Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board

Introduction: Wrong-site/side surgical "never events" continue to cause considerable harm to patients, healthcare professionals, and organizations within the United Kingdom. Incidence has remained static despite the mandatory introduction of surgical checklists. Operating theater list errors have been identified as a regular contributor to these never events. The aims of the study were to identify and to learn from the incidence of wrong-site/side list errors in a single National Health Service board. Methods: The study was conducted in a single National Health Service board serving a population of approximately 300,000. All theater teams systematically recorded errors identified at the morning theater brief or checklist pause as part of a board-wide quality improvement project. Data were reviewed for a 2-year period from May 2013 to April 2015, and all episodes of wrong-site/side list errors were identified for analysis. Results: No episodes of wrong-site/side surgery were recorded for the study period. A total of 86 wrong-site/side list errors were identified in 29,480 cases (0.29%). There was considerable variation in incidence between surgical specialties with ophthalmology recording the largest proportion of errors per number of surgical cases performed (1 in 87 cases) and gynecology recording the smallest proportion (1 in 2671 cases). The commonest errors to occur were "wrong-side" list errors (62/86, 72.1%). Discussion: This is the first study to identify incidence of wrong-site/site list errors in the United Kingdom. Reducing list errors should form part of a wider risk reduction strategy to reduce wrong-site/side never events. Human factors barrier management analysis may help identify the most effective checks and controls to reduce list errors incidence, whereas resilience engineering approaches should help develop understanding of how to best capture and neutralize errors

Demand-Driven Scheduling of Movies in a Multiplex

This paper describes a model that generates weekly movie schedules in a multiplex movie theater. A movie schedule specifies within each day of the week, on which screen(s) different movies will be played, and at which time(s). The model consists of two parts: (i) conditional forecasts of the number of visitors per show for any possible starting time; and (ii) an optimization procedure that quickly finds an almost optimal schedule (which can be demonstrated to be close to the optimal schedule). To generate this schedule we formulate the so-called movie scheduling problem as a generalized set partitioning problem. The latter is solved with an algorithm based on column generation techniques. We have applied this combined demand forecasting /schedule optimization procedure to a multiplex in Amsterdam where we supported the scheduling of fourteen movie weeks. The proposed model not 2 only makes movie scheduling easier and less time consuming, but also generates schedules that would attract more visitors than the current ‘intuition-based’ schedules.Integer programming;Column generation;Demand forecasting;Optimization of movie schedules

Demand-driven scheduling of movies in a multiplex

This paper describes a model that generates weekly movie schedules in a multiplex movie theater. A movie schedule specifies within each day of the week, on which screen(s) different movies will be played, and at which time(s). The model consists of two parts: (i) conditional forecasts of the number of visitors per show for any possible starting time; and (ii) an optimization procedure that quickly finds an almost optimal schedule (which can be demonstrated to be close to the optimal schedule). To generate this schedule we formulate the so-called movie scheduling problem as a generalized set partitioning problem. The latter is solved with an algorithm based on column generation techniques. We have applied this combined demand forecasting /schedule optimization procedure to a multiplex in Amsterdam where we supported the scheduling of fourteen movie weeks. The proposed model not only makes movie scheduling easier and less time consuming, but also generates schedules that would attract more visitors than the current ‘intuition-based’ schedules.column generation;integer programming;demand forecasting;optimization of movie schedules

Trinity Restoration Inc.: Southside Cultural Center Economic Impact Study

Economic development has shifted from location-oriented business models towards a more all-encompassing model that recognizes the advancement of human capital or intellectual property as continuously increasing in value. This microcosmic characteristic of development extends to aid in the growth of society as a whole. The Arts and Culture attract a demographic of inspired and motivated people to the area. It results in the development of the society surrounding art venues. The general population will always seek out entertainment, by installing a venue of artistic expression in South Providence that will motivate the community and propel development. This phenomena has been proven, as denoted through the historical evaluation of artistic venues across America that have generated economic growth in their respective communities

Cultural Capital: Challenges to New York State’s Competitive Advantages in the Arts and Entertainment Industry

This is a report on the findings of the Cornell University ILR planning process conducted with support of a grant from the Alfred P. Sloan Foundation to investigate trends in the arts and entertainment industry in New York State and assess industry stakeholders’ needs and demand for industry studies and applied research. Building on a track record of research and technical assistance to arts and entertainment organizations, Cornell ILR moved toward a long-term goal of establishing an arts and entertainment research center by forging alliances with faculty from other schools and departments in the university and by establishing an advisory committee of key players in the industry. The outcome of this planning process is a research agenda designed to serve the priority needs and interests of the arts and entertainment industry in New York State

Fire Safety in Historical Theatres (Italian-Style)

The research starts from a punctual knowledge of the theatrical typology under many aspects and in-depth analysis: from the recognition of the monumental value and qualification of a historical theater, collective heritage to be preserved for future generations, we’ll investigate environmental, typological, distributive, functional, material and constructive characters in the earliest designing phases and after the adjustment and transformation interventions occurred. The main aim is identifying all the parts that are at risk of fire, the equipment implementation done to lower such a risk, with the purpose of suggesting adequate systems intended to gain a major level of fire protection in a historical theater. In theatres, as for every building, we must guarantee the “primary safety”, human lives safeguard, as well as the “secondary” one, that is to say the protection of the edifice and its intrinsic value. Beginning from the state of the studies and general and specialist documents on theatrical architecture, Italian and supranational, it be investigated the components subjected to a high risk of fire, the safety routes and fast evacuation systems. We compare the fire prevention regulations written during times in various countries, and identifying significant cases of study in order to evaluate the most appropriate actions to gain security and to reduce the risk. By means of tests and fire risk assessment, we characterize the materials used, as well as new ones, to enhance resistance to fire, the possible emergency routes, the static safe places, the existing fire systems implementation, as well as a fast emergency services access. We consider guidelines and protocols to a better design of fire systems in a historical theatre, considering both the safety of people and the building-monument. The scientific goal that aimed this research, is applying a multidisciplinary approach to recognize the original characters of the historical theatres, certifying a quality that won’t compromise their valorization. The fire systems strengthening design, to protect people and objects from possible fires, must be interpreted in its scientific, cultural and operative valences in order to gain a high fire-protection performance, without renouncing to the monumental aspect, both spatial and material-constructive. In the first chapter; historical outline, changes in the buildings of historical theaters, focusing on fire safety, has been studied and studied. And some of these fires have been described. The second chapter; Italian theater, is devoted to the any aspects of historical theaters. The parts of these buildings that are most exposed to fire risk have been identified and discussed about how fire safety can be improved. The topic of chapter three is fire safety regulations, in this section, the developments and the completion of the rules are mentioned over time. The comparison and Analysis between Performance Based Approach and Prescriptive have been done, and why performance based approach in the case of historical theaters should be 3 adopted. Fourth chapter is talking about fire risk management and the process that must be conducted to manage fire at historic theaters. Chapter Five introduces the frames method, one of the most comprehensive and up-to-date fire risk assessment software. In this section, we have tried to categorize and describe all the issues affecting fire risk. In chapter Six, the last season, two case studies have been evaluated and studied. The Niccolini Theater and The Pergola Theater, both located in the historical district of Florence city. One of the main reasons for choosing these two theaters was having full details of them, and also the authorities of these theaters were already working on their fire safety and had a safety plan. At the end of this chapter we suggest some solution for improving fire safety in historical theaters and reducing the fire risk level

New Furniture for the Box Office: Computer, Ticket, Window

The arrival of the digital computer demanded a new spatial logic for performing arts ticketing. As late-20th-century box offices updated equipment, managers imagined a ticketing space that was open and airy, rather than closed and secure. Interactions between agents and audiences became collaborative, and ticket sales became central to marketing efforts. This article analyzes changes in the box office by historicizing the spaces of ticketing, drawing upon Bernhard Siegert’s notion of cultural techniques, reading a diagram from a 1993 ticketing guru’s book, and excavating archival and published materials bearing on performance spaces in Western Europe and North America. The article shows how technological, social, and political changes in the 1970s and ’80s led to a substantial shift in the interactions that inhabit paraperformative spaces. In a concluding gesture, the article shows that these changes are themselves transitory and have since been succeeded by the digital ticketing familiar to early-21st-century audiences

DATA ON ARTS ORGANIZATIONS: A REVIEW AND NEEDS ASSESSMENT, WITH DESIGN IMPLICATIONS

This project describes the data resources on arts organizations that are currently available to inform the efforts of policy makers, arts managers, and researchers working in the arts field. It assesses the adequacy of different data sources for identifying the population of arts and cultural organizations in a community. The report is based on a review of more than a dozen sources of information about arts and cultural organizations, interviews with researchers and data specialists, and an empirical study of arts organizations in three metropolitan areas - Philadelphia, Dallas-Fort Worth, and Minneapolis-St. Paul. The report concludes with recommendations for improving data quality and for establishing an ongoing national database on the arts sector.

Culture Is Our Common Wealth: An Action Agenda to Enhance Revenues and Resources for Massachusetts Cultural Organizations

Looks at current support provided by the state of Massachusetts to arts and cultural organizations, and recommends ongoing advocacy to encourage additional support -- specifically, increased investment in existing and new cultural facilities