Implementation of TeamSTEPPS

This scholarly project focused on implementing Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) in an emergency room (ER). The aim of TeamSTEPPS is to improve patient outcomes by educating healthcare professionals on communication and teamwork skills. TeamSTEPPS teaches healthcare professionals leadership skills, shared mental models, mutual trust, and closed loop communication. The purpose of the scholarly project was to improve teamwork and communication. The study method was descriptive analysis of 51 pre and posttest questionnaires, specifically looking for increased knowledge of TeamSTEPPS tools. The participants included: ER physicians, ER nurses, ER certified nursing assistants/health unit coordinators, a pharmacy technician, public safety officers, and patient revenue management organization (PRMO). Further research is needed to evaluate how to significantly increase staff knowledge on TeamSTEPPS tools in a class setting

Academia as Missions: Our Adventures in Romania

Dr. Michael S. Jones, Associate Professor of Philosophy and Theology at Liberty University, shares his experiences of teaching philosophy at the flagship Romanian university in Bucharest, 2014-2015, thanks to a Fulbright grant

Narrative Visualization: Sharing Insights into Complex Data

This paper is a reflection on the emerging genre of narrative visualization, a creative response to the need to share complex data engagingly with the public. In it, we explain how narrative visualization offers authors the opportunity to communicate more effectively with their audience by reproducing and sharing an experience of insight similar to their own. To do so, we propose a two part model, derived from previous literature, in which insight is understood as both an experience and also the product of that experience. We then discuss how the design of narrative visualization should be informed by attempts elsewhere to track the provenance of insights and share them in a collaborative setting. Finally, we present a future direction for research that includes using EEG technology to record neurological patterns during episodes of insight experience as the basis for evaluation

Magnesium sulphate in the treatment of acute asthma: evaluation of current practice in adult emergency departments

Background: A recent meta-analysis showed that intravenous and nebulised magnesium sulphate have similar levels of evidence to support their use in the treatment of acute asthma in adults. This consisted of weak evidence of effect on respiratory function and hospital admissions, with wide confidence intervals ranging from no effect to significant positive effects. Current BTS/SIGN guidelines suggest an equivocal role for intravenous magnesium sulphate and no role for nebulised magnesium sulphate. A study was performed to assess what emergency physicians currently do in their management of acute asthma. Method: A postal survey was undertaken of all adult emergency departments within the UK. A structured question naire was sent to all clinical leads in emergency medicine about their current usage of both intravenous and nebulised magnesium sulphate in the treatment of acute asthma. Results: 180 of the 251 emergency departments in the UK responded (72%). Magnesium sulphate was used in 93%, mostly because it was expected to relieve breathlessness (70%) or reduce HDU/ITU admissions (51%). It was predominantly given to those patients with acute severe asthma (84%) and life-threatening exacerbations (87%), with most stating they would give the drug if there was no response to repeated nebulisers (68%). In comparison, nebulised magnesium sulphate was only used in two emergency departments (1%). The main reason for not administering the drug via a nebuliser was insufficient evidence (51%). Conclusions: Intravenous magnesium sulphate is widely used for acute asthma, usually for patients with severe or life-threatening asthma who have not responded to initial treatment. Nebulised magnesium sulphate, by contrast, is hardly used at all. The use of intravenous magnesium sulphate is more extensive than current guidelines or available evidence would appear to support

Leeds and the Northern Arts Prize

Purpose - This paper aims to look at the nature of the relationship between the marketing of the contemporary visual arts, cultural tourism and city and urban regeneration. This exploratory study of the marketing of the contemporary visual arts in Leeds has, as its background narrative, the emergence of BritArt. Design/methodology/approach - The growth of contemporary visual arts provides the context for a case study of the Northern Art Prize, which was first awarded in 2007. Findings - The study found a number of factors for success that can aid urban renewal and city regeneration. Private sector marketing expertise levered into the management of the project was one critical success factor. Another was that private sector funding freed up marketers and artists and allowed risk-taking. Participants highlighted a lack of vision for the contemporary visual arts in the city and region and a strong desire for new collaborative working and new governance structures for the delivery of arts marketing and cultural tourism. Originality/value - The Northern Art Prize offers much for the marketing of contemporary visual arts, cultural tourism, city branding and urban renewal. Investing in and marketing of the arts is argued to serve as a stimulus that can bring a range of benefits for the business and wider community. Marketing, especially arts marketing, can help deliver social, economic and urban regeneration

The Efficiency of Decentralized Investment Management Systems

The primary purpose of this paper is to demonstrate that decentralized investment management systems may not always be efficient. Specifically, within the context of a particular portfolio choice paradigm it is shown that a given decentralized investment management system is (weakly) efficient if and only if the joint probability distribution of asset rates of return satisfy certain covariance restrictions. If these restrictions do not obtain then the asset portfolios generated by this decentralized structure will generally be inferior to those which would be generated by a completely centralized structure. This paper also discusses how the managers of departments within an efficient decentralized structure should behave so as to generate portfolios which are optimal from the point of view of the institution as a whole. Generally, departmental managers should behave as if they have less risk aversion than the institution as a whole. In fact, a given manager should be more risk averse the greater the value of his portfolio. Finally, we note that the efficiency concept employed in this paper is equivalent to the proposition that certain assets admit consistent simple sum aggregation. It is shown that this implies that the efficient decentralization of investment decisions permits the institution to economize on the information which must be passed to higher level departments.

Key Distillation and the Secret-Bit Fraction

We consider distillation of secret bits from partially secret noisy correlations P_ABE, shared between two honest parties and an eavesdropper. The most studied distillation scenario consists of joint operations on a large number of copies of the distribution (P_ABE)^N, assisted with public communication. Here we consider distillation with only one copy of the distribution, and instead of rates, the 'quality' of the distilled secret bits is optimized, where the 'quality' is quantified by the secret-bit fraction of the result. The secret-bit fraction of a binary distribution is the proportion which constitutes a secret bit between Alice and Bob. With local operations and public communication the maximal extractable secret-bit fraction from a distribution P_ABE is found, and is denoted by Lambda[P_ABE]. This quantity is shown to be nonincreasing under local operations and public communication, and nondecreasing under eavesdropper's local operations: it is a secrecy monotone. It is shown that if Lambda[P_ABE]>1/2 then P_ABE is distillable, thus providing a sufficient condition for distillability. A simple expression for Lambda[P_ABE] is found when the eavesdropper is decoupled, and when the honest parties' information is binary and the local operations are reversible. Intriguingly, for general distributions the (optimal) operation requires local degradation of the data.Comment: 12 page