Although MET intervention was successful in significantly reducing "out-of-ICU" Code Blues, focused training of nurses is required for continued quality improvement.
The environmental performance of transnational corporations (TNCs) may need to be updated to include evidence of increased corporate environmental responsibility. This is a challenge to geographical perspectives that have been critical of the environmental performance of TNCs. The paper reports the findings of a survey of TNCs with branches in Singapore. Using the survey evidence, TNCs are classified according to their degree of participation in a range of voluntary environmental initiatives. According to the classification, there is a similar proportion of low and high performers but a dominance of medium level activity that can involve little organisational change. A significant association between organisational size and environmental activity is found. Respondents most frequently report that corporate environmental standards motivate environmental action in Singapore. Overall the survey evidence indicates that few TNCs are significantly changing their environmental behaviour. The absence of citizen, NGO and government pressure on TNCs is reducing the extent of voluntary environmental action in Singapore and expectations of widespread corporate greening overlook organisational differences in their opportunity to benefit from investment in environmental management. It is concluded that voluntary corporate environmentalism does not reduce the need for government regulation.
The value of environmental regulation through command and control measures has been questioned because of inflexibility and high cost. Voluntary environmental initiatives have been proposed as an alternative approach to save costs, overcome problems of inadequate enforcement and monitoring and to take advantage of the environmental leadership of transnational corporations (TNCs). Amongst voluntary environmental initiatives certified environmental management system standards have so far had most impact in Singapore and the rest of Southeast Asia. This paper investigates the environmental policy statements of 52 ISO14001 certified organisations in Singapore and shows that the environmental commitments being made are no substitute for traditional environmental regulations.
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