Adaptation of the Agency for Healthcare Research and Quality’s ‘Hospital Survey on Patient Safety Culture’ to the Bosnia and Herzegovina Context

OBJECTIVES: Measuring staff perspectives on patient safety culture (PSC) can identify areas of concern that, if addressed, could lead to improvements in healthcare. To date, there is no validated measure to assess PSC that has been tested and adapted for use in Bosnia and Herzegovina (BiH). This research addresses the gap in the evidence through the psychometric assessment of the Agency for Healthcare Research and Quality\u27s: \u27Hospital Survey on Patient Safety Culture\u27 (HSOPSC), to determine its suitability for the health system in BiH. SETTING: Nine hospitals. PARTICIPANTS: Healthcare professionals (n=1429); nurse (n=823), doctors (n=328), other clinical personnel (n=111), non-clinical personnel (n=60), other (n=64), no response (n=43). PRIMARY AND SECONDARY OUTCOME MEASURES: A translated version of HSOPSC was used to conduct psychometric evaluation including exploratory factor analysis and confirmatory factor analysis (CFA). Comparison between the original HSOPSC and the newly adapted \u27Hospital Survey on Patient Safety Culture for Bosnia and Herzegovina\u27 (HSOPSC-BiH) was carried out. RESULTS: Compared with the original survey, which has 12 factors (42 items), the adapted survey consisted of 9 factors (29 items). The following factors from the original survey were not included in their original form: Communication Openness, Feedback and Communications about error, Overall Perceptions of Patient Safety and Organisational learning-Continuous Improvement. The results of the CFA for HSOPSC-BiH showed a better model fit compared with the original HSOPSC. The absolute and relative fit indices showed excellent model adjustment. CONCLUSIONS: The BiH version of Hospital Survey on Patient Safety Culture demonstrated satisfactory psychometric properties, with acceptable to good internal consistency and construct validity. Therefore, we recommend the HSOPSC-BiH as a basis for assessing PSC in BiH. This survey could provide insight into patient safety concerns in BiH so that strategies to overcome these issues could be formulated and implemented

Integriertes Personal-Controlling im Krankenhaus: neue Instrumente für die Prozess- und Ressourcensteuerung

Offermanns G. Integriertes Personal-Controlling im Krankenhaus: neue Instrumente für die Prozess- und Ressourcensteuerung. Reihe Philosophie, Wissenschaft, Praxis; 1. Heidelberg: Integrierte Bildung; 2005

Design overview of the ITER core CXRS fast shutter and manufacturing implications during the detailed design work

At first a detailed fast shutter design was finalized for the ITER core charge exchange recombination spectroscopy (CXRS) diagnostic. The shutter has approximately 70 kg of mass and a length of 2.1 m. It operates in fractions of a second (0.7 s) protecting critical optical components against degradation and providing means of calibration for the optical system. The shutter structure is driven by a bidirectional frictionless helium actuator, with forces and axial strokes of 3.4 kN and 2 mm respectively. The shutter structure consists of: (a) two blades made of CuCrZr and stainless steel, calibration surfaces (currently Al2O3) on the top and on the bottom a protective TZM (Mo–0.5Ti–0.08Zr) screens, (b) two arms interconnected that form one cooling circuit including the blades, (c) a bumper system to limit the arms movement, and (d) a support. A description of these components and their functions are given in this paper, followed by some issues, and their corresponding solutions or ongoing investigations, encountered during the design work. Detailed manufacturing drawings have been developed as the deliverable final product of this design stage, and are used in the prototyping phase which includes testing, numerical benchmarking, and validation of the shutter concept

Entwicklung und Test von Prototypkomponenten für ITER

Das Bundesministerium für Bildung und und Forschung (BMBF) stellte in 2007/2008 Mittel imRahmen der Projektförderung zur Verfügung, mit der Zielsetzung eine stärker sichtbareBeteiligung der deutschen Fusionsinstitute am Aufbau von ITER zu erreichen, sowie dieChancen deutscher Unternehmen auf die Übernahme von Aufträgen für den Aufbau vonITER zu stärken.Eine wichtige Zielsetzung des hier beschriebenen Forschungsvorhabens (Projektnummer03FUS0007) war es demnach, kritische Prototyp-Komponenten für ITER zu entwickeln undzu testen, sowie entsprechende Mess- und Prüfeinrichtungen aufzubauen. Gleichzeitigwurde in der Projektbearbeitung sehr eng mit einer ganzen Reihe von Unternehmenzusammengearbeitet, um so einen intensiven Know-How Transfer in beiden Richtungen imHinblick auf die Entwicklung von Komponenten für Fusionsanlagen zu erreiche

Diagnostic setup for investigation of plasma wall interactions at Wendelstein 7-X

Wendelstein 7-X being the most advanced stellarator is currently prepared for commissioning at Greifswald. Forschungszentrum Jülich is preparing a research programme in the field of plasma wall interactions (PWI) by developing a dedicated set of diagnostic systems. The specific interest at Wendelstein 7-X is to understand PWI processes in presence of a 3D plasma boundary of an island divertor. Furthermore, for the first time steady state plasma at high density and low temperature in the divertor region will be available. Since PWI only could be understood in conjunction with the edge plasma properties the aim of the setup is to observe both the edge plasma as well as surface processes. For optimum combination of different diagnostic methods the edge diagnostic systems are aligned toroidally along one out of five magnetic islands. Main systems are a multipurpose fast probe manipulator, two gas boxes in opposite divertor modules together with two endoscopes each observing the divertor regions, a poloidal correlation reflectometer, a dispersion interferometer in the divertor, and VUV and X-ray spectroscopy in the plasma core. The concept of the diagnostic setup is presented in this paper

A SATELLITE INSTRUMENT TO STUDY MESOSPHERE AND LOWER THERMOSPHERE WAVE DYNAMICS

A novel limb sounder for the measurement of temperature at the mesosphere and lower thermosphere boundary is presented. The instrument is designed to fly on Micro- and Nanosatelliteplatforms for the deployment in satellite constellations. The goal is to obtain a dense, 4-dimensional mesh of temperatures for resolving the small scale, time-varying waves that coupleatmospheric regions.The instrument’s core element is a spatial heterodyne interferometer, which is a monolithicMichelson-type interferometer, particularly suitable for harsh environments. The instrumentsuccessfully completed a student-led rocket mission and an in-orbit satellite technology demonstration. Upcoming deployments are within an international satellite program in research andeducation and an in-orbit demonstration and validation mission of the European Union. Thesemissions will improve the maturity of the measurement concept based on extensive in-orbitcharacterizations.A focus of this presentation is on a two-satellite mission concept to obtain highly resolvedgravity wave momentum fluxes, one of the key quantities to understand the coupling betweenthe Earth atmosphere and lower space. This is relevant to our capabilities for near real-timespace weather prediction and to improving space environment climatology

Status of the R&D activities to the design of an ITER core CXRS diagnostic system

The CXRS (Charge-eXchange Recombination Spectroscopy) diagnostic for the core plasma of ITER will be designed to provide observation of the dedicated diagnostic beam (DNB) over a wide radial range, roughly from a normalised radius r/a = 0.7 to close to the plasma axis. The collected light will be transported through the Upper Port Plug #3 (UPP3) to a bundle of fibres and ultimately to a set of remote spectrometers. The design is particularly challenging in view of the ITER environment of particle, heat and neutron fluxes, temperature cycles, electromagnetic loads, vibrations, expected material degradation and fatigue, constraints against tritium penetration, integration in the plug and limited opportunities for maintenance. Moreover, a high performance (étendue × transmission, dynamic range) is expected for the port plug system since the beam attenuation is large and the background light omnipresent, especially in terms of bremsstrahlung, line radiation and reflections. The present contribution will give an overview of the current status and activities which deal with the core CXRS system, summarising the investigations which have taken place before entering the actual development and design phase

Status of the R&D activities to the design of an ITER core CXRS diagnostic system

The CXRS (Charge-eXchange Recombination Spectroscopy) diagnostic for the core plasma of ITER will be designed to provide observation of the dedicated diagnostic beam (DNB) over a wide radial range, roughly from a normalised radius r/a = 0.7 to close to the plasma axis. The collected light will be transported through the Upper Port Plug #3 (UPP3) to a bundle of fibres and ultimately to a set of remote spectrometers. The design is particularly challenging in view of the ITER environment of particle, heat and neutron fluxes, temperature cycles, electromagnetic loads, vibrations, expected material degradation and fatigue, constraints against tritium penetration, integration in the plug and limited opportunities for maintenance. Moreover, a high performance (étendue × transmission, dynamic range) is expected for the port plug system since the beam attenuation is large and the background light omnipresent, especially in terms of bremsstrahlung, line radiation and reflections. The present contribution will give an overview of the current status and activities which deal with the core CXRS system, summarising the investigations which have taken place before entering the actual development and design phase