Rulemaking support paper concerning the 1981-1984 passenger auto average fuel economy standards.

Mode of access: Internet.

Traffic calming, auto-restricted zones and other traffic management techniques: their effects on bicycling and pedestrians. Case study #19.

Federal Highway Administration, Washington, D.C.

Analyses of demographic, attitudinal and behavioral characteristics of participants in the diagnostic inspection demonstration projects. Volume III - perceptions of repair industry and Auto/SEE staff personnel.

National Highway Traffic Safety Administration, Washington, D.C.

Auto repair and maintenance - programs to reduce consumer loss.

Mode of access: Internet.

Historical performance of different auto manufacturers in the New Car Assessment Program tests. Report.

Mode of access: Internet.

Facts you should know about: auto safety, fuel economy, auto repair costs. Which can save: lives, fuel, money.

Mode of access: Internet.

Proceedings of the Conference on Selling Auto Parts to the Koreans : Detroit, Michigan, May 2-4, 1989.

"August 1990."

Feasibility study of shared ride auto transit : final report /

"September 1977."

Techniques for monitoring auto occupancy and Seattle area research results /

Mode of access: Internet.

Atlas of frequency distribution, auto-correlation and cross-correlation of daily temperature and precipitation at stations in the U.S., 1948-1991 (in English units) /

"September 1993."

Evaluation of contextual influences on the medication administration practice of paediatric nurses

Aim. This paper is a report of a study conducted to explore the impact of preidentified contextual themes (related to work environment and socialization) on nursing medication practice. Background. Medication administration is a complex aspect of paediatric nursing and an important component of day-to-day nursing practice. Many attempts are being made to improve patient safety, but many errors remain. Identifying and understanding factors that influence medication administration errors are of utmost importance. Method. A cross-sectional survey was conducted with a sample of 278 paediatric nurses from the emergency department, intensive care unit and medical and surgical wards of an Australian tertiary paediatric hospital in 2004. The response rate was 67%. Result. Contextual influences were important in determining how closely medication policy was followed. Completed questionnaires were returned by 185 nurses (67%). Younger nurses aged <34 years thought that their medication administration practice could be influenced by the person with whom they checked the drugs (P = 0·001), and that there were daily circumstances when it was acceptable not to adhere strictly to medication policy (P < 0·001), including choosing between following policy and acting in the best interests of the child (P = 0·002). Senior nurses agreed that senior staff dictate acceptable levels of medication policy adherence through role modelling (P = 0·01). Less experienced nurses reported greater confidence with computer literacy (P < 0·001). Conclusions. Organizations need to employ multidisciplinary education programmes to promote universal understanding of, and adherence to, medication policies. Skill mix should be closely monitored to ensure adequate support for new and junior staff.

Factors influencing paediatric nurses' responses to medication administration

Objective: To evaluate the importance of contextual and policy factors on nurses’ judgment about medication administration practice.---------- Design: A questionnaire survey of responses to a number of factorial vignettes in June 2004. These vignettes considered a combination of seven contextual and policy factors that were thought to influence nurses’ judgments relating to medication administration.---------- Participants: 185 (67% of eligible) clinical paediatric nursing staff returned completed questionnaires.--------- Setting: A tertiary paediatric hospital in Brisbane, Australia.---------- Results: Double checking the patient, double checking the drug and checking the legality of the prescription were the three strongest predictors of nurses’ actions regarding medication administration.--------- Conclusions: Policy factors and not contextual factors drive nurses’ judgment in response to hypothetical scenarios.