Choosing Wisely in the COVID-19 Era: Preventing Harm to Healthcare Workers

10.12788/3457 ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. 360-362 ◽  
Author(s):  
Hyung J Cho ◽  
Leonard S Feldman ◽  
Sara Keller ◽  
Ari Hoffman ◽  
Amit K Pahwa ◽  
...  
Keyword(s):  
United States ◽  
Healthcare System ◽  
Healthcare Workers ◽  
Limited Resource ◽  
The United States ◽  
Choosing Wisely ◽  
Limited Time ◽  
Changing Environment ◽  
The Public ◽  
System 1

With more than 3 million people diagnosed and more than 200,000 deaths worldwide at the time this article was written, coronavirus disease of 2019 (COVID-19) poses an unprecedented challenge to the public and to our healthcare system.1 The United States has surpassed every other country in the total number of COVID-19 cases. Hospitals in hotspots are operating beyond capacity, while others prepare for a predicted surge of patients suffering from COVID-19. Now more than ever, clinicians need to prioritize limited time and resources wisely in this rapidly changing environment. Our most precious limited resource, healthcare workers (HCWs), bravely care for patients while trying to avoid acquiring the infection. With each test and treatment, clinicians must carefully consider harms and benefits, including exposing themselves and other HCWs to SARS-CoV-2, the virus causing this disease.

scholarly journals Re-Engineering Healthcare

2007 ◽  
Vol 129 (11) ◽  
pp. 22-27 ◽  
Author(s):  
Ahmed Noor
Keyword(s):  
United States ◽  
Healthcare System ◽  
Healthcare Workers ◽  
Medical Technology ◽  
Rapid Change ◽  
Medical Knowledge ◽  
The United States ◽  
Rapid Changes ◽  
Pervasive Access ◽  
Delivery Of Health Services

This article reviews a system that is in need of repair in the United States, and engineers are uniquely equipped to help fix it. Although the expenditure per capita on healthcare in the United States is higher than in any other country, the current US healthcare system cannot be sustained, and major improvements are needed. Lives unnecessarily lost each year in the United States due to medical errors are estimated to be as high as 98,000 and injuries over a million. The healthcare system is currently facing many problems and challenges, including rapid changes in medical technology and practice, severe shortages in skilled healthcare workers, and an aging population with increased incidence of disease and disability. The cyber infrastructure will facilitate technology-based, distributed delivery of health services, as well as training and lifelong learning for healthcare workers. It can evolve into an electronic care continuum with pervasive access to global, accurate, and timely medical knowledge for individuals about their health needs in an era of rapid change and expanding knowledge.

scholarly journals The Core Issue of Stability in Afghanistan: Envisioning the Future of Peace Deal

2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Ambreen Sikander, Dr. Rubab Hasan
Keyword(s):  
United States ◽  
Human Rights ◽  
Civil Society ◽  
The United States ◽  
Ethnic Origin ◽  
Limited Time ◽  
The Public ◽  
The Core ◽  
The Usa ◽  
Core Issue

Afghanistan has been a battleground to the world’s largest powers. From USSR to NATO, through the Taliban, and now to the peace deal, Afghanistan holds a remarkable and yet chaotic history. Amidst the wars, some have succeeded for a limited time while others have failed. NATO has a history with Afghanistan after the 9/11 attacks in the USA. The crucial matter is how to guarantee that states budding from divergence are set with the basics on which to assemble a robust peace. The keen and incisive analysis in serenity and the Public Purse provides a precious involvement to this attempt. This article provides an analysis of the post-9/11 period and the invasion of Afghanistan by U.S. forces, focusing on the ethnic origin of the native fighters and how assorted groups engaged in dissimilar aspects of the divergence. Furthermore, this learning also highlighted the United States grasp for Afghan civil society, promotes amplified admiration for human rights, helps to fight the prohibited trade in narcotics, and continues to endow with noteworthy humanitarian uphold. The United States has owed approximately $29 billion in civilian aid for Afghanistan and the perspective of U.S. policy headed for Afghanistan cannot be in point of truth assessed exclusively of a nearer estimation of Afghanistan’s existing and emergent security, political, and economic landscapes—and their collision on U.S. strategic aims.

Verán ustedes las chozas más humildes. El discurso de pobreza en la diplomacia pública cardenista dirigida a Estados Unidos

2019 ◽  
Vol 35 (2) ◽  
pp. 255-281
Author(s):  
Sylvia Dümmer Scheel
Keyword(s):  
United States ◽  
New Deal ◽  
Public Diplomacy ◽  
The United States ◽  
The Public ◽  
The Poor ◽  
The Face ◽  
The Government ◽  
Lazaro Cardenas ◽  
The New Deal

El artículo analiza la diplomacia pública del gobierno de Lázaro Cárdenas centrándose en su opción por publicitar la pobreza nacional en el extranjero, especialmente en Estados Unidos. Se plantea que se trató de una estrategia inédita, que accedió a poner en riesgo el “prestigio nacional” con el fin de justificar ante la opinión pública estadounidense la necesidad de implementar las reformas contenidas en el Plan Sexenal. Aprovechando la inusual empatía hacia los pobres en tiempos del New Deal, se construyó una imagen específica de pobreza que fuera higiénica y redimible. Ésta, sin embargo, no generó consenso entre los mexicanos. This article analyzes the public diplomacy of the government of Lázaro Cárdenas, focusing on the administration’s decision to publicize the nation’s poverty internationally, especially in the United States. This study suggests that this was an unprecedented strategy, putting “national prestige” at risk in order to explain the importance of implementing the reforms contained in the Six Year Plan, in the face of public opinion in the United States. Taking advantage of the increased empathy felt towards the poor during the New Deal, a specific image of hygienic and redeemable poverty was constructed. However, this strategy did not generate agreement among Mexicans.

Interaction of Ukrainian Diaspora and the USA Government Regarding Celebration of Ukrainian Independence Day on January 22

2018 ◽  
Vol 1 (47) ◽  
pp. 136-145
Author(s):  
Halyna Shchyhelska
Keyword(s):  
United States ◽  
House Of Representatives ◽  
The United States ◽  
100Th Anniversary ◽  
Totalitarian Regime ◽  
The Public ◽  
Us Congress ◽  
The Us ◽  
Public Consciousness ◽  
The Usa

2018 marks the 100th anniversary of the proclamation of Ukrainian independence. OnJanuary 22, 1918, the Ukrainian People’s Republic proclaimed its independence by adopting the IV Universal of the Ukrainian Central Rada, although this significant event was «wiped out» from the public consciousness on the territory of Ukraine during the years of the Soviet totalitarian regime. At the same time, January 22 was a crucial event for the Ukrainian diaspora in the USA. This article examines how American Ukrainians interacted with the USA Government institutions regarding the celebration and recognition of the Ukrainian Independence day on January 22. The attention is focused on the activities of ethnic Ukrainians in the United States, directed at the organization of the special celebration of the Ukrainian Independence anniversaries in the US Congress and cities. Drawing from the diaspora press and Congressional Records, this article argues that many members of Congress participated in the observed celebration and expressed kind feelings to the Ukrainian people, recognised their fight for freedom, during the House of Representatives and Senate sessions. Several Congressmen submitted the resolutions in the US Congress urging the President of United States to designate January 22 as «Ukrainian lndependence Day». January 22 was proclaimed Ukrainian Day by the governors of fifteen States and mayors of many cities. Keywords: January 22, Ukrainian independence day, Ukrainian diaspora, USA, interaction, Congress

THE INSTITUTIONAL EFFECTS OF LEADERSHIP: THE UNITED STATES GENERAL ACCOUNTING OFFICE AND ITS AUDIT REPORT REVIEW PROCESS

1994 ◽  
Vol 21 (1) ◽  
pp. 255-273 ◽  
Author(s):  
Onker N. Basu
Keyword(s):  
United States ◽  
Review Process ◽  
Field Research ◽  
The United States ◽  
Organizational Leaders ◽  
Audit Report ◽  
The Public ◽  
General Accounting Office ◽  
Audit Team ◽  
The Impact

In accounting research, the role of organizational leaders has been underrepresented. The limited research dealing with leadership issues has focused on the impact of leadership on micro activities such as performance evaluation, budget satisfaction, and audit team performance. The impact of leadership on the structure of accounting and audit systems and organizations has been ignored. This paper focuses on the impact that past Comptrollers General have had on the working and structure of one federal audit agency, the United States General Accounting Office (GAO). In addition, it also focuses on the influence of the two most recent Comptrollers General on one important audit related activity, i.e., the audit report review process. Using qualitative field research methods, this paper documents how the organizational leadership impacts its long-term audit practices and thereby influences auditing, especially in the public sector.

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