Implementation of the Hand-off Communication Tool Assignment

Implementation of the Hand-off Communication Tool - Assignment Example They typically occur during shift changes. Inadequate communication has been cited as a major cause of medical errors (Reisenberg, Leitzsch, & Cunningham, 2010). Researchers who were exploring the causes and nature of human error in intensive care settings found out that verbal communication between nurse and physicians contributed to 37% of medical errors (Reisenberg, Leitzsch, & Cunningham, 2010). In an Australian study, more than 14,000 admissions were investigated. The study revealed that approximately 17% of the cases had an adverse event closely associated to it. Among the 17% of the cases, 11 percent were attributed to communication errors (Reisenberg, Leitzsch, & Cunningham, 2010). According to TRICARE (2005), the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that institutions of healthcare ought to implement a standardized approach to handoff communications in an effort to meet the ever growing need of patient safety. Current Scenario The cur rent tool in use has been associated with a number of delays. Nurses would file reports indicating that beds were not ready; patients missed their medication, nurses themselves not being ready and the absence of vital patient information. A questionnaire was submitted to healthcare personnel in an effort determine the cause of the delays. ... In other clinical nursing scenarios, many errors have been identified that have resulted from communication problems. For instance omission of critical information as a result of poor communication between healthcare personnel, miscommunication that has results in misunderstanding of information, inability of the receiving nurse to contact the ongoing nurse due to communication problems, use of communication tools like reports that often become too routine and result in loss of focus by many healthcare personnel (Ong, &Coiera, 2011). Other problems arising due to absence of standard communication procedure include idle chatting during handoffs that dilutes the importance of handoffs, illegible handwriting in reports, reports with judgmental statements, absence of research on handoffs and data that is in support of best practices, ethnic, cultural and racial barriers which interfere with communication channels, language barriers that frustrate efforts to communicate effectively, and s taff who resist change that comes with implementation of new routines (Reisenberg, Leitzsch, & Cunningham, 2010). Implementation I pass the baton is a technique that was designed with a primary purpose of streamlining the handoff process and have a well established and standardized means of communication. The main idea behind the use of this tool is to minimize information loss and more importantly ensure that exchange of information occurs in a timely manner and with a high level of accuracy. The culture and needs of a healthcare institution often dictate how the technique will be utilized. I pass the baton stands for I-introduction, P-patient, A- assessment, S-situation, S-safety concerns, B-background, A-actions, T-timing, O-ownership, N-next. This tool requires that a

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RESEARCH PROPOSAL ASSESSMENT OF CNR 9 COMMUNICATION SYSTEM COURSE IN ROYAL SIGNAL REGIMENT INTRODUCTION 1. Military organization was the unique entity which is self-contained organization with the complete equipment’s for their vision and mission. For the purpose of the training and operation, one of essential part was the communication system. The communication system which belongs to any organization will become their core competencies once they are valuable, costly to imitate, rare and non-substitutable. Communication system provides the ability to mass combat power. It is a way of architecting a battle or a campaign. It is a calculated to create possibilities for future force utilization. Effective communications determines how, when and where the force fight in a theater, where and when combat power can be massed. â€Å"Without the communication I only can command my table† is an expression attributed by Mc Arthur. Most importantly, the effectiveness of communication at the operational level is a part of the concept of operations. 2. As indicated in the Army Transformation Plan 2012, communication plays an important and significant role in ensuring that the army shall be a credible and versatile objective force that will be able to operate in a multi spectrum environment. CNR 9 communication system was procured last 6 year into the army inventory. More than 6000 radio set been purchased and it is consisting of HF(High Frequency) and VHF(Very High Frequency) which is fully digitized. The HF radio also known as SKY FAST and FAST NET for the VHF. The company that delivered the systems is Sapura Sdn Bhd which a local company and Thales, France is responsible to produce the product inclusive the training toward the users. Thales... ... assigned to take charge in conducting, distributing and collecting back the questionnaires. Besides that, secondary data was also collected through interviews with key management personnel of IKED as well as the SAPURA Sdn Bhd. Some information also gathered from magazines, academic journals, published books and internet sources in the area of radio communication courses and syllabus. DATA ANALYSIS TECHNIQUES 20. For the purpose of this research, the data obtained is analyzed using the â€Å"Statistical Package for Social Science† SPSS version 22.0 software. The techniques of data analysis consist of descriptive and inferential analysis. Descriptive analysis covers analysis on the frequency of the respondents’ respond and the interaction relationship between independent and dependent variable in this research; whereas, inferential analysis includes t-test and ANOVA.

The Affordability And Efficiency Of Solar Energy Environmental Sciences Essay

Energy is known as the foundation of all resources that plays an of import function in modern society. Our day-to-day life activities in place, office and transport all depended on the changeless and dependable supply of energy. Most of the coevals of energy in our modernised society is chiefly from the non-renewable resources like fossil fuels and atomic power. These beginnings are called non-renewable resources for the ground that they can non be replenish or reproduced in a comparatively short sum of clip. Fossil fuel is the most common non-renewable energy used due to the fact that atomic power is high radioactive in conformity with many negative consequence. However, fossil fuels are consuming at a steep rate because of the high demand. The development of fossil fuels besides brings menaces to the planetary universe. Carbon dioxide ( CO2 ) is the by-product of firing dodo fuels which is the nursery gas lending to the planetary heating. In add-on, firing fossil fuels besides outp uts sulphur dioxide that leads to acid rain. Extraction of coal, oil and natural gas will besides present a great impact on the natural ecosystem for illustration oil spills and landslides. A solution for all of these jobs is to happen a new alternate energy resource or renewable energy resources. Renewable energy is preferred over non-renewable energy because it produces non-polluting, clean and unlimited energy supply to our local demands. In future, the use of renewable energy resources is set to lift in a big graduated table because of deficient supplies of fossil fuels and besides because of authorities policy and plans to back up renewable energy coevals Solar, biomass, hydropower, geothermic and air current are list of renewable energy deriving a fast development in many states worldwide. Among these energy resources, solar is known best for its emerging turning patterned advance in the universe because itaa‚Â ¬a„?s more dependable, low-cost and efficient.1.2 Overview of Photovoltaic ( PV )Solar Photovoltaic is one of the fastest turning energy engineerings, with growing by an mean 30 % per annum over the past 20 old ages against a background of quic kly worsening costs and monetary values. In 2009, the photovoltaic solar industry generated $ 38.5 billion in grosss globally and PV installings grew to 7.3 GW in 2009, up 20 % from the anterior twelvemonth [ 1 ] ( Fig. 1.1 ) .Figure 1.1: PV Market Size in cleavage by application ( GW )Photovoltaic ( PV ) generates electric energy from solar from solar cells packaged in photovoltaic faculties. These faculties are usually connected in multiple of PV arrays to bring forth more energy from Sun. Inside the PV array, solar power will be produced because of the mechanism which the photons from sunlight collide the negatrons in PV cell into a higher province of energy, therefore bring forthing electricity when negatrons flow. The photovoltaic term implies that impersonal operation part of a photodiode in which current through the device is wholly due to the transduced visible radiation energy. Direct current is generated with the presence of Sun visible radiation at the solar cell, this en ergy can be used to power up devices or equipment, charge a battery cell or solar hot H2O system. The promotion and increased execution of PV system in many applications can function to better the worldaa‚Â ¬a„?s energy options. Solar power is so the cleanest methods of energy production known with no harmful by-products or menaces to the environment. However, there are few jobs with solar power in power transition facets. There is a demand of efficient convertor to change over the DC current to AC supplies for users of energy that wanted high-current low-tension AC current in order to ease energy usage. Furthermore, the current engineering of solar panel claims to be merely 40 % efficiency which is non perfect in energy transition. Solar cell has a nonlinear current-voltage operating point where the maximal power point ( MPP ) which varies depending on the PV cell temperature and the solar sunstroke degree. The location of MPPT is non known ab initio. However, it can be traced either through computation method or seeking algorithms. So, in order to maximise the power extracted from the PV for solar efficiency betterment, a maximal power point tracker ( MPPT ) is required to reassign the power to the burden. MPPT will be responsible to happen the electromotive force or current at which the solar panel should run to pull out the maximal end product power under a given temperature and irradiance.1.2 Undertaking MotivationSolar power system offers the undermentioned advantages of: environmental friendly, clean, low care fee, and a long life-time. Due to these benefits, the solar energy is one of the fastest turning market globally. Nevertheless, PV system is still considered to be expensive, and the decrease in PV system cost involve extensive of research and development. In power electronics field, the efficiency can be improved by maximising the energy end product of PV array. There is a demand of MPPT control in order for the PV array to run at the optimal point in assorted environmental conditions. Many methods have been developed to better the maximal power end product extracted from the PV faculties. They can be sorted out as mathematic theoretical accounts to do approximated descri ptions of the PV faculties behavior, plan the algorithms based on the theoretical accounts, and standard trial of PV system to plan the trailing faculty. These methods have been tested with simulations and consequences approximate the public presentation in existent environment. However, some proposed methods consist of really complex construction or algorithm which makes the calculation procedure to be slow or expensive. Apart from the assorted invented method for MPPT PV system, Perturbation and Observation algorithm ( P & A ; O ) is the most common method used in market because of its simpleness and easiness of execution. With the rapid growing in solar industry an tremendous figure of PV panels are runing today for the whole universe. With the increasing of figure panels and life-time, the insuring of optimum operating conditions is going more of import, in order to minimise the power losingss. This creates the new challenge of public presentation observation and analysis for PV faculties.1.3 Undertaking AimsThe chief aims of the undertaking are: To plan a MPPT Solar Charge Controller to maximise the power extracted from PV system. To implement the MPPT algorithm controlled by microcontroller. The microcontroller is responsible in changing the responsibility rhythm of convertor to coerce the PV array operate in optimal point To analyse the public presentation of MPPT accountant with the algorithm chosen. MPPT Solar Charge Controller that developed must be low cost, dependable and stable in public presentation for existent environment application.1.4 Scopes of ProjectThis undertaking involves execution of hardware and package for planing a Solar Charge Controller that will tracks the maximal power point for PV cell in order to alter a rechargeable lead-acid battery in shortest clip. Choice of DC-DC convertor based on the desired end product electromotive force to bear down a battery through MPPT Solar Charge Controller. Buck Converter will be used in this undertaking development. The power MOSFET in vaulting horse convertor acts as a switch in the power supply component because it can defy high electromotive force and current. The c2000 household Texas Instrument DSP microcontroller will be commanding the vaulting horse convertor by directing PWM signal to power MOSFET after the computational work has done. The simulation of MPPT algorithm through MATLAB SIMULINK MPPT algorithm will be develop on MATLAB and the public presentation will be stimulate and analyze. MATLAB contains Target Support Package for c2000 Texas Instrument Microcontroller, therefore the developed MPPT algorithm can be ingrate to the microcontroller easy.

Healthcare Reform Implementation. A Single Mother Of A

Healthcare Reform Implementation A single mother of a toddler just learned that she is pregnant. She recently filed for divorce against her abusive husband who is a heroin addict and now she is pregnant with their second child. This twenty-something-year-old mother is left working a minimum wage job, has limited support from her family, and is going through nursing school in attempt to make a better life for herself and her children. She struggles to put food on the table much less pay for health care services for herself and her young child. This despairing mother was myself. Without government health care resources, such as the medical card, and the Women, Infant, Child (WIC) program I personally would not have been able to become the†¦show more content†¦Furthermore, these laws expanded government health insurance coverage to undeserved populations such as children and pregnant women (Nies McEwen, 2014). Opposing the Affordable Care Act were the thousands of uninsured Americans who were now going to be charged monetary penalties by the U.S. government for being uninsured. This also brought a large outcry from conservative political parties. Many middle class working individuals felt that their hard-earned taxpayer dollars should not be spent for those who live off the governmental welfare system. This expansion of coverage in their minds simply provided an extension of free health care coverage to more none-contributing taxpaying individuals. Healthcare Reform in My State Ohio homes a wide variety of financially secure and insecure populations. Per the U.S. Census Bureau (n.d.), Ohio claims a poverty rate of 14.8% and an average mean working income of $49,429 per year. With this statistic of poverty rate being less than a quarter, Ohio residents mostly consist of the working middle class. This means that most of the government assistant health care coverage known as Medicaid, is provided to cover those under the age of 18. Yet, the largest amount of costs is however disbursed to the elderly and those with disabilities rather then children who are covered through the plan (Kaiser Family Foundation, 2014). Positive Outcomes Many positive outcomes have occurred with the implementation of health care reformShow MoreRelatedTaking a Look at Bolivia1826 Words   |  7 Pagesthe next couple of paragraphs I’m going to talk about poverty in Bolivia, and how it has caused an epidemic of malnutrition children, I’m then going to narrow the topic down by talking about Bolivia’s child mortality rates and healthcare system, and the problems with healthcare access, I’m going to talk about Bolivia’s lack of access to food security and sanitation, and lastly I’m going to talk about the benefits that the popularity of the Bolivian crop quinoa has had on Bolivian nutrition. 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