National-Theater: Die schlechte Auführung [sic!], 1. Act, darauf folgt Die Versöhnung: Musick: War denn je ein Mensch so frech als wie: Fürst von Haggern: Das ist frech ...

Welsch (Projektbearbeiter): Karikatur auf die sich in kleinlichen Streitigkeiten verzettelnde Frankfurter Nationalversammlung am Beispiel einer Auseinandersetzung zwischen dem Präsidenten Gagern und dem Abgeordneten Rösler

Tages-Ordnung am 29sten Juni 1848: 1) Abgeordnete [sic!] v. Borries. Antrag: Die hohe National-Versammlung möge sich dafür aussprechen, daß die Klassensteuer der untersten Steuerstufe für die letzten sechs Monate dieses Jahres ganz erlassen ...

Welsch (Projektbearbeiter): Zusammenstellung der am 29. Juni 1848 in der Preußischen Nationalversammlung gestellten Anträge und Interpellationen (von insgesamt 25 Abgeordneten)

Tages-Ordnung für den 11ten Juli 1848: I. Vor dem Anfang der Berathung der Tages-Ordnung für den 4. Juli Nr. 41, 43. und 44.: Dr. Jacoby. Antrag: Die Preußische constituirende Versammlung kann den von der Deutschen National-Versammlung gefaßten Beschluß nicht billigen ...

Welsch (Projektbearbeiter): Zusammenstellung der am 11. Juli 1848 in der Preußischen Nationalversammlung gestellten Anträge und Interpellationen (von insgesamt 23 Abgeordneten)

Bericht der Central-Abtheilung über den Antrag des Abgeordneten Mätze, auf Revision aller Ablösungen, Separationen und Regulirung gutsherrlich-bäuerlicher Verhältnisse: Der Abgeordnete Mätze stellte am 31. Mai c. bei der National-Versammlung den Antrag ...

Welsch (Projektbearbeiter): Ablehnung des von dem Bernstädter Rektor und Abgeordneten von Oels Ernst Gustav Mätze eingebrachten Antrages durch sechs (von insgesamt sieben) Abteilungen

Nante als National-Versammelter

Welsch (Projektbearbeiter): Humoristisch-satirische Kommentierung der Berliner politischen Geschehnisse in Form einer Reihe von Unterhaltungen der beiden Berliner Volkscharaktere Nante und Brenne(c)ke

... Bericht der Petitions-Kommission über die in Folge des von dem Ministerium Brandenburg beabsichtigten Staatsstreiches an die National-Versammlung eingesandten Adressen

Welsch (Projektbearbeiter): Veröffentlichung von Solidaritätsadressen an und durch die Preußische Nationalversammlung anläßlich der von Friedrich Wilhelm IV. angeordneten Verlegung des Parlaments nach Brandenburg (9. November 1848)

Bericht der Kommission zur Untersuchung der Posener Angelegenheiten über die derselben überwiesenen, den Belagerungs-Zustand von Posen betreffenden, Vorlagen des Staatsministeriums: In der 67sten Sitzung der National-Versammlung (5. Oktober d. J.) richtete der Abgeordnete von Pokrzywnicki ...

Welsch (Projektbearbeiter): Die Kommission spricht sich gegen die Fortdauer des Belagerungszustandes über Stadt und Festung Posen aus, da die Sicherheit der Festung davon nicht abhängig sei

Taking up national safety alerts to improve patient safety in hospitals: The perspective of healthcare quality and risk managers.

BACKGROUND National safety alert systems publish relevant information to improve patient safety in hospitals. However, the information has to be transformed into local action to have an effect on patient safety. We studied three research questions: How do Swiss healthcare quality and risk managers (qm/rm(1)) see their own role in learning from safety alerts issued by the Swiss national voluntary reporting and analysis system? What are their attitudes towards and evaluations of the alerts, and which types of improvement actions were fostered by the safety alerts? METHODS A survey was developed and applied to Swiss healthcare risk and quality managers, with a response rate of 39 % (n=116). Descriptive statistics are presented. RESULTS The qm/rm disseminate and communicate with a broad variety of professional groups about the alerts. While most respondents felt that they should know the alerts and their contents, only a part of them felt responsible for driving organizational change based on the recommendations. However, most respondents used safety alerts to back up their own patient safety goals. The alerts were evaluated positively on various dimensions such as usefulness and were considered as standards of good practice by the majority of the respondents. A range of organizational responses was applied, with disseminating information being the most common. An active role is related to using safety alerts for backing up own patient safety goals. CONCLUSIONS To support an active role of qm/rm in their hospital's learning from safety alerts, appropriate organizational structures should be developed. Furthermore, they could be given special information or training to act as an information hub on the issues discussed in the alerts.

Transmission of Mycobacterium chimaera from Heater-Cooler Units during Cardiac Surgery despite an Ultraclean Air Ventilation System.

Heater-cooler units (HCUs) were recently identified as a source of Mycobacterium chimaera causing surgical site infections. We investigated transmission of this bacterium from HCUs to the surgical field by using a thermic anemometer and particle counter, videotape of an operating room equipped with an ultraclean laminar airflow ventilation system, and bacterial culture sedimentation plates in a nonventilated room. Smoke from the HCU reached the surgical field in 23 s by merging with ultraclean air. The HCU produced on average 5.2, 139, and 14.8 particles/min in the surgical field at positions Off, On/oriented toward, and On/oriented away, respectively. Culture plates were positive for M. chimaera <5 m from the HCU in the test room. These experiments confirm airborne transmission of M. chimaera aerosols from a contaminated HCU to an open surgical field despite ultraclean air ventilation. Efforts to mitigate infectious risks during surgery should consider contamination from water sources and airflow-generating devices.

Developing a point-of-care electronic medical record system for TB/HIV co-infected patients: experiences from Lighthouse Trust, Lilongwe, Malawi.

BACKGROUND Implementation of user-friendly, real-time, electronic medical records for patient management may lead to improved adherence to clinical guidelines and improved quality of patient care. We detail the systematic, iterative process that implementation partners, Lighthouse clinic and Baobab Health Trust, employed to develop and implement a point-of-care electronic medical records system in an integrated, public clinic in Malawi that serves HIV-infected and tuberculosis (TB) patients. METHODS Baobab Health Trust, the system developers, conducted a series of technical and clinical meetings with Lighthouse and Ministry of Health to determine specifications. Multiple pre-testing sessions assessed patient flow, question clarity, information sequencing, and verified compliance to national guidelines. Final components of the TB/HIV electronic medical records system include: patient demographics; anthropometric measurements; laboratory samples and results; HIV testing; WHO clinical staging; TB diagnosis; family planning; clinical review; and drug dispensing. RESULTS Our experience suggests that an electronic medical records system can improve patient management, enhance integration of TB/HIV services, and improve provider decision-making. However, despite sufficient funding and motivation, several challenges delayed system launch including: expansion of system components to include of HIV testing and counseling services; changes in the national antiretroviral treatment guidelines that required system revision; and low confidence to use the system among new healthcare workers. To ensure a more robust and agile system that met all stakeholder and user needs, our electronic medical records launch was delayed more than a year. Open communication with stakeholders, careful consideration of ongoing provider input, and a well-functioning, backup, paper-based TB registry helped ensure successful implementation and sustainability of the system. Additional, on-site, technical support provided reassurance and swift problem-solving during the extended launch period. CONCLUSION Even when system users are closely involved in the design and development of an electronic medical record system, it is critical to allow sufficient time for software development, solicitation of detailed feedback from both users and stakeholders, and iterative system revisions to successfully transition from paper to point-of-care electronic medical records. For those in low-resource settings, electronic medical records for integrated care is a possible and positive innovation.

Die Autographen- und Porträtsammlung der Jüdischen National- und Universitätsbibliothek in Jerusalem

Abraham Schwadron