Investigation Interoperability Problems in Pharmacy Automation: A Case Study in Saudi Arabia

The aim of this case study is to investigate the nature of interoperability problems in hospital systems automation. One of the advanced healthcare providers in Saudi Arabia is the host of the study. The interaction between the pharmacy system and automated medication dispensing cabinets is the focus of the case system. The research method is a detailed case study where multiple data collection methods are used. The modelling of the processes of inpatient pharmacy systems is presented using Business Process Model Notation. The data collected is analysed to study the different interoperability problems. This paper presents a framework that classifies health informatics interoperability implementation problems into technical, semantic, organisational levels. The detailed study of the interoperability problems in this case illustrates the challenges to the adoption of health information system automation which could help other healthcare organisations in their system automation projects

Using an integrated information system to reduce interruptions and the number of non-relevant contacts in the inpatient pharmacy at tertiary hospital

Patient care is provided by a multidisciplinary team of healthcare professionals intended for high-quality and safe patient care. Accordingly, the team must work synergistically and communicate efficiently. In many hospitals, nursing and pharmacy communication relies mainly on telephone calls. In fact, numerous studies have reported telephone calls as a source of interruption for both pharmacy and nursing operations; therefore, the workload increases and the chance of errors raises. This report describes the implementation of an integrated information system that possibly can reduce telephone calls through providing real-time tracking capabilities and sorting prescriptions urgency, thus significantly improving traceability of all prescriptions inside pharmacy. The research design is based on a quasi-experiment using pre-post testing using the continuous improvement approach. The improvement project is performed using a six-step method. A survey was conducted in Prince Sultan Military Medical City (PSMMC) to measure the volume and types of telephone calls before and after implementation to evaluate the impact of the new system. Beforehand of the system implementation, during the two-week measurement period, all pharmacies received 4466 calls and the majority were follow-up calls. Subsequently of the integrated system rollout, there was a significant reduction (p > 0.001) in the volume of telephone calls to 2630 calls; besides, the calls nature turned out to be more professional inquiries (p > 0.001). As a result, avoidable interruptions and workload were decreased

Leveraging Employer Practices in Global Regulatory Frameworks to Improve Employment Outcomes for People with Disabilities

Work is an important part of life, providing both economic security and a forum to contribute one’s talents and skills to society, thereby anchoring the individual in a social role. However, access to work is not equally available to people with disabilities globally. Regulatory environments that prohibit discrimination and support vocational training and educational opportunities constitute a critical first step toward economic independence. However, they have not proven sufficient in themselves. In this article, we aim to infuse deeper consideration of employer practice and demand-side policy reforms into global policy discussions of the right to work for people with disabilities. We begin by documenting the employment and economic disparities existing for people with disabilities globally, followed by a description of the international, regional, and local regulatory contexts aiming to improve labor market outcomes for people with disabilities. Next, we examine how policies can leverage employer interests to further address inequalities. We discuss employer policies and practices demonstrated in the research to facilitate recruitment, hiring, career development, retention, and meaningful workplace inclusion. The goal of the article is to synthesize existing international literature on employment rights for people with disabilities with the employer perspective

"Big Bang" Versus Gradualism in Economic Reforms: An Intertemporal Analysis with an Application to China

This paper analyzes issues concerning the speed of adjustment and sequencing of reforms in a transition economy. It presents a dynamic general equilibrium model parameterized with Chinese data. The model is used to generate different policy simulations that highlight the importance of the policy instruments used during the transition period. The simulations consider privatization, tariff reform, and devaluation, as well as alternative speeds of introducing these policies. They show that different speeds of adjustment, as well as sequencing of reforms, will have very different implications for macroeconomic aggregates. Copyright 2003, International Monetary Fund

Reduction of Quantum Noise in Transmittance Estimation Using PhotoneCorrelated Beams

The accuracy of optical measurements at low light levels is limited by the quantum noise of the source and by the random nature of the interaction with the measured object. The source noise may be reduced by use of nonclassical photon-number squeezed light. This paper considers the use of two photon-correlated beams (generated, for example, by spontaneous parametric downconversion) to measure the optical transmittance of an object. The photons of each beam obey a random Poisson process, but are synchronized in time. One beam is used to probe the object while the other is used as a reference providing information on the realization of the random arrival of photons at the object. The additional information available by such measurement may be exploited to improve the accuracy of the measurement. Various estimators, including the maximum likelihood estimator, are considered and their performance is evaluated and compared with the measurement based on single-beam conventional (Poisson) source and maximally squeezed (fixed photon number) source. The performance advantage established in this paper depends on parameters such as the intensity of the source, the transmittance of the object, the quantum efficiency of the detectors, the background noise, and the degree of correlation of the photon numbers in the two beams

Increased heavy metal tolerance of cowpea plants by dual inoculation of an arbuscular mycorrhizal fungi and nitrogen-fixer Rhizobium bacterium

Through biological inoculation technology, the bacterial-mycorrhizal-legume tripartite symbiosis in artificially heavy metal polluted soil was documented and the effects of dual inoculation with arbuscular mycorrhizal (AM) fungus and Rhizobium (N-fixing bacteria, NFB) on the host plant cowpea (Vigna sinensis) in pot cultures were investigated at six concentrations of Zn (0.0 – 1000 mg/kg dry soil) and Cd (0.0 – 100 mg/kg dry soil). From a number of physiological indices measured in this study, microsymbionts significantly increased dry weight, root : shoot ratios, leaf number and area, plant length, leaf pigments, total carbohydrates, N and P content of infected plants as compared with non infected controls at all levels of heavy metal concentrations. Tolerance index of cowpea plants was increased in the presence of microsymbionts than in their absence in polluted soil. Microsymbionts dependencies of cowpea plants tended to be increased at higher levels of Zn and Cd in polluted soil. Metals accumulated by microsymbionts-infected cowpea plant were mostly distributed in root tissues, suggesting that an exclusion strategy for metal tolerance widely exists in them. This study provides evidence for benefits of NFB to AM fungi in the protection of host plants against the detrimental effects of heavy metals. If so, bacterial-AM-legume tripartite symbiosis could be a new approach to increase the heavy metal tolerance of legumes plants under heavy metal polluted soil.Keyword: Mycorrhiza, Vigna sinesis, heavy metals, microsymbiosis, Rhizobiu