By Celik B., Akpinar A., Ciftci S.
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Frank and often outrageous, this is often an account of a 40-something Englishwoman's epic 4,000 mile cycle trip from Seattle to Mexico, through the snow-covered Rockies, regularly on my own and camping out within the wild. She runs appalling hazards and copes in a gutsy, hilarious manner with exhaustion, climatic extremes, harmful animals, eccentrics, lechers, and a completely saddle-sore backside. We percentage her deep involvement with the West's pioneering previous, and with the tragic lines that history has left lingering at the land.
When she rides the pale trails of the vanished American Indian countries she monitors a robust sensitivity to the ambience of the staggering panorama, as though the moments of its bright previous are putting within the air, in basic terms awaiting her to conjure them up vividly—sometimes with humor, and often with ardour.
As she travels, the ghosts of Lewis and Clark, leader Joseph and Geronimo, Custer and loopy Horse—all the mythical figures of the previous West—ride together with her.
For readers of Jill Lepore, Joseph J. Ellis, and Tony Horwitz comes a full of life, thought-provoking highbrow background of the golden age of yankee utopianism—and the daring, innovative, and kooky visions for the longer term recommend by way of 5 of history’s so much influential utopian hobbies.
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Extra resources for 4-Transitivity and 6-figures in some Moufang-Klingenberg planes
Why does it matter whether healthcare organizations succeed in creating high levels of relational coordination among their care providers? 23 This page intentionally left blank Chapter 3 How Relational Coordination Drives Quality and Efﬁciency Performance A fundamental process improvement such as relational coordination enables organizations to improve both cost and quality outcomes, allowing simultaneous excellence along both dimensions. When relational coordination is improved, organizations can shift out the quality-efﬁciency frontier, thereby achieving higher performance on both dimensions.
As a result, there is more consistent communication with the patient and thus fewer chances for errors to occur, driving quality performance in a positive direction. Relational coordination also reduces the time spent carrying out redundant communication, searching for missing information, and waiting to hear from colleagues, allowing healthcare organizations to utilize all their resources more productively and driving efﬁciency performance in an upward direction. Let’s take a look at four very different studies that show how relational coordination matters for surgical performance, medical performance, long-term care performance, and—outside the healthcare context—airline performance.
AND LONG-TERM Y RELATIONAL COORDINATION 47 CARE PERFORMANCE In recent years, Susan Eaton and other scholars who advocate for the elderly have called for a renewed focus on quality of life in addition to clinical outcomes. 0000 † This exhibit is discussed in the "Notes for Exhibits" chapter beginning on page 315. cross-cutting work processes rather than around the functions in which employees work. Relational coordination is therefore potentially of great importance for achieving this resident-centered vision of elder care.