Patient safety ethics and human error management in ED contexts Part II : Accountability and the challenge to change

In recent years there has been increasing recognition internationally that health care is not as safe as it ought to be and that patient safety outcomes need to be improved. To this end, patient safety has become the focus of a world-wide endeavour – endorsed by the World Health Organisation – to reduce the incidence and impact of preventable human errors and related adverse events in health care domains. The emergency department has been identified as a significant site of preventable human errors and adverse events in the health care system, raising important questions about the nature of human error management and patient safety ethics in rapidly changing environments, of which the Emergency Department is a prime example. In Part I of this article series, an overview of the incidence and impact of preventable adverse events in Emergency Department contexts and the development of the global patient safety movement was presented. In this second article brief attention is given to examining some of the ethical tensions that have arisen in response to the patient safety movement and their possible implications for Emergency Department contexts and staff.

A societal knowledge management system : harnessing indigenous wisdom to build sustainable predictors for adaptation to climate change

As the climate changes globally time-honoured climate in a region may change and shift to another region. Consequently, local predictors of climate may no longer apply to the area where they were born, but may be invaluable in new regions where previously reliable predictors have become outmoded This paper is set on the proposition thaI traditional (indigenous) know/edge can be a strategic source in adapting to climate change, in these changing times. The research reported in this paper takes the Societal Knowledge Management approach where knowledge that rests within local communities, is harnessed to inform local communities and scientists regarding climate change impacts, so as to adapt to them accurately. A phased study was conducted that aimed at acquiring, synthesising and disseminating traditional knowledge regarding change in monsoon patterns in India. Traditional wisdom prevalent among fhe myriad communities of India, was collected, collated and classified into knowledge spheres such as Bio-Indicators, Wind Movement, Atmospheric Pal/ems, Astrological Methods, Festivals and Rituals, Direction, Characteristics of the Rain, Characteristics of Celestial Bodies etc and incorporaled into a knowledge portal, which is the basis for building the Societal Knowledge Management System (SKM). Subsequently, the SKM is to be harmonised with scientific predictors on seasonal weather patterns will allow researchers to identify if the existing indicators and monsoon pattems are subject to change, and if so how. Research in progress is aimed at integrating the knowledge with modern science and disseminating this knowledge through local knowledge centres, at village levels. Furthermore, this study is to be replicated in Australia, by harnessing indigenous knowledge, to build the SKM for Australia that could assist in building a better understanding of the factors that impact the environment, methods of building sustainable predictors for climate and approaches for adapting the climate changes. The research reported is expected to inform policy makers, scientists, governance institutions as well as researchers regarding the applicability of indigenous knowledge in building sustainable predictors for adaptation to climate change in the two countries cited and can be extended into other countries.

Climate change research & responses on the Eyre Peninsula : Weaving natural resources management with community resilience planning

In the last 10 years climate change risk assessment has come to a head as a matter of discussion at all levels of governance. In an attempt to gain a co-ordinated appreciation, measure of scope and impact likelihood, and to better guide a holistic natural resources management strategy, the Eyre Peninsula Natural Resources Management Board has taken a comprehensive exclusive and coordinated approach at a regional level to this issue.

Water, agricultural sustainability, biodiversity enrichment and stabilisation, and community resilience planning are all integral features in this 'program' of research and engagement. The clear intent is to creatively drive change and socio-economic growth without compromising the significant aesthetic and biodiversity attributes of the landscape and its primary role as a dryland wheat producer. The 'program' involves clear practice-based research as to fact, fiction and perception, and the provision of scenarios as to vulnerability and resilience building to cater for climate change over the next 30 years but also to sensitively respond to propective mining growth for the Peninsula.

This paper reviews this 'program', the research and findings undertaken, the co-ordinated actions being taken, the importance of community engagement and resilence building, and the orchestration and propective execution of this 'program' by the Board.

The 'program' represents important case model in successful regional planning.

Australian universities, government research and the application of climate change knowledge in Australian coastal zone management

One of the key issues in Australia for sustainable management of the coastal zone is that the science of climate change has not been widely used by decision-makers to inform coastal governance. There exist opportunities to enhance the dialogue between knowledge-makers and decision-makers, and universities have a key role to play in researching and fostering better linkages. At the heart of these linkages lies the principle of more informed engagement between historically disparate groups. In Australia, the new ‘Flagship’ research programme, funded by the Commonwealth Scientific and Industrial Research Organization (CSIRO), emphasizes their partnering with universities in a more systematic and collaborative manner than previously achieved in such research projects. In order to address sustainability in general and coastal adaptation to climate change in particular, interdisciplinary learning needs to occur between the social and natural sciences; also, transdisciplinary understanding of that interaction needs to be fully developed. New methods of communicative engagement such as computer visualizations and animations, together with deliberative techniques, can help policy-makers and planners reach a better understanding of the significance of the science of climate change impacts on the coast. Deeper engagement across historically disparate groups can lead to the development of epistemological and methodological synergies between social and natural scientists, adaptive learning, reflexive governance, and greater analytical and deliberative understanding among scientists, policymakers and the wider public. This understanding can lead in turn to enhance coastal governance for climate adaptation on the coast.

Implementing climate change policies consistent with integrated coastal zone management : a case study of Victoria, Australia

Whilst the proliferation of publications on climate change science is remarkable and makes the updating of responses to impacts of climate change on coastal environments daunting, the area of policy responses is even more confusing and complex. This is because policy responses do not need to consider the science of climate change alone but also have to weigh up the social and economic implications of the impact of climate change on coastal communities. In a federated nation such as Australia this has the added complication of three tiers of Government (Federal, State and local) having to interact in order to co-ordinate any policy responses. These complications should be aided by the internationally accepted concept of Integrated Coastal Zone Management (ICZM) which has been prevalent in Australian coastal planning and management for several decades. This paper uses the State of Victoria, Australia as a case study of how Governments are responding to these challenges through using the principles of ICZM. The paper will review recent inquires and investigations in Australia and canvas the policy responses to these reviews, concentrating on the State of Victoria. The paper analyses how consistent these evolving policy responses are with ICZM and suggests lessons for other jurisdictions arising from the Victorian experience.

Corporate intranet implementation : managing emergent technologies and organizational practices

This paper examines the adoption and development of intranets in large business organizations. The authors demonstrate that intranet technology introduces a host of new managerial and technical challenges and requires new approaches to IS development. Evidence from two European corporations indicates that the traditional division of labor and definition of work roles in IS development breaks down. The distinction between developers and users becomes increasingly blurred and new organizational roles and structures associated with intranets are emerging. However, ready-made organizational models for implementing and managing intranets do not exist and the two organizations in this study have followed two different approaches. One organization favors a “planned change” approach, emphasizing management control and careful planning. The other organization prefers an “improvisational” approach, emphasizing experimentation, innovation and local initiative.

Organisational change and the care of the self : stress management as ethical self-problematisation

In diverse arenas there is much discussion about the dangerousness of contemporary lifestyles, including the stressful nature of work. These stresses associated with contemporary lifestyles and work are dangerous in so far as they are conceived as placing at-risk the emotional, physical and psychic health and wellbeing of large populations. In this paper I engage with debates about the stressful nature of teachers’ work, and the ways in which teacher health and wellbeing is constructed as being central to the task of delivering more effective schools. I am not so much concerned with the nature of teacher stress as an indication of individual physical, emotional or psychic health and wellbeing. Rather I am more concerned with understanding how it is that at this particular historical juncture the self can be so widely conceived in terms of stress. Moreover, what processes make it possible at this moment to link the success or otherwise of a massive institutional process of state regulated schooling to the health and wellbeing of teachers and the management of this health and wellbeing by school managers?

Does the change of accounting regulation on employee share options give rise to greater scope for earnings management?

Purpose – The purpose of this paper is to address the concern about the impact of accounting regulatory change pertaining to employee share options (ESOs) on earnings management. Following Australia’s adoption of International Financial Reporting Standards (IFRS) in 2005, companies are required to recognise the fair value of ESOs as expenses. Due to inherent imprecision in the estimate of ESO’s fair value, the regulatory change from disclosure to recognition was widely claimed to potentially give rise to an alternative mechanism to manage earnings. This study provides empirical evidence on whether the regulatory change leads to earnings management problems.

Design/methodology/approach – This study uses the regulatory change in accounting for ESOs to provide a direct test of earnings management between disclosed versus recognised regimes for the same sample of firms. The sample consists of Australian firms from S&P/ASX300 for the period from 2003 to 2006.

Findings – The results show that, although the accounting regulatory change from disclosure to recognition may provide an alternative earnings management vehicle, there is no evidence of this occurring. There could be several reasons for this finding. First, the statistical tests lack power. Second, there are stricter audit tests on recognised amounts than on disclosed amounts. Third, given the concern of excessive pay and the close scrutiny of compensation, managers may have already understated ESO values in the disclosure regime. Finally, managers have limited time and resources and the effort involved in the adoption of IFRS in 2005 could have restricted the time available to manage earnings via the ESO reporting channel.

Originality/value – This study adds to the limited research on whether a change in accounting regulation for employee share options from disclosure to recognition gives rise to greater scope for earnings management. One reason for the lack of empirical evidence in the research is due to the problem of designing a test. Bernard and Schipper suggest that within-firm studies have limitations for comparing the effects of recognition versus disclosure when the change is driven by an estimate becoming more reliable. A cross-sectional study is also problematic due to self-selection bias if firms can choose between disclosure versus recognition. This study circumvents potential design problems raised by Bernard and Schipper by setting a test using regulatory change which allows the test to be compared directly using the same company.

Book review : Ethics and organizational practice : questioning the moral foundations of management

The arena of ethics and business is a colossus: thousands of books, multiple dedicated journals, de rigueur organizational ethics policies and CSR initiatives - most of which we can be fairly confident would receive poor reviews by the editors and authors of Ethics and organizational practice: Questioning the moral foundations of management. This edited collection is a self-identified ‘critical’ take on business ethics, one that according to the editors’ introduction wishes to ‘expose business ethics to its crises’ and ‘critically investigate(s) what ethics means’. The ‘critical’ which Muhr, Sørensen and Vallentin invoke is one that would be familiar to authors and readers of Critical Management Studies – that is, to use Fournier and Grey’s (2000) oft-referenced depiction, the study of management and organization that is non-performative with regards to managerialist concerns of efficiency and profitability, that seeks to denaturalize taken-for-granted legitimations, and the normalization of current organizational practices and ideologies, and one which demonstrates significant reflexivity with regard to the philosophies and methodologies it deploys. To the above, we may also add pluralism, and indeed some playfulness, with a wide diversity of conceptual, theoretical, historical and popular sources mined for their potential to help us reconsider the organizational present.