Effective communication is a hallmark of safe patient care. Challenges to effective interprofessional communication in maternity care include differing professional perspectives on clinical management, steep hierarchies, and lack of administrative support for change. We review principles of high reliability as they apply to communication in clinical care and discuss principles of effective comm...

OBJECTIVE The authors estimated the number of violations of a university policy that prohibited smoking within 25 ft of all campus buildings. PARTICIPANTS The project was conducted by 13 student researchers from the university and a member of the local public health department. METHODS Students quantified cigarette butts that were littered in a 30-day period inside the prohibited smoking ar...

What is the role of political entrepreneurship in fostering regional demands for autonomy from national/central administration? Political, public (managerial and administrative) as well as economic actors are examined in their attempt at devising policies relevant to their respective localities/regions. Standard definitions of political entrepreneurship (i.e. Schneider, Mintrop) are employed in...

Author begins with a delineation of the Finnish system and thereafter moves on to analyze the dynamics of the system. The main research task is to assess the status of the regional councils in relation to the prevailing organizational structure. Although Finland has during the centuries divided into distinct regions these have not been used as a basis for either political or administrative stru...

The senescence of a clinical information system is more likely to have administrative than technical bases. Supporting this claim is a case study of one aging oncology information system. The case study is qualitative, as behooves the subject matter. Content analysis of several documents suggests that the change in job description of the data coordinator led to a workflow breakdown. Next, twent...

Government can sabotage itself. From the president’s choice of agency heads to budgets, regulations, and litigating positions, presidents their appointees have undermined very programs they administer. But why would an try put itself out business? And how agencies that are subject array political legal checks statutory programs? This Article offers account “what, why, how” administrative answer...