how do you recommend the preferred alternative to be implemented? what metrics would you put in place
Question:
how do you recommend the preferred alternative to be implemented?
what metrics would you put in place to determine how the plan is performing?
Consider a contingency plan ?
plan the implementation ?
The theories or frameworks that can be applied to the analysis of this case study are: 1. The Theory of Change - this theory focuses on the need to understand the underlying causes and drivers of change, and how they can be leveraged to bring about desired outcomes. 2. Systems Thinking - this framework focuses on understanding the interconnections between all elements of a system, and how changes in one part of the system affect the entire system. 3. Evidence-Based Medicine - this approach emphasizes the use of the best available evidence to make clinical decisions, and the importance of validating any new findings or practices before they are implemented. 4. Risk Management - this theory highlights the importance of identifying and mitigating risks, and developing strategies to manage and reduce potential risks. 5. Social Learning Theory - this framework focuses on how people learn in social contexts, and how they can be encouraged to adopt new practices. 6. Quality Improvement - this approach focuses on continuous improvement and the use of data-driven methods to identify and implement changes that lead to improved outcomes.
Explanation: The Theory of Change can be applied to the case study to understand the underlying causes of the resistance to Dr. Semmelweis' findings, and how they can be leveraged to bring about acceptance and implementation of the hand-washing protocols. The underlying cause of the resistance to his findings was the conflict with existing scientific theories and the implications that doctors were responsible for the deaths. To bring about change, Dr. Semmelweis had to address the underlying causes of the resistance and demonstrate how his findings were supported by evidence and how following the protocol would lead to improved outcomes. Systems Thinking can be used to understand the interconnections between the various elements of the system, such as the doctors, the healthcare facility, the patients, and the practices that were in place at the time. By understanding how changes in one part of the system affect the entire system, it is possible to identify the most effective strategies for implementing the new protocols. Evidence-Based Medicine is an important framework for this case study, as Dr. Semmelweis had to provide evidence to support his findings and prove that the protocols would be effective in reducing the deaths from puerperal fever. He had to collect data, analyze it, and provide evidence that his protocols were effective in reducing the mortality rate. This approach emphasizes the need to validate any new findings or practices before they are implemented. Risk Management is another important framework that can be applied to this case study. Dr. Semmelweis had to identify and mitigate the risks associated with implementing his protocols, such as the risk of resistance from the medical community or the risk of not being able to implement the protocols effectively. He had to develop strategies to manage and reduce these risks in order to ensure the successful implementation of the protocols. Social Learning Theory can be used to understand how people learn in social contexts and how they can be encouraged to adopt new practices. Dr. Semmelweis had to find ways to convince the medical community of the validity of his findings and encourage them to adopt the protocols. This could be done through the use of persuasive arguments, demonstrations, and other forms of communication. Finally, Quality Improvement is an important framework that can be applied to this case study. Dr. Semmelweis had to continuously improve his protocols and use data-driven methods to identify and implement changes that lead to improved outcomes. He had to collect data and analyze it to assess the effectiveness of the protocols and make changes as needed.
ALTERNATIVE SOLUTIONS TO THE PROBLEM
Based on the reasons of lack of scientific method that could have provided alternative measures to combating puerperal fever? Below are alternative measures that were also not considered after Dr Semmelweis had identified the problem, and obtained relevant information:
The reason for the overcrowding in the first clinic, which had no direct relationship between the number of admitted persons and mortality rates. The overcrowding was based on the fact that the first clinic was managed by doctors who were believed to be more equipped to handle the cases of women who need assistance. So, more women were admitted to the first clinic. This was a wrong assumption based on later development and related to what our course material on Decision Making called"Framing". Framing refers to the aspects of the presentation of information about a problem that are assumed by decision makers. However, the pregnant women have a different believe. It was reported that women begged to be released from the hospital again once they realized they have been admitted to the first hospital. Others chose to have a "Gassengeburt" altogether, which meant giving birth on the street before reporting to the hospital with their newborn, a practice which allowed women to still receive free benefit for their babies without the risk of being admitted to the first clinic.So, the decision to admit more women to the first clinic based on having more doctors alone agrees with our course outline on decision making on what Herbert Simon referred to as "Bounded Rationality". a decision strategy that relies on limited information and that reflects time constraints and political considerations that act as bounds to rationality. For the decision maker working under bounded rationality, all the alternative solutions and the probabilities of success are not known.
Statistics For Business And Economics
ISBN: 9780321826237
12th Edition
Authors: James T. McClave, P. George Benson, Terry T Sincich