Think they're drunk? Alcohol servers and the identification of intoxication

Despite alcohol server training programs and legal liability aimed at controlling intoxication, server intervention appears to be rare. Given the difficulty in assessing intoxication, it can be assumed that improvement in assessment skills would increase the likelihood of intervention. Unfortunately, little is known regarding practices servers use to identify intoxication. In order to build a more informed base for policy formation and server training, the focus of this inquiry was to examine practices used by servers to assess intoxication. The analysis was based upon questionnaires mailed to a random probability sample of licensed servers from one state (N = 822). Indicators found to be most important were examined in relation to a variety of occupational characteristics. Implications for training curricula, policy formation, and future research are discussed.     

Towards an evaluation of a business school graduate programme

An evaluation research methodology, which has been validated in a previous study, and which was developed to be both scientifically defensible and feasible from a practical point of view, is described. This involves collecting course participants' judgements about the effects of the course, and taking steps to ensure that the process by which the participants arrive at these judgements is sound. The application of this methodology to a course in business administration revealed the following effects or consequences: (1) Access to and progress in successful careers; (2) Flexibility and mobility in careers; (3) Ability to take overall view of problems; (4) Personal confidence; (5) Awareness of own aspirations and career fit; (6) Frustration from unused skills and unfulfilled expectations; (7) High salaries; (8) General reasoning and problem solving ability; (9) Economic/commercial understanding; (10) Understanding of organisation and human behaviour; (11) Useful work, career and personal contacts; (12) Social skills.     

Hospitals' newest challenge: designing in quality

The job of producing high-quality products is even more difficult for health care providers than it is for those in manufacturing, where the quality movement began. As a part of the service industry, health care providers are in the position of producing products and delivering services at the moment of sale. Our task is to improve the quality of all of these simultaneous and interrelated processes. Traditionally, health care providers have made efforts to improve their products and services without realizing the impact that could be made by also improving resources, processes, and outcomes. This article is an overview of the new direction we have been taking: Retrospective review. Critical pathways. Building quality into all areas (resources, processes, products and services, and outcomes). Focused study of outcomes). We foresee a further evolution that will lead to exciting new methods for understanding and delivering high-quality care.