The four hour target; problems ahead

The four hour target; problems ahead.

How predictable is DNI? An evaluation of hour ahead and day ahead DNI forecasts from four different providers

Forecast DNI values in hourly resolution for one day ahead are evaluated by a comparison with pyrheliometer ground measurements. Three months of such day ahead forecasts from four different providers for a site close to Questa, NM, USA are analyzed firstly by calculating the RMSE and the mean bias error. Secondly, cumulative distributions of the DNI forecast errors are calculated as they better...

Should we scrap the target of a maximum four hour wait in emergency departments?

Consulting on health system projects in numerous developing countries has taught me that whenever health workers fear targets, sustained improvements in care are unlikely. Pressurising NHS emergency departments in England to see, treat, and admit or discharge patients within four hours exemplifies this. We’ve had 13 years: surely enough time to hit the four hour mark sustainably? Yet this year,...

The four hour target to reduce Emergency Department 'waiting time': a systematic review of clinical outcomes.

Governments in Australasia are introducing emergency department length of stay (EDLOS) time targets similar to the UK 'four hour rule'. There is debate about whether this rule had beneficial effects on health-care outcomes. We sought to determine what effects the four hour time target for EDLOS had on clinically relevant outcomes in the UK by conducting a systematic search for evidence. Article...

Studying the Spicery Situation in West Azerbaijan Cities with Emphasis on the Problems and Challenges Ahead

Studying the Spicery Situation in West Azerbaijan Cities with Emphasis on the Problems and Challenges Ahead Masoomeh Amerian 1*, Afsaneh Malekhoseini 2, Shahriban Sore 3 1Assistant Professor, Department of Production Engineering and Plant Genetics, Faculty of Science and Agriculture Engineering, Razi University, Kermanshah, Iran 2Ph.D. in Agricultural Development, Department of Agricultural E...