1,735 research outputs found
Distance measures to compare real and ideal quantum processes
With growing success in experimental implementations it is critical to
identify a "gold standard" for quantum information processing, a single measure
of distance that can be used to compare and contrast different experiments. We
enumerate a set of criteria such a distance measure must satisfy to be both
experimentally and theoretically meaningful. We then assess a wide range of
possible measures against these criteria, before making a recommendation as to
the best measures to use in characterizing quantum information processing.Comment: 15 pages; this version in line with published versio
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Increasing compliance with low tidal volume ventilation in the ICU with two nudge-based interventions: evaluation through intervention time-series analyses
Objectives: Low tidal volume (TVe) ventilation improves outcomes for ventilated patients, and the majority of clinicians state they implement it. Unfortunately, most patients never receive low TVes. âNudgesâ influence decision-making with subtle cognitive mechanisms and are effective in many contexts. There have been few studies examining their impact on clinical decision-making. We investigated the impact of 2 interventions designed using principles from behavioural science on the deployment of low TVe ventilation in the intensive care unit (ICU).
Setting: University Hospitals Bristol, a tertiary, mixed medical and surgical ICU with 20 beds, admitting over 1300 patients per year.
Participants: Data were collected from 2144 consecutive patients receiving controlled mechanical ventilation for more than 1â
hour between October 2010 and September 2014. Patients on controlled mechanical ventilation for more than 20â
hours were included in the final analysis.
Interventions: (1) Default ventilator settings were adjusted to comply with low TVe targets from the initiation of ventilation unless actively changed by a clinician. (2) A large dashboard was deployed displaying TVes in the format mL/kg ideal body weight (IBW) with alerts when TVes were excessive.
Primary outcome measure: TVe in mL/kg IBW.
Findings: TVe was significantly lower in the defaults group. In the dashboard intervention, TVe fell more quickly and by a greater amount after a TVe of 8â
mL/kg IBW was breached when compared with controls. This effect improved in each subsequent year for 3â
years.
Conclusions: This study has demonstrated that adjustment of default ventilator settings and a dashboard with alerts for excessive TVe can significantly influence clinical decision-making. This offers a promising strategy to improve compliance with low TVe ventilation, and suggests that using insights from behavioural science has potential to improve the translation of evidence into practice
Redesigning the 'choice architecture' of hospital prescription charts: a mixed methods study incorporating in situ simulation testing.
Objectives: To incorporate behavioural insights into the user-centred design of an inpatient prescription chart (Imperial Drug Chart Evaluation and Adoption Study, IDEAS chart) and to determine whether changes in the content and design of prescription charts could influence prescribing behaviour and reduce prescribing errors.
Design: A mixed-methods approach was taken in the development phase of the project; in situ simulation was used to evaluate the effectiveness of the newly developed IDEAS prescription chart.
Setting: A London teaching hospital.
Interventions/methods: A multimodal approach comprising (1) an exploratory phase consisting of chart reviews, focus groups and user insight gathering (2) the iterative design of the IDEAS prescription chart and finally (3) testing of final chart with prescribers using in situ simulation.
Results: Substantial variation was seen between existing inpatient prescription charts used across 15 different UK hospitals. Review of 40 completed prescription charts from one hospital demonstrated a number of frequent prescribing errors including illegibility, and difficulty in identifying prescribers. Insights from focus groups and direct observations were translated into the design of IDEAS chart. In situ simulation testing revealed significant improvements in prescribing on the IDEAS chart compared with the prescription chart currently in use in the study hospital. Medication orders on the IDEAS chart were significantly more likely to include correct dose entries (164/164 vs 166/174; p=0.0046) as well as prescriber's printed name (163/164 vs 0/174; p<0.0001) and contact number (137/164 vs 55/174; p<0.0001). Antiinfective indication (28/28 vs 17/29; p<0.0001) and duration (26/28 vs 15/29; p<0.0001) were more likely to be completed using the IDEAS chart.
Conclusions: In a simulated context, the IDEAS prescription chart significantly reduced a number of common prescribing errors including dosing errors and illegibility. Positive behavioural change was seen without prior education or support, suggesting that some common prescription writing errors are potentially rectifiable simply through changes in the content and design of prescription charts
Natural Connections Demonstration Project, 2012- 2016: Final Report
This report presents the key findings from the Natural Connections Demonstration Project, that aimed to encourage teachers to take curricular learning outdoors. The project was commissioned by DEFRA, Natural England and Historic England, and delivered by a team at Plymouth University. 125 schools contributed to the evaluation which found that: 1. schools most likely to engage with outdoor learning displayed strong leadership and were open-minded about trying new things 2. schools reported a statistically-significant increase in the amount of time spent on outdoor learning activity across the project 3. Schools adopted many different models of outdoor learning 4. Schools invested time, goodwill, energy and funding in outdoor learning 5. Over 90 per cent of responding schools agreed that outdoor learning was useful for curriculum delivery 6. Outdoor learning had positive impacts for teachers and pupils 7. the project model of distributed independent brokerage was found to have the capacity to unlock latent demand for outdoor learning in schools, and to support schools in embedding low-cost outdoor learning practice
Natural Connections Demonstration Project, 2012-2016: Analysis of the Key Evaluation Questions
This report provides a detailed discussion of the key evaluation questions relating to the impact of the Natural Connections Demonstration Project. The project's aim was to encourage teachers to take curricular learning outside
Optimal discrete stopping times for reliability growth tests
Often, the duration of a reliability growth development test is specified in advance and the decision to terminate or continue testing is conducted at discrete time intervals. These features are normally not captured by reliability growth models. This paper adapts a standard reliability growth model to determine the optimal time for which to plan to terminate testing. The underlying stochastic process is developed from an Order Statistic argument with Bayesian inference used to estimate the number of faults within the design and classical inference procedures used to assess the rate of fault detection. Inference procedures within this framework are explored where it is shown the Maximum Likelihood Estimators possess a small bias and converges to the Minimum Variance Unbiased Estimator after few tests for designs with moderate number of faults. It is shown that the Likelihood function can be bimodal when there is conflict between the observed rate of fault detection and the prior distribution describing the number of faults in the design. An illustrative example is provided
Quenched QCD at finite density
Simulations of quenched at relatively small but {\it nonzero} chemical
potential on lattices indicate that the nucleon
screening mass decreases linearly as increases predicting a critical
chemical potential of one third the nucleon mass, , by extrapolation.
The meson spectrum does not change as increases over the same range, from
zero to . Past studies of quenched lattice QCD have suggested that
there is phase transition at . We provide alternative
explanations for these results, and find a number of technical reasons why
standard lattice simulation techniques suffer from greatly enhanced
fluctuations and finite size effects for ranging from to
. We find evidence for such problems in our simulations, and suggest
that they can be surmounted by improved measurement techniques.Comment: 23 pages, Revte
Analytic Solution for the Critical State in Superconducting Elliptic Films
A thin superconductor platelet with elliptic shape in a perpendicular
magnetic field is considered. Using a method originally applied to circular
disks, we obtain an approximate analytic solution for the two-dimensional
critical state of this ellipse. In the limits of the circular disk and the long
strip this solution is exact, i.e. the current density is constant in the
region penetrated by flux. For ellipses with arbitrary axis ratio the obtained
current density is constant to typically 0.001, and the magnetic moment
deviates by less than 0.001 from the exact value. This analytic solution is
thus very accurate. In increasing applied magnetic field, the penetrating flux
fronts are approximately concentric ellipses whose axis ratio b/a < 1 decreases
and shrinks to zero when the flux front reaches the center, the long axis
staying finite in the fully penetrated state. Analytic expressions for these
axes, the sheet current, the magnetic moment, and the perpendicular magnetic
field are presented and discussed. This solution applies also to
superconductors with anisotropic critical current if the anisotropy has a
particular, rather realistic form.Comment: Revtex file and 13 postscript figures, gives 10 pages of text with
figures built i
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