...1. With the help of process flow diagrams, compare the pre-triage and the post-triage systems in terms of total system time and total waiting times. Is the new system an improvement over the old? 2. Look at the patient arrival rates and compare them to the available MD and NP capacity. An hour-by-hour or day-by-day analysis will show some interesting patterns. Based on what you have learned about waiting lines and utilization, comment on the current assignment fitness between supply and demand? | | | |Patients waiting |Patients waiting | | | | | | | |67% |33% |MD |NP |Availability | |Patients per hour treated | | | |Arrival |MD |NP |Beg of HR |Serviced |End of HR |Beg of HR |Serviced |End of HR |MD |NP |MD |NP | |8am - 9am |18.2 |12.194 |6.006 | - | 6.19 | 6.01 | - | 3.66 | 2.35 |2.0 |2 |3.0927835 |1.8292683 | |9am - 10am |17.6 |11.792 |5.808 | 6.01 | 7.73 | 10.07 | 2.35 | 7.32 | 0.84 |2.5 |4 | | | |10am - 11am |16.8 |11.256 |5.544 | 10.07 | 14.85 | 6.48 | 0.84 | 7.32 | (0.93) |4.8 |4 | | | |11am - 12 noon |15.2 |10.184 |5.016 | 6.48 | 9.90 | 6.77 | (0.93) | 7.32 | (3.24) |3.2 |4 | | | |12 noon - 1pm |11.8 |7.906 |3.894 | 6.77 | 8.04 | 6.63 | (3...
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...and help build the document from the template. All such red and blue text should be removed before submitting any formal documentation, including both draft and/or final, deliverables. **** Table of Contents 1 Introduction 3 1.1 Scope 3 1.1.1 In Scope 3 1.1.2 Out of Scope 3 1.2 Quality Objective 3 1.2.1 Primary Objective 3 1.2.2 Secondary Objective 4 1.3 Roles and Responsibilities 4 1.3.1 Developer 4 1.3.2 Adopter 4 1.3.3 Testing Process Management Team 4 1.4 Assumptions for Test Execution 5 1.5 Constraints for Test Execution 5 1.6 Definitions 6 2 Test Methodology 6 2.1 Purpose 6 2.1.1 Overview 6 2.1.2 Usability Testing 6 2.1.3 Unit Testing (Multiple) 7 2.1.4 Iteration/Regression Testing 7 2.1.5 Final release Testing 7 2.1.6 Testing completeness Criteria 8 2.2 Test Levels 8 2.2.1 Build Tests 8 2.2.1.1 Level 1 -...
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...Student 30991 Malak Rostom Masters of Business Administration Module 5 Operations Management Title Hotel-Dieu De France Beirut-Lebanon Word Count: 3,477 CONTENTS I- Executive summary 3-4 II- Introduction 4 III- Company Profile 4-5 IV- Problem and Processes Description 5-8 1- Problem definition 5-6 2- Patients flow model at hdf 6-8 V- patient Flow and Capacity Theories 9-12 3- Process mapping 10 4- theory of constraints 10-11 5- lean tools 11-12 VI- HDF processes evaluation from the capacity theories perspective 12-16 VII- Proposed changes and their effects on customer service 16-18 VIII- Final Recommendations and conclusion 19-21 IX- REFERENCE ...
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...HOW TO USE CLASSICAL MANAGEMENT APPROACH IN UTILIZING ACCIDENT &EMERGENCY DEPA RMENT? BY ZAHRA AHMED EBRAHIM Master in Business Administration General Management Organization and Business Management Open Asia e University 2011 Introduction Background of the Study A number of approaches to the structure and management of organizations developed during the late 1800s and early 1900s .The early philosophies are traditionally labelled classical theory while the later approaches include systems theory and contingency theory. The classical approach to organization focuses efficiency through design. Eleanor and Phillip (2009) kept four elements to build classical theory: division and specialization of labour, chain of command, organizational structure, and span of control. The first element emphasised about dividing the work reduces the number of task that lead to proficiency and specialization. The second element is the chain of command which is meant the hierarchy of authority and responsibility within the organization. However, the collaboration between staff and there managers improve the efficiency and productivity of the unit. Moreover, the third element is organizational structure that describes the arrangement of the work group. The design of the Organization is intended to faster the organization survival and success. Finally, the span of control addresses the pragmatic concern of how many employees a manager can effectively supervise. The later approaches...
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...Do X-rays Requested By Triage Nurses Decrease Waiting Times? Research in Health and Social Care Introduction: Since 1991 when the patient’s charter (Department of Health 1991) was introduced, Accident and Emergency (A&E) departments have been under pressure to see, treat and discharge patients within a certain time period. In 1991 75% of walking wounded who presented to the department had to be discharged within one hour. It was subsequently changed in 2004 when the government decided that 98% of all patients attending an A&E department should be in the department no longer than four hours (Department of Health 2004). And again in 2011 when the department of health introduced the clinical care indicators that relaxed the target to 95% seen, treated and discharged or admitted in 4 hours (Department of Health 2011). Triage nurses within the accident and emergency department are one of the first people to assess the patients who present with an injury or illness. The patient’s condition is assessed and their need for how quickly they require treatment is prioritised. Triage nurses are usually experienced A&E nurses who have many years A&E experience (Dolan et al 2007). Patients are then placed in queues to await assessment by a Doctor or Emergency Nurse Practitioner. Once seen they are then put in another queue to await x-ray if necessary before waiting again to see the doctor/ENP that will interpret their x-ray and decided on the best course of treatment...
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...Chapter 3: Process flow measures 3.3 Solutions to the Chapter Questions Discussion Question 3.1 The opposite of looking at average is looking at a specific flow unit’s flow time, and the inventory status and instantaneous flow rate at a specific point in time. Because flow times change from flow unit to flow unit, it is better to look at the average over all flow units during a period of time. Similar for inventory and throughput. [pic] Discussion Question 3.2 In practice, one often tracks inventory status periodically (each day, week, or month). Flow rate is typically also tracked periodically (even more frequently than inventory status because it directly relates to sales). It then is easy to calculate the average of those numbers to obtain average inventory and throughput during a period. In contrast, few companies track the flow time of each flow unit, which must be done to calculate the average flow time (over all flow units during a given period). [pic] Discussion Question 3.3 First, draw a process flow chart. Second, calculate all operational flows: throughput, inventory, and flow time for each activity. Third, calculate the financial flow associated with each activity. If the activity incurs a cost (or earns a revenue), the cost or revenue rate is simply the throughput times the unit cost or revenue. If the inventory incurs a holding cost, the inventory cost rate is simply the average inventory times the unit holding cost. Fourth,...
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...if malignant melanoma has developed. Approximately 76,000 new cases of melanoma are diagnosed annually in the Unites States, which accounts for about 2% of the total skin cancer diagnosis in United States annually; however 75% of skin cancer related deaths are the result of MM which exhibits how devastating this form of cancer is. With early detection of melanoma being correlated highly to improved prognosis of patients, it is necessary to create a point of care device that can measure the presence of MART-1 antigen in peripheral blood as a screening technique during annual examinations and upon identification of suspicious skin lesions Protein melan-A is a protein that in humans is encoded by the MLANA gene . A fragment of the protein, usually consisting of the nine amino acids 27 to 35, is bound byMHC class I complexes which present it to T cells of the immune system. These complexes can be found on the surface of melanoma cells. Decameric peptides (26-35) are being investigated as cancer vaccines. The names MART-1 and melan-A were coined by two groups of researchers who independently sequenced the gene for this antigen in 1994. Both names are currently in common use. Kawakami et al. at the National Cancer Institute coined the term MART-1, which stands for "melanoma antigen recognized by T-cells. ]Coulie et al. of Belgium...
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...1 The Turing Triage Test Dr. Robert Sparrow Centre for Human Bioethics Faculty of Arts Monash University Victoria 3800 Australia. This paper appeared in print in: Ethics and Information Technology 6(4): 203-213. 2004. Please cite that version. 2 The Turing Triage Test Abstract If, as a number of writers have predicted, the computers of the future will possess intelligence and capacities that exceed our own then it seems as though they will be worthy of a moral respect at least equal to, and perhaps greater than, human beings. In this paper I propose a test to determine when we have reached that point. Inspired by Alan Turing’s (1950) original ‘Turing test’, which argued that we would be justified in conceding that machines could think if they could fill the role of a person in a conversation, I propose a test for when computers have achieved moral standing by asking when a computer might take the place of a human being in a moral dilemma, such as a ‘triage’ situation in which a choice must be made as to which of two human lives to save. We will know that machines have achieved moral standing comparable to a human when the replacement of one of these people with an artificial intelligence leaves the character of the dilemma intact. That is, when we might sometimes judge that it is reasonable to preserve the continuing existence of a machine over the life of a human being. This is the ‘Turing Triage Test’. I argue that if personhood is understood as a matter of possessing...
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...American International University-Bangladesh Software Quality and Testing (Sec: A) Project Name: Software Test Plan for Automated Ticket Issuing System for Dhaka Subway Systems. Submission Date: 19-02-2015 Datasoft, Inc. NAME | ID | SIGNATURE | DAS, RAJIB | 12-20768-1 | | HASAN, AMIT | 12-20759-1 | | KHAN, MD. NOMAN | 12-20672-1 | | ROY, PALLOB KANTI | 12- 20158-1 | | Table of Contents Test Plan Identifier..........................................................................................3 References ...........................................................................................…………3 Introduction.....................................................................................................4 Test Items.........................................................................................................5 Software risk issues......................................................................................... 5 Ticket availability information display function to be tested. .........................6 Features to be tested....................................................................................... 6 Features not to be tested................................................................................. 7 Approach……………............................................................................................ 7 Item Pass/Fail criteria…………...
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...will be looking into the depth of these issues and try to highlight the key points that create such a situation. Our main objective is to find the gap between the perception and reality. We go about in our project first giving a brief introduction of the emergency department of health sector according to the secondary data that we collected. We also discussed the techniques, strategies and standard operational procedures i.e. SOP’s according to which emergencies should operate. Moreover we also discussed emergency ethics that are the first and foremost base to determine how the doctors are expected to behave with the patients and handle their problems. We have also conducted a primary research by observing and interviewing patients to fill out the survey questions. We have also included overviews of the journals taken from the health institutes in countries like USA, and Europe. It will help us get an insight on how these countries emergency departments are operating. The case study on dengue has been...
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...of their behaviour or appearance. Becker found some evidence behind this after he did some research on high school teachers. He found they would label students according to how closely they fitted the image of the, “ideal pupil.” Pupils work conduct and appearance were the key factors in influencing their judgement. Cicourel and Kitsuse also found some evidence when studying counsellors. They found inconsistencies in the way in which students suitability for courses were assessed. The councellors said they judged students according to their ability. In practise however they judged them on the basis of social class or race. Middle class students were more likely to be placed on higher level courses and seen as suitable college material. Following on from this labelling theory, Rist did some research and found that teachers used a range of methods to place students in separate groups and this had implications in terms of access to knowledge and achievement. Each pupil was streamed into a different group. Streaming is when a teacher will allocate different ability groups to each pupil for whatever fits them best. Gillborn and Youdell said teachers use the notion of ability to decide who can potentially get five A*-C GCSEs. Working class and afro-caribbean children were put into lower sets and different levels of GCSE. This theory of streaming leads on to the action of self-fulfilling prophecy. This is a prediction...
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...London, EC3N 1EA BreakNeck ONLY This document can be freely distributed within BreakNeck but should not be copied outside the company without the agreement of the information owner. TRADEMARKS All trademarks are duly acknowledged. Contents 1. Introduction 2 1.1 Purpose of this Document 2 2. Standard Terms 3 2.1 Severity & Priority 3 2.1.1 Severity 4 2.1.2 Priority 4 3. Roles and Responsibilities 6 4. High level Process Description 8 4.1 Identification 8 4.1.1 QC required fields for Identification 8 4.1.2 Standards 9 4.2 Analysis 10 4.3 Fix/Resolution 12 4.3.1 Fix Resolution QC Fields 13 5. CLC Defect State Transition 16 6....
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...Lesson Plan: Electronic Medical Charting NUR/588 May 19, 2014 Bianca Needham Professor Gail Wolf Identification of the educational need and rationale: The implementation of electronic documentation for medical records, medications, and nursing flow sheets has replaced the existing paper documentation and is currently the educational need with the highest priority for the Emergency Department at the University of Massachusetts Memorial Medical Center. In a continuous care operation, it is critical to document each patient’s condition and history of care, to ensure the patient receives the best available care. The medical record documents the care of the patient and can immediately be accessed, updated, and passed among the interdisciplinary team of caregivers. The Emergency Department is the initial passageway to the hospital for most patients. Electronic documentation is a patient’s health information including medications, allergies, past and present illnesses, and family history can be gathered upon their initial presentation and up-to-the minute revisions can be made by the healthcare team throughout their hospital stay. The Electronic Medical Record/Charting can be designed to hold collaborative information from all providers that are involved in the patients’ care. With each subsequent visit thereafter, the patient’s demographic, insurance, and health history database will automatically pre-fill the electronic template alleviating nurses of time restraints...
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...each interface in detail. Step 1: Mission and scope If you don’t know where you’re going, you’re not likely to end up there, said Forrest Gump. Is your mission clear? Write a short statement of what you want your project to achieve. Out of that will grow an understanding of the project’s scope. The scope will develop as you more clearly understand exactly what achieving the mission entails. A traditional context diagram is a good tool for describing scope in a simple outline. Unlike a use-case summary diagram, it indicates interfaces and the information or materials that must come in or out of them, rather than just roles (that is, UML actors). This becomes especially important when specifying physical systems 0740-7459/06/$20.00 © 2006 IEEE Step 2: Stakeholders Requirements come from people, not books. You can look in old system documents and read change requests, but you must still validate any candidate requirements you discover with people. Missing a group of stakeholders means your system could lack a whole chunk of functionality or other...
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...meaning or definition to them. For example, teachers may label a student as smart, thick, hardworking or troublemaker. Studies have shown that teachers often attach such labels regardless of the pupil’s actual ability or attitude. Instead they label pupils on the basis of stereotyped assumptions about their class background. Howard Becker (1971) carried out an important interactionist study of labelling. He carried out interviews with 60 Chicago high school teachers. His findings were that they judged pupils according to how closely they fitted an image of the ‘ideal pupil’. Pupils work, conduct and appearance were key factors influencing teacher’s judgements. Middle class children were seen as the closest to ideal by teachers however lower working class children were seen as furthest away from it because they regarded them as badly behaved. Aaron Cicourel and john Kitsuse’s (1963) study of educational councillors in an American high school shows how such labelling can disadvantage working class students. Cicourel and Kitsuse found inconsistences in the way the councillors assessed students’ suitability for courses. Although they claimed to judge students according to their ability, in practice they judged students largely on the basis of their social class and/or race. Another type of social process that leads to educational underachievement is streaming. Streaming involves separating children into different ability groups or classes called streams. Each ability...
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