What measures should be adopted to reduce the overall drug error rate in the hospital?

As the director of pharmacy for CMC, you have been experiencing an increase in drug cost of approximately eight to ten percent per year for the past three years. The annual pharmacy drug cost has increased from $10,300,000 to $16,800,000 in the past five years. The hospital is experiencing an increase in drug cost even though actual drug usage has remained stable.

Along with the increase in drug cost, drug related errors have also increased. Patient safety has become an even more serious issue. As you know, patient safety is the number one item on the national health care agenda for the next several years.

At the hospital the number of dispensing errors has increased by two percent during the past twelve months. The registered nurses who are administering the drugs have discovered many of the dispensing errors; however, the ones not discovered resulted in patients getting the wrong drug, wrong dosage, and/or the wrong frequency. When the overall drug error rate was analyzed, it was found that dispensing errors in the pharmacy were the number one cause. The overall drug error rate had increased from three percent to five percent.

Fortunately most of the dispensing errors were discovered before the medications were administered to the patients. When the incorrect drugs were administered, it resulted in adverse effects in three cases. One patient received the right medication but the wrong dosage because the medication label was incorrect. This patient had to be admitted overnight to the Intensive Care Unit for intense cardiac and respiratory monitoring. The patient stayed in ICU for approximately twenty-four hours.

Another patient received the wrong medication on the day of planned discharge and had to remain in the hospital for an additional day, though only for observation. In the third case, the patient had reported that he was allergic to a certain category of drugs, but nonetheless received a drug of that type. He had an adverse reaction–a rash–which delayed his discharge by one day.
On the basis of your understanding of the above case study, express your views on the following:

What measures should be adopted to reduce the overall drug error rate in the hospital?
What special benefits should be given to the patients who have suffered due to negligence by the hospital staff for wrong drug administration and other reasons?
In your opinion, should the hospital staff responsible for dispensing errors be penalized for the same? Why or why not?

How does the hotel business react to the business cycle? Explain why hotel building continues after demand turns down.

We have repeatedly made the point in this chapter that lodging is capital intensive and cyclical. Because of long lead times, supply often continues to grow even after demand has stopped growing or begun to decrease. As a result, in the 11 years ending in 1993, the lodging industry lost $33 billion while construction continued throughout the period. In 1997, however, hotel profits were once again at a peak.

Securitization is selling an ownership or a debt instrument (such as a bond) in a property through the public security markets. Major developments have included the widening of lodging’s access to debt through CMBSs, to equity through IPOs and secondary offerings, and to both equity and debt through REITs. An additional form of financing has involved the public funding through a special tax. The impact of securitization has been to enable a considerable boom in hotel building. Although securitization brings advantages in the availability of capital, it also has the inherent risks associated with a falling stock market.

The hotel investment decision has three dimensions: financial, real estate, and operating. The large amount of debt associated with hotel construction gives leverage, and in the international market, changing currency values can also provide financial advantages. Low interest rates are especially advantageous to leveraged deals. Hotel real estate can provide an inflation hedge, and the speed with which hotel rates can be raised provides flexibility in rentals rates few other forms of real estate offer. Real estate development also offers profits to development companies, including hotel companies 379380such as Marriott, which are active developers. A final means of profiting from a hotel is from its day-to-day operations, although contrary to popular opinion this is not always the largest source of profit.

The tendency toward overbuilding in a cyclical industry is sometimes exaggerated by the segmentation strategies of major hotel companies. Segmentation can lead to a multibrand hotel company seeking to build one of each of its brands in a market. In some cases, the company may feel that being represented in a major market is more important than the short-run profit potential. Building multiple brands can also lead to problems of encroachment where the same reservation network is divided between two or more properties, and in many cases, multiple properties with the same brand in a market can reduce the advantage of a franchise. Management companies have grown up to serve nonoperator owners. In difficult economic times, the services of these companies are especially in demand as lenders become “involuntary owners.” These same difficult times, however, often offer those with operating know-how major entrepreneurial opportunities.

 

QUESTIONS:

1.How does the hotel business react to the business cycle? Explain why hotel building continues after demand turns down.

2.What does securitization mean? How is it affecting the hotel business? 

Some scholars argue that the Meiji Restoration of 1868 should be seen as merely a coup d’état. Others see the Restoration as a full-fledged “Revolution.” Which do you think is the correct interpretation?

Some scholars argue that the Meiji Restoration of 1868 should be seen as merely a coup d’état. Others see the Restoration as a full-fledged “Revolution.” Which do you think is the correct interpretation? In your essay be sure to present the arguments of both schools of thought and then argue which one you feel is the most accurate. Chronologically, you need not go past 1914 in your answer.

Prepare an introduction that identifies the major social institutions in society and why they are important.

Access University of Phoenix Material Films on Demand: Sociology collection: Social Institutions for Instructions. Write a 700- to 1,050-word essay explaining the content of the video based on your assigned sociological theoretical approach. Prepare an introduction that identifies the major social institutions in society and why they are important. Describe each video and the social institutions they address. Explain the functionalist, conflict, and interactionist perspectives on the family, religion and education. Which perspective does each film use to discuss the institution? Explain specific examples from the videos from the viewpoint of the designated theoretical approach. Provide a conclusion that summarizes the main ideas of the essay and describes how these institutions have influenced you. Format your essay consistent with APA guidelines

Explore the relationship between human societies and the environments they inhabit.

Essay Prompt: In this unit we explored the relationship between human societies and the environments they inhabit. We examined the ways in which values, desires, and modes of living (culture) determined how humans from very long ago through to more recent history used and thought about the natural resources around them. We explored how those ideas changed—or didn’t—as time marched on. And finally, we talked about how changes in the land forced changes in human culture as well. The songs listed below explore some of these themes. Browse through some of them (you will need to look up the music and lyrics). Choose one that you think reflects one or more of the major themes we’ve uncovered in our examination of history throughout this unit. Using a specific line or phrase from that song as an organizing idea, write a 3-4 page essay that contains a specific historical argument and fundamentally answers the following questions: Between the 16th century (or earlier) and the 20th century, why and how did human groups act in ways that led to significant environmental change? What is the connection between societal change and environmental change, or vice versa? “Mercy Mercy Me”—Marvin Gaye “Society”—Eddie Vedder “Big Yellow Taxi”—Joni Mitchell “Excuse Me Mr.”—Ben Harper “Before the Deluge”—Jackson Browne “License to Kill”—Bob Dylan “New World Water”—Mos Def “Fall on Me”—REM “Rape of the World”—Tracy Chapman “Pass it on Down”—Alabama “How Much is Enough?”—Bad Religion “The Disease of the Dancing Cats”—Bush “We Can Run”—The Grateful Dead “Wond’ring Again”—Jethro Tull “Don’t Give Up the Fight”—Public Enemy “Collapse (Post-Amerika)”—Rise Against Essay Directions: 1. All good essays begin with a strong introductory paragraph. Avoid using phrases like “Throughout time…” or “People have always…” as an opening. Instead, you need to show right off the bat that you have a clear understanding of the history under examination. So, a better way to begin an introductory paragraph is to employ a good, interesting hook as a way to engage your readers and draw them into the essay. Your hook should reflect the larger historical picture you will present in the body paragraphs of your paper, as well as the argument/thesis statement on which you will end your introductory paragraph. a. Your hook for this essay should come from the song lyric you have chosen. For instance, you might begin with “In the 1970 song Hungry Planet, musical group The Byrds sing_______” Make sure you choose a lyric to which you can connect several of the historical examples you discovered in lecture and/or readings. You might find a fantastic song lyric, but if you can only make it relate to one historical example then you won’t be fulfilling the requirements of the essay prompt which asks you to look at examples from over many years. After you give your hook, you should begin making connection between the lyric and the historical context for this unit. For example, you might write something like “The Bryds’ song reflects________ about the history of the ways in which humans have interacted with their environments over the last______years.” Finally, end the introductory paragraph with your thesis statement/argument. Remember that your thesis statement should be a specific answer to the question(s) in the essay prompt. Refer to the document in the Integrative Essay folder and the Library Research Assignment folder for more guidance in writing thesis statements for history papers. 2. Your essay must include well-organized body paragraphs that contain strong topic sentences. These paragraphs should provide specific evidence from the readings, lectures, and films (if any) from this unit that helps you prove your thesis statement. You will want to demonstrate that you both attended class and took lecture notes, and that you carefully did the assigned readings. You have an overwhelming amount of historical evidence to deal with here. I don’t expect you to cram it all into your essay. Rather, build your body paragraphs around a select group of historical details/case studies/moments in time that both cover the time period indicated in the essay prompt, and that help you prove your argument. a. If it makes sense to refer to the song you choose in the historical analysis you provide in the body paragraphs, you may certainly do so. b. Essays that don’t utilize enough or appropriate evidence will lose significant points. c. DO NOT DO OUTSIDE RESEARCH. d. Organize the body paragraphs in a logical manner. Generally, chronological order is the way to go and will help you make connections between historical developments or examples. 3. Your essay must include properly formatted footnotes to indicate where you borrowed information (either in paraphrase form or direct quotes). Keep in mind that it’s preferable to attempt to put information from a source into your own words, rather than litter your paper with a lot of direct quotes. Paraphrasing demonstrates that you have taken the time necessary to really “digest” the information. Inserting footnotes is quite easy. In Word, simply click on References. Then click on Insert Footnotes. This will take your cursor to the bottom of the page. Type your footnote citation there. Once you are done, click your cursor back into the text of the essay where you left off and resume writing. When you need to provide another footnote citation, simply go through the above steps again. You’ll see that, if done properly, the program automatically numbers your footnotes (both within the text and with the corresponding citation at the bottom of the page). Don’t try to number your footnotes yourself. If you find yourself doing this, you haven’t properly used the Word functions necessary to provide footnotes. If you find that you need to delete a citation, highlight the number in the text and hit backspace/delete—that will erase it from the bottom of the page as well. a. Use the Chicago-Style link in the library research assignments for models of footnote citations (these are the ones that will begin with the author’s first name and include the page number used). b. For footnoting lectures, I ask that you just include my name, the title of the lecture, and the date it was given. For films, the title of the film is enough. c. When referencing the song you chose, you may just provide the website address(es) you consulted.

Identify both the key issues and the underlying issues: In identifying the issues, you should be able to connect them to the principles which apply to this situation.

Simply answering the questions which are part of the case is not enough. Consider the questions to be clues to the important concepts and facts. You are strongly encouraged to use the following outline so that your analysis is organized appropriately: Identify both the key issues and the underlying issues: In identifying the issues, you should be able to connect them to the principles which apply to this situation. Discuss the facts which affect these issues: The case may have too much information. In your discussion, you should filter the information and discuss those facts which are pertinent to the issues identified. Discuss your tentative solution to the problem and how you would implement your solution: Based on the knowledge you have gained in this course, what actions would you propose to correct the situation? Be sure to support your recommendation by citing references in the text and in the supplementary readings. You should also draw on other references such as business periodicals and journals. Remember that an ANALYSIS is more than simply a SUMMARY of the case study. Discuss follow-up and contingency plans: How will the organization know that your proposed solution is working? What should they do if it does not work? It may be helpful for you to “role-play” this assignment: Consider yourself to be the Manager charged with developing a presentation for the CEO. Your presentation should cover the points listed above. Develop an action-oriented analysis with a recommended course of action.

Explain the impact of his or her approach to leadership where it has led to success in a diverse or global context.

Interview your selected manager to determine their approach to leadership. Write a 500- to 750-word analysis of the manager’s approach to leadership, applying specific OB concepts from your readings to each of the following: Illustrate the manager’s leadership’s philosophy, style, and behaviors using at least three theories or approaches. Explain the impact of his or her approach to leadership where it has led to success in a diverse or global context. Explain the impact of his or her approach when it has not been as successful in a diverse or global context. If you were coaching this manager, what one or two changes would you suggest that he or she make to become more effective? Be specific.