The Impact of Nurse-Led Initiative Interventions on CAUTI

Problem: National Healthcare Safety Network (NHSN) has reported U.S. hospitals having 0.2 to 4.8 per 1000 catheter-days for adult inpatient units. The insertion of a catheter and delay in removal have a significant impact on morbidity, mortality, length of stay, and reimbursement. Context: Post-Acute Care Unit (PACU) is a microsystem that provides rehabilitation services for a patient with various post-surgical procedures. The staff of this unit was well aware of policies of catheterizations that led to prolonged use of urinary catheters and an increased rate of CAUTIs in the last quarter of this year. This project aims to increase staff knowledge, remove catheters per policy and decrease the rate of CAUTI by 90% during the project timeline. Intervention: The quality improvement project approaches the PACU unit by implementing nurse-led interventions. The nurse-led interventions include monthly staff in-services and education competencies, adding HOUDINI-PROCESS form in new admission bundle, CAUTI auditing binder, weekly auditing by (Clinical Nurse Leader) CNL student and making random rounds on the unit for a patient with Foley Catheter (F/C). Measures: The project had three process measures, including enhanced communication among physicians and staff, decreased utilization of foley catheter and decreased CAUTIs rate on the unit. The primary outcome measure for this project is to calculate the number of hospitals acquired CAUTI events and utilization of foley catheters during the project timeline. Result: By the end of this project, the PACU unit remained CAUTI free and succeeded in its aim to decrease the CAUTI rate in the unit. Conclusion: Implementation of evidence-based practice of nurse-led interventions met the expected outcome with a 100% decrease in the unit’s CAUTI rate. Since the interventions are incorporated in the new admission bundle and daily routine of the report; therefore, the quality improvement project will maintain sustainability in this unit

The Literature Survey on Manet, Routing Protocols and Metrics

Mobile Adhoc Network (MANET) is a collection of nodes or devices with wireless communications and nodes communicate with each other without any centralized support. Each node acts as a router in Mobile Adhoc Network. No wired infrastructure is required to form a network. Nodes form a wireless environment where nodes can communicate with each other without the restriction of the network topology. Examples of Mobile Adhoc Networks are laptops, mobile phones, PDA, Digital Cameras etc. It is also known as wearable and tearable networks, which are created when the requirement is generated

Capacity Enhancement of Multiuser Wireless Communication System through Adaptive Non-Linear Pre coding

Multiuser multiple-input multiple-output (MIMO) nonlinear pre coding techniques face the issue of poor computational scalability of the size of the network. But by this nonlinear pre coding technique the interference is pre-cancelled automatically and also provides better capacity. So in order to reduce the computational burden in this paper, a definitive issue of MU-MIMO scalability is tackled through a non-linear adaptive optimum vector perturbation technique. Unlike the conventional (Vector Perturbation) VP methods, here a novel anterograde tracing is utilized which is usually recognized in the nervous system thus reducing complexity. The tracing of distance can be done through an iterative-optimization procedure. By this novel non-linear technique the capacity is improved to a greater extend which is explained practically. By means of this, the computational complexity is managed to be in the cubic order of the size of MUMIMO, and this mainly derives from the inverse of the channel matrix. The proposed signal processing system has been implemented in the working platform of MATLAB/SIMULINK. The simulation results of proposed communication system and comparison with existing systems shows the significance of the proposed work

Dexterity for Channel Capacity Enhancement in MU-MIMO by Abrogating Interference

The looming field of Multi user Multiple-input Multiple-output (MU-MIMO) communication system has faced a challenge with precoding techniques for achieving increased channel capacity of their less inhaling of signals, imperfect knowing of channel state information, loss of signals by noise ,time complexity etc. in downlink systems which results in interference to the users. Hence straight forwarding from the issues, the paper newly introduce2LB-FR precoding technique which holds Linde-Lyold’s (LL)algorithm to increase data transmission by consuming large amount of signals with space and the Bernoulli distribution with Bayes decision (BB) to allot the perfect channel state; l information during transmission that eliminates co-interference. Holding Floyd Rasta (FR) algorithm expels the noise if added and takes the shortest required path by acquiring all the possible routes available in single execution which decreases delay. By the overall implementation, the proposed work pomped that in short time ,the capacity of the channel get enhanced with interference cancellation

REVIEW ON MULTIPLEXING TECHNIQUES IN OPTICAL COMMUNICATION SYSTEMS

In this paper, we present an overview of different multiplexing techniques. We focus on TDM, FDM, WDM, DWDM and CWDM. Basically multiplexing is an important part of communication system in which large number of users send data at the same time through a single link. Multiplexing is widely used in communication systems due to its potential to increase the channel utilization or transmission capacity and decrease system costs

REVIEW PAPER ON DWDM TECHNOLOGY

DWDM system and the need of this system is discussed along with the operation of each component. The increasing demands of bandwidth lead to the enhancement in DWDM. The components of DWDM system are individually discussed. Various advantages and disadvantages of DWDM technology are discussed. The maintenance of optical signal quality and the factors that is important while the design and operation of DWDM are seen. The advantages of DWDM make this technology ideal for communication and other applications

Cost Reduction and Channel Capacity Enhancement of MIMO System Using Antenna Selection Techniques

MIMO technology has become very popular in a wireless communication system because of the many advantages of multiple antennas at the transmitting end and receiving end. The main advantages of MIMO systems are higher data rate and higher reliability without the need of extra power and bandwidth. The MIMO system provides higher data rate by using spatial multiplexing technique and higher reliability by using diversity technique. The MIMO systems have not only advantages, but also have disadvantages. The main disadvantage of MIMO system is that the multiple antennas required extra high cost RF modules. The extra RF modules increase the cost of wireless communication systems. In this research, the antenna selection techniques are proposed to minimize the cost of MIMO systems. Furthermore, this research also presents techniques for antenna selection to enhance the capacity of channel in MIMO systems

Design of four-pole chebyshev and quasi-elliptic Ka band dielectric resonator filter using higher order mode TE01(δ+1)

This paper describes the development of 4-Pole Chebyshev and Quasi-Elliptic Ka Band Dielectric Resonator Filter using Higher Order Mode TE01δ+1. A microwave filter is a two port network used to control the frequency response at a certain point in a microwave system by providing transmission at frequencies within the passband of the filter and attenuation in the stop-band of the filter. The satellite communication industry created demand for low-mass narrow-band low-loss filters with severe specification on amplitude selectivity and phase linearity. The microwave region of the electromagnetic spectrum has certain unique properties. This enable microwave signals to propagate over long distances through the atmosphere under all the most severe weather conditions. These have both military and civilian applications, including Radar, Navigation and Wireless Communication. Microwave Filters are vital components in a huge variety of electronic systems, including cellular radio, satellite communications and radar. The design of filters uses network synthesis, with which it is possible to apply systematic procedures to work forward from specification to a final theoretical design

Enhance the Capacity of MIMO Wireless Communication Channel using SVD and Optimal Power Allocation Algorithm

Multiple input multiple output (MIMO) is a multiple antenna technology used extensively in wireless communication systems. With the ever increasing demand in high data rates, MIMO system is the necessity of wireless communication. In MIMO wireless communication system, where the multiple antennas are placed on base station and mobile station, the major problem is the constant power of base station, which has to be allocated to data streams optimally. This problem is referred as a power allocation problem. In this research, singular value decomposition (SVD) is used to decouple the MIMO system in the presence of channel state information (CSI) at the base station and forms parallel channels between base station and mobile station. This practice parallel channel ensures the simultaneous transmission of parallel data streams between base station and mobile station. Along with this, water filling algorithm is used in this research to allocate power to each data stream optimally. Further the relationship between the channel capacity of MIMO wireless system and the number of antennas at the base station and the mobile station is derived mathematically. The performance comparison of channel capacity for MIMO systems, both in the presence and absence of CSI is done. Finally, the effect of channel correlation because of antennas at the base stations and the mobile stations in the MIMO systems is also measured