How Continuous Quality Improvement Can Address Medical Errors

How Continuous Quality Improvement Can Address Medical Errors This paper will cover medical errors and how Continuous Quality Improvement can address them. Health care managers have addressed the issue of medical errors for many years. Medical errors can be caused by lack or communication and leadership. Quality improvement in the health care environment is a hot topic and managers are researching ways in which they can increase the quality of care that a patient receives. The quality of care that a patient receives can be the determining factor as to whether they live or die. It is critical that managers develop policies and implement control measure to control the rise of medical errors. Attention to medical errors escalated over five years ago with the release of a study from the Institute of Medicine (IOM), which found that between 44,000 and 98,000 Americans die each year in U.S. hospitals due to preventable medical errors (Kaiseredu, 2010). Hospital errors rank between the fifth and eighth leading cause of death, killing more Americans than breast cancer, traffic accidents or AIDS. Serious medication errors occur in the cases of five to 10 percent of patients admitted to hospitals. These numbers may understate the problem because they do not include preventable deaths due to medical treatments outside of hospitals (kaiseredu, 2010). Health care managers, along with the Food and Drug Administration, have study the medical error reports to determine the cause of errors. Medical errors are one of the leading causes as to why health care has declined. To improve healthcare managers must determine how to decrease the mortality rates. Managers can determine this by studying and analyzing medical reports. These reports provided managers with detailed information on what procedure was being conducted or what medication the patient was administered. In a study by the FDA that evaluated reports of fatal medication errors from 1993 to 1998, the most common error involving medications was related to administration of an improper dose of medicine, accounting for 41% of fatal medication errors. Giving the wrong drug and using the wrong route of administration each accounted for 16% of the errors. Almost half of the fatal medication errors occurred in people over the age of 60. Older people may be at greatest risk for medicati on errors because they often take multiple prescription medications (Stoppler Marks, 2010). History has shown that many surveys and research studies have been conducted, so that providers can learn where and why mistakes are being made. Once providers have a clear understanding, they can implement control measure to insure these mistakes do not occur. National Patient Safety Foundation Survey: The National Patient Safety Foundation (NPSF) commissioned a phone survey in 1997 to review patient opinions about medical mistakes. The findings showed that 42% of people believed they had personally experienced a medical mistake. In these cases, the error affected them personally (33%), a relative (48%), or a friend (19%) (Wrongdiagnosis, 2010). Patients that were given the survey have experienced the following medical errors: Misdiagnosis (40%), Medication error (28%), Medical procedure error (22%), Administrative error (4%), Communication error (2%), Incorrect laboratory results (2%), Equipment malfunction (1%), and Other error (7%). Patient safety should be the number one concern for health care organizations. Health care managers are held accountable for ensuring that patients are provided with quality care. They are also accountable for the patients that are injured or die due to a providerà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s medical error. The health care industries along with scientific researchers have developed tools in which the quality of care can be measured. Organizations can use these tools to determine if effective care is being provided. Once they have determined the level of care they are providing, they can educate providers on what they are doing both wrong and right. The most common method used to determine the quality of care, is through the use of surveys. Health care organizations can provide staff and patients with surveys to determine what areas the organization can improve and sustain. These surveys will not be provided to every patient the provider has treated but only a selected few will be surveyed. Quality measurement in the healthcare industry requires a large amount of resources and funding. Researchers will most likely use methods that have worked before and have provide them with data; they could use to enhance the level of care the organization is providing. Healthcare researchers are constantly trying to find ways in which the completely eliminate medical errors. Due to the continuous cycle of experienced providers leaving and new providers being hired, medical errors in many cases will never be eliminated. Health care organizations can however implement the necessary control measures to ensure that patients are not misdiagnosed or the wrong limb is not amputated (Cohen, 2007). Healthcare organizations can decrease medical errors by establishing a continuous quality improvement plan that calls for the development of a multidisciplinary team to research and investigate the causes of medical errors. The Department of Veteran Affairs uses a CQI model developed by the Joint Commission to reduce the number or medical mistakes made by providers. Joint Commissions surveys all the Veteran Affairs Medical centers to see whether their staff is following the medical policies and regulations in providing quality care. Joint Commission has also established policies regarding how health care organizations will report and handle sentinel events. A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase, or the risk thereof includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome. Such events are called sentinel because they signal the need for immediate investigation and response (Jointcommission, 2010). In conclusion medical errors can occur at anytime while a patient is receiving care. It is important that health care providers communicate and provide education to their staff on reducing the number of medical errors, the facility has encountered. Medical errors can lead to the organization being sued by the patient or the patient family member. Law suites can be devastating for any organization to go through and can reduce the amount of funds that have been allotted to providing quality care. Therefore it is important that medical errors are reduced and even eliminated.

Financing the Purchase of a Website - The Small Business Administration (SBA) :: Sell Websites Buy Websites

Financing the Purchase of a Website - The Small Business Administration (SBA) Reprinted with permission of VotanWeb.com One of the Small Business Administration's primary objectives is to help small businesses obtain financing. Although the SBA itself does not make direct loans, it has set up a number of loan programs to assist small businesses. In connection with most of these programs, the SBA provides guarantees to the private sector lenders who actually make the loans. With this guaranty in place, these lenders will generally make loans for the purchase of websites that they would not otherwise make. The discussion below focuses on those programs that are most commonly used by buyers in connection with financing the purchase of a website. Section 7(a) Program The Section 7(a) Loan Guaranty Program is one of the SBA's most important and widely used lending programs. Loans may be used for a wide variety of business purposes, including the purchase of websites and most other types of assets. Although in most cases, there is no limit on the size of the loan which can be requested from the lender, there is a limit on the amount of the loan that the SBA will guaranty. Generally the SBA will guaranty up to $1,000,000 and 75% (85% for loans under $150,000) of the loan. Thus, a $1,333,333 loan would be the largest fully guaranteed SBA loan under the Section 7(a) program. Eligibility for this type of loan guaranty is dependent on a number of factors. The website must be operated for profit, do business in the , and have a reasonable amount of equity invested by the owner. Note that all owners of 20% or more of the website must personally guaranty the loan. The size of the website must also be below certain size limits established by the SBA. These size limits vary by industry. Additional considerations include the website 's cash flow, and the owner's character, management capability, and equity contribution. Other details include: Loan Maturities - Term is based on the ability to repay, the loan purpose, and the useful life of the website. The maximum maturities are (i) the shorter of 25 years or the useful life for most hard assets and (ii) 7 years for working capital. Principal Repayments - Loan principal is structured to amortize over the period of the loan. Thus there is no "balloon" balance owing on the loan's maturity date. Interest Rates - Interest rates can be either fixed or floating, and are negotiated between the borrower and the lender. Financing the Purchase of a Website - The Small Business Administration (SBA) :: Sell Websites Buy Websites Financing the Purchase of a Website - The Small Business Administration (SBA) Reprinted with permission of VotanWeb.com One of the Small Business Administration's primary objectives is to help small businesses obtain financing. Although the SBA itself does not make direct loans, it has set up a number of loan programs to assist small businesses. In connection with most of these programs, the SBA provides guarantees to the private sector lenders who actually make the loans. With this guaranty in place, these lenders will generally make loans for the purchase of websites that they would not otherwise make. The discussion below focuses on those programs that are most commonly used by buyers in connection with financing the purchase of a website. Section 7(a) Program The Section 7(a) Loan Guaranty Program is one of the SBA's most important and widely used lending programs. Loans may be used for a wide variety of business purposes, including the purchase of websites and most other types of assets. Although in most cases, there is no limit on the size of the loan which can be requested from the lender, there is a limit on the amount of the loan that the SBA will guaranty. Generally the SBA will guaranty up to $1,000,000 and 75% (85% for loans under $150,000) of the loan. Thus, a $1,333,333 loan would be the largest fully guaranteed SBA loan under the Section 7(a) program. Eligibility for this type of loan guaranty is dependent on a number of factors. The website must be operated for profit, do business in the , and have a reasonable amount of equity invested by the owner. Note that all owners of 20% or more of the website must personally guaranty the loan. The size of the website must also be below certain size limits established by the SBA. These size limits vary by industry. Additional considerations include the website 's cash flow, and the owner's character, management capability, and equity contribution. Other details include: Loan Maturities - Term is based on the ability to repay, the loan purpose, and the useful life of the website. The maximum maturities are (i) the shorter of 25 years or the useful life for most hard assets and (ii) 7 years for working capital. Principal Repayments - Loan principal is structured to amortize over the period of the loan. Thus there is no "balloon" balance owing on the loan's maturity date. Interest Rates - Interest rates can be either fixed or floating, and are negotiated between the borrower and the lender.

R.C Air Plane

DESIGN AND FABRICATION OF RADIO CONTROLLED AIRPLANE Group Members: ADEEL AHMAD(080304) BABUR MANSOOR(080316) BILAL IFTIKHAR(080319) HAFIZ FAIZAN SHABBIR USMANI(080332) BE MECHATRONICS (7-A) Project Supervisor Group Captain (R) Muzaffar Ali Assistant Professor DEPARTMENT OF MECHATRONICS ENGINEERING FACULTY OF ENGINEERING AIR UNIVERSITY, ISLAMABAD DESIGN AND FABRICATION OF RADIO CONTROLLED AIRPLANE Final Year Project Report (Fall) DEPARTMENT OF MECHATRONICS ENGINEERING DESIGN AND FABRICATION OF RADIO CONTROLLED AIRPLANE Submitted By: ADEEL AHMAD(080304)BABUR MANSOOR(080316) BILAL IFTIKHAR(080319) HAFIZ FAIZAN SHABBIR USMANI(080332) Project Supervisor ____________________________ Assistant Professor, Group Captain (R) Muzaffar Ali Head of Department ____________________________ Professor/Dean/Chair Department, Engr. Dr. Zafar-ullah-Koreshi Page IAcknowledgement. Page IITable of Contents: Chapter 1: IntroductionPage No. 02 1. 1 Basic IntroductionPage No. 03 1. 2 Transmitter/ReceiverPage No. 04 1. 3 Microcontroller Page No. 05 1. 4 Digital GyroscopePage No. 05 Chapter 2: Literature Review Page No. 06 2. History Page No. 07 Chapter 3: Modeling & DesignPage No. 08 3. 1 Modeling of DC Servo Motors Page No. 09 3. 2 Design of RC PlanePage No. 11 3. 3 Major Parts of RC PlanePage No. 12 3. 4 Mechanical AnalysisPage No. Chapter 4: ReferencesPage No. 14 4. 1 BooksPage No. 15 4. 2 WebsitesPage No. 15 Acknowledgements Apart from the efforts from us, the success of this project depends largely on the encouragement and guidelines of many others. We take this opportunity to express our gratitude to the people who have been instrumental in the successful completion of this project.We would like to show our greatest appreciation to our project Supervisor Assistant Professor, Engr. Muzaffar Ali. We can’t say thank you enough for his tremendous support and help. We feel motivated and encouraged every time we attend his meeting. Without his encouragement and guidance this proje ct would not have materialized. Needless to mention that Sir Raheel Afzal & Sir Moeen Maboob, Lab Engineers, who had been a source of inspiration and for their timely guidance in the conduct of our project work. We would also like to thank all the Faculty Members for all their valuable assistance in the project work.Finally, yet importantly, We would like to express our heartfelt thanks to our beloved parents for their blessings, our friends/classmates for their help and wishes for the successful completion of this project. Chapter # 1 Introduction 1. 1: Basic Introduction Radio Controlled (RC) plane is basically a smaller prototype of an actual aircraft and its dynamics are relatively difficult to understand. For RC Plane there is 3-degree of freedom. Important parameters are: roll, pitch and yaw. To achieve control of these parameters, there are three control surfaces ailerons, elevators and rudder. 1. : Transmitter/Receiver †¢ A Transmitter is an electronic device that gener ates and amplifies a carrier wave, modulates it with a meaningful signal derived from speech or other sources, and radiates the resulting signal from an antenna. The transmitter used for project has 6 channels and is programmable for both airplanes and helicopters. It has a 3-way flap switch, aileron and elevator dual rate switches, rudder mix switch, gear and aux2 switch. A preset memory makes it possible to set up several different models on the same radio. †¢ A  Receiver  converts signals from a radio  antenna  to a usable form.It uses  electronic filters  to separate a wanted  radio frequency  signal from all other signals, the  electronic amplifier  increases the level suitable for further processing, and finally recovers the desired information through  demodulation  and  decoding. Information carried on a radio signal may represent sound, images or data. We are using a 6 channel tiny 4 grams receiver with signal path diversity. 1. 3: Microcontro ller We will be using Arduino AT-Mega 328 Microcontroller and it has a dedicated PWM pin. It has built in ADC therefore no external ADC is required and it is very much faster than Atmel Microcontrollers . 4: Digital Gyroscope How Gyroscopes Work: Gyroscope can balance on almost on any surface with single contact: It can be a finger or even a string. They can resist motion about the spin axis in very odd ways; but the most interesting effect is that gravity-defying part which is called  Precession. We will be using Eclectic Gyroscope in our RC Plane to provide it with stable Flight. We are using Gyro ITG 3200. Chapter # 2 Literature Review 2. 1: History The earliest examples of electronically guided model aircraft were hydrogen-filled model  airships  of the late 19th century.They were flown as a music hall act around theater auditoriums using a basic form of spark-emitted radio signal. In 1920s, the  Royal Aircraft Establishment  of Britain built and tested the Larynx, a  monoplane  with a 100-mile (160  km) range powered by a Lynx engine. It was not until the 1930s that the British came up with the Queen Bee, a modified  de Havilland Tiger Moth, and similar target aircraft. Radio control technology has been in use since 1893, when Nikola Tesla created a boat that was controlled by transmitted radio waves. In 1917, the first radio controlled airplane was successful.During World War II, Germany tried a variety of weapons that were operated by radio control. Radio controlled model airplanes have evolved over the years and seen improvements since that first flight in 1917. Chapter # 3 Modeling & Design 3. 1 Modeling of DC Servo Motrors 3. 2: Design of RC Plane 3. 3: Major Parts Of RC Plane Rudder Flex the rudder back and forth to loosen up the foam hinge. The less force needed to move the rudder the less stress is put on the servo during flight. Alternatively cut them off and use clear packing tape to re-attach them, one slice on each side. [pic ] ElevatorAdjust the travel adjust value to the maximum allowed before the servo begins to bind. [pic] Wings Helps the Plane in gliding and to increase the surface area of the plane. [pic] Aileron For maximum throw, the aileron wing servo has to be swapped around vertically. The servo head should be pointing toward the back instead of the leading wing edge 4. Mechanical Analysis All dimensions of the Plane are From National Advisory Committee for Aeronautics  (NACA) , we selected the NACA series of 0015 as it was cheaper to fabricate. The Analysis of the Aerofoil was performed on Gambit & Fluent as these software are used for fluid analysis.We calculated the Coefficient of Drag & Lift using these software to determine whether the plane will fly or not. The coordinates of the NACA series 0015 was taken from the NACA site. Theoretical Calculations †¢ Length of Aerofoil (chord)= 19 cm †¢ Max Thickness of Aerofoil=2. 85 cm (2. 85/19)*100= 15 We Know that our Aerofoil is Symm etrical, therefore the The NACA Series number of our Foil is 0015 †¢ The NACA 0015 airfoil is symmetrical, the 00 indicating that it has no camber. The 15 indicates that the airfoil has a 15% thickness to chord length ratio: it is 15% as thick as it is long.NACA 0015 1. 000000, 0. 001580 0. 950000, 0. 010080 0. 900000, 0. 018100 0. 800000, 0. 032790 0. 700000, 0. 045800 0. 600000, 0. 057040 0. 500000, 0. 066170 0. 400000, 0. 072540 0. 300000, 0. 075020 0. 250000, 0. 074270 0. 200000, 0. 071720 0. 150000, 0. 066820 0. 100000, 0. 058530 0. 075000, 0. 052500 0. 050000, 0. 044430 0. 025000, 0. 032680 0. 012500, 0. 023670 0. 000000, 0. 000000 0. 012500, -0. 023670 0. 025000, -0. 032680 0. 050000, -0. 044430 0. 075000, -0. 052500 0. 100000, -0. 058530 0. 150000, -0. 066820 0. 200000, -0. 071720 . 250000, -0. 074270 0. 300000, -0. 075020 0. 400000, -0. 072540 0. 500000, -0. 066170 0. 600000, -0. 057040 0. 700000, -0. 045800 0. 800000, -0. 032790 0. 900000, -0. 018100 0. 950000, -0. 01 0080 1. 000000, -0. 001580 Chapter # 4 References 6. 1: Reference Books 6. 2: References Web-Sites file:///G:/GBx%20Brushless%20Motor%20Calculator. htm http://www. futaba-rc. com/ http://www. mathworks. com/products/sl-design-optimization/demos. html? file=/products/demos/shipping/sldo/spe_servomotor. html http://www. futaba-rc. com/servos/brushless. html www. Wikipedia. com

Sociology- Nature Versus Nurture - 1816 Words

Nature versus Nurture The roles of nature (what we genetically inherit) and or nurture (what we learn) in making us what we are have long been argued. The idea that humans are determined by these two influences dates back to the ancient Greek philosopher Protagorus who in the fifth century BC compared physics (nature) and nomos (tradition). It is however difficult to unravel the separate influences of nature and nurture. If the children of musically talented parents are themselves musically talent, is it because of genetic inheritance (nature) or because of a musical environment at home where they grow up(nurture)? The nature versus nurture debate concentrates on the question of how far our behavior is determined by nature at birth†¦show more content†¦Ã¢â‚¬ ¢ Both drove a blue Chevrolet. †¢ Both built white benches round the trunk of a tree in their gardens. †¢ Both had a habit of biting their fingernails. †¢ Both were chain smokers of same brand of cigarettes †¢ Their tem peraments, voice patterns and nervous habits were also similar. Thus the case of Jim Twins might lead us towards the idea that nature determines our human behavior. Sociobiology (the systematic study of the biological basis of all social behavior) was developed by E.O. Wilson in 1980 s. According to sociobiology’s human behavior is determined naturally just like animal behavior. According to sociobiologist Steven Gavlin and Alice Schlegel (1980) individuals act in order to maximize their genes in future generations. Thus the tendency of man to have sexual relationship with beautiful women is to maximize his genes. Similarly behavior of both men and women is thus guided by genetic factors. These above mentioned evidences shows that human behavior is determined by nature or genetic influences. Our race (color of the skin and other bodily features (sex, certain diseases, flood groups, are no doubt inherited. Human beings are directly influenced by nature. For example, hunger, th irst, physical fatigue, gradual but in exorable degeneration human body all constrain our human life, shaping what we can do and can be. For example vigorous physical exercise is beyond the capacities of virtually allShow MoreRelatedSociology- Nature Versus Nurture1801 Words   |  8 PagesNature versus Nurture The roles of nature (what we genetically inherit) and or nurture (what we learn) in making us what we are have long been argued. The idea that humans are determined by these two influences dates back to the ancient Greek philosopher Protagorus who in the fifth century BC compared physics (nature) and nomos (tradition). 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I have enjoyed all of those classes in my undergrad and to hear them brought up again makes me feel like a sponge waiting to absorb the material. I have heard the term locus of control severalRead More Nature v. Nurture in Mark Twains Puddnhead Wilson and Those Extraordinary Twins2229 Words   |  9 PagesNature v. Nurture in Mark Twains Puddnhead Wilson and Those Extraordinary Twins What makes a person who they are is a difficult dilemma. Mark Twains novel, Puddnhead Wilson and Those Extraordinary Twins is a critical analysis of how nature and nurture can cultivate emotions and free will, which in turn affects the life of individuals. Twains faltering sense of direction began about slavery, moral decay, and deceptive realities (Kaplan 314). The debate of `nature versus nurture has been