Food safety policy : scientific and societal considerations : part 2 of a two-part study of the Committee for a Study on Saccharin and Food Safety Policy.

Mode of access: Internet.

Sharing the challenge : floodplain management into the 21st century : report of the Interagency Floodplain Management Review Committee to the Administration Floodplain Management Task Force.

Mode of access: Internet.

Agriculture, Rural Development, Food and Drug Administration, and related agencies appropriations for 2012 : hearings before a Subcommittee of the Committee on Appropriations, House of Representatives, One Hundred Twelfth Congress, first session /

Shipping list number: 2011-0276-P (pt. 1A), 2011-0274-P (pt. 1B), 2011-0283-P (pt. 1C), 2011-0318-P (pt. 2), 2011-0339-P (pt. 4), 2011-0366-P (pt. 5), 2011-0375-P (pt. 6), 2011-0367-P (pt. 7), 2011-0372-P (pt. 8), 2012-0014-P (pt. 9).

Calendar year 1980 report on the implementation of the Magnuson Fishery Conservation and Management Act of 1976.

"March 1981."

The educational policy of the Unionist Party; an address given to the United Club on November 13, 1901.

Mode of access: Internet.

Calendar year 1981 report on the implementation of the Magnusun fishery conservation and management act of 1976.

"March 1982 Washington, D.C."

Viewpoints of local school board presidents : educational problems, achievements, and challenges /

WI docs. no.: Ed.3/2:I 5/1978/6/6

Compilation of the public school laws of New Mexico, 1914; extracts from the state constitution, comp. laws of 1897 and subsequent territorial session laws, together with all school laws passed by the first and second sessions of the state Legislature, relative to education and the forms used in school administration and a directors' guide.

Mode of access: Internet.

Memorandum on the medical charities of the metropolis : with special reference to the proposal for an inquiry in regard to the administration and common organisation of voluntary hospitals and diopensaries, and poor-law infirmaries and dispensaries /

Included at end is another report with title: Special committee for promoting an enquiry by a Royal Commission or Select Committee of the House of Lords, with regard to the financial and general management and common organisation of medical charities in the metropolis. Interim report, June 1890. London : Charity Organisation Society, 1890. (15 p.).

Additional information on the Social Security Administration's management of data communications contracts with Paradyne Corporation.

"B-213963."

GAO's views on an independent Social Security Administration and the personal earnings and benefit statement /

"June 2, 1989."

Video program distribution and cable television : current policy issues and recommendations.

"June 1988."

Library personnel administration and supervision.

Mode of access: Internet.

The use of cusum analysis in the early detection and management of hospital bed occupancy crises

Objective: To assess the value of cusum analysis in hospital bed management. Design: Comparative analysis of medical patient flows, bed occupancy, and emergency department admission rates and access block over 2 years. Setting: Internal Medicine Services and Emergency Department in a teaching hospital. Interventions: Improvements in bed use and changes in the level of available beds. Main outcome measures: Average length of stay; percentage occupancy of available beds; number of patients waiting more than 8 hours for admission (access block); number of medical patients occupying beds in non-medical wards; and number of elective surgical admissions. Results: Cusum analysis provided a simple means of revealing important trends in patient flows that were not obvious in conventional time-series data. This prompted improvements in bed use that resulted in a decrease of 9500 occupied bed-days over a year. Unfortunately and unexpectedly, after some initial improvement, the levels of access block, medical ward congestion and elective surgical admissions all then deteriorated significantly. This was probably caused by excessive bed closures in response to the initial improvement in bed use. Conclusion: Cusum analysis is a useful technique for the early detection of significant changes in patient flows and bed use, and in determining the appropriate number of beds required for a given rate of patient flow.