The article discusses the Chiropractic Patient Incident Reporting and Learning System (CPiRLS), an online system for chiropractors in the UK to anonymously report patient safety incidents. Since its launch in 2009, submission rates have been low at around two incidents per month. The benefits of CPiRLS can only be fully realized with increased participation and reporting. CPiRLS aims to promote a culture of learning from collective experiences. It allows chiropractors to anonymously report incidents, near misses, and errors without fear of punishment in order to improve safety.
Are You Running the Population Management Marathon on One Leg?VitreosHealth
How it feels when you are working very hard and investing millions on population care management programs and the results don’t meet your expectations! Some population care management programs are successful while some are not delivering the expected results. The case study results we are going to share will show you why there are “winners” and “losers” in effective population management programs. We hope that the results we share are not only going to be an “eye-opener” but a “game-changer” as the healthcare providers take on risk for population health.
Are You Running the Population Management Marathon on One Leg?VitreosHealth
How it feels when you are working very hard and investing millions on population care management programs and the results don’t meet your expectations! Some population care management programs are successful while some are not delivering the expected results. The case study results we are going to share will show you why there are “winners” and “losers” in effective population management programs. We hope that the results we share are not only going to be an “eye-opener” but a “game-changer” as the healthcare providers take on risk for population health.
4. Use α=.01, and n=100Determine the Chi-Square value, and come to.docxgilbertkpeters11344
4. Use α=.01, and n=100Determine the Chi-Square value, and come to the appropriate conclusion concerning this goodness of fit procedure.
*From the Table of Random Numbers…all have a probability of 1/10 “numbers from 0-9”
Number
Observed
Expected
0
5
10
25
2.5
1
15
10
25
2.5
2
10
10
0
0
3
8
10
4
0.4
4
12
10
4
0.4
5
15
10
25
2.5
6
5
10
25
2.5
7
10
10
0
0
8
10
10
0
0
9
10
10
0
0
Total
100
100
108
10.8
5. Construct a confidence interval for σ2 using the following values of the variable, X. You may assume that the variable itself is normally distributed.
X
30
32
28
25
31
34
30
20
40
A. let alpha be .01, and construct the confidence interval.
B. Now let alpha be .10, and again construct the confidence interval.
C. Why did we have to assume that the variable itself was normally distributed?
1
310 week 5 Response:
Response needed to each Post! I have listed an example of a “response” in RED. There are four “post” total that need responses.
· Post: Lisa Kaufman posted Nov 17, 2015 1:21 PM
The Medical Device Safety Act (MDSA)
I found this “ACT/LAW” very much and advocate for the patient….The Medical Device Safety Act (MDSA) was implemented in 2009. This law will restore patients’ ability to hold medical device manufacturers accountable for injuries caused by defective medical devices. Medical devices range from catheters, implantable defibrillators, pacemaker wires and artificial heart valves.
“Although, the bill replies to a 2008 Supreme Court decision, Riegel v. Medtronic.” That case held that a medical device manufacturer usually cannot be sued by injured patients if the Food and Drug Administration (FDA) approved the device for marketing through its premarket approval (PMA) process.
This bill has two important goals;
▪Improved Recall Processes: This bill has implantation to have the Government Accountability Office (GAO) to improve the handling on the FDA’s recall of defective devices. The GAO will require the FDA to assess and revaluate each device that falls under the unsafe device and expedite the recalls once the “problem” is discovered.
▪ Enhance Post-Market Surveillance Tools: “This legislation would improve FDA’s ability to conduct post-market surveillance for 510(k) cleared devices by allowing FDA to require the collection of post-market data as a condition of approval.” “The authority would mirror the post-market studies that can be required as a condition of a Pre-Market Approval (PMA) for highest risk devices. Under this legislation, the FDA could require conditions of clearance for 510(k) cleared devices that may have safety concerns. If FDA found a device substantially equivalent to a predicate for a higher-risk device, FDA could clear the device for market through 510(k) but require companies to conduct clinical studies and collect and report more complete data”.
Background
FDA’s oversight of medical devices has landed the agency on GAO’s “high-risk list”.2 GAO cites its concerns about FDA’s post-ma.
Development of an expert system for reducing medical errorsijseajournal
Recent advances in patient safety have been hampered by the hard
dealing with the development of a
uniform classification of patient safety concepts
in a systematic way
.
Therefore, m
any believe that medical
expert systems have great potential to improve health care.
A framework for computer
-
based medical
errors diagnose
s of primary systems’ deficiencies is presented.
Results of this research assisted in
developing the hierarchical structure of the medical errors expert system which
was
written and complied
in CLIPS. It has
225
rules,
52
parameters and
830
conditional pa
ragraphs. The system prompts the user
for response with suggested input formats. The system checks the user input for consistency within the
given limits. In addition, the system was validated through numerous consultations with the experts in the
field.
The benefits that
are
gained from such types of expert system
s
are eliminating
the fear from dealing
with
personal mistake, and providing the up
-
date information and helps medical staff as a learning tool.
Healthcare organizations including hospitals were founded to give care to those who need it and to keep patients safe.
It is generally agreed upon that the definition of patient safety is…
"DO NO HARM"
Six Steps to Managing an Infection Control BreachHealth Catalyst
Despite widespread efforts to improve patient safety, infection control breaches still happen at an alarming rate. In order to improve patient safety and prevent infections, healthcare organizations need to have infection control procedures in place and regularly assess protocols and adherence to these policies. In the case of an infection control breach, organizations need to be prepared to act quickly and follow a six-step evaluation procedure outlined by the CDC:
1. Identify the infection control breach.
2. Gather additional data.
3. Notify and involve key stakeholders.
4. Perform a qualitative assessment.
5. Make decisions about patient notification and testing.
6. Handle communications and logistical issues.
Please follow instructions carefully. Thank you so kindly. Ass.docxmattjtoni51554
Please follow instructions carefully. Thank you so kindly.
Assignment 1 “Changes in Human Resource Management (HRM) and Employment Law" Please respond to the following: 1 and ½ half pages with references
· Based on the assigned chapters this week, identify three (3) key changes that have advanced HR and provide a justification to support your selection.
· From this week’s assigned reading, choose one (1) historical government HR regulation enacted and elaborate on how this new mandate affected all stakeholders involved. Recall stakeholders in any industry, and cover those directly involved and their communities.
Assignment 2 "Human Resources Activities and Relationships" Please respond to the following:
1 and ½ half pages with references
· Considering the services provided by a hospital HR department, how do most HR specialists deal with employee scarcity like nursing shortages when trying to hire the best professionals?
· What leadership and management skill sets are useful for retaining good employees and deferring employee turnover?
Assignment 3
Job Descriptions and Employee Training and Development" Please respond to the following:
2 pages with references
· Go to the Joint Commission’s Website located at http://www.jointcommission.org/standards_information/jcfaq.aspx. At “Standards FAQs,” select a field-related manual category from the drop-down list, type in “human resources” in the “Optional Keyword” box, and then click the “Go” button. Next, provide an example of how the Joint Commission has influenced a specific function of HR in a healthcare organization.
· Recommend a specific employee training method that you think would be most effective for a healthcare organization, and determine one advantage and one disadvantage of your chosen training method. Provide support for your rationale.
The New Focus on Quality and Outcomes
Introduction
In 1999, the Institute of Medicine (IOM) published a groundbreaking analysis of the impact of medical errors on the health care delivery system and the patients it serves. The analysis, published as "To Err is Human: Building a Safer Healthcare System," concluded that medical errors resulted in up to 98,000 patient deaths in American hospitals every year. This report hit the national press and participants in the health care system and the political system with the force of a large bomb. Since that time, hospitals and other health care entities have refocused their attention on quality, errors, and patient safety in an unprecedented way, urged on by public outcry and by federal and state efforts to compel improvements in the health care system. Such entities as the Institute for Healthcare Improvement (www.ihi.org) the National Quality Forum (www.qualityforum.org), and the Institute of Medicine (www.iom.edu) have all emerged as champions of quality and safety initiatives, offering training, resources, access to best practices, and data collection strategies to move the cause of quality.
8 Management tools that improve Patient safetyImperago Ltd
In a post-Francis world, everybody is searching for the silver bullet to improve quality within the NHS.
The 1,782 page report by Robert Francis QC doesn't provide one bullet, but 290 recommendations.
But are we in danger of not seeing the wood from the trees?
There are some very basic - yet key - principles that still seem illusive for many trusts
Medical errors are ubiquitous and the costs (human and financial) are substantial. The top priority must be to redesign systems geared to prevent, detect and minimise effects of undesirable combinations of design, performance, and circumstance.
patient safety and staff Management system ppt.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
4. Use α=.01, and n=100Determine the Chi-Square value, and come to.docxgilbertkpeters11344
4. Use α=.01, and n=100Determine the Chi-Square value, and come to the appropriate conclusion concerning this goodness of fit procedure.
*From the Table of Random Numbers…all have a probability of 1/10 “numbers from 0-9”
Number
Observed
Expected
0
5
10
25
2.5
1
15
10
25
2.5
2
10
10
0
0
3
8
10
4
0.4
4
12
10
4
0.4
5
15
10
25
2.5
6
5
10
25
2.5
7
10
10
0
0
8
10
10
0
0
9
10
10
0
0
Total
100
100
108
10.8
5. Construct a confidence interval for σ2 using the following values of the variable, X. You may assume that the variable itself is normally distributed.
X
30
32
28
25
31
34
30
20
40
A. let alpha be .01, and construct the confidence interval.
B. Now let alpha be .10, and again construct the confidence interval.
C. Why did we have to assume that the variable itself was normally distributed?
1
310 week 5 Response:
Response needed to each Post! I have listed an example of a “response” in RED. There are four “post” total that need responses.
· Post: Lisa Kaufman posted Nov 17, 2015 1:21 PM
The Medical Device Safety Act (MDSA)
I found this “ACT/LAW” very much and advocate for the patient….The Medical Device Safety Act (MDSA) was implemented in 2009. This law will restore patients’ ability to hold medical device manufacturers accountable for injuries caused by defective medical devices. Medical devices range from catheters, implantable defibrillators, pacemaker wires and artificial heart valves.
“Although, the bill replies to a 2008 Supreme Court decision, Riegel v. Medtronic.” That case held that a medical device manufacturer usually cannot be sued by injured patients if the Food and Drug Administration (FDA) approved the device for marketing through its premarket approval (PMA) process.
This bill has two important goals;
▪Improved Recall Processes: This bill has implantation to have the Government Accountability Office (GAO) to improve the handling on the FDA’s recall of defective devices. The GAO will require the FDA to assess and revaluate each device that falls under the unsafe device and expedite the recalls once the “problem” is discovered.
▪ Enhance Post-Market Surveillance Tools: “This legislation would improve FDA’s ability to conduct post-market surveillance for 510(k) cleared devices by allowing FDA to require the collection of post-market data as a condition of approval.” “The authority would mirror the post-market studies that can be required as a condition of a Pre-Market Approval (PMA) for highest risk devices. Under this legislation, the FDA could require conditions of clearance for 510(k) cleared devices that may have safety concerns. If FDA found a device substantially equivalent to a predicate for a higher-risk device, FDA could clear the device for market through 510(k) but require companies to conduct clinical studies and collect and report more complete data”.
Background
FDA’s oversight of medical devices has landed the agency on GAO’s “high-risk list”.2 GAO cites its concerns about FDA’s post-ma.
Development of an expert system for reducing medical errorsijseajournal
Recent advances in patient safety have been hampered by the hard
dealing with the development of a
uniform classification of patient safety concepts
in a systematic way
.
Therefore, m
any believe that medical
expert systems have great potential to improve health care.
A framework for computer
-
based medical
errors diagnose
s of primary systems’ deficiencies is presented.
Results of this research assisted in
developing the hierarchical structure of the medical errors expert system which
was
written and complied
in CLIPS. It has
225
rules,
52
parameters and
830
conditional pa
ragraphs. The system prompts the user
for response with suggested input formats. The system checks the user input for consistency within the
given limits. In addition, the system was validated through numerous consultations with the experts in the
field.
The benefits that
are
gained from such types of expert system
s
are eliminating
the fear from dealing
with
personal mistake, and providing the up
-
date information and helps medical staff as a learning tool.
Healthcare organizations including hospitals were founded to give care to those who need it and to keep patients safe.
It is generally agreed upon that the definition of patient safety is…
"DO NO HARM"
Six Steps to Managing an Infection Control BreachHealth Catalyst
Despite widespread efforts to improve patient safety, infection control breaches still happen at an alarming rate. In order to improve patient safety and prevent infections, healthcare organizations need to have infection control procedures in place and regularly assess protocols and adherence to these policies. In the case of an infection control breach, organizations need to be prepared to act quickly and follow a six-step evaluation procedure outlined by the CDC:
1. Identify the infection control breach.
2. Gather additional data.
3. Notify and involve key stakeholders.
4. Perform a qualitative assessment.
5. Make decisions about patient notification and testing.
6. Handle communications and logistical issues.
Please follow instructions carefully. Thank you so kindly. Ass.docxmattjtoni51554
Please follow instructions carefully. Thank you so kindly.
Assignment 1 “Changes in Human Resource Management (HRM) and Employment Law" Please respond to the following: 1 and ½ half pages with references
· Based on the assigned chapters this week, identify three (3) key changes that have advanced HR and provide a justification to support your selection.
· From this week’s assigned reading, choose one (1) historical government HR regulation enacted and elaborate on how this new mandate affected all stakeholders involved. Recall stakeholders in any industry, and cover those directly involved and their communities.
Assignment 2 "Human Resources Activities and Relationships" Please respond to the following:
1 and ½ half pages with references
· Considering the services provided by a hospital HR department, how do most HR specialists deal with employee scarcity like nursing shortages when trying to hire the best professionals?
· What leadership and management skill sets are useful for retaining good employees and deferring employee turnover?
Assignment 3
Job Descriptions and Employee Training and Development" Please respond to the following:
2 pages with references
· Go to the Joint Commission’s Website located at http://www.jointcommission.org/standards_information/jcfaq.aspx. At “Standards FAQs,” select a field-related manual category from the drop-down list, type in “human resources” in the “Optional Keyword” box, and then click the “Go” button. Next, provide an example of how the Joint Commission has influenced a specific function of HR in a healthcare organization.
· Recommend a specific employee training method that you think would be most effective for a healthcare organization, and determine one advantage and one disadvantage of your chosen training method. Provide support for your rationale.
The New Focus on Quality and Outcomes
Introduction
In 1999, the Institute of Medicine (IOM) published a groundbreaking analysis of the impact of medical errors on the health care delivery system and the patients it serves. The analysis, published as "To Err is Human: Building a Safer Healthcare System," concluded that medical errors resulted in up to 98,000 patient deaths in American hospitals every year. This report hit the national press and participants in the health care system and the political system with the force of a large bomb. Since that time, hospitals and other health care entities have refocused their attention on quality, errors, and patient safety in an unprecedented way, urged on by public outcry and by federal and state efforts to compel improvements in the health care system. Such entities as the Institute for Healthcare Improvement (www.ihi.org) the National Quality Forum (www.qualityforum.org), and the Institute of Medicine (www.iom.edu) have all emerged as champions of quality and safety initiatives, offering training, resources, access to best practices, and data collection strategies to move the cause of quality.
8 Management tools that improve Patient safetyImperago Ltd
In a post-Francis world, everybody is searching for the silver bullet to improve quality within the NHS.
The 1,782 page report by Robert Francis QC doesn't provide one bullet, but 290 recommendations.
But are we in danger of not seeing the wood from the trees?
There are some very basic - yet key - principles that still seem illusive for many trusts
Medical errors are ubiquitous and the costs (human and financial) are substantial. The top priority must be to redesign systems geared to prevent, detect and minimise effects of undesirable combinations of design, performance, and circumstance.
patient safety and staff Management system ppt.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
patient safety and staff Management system ppt.pptxanjalatchi
What is Patient Safety? Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
November 1999I N S T I T U T E O F M E D I C I N E S.docxIlonaThornburg83
November 1999
I N S T I T U T E O F M E D I C I N E
Shaping the Future for Health
TO ERR IS HUMAN:
BUILDING A SAFER HEALTH SYSTEM
Health care in the United States is not as safe as it should be--and can be. At least 44,000 people, and perhaps as many as 98,000 people, die in hospitals each year as a result of medical errors that could have
been prevented, according to estimates from two major studies. Even using
the lower estimate, preventable medical errors in hospitals exceed attributable
deaths to such feared threats as motor-vehicle wrecks, breast cancer, and
AIDS.
Medical errors can be defined as the failure of a planned action to be
completed as intended or the use of a wrong plan to achieve an aim. Among
the problems that commonly occur during the course of providing health care
are adverse drug events and improper transfusions, surgical injuries and
wrong-site surgery, suicides, restraint-related injuries or death, falls, burns,
pressure ulcers, and mistaken patient identities. High error rates with serious
consequences are most likely to occur in intensive care units, operating rooms,
and emergency departments.
Beyond their cost in human lives, preventable medical errors exact
other significant tolls. They have been estimated to result in total costs (in
cluding the expense of additional care necessitated by the errors, lost income
and household productivity, and disability) of between $17 billion and $29
billion per year in hospitals nationwide. Errors also are costly in terms of loss
of trust in the health care system by patients and diminished satisfaction by
both patients and health professionals. Patients who experience a long hospi
tal stay or disability as a result of errors pay with physical and psychological
discomfort. Health professionals pay with loss of morale and frustration at
not being able to provide the best care possible. Society bears the cost of er
rors as well, in terms of lost worker productivity, reduced school attendance
by children, and lower levels of population health status.
A variety of factors have contributed to the nation’s epidemic of medi
cal errors. One oft-cited problem arises from the decentralized and frag
mented nature of the health care delivery system--or “nonsystem,” to some
observers. When patients see multiple providers in different settings, none of
whom has access to complete information, it becomes easier for things to go
Errors…are costly
in terms of loss of
trust in the health
care system by pa
tients and dimin
ished satisfaction
by both patients
and health profes
sionals.
Types of Errors
Diagnostic
Error or delay in diagnosis
Failure to employ indicated tests
Use of outmoded tests or therapy
Failure to act on results of monitoring or testing
Treatment
Error in the performance of an operation, procedure, or test
Error in administering the treatment
Error in the dose or method of using a drug
Avoidable delay in treatmen.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
1. CONTACT
Autumn 2010 Volume 24 Number 3
A helping hand for members of the British Chiropractic Association
NEWS • REPORTS • BUSINESS • FEATURES • DIARY • CLASSIFIEDS
CPiRLS:
Towards a
reporting
culture
Planning
for the
unexpected
Recruiting
right
2. 26 Contact Autumn 2010
• How often have you encountered this type
of incident in the past?
• What is the likelihood that your actions/
inactions were responsible?
• Further information (voluntary)*
When you open a reporting form, it remains
active for one hour; it would not be good
practice for it to remain open indefinitely on
a secure site.This means you must submit
the form within that time to avoid your entry
being lost.With this in mind, it may be a good
idea to plan or draft a particularly detailed
case before starting to enter it. A draft on your
computer can be cut and pasted into the
relevant fields.
Learning from incident
reporting
The principle of CPiRLS is that it provides
an opportunity for all chiropractors to learn
from collective experiences. Regular visits to
the site enable you to keep abreast of recent
CPiRLS: Towards a
reporting culture
The UK’s national online Chiropractic Patient Incident Reporting and Learning System
(CPiRLS) was launched in May 2009. In the 15 months since its launch, submission rates
have been low - around two incidents per month. Here, Rob Finch, Chief Executive of
the College of Chiropractors, writes on why the full benefits of this system can only be
realised with more use and participation.
T
he College of Chiropractors
administers CPiRLS on behalf of
the pan-professional team that
developed it.The system is based on
the pioneering work of HaymoThiel and the
two former paper-based incident reporting
systems: CRLS (Thiel et al, 2006) and PiRLS
(Cunliffe et al, 2009). An Implementation
Group comprising clinicians, academics and
educationalists, monitors the use of CPiRLS
and adds relevant resources to the site.
What you can report
Any occurrence that has made you think
about an actual, probable or potential impact
on patient safety can be reported. If this
occurrence led you to discuss the case with
colleagues, to consider changes to your
practice and/or to personally reflect in a
non-routine manner, then it is probably worth
reporting. If in doubt, report!
The use of the word‘safety’, in the context
of chiropractic incident reporting, is possibly
misleading.There is no suggestion that
chiropractic is unsafe.The term should be
taken in its widest sense, to encompass the
concepts of risk and injury and CPiRLS should
be viewed as a means of minimising these
components of safety.
The CPiRLS website provides a trigger list
(available once you log in) which helps you
to identify the types of incidents that may be
worth reporting. It is true that some of the
incidents listed may appear insignificant and,
to some extent, fairly routine, for example,
post-treatment soreness.There is, of course,
no expectation that you would report every
case of post-treatment soreness however,
if a patient had an unusually acute reaction
(i.e. something out of the ordinary that
prompted you to mention it to a colleague in
conversation), then why not mention it to the
national chiropractic community, particularly
if you felt you learned something from what
happened?
Producing an incident report
First and foremost it must be emphasized that
CPiRLS is a completely anonymised process.
The system only actually requires basic
information, with an emphasis on what
happened. The main reporting form has
the following fields, most of which require
a simple choice from a pull-down menu.
Only those five fields marked with an asterix
below require text input from the reporter:
• Patient’s age and gender
• Where the incident happened
• Category of incident
• What happened?*
• Why and how did it happen?*
• Describe the actions taken*
• Key words to describe the incident*
• Was the patient harmed?
• Could the incident have been avoided?
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3. Contact Autumn 2010 27
Is there a time limit for reporting an
incident?
The learning value of any incident that
had an impact on you and your practice
does not deplete over time.You should not
underestimate the potential importance of
sharing incidents months, or even years, after
they occur.
reports and to share comments with other
visitors. Some clinics are now basing regular
clinic meetings on a review of the incidents
reported on CPiRLS. For example, one clinic
Principal commented:
“Withinourpractice,thechiropractorsmeet
everysixweekstoreviewchallengingcases
andanyincidentsthathaveoccurredor
beenavoidedbygoodpracticeanddecide
ifanyrequirereporting.Aspartofour
reflectivepractice,wealsolookattheCPiRLS
reportsthathavebeensubmittedtosee
whetherwecanlearnfromtheseincidents.
IamfindingthatCPiRLSisanexcellenttool
forpromotingreflectivepracticeatmyclinic.
Althoughithastakenalongtimetowork
outhowbesttogetallpractitionersaware
ofincidentreportingandbeingpro-activein
thisrespect,Ithinkwearefinallythere.
In a recent study of the culture of safety
among UK chiropractors (Finch et al, 2010),
there was a strong indication that awareness
of the importance and value of incident
reporting is growing and that lessons are
being learned locally, through clinic initiatives
of the type outlined above. However, it is
clear that this growing awareness has not yet
been fully translated into widespread national
reporting via CPiRLS although, hopefully, this
is now changing.
The CPiRLS Implementation Group has
published two Safer Practice Notices in
response to minor trends identified among
the reports submitted to date.These serve to
provide guidance in the management of the
type of incidents in question should they be
encountered again. Additional notices will be
produced as further trends arise.
Frequently asked questions
What is an incident?
CPiRLS defines a reportable incident as any
type of patient safety event, error, accident
or deviation from the norm that actually
happened, nearly happened (near miss) or
has the potential to happen.This is regardless
of whether it is considered minor or major,
results in significant patient harm or leads to a
patient complaint.
How do I access CPiRLS?
The full features of www.cpirls.org are only
available to registered chiropractors through
the use of a generic username and password.
These can be obtained from the professional
associations and the College of Chiropractors.
References
Cunliffe C, Johnson IJ, Selby J (2009) Safety
incidents, treatment complications and
reactions recorded in a student teaqching
clinic: a retrospective analysis. Proceedingsof
theAssociationofChiropracticCollegesResearch
AgendaConference(ACC-RAC).
Finch RP, Heale GS, JayTC (2010) Culture of safety
among UK chiropractors before and after
the launch of online patient safety incident
reporting and learning. ClinicalChiropractic 13,
172-173.
Thiel HW, Bolton JE (2006)The reporting of
patient safety incidents – first experiences with
the chiropractic reporting and learning system
(CRLS): a pilot study. ClinicalChiropractic 9,
139-149.
@
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