CPOE is much more than computers

A prominent hospital in Pennsylvania turned to CPOE to help reduce medical errors and improve patient care. Learn what steps hospital officials took to establish a successful CPOE system.     

Community-Run Fisheries: Avoiding the “Tragedy of the Commons”

This paper discusses how fishing communities around the world avoid destructive overfishing through local and largely informal self-management. The paper offers many examples that undermine the widespread assumption that the tragedy of the commons is inevitable without government regulation.     

A Three‐step Method for Choosing the Number of Bootstrap Repetitions

This paper considers the problem of choosing the number of bootstrap repetitions B for bootstrap standard errors, confidence intervals, confidence regions, hypothesis tests, p‐values, and bias correction. For each of these problems, the paper provides a three‐step method for choosing B to achieve a desired level of accuracy. Accuracy is measured by the percentage deviation of the bootstrap standard error estimate, confidence interval length, test's critical value, test's p‐value, or bias‐corrected estimate based on B bootstrap simulations from the corresponding ideal bootstrap quantities for which B=∞. The results apply quite generally to parametric, semiparametric, and nonparametric models with independent and dependent data. The results apply to the standard nonparametric iid bootstrap, moving block bootstraps for time series data, parametric and semiparametric bootstraps, and bootstraps for regression models based on bootstrapping residuals. Monte Carlo simulations show that the proposed methods work very well.     

Robustness and monotonicity properties of generalized correlation coefficients

A new class of generalized correlation coefficients that contains the Pearson and Kendall statistics as special cases was defined by Chinchilli et al. (2005) and applied to the estimation of correlations coefficients within the context of 2×2 cross-over designs for clinical trials. In this paper, we determine the infinitesimal robustness and local stability properties of these generalized correlation coefficients by deriving their corresponding influence functions. For cases in which the population distribution is a bivariate normal or a mixture of bivariate normal distributions we obtain explicit formulas, and establish monotonicity and sign-reverse rule properties of the generalized correlation coefficients.     

Consistent Tests for Stochastic Dominance

Methods are proposed for testing stochastic dominance of any pre–specified order, with primary interest in the distributions of income. We consider consistent tests, that are similar to Kolmogorov–Smirnov tests, of the complete set of restrictions that relate to the various forms of stochastic dominance. For such tests, in the case of tests for stochastic dominance beyond first order, we propose and justify a variety of approaches to inference based on simulation and the bootstrap. We compare these approaches to one another and to alternative approaches based on multiple comparisons in the context of a Monte Carlo experiment and an empirical example.     

the Block–Block Bootstrap: Improved Asymptotic Refinements

The asymptotic refinements attributable to the block bootstrap for time series are not as large as those of the nonparametric iid bootstrap or the parametric bootstrap. One reason is that the independence between the blocks in the block bootstrap sample does not mimic the dependence structure of the original sample. This is the join‐point problem. In this paper, we propose a method of solving this problem. The idea is not to alter the block bootstrap. Instead, we alter the original sample statistics to which the block bootstrap is applied. We introduce block statistics that possess join‐point features that are similar to those of the block bootstrap versions of these statistics. We refer to the application of the block bootstrap to block statistics as the block–block bootstrap. The asymptotic refinements of the block–block bootstrap are shown to be greater than those obtained with the block bootstrap and close to those obtained with the nonparametric iid bootstrap and parametric bootstrap.     

Adaptive Local Polynomial Whittle Estimation of Long‐range Dependence

The local Whittle (or Gaussian semiparametric) estimator of long range dependence, proposed by Künsch (1987) and analyzed by Robinson (1995a), has a relatively slow rate of convergence and a finite sample bias that can be large. In this paper, we generalize the local Whittle estimator to circumvent these problems. Instead of approximating the short‐run component of the spectrum, ϕ(λ) , by a constant in a shrinking neighborhood of frequency zero, we approximate its logarithm by a polynomial. This leads to a “local polynomial Whittle” (LPW) estimator. We specify a data‐dependent adaptive procedure that adjusts the degree of the polynomial to the smoothness of ϕ(λ) at zero and selects the bandwidth. The resulting “adaptive LPW” estimator is shown to achieve the optimal rate of convergence, which depends on the smoothness of ϕ(λ) at zero, up to a logarithmic factor.     

Patterns of practice: An exploratory factor analysis of child and family social worker skills

There is relatively little research on the communication skills that social workers use in direct practice with families. This study explores patterns of practice skill found in child and family social work home visits. The study analysed 127 practice interactions in family homes, coding for seven dimensions of worker skill using a coding framework drawn from motivational interviewing. Exploratory factor analysis was employed to establish patterns of skill within the data and to group key dimensions of skill. The findings make two contributions. First, three fundamental dimensions of good practice emerged, which we characterize as care and engagement, good authority, and support for behaviour change. Second, in exploring the relationship between “care” and “control” elements of social work, skilled social workers were able to combine good authority and empathic engagement, whereas those who were less skilled in use of authority were also less good at engagement. This contributes to debates about care and control in social work. The usefulness of these dimensions for conceptualizing practice in child and family social work is discussed and directions for further research are suggested.     

How Does High School Extracurricular Participation Predict Bachelor’s Degree Attainment? It is Complicated

This study answered novel questions about the connection between high school extracurricular dosage (number of activities and participation duration) and the attainment of a bachelor’s degree. Using data from the Common Application and the National Student Clearinghouse (N = 311,308), we found that greater extracurricular participation positively predicted bachelor’s degree attainment. However, among students who ultimately earned a bachelor’s degree, participating in more than a moderate number of high school activities (3 or 4) predicted decreasing odds of earning a bachelor’s degree on time (within 4 years). This effect intensified as participation duration increased, such that students who participated in the greatest number of high school activities for the most years were the most likely to delay college graduation.