Where should patient safety be installed?

The structure of an organization is important, and structure has a profound influence on the way people work and what gets done. Where work units and individuals in an organization are placed, to whom they report, and with whom they are grouped signals power, prestige, and privilege. It also divides workers into groups with common interests and motivations. The question is, where should patient safety be placed in a health care organization? Such a question can be answered only within a framework of understanding that gives a clear definition to patient safety. We define safety, as do safety professionals from other industries, as the reduction of risk. This definition is also in concert with the risk management model that identifies claims management, risk financing, and loss control as its foundational triad.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141505/1/jhrm21285_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/141505/2/jhrm21285.pd

Beef cattle finishing systems used in scientific research in Brazil: an integrative review

ABSTRACT The objective of this review was to identify, synthesize, and characterize, through an integrative approach, the main beef cattle finishing systems used in Brazilian scientific research. A review protocol was developed, and the search terms were based on the PVO strategy to formulate the study's guiding question: study population (P) consists of beef cattle, the variables of interest (V) were the finishing systems adopted in the studies with cattle in Brazil, and the outcomes (O) were the characteristics of the finishing systems. The following guiding question was formulated: What are the major beef cattle finishing systems used in scientific research in Brazil? The databases used were SCOPUS, Web of Science, and Science Direct. 1,388 studies were found, 1,163 of which were scientific articles. However, 33 publications were selected for data extraction. The studies covered different regions of Brazil: Southeast (14), South (10), Midwest (8) and Northeast (1). The confinement finishing system was the strategy used in 63.4% of the experiments and 24.2% of pasture systems with supplementation. In 81.1% of the studies, the pure Nellore breed or crossed with other breeds was used. Scientific research on cattle finishing in Brazil focuses on confinement systems

Peel Castle excavation 2. interim report 1984

SIGLEAvailable from British Library Lending Division - LD:85/16777(Peel) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Estudo das agressões por cães, segundo tipo de interação entre cão e vítima, e das circunstâncias motivadoras dos acidentes, município de São Paulo, 2008 a 2009

Caracterizaram-se as agressões por cães, o perfil das vítimas e dos agressores e as circunstâncias desses acidentes. Calculou-se a amostra aleatória a partir de 20 mil notificações/ano de agressões por cães e realizaram-se 594 entrevistas telefônicas. A maior frequência de agressões ocorreu no sexo masculino, faixa etária de cinco a 14 anos. Lesões leves representaram 80,4%. As profundas (19,1%) ocorreram por cães de porte médio seguidas pelos de grande porte. A maioria dos cães era macho adulto, porte médio. Dos entrevistados, 52,5% desconheciam a condição reprodutiva; 41,0% dos cães não eram esterilizados e 6,4% eram esterilizados. Cães sem raça definida (SRD) provocaram 48,4% dos acidentes, e 57,6% das agressões ocorreram em locais privados. Em 56,2% das agressões, as vítimas eram moradoras do imóvel ou pessoas conhecidas. Com animais não conhecidos a agressão mais frequente ocorreu na rua, 30,8%, e 67,5% dos donos permaneceram com os animais. As agressões foram resultantes da interação homem-cão e devem ser estudadas para se identificarem os possíveis comportamentos que desencadeiam a agressão pelo animal