Healthcare Quarterly Vol.17 Special Issue 2014 45 Abstract The author calls for a critical assessment of the impact of investments made in the measurement of quality and safety, and reflects on whether a reorientation of some of this investment is required to realize the healthcare quality and safety improvement the system seeks. This article also reflects on several Canadian initiatives that h...

This paper describes a strategic level simulation model developed to help stakeholders understand the Los Angeles solid waste system. The model structure is based on a “recycling loop” incorporating five interconnected sectors: consumption, collection, processing, disposal, and production. The user interface includes eight strategic decision levers (product durability, waste in products and pac...

This paper examines how managers in a Danish municipality balance tight budgetary control with flexibility when providing quality services. Using the levers of framework as an analytical lens, study shows tackle complexities and uncertainties using accounting information interactive processes. Furthermore, it demonstrates processes enable professional judgments while simultaneously achieving co...

Two critiques of simple adaptationism are distinguished: anti-adaptationism and extended adaptationism. Adaptationists and anti-adaptationists share the presumption that an evolutionary explanation should identify the dominant simple cause of the evolutionary outcome to be explained. A consideration of extended-adaptationist models such as coevolution, niche construction and extended phenotypes...

BACKGROUND Heightened fiscal constraints, increases in the chronic disease burden and in consumer expectations are among several factors contributing to the global interest in evidence-informed health policy. The present article builds on previous work that explored how the Australian Federal Government applied five instruments of policy, or policy levers, to implement a series of reforms under...

Through the passage of time, various different approaches such as total quality management (TQM) and business process reengineering (BPR) have been presented to operations as offering the potential for performance improvement and innovation. These approaches have been implemented across the globe and have had varied results. Approaches have been implemented with huge success in one organisation...

In the stag beetle family (Lucanidae), males have diverged from females by sexual selection. The males fight each other for mating opportunities with their enlarged mandibles. It is known that owners of larger fighting apparatuses are favoured to win the male-male fights, but it was unclear whether male stag beetles also need to produce high bite forces while grabbing and lifting opponents in f...

In this exploratory study, the researchers examined the core library and information science (LIS) curriculum, looking for diversity levers , or conceptual access points, where transformative academic knowledge related to diversity and social justice could be meaningfully integrated. Multicultural curriculum reform, conceptualized as a social justice approach, was the guiding framework for the ...