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Qu'est-ce que la sécurité ?
In: Recherches Internationales, Band 28, Heft 1, S. 11-20
De la «sécurité internationale» à la «marge de sécurité» l'écart est grand et pousse l'auteur à s'interroger sur l'évolution du terme de sécurité en liaison avec les politiques poursuivies et avec les évolutions techniques et politiques dans lesquelles s'exercent les politiques internationales.
Dynamique de la course aux armements
In: La pensée, Heft 250, S. 35-50
ISSN: 0031-4773
World Affairs Online
Course aux armements: les faits nous interpellent [based on conference paper]
In: Cahiers du communisme: revue théorique et politique mensuelle du Comité Central du Parti Communiste Français, Band 59, Heft 7/8, S. 66-73
ISSN: 0008-0136
O.N.U. [United Nations]: gagner opinion à une recherche active du désarmement [some emphasis on France]
In: Cahiers du communisme: revue théorique et politique mensuelle du Comité Central du Parti Communiste Français, Band 54, Heft 5, S. 94-110
ISSN: 0008-0136
Pour la campagne du désarmement en 1977
In: Cahiers du communisme: revue théorique et politique mensuelle du Comité Central du Parti Communiste Français, Band 53, Heft 4, S. 78-87
ISSN: 0008-0136
Une fiction dangereuse: la notion de superpuissance
In: Cahiers du communisme: revue théorique et politique mensuelle du Comité Central du Parti Communiste Français, Band 51, S. 87-95
ISSN: 0008-0136
La France et les problèmes du désarmement
In: Cahiers du communisme: revue théorique et politique mensuelle du Comité Central du Parti Communiste Français, Band 49, S. 82-94
ISSN: 0008-0136
Succession Planning - Connecting the Dots Among People, Budgets, and Missions
In: The public manager: the new bureaucrat, Band 42, Heft 1, S. 58-60
ISSN: 1061-7639
Exploring Attributes Of Trustworthiness: A Classroom Exercise
In: Journal of management education: the official publication of the Organizational Behavior Teaching Society, Band 28, Heft 2, S. 224-249
ISSN: 1552-6658
Interest in the topic of trust both within and between organizations has grown greatly in recent years. One key issue to understanding trust and how it can be more effectively fostered is understanding its causes. Based on the 1995 Mayer, Davis, & Schoorman model of trust, this article describes exercises that allow students to inductively discover the importance of a trustee's ability, benevolence, and integrity to the assessment of trustworthiness. Parallel exercises are described that can be used to teach both trust between people and trust between organizations.
Overcoming Barriers to Implementing Electronic Health Records in Rural Primary Care Clinics
In: Qualitative report: an online journal dedicated to qualitative research and critical inquiry
ISSN: 1052-0147
Medicare-eligible physicians at primary care practices (PCP) that did not implement an electronic health record (EHR) system by the end of 2015 face stiff penalties. One year prior to the 2015 deadline, approximately half of all primary clinics have not implemented a basic EHR system. The purpose of this phenomenology study was to explore rural primary care physicians and physician assistants' experiences regarding overcoming barriers to implementing EHRs. Complex adaptive systems formed the conceptual framework for this study. Data were collected through face-to-face interviews with a purposeful sample of 21 physicians and physician assistants across 2 rural PCPs in the southeastern region of Missouri. Participant perceptions were elicited regarding overcoming barriers to implementing EHRs systems as manadated by federal legislation. Interview questions were transcribed and processed through qualitative software to discern themes of how rural PCP physicians and physician assistants might overcome barriers to implementing electronic health records. Through the exploration of the narrative segments, 4 emergent themes were common among the participants including (a) limited finances to support EHRs, (b) health information exchange issues, (c) lack of business education, and (d) lack of change management at rural medical practices. This study may provide rural primary care physicians and administrators with strategies to promote the adoption of EHRs, provide cost efficient business services, and improve change management plans.
Overcoming Barriers to Implementing Electronic Health Records in Rural Primary Care Clinics
Medicare-eligible physicians at primary care practices (PCP) that did not implement an electronic health record (EHR) system by the end of 2015 face stiff penalties. One year prior to the 2015 deadline, approximately half of all primary clinics have not implemented a basic EHR system. The purpose of this phenomenology study was to explore rural primary care physicians and physician assistants' experiences regarding overcoming barriers to implementing EHRs. Complex adaptive systems formed the conceptual framework for this study. Data were collected through face-to-face interviews with a purposeful sample of 21 physicians and physician assistants across 2 rural PCPs in the southeastern region of Missouri. Participant perceptions were elicited regarding overcoming barriers to implementing EHRs systems as manadated by federal legislation. Interview questions were transcribed and processed through qualitative software to discern themes of how rural PCP physicians and physician assistants might overcome barriers to implementing electronic health records. Through the exploration of the narrative segments, 4 emergent themes were common among the participants including (a) limited finances to support EHRs, (b) health information exchange issues, (c) lack of business education, and (d) lack of change management at rural medical practices. This study may provide rural primary care physicians and administrators with strategies to promote the adoption of EHRs, provide cost efficient business services, and improve change management plans.
BASE
Improving Patient Safety through High Reliability Organizations
In: Qualitative report: an online journal dedicated to qualitative research and critical inquiry
ISSN: 1052-0147
Preventable medical errors result in the loss of 200,000 lives per year with associated financial and operational burdens on organizations and society. Widespread preventable patient harm occurs despite increases in healthcare regulations. High reliability organization theory contributes to improved safety and may potentially reverse this trend. This single case study explored the introduction of a safety culture and subsequent improvements in patient safety in a reliability-seeking organization. Fourteen participants from a subacute nursing facility were selected using purposeful sampling criterion. Data were collected through participant interviews, document reviews, and group observation. Five themes emerged from an analysis of collected data including process standardization, checks and redundancy, authority migration, communication, and teamwork. The themes uncovered the need for extensive education and training, communication, and teamwork to improve patient safety. The results of the study may be useful to improve safety and enhance leadership to promote a culture of safe patient care.