Using computer simulation in operating room management: impacts of information quality on process performance

High quality information has a significant impact on improving operation performance and patient satisfaction, as well as resolving patient disputes. Based on the analysis of the perioperative process, information quality is considered as an important contributory factor in improving patient throughput. In this paper, we propose a conceptual framework to use computer simulations in modeling information flow of hospital process for operating room management (ORM). Additionally, we conduct simulation studies in different levels of the information quality for ORM. The results of our studies provide evidence that information quality can drive process performance in several phases of the ORM

STS-46 Space Shuttle mission report

The STS-46 Space Shuttle Program Mission Report contains a summary of the Orbiter, External Tank (ET), Solid Rocket Booster/Redesigned Solid Rocket Motor (SRB/RSRM), and the Space Shuttle main engine (SSME) subsystem performance during the forty-ninth flight of the Space Shuttle Program, and the twelfth flight of the Orbiter vehicle Atlantis (OV-104). In addition to the Atlantis vehicle, the flight vehicle consisted of the following: an ET, designated ET-48 (LWT-41); three SSME's, which were serial numbers 2032, 2033, and 2027 in positions 1, 2, and 3, respectively; and two SRB's which were designated BI-052. The lightweight/redesigned SRM's that were installed in each SRB were designated 360W025A for the left RSRM and 360L025B for the right RSRM. The primary objective of this flight was to successfully deploy the European Retrievable Carrier (EURECA) payload and perform the operations of the Tethered Satellite System-1 (TSS-1) and the Evaluation of Oxygen Interaction with Material 3/Thermal Energy Management Processes 2A-3 (EOIM-3/TEMP 2A-3). The secondary objectives of this flight were to perform the operations of the IMAX Cargo Bay Camera (ICBC), Consortium for Material Development in Space Complex Autonomous Payload-2 and 3 (CONCAP-2 and CONCAP-3), Limited Duration Space Environment Candidate Materials Exposure (LDCE), Pituitary Growth Hormone Cell Function (PHCF), and Ultraviolet Plume Instrumentation (UVPI). In addition to summarizing subsystem performance, this report also discusses each Orbiter, ET, SSME, SRB, and RSRM in-flight anomaly in the applicable section of the report. Also included in the discussion is a reference to the assigned tracking number as published on the Problem Tracking List. All times are given in Greenwich mean time (G.m.t.) as well as mission elapsed time (MET)

Exploratory study to explore the role of ICT in the process of knowledge management in an Indian business environment

In the 21st century and the emergence of a digital economy, knowledge and the knowledge base economy are rapidly growing. To effectively be able to understand the processes involved in the creating, managing and sharing of knowledge management in the business environment is critical to the success of an organization. This study builds on the previous research of the authors on the enablers of knowledge management by identifying the relationship between the enablers of knowledge management and the role played by information communication technologies (ICT) and ICT infrastructure in a business setting. This paper provides the findings of a survey collected from the four major Indian cities (Chennai, Coimbatore, Madurai and Villupuram) regarding their views and opinions about the enablers of knowledge management in business setting. A total of 80 organizations participated in the study with 100 participants in each city. The results show that ICT and ICT infrastructure can play a critical role in the creating, managing and sharing of knowledge in an Indian business environment

Mission safety evaluation report for STS-37, postflight edition

STS-37/Atlantis was launched on April 5, 1991 from Kennedy Space Center launch complex 39B at 9:23 a.m. Eastern Standard Time (EST). Launch was delayed 4 minutes 45 seconds because of safety concerns about the low cloud ceiling and the wind direction in the potential blast area. Based on the limited number and type of inflight anomalies encountered, the Space Shuttle operated satisfactorily throughout the STS-37 mission. A contingency EVA was performed by the crew on Flight Day (FD) 3 to free a sticky Gamma Ray Observatory (GRO) high gain antenna, after which the GRO primary payload was successfully deployed by the Orbiter's Remote Manipulator System. The GRO, which weighed just over 35,000 lbs, was the heaviest NASA science satellite ever deployed by the Space Shuttle into low Earth orbit. The scheduled entry/landing on FD 6 was waved off for one day due to high wind conditions at Edwards Air Force Base. Atlantis landed on FD 7, 11 April 1991 on Edwards AFB lakebed runway 33 at 9:55 a.m. Eastern Daylight Time

Framework for a space shuttle main engine health monitoring system

A framework developed for a health management system (HMS) which is directed at improving the safety of operation of the Space Shuttle Main Engine (SSME) is summarized. An emphasis was placed on near term technology through requirements to use existing SSME instrumentation and to demonstrate the HMS during SSME ground tests within five years. The HMS framework was developed through an analysis of SSME failure modes, fault detection algorithms, sensor technologies, and hardware architectures. A key feature of the HMS framework design is that a clear path from the ground test system to a flight HMS was maintained. Fault detection techniques based on time series, nonlinear regression, and clustering algorithms were developed and demonstrated on data from SSME ground test failures. The fault detection algorithms exhibited 100 percent detection of faults, had an extremely low false alarm rate, and were robust to sensor loss. These algorithms were incorporated into a hierarchical decision making strategy for overall assessment of SSME health. A preliminary design for a hardware architecture capable of supporting real time operation of the HMS functions was developed. Utilizing modular, commercial off-the-shelf components produced a reliable low cost design with the flexibility to incorporate advances in algorithm and sensor technology as they become available