this case study and question on it

Misr General Hospital has determined that its medication management
system is "broken". Costs are growing rapidly, doctors are complaining
that needed medicines are not available, while the pharmacy points
fingers at the internists saying that they use so many high price antibiotics
that they don't have the budget to buy other medications that are also
needed.
The recently instituted measurement of medication errors disclosed a
large number of them, a significant percentage of which has to do with
administration at the wrong time. Possibly related to the issue of
medication errors is the fact that post-hysterectomy infections have
increased greatly; the nurses in the operating suite claiming that patients
are not receiving their antibiotic prophylaxis properly. The quality
steering committee developed the following set of measure to determine
the extent of the problems and to help analyze their causes:
Internal Medicine:
Measure: The use of third generation cephalosporin as first line treatment
for the diagnosis of pneumonia.
Numerator: The number of patients over the age of eighteen who were
diagnosed on admission with pneumonia and received one of the
designated drugs within 24 hours of admission.
Denominator: All patients over the age of eighteen with the admission
diagnosis of pneumonia.
Frequency of measure: Monthly.

^{Obstetrics and Gynecology:}
Measure: Proper application of prophylactic antibiotics for abdominal
hysterectomy.
Numerator: All adult patients who received the first dose of antibiotics
within one hour of the start of the operative procedure of abdominal
hysterectomy.
Denominator: All adult patients who underwent the operation of
abdominal hysterectomy.
Frequency of measure: Every 3 months.

_{Nursing Service:}
Measure: Mis-timed administration of medications to patients.
Numerator: Medications administered within 30 minutes (plus or minus)
of the time ordered, or if the order is imprecise, such as 3 times a day,
within the time set by nursing policy.
Denominator: All medications ordered.
Frequency of measure: Sampling one day each week for each nursing
unit.

Pharmacy:
Measure: Frequency of medications ordered by physician not being
available for dispensing.
Numerator: Each instance of a medication ordered by a physician not
being in stock.
Denominator: None-measure is simple number.
Frequency: Monthly.

For each four measures, answer the following questions:
1. Do the numerator and denominator actually measure what is being
intended?
2. If not, why not?
3. Is the frequency of measurement appropriate?
4. If not appropriate, what is the proper frequency?
Do you have any other comment to make about any of the four measures?

QUESTIONS ABOUT MEDICATION ERRORS

A. If the prescription is wrongly written but the right dose is
administered at the right time, is it a medication error? If not, is it a
near miss?
B. If the order is wrongly transcribed, but the right dose is
administered at the right time, is it a medication error? If not, is it a
near miss?
C. If the order neglects to note that the patient is reported to be
allergic, is it a medication error? If not, is it a near miss?
D. If the order does not take drug-drug interactions into account, is it a
medication error? If not, is it a near miss?
E. If the prescription is correct, but the medication is administered to
the wrong patient, who does not suffer any ill effect, is it a
medication error? If not, is it a near miss?
F. If the patient's renal function necessitates a lower dose of
medication and this is not recognized, is it a medication error? If
not, is it a near miss?
G. If the usual adult dose is administered to an 85-year old patient
who suffers a well described dose-related adverse reaction, is it a
medication error? If not, is it a near miss?
H. A patient unexpectedly suffers a convulsion. He has received the
recommended dose of a drug that is contraindicated in the presence
of a seizure disorder, which he wasn't known to have. Was the
patient the victim of a medication error? If not, is it a near miss?
I. A diabetic patient has a renal arteriogram. Four days later, it is
noticed that her serum creatinine had increased three fold. She
received no medications known to cause kidney failure. Is it a
medication error? If not, is it a near miss?
J. A patient treated for pneumonia is found dead. He was last checked
three hours ago. The antibiotic he should have received two hours
ago was not given. Did he die as a result of a medication error?
K. If the answer to J is "no", was there a medication error? If not, is it
a near miss?

Siesta Manufacturing has asked you to evaluate a capital investment project. The project will require an initial investment of $88,000. The life of the investment is 7 years with a residual value of $4,000. If the project produces net annual cash inflows of $16,000, what is the accounting rate of return?

In what ways are the Payback Period and Accounting Rate of Return methods of capital budgeting alike?

ABC Company is adding a new product line that will require an investment of $1,500,000. The product line is estimated to generate cash inflows of $300,000 the first year, $250,000 the second year, and $200,000 each year thereafter for ten more years. What is the payback period?

Bonneville Manufacturing is considering an investment that would require an initial net investment of $650,000. The following annual revenues/expenses relate exclusively to the investment: Sales $350,000 -Variable expenses -$40,000 -Salaries expense -$28,000 -Rent expense -$20,000 -Depreciation expense -$40,000 Operating income $222,000 The investment will have a residual value of $50,000 at the end of its 15 year useful life. What is the payback period for this investment?

An annuity is best described as which of the following statements? A stream of interest payments on a principal amount invested, Another term used for future value, A stream of equal cash installments made at equal time intervals

Another term used for present value Concose Park Department is considering a new capital investment. The following information is available on the investment. The cost of the machine will be $330,000. The annual cost savings if the new machine is acquired will be $85,000. The machine will have a 5-year life, at which time the terminal disposal value is expected to be $32,000. Concose Park Department is assuming no tax consequences. If Concose Park Department has a required rate of return of 10%, what is the NPV of the project?

Norwood, Inc. is considering three different independent investment opportunities. The present value of future cash flows for each are as follows: Project A =$600,000, Project B = $550,000 & Project C = $500,000. The initial investment of each project is as follows: Project A =$320,000, Project B = $300,000 & Project C = $230,000. Use the Profitability index to determine what order should Norwood prioritize investment in the projects?

The discount rate that sets the present value of a project’s cash inflows equal to the present value of the project’s investment is called: NPV, ARR, IRR, payback period

Chris Tellson invested in a project with a payback period of 4 years. The project earns $30,000 cash each year for 8 years. Chris’s required minimum rate of return is 8%. How much did Chris initially invest?

The time value of money is considered in the following capital budgeting method(s)? Profitability Index. NPV, All answers given use the time value of $, IRR

Talk about the reasons the hotel company Marriott is expanding into markets globally. Describe the motivation for Marriott being a multinational company and talk about current economic implications such as costs, benefits, etc. for the United States of America and any host countries.

At least 200 words, please. Please complete as soon as possible. Thanks in advance!

As the project manager for a not-for-profit organization, you were notified that your proposal to improve the safety of the Lafayette Park in Los Angeles was approved. You and your team will receive funding for $50,000. Please prepare a positive letter informing your team members and outline the safety improvements you propose to be implemented.

Prepare this into a Positive Letter.

For each of the following types of businesses, name the processes that correspond to the traditional manufacturing functions of product design, process design, production scheduling, and production control. (processes involved in the following types of business)

a. Personal computer software developer (for example, Microsoft).

b. New car dealership

c. College or university.

d. Amusement park.

Think about industry‐disrupting companies such as Uber (disrupting the taxi industry) and Airbnb (disrupting the hotel industry). Research them if you don’t know much about them. What are the legal and ethical issues facing them? In what ways are they being responsible, irresponsible? How would you evaluate their corporate social responsibility?

a) Describe how each of the following can be achieved

i. controlling a DC motor with pulse width modulator.

ii.controlling a stepper motor that has a built-in controller.

Do you agree with the statement that “nothing great would ever be built if people knew in advance what the real costs and challenges were”? please faster

To what extent will built-to-change design principles apply to organizations in other industries with different environments? for example government organisation which are setup with traditional principles?