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The purpose of this paper is to provide a practical framework that health care organizations could use to decrease preventable healthcare-acquired harms.

An existing theory of how hospitals succeeded in reducing rates of central line-associated bloodstream infections was refined, drawing from the literature and experiences in facilitating improvement efforts in thousands of hospitals in and outside the USA.

The following common interventions were implemented by hospitals able to reduce and sustain low infection rates. Hospital and intensive care unit (ICU) leaders demonstrated and vocalized their commitment to the goal of zero preventable harm. Also, leaders created an enabling infrastructure in the way of a coordinating team to support the improvement work to prevent infections. The team of hospital quality improvement and infection prevention staff provided project management, analytics, improvement science support, and expertise on evidence-based infection prevention practices. A third intervention assembled Comprehensive Unit-based Safety Program teams in ICUs to foster local ownership of the improvement work. The coordinating team also linked unit-based safety teams in and across hospital organizations to form clinical communities to share information and disseminate effective solutions.

This framework is a feasible approach to drive local efforts to reduce bloodstream infections and other preventable healthcare-acquired harms.

Implementing this framework could decrease the significant morbidity, mortality, and costs associated with preventable harms.

WHEREAS the parties to the agreement dated the 20th day of January 1970 set out in the Schedule to this Order made application to the Secretary of State pursuant to section 11(1) of the Redundancy Payments Act 1965 (hereafter referred to as “the Act”) on the 6th February 1970:

Scholars have begun calling for broader conceptualisations of moral disengagement processes that reflect the interaction of dispositional and situational antecedents to a predilection to morally disengage. The authors argue that collective leadership may be one such contingent antecedent. While researching leaders from the Gilded Age of American business history, the authors encountered a compelling historical case that facilitates theory elaboration within these intersecting domains. Interpreting evidence from the embittered leader dyad of Andrew Carnegie and Henry Clay Frick, the authors show how leader egoism can permeate moral identity to promote symbolic moral self-regard and moral licensing, which augment a propensity to morally disengage. The authors use insights developed from our analysis to illustrate a process conceptualisation that reflects a dispositional and situational interaction as a precursor to moral disengagement and explains how collective leadership can function as a moral disengagement trigger/tool to reduce cognitive dissonance and support the cognitive, behavioural, and rhetorical processes utilised to justify unethical behaviour.

Older women living in medically underserved areas (MUA) might have particular problems with access to health care. This is an in-depth report of the accessibility issues raised by six frail older women (age 82–93 years) during a longitudinal descriptive phenomenological study of the experience of home care. Three White women lived in the same rural MUA, and three Black women lived in the same urban MUA. The need for health service was understood subjectively and prospectively as the personal perception of a situation requiring relief or supply. Some women reported presenting needs for accessibility to providers, whereas others reported needs for their future accessibility to providers or services. Some intentions were likely linked to residence location, and residence in a rural MUA was relevant to the phenomenon of securing the help that I might need down the road. Feasibility was proposed as a new parameter of access. Research and practice implications were proposed.

Global temperature has risen by 1°C since 1900, while since the 1990s the Arctic has recently experienced an accelerated warming of about double the average rate of global warming. Nearly all climate scientists agree that the main cause of this temperature rise is ever-increasing accumulations of ‘greenhouse gases’, especially carbon dioxide and methane, within our atmosphere. Sea level rise could easily exceed one metre this century under ‘business as usual’. However, global warming is not just about rising temperatures, melting ice and rising sea levels, but it also affects the frequency and severity of many extreme weather events. Planetary warming is not a uniform process, can spring surprises in regional climate change and is probably linked with the tendency for Northern Hemisphere mid-latitudes to have more extreme (variously hot/cold/dry/wet) weather, especially during the recent period of rapid Arctic warming. There is overwhelming scientific evidence that human activity through enhanced greenhouse gas emissions is largely responsible for recent climate change and accompanying extreme weather, and we are already clearly seeing these changes. However, it is equally evident that, although initial remedial steps are being taken, finding an adequate solution will not be easy unless much larger changes are made to the way in which we all live. Limiting global warming to 1.5°C above pre-industrial temperatures would require global carbon dioxide emissions to decrease by approximately 40–60% by 2030 relative to 2010 levels. This can only be achieved through a collective solution that fully involves diverse communities, among them religious stakeholders.

Since the first Volume of this Bibliography there has been an explosion of literature in all the main areas of business. The researcher and librarian have to be able to uncover specific articles devoted to certain topics. This Bibliography is designed to help. Volume III, in addition to the annotated list of articles as the two previous volumes, contains further features to help the reader. Each entry within has been indexed according to the Fifth Edition of the SCIMP/SCAMP Thesaurus and thus provides a full subject index to facilitate rapid information retrieval. Each article has its own unique number and this is used in both the subject and author index. The first Volume of the Bibliography covered seven journals published by MCB University Press. This Volume now indexes 25 journals, indicating the greater depth, coverage and expansion of the subject areas concerned.

Indigenous knowledge (IK) is the anchor of survival and stability for indigenous communities. The purpose of this study was to establish how the socioeconomic value of IK can be maximised in Kenya through effective enactment and implementation of relevant policies and legislation.

The study adopted a mixed methods research using a survey design. The target population comprised 104 top- and middle-level managers drawn from organisations implementing diverse IK policies and legislation. Primary data were collected from the target population using questionnaires. Additional data were collected using content analysis of IK policies and legislation. The collected data were analysed using descriptive and inferential statistics with the help of IBM’s Statistical Package for Social Sciences (SPSS Version 22) software.

The findings revealed a low awareness of the IK policies and legislation by the stakeholders. It also became evident that the policies and legislation relevant to IK are not implemented effectively. The authors conclude that policies and legislation do not maximise the socioeconomic value of IK in Kenya.

This is an original study which has practical implications for the use of IK for socioeconomic purposes. The findings of the study may be used to influence policy formulation and implementation; theory on IK; and practices which mainstream IK in socioeconomic activities in Kenya and beyond.

Tremendous measure of data lakes with the exponential mounting rate is produced by the present healthcare sector. The information from differing sources like electronic wellbeing record, clinical information, streaming information from sensors, biomedical image data, biomedical signal information, lab data, and so on brand it substantial as well as mind-boggling as far as changing information positions, which have stressed the abilities of prevailing regular database frameworks in terms of scalability, storage of unstructured data, concurrency, and cost. Big data solutions step in the picture by harnessing these colossal, assorted, and multipart data indexes to accomplish progressively important and learned patterns. The reconciliation of multimodal information seeking after removing the relationship among the unstructured information types is a hotly debated issue these days. Big data energizes in triumphing the bits of knowledge from these immense expanses of information. Big data is a term which is required to take care of the issues of volume, velocity, and variety generally seated in the medicinal services data. This work plans to exhibit a survey of the writing of big data arrangements in the medicinal services part, the potential changes, challenges, and accessible stages and philosophies to execute enormous information investigation in the healthcare sector. The work categories the big healthcare data (BHD) applications in five broad categories, followed by a prolific review of each sphere, and also offers some practical available real-life applications of BHD solutions.