Towards a new financial architecture: the management of crises

Includes bibliography

The use of cusum analysis in the early detection and management of hospital bed occupancy crises

Objective: To assess the value of cusum analysis in hospital bed management. Design: Comparative analysis of medical patient flows, bed occupancy, and emergency department admission rates and access block over 2 years. Setting: Internal Medicine Services and Emergency Department in a teaching hospital. Interventions: Improvements in bed use and changes in the level of available beds. Main outcome measures: Average length of stay; percentage occupancy of available beds; number of patients waiting more than 8 hours for admission (access block); number of medical patients occupying beds in non-medical wards; and number of elective surgical admissions. Results: Cusum analysis provided a simple means of revealing important trends in patient flows that were not obvious in conventional time-series data. This prompted improvements in bed use that resulted in a decrease of 9500 occupied bed-days over a year. Unfortunately and unexpectedly, after some initial improvement, the levels of access block, medical ward congestion and elective surgical admissions all then deteriorated significantly. This was probably caused by excessive bed closures in response to the initial improvement in bed use. Conclusion: Cusum analysis is a useful technique for the early detection of significant changes in patient flows and bed use, and in determining the appropriate number of beds required for a given rate of patient flow.

Identity, forgiveness and power in the management of child sexual abuse by personnel in Christian Institutions

The ongoing crises of child sexual abuse by Christian institutions leaders across the Anglophone world continue to attract public attention and public inquiries. The pervasiveness of this issue lends credence to the argument that the prevailing ethos functioning within some Christian Institutions is one which exercises influence to repeatedly mismanage allegations of child sexual abuse by Church leaders. This work draws on semistructured interviews conducted with 15 Personnel in Christian Institutions (PICIs) in Australia who were identified as being pro-active in their approach to addressing child sexual abuse by PICIs. From these data, themes of power and forgiveness are explored through a Foucaultian conceptualising of pastoral power and ‘truth’ construction. Forgiveness is viewed as a discourse which can have the power effect of either silencing or empowering victim/survivors. The study concludes that individual PICIs’ understandings of the role ofpower in their praxis influences outcomes from the deployment of forgiveness.

Kis- és középvállalatok innovációs tevékenysége a válság idején – hálózatok szerepe (Innovation of small and medium-sized enterprises in times of crises – The role of networks)

A hálózati megközelítés alapján a vállalatok nem izoláltan működő szervezetek. A kis- és középvállalkozások számára a hálózatok, a partnerkapcsolatok jelentős támogatást képesek biztosítani a növekedés, a tanulás és az innovációs tevékenység során. A szerző a hálózati, partneri kapcsolatok szerepét a válság idején vizsgálta, kvalitatív kutatás keretében. A tanulmány fontos megállapítása, hogy nem kizárólag a hálózatban rejlő lehetőségek, hanem a korábban biztos partneri kapcsolatok megszűnése is indukálhat innovációt a válság idején, valamint a biztonság, a tartalék-erőforrások megléte esetén lassabb a piaci reagálás, kevésbé kerül előtérbe a változás, s főként az innovációs tevékenység ______ Based on the network perspective companies are not isolated organizations. Networks and partnerships mean a significant support for SMEs in growth, learning and innovation. The author examines the role of networks and partnerships during the crisis, in a qualitative research. An important result of the paper is that not only the opportunities in networks but also the decomposition of prior secure relationships can induce innovation during the crisis. Moreover in case of safety and slack resources the reaction is slower, change and innovation come to the front less.