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Related Concept Videos

Transient and Steady-state Response01:24

Transient and Steady-state Response

In control systems, test signals are essential for evaluating performance under various conditions. The ramp function is effective for systems undergoing gradual changes, while the step function is suitable for assessing systems facing sudden disturbances. For systems subjected to shock inputs, the impulse function is the most appropriate test signal.
These test signals are integral in designing control systems to exhibit two key performance aspects: transient response and steady-state response.
Nursing Diagnosis01:22

Nursing Diagnosis

Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
Control Systems01:10

Control Systems

Control systems are everywhere in contemporary society, influencing diverse applications from aerospace to automated manufacturing. These systems can be found naturally within biological processes, such as blood sugar regulation and heart rate adjustment in response to stress, as well as in man-made systems like elevators and automated vehicles. A control system is essentially a network of subsystems and processes that collaboratively convert specific inputs into desired outputs.
At the heart...
Distribution Reliability and Automation01:25

Distribution Reliability and Automation

Distribution reliability in electrical power systems is critical for ensuring an uninterrupted power supply to consumers at minimal cost. According to IEEE Standard Terms, reliability is the probability that a device will function without failure over a specified time period or amount of usage. For electric power distribution, this translates to maintaining continuous power supply and addressing customer concerns over power outages. Several indices, as defined by IEEE Standard 1366-2012, are...
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

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Related Experiment Videos

Resilient actions in the diagnostic process and system performance.

Michael W Smith1, Traber Davis Giardina, Daniel R Murphy

  • 1Houston VA HSR&D Center of Excellence and The Center of Inquiry to Improve Outpatient Safety Through Effective Electronic Communication, , Houston, Texas, USA.

BMJ Quality & Safety
|July 2, 2013
PubMed
Summary

Primary care providers (PCPs) often use resilient actions to overcome system barriers in cancer diagnosis. While these actions can improve care, they are resource-intensive and highlight the need for structural system improvements.

Keywords:
Diagnostic errorsMedical error, measurement/epidemiologyPatient safetyPrimary careQuality measurement

Related Experiment Videos

Area of Science:

  • Healthcare systems research
  • Diagnostic process improvement
  • Oncology patient care

Background:

  • Systemic issues significantly impact the diagnostic process.
  • Frontline providers' resilient actions often mask underlying system-related barriers.
  • Understanding these actions is crucial for improving diagnostic safety.

Purpose of the Study:

  • To explore system barriers and resilient actions of primary care providers (PCPs) during cancer diagnosis.
  • To identify the nature and frequency of these resilient actions.
  • To assess the sustainability and impact of these actions on diagnostic safety.

Main Methods:

  • Secondary data analysis of PCP interviews from 29 lung and colorectal cancer cases.
  • Identification of barriers to rapid diagnostic evaluation.
  • Analysis of PCPs' resilient actions addressing identified barriers.
  • Rating of actions as usual or extraordinary for typical PCP work.

Main Results:

  • Resilient actions and barriers were present in 59% of cases across all diagnostic timeliness ranges.
  • 40% of resilient actions were rated as beyond typical PCP duties.
  • Key barriers included access to specialty services and patient coordination.
  • Many resilient actions involved enhanced communication to ensure cooperation.

Conclusions:

  • PCPs employ resilient actions to mitigate system deficiencies in cancer diagnosis.
  • These actions can mask system barriers, affecting the detection of delays.
  • Resilient actions are resource-intensive and potentially unsustainable, complementing rather than replacing structural solutions.
  • Improving system performance requires addressing the issues targeted by these resilient actions to enhance diagnostic safety.