In July, a teenage mother-to-be entered a Madison, Wis. Within hours she was dead, though her baby survived. An investigation by the Wisconsin State Department of Health revealed that the young woman had died after receiving an intravenous dose of an epidural anesthetic instead of the penicillin she was supposed to be given. Shortly after receiving the injection, the teenager had a seizure. She died less than two hours later. In explaining what had happened, a nurse told investigators that the patient had been nervous about how she was to be anesthetized during the birth.
Semi-structured, in-depth interviews have long been recognized as the gold standard method of data collection, most notably in those qualitative research studies that aim to investigate illness-related experiences. Nevertheless, conducting a semi-structured in-depth interview can be difficult to do well. This case study describes three scenarios in which the unanticipated happened during an interview with a patient, and the response taken by the researcher. Following each scenario, the researcher reflected on what happened at the time; why it might have happened as it did; the impact it had on both her, the patient, and the research; and she poses how a similar situation, should it occur again in the future, may be handled differently. Scanlan , C. Autonomy and chronic illness: Not two components but many. American Journal of Bioethics , 9 2 , 40 —
A follow up post on our Economic Capital series where we looked at an alternate approach for calculating Economic Capital using accounting data rather than the BIS guidelines. After all without understanding the process of calculating unexpected loss using the BIS model how could we really appreciate the solutions the alternate approach offers when it comes to Economic Capital modeling. In the banking world, economic capital approaches use a model based on the value at risk. Within the regulatory framework, economic capital should compensate for unexpected and unanticipated losses booked when banks and financial institutions are forced to function outside their normal operating environment. To estimate economic capital the model breaks the return distribution down into two segments.
The three were inspired by entrepreneur Alfred Peet whom they knew personally to sell high-quality coffee beans and equipment. The store did not offer fresh brewed coffee by the cup, but tasting samples were sometimes available. Siegel will wore a grocers apron, scooped out beans for customers while the other two kept their day jobs but came by at lunch or after work to help out.