Aims This Quality Improvement Project (QIP) was undertaken within a Liaison Psychiatry (LP) department at district general hospital in North West London. The current service model has LP nurses and junior doctors providing first contact with patients, subsequently discussing assessments the team psychiatrists. A need for effective communication when presenting clinical cases emerged given high ...

This study aims to grasp the current condition of handovers of practical tasks among nursing students as well as specific items of handovers and the communication clarity. A questionnaire-based survey was conducted on handover experience among 137 individuals who had experience of clinical practice and were senior students at three nursing colleges located in A, B, and C districts. Among them, ...

BACKGROUND Patient safety is a national and global concern. In the United States, medical errors result in more than 50,000 unnecessary patient deaths annually and contribute to billions of dollars in health care costs. The purpose of this project was to evaluate a standardized bedside handoff process and its influence in a medical-surgical unit. METHOD A quality improvement project was perfo...

A maximal independent set (MIS) can be maintained in an evolving m-edge graph by simply recomputing it from scratch in O(m) time after each update. But can it be maintained in time sublinear in m in fully dynamic graphs? We answer this fundamental open question in the affirmative. We present a deterministic algorithm with amortized update time O(min{∆,m3/4}), where ∆ is a fixed bound on the max...

Background: Rapid Response Systems (RRSs) have been introduced in hospitals to improve recognition of and response to deteriorating hospital ward patients. The value of an RRS depends not only on relevant patient outcomes but also on how satisfied nurses and physicians are with the system. The aim of the study was to measure the degree of satisfaction with an RRS and analyse factors influencing...

شرایط افروزش و اشتعال سوخت‌های گداخت هسته‌ای در حضور ناخالص­‌ها، یکی از موارد مهمی است که طراحی قرص‌های سوخت باید مورد توجه قرار گیرد. این مقاله اثر ناخالصی هسته سنگین طلا بر کلیه فرایندهای احتراق پلاسمای غیرتعادلی دوتریم- تریتیم مدل چهار دمایی آن شکل تابع توزیع انرژی رفتار فوتون‌ها تأثیر می‌گذارد بررسی گرفته است. مطالعه شامل اثرات منفی سوخت، طول زمان تشکیل لکه داغ نتایج محاسبات عددی به­ دست آم...