Volume 27, Issue 2 ,2006

Mary Glover Lecture 2005: Patient safety, accountability and leadership – Flavour of the day or here to stay?
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By Wendy Nicklin

Editor’s note: The following material is based on the presentation made by Wendy Nicklin, President and CEO of the Canadian Council on Health Services Accreditation, at the 2005 CANN Conference in Ottawa.

Accreditation, and specifically the Canadian Council on Health Services Accreditation (CCHSA) program, serves as an important accountability tool, as well as a performance measurement tool, in today’s health care environment.

Performance measurement, patient safety, quality improvement and managing risk are inherent components of the accreditation process. All of these are relevant and complementary to the accountability and performance measurement agenda.

Family impact and influence following severe traumatic brain injury
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By Diane Duff


Negotiating is the core variable or central concern of families who have a close relative in a state of post-comatose unawareness or minimal responsiveness following a severe traumatic brain injury. Family members negotiate with each other, with members of the health care team, and with others such as insurance agents, case managers, and representatives of the justice system on behalf of the injured individual. Family members also negotiate the intricacies of the health care system. These are the findings of a 16-month grounded theory study conducted on two acute neurosurgical units in Toronto, with 25 family members from 11 families who had a close family member who suffered a severe traumatic brain injury and who was in a state of post-comatose unawareness or minimal responsiveness. An extensive review of the scholarly literature related to family research methodology and family research related to families following the brain injury of a family member is also provided in this paper.