Patient Safety in a Hospital Research

Patient Safety in a Hospital Research Attitudes toward incident reporting. Attitudes and perceived barriers to incident reporting among tertiary level health professionals were researched by Malik, Alam, Mir, Abbas (2010) to address the limited incident reporting framework in Pakistan. A random sample of 217 doctors and nurses in Shifa International Hospitals were given a modified version of the AHRQ’s questionnaire to determine various factors that influence health professionals’ reporting behaviors, with an important focus of the study on barriers to incident reporting. Results of the study found that only 20% of house officers are willing to report, and greater than 95% of consultants, registrars, medical officers, and nurses are willing to report incidents related to them. ‘Administration sanction’ was identified as a common barrier among doctors (69%) and nurses (67%). Additionally, reporting to the head of the department was preferred by doctors (60%) and nurses (80%). Based on the study ’s findings, the researchers suggest that implementation of future incident reporting systems should consider supportive work environments, prompt feedback, and immunity from administration (Malik, Alam, Mir, Abbas, 2010). Intensive Care Unit Registered Nurses’ perceptions of patient safety climate and potential predictors for patient safety perception and incident reporting were explored in a cross-sectional study by Ballangrud, Hedelin, Hall-Lord (2012). In ten ICUs in six hospitals in Norway, 220 nurses (72%) responded to the questionnaire, The Hospital Survey on Patient Safety Culture. The questionnaire measured seven unit level and three hospital level patient safety climate dimensions, along with two outcome items. Of the 12 dimensions, 7 achieved a RN proportion of positive scores (over 55%), and 5 achieved a lower proportion. Among types of units and between hospitals, significant differences in RNs’ perceptions of patient safety were found. Unit level variables were found to have had significant impact on the outcome dimensions, â€Å"overall perception of safety† and â€Å"frequency of incident reporting,† in which both had a 32% total variance. However, among the outcome variables, differences were found in positive scores on â€Å"overall perception of safety† (69%) and â€Å"frequency of incident reporting† (18%). In all dimensions, the total average of positive scores was 55%. This study concluded that patient safety climate was most positive among ICU RNs at the unit level, and areas for improvement include: â€Å"incident reporting, feedback and communication about errors, and organizational learning and continuous improvement† (p. 352). This study identifies several limitations. In contrast to other Norwegian HSPOSC studies, which included various health care professionals, this study’s sample only included RNs. Additionally, generalizability is limited since the hospitals in this study were small and within a limited area of Norway. Another limitation to this study that may have impacted the results was the known implementation of reorganization across units that were to occur after data collection. Perceptions of patient safety culture. In China, healthcare workers’ attitudes and perceptions of patient safety culture were explored using a modified version of the Hospital Survey on Patient Safety Culture (HSPSC), which measured 10 patient safety culture dimensions. Out of the 1500 questionnaires that were distributed to primarily internal physicians and nurses among 32 hospitals in China, valid responses were received from 1160 health care workers. Statistical analysis was done using SPSS 17.0 and Microsoft Excel 2007, including descriptive statistics, along with analysis of the survey’s validity and reliability. Two separate investigators entered and verified data independently. For each item, results included a positive response rate range of 36% to 89%. On 5 dimensions (Teamwork Within Units, Organization Learning-Continuous Improvement, Communication Openness, Non-punitive Response and Teamwork Across Units), the positive response rate was higher when compared to AHRQ data (P In a research study among 42 Taiwan hospitals, the HSOPSC questionnaire was used by Chen Li (2010) to examine the 12 patient safety culture dimensions. A total of 788 physicians, nurses, and non-clinical staff completed the survey. Statistical analysis was done using SPSS 15.0 for Windows and Amos 7 software tools. Positive perceptions were found toward patient safety culture among Taiwan hospital staff, in which percentage of positive response rates were highest among â€Å"teamwork within units,† and lowest in the â€Å"staffing† dimension. Taiwan and the US differed in the following three dimensions: Feedback and communication about error, Communication openness, and Frequency of event reporting. Several strengths and weaknesses were identified in this study. When compared to the original AHRQ database, which included large samples in various health care organizations, this study’s data had a lower internal consistency. The use of the HSOPSC questionnaire is both a strength and limitation in this study. Although the HSOPSC’s strong psychometric properties and broad safety culture coverage are considered strengths, the use of this questionnaire in Taiwan is also a limitation of this study because of its use in a cultural setting different from where it was developed. However, it is important to note that the application of the HSOPSC in Taiwan was found to be a good fit according to most of the confirmatory factor analysis indices. Based on their findings, Chen Li (2010) point out that, â€Å"the existence of discrepancies between the US data and the Taiwanese data suggest that cultural uniqueness should be taken into consideration whenever safety culture measurement tools are applied in different cultural settings† (p. 1). Not only is future research recommended to expand the survey in Taiwan, but also to consider measurements that will decipher individual and group perceptions and interactions related to patient safety c ulture.

Burlesque

To what extent did burlesque impact the development of the 20th American musicals? Burlesque shows had a big influence on the development of 20th century musicals in many ways. One of the ways it did this was changing the role that woman had within musicals. This is a result of the woman's rights movement In America. It is backed up in a Robert G Allen quote where he says â€Å"burlesque's principal legacy as a cultural form was its establishment of patterns of gender representation that forever changed the role of the woman on the American stage†.Previous of burlesque shows, It was less acceptable for woman to show much of their skin/boodles, they were often seen as Innocent and delicate so wore long dresses to cover themselves. However burlesque brought light on to the sexiness of woman without It being too distasteful; they did this by putting the woman In less clothing or more see through clothing such as tights, as a way of teasing the audience.Burlesque also helped women to gain more control In other ways as most of the burlesque troupes were managed by males therefore they would be making the decisions, however In the sass males began to take control and wanted burlesque dancers to show as much skin as possible without actually striping. Woman taking control is demonstrated in the late sass's when Lydia Thompson burlesque troupe became one of New Work's biggest theatrical sensations. Their first hit was named Zion in 1868 where they included travesty; woman playing men's roles in tights.Due to such high demands for tickets to this show it then moved to Broadway. Thompson didn't hire any composers for the how she simply used songs that were relevant and popular at the time, which was a big influence to American musicals as it happened frequently in 20th century musicals. It is also arguable that burlesque impacted the development of the 20th century American musicals as it wasn't Just a dance routine showing off women's bodies, it also involved ele ments of comedy and music which is a big element of book musicals in 20th century America.Burlesque infuses these elements by using things such as travesty and they also use their shows to mock the upper class as their main audiences were lower and middle class. The comedy within the shows also helped society to become more acceptable with the fact that the woman had less clothes on as usual which was frequent in many American musicals in the 20th century. It Is also said that burlesque had a big influence on creating book musicals as they also combined the 3 elements of dance, music and drama. One of the first book musicals being the black crook, involved burlesque style dances. Burlesque By Chloe had within musicals.This is a result of the woman's rights movement in America. It is t was less acceptable for woman to show much of their skin/bodies, they were often seen as innocent and delicate so wore long dresses to cover themselves. However burlesque brought light on to the sexine ss of woman without it being too distasteful; they did this by putting the woman in less clothing or more see through clothing gain more control in other ways as most of the burlesque troupes were managed by females therefore they would be making the decisions, however in the sass's males as usual which was frequent in many American musicals in the 20th century. It is

Yo Soy Joaquin Thesis - 1495 Words

â€Å"Scorned by attitudes, suppressed by mortis putation, destroyed by modern society.’’ â€Å"muck explanation and in the fierce heat of racial hatred.† The quotes from the poem â€Å" Yo Soy Joaquin† by Rodolfo Gonzalez represented discrimination. The meaning of his quotes are what he has been thru america. Destroyed by modern society symbolize the deaths of people’s culture, religions and how not all america is great as they say. Immigrants come to america for better life and hopes,dreams ,better education. As an child with immigrant parents i understand what Rodolfo might have been going thru the years he has been in america. Is America really a good america or just America. America is a world where it has discrimination,equality, patriotic†¦show more content†¦He said â€Å" let my land be a land where liberty is covered with no false patriotic wreath. † In this qoute hes saying that the land of america or any other land should be everyone s land. Everyone should have the same privilege, equality is one bing role of being an american. He also talk about how people don t really care about being patriotic, meaning people don t care about the culture of america or not respecting the nationality of their land. I agree with Langston Hughes because everyone wants liberty,freedom but they are just â€Å"Americans† because they live here and pretending they care for the nationally of America. The idea of being patriotic to your country means a lot to many people because it means that you actually care for your country. As Susan Noyes said in her poem â€Å"Patriot Dreams† , she said â€Å" flags were flown and pledges spoken .† Susan is saying that people were proud of their country and would actually care to sing the national anthem back then. Now and days many people don’t even know the song or what it means to be a TRUE AMERICAN. Teenagers these days don’t even get u p to do the pledge of allegiance because they don t know the meaning of it or why do they need to that. When it comes to the topic of patriotic, most of us will readily agree that is has not been the same as years go by. Where this agreement ends,however,is on the question of the americans.whereas some are convinced that

Edgar Allan Poe And His Works - 1496 Words

Edgar Allan Poe is one of the most well-known authors in the history of literature. He is best known for his works of poetry and short stories. His works have affected not only literature in America, but around the world. Mainly centered on death, tragedy, and despair, his work mirrored those themes that constructed his life. It is by examining his works, in the context of his life experiences, that we are able to see a direct correlation between his life’s situations and the topics he chose to write about. Poe was born January 19, 1809 in Boston. He was the second child of two actors, Eliza Poe and David Poe Jr. though he never really got to know his parents, as his father had left the family in 1810 and his mother died a year after that. This would not be the last tragedy personally experienced by Poe; by the time he was 18 years old, he had no money or job experience, and was unable to support himself. It was at this time that he joined the military, where he would discover that military life was not for him. Having reconciled with his foster father, he left the military and received an appointment at the United States Military Academy. In 1830, John Allan, his foster father, wrote to him telling him he no longer wished to be in contact with him, as he’d remarried a younger woman and had a new family. Poe got angry; and after eight months at West Point, he got dismissed from the academy because he had purposely gotten himself court-martialed. Alone and bankrupt, heShow MoreRel ated Edgar Allan Poe and His Works Essay1013 Words   |  5 PagesThesis: Edgar Allan Poe was one of the most influential, yet misunderstood writers in American Literature. I. His Early Life A. His Adoption B. His Education II. His Later Life A. Books Published B. Military Life III. The Conclusion of His Life A. His Marriage B. His Death IV. His Works V. What Others Thought Of Him Edgar Allan Poe was an American writer, known as a poet and critic but most famous as the first master of the short story form, especially tales of the mysteriousRead MoreEdgar Allan Poe: His Life and Works705 Words   |  3 PagesEdgar Allan Poe was born in Massachusetts in 1809 and was orphaned by the time by the age of 2 (Fisher ix). Edgar lived with his godparents, and excelled in school but he had an irascible temper and was prone to alcoholism (Fisher vi). He first began his writing career by entering several â€Å"fiction contests† that was being held by newspapers in New England, and went on to write and publish 1 novel, and several short stories and poems (Fisher vii). He married his 14 year old cousin in 1836 and supportedRead MoreEdgar Allan Poe : His Life Influenced His Work1093 Words   |  5 Pages Edgar Allan Poe: How His Life Influenced His Work Edgar Allan Poe was an American author known for his works of depression and misfortune. Throughout his lifetime, Poe would never gain fame. It was only after his death that the true genius of Edgar Allan Poe was discovered. Poe frequently used his life occurrences—as terrible as they were—to influence his writings. It is through his writings that one can delve into the mind of Edgar Allan Poe and discover how his life truly was. Edgar Allan PoeRead MoreBrianna Ruiz-Vannerson. Leonard Miller. Enc1102. Feb. 231548 Words   |  7 PagesFeb. 23 2017 The Compelling Mind of Edgar Allan Poe Through: â€Å"Lenore† and â€Å"The Raven† Throughout the life of esteemed author Edgar Allan Poe, there have been many time that this extraordinary man’s life has been turned upside down with grief. His first encounter with this wretched demon was when he was no older than three years of age. The mother who birthed him dies and his father abandons them before her death (â€Å"Edgar Allan Poe†). He then is separated from his brother and sister, William and RosalieRead MoreEdgar Allan Poe; Fame Inspired by a Tragic Life865 Words   |  4 Pagespoet, Edgar Allan Poe, had been plagued by grief from an early age. He was an amazing poet and author who just happened to have a darker story. Many who have studied this prestigious man feel that his works, though magnificent, were extremely dark. Some believe it was nothing more then a fancy for him to spin such gruesome tales. Others feel his work was manipulated by the misfortune of his past. These people have actually found evidence that agrees with this statement. Th e works of Edgar Allan PoeRead MoreEdgar Allan Poe Research Paper1195 Words   |  5 PagesNick Nedzweckas Mrs. Merriam Lit and Comp 1 2 December 2010 Edgar Allan Poe His works and life relating to â€Å"Annabel Lee† [pic] Many poets and story writers write their stories based upon events and aspects of their life. They do this because it is so relatable and easy to write about because there is some truth in the words. Edgar Allan Poe is said to be one of these because his stories actually relate to his tragic, love stricken life. He is known to lead an overall depressingRead MoreEdgar Allan Poe : The Tale Heart, The Fall Of The House Of Usher, And Annabel Lee Essay1372 Words   |  6 PagesEdgar Allan Poe Edgar Allan Poe is well known for his poetry. Edgar Allan Poe was not only a world renowned poet, but he is also known as being a writer of short stories, as well as known for being a critic. Edgar Allan Poe has many literary works; quite possibly the most famous one being The Raven. Some of Edgar Allan Poe’s other famous works include The Tell-Tale Heart, The Fall of the House of Usher, and Annabel Lee. Edgar Allan Poe is also known as being a Romanticist, due to the factRead MoreThe Life and Works of Edgar Allan Poe Essay1487 Words   |  6 Pages Throughout the life of Edgar Allan Poe, he suffered many unfortunate events and endured several difficult situations. Some speculate that it was these experiences that helped to formulate the famous writing style of Edgar Allan Poe. His dark tales such as The Masque of the Red Death and The Tell-Tale Heart are horrific, and his poems such as Alone and The Raven show evidence that his life experiences influenced their dr eariness. Poes story plots and his own life are undeniably related andRead MoreInfluence That Endures Ever More: Edgar Allan Poe908 Words   |  4 PagesInfluence That Endures Ever More: Edgar Allan Poe Edgar Allan Poe once said, â€Å"Words have no power to impress the mind without the exquisite horror of their reality.† Edgar Allan Poe was one of the most influential people in literary history and his words had the great power to impress the mind. More than 150 years after the death of Edgar Allan Poe, his writings are still influencing and inspiring writers today. Edgar Allan Poe was one of the a greatest literary influences of the 19th century andRead MoreAnalysis Of Edgar Allan Poe s The Raven And The Fall Of The House Of Usher 896 Words   |  4 PagesEdgar Allan Poe is an extremely well known American writer and is famous for his horrific and mysterious works such as, â€Å"The Raven† and â€Å"The Fall of the House of Usher.† Poe was born in 1809 in Boston, Massachusetts in an era that seems to have many dark and ominous writers and pieces of literature originating from that time period. Poe is said to have launched the interest in many of the detect ive type stories that we read from modern day writers. â€Å"In the early 1800s, romanticism was the dominant