Wednesday, January 29, 2020
Natural Resources And The Politics Of Middle East Essay Example for Free
Natural Resources And The Politics Of Middle East Essay Oil production in the Middle East has not only been a subject of geology or exploiting the lowest-cost field. Where exploration is performed and what fields are developed has been influenced as much by political as by economic factors. Until the late 1960s oil production and exports from the region significantly reflected the major western oil companiesââ¬â¢ need to cope with the demands of the different governments in the Middle East, all of whom wanted to see more oil produced in their territories in order that they could get more revenue. The oil companies were as well concerned with the political stability of the regimes in the oil-exporting countries, the dependability of supply, the likelihood of the nationalisation of oil company facilities, demands over royalty levels and pressures to make use of and train local nationals. In view of the fact that then, what gets produced where and exported has depended on political and economic muscle within OPEC which efficiently determines country quotas. Iran was the first country in the Middle East in which oil was exploited with test production starting in 1903 and a key discovery in 1908. Under Reza Shah the country was politically stable, and the oil concession agreement which was signed with Dââ¬â¢Arcy in 1901 on very positive terms was to run until 1994. The Anglo-Persian Oil Company, which afterwards turns into British Petroleum, was founded in 1909. Oil was not discovered in Iraq until 1927, however by that time Persian production was well established, plus a slow growth of demand, reflecting the fragile state of the international economy at the time, intended Iraqi oil exploitation was restricted in these early years. (Mohamed Rabie, 1992). Which oil fields were developed as well reflected rivalries in Middle Eastern interests between the major western powers. Britain, through the Anglo-Iranian Oil Company, had a virtual monopoly of exploration in Iran, consequently the United States had little choice however to look to Saudi Arabia on the other side of the Gulf, the one area that had not come under European imperial influences. In the 1930s the oil fields of the eastern province were opened up, plus the Arabian American Oil Company (ARAMCO) was formed by a consortium of leading United States oil companies. It was ARAMCO that developed the Ghawar and Safaniya fields in the Dhahran area which were to prove to be the largest and most dynamic in the entire world. ARAMCO carries on to account for most Saudi Arabian oil production and exports, although it was nationalised in the 1970s and the role of the American associate companies is now restricted to specialist support and marketing. There was huge resistance to attempts to take over the oil concessions awarded to western multinational oil companies. Conflicts between the oil companies and host-country governments over revenues date back to the 1920s and 1930s when oil started to be exploited in noteworthy quantities, however it was the Iranian government which was the first to demand control of production. After Dr Musaddiq consolidated his power as prime minister in 1952 he set up the National Iran Oil Company, a state-owned entity, to take over Iranââ¬â¢s oil from the Anglo-Iranian Oil Company. This aggravated a two-year boycott of purchases of Iranian oil by the major western oil companies. Purchases were merely started again when Musaddiq was overthrown and terms were agreed which were satisfactory from the viewpoint of the oil companies. (John Page, 1999). In the meantime the Anglo-Iranian Oil Company had changed its name to British Petroleum. It was to focus on developing the oil fields of the Emirates on the Arab side of the Gulf, where the rulers were much more co-operative. It was this new orientation and the co-operation with Shell, the Anglo-Dutch company, which were to consequence in the major developments in Kuwait, Qatar and Abu Dhabi, and ultimately Oman. The increasing importance of the Arab Emirates as oil suppliers was not so much a reflection of the quality of their oil or relative cost factors, to a certain extent what mattered was the political environment and the security of oil supplies. Iran, and subsequently Iraq, had their exploration and production curtailed on account of their political intransigence. The beneficiaries were the Arabian Peninsula states that had their oil fields developed and exploited to a greater extent than might otherwise have been the case on the basis of geological decisions alone. (Nora Bensahel, Daniel L. Byman, 2003).
Tuesday, January 21, 2020
Feminist Issues in The Handmaids Tale Essay -- Feminism Feminist Wome
Feminist Issues in The Handmaid's Tale à à à à à The Handmaids Tale, by Margaret Atwood, can be classified as a distopic novel. The Republic of Gilead in The Handmaids Tale is characteristic of a distopia in that it is not intended as a prediction of the future of our society, but rather as a commentary on current social trends. Atwood has created this nation by isolating what she might consider the disturbing aspects of two diametrically opposed factions of our society (namely the religious right and radical feminism) as a theory as to what would happen if these ideals were taken to an extreme. Because she points out similarities in the thoughts and actions of the extreme religious right and certain parts of the feminist movement, some critics have labeled The Handmaid's Tale as anti-feminist. I would like to discuss the specific parts of the novel that lead to this opinion, and then discuss whether I believe this novel was intended as or can be seen as an attack on feminism. à à à à à The issue of pornography is one of the most significant in the Republic of Gilead. Pornography has become illegal and is used as a generalized illustration of the many perceived societal problems before the theocracy gained power. While receiving training at the hands of the Aunts the handmaids are repeatedly shown violent pornographic videos to demonstrate how much better off women are in this time as opposed to previously. Offred's experience of watching these videos is intertwined with her memories of her mother and her participation in anti-pornography riots and magazine burnings. à à à à à By placing these instances side by side Atwood shows that pornography is a point at which two extremes of society (here feminist and religio... ...feminism. By taking this view we can see that Offred could be considered a feminist and that people involved in women's right's movements over changing times may come to represent completely different values than they did originally (which explains the occasional overlap of feminist and religious movements, assuming that religious ideals are static). Freedom from subjugation is at the heart of all feminist movements, regardless of what form they take. à References Leavitt, JW, Brought to Bed: Childbearing in America, 1750-1950. New York, NY: Oxford University Press, 1986. Moore, Pamela, Atwood, Margaret: The Handmaid's Tale. Boston, MS: Houghton Mifflin, 1986. Wertz RW, Wertz DC, Lying-In: A History of Childbirth in America. New York, NY: Free Press, 1977. www.wsu.edu:8000/~brains/science_fiction/handmaid.html www.med.upenn.edu Ã
Monday, January 13, 2020
What Three Qualities Do You Think Are Most Necessary for a Good Parent
Nowadays people say that not everyone is capable of upbringing a child. Parenthood, which used to be a natural status for almost anyone, is now the source of long debates among couples and a very profitable field to writers and publishers. First of all, a good parent should be a good listener, a person who understands what his or her child needs. Parents that listen are supportive people who put aside their high expectations and will keep their ears open for their young offspring, ready to advise no matter what. Secondly, patience must characterize every person who is bringing up children. That means that we must be ready to forgive the mistakes of the inexperienced , young children and that we must help them not with violence , arguing and patronizing but by drawing the line, setting the right example and being steady and consistent. Finally, I believe that parents ought not to consider their children as an expansion of themselves. They should not be egocentric and they should find the courage to accept their childrenââ¬â¢s choices and reactions not as a battle but as if their children are showing them the way to how to be a better parent, teaching them the important values of equality and mutual respect. In conclusion, I think that to be a parent is a life-changing experience and a huge responsibility. After all, the children of today are the parents of tomorow and they should be given the right example to follow later at life. Thalia Procopiu Director of Studies 2011, Greece
Sunday, January 5, 2020
Obama Care Paper - 1322 Words
19 April 2011 What can be done to help health care cost? The main cause for the healthcare reform bill is the rising cost of health insurance for the American citizens. From the 1960s to the 1980s healthcare spending went from $28 billion to $255 billion. By the beginning of 2000, healthcare spending increased to $1.4 trillion. The United States economy has slowly declined due to several factors, the cost of health care is one. Presidents, state representatives, hospital and insurance executives, and economists have tried to attack this huge deficit. There are several things that can be done in order to reduce rapidly increasing health care spending. Some actions that could benefit the United States economy is the stop of wastefulâ⬠¦show more contentâ⬠¦Hospitals also provide unnecessary and expensive care to those patients that are on life support. Discuss options with those patients and make sure they are aware of the cost they are willing to leave their family to deal with. Helping hospi tals cut those expenses is another important action to take. A patient suffering from one or more major illnesses may depend on several different doctors to help them. These doctors usually never talk to one other. The patientââ¬â¢s medical bills are stacking up because doctors are running the same test over again. With the doctors not communicating, it means that there will be extra treatments, double prescriptions and more of the same test. Patients should make sure their doctors talk to each other and know which test have been given and the results of the test. A person can also keep their own medical records for their personal files. Doctor offices will charge anywhere from $10 to $100 to transfer medical records. There are some offices that do not charge if patients request a copy of their medical records. Another major way to cut cost individually will just be for every citizen to take better care of themselves. It does not take much for a person to eat better and to do mi ld exercising in order to reduce their individual healthcare bills. Also, many common illnesses can be treated with over the counter drugs. Do notShow MoreRelatedThe Affordable Care Act Essay1152 Words à |à 5 PagesTo what extent should the Affordable Care Act ââ¬Å"Obama Careâ⬠, be the responsibility of the Federal government, and not the burden of the state under the guidelines of Federalism? In the past years down to 2008 we the people have heard conflicting arguments about the Affordable Care Act, also known as ââ¬Å"Obama Careâ⬠. Obama Care is a health insurance plan ran by the federal government. A health insurance plan in which everyone in the United States is eligible to have weather you are rich, middle classRead MoreLeadership Skills Of Jean Watson And Michelle Obama1458 Words à |à 6 Pages The Leadership Skills of Jean Watson and Michelle Obama Oluwatoyin Adekonye Georgia State University Ã¢â¬Æ' The Leadership Skills of Jean Watson and Michelle Obama This paper will talk about the leadership philosophy of two female leaders Jean Watson and Michelle Obama, and how their leadership skills have impacted many lives. The purpose of this paper is to discuss what it means to be a leader, types, and characteristics of a leader, why it is important to have an effective leader, qualitiesRead MoreThe Affordable Care Act ( Obama Care )908 Words à |à 4 PagesFor this reaction paper, I have chosen the topic of whether or not I believe that the Affordable Care Act (Obama Care) should be repealed, replaced with something else, or stay in its current form. I believe that Obama Care should be fully repealed. However, I donââ¬â¢t believe that just repealing this legislation is enough. I believe that there should be a series of reforms ready for implementation that follow free market principles and that will restore economic freedom. There are far more cons thanRead MoreThe United States And Health Care1159 Words à |à 5 Pagesuniversal health care plan but the politicians of the day would never allow the federal government that type of power and control. At his time in American history healthcare was thought to be a personal issue or at least an issue that would be left to the states or even smaller government agencies. After World War II many politicians tried and failed to pass a national healthcare plan until Obama Care was passed and forced on the people of the United States. The reality is that Obama care is not evenRead MorePresident Obama Health Care Speech866 Words à |à 4 PagesAnalyzing the Rhetorical situation in president Obama Health care Speech to The congress A rhetorical situation is compressed of three components. These components are; the problem: which is basically the social issue under discussion, audience whom the message is addressed to and the constraint which is the limitations to achieving the social issue being advocated for (Worth, 2009). Primarily, the interplay of the following components leads to development a formidable rhetorical situation. InRead MoreBarack Obama s Accomplishments And Challenges Essay1718 Words à |à 7 PagesPresident Barack Obama is seen as one of the most controversial presidents in the recent U.S. history. This paper will examine Obama s legacy by introducing his background prior to the white House; analyze Obamaââ¬â¢s major accomplishments and challenges in the past 8 years. As well as examines the internal opposition force from the other branches of the government Obama faced when conducting domestic policy. Obama was born on August 4, 1961, in Honolulu, Hawaii, to a white mother from Kansas, StanleyRead MoreEssay on How Barack Obama has Impacted America1090 Words à |à 5 PagesBarack Obama Barack Obama has impacted America in many ways since he was elected the 44th president on November 4th, 2008. The first African American president of the United States has taken the world by storm and done many great things for this country. Barack Obama has accomplished many things in his personal life, and also as the president of the United States. Obama has affected the world financially, economically, and rebuilt our image as a nation. Not only has Obama ended the war in IraqRead MoreTopics For Health Care Essay849 Words à |à 4 Pageshealth, health care administration, or health informatics). I elected to focus my paper on the Affordable Care Act (ACA) and whether the implementation of this bill has helped combat the rising price of pharmaceutical drugs. This paper will also investigate the history of the ACA, the result that this law has made within the health care industry, as well as its recommended solutions. History of the ACA The Patient Protection and Affordable Care Act is generally known as the Affordable Care Act (ACA)Read MoreRhetorical Analysis Of Michelle Obama s 2016 Democratic National Convention Speech1551 Words à |à 7 PagesI realized that Michelle Obama uses rhetorical devices and appeals throughout this entire speech, and frankly since her purpose is to persuade the people of the this country to vote for Hillary I think Michelle Obama took the right approach. I get a strong sense of honesty from the first lady as she talks about why Ms. Clinton is worthy enough to take on the mantle of leadership for our great nation. After listening to my speech multiple times I notice how Michelle Obama also uses amplification,Read MoreThe Health Records Of Healthcare1021 Words à |à 5 PagesThe health record has been around for many years, and it first started with a group of individuals in the 1920ââ¬â¢s to realize that documenting health care data provided better quality care. Healthcare provide rs recognized that they were able to treat patients more accurately with a documented history of the patients. It wasnââ¬â¢t until the 1980ââ¬â¢s that healthcare professionals started to venture out into the computerized healthcare technology. In the 90ââ¬â¢s technology was making gains and healthcare
Saturday, December 28, 2019
A Brief Note On Companies And The Largest Ever Consumer...
Case Study #2: Maxxed Out: TJX Companies and the Largest-Ever Consumer Data Breach There are five components to the operations security process that companies use to analyze. These five modules provide a company a full analysis of the risks, vulnerabilities, and threats of their data and how to mitigate them. This process identifies all the critical information the company or organization have such a credit card information like TJX had on their main server. Identifying this information is crucial so the business knows what valuable assets, or data is being stored. If a company does not recognize this material, the material is unprotected. Once the information has been identified, the organization or enterprise will complete an analysisâ⬠¦show more contentâ⬠¦Also, TJX did not apply counter measures in place of those defined vulnerabilities or threats which costed the company huge losses. If the company implemented the WPA security protocol, the risks could have been small. There are multiple methods to improve the security at TJX to prevent future breaches. The network wireless system should be upgraded to Wi-Fi Protected Access 2, WPA2, from WEP. WPA2 provides the most secure protocol that is available on a wireless network. WPA2 uses Advanced Encryption Standard to encrypt all the data when the data is in motion. AES encryption takes a hacker months, even years to break. If the company wants customers to have free Wi-Fi then have two separate networks in which one is has a network password and other just requires a login with terms and conditions. For the wired/wireless connections, TJX can institute a virtual private network, or VPN, to connect with the servers that have sensitive information. This allows the connection between the servers and device to be secure but the data is not. VPN does have limitation such as devices, but is an alternative to WPA2 and better than WEP. VPN is ideal for documents such as sales reports, inventory, and strategies. TJX must implement these standards on all of the retail locations to safeguard all the data being processed throughout the business day.
Friday, December 20, 2019
The Prevalence Of Ischemic Heart Disease - 2172 Words
The prevalence of ischemic heart disease is increasing in the United States, and around the world. Sudden cardiac arrest, the primary cause of death related to ischemic heart disease, is now the leading cause of death worldwide (Weng Sun, 2012). Of the more than 300,000 patients who suffer sudden cardiac arrest in the United States each year, only 7.9% survive to hospital discharge (Weng Sun, 2012). Lilja, et al. (2015) report that despite recent improvements in methods of cardiac resuscitation, severe and often permanent brain injury remains the leading cause of death in hospitalized patients post-resuscitation. Recent research has sought to preserve neurologic function and improve outcomes post-resuscitation through the implementation of therapeutic hypothermia. Neumar, et al. (2015) provide a 2015 update to The American Heart Associationââ¬â¢s Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care recommending that Targeted Temperature Management (TTM) between 32à °C and 36à °C be initiated and maintained for at least 24 hours in all comatose adult patients following restoration of spontaneous circulation (ROSC) after cardiac arrest (p. S343). CINHAL, PubMed and the Cochrane Database of Systematic Reviews were searched between October and November 2016, to identify studies involving the implementation of therapeutic hypothermia following ROSC after cardiac arrest. Search terms for CINHAL included therapeutic hypothermia AND cardiac arrest ANDShow MoreRelatedRisk Factors for Stroke in Young Adults1635 Words à |à 7 Pagesmillion Americans over the age of 20 and representing 3% of the population (Rogers et al. e68). Current estimates suggest close to 800,000 Americans will experience a stroke each year; however, symptoms related to strokes often go undiagnosed. The prevalence of undiagnosed strokes is estimated to be 17.8% of the population over the age of 45, but some minorities and those with low incomes make up a disproporti onate percentage of this number. Ethnicity also influences the risk of a stroke for all adultsRead MoreHypertension Is The Leading Risk Factor For Cardiovascular Disease In Germany1096 Words à |à 5 Pageswesternized diet. Hypertension, in conjunction with other risk factors, is the leading risk factor for cardiovascular disease in Germany. It is estimated that 33% of the total population is affected by high blood pressure (RKI, 2015). The healthcare infrastructure and access to basic needs also contribute to the health profile in Germany. Health care insurance remains a universal system that features a multi-payer system combining statutory health insurance (SHI) that account for 85% of the populationRead MoreThe Continuing Dilemma Of Angina Pectoris1657 Words à |à 7 PagesCollege of Physicians in London his brilliant paper titled ââ¬Å"Some Account of the Disorder of the Breastâ⬠(1) and the subsequent theory of ââ¬Å"the important of the coronary arteriesâ⬠proposed by Edward Jenner, the link between obstructive coronary artery disease and angina has been widely accepted (2). This concept, that associated angina with obstructive coronary artery stenosis caused by atherosclerosis remained in force for a long time and was supported by the exponential growth of coronary angiographyRead MoreCause Slower Heart Rates On Diabetes1306 Words à |à 6 Pagescause slower heart rates [95]. We cannot rely so lely on reduced heart rates only to diagnose CAN because with advanced nerve dysfunction, heart rates can be normal [95] but it persists in higher rates than patients without any diseases [96]. As a result, heart rate cannot be a reliable factor to determine CAN; however, decreased heart rate is the primary manifestation of CAN [95]. CAN is considered as a common chronic complication of diabetes mellitus that threatens life of patients with diabetesRead MoreSymptoms And Symptoms Of A Ischemic Attack1033 Words à |à 5 PagesINTRODUCTION A transient ischemic attack or TIA is like a stroke for it produce similar symptoms, but this only last a few hours and donââ¬â¢t cause permanent damage over the patient. This event was often called a mini stroke, and transient ischemic attack could be a warning to all of us. According to a study of statistic, in every 3 people who are experiencing a transient ischemic attack 1 patient would eventually experience a stroke, with about half occurring within a year after the patient had experiencedRead MoreThe Prevalence Of Sub Clinical Hypothyroidism Essay1930 Words à |à 8 PagesAbstract Background and aim: The prevalence of sub clinical hypothyroidism (SCHT) is relatively high and ranges from 4% to 20% in the adult population with more common in elderly. Elderly with SCHT had higher risk of incident heart failure. Few studies reported the prevalence of thyroid dysfunction in elderly Egyptians especially ischemic group. The aim of our study was to estimate the prevalence of Subclinical hypothyroidism in elderly cardiac patients and to assess the relation between cardiovascularRead MoreRisk Factors Of Cerebrovascular Stroke And Its Recurrence Essay1350 Words à |à 6 Pagesand Gender:: Stroke risk increases with age, doubling each decade after 55 years of age. Two third strokes occur in individual older than sixty-five years, but stroke, recurrent can occur at any age. Advanced of age increase liability to chronic disease, and respectively higher rate of stroke progression or its recurrence (Linton, 2015 and Grotta, et al. 2016). Regarding gender, strokes are more common in men for occurrence and recurrence, due to increase liability for stressors either physiologicalRead MoreThe Effects Of Physical Activity On Cardiovascular Disease Essay1358 Words à |à 6 PagesThe benefits and pitfalls of physical activity in the fight against cardiovascular disease ââ¬â Evaluate the role of physical activity in preventing cardiovascular disease What is CVD? Cardiovascular disease (CVD) is disease of the heart and blood vessels. There are many forms of disease that are classified as CVD, with atherosclerosis underpinning many of the disease an individual may experience. This is due to the increase in plaque lining the vessels, causing arterial stiffness. This is primarilyRead MoreA Brief Note On Atherosclerosis And Its Effects On The Heart Essay1347 Words à |à 6 Pagessudden cardiac death, transient ischemic attacks, cerebrovascular disease and more. The most common cause of myocardial infarctions (MI) is ischemic heart disease, and in turn, MIs are one of the leading causes of heart failure because they directly alter the structure and function of the heart. Heart failure can be described as the inability of the heart to adequately fill or contract in order to meet the bodyââ¬â¢s metabolic demands. MIs affect the ability of the heart to properly fill and eject bloodRead MoreThe Effect Of Perfusion On The Body As Well As The Multip le Body Systems That Are Effected From Poor Perfusion1764 Words à |à 8 Pages Ã¢â¬Æ' Various disease states related to profusion and the multitude of systems effected by perfusion insufficiency. Jason M. Carter El Centro Collage Author note Jason M. Carter, Department of Nursing, El Centro College Jason Carter is studying for his degree in Nursing Science at El Centro College Jason Carter Department of Nursing El Centro College, Dallas Texas 75202 Contact Jasonmcarter@yahoo.com Ã¢â¬Æ' Abstract This paper will discuss the effects perfusion has on the body as well as the multiple
Wednesday, December 11, 2019
Perinatal Deaths in Bacchus Marsh Hospital-Samples for Students
Question: Write a report on Perinatal Deaths in Bacchus Marsh Hospital. Answer: Introduction: The case of perinatal baby deaths Bacchus Marsh hospital has been highlighted recently for its absurd number of still born baby deaths over the span of ten years. Proper assessment of the reports provided by Djerriwarrh Health Service, has showed that the death cases could have been avoided with medical assessment. The report aims to address the lack of clinical governance and safety standards regarding this case (Renfrew et al., 2014). . Clinical Governance: It is defined as the structural and systematic standard practices applied to create a custom, which will govern clinical activities. Clinical accountability and responsibility, is a sub-set of clinical governance, involving the supervision and omission of clinical activities, including regulation, auditing, assurance and compliance by boards of directors, governments and professional bodies et cetra. There are five domains which constitute effective clinical governance: Culture and leadership Consumer relationship Workforce Management of Risk Clinical practice A number of articles suggested that out of 96 cases that were referred to AHPRA about the scandal, together with those relating to 13 doctors, 23 midwives and nurses and four other medical staff suggested that two of the five domains were breached. The respondent practitioners and other staffs failed to manage risk suggesting inefficient workforce and erroneous clinical practice. Workforce: Organizations need to ensure that employees should have basic knowledge and appropriate skills to fulfill their duties and perform their respective responsibility within an organization. Processes should be prepared to bear recruitment, training accountability and maintenance of standard clinical trials. The strategies undertaken to ensure maintenance of workforce include: Appropriate qualifications should be a part of health workforce. Planning and scheduling of quality development should be implemented. Staff communication is important to maintain clinical standards. According to a report provided by the perinatal baby deaths in the Bacchus Marsh hospital was a result of misinterpretation of a cardiotocography observation, which is an instrument for observing fetal heartbeat and uterine contraction in a pregnant woman. Investigation lead by the Australian Health Practitioner Regulation Authority revealed that five practitioners were failed to provide proper medical assessment and immediate action was taken against them. Clinical Practice: The clinical practice principles contain statements that include standard regulations, strategies, or instructions that assists health practitioners and nurses make decisions about appropriate health service for specific clinical circumstances (Brennan, 2013). The report provided Department of Health and Human Services reflects that practitioners and other medical staff of Bacchus Marsh campus failed to meet standards of National Safety and Quality Health Care. The hospital staff failed to record the incident and provide the report which would draw attention from higher authority. Failure to assess clinical symptoms shows inefficiency of the staff as well as practitioner (Devers et al., 2013).. The time span of increase in number of perinatal death reflects the indifference of the hospital staff. Safety and Quality Guidelines: Management of Health service organizations implement governance systems to consign, check and develop the performance of the organization and correspond to the importance of the patient understanding and quality management for all members of the workforce. Health practitioners and staff members of the workforce contribute to the governance systems(Bismark, 2013). According to a report provided by Dr. Euan Wallace was recruited by the Australian Department of Health and Human Services to examine the situation, and found that several of the perinatal deaths could have been avoided if safety and quality guidelines were followed. His report had several clauses that would breach the safety and quality guidelines. The patients in labor were not treated with precaution and misinterpretation of analytical equipments show that the patient handling staff did not follow the given patient handling standards of the Victorian government. Strategies to avoid Risk Management: The following strategies could have been undertaken to avoid the occurrence of the incidents in Bacchus Marsh hospitals. Credentialing: Itis the process undertaken which establishes the qualifications of licensed medical practioners and staffs and assesses their background and legitimacy (Freud, et al., 2015). The authority of the Bacchus Marsh hospital failed to recruit quality staff, which is evident from Dr. Wallaces report and several other investigative porcediures. Reporting and acting upon near misses and incidents: Health firms have preconceived plan of action when it comes to near miss reporting. Many such incidents occur that might surpass a narrow escape from fatality. Reports of the baby deaths, provided by the Bacchus Marsh hospital coroner show that all the baby deaths were avoidable and not all the cases were completely fatal (Renfrew et al., 2014). The respondent practitioners and nursing staffs failed to react in time. Accreditation and benchmarking: The accreditation of a hospital is measured by the number of successful patient cases. In the case of Bacchus Marsh hospital, the Melton Regional Hospital falls under the same governance of the Djerriwarrh Health Services, but the latter showed improved patient care and quality assurance than Bacchus Marsh Hopsital (Gallagher Mazor 2015). Auditing: It is the procedure that an organization undertakes which conducts inspecting the issues, to implement improvement in any aspect of the organization (Goldacre Heneghan, 2014).. Several investigations and reports provided by the Australian Department of Health and Human Services, show that the hospital authority failed to document any record of the perinatal deaths and tried to contemplate a plan of action. The number of perinatal deaths would not have increased so much if the staff and practitioners reported to the health service providers. Monitoring and responding to complaints: The health departments have enforced several misconducts on the Bacchus Marsh hospital authority. One of those allegations were done because, inspite of the attempts to draw attention of the authority regarding the perinatal deaths, the authorities failed to achknowledge the issue. It was revealed that dozens of families have pursued legal action against Djerriwarrh Health Service, suggesting a multimillion-dollar settlement with the government's insurer is in the works. Conclusion: The perinatal death incidents in Bacchus Marsh hospital is a tragic example of lack of clinical governance and safety and quality standards. The investigative reports showed a number breach of hospital management modules including clinical malpractice, safety and quality issues, inefficiency of leadership and management authority and distressed organizational structure (Hoang, Le Terry (2014). References: Bismark, M. M., Spittal, M. J., Gurrin, L. C., Ward, M., Studdert, D. M. (2013). Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia.BMJ quality safety, https://dx.doi.org/10.1136/bmjqs-2012-001691 bmjqs-2012. Brennan, N., Flynn, M. (2013). Differentiating clinical governance, clinical management and clinical practice.Clinical Governance: An International Journal. https://dx.doi.org/10.1108/14777271311317909, 18(2), 114-131. Devers, P. L., Cronister, A., Ormond, K. E., Facio, F., Brasington, C. K., Flodman, P. (2013). Noninvasive prenatal testing/noninvasive prenatal diagnosis: the position of the National Society of Genetic Counselors.Journal of genetic counseling, DOI 10.1007/s10897-012-9564-022(3), 291-295. Freud, L. R., Escobar-Diaz, M. C., Kalish, B. T., Komarlu, R., Puchalski, M. D., Jaeggi, E. T., Michelfelder, E. C. (2015). Outcomes and Predictors of Perinatal Mortality in Fetuses With Ebstein Anomaly or Tricuspid Valve Dysplasia in the Current EraCLINICAL PERSPECTIVE: A Multicenter Study.Circulation,doi.org/10.1161/CIRCULATIONAHA.115.015839 132(6), 481-489. Gallagher, T., Mazor, K. (2015). Taking complaints seriously: using the patient safety lens.BMJ Quality Safety,352-355. https://dx.doi.org/10.1136/bmjqs-2015-004337 24(6), 352-355. Goldacre, B., Heneghan, C. (2014). Improving, and auditing, access to clinical trial results.BMJ (Clinical research ed),10.4236/jssm.2015.86086 348, g213. Hoang, H., Le, Q., Terry, D. (2014). Women's access needs in maternity care in rural Tasmania, Australia: A mixed methods study.Women and Birth,https://dx.doi.org/10.1016/j.wombi.2013.02.001 27(1), 9-14., Renfrew, M. J., McFadden, A., Bastos, M. H., Campbell, J., Channon, A. A., Cheung, N. F., Wick, L. (2014). Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care.The Lancet,https://dx.doi.org/10.1016/ S0140-6736(14)60789-3 384(9948), 1129-1145.
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