Impact of EHR Usability on Provider Efficiency and Patient Safety in Non-Hospital Settings

Healthcare organizations may reap benefits transitioning to electronic health records (EHRs), such as decreased healthcare costs and better care. However, severe unintended consequences from implementation and design of these systems have emerged. Poorly implemented EHR systems may endanger the integrity of clinical or administrative data. That, in turn, can lead to errors jeopardizing patient safety or quality of care. A literature review of 40 sources identified how EHR implementation and design can impact provider centric, patient centric, and outcomes. These categories provided the basis for a comprehensive EHR impact model that was evaluated in non-hospital settings through focus groups interviews

Ex. 277-US-415

The 2004 annual report on riverine movements of adult Lost River, shortnose, and Klamath largescale suckers in the Williamson and Sprague rivers, Orego

Ex. 279-US-403

A 2006 annual report on the spawning migration movements of Klamath largescale, Lost River, and shortnose suckers in the Williamson and Sprague rivers, Oregon, prior to the removal of Chiloquin Da

Ex. 277-US-414

The 2006 annual report on the spawning migration movements of Klamath largescale, Lost River, and shortnose suckers in the Williamson and Sprague rivers, Oregon, prior to the removal of Chiloquin Dam

Ex. 277-US-415

The 2004 annual report on riverine movements of adult Lost River, shortnose, and Klamath largescale suckers in the Williamson and Sprague rivers, Orego

Ex. 279-US-403

A 2006 annual report on the spawning migration movements of Klamath largescale, Lost River, and shortnose suckers in the Williamson and Sprague rivers, Oregon, prior to the removal of Chiloquin Da

Ex. 277-US-414

The 2006 annual report on the spawning migration movements of Klamath largescale, Lost River, and shortnose suckers in the Williamson and Sprague rivers, Oregon, prior to the removal of Chiloquin Dam

Influence of static and dynamic disorder on the visible and infrared absorption spectra of carbonmonoxy horseradish peroxidase

Spectroscopy of horseradish peroxidase with and without the substrate analog, benzohydroxamic acid, was monitored in a glycerol/water solvent as a function of temperature. It was determined from the water infrared (IR) absorption that the solvent has a glass transition at 170-180 K. In the absence of substrate, both the heme optical Q(0,0) absorption band and the IR absorption band of CO bound to heme broaden markedly upon heating from 10-300 K. The Q(0,0) band broadens smoothly in the whole temperature interval, whereas the IR bandwidth is constant in the glassy matrix and increases from 7 to 16 cm(-1) upon heating above the glass transition. Binding of substrate strongly diminishes temperature broadening of both the bands. The results are consistent with the view that the substrate strongly reduces the amplitude of motions of amino acids forming the heme pocket. The main contribution to the Q(0,0) bandwidth arises from the heme vibrations that are not affected by the phase transition. The CO band thermal broadening stems from the anharmonic coupling with motions of the heme environment, which, in the glassy state, are frozen in. Unusually strong temperature broadening of the CO band is interpreted to be caused by thermal population of a very flexible excited conformational substrate. Analysis of literature data on the thermal broadening of the A, band of Mb(CO) (Ansari et al., 1987. Biophys. Chem. 26:337-355) shows that such a state presents itself also in myoglobin

レキシテキ ニンゲンガク カラ ミタ ニホン ノ シンタイ ブンカ : ベルリン ジユウ ダイガク デノ コクサイ ワーク ショップ ニホン ノ シンタイ ブンカ カタ ト ソノ ブンカ オウダンテキ デンタツ ホウコク ロンブン 1

Am 22. September 2008 führten Hirota und Ishida die internationale Werkstatt "Japanische Kultur -durch 'KATA'(Form/Muster) erleben" in der Freien Universität Berlin durch. An diesem Tag gab es ungefähr 20 Teilnehmer: Professor Ch. Wulf und die 'Historische Anthropologie' Studenten/innen，die einige Übungen erfuhren. In unserer Werkstatt haben sie erst unter Leitung von Ishida die Schwertkunst，Stockkunst und Aikido erfahren. Dann hat Hirota ihnen einigen Bewegungsübung als japanische kulturelle Essenz angeboten. Dieser Artikel besteht aus einem Bericht dieser Werkstatt und dem Nachdenken von KATA，sonst (1) ist der Teil von Ishida

Mediation in the Law Curriculum

Cited by Lord Neuberger in ‘Educating Future Mediators’ at the 4th Civil Mediation Council National Conference, May 201