563 research outputs found

    The tyranny of regional unemployment rates

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    Although there is a substantial body of literature on labour market analysis, most of it ignores the spatial dimension of the labour market. A spatial perspective in analysing labour market processes is important for several reasons. FIRST, labour markets are by no means as homogeneous as conventional labour market theories assume. SECOND, most countries are displaying strong regional variations in the dynamics of unemployment. THIRD, geographical space exerts a frictional effect on labour market processes. Regional unemployment rates appear to be the most important indicators for analysing labour market processes from a spatial perspective. The paper aims to discuss some of the problems that are associated with the use of regional unemployment rates. We will focus attention on conceptual problems, problems of data quality and on some of the new problems that have arisen due to the widespread use of new computer technology. Solutions to many of the problems are obvious, but many of the new problems will require some extra effort for their solution. The tyranny that threatens the research community is that regional unemployment data exercise a power over us that can lead the naive to misinterpretations. The data may mislead even the most righteous among us. A good deal of research effort is often given to overcome the tyranny that is found in the columns and rows that the lay public likes to call statistics. The discussion will be enriched by means of a study utilizing regional unemployment rates at the district level in West Germany.

    Needs Assessment to Improve Sepsis Bundle Compliance in the Emergency Department

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    Sepsis is a leading cause of morbidity and mortality worldwide. Treatment depends on time-sensitive antibiotic initiation, fluid resuscitation, and vasoactive support. Early recognition and bundled care are core tenets of management. Thus, this project aims to identify barriers to sepsis bundle compliance in a local community emergency department. Specifically, how do perceived barriers to sepsis bundle compliance as identified by staff correspond with quantitative delays in care as demonstrated by chart data? This mixed-methods needs assessment consists of staff surveys and analysis of extracted chart data. Staff surveys revealed barriers including staffing shortages, difficulty with intravenous (IV) access, and lack of recognition in triage. Case reviews showed that many patients receive components of the 1-hour sepsis bundle before they screen SIRS+ (57% of patients for lactate draws, 34% of patients for blood culture draws, n=35). Across cases, average door-to-antibiotic time was 137.06 minutes (SD 88.66 minutes). Thus, the department has yet to meet its target of door-to-antibiotic time less than one hour. Survey data and case reviews provide a launchpad for future quality improvement (QI) initiatives in the emergency department
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