177,242 research outputs found
Regional Data Archiving and Management for Northeast Illinois
This project studies the feasibility and implementation options for establishing a regional data archiving system to help monitor
and manage traffic operations and planning for the northeastern Illinois region. It aims to provide a clear guidance to the
regional transportation agencies, from both technical and business perspectives, about building such a comprehensive
transportation information system. Several implementation alternatives are identified and analyzed. This research is carried
out in three phases.
In the first phase, existing documents related to ITS deployments in the broader Chicago area are summarized, and a
thorough review is conducted of similar systems across the country. Various stakeholders are interviewed to collect
information on all data elements that they store, including the format, system, and granularity. Their perception of a data
archive system, such as potential benefits and costs, is also surveyed. In the second phase, a conceptual design of the
database is developed. This conceptual design includes system architecture, functional modules, user interfaces, and
examples of usage. In the last phase, the possible business models for the archive system to sustain itself are reviewed. We
estimate initial capital and recurring operational/maintenance costs for the system based on realistic information on the
hardware, software, labor, and resource requirements. We also identify possible revenue opportunities.
A few implementation options for the archive system are summarized in this report; namely:
1. System hosted by a partnering agency
2. System contracted to a university
3. System contracted to a national laboratory
4. System outsourced to a service provider
The costs, advantages and disadvantages for each of these recommended options are also provided.ICT-R27-22published or submitted for publicationis peer reviewe
A safer place for patients: learning to improve patient safety
1 Every day over one million people are treated
successfully by National Health Service (NHS) acute,
ambulance and mental health trusts. However, healthcare
relies on a range of complex interactions of people,
skills, technologies and drugs, and sometimes things do
go wrong. For most countries, patient safety is now the
key issue in healthcare quality and risk management.
The Department of Health (the Department) estimates
that one in ten patients admitted to NHS hospitals will be
unintentionally harmed, a rate similar to other developed
countries. Around 50 per cent of these patient safety
incidentsa could have been avoided, if only lessons from
previous incidents had been learned.
2
There are numerous stakeholders with a role in
keeping patients safe in the NHS, many of whom require
trusts to report details of patient safety incidents and near
misses to them (Figure 2). However, a number of previous
National Audit Office reports have highlighted concerns
that the NHS has limited information on the extent and
impact of clinical and non-clinical incidents and trusts need
to learn from these incidents and share good practice across
the NHS more effectively (Appendix 1).
3 In 2000, the Chief Medical Officerâs report An
organisation with a memory
1
, identified that the key
barriers to reducing the number of patient safety incidents
were an organisational culture that inhibited reporting and
the lack of a cohesive national system for identifying and
sharing lessons learnt.
4 In response, the Department published Building a
safer NHS for patients3 detailing plans and a timetable
for promoting patient safety. The goal was to encourage
improvements in reporting and learning through the
development of a new mandatory national reporting
scheme for patient safety incidents and near misses. Central
to the plan was establishing the National Patient Safety
Agency to improve patient safety by reducing the risk of
harm through error. The National Patient Safety Agency was
expected to: collect and analyse information; assimilate
other safety-related information from a variety of existing
reporting systems; learn lessons and produce solutions.
5 We therefore examined whether the NHS has
been successful in improving the patient safety culture,
encouraging reporting and learning from patient safety
incidents. Key parts of our approach were a census of
267 NHS acute, ambulance and mental health trusts in
Autumn 2004, followed by a re-survey in August 2005
and an omnibus survey of patients (Appendix 2). We also
reviewed practices in other industries (Appendix 3) and
international healthcare systems (Appendix 4), and the
National Patient Safety Agencyâs progress in developing its
National Reporting and Learning System (Appendix 5) and
other related activities (Appendix 6).
6 An organisation with a memory1
was an important
milestone in the NHSâs patient safety agenda and marked
the drive to improve reporting and learning. At the
local level the vast majority of trusts have developed a
predominantly open and fair reporting culture but with
pockets of blame and scope to improve their strategies for
sharing good practice. Indeed in our re-survey we found
that local performance had continued to improve with more
trusts reporting having an open and fair reporting culture,
more trusts with open reporting systems and improvements
in perceptions of the levels of under-reporting. At the
national level, progress on developing the national reporting
system for learning has been slower than set out in the
Departmentâs strategy of 2001
3
and there is a need to
improve evaluation and sharing of lessons and solutions by
all organisations with a stake in patient safety. There is also
no clear system for monitoring that lessons are learned at the
local level. Specifically:
a The safety culture within trusts is improving, driven
largely by the Departmentâs clinical governance
initiative
4
and the development of more effective risk
management systems in response to incentives under
initiatives such as the NHS Litigation Authorityâs
Clinical Negligence Scheme for Trusts (Appendix 7).
However, trusts are still predominantly reactive in
their response to patient safety issues and parts of
some organisations still operate a blame culture.
b All trusts have established effective reporting systems
at the local level, although under-reporting remains
a problem within some groups of staff, types of
incidents and near misses. The National Patient Safety
Agency did not develop and roll out the National
Reporting and Learning System by December 2002
as originally envisaged. All trusts were linked to the
system by 31 December 2004. By August 2005, at
least 35 trusts still had not submitted any data to the
National Reporting and Learning System.
c Most trusts pointed to specific improvements
derived from lessons learnt from their local incident
reporting systems, but these are still not widely
promulgated, either within or between trusts.
The National Patient Safety Agency has provided
only limited feedback to trusts of evidence-based
solutions or actions derived from the national
reporting system. It published its first feedback report
from the Patient Safety Observatory in July 2005
Recommended from our members
The THREAT-ARREST Cyber-Security Training Platform
Cyber security is always a main concern for critical infrastructures and nation-wide safety and sustainability. Thus, advanced cyber ranges and security training is becoming imperative for the involved organizations. This paper presets a cyber security training platform, called THREAT-ARREST. The various platform modules can analyze an organizationâs system, identify the most critical threats, and tailor a training program to its personnel needs. Then, different training programmes are created based on the trainee types (i.e. administrator, simple operator, etc.), providing several teaching procedures and accomplishing diverse learning goals. One of the main novelties of THREAT-ARREST is the modelling of these programmes along with the runtime monitoring, management, and evaluation operations. The platform is generic. Nevertheless, its applicability in a smart energy case study is detailed
Chromatic dispersion monitoring for high-speed WDM systems using two-photon absorption in a semiconductor microcavity
This paper presents a theoretical and experimental investigation into the use of a two-photon absorption (TPA) photodetector for use in chromatic dispersion (CD) monitoring in high-speed, WDM network. In order to overcome the inefficiency associated with the nonlinear optical-to-electrical TPA process, a microcavity structure is employed. An interesting feature of such a solution is the fact that the microcavity enhances only a narrow wavelength range determined by device design and angle at which the signal enters the device. Thus, a single device can be used to monitor a number of different wavelength channels without the need for additional external filters. When using a nonlinear photodetector, the photocurrent generated for Gaussian pulses is inversely related to the pulsewidth. However, when using a microcavity structure, the cavity bandwidth also needs to be considered, as does the shape of the optical pulses incident on the device. Simulation results are presented for a variety of cavity bandwidths, pulse shapes and durations, and spacing between adjacent wavelength channels. These results are verified experimental using a microcavity with a bandwidth of 260 GHz (2.1 nm) at normal incident angle, with the incident signal comprising of two wavelength channels separated by 1.25 THz (10 nm), each operating at an aggregate data rate of 160 Gb/s. The results demonstrate the applicability of the presented technique to monitor accumulated dispersion fluctuations in a range of 3 ps/nm for 160 Gb/s RZ data channel
Chromatic dispersion monitoring of 80-Gb/s OTDM data signal via two-photon absorption in a semiconductor microcavity
In this letter, a novel method of chromatic dispersion monitoring via two-photon absorption (TPA) is investigated. A specially designed semiconductor microcavity is employed as a TPA detector for monitoring data signals operating at rates up to 80Gb/s. As the microcavity has a wavelength-dependent response, a single device can be used to monitor multiple channels in a multiwavelength optical telecommunication syste
A commentary on recent water safety initiatives in the context of water utility risk management.
Over the last decade, suppliers of drinking water have recognised the
limitations of relying solely on end-product monitoring to ensure safe water
quality and have sought to reinforce their approach by adopting preventative
strategies where risks are proactively identified, assessed and managed. This is
leading to the development of water safety plans; structured âroute mapsâ for
managing risks to water supply, from catchment to consumer taps. This paper
reviews the Hazard Analysis and Critical Control Point (HACCP) procedure on
which many water safety plans are based and considers its appropriateness in the
context of drinking water risk management. We examine water safety plans in a
broad context, looking at a variety of monitoring, optimisation and risk
management initiatives that can be taken to improve drinking water safety. These
are cross-compared using a simple framework that facilitates an integrated
approach to water safety. Finally, we look at how risk management practices are
being integrated across water companies and how this is likely to affect the
future development of water safety p
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