Clinical Decision Support System ( Cdss ) - 1863 Words

ABSTRACT Clinical decision support system (CDSS) is a technology application that assists clinicians at the point of care to make clinical decisions for patients with specific conditions. The healthcare is implementing many electronic tools that are aimed at improving health and health care delivery. It is designed to make clinical decisions about patient care. Today technology plays an important role in patient care. It involves a patient, a clinician and computer but most of the work is done by computer. CDS helps the clinician to make decisions. While interacting with the patient the clinician can focus more on entering information on hearing to the patient and considering the information said by the patient. Implementing CDS can effect clinician-patient communication. CDS can help clinician by providing clinical guidelines, reminders, of recommended care, prescribing and diagnostic support. In practice this software can lead to confusion and lack of communication. This technology helps with continuity of care. The aim was to compare the design and implementation of CDSS to compare diagnostic accuracy before and after its implementation in patient care. INTRODUCTION: Clinical decision support is a combination of person-specific information and knowledge that is provided to the staff, patients, and clinicians which helps to enhance health care and health. In early 1960s efforts began in health care to automate its aspects but the use of computers and informationShow MoreRelatedClinical Decision Support Systems ( Cdss )880 Words   |  4 PagesClinical Decision Support Systems (CDSS) can be described as information systems to improve the decision making ability of people interacting with it(Nià ¨s et al., 2010). Hospitals with integrated Health Information Systems (HIS) are encouraged to utilize CDSS(Jonathan Teich, Saldana, Levick, 2012). Multiple fragments such as Electronic Health Record(EHR), laboratory information system, Computerized Physician Order Entry (CPOE), radiology information system and pharmacy information system combineRead MoreClinical Decision Support Systems ( Cdss )1985 Words   |  8 PagesClinical Decision Support System s (CDSS) can be described as information systems to improve the decision making ability of people interacting with it (Nià ¨s, Colombet et al. 2010). Hospitals with integrated Health Information Systems (HIS) are encouraged to utilize CDSS (Jonathan Teich 2012). Multiple fragments such as Electronic Health Record (EHR), laboratory information system, Computerized Physician Order Entry (CPOE), radiology information system and pharmacy information system combine togetherRead MoreClinical Decision Support System ( Cdss ) Essay850 Words   |  4 PagesBackground Information Clinical decision support system (CDSS) is gaining increased recognition in healthcare organizations. This is due to an increasing recognition that a stronger CDSS is crucial to achieve a high quality of patients care and safety1,2. CDSS is a class of computerized information system that supports decision-making activities2. It uses patient data to provide tailored patient assessments and evidence-based treatment recommendations for healthcare providers to consider2,3†. PatientRead MoreClinical Decision Support Systems ( Cdss )1781 Words   |  8 PagesSince the 1970s, Clinical decision support systems (CDSS) have been implemented, tested and evaluated in different health environments. From ‘De Dombal’s system for acute abdominal pain’ to ‘’IBM Watson Health’’, this health information technology has been a key for the perfection and improvement of health care systems around the world. In a perfect world, Clinical decision support systems seem to be the answer to human errors made by physicians and improvement of quality of care for patients. ButRead MoreClinical Decision Support Systems ( Cdss )910 Words   |  4 Pagesbeen a growing interest in the application of clinical decision-support systems (CDSS) in the prevention and control of ischemic heart disease (IHD); this is due to an increasing recognition that stronger CDSS are crucial to achieve a high quality care with attendance lower morbidity and mortality.1 CDSS is defined as â€Å"computer-based information systems designed to assist health care providers in implementing clinical guidelines at the point of care. CDSS use patient data to provide tailored patientRead MoreEvaluation of Clinical Decision Support System for Heart Failure1215 Words   |  5 PagesColvin-Adams, 2014). In HF the heart lacks the ability to push oxygenated blood throughout the cardiovascular system. This disorder prevents vital organs from getting the oxygen needed in ord er to perform their duties as well. The disorder must be managed and maintained since HF is a disorder that not only affects the heart but respiratory system, endocrine system, digestive system and all other system (Chiarugi, Colantonio, Emmanouilidou, Martinelli, Moroni, Salvetti, 2010). Heart failure is a seriousRead MoreClinical Decision Support : Effectiveness Of Clinical Decision Support Systems807 Words   |  4 PagesMurphy, E. (2014, 6 6). Clinical Decision Support: Effectiveness in Improving Quality Processes and Clinical Outcomes and Factors That May Influence Success. Retrieved 10 6, 2017, from www.ncbi.nlm.nih.gov: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031792/ In this article, the author evaluates the effectiveness of integrating Clinical Decision Support Systems (CDSS) in to the electronic health record (EHR) systems. The author defines CDSS as software that is used to assist providers by supplyingRead MoreGuidelines For Policymaking, Regulations And Strategies, Clinical Decision Support1421 Words   |  6 PagesFor policymaking, regulations and strategies, clinical decision support (CDS) provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care. CDS encompasses a variety of tools to enhance decision-making in the clinical workflow. These tools include computerized alerts and reminders to care providers and patients; clinical guidelines; condition-specific order sets; focusedRead MoreHealth Information Technology For Economic And Clinical Health784 Words   |  4 PagesList at least five of the ways you see physicians employing meaningful use in their practices The Health Information Technology for Economic and Clinical Health (HITECH) Act is part of the American Reinvestment Recovery Act (ARRA) signed into law by President Obama on February 17, 2009. The HITECT Act introduced the concept of ‘meaningful use’ which incentivized the adoption of electronic health records (EHR) for the overall improvement of healthcare. This act authorized payments to qualifiedRead MoreFramework For Clinical Decision Support Systems With Considering The Distributed Electronic Health Records And Centralized Knowledge Engines2088 Words   |  9 Pagestual Framework for clinical Decision Support Systems with Considering the Distributed Electronic Health Records and Centralized Knowledge Engines Hassan Ghaedi1,*, Hassan SHakeri2, Elham Gholami3, Alireza Chamkoori4 1,4Department Of computer, Khormuj Branch, Islamic Azad University, Khormuj, Iran *Hassan.ghaedi@yahoo.com chamkoori_alireza@yahoo.co.uk 3Department Of computer, Shirvan Branch, Islamic Azad University, Shirvan, Iran Gholami.elh@gmail.com 2Department Of computer, Mashhad Branch, Islamic

The Application of Ethics in Progressive Taxation - Free Essay Example

Sample details Pages: 7 Words: 2219 Downloads: 9 Date added: 2017/06/26 Category Economics Essay Type Argumentative essay Tags: Taxation Essay Did you like this example? The Application of Ethics in Progressive Taxation For many centuries, societies have always judged individuals based on their social class. This social structure permits the society to place an individual or a group in a certain social class based on their economic status. The four social classes include; the upper class, the middle class, the working class, and lastly the poverty class. (Business Dictionary, Social Class) With income, comes tax that is given to the government based on the income earned annually. This leads us to questioning whether it is morally justifiable to tax wealthier individuals and families heavier while taxing the lower income individuals and families at a lower tax bracket. This process of taxation is considered to be â€Å"progressive taxation†. (Investopedia, Progressive Taxation) Progressive taxation is approved by some whereas it is criticized by others. This research paper will reflect upon these two perspectives and also reflect whether taxation aimed at redistributing wealth is morally reasonable. According to John K Roth’s definition of deontological theory in â€Å"Ethics†, he defines deontology to be the determination of whether an action is ethical or unethical according to its intention rather than the consequence of the action. Consequentialism is the determination of whether an action is ethically correct or incorrect through analyzing the consequence of the action rather than the intention. (Roth 315-316, 367-369) During this research paper, Roth’s ethical theories of consequentialism and deontology will be used in order to distinguish whether progressive taxation and the use of taxation to redistribute wealth can be identified as morally or unethically correct. According to the article â€Å"Understanding Attitudes toward Progressive Taxation†, it is believed that the progressive rate structure is one of the most desirable forms of taxation upon many phil osophers, economists, and tax policymakers. Those that believe in progressive taxation have the notion that the higher-income taxpayers should be liable to higher taxes than those of lower income. (Michael, Peggy, Cassie 166,168) According to â€Å"Progressive Taxes† by Joel B. Slemrod, in a progressive taxation scheme; â€Å"one’s tax structure is more progressive than another if its average tax rate rises more rapidly with income.† (Selmrod) According to the deontological theory, the intention of this progressive tax structure is to tax every individual or family according to their income and so it betters the life of many people within the society. The consequence of the tax policy will allow all individuals within the society to live their lives according to their needs. Wealthy individuals will still have enough income to live better than those of lower social classes, making it morally ethical because it’s consequences according to the consequential ist theory is saving many lives from poverty. An experiment was done on four-hundred and sixty underground students that were taking nine introductory courses and two additional tax classes at two large university institutions in different regions in the United States. The students were given different scenarios to each of the tax policies that are used to tax citizens in the United States and this included; regressive, flat, and lastly progressive taxation. (Michael, Peggy, Cassie 169-171) Regressive taxation is the contrary to progressive taxation, in which taxes the lower income people more than the wealthier individuals. (Investopedia, Regressive Tax) Flat tax is the application of the same tax rate among all social classes. (Investopedia, Flat Tax) The results of the experiment concluded that the students preferred progressive taxation over the other two forms of tax policies. Progressive taxation had the higher percentage compared to both flat and regressive taxes. Seventy- nine percent preferred progressive tax rates over flat, whereas seventy-six percent preferred progressive tax rates over regressive. (Michael, Peggy, Cassie 171) This demonstrates that among those that do have a basic knowledge of tax, they believe that progressive taxation is the fairest and the most ethical way of bringing among equality in the society. Those that support progressive taxation believe â€Å"that taxes should be assessed proportionally to income, and that upper-income taxpayers are avoiding paying a proportionate tax and therefore higher taxes on upper-income persons are needed.† (Michael, Peggy, Cassie 185-186) The upper-income taxpayers are avoiding paying their proportion of tax to the government and which leads to a negative intention of not willing to help the society as much. This can be viewed as unethical because deontologists would want the wealthy social classes to be contributing more to help the society attain happiness among the greatest numbe r of people according to Roth’s term of utilitarianism. (Roth 1531) The consequence of unwilling to pay their proportion of tax will lead the society to not progress as much as if they did pay their proportion of tax according to the progressive tax structure, and therefore making it unethical for those wealthy individuals to avoid paying their proportion of tax. Progressive taxation helps the government apply â€Å"Income redistribution† to better the society. Income redistribution is the series of actions which takes income from some individuals within the society and redistributes it to others. By collecting taxes, fees, subsidies and granted social benefits, it permits the government to enact this social benefit of income redistribution. Governments also collect taxes, to finance state institutions which benefit in the help to better facilitate the social and economic life of communities. Progressive taxation helps in the cause of Income Redistribution by taking more from the higher income people to help those individuals and families that are under poverty through allowances, subsidies, public goods and services. The practice of taxing the higher income individuals and families based on their expenses like luxury goods, help the means of redistributing income among the society to adjust the inequality among the individuals in the society. (Radu 228-229) According to deontology, the intention of income redistribution is to bring an equalitarian society by reducing the gap in income between the rich and the poor people. This transfer of income is looking to solve the social class inequality and therefore making it ethical. The consequence of income distribution reduces social tensions and creates equalitarian communities that are more united. It is also allowing the government to help those in economical need through cash transfers, food tickets, and social housing. (Radu, 229-232) This action according to consequentialist is ethical becaus e its consequences are bettering the lives of those that are living in poor conditions and allowing them to live a standard life rather than a harsh one. While some believe that progressive tax structure is morally ethical, there are others that do not believe this tax policy is best for the society. They believe progressive taxation is politically irresponsible because it allows majority of the federal income tax to be contributed by the top one percent of taxpayers in America that amounts to thirty-eight percent of federal income tax, whereas the bottom fifty percent of taxpayers pay a way lower portion of only two point seven percent of income taxes. According to deontologists, progressive taxation would be seen as unethical because the intention of the bottom fifty percent of taxpayers is to act selfishly and depend upon the wealthiest of the society to pay a major portion of federal income tax while only two point seven percent of incomes taxes are paid by them. It is estima ted that forty six point nine percent of workers did not contribute and pay the federal income tax during 2009. This results to a minority of taxpayers that are affected with the increase in tax rate and leads the majority of taxpayers to act rather selfishly and depend upon only the top wealthy people to pay their personal federal income taxes to bring change to the society. This political irresponsibility within this taxing policy, leads to an unjust treatment upon the wealthy people. (Hagopian 23) The consequence according to the consequentialist theory would also be unethical, because the consequence of forty six point nine percent of workers not paying their federal income taxes would lead to inequity among the minority because major portion of the income taxes is being provided by them. The second argument against progressive taxation is the fomenting dissension. In the United States system of government and all of Western nations, the issue and tension between the politica l system and the economic system exists. This tension among both political and economic sphere, leads to the act of disputing over welfare and tax policies. (Hagopian 24) The act of disputing over the welfare and tax policies can be viewed as ethical according to deontology, because the intention is to reduce the built-up pressure among the political and economic system in order to bring positive change. Those whom agree with income redistribution hold the fact that inequality stirs up disagreement and strife. Whereas those against progressive taxation, believe that dissension is still present when progressive tax laws are unfair towards those people whom are being taxed. Therefore, a progressive tax structure will lead to people revolting because of the inequity-based principle that is present in the tax policy according to those against it. (Hagopian 24) According to the consequentialist theory, the act of disputing against the progressive tax structure can be seen as ethical, bec ause it can lead to change within the system like resolving the issue of having more people pay their income taxes rather than having the wealthy social class contribute to mostly all the federal income tax. Acknowledging both sides of the argument towards progressive taxation, I believe that this form of taxation can be both morally ethical and unethical according to deontological and consequentialist theory by Roth, and which makes this taxing structure flawed. This can allow us to create a new doctrine of fairness that can be morally justifiable according to both consequentialists and deontologists. This doctrine is constructed on five basic principles. The first principle includes how the most equitable form of tax system is one that bases its policy on the value of benefits received. (Hagopian 24) According to deontologists, this principle is ethical because the intention to pay taxes to the government is to receive valuable benefits in return that benefit the greatest nu mber of people and brings happiness according to the utilitarianism theory. This policy will lead the government to base this principle on the benefits they provide to the society. The consequence therefore will be positive because the government will try to maximize the benefits they offer to the citizens from the tax they collect from the people. This makes this principle ethical in both terms. The second principle includes how income is perceived to be the â€Å"most equitable measure of the value of benefits† and also the ultimate well-being of an individual. Therefore, taxes should be taken proportionally to the benefits received in return from the government. (Hagopian 24) Based on the deontology theory, the intention of this principle is to bring equality among the society by having the government provide equal benefits from those taxes collected proportionally from each individual, and thus making it ethical. The consequences of the principle will allow each indivi dual to have a good sum of their income for daily living expenses due to the advantage of proportional taxing and can also advantage in the governmental benefits that is provided from the tax collected. This principle rejects the notion of per-capita tax system and applies a tax system of proportion instead. (Hagopian 24-25) The third principle of this doctrine is implying that only â€Å"clear income† should be taxed. By clear income, it means that those under the poverty level are not required to pay taxes because their below the level of subsistence and therefore they could barely pay their living expenses. Whereas those that are above the level of subsistence should pay taxes because they are more than capable in living their lives with adequate surplus of income after all their daily living expenses. (Hagopian 25) Deontologists would believe that this principle is morally justifiable because the intention of this principle is to bring an equalitarian society and help those that are incapable to live by not having them pay taxes. Those that are beyond the level of subsistence should pay their taxes to permit the government to have some form of financing to help the society as a whole. The consequence of this principle is moral because it allows a greater number of people to live a fair life with an adequate sum of income. The fourth principle is how progressive taxation on income is inequitable when it comes to work effort. In an equal playing field, those that have a high-value aptitude generally make more income than those of low-value aptitude. Among each tier of aptitude, includes a â€Å"mini-society† that differentiates income only through the work-effort they put in to making money. Hence, an individual that puts a work effort above the median in his/her tier aptitude will make more than someone that puts a work effort below the median. Although the individual whom is implementing more work effort is making more money, he/she mus t pay more taxes than the person who puts less work effort in the tier of aptitude based on the progressive tax structure. This unfair system according to consequentialist will lead to a great number of people of making less after-tax income per hour than someone else in their tier of aptitude because they worked harder to earn more income. Progressive taxation in this sense is seen as unethical because of its inequity. Don’t waste time! Our writers will create an original "The Application of Ethics in Progressive Taxation" essay for you Create order

The Rhetorical Analysis Example Stories

The Rhetorical Analysis Example Stories Rhetorical Analysis Example Therefore, if you require assistance with analysis paper, rhetorical analysis essay service you want to employ. It's still true that you have to read some helpful information on the best way to compose a rhetorical analysis essay. When you're working on an analysis essay, you must make it like an answer to the fragment. Now you know how to define rhetorical analysis essays, you need to learn how to draft one. Rhetorical analysis is a kind of writing whenever the author approaches the topic very thoroughly and proves his opinion utilizing persuasive and productive approaches. When writing a rhetorical analysis essay you're using rhetorical devices to demonstrate the. Writing a case of rhetorical analysis isn't your worst nightmare any longer! Writing a rhetorical analysis outline template may look like an intimidating task. Although the rhetorical analysis paper might appear a formidable job, anyone equipp ed with the suitable knowledge and skills can handle it. As soon as you understand what is needed from you, you are going to be limited in your task, and thus won't lose yourself in the immense number of ideas you need to cover in the essay, and at the exact same time will know just what to write about. The purpose of departure for rhetorical analysis is the realization that folks are moved and persuaded in a wide range of means. To pass the class, you should scrutinize the subject and know about the rhetorical ways. From different communication settings, it is easy to analyze the speech or writing and develop a fantastic rhetorical paper. You have to reveal the end result of the author's speech and its impact. A rhetorical analysis essay would ask you to analyze portions of the speech. The bright instance of ethos is a scenario once the author refers to his education by discussing issues from precisely the same field. At exactly the same time, the rhetorical analysis revea ls the complete degree to which the text is valuable to the narrator for a type of self-expression and the ability to understand herself. Rhetorical questions are likewise a terrible selection for a very first sentence. For example, you can use direct quotation or paraphrase. After stating the quote you decide on, you will need to analyze it, in-depth. When you compose the rhetorical analysis essay, keep in mind that its principal objective is to explain the effect of every system that was used by the author. Accordingly, in any rhetorical analysis example, people must use just a thesis statement to be coherent within the field. What You Should Do to Find Out About Rhetorical Analysis Example Before You're Left Behind Introduction The introduction, that is the very first paragraph, ought to be brief and right to the point the paragraphs within the body are the ones which should provide your detailed analysis. Adhering to the correct structuring is the most dependable process of satisfying the professor's requests, so utilizing the 5-6 paragraph style is your best choice. Therefore, it's recommended you review an appropriate example initially and then cover the text's rhetorical moves. Deciding upon an excellent example will let you master peculiarities of an outline, persuasive procedures, and a winning sequence of supplying arguments. Writing a rhetorical analysis includes the use of appeals to produce the point clear to the audience. The very first line of a rhetorical essay ought to be a hook. It is likewise very beneficial to select a notable bit of writing which doesn't need to be introduced to the audience. A great instance of such works is speeches before the audience that aim to get a potent effect on the listener. Among the essays is called a rhetorical analysis essay. Since you may see the rhetorical analysis essay is not a simple job. For a number of them, a rhetorical analysis essay has become the most confusing portion of the as signment. A stellar rhetorical evaluation essay is a true challenge, therefore it is preferable to learn all potential methods of writing it thanks to our effective tips. Each paragraph within the body requires its own topic sentence and lots of examples with thorough explanations to generate your analysis cohesive. You have to have an argument. Any bit of rhetorical analysis generally contains strong arguments made from strong adjectives and descriptive adverbs. Any illustration of rhetorical analysis consists of strong arguments made from powerful descriptive adverbs and adjectives. New Questions About Rhetorical Analysis Example Now, when you know everything about an analytical essay, it is the correct time to find familiarized with a couple examples and to see what's good and what's bad about every one of them! For you to think of a fantastic rhetorical paper that's appealing to the reader, you've got to understand what is expected of you in the essay. Nerdymates, the most dependable essay writing service on the internet, provides a chance to become guaranteed great essay. See the way the example critically highlights the major topic of the poem. For instance, your assignment is to analyze some renowned film. Start with a thoroughly reading the prompt to understand what sort of analysis is needed. In the end, however, analysis of film isn't too different. As previously mentioned, the comparative analysis is a little tricky when it regards its main concept. Summarizing the plot and just listing the rhetoric devices are not going to get you anywhere. Understanding how to compose examples of rhetorical analysis topics all on your own and make choices on the best ones are always able to produce the work of writing such papers quite uncomplicated and enjoyable. The examples provided here are intentionally diverse so they supply you with an assortment of significant points. The Lost Secret of Rhetorical Analysis Example A comparative analy sis is among the most well-known kinds of assignments that are often given in colleges or universities. This kind of outline is likely to make your rhetorical analysis brilliant and you won't ever miss a single detail out. The target of a rhetorical analysis is to take into account the. The main purpose of your rhetorical analysis needs to be to learn more about the goals, techniques, examples and the effectiveness in a sheet of writing.

Shylock meets Mussolini Essay Example For Students

Shylock meets Mussolini Essay Stenciled on a Venetian building are a pair of faces one black, one white. A sword slices between the heads. La Difesa de la Razza (The Defense of the Race) reads the terse legend. Welcome to 1937 Italy, the apex of Mussolinis power and the setting for the California Shakespeare Festivals season-opening production of The Merchant of Venice, running through Aug. 20. Although the Holocaust is never directly referred to, the audience is well aware of both the imminent passage of Il Duces virulent anti-Jewish laws and the eventual Nazi-inspired campaign of genocide. You cant help but approach this play without considering anti-Semitism in the 20th century, director Michael Addison declares. As a directory you hope you create a millieu that is expansive enough to let us reach back into our own cultural history. Now in his sixth season as the theatres artistic director, Addison interprets The Merchant of Venice as a multi-dimensional clash between tradition and modernity, the past and the future. The lovers, Portia and Bassanio, are juxtaposed with the established order that arbitrates the disposition of Shylock and Antonios sloan. The staid rituals of Belmont, meanwhile, contrast with the libidinous parties of Venice. It is a theme repeated throughout Shakespeares comedies, Addison asserts, namely how humankind manages to find a balance between youthful energies that want to spend themselves freely and uninhibitedly and the impulse of older people to husband resources. The notion of social upheaval has a visceral effect when transposed to the rupture of Italian society and the world in the late 1930s. The theft of Shylocks daughter and jewels evokes more than age-old anti-Semitism; in this context, the Jews merciless yet entirely legal efforts to extract his pound of flesh from his debtor (who once spat on him in public) can be readily understood. In a flash, Shylock is transformed from an anti-Semitic caricature of a greedy Jew into a man whose life and family are threatened with destruction. Last seasons Oregon Shakespeare Festival production of Merchant was prominently criticized by an Orthodox Jewish educator, but Addison does not anticipate the slightest controversy over his portrayal of Shylock in this staging. There may be some in the Jewish community who think the play reinforces stereotypes, he acknowledges, no matter how human you make Shylock and no matter how much cause you give to his atavistic behavior. Citing Shylocks love and concern for his daughter, his erudition, wit and sense of humor, Addison contends that Shylock is a well-rounded character, radically different from other villains of the period. It isnt until his daughter is stolen that he becomes monomaniacal. Whether Shakespeare was an anti-Semite or wrote a play to lead people away from anti-Semitism is an open question. The director never forgets that Merchant is one of the Bards comedies, although he maintains that the comic action doesnt mean anything unless its severely threatened. In finding the balance between light and darkness, Addison recognizes that the plays contrasting moods are one of its assets. I hope the comedy will be strengthened by having a social reality to operate within, he declares. Any play that deals in a significant way with racism and social dissolution is appropriate now.