An Evidence-Based Evaluation of Medication Barcode Scanning Acceptance in a Community Hospital

Barcode scanning during medication administration is a powerful tool to prevent errors and support patient safety. In spite of the significant patient safety benefits, there is a lack of adoption and acceptance of barcode scanning. The purpose of this project was to implement an evidence-based assessment, utilizing a survey instrument based on the technology acceptance model, to understand adoption and acceptance of barcode scanning at a community hospital. Forty-four people, 38 nurses and 8 respiratory therapists, participated in the survey. Data analyses were performed using descriptive statistics, Kruskal-Wallis, Mann-Whitney U, and Spearman\u27s rho tests. The subscales for the intention to use barcode scanning and the influence of others were rated highest by the survey participants. The subscales for the training and technical support received the lowest ratings. There were significant differences among the departments on the subscale scores, with the acute inpatient area reporting the highest subscale ratings and the surgical services/procedural area reporting the lowest subscale ratings. There were no differences in the scores for the survey subscales in regards to participants\u27 age and years of computer use at work and at home. There were several themes identified related to barcode scanning issues and concerns. Recommendations to address the survey results and the barcode scanning issues were developed

Sampling Field Heterogeneity at the Heme of c-Type Cytochromes by Spectral Hole Burning Spectroscopy and Electrostatic Calculations

AbstractWe report on a comparative investigation of the heme pocket fields of two Zn-substituted c-type cytochromes—namely yeast and horse heart cytochromes c—using a combination of hole burning Stark spectroscopy and electrostatic calculations. The spectral hole burning experiments are consistent with different pocket fields experienced at the hemes of the respective cytochromes. In the case of horse heart Zn-cytochrome c, two distinguishable electronic origins with different electrostatic properties are observed. The yeast species, on the other hand, displays a single electronic origin. Electrostatic calculations and graphics modeling using the linearized finite-difference Poisson-Boltzmann equation performed at selected time intervals on nanosecond-molecular dynamics trajectories show that the hemes of the respective cytochromes sample different potentials as they explore conformational space. The electrostatic potentials generated by the protein matrix at the heme show different patterns in both cytochromes, and we suggest that the cytochromes differ by the number of “electrostatic substates” that they can sample, thus accounting for the different spectral populations observed in the two cytochromes

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-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. 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