Authors Daved van Stralen, MD, FAAP; Spencer L. Byrum; and Bahadir Inozu, PhD, are experts in the art and science of High Reliability Organizing (HRO). They have, in their diverse and successful careers, applied the fundamentals of the HRO system to aviation, healthcare, public safety, manufacturing, and a multitude of other industries. Among these industries, HRO's applications in healthcare have been garnering the most attention recently. In this new guide to the principles of HRO, the authors explore its uses in healthcare and list the many ways industry leadership can benefit from its implementation. In addition to HRO's many benefits, this new guide also explores the five HRO principles, HRO in healthcare environments, the problems HRO solves, Boyd's OODA loop, decision making in healthcare, threat responses, leadership models, organization culture, and many other important fundamentals. HRO is an effective way an organization can respond to crisis, chaos, and adversity. It gives leadership, management, and all levels of the organization a way of processing challenges and overcoming them as a single unit. With the help of these industry experts, discover how HRO helps you learn and grow as team member, manager, and leader.
Performance-based epistemology conceives the normativity involved in epistemic evaluation as a special case of a pattern of evaluation that can be applied to any domain where there are agents that carry out performances with an aim. For example, it conceives believing and judging as types of performances with an epistemic aim that are carried out by persons. Evaluating beliefs epistemically becomes then a task with essentially the same structure that evaluating athletic, culinary or any other sort of performance; in all cases the performance in question is evaluated in terms of how it relates to certain relevant competences and abilities of the subject that carries it out. In this way, performance-based epistemology locates epistemic evaluation within a general normative pattern that spreads across many different human activities and disciplines. This volume presents new essays by leading epistemologists who discuss key issues concerning the foundations and applications of this approach to epistemology. The essays in Part I examine some foundational issues in the conceptual framework. They address questions central to the debate, including the compatibility of apt success with some forms of luck; the connection between aptness and a safety condition for knowledge; the fallibility of perceptual recognitional abilities; actual-world reliabilism and reliabilism about epistemic justification; the nature of the agency required to make a cognitive success truly one's own; the basic conceptual framework of performance-based epistemology. Part II explores Sosa's epistemology of a priori intuition; internalist objections to Sosa's views on second-order knowledge; the roles that epistemic agency is meant to play in performance-based epistemology; the value that second-order reflection may have; epistemic incompetence; and the problem of epistemic circularity and criticises Sosa's alternative solution.
For the practicing neuropsychologist or researcher, keeping up with the sheer number of newly published or updated tests is a challenge, as is evaluating the utility and psychometric properties of neuropsychological tests in a clinical context. The goal of the third edition of A Compendium of Neuropsychological Tests, a well-established neuropsychology reference text, is twofold. First, the Compendium is intended to serve as a guidebook that provides a comprehensive overview of the essential aspects of neuropsychological assessment practice. Second, it is intended as a comprehensive sourcebook of critical reviews of major neuropsychological assessment tools for the use by practicing clinicians and researchers. Written in a comprehensive, easy-to-read reference format, and based on exhaustive review of research literature in neuropsychology, neurology, psychology, and related disciplines, the book covers topics such as basic aspects of neuropsychological assessment as well as the theoretical background, norms, and the utility, reliability, and validity of neuropsychological tests. For this third edition, all chapters have been extensively revised and updated. The text has been considerably expanded to provide a comprehensive yet practical overview of the state of the field. Two new chapters have been added: "Psychometrics in Neuropsychological Assessment" and "Norms in Psychological Assessment." The first two chapters present basic psychometric concepts and principles. Chapters three and four consider practical aspects of the history-taking interview and the assessment process itself. Chapter five provides guidelines on report-writing and chapters six through sixteen consist of detailed, critical reviews of neuropsychological tests, and address the topics of intelligence, achievement, executive function, attention, memory, language, visual perception, somatosensory olfactory function, mood/personality, and response bias. A unique feature is the inclusion of tables that summarize salient features of tests within each domain so that readers can easily compare measures. Additional tables within each test review summarize important features of each test, highlight aspects of each normative dataset, and provide an overview of psychometric properties. Of interest to neuropsychologists, neurologists, psychiatrists, and educational and clinical psychologists working with adults as well as pediatric populations, this volume will aid practitioners in selecting appropriate testing measures for their patients, and will provide them with the knowledge needed to make empirically supported interpretations of test results.
"Committed, eloquent writings that plumb teh psychological and political complexities of mass-mediated experience." --San Francisco Chronicle "An essential text." --Utne Reader "More than helping to detect bias, "Unreliable Sources" tells the stories behind the stories called news. It should help build a national constituency for liberating media from all major constraints-- corporate as well as governmental." --George Gerbner, Dean Emeritus and Professor of Communications, The Annenberg School for Communications "You gotta love these guys. Not only have Lee and Solomon written a timely consumer primer on conservative bias in reporting, they've done it with humor." --Washington Journalism Review A vital handbook for deciphering widespread media bias. "Unreliable Sources" dissects news coverage of a wide range of issues-- taxes, the Persian Gulf, social security, abortion, drugs, environmental pollution, U.S.-Soviet relations, terrorism, the Third World-- and exposes the key stories that have been censored or glossed over by major media.
Improve your company's ability to avoid or manage crises Managing the Unexpected, Third Edition is a thoroughly revised text that offers an updated look at the groundbreaking ideas explored in the first and second editions. Revised to reflect events emblematic of the unique challenges that organizations have faced in recent years, including bank failures, intelligence failures, quality failures, and other organizational misfortunes, often sparked by organizational actions, this critical book focuses on why some organizations are better able to sustain high performance in the face of unanticipated change. High reliability organizations (HROs), including commercial aviation, emergency rooms, aircraft carrier flight operations, and firefighting units, are looked to as models of exceptional organizational preparedness. This essential text explains the development of unexpected events and guides you in improving your organization for more reliable performance. "Expect the unexpected" is a popular mantra for a reason: it's rooted in experience. Since the dawn of civilization, organizations have been rocked by natural disasters, civil unrest, international conflict, and other unexpected crises that impact their ability to function. Understanding how to maintain function when catastrophe strikes is key to keeping your organization afloat. Explore the many different kinds of unexpected events that your organization may face Consider updated case studies and research Discuss how highly reliable organizations are able to maintain control during unexpected events Discover tactics that may bolster your organization's ability to face the unexpected with confidence Managing the Unexpected, Third Edition offers updated, valuable content to professionals who want to strengthen the preparedness of their organizations—and confidently face unexpected challenges.
A new approach to safety, based on systems thinking, that is more effective, less costly, and easier to use than current techniques. Engineering has experienced a technological revolution, but the basic engineering techniques applied in safety and reliability engineering, created in a simpler, analog world, have changed very little over the years. In this groundbreaking book, Nancy Leveson proposes a new approach to safety—more suited to today's complex, sociotechnical, software-intensive world—based on modern systems thinking and systems theory. Revisiting and updating ideas pioneered by 1950s aerospace engineers in their System Safety concept, and testing her new model extensively on real-world examples, Leveson has created a new approach to safety that is more effective, less expensive, and easier to use than current techniques. Arguing that traditional models of causality are inadequate, Leveson presents a new, extended model of causation (Systems-Theoretic Accident Model and Processes, or STAMP), then shows how the new model can be used to create techniques for system safety engineering, including accident analysis, hazard analysis, system design, safety in operations, and management of safety-critical systems. She applies the new techniques to real-world events including the friendly-fire loss of a U.S. Blackhawk helicopter in the first Gulf War; the Vioxx recall; the U.S. Navy SUBSAFE program; and the bacterial contamination of a public water supply in a Canadian town. Leveson's approach is relevant even beyond safety engineering, offering techniques for “reengineering” any large sociotechnical system to improve safety and manage risk.
The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system. There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need to see safety through the patient’s eyes, to consider how safety is managed in different contexts and to develop a wider strategic and practical vision in which patient safety is recast as the management of risk over time. Most safety improvement strategies aim to improve reliability and move closer toward optimal care. However, healthcare will always be under pressure and we also require ways of managing safety when conditions are difficult. We need to make more use of strategies concerned with detecting, controlling, managing and responding to risk. Strategies for managing safety in highly standardised and controlled environments are necessarily different from those in which clinicians constantly have to adapt and respond to changing circumstances. This work is supported by the Health Foundation. The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. The charity’s aim is a healthier population in the UK, supported by high quality health care that can be equitably accessed. The Foundation carries out policy analysis and makes grants to front-line teams to try ideas in practice and supports research into what works to make people’s lives healthier and improve the health care system, with a particular emphasis on how to make successful change happen. A key part of the work is to make links between the knowledge of those working to deliver health and health care with research evidence and analysis. The aspiration is to create a virtuous circle, using what works on the ground to inform effective policymaking and vice versa. Good health and health care are vital for a flourishing society. Through sharing what is known, collaboration and building people’s skills and knowledge, the Foundation aims to make a difference and contribute to a healthier population.
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Collects in four chapters single monographs related to the fundamental advances in parallel computer systems and their developments from different points of view (from computer scientists, computer manufacturers, end users) and related to the establishment and evolution of grids fundamentals, implementation and deployment.
Comprehensive Handbook Demystifies 5G for Technical and Business Professionals in Mobile Telecommunication Fields Much is being said regarding the possibilities and capabilities of the emerging 5G technology, as the evolution towards 5G promises to transform entire industries and many aspects of our society. 5G for the Connected World offers a comprehensive technical overview that telecommunication professionals need to understand and take advantage of these developments. The book offers a wide-ranging coverage of the technical aspects of 5G (with special consideration of the 3GPP Release 15 content), how it enables new services and how it differs from LTE. This includes information on potential use cases, aspects of radio and core networks, spectrum considerations and the services primarily driving 5G development and deployment. The text also looks at 5G in relation to the Internet of Things, machine to machine communication and technical enablers such as LTE-M, NB-IoT and EC-GSM. Additional chapters discuss new business models for telecommunication service providers and vertical industries as a result of introducing 5G and strategies for staying ahead of the curve. Other topics include: Key features of the new 5G radio such as descriptions of new waveforms, massive MIMO and beamforming technologies as well as spectrum considerations for 5G radio regarding all possible bands Drivers, motivations and overview of the new 5G system – especially RAN architecture and technology enablers (e.g. service-based architecture, compute-storage split and network exposure) for native cloud deployments Mobile edge computing, Non-3GPP access, Fixed-Mobile Convergence Detailed overview of mobility management, session management and Quality of Service frameworks 5G security vision and architecture Ultra-low latency and high reliability use cases and enablers, challenges and requirements (e.g. remote control, industrial automation, public safety and V2X communication) An outline of the requirements and challenges imposed by massive numbers of devices connected to cellular networks While some familiarity with the basics of 3GPP networks is helpful, 5G for the Connected World is intended for a variety of readers. It will prove a useful guide for telecommunication professionals, standardization experts, network operators, application developers and business analysts (or students working in these fields) as well as infrastructure and device vendors looking to develop and integrate 5G into their products, and to deploy 5G radio and core networks.
