Bill Clinton Essay Example | Topics and Well Written Essays - 750 words

Bill Clinton - Essay Example ed States because the US enjoyed a relatively high prosperity during his term progressive laws such as State Children’s Health Insurance Program and agreements such as North American Free Trade Agreement or NAFTA. Because of these achievements, he ended his term with one of the highest approval rating of all times. His presidency however was tainted with a scandal involving an intern named Monika Lewinsky between the period 1998-99 that led to an impeachment trial initiated by the House of Representatives and later acquitted by the Senate (www.infoplease.com, nd). The started by the was filed by Paula Corbin Jones on May 6, 1994 in the United States District Court for the Eastern District of Arkansas when he allegedly made sexual advances to her when he was still a governor of Arkansas. Judge Susan Webber Wright however decided in favor of President Clinton on April 1, 1998 and a settlement was made on November 13, 1998 (infoplease.com, nd). The lawyers of Ms. Jones again presented witnesses to the lawyers of President Clinton to continue the allegations against the President’s pattern of deceit. It was alleged that Monika Lewinsky had sexual relationship with the President. Among the witnesses presented was Monika Lewinsky whose name was presented by Linda Tripp a confidant of Monika Lewinsky who was also a White House staff. Tapes of various conversations relating Monika Lewinsky’s contracts with the President was presented. Monika Lewinsky’s lawyers however issued a sworn statement on her behalf in which she asserted that she had never had a sexual relationship with the President. To quote the affidavit; I have never had a sexual relationship with the President, he did not propose that we have a sexual relationship, he did not offer me employment or other benefits in exchange for a sexual relationship, he did not deny me employment or other benefits for rejecting a sexual relationship (Rutgers University, 2014). For his part, President

Quality Data Collection Essay Example | Topics and Well Written Essays - 1250 words

Quality Data Collection - Essay Example Lack of proper data collection strategies results in wastage of hospital and patients resources since some results done are insignificant while others are annihilated. This paper focuses on data collection tools in emergency departments for blood culturing and the tools used in critical value reporting. The paper also elucidates on how the tools operate and compares how the tools operate. Improvement in data collection is vital for apposite analysis, diagnosis, treatment, and running of health amenities. Patience in the emergency department is often febrile and thus blood cultures are often obtained devoid of following the guidelines. However, most blood cultures ordered from the emergency departments are rarely utilized in management of the patient’s health. They thus end up being a source of unnecessary costs to the patients as well as the hospital. Another factor that declines the services of most community hospitals is excessive delays in defining and reporting of critical value results. Critical laboratory values have imperative significance on determining prompt treatment or actions that health provider ought to undertake. Most decisions and patient diagnosis depend on analysis of laboratory reports thus improvement in organization of laboratory services can improve on service provision. It is therefore vital to improve on timelines of reporting critical values (Tintinalli, et al, 2004). Blood Culture Contamination Rate in the Emergency Department Blood cultures are crucial in detecting conditions such as sepsis in the emergency departments. However, various researches show that most hospitals do not use blood culture results efficiently in clinical management of patients. The main problem in blood culturing is the inability to differentiate between contaminated cultures with true bacteraemia (Hall, & Lyman, 2006). To reduce errors and increase utilization of blood culture results, it is important to improve on tools used in monitoring performance information. It is recommendable that culture be collected only when clinically required. It is also important to use proper sampling techniques to prevent contamination. Tools used in blood culturing in the emergency department include culture bottle and needles. Enhanced collection of uncontaminated blood cultures is vital and can be done by proper disinfection of surfaces before drawing blood samples as well as using sterilized culture bottles. Use of surgical needles for blood sampling leads to contamination especially if proper sterilization is not done on the patients skin (Tintinalli, et al, 2004). Proper management of the data obtained after blood culturing is fundamental in improving the significance of the samples in management of emergencies. Another tool used to collect blood culture in the emergency department is automated blood culture technology that is capable of differentiating between positive and negative culture (Tintinalli, et al, 2004; Hall & Lyman, 2006). Crit ical Value Reporting Clinical value reporting provides mechanism for determining and reporting critical laboratory reports requiring urgent response. Critical values are determined differently by different hospitals with most choosing to use published values. Others make use of non-laboratory medical staff advice while others use inter-laboratory comparison, manufacturer proposals, or conduct internal studies to come up with their own