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Policymakers and program managers are continually seeking ways to improve accountability in achieving an entity's mission. A key factor in improving accountability in achieving an entity's mission is to implement an effective internal control system. An effective internal control system helps an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. As programs change and entities strive to improve operational processes and implement new technology, management continually evaluates its internal control system so that it is effective and updated when necessary. Section 3512 (c) and (d) of Title 31 of the United States Code (commonly known as the Federal Managers' Financial Integrity Act (FMFIA)) requires the Comptroller General to issue standards for internal control in the federal government.
A compendium of the most ridiculous examples of Congress's pork-barrel spending.
Climate change poses many challenges that affect society and the natural world. With these challenges, however, come opportunities to respond. By taking steps to adapt to and mitigate climate change, the risks to society and the impacts of continued climate change can be lessened. The National Climate Assessment, coordinated by the U.S. Global Change Research Program, is a mandated report intended to inform response decisions. Required to be developed every four years, these reports provide the most comprehensive and up-to-date evaluation of climate change impacts available for the United States, making them a unique and important climate change document. The draft Fourth National Climate Assessment (NCA4) report reviewed here addresses a wide range of topics of high importance to the United States and society more broadly, extending from human health and community well-being, to the built environment, to businesses and economies, to ecosystems and natural resources. This report evaluates the draft NCA4 to determine if it meets the requirements of the federal mandate, whether it provides accurate information grounded in the scientific literature, and whether it effectively communicates climate science, impacts, and responses for general audiences including the public, decision makers, and other stakeholders.
Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
First published for the fortieth anniversary of the March on Washington, this Library of America volume along with its companion chronicles over thirty tumultuous years in the struggle of African-Americans for freedom and equal rights. The first volume follows the rise of the modern civil rights movement from A. Philip Randolph’s defiant 1941 call for a protest march on Washington to the summer of 1963 and the eve of the march that finally shook the nation’s conscience. Ralph Ellison, Langston Hughes, Pauli Murray, and Bayard Rustin record the growing determination of African-Americans in the 1940s to oppose racial injustice; Murray Kempton and William Bradford Huie report on the lynching of Emmett Till; Ted Poston offers an inside look at the courage and resourcefulness of the Montgomery bus boycotters; Relman Morin in Little Rock and John Steinbeck in New Orleans witness the terrors of mob rage; David Halberstam and Louis Lomax describe the wildfire spread of the sit-in movement; James Baldwin investigates the Nation of Islam. Robert Penn Warren’s “Segregation,” a Southern moderate’s soul-searching interrogation of the traditions of his native region, is included in its entirety, as is Martin Luther King, Jr.’s classic defense of civil disobedience, “Letter from Birmingham Jail.” Remarkable but little-known reporters from the African-American press, among them James Hicks of the Amsterdam News, George Collins of the Baltimore Afro-American, L. O. Swingler of the Atlanta Daily World, and Trezzvant Anderson of the Pittsburgh Courier, are reprinted here for the first time, along with astonishing eyewitness accounts of movement activism by Fannie Lou Hamer, Tom Hayden, and Howard Zinn. Each volume contains a detailed chronology of events, biographical profiles and photographs of the journalists, explanatory notes, and an index. LIBRARY OF AMERICA is an independent nonprofit cultural organization founded in 1979 to preserve our nation’s literary heritage by publishing, and keeping permanently in print, America’s best and most significant writing. The Library of America series includes more than 300 volumes to date, authoritative editions that average 1,000 pages in length, feature cloth covers, sewn bindings, and ribbon markers, and are printed on premium acid-free paper that will last for centuries.