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More recently, however, Erdogan’s story of legitimation—the set of claims by which he justifies his rule—has begun to fall apart. "There are different considerations for those in the military, police or special forces, defined by their role. Yet because physicians are human, no matter how many medical miracles they perform each day, eradicating these miscues may be a fool’s game.“I do not believe it is realistic to expect that dictation errors will ever be eliminated completely,” says Cynthia Vogt, vice president of A+ Network Transcription Services. “That just makes double work for everyone.”According to Jones, there are several ways health care documentation specialists can work with physicians to create better documentation on the front end. He may fail, but we should not just hope he does. "I remember people's response was not to back down but to head to parliament instead.

Why dictatorships fail Dani Rodrik points out that, on average, democracies outperform dictatorships in terms of long-term economic growth and economic stability. “Watch for inconsistencies [when proofreading], and stop and make sure everything matches throughout,” says Janice Jones, senior implementation consultant for the eHealth Documentation Solutions business of 3M Health Information Systems. Initially, the political repression in which populist regimes engage remains somewhat hidden from public view. After all, a rich literature suggests that all kinds of dictatorships have, historically, been remarkably vulnerable to democratic challenges. In Czechoslovakia, for example, cautious attempts at liberalization sparked a Soviet invasion in 1968, followed by a brutal crackdown on dissent. In order to retain power, the leader must step up the oppression: cracking down on independent media, firing judges and civil servants, changing the electoral system, disqualifying or jailing opposition candidates, rigging votes, annulling the outcome of elections, and so on. In an influential study by James Quinlivan, an analyst with the non-profit research and development Rand corporation, this strategy is called "coup-proofing". They contain opposition movements with strong traditions and relatively established institutions of their own. It is a concentration issue as much as it is a learned skill.”MacLeod, who encourages health care documentation specialists to approach physicians about dictation problems more proactively, says it’s in everyone’s best interest—and intention—to get documentation right the first time. “Such presentations are usually well received when delivered in an entertaining way,” Jones notes.Even more entertaining, Jones and colleague Jill Devrick, a 3M product analyst and the current AHDI president, suggest initiating some friendly competition by presenting an award for best dictator at physician staff meetings. “The ability to edit a speech recognition document requires specialized training and a different set of skills than standard transcription. It is a bargain that has collapsed confronted with the espousal by regimes of neo-liberal economic policies, widespread corruption and the same desire by young Arabs for more political autonomy.Larbi Sadiki, who lectures on democratisation at Exeter University and has recently returned from observing Tunisia's Jasmine Revolution, asks the key question. Should they fail, patient care can be affected, sometimes drastically. When Dictators Fail By Juliann Schaeffer For The Record Vol. “There can be so much background noise either in the dictation or within your office environment that you have to be able to zero in on the author’s voice. There are also good reasons to believe that populist dictatorships are more likely than democracies to face crises of their own making. And it is when tyrants fall. "In the 1986 fall of Ferdinand Marcos it was the long-held suspicion of Filipinos that the dictator had helped cover up the assassination of Benigno Aquino at Manila airport in 1983 that acted as a lightning rod for opposition to his long rule, and transformed Aquino's wife, Corazon, into his leading challenger.And the use of violence by the regime under challenge, argue both Petersen and Sadiki, acts as a further crucial trigger for escalation by protesters against the regime. It is about people making that strategic decision about joining in whose concern is: I can't be the only one.

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