Australian patient safety survey

The national telephone survey found that 6.5% of respondents reported experiencing a medical adverse event during the preceding 12 months. Most reported were medication incidents, with misdiagnosis or wrong treatment second most common. Predictors of adverse event reporting included health status, hospital admission, and length of time seeing regular doctor.

Enron's Dabhol power project in India

In the early nineties, Enron USA went to India to set up a $3 billion power plant at the express invitation of the then Indian government. The process and incidents associated with the setting up of the Dabhol Power Company are highly relevant, even in current times, for companies who intend to set up operations in India. The case is a good example of the strategic importance of ethical corporate decision-making and good stakeholder management practices as an inherent part of a company's culture. If a company lacks this understanding, then it is likely to experience stakeholder opposition and stakeholder management disasters that can ultimately have a serious impact on the company's success.

The prevalence of work-related deaths associated with alcohol and drugs in Victoria, Australia, 2001 - 6

To describe the presence of alcohol, cannabis and amphetamines in work-related injury deaths in Victoria, 2001–6, an observational study of work-related deaths reported to the State Coroner's Office, Victoria, Australia was conducted. Case and postmortem forensic toxicology data were obtained from the National Coroner's Information System for work-related injury deaths with positive toxicology screens. Over 6 years there were 43 worker deaths in a total of 355 unintentional work-related injury deaths. The coroner mentioned the presence of alcohol/drugs in 22 of the 43 worker deaths with positive toxicology screens. Toxicology screens were positive for alcohol and/or drugs in 79 work-related deaths overall. Overall, alcohol was present in 26 (7%) work-related deaths and cannabis or amphetamines in 20 (6%). Incidents were mainly transport related. Alcohol and/or drugs were present in a significant portion of work-related deaths. Research is needed to determine the relative contribution of alcohol and drugs compared with other contributing factors to work-related deaths.

My name is Karen

Introduction : My name is Karen. In this chapter, I take a narrative approach and highlight ‘critical incidents’ that have caused me to reflect on my ‘being’ and recall events from childhood and adulthood. ‘Being’ or ‘to be’ is what Wilcock (1999) described as ‘being true to ourselves, to our nature, to our essence and to what is distinctive about us’ (p. 5). The state of ‘being’ requires time to think, reflect and to discover who we are (Wilcock 1999). My name is part of this. The constructivist view of learning posits that the learner comes with a representational model of personal constructs (in this instance, one’s name being a personal construct) and within these personal constructs, the learner makes sense of their learning situation (Stacey 1998). From the constructivist view, the teacher negotiates meaning with the learner through reflection, dialogue, guidance and feedback because the learner interprets ideas and constructs meaning based on pre-existing understandings (Candy 1991; Stacey 1998). Reflecting on my ‘being’ gives insight into the representational model of my personal constructs, of which my name is one. As a learner, this insight helps me interpret new information within a meaningful context. As a teacher, this insight informs me on how to engage with the students I teach.

Self-regulation of sex offending, future pathways and the Good Lives Model : applications and problems

Two theoretical developments, the Self-Regulation Model of the Offence and Relapse Process and the Good Lives Model, have recently offered promise in the advancement of sex offender treatment. The present paper represents a preliminary attempt to operationalize these theoretical principles by developing a number of practical treatment procedures. We have employed the method of a life map, which traces personal development from birth and which incorporates long-term future projections. This includes all actions, events, incidents and skills (whether positive or negative), which have led to a sense of self-esteem and the development of personal values. These will include risk factors and criminogenic needs which lead to offending as well as positive experiences and self-resources which can be incorporated into a future Good Lives Pathway. Two case illustrations are presented, which demonstrate the way in which all experiences from the past can be incorporated into alternative future pathways. These pathways will include positive self-resources and protective variables which develop into a non-offending future and negative self-resources with risk variables which develop into an offending future. The cases illustrate the way in which GLM and self-regulation pathways can be combined in a robust practical treatment procedure. Practical difficulties inherent in the procedure are also discussed.

Seeing the unseen : a rockclimbing experience

This article outlines a process of using critical incidents to reflect on professional practice. The process begins, in this article, by observing and describing an 'incident' in a rock climbing teaching experience. Then, through a feminist post-structuralist lens, this 'ordinary' educational experience is analysed to reveal some of the underlying tendencies, patterns and values directing practice. Particular attention is given to exposing my role in maintaining and reproducing dominant discourses relating to socially differentiated gender identities. Finally, I explore pedagogies that will help lead students to understand their own and others' identities and provide alternative ways of being and valuing.

The epidemiology of ecstasy use and harms in New South Wales, Australia

Aims:This paper examines the epidemiology of ecstasy use and harm in Australia using multiple data sources.

Design: The data included (1) Australian Customs Service 3,4-methylenedioxymethamphetamine (MDMA) detections; (2) the National Drug Strategy Household and Australian Secondary Student Alcohol and Drug Surveys; (3) data from Australia's ecstasy and Related Drugs Reporting System; (4) the number of recorded police incidents for ecstasy possession and distribution collated by the N.S.W. Bureau of Crime Statistics and Research; (5) the number of calls to the Alcohol and Drug Information Service and Family Drug Support relating to ecstasy; (6) the Alcohol and Other Drug Treatment Services National Minimum Dataset on number of treatment episodes for ecstasy, and (7) N.S.W. Division of Analytical Laboratories toxicology data on number of deaths where MDMA was detected.

Findings: Recent ecstasy use among adults in the general population has increased, whereas among secondary students it has remained low and stable. The patterns of ecstasy consumption among regular ecstasy users have changed over time. Polydrug use and use for extended periods of time (>48 h) remain common among this group. Frequent ecstasy use is associated with a range of risk behaviours and other problems, which tend to be attributed to a number of drugs along with ecstasy. Few ecstasy users present for treatment for problems related to their ecstasy consumption.

Conclusions: Messages and interventions to reduce the risks associated with polydrug use and patterns of extended periods of use are clearly warranted. These messages should be delivered outside of traditional health care settings, as few of these users are engaged with such services.

The effect of mathematical games on on-task behaviours in the primary classroom

A challenge for primary classroom teachers is to maintain students’ engagement with learning tasks while catering for their diverse needs, capabilities and interests. Multiple pedagogical approaches are employed to promote on-task behaviours in the mathematics classroom. There is a general assumption by educators that games ignite children’s on-task behaviours, but there is little systemically researched empirical data to support this claim. This paper compares students’ on-task behaviours during non-digital game-playing lessons compared with non-game-playing lessons. Six randomly selected grade 5 and 6 students (9–12 year olds) were observed during ten mathematics lessons. A total of 2,100 observations were recorded via an observational schedule and analysed by comparing the percentage of exhibited behaviours. The study found the children spent 93 % of the class-time exhibiting on-task engagement during the game-playing lessons compared with 72 % during the non-game-playing lessons. The game-playing lessons also promoted greater incidents of student talk related to the mathematical task (34 %) compared with the non-game playing lessons (11 %). These results support the argument that games serve to increase students’ time-on-task in mathematics lessons. Therefore, it is contended that use of games explicitly addressing the mathematical content being taught in a classroom is one way to increase engagement and, in turn, potential for learning.

Critical infrastructure systems : security analysis and modelling approach

A system security analysis and system modelling framework tool is proposed adopting an associated conceptual methodology as the basis for assessing security and conceptually modelling a critical infrastructure system incident. The intent is to identify potential system security issues and gain operational insights that will contribute to improving system resilience, contingency planning, disaster recovery and ameliorating incident management responses for critical infrastructure system incidents. The aforementioned system security analysis and modelling framework is applied to an adverse critical infrastructure system incident case study. This paper reports on the practical application of the framework to a case study of an actual critical infrastructure system failure and the resultant incident implications for the system and the wider regional communities.

Moments of disruption and the development of expatriate TESOL teachers

TESOL teachers, like mainstream teachers, often experience key incidents in their professional development. In expatriate TESOL, however, unfamiliar cultural and linguistic contexts may disrupt teachers' sense of both professional and personal identity. In this article, narratives constructed from interviews of teacher experiences document a selection of critical events and discuss their implications for professional development in TESOL. Teachers reported that deep reflection on their experiences led to a re-conceptualisation of their professional and cultural identities. The analysis of their reflections may have significant implications for TESOL work in the context of the global and the local. The narratives specifically explore teachers' initial experiences of readjustment, awareness of differences in expectations of their roles as teachers, the impact of being perceived as representatives of 'Western' culture, and their re-appraisal of the educational and cultural-linguistic values of 'home'.

Dealing with alcohol-related harm and the night-time economy

Alcohol-related problems are a major cause of social disorder and illness in Australia. In particular, problems associated with the night-time economies of urban and regional centres cause substantial community concern and are a considerable drain on police, community and health resources. The estimated cost of alcohol to the community is $15.3 billion, including costs associated with crime, violence, patient treatment, loss of productivity and premature deaths in 2004–05 (Collins 2008). Alcohol has also been identified as a factor in around three quarters of assaults and incidents of offensive behaviour on the street (Buss 1995). Previous research has identified several issues that contribute to the levels of short-term harm associated with risky drinking. These include: excessive consumption at licensed premises, consumption in public areas and lack of transport and security in entertainment precincts (Homel et al. 1992; Graham & Homel 2008).

Drinking in licensed venues is another predictor of harm and public disorder. More than half of offences occurring on the street have been associated with licensed premises in Australia (Buss 1995). A complex range of factors increase risky drinking and associated harms on licensed premises including: aspects of patron mix; levels of comfort, boredom, and intoxication; promotions that cause mass intoxication; and the behaviour of security/bouncers (Homel et al. 1992). Violence has also been shown to be perpetuated by poor venue management, lax police surveillance, lack of transport options for patrons, and inappropriate bureaucratic controls and legislation (Homel et al. 1992). This project aims to provide evidence-based knowledge regarding the implementation and impact of innovative local initiatives directed at alcohol-related harms.

Student perceptions of adverse health events during ambulance clinical placements

This pilot study intended to augment current literature in the clinical placement field by investigating the frequency and nature of adverse health events experiences by paramedic students undertaking ambulance clinical placements. Supports accessed post event were also reviewed. A purposive sample of fifty-six paramedic students completed the questionnaire. The results indicate that a number of students experience adverse health events while on clinical placement, with fourteen cases of verbal abuse, one case of physical abuse, nine cases of sexualised behavior and seven cases of psychological distress reported. While some case related incidents were flagged by ambulance services and followed up by peer support, students did not initiate any formal support processes themselves. Moreover, no student filed a formal report regarding any of the incidents raised. The results of this pilot study require further investigation. In the interim, the benefits of clinical placements must be weighed against their risks, and processes put in place to minimize the risk to students undertaking clinical placements.

The role of verbal-textual hostility in hate crime regulation : final report

Verbal-textual hostility (VTH) plays a significant role in victims’ subjective perceptions of hatred and police officers’ assessment of a prejudice-related violence. Yet, to date, the role of VTH in ‘hate’ crime has been under-researched. The aim of this research has been to assess and evaluate the forensic possibilities contained in a closer reading of the words used in these crimes. Through a content analysis of incident characteristics and officers’ narratives of incidents, this report maps out how key speech-text indicators may assist to better evaluate the force and effects of prejudice-related violence. It is expected that this type of contextual analysis will lead to the development of more sophisticated risk assessment tools for use in frontline policing, and more targeted service enhancements for victims.

Smart grid

All over the world, electrical power systems are encountering radical change stimulated by the urgent need to decarbonize electricity supply, to swap aging resources and to make effective application of swiftly evolving information and communication technologies (ICTs). All of these goals converge toward one direction; ‘Smart Grid.’ The Smart Grid can be described as the transparent, seamless, and instantaneous two-way delivery of energy information, enabling the electricity industry to better manage energy delivery and transmission and empowering consumers to have more control over energy decisions. Basically, the vision of Smart Grid is to provide much better visibility to lower-voltage networks as well as to permit the involvement of consumers in the function of the power system, mostly through smart meters and Smart Homes. A Smart Grid incorporates the features of advanced ICTs to convey real-time information and facilitate the almost instantaneous stability of supply and demand on the electrical grid. The operational data collected by Smart Grid and its sub-systems will allow system operators to quickly recognize the best line of attack to protect against attacks, susceptibility, and so on, sourced by a variety of incidents. However, Smart Grid initially depends upon knowing and researching key performance components and developing the proper education program to equip current and future workforce with the knowledge and skills for exploitation of this greatly advanced system. The aim of this chapter is to provide a basic discussion of the Smart Grid concept, evolution and components of Smart Grid, environmental impacts of Smart Grid and then in some detail, to describe the technologies that are required for its realization. Even though the Smart Grid concept is not yet fully defined, the chapter will be helpful in describing the key enabling technologies and thus allowing the reader to play a part in the debate over the future of the Smart Grid. The chapter concludes with the experimental description and results of developing a hybrid prediction method for solar power which is applicable to successfully implement the ‘Smart Grid.’