Clinical governance, education and learning to manage health information

Purpose – This paper aims to suggest that the concept of clinical governance goes beyond a bureaucratic accountability structure and can be viewed as a negotiated balance between imperfectly aligned and sometimes conflicting goals within a complex adaptive system. On this view, the information system cannot be separated conceptually from the system of governance it supports or the people whose work it facilitates or hinders. Design/methodology/approach – The study, located within the English National Health Service (NHS) between 1999 and 2005, is case study based using a multi method approach to data collection within two primary care organisations (PCOs). The research strategy is conducted within a social constructionist ontological perspective. Findings – The findings reflect the following broad-based themes: mutual adjustment of a plurality of stakeholder perceptions, preferences and priorities; the development of information and communication systems, empowered by informatics; an emphasis on education and training to build capacity and capability. Research limitations/implications – Limitations of case study methodology include a tendency to provide selected accounts. These are potentially biased and risk trivialising findings. Rooted in specific context, their generalisability to other contexts is limited by the extent to which contexts are similar. Reasonable attempts were made to minimise any bias. The diversity of data collection methods used in the study was an attempt to counterbalance the limitations highlighted in one method by strength from alternative techniques. Practical implications – The paper makes recommendations in two key governance areas: education and learning to manage health information. In practice, the lessons learned provide opportunities to inform future approaches to health informatics educational programmes. Originality/value – With regard to topicality, it is suggested that many of the developmental issues highlighted during the establishment of quality improvement programmes within primary care organisations (PCGs/PCTs) are relevant in the light of current NHS reforms and move towards commissioning consortia

The structure and residual stressof thin metal films condensed in vacuum

Imperial Users onl

Teen-age participation in neighborhood centers

Thesis (M.S.)--Boston Universit

Subalternity/Modernity/Multiculturalism (With and Additional Note on the Project of the "Marea rosada" in Latin America)

Si la contienda entre el socialismo y el capitalismo se reduce a la pregunta de cual de esos dos sistemas mejor produce la modernidad, entonces con el proceso de la globalización económica y cultural la historia ha dado una respuesta clara: el capitalismoIf the struggle between capitalism and socialism is reduced to a question of which of the two systems produces a more complete modernity, then with the process of economic and cultural globalization history has given us a clear answer: capitalism. Theref

El ultraizquierdismo: Enfermedad infantil de la academia

En el contexto post‐neoliberal en el que nos encontramos en este momento, el paradigma que gobierna la constelación de los estudios culturales latinoamericanos se ha vuelto anacrónico y necesita ser modificado. A mi modo de ver, las corrientes vinculadas a la exploración del concepto de “post‐hegemonía” representan, dentro del latinoamericanismo actual, una forma de ultraizquierdismo académico. En este artículo analizo algunas de las implicaciones intelectuales y políticas de dicha posición en relación a los nuevos gobiernos de la “marea rosada”

The Infectious Disease Ontology in the Age of COVID-19

The Infectious Disease Ontology (IDO) is a suite of interoperable ontology modules that aims to provide coverage of all aspects of the infectious disease domain, including biomedical research, clinical care, and public health. IDO Core is designed to be a disease and pathogen neutral ontology, covering just those types of entities and relations that are relevant to infectious diseases generally. IDO Core is then extended by a collection of ontology modules focusing on specific diseases and pathogens. In this paper we present applications of IDO Core within various areas of infectious disease research, together with an overview of all IDO extension ontologies and the methodology on the basis of which they are built. We also survey recent developments involving IDO, including the creation of IDO Virus; the Coronaviruses Infectious Disease Ontology (CIDO); and an extension of CIDO focused on COVID-19 (IDO-CovID-19).We also discuss how these ontologies might assist in information-driven efforts to deal with the ongoing COVID-19 pandemic, to accelerate data discovery in the early stages of future pandemics, and to promote reproducibility of infectious disease research

Design Specifications for a DSP Broadcast Mastering System

Architecture & Allied Art

Broadcast Level Corrector

Broadcast Level Corrector is a DSP Matlab function that processes an audio input wave file by applying ITU 1770 level correction and peak limiting.Architecture & Allied Art