68 resultados para Physician-patient communications
Resumo:
Effective data communications between the project site and decision making office can be critical for the success of a construction project. It allows convenient access to centrally stored information and allows centrally located decision makers to remotely monitor the site and collect data in real-time. However, high bandwidth, flexible data communication networks, such as wired local area networks, can often be time-consuming and costly to deploy for such purposes especially when project sites (dams, highways, etc.) are located in rural, undeveloped areas where networking infrastructure is not available. In such construction sites, wireless networking could reliably link the construction site and the decision-making office. This paper presents a case study on long-distance, site – office wireless data communications. The purpose was to investigate the capability of wireless technology in exchanging construction data in a fast and efficient manner and in allowing site personnel to interact and share knowledge and data with the office staff. This study took place at the University of Michigan’s campus where performance, reliability, and cost/benefit tests were performed. The indoor and outdoor tests performed demonstrated the suitability of this technology for office-site data communications and exposed the need for more research to further improve the reliability and data handling of this technology.
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In a hospital environment that demands a careful balance between commercial and clinical interests, the extent to which physicians are involved in hospital leadership varies greatly. This paper assesses the influence of the extent of this involvement on staff-to-patient ratios. Using data gathered from 604 hospitals across Germany, this study evidences the positive relationship between a full-time medical director (MD) or heavily involved part-time MD and a higher staff-to-patient ratio. The data allows us to control for a range of confounding variables, such as size, rural/urban location, ownership structure, and case-mix. The results contribute to the sparse body of empirical research on the effect of clinical leadership on organizational outcomes.
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A second harmonic suppression scheme allowing RoF links to support communications and passive UHF RFID is reviewed. Using RoF distributed antenna system techniques, the coverage and location accuracy of passive UHF RFID are significantly improved.
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An error-free free space communication link with 3 angular coverage and 1.25GHz modulation bandwidth is demonstrated by beam steering an ultra high modulation efficiency bright tapered laser diode using a Liquid Crystal Spatial Light Modulator. © OSA 2012.
Resumo:
OBJECTIVE: This study identifies the stakeholders who have a role in medical device purchasing within the wider system of health-care delivery and reports on their particular challenges to promote patient safety during purchasing decisions. METHODS: Data was collected through observational work, participatory workshops, and semi-structured qualitative interviews, which were analyzed and coded. The study takes a systems-based and engineering design approach to the study. Five hospitals took part in this study, and the participants included maintenance, training, clinical end-users, finance, and risk departments. RESULTS: The main stakeholders for purchasing were identified to be staff from clinical engineering (Maintenance), device users (Clinical), device trainers (Training), and clinical governance for analyzing incidents involving devices (Risk). These stakeholders display varied characteristics in terms of interpretation of their own roles, competencies for selecting devices, awareness and use of resources for purchasing devices, and attitudes toward the purchasing process. The role of "clinical engineering" is seen by these stakeholders to be critical in mediating between training, technical, and financial stakeholders but not always recognized in practice. CONCLUSIONS: The findings show that many device purchasing decisions are tackled in isolation, which is not optimal for decisions requiring knowledge that is currently distributed among different people within different departments. The challenges expressed relate to the wider system of care and equipment management, calling for a more systemic view of purchasing for medical devices.
Resumo:
A free space optical wireless communication system with 3 degree angular coverage and 1.25 GHz modulation bandwidth is reported, in which relatively narrow laser beam of a simultaneous high power, high modulation speed and ultra high modulation efficiency directly modulated two-electrode tapered laser diode is steered using a nematic phase-only Liquid-Crystal On Silicon Spatial Light Modulator (LCOS SLM) by displaying reconfigurable 256 phase level gratings. © 1983-2012 IEEE.
Resumo:
A time multiplexed rectangular Zernike modal wavefront sensor based on a nematic phase-only liquid crystal spatial light modulator and specially designed for a high power two-electrode tapered laser diode which is a compact and novel free space optical communication source is used in an adaptive beam steering free space optical communication system, enabling the system to have 1.25 GHz modulation bandwidth, 4.6° angular coverage and the capability of sensing aberrations within the system and caused by atmosphere turbulence up to absolute value of 0.15 waves amplitude and correcting them in one correction cycle. Closed-loop aberration correction algorithm can be implemented to provide convergence for larger and time varying aberrations. Improvement of the system signal-to-noise-ratio performance is achieved by aberration correction. To our knowledge, it is first time to use rectangular orthonormal Zernike polynomials to represent balanced aberrations for high power rectangular laser beam in practice. © 2014 IEEE.
Resumo:
Using holographic techniques and a tapered laser, an optical wireless communication system with 4.6 degree angular coverage, 1.25GHz modulation bandwidth and the capability of sensing and correcting aberrations within system and from atmosphere is reported. © OSA 2013.