Barriers and facilitators to nurses' acceptance of and implications for injury rates of an IV catheter safety device

This study has the purpose of determining the barriers and facilitators to nurses' acceptance of the Johnson and Johnson Protectiv®* Plus IV catheter safety needle device and implications for needlestick injuries at St. Luke's Episcopal Hospital, Houston, Texas. A one-time cross-sectional survey of 620 responding nurses was conducted by this researcher during December, 2000. The study objectives were to: (1) describe the perceived (a) organizational and individual barriers and facilitators and (b) acceptance of implementation of the IV catheter device; (2) examine the relative importance of these predictors; (3) describe (a) perceived changes in needlestick injuries after implementation of the device; (b) the reported incidence of injuries; and (c) the extent of underreporting by nurses; and (4) examine the relative importance of (a) the preceding predictors and (b) acceptance of the device in predicting perceived changes in needlestick injuries. Safety climate and training were evaluated as organizational factors. Individual factors evaluated were experience with the device, including time using it and frequency of use, and background information, including nursing unit, and length of time as a nurse in this hospital and in total nursing career. The conceptual framework was based upon the safety climate model. Descriptive statistics and multiple and logistic regression were utilized to address the study objectives. ^ The findings showed widespread acceptance of the device and a strong perception that it reduced the number of needlesticks. Acceptance was notably predicted by adequate training, appropriate time between training and device use, solid safety climate, and short length of service, in that order. A barrier to acceptance was nurses' longtime of use of previous needle technologies. Over four-fifths of nurses were compliant in always using the device. Compliance had two facilitators: length of time using device and, to a lesser extent, safety climate. Rates of compliance tended to be lower among nurses in units in which the device was frequently used. ^ High quality training and an atmosphere of caring about nurse safety stand out as primary facilitators that other institutions would need to adopt in order to achieve maximum success in implementing safety programs involving utilization of new safety devices. ^

A Cauchy Integral Related to a Robot-safety Device System

We introduce a robot-safety device system attended by two different repairmen. The twin system is characterized by the natural feature of cold standby and by an admissible “risky” state. In order to analyse the random behaviour of the entire system (robot, safety device, repair facility) we employ a stochastic process endowed with probability measures satisfying general Hokstad-type differential equations. The solution procedure is based on the theory of sectionally holomorphic functions, characterized by a Cauchy-type integral defined as a Cauchy principal value in double sense. An application of the Sokhotski-Plemelj formulae determines the long-run availability of the robot-safety device. Finally, we consider the particular but important case of deterministic repair.

Motor vehicle occupant safety survey. Final report.

National Highway Traffic Safety Administration, Office of Program Development and Evaluation, Washington, D.C.

Evaluation plan for Federal Motor Vehicle Safety Standard 208 occupant crash protection.

Mode of access: Internet.

Wisconsin Alcohol Safety Action Project final report. Volume I - project description and evaluation. Part 1 - executive summary.

National Highway Traffic Safety Administration, Office of Alcohol Countermeasures, Washington, D.C.

Consumer acceptance of RSV features - volume II: comprehensive report on 23 focus groups to investigate consumer acceptance of Research Safety Vehicle features. Final report.

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

Estudo da divergência entre duas vias que curvam em sentidos contrários

Trabalho Final de Mestrado para obtenção do grau de Mestre em Engenharia Civil na Área de Especialização de Vias de Comunicação e Transportes

A remote engineering solution for automating a roller hearth kiln

Remote engineering (also known as online engineering) may be defined as a combination of control engineering and telematics. In this area, specific activities require computacional skills in order to develop projects where electrical devives are monitored and / or controlled, in an intercative way, through a distributed network (e.g. Intranet or Internet). In our specific case, we will be dealing with an industrial plant. Within the last few years, there has been an increase in the number of activities related to remote engineering, which may be connected to the phenomenon of the large extension experienced by the Internet (e.g. bandwith, number of users, development tools, etc.). This increase opens new and future possibilities to the implementation of advance teleworking (or e-working) positions. In this paper we present the architecture for a remote application, accessible through the Internet, able to monitor and control a roller hearth kiln, used in a ceramics industry for firing materials. The proposed architecture is based on a micro web server, whose main function is to monitor and control the firing process, by reading the data from a series of temperature sensors and by controlling a series of electronic valves and servo motors. This solution is also intended to be a low-cost alternative to other potential solutions. The temperature readings are obtained through K-type thermopairs and the gas flow is controlled through electrovalves. As the firing process should not be stopped before its complete end, the system is equipped with a safety device for that specific purpose. For better understanding the system to be automated and its operation we decided to develop a scale model (100:1) and experiment on it the devised solution, based on a Micro Web Server.

Passiivisten turvallisuusjärjestelmien luontaiset virhetoiminnot ydinvoimalaitoksessa

Uusissa ydinvoimalaitostyypeissä aiotaan käyttää aiempaa enemmän passiivisia turvallisuusjärjestelmiä. Näistä järjestelmistä on vielä vähän käyttökokemusta aktiivisiin turvallisuusjärjestelmiin verrattuna. Työssä tarkastellaan passiivisten turvallisuusjärjestelmien toimintaa sekä etsitään niiden mahdollisia luontaisia vikatilanteita. Luontaisten vikatilanteiden seurauksia järjestelmän suorituskykyyn arvioitiin yksinkertaisilla laskuilla ja mallintamalla RELAP5/MOD3.2.2 beta -termohydrauliikkaohjelmalla. Tarkastelu rajattiin kahden erityyppisen ydinvoimalaitoksen passiivisiin turvallisuusjärjestelmiin. Turvallisuusjärjestelmien suuntaa antavat mitat ja käyttötilanteiden parametrit saatiin laitosvalmistajien laitoskuvauksista. Osoittautui, että vikatilanteissa passiivisissa turvallisuusjärjestelmissä geometrialla on merkittävä vaikutus järjestelmän kapasiteettiin. Tarkasteluissa saatiin myös selville, että laitosmittakaavassa painovoimaisen hätälisävesijärjestelmän turvallisuustoiminto voi toteutua vaikka esiintyisi lyhytaikaisia toimintahäiriöitä, kuten lauhtumista hätälisävesisäiliössä. Sen sijaan lämmönsiirtopiirin virtausreittien tukkeutuminen voi olla fysikaalisesti merkittävä toimintaa haittaava tekijä.

Two-year follow-up of patients undergoing transcatheter aortic valve implantation using a self-expanding valve prosthesis

The purpose of this study was to evaluate the safety, device performance, and clinical outcome up to 2 years for patients undergoing transcatheter aortic valve implantation (TAVI).

Sistema de seguridad basado en la clasificación de eventos sonoros

La teoría de reconocimiento y clasificación de patrones y el aprendizaje automático son actualmente áreas de conocimiento en constante desarrollo y con aplicaciones prácticas en múltiples ámbitos de la industria. El propósito de este Proyecto de Fin de Grado es el estudio de las mismas así como la implementación de un sistema software que dé solución a un problema de clasificación de ruido impulsivo, concretamente mediante el desarrollo de un sistema de seguridad basado en la clasificación de eventos sonoros en tiempo real. La solución será integral, comprendiendo todas las fases del proceso, desde la captación de sonido hasta el etiquetado de los eventos registrados, pasando por el procesado digital de señal y la extracción de características. Para su desarrollo se han diferenciado dos partes fundamentales; una primera que comprende la interfaz de usuario y el procesado de la señal de audio donde se desarrollan las labores de monitorización y detección de ruido impulsivo y otra segunda centrada únicamente en la clasificación de los eventos sonoros detectados, definiendo una arquitectura de doble clasificador donde se determina si los eventos detectados son falsas alarmas o amenazas, etiquetándolos como de un tipo concreto en este segundo caso. Los resultados han sido satisfactorios, mostrando una fiabilidad global en el proceso de entorno al 90% a pesar de algunas limitaciones a la hora de construir la base de datos de archivos de audio, lo que prueba que un dispositivo de seguridad basado en el análisis de ruido ambiente podría incluirse en un sistema integral de alarma doméstico aumentando la protección del hogar. ABSTRACT. Pattern classification and machine learning are currently expertise areas under continuous development and also with extensive applications in many business sectors. The aim of this Final Degree Project is to study them as well as the implementation of software to carry on impulsive noise classification tasks, particularly through the development of a security system based on sound events classification. The solution will go over all process stages, from capturing sound to the labelling of the events recorded, without forgetting digital signal processing and feature extraction, everything in real time. In the development of the Project a distinction has been made between two main parts. The first one comprises the user’s interface and the audio signal processing module, where monitoring and impulsive noise detection tasks take place. The second one is focussed in sound events classification tasks, defining a double classifier architecture where it is determined whether detected events are false alarms or threats, labelling them from a concrete category in the latter case. The obtained results have been satisfactory, with an overall reliability of 90% despite some limitations when building the audio files database. This proves that a safety device based on the analysis of environmental noise could be included in a full alarm system increasing home protection standards.

Consumer acceptance of RSV features - volume I: executive summary. Final report.

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

Implementation of chirped fibre Bragg gratings (CFBG) as optical wear sensors

This study discusses the fabrication and implementation of chirped fiber Bragg grating (CFBG) as optical wear sensors. Such a sensor has potential applications in monitoring grinding and milling machines through a safety device to check the wear on a car brake. The CFBG wear sensor has advantages over existing wear sensing techniques as it does not require electrical current to be passed through the sensor itself. This makes it eligible for application in combustible environments such as in the oil and gas industry.

Comparative safety respiratory pharmacology : validation of a head-out plethysmograph – pneumotachometer testing device in male Sprague–Dawley rats, Beagle dogs and Cynomolgus monkeys

Le but de cette étude était d’évaluer les qualifications de performance du système FlexiWare® chez le rat male Sprague Dawley et le singe Cynomolgus éveillés, ainsi que chez le chien Beagle éveillé et anesthésié, suite à l’administration de produits ayant une activité pharmacologique connue. Les produits utilisés incluaient l’albutérol administré par inhalation, la méthacholine, et le rémifentanil administrés par voie intraveineuse. Une solution saline administré par voie intraveneuse, a été utilisée comme substance témoin. Différentes variables ont servi à évaluer la réponse des animaux (rats, chien, singe). Ces dernières comprenaient la fréquence respiratoire (RR), le volume courant (TV), la ventilation minute (MV). Des paramètres additionnels ont été évalués chez le rat, soit les temps d’inspiration (IT) et d’expiration (ET), le temps du pic de débit expiratoire, les pics de débits inspiratoire et expiratoire, le ratio inspiratoire:expiratoire (I:E), le ratio inspiratoire sur respiration totale (I:TB), et l’écoulement expiratoire moyen (EF50). Les résultats obtenus ont démontré que le système FlexiWare® était suffisamment sensible et spécifique pour dépister, chez les espèces animales utilisées, les effets bronchodilateur, bronchoconstricteur et dépresseur central des substances testées. Il pourrait faire partie des méthodes (ICH 2000) utilisées en pharmacologie de sécurité lors de l’évaluation de substances pharmacologiques sur le système respiratoire des animaux de laboratoire. Les espèces animales utilisées ont semblé s’adapter aisément aux procédures de contention. Les paramètres évalués, RR, TV et MV ont permis de caractériser la réponse des animaux suite à l’administration de produits pharmacologiques à effets connus, judicieusement complétés par les variables de débit. L’ajout de paramètres du temps n’était pas primordiale pour détecter les effets des drogues, mais offre des outils complémentaires d’interpréter les changements physiologiques. Cependant, chez le rat conscient, la période d’évaluation ne devrait pas s’étendre au-delà d’une période de deux heures post traitement. Ces études constituent une évaluation des qualifications de performance de cet appareil et ont démontré de manière originale, la validation concurrentielle, en terme de précision (sensibilité et spécificité) et fiabilité pour différentes variables et sur différentes espèces.

Efficacy And Safety Of Intravitreal Bevacizumab In Eyes With Neovascular Glaucoma Undergoing Ahmed Glaucoma Valve Implantation: 2-year Follow-up.

To evaluate the efficacy and safety of intravitreal bevacizumab (IVB) in eyes with neovascular glaucoma (NVG) undergoing Ahmed glaucoma valve (AGV) implantation. This was a multicentre, prospective, randomized clinical trial that enrolled 40 patients with uncontrolled neovascular glaucoma that had undergone panretinal photocoagulation and required glaucoma drainage device implantation. Patients were randomized to receive IVB (1.25 mg) or not during Ahmed valve implant surgery. Injections were administered intra-operatively, and 4 and 8 weeks after surgery. After a mean follow-up of 2.25 ± 0.67 years (range 1.5-3 years), both groups showed a significant decrease in IOP (p < 0.05). There was no difference in IOP between groups except at the 18-month interval, when IOP in IVB group was significantly lower (14.57 ± 1.72 mmHg vs. 18.37 ± 1.06 mmHg - p = 0.0002). There was no difference in survival success rates between groups. At 24 months, there was a trend to patients treated with IVB using less antiglaucoma medications than the control group (p = 0.0648). Complete regression of rubeosis iridis was significantly more frequent in the IVB group (80%) than in the control group (25%) (p = 0.0015). Intravitreal bevacizumab may lead to regression of new vessels both in the iris and in the anterior chamber angle in patients with neovascular glaucoma undergoing Ahmed glaucoma valve implantation. There is a trend to slightly lower IOPs and number of medications with IVB use during AGV implantation for neovascular glaucoma.