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Although it is widely acknowledged that health care delivery systems are complex adaptive systems, there are gaps in understanding the application of systems engineering approaches to systems analysis and redesign in the health care domain. Commonly employed methods, such as statistical analysis of risk factors and outcomes, are simply not adequate to robustly characterize all system requirements and facilitate reliable design of complex care delivery systems. This is especially apparent in institutional-level systems, such as patient safety programs that must mitigate the risk of infections and other complications that can occur in virtually any setting providing direct and indirect patient care. The case example presented here illustrates the application of various system engineering methods to identify requirements and intervention candidates for a critical patient safety problem known as failure to rescue. Detailed descriptions of the analysis methods and their application are presented along with specific analysis artifacts related to the failure to rescue case study. Given the prevalence of complex systems in health care, this practical and effective approach provides an important example of how systems engineering methods can effectively address the shortcomings in current health care analysis and design, where complex systems are increasingly prevalent.

The most significant event for the School has been the announcement of the creation of the National Centre for Management Research and Development. The Centre is due to open in 1986 and will provide research facilities for up to 20 major projects designed to improve the competitiveness of Canadian business practices.

Kathleen Blee's (1996, 1998, 2002) pioneering work on the white supremacist movement has demonstrated that the contemporary hate movement depends increasingly on women's participation. Oddly, given the import of this claim, few social movement scholars have explored its applicability to the militant factions of the new nativist movement. This chapter begins to address that gap through analysis of online discussion groups moderated by the Minuteman Civil Defense Corps (MCDC), one of the two major anti-immigration organizations that mobilize monthly civilian border patrol operations on the U.S.-Mexico border. Contrary to stereotypes that depict Minuteman activism as an exclusively male domain, this analysis demonstrates that Minutewomen have carved out a significant niche within the new nativist movement through online activism. This activism includes but is not limited to coordinating campaigns to boycott businesses rumored to employ or profit from the patronage of undocumented immigrants, oppose multicultural programs in local schools, and defend or depose elected officials according to their stance on immigration policy. These findings raise the ominous possibility that the relative anonymity afforded by technologies such as the Internet has extended the quasi-private sphere in ways that have opened new and highly gendered spaces for right-wing activism.

The purpose of this paper is to recover the narratives constructed by the disaster management policy network in Washington, DC, about the management of Hurricanes Katrina and Sandy. Recovering and analysing these narratives provides an opportunity to understand the stories constructed about these events and consider the implications of this framing for post-event learning and adaptation of government policy.

This research was conducted through an extended ethnographic study in Washington, DC, that incorporated field observation, qualitative interviews and desktop research.

The meta-narratives recovered through this research point to a collective tendency to fit the experiences of Hurricane Katrina and Sandy into a neatly constructed redemption arc. This narrative framing poses significant risk to policy learning and highlights the importance of exploring counter-narratives as part of the policy analysis process.

The narratives in this paper reflect the stories and beliefs of the participants interviewed. As such, it is inherently subjective and should not be generalised. Nonetheless, it is illustrative of how narrative framing can obscure important learnings from disasters.

The paper represents a valuable addition to the field of disaster management policy analysis. It extends the tools of narrative analysis and administrative ethnography into the disaster management policy domain and demonstrates how these techniques can be used to analyse complex historical events.

This chapter examines symphysiotomy in twentieth-century Ireland as one example of a systematized obstetric violence that has characterized Ireland’s modern history. Expanding scholarly interpretations of state- and Church-inflicted abuse of women in the twentieth century, this analysis establishes the medical profession as a central actor alongside the twentieth-century state-Church coalition that regulated women’s reproductive lives and engaged in systematic repression. This chapter recognizes that Ireland’s history of reproductive abuse and coercion did not just involve contraception or abortion but also labor and birth experiences. In addition, it offers a more complete and complex interpretation of obstetric violence by highlighting the experiences of married women with wanted pregnancies; almost all research to date focuses on the experiences of unmarried pregnant women or unwanted pregnancies. This examination of symphysiotomy and obstetric violence in Ireland illuminates the ways in which religious, national, and medical power has been mapped on women’s reproductive bodies, particularly in the decades after independence in 1922. It also makes essential links between Ireland’s past and present, demonstrating that a careful analysis of the history of obstetric violence and the religious underpinnings of it are essential in understanding Ireland today. With this research, we also place symphysiotomy within the context of the global reproductive justice movement, asking how a reproductive justice framework – one that links reproductive rights with social justice – can help us interpret obstetric violence and address the wounds of Ireland’s past.

Behavioral scientists have long sought to capture how individuals’ understandings, perceptions and beliefs affect their decisions, often through examining the underlying cognitive processes that drive action (Schendel & Hofer, 1979). Economists, for example, are interested in how individuals’ utility functions influence their actions. Marketing researchers investigate how consumers’ preferences are reflected in their purchase behaviors. Organization researchers examine individual characteristics that influence outcomes such as job satisfaction, promotion, and turnover (Aiman-Smith et al., 2002).