Medical Profession ◽  
Medical Opinion ◽  
Proactive Approach ◽  
The United Kingdom ◽  
Wide Range ◽  
On Line ◽  
The Subject

The BMJ has always been recognised as a leading medical journal for a wide range of subjects, and has always been useful for nurses to access for up to date and current medical opinion. Recently the BMJ has diversified to take on a more political nature, with its content reflecting a more proactive approach to influencing health care policy in the United Kingdom by the medical profession. As such the BMJ has become extremely useful for identifying opinions of current ‘hot topics’ for nurses that are headline news such as nurse consultants, hospital administration and central government policy. However, one problem remains, trying to find the original copy in the library will remain difficult. After spending the best part of an hour to suddenly realise that ‘how silly you are for not realising that BMJ March 1997 is filed in the British Journal of Nursing section 1998!!’ is often a frustrating and demoralising experience - particularly if after finding the article you find it has nothing to do with the subject that you are researching. This problem is to be banished forever with the BMJ website. The full BMJ is available free on line. The excellent search engine is particularly useful and is accurate when matching target articles. All articles are available for ‘full text’ downloads free of charge.

Are Americans less likely to reply to emails from Black people relative to White people?

2021 ◽  
Vol 118 (52) ◽  
pp. e2110347118
Author(s):  
Ray Block ◽  
Charles Crabtree ◽  
John B. Holbein ◽  
J. Quin Monson
Keyword(s):  
United States ◽  
Large Scale ◽  
Black People ◽  
Racial Bias ◽  
The United States ◽  
Simple Task ◽  
The Public ◽  
Medical Sector ◽  
Large Scale Field ◽  
Ethnic Subgroups

In this article, we present the results from a large-scale field experiment designed to measure racial discrimination among the American public. We conducted an audit study on the general public—sending correspondence to 250,000 citizens randomly drawn from public voter registration lists. Our within-subjects experimental design tested the public’s responsiveness to electronically delivered requests to volunteer their time to help with completing a simple task—taking a survey. We randomized whether the request came from either an ostensibly Black or an ostensibly White sender. We provide evidence that in electronic interactions, on average, the public is less likely to respond to emails from people they believe to be Black (rather than White). Our results give us a snapshot of a subtle form of racial bias that is systemic in the United States. What we term everyday or “paper cut” discrimination is exhibited by all racial/ethnic subgroups—outside of Black people themselves—and is present in all geographic regions in the United States. We benchmark paper cut discrimination among the public to estimates of discrimination among various groups of social elites. We show that discrimination among the public occurs more frequently than discrimination observed among elected officials and discrimination in higher education and the medical sector but simultaneously, less frequently than discrimination in housing and employment contexts. Our results provide a window into the discrimination that Black people in the United States face in day-to-day interactions with their fellow citizens.

scholarly journals The Determinants of Charity Misconduct

2017 ◽  
Vol 47 (1) ◽  
pp. 107-125 ◽  
Author(s):  
Diarmuid McDonnell ◽  
Alasdair C. Rutherford
Keyword(s):  
Multivariate Analysis ◽  
United Kingdom ◽  
Two Dimensions ◽  
Regulatory Action ◽  
The Public ◽  
Administrative Dataset ◽  
The United Kingdom ◽  
The Subject ◽  
Public Scrutiny

Charities in the United Kingdom have been the subject of intense media, political, and public scrutiny in recent times; however, our understanding of the nature, extent, and determinants of charity misconduct is weak. Drawing upon a novel administrative dataset of 25,611 charities for the period 2006-2014 in Scotland, we develop models to predict two dimensions of charity misconduct: regulatory investigation and subsequent action. There have been 2,109 regulatory investigations of 1,566 Scottish charities over the study period, of which 31% resulted in regulatory action being taken. Complaints from members of the public are most likely to trigger an investigation, whereas the most common concerns relate to general governance and misappropriation of assets. Our multivariate analysis reveals a disconnect between the types of charities that are suspected of misconduct and those that are subject to subsequent regulatory action.

scholarly journals DUPLICITY IN REGULATION AND PERFORMANCE OF THE FINANCIAL SECTOR IN KENYA

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Dr.Agnes Ogada
Keyword(s):  
Large Scale ◽  
Developing Economies ◽  
Financial Sector ◽  
The United States ◽  
Empirical Literature ◽  
Unique Contribution ◽  
Regulatory Structure ◽  
The Public ◽  
And Performance ◽  
The Uk

Purpose: The objective of the study was to investigate the duplicity in regulation and its effect on performance of the financial sector in Kenya. The specific objectives were; to review and identify regulation duplication/competition in existing regulatory framework for the financial sector in Kenya; to describe how regulatory effectiveness has been measured in empirical literature; to assess whether the current regulatory structure has affected the performance of the financial sector in Kenya and lastly to suggest potential ways of enhancing regulatory effectiveness in Kenya. Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps. Findings: The study found out that financial sector in Kenya and other developing economies have reported losses on a large scale due to under regulation and regulator duplicity. Some of these have become insolvent, or have had to be taken over or rescued by their governments. A single market regulator clearly has its own advantages over multiple regulators. But it is more suitable for well-developed and mature markets which are smaller in size, like the UK. The study also found out that Kenya’s economy and political arena are not mature enough to handle a single financial market regulator. In this light it can be asserted that even mature economies such as the United States still have multiple regulators. Unique contribution to theory, practice and policy: Adherence to principles of open government, including transparency and participation in the regulatory process to ensure that regulation serves the public interest and is informed by the legitimate needs of those interested in and affected by regulation. Governments should ensure that regulations are comprehensible and clear and that parties can easily understand their rights and obligations. Organizations should create personalized technology systems that create a demand adaptation of ICT at every level of the organizational operations

scholarly journals The Effect of Governmental Health Measures on Public Behaviour During the COVID-19 Pandemic Outbreak

2021 ◽  
Author(s):  
Guoyan Wang ◽  
Li Li ◽  
Lingfei Wang ◽  
Zhi Xu
Keyword(s):  
United States ◽  
Local Governments ◽  
Large Scale ◽  
New York State ◽  
The United States ◽  
Average Score ◽  
Phase Rule ◽  
The Public ◽  
Health Measures ◽  
Epidemic Area

Background: The COVID-19 pandemic resulted in radical changes in many aspects of life. To deal with this, each country has implemented continuous health measures from the beginning of the outbreak. Discovering how governmental actions impacted public behaviour during the outbreak stage is the purpose of this study. Methods: This study uses a hybrid large-scale data visualisation method to analyse public behaviour (epidemic concerns, self-protection, and mobility trends), using the data provided by multiple authorities. Meanwhile, a content analysis method is used to qualitatively code the health measures of three countries with severe early epidemic outbreaks from different continents, namely China, Italy, and the United States. Eight dimensions are coded to rate the mobility restrictions implemented in the above countries. Results: (1) Governmental measures did not immediately persuade the public to change their behaviours during the COVID-19 epidemic. Instead, the public behaviour proceeded in a three-phase rule, which is typically witnessed in an epidemic outbreak, namely the wait-and-see phase, the surge phase and the slow-release phase. (2) The strictness of the mobility restrictions of the three countries can be ranked as follows: Hubei Province in China (with an average score of 8.5 out of 10), Lombardy in Italy (7.125), and New York State in the United States (5.375). Strict mobility restrictions are more likely to cause a surge of population outflow from the epidemic area in the short term, whereas the effect of mobility restrictions is positively related to the stringency of policies in the long term. Conclusion: The public showed generally lawful behaviour during regional epidemic outbreaks and blockades. Meanwhile public behaviour was deeply affected by the actions of local governments, rather than the global pandemic situation. The contextual differences between the various countries are important factors that influence the effects of the different governments’ health measures.

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