Patient Education Initiative Aimed at Reducing Postoperative Complications

Improving patient outcomes through evidence-based research and delivering high-quality care is a goal of many local, state, and federal regulatory agencies that monitor healthcare systems. Patient safety is considered a national priority which requires team building and therapeutic relationships between the provider, patient, and families. Patient education is just one of the many ways to improve patient outcomes, reduce costs, and form productive therapeutic relationships. A nurse-led education initiative was implemented to assess patient health literacy in a group of robotic-assisted urological surgery patients to reduce postoperative complications. Improvement was measured by a postoperative follow-up phone call within seven days of discharge. This quality improvement project focused on cost reduction, individualized teaching opportunities, and complication prevention. The project findings supported that preventing a complication was beneficial to the patient and the organization because it could reduce the length of hospital stay, decrease cost, and improve patient satisfaction.D.N.P

PENGEMBANGAN WEBSITE SISTEM INFORMASI KLINIK PRATAMA SITI AKSAR DEPOK

Arrian Rizki Firdaus, Pengembangan Website Sistem Informasi Klinik Pratama Siti Aksar Depok. Pembimbing Hamidillah Ajie, S.Si, M.T. dan Dr. Widodo, M.Kom. Klinik Pratama Siti Aksar Depok dalam mengelola dokumen identitas pasien masih dilakukan secara manual dan menggunakan dokumen konvensional atau tulisan tangan yang rawan rusak dan mudah hilang. Klinik sebagai salah satu institusi pelayanan kesehatan umumnya membutuhkan keberadaan sistem informasi yang akurat serta cukup memadai untuk meningkatkan pelayanan kesehatan kepada para pasien. Tujuan penelitian ini adalah untuk mengembangkan Sistem Informasi Website Klinik Pratama Siti Aksar Depok. Sistem informasi ini dikembangkan dengan menggunakan metode pengembangan perangkat lunak agile dan model pengembangan scrum. Data yang digunakan pada penelitian ini adalah hasil analisis requirement hasil observasi dan wawancara antara peneliti yang ingin mengembangkan produk dengan seorang tenaga medis di Klinik Siti Aksar. Hasil pengujian fungsional Black Box Testing menunjukkan bahwa keseluruhan fungsi dalam sistem dapat berjalan dengan baik dan sesuai. Hasil pengujian User Acceptance Test menunjukkan bahwa Sistem Informasi Klinik Siti Aksar ini disetujui dan sudah memenuhi kebutuhan yang diinginkan. Sistem ini diharapkan dapat digunakan sebagaimana mestinya di Klinik Siti Aksar Depok dengan segala persiapan dalam proses penerapannya. Kata Kunci : Sistem Informasi Klinik Pratama Siti Aksar Depok, Agile, Scrum, Black Box Testing, User Acceptance Test. Arrian Rizki Firdaus, Development of Siti Aksar Primary Clinic System Information Website, Depok. Preceptor Hamidillah Ajie, S.Si, M.T. and Dr. Widodo, M.Kom. Siti Aksar Primary Clinic in Depok on manage patient identity documents is done manually and used conventional documents or handwritten that have high risk on damage or lost. Clinic as a health service institution usually required an accurate and adequate information system to improve patient health services. The purpose of this study was to develop a Siti Aksar Depok Primary Clinic Information System Website. This information system developed with agile software development method and Scrum development model. This study used requirements analysis data, observations and interviews between researcher and medical staff at the Siti Aksar Clinic. A Black Box Testing functional test indicated overall function in the system can run well. User Acceptance Test results showed that the Siti Aksar Clinic Information System was approved and fulfill the desired needs. With all the preparations in the process application this system was expected to be used as it should be at the Siti Aksar Clinic in Depok. Keywords: System Information of Primary Clinic Siti Aksar in Depok, Agile, Scrum, Black Box Testing, User Acceptance Test

Unbundling the W’s: the interface between organisational crises, social media narratives, and image repair strategies

Organisations are susceptible and vulnerable to crisis situations. These organisations have been able to exert resilience, and manage reputational damage, through crisis management protocols that include stakeholder engagement. However, given the rise of social media, a new cohort of stakeholders has emerged. Organisations are therefore faced with the task of managing new stakeholder relationships. This paper applies recent advancements in social media and crisis management discourse to investigate the prevalence of new, undiscovered stakeholders in crisis communications surrounding six prominent crisis situations. The results indicate that online stakeholders are becoming more powerful, urgent and legitimacy; thus shifting dynamics

Exit or stay: A critical incident analysis of decision-making in conflict-torn countries

Deploying small world representation logic, we examine the context-specific factors that inform managerial decision-making in conflict-torn countries. Drawing on insights from thirty-one managers, we spotlight nine higher-order heuristics that commonly inform MNEs’ mental representations and their managers’ decision to exit or stay. These heuristics were identified by categorising the commonalities arising from our respondents’ accounts on what information they search for (discovery heuristics) and how it was evaluated (evaluation heuristics). We discovered that information accessibility, conditioned by firms’ in-country experiences, is paramount. Furthermore, since employees are strategy shapers, they can undermine the resilience-enhancing benefits of operational flexibility in conflict-torn countries

Power characterisation of a Zigbee wireless network in a real time monitoring application

Zigbee is a relatively new wireless mesh networking standard with emphasis on low cost and energy conservation. It is intended to be used in wireless monitoring and control applications such as sensors and remotely operated switches where the end devices are battery powered. Because it is a recent technology there is not sufficient understanding on how network architecture and configuration affect power consumption of the battery powered devices. This research investigates the power consumption and delivery ratio of Zigbee wireless mesh and star networks for a single sink real time monitoring system at varying traffic rates and the beacon and non beacon mode operation of its underlying standard IEEE 802.15.4 in the star network architecture. To evaluate the performance of Zigbee, the network operation was simulated using the simulation tool NS-2. NS-2 is capable of simulating the entire network operation including traffic generation and energy consumption of each node in the network. After first running the simulation it was obvious that there were problems in the configuration of the simulator as well as some unexpected behaviour. After performing several modifications to the simulator the results improved significantly. To validate the operation of the simulator and to give insight on the operation of Zigbee, a real Zigbee wireless network was constructed and the same experiments that were conducted on the simulator were repeated on the Zigbee network. The research showed that the modified simulator produced good results that were close to the experimental results. It was found that the non beacon mode of operation had the lowest power consumption and best delivery ratio at all tested traffic rates. The operation of Zigbee mesh and star networks were compared to the results for IEEE 802.15.4 star networks in non beacon mode which revealed that the extra routing traffic sent by the Zigbee networking layers does contribute significantly to the power consumption, however even with the extra routing traffic, power consumption is still so low that it the battery life of the device would be limited by the shelf life of the battery, not by the energy consumption of the device. This research has successfully achieved its objectives and identified areas for future development. The simulator model for NS-2 could be improved to further increase the accuracy of the results as well as include the Zigbee routing layers and the experimental results could be improved by a more accurate power consumption data acquisition method

Mechanical and FatigueTesting of Rapid Prototyped Aerospace Titanium Component by Electron Beam Melting Process

Thesis (Master's)--University of Washington, 2014The mechanical and fatigue behavior of a Ti-6Al-4V structural component that was manufactured by electron beam melting (EBM) was studied. Ti-6Al-4V EBM components were subjected to cyclic loading and monotonic loading tests. The results indicated that the EBM component did not fail before the fasteners in both tests. This was a preliminary study regarding an attempt to model an EBM component to validate the physical tests. An attempt was made to model the monotonic and cyclic testing in the linear elastic region using finite elements with the assumed loading conditions to investigate the stress distributions at each loading condition. Additionally, an attempt was made to use finite element modeling to validate the experimental results within the elastic range