...Health Care Management Errors in a Post Modern/Complex Adaptive System MHA 601 Health Care Management Errors in a Post Modern/Complex Adaptive System Post modernistic/complex adaptive systems allow a leader a broader spectrum in which to examine a potential problem. In the past, problems in healthcare were presented and leaders used an absolute to correct the problem and move forward. Health care problems today are more complex and require a manager to think in terms bigger than just an absolute solution. “For the postmodernist, all models are only partial descriptions of reality, and scientific models are shaped not only by traditional scientific processes, but also by political, social, and personal interest,” (Johnson, 2009, p. 65). The following summaries of management errors will be examined as if management were that of a post modern/complex adaptive system. Scenario 1: A manager fails to account for employees’ ability to learn safe practices by experimenting on their own to increase productivity and jeopardize current standards put in place. This scenario is an error because the manager failed to see the inevitability of change. As resources become scarcer, employees are going to search for ways to increase their productivity as they feel more pressure to produce. A manger with a post modernist perspective would act as a change agent and anticipate the need for increased productivity and would implement the changes necessary prior to their staff experimenting...
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...Which of the following is an advantage of seniority pay systems? 1) _______ A) they reward exemplary performance B) they encourage employees to continue to increase their skillsets C) they reward employees on an objective basis D) they help to promote product quality 2) This term refers to a difference between the output of a human judgment processes and that of an objective, accurate assessment. This difference could be due to bias, prejudice, or other subjective, extraneous influences. 2) _______ A) content validity B) a first-impression effect C) rating error D) the performance appraisal process 3) In 2009, employees were expected to earn average merit increases of what percent? 3) _______ A) 8.3% B) 2.9% C) 5.2% D) 1.3% 4) Management by objective is part of which type of performance appraisal system? 4) _______ A) behavioral observation scale B) behaviorally-anchored rating scale C) goal-oriented system D) trait system 5) This occurs when a rater generalizes good performance behavior in one aspect of the job to all aspects of the job. 5) _______ A) negative halo effect B) positive halo effect C) first-impression effect D) similar-to-me effect 6) Which comparison system requires the rater to place a specific number of employees into groups that represent the entire range of performances...
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...range of input data that give a clearer and more complete picture of a company’s financial bottom line. Modern accounting systems help company management choose wisely in the use of better resources to increase profits at the same time as identifying cost saving and less spending. Accounting is the foundation of any business big or small. Yesterday many businesses did their accounting by hand. This was a long and problematic job done by those who were trained to do only accounting. Some small businesses still do it today, and this serves them fine. Larger companies have switched to computerized accounting systems today which run faster and are more accurate than manually. They both perform essentially the same thing, and are under the very same principles and concepts with the only differences being in the mechanics (Shanker, 2011). There are many factors facing manual accounting compared to computerized accounting today: speed, cost, and back up. Speed is important in accounting today due to the large companies and their investors. Using today’s computerized accounting systems, processing data, and reports are faster and more accurate causing less errors, and increases efficiency. This is all done with the push of a button (Shanker, 2011). Doing accounting manually is cheaper, but takes longer and is more likely to have errors. Using the computerized system is more costly due to the purchases of software, computer, training, and program upkeep. Other expenses with...
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...------------------------------------------------- Top of Form Search the site Bottom of Form * Home * Clinical Zones * Continence * Infection Control * Mental Health * Diabetes * Wound care * Assessment skills * Medicine management * Leadership * Midwifery and neonatal nursing * More ... * Search the Archive * Browse by clinical topic * Browse by issue date * Awards * Nursing Times Awards * Student Nursing Times Awards * Patient Safety Awards * Care Integration Awards * Write for Us * Nursing events * Courses * Subscribe from overseas * Francis report * Nursing Practice * Nursing Times Learning * Opinion * Student Nursing Times * Jobs * Subscribe * You are here: Home * Clinical Zones * Medicine management How to ensure patient safety in drug dose calculation 12 October, 2012 Medicines management is a core nursing skill. This review gives an introduction to and taster of our newly launched online Nursing Times Learning unit on drug calculations. Keywords: Patient safety/Drug calculation/Medicines management * This article has been double-blind peer reviewed * Figures and tables can be seen in the attached print-friendly PDF file of the complete article in the ‘Files’ section of this page Medication incidents accoun-ted for 11% of all patient incidents...
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... Dear Location Managers, Great job on trying to manage the extensive amount of customers. Lei and I have heard that the employees are overwhelmed by the volume of customers. Thanks for noticing and reporting the increase of errors in customer orders. Lei and I have decided to adopt an e-customer order system that will allow customers to input their own orders. This would address the issue of employees being overwhelmed by the increased pace of the workplace. When need to implement Kotter's Eight Steps to Leading Change to reach our goals. We know that making change in technology to automated customer service will be a difficult task but Lei and I are going to be with you the whole step of the way. Our vision is to decrease the number of errors to a minimum while introducing a new system. I will send you a guidance handbook to operate the new system. Cross-training will definitely have to go into effect, the old employees will have to train the new ones. To touch base with the number of errors, I need that number to decrease to one error a day per employee. Since I know that we just got new equipment the monitoring will go in effect next month. To motivate the employees each month I will give a reward to the ones who have limit number of errors. You should let your employees that you are watching them to ask questions if they have a concern. Please try not to intimidate them. It should be praise an reward.I want them to be able to talk to you about any concern. Everyone...
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...1.3 million injuries occurred annually in 1991 * 69% are partially due to errors in patient management * 13% of these resulted in patient’s death Computerised Physician Order Entry Mount Auburn saw computerised POE as a critical patient-safety tool. Current system: Paper based and verbal communication Common errors in current system * Simple miscommunication of the drug order * Messy handwriting, confusion between names etc… * Lack of knowledge about drugs and patients * Rule violations, slips and memory lapses Advantages of POE When a physician places an order, all the relevant information are shown such as 1) Lab test results 2) Medication the patient is currently on 3) Allergic history etc.. * Everything is in real time – info about new drugs in the market, research finding, patient files * Reduced faulty drug identity checking – name mismatch problem solved * rule violations could also be lower – enhanced monitoring * ordering more streamlined * Reduced transcription error – handwriting issue solved All these will bring greater name to the hospital as the error rates will increase -> one of the Leapfrog’s recommendation is “Evidence-based Hospital referral”, hence this will generate positive name for the hospital. CRM could also be improved as the customer will be more satisfied with lesser errors and reduced cost due to increased efficiencies. Current Plan: how to implement...
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...Daniel worked in the accounting department of Lynchberg Manufacturing. Daniels was recently asked to prepare a sales budget for the year 2011. He conducted a thorough analysis and came out with projected sales of 250,000 units of product. That represents a 25 percent increase over 2010. But after some time he found that he had made some mistake in his report. The report had indirect effect on the demand and sales of the product and also the hiring of the employees. He was in making a decision to tell his superior authority about the mistake. But his friend suggested not telling as it may risk his job. After listening to him his decision got bias. But in my opinion an employee should immediately report and error when it is discovered. All employees, especially employees who are burdened with the task of making projections which may impact the future of the company must act with integrity. Small-business investors and leaders consistently rely on the ethical collection and delivery of financial information. “According to Mintz, “Integrity is a fundamental trait of character that enables a CPA to withstand client and competitive pressures that might otherwise lead to the subordination of judgment.” The priority must be based on the professional responsibilities first rather than looking at the personal interest first. What if the mistake is caught and then there will be no job rather than except the mistake and tell the superior authority there might be chance that the superior...
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...up. 2) The environment around Script pad is favorable because the governement want to promote electronic health records, Therefore the electronic prescriptions will increasingly be asked. 3) At first my reaction wil be bad because the prescprtion hand does not cost me anything. Fortunately, the application makes life easier for customers and it is safer than hand prescpition and the government pushes to modernized the management of health I'll end to adopt it. Over the cost of the iphone and subscription this aplication offers several advantages including security (greatly reduces errors) ease (easy to use) and effectiveness (prescription sent directly to the pharmacy) for me and customer. 4) The pharmacy will be more reticent in front of this project because the application takes a commission on the sale, which reduces her margin especially as the competition is fierce with the online pharmacy is growing in the market. 5) The application allow to be clearer and avoids the mistakes of understanding and writing, but if the error comes from a wrong manipulation of the doctor the Script Pad is not 100 % safe. The solution is to create a security step in the aplication where the physician must read again his manipulation then aprove it and sign it 6) First we have to try to sign partnership with the government in order...
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...be attributed to a breakdown in human interaction. Human error cannot be eliminated it is essential fact of the human condition (Maddox, 1998). Maintenance professionals will always try to avoid making errors. Unfortunately, even the most highly trained and motivated professionals will make mistakes, however, with suitable understanding of the human factor and appropriate training, professionals can mitigate the consequences of errors. The human factor component of aviation maintenance can be grouped in four general categories: 1. Effective training for technicians and inspectors; 2. On the job safety of maintenance workers; 3. Human error that compromises public safety; and 4. Overall cost of maintenance errors. The Human Factor in Aviation Maintenance Aviation is an industry where mistakes mean lives are at risk. Airplanes have become more complicated and sophisticated in their evolution within the past 50 years. Maintenance technicians must continuously update their proficiency and knowledge in airplane repair because of the enormous differences in new and old aircraft that are presently in use (Maddox, 1998). Aviation maintenance professionals have earned high levels of technical skills training associated with their profession, however research in a number of industrial sectors indicate that up to 80% of accident causes can be attributed to a breakdown in human interaction. Human error cannot be eliminated it is essential fact of the human condition...
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... Five common errors and support to solving them: * Editing and placing header and footers can be done through; double clicking the top or bottom of the page and clicking on ‘Insert’ tab. Clicking on either Header or Footer will give you preset templates to give you a quick setup to fill in with the information you would like to insert. If you are creating a document for a business letter, you can be saved as a template for future use and quicker access. This can be done through ‘Quick Parts’, choosing ‘Field’ and adding exactly what you desire your document to look like and highlight you header by clicking to the left of the margin. Click on ‘Header’ again in the group box and ‘Save Selection to Quick Parts Gallery…’ to save this format for easy retrieval later. * Templates can be a timesaver when sending or printing many reports at different times. This can be done with opening a new Word document. Much like setting up your headers and footers, you can create a whole document predesigned and ready to go with only a few areas needing to be filled in. * Inserting pictures is to simply click on the “Insert” tab and choose from ‘Illustrations’ group. Place holders will give you the option of where to set the picture / graph and right clicking on the picture will open a drop down menu. Choosing ‘Wrap Text’ will align the text to your specifications; in line with text, on top, behind, etc. * Losing where the file was stored is a common error. Locating this...
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...MITIGATION OF ERROR by Michael Raynard Mayberry A Paper Submitted to the Worldwide Campus In Partial Fulfillment of the Requirements of the Degree of Master of Aeronautical Science Corporate Aviation Operations ASCI 622 Embry-Riddle Aeronautical University Worldwide Campus November 2011 Abstract Crew Resource Management (CRM) has been a great asset to flight safety by properly using resources for pilots and aircrew. The use of CRM have been effective with other training tools to help encourage better communication and to improve decision making skills. CRM is a valuable asset to companies training program if the technical skills are utilizes in the proper manner. CRM errors will never be eliminated, but the use of effective CRM skill can prevent a substantial amount of errors from ever occurring. Keywords: aviation, CRM, error, human error, decision making, safety Mitigation of Error Crew Resource Management (CRM) has been a great asset to flight safety by properly using resources for pilots and aircrew. Not all researchers accept the concept of CRM to manage error because of its import from other airlines and other training organizational. Other culture and situations could have been worse and not justified use in the United States due to its culture and environment. The researcher will discuss the ability of CRM to eliminate some error; although error can never be completely eliminated, the skills of CRM are an exceptional source that was originally...
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...and emergent approaches for developing strategy followed by the main strengths and weaknesses of the article. The article uses experiences of a craftsman and a potter to develop an argument that the crafting image better captures the process by which effective strategies come to be than the formal planning (Mintzberg, 1987). Mintzberg stresses a strategy is actualized through the processes of learning, negotiation, and proposes that the distinction between planning and implementation is untenable (Mintzberg, 1990). “Openness of emergent strategy enables management to act before everything is fully understood-to respond to an evolving reality rather than having to focus on a stable fantasy.” (Mintzberg, Waters 1985). Emergent strategy is therefore described as a trial and error approach which allows amendments, rather than one fix objective, as in prescriptive strategy (Downs et al 2003). Mintzberg thus believes that the errors made when crafting strategies could become opportunities (Mintzberg 1987). As seen in the example of Honda, emergent strategy works well in uncertain times and more difficult market conditions. Also, It can be perceived that emergent strategy allows a more flexible approach than the planning system as a whole, it allows for a more creative and responsive process. Idenburg (1993)...
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...International Journal Of Engineering And Science Issn: 2278-4721, Vol. 2, Issue 4 (February 2013), Pp 19-24 Www.Researchinventy.Com Review Paper On “Poka Yoke: The Revolutionary Idea In Total Productive Management” 1, 1, Mr. Parikshit S. Patil, 2,Mr. Sangappa P. Parit, 3,Mr. Y.N. Burali Final Year U.G. Students, Mechanical Engg. Department,Rajarambapu Institute of Technology Islampur (Sangli),Shivaji University, Kolhapur (India) 2, P.G. Student, Electronics Engg. Department, Rajarambapu Institute of Technology Islampur (Sangli), Shivaji University, Kolhapur (India) Abstract: Poka-yoke is a concept in total quality management which is related to restricting errors at source itself. It deals with "fail-safing" or "mistake-proofing". A poka-yoke is any idea generation or mechanism development in a total productive management process that helps operator to avoid (yokeru) mistakes (poka). The concept was generated, and developed by Shigeo Shingo for the Toyota Production System. Keywords— Mistake-proofing, Total quality management, Total productive management. I INTRODUCTION In today’s competitive world any organisation has to manufacture high quality, defect free products at optimum cost. The new culture of total quality management, total productive management in the manufacturing as well as service sector gave birth to new ways to improve quality of products. By using various tools of TQM like KAIZEN, 6 sigma, JIT, JIDCO, POKA YOKE, FMS etc. organisation is...
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...ATSB TRANSPORT SAFETY REPORT Aviation Research and Analysis Report – AR-2008-055 An Overview of Human Factors in Aviation Maintenance Alan Hobbs Ph.D. December 2008 ATSB TRANSPORT SAFETY REPORT Aviation Research and Analysis Report AR-2008-055 Final An Overview of Human Factors in Aviation Maintenance Alan Hobbs Ph.D. - iii - Published by: Postal address: Office location: Telephone: Facsimile: E-mail: Internet: Australian Transport Safety Bureau PO Box 967, Civic Square ACT 2608 62 Northbourne Ave, Canberra City, Australian Capital Territory 1800 020 616; from overseas + 61 2 6274 6440 Accident and incident notification: 1800 011 034 (24 hours) 02 6247 3117; from overseas + 61 2 6247 3117 atsbinfo@atsb.gov.au www.atsb.gov.au © Commonwealth of Australia 2008. This work is copyright. In the interests of enhancing the value of the information contained in this publication you may copy, download, display, print, reproduce and distribute this material in unaltered form (retaining this notice). However, copyright in the material obtained from other agencies, private individuals or organisations, belongs to those agencies, individuals or organisations. Where you want to use their material you will need to contact them directly. Subject to the provisions of the Copyright Act 1968, you must not make any other use of the material in this publication unless you have the permission of the Australian Transport Safety Bureau. Please direct requests for further...
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...Influence of time pressure on aircraft maintenance errors TAKAHIRO SUZUKI, TERRY L. VON THADEN, WILLIAM D. GEIBEL University of Illinois at Urbana Champaign Introduction Even though proper maintenance is crucial for aviation safety, tracing the effect that human error in maintenance operations has on accidents and incidents remains a difficult task. According to a UK Civil Aviation Authority study (2003), maintenance and inspection deficiencies ranked fourth (12%) as a factor in aviation accidents overall. Other studies have described that as technology has improved, aviation accidents attributed to mechanical failures alone have decreased, yet those attributed to human error have not shown the same reduction (Wiegmann & Shappell, 2003). Aircraft maintenance requires high reliability and is an important concern in the human factors realm for several reasons. On the one hand, automation, which has reduced flight crew workload, does not apply in maintenance operations (Reason & Hobbs, 2003). On the other hand, maintenance tasks generally access critical areas where human errors lead to serious consequences (Reason, 1997). From a human factors perspective, in the current competitive environment of commercial aviation, occupational opportunities relating to aircraft maintenance technicians (AMTs) are declining. While oil prices soar, fares remain low due to competition (Bond, 2008). Employing fewer technicians and making turnaround at the airport gate shorter are...
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