...system in a clinical practice has been a formidable task in the healthcare industry. Although, details of the experience may differ from one healthcare setting to another. Many research studies have pointed out the following as the common issues to EMR implementation, these includes leadership, workflow, provider, training, data interface and end users. These issues speak a volume about the success or the failure of the implementation. Leadership plays a huge role in EMR Implementation. When I talk of leadership, I refer to a variety of personnel ranging from CEO to clinic staff who are able and willing to provide organizational support, remove barriers, provide framework for communication plans for all staff with adequate timeline to lead on the EMR project. I do agree with Stephen Badger who stated that, ‘if a senior team is united in its commitment to a project’s success, the project will almost certainly succeed’. A report from the American College of Medical Informatics stressed the need for unwavering commitment of the the top-level leadership as a factor to success in the EMR project. In most institution hospitals and other bigger clinics where EMR implementation was reported as a huge success, a dynamic leader was always noted as the driving force behind their HIT projects as in the case of Beth-Israel Deaconess Hospital where Dr. John Halamka championed their Information technology and clinical operation Project. It is therefore imperative to have a committed leader...
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...Cycles of Organisational Learning: A Conceptual Approach Dr Peter Murray Senior Lecturer Division of Economic and Financial Studies, Department of Business, Macquarie University, NSW. Australia. Phone +61 2 98508468 Email: p.murray@mq.edu.au Key Words: unbounded learning, integrated learning cycles, competencies Abstract In an environment of rapid change, organisational learning theory appears to offer much for organisations trying to grapple with change and growth. Not all theorists agree on the methodologies of organisational learning however, and there is little consensus about how organisations achieve both change and growth simultaneously. This paper attempts to expand the simplistic idea that organisational learning is an adaptive approach supported by individualized and stand-alone strategies of learning. The paper demonstrates how various conventions of learning can be understood as integrated learning cycles from which organisations can chart new paradigms of learning in practice. Current theories of organizational learning are imbued with their own sense of history making, clever manifestos that support a workshop or case study approach, and questionable rather than empirical validations of internally consistent phenomenon. Existing theories of learning however are valuable to the extent that they collectively represent a community of practice from which scholars and practitioners benefit. New conceptual approaches are needed...
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...According to Edmund Morgan, the people he decided to be included in his book, American Heroes: Profiles of Men and Women who Shaped Early America, were chosen because “The people I have selected here, whether public heroes or simply my favorites, have surprised me in one way or another.”1 Morgan’s definition of a hero is a person “who [goes] their own way against the grain, regardless of custom, convenience, or habits of deference to authority,” and who has an “ability to say no.”2 According to Morgan, then, Anne Hutchinson is such a person who fits this definition. In 1637, following her trial on charges that she “had broken the Law of God,”3 the court and the Massachusetts Bay Colony Governor, John Winthrop, banished Anne Hutchinson for heresy. She was banished three years after she and her family arrived to join the Massachusetts Puritan colony. Morgan considers Anne Hutchinson a hero because she exhibited courage when she stood up for her beliefs in a court of law, before a panel of...
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...punching, throwing the victim down or into the walls and objects, tripping, biting, kicking, or twisting arms and legs. It may involve life-threatening behavior such as choking, stabbing, burning, attempting to drown, or shooting with a gun. Abuse may also refer to withholding necessary items, or to physical restraint such as locking the victim in a home or closet, handcuffing, or tying up a person. Sexual abuse includes genital mutilation and marital rape. Psychological and verbal abuse is usually present along with physical or sexual abuse. It can involves behavior such as constant ridicule, accusations of infidelity or mental illness, threats against the victim or her loved ones, threatened suicide, harassment, and stalking. In most cases, domestic violence refers to physical, as well as, emotional abuse and it generally involves more than one act of physical harm. The damage inflicted is often severe. According to the Department of Justice, if all domestic...
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...provided of a small, but reprersentative, questionnaire survey of typical project managers, architects and building contractors concerning their views and experiences on a range of ethical issues surrounding construction industry activities. Most (90%) subscribed to a professional Code of Ethics and many (45%) had an Ethical Code of Conduct in their employing organisations, with the majority (84%) considering good ethical practice to be an important organisational goal. 93% of the respondents agreed that “Business Ethics” should be driven or governed by “Personal Ethics”, with 84% of respondents stating that a balance of both the requirements of the client and the impact on the public should be maintained. No respondents were aware of any cases of employers attempting to force their employees to initiate, or participate in, unethical conduct. Despite this, all the respondents had witnessed or experienced some degree of unethical conduct, in the form of unfair conduct (81%), negligence (67%), conflict of interest (48%), collusive tendering (44%), fraud (35%), confidentiality and...
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...... 1! LACHES IS AND SHOULD BE AN EQUITABLE DEFENSE ............ 2! LACHES IN AN AGE OF STATUTES OF LIMITATION ................... 8! A MIDDLE COURSE IN PETRELLA ......................................... 17! CONCLUSION ....................................................................... 18! I. INTRODUCTION The famous Martin Scorsese movie Raging Bull and an ancient doctrine of equity will make a joint appearance later this month at the U.S. Supreme Court. On January 21, 2014, the Court will hear arguments in Petrella v. Metro:Goldwyn:Mayer, Inc.1 The case involves copyright infringement claims about the movie, and about the extent to which those claims are barred by the doctrine of laches. Laches is a defense that was developed by courts of equity, and it is typically raised in cases where a plaintiff has delayed her suit without good reason. Petrella raises two big questions about how laches fits into contemporary American law. One is whether it applies to all claims or only to equitable ones.2 The other is how it is affected by a federal statute of limitations. Is laches displaced, on the theory that Congress has spoken by enacting the statute of limitations, so that it would violate the separation of powers for a court to substitute its own equitable doctrines? Or does laches remain and coexist with the statute of limitations on the theory that Congress legislates against the background of traditional equitable principles? * Assistant Professor, UCLA School of Law. Thanks...
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...Abstract Ever since man was able to harness the power of fire, he has been trying to control it. From a single bucket wielding man to a complex well trained and organized team have been working on controlling and suppressing fire for millennia’s. Many simple and complex tools have been developed to help in the control and suppression of fire. Organized fire brigades can be dated back to the earliest civilizations because of the fear of fire and the damage that it can cause. Many great infrastructures have fallen to the devastation of fire and have taken large groups of dedicated members to control those fires. Over the past century, the fire service has become more than just fire suppression, now these dedicated individuals are trained to rescue people, control hazardous materials, perform fire prevention duties, and attend to the injured. Many people think that the fire service is a fairly modern idea due to the industrial revolution. Some researchers have said that firefighting was first started and organized in ancient Egypt. There is evidence of firefighting machinery was used in Ancient Egypt, including a water pump that was developed by Ctesibius of Alexandria in the third century BC which was later improved upon in a design by Hero of Alexandria in the first century BC. One of the first well documented fire brigade or suppression team was the ones of the Roman Empire. The Roman emperor Augustus is credited with instituting a corps of fire-fighting "watchmen" in 24 BC....
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...Generated by ABC Amber LIT Converter, http://www.processtext.com/abclit.html This is a work of fiction. Names, characters, places, and incidents are either the product of the author’s Imagination or are used fictitiously, and any resemblance to actual persons, living or dead, business establishments, events or locales is entirely coincidental. The Penguin Putnam Inc. World Wide Web site address is http://www.penguinputnam.com To Charles Coulter, my father and a very talented gentleman. Thank you for the genes you passed on to me. And the support that never wavered. All my love Also by Catherine Coulter THE COVE THE NIGHTINGALE LEGACY THE WYNDHAM LEGACY LORD OF FALCON RIDGE LORD OF RAVEN’S PEAK LORD OF HAWKFELL ISLAND THE HEIRESS BRIDE THE HELLION BRIDE THE SHERBROOKE BRIDE SEASON IN THE SUN BEYOND EDEN IMPULSE FALSE PRETENSES SECRET SONG EARTH SONG FIRE SONG ROSEHAVEN Generated by ABC Amber LIT Converter, http://www.processtext.com/abclit.html in hardcover from G. P. Putnam’s Sons 1 NEARB ALTIMORE, MARYLAND MARCH 1822 Slaughter County Course: Saturday Races, last race, one-half mile HE WAS GOINGto lose. He didn’t want to lose, dammit, particularly to Jessie Warfield, that obnoxious brat. He could feel Rialto just behind him, hooves pounding firm and steady on the black dirt, head stretched long, muscles hard and bunched. He looked over his left shoulder. Rialto was coming on faster than a man escaping from a woman’s bedchamber before her husband came through...
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...terrorist attacks officially referred to as Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). Since October 2001, about 1.9 million service members have been deployed to Afghanistan and Iraq (Asbury & Martin, 2011). OEF/OIF has many unique features with regard to the military forces being sent to fight oversees. The all-volunteer military has experienced multiple deployments to the combat areas, with an increased use of the National Guard and Reserve Components, higher numbers of deployed women and parents of young children, and increases in the number of service members surviving severe injuries and other side effects from combat (Shaw & Hector, 2010). Service members may be subjected to more than one deployment. Studies show that overall about 40% of current military service members have been deployed more than once, with over one quarter serving more than two tours in combat (Sheppard, Malatras, & Israel, 2010). The repeat deployments have created taxing situations for the service members and their families. Moreover, the deployments average a length of sixteen months; which includes pre-deployment training and post deployment transition (Sheppard et al., 2010). An average of 44% of these service members are parents, with an average of...
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...This essay will demonstrate that it is not “always morally worse to kill than it is to let die”. It will be argued that passive euthanasia (i.e. letting someone die) is not morally wrong and that active euthanasia (i.e. accelerating their death) is no less moral. However, the many complications associated with the legalisation of active euthanasia (and euthanasia in general) must be identified and addressed. These identified complications may be eliminated with an appropriate regulatory regime. Assuming that identified complications can be overcome, and having established that it is not always morally worse to kill than to let die, it will be demonstrated that active euthanasia should not be banned. Morality, as defined by the Oxford Dictionary, is “principles concerning the distinction between right and wrong or good and bad behaviour”1. Hinde states that the principles are influenced and changed by one’s society and culture but also “based in human nature”2. As morality is influenced by society, public opinion is important when it comes to controversial issues. Morality differs from place to place and evolves over time. To compound this diversity, changes in medical treatment, and discoveries which enhance medical knowledge evolves rapidly and what was not even conceivable in some cultures or at certain points in history are now commonly accepted. Developments in end of life care fall within this category. With our increased ability to prolong life, arguments can now be made...
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...Was the legislation that gave African Americans equal rights to ‘whites’ the result of famous, glorified leaders such as Martin Luther King and Lyndon Johnson or was it those who worked behind the scenes, the local groups and individuals, who set the stage for these legal amendments to be possible? The Civil Rights Movement was one of the most significant events in the modern history of the United States that has formed the basis of many of its core values and laws today. The Civil Rights Movement unofficially ended with the passing of the long awaited “1964 Civil Rights Act and the 1965 Voting Rights Act” which legally saw an end to the racial discrimination faced by African Americans. However the historiography of the Civil Rights Movement has “undergone some serious revision” since 1965 as it ‘gained popular appeal.’ Initially the Civil Rights Movement was “romanticized” and considered to be a “heroic narrative of moral purpose and personal courage by which great men and women inspired ordinary people to rise up and struggle for their rights” such as the famed Martin Luther King, who was painted as the ‘driving force behind the movement’ ,President Lyndon Johnson and Kennedy and organisations such as ‘The National Association for the Advancement of Coloured People’ (NAACP) This idea of the federal government, prominent leaders and organisations playing the defining role in the passing of these bills soon became less plausible in the 1970’s and 1980’s as the “second...
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...The Abstract. Green Washing is “an environmental claim which is unsubstantiated (a fib) or irrelevant (a distraction). Found in advertising, PR or on packaging, and made about people, organizations and products. to preserve and expand their markets by posing as friends of the environment and leaders in the struggle to eradicate poverty the purpose of green washing is to preserve and expand their markets by posing as friends of the environment and leaders in the struggle to eradicate poverty. The history of green washing begins with research of environmentalist Jay Westerveld in 1986, in an essay regarding the hotel industry’s practice of placing green placards in each room, promoting reuse of guest-towels, ostensibly to “save the environment. Energy sector represents “biomass, coal, electricity, geothermal energy, hydrogen, hydropower, natural gas, nuclear power, petroleum, solar power, and power wind”, companies involved in generating energy. In this research paper, main focus is analyzing major energy industry components such as Petroleum industry, Nuclear power industry and Coal power industry, in order to explore the related Green Washing phenomenon. As an example for green washing, “Australian Federal Government’s Green Washing Campaign of nuclear power as a “clean” energy source and as the primary solution to reduce Australia’s green house emissions”, analyzed in this research. As an example in coal industry “ the clean coal” campaign recognized and analyzed as...
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...ABSTRACT Over the course of years with advancement in technology, medical science has developed into a field of continuous research and advancement in mechanisms to improve the health of society. This papers tries to find the relation with a minute but important application of this advancement; Prenatal Care for better growth and development of children. It tackles the question of whether the impact of prenatal care is significant on an infant’s health or not. The data used is a cross-sectional data of 1832 observations, with 29 variables. Controlling for different relevant variables like demographics, age, education etc. we try to find a causal relation between the impact of prenatal care and birth weight. And in the end we conclude our results that a positive relationship is indeed present and significant, leaving room for data limitations and possible solutions for future research. IMPACT OF PRENATAL CARE ON BIRTH WEIGHT Shehryar Amin Waqas Sheikh Hafiz Moazam Ali Nasir Javed Econometrics 2 Introduction Birth weight is a key factor for a child’s health and wellness. Not only it is important to prevent infant mortality rate but also a healthier birth weight helps reduce the increased risks of illnesses faced by babies born with low birth weight. Also in a statistical brief for the state center for health statistics of North Carolina1, it was found that compared with children born with normal birth weight, low birth weight children were more at a risk for poorer...
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...GOING GREEN Making the Change to Sustainability Building Green Builds a Bejter Education BY PAUL J.HOFFMAN W hen I was in school, green was ihe color of one of my crayons and the vinyl asbestos tiles on ihe classroomfloor.Today, the word "green" has a very different connijtation. The age of the green mtncnicni and susiainability has grown from a few concerned citizens, often labeled as "tree huggers," to a mainstream media focus wilh a rapidly growing, but large and passionate following. For ihc education world, sustainable practices can impact your students, parents, icaciicrs, staff, administrators and communities. In addition to healthier students and stair, significant long-icrm cosí savings are among the most exciting benefits thai ihc recipients of an environmentally friendly educational facility enjoy. Improved test scores, lower absentepism, better morale, greater community support, stronger teacher retention and certainly a more positive impact on the environment are all additional beneiits that school administrators can expect from a sustainable school. With so many benefits easily recognized, there's really no reason that school officials shouldn't take a close look al all of the sustainable options available ti) them as they consider upcoming building projects. It is imporlani that new facilities lay the foundation for a great academic story while also being aesthetically pleasing, healthy and cost-sensili\'e. Additionally, you offer a valuable learning...
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...Ecosystem of the Mojave Desert Bio/101 March 5, 2012 Ecosystem of the Mojave Desert The Mojave Desert is 54,000 square miles of its own special brand of diversity; it is one desert - rather than a series of separate entities. By becoming aware of the combined identity, appreciation and better understanding of the issues that affect the Mojave Desert can occur on a holistic level. Generally, at the edges of the Mojave are areas where dominant plant and animal species change from one to another and both, to various degrees may be possibly found on the fringes of the other. The Mojave Desert ecosystem evolves from plants and animals which are resources within each other. Adaption to the rough temperatures and little water, these ecosystems finds many ways to survive. This ecosystem plays host to a wide variety of plants and animals living in an environment that humans may think are harsh conditions. Many animals get their energy by eating plants, but desert plants give up the fruit of their production very reluctantly. Sharp spines, such as a cactus, discourage plant-eaters. The Mule deer avoids these obstacles by eating seeds, although safe to eat, they can be hard to find. Many are small and look like grains of sand. The plant's solar energy flows through the ecosystem as Mule deer, and other herbivores like jackrabbits, fall prey to carnivores like great horned owls, coyotes, bobcats, or snakes (Townsend, Harper & Begon, 2000). Survival in the desert cannot occur...
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