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1.
Prolonged emergency department (ED) visits are associated with a number of adverse outcomes for patients as well as lower patient satisfaction scores and increased costs. Several factors that influence the length of ED visits are out of the control of hospital employees, but some opportunities exist to improve performance. For this study, the ED department of a 150-bed hospital in the southeastern United States wanted to improve door-to-discharge time. To do so, a subprocess of door-to-discharge time was targeted, door-to-order. After analyzing the process, the team created standard orders for the 10 most common presenting conditions in the ER with preapproval, allowing nurses to submit the orders without the provider first visiting the patient. Following the process change, daily feedback was added to increase utilization of the preapproved orders. Reductions in door-to-order times and door-to-discharge were observed and patient satisfaction remained stable. Implications for future research in this area are discussed.  相似文献   
2.
公立医院是复杂的系统,监管体制的改革涉及到各利益相关方权利责任的调整与平衡,建立社会多方参与的公立医院外部监管体系显得十分迫切,而对于监管体系的研究,尤其是从医疗行业协会的角度进行的研究起步较晚。因而文章希望通过分析医疗行业协会参与监管的优势、困境以及其更深层次的原因,以期能为完善我国公立医院外部监管体系提供相关理论依据和政策建议。  相似文献   
3.
构建了分析师两期荐股模型,解析分析师和投资者的利益冲突、分析师类型不确定性和基本面的不对称信息三者相互作用并影响股价发现有效性的作用机制. 分析结果表明: 关联分析师方的“激励扭曲效应”源于其受利益相关方干扰后进行策略性荐股谋取私利; 独立分析师方的“声誉激励效应”源于其受远期市场上“身份识别”困扰等利他动机进行策略性荐股; 激励扭曲效应、声誉激励效应与价值投资者的策略性解读偏差共同导致分析师信息发现加工效率受损和股票市场有效性下降; 这一作用机制并不依赖于非策略性市场参与者假设; 常见的分级荐股方式有助于约束分析师的声誉激励并降低跨期效率损失. 这些结论为完善分析师薪酬考核机制、强化特定时点信息披露、分析师声誉市场培育、建立长效追踪制度和引入适当的长期责任承担制度提供了理论支撑.  相似文献   
4.
Abstract

Lean Six Sigma (LSS) that offers a unique integration of Lean and Six Sigma has been accepted globally across services sectors. Previous studies that examined the application of LSS in healthcare were steered in traditional hospital settings. Apparently, there are no studies that highlight the application of LSS in mobile hospitals, an emerging trend in the healthcare sector. The aim of this article is to explore the applicability of LSS in a mobile hospital. The authors present a case study of improving patients’ satisfaction in a mobile hospital, through reducing turnaround time. Design-thinking intervention to LSS helped resolve a real-time problem using Define-Measure-Analyze-Design-Verify roadmap. This article contributes to the ‘healthcare quality” body of knowledge and is novel as it is the first of its kind of LSS application in a mobile hospital underpinning Design thinking. This study is unique as it demonstrates academia–industry collaboration in solving an organizational problem.  相似文献   
5.
学前班是对学龄前儿童进行教育的一种组织形式,是农村发展学前教育的一种重要形式。由于农村小学附属学前班的办学管理体制、教师编制等方面存在不合理性,当前农村学前教育发展不容乐观。应优先考虑将学前班纳入义务教育,进一步完善教师编制,完善教学和组织管理制度,提升家园合作质量,这样做能够在一定程度上缓解小学附属学前班教育发展困境,是实现农村学前一年教育健康发展的有效措施。  相似文献   
6.
In this paper I argue for a stronger consideration of the possible relationship between social psychology and architecture and architectural history. After a brief review of some of the ways in which other social psychologists have sought to develop links between social psychology and history, I consider the utility of architecture in more depth, especially to the social psychologist interested in the development of knowledge and understanding. I argue that, especially when knowledge is institutionalised, the design and use of buildings might have a particular contribution to make to the way we can understand how phenomena have been understood and approached in the past. Although many examples are relevant, I consider the case of the psychiatric hospital (or “asylum”) in more detail.  相似文献   
7.

This paper arises out of psychoanalytically oriented consultancy to teams of staff in the helping professions where there is a statutory 'duty to care'. It takes as its premise the seemingly paradoxical hypothesis that workers may need to split off part of their emotional experience in order to preserve their own mental health and provide reliable services to their clients. I argue that while a professional 'duty to care' requires us to be emotionally 'in touch', the demands of our clients together with the demands of the institutional response to the 'duty to care' cause us to split off parts of our awareness. I also argue that provided the splitting does not become extreme we are doing no more or less than the rest of society. In other words, there is a degree of 'normal splitting' which numbs our awareness of danger and destructiveness and seeks to protect us from too much anxiety and pain. Yet if professional workers are charged with the responsibility of assessing risk and acting accordingly for the protection of all concerned they need ways of being 'in touch' (re-integrating the splits) for some or enough of the time. Finally, I will describe ways of being 'in touch', illustrating the difficulty and the pain of re-integrating the splits and some of the insights that can arise out of this work with examples from my consultancy work.  相似文献   
8.
考《诗经·渐渐之石》篇,得出《渐卦》与《渐渐之石》无论是单个的"渐"字还是各自描述的内容都存在一定联系的结论,其中"渐"义应为"山石高峻之貌"。《渐卦》初爻辞有"小子"一词,各家解释不一,通过对先秦主要典籍中凡出现"小子"一词的各篇章的分析,可知《渐卦》中的"小子"指代"青年男子"。整个《渐卦》描述两件事:一是青年男子出征打仗之始末;二是妻子对出征丈夫的思念及艰辛的生活状况。  相似文献   
9.
关联企业通过各种渠道逃避银行债务的现象日益严重,对银行的信贷资金安全构成了威胁,其所导致的风险可归纳为授信决策风险、信用虚增风险以及信用转移风险。关联企业的出现给传统法律带来了挑战,使我国《公司法》和《破产法》中三项保护债权人的机制无法有效地发挥作用,为银行债权人的保护带来诸多的新问题。针对关联企业所产生的信贷风险,应当采取加强立法保护及完善贷款合同的方式予以控制。  相似文献   
10.
Few communities are immune to organized crime and corruption. What has not been fully explored is how education in lawfulness can be introduced into the curriculum of primary and secondary schools to confront the influences of criminal life styles that continue to be romanticized byfactions within a community. This paper reports on such efforts in Sicily, Hong Kong, Russia, and Mexico. Each community is vigorously seeking to repel negative influences from traditional strongholds of organized crime, which continue to exert powerful and pernicious effects on those societies.

Challenging organized crime requires more than governmental regulatory responses. Civic, business, labor, religious, social, and educational organizations all have a role in mitigating the scourge of lawlessness. A central question is to consider the ways in which a civil society can foster a culture of lawfulness. Promoting a set of beliefs and mobilizing the legal norms and institutions for changing, administering, and enforcing laws will enhance and protect “quality of life” is a task that some primary and secondary schools have begun to explore. One approach involves moral education, explicitly and directly teaching children and young people about the rewards and obligations in making moral and ethical decisions. This paper examines this effort in four, distinct cultural settings.  相似文献   
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