misconduct

不当行为
  • 文章类型: Journal Article
    2017年,美国SafeSport中心启动了第一个公共学科体育登记,列出了被指控对儿童和成年运动员进行有害行为的个人。我们的研究回顾了SafeSport体育登记处1,161个人的信息。在体育登记处的个人中,22%的人同时被列入性犯罪国家登记处。相对于仅在体育登记处列出的个人,两个登记册上的人有性行为不当指控和涉及儿童的指控的可能性分别是4.5和1.4倍,分别。在这两个登记册上,在出现在体育登记册上大约七年之前,有31%的人在国家登记册上。我们讨论了公共登记处是否以及如何代表预防犯罪的有效策略。
    In 2017, the U.S. Center for SafeSport launched the first public disciplinary sports registry listing individuals accused of engaging in harmful behavior against child and adult athletes. Our study reviews information from 1,161 individuals on SafeSport\'s sports registry. Of the individuals on the sports registry, 22% were concurrently listed on the national registry for sexual offenses. Relative to individuals listed only on the sports registry, those on both registries were 4.5 and 1.4 times more likely to have sexual misconduct allegations and allegations involving a child, respectively. Of those on both registries, 31% were on the national registry approximately seven years before appearing on the sports registry. We discuss whether and how public registries represent effective strategies for crime prevention.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    Chalfin和Kaplan通过一系列模拟分析来解决警察不当行为的问题,这些分析利用了芝加哥警察局投诉和使用武力的数据。他们得出结论,丧失行为能力的官员对不当行为的影响很小,鉴于政治限制,政策制定者可能更喜欢围绕问责制和管理进行更广泛的改革,而不是消除“坏苹果”。在这篇评论中,我们认为,这一结论及其政策含义的特点是“令人难以置信的确定性”,这是由选择性地关注其完整模拟结果的子集以及网络溢出效应不足以纳入其分析中所驱动的。
    与CK的结论相反,他们对丧失能力的“坏苹果”对不当行为的影响的首选估计完全在旨在减少警察投诉和使用武力的其他干预措施的范围内。一旦网络溢出被考虑在内,估计高达五倍。最后,我们讨论了即使是少量减少不当行为也能带来巨大的利益,以美元和人类痛苦来衡量,并争辩说,罢免问题官员是一种规范的利益,应该基于道德理由来追求。
    UNASSIGNED: Chalfin and Kaplan attend to the problem of police misconduct with a series of simulation analyses that leverage data on complaints and uses of force in the Chicago Police Department. They conclude that incapacitating officers has minimal effects on misconduct and that, given political constraints, policy makers may prefer broader reforms around accountability and management to removing \"bad apples\". In this comment, we argue that this conclusion and its policy implications are characterized by \"incredible certitude\" driven by a selective focus on a subset of their full simulation results and inadequate incorporation of network spillovers into their analysis.
    UNASSIGNED: Contrary to CK\'s conclusions, their preferred estimates of the effect of incapacitating \"bad apples\" on misconduct are squarely within the range of other interventions aimed at reducing police complaints and use of force. Once network spillovers are accounted for, estimates are up to five times as large. We conclude with a discussion of how even small reductions in misconduct can have outsized benefits as measured in both dollars and human suffering, and argue that the removal of problem officers is a normative good that should be pursued on moral grounds.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Letter
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    研究完整性遵循一套原则,以确保研究的可靠性,和严谨。它是维护社会对科学的信任和促进科学进步的支柱。然而,在过去的二十年里,研究诚信问题激增,包括欺诈性的研究,重复性挑战,和可疑的做法,提出了关于科学产出可靠性的关键问题,特别是在生物医学研究中。在生物医学科学中,研究完整性的任何破坏都可能导致影响患者护理的多米诺骨牌效应,医疗干预,以及更广泛的医疗政策的实施。解决这些违规行为需要严格的研究方法等措施,透明的报告,改变研究文化。通过明确的指导方针提供机构支持,健壮的训练,导师制度对于培养研究诚信文化至关重要。然而,结构和体制因素,包括研究激励和识别系统,在研究行为中发挥着重要作用。因此,促进研究诚信需要所有利益相关者的集体努力,以维持公众对科学界的信任并确保科学的可靠性。这里我们讨论一些定义和原则,对生物医学科学的影响,并提出可操作的步骤,以促进研究的完整性。
    Research integrity is guided by a set of principles to ensure research reliability and rigor. It serves as a pillar to uphold society\'s trust in science and foster scientific progress. However, over the past 2 decades, a surge in research integrity concerns, including fraudulent research, reproducibility challenges, and questionable practices, has raised critical questions about the reliability of scientific outputs, particularly in biomedical research. In the biomedical sciences, any breaches in research integrity could potentially lead to a domino effect impacting patient care, medical interventions, and the broader implementation of healthcare policies. Addressing these breaches requires measures such as rigorous research methods, transparent reporting, and changing the research culture. Institutional support through clear guidelines, robust training, and mentorship is crucial to fostering a culture of research integrity. However, structural and institutional factors, including research incentives and recognition systems, play an important role in research behavior. Therefore, promoting research integrity demands a collective effort from all stakeholders to maintain public trust in the scientific community and ensure the reliability of science. Here we discuss some definitions and principles, the implications for biomedical sciences, and propose actionable steps to foster research integrity.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    为了应对大流行,国防卫生局(DHA)将其TRICARE民用提供商网络扩展了30.1%。在2022年,DHA年度报告指出,TRICARE的提供商目录只有80%的准确性。与医疗保险不同,DHA没有公开披露国家提供者身份(NPI)号码。因此,TRICARE的960万受益人缺乏验证其医生证书的手段。自2013年以来,卫生与公共服务部(HHS)监察长办公室(OIG)已将17,706名医生和其他提供者排除在联邦健康计划之外,原因是账单欺诈。疏忽,与毒品有关的定罪,和其他罪行。这些提供商及其NPI包含在OIG的排除个人和实体列表(LEIE)中。从被排除的提供者那里接受护理的患者面临着更高的住院和死亡风险。
    我们试图评估TRICARE在其转诊网站上针对犯罪数据库筛选医疗保健提供者姓名的程度。
    在2023年1月1日至31日之间,我们使用TRICAREWest\的提供商目录搜索了798邮政编码5英里半径内的所有提供商(每个州38个,每人≥10,000名居民,随机输入)。然后,我们复制并粘贴所有目录结果\'名字和姓氏,企业名称,地址,电话号码,传真号码,学位类型,实践专业,并将活动或关闭状态转换为CSV文件。我们将搜索结果与美国和各州的医疗和刑事不当行为数据库进行了交叉引用,包括OIG-LEIE和总务管理局(GSA)SAM.gov排除名单,HHS民权健康保险流通和责任法案办公室(HIPAA)违规报告,15个可用的州医疗补助排除列表(州),国际贸易管理局的综合筛选清单(CSL),3食品和药物管理局(FDA)禁止名单,联邦调查局(FBI)1月6日的联邦被告名单,和OIG-HHS逃犯名单(FUG)。
    我们的提供商搜索产生了111,619个原始结果;54个邮政编码不包含任何数据。删除72,156(64.65%)个重复条目后,关闭办公室,和非TRICARE西部地区,我们确定了39,463个活动提供程序名称。在此基线样本组中,所有排除和制裁数据库总共有2398个(6.08%)匹配,包括OIG-LEIE上的2197,2311在GSA-SAM.gov名单上,2在HIPAA列表中,州医疗补助排除名单上有54人,69在CSL上,FDA名单上的3个,联邦调查局名单上有53名,和10在FUG上。
    TRICARE\的民用供应商名册值得执法部门进一步审查。遵循国家标准与技术研究所800,DHA可以减轻隐私,安全,通过实施内部威胁管理模型和安全清除威胁,大力执行《虚假索赔法》,和强制性安全风险评估。这些是作者的观点,不是国防部或美国政府。
    UNASSIGNED: To address the pandemic, the Defense Health Agency (DHA) expanded its TRICARE civilian provider network by 30.1%. In 2022, the DHA Annual Report stated that TRICARE\'s provider directories were only 80% accurate. Unlike Medicare, the DHA does not publicly reveal National Provider Identification (NPI) numbers. As a result, TRICARE\'s 9.6 million beneficiaries lack the means to verify their doctor\'s credentials. Since 2013, the Department of Health and Human Services\' (HHS) Office of Inspector General (OIG) has excluded 17,706 physicians and other providers from federal health programs due to billing fraud, neglect, drug-related convictions, and other offenses. These providers and their NPIs are included on the OIG\'s List of Excluded Individuals and Entities (LEIE). Patients who receive care from excluded providers face higher risks of hospitalization and mortality.
    UNASSIGNED: We sought to assess the extent to which TRICARE screens health care provider names on their referral website against criminal databases.
    UNASSIGNED: Between January 1-31, 2023, we used TRICARE West\'s provider directory to search for all providers within a 5-mile radius of 798 zip codes (38 per state, ≥10,000 residents each, randomly entered). We then copied and pasted all directory results\' first and last names, business names, addresses, phone numbers, fax numbers, degree types, practice specialties, and active or closed statuses into a CSV file. We cross-referenced the search results against US and state databases for medical and criminal misconduct, including the OIG-LEIE and General Services Administration\'s (GSA) SAM.gov exclusion lists, the HHS Office of Civil Rights Health Insurance Portability and Accountability Act (HIPAA) breach reports, 15 available state Medicaid exclusion lists (state), the International Trade Administration\'s Consolidated Screening List (CSL), 3 Food and Drug Administration (FDA) debarment lists, the Federal Bureau of Investigation\'s (FBI) list of January 6 federal defendants, and the OIG-HHS list of fugitives (FUG).
    UNASSIGNED: Our provider search yielded 111,619 raw results; 54 zip codes contained no data. After removing 72,156 (64.65%) duplicate entries, closed offices, and non-TRICARE West locations, we identified 39,463 active provider names. Within this baseline sample group, there were 2398 (6.08%) total matches against all exclusion and sanction databases, including 2197 on the OIG-LEIE, 2311 on the GSA-SAM.gov list, 2 on the HIPAA list, 54 on the state Medicaid exclusion lists, 69 on the CSL, 3 on the FDA lists, 53 on the FBI list, and 10 on the FUG.
    UNASSIGNED: TRICARE\'s civilian provider roster merits further scrutiny by law enforcement. Following the National Institute of Standards and Technology 800, the DHA can mitigate privacy, safety, and security clearance threats by implementing an insider threat management model, robust enforcement of the False Claims Act, and mandatory security risk assessments. These are the views of the author, not the Department of Defense or the US government.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    本文评估了对研究管理人员进行严格监管的理由,就像对研究人员进行监管一样。这种监管的原因是相同的:保护科学完整性,确保负责任地使用公共资金,解决受害者缺乏有效追索权的问题,对行为不端的演员造成负面后果,并解决不当行为的高诱因。尽管迫使我们规范研究管理人员的原因是显而易见的,对行政监督的反驳是基于以下建议:行政不当行为的发生率和发生率太低,以至于无法进行正式监管。我简要描述了从公开记录中得出的现象的例子。我的分析表明,研究管理人员的不当行为既严重又值得更好的监督。改善对研究管理的监督将有助于适当地管理税款,并增强科学记录的整体完整性以及更广泛地自由追求知识的整体完整性。
    This essay assesses the rationale for regulating research administrators as carefully as they regulate researchers. The reasons for such regulation are identical: protecting scientific integrity, ensuring responsible use of public funds, addressing the lack of effective recourse for victims, creating negative consequences for misbehaving actors, and addressing high incentives for misconduct. Whereas the reasons compelling us to regulate research administrators are obvious, counterarguments to administrative oversight are based on suggestions that the incidence and prevalence of cases of administrative misconduct are too low to warrant formal regulation. I briefly describe examples of the phenomenon drawn from publicly available records. My analysis suggests that the misconduct of research administrators is both serious and worthy of better oversight. Improved oversight of research administration will help steward tax dollars appropriately and enhance the overall integrity of the scientific record and of the free pursuit of knowledge more generally.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:专业不端行为已发展成为全世界关注的问题,涉及导致不安全做法的各种形式和类型的行为。这项研究旨在提供对药剂师不当行为特征模式的见解,并揭示导致新西兰此类情况的潜在因素。
    方法:本研究调查了自2004年以来新西兰卫生从业人员纪律法庭(HPDT)数据库中所有药剂师不当行为的案例。抽取抽样药师的特征和案例,然后对观察到的不当行为问题进行系统编码。通过内容分析技术识别风险因素,能够评估他们在各种形式的不当行为中的普遍性。
    结果:药剂师不当行为案例的数据集包括58个纪律记录,涉及55名药剂师。确定了七种不当行为,最常见的是与药物有关的质量和安全问题,药物和护理,以及刑事定罪。总共确定了13个风险因素,并系统地分为三类:(1)社会,监管,和外部环境因素,(2)系统,组织,和药房的实际考虑,(3)药师个体因素。最常被提及和影响深远的因素包括忙碌,繁重的工作量或分心;健康损害问题;生活压力或挑战。
    结论:药剂师不当行为的模式很复杂,多方面,并涉及风险因素之间复杂的相互作用。涉及个体药剂师的协作努力,专业机构,负责当局,决策者,药剂师工作量和福祉等关键领域的健康资助者和规划者预计将减少不当行为的发生。未来的研究应该寻求揭示起源,表现,通过与适当个体的实证研究,以及各种影响因素的潜在关系。
    BACKGROUND: Professional misconduct has evolved into a worldwide concern, involving various forms and types of behaviours that contribute to unsafe practices. This study aimed to provide insights into the patterns characterising pharmacist misconduct and uncover underlying factors contributing to such instances in New Zealand.
    METHODS: This research examined all cases of pharmacist misconduct sourced from the Health Practitioners Disciplinary Tribunal (HPDT) database in New Zealand since 2004. Characteristics of the sampled pharmacists and cases were extracted, followed by a systematic coding of the observed misconduct issues. Identification of risk factors was accomplished through content analysis techniques, enabling an assessment of their prevalence across various forms of misconduct.
    RESULTS: The dataset of pharmacist misconduct cases comprised 58 disciplinary records involving 55 pharmacists. Seven types of misconduct were identified, with the most commonly observed being quality and safety issues related to drug, medication and care, as well as criminal conviction. A total of 13 risk factors were identified and systematically classified into three categories: (1) social, regulatory, and external environmental factors, (2) systematic, organisational, and practical considerations in the pharmacy, and (3) pharmacist individual factors. The most frequently mentioned and far-reaching factors include busyness, heavy workload or distraction; health impairment issues; and life stress or challenges.
    CONCLUSIONS: The patterns of pharmacist misconduct are complicated, multifaceted, and involve complex interactions among risk factors. Collaborative efforts involving individual pharmacists, professional bodies, responsible authorities, policy-makers, health funders and planners in key areas such as pharmacist workload and well-being are expected to mitigate the occurrence of misconduct. Future research should seek to uncover the origins, manifestations, and underlying relationships of various contributing factors through empirical research with appropriate individuals.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Letter
    这封信涉及发表在诊断病理学杂志上的撤回论文,在未经我许可或知情的情况下,我的名字被滥用为作者或相应作者。考虑到所有不当行为都是由作者在最初的手稿提交时指导的,我在伊朗网络警察(FATA)立案,以揭露提交人的真实身份。在网络警察的报告揭示了提交人的真实身份之后,法院开始了彻底的调查,最终判定提交人通过创建和使用假电子邮件地址进行身份欺诈和数据伪造。
    This letter concerns retracted papers published in the Journal of Diagnostic Pathology, where my name was misused as the author or corresponding author without my permission or knowledge. Considering that all misconducts were directed by an author during initial manuscripts\' submissions, I opened a case in Iran\'s Cyber Police (FATA) to unravel the true identity of the submitting author. After Cyber Police\'s report revealed the true identity of the submitting author, the court started a thorough investigation and finally convicted the submitting author for identity fraud and data forgery through creating and using fake email addresses.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Review
    背景:识别风险并预测针对卫生从业人员的投诉和不当行为对于医疗保健监管机构实施早期干预措施和制定长期预防策略以改善专业实践并提高患者安全性至关重要。本范围审查旨在绘制有关针对卫生从业人员的投诉和不当行为的风险识别和预测的现有文献。
    方法:这项范围审查遵循了Arksey&O'Malley的五阶段方法框架。对MEDLINE进行了全面的文献检索,EMBASE和CINAHL数据库,并在同一天(2021年9月6日)完成。通过叙述分析方法,对符合资格标准的文章进行了制图和描述性分析。
    结果:最初的搜索产生了5473篇文章。在鉴定之后,筛选,和包容过程,81项符合条件的研究纳入数据图表。报告了三个关键主题:用于识别投诉和不当行为的风险因素和预测因素的方法,在符合条件的研究中综合已识别的风险因素和预测因素,以及针对卫生从业人员的投诉和不当行为开发的预测工具。
    结论:投诉和不当行为的风险识别和预测是受多种因素影响的复杂问题,表现出非线性模式和特定于环境的。需要进一步努力了解风险因素的特征和相互作用,开发系统的风险预测工具,并促进在监管环境中的应用。
    Identifying the risk and predicting complaints and misconduct against health practitioners are essential for healthcare regulators to implement early interventions and develop long-term prevention strategies to improve professional practice and enhance patient safety. This scoping review aims to map out existing literature on the risk identification and prediction of complaints and misconduct against health practitioners. This scoping review followed Arksey and O\'Malley\'s five-stage methodological framework. A comprehensive literature search was conducted on MEDLINE, EMBASE, and CINAHL databases and finished on the same day (6 September 2021). Articles meeting the eligibility criteria were charted and descriptively analysed through a narrative analysis method. The initial search generated 5473 articles. After the identification, screening, and inclusion process, 81 eligible studies were included for data charting. Three key themes were reported: methods used for identifying risk factors and predictors of the complaints and misconduct, synthesis of identified risk factors and predictors in eligible studies, and predictive tools developed for complaints and misconduct against health practitioners. The findings reveal that risk identification and prediction of complaints and misconduct are complex issues influenced by multiple factors, exhibiting non-linear patterns and being context specific. Further efforts are needed to understand the characteristics and interactions of risk factors, develop systematic risk prediction tools, and facilitate the application in the regulatory environment.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    近年来增加了对个人不当行为的责任,然而,经常,类似的罪行造成了不平等的后果。来自独特档案数据集(N=619;所有大学教师)和三个预先注册的实验(N=2,594)的发现表明,犯罪者的专业贡献的感知艺术与科学性质会影响所接受的专业惩罚。在研究1中,对大学四十年的性行为不端案件的分析表明,艺术系(与科学)领域平均受到更严重的专业后果。研究2通过实验证明了这一点,提供中介证据表明,道德脱钩艺术(与科学)有助于这一现象。研究3通过实验适度为这一机制提供了进一步的证据。最后,研究4表明,仅仅将个人的工作框架作为艺术与科学的结果来复制这些效果。对道德脱钩的几种潜在替代机制进行了测试,但未得到支持。讨论了实践和理论意义。
    Recent years have brought increased accountability for personal misconduct, yet often, unequal consequences have resulted from similar offenses. Findings from a unique archival data set (N = 619; all university faculty) and three preregistered experiments (N = 2,594) show that the perceived artistic-versus-scientific nature of the offender\'s professional contributions influences the professional punishment received. In Study 1, analysis of four decades of university sexual-misconduct cases reveals that faculty in artistic (vs. scientific) fields have on average received more severe professional consequences. Study 2 demonstrates this experimentally, offering mediational evidence that greater difficulty morally decoupling art (vs. science) contributes to the phenomenon. Study 3 provides further evidence for this mechanism through experimental moderation. Finally, Study 4 shows that merely framing an individual\'s work as artistic versus scientific results in replication of these effects. Several potential alternative mechanisms to moral decoupling are tested but not supported. Practical and theoretical implications are discussed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号