12,392 research outputs found
Water losses associated with center pivot nozzle packages
Presented at the 2006 Central Plains irrigation conference on February 21-22 in Colby, Kansas.Includes bibliographical references
Sprinkler package water loss comparisons
Presented at the Central Plains irrigation conference on February 17-18, 2004 in Kearney Nebraska.Includes bibliographical references
Risk of Post-Discharge Venous Thromboembolism and Associated Mortality in General Surgery: A Population-Based Cohort Study Using Linked Hospital and Primary Care Data in England
Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quantitative Analysis of the English National Reporting and Learning System Data.
BACKGROUND: The National Reporting and Learning System (NRLS) collects reports about patient safety incidents in England. Government regulators use NRLS data to assess the safety of hospitals. This study aims to examine whether annual hospital incident reporting rates can be used as a surrogate indicator of individual hospital safety. Secondly assesses which hospital characteristics are correlated with high incident reporting rates and whether a high reporting hospital is safer than those lower reporting hospitals. Finally, it assesses which health-care professionals report more incidents of patient harm, which report more near miss incidents and what hospital factors encourage reporting. These findings may suggest methods for increasing the utility of reporting systems. METHODS: This study used a mix methods approach for assessing NRLS data. The data were investigated using Pareto analysis and regression models to establish which patients are most vulnerable to reported harm. Hospital factors were correlated with institutional reporting rates over one year to examine what factors influenced reporting. Staff survey findings regarding hospital safety culture were correlated with reported rates of incidents causing harm; no harm and death to understand what barriers influence error disclosure. FINDINGS: 5,879,954 incident reports were collected from acute hospitals over the decade. 70.3% of incidents produced no harm to the patient and 0.9% were judged by the reporter to have caused severe harm or death. Obstetrics and Gynaecology reported the most no harm events [OR 1.61(95%CI: 1.12 to 2.27), p<0.01] and pharmacy was the hospital location where most near-misses were captured [OR 3.03(95%CI: 2.04 to 4.55), p<0.01]. Clinicians were significantly more likely to report death than other staff [OR 3.04(95%CI: 2.43 to 3.80) p<0.01]. A higher ratio of clinicians to beds correlated with reduced rate of harm reported [RR = -1.78(95%Cl: -3.33 to -0.23), p = 0.03]. Litigation claims per bed were significantly negatively associated with incident reports. Patient satisfaction and mortality outcomes were not significantly associated with reporting rates. Staff survey responses revealed that keeping reports confidential, keeping staff informed about incidents and giving feedback on safety initiatives increased reporting rates [r = 0.26 (p<0.01), r = 0.17 (p = 0.04), r = 0.23 (p = 0.01), r = 0.20 (p = 0.02)]. CONCLUSION: The NRLS is the largest patient safety reporting system in the world. This study did not demonstrate many hospital characteristics to significantly influence overall reporting rate. There were no association between size of hospital, number of staff, mortality outcomes or patient satisfaction outcomes and incident reporting rate. The study did show that hospitals where staff reported more incidents had reduced litigation claims and when clinician staffing is increased fewer incidents reporting patient harm are reported, whilst near misses remain the same. Certain specialties report more near misses than others, and doctors report more harm incidents than near misses. Staff survey results showed that open environments and reduced fear of punitive response increases incident reporting. We suggest that reporting rates should not be used to assess hospital safety. Different healthcare professionals focus on different types of safety incidents and focusing on these areas whilst creating a responsive, confidential learning environment will increase staff engagement with error disclosure
Nuclear magnetic octupole moment and the hyperfine structure of the states of the Ba ion
The hyperfine structure of the long-lived and levels of
Ba ion is analyzed. A procedure for extracting relatively unexplored
nuclear magnetic moments is presented. The relevant electronic matrix
elements are computed in the framework of the ab initio relativistic many-body
perturbation theory. Both the first- and the second-order (in the hyperfine
interaction) corrections to the energy levels are analyzed. It is shown that a
simultaneous measurement of the hyperfine structure of the entire
fine-structure manifold allows one to extract without contamination
from the second-order corrections. Measurements to the required accuracy should
be possible with a single trapped barium ion using sensitive techniques already
demonstrated in Ba experiments.Comment: Phys Rev A in pres
To have in order to do: Exploring the effects of consuming experiential products on wellâbeing
The experience recommendation â if you want to be happier, buy life experiences instead of material items â is supported in empirical research. However, this evidence is primarily based on the dichotomous comparison of material items and life experiences. The goal of this article is to examine the effects of consuming experiential products â purchases that fall between material items and life experiences â on wellâbeing. Study 1 and Study 2 demonstrate that experiential products provide similar levels of wellâbeing compared to life experiences and more wellâbeing than material items. Study 3 replicates this finding for purchases that turn out well. In addition, Study 3 shows experiential products, when compared to life experiences, lead to more feelings of competence but less feelings of relatedness, which explains why these two purchases result in similar levels of wellâbeing. We discuss why experiential products and life experiences lead to psychological need satisfaction and how our results support the PositiveâActivity Model, SelfâDetermination Theory, and Holbrook and Hirschmanâs hedonic consumption framework.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142004/1/jcpy28.pd
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