Crossing the Chasm

The medical establishment continues to attempt to reduce the nearly100,000 patient lives lost unnecessarily, annually since the IOM surveillance began reporting this as a problem in 1999 (IOM, 2010). Nursing is attempting to help solve this problem of untimely deaths. In order to do this, Dr. Watson encourages us to make more explicit the reality that if nursing is to survive in this millennium, it has to sustain and make explicit its covenant with the public. This covenant includes taking…

sexes. Anna Quindlen’s essay, “Between the Sexes, A Great Divide, discusses just that. Quindlen reflects upon the questions: Can one cross the divide of the sexes? Or, are these differences inevitably incurable?” The author addresses the inevitable chasm that exists between male and female. The author appeals to the memory through imagery and vivid anecdotes. Through a nostalgic tone, Quindlen recalls the first boy-girl party “we” attended. She utilizes the word “we” to instill common ground…

The biblical narratives presented in Genesis 16:1-15 and 21:18-21 resemble a stereotypical soap opera, where there are acts of unbelievable treachery, hatred, and lies. Yet underlying the dramatic telling of Sarai and Hagar’s story is a sub-plot, which reveals the intricate workings of the culture, society, and theology of the ancient Hebrews and their neighboring regions. Working from these texts, an understanding of Hagar’s evolving narratives in Genesis 16:1-15 and 21:8-21 raises the…

HEALTH CARE IN AMERICA Name: Alemayehu Damtew Course: HC 4000 Date: 04/25/2015 Americans are not assured of quality health care as they are always made to believe through the diverse policies that regulate health care. The demand for more and more diagnosis with little regard to the necessity and quality of the tests is a syndrome associated with the high cost of health care. While there are several people who have adequate resources to meet the high costs of health care through…

4.2. The B2B Buying Process Keller and Webster (2004) state that the B2B markets are defined by the buyers and not necessarily by the products that are sold. B2B customers are different from regular consumers due to their budget limitation and profit-motivation. The the type of relationship that B2B customers demand from suppliers, their capacity of purchase, the buying power and the buying process all differ from the common household or individual consumer. Furthermore, Keller and Webster…

medical errors leading to death in the United States, making it the fifth leading cause of death in the United States. This woke up the country and made everyone realize how important quality care and safety were. In 2001, there was the report crossing the quality chasm. The Institute of Medicine highlighted the Six Pillars of high quality health care delivery system.Which they called it “steeep pillars”, which stood for, safety, timeliness,…

In 2001, the Institute of Medicine (IOM) published Crossing the Quality Chasm: A New Health System for the 21st Century that identified deficiencies and trends in the United States healthcare system. In this report, the IOM outlined the essence of quality health care as safe, effective, patient-centered, timely, efficient and equitable, paving the way to today’s health care quality programs in an effort to produce optimal care and outcomes (IOM, 2001). Kelly (2014) states that “health quality…

The Tribhuvan University established Institute of Medicine (IOM) in 1972 with the consent and responsibility of training every workforce in the health category required in the country. It had developed 12 university grounds within the first decade all over the country. The objectives of the Institute of Medicine (IOM) included production of human resources for health services, using its health institutions to provide health services, and conduct research in health sciences. The World Prosperity…

Fun fact: We spent a total of four days as tourists in a combination of Puerto Vallarta, Acapulco, Panama City, and Playa del Coco. Miguel and I left Puerto Vallarta and flew to Zihuatenejo for lunch and fuel. Although it is a popular vacation destination in its own right, we didn’t stop there; instead we set our course for Acapulco. After we touched down in Acapulco, the two of us spent the remainder of that day and all of the following day enjoying the world famous resort. Though my…

Utopia It would be pretentious to try and dictate what a perfect society would be like since it may not be one even to the person residing in it. Even in the society, there could be chasm between its structure and the people that it contains. However, I will describe what I feel would not be a perfect, but sustainable society. This society will unite its people in a way that everyone is treated equally and fairly so long as they too treat everyone uniformly. What governs it will not possess…