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The primary purpose of this study is to determine if the implementation of an actionable findings communication system (PeerVue) with explicitly defined criteria for the classification of critical results, leads to an increase in the number of actionable findings reported by radiologists. Secondary goals are to 1) analyze the adoption rate of PeerVue and 2) assess the accuracy of the classification of actionable findings within this system. Over a two-year period, 890,204 radiology reports were analyzed retrospectively in order to identify the number of actionable findings communicated before (Year 1) and after the implementation of PeerVue (Year 2) at a tertiary care academic medical center. A sub-sample of 145 actionable findings over a two-month period in Year 2 was further analyzed to assess the degree of concordance with our reporting policy. Before PeerVue, 4623/423,070 (1.09%) of radiology reports contained an actionable finding. After its implementation, this number increased to 6825/467,134 (1.46%) (p < 0.0001). PeerVue was used in 3886/6825 (56.9%) cases with actionable findings. The remaining 2939/6825 (43.1%) were reported using the legacy tagging system. From the sub-sample taken from PeerVue, 104/145 (71.7%) were consistent with the updated reporting policy. A software program (PeerVue) utilized for the communication of actionable findings contributed to a 34% (p < 0.0001) increase in the reporting rate of actionable findings. A sub-analysis within the new system indicated a 56.9% adoption rate and a 71.7% accuracy rate in reporting of actionable findings.

iThis book highlights the interconnectedness of integrity with philosophical history, leadership, managerial decision making, and organizational effectiveness in a wide variety of contexts (e.g., time theft in organizations or integrity in family business). Well-known researchers in business ethics from all around the world reframe the literature on integrity in business and management and develop updated and more comprehensive models of integrity. Integrity in Business and Management not only connects integrity to both ancient thought and the modern philosophy of pragmatism but also explains how contemporary societal trends may shape the way we think about integrity. The final chapter warns against oversocialized conceptualizations of integrity and argues for a clear differentiation between personal integrity and moral integrity. Aimed at researchers and academics in the fields of business ethics and organizational leadership, Integrity in Business and Management explicates and critiques prior models of managerial integrity in a wide variety of disciplines, covering economics, moral philosophy, business ethics, organizational behavior, sociology, history, and psychology and offers a helpful set of readings in advanced undergraduate and postgraduate courses of business ethics, corporate governance, corporate social responsibility, and leadership to stimulate discussions about personal integrity, moral integrity, and organizational leadership.

In the postwar world, images became the weapons of choice in many labor struggles. This study examines the way in which photographs and other images of coal miners have been enlisted as strategic weapons in a variety of organizational and political struggles between 1933 and 1947. The study is divided into two parts. The first half examines the use of photographs and editorial cartoons by the editorial staff of the United Mine Workers of America. It examines images of poverty, progress, and mining accidents and injuries between 1933 and 1941 and argues that the union's leadership learned to use images during these years as one of its most important tools to build support for the constantly shifting organizational and political needs of John L. Lewis and the United Mine Workers of America as a labor organization. The second half of this study examines the transformation of the union's images and its representation of poverty, disabling injuries, and the quality of mining life during its campaign for a Health and Welfare Fund for coal miners and their families in 1945 and 1946. The images in this campaign are considered in relation to the need and priorities of the National Coal Association and the Truman Administration, which each produced images of their own. Photographs and their captions by documentary photographer Russell Lee for the Solid Fuels Administration of the U.S. Department of the Interior are a major source for this study. The study concludes that although the photographs published in A Medical Survey of the Bituminous Coal Industry in 1947 have long been regarded as factual and accurate representations of mining life in twentieth-century America, they are more properly seen as the product of a complex set of conflicts surrounding medical care in the postwar years.

Elizabeth Carter was a softspoken lady of personable mien, a gardener of some talent and a purveyor of the gentle art of kindness in thought and word and deed. Although we never knew her, we happily share our home with Elizabeth. It was, after all, her home first. My first encounter with Elizabeth's playful spirit was nearly four years ago, shortly after we moved into the old Carter home. I was working at the kitchen counter, alone in the house (at least, I thought was alone), when a 25 cent piece fell from the ceiling, hit me on the forehead and spun on the counter before me. A glance upward confirmed what I had immediately suspected: The quarter fell from nowhere.

To the Editor: