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Item Comparing Violent and Non-Violent Gang Incidents: An Exploration of Gang-Related Police Incident Reports(MDPI, 2020-11) Carson, Dena; Kroovand Hipple, Natalie; School of Public and Environmental AffairsPrior research has established a strong link between gangs and violence. Additionally, this connection is demonstrated across multiple methodologies such as self-report surveys, qualitative interviews, as well as official records. Officially recorded gang data can be increasingly hard to obtain because data collection approaches differ by agency, county, city, state, and country. One method for obtaining official gang data is through the analysis of police incident reports, which often rely on police officers’ subjective classification of an incident as “gang-related.” In this study we examine 741 gang-related incident reports collected over four years from the Indianapolis Metropolitan Police Department. This study will explore reasons why incidents were attributed to gangs as well as compare the characteristics of violent, drug, and non-violent gang-related incidents. This work has implications for understanding the complexities associated with gang incident reports as well as for the commonality of violent gang crimes.Item Using Incident Reports to Assess Communication Failures and Patient Outcomes(Elsevier, 2019-06) Umberfield, Elizabeth; Ghaferi, Amir A.; Krein, Sarah L.; Manojlovich, Milisa; Health Policy and Management, School of Public HealthIntroduction Communication failures pose a significant threat to the quality of care and safety of hospitalized patients. Yet little is known about the nature of communication failures. The aims of this study were to identify and describe types of communication failures in which nurses and physicians were involved and determine how different types of communication failures might affect patient outcomes. Methods Incident reports filed during fiscal year 2015–2016 at a Midwestern academic health care system (N = 16,165) were electronically filtered and manually reviewed to identify reports that described communication failures involving nurses and physicians (n = 161). Failures were categorized by type using two classification systems: contextual and conceptual. Thematic analysis was used to identify patient outcomes: actual or potential harm, patient dissatisfaction, delay in care, or no harm. Frequency of failure types and outcomes were assessed using descriptive statistics. Associations between failure type and patient outcomes were evaluated using Fisher's exact test. Results Of the 211 identified contextual communication failures, errors of omission were the most common (27.0%). More than half of conceptual failures were transfer of information failures (58.4%), while 41.6% demonstrated a lack of shared understanding. Of the 179 identified outcomes, 38.0% were delays in care, 20.1% were physical harm, and 8.9% were dissatisfaction. There was no statistically significant association between failure type category and patient outcomes. Conclusion It was found that incident reports could identify specific types of communication failures and patient outcomes. This work provides a basis for future intervention development to prevent communication-related adverse events by tailoring interventions to specific types of failures.