Medicine and Health Sciences Commons^™

Organizational Learning In A Cardiac Intensive Care Unit: A Learning History, Bret Lyman, Kalene M. Ethington, Carly King, Jonathan D. Jacobs, Hayley Lundeen

Faculty Publications

Introduction: Providing high-quality care to every patient is challenging, particularly in critical care units (CCUs). However, this standard can be achieved through organizational learning. Unfortunately, the process of organizational learning in CCUs is not well understood.

Objective: The objective of this study is to describe the developmental progression of a cardiac intensive care unit (CICU) to reach its current state of reliably excellent clinical performance.

Methods: The method selected for this study was a learning history. A total of 43 individuals with experience working on the CICU participated in small group interviews. Participants included nurses, surgeons, unit clerks, administrators, nursing …

Workers' Perceptions Of The Effect Of Three-Tier Shift Schedules On Community Functioning, Jillian Leigh Wallace

Walden Dissertations and Doctoral Studies

Shift work is commonplace in many fields that require around-the-clock employee coverage. There is ample evidence that two-tier shift work can detrimentally affect health and functioning. The purpose of this study was to understand the impact of three-tier shift schedules on physical and mental health and community functioning, a concept which refers to activities and behaviors performed by individuals or groups within a system. This study used a qualitative phenomenological design, and community functioning and recovery theory were central to the conceptual framework. In-depth interviews were used to explore the perceptions of three-tier shift workers on their functioning, relationships, mental …

Ethnographic Insights Into Safety Communication For Frontline Workers, Kelly Jaunzems, Lelia Green, David Leith, Christine Teague

Research outputs 2014 to 2021

Recent calls for organisation studies to embrace ‘the practice turn’ (Whittington, 2011) have expanded into an understanding of the potential for ethnographic research in occupational health and safety (OHS) research (Pink et al., 2016). The ethnographic project described here, with fieldwork conducted between 2008 and 2010, is one element of this growing appreciation of the potential for qualitative research in industrial settings. Ethnographies have not often been used in OHS settings, and ‘much practicebased knowledge remains undocumented, informal, unspoken and thus unaccounted for’ (Pink et al., 2016, p. 27). This study was motivated by an aim to make explicit the …

An Assessment Of The Effectiveness Of Unannounced Safety Inspections Versus Announced Inspections In Academic Research Laboratories That Utilize Biological Hazards, Holley M. Trucks

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Inspections are integral to comprehensive biosafety programs at academic research institutions that use a wide variety of infectious agents. However, there is no standardization of biosafety inspection procedures from institution to institution. This study analyzed results of 2,098 documented inspections conducted from January 2012 through December of 2016 performed by biosafety staff at a large Research I land grant institution in order to evaluate the effectiveness of an unannounced versus the more traditional announced approach to inspection procedure. Results demonstrated that: a) more findings were noted during unannounced inspections, therefore more accurately informing biosafety staff of the true day to …

Radiation Risks And Safety, Hyunsoo Joshua No

Family Medicine Clerkship Student Projects

Patient and physician requests for the use of X-Rays, CTs, and other radiation-producing medical imaging are increasing in the US. Both public and physician awareness of radiation knowledge is limited. Studies suggest that the general public is not concerned about exposure to ionizing radiation from medical procedures due to the widespread notion that healthcare professionals have received extensive training in the radiation principles and are competent in minimizing risk. Pamphlets providing simplified information, available for both providers and patients, may provide as an effective intervention to help educate both physicians and the public about radiation risks and safety.

The Heinrich Model: Determining Contemporary Relevance, Bryan P. Basford

Online Theses and Dissertations

For as long as his work has been at the core of the safety profession, Herbert William Heinrich has been a staple of debate. His 1931 work Industrial Accident Prevention: A Scientific Approach has sparked worldwide debate on the effectiveness or ineffectiveness of his safety theories, as well as the accuracy or inaccuracy of his research and methods.

Heinrich's work is undoubtedly cited time and again as the foundational teaching for behavior-based safety, as well as countless other teachings in the safety profession as a whole. Despite the continued challenges to the validity of his work, there has been little …

Appraising The Current Status Of The National Institute For Occupational Safety And Health's Fatality Assessment Control Evaluation Program, Douglas Schwindt

Online Theses and Dissertations

Today, generally 13 U.S. workers die from workplace injuries. In 1970 on average, there were as many as 38 workplace fatalities on each day (DOL 2016). As a response to this alarming reality, the government enacted the Occupational Safety and Health Act in 1970. This governmental legislation created the Occupational Safety and Health Administration to regulate safety in the workplace; as well as, The National Institute of Occupational Safety and Health who was charged with "developing new knowledge in the field of occupational safety and health and to transfer that knowledge into practice" (CDC NIOSH 2017).

In order to understand …

Analysis Of Union Safety: Determining Relationships Between Union Membership And Injury And Fatality Rates, Madelyn K. Street

Online Theses and Dissertations

In under two centuries the labor union transformed the American workplace, improving wages, benefits, employee engagement, and safety. In more recent years, the government and other organizations have caught up in focusing on safety. Countless studies have been conducted and determined that unions have a significant positive impact on safety compared to work environments absent of a union. Using Bureau of Labor Statistics data for 2006-2015, an investigation into the trends of union membership and injuries and fatalities reported in the United States was conducted. It was determined that there was not significant correlation between increased union membership and improved …

Is Tooth Bleaching Really Safe?, Yehoshua Krasnow

The Science Journal of the Lander College of Arts and Sciences

The field of cosmetic dentistry emerged when people began to realize the importance of a good smile. Stains on teeth were no longer deemed acceptable with the advent of cheap and safe procedures like tooth bleaching. This new procedure replaced the older, more costly and invasive method of laminated veneers and crowns. The chemistry behind this bleaching occurs via unstable hydroxyl radicals and thus the question arose as to how safe this accepted procedure really is. The purpose of this paper is to analyze the negative ramifications of tooth bleaching and to determine if it’s truly safe. The null hypothesis …

Should School Boards Discontinue Support For High School Football?, Lewis H. Margolis, Greg Canty, Mark Halstead, John Lantos

Manuscripts, Articles, Book Chapters and Other Papers

A pediatrician is asked by her local school board to help them decide whether to discontinue their high school football program. She reviews the available evidence on the risks of football and finds it hopelessly contradictory. Some scholars claim that football is clearly more dangerous than other sports. Others suggest that the risks of football are comparable to other sports, such as lacrosse, ice hockey, or soccer. She finds very little data on the long-term sequelae of concussions. She sees claims that good coaching and a school culture that prioritizes the health of athletes over winning can reduce morbidity from …

Impact Of A Localized Lean Six Sigma Implementation On Overall Patient Safety And Process Efficiency, Luvianca Gil, Pilar Pazos, Mamadou Seck, Rolando Delaguila

Engineering Management & Systems Engineering Faculty Publications

Continuous quality improvement tools have caught the attention of the Health Care Industry as a solution to process efficiency, patient safety and cost reduction. This research explores the impact of a Lean Six Sigma (LSS) process improvement initiative in overall process efficiency and patient safety in two Labor and Delivery (L+D) units of two large hospital providers. This study focuses on the application of modeling and simulation methodology to investigate the influence of a localized process improvement intervention on the overall L+D unit output, by considering patient flow, system capacity and unit performance. The simulation models capacity profiles and patient …