Sample records for system assessment document

  1. Document Level Assessment of Document Retrieval Systems in a Pairwise System Evaluation

    ERIC Educational Resources Information Center

    Rajagopal, Prabha; Ravana, Sri Devi

    2017-01-01

    Introduction: The use of averaged topic-level scores can result in the loss of valuable data and can cause misinterpretation of the effectiveness of system performance. This study aims to use the scores of each document to evaluate document retrieval systems in a pairwise system evaluation. Method: The chosen evaluation metrics are document-level…

  2. Social Work Assessment Notes: A Comprehensive Outcomes-Based Hospice Documentation System.

    PubMed

    Hansen, Angela Gregory; Martin, Ellen; Jones, Barbara L; Pomeroy, Elizabeth C

    2015-08-01

    This article describes the development of an integrated psychosocial patient and caregiver assessment and plan of care for hospice social work documentation. A team of hospice social workers developed the Social Work Assessment Notes as a quality improvement project in collaboration with the information technology department. Using the Social Work Assessment Tool as an organizing framework, this comprehensive hospice social work documentation system is designed to integrate assessment, planning, and outcomes measurement. The system was developed to guide the assessment of patients' and caregivers' needs related to end-of-life psychosocial issues, to facilitate collaborative care plan development, and to measure patient- and family-centered outcomes. Goals established with the patient and the caregiver are documented in the plan of care and become the foundation for patient-centered, strengths-based interventions. Likert scales are used to assign numerical severity levels for identified issues and progress made toward goals and to track the outcome of social work interventions across nine psychosocial constructs. The documentation system was developed for use in an electronic health record but can be used for paper charting. Future plans include automated aggregate outcomes measurement to identify the most effective interventions and best practices in end-of-life care.

  3. [Quality management and strategic consequences of assessing documentation and coding under the German Diagnostic Related Groups system].

    PubMed

    Schnabel, M; Mann, D; Efe, T; Schrappe, M; V Garrel, T; Gotzen, L; Schaeg, M

    2004-10-01

    The introduction of the German Diagnostic Related Groups (D-DRG) system requires redesigning administrative patient management strategies. Wrong coding leads to inaccurate grouping and endangers the reimbursement of treatment costs. This situation emphasizes the roles of documentation and coding as factors of economical success. The aims of this study were to assess the quantity and quality of initial documentation and coding (ICD-10 and OPS-301) and find operative strategies to improve efficiency and strategic means to ensure optimal documentation and coding quality. In a prospective study, documentation and coding quality were evaluated in a standardized way by weekly assessment. Clinical data from 1385 inpatients were processed for initial correctness and quality of documentation and coding. Principal diagnoses were found to be accurate in 82.7% of cases, inexact in 7.1%, and wrong in 10.1%. Effects on financial returns occurred in 16%. Based on these findings, an optimized, interdisciplinary, and multiprofessional workflow on medical documentation, coding, and data control was developed. Workflow incorporating regular assessment of documentation and coding quality is required by the DRG system to ensure efficient accounting of hospital services. Interdisciplinary and multiprofessional cooperation is recognized to be an important factor in establishing an efficient workflow in medical documentation and coding.

  4. Comparison of Document Index Graph Using TextRank and HITS Weighting Method in Automatic Text Summarization

    NASA Astrophysics Data System (ADS)

    Hadyan, Fadhlil; Shaufiah; Arif Bijaksana, Moch.

    2017-01-01

    Automatic summarization is a system that can help someone to take the core information of a long text instantly. The system can help by summarizing text automatically. there’s Already many summarization systems that have been developed at this time but there are still many problems in those system. In this final task proposed summarization method using document index graph. This method utilizes the PageRank and HITS formula used to assess the web page, adapted to make an assessment of words in the sentences in a text document. The expected outcome of this final task is a system that can do summarization of a single document, by utilizing document index graph with TextRank and HITS to improve the quality of the summary results automatically.

  5. Rural applications of advanced traveler information systems : user needs and technology assessment

    DOT National Transportation Integrated Search

    1997-07-01

    The User Needs and Technology Assessment Report is one in a series of interim documents for the Rural Applications of Advanced Traveler Information Systems (ATIS) project. The document describes the research design and findings from rural traveler su...

  6. A systematic approach to baseline assessment of nursing documentation and enterprise-wide prioritization for electronic conversion.

    PubMed

    Dykes, Patricia C; Spurr, Cindy; Gallagher, Joan; Li, Qi; Ives Erickson, Jeanette

    2006-01-01

    An important challenge associated with making the transition from paper to electronic documentation systems is achieving consensus regarding priorities for electronic conversion across diverse groups. In our work we focus on applying a systematic approach to evaluating the baseline state of nursing documentation across a large healthcare system and establishing a unified vision for electronic conversion. A review of the current state of nursing documentation across PHS was conducted using structured tools. Data from this assessment was employed to facilitate an evidence-based approach to decision-making regarding conversion to electronic documentation at local and PHS levels. In this paper we present highlights of the assessment process and the outcomes of this multi-site collaboration.

  7. Assessment of documentation requirements under DOE 5481. 1, Safety Analysis and Review System (SARS)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Browne, E.T.

    1981-03-01

    This report assesses the requirements of DOE Order 5481.1, Safety Analysis and Review System for DOE Operations (SARS) in regard to maintaining SARS documentation. Under SARS, all pertinent details of the entire safety analysis and review process for each DOE operation are to be traceable from the initial identification of a hazard. This report is intended to provide assistance in identifying the points in the SARS cycle at which documentation is required, what type of documentation is most appropriate, and where it ultimately should be maintained.

  8. L-Band Digital Aeronautical Communications System Engineering - Initial Safety and Security Risk Assessment and Mitigation

    NASA Technical Reports Server (NTRS)

    Zelkin, Natalie; Henriksen, Stephen

    2011-01-01

    This document is being provided as part of ITT's NASA Glenn Research Center Aerospace Communication Systems Technical Support (ACSTS) contract NNC05CA85C, Task 7: "New ATM Requirements--Future Communications, C-Band and L-Band Communications Standard Development." ITT has completed a safety hazard analysis providing a preliminary safety assessment for the proposed L-band (960 to 1164 MHz) terrestrial en route communications system. The assessment was performed following the guidelines outlined in the Federal Aviation Administration Safety Risk Management Guidance for System Acquisitions document. The safety analysis did not identify any hazards with an unacceptable risk, though a number of hazards with a medium risk were documented. This effort represents a preliminary safety hazard analysis and notes the triggers for risk reassessment. A detailed safety hazards analysis is recommended as a follow-on activity to assess particular components of the L-band communication system after the technology is chosen and system rollout timing is determined. The security risk analysis resulted in identifying main security threats to the proposed system as well as noting additional threats recommended for a future security analysis conducted at a later stage in the system development process. The document discusses various security controls, including those suggested in the COCR Version 2.0.

  9. Emergency Response Capability Baseline Needs Assessment Compliance Assessment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sharry, John A.

    2013-09-16

    This document is the second of a two-part analysis of Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2013 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2009 BNA, the 2012 BNA document, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, firemore » department training records, and fire department policies and procedures.« less

  10. NASA Langley Systems Analysis & Concepts Directorate Technology Assessment/Portfolio Analysis

    NASA Technical Reports Server (NTRS)

    Cavanaugh, Stephen; Chytka, Trina; Arcara, Phil; Jones, Sharon; Stanley, Doug; Wilhite, Alan W.

    2006-01-01

    Systems analysis develops and documents candidate mission and architectures, associated system concepts, enabling capabilities and investment strategies to achieve NASA s strategic objectives. The technology assessment process connects the mission and architectures to the investment strategies. In order to successfully implement a technology assessment, there is a need to collect, manipulate, analyze, document, and disseminate technology-related information. Information must be collected and organized on the wide variety of potentially applicable technologies, including: previous research results, key technical parameters and characteristics, technology readiness levels, relationships to other technologies, costs, and potential barriers and risks. This information must be manipulated to facilitate planning and documentation. An assessment is included of the programmatic and technical risks associated with each technology task as well as potential risk mitigation plans. Risks are assessed and tracked in terms of likelihood of the risk occurring and consequences of the risk if it does occur. The risk assessments take into account cost, schedule, and technical risk dimensions. Assessment data must be simplified for presentation to decision makers. The Systems Analysis and Concepts Directorate (SACD) at NASA Langley Research Center has a wealth of experience in performing Technology Assessment and Portfolio Analysis as this has been a business line since 1978.

  11. Space station ECLSS integration analysis: Simplified General Cluster Systems Model, ECLS System Assessment Program enhancements

    NASA Technical Reports Server (NTRS)

    Ferguson, R. E.

    1985-01-01

    The data base verification of the ECLS Systems Assessment Program (ESAP) was documented and changes made to enhance the flexibility of the water recovery subsystem simulations are given. All changes which were made to the data base values are described and the software enhancements performed. The refined model documented herein constitutes the submittal of the General Cluster Systems Model. A source listing of the current version of ESAP is provided in Appendix A.

  12. Constellation Program (CxP) Crew Exploration Vehicle (CEV) Parachute Assembly System (CPAS) Independent Design Reliability Assessment. Volume 2; Appendices

    NASA Technical Reports Server (NTRS)

    Kelly, Michael J.

    2010-01-01

    This document contains the Appendices to the report documenting the activities, findings, and NASA Engineering and Safety Center (NESC) recommendations of a multidiscipline team to independently assess the Constellation Program (CxP) Crew Exploration Vehicle (CEV) Parachute Assembly System (CPAS). The assessment occurred during a period of 15 noncontiguous months between December 2008 and April 2010, prior to the CPAS Project's Preliminary Design Review (PDR) in August 2010.

  13. A Documentation System to Save Time and Ensure Proper Application of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES®)

    PubMed Central

    Hey, Christiane; Pluschinski, Petra; Stanschus, Soenke; Euler, Harald A.; Sader, Robert A.; Langmore, Susan; Neumann, Katrin

    2011-01-01

    A properly performed fiberoptic endoscopic evaluation of swallowing (FEES®) is comprehensive and time-consuming. Editing times of FEES protocols and attempts for efficiency maximization are unknown. Here, the protocol editing times of completed FEES examinations were determined. The present study reports the time savings and quality gains of a newly developed documentation system tailored to the FEES standard of Langmore. Four independent examiners analyzed twelve videos of FEES procedures, six without and six with the documentation system. Effectiveness of the documentation system was evaluated according to the times for total evaluation, interpretation, documentation, report writing, and for report completeness. The documentation system reduced editing times and increased report completeness with large effect sizes. Averaged total evaluation time decreased from 42 to 27 min, report completeness increased from 55 to 80%. The use of the documentation system facilitates and improves the assessment of the swallowing process. PMID:20938202

  14. ASSET. Assessment Simplification System for Elementary Teachers.

    ERIC Educational Resources Information Center

    Kentucky State Dept. of Education, Frankfort.

    This document is designed to show the connections between assessment tools available for primary and intermediate grades in the Kentucky public schools. Sections of the document outline the essential assessment tools and give information about how they support and mirror each other. These tools can be used to bridge the knowledge of primary and…

  15. ORANGES evaluation phase I risk assessment report : phase I of the US DOT sponsored evaluation of the ORANGES electronic payment system field operational test

    DOT National Transportation Integrated Search

    2004-03-11

    This document is the US DOT evaluation Risk Assessment report for Phase I of the ORANGES field operational test. This document consolidates working papers and incorporates an assessment of issues, risks, mitigation strategies and lessons learned look...

  16. C-Band Airport Surface Communications System Engineering-Initial High-Level Safety Risk Assessment and Mitigation

    NASA Technical Reports Server (NTRS)

    Zelkin, Natalie; Henriksen, Stephen

    2011-01-01

    This document is being provided as part of ITT's NASA Glenn Research Center Aerospace Communication Systems Technical Support (ACSTS) contract: "New ATM Requirements--Future Communications, C-Band and L-Band Communications Standard Development." ITT has completed a safety hazard analysis providing a preliminary safety assessment for the proposed C-band (5091- to 5150-MHz) airport surface communication system. The assessment was performed following the guidelines outlined in the Federal Aviation Administration Safety Risk Management Guidance for System Acquisitions document. The safety analysis did not identify any hazards with an unacceptable risk, though a number of hazards with a medium risk were documented. This effort represents an initial high-level safety hazard analysis and notes the triggers for risk reassessment. A detailed safety hazards analysis is recommended as a follow-on activity to assess particular components of the C-band communication system after the profile is finalized and system rollout timing is determined. A security risk assessment has been performed by NASA as a parallel activity. While safety analysis is concerned with a prevention of accidental errors and failures, the security threat analysis focuses on deliberate attacks. Both processes identify the events that affect operation of the system; and from a safety perspective the security threats may present safety risks.

  17. 42 CFR 493.1239 - Standard: General laboratory systems quality assessment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... of general laboratory systems quality assessment reviews with appropriate staff. (c) The laboratory must document all general laboratory systems quality assessment activities. [68 FR 3703, Jan. 24, 2003... 42 Public Health 5 2010-10-01 2010-10-01 false Standard: General laboratory systems quality...

  18. Innovative Internal Camera Inspection and Data Management for Effective Condition Assessment of Collection Systems

    EPA Science Inventory

    The primary objective of this guidance document is to identify and evaluate innovative closed-circuit television (CCTV) and related technologies currently used by more advanced wastewater utilities to conduct condition assessment programs. The document is intended to facilitate ...

  19. 78 FR 68058 - Next Generation Risk Assessment: Incorporation of Recent Advances in Molecular, Computational...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-13

    ... Generation Risk Assessment: Incorporation of Recent Advances in Molecular, Computational, and Systems Biology... Generation Risk Assessment: Incorporation of Recent Advances in Molecular, Computational, and Systems Biology..., computational, and systems biology data can better inform risk assessment. This draft document is available for...

  20. User Instructions for the Systems Assessment Capability, Rev. 1, Computer Codes Volume 3: Utility Codes

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Eslinger, Paul W.; Aaberg, Rosanne L.; Lopresti, Charles A.

    2004-09-14

    This document contains detailed user instructions for a suite of utility codes developed for Rev. 1 of the Systems Assessment Capability. The suite of computer codes for Rev. 1 of Systems Assessment Capability performs many functions.

  1. Documenting the Assessment of Institutional Effectiveness at Community Colleges in Ohio

    ERIC Educational Resources Information Center

    Zahler, Megan M.

    2013-01-01

    The community college of today confronts decreased state funding, increased demand, and increased calls for accountability. In this highly competitive environment, community colleges are required to document the assessment of institutional effectiveness to satisfy state accountability systems and regional accreditation standards. The purpose of…

  2. 1998 FFTF annual system assessment reports

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Guttenberg, S.

    The health of FFTF systems was assessed assuming a continued facility standby condition. The review was accomplished in accordance with the guidelines of FFTF-EI-083, Plant Evaluation Program. The attached document includes an executive summary of the significant conclusions and assessment reports for each system evaluated.

  3. Making Patient Risk Visible: Implementation of a Nursing Document Information System to Improve Patient Safety.

    PubMed

    Wang, Panfeng; Zhang, Hongjun; Li, Baohua; Lin, Keke

    2016-01-01

    The aims of this study were to develop a nursing information system (NIS), enhance the visibility of patient risk, and identify challenges and facilitators to adoption of the NIS risk assessment system for nurse leaders. This article describes the function of a nursing risk assessment information system, and the results of a survey on the risk assessment system. The results suggested that quality of information processing in nursing significantly improved patient safety. Nurses surveyed demonstrated a high degree of satisfaction, with saving time and improving safety. The nursing document information system described was introduced to improve patient safety and decrease risk. The application of the system has greatly enhanced the efficiency of nursing work, and guides the nurses to make an accurate, comprehensive and objective assessment of patient information, contributing significantly to further improvement in care standards and care decisions.

  4. Systems for Documenting Student Experiences and Outcomes

    ERIC Educational Resources Information Center

    Yeung, Fanny P. F.; Fallucca, Amber

    2017-01-01

    This chapter illustrates two campus processes that utilized student-level data management systems, such as student record systems, assessment platforms, and comprehensive student records, to assess student outcomes relevant to campus missions, goals, and learning outcomes.

  5. Culture Shock!! "Lesson" the Blow.

    ERIC Educational Resources Information Center

    Duffin, Ken

    1996-01-01

    Designing, developing, and implementing an electronic document management system involves preparation. Areas to consider when facilitating technological change include staff input and business and customer needs and wants. Further discussion addresses value assessment of document type, providing a pilot system for staff experiment and practice,…

  6. The grout/glass performance assessment code system (GPACS) with verification and benchmarking

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Piepho, M.G.; Sutherland, W.H.; Rittmann, P.D.

    1994-12-01

    GPACS is a computer code system for calculating water flow (unsaturated or saturated), solute transport, and human doses due to the slow release of contaminants from a waste form (in particular grout or glass) through an engineered system and through a vadose zone to an aquifer, well and river. This dual-purpose document is intended to serve as a user`s guide and verification/benchmark document for the Grout/Glass Performance Assessment Code system (GPACS). GPACS can be used for low-level-waste (LLW) Glass Performance Assessment and many other applications including other low-level-waste performance assessments and risk assessments. Based on all the cses presented, GPACSmore » is adequate (verified) for calculating water flow and contaminant transport in unsaturated-zone sediments and for calculating human doses via the groundwater pathway.« less

  7. [Assessment of Coding in German Diagnosis Related Groups System in Otorhinolaryngology].

    PubMed

    Ellies, Maik; Anders, Berit; Seger, Wolfgang

    2018-05-14

    Prospective analysis of assessment reports in otorhinolaryngology for the period 01-03-2011 to 31-03-2017 by the Health Advisory Boards in Lower Saxony and Bremen, Germany in relation to coding in the G-DRG-System. The assessment reports were documented using a standardized database system developed on the basis of the electronic data exchange (DTA) by the Health Advisory Board in Lower Saxony. In addition, the documentation of the assessment reports according to the G-DRG system was used for assessment. Furthermore, the assessment of a case was evaluated once again on the basis of the present assessment documents and presented as an example in detail. During the period from 01-03-2011 to 31-03-2017, a total of 27,424 cases of inpatient assessments of DRGs according to the G-DRG system were collected in the field of otorhinolaryngology. In 7,259 cases, the DRG was changed, and in 20,175 cases, the suspicion of a DRG-relevant coding error was not justified in the review; thus, a DRG change rate of 26% of the assessments was identified over the time period investigated. There were different kinds of coding errors. In order to improve the coding quality in otorhinolaryngology, in addition to the special consideration of the presented "hit list" by the otorhinolaryngology departments, there should be more intensive cooperation between hospitals and the Health Advisory Boards of the federal states. © Georg Thieme Verlag KG Stuttgart · New York.

  8. The Multimedia Environmental Pollutant Assessment System (MEPAS){reg_sign}: Atmospheric pathway formulations. Revision

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Droppo, J.G.; Buck, J.W.

    1996-03-01

    The Multimedia Environmental Pollutant Assessment System (MEPAS) is an integrated software implementation of physics-based fate and transport models for health and environmental risk assessments of both radioactive and hazardous pollutants. This atmospheric component report is one of a series of formulation reports that document the MEPAS mathematical models. MEPAS is a multimedia model; pollutant transport is modeled within, through, and between multiple media (air, soil, groundwater, and surface water). The estimated concentrations in the various media are used to compute exposures and impacts to the environment, to maximum individuals, and to populations. The MEPAS atmospheric component for the air mediamore » documented in this report includes models for emission from a source to the air, initial plume rise and dispersion, airborne pollutant transport and dispersion, and deposition to soils and crops. The material in this report is documentation for MEPAS Versions 3.0 and 3.1 and the MEPAS version used in the Remedial Action Assessment System (RAAS) Version 1.0.« less

  9. Loan Stars: ILL Comes of Age.

    ERIC Educational Resources Information Center

    Jackson, Mary E.

    1998-01-01

    Assesses the changes in interlibrary loan (ILL) practices, and points the way to an ideal future. Discusses patron-initiated document request systems; library-mediated ordering systems; document delivery suppliers; accessing electronic resources; ILL management software; paying ILL invoices; new electronic delivery options; and results of a…

  10. Emergency Response Capability Baseline Needs Assessment - Compliance Assessment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sharry, John A.

    This document was prepared by John A. Sharry, LLNL Fire Marshal and Division Leader for Fire Protection and was reviewed by LLNL Emergency Management Department Head, James Colson. This document is the second of a two-part analysis on Emergency Response Capabilities of Lawrence Livermore National Laboratory. The first part, 2016 Baseline Needs Assessment Requirements Document established the minimum performance criteria necessary to meet mandatory requirements. This second part analyses the performance of Lawrence Livermore Laboratory Emergency Management Department to the contents of the Requirements Document. The document was prepared based on an extensive review of information contained in the 2016more » BNA, a review of Emergency Planning Hazards Assessments, a review of building construction, occupancy, fire protection features, dispatch records, LLNL alarm system records, fire department training records, and fire department policies and procedures. The 2013 BNA was approved by NNSA’s Livermore Field Office on January 22, 2014.« less

  11. Assessment of the Adequacy of East Coast and Gulf Mexico Port Infrastructure to Accommodate Trade with Mexico

    DOT National Transportation Integrated Search

    2002-06-01

    This Market Packages document is one of a series of deliverables documenting the National Intelligent Transportation System (ITS) Architecture developed under contract to the U.S. Department of Transportation (DOT). This document defines the Market P...

  12. Guideline for Software Documentation Management.

    ERIC Educational Resources Information Center

    National Bureau of Standards (DOC), Washington, DC.

    Designed as a basic reference for federal personnel concerned with the development, maintenance, enhancement, control, and management of computer-based systems, this manual provides a general overview of the software development process and software documentation issues so that managers can assess their own documentation requirements. Reference is…

  13. A Practical Risk Assessment Methodology for Safety-Critical Train Control Systems

    DOT National Transportation Integrated Search

    2009-07-01

    This project proposes a Practical Risk Assessment Methodology (PRAM) for analyzing railroad accident data and assessing the risk and benefit of safety-critical train control systems. This report documents in simple steps the algorithms and data input...

  14. Handbook: Statewide Student Assessment System. Information for Parents, Students, Teachers, and Other School Personnel.

    ERIC Educational Resources Information Center

    Rael, Patricia S.; Travelstead, Jim

    This document provides basic information about the Statewide Student Assessment System in New Mexico. There are four components of the Statewide Student Assessment System that are guided by the State Department of Education. Each component serves a specific purpose and targets specific grade levels. The purpose of the reading assessment of grades…

  15. Usage experience with the document archiving and communication system for the storage and retrieval of medical records.

    PubMed

    Takeda, Toshihiro; Ueda, Kanayo; Manabe, Shiro; Teramoto, Kei; Mihara, Naoki; Matsumura, Yasushi

    2013-01-01

    Standard Japanese electronic medical record (EMR) systems are associated with major shortcomings. For example, they do not assure lifelong readability of records because each document requires its own viewing software program, a system that is difficult to maintain over long periods of time. It can also be difficult for users to comprehend a patient's clinical history because different classes of documents can only be accessed from their own window. To address these problems, we developed a document-based electronic medical record that aggregates all documents for a patient in a PDF or DocuWorks format. We call this system the Document Archiving and Communication System (DACS). There are two types of viewers in the DACS: the Matrix View, which provides a time line of a patient's history, and the Tree View, which stores the documents in hierarchical document classes. We placed 2,734 document classes into 11 categories. A total of 22,3972 documents were entered per month. The frequency of use of the DACS viewer was 268,644 instances per month. The DACS viewer was used to assess a patient's clinical history.

  16. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis.

    PubMed

    Lacson, Ronilda; O'Connor, Stacy D; Sahni, V Anik; Roy, Christopher; Dalal, Anuj; Desai, Sonali; Khorasani, Ramin

    2016-07-01

    Optimal critical test result communication is a Joint Commission national patient safety goal and requires documentation of closed-loop communication among care providers in the medical record. Electronic alert notification systems can facilitate an auditable process for creating alerts for transmission and acknowledgement of critical test results. We evaluated the impact of a patient safety initiative with an alert notification system on reducing critical results lacking documented communication, and assessed potential overuse of the alerting system for communicating results. We implemented an alert notification system-Alert Notification of Critical Results (ANCR)-in January 2010. We reviewed radiology reports finalised in 2009-2014 which lacked documented communication between the radiologist and another care provider, and assessed the impact of ANCR on the proportion of such reports with critical findings, using trend analysis over 10 semiannual time periods. To evaluate potential overuse of ANCR, we assessed the proportion of reports with non-critical results among provider-communicated reports. The proportion of reports with critical results among reports without documented communication decreased significantly over 4 years (2009-2014) from 0.19 to 0.05 (p<0.0001, Cochran-Armitage trend test). The proportion of provider-communicated reports with non-critical results remained unchanged over time before and after ANCR implementation (0.20 to 0.15, p=0.45, Cochran-Armitage trend test). A patient safety initiative with an alert notification system reduced the proportion of critical results among reports lacking documented communication between care providers. We observed no change in documented communication of non-critical results, suggesting the system did not promote overuse. Future studies are needed to evaluate whether such systems prevent subsequent patient harm. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  17. Use of System Safety Risk Assessments for the Space Shuttle Reusable Solid Rocket Motor (RSRM)

    NASA Technical Reports Server (NTRS)

    Greenhalgh, Phillip O.; McCool, Alex (Technical Monitor)

    2001-01-01

    This paper discusses the System Safety approach used to assess risk for the Space Shuttle Reusable Solid Rocket Motor (RSRM). Previous to the first RSRM flight in the fall of 1988, all systems were analyzed extensively to assure that hazards were identified, assessed and that the baseline risk was understood and appropriately communicated. Since the original RSRM baseline was established, Thiokol and NASA have implemented a number of initiatives that have further improved the RSRM. The robust design, completion of rigorous testing and flight success of the RSRM has resulted in a wise reluctance to make changes. One of the primary assessments required to accompany the documentation of each proposed change and aid in the decision making process is a risk assessment. Documentation supporting proposed changes, including the risk assessments from System Safety, are reviewed and assessed by Thiokol and NASA technical management. After thorough consideration, approved changes are implemented adding improvements to and reducing risk of the Space Shuttle RSRM.

  18. Automotive Manufacturing Assessment System : Volume 3. Materials - Weight Analysis.

    DOT National Transportation Integrated Search

    1979-11-01

    Volume III is part of a four volume set documenting areas of research resulting from the development of the Automotive Manufacturing Assessment System (AMAS) for the DOT/Transportation Systems Center. AMAS was designed to assist in the evaluation of ...

  19. Automotive Manufacturing Assessment System : Volume 1. Master Product Schedules.

    DOT National Transportation Integrated Search

    1999-11-01

    Volume I is part of a four volume set documenting areas of research resulting from the development of the Automotive Manufacturing Assessment System (AMAS) for the DOT/Transportation Systems Center. AMAS was designed to assist in the evaluation of in...

  20. Comprehensive Psychopathological Assessment Based on the Association for Methodology and Documentation in Psychiatry (AMDP) System: Development, Methodological Foundation, Application in Clinical Routine, and Research.

    PubMed

    Stieglitz, Rolf-Dieter; Haug, Achim; Fähndrich, Erdmann; Rösler, Michael; Trabert, Wolfgang

    2017-01-01

    The documentation of psychopathology is core to the clinical practice of the psychiatrist and clinical psychologist. However, both in initial as well as further training and specialization in their fields, this particular aspect of their work receives scanty attention only. Yet, for the past 50 years, the Association for Methodology and Documentation in Psychiatry (AMDP) System has been in existence and available as a tool to serve precisely the purpose of offering a systematic introduction to the terminology and documentation of psychopathology. The motivation for its development was based on the need for an assessment procedure for the reliable documentation of the effectiveness of newly developed psychopharmacological substances. Subsequently, the AMDP-System began to be applied in the context of investigations into a number of methodological issues in psychiatry (e.g., the frequency and specificity of particular symptoms, the comparison of rating scales). The System then became increasingly important also in clinical practice and, today, represents the most used instrument for the documentation of psychopathology in the German-speaking countries of Europe. This paper intends to offer an overview of the AMDP-System, its origins, design, and functionality. After an initial account of the history and development of the AMDP-System, the discussion will in turn focus on the System's underlying methodological principles, the transfer of clinical skills and competencies in its practical application, and its use in research and clinical practice. Finally, potential future areas of development in relation to the AMDP-System are explored.

  1. Assessment of Deafblind Access to Manual Language Systems (ADAMLS)

    ERIC Educational Resources Information Center

    Blaha, Robbie; Carlson, Brad

    2007-01-01

    This document presents the Assessment of Deafblind Access to Manual Language Systems (ADAMLS), a resource for educational teams who are responsible for developing appropriate adaptations and strategies for children who are deafblind who are candidates for learning manual language systems. The assessment tool should be used for all children with a…

  2. Automated personnel data base system specifications, Task V. Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bartley, H.J.; Bocast, A.K.; Deppner, F.O.

    1978-11-01

    The full title of this study is 'Development of Qualification Requirements, Training Programs, Career Plans, and Methodologies for Effective Management and Training of Inspection and Enforcement Personnel.' Task V required the development of an automated personnel data base system for NRC/IE. This system is identified as the NRC/IE Personnel, Assignment, Qualifications, and Training System (PAQTS). This Task V report provides the documentation for PAQTS including the Functional Requirements Document (FRD), the Data Requirements Document (DRD), the Hardware and Software Capabilities Assessment, and the Detailed Implementation Schedule. Specific recommendations to facilitate implementation of PAQTS are also included.

  3. Comprehensive Psychopathological Assessment Based on the Association for Methodology and Documentation in Psychiatry (AMDP) System: Development, Methodological Foundation, Application in Clinical Routine, and Research

    PubMed Central

    Stieglitz, Rolf-Dieter; Haug, Achim; Fähndrich, Erdmann; Rösler, Michael; Trabert, Wolfgang

    2017-01-01

    The documentation of psychopathology is core to the clinical practice of the psychiatrist and clinical psychologist. However, both in initial as well as further training and specialization in their fields, this particular aspect of their work receives scanty attention only. Yet, for the past 50 years, the Association for Methodology and Documentation in Psychiatry (AMDP) System has been in existence and available as a tool to serve precisely the purpose of offering a systematic introduction to the terminology and documentation of psychopathology. The motivation for its development was based on the need for an assessment procedure for the reliable documentation of the effectiveness of newly developed psychopharmacological substances. Subsequently, the AMDP-System began to be applied in the context of investigations into a number of methodological issues in psychiatry (e.g., the frequency and specificity of particular symptoms, the comparison of rating scales). The System then became increasingly important also in clinical practice and, today, represents the most used instrument for the documentation of psychopathology in the German-speaking countries of Europe. This paper intends to offer an overview of the AMDP-System, its origins, design, and functionality. After an initial account of the history and development of the AMDP-System, the discussion will in turn focus on the System’s underlying methodological principles, the transfer of clinical skills and competencies in its practical application, and its use in research and clinical practice. Finally, potential future areas of development in relation to the AMDP-System are explored. PMID:28439242

  4. Automotive Manufacturing Assessment System : Volume 2. Product Schedules of Engine/Drivetrain Combinations.

    DOT National Transportation Integrated Search

    1979-11-01

    Volume II is part of a four volume set documenting areas of research resulting from the development of the Automotive Manufacturing Assessment System (AMAS) for the DOT/Transportation Systems Center. AMAS was designed to assist in the evaluation of i...

  5. Development and Certification of Ultrasonic Background Noise Test (UBNT) System for use on the International Space Station (ISS)

    NASA Technical Reports Server (NTRS)

    Prosser, William H.; Madaras, Eric I.

    2011-01-01

    As a next step in the development and implementation of an on-board leak detection and localization system on the International Space Station (ISS), there is a documented need to obtain measurements of the ultrasonic background noise levels that exist within the ISS. This need is documented in the ISS Integrated Risk Management System (IRMA), Watch Item #4669. To address this, scientists and engineers from the Langley Research Center (LaRC) and the Johnson Space Center (JSC), proposed to the NASA Engineering and Safety Center (NESC) and the ISS Vehicle Office a joint assessment to develop a flight package as a Station Development Test Objective (SDTO) that would perform ultrasonic background noise measurements within the United States (US) controlled ISS structure. This document contains the results of the assessment

  6. Risk-Informed Safety Assurance and Probabilistic Assessment of Mission-Critical Software-Intensive Systems

    NASA Technical Reports Server (NTRS)

    Guarro, Sergio B.

    2010-01-01

    This report validates and documents the detailed features and practical application of the framework for software intensive digital systems risk assessment and risk-informed safety assurance presented in the NASA PRA Procedures Guide for Managers and Practitioner. This framework, called herein the "Context-based Software Risk Model" (CSRM), enables the assessment of the contribution of software and software-intensive digital systems to overall system risk, in a manner which is entirely compatible and integrated with the format of a "standard" Probabilistic Risk Assessment (PRA), as currently documented and applied for NASA missions and applications. The CSRM also provides a risk-informed path and criteria for conducting organized and systematic digital system and software testing so that, within this risk-informed paradigm, the achievement of a quantitatively defined level of safety and mission success assurance may be targeted and demonstrated. The framework is based on the concept of context-dependent software risk scenarios and on the modeling of such scenarios via the use of traditional PRA techniques - i.e., event trees and fault trees - in combination with more advanced modeling devices such as the Dynamic Flowgraph Methodology (DFM) or other dynamic logic-modeling representations. The scenarios can be synthesized and quantified in a conditional logic and probabilistic formulation. The application of the CSRM method documented in this report refers to the MiniAERCam system designed and developed by the NASA Johnson Space Center.

  7. Assessing the Readability of Medical Documents: A Ranking Approach.

    PubMed

    Zheng, Jiaping; Yu, Hong

    2018-03-23

    The use of electronic health record (EHR) systems with patient engagement capabilities, including viewing, downloading, and transmitting health information, has recently grown tremendously. However, using these resources to engage patients in managing their own health remains challenging due to the complex and technical nature of the EHR narratives. Our objective was to develop a machine learning-based system to assess readability levels of complex documents such as EHR notes. We collected difficulty ratings of EHR notes and Wikipedia articles using crowdsourcing from 90 readers. We built a supervised model to assess readability based on relative orders of text difficulty using both surface text features and word embeddings. We evaluated system performance using the Kendall coefficient of concordance against human ratings. Our system achieved significantly higher concordance (.734) with human annotators than did a baseline using the Flesch-Kincaid Grade Level, a widely adopted readability formula (.531). The improvement was also consistent across different disease topics. This method's concordance with an individual human user's ratings was also higher than the concordance between different human annotators (.658). We explored methods to automatically assess the readability levels of clinical narratives. Our ranking-based system using simple textual features and easy-to-learn word embeddings outperformed a widely used readability formula. Our ranking-based method can predict relative difficulties of medical documents. It is not constrained to a predefined set of readability levels, a common design in many machine learning-based systems. Furthermore, the feature set does not rely on complex processing of the documents. One potential application of our readability ranking is personalization, allowing patients to better accommodate their own background knowledge. ©Jiaping Zheng, Hong Yu. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 23.03.2018.

  8. FM subcarrier corridor assessment for the intelligent transportation system

    DOT National Transportation Integrated Search

    1997-01-01

    This report documents the assessment of FM subcarrier performance for Intelligent Transportation Systems (ITS) applications in three areas of interest in the United States. These areas are: 1) The Interstate 95 corridor from Richmond, Virginia, to Po...

  9. Evaluation of Measles-Mumps-Rubella Vaccination Among Newly Arrived Refugees.

    PubMed

    Lee, Deborah; Weinberg, Michelle; Benoit, Stephen

    2017-05-01

    To assess US availability and use of measles-mumps-rubella (MMR) vaccination documentation for refugees vaccinated overseas. We selected 1500 refugee records from 14 states from March 2013 through July 2015 to determine whether overseas vaccination records were available at the US postarrival health assessment and integrated into the Advisory Committee on Immunization Practices schedule. We assessed number of doses, dosing interval, and contraindications. Twelve of 14 (85.7%) states provided data on 1118 (74.5%) refugees. Overseas records for 972 (86.9%) refugees were available, most from the Centers for Disease Control and Prevention's Electronic Disease Notification system (66.9%). Most refugees (829; 85.3%) were assessed appropriately for MMR vaccination; 37 (3.8%) should have received MMR vaccine but did not; 106 (10.9%) did not need the MMR vaccine but were vaccinated. Overseas documentation was available at most clinics, and MMR vaccinations typically were given when needed. Further collaboration between refugee health clinics and state immunization information systems would improve accessibility of vaccination documentation.

  10. Final Report from the External Peer Review of the IRIS ...

    EPA Pesticide Factsheets

    This document is the final report for the 2004 external peer review for the EPA IRIS Reassessment of the Inhalation Carcinogenicity of Naphthalene, prepared by the Office of Research and Development's National Center for Environmental Assessment (NCEA), for the Integrated Risk Information System (IRIS) Database. A panel of external peer reviewers met to discuss the IRIS report and their responses to the charge questions on July 30, 2004. This document contains the final written comments of the external peer reviewers. This document is the final report for the 2004 external peer review for the IRIS Reassessment of the Inhalation Carcinogenicity of Naphthalene, prepared by the U.S. Environmental Protection Agency (EPA), National Center for Environmental Assessment (NCEA), for the Integrated Risk Information System (IRIS). A panel of external peer reviewers met to discuss their responses to the charge questions on July 30, 2004. This document contains the final written comments of the external peer reviewers.

  11. Independent Orbiter Assessment (IOA): Assessment of the active thermal control system

    NASA Technical Reports Server (NTRS)

    Sinclair, S. K.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Active Thermal Control System (ATCS) hardware, generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the available NASA FMEA/CIL data. Discrepancies from the comparison were documented, and where enough information was available, recommendations for resolution of the discrepancies were made. This report documents the results of that comparison for the Orbiter ATCS hardware. The IOA product for the ATCS independent analysis consisted of 310 failure mode worksheets that resulted in 101 potential critical items (PCI) being identified. A comparison was made to the available NASA data which consisted of 252 FMEAs and 109 CIL items.

  12. The Assessment and Instructional Management System: An Innovative Approach To Evaluating the Progress of Students with Disabilities.

    ERIC Educational Resources Information Center

    Bennett, Deborah E.

    2000-01-01

    AIMS, the Assessment and Instructional Management System is a computer-based rating and documentation system designed to include students with disabilities in educational accountability systems. Describes AIMS, illustrates some of the components of the system, and highlights teacher training efforts. Two tables present the AIMS rating rubric and…

  13. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric Intensive Care Unit.

    PubMed

    Panesar, Rahul S; Albert, Ben; Messina, Catherine; Parker, Margaret

    2016-01-01

    The Situation, Background, Assessment, Recommendation (SBAR) handoff tool is designed to improve communication. The effects of integrating an electronic medical record (EMR) with a SBAR template are unclear. The research team hypothesizes that an electronic SBAR template improves documentation and communication between nurses and physicians. In all, 84 patient events were recorded from 542 admissions to the pediatric intensive care unit. Three time periods were studied: (a) paper documentation only, (b) electronic documentation, and (c) electronic documentation with an SBAR template. Documentation quality was assessed using a 4-point scoring system. The frequency of event notes increased progressively during the 3 study periods. Mean quality scores improved significantly from paper documentation to EMR free-text notes and to electronic SBAR-template notes, as did nurse and attending physician notification. The implementation of an electronic SBAR note is associated with more complete documentation and increased frequency of documentation of communication among nurses and physicians. © The Author(s) 2014.

  14. A Smart-Home System to Unobtrusively and Continuously Assess Loneliness in Older Adults

    PubMed Central

    Dodge, Hiroko H.; Riley, Thomas; Jacobs, Peter G.; Thielke, Stephen; Kaye, Jeffrey

    2016-01-01

    Loneliness is a common condition in older adults and is associated with increased morbidity and mortality, decreased sleep quality, and increased risk of cognitive decline. Assessing loneliness in older adults is challenging due to the negative desirability biases associated with being lonely. Thus, it is necessary to develop more objective techniques to assess loneliness in older adults. In this paper, we describe a system to measure loneliness by assessing in-home behavior using wireless motion and contact sensors, phone monitors, and computer software as well as algorithms developed to assess key behaviors of interest. We then present results showing the accuracy of the system in detecting loneliness in a longitudinal study of 16 older adults who agreed to have the sensor platform installed in their own homes for up to 8 months. We show that loneliness is significantly associated with both time out-of-home (\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$ {\\beta } = -0.88$ \\end{document} and \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$p<0.01$ \\end{document}) and number of computer sessions (\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$ {\\beta } = 0.78$ \\end{document} and \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$p<0.05$ \\end{document}). \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{upgreek} \\usepackage{mathrsfs} \\setlength{\\oddsidemargin}{-69pt} \\begin{document} }{}$R^{2}$ \\end{document} for the model was 0.35. We also show the model’s ability to predict out-of-sample loneliness, demonstrating that the correlation between true loneliness and predicted out-of-sample loneliness is 0.48. When compared with the University of California at Los Angeles loneliness score, the normalized mean absolute error of the predicted loneliness scores was 0.81 and the normalized root mean squared error was 0.91. These results represent first steps toward an unobtrusive, objective method for the prediction of loneliness among older adults, and mark the first time multiple objective behavioral measures that have been related to this key health outcome. PMID:27574577

  15. Assessment of Techniques for Evaluating Computer Systems for Federal Agency Procurements. Final Report.

    ERIC Educational Resources Information Center

    Letmanyi, Helen

    Developed to identify and qualitatively assess computer system evaluation techniques for use during acquisition of general purpose computer systems, this document presents several criteria for comparison and selection. An introduction discusses the automatic data processing (ADP) acquisition process and the need to plan for uncertainty through…

  16. Guide for Oxygen Compatibility Assessments on Oxygen Components and Systems

    NASA Technical Reports Server (NTRS)

    Rosales, Keisa R.; Shoffstall, Michael S.; Stoltzfus, Joel M.

    2007-01-01

    Understanding and preventing fire hazards is necessary when designing, maintaining, and operating oxygen systems. Ignition risks can be minimized by controlling heat sources and using materials that will not ignite or will not support burning in the end-use environment. Because certain materials are more susceptible to ignition in oxygen-enriched environments, a compatibility assessment should be performed before the component is introduced into an oxygen system. This document provides an overview of oxygen fire hazards and procedures that are consistent with the latest versions of American Society for Testing and Materials (ASTM) Standards G63 (1999) and G94 (2005) to address fire hazards associated with oxygen systems. This document supersedes the previous edition, NASA Technical Memorandum 104823, Guide for Oxygen Hazards Analyses on Components and Systems (1996). The step-by-step oxygen compatibility assessment method described herein (see Section 4) enables oxygen-system designers, system engineers, and facility managers to determine areas of concern with respect to oxygen compatibility and, ultimately, prevent damage to a system or injury to personnel.

  17. Automated personnel data base system specifications, Task V. Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bartley, H.J.; Bocast, A.K.; Deppner, F.O.

    1978-09-01

    This document is the General Research Corporation report on Task V of a study for the Office of Inspection and Enforcement of the Nuclear Regulatory Commission (NRC/IE). The full title of this study is ''Development of Qualification Requirements, Training Programs, Career Plans, and Methodologies for Effective Management and Training of Inspection and Enforcement Personnel.'' Task V required the development of an automated personnel data base system for NRC/IE. This system is identified as the NRC/IE Personnel, Assignment, Qualifications, and Training System (PAQTS). This Task V report provides the documentation for PAQTS including the Functional Requirements Document (FRD), the Data Requirementsmore » Document (DRD), the Hardware and Software Capabilities Assessment, and the Detailed Implementation Schedule. Specific recommendations to facilitate implementation of PAQTS are also included.« less

  18. Technology Development Plan for the Baseline Detector System of the X-Ray Microcalorimeter Spectrometer (XMS) of the International X-Ray Observatory (IXO)

    NASA Technical Reports Server (NTRS)

    Kilbourne, C. A.; Boriese, W. B.

    2010-01-01

    The primary purpose of this document is to present the technology development plan for the XMS detector system. It covers the current status (including assessment of the Technology Readiness Level, TRL, and a justification of the level assigned), the roadmap to progress to a level between TRL 5 and TRL 6 by the middle of 2012, and an assessment of the associated cost. A secondary purpose of this document is to address the Action Items raised at the XMS Phase-A Study Mid-Term Review that pertain to the detector system (AI #4, #8, and #9).

  19. Development of Souvenir Production Transaction Processing System

    NASA Astrophysics Data System (ADS)

    Rumambi, H.; Kaparang, R.; Lintong, J.

    2018-01-01

    This research aims to design a souvenir production transaction processing system for the craftsmen in North Sulawesi. The craftsmen make very simple recordings about souvenir production transactions and use documents that are not in accordance with the generally accepted accounting practices. This research uses qualitative method. The data is collected through interviews, observations, documents and literatures studies. The research stages are conducted in preliminary studies, data collection, data analyzed and system design. The design of system is built from chart of account, accounting cycle and documents as input and get processed in accounting recording. The outputs are financial statements. The system design provides benefits for the craftsmen in assessing the financial performance and getting financing from bank.

  20. [Support of the nursing process through electronic nursing documentation systems (UEPD) – Initial validation of an instrument].

    PubMed

    Hediger, Hannele; Müller-Staub, Maria; Petry, Heidi

    2016-01-01

    Electronic nursing documentation systems, with standardized nursing terminology, are IT-based systems for recording the nursing processes. These systems have the potential to improve the documentation of the nursing process and to support nurses in care delivery. This article describes the development and initial validation of an instrument (known by its German acronym UEPD) to measure the subjectively-perceived benefits of an electronic nursing documentation system in care delivery. The validity of the UEPD was examined by means of an evaluation study carried out in an acute care hospital (n = 94 nurses) in German-speaking Switzerland. Construct validity was analyzed by principal components analysis. Initial references of validity of the UEPD could be verified. The analysis showed a stable four factor model (FS = 0.89) scoring in 25 items. All factors loaded ≥ 0.50 and the scales demonstrated high internal consistency (Cronbach's α = 0.73 – 0.90). Principal component analysis revealed four dimensions of support: establishing nursing diagnosis and goals; recording a case history/an assessment and documenting the nursing process; implementation and evaluation as well as information exchange. Further testing with larger control samples and with different electronic documentation systems are needed. Another potential direction would be to employ the UEPD in a comparison of various electronic documentation systems.

  1. The "Generality" Effect and the Retrieval Evaluation for Large Collections

    ERIC Educational Resources Information Center

    Salton, Gerard

    1972-01-01

    The role of the generality effect in retrieval system evaluation is assessed, and evaluation results are given for the comparison of several document collections of distinct size and generality in the areas of documentation and aerodynamics. (14 references) (Author)

  2. Independent Orbiter Assessment (IOA): Assessment of the data processing system FMEA/CIL

    NASA Technical Reports Server (NTRS)

    Lowery, H. J.; Haufler, W. A.

    1986-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Data Processing System (DPS) hardware, generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the NASA FMEA/CIL baseline with proposed Post 51-L updates included. A resolution of each discrepancy from the comparison is provided through additional analysis as required. The results of that comparison is documented for the Orbiter DPS hardware.

  3. Project W-211 initial tank retrieval systems year 2000 compliance assessment project plan

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    BUSSELL, J.H.

    1999-08-24

    This assessment describes the potential Year 2000 (Y2K) problems and describes the methods for achieving Y2K Compliance for Project W-211, Initial Tank Retrieval Systems (ITRS). The purpose of this assessment is to give an overview of the project. This document will not be updated and any dates contained in this document are estimates and may change. The scope of project W-211 is to provide systems for retrieval of radioactive wastes from ten double-shell tanks (DST). systems will be installed in tanks 102-AP, 104-AP, 105-AN, 104-AN, 102-AZ, 101-AW, 103-AN, 107-AN, 102-AY, and 102-SY. The current tank selection and sequence supports phasemore » I feed delivery to privatized processing plants. A detailed description of system dates, functions, interfaces, potential Y2K problems, and date resolutions can not be described since the project is in the definitive design phase. This assessment will describe the methods, protocols, and practices to assure that equipment and systems do not have Y2K problems.« less

  4. Exploring Midwives' Need and Intention to Adopt Electronic Integrated Antenatal Care.

    PubMed

    Markam, Hosizah; Hochheiser, Harry; Kuntoro, Kuntoro; Notobroto, Hari Basuki

    2018-01-01

    Documentation requirements for the Indonesian integrated antenatal care (ANC) program suggest the need for electronic systems to address gaps in existing paper documentation practices. Our goals were to quantify midwives' documentation completeness in a primary healthcare center, understand documentation challenges, develop a tool, and assess intention to use the tool. We analyzed existing ANC records in a primary healthcare center in Bangkalan, East Java, and conducted interviews with stakeholders to understand needs for an electronic system in support of ANC. Development of the web-based Electronic Integrated ANC (e-iANC) system used the System Development Life Cycle method. Training on the use of the system was held in the computer laboratory for 100 midwives chosen from four primary healthcare centers in each of five regions. The Unified Theory of Acceptance and Use of Technology (UTAUT) questionnaire was used to assess their intention to adopt e-iANC. The midwives' intention to adopt e-iANC was significantly influenced by performance expectancy, effort expectancy and facilitating conditions. Age, education level, and computer literacy did not significantly moderate the effects of performance expectancy and effort expectancy on adoption intention. The UTAUT results indicated that the factors that might influence intention to adopt e-iANC are potentially addressable. Results suggest that e-iANC might well be accepted by midwives.

  5. Piloting a logic-based framework for understanding organisational change process for a health IT implementation.

    PubMed

    Diment, Kieren; Garrety, Karin; Yu, Ping

    2011-01-01

    This paper describes how a method for evaluating organisational change based on the theory of logical types can be used for classifying organisational change processes to understand change after the implementation of an electronic documentation system in a residential aged care facility. In this instance we assess the organisational change reflected by care staff's perceptions of the benefits of the new documentation system at one site, at pre-implementation, and at 12 months post-implementation. The results show how a coherent view from the staff as a whole of the personal benefits, the benefits for others and the benefits for the organization create a situation of positive feedback leading to embeddedness of the documentation system into the site, and a broader appreciation of the potential capabilities of the electronic documentation system.

  6. Implementing a Portfolio Assessment System for Chapter 1 Program Improvement: A Case Study.

    ERIC Educational Resources Information Center

    Leitner, David; Trevisan, Mike

    This paper presents findings of a case study that documented the implementation of a portfolio assessment system in response to mandated program improvement and assessed its impact on teacher and student behaviors. The sample included elementary and middle school teachers and students from three Chapter 1 schools in a rural California school…

  7. Defense Forensic Enterprise: Assessment and Status Report Personnel Accounting Extract

    DTIC Science & Technology

    2013-12-01

    represent the opinion of the Department of the Navy. APPROVED FOR PUBLIC RELEASE. DISTRIBUTION UNLIMITED. Copies of this document can be obtained through...Roberts Director, Aviation Systems and Technology Advanced Technology and Systems Analysis REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188... Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions

  8. 40 CFR 65.119 - Recordkeeping provisions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... agitators equipped with a dual mechanical seal system that includes barrier fluid system, the owner or... assessment that identifies the representative composition of the process fluid. The assessment shall be based... pump visual inspections as specified in § 65.107(b)(4). (ii) Documentation of dual mechanical seal pump...

  9. cost and benefits optimization model for fault-tolerant aircraft electronic systems

    NASA Technical Reports Server (NTRS)

    1983-01-01

    The factors involved in economic assessment of fault tolerant systems (FTS) and fault tolerant flight control systems (FTFCS) are discussed. Algorithms for optimization and economic analysis of FTFCS are documented.

  10. Advanced parking information system evaluation report

    DOT National Transportation Integrated Search

    1997-01-01

    This report documents the evaluation analysis and results of the operational test. The evaluation assesses the impact/effect of the advance parking information system on the motoring public, parking facility operators, roadway system operations, and ...

  11. Managing the Process of Protection Level Assessment of the Complex Organization and Technical Industrial Enterprises

    NASA Astrophysics Data System (ADS)

    Gorlov, A. P.; Averchenkov, V. I.; Rytov, M. Yu; Eryomenko, V. T.

    2017-01-01

    The article is concerned with mathematical simulation of protection level assessment of complex organizational and technical systems of industrial enterprises by creating automated system, which main functions are: information security (IS) audit, forming of the enterprise threats model, recommendations concerning creation of the information protection system, a set of organizational-administrative documentation.

  12. An observational study of the accuracy and completeness of an anesthesia information management system: recommendations for documentation system changes.

    PubMed

    Wilbanks, Bryan A; Moss, Jacqueline A; Berner, Eta S

    2013-08-01

    Anesthesia information management systems must often be tailored to fit the environment in which they are implemented. Extensive customization necessitates that systems be analyzed for both accuracy and completeness of documentation design to ensure that the final record is a true representation of practice. The purpose of this study was to determine the accuracy of a recently installed system in the capture of key perianesthesia data. This study used an observational design and was conducted using a convenience sample of nurse anesthetists. Observational data of the nurse anesthetists'delivery of anesthesia care were collected using a touch-screen tablet computer utilizing an Access database customized observational data collection tool. A questionnaire was also administered to these nurse anesthetists to assess perceived accuracy, completeness, and satisfaction with the electronic documentation system. The major sources of data not documented in the system were anesthesiologist presence (20%) and placement of intravenous lines (20%). The major sources of inaccuracies in documentation were gas flow rates (45%), medication administration times (30%), and documentation of neuromuscular function testing (20%)-all of the sources of inaccuracies were related to the use of charting templates that were not altered to reflect the actual interventions performed.

  13. 76 FR 20366 - Changes to the Public Housing Assessment System (PHAS): Management Operations Scoring Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... Housing Assessment System (PHAS): Management Operations Scoring Notice AGENCY: Office of the Assistant... Management Operations interim scoring notice. The document inadvertently omitted a word with respect to the... INFORMATION: I. Background The proposed management operations scoring information was published on August 21...

  14. Socioeconomic Impact Assessment of the Automated Information Directory System (AIDS) at the Washington Metropolitan Area Transit Authority (WMATA)

    DOT National Transportation Integrated Search

    1983-04-01

    This report documents a series of data collection efforts carried out by Wilson Hill Associates, Inc., in support of UMTA's Impact Assessment Program. The focus of these efforts was the Automated Transit Information System (ATIS) deployment in the Te...

  15. System Transfer, Education, and Development in Mozambique

    ERIC Educational Resources Information Center

    Cossa, Jose

    2011-01-01

    In this study the author used conceptual historical method to assess the phenomenon of system transfer and the association between education and development in Mozambique. The assessment was administered through critical analysis of documents pertaining to the Salazar (1924-1966), Machel (1975-1986), and Chissano (1986-2005) administrations. The…

  16. Socio-Economic Impact Assessment of the Computerized Customer Information System (CCIS) at the Southern California Rapid Transit District (SCRTD)

    DOT National Transportation Integrated Search

    1983-06-01

    This document is a product of an ongoing program to assess the impacts of automated transit information system (ATIS) technology on the transit industry's efforts to improve the productivity and quality of telephone information/marketing services to ...

  17. NASA/ESA CV-990 Spacelab simulation. Appendixes: C, data-handling: Planning and implementation; D, communications; E, mission documentation

    NASA Technical Reports Server (NTRS)

    Reller, J. O., Jr.

    1976-01-01

    Data handling, communications, and documentation aspects of the ASSESS mission are described. Most experiments provided their own data handling equipment, although some used the airborne computer for backup, and one experiment required real-time computations. Communications facilities were set up to simulate those to be provided between Spacelab and the ground, including a downlink TV system. Mission documentation was kept to a minimum and proved sufficient. Examples are given of the basic documents of the mission.

  18. EPA U.S. NATIONAL MARKAL DATABASE: DATABASE DOCUMENTATION

    EPA Science Inventory

    This document describes in detail the U.S. Energy System database developed by EPA's Integrated Strategic Assessment Work Group for use with the MARKAL model. The group is part of the Office of Research and Development and is located in the National Risk Management Research Labor...

  19. A Constructive Response to the APU.

    ERIC Educational Resources Information Center

    Galton, Maurice

    1979-01-01

    Suggesting that, like the National Assessment of Educational Progress (NAEP) in the United States, Britain's Assessment of Performance Unit is likely to evoke opposition, the author proposes a teacher-based assessment system as an alternative. (SJL) Aspect of National Assessment (NAEP) dealt with in this document: Procedures (Evaluation).

  20. Hierarchical Testing with Automated Document Generation for Amanzi, ASCEM's Subsurface Flow and Reactive Transport Simulator

    NASA Astrophysics Data System (ADS)

    Moulton, J. D.; Steefel, C. I.; Yabusaki, S.; Castleton, K.; Scheibe, T. D.; Keating, E. H.; Freedman, V. L.

    2013-12-01

    The Advanced Simulation Capabililty for Environmental Management (ASCEM) program is developing an approach and open-source tool suite for standardized risk and performance assessments at legacy nuclear waste sites. These assessments use a graded and iterative approach, beginning with simplified highly abstracted models, and adding geometric and geologic complexity as understanding is gained. To build confidence in this assessment capability, extensive testing of the underlying tools is needed. Since the tools themselves, such as the subsurface flow and reactive-transport simulator, Amanzi, are under active development, testing must be both hierarchical and highly automated. In this presentation we show how we have met these requirements, by leveraging the python-based open-source documentation system called Sphinx with several other open-source tools. Sphinx builds on the reStructured text tool docutils, with important extensions that include high-quality formatting of equations, and integrated plotting through matplotlib. This allows the documentation, as well as the input files for tests, benchmark and tutorial problems, to be maintained with the source code under a version control system. In addition, it enables developers to build documentation in several different formats (e.g., html and pdf) from a single source. We will highlight these features, and discuss important benefits of this approach for Amanzi. In addition, we'll show that some of ASCEM's other tools, such as the sampling provided by the Uncertainty Quantification toolset, are naturally leveraged to enable more comprehensive testing. Finally, we will highlight the integration of this hiearchical testing and documentation framework with our build system and tools (CMake, CTest, and CDash).

  1. Space station Simulation Computer System (SCS) study for NASA/MSFC. Volume 2: Concept document

    NASA Technical Reports Server (NTRS)

    1989-01-01

    The Simulation Computer System (SCS) concept document describes and establishes requirements for the functional performance of the SCS system, including interface, logistic, and qualification requirements. The SCS is the computational communications and display segment of the Marshall Space Flight Center (MSFC) Payload Training Complex (PTC). The PTC is the MSFC facility that will train onboard and ground operations personnel to operate the payloads and experiments on board the international Space Station Freedom. The requirements to be satisfied by the system implementation are identified here. The SCS concept document defines the requirements to be satisfied through the implementation of the system capability. The information provides the operational basis for defining the requirements to be allocated to the system components and enables the system organization to assess whether or not the completed system complies with the requirements of the system.

  2. Cost Effectiveness Study of Wastewater Management Systems for Selected U.S. Coast Guard Vessels. Volume 2. Effectiveness Assessment of Candidate Systems

    DTIC Science & Technology

    1977-03-01

    267 Input Layout for Each Card Type ...................... 269 Input Sequence .......................... 271 SAMPLE PROBLEM...13 3 Sample Data rormn Used for Documenting MSD Effectiveness Attribute Data ........................... 15 -1 Sample Form Used for Documenting WMS...from commodes, urinals and garbage grinder) and gray (galley and turbid, i.e., output from sinks, showers, laundry, deck, drains, etc.) wastewaters

  3. Coding of procedures documented by general practitioners in Swedish primary care-an explorative study using two procedure coding systems

    PubMed Central

    2012-01-01

    Background Procedures documented by general practitioners in primary care have not been studied in relation to procedure coding systems. We aimed to describe procedures documented by Swedish general practitioners in electronic patient records and to compare them to the Swedish Classification of Health Interventions (KVÅ) and SNOMED CT. Methods Procedures in 200 record entries were identified, coded, assessed in relation to two procedure coding systems and analysed. Results 417 procedures found in the 200 electronic patient record entries were coded with 36 different Classification of Health Interventions categories and 148 different SNOMED CT concepts. 22.8% of the procedures could not be coded with any Classification of Health Interventions category and 4.3% could not be coded with any SNOMED CT concept. 206 procedure-concept/category pairs were assessed as a complete match in SNOMED CT compared to 10 in the Classification of Health Interventions. Conclusions Procedures documented by general practitioners were present in nearly all electronic patient record entries. Almost all procedures could be coded using SNOMED CT. Classification of Health Interventions covered the procedures to a lesser extent and with a much lower degree of concordance. SNOMED CT is a more flexible terminology system that can be used for different purposes for procedure coding in primary care. PMID:22230095

  4. A knowledge-based approach to configuration layout, justification, and documentation

    NASA Technical Reports Server (NTRS)

    Craig, F. G.; Cutts, D. E.; Fennel, T. R.; Case, C.; Palmer, J. R.

    1990-01-01

    The design, development, and implementation is described of a prototype expert system which could aid designers and system engineers in the placement of racks aboard modules on Space Station Freedom. This type of problem is relevant to any program with multiple constraints and requirements demanding solutions which minimize usage of limited resources. This process is generally performed by a single, highly experienced engineer who integrates all the diverse mission requirements and limitations, and develops an overall technical solution which meets program and system requirements with minimal cost, weight, volume, power, etc. This system architect performs an intellectual integration process in which the underlying design rationale is often not fully documented. This is a situation which lends itself to an expert system solution for enhanced consistency, thoroughness, documentation, and change assessment capabilities.

  5. A Knowledge-Based Approach to Configuration Layout, Justification, and Documentation

    NASA Technical Reports Server (NTRS)

    Craig, F. G.; Cutts, D. E.; Fennel, T. R.; Case, C. M.; Palmer, J. R.

    1991-01-01

    The design, development, and implementation of a prototype expert system which could aid designers and system engineers in the placement of racks aboard modules on the Space Station Freedom are described. This type of problem is relevant to any program with multiple constraints and requirements demanding solutions which minimize usage of limited resources. This process is generally performed by a single, highly experienced engineer who integrates all the diverse mission requirements and limitations, and develops an overall technical solution which meets program and system requirements with minimal cost, weight, volume, power, etc. This system architect performs an intellectual integration process in which the underlying design rationale is often not fully documented. This is a situation which lends itself to an expert system solution for enhanced consistency, thoroughness, documentation, and change assessment capabilities.

  6. CADDIS Document: Using Data From Other Sources

    EPA Pesticide Factsheets

    The Causal Analysis/Diagnosis Decision Information System, or CADDIS, is a website developed to help scientists and engineers in the Regions, States, and Tribes conduct causal assessments in aquatic systems.

  7. Tank waste remediation system configuration management plan

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Vann, J.M.

    The configuration management program for the Tank Waste Remediation System (TWRS) Project Mission supports management of the project baseline by providing the mechanisms to identify, document, and control the functional and physical characteristics of the products. This document is one of the tools used to develop and control the mission and work. It is an integrated approach for control of technical, cost, schedule, and administrative information necessary to manage the configurations for the TWRS Project Mission. Configuration management focuses on five principal activities: configuration management system management, configuration identification, configuration status accounting, change control, and configuration management assessments. TWRS Projectmore » personnel must execute work in a controlled fashion. Work must be performed by verbatim use of authorized and released technical information and documentation. Application of configuration management will be consistently applied across all TWRS Project activities and assessed accordingly. The Project Hanford Management Contract (PHMC) configuration management requirements are prescribed in HNF-MP-013, Configuration Management Plan (FDH 1997a). This TWRS Configuration Management Plan (CMP) implements those requirements and supersedes the Tank Waste Remediation System Configuration Management Program Plan described in Vann, 1996. HNF-SD-WM-CM-014, Tank Waste Remediation System Configuration Management Implementation Plan (Vann, 1997) will be revised to implement the requirements of this plan. This plan provides the responsibilities, actions and tools necessary to implement the requirements as defined in the above referenced documents.« less

  8. Exploring Midwives' Need and Intention to Adopt Electronic Integrated Antenatal Care

    PubMed Central

    Markam, Hosizah; Hochheiser, Harry; Kuntoro, Kuntoro; Notobroto, Hari Basuki

    2018-01-01

    Documentation requirements for the Indonesian integrated antenatal care (ANC) program suggest the need for electronic systems to address gaps in existing paper documentation practices. Our goals were to quantify midwives' documentation completeness in a primary healthcare center, understand documentation challenges, develop a tool, and assess intention to use the tool. We analyzed existing ANC records in a primary healthcare center in Bangkalan, East Java, and conducted interviews with stakeholders to understand needs for an electronic system in support of ANC. Development of the web-based Electronic Integrated ANC (e-iANC) system used the System Development Life Cycle method. Training on the use of the system was held in the computer laboratory for 100 midwives chosen from four primary healthcare centers in each of five regions. The Unified Theory of Acceptance and Use of Technology (UTAUT) questionnaire was used to assess their intention to adopt e-iANC. The midwives' intention to adopt e-iANC was significantly influenced by performance expectancy, effort expectancy and facilitating conditions. Age, education level, and computer literacy did not significantly moderate the effects of performance expectancy and effort expectancy on adoption intention. The UTAUT results indicated that the factors that might influence intention to adopt e-iANC are potentially addressable. Results suggest that e-iANC might well be accepted by midwives. PMID:29618961

  9. Assisting Instructional Assessment of Undergraduate Collaborative Wiki and SVN Activities

    ERIC Educational Resources Information Center

    Kim, Jihie; Shaw, Erin; Xu, Hao; Adarsh, G. V.

    2012-01-01

    In this paper we examine the collaborative performance of undergraduate engineering students who used shared project documents (Wikis, Google documents) and a software version control system (SVN) to support project collaboration. We present an initial implementation of TeamAnalytics, an instructional tool that facilitates the analyses of the…

  10. Electronic Nursing Documentation: Patient Care Continuity Using the Clinical Care Classification System (CCC).

    PubMed

    Whittenburg, Luann; Meetim, Aunchisa

    2016-01-01

    An innovative nursing documentation project conducted at Bumrungrad International Hospital in Bangkok, Thailand demonstrated patient care continuity between nursing patient assessments and nursing Plans of Care using the Clinical Care Classification System (CCC). The project developed a new generation of interactive nursing Plans of Care using the six steps of the American Nurses Association (ANA) Nursing process and the MEDCIN® clinical knowledgebase to present CCC coded concepts as a natural by-product of a nurse's documentation process. The MEDCIN® clinical knowledgebase is a standardized point-of-care terminology intended for use in electronic health record systems. The CCC is an ANA recognized nursing terminology.

  11. Rear-End Crashes: Problem Size Assessment And Statistical Description

    DOT National Transportation Integrated Search

    1993-05-01

    KEYWORDS : RESEARCH AND DEVELOPMENT OR R&D, ADVANCED VEHICLE CONTROL & SAFETY SYSTEMS OR AVCSS, INTELLIGENT VEHICLE INITIATIVE OR IVI : THIS DOCUMENT PRESENTS PROBLEM SIZE ASSESSMENTS AND STATISTICAL CRASH DESCRIPTION FOR REAR-END CRASHES, INC...

  12. Assessment of the Accounting and Joint Accounting/Computer Information Systems Programs.

    ERIC Educational Resources Information Center

    Appiah, John; Cernigliaro, James; Davis, Jeffrey; Gordon, Millicent; Richards, Yves; Santamaria, Fernando; Siegel, Annette; Lytle, Namy; Wharton, Patrick

    This document presents City University of New York LaGuardia Community College's Department of Accounting and Managerial Studies assessment of its accounting and joint accounting/computer information systems programs report, and includes the following items: (1) description of the mission and goals of the Department of Accounting and Managerial…

  13. PSSA Released Reading Items, 2000-2001. The Pennsylvania System of School Assessment.

    ERIC Educational Resources Information Center

    Pennsylvania State Dept. of Education, Harrisburg. Bureau of Curriculum and Academic Services.

    This document contains materials directly related to the actual reading test of the Pennsylvania System of School Assessment (PSSA), including the reading rubric, released passages, selected-response questions with answer keys, performance tasks, and scored samples of students' responses to the tasks. All of these items may be duplicated to…

  14. Diagnostic Efficiency of easyCBM[R] Math: Oregon. Technical Report #1009

    ERIC Educational Resources Information Center

    Anderson, Daniel; Alonzo, Julie; Tindal, Gerald

    2010-01-01

    The easyCBM[R] assessment system is an online benchmark and progress monitoring assessment system designed for use within a response to intervention framework. Educators using easyCBM[R] are often interested in using the results to predict students' state test performance. In the following technical document, we report diagnostic efficiency…

  15. Interdisciplinary collaboration and the electronic medical record.

    PubMed

    Green, Shayla D; Thomas, Joan D

    2008-01-01

    To examine interdisciplinary collaboration via electronic medical records (EMRs) with a focus on physicians' perception of nursing documentation. Quality improvement project using a survey instrument. Tertiary care pediatric hospital. Thirty-seven physicians. Physicians perceptions of nursing documentation after EMR implementation Physicians desire nursing documentation with greater clarity and additional information. Physicians indicate checklists alone for patient assessment and intervention data are insufficient for effective nurse/physician collaboration. Narrative nursing summaries are invaluable references that guide medical treatment decisions. Physicians see detailed assessments and well-described interventions of nurses' as critical to their ability to effectively practice medicine. Health care technology is called to develop EMRs that enable nurses to document detailed patient data in a swift and straightforward manner. Joint collaboration between nurses, physicians, and technology specialists is recommended to develop effective EMR systems.

  16. Goal-oriented evaluation of binarization algorithms for historical document images

    NASA Astrophysics Data System (ADS)

    Obafemi-Ajayi, Tayo; Agam, Gady

    2013-01-01

    Binarization is of significant importance in document analysis systems. It is an essential first step, prior to further stages such as Optical Character Recognition (OCR), document segmentation, or enhancement of readability of the document after some restoration stages. Hence, proper evaluation of binarization methods to verify their effectiveness is of great value to the document analysis community. In this work, we perform a detailed goal-oriented evaluation of image quality assessment of the 18 binarization methods that participated in the DIBCO 2011 competition using the 16 historical document test images used in the contest. We are interested in the image quality assessment of the outputs generated by the different binarization algorithms as well as the OCR performance, where possible. We compare our evaluation of the algorithms based on human perception of quality to the DIBCO evaluation metrics. The results obtained provide an insight into the effectiveness of these methods with respect to human perception of image quality as well as OCR performance.

  17. Documentation of pharmaceutical care: Validation of an intervention oriented classification system.

    PubMed

    Maes, Karen A; Studer, Helene; Berger, Jérôme; Hersberger, Kurt E; Lampert, Markus L

    2017-12-01

    During the dispensing process, pharmacists may come across technical and clinical issues requiring a pharmaceutical intervention (PI). An intervention-oriented classification system is a helpful tool to document these PIs in a structured manner. Therefore, we developed the PharmDISC classification system (Pharmacists' Documentation of Interventions in Seamless Care). The aim of this study was to evaluate the PharmDISC system in the daily practice environment (in terms of interrater reliability, appropriateness, interpretability, acceptability, feasibility, and validity); to assess its user satisfaction, the descriptive manual, and the online training; and to explore first implementation aspects. Twenty-one pharmacists from different community pharmacies each classified 30 prescriptions requiring a PI with the PharmDISC system on 5 selected days within 5 weeks. Interrater reliability was determined using model PIs and Fleiss's kappa coefficients (κ) were calculated. User satisfaction was assessed by questionnaire with a 4-point Likert scale. The main outcome measures were interrater reliability (κ); appropriateness, interpretability, validity (ratio of completely classified PIs/all PIs); feasibility, and acceptability (user satisfaction and suggestions). The PharmDISC system reached an average substantial agreement (κ = 0.66). Of documented 519 PIs, 430 (82.9%) were completely classified. Most users found the system comprehensive (median user agreement 3 [2/3.25 quartiles]) and practical (3[2.75/3]). The PharmDISC system raised the awareness regarding drug-related problems for most users (n = 16). To facilitate its implementation, an electronic version that automatically connects to the prescription together with a task manager for PIs needing follow-up was suggested. Barriers could be time expenditure and lack of understanding the benefits. Substantial interrater reliability and acceptable user satisfaction indicate that the PharmDISC system is a valid system to document PIs in daily community pharmacy practice. © 2017 John Wiley & Sons, Ltd.

  18. Guidelines for Providing Accommodations Using CASAS Assessment for Learners with Disabilities

    ERIC Educational Resources Information Center

    CASAS - Comprehensive Adult Student Assessment Systems (NJ1), 2005

    2005-01-01

    These guidelines address methods for administering Comprehensive Adult Student Assessment System (CASAS) assessments using accommodations for learners with documented disabilities. The suggested accommodations for disability categories include provisions for: (1) Accommodations in test administration procedures; and (2) Use of appropriate CASAS…

  19. 24 CFR 92.251 - Property standards.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... participating jurisdiction to determine the useful life of major systems through a capital needs assessment of... procedures (Uniform Physical Conditions Standards) pursuant to 24 CFR 5.705. (ix) Capital Needs Assessments... needs of the project through a capital needs assessment of the project. (2) Construction documents and...

  20. Benefits assessment of advanced public transportation systems (APTS)

    DOT National Transportation Integrated Search

    1996-07-01

    This report documents work performed under FTA's Advance Public Transportation Systems (APTS) Program, a program structured to undertake research and development of innovative applications of advanced navigation, information, and communication techno...

  1. Development and evaluation of nursing user interface screens using multiple methods.

    PubMed

    Hyun, Sookyung; Johnson, Stephen B; Stetson, Peter D; Bakken, Suzanne

    2009-12-01

    Building upon the foundation of the Structured Narrative Electronic Health Record (EHR) model, we applied theory-based (combined Technology Acceptance Model and Task-Technology Fit Model) and user-centered methods to explore nurses' perceptions of functional requirements for an electronic nursing documentation system, design user interface screens reflective of the nurses' perspectives, and assess nurses' perceptions of the usability of the prototype user interface screens. The methods resulted in user interface screens that were perceived to be easy to use, potentially useful, and well-matched to nursing documentation tasks associated with Nursing Admission Assessment, Blood Administration, and Nursing Discharge Summary. The methods applied in this research may serve as a guide for others wishing to implement user-centered processes to develop or extend EHR systems. In addition, some of the insights obtained in this study may be informative to the development of safe and efficient user interface screens for nursing document templates in EHRs.

  2. Software Safety Risk in Legacy Safety-Critical Computer Systems

    NASA Technical Reports Server (NTRS)

    Hill, Janice; Baggs, Rhoda

    2007-01-01

    Safety-critical computer systems must be engineered to meet system and software safety requirements. For legacy safety-critical computer systems, software safety requirements may not have been formally specified during development. When process-oriented software safety requirements are levied on a legacy system after the fact, where software development artifacts don't exist or are incomplete, the question becomes 'how can this be done?' The risks associated with only meeting certain software safety requirements in a legacy safety-critical computer system must be addressed should such systems be selected as candidates for reuse. This paper proposes a method for ascertaining formally, a software safety risk assessment, that provides measurements for software safety for legacy systems which may or may not have a suite of software engineering documentation that is now normally required. It relies upon the NASA Software Safety Standard, risk assessment methods based upon the Taxonomy-Based Questionnaire, and the application of reverse engineering CASE tools to produce original design documents for legacy systems.

  3. Canada's Intelligent Transportation Systems (ITS) : deployment and integration plan : applicant's guide

    DOT National Transportation Integrated Search

    2000-02-01

    This document is the applicant's guide for proposing intelligent transportation systems projects to Transport Canada and details such matters as eligibility, Transport Canada's program objectives and assessment of projects

  4. In-Drift Microbial Communities

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    D. Jolley

    2000-11-09

    As directed by written work direction (CRWMS M and O 1999f), Performance Assessment (PA) developed a model for microbial communities in the engineered barrier system (EBS) as documented here. The purpose of this model is to assist Performance Assessment and its Engineered Barrier Performance Section in modeling the geochemical environment within a potential repository drift for TSPA-SR/LA, thus allowing PA to provide a more detailed and complete near-field geochemical model and to answer the key technical issues (KTI) raised in the NRC Issue Resolution Status Report (IRSR) for the Evolution of the Near Field Environment (NFE) Revision 2 (NRC 1999).more » This model and its predecessor (the in-drift microbial communities model as documented in Chapter 4 of the TSPA-VA Technical Basis Document, CRWMS M and O 1998a) was developed to respond to the applicable KTIs. Additionally, because of the previous development of the in-drift microbial communities model as documented in Chapter 4 of the TSPA-VA Technical Basis Document (CRWMS M and O 1998a), the M and O was effectively able to resolve a previous KTI concern regarding the effects of microbial processes on seepage and flow (NRC 1998). This document supercedes the in-drift microbial communities model as documented in Chapter 4 of the TSPA-VA Technical Basis Document (CRWMS M and O 1998a). This document provides the conceptual framework of the revised in-drift microbial communities model to be used in subsequent performance assessment (PA) analyses.« less

  5. Implementation Issues for Cr6+ Free M&P

    DTIC Science & Technology

    2008-02-27

    85582 Performance Range, with Topcoat MIL-PRF-23377 & MIL-PRF-85582 Performance Range, no Topcoat NCAP Data Assessment • Project originally designed to...documented and distributed as part of ESTCP NCAP project report • Initial assessment suggests that a standard practice to assess coating systems can be

  6. STARPAHC space-oriented medical evaluation. [telemedicine system

    NASA Technical Reports Server (NTRS)

    1979-01-01

    Development of the STARPAHC telemedicine system is documented. Using STARPAHC assessment results and monitoring experience, on board and ground based flight medical system monitoring requirements and operational procedures were developed for use with the Space Transportation System during OFT and mature operation phases of the shuttle.

  7. Assessing performance of Botswana’s public hospital system: the use of the World Health Organization Health System Performance Assessment Framework

    PubMed Central

    Seitio-Kgokgwe, Onalenna; Gauld, Robin DC; Hill, Philip C; Barnett, Pauline

    2014-01-01

    Background: Very few studies have assessed performance of Botswana public hospitals. We draw from a large research study assessing performance of the Botswana Ministry of Health (MoH) to evaluate the performance of public hospital system using the World Health Organization Health Systems Performance Assessment Framework (WHO HSPAF). We aimed to evaluate performance of Botswana public hospital system; relate findings of the assessment to the potential for improvements in hospital performance; and determine the usefulness of the WHO HSPAF in assessing performance of hospital systems in a developing country. Methods: This article is based on data collected from document analysis, 54 key informants comprising senior managers and staff of the MoH (N= 40) and senior officers from stakeholder organizations (N= 14), and surveys of 42 hospital managers and 389 health workers. Data from documents and transcripts were analyzed using content and thematic analysis while data analysis for surveys was descriptive determining proportions and percentages. Results: The organizational structure of the Botswana’s public hospital system, authority and decision-making are highly centralized. Overall physical access to health services is high. However, challenges in the distribution of facilities and inpatient beds create inequities and inefficiencies. Capacity of the hospitals to deliver services is limited by inadequate resources. There are significant challenges with the quality of care. Conclusion: While Botswana invested considerably in building hospitals around the country resulting in high physical access to services, the organization and governance of the hospital system, and inadequate resources limit service delivery. The ongoing efforts to decentralize management of hospitals to district level entities should be expedited. The WHO HSPAF enabled us to conduct a comprehensive assessment of the public hospital system. Though relatively new, this approach proved useful in this study. PMID:25279380

  8. Evaluation of impacts and mitigation assessments for the UMTRA Project: Gunnison and Durango pilot studies. Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Beranich, S.J.

    1994-08-24

    This report evaluates the impacts assessment and proposed mitigations provided in environmental documents concerning the US Department of Energy`s (DOE) Uranium Mill Tailings Remedial Action (UMTRA) Project. The projected impacts and proposed mitigations identified in UMTRA Project environmental documents were evaluated for two UMTRA Project sites. These sites are Gunnison and Durango, which are representative of currently active and inactive UMTRA Project sites, respectively. National Environmental Policy Act (NEPA) documentation was prepared for the remedial action at Durango and Gunnison as well as for the provision of an alternate water supply system at Gunnison. Additionally, environmental analysis was completed formore » mill site demolition Gunnison, and for a new road related to the Durango remedial action. The results in this report pertain only to the impact assessments prepared by the Regulatory Compliance staff as a part of the NEPA compliance requirements. Similarly, the mitigative measures documented are those that were identified during the NEPA process.« less

  9. Roadway network productivity assessment : system-wide analysis under variant travel demand

    DOT National Transportation Integrated Search

    2008-11-01

    The analysis documented in this report examines the hypothesis that the system-wide productivity of a metropolitan freeway system in peak periods is higher in moderate travel demand conditions than in excessive travel demand conditions. The approach ...

  10. Environmental management assessment of the National Institute for Petroleum and Energy Research

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1994-08-01

    This report documents the results of the environmental management assessment of the National Institute for Petroleum and Energy Research (NIPER), located in Bartlesville, Oklahoma. The assessment was conducted August 15-26, 1994, by the DOE Office of Environmental Audit (EH-24), located within the Office of Environment, Safety and Health. The assessment included reviews of documents and reports, as well as inspections and observations of selected facilities and operations. Further, the team conducted interviews with management and staff from the Bartlesville Project Office (BPO), the Office of Fossil Energy (FE), the Pittsburgh Energy Technology Center (PETC), state and local regulatory agencies, andmore » BDM Oklahoma (BDM-OK), which is the management and operating (M&O) contractor for NIPER. Because of the transition from a cooperative agreement to an M&O contract in January 1994, the scope of the assessment was to evaluate (1) the effectiveness of BDM-OK management systems being developed and BPO systems in place and under development to address environmental requirements; (2) the status of compliance with DOE Orders, guidance, and directives; and (3) conformance with accepted industry management practices. An environmental management assessment was deemed appropriate at this time in order to identify any systems modifications that would provide enhanced effectiveness of the management systems currently under development.« less

  11. Corral Monitoring System assessment results

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Filby, E.E.; Haskel, K.J.

    1998-03-01

    This report describes the results of a functional and operational assessment of the Corral Monitoring Systems (CMS), which was designed to detect and document accountable items entering or leaving a monitored site. Its development was motivated by the possibility that multiple sites in the nuclear weapons states of the former Soviet Union might be opened to such monitoring under the provisions of the Strategic Arms Reduction Treaty. The assessment was performed at three levels. One level evaluated how well the planned approach addressed the target application, and which involved tracking sensitive items moving into and around a site being monitoredmore » as part of an international treaty or other agreement. The second level examined the overall design and development approach, while the third focused on individual subsystems within the total package. Unfortunately, the system was delivered as disassembled parts and pieces, with very poor documentation. Thus, the assessment was based on fragmentary operating data coupled with an analysis of what documents were provided with the system. The system design seemed to be a reasonable match to the requirements of the target application; however, important questions about site manning and top level administrative control were left unanswered. Four weaknesses in the overall design and development approach were detected: (1) poor configuration control and management, (2) inadequate adherence to a well defined architectural standard, (3) no apparent provision for improving top level error tolerance, and (4) weaknesses in the object oriented programming approach. The individual subsystems were found to offer few features or capabilities that were new or unique, even at the conceptual level. The CMS might possibly have offered a unique combination of features, but this level of integration was never realized, and it had no unique capabilities that could be readily extracted for use in another system.« less

  12. AN-Type Fittings in the International Space System (ISS) Node 2 Ammonia System Technical Assessment Report

    NASA Technical Reports Server (NTRS)

    Cragg, Clinton H.; Dibbern, Andreas W.; Beil, Robert J.; Terrone, Mark; Rotter, Henry A.; Ernest, Steve; Frankenfield, Bruce; Solano, Paul

    2009-01-01

    Based on an anonymous request, an NESC Assessment Team was formed to investigate potential leakage problems from the ISS Program's Node 2 Anhydrous Ammonia System AN fittings. The Team's charter was to provide the ISS Program with a path to follow, which could include testing, to ensure the ISS Program felt confident that the AN fittings' leakage would not exceed specified limits in orbit. The findings from that assessment are contained in this document.

  13. State Systems Improvement Self-Assessment

    ERIC Educational Resources Information Center

    Mid-South Regional Resource Center (MSRRC), 2008

    2008-01-01

    This document was developed by the Mid-South Regional Resource Center (MSRRC) and is designed to be used as an assessment of State systems by State Part B and Part C staff and their stakeholders. It provides a detailed process for State Education Agencies (SEA) and Lead Agencies (LA) to follow that will guide improvement efforts relative to the…

  14. Quality assurance planning for lunar Mars exploration

    NASA Technical Reports Server (NTRS)

    Myers, Kay

    1991-01-01

    A review is presented of the tools and techniques required to meet the challenge of total quality in the goal of traveling to Mars and returning to the moon. One program used by NASA to ensure the integrity of baselined requirements documents is configuration management (CM). CM is defined as an integrated management process that documents and identifies the functional and physical characteristics of a facility's systems, structures, computer software, and components. It also ensures that changes to these characteristics are properly assessed, developed, approved, implemented, verified, recorded, and incorporated into the facility's documentation. Three principal areas are discussed that will realize significant efficiencies and enhanced effectiveness, change assessment, change avoidance, and requirements management.

  15. Observations, Ideas, and Opinions: Systems Engineering and Integration for Return to Flight

    NASA Technical Reports Server (NTRS)

    Gafka, George K.

    2006-01-01

    This presentation addresses project management and systems engineering and integration challenges for return to flight, focusing on the Thermal Protection System Tile Repair Project (TRP). The program documentation philosophy, communication with program requirements flow and philosophy and planned deliverables and documentation are outlined. The development of TRP 'use-as-is' analytical tools is also highlighted and emphasis is placed on the use flight history to assess pre-flight and real-time risk. Additionally, an overview is provided of the repair procedure, including an outline of the logistics deployment chart.

  16. Deployment Efficiency and Barrier Effectiveness Testing of a Temporary Anti-Personnel (TAP) Barrier System.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Allen, David James; Hedrick, Charles D.; Martinez, Ruben

    This report documents tests conducted by Sandia National Laboratories (SNL) on behalf of the U.S. Department of State to evaluate a temporary anti-personnel (TAP) barrier system developed by Mitigation Technologies. For this, the SNL Denial and Structural Assessment department developed a test protocol for the evaluation of the TAP barrier system on the basis of deployment efficiency and barrier effectiveness against a riotous/mob attack threat. The test protocol was then executed by SNL personnel and the results of the testing are documented.

  17. Mission analysis for cross-site transfer

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Riesenweber, S.D.; Fritz, R.L.; Shipley, L.E.

    1995-11-01

    The Mission Analysis Report describes the requirements and constraints associated with the Transfer Waste Function as necessary to support the Manage Tank Waste, Retrieve Waste, and Process Tank Waste Functions described in WHC-SD-WM-FRD-020, Tank Waste Remediation System (TWRS) Functions and Requirements Document and DOE/RL-92-60, Revision 1, TWRS Functions and Requirements Document, March 1994. It further assesses the ability of the ``initial state`` (or current cross-site transfer system) to meet the requirements and constraints.

  18. Exploring Quality Teaching of Information and Communication Technology in New South Wales and Yenbai High Schools: A Comparative Case Study

    NASA Astrophysics Data System (ADS)

    Tran, Manh Thang

    This study compares ICT policy and curriculum and assessment practices between Australian and Vietnamese secondary schools, and investigates differences between these two school systems. Document analyses and case studies were used to examine the key differences in ICT curriculum and policy and assessment practices between Australian and Vietnamese secondary schools. The document analyses focused on the intended ICT policy and curriculum and assessment, as presented in official documents in both countries. Using a case study approach for in-depth examination, two secondary schools were selected (one from Yenbai province, Vietnam and one from Sydney, New South Wales, Australia). Two principals and three teachers were interviewed. Classroom teaching and assessment practices were observed, and principals and teachers' views were obtained through semi-structured interviews and extensive discussions. Findings from the two case studies were compared with the findings from the document analysis. This study explored and analysed differences in ICT teaching, learning, assessment, and achievement between Vietnamese and Australian secondary students. It was found that that Australian ICT school curricula and assessment differed markedly from the Vietnamese system. Student ICT achievement in these Australian and Vietnamese schools could not only be attributed to higher standards of intended ICT curricula and assessment, or teacher knowledge or classroom practices. These differences are better explained by economic and cultural factors, ICT policies and their degrees of implementation, and extra ICT curricula. In order to bridge the gap and implement adequate ICT curricula and policies, rigorous professional training in teaching and assessment is essential for both Australian and Vietnamese teachers. In order to improve Australian students' ICT achievement, achievement motivation must be addressed. Many challenging aspects were found in ICT policies and classrooms in the Vietnamese educational system that calls for immediate change and improvement. In order to implement reforms in Vietnamese education, the impact of cultural influence must be considered more seriously. In particular, this study highlights the need to integrate case study with large-scale study in international comparative studies.

  19. Toward Medical Documentation That Enhances Situational Awareness Learning

    PubMed Central

    Lenert, Leslie A.

    2016-01-01

    The purpose of writing medical notes in a computer system goes beyond documentation for medical-legal purposes or billing. The structure of documentation is a checklist that serves as a cognitive aid and a potential index to retrieve information for learning from the record. For the past 50 years, one of the primary organizing structures for physicians’ clinical documentation have been the SOAP note (Subjective, Objective, Assessment, Plan). The cognitive check list is well-suited to differential diagnosis but may not support detection of changes in systems and/or learning from cases. We describe an alternative cognitive checklist called the OODA Loop (Observe, Orient, Decide, Act. Through incorporation of projections of anticipated course events with and without treatment and by making “Decisions” an explicit category of documentation in the medical record in the context of a variable temporal cycle for observations, OODA may enhance opportunities to learn from clinical care. PMID:28269872

  20. Privacy Impact Assessment for the Compass Financials IT System

    EPA Pesticide Factsheets

    This system collects data on accounts receivable, accounts payable, human resources and travel data. This document describes how the data will be collected in the system, how it will be used, access to the data, and the purpose of data collection.

  1. Document Monitor

    NASA Technical Reports Server (NTRS)

    1988-01-01

    The charters of Freedom Monitoring System will periodically assess the physical condition of the U.S. Constitution, Declaration of Independence and Bill of Rights. Although protected in helium filled glass cases, the documents are subject to damage from light vibration and humidity. The photometer is a CCD detector used as the electronic film for the camera system's scanning camera which mechanically scans the document line by line and acquires a series of images, each representing a one square inch portion of the document. Perkin-Elmer Corporation's photometer is capable of detecting changes in contrast, shape or other indicators of degradation with 5 to 10 times the sensitivity of the human eye. A Vicom image processing computer receives the data from the photometer stores it and manipulates it, allowing comparison of electronic images over time to detect changes.

  2. Independent Orbiter Assessment (IOA): Assessment of the orbital maneuvering subsystem, volume 2

    NASA Technical Reports Server (NTRS)

    Haufler, W. A.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Orbital Maneuvering System (OMS) hardware and electrical power distribution and control (EPD and C), generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the proposed Post 51-L NASA FMEA/CIL baseline. This report documents the results of that comparison for the Orbiter OMS hardware and EPD and C systems. Volume 2 continues the presentation of IOA worksheets and contains the critical items list and the NASA FMEA to IOA worksheet cross reference and recommendations.

  3. A review of approaches to quality assurance of veterinary systems for health-status certification.

    PubMed

    Stärk, Katharina D C; Salman, Mo; Tempelman, Yuval; Kihm, Ulrich

    2002-12-18

    Regarding national and international trade of animals and animal products, certificates are required to document specific health levels. The credibility of such certificates depends on the quality of the data used to establish the status. Credibility also depends on the quality of the design and protocols used in the data-gathering process (i.e. on the quality of the surveillance-and-monitoring systems (SMS) and on the quality of the veterinary administrative systems (VAdminS)). The major requirements for the assessment of the SMS and VAdminS are: objectivity, accuracy, transparency, practicality, quantitative in nature. To assess the quality of SMS and VAdminS, systems analysis might provide a suitable framework. Systems analysis requires the identification and description of all components of the system-how they interact with each other and with other systems. Graphical methods (e.g. fault trees) are available to support this procedure. To assess the quality of SMS, scoring systems have been suggested. Their main weakness is the inherent subjectiveness. Alternatively, performance indicators (PI) could be used. For the assessment of VAdminS, questionnaires have been developed and applied. Their main limitations are that they focus on the input rather than on the output and that they are purely descriptive in nature. Thus, comparisons between countries are almost impossible. Semi-quantitative questionnaires using scores now are being developed and tested, although their limitations will be similar to those mentioned above. Another approach is the use of risk assessment including standardised data files assembled by countries volunteering to be assessed. This was applied successfully by the European Union (EU) in the geographic risk assessment for bovine spongiform encephalopathy (BSE). In general, the publication and documentation of veterinary systems needs to be encouraged to make them accessible to peer review.

  4. Documentation of Assessment Instrumentation--The NORC/CRESST 12th Grade Science Assessment, Item Databases, and Test Booklets. Project 2.6: Analytic Models To Monitor Status & Progress of Learning & Performance & Their Antecedents: The School Science Assessment Project.

    ERIC Educational Resources Information Center

    Bock, H. Darrell

    The hardware and software system used to create the National Opinion Research Center/Center for Research on Evaluation, Standards, and Student Testing (NORC/CRESST) item databases and test booklets for the 12th-grade science assessment are described. A general description of the capabilities of the system is given, with some specific information…

  5. Detection and assessment of secondary sonic booms in New England

    DOT National Transportation Integrated Search

    1980-05-01

    This report documents the results of a secondary sonic boom detection and assessment program conducted by the U.S. Dept. of Transportation, Transportation Systems Center in New England during the summer of 1979. Measurements of both acoustic and infr...

  6. Battelle Energy Alliance, LLC (BEA) 2016 Self-Assessment Report for Idaho National Laboratory (INL)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Alvarez, Juan

    This report provides Battelle Energy Alliance’s (BEA) self-assessment of performance for the period of October 1, 2015, through September 30, 2016, as evaluated against the goals, performance objectives, and notable outcomes defined in the Fiscal Year (FY) 2016 Performance Evaluation and Measurement Plan (PEMP). BEA took into consideration and consolidated all input provided from internal and external sources (e.g., Contractor Assurance System [CAS], program and customer feedback, external and independent reviews, and Department of Energy [DOE] Idaho Operations Office [ID] quarterly PEMP reports and Quarterly Evaluation Reports). The overall performance of BEA during this rating period was self-assessed as “Excellent,”more » exceeding expectations of performance in Goal 1.0, “Efficient and Effective Mission Accomplishment”; Goal 2.0, “Efficient and Effective Stewardship and Operation of Research Facilities”; and Goal 3.0, “Sound and Competent Leadership and Stewardship of the Laboratory.” BEA met or exceeded expectations for Mission Support Goals 4.0 through 7.0 assessing a final multiplier of 1.0. Table 1 documents BEA’s assessment of performance to the goals and individual performance objectives. Table 2 documents completion of the notable outcomes. A more-detailed assessment of performance for each individual performance objective is documented in the closeout reports (see the PEMP reporting system). Table 3 includes an update to “Performance Challenges” as reported in the FY 2015 Self-Assessment Report.« less

  7. Text Generation: The State of the Art and the Literature.

    ERIC Educational Resources Information Center

    Mann, William C.; And Others

    This report comprises two documents which describe the state of the art of computer generation of natural language text. Both were prepared by a panel of individuals who are active in research on text generation. The first document assesses the techniques now available for use in systems design, covering all of the technical methods by which…

  8. Patient Activities Planning and Progress Noting a Humanistic Integrated-Team Approach.

    ERIC Educational Resources Information Center

    Muilenburg, Ted

    This document outlines a system for planning recreation therapy, documenting progress, and relating the entire process to a team approach which includes patient assessment and involvement. The recreation program is seen as therapeutic, closely related to the total medical treatment program. The model is designed so that it can be adapted to almost…

  9. Superfund Hazard Ranking System Training Course

    EPA Pesticide Factsheets

    The Hazard Ranking System (HRS) training course is a four and ½ day, intermediate-level course designed for personnel who are required to compile, draft, and review preliminary assessments (PAs), site inspections (SIs), and HRS documentation records/packag

  10. Privacy Impact Assessment for the Superfund Cost Recovery Package Imaging and On-Line System

    EPA Pesticide Factsheets

    This system collects financial data, associated documents, including travel, payroll and voucher data. Learn about how this data is collected, used, accessed, and the record retention policies for this data.

  11. The Archive Solution for Distributed Workflow Management Agents of the CMS Experiment at LHC

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kuznetsov, Valentin; Fischer, Nils Leif; Guo, Yuyi

    The CMS experiment at the CERN LHC developed the Workflow Management Archive system to persistently store unstructured framework job report documents produced by distributed workflow management agents. In this paper we present its architecture, implementation, deployment, and integration with the CMS and CERN computing infrastructures, such as central HDFS and Hadoop Spark cluster. The system leverages modern technologies such as a document oriented database and the Hadoop eco-system to provide the necessary flexibility to reliably process, store, and aggregatemore » $$\\mathcal{O}$$(1M) documents on a daily basis. We describe the data transformation, the short and long term storage layers, the query language, along with the aggregation pipeline developed to visualize various performance metrics to assist CMS data operators in assessing the performance of the CMS computing system.« less

  12. The Archive Solution for Distributed Workflow Management Agents of the CMS Experiment at LHC

    DOE PAGES

    Kuznetsov, Valentin; Fischer, Nils Leif; Guo, Yuyi

    2018-03-19

    The CMS experiment at the CERN LHC developed the Workflow Management Archive system to persistently store unstructured framework job report documents produced by distributed workflow management agents. In this paper we present its architecture, implementation, deployment, and integration with the CMS and CERN computing infrastructures, such as central HDFS and Hadoop Spark cluster. The system leverages modern technologies such as a document oriented database and the Hadoop eco-system to provide the necessary flexibility to reliably process, store, and aggregatemore » $$\\mathcal{O}$$(1M) documents on a daily basis. We describe the data transformation, the short and long term storage layers, the query language, along with the aggregation pipeline developed to visualize various performance metrics to assist CMS data operators in assessing the performance of the CMS computing system.« less

  13. Measuring research influence on drug policy: a case example of two epidemiological monitoring systems.

    PubMed

    Ritter, Alison; Lancaster, Kari

    2013-01-01

    Assessing the extent to which drug research influences and impacts upon policy decision-making needs to go beyond bibliometric analysis of academic citations. Policy makers do not necessarily access the academic literature, and policy processes are largely iterative and rely on interactions and relationships. Furthermore, media representation of research contributes to public opinion and can influence policy uptake. In this context, assessing research influence involves examining the extent to which a research project is taken up in policy documents, used within policy processes, and disseminated via the media. This three component approach is demonstrated using a case example of two ongoing illicit drug monitoring systems: the Illicit Drug Reporting System (IDRS) and the Ecstasy and related Drugs Reporting System (EDRS). Systematic searches for reference to the IDRS and/or EDRS within policy documents, across multiple policy processes (such as parliamentary inquiries) and in the media, in conjunction with analysis of the types of mentions in these three sources, enables an analysis of policy influence. The context for the research is also described as the foundation for the approach. The application of the three component approach to the case study demonstrates a practical and systematic retrospective approach to measure drug research influence. For example, the ways in which the IDRS and EDRS were mentioned in policy documents demonstrated research utilisation. Policy processes were inclusive of IDRS and EDRS findings, while the media analysis revealed only a small contribution in the context of wider media reporting. Consistent with theories of policy processes, assessing the extent of research influence requires a systematic analysis of policy documents and processes. Development of such analyses and associated methods will better equip researchers to evaluate the impact of research. Copyright © 2012 Elsevier B.V. All rights reserved.

  14. Constellation Program (CxP) Crew Exploration Vehicle (CEV) Parachute Assembly System (CPAS) Independent Design Reliability Assessment. Volume 1

    NASA Technical Reports Server (NTRS)

    Kelly, Michael J.

    2010-01-01

    This report documents the activities, findings, and NASA Engineering and Safety Center (NESC) recommendations of a multidiscipline team to independently assess the Constellation Program (CxP) Crew Exploration Vehicle (CEV) Parachute Assembly System (CPAS). This assessment occurred during a period of 15 noncontiguous months between December 2008 and April 2010, prior to the CPAS Project's Preliminary Design Review (PDR) in August 2010.

  15. Review of Exploration Systems Development (ESD) Integrated Hazard Development Process. Volume 1; Appendices

    NASA Technical Reports Server (NTRS)

    Smiles, Michael D.; Blythe, Michael P.; Bejmuk, Bohdan; Currie, Nancy J.; Doremus, Robert C.; Franzo, Jennifer C.; Gordon, Mark W.; Johnson, Tracy D.; Kowaleski, Mark M.; Laube, Jeffrey R.

    2015-01-01

    The Chief Engineer of the Exploration Systems Development (ESD) Office requested that the NASA Engineering and Safety Center (NESC) perform an independent assessment of the ESD's integrated hazard development process. The focus of the assessment was to review the integrated hazard analysis (IHA) process and identify any gaps/improvements in the process (e.g., missed causes, cause tree completeness, missed hazards). This document contains the outcome of the NESC assessment.

  16. Review of Exploration Systems Development (ESD) Integrated Hazard Development Process. Appendices; Volume 2

    NASA Technical Reports Server (NTRS)

    Smiles, Michael D.; Blythe, Michael P.; Bejmuk, Bohdan; Currie, Nancy J.; Doremus, Robert C.; Franzo, Jennifer C.; Gordon, Mark W.; Johnson, Tracy D.; Kowaleski, Mark M.; Laube, Jeffrey R.

    2015-01-01

    The Chief Engineer of the Exploration Systems Development (ESD) Office requested that the NASA Engineering and Safety Center (NESC) perform an independent assessment of the ESD's integrated hazard development process. The focus of the assessment was to review the integrated hazard analysis (IHA) process and identify any gaps/improvements in the process (e.g. missed causes, cause tree completeness, missed hazards). This document contains the outcome of the NESC assessment.

  17. L-Band Digital Aeronautical Communications System Engineering - Concepts of Use, Systems Performance, Requirements, and Architectures

    NASA Technical Reports Server (NTRS)

    Zelkin, Natalie; Henriksen, Stephen

    2010-01-01

    This NASA Contractor Report summarizes and documents the work performed to develop concepts of use (ConUse) and high-level system requirements and architecture for the proposed L-band (960 to 1164 MHz) terrestrial en route communications system. This work was completed as a follow-on to the technology assessment conducted by NASA Glenn Research Center and ITT for the Future Communications Study (FCS). ITT assessed air-to-ground (A/G) communications concepts of use and operations presented in relevant NAS-level, international, and NAS-system-level documents to derive the appropriate ConUse relevant to potential A/G communications applications and services for domestic continental airspace. ITT also leveraged prior concepts of use developed during the earlier phases of the FCS. A middle-out functional architecture was adopted by merging the functional system requirements identified in the bottom-up assessment of existing requirements with those derived as a result of the top-down analysis of ConUse and higher level functional requirements. Initial end-to-end system performance requirements were derived to define system capabilities based on the functional requirements and on NAS-SR-1000 and the Operational Performance Assessment conducted as part of the COCR. A high-level notional architecture of the L-DACS supporting A/G communication was derived from the functional architecture and requirements.

  18. Space Launch System (SLS) Mission Planner's Guide

    NASA Technical Reports Server (NTRS)

    Smith, David Alan

    2017-01-01

    The purpose of this Space Launch System (SLS) Mission Planner's Guide (MPG) is to provide future payload developers/users with sufficient insight to support preliminary SLS mission planning. Consequently, this SLS MPG is not intended to be a payload requirements document; rather, it organizes and details SLS interfaces/accommodations in a manner similar to that of current Expendable Launch Vehicle (ELV) user guides to support early feasibility assessment. Like ELV Programs, once approved to fly on SLS, specific payload requirements will be defined in unique documentation.

  19. Clinical Nursing Records Study

    DTIC Science & Technology

    1991-08-01

    In-depth assessment of current AMEDD nursing documentation system used in fixed facilities; 2 - 4) development, implementation and assessment of...used in fixed facilities to: a) identify system problems; b) identify potential solutions to problems; c) set priorities fc problem resolution; d...enhance compatibility between any " hard copy" forms the group might develop and automation requirements. Discussions were also held with personnel from

  20. Iowa CASAS Pilot Project Reports: An Initial Evaluation of CASAS Effectiveness in Iowa's Adult Basic Education Programs.

    ERIC Educational Resources Information Center

    Strom, Mary L.

    In fall 1992, the Iowa Department of Education began pilot tests of the Comprehensive Adult Student Assessment System (CASAS), an assessment system evaluating reading, math, and problem solving in a life skills context for adult remedial programs. This document provides reports from the nine community colleges that served as test sites, describing…

  1. Research Notes - Openness and Evolvability - Documentation Quality Assessment

    DTIC Science & Technology

    2016-08-01

    UNCLASSIFIED UNCLASSIFIED Notes – Openness and Evolvability – Documentation Quality Assessment Michael Haddy* and Adam Sbrana...Methods and Processes. This set of Research Notes focusses on Documentation Quality Assessment. This work was undertaken from the late 1990s to 2007...1 2. DOCUMENTATION QUALITY ASSESSMENT ......................................................... 1 2.1 Documentation Quality Assessment

  2. Assessment of NASA's Aircraft Noise Prediction Capability

    NASA Technical Reports Server (NTRS)

    Dahl, Milo D. (Editor)

    2012-01-01

    A goal of NASA s Fundamental Aeronautics Program is the improvement of aircraft noise prediction. This document provides an assessment, conducted from 2006 to 2009, on the current state of the art for aircraft noise prediction by carefully analyzing the results from prediction tools and from the experimental databases to determine errors and uncertainties and compare results to validate the predictions. The error analysis is included for both the predictions and the experimental data and helps identify where improvements are required. This study is restricted to prediction methods and databases developed or sponsored by NASA, although in many cases they represent the current state of the art for industry. The present document begins with an introduction giving a general background for and a discussion on the process of this assessment followed by eight chapters covering topics at both the system and the component levels. The topic areas, each with multiple contributors, are aircraft system noise, engine system noise, airframe noise, fan noise, liner physics, duct acoustics, jet noise, and propulsion airframe aeroacoustics.

  3. [Resources of information in the field of bioethics in Italy: survey of the present state and perspectives].

    PubMed

    Della Seta, Maurella; Sellitri, Cinzia

    2004-01-01

    The research project "Collection and dissemination of bioethical information through an integrated electronic system", started in 2001 by the Istituto Superiore di Sanità (ISS), had among its objectives, the realization of an integrated system for data collection and exchange of documents related to bioethics. The system should act as a reference tool for those research activities impacting on citizens' health and welfare. This paper aims at presenting some initiatives, developed in the project framework, in order to establish an Italian documentation network, among which: a) exchange of ISS publications with Italian institutions active in this field; b) survey through a questionnaire aimed at assessing Italian informative resources, state-of-the-art and holdings of documentation centres and ethical committees; c) Italian Internet resources analysis. The results of the survey, together with the analysis of web sites, show that at present in Italy there are many interesting initiatives for collecting and spreading of documentation in the bioethical fields, but there is an urgent need for an integration of such resources. Ethical committees generally speaking need a larger availability of documents, while there are good potentialities for the establishment of an electronic network for document retrieval and delivery.

  4. An assessment of forest ecosystem health in the Southwest

    Treesearch

    Cathy W. Dahms; Brian W. Geils

    1997-01-01

    This report documents an ecological assessment of forest ecosystem health in the Southwest. The assessment focuses at the regional level and mostly pertains to lands administered by the National Forest System. Information is presented for use by forest and district resource managers as well as collaborative partners in the stewardship of Southwestern forests. The...

  5. Systems Biology and Biomarkers of Early Effects for Occupational Exposure Limit Setting

    EPA Science Inventory

    AbstractIn a recent National Research Council document, new strategies for risk assessment were described to enable more accurate and quicker assessments (()(1)()). This report suggested that evaluating individual responses through increased use of biomonitoring could improve dos...

  6. A hybrid intelligence approach to artifact recognition in digital publishing

    NASA Astrophysics Data System (ADS)

    Vega-Riveros, J. Fernando; Santos Villalobos, Hector J.

    2006-02-01

    The system presented integrates rule-based and case-based reasoning for artifact recognition in Digital Publishing. In Variable Data Printing (VDP) human proofing could result prohibitive since a job could contain millions of different instances that may contain two types of artifacts: 1) evident defects, like a text overflow or overlapping 2) style-dependent artifacts, subtle defects that show as inconsistencies with regard to the original job design. We designed a Knowledge-Based Artifact Recognition tool for document segmentation, layout understanding, artifact detection, and document design quality assessment. Document evaluation is constrained by reference to one instance of the VDP job proofed by a human expert against the remaining instances. Fundamental rules of document design are used in the rule-based component for document segmentation and layout understanding. Ambiguities in the design principles not covered by the rule-based system are analyzed by case-based reasoning, using the Nearest Neighbor Algorithm, where features from previous jobs are used to detect artifacts and inconsistencies within the document layout. We used a subset of XSL-FO and assembled a set of 44 document samples. The system detected all the job layout changes, while obtaining an overall average accuracy of 84.56%, with the highest accuracy of 92.82%, for overlapping and the lowest, 66.7%, for the lack-of-white-space.

  7. Superfund Hazard Ranking System Training Course: Table of Contents

    EPA Pesticide Factsheets

    The Hazard Ranking System (HRS) training course is a four and ½ day, intermediate-level course designed for personnel who are required to compile, draft, and review preliminary assessments (PAs), site inspections (SIs), and HRS documentation records/packag

  8. Independent Evaluation of the Driver Acceptance of the Cooperative Intersection Collision Avoidance System for Violations (CICAS-V) Pilot Test

    DOT National Transportation Integrated Search

    2011-07-01

    This report documents the results of the independent evaluations assessment of the driver acceptance of the Cooperative Intersection Collision Avoidance System limited to Stop Sign and Traffic Signal Violations (CICAS-V) system as tested during a ...

  9. Assessment of alternative dredging technologies pneumatic sediment suspension system for IMTT - Bayonne, Bayonne, New Jersey

    DOT National Transportation Integrated Search

    2001-01-16

    This report was prepared in order to document the findings of a one year environmental and hydrographic survey program conducted as part of the Air GuardTM Pneumatic Sediment Suspension System installation at IMTT in Bayonne. This system was installe...

  10. Development and Implementation of a Curricular-wide Electronic Portfolio System in a School of Pharmacy

    PubMed Central

    Lopez, Tina C.; Trang, David D.; Farrell, Nicole C.; De Leon, Melissa A.; Villarreal, Cynthia C.; Maize, David F.

    2011-01-01

    The Feik School of Pharmacy collaborated with a commercial software development company to create a Web-based e-portfolio system to document student achievement of curricular outcomes and performance in pharmacy practice experiences. The multi-functional system also could be used for experiential site selection and assignment and continuing pharmacy education. The pharmacy school trained students, faculty members, and pharmacist preceptors to use the e-portfolio system. All pharmacy students uploaded the required number of documents and assessments to the program as evidence of achievement of each of the school's curricular outcomes and completion of pharmacy practice experiences. PMID:21829263

  11. Technical analysis of US Army Weapons Systems and related advanced technologies of military interest. Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1991-06-14

    This report summarizes the activities and accomplishments of an US Army technology security project designed to identify and develop effective policy guidelines for militarily critical technologies in specific Army systems and in broad generic technology areas of military interest, Individual systems analyses are documented in separate Weapons Systems Technical Assessments (WSTAs) and the general generic technology areas are evaluated in the Advanced Technology Assessment Reports (ATARs), However, specific details of these assessments are not addressed here, only recommendations regarding aspects of the defined approach, methodology, and format are provided and discussed.

  12. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Barr, Jonathan L.; Taira, Randal Y.; Orr, Heather M.

    The purpose of this document is to describe the operating concepts, capabilities, and benefits of RAMS including descriptions of how the system implementations can improve emergency response, damage assessment, task prioritization, and situation awareness. This CONOPS provides general information on operational processes and procedures required to utilize RAMS, and expected performance benefits of the system. The primary audiences for this document are the end users of RAMS (including flight operators and incident commanders) and the RAMS management team. Other audiences include interested offices within the Department of Homeland Security (DHS), and officials from other state and local jurisdictions who wantmore » to implement similar systems.« less

  13. Blueprint for a Needs Assessment: Contributing to a System of Care for Children with Special Needs & Their Families. A Technical Resource Brief.

    ERIC Educational Resources Information Center

    Ireys, Henry T.

    Designed to guide and structure the needs assessment of Pennsylvania children with special health care needs, this document describes six specific steps in planning and conducting a needs assessment. The steps include: (1) stating the goals of the needs assessment, including fulfilling legislative mandates, identifying geographical areas that have…

  14. A Critique of the New Statement on Labeling

    ERIC Educational Resources Information Center

    Hitchcock, Leonard A.

    2006-01-01

    In this paper, the 2005 revision of ALA's position document on labeling and rating systems is closely examined and assessed, not only in comparison with the previous version of the document, but also in terms of its adequacy as a statement of library principles and as a practical guide for library practice. It is found to be ambiguous in meaning,…

  15. Exploring Vital Sign Data Quality in Electronic Health Records with Focus on Emergency Care Warning Scores.

    PubMed

    Skyttberg, Niclas; Chen, Rong; Blomqvist, Hans; Koch, Sabine

    2017-08-30

    Computerized clinical decision support and automation of warnings have been advocated to assist clinicians in detecting patients at risk of physiological instability. To provide reliable support such systems are dependent on high-quality vital sign data. Data quality depends on how, when and why the data is captured and/or documented. This study aims to describe the effects on data quality of vital signs by three different types of documentation practices in five Swedish emergency hospitals, and to assess data fitness for calculating warning and triage scores. The study also provides reference data on triage vital signs in Swedish emergency care. We extracted a dataset including vital signs, demographic and administrative data from emergency care visits (n=335027) at five Swedish emergency hospitals during 2013 using either completely paper-based, completely electronic or mixed documentation practices. Descriptive statistics were used to assess fitness for use in emergency care decision support systems aiming to calculate warning and triage scores, and data quality was described in three categories: currency, completeness and correctness. To estimate correctness, two further categories - plausibility and concordance - were used. The study showed an acceptable correctness of the registered vital signs irrespectively of the type of documentation practice. Completeness was high in sites where registrations were routinely entered into the Electronic Health Record (EHR). The currency was only acceptable in sites with a completely electronic documentation practice. Although vital signs that were recorded in completely electronic documentation practices showed plausible results regarding correctness, completeness and currency, the study concludes that vital signs documented in Swedish emergency care EHRs cannot generally be considered fit for use for calculation of triage and warning scores. Low completeness and currency were found if the documentation was not completely electronic.

  16. BASINs 4.0 Climate Assessment Tool (CAT): Supporting ...

    EPA Pesticide Factsheets

    EPA announced the availability of the report, BASINS 4.0 Climate Assessment Tool (CAT): Supporting Documentation and User's Manual. This report was prepared by the EPA's Global Change Research Program (GCRP), an assessment-oriented program, that sits within the Office of Research and Development, that focuses on assessing how potential changes in climate and other global environmental stressors may impact water quality, air quality, aquatic ecosystems, and human health in the United States. The Program’s focus on water quality is consistent with the Research Strategy of the U.S. Climate Change Research Program—the federal umbrella organization for climate change science in the U.S. government—and is responsive to U.S. EPA’s mission and responsibilities as defined by the Clean Water Act and the Safe Drinking Water Act. A central goal of the EPA GCRP is to provide EPA program offices, Regions, and other stakeholders with tools and information for assessing and responding to any potential future impacts of climate change. In 2007, the EPA Global Change Research Program (GCRP), in partnership with the EPA Office of Water, supported development of a Climate Assessment Tool (CAT) for version 4 of EPA’s BASINS modeling system. This report provides supporting documentation and user support materials for the BASINS CAT tool. The purpose of this report is to provide in a single document a variety of documentation and user support materials supporting the use

  17. Independent Orbiter Assessment (IOA): Assessment of the life support and airlock support systems, volume 2

    NASA Technical Reports Server (NTRS)

    Barickman, K.

    1988-01-01

    The McDonnell Douglas Astronautics Company (MDAC) was selected in June 1986 to perform an Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL). The IOA effort first completed an analysis of the Life Support and Airlock Support Systems (LSS and ALSS) hardware, generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the NASA FMEA/CIL baseline with proposed Post 51-L updates included. The discrepancies were flagged for potential future resolution. This report documents the results of that comparison for the Orbiter LSS and ALSS hardware. Volume 2 continues the presentation of IOA worksheets and contains the critical items list and NASA FMEA to IOA worksheet cross reference and recommendations.

  18. Implementing the EuroFIR Document and Data Repositories as accessible resources of food composition information.

    PubMed

    Unwin, Ian; Jansen-van der Vliet, Martine; Westenbrink, Susanne; Presser, Karl; Infanger, Esther; Porubska, Janka; Roe, Mark; Finglas, Paul

    2016-02-15

    The EuroFIR Document and Data Repositories are being developed as accessible collections of source documents, including grey literature, and the food composition data reported in them. These Repositories will contain source information available to food composition database compilers when selecting their nutritional data. The Document Repository was implemented as searchable bibliographic records in the Europe PubMed Central database, which links to the documents online. The Data Repository will contain original data from source documents in the Document Repository. Testing confirmed the FoodCASE food database management system as a suitable tool for the input, documentation and quality assessment of Data Repository information. Data management requirements for the input and documentation of reported analytical results were established, including record identification and method documentation specifications. Document access and data preparation using the Repositories will provide information resources for compilers, eliminating duplicated work and supporting unambiguous referencing of data contributing to their compiled data. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Evaluating current automatic de-identification methods with Veteran's health administration clinical documents.

    PubMed

    Ferrández, Oscar; South, Brett R; Shen, Shuying; Friedlin, F Jeffrey; Samore, Matthew H; Meystre, Stéphane M

    2012-07-27

    The increased use and adoption of Electronic Health Records (EHR) causes a tremendous growth in digital information useful for clinicians, researchers and many other operational purposes. However, this information is rich in Protected Health Information (PHI), which severely restricts its access and possible uses. A number of investigators have developed methods for automatically de-identifying EHR documents by removing PHI, as specified in the Health Insurance Portability and Accountability Act "Safe Harbor" method.This study focuses on the evaluation of existing automated text de-identification methods and tools, as applied to Veterans Health Administration (VHA) clinical documents, to assess which methods perform better with each category of PHI found in our clinical notes; and when new methods are needed to improve performance. We installed and evaluated five text de-identification systems "out-of-the-box" using a corpus of VHA clinical documents. The systems based on machine learning methods were trained with the 2006 i2b2 de-identification corpora and evaluated with our VHA corpus, and also evaluated with a ten-fold cross-validation experiment using our VHA corpus. We counted exact, partial, and fully contained matches with reference annotations, considering each PHI type separately, or only one unique 'PHI' category. Performance of the systems was assessed using recall (equivalent to sensitivity) and precision (equivalent to positive predictive value) metrics, as well as the F(2)-measure. Overall, systems based on rules and pattern matching achieved better recall, and precision was always better with systems based on machine learning approaches. The highest "out-of-the-box" F(2)-measure was 67% for partial matches; the best precision and recall were 95% and 78%, respectively. Finally, the ten-fold cross validation experiment allowed for an increase of the F(2)-measure to 79% with partial matches. The "out-of-the-box" evaluation of text de-identification systems provided us with compelling insight about the best methods for de-identification of VHA clinical documents. The errors analysis demonstrated an important need for customization to PHI formats specific to VHA documents. This study informed the planning and development of a "best-of-breed" automatic de-identification application for VHA clinical text.

  20. Intelligent transportation systems at the 2002 Salt Lake City Olympic Games event study : traffic management and traveler information

    DOT National Transportation Integrated Search

    2003-04-29

    The purpose of the study is to document and assess the performance of the Utah Department of Transportation (UDOT) advanced traffic management system (ATMS) and advanced traveler information system (ATIS) during the 2002 Winter Olympic Games. An addi...

  1. 76 FR 1592 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-11

    ...: Advanced Meat Recovery Systems. OMB Control Number: 0583-0130. Summary of Collection: The Food Safety and... Recovery (AMR) systems ensure that bones used for AMR systems do not contain brain, trigeminal ganglia, or... dorsal root ganglia (DRG); to document their testing protocols, to assess manner that does not cause...

  2. An Information Theory-Based Approach to Assessing the Sustainability and Stability of an Island System

    EPA Science Inventory

    It is well-documented that a sustainable system is based on environmental stewardship, economic viability and social equity. What is often overlooked is the need for continuity such that desirable system behavior is maintained with mechanisms in place that facilitate the ability ...

  3. Transforming to a computerized system for nursing care: organizational success within Magnet idealism.

    PubMed

    Lindgren, Carolyn L; Elie, Leslie G; Vidal, Elizabeth C; Vasserman, Alex

    2010-01-01

    In reaching the goal for standardized, quality care, a not-for-profit healthcare system consisting of seven institutional entities is transforming nursing practice guidelines, patient care workflow, and patient documents into electronic, online, real-time modalities for use across departments and all healthcare delivery entities of the system. Organizational structure and a strategic plan were developed for the 2-year Clinical Transformation Project. The Siemens Patient Care Document System was adopted and adapted to the hospitals' documentation and information needs. Two fast-track sessions of more than 100 nurses and representatives from other health disciplines were held to standardize assessments, histories, care protocols, and interdisciplinary plans of care for the top 10 diagnostic regulatory groups. Education needs of the users were addressed. After the first year, a productive, functional system is evidenced. For example, the bar-coded Medication Administration Check System is in full use on the clinical units of one of the hospitals, and the other institutional entities are at substantial stages of implementation of Patient Care Documentation System. The project requires significant allocation of personnel and financial resources for a highly functional informatics system that will transform clinical care. The project exemplifies four of the Magnet ideals and serves as a model for others who may be deciding about launching a similar endeavor.

  4. The Stability of Kindergarten Teachers' Effectiveness: A Generalizability Study Comparing the Framework for Teaching and the Classroom Assessment Scoring System

    ERIC Educational Resources Information Center

    Mantzicopoulos, Panayota; French, Brian F.; Patrick, Helen; Watson, J. Samuel; Ahn, Inok

    2018-01-01

    To meet recent accountability mandates, school districts are implementing assessment frameworks to document teachers' effectiveness. Observational assessments play a key role in this process, albeit without compelling evidence of their psychometric rigor. Using a sample of kindergarten teachers, we employed Generalizability theory to investigate…

  5. Alignment of Standards and Assessment: A Theoretical and Empirical Study of Methods for Alignment

    ERIC Educational Resources Information Center

    Nasstrom, Gunilla; Henriksson, Widar

    2008-01-01

    Introduction: In a standards-based school-system alignment of policy documents with standards and assessment is important. To be able to evaluate whether schools and students have reached the standards, the assessment should focus on the standards. Different models and methods can be used for measuring alignment, i.e. the correspondence between…

  6. Usability Assessment of Secure Messaging for Clinical Document Sharing between Health Care Providers and Patients.

    PubMed

    Jahn, Michelle A; Porter, Brian W; Patel, Himalaya; Zillich, Alan J; Simon, Steven R; Russ, Alissa L

    2018-04-01

     Web-based patient portals feature secure messaging systems that enable health care providers and patients to communicate information. However, little is known about the usability of these systems for clinical document sharing.  This article evaluates the usability of a secure messaging system for providers and patients in terms of its ability to support sharing of electronic clinical documents.  We conducted usability testing with providers and patients in a human-computer interaction laboratory at a Midwestern U.S. hospital. Providers sent a medication list document to a fictitious patient via secure messaging. Separately, patients retrieved the clinical document from a secure message and returned it to a fictitious provider. We collected use errors, task completion, task time, and satisfaction.  Twenty-nine individuals participated: 19 providers (6 physicians, 6 registered nurses, and 7 pharmacists) and 10 patients. Among providers, 11 (58%) attached and sent the clinical document via secure messaging without requiring assistance, in a median (range) of 4.5 (1.8-12.7) minutes. No patients completed tasks without moderator assistance. Patients accessed the secure messaging system within 3.6 (1.2-15.0) minutes; retrieved the clinical document within 0.8 (0.5-5.7) minutes; and sent the attached clinical document in 6.3 (1.5-18.1) minutes. Although median satisfaction ratings were high, with 5.8 for providers and 6.0 for patients (scale, 0-7), we identified 36 different use errors. Physicians and pharmacists requested additional features to support care coordination via health information technology, while nurses requested features to support efficiency for their tasks.  This study examined the usability of clinical document sharing, a key feature of many secure messaging systems. Our results highlight similarities and differences between provider and patient end-user groups, which can inform secure messaging design to improve learnability and efficiency. The observations suggest recommendations for improving the technical aspects of secure messaging for clinical document sharing. Schattauer GmbH Stuttgart.

  7. 7 CFR 62.000 - Meaning of terms.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... official assessments. Branch. The Audit, Review, and Compliance Branch of the Livestock and Seed Program... in QSVP services who has applied for service under this part. Assessment. A systematic review of the adequacy of program or system documentation, or the review of the completeness of implementation of a...

  8. WATERSHED HEALTH ASSESSMENT TOOLS-INVESTIGATING FISHERIES (WHAT-IF): A MODELING TOOLKIT FOR WATERSHED AND FISHERIES MANAGEMENT

    EPA Science Inventory

    The Watershed Health Assessment Tools-Investigating Fisheries (WHAT-IF) is a decision-analysis modeling toolkit for personal computers that supports watershed and fisheries management. The WHAT-IF toolkit includes a relational database, help-system functions and documentation, a...

  9. Independent Orbiter Assessment (IOA): Assessment of the extravehicular mobility unit, volume 1

    NASA Technical Reports Server (NTRS)

    Raffaelli, Gary G.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort performed an independent analysis of the Extravehicular Mobility Unit (EMU) hardware and system, generating draft failure modes criticalities and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were than compared to the most recent proposed Post 51-L NASA FMEA/CIL baseline. A resolution of each discrepancy from the comparison was provided through additional analysis as required. This report documents the results of that comparison for the Orbiter EMU hardware.

  10. A method for integrating and ranking the evidence for biochemical pathways by mining reactions from text

    PubMed Central

    Miwa, Makoto; Ohta, Tomoko; Rak, Rafal; Rowley, Andrew; Kell, Douglas B.; Pyysalo, Sampo; Ananiadou, Sophia

    2013-01-01

    Motivation: To create, verify and maintain pathway models, curators must discover and assess knowledge distributed over the vast body of biological literature. Methods supporting these tasks must understand both the pathway model representations and the natural language in the literature. These methods should identify and order documents by relevance to any given pathway reaction. No existing system has addressed all aspects of this challenge. Method: We present novel methods for associating pathway model reactions with relevant publications. Our approach extracts the reactions directly from the models and then turns them into queries for three text mining-based MEDLINE literature search systems. These queries are executed, and the resulting documents are combined and ranked according to their relevance to the reactions of interest. We manually annotate document-reaction pairs with the relevance of the document to the reaction and use this annotation to study several ranking methods, using various heuristic and machine-learning approaches. Results: Our evaluation shows that the annotated document-reaction pairs can be used to create a rule-based document ranking system, and that machine learning can be used to rank documents by their relevance to pathway reactions. We find that a Support Vector Machine-based system outperforms several baselines and matches the performance of the rule-based system. The success of the query extraction and ranking methods are used to update our existing pathway search system, PathText. Availability: An online demonstration of PathText 2 and the annotated corpus are available for research purposes at http://www.nactem.ac.uk/pathtext2/. Contact: makoto.miwa@manchester.ac.uk Supplementary information: Supplementary data are available at Bioinformatics online. PMID:23813008

  11. Facility Energy Decision System (FEDS) Assessment Report for Fort Buchanan, Puerto Rico

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chvala, William D.; Solana, Amy E.; Dixon, Douglas R.

    2005-02-01

    This report documents the findings of the Facility Energy Decision System (FEDS) assessment at Fort Buchanan, Puerto Rico, by a team of PNNL engineers under contract to the Installation Management Agency (IMA) Southeast Region Office (SERO). Funding support was also provided by the Department of Energy's Federal Energy Management Program. The purpose of the assessment was to determine how energy is consumed at Fort Buchanan, identify the most cost-effective energy retrofit measures, and calculate the potential energy and cost savings.

  12. Implementation of green infrastructure concept in Citarum Watershed

    NASA Astrophysics Data System (ADS)

    Maryati, Sri; Humaira, An Nisaa'Siti

    2017-03-01

    Green infrastructure has several benefits compared to grey infrastructure in term of environmental services and sustainability, such as reducing energy consumption, improving air quality, providing carbon sequestration, and increasing property values. Nevertheless in practice, the implementation of the concept in Indonesia is still limited. Implementation of the certain concept has to be guided in planning document. In this paper, green infrastructure concept in the current spatial plan and other planning documents is assessed. The purpose of this research is to figure out how far the green infrastructure concept is integrated into planning system, based on the analysis of planning documents in Citarum Watershed and expert interviews with local stakeholders. Content analysis method is used to analyze the documents and result of interview. The result shows that green infrastructure concept has not been accommodated in spatial plan or other planning documents widely. There are some challenges in implementing the concept including reward and punishment system (incentive and disincentive), coordination, and lack of human resources.

  13. Energy Management of Smart Distribution Systems

    NASA Astrophysics Data System (ADS)

    Ansari, Bananeh

    Electric power distribution systems interface the end-users of electricity with the power grid. Traditional distribution systems are operated in a centralized fashion with the distribution system owner or operator being the only decision maker. The management and control architecture of distribution systems needs to gradually transform to accommodate the emerging smart grid technologies, distributed energy resources, and active electricity end-users or prosumers. The content of this document concerns with developing multi-task multi-objective energy management schemes for: 1) commercial/large residential prosumers, and 2) distribution system operator of a smart distribution system. The first part of this document describes a method of distributed energy management of multiple commercial/ large residential prosumers. These prosumers not only consume electricity, but also generate electricity using their roof-top solar photovoltaics systems. When photovoltaics generation is larger than local consumption, excess electricity will be fed into the distribution system, creating a voltage rise along the feeder. Distribution system operator cannot tolerate a significant voltage rise. ES can help the prosumers manage their electricity exchanges with the distribution system such that minimal voltage fluctuation occurs. The proposed distributed energy management scheme sizes and schedules each prosumer's ES to reduce the electricity bill and mitigate voltage rise along the feeder. The second part of this document focuses on emergency energy management and resilience assessment of a distribution system. The developed emergency energy management system uses available resources and redundancy to restore the distribution system's functionality fully or partially. The success of the restoration maneuver depends on how resilient the distribution system is. Engineering resilience terminology is used to evaluate the resilience of distribution system. The proposed emergency energy management scheme together with resilience assessment increases the distribution system operator's preparedness for emergency events.

  14. LSP Composite Susbtrate Destructive Evaluation Test Assessment Manual

    NASA Technical Reports Server (NTRS)

    Kovach, Daniel J.; Erickson, Grant J.

    2013-01-01

    This document specifies the processes to perform post-strike destructive damage evaluation of tested CFRP panels.It is recognized that many factors besides lightning damage protection are involved in the selection of an appropriate Lightning Strike Protection (LSP) for a particular system (e.g., cost, weight, corrosion resistance, shielding effectiveness, etc.). This document strives primarily to address the standardized generation of damage protection performance data.

  15. FY2004 SYSTEM ENGINEER PROGRAM MANAGER ANNUAL REPORT

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    JACKSON, G.J.

    2004-10-29

    During FY 2004, reviews of the FH System Engineer (SE) Program were conducted by the Independent Assessment (IA) Group. The results of these reviews are summarized as a part of this document. Additional reviews were performed by FH Engineering personnel. SE Engineering reviews performed include Periodic Walkdowns (typically, quarterly) by the SEs, a review of System Notebooks by the System Engineer Program Manager (SEPM), annual status report by each SE, and an annual status report by each of the Project Chief Engineers (PCEs). FY 2004 marked the completion of the first round of Vital Safety System assessments. Each of themore » VSSs on the FH VSS list has been evaluated at least once by either the FH Independent Assessment organization or was included as a part of DOE Phase II assessment. Following the completion of the K-Basins Assessment in May 2004, a review of the VSS assessment process was completed. Criteria were developed by FH, and concurred with by RL, to determine the frequency and priority of future VSS assessments. Additional actions have been taken to increase the visibility and emphasis assigned to VSSs. Completion of several Documented Safety Analyses (DSA), in combination with efforts to remove source term materials from several facilities, enabled the number of systems on the FH VSS list to be reduced from 60 at the beginning of FY 2004 to 48 by the end of FY 2004. It is expected that there will be further changes to the FH VSS list based on additional DSA revisions and continued progress towards reduction of source terms across the Hanford Site. Other new VSSs may be added to the list to reflect the relocation of materials away from the River Corridor to interim storage locations on the Central Plateau.« less

  16. Memorandum "Open Metadata". Open Access to Documentation Forms and Item Catalogs in Healthcare.

    PubMed

    Dugas, M; Jöckel, K-H; Friede, T; Gefeller, O; Kieser, M; Marschollek, M; Ammenwerth, E; Röhrig, R; Knaup-Gregori, P; Prokosch, H-U

    2015-01-01

    At present, most documentation forms and item catalogs in healthcare are not accessible to the public. This applies to assessment forms of routine patient care as well as case report forms (CRFs) of clinical and epidemiological studies. On behalf of the German chairs for Medical Informatics, Biometry and Epidemiology six recommendations to developers and users of documentation forms in healthcare were developed. Open access to medical documentation forms could substantially improve information systems in healthcare and medical research networks. Therefore these forms should be made available to the scientific community, their use should not be unduly restricted, they should be published in a sustainable way using international standards and sources of documentation forms should be referenced in scientific publications.

  17. ICESat (GLAS) Science Processing Software Document Series. Volume 1; Science Software Management Plan; 3.0

    NASA Technical Reports Server (NTRS)

    Hancock, David W., III

    1999-01-01

    This document provides the Software Management Plan for the GLAS Standard Data Software (SDS) supporting the GLAS instrument of the EOS ICESat Spacecraft. The SDS encompasses the ICESat Science Investigator-led Processing System (I-SIPS) Software and the Instrument Support Terminal (IST) Software. For the I-SIPS Software, the SDS will produce Level 0, Level 1, and Level 2 data products as well as the associated product quality assessments and descriptive information. For the IST Software, the SDS will accommodate the GLAS instrument support areas of engineering status, command, performance assessment, and instrument health status.

  18. AFC-Enabled Vertical Tail System Integration Study

    NASA Technical Reports Server (NTRS)

    Mooney, Helen P.; Brandt, John B.; Lacy, Douglas S.; Whalen, Edward A.

    2014-01-01

    This document serves as the final report for the SMAAART AFC-Enabled Vertical Tail System Integration Study. Included are the ground rule assumptions which have gone into the study, layouts of the baseline and AFC-enabled configurations, critical sizing information, system requirements and architectures, and assumed system properties that result in an NPV assessment of the two candidate AFC technologies.

  19. Towards a better understanding of the nomenclature used in information-packaging efforts to support evidence-informed policymaking in low- and middle-income countries

    PubMed Central

    2014-01-01

    Background The growing recognition of the importance of concisely communicating research evidence and other policy-relevant information to policymakers has underpinned the development of several information-packaging efforts over the past decade. This has led to a wide variability in the types of documents produced, which is at best confusing and at worst discouraging for those they intend to reach. This paper has two main objectives: to develop a better understanding of the range of documents and document names used by the organizations preparing them; and to assess whether there are any consistencies in the characteristics of sampled documents across the names employed to label (in the title) or describe (in the document or website) them. Methods We undertook a documentary analysis of web-published document series that are prepared by a variety of organizations with the primary intention of providing information to health systems policymakers and stakeholders, and addressing questions related to health policy and health systems with a focus on low- and middle-income countries. No time limit was set. Results In total, 109 individual documents from 24 series produced by 16 different organizations were included. The name ‘policy brief/briefing’ was the most frequently used (39%) to label or describe a document, and was used in all eight broad content areas that we identified, even though they did not have obviously common traits among them. In terms of document characteristics, most documents (90%) used skimmable formats that are easy to read, with understandable, jargon-free, language (80%). Availability of information on the methods (47%) or the quality of the presented evidence (27%) was less common. One-third (32%) chose the topic based on an explicit process to assess the demand for information from policy makers and even fewer (19%) engaged with policymakers to discuss the content of these documents such as through merit review. Conclusions This study highlights the need for organizations embarking on future information-packaging efforts to be more thoughtful when deciding how to name these documents and the need for greater transparency in describing their content, purpose and intended audience. PMID:24889015

  20. Tidewater Multi-Service Market Perspectives: Driving change through MTF and market-level assessment and strategies

    DTIC Science & Technology

    2011-01-25

    The Quadruple Aim: Working Together, Achieving Success 2011 Military Health System Conference Driving change through MTF and market -level assessment...and strategies Tidewater Multi-Service Market Perspectives January 25, 2011 Rear Admiral A. Stocks, MC, USN Colonel E. Stone, MC, USAF...Colonel K. Gausman, NC, USA 1 Military Health System Conference Tidewater Multi-Service Market Report Documentation Page Form ApprovedOMB No. 0704-0188

  1. Systems engineering process and organization assessment

    NASA Technical Reports Server (NTRS)

    Batson, Robert G.

    1992-01-01

    The purpose of this report is to briefly summarize the results of an eight week assessment of NASA/MSFC Phase A and Phase B systems engineering processes, methodologies, and activities. Specifically, fourteen inconsistencies or weaknesses were identified and recommendations for corrective action were generated. A 1.5 hour briefing on these results was given in EL51 on 8-11-92; that documentation is available from the author or either NASA Colleague.

  2. DOE/NASA SIMS Prototype Solar System, no. 4. Part 1: Market analysis. Part 2: Modular manufacturing cost estimate

    NASA Technical Reports Server (NTRS)

    1979-01-01

    The findings of the IIT Research Institute (IITRI) market study of the SIMS Prototype System 4, a hot water (DHW) system are documented. The feasibility of prepackaging currently available solar heating components into modular subsystems for site assembly is addressed. A documented design and installation procedure and a performance test report were prepared. The potential markets and applications for this particular system in the nonfederal market are profiled by assessing the needs and requirements of potential users and specifiers, by characterizing the nature of the market and the competitive environment, by identifying the barriers to commercial acceptance, and by estimating the size of the potential market.

  3. Critical Issues in Large-Scale Assessment: A Resource Guide.

    ERIC Educational Resources Information Center

    Redfield, Doris

    The purpose of this document is to provide practical guidance and support for the design, development, and implementation of large-scale assessment systems that are grounded in research and best practice. Information is included about existing large-scale testing efforts, including national testing programs, state testing programs, and…

  4. Tank 241-AY-102 Leak Assessment Supporting Documentation: Miscellaneous Reports, Letters, Memoranda, And Data

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Engeman, J. K.; Girardot, C. L.; Harlow, D. G.

    2012-12-20

    This report contains reference materials cited in RPP-ASMT -53793, Tank 241-AY-102 Leak Assessment Report, that were obtained from the National Archives Federal Records Repository in Seattle, Washington, or from other sources including the Hanford Site's Integrated Data Management System database (IDMS).

  5. Dominie: Teaching and Assessment Strategies. CAL Research Group Technical Report No. 74.

    ERIC Educational Resources Information Center

    Spensley, Fiona; Elsom-Cook, Mark

    This document outlines the strategies that are used for teaching and assessment in Dominie, an intelligent tutoring system designed to enable the user to operate a computer interface independently. Eight interaction modes are described in detail: four teaching strategies (cognitive apprenticeship, successive refinement, discovery learning, and…

  6. Assessing District Support for Leadership Development: Asking the Right Questions.

    ERIC Educational Resources Information Center

    Snow-Renner, Ravay

    This document provides guiding questions and a process for school district personnel to assess the district's organizational capacity for supporting strong educational leaders in a standards-based system. These questions reflect the most recent research literature about leadership and its optimal organizational supports in high-performing school…

  7. Development and Experimental Evaluation of a Retrieval System for Air Force Control Display Information. Final Report.

    ERIC Educational Resources Information Center

    Debons, Anthony; and Others

    A proposed classification system was studied to determine its efficacy to the Air Force Control-Display Area. Based on negative outcomes from a logical assessment of the proposed system, an alternate system was proposed to include the coordinate index concept. Upon development of a thesaurus and an index system for 106 documents on VSTOL/VTOL…

  8. Relevance similarity: an alternative means to monitor information retrieval systems

    PubMed Central

    Dong, Peng; Loh, Marie; Mondry, Adrian

    2005-01-01

    Background Relevance assessment is a major problem in the evaluation of information retrieval systems. The work presented here introduces a new parameter, "Relevance Similarity", for the measurement of the variation of relevance assessment. In a situation where individual assessment can be compared with a gold standard, this parameter is used to study the effect of such variation on the performance of a medical information retrieval system. In such a setting, Relevance Similarity is the ratio of assessors who rank a given document same as the gold standard over the total number of assessors in the group. Methods The study was carried out on a collection of Critically Appraised Topics (CATs). Twelve volunteers were divided into two groups of people according to their domain knowledge. They assessed the relevance of retrieved topics obtained by querying a meta-search engine with ten keywords related to medical science. Their assessments were compared to the gold standard assessment, and Relevance Similarities were calculated as the ratio of positive concordance with the gold standard for each topic. Results The similarity comparison among groups showed that a higher degree of agreements exists among evaluators with more subject knowledge. The performance of the retrieval system was not significantly different as a result of the variations in relevance assessment in this particular query set. Conclusion In assessment situations where evaluators can be compared to a gold standard, Relevance Similarity provides an alternative evaluation technique to the commonly used kappa scores, which may give paradoxically low scores in highly biased situations such as document repositories containing large quantities of relevant data. PMID:16029513

  9. Groundwater Data Package for Hanford Assessments

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Thorne, Paul D.; Bergeron, Marcel P.; Williams, Mark D.

    2006-01-31

    This report presents data and interpreted information that supports the groundwater module of the System Assessment Capability (SAC) used in Hanford Assessments. The objective of the groundwater module is to predict movement of radioactive and chemical contaminants through the aquifer to the Columbia River or other potential discharge locations. This data package is being revised as part of the deliverables under the Characterization of Systems Project (#49139) aimed at providing documentation for assessments being conducted under the Hanford Assessments Project (#47042). Both of these projects are components of the Groundwater Remediation and Closure Assessments Projects, managed by the Management andmore » Integration Project (#47043).« less

  10. School Curriculum in Japan

    ERIC Educational Resources Information Center

    Nakayasu, Chie

    2016-01-01

    This article examines Japanese education system especially relevant to the school curriculum, which might support Japanese high performance in the OECD's Programme for International Student Assessment (PISA), mainly through Japanese policy documents. The Japanese education systems have been constructed by the local context of society and politics,…

  11. Independent Orbiter Assessment (IOA): Assessment of the reaction control system, volume 3

    NASA Technical Reports Server (NTRS)

    Prust, Chet D.; Hartman, Dan W.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the aft and forward Reaction Control System (RCS) hardware and Electrical Power Distribution and Control (EPD and C), generating draft failure modes and potential critical items. The IOA results were then compared to the proposed Post 51-L NASA FMEA/CIL baseline. This report documents the results of that comparison for the Orbiter RCS hardware and EPD and C systems. Volume 3 continues the presentation of IOA worksheets.

  12. Independent Orbiter Assessment (IOA): Assessment of the reaction control system, volume 2

    NASA Technical Reports Server (NTRS)

    Prust, Chet D.; Hartman, Dan W.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the aft and forward Reaction Control System (RCS) hardware and Electrical Power Distribution and Control (EPD and C), generating draft failure modes and potential critical items. The IOA results were then compared to the proposed Post 51-L NASA FMEA/CIL baseline. This report documents the results of that comparison for the Orbiter RCS hardware and EPD and C systems. Volume 2 continues the presentation of IOA worksheets.

  13. 75 FR 20421 - Intent To Prepare an Environmental Impact Statement for Expansion of Light Rail Transit Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-19

    ... associated with the construction and operation of the Glassboro-Camden Line (GCL) light rail system, as well as assess and document a No-Action Alternative and a Transportation System Management (TSM... and benefits of the GCL alternatives. Transportation System Management (TSM) Alternative: The TSM...

  14. Restructuring the Total Army School System. Documented Briefing.

    ERIC Educational Resources Information Center

    Winkler, John D.

    With the eventual aim of developing a "Total Army School System," the U.S. Army requested an independent and objective assessment of the operation of the Reserve Component (RC) training system. The first portion of the analysis dealt with the extent to which RC Training Institutions (RCTI) were successful at meeting units' training…

  15. Sustained Assessment Metadata as a Pathway to Trustworthiness of Climate Science Information

    NASA Astrophysics Data System (ADS)

    Champion, S. M.; Kunkel, K.

    2017-12-01

    The Sustained Assessment process has produced a suite of climate change reports: The Third National Climate Assessment (NCA3), Regional Surface Climate Conditions in CMIP3 and CMIP5 for the United States: Differences, Similarities, and Implications for the U.S. National Climate Assessment, Impacts of Climate Change on Human Health in the United States: A Scientific Assessment, The State Climate Summaries, as well as the anticipated Climate Science Special Report and Fourth National Climate Assessment. Not only are these groundbreaking reports of climate change science, they are also the first suite of climate science reports to provide access to complex metadata directly connected to the report figures and graphics products. While the basic metadata documentation requirement is federally mandated through a series of federal guidelines as a part of the Information Quality Act, Sustained Assessment products are also deemed Highly Influential Scientific Assessments, which further requires demonstration of the transparency and reproducibility of the content. To meet these requirements, the Technical Support Unit (TSU) for the Sustained Assessment embarked on building a system for not only collecting and documenting metadata to the required standards, but one that also provides consumers unprecedented access to the underlying data and methods. As our process and documentation have evolved, the value of both continue to grow in parallel with the consumer expectation of quality, accessible climate science information. This presentation will detail the how the TSU accomplishes the mandated requirements with their metadata collection and documentation process, as well as the technical solution designed to demonstrate compliance while also providing access to the content for the general public. We will also illustrate how our accessibility platforms guide consumers through the Assessment science at a level of transparency that builds trust and confidence in the report content.

  16. [Multimodal document management in radiotherapy].

    PubMed

    Fahrner, H; Kirrmann, S; Röhner, F; Schmucker, M; Hall, M; Heinemann, F

    2013-12-01

    After incorporating treatment planning and the organisational model of treatment planning in the operating schedule system (BAS, "Betriebsablaufsystem"), complete document qualities were embedded in the digital environment. The aim of this project was to integrate all documents independent of their source (paper-bound or digital) and to make content from the BAS available in a structured manner. As many workflow steps as possible should be automated, e.g. assigning a document to a patient in the BAS. Additionally it must be guaranteed that at all times it could be traced who, when, how and from which source documents were imported into the departmental system. Furthermore work procedures should be changed that the documentation conducted either directly in the departmental system or from external systems can be incorporated digitally and paper document can be completely avoided (e.g. documents such as treatment certificate, treatment plans or documentation). It was a further aim, if possible, to automate the removal of paper documents from the departmental work flow, or even to make such paper documents superfluous. In this way patient letters for follow-up appointments should automatically generated from the BAS. Similarly patient record extracts in the form of PDF files should be enabled, e.g. for controlling purposes. The available document qualities were analysed in detail by a multidisciplinary working group (BAS-AG) and after this examination and assessment of the possibility of modelling in our departmental workflow (BAS) they were transcribed into a flow diagram. The gathered specifications were implemented in a test environment by the clinical and administrative IT group of the department of radiation oncology and subsequent to a detailed analysis introduced into clinical routine. The department has succeeded under the conditions of the aforementioned criteria to embed all relevant documents in the departmental workflow via continuous processes. Since the completion of the concepts and the implementation in our test environment 15,000 documents were introduced into the departmental workflow following routine approval. Furthermore approximately 5000 appointment letters for patient aftercare per year were automatically generated by the BAS. In addition patient record extracts in the form of PDF files for the medical services of the healthcare insurer can be generated.

  17. Quality assurance and quality control in mammography: a review of available guidance worldwide.

    PubMed

    Reis, Cláudia; Pascoal, Ana; Sakellaris, Taxiarchis; Koutalonis, Manthos

    2013-10-01

    Review available guidance for quality assurance (QA) in mammography and discuss its contribution to harmonise practices worldwide. Literature search was performed on different sources to identify guidance documents for QA in mammography available worldwide in international bodies, healthcare providers, professional/scientific associations. The guidance documents identified were reviewed and a selection was compared for type of guidance (clinical/technical), technology and proposed QA methodologies focusing on dose and image quality (IQ) performance assessment. Fourteen protocols (targeted at conventional and digital mammography) were reviewed. All included recommendations for testing acquisition, processing and display systems associated with mammographic equipment. All guidance reviewed highlighted the importance of dose assessment and testing the Automatic Exposure Control (AEC) system. Recommended tests for assessment of IQ showed variations in the proposed methodologies. Recommended testing focused on assessment of low-contrast detection, spatial resolution and noise. QC of image display is recommended following the American Association of Physicists in Medicine guidelines. The existing QA guidance for mammography is derived from key documents (American College of Radiology and European Union guidelines) and proposes similar tests despite the variations in detail and methodologies. Studies reported on QA data should provide detail on experimental technique to allow robust data comparison. Countries aiming to implement a mammography/QA program may select/prioritise the tests depending on available technology and resources. •An effective QA program should be practical to implement in a clinical setting. •QA should address the various stages of the imaging chain: acquisition, processing and display. •AEC system QC testing is simple to implement and provides information on equipment performance.

  18. Assessing scientists for hiring, promotion, and tenure.

    PubMed

    Moher, David; Naudet, Florian; Cristea, Ioana A; Miedema, Frank; Ioannidis, John P A; Goodman, Steven N

    2018-03-01

    Assessment of researchers is necessary for decisions of hiring, promotion, and tenure. A burgeoning number of scientific leaders believe the current system of faculty incentives and rewards is misaligned with the needs of society and disconnected from the evidence about the causes of the reproducibility crisis and suboptimal quality of the scientific publication record. To address this issue, particularly for the clinical and life sciences, we convened a 22-member expert panel workshop in Washington, DC, in January 2017. Twenty-two academic leaders, funders, and scientists participated in the meeting. As background for the meeting, we completed a selective literature review of 22 key documents critiquing the current incentive system. From each document, we extracted how the authors perceived the problems of assessing science and scientists, the unintended consequences of maintaining the status quo for assessing scientists, and details of their proposed solutions. The resulting table was used as a seed for participant discussion. This resulted in six principles for assessing scientists and associated research and policy implications. We hope the content of this paper will serve as a basis for establishing best practices and redesigning the current approaches to assessing scientists by the many players involved in that process.

  19. Assessing scientists for hiring, promotion, and tenure

    PubMed Central

    Naudet, Florian; Cristea, Ioana A.; Miedema, Frank; Ioannidis, John P. A.; Goodman, Steven N.

    2018-01-01

    Assessment of researchers is necessary for decisions of hiring, promotion, and tenure. A burgeoning number of scientific leaders believe the current system of faculty incentives and rewards is misaligned with the needs of society and disconnected from the evidence about the causes of the reproducibility crisis and suboptimal quality of the scientific publication record. To address this issue, particularly for the clinical and life sciences, we convened a 22-member expert panel workshop in Washington, DC, in January 2017. Twenty-two academic leaders, funders, and scientists participated in the meeting. As background for the meeting, we completed a selective literature review of 22 key documents critiquing the current incentive system. From each document, we extracted how the authors perceived the problems of assessing science and scientists, the unintended consequences of maintaining the status quo for assessing scientists, and details of their proposed solutions. The resulting table was used as a seed for participant discussion. This resulted in six principles for assessing scientists and associated research and policy implications. We hope the content of this paper will serve as a basis for establishing best practices and redesigning the current approaches to assessing scientists by the many players involved in that process. PMID:29596415

  20. Advanced Transportation System Studies Technical Area 2 (TA-2) Heavy Lift Launch Vehicle Development Contract. Volume 2; Technical Results

    NASA Technical Reports Server (NTRS)

    1995-01-01

    The purpose of the Advanced Transportation System Studies (ATSS) Technical Area 2 (TA-2) Heavy Lift Launch Vehicle Development contract was to provide advanced launch vehicle concept definition and analysis to assist NASA in the identification of future launch vehicle requirements. Contracted analysis activities included vehicle sizing and performance analysis, subsystem concept definition, propulsion subsystem definition (foreign and domestic), ground operations and facilities analysis, and life cycle cost estimation. This document is Volume 2 of the final report for the contract. It provides documentation of selected technical results from various TA-2 analysis activities, including a detailed narrative description of the SSTO concept assessment results, a user's guide for the associated SSTO sizing tools, an SSTO turnaround assessment report, an executive summary of the ground operations assessments performed during the first year of the contract, a configuration-independent vehicle health management system requirements report, a copy of all major TA-2 contract presentations, a copy of the FLO launch vehicle final report, and references to Pratt & Whitney's TA-2 sponsored final reports regarding the identification of Russian main propulsion technologies.

  1. Do European hospitals have quality and safety governance systems and structures in place?

    PubMed

    Shaw, C; Kutryba, B; Crisp, H; Vallejo, P; Suñol, R

    2009-02-01

    Internal systems for quality and safety were assessed in 89 hospitals in six European states, by external teams using standardised criteria and procedures, as part of the Methods of Assessing Response to Quality Improvement Strategies (MARQuIS) project. The assessments were made primarily to identify the current use of quality management systems in the sample hospitals, and also to demonstrate a potential tool for comparable assessment of hospitals in general. The large majority of the hospitals had a formal, documented infrastructure to manage quality and safety, but a significant minority had no designated mission, programme or coordination. In two-thirds of hospitals, the governing body was active in defining policy and programmes for improvement, and received reports on quality, safety and patient satisfaction at least once a year. The brief on-site assessments identified systematic variations, within and between countries, in structures and processes of governance and to document the uptake of best practice. Unacceptable variations in practice could be reduced, to the benefit of consumers and providers, by developing and publishing basic organisational standards relevant to all European states. The simple assessment criteria designed for this project could be developed into a practical tool for self-assessment, peer review or benchmarking of hospitals across national borders. This assessment, combined with explicit, relevant and achievable standards, could provide a vehicle to promote the voluntary uptake of best practice and consistency in quality and safety among hospitals in Europe.

  2. DSSTox EPA Integrated Risk Information System Structure-Index Locator File: SDF File and Documentation

    EPA Science Inventory

    EPA's Integrated Risk Information System (IRIS) database was developed and is maintained by EPA's Office of Research and Developement, National Center for Environmental Assessment. IRIS is a database of human health effects that may result from exposure to various substances fou...

  3. Accountability and Virginia Public Schools, 2016-2017 School Year

    ERIC Educational Resources Information Center

    Virginia Department of Education, 2017

    2017-01-01

    This document offers a brief guide to understanding Virginia's system for holding schools accountable for raising student achievement. Virginia's accountability system supports teaching and learning by setting rigorous academic standards--known as the Standards of Learning (SOL)--and through annual statewide assessments of student achievement.…

  4. Monitored Geologic Repository Project Description Document

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    P. M. Curry

    2001-01-30

    The primary objective of the Monitored Geologic Repository Project Description Document (PDD) is to allocate the functions, requirements, and assumptions to the systems at Level 5 of the Civilian Radioactive Waste Management System (CRWMS) architecture identified in Section 4. It provides traceability of the requirements to those contained in Section 3 of the ''Monitored Geologic Repository Requirements Document'' (MGR RD) (YMP 2000a) and other higher-level requirements documents. In addition, the PDD allocates design related assumptions to work products of non-design organizations. The document provides Monitored Geologic Repository (MGR) technical requirements in support of design and performance assessment in preparing formore » the Site Recommendation (SR) and License Application (LA) milestones. The technical requirements documented in the PDD are to be captured in the System Description Documents (SDDs) which address each of the systems at Level 5 of the CRWMS architecture. The design engineers obtain the technical requirements from the SDDs and by reference from the SDDs to the PDD. The design organizations and other organizations will obtain design related assumptions directly from the PDD. These organizations may establish additional assumptions for their individual activities, but such assumptions are not to conflict with the assumptions in the PDD. The PDD will serve as the primary link between the technical requirements captured in the SDDs and the design requirements captured in US Department of Energy (DOE) documents. The approved PDD is placed under Level 3 baseline control by the CRWMS Management and Operating Contractor (M and O) and the following portions of the PDD constitute the Technical Design Baseline for the MGR: the design characteristics listed in Table 1-1, the MGR Architecture (Section 4.1), the Technical Requirements (Section 5), and the Controlled Project Assumptions (Section 6).« less

  5. Independent Orbiter Assessment (IOA): FMEA/CIL assessment

    NASA Technical Reports Server (NTRS)

    Saiidi, Mo J.; Swain, L. J.; Compton, J. M.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. Direction was given by the Orbiter and GFE Projects Office to perform the hardware analysis and assessment using the instructions and ground rules defined in NSTS 22206. The IOA analysis features a top-down approach to determine hardware failure modes, criticality, and potential critical items. To preserve independence, the anlaysis was accomplished without reliance upon the results contained within the NASA and prime contractor FMEA/CIL documentation. The assessment process compares the independently derived failure modes and criticality assignments to the proposed NASA Post 51-L FMEA/CIL documentation. When possible, assessment issues are discussed and resolved with the NASA subsystem managers. The assessment results for each subsystem are summarized. The most important Orbiter assessment finding was the previously unknown stuck autopilot push-button criticality 1/1 failure mode, having a worst case effect of loss of crew/vehicle when a microwave landing system is not active.

  6. [CompuRecord--A perioperative information management-system for anesthesia].

    PubMed

    Martin, J; Ederle, D; Milewski, P

    2002-08-01

    Since 1977 procedures for automatic documentation of anesthesias have repeatedly been described. Because of a limited arrangement of the desk top and because of its focussing on intraoperative documentation only a widespread introduction could not be established so far. Todays systems are offered with graphically orientated desktops which can be operated by intuition. The CompuRecord(R)-System (Philips Healthcare) is a perioperative management system for anaesthesia. It is constructed with modular components, recording the complete anaesthesiological care of a patient from preanaesthesiological assessment to the recovery room. Additional modules allow an economical check, provide for quality management and exportation of a core data base. Except for the original software all other components of the system including the net work components are IT standard products allowing reduced costs for supplementation, expansion and support. The advantage of an automatical documentation system of anaesthesia is frequent and detailed recording of anaesthesiological data as well as the possibility of a meticulous calculation of cost for each patient. The anaesthesiologist's time used for documentation is reduced remarkably with a limited and reasonable amount of data to be recorded. This leaves more time of attention for the patient himself. Time necessary for training is kept low with the touch screens of the CompuRecord(R) - System, which can be operated intuitively. Primary to purchase an exact analysis of process and of subsequent costs should be done. Standardized documentation allows to establish Standard Operating Procedures in a department of Anaesthesia. Using the given systems an implementation is possible already today despite restricted resources of man power.

  7. Total System Design (TSD) Methodology Assessment.

    DTIC Science & Technology

    1983-01-01

    hardware implementation. Author: Martin - Marietta Aerospace Title: Total System Design Methodology Source: Martin - Marietta Technical Report MCR -79-646...systematic, rational approach to computer systems design is needed. Martin - Marietta has produced a Total System Design Methodology to support such design...gathering and ordering. The purpose of the paper is to document the existing TSD methoeology at Martin - Marietta , describe the supporting tools, and

  8. Alcoa North American Extrusions Implements Energy Use Assessments at Multiple Facilities: Office of Industrial Technologies (OIT) BestPractices Aluminum Assessment Case Study

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    U.S. Department of Energy

    2001-08-05

    This case study is the latest in a series on industrial firms who are implementing energy efficient technologies and system improvements into their manufacturing processes. The case studies document the activities, savings, and lessons learned on these projects.

  9. Addressing the Learning Outcomes and Assessment Methods Associated with Participation in Student Government Associations: A Qualitative Study of California Community Colleges

    ERIC Educational Resources Information Center

    Nevin, Miles J.

    2017-01-01

    This document analysis synthesized student learning outcomes (SLOs) and assessment methods from a sample of 36 student government associations in the California Community College system. Student learning outcomes were grouped according to "governance, ethical and civic behavior", and "experiential learning functions." Using…

  10. FIREMON: Fire effects monitoring and inventory system

    Treesearch

    Duncan C. Lutes; Robert E. Keane; John F. Caratti; Carl H. Key; Nathan C. Benson; Steve Sutherland; Larry J. Gangi

    2006-01-01

    Monitoring and inventory to assess the effects of wildland fire is critical for 1) documenting fire effects, 2) assessing ecosystem damage and benefit, 3) evaluating the success or failure of a burn, and 4) appraising the potential for future treatments. However, monitoring fire effects is often difficult because data collection requires abundant funds, resources, and...

  11. Documenting Reading Achievement and Growth for Students Taking Alternate Assessments

    ERIC Educational Resources Information Center

    Tindal, Gerald; Nese, Joseph F. T.; Farley, Dan; Saven, Jessica L.; Elliott, Stephen N.

    2016-01-01

    Students with disabilities have been included in state accountability systems for more than a decade; however, only in the past few years have alternate assessments of alternate achievement standards (AA-AAS) become stable enough to allow examination of these students' achievement growth. Using data from Oregon's AA-AAS in Reading during the…

  12. IRIS Toxicological Review of Dichloromethane (Methylene ...

    EPA Pesticide Factsheets

    EPA has finalized the Toxicological Review of Dichloromethane (Methylene Chloride): In support of the Integrated Risk Information System (IRIS). Now final, this assessment may be used by EPA’s program and regional offices to inform decisions to protect human health. This document presents background information and justification for the Intergrated Risk Information System (IRIS) Summary of the hazard and dose-response assessment of dichloromethane. IRIS Summaries may include oral reference dose (RfD) and inhalation reference concentration (RfC) values for chronic and other exposure durations, and a carcinogencity assessment. Internet/NCEA web site

  13. Independent Orbiter Assessment (IOA): Assessment of the remote manipulator system FMEA/CIL

    NASA Technical Reports Server (NTRS)

    Tangorra, F.; Grasmeder, R. F.; Montgomery, A. D.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Remote Manipulator System (RMS) hardware, generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were than compared to the NASA FMEA/CIL baseline with proposed Post 51-L updates included. A resolution of each discrepancy from the comparison is provided through additional analysis as required. The results of that comparison for the Orbiter RMS hardware are documented. The IOA product for the RMS analysis consisted of 604 failure mode worksheets that resulted in 458 potential critical items being identified. Comparison was made to the NASA baseline which consisted of 45 FMEAs and 321 CIL items. This comparison produced agreement on all but 154 FMEAs which caused differences in 137 CIL items.

  14. Safety analysis and review system (SARS) assessment report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Browne, E.T.

    1981-03-01

    Under DOE Order 5481.1, Safety Analysis and Review System for DOE Operations, safety analyses are required for DOE projects in order to ensure that: (1) potential hazards are systematically identified; (2) potential impacts are analyzed; (3) reasonable measures have been taken to eliminate, control, or mitigate the hazards; and (4) there is documented management authorization of the DOE operation based on an objective assessment of the adequacy of the safety analysis. This report is intended to provide the DOE Office of Plans and Technology Assessment (OPTA) with an independent evaluation of the adequacy of the ongoing safety analysis effort. Asmore » part of this effort, a number of site visits and interviews were conducted, and FE SARS documents were reviewed. The latter included SARS Implementation Plans for a number of FE field offices, as well as safety analysis reports completed for certain FE operations. This report summarizes SARS related efforts at the DOE field offices visited and evaluates the extent to which they fulfill the requirements of DOE 5481.1.« less

  15. ICCE/ICCAI 2000 Full & Short Papers (Intelligent Tutoring Systems).

    ERIC Educational Resources Information Center

    2000

    This document contains the full and short papers on intelligent tutoring systems (ITS) from ICCE/ICCAI 2000 (International Conference on Computers in Education/International Conference on Computer-Assisted Instruction) covering the following topics: a framework for Internet-based distributed learning; a fuzzy-based assessment for the Perl tutoring…

  16. Evaluating, Comparing, and Best Practice in Electronic Portfolio System Use

    ERIC Educational Resources Information Center

    San Jose, David L.

    2017-01-01

    Electronic portfolios (e-portfolios) are commonly positioned to show evidence of student learning with formative and summative assessment benefits. At the University of Auckland teacher education program, two e-portfolio systems were adopted to document preservice teacher's course work and to attest to the Graduating Teacher Standards. This…

  17. Independent Orbiter Assessment (IOA): Analysis of the reaction control system, volume 3

    NASA Technical Reports Server (NTRS)

    Burkemper, V. J.; Haufler, W. A.; Odonnell, R. A.; Paul, D. J.

    1987-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. This report documents the independent analysis results for the Reaction Control System (RCS). The RCS is situated in three independent modules, one forward in the orbiter nose and one in each OMS/RCS pod. Each RCS module consists of the following subsystems: Helium Pressurization Subsystem; Propellant Storage and Distribution Subsystem; Thruster Subsystem; and Electrical Power Distribution and Control Subsystem. Volume 3 continues the presentation of IOA analysis worksheets and the potential critical items list.

  18. Interactive Rapid Dose Assessment Model (IRDAM): reactor-accident assessment methods. Vol. 2

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Poeton, R.W.; Moeller, M.P.; Laughlin, G.J.

    1983-05-01

    As part of the continuing emphasis on emergency preparedness, the US Nuclear Regulatory Commission (NRC) sponsored the development of a rapid dose assessment system by Pacific Northwest Laboratory (PNL). This system, the Interactive Rapid Dose Assessment Model (IRDAM) is a micro-computer based program for rapidly assessing the radiological impact of accidents at nuclear power plants. This document describes the technical bases for IRDAM including methods, models and assumptions used in calculations. IRDAM calculates whole body (5-cm depth) and infant thyroid doses at six fixed downwind distances between 500 and 20,000 meters. Radionuclides considered primarily consist of noble gases and radioiodines.more » In order to provide a rapid assessment capability consistent with the capacity of the Osborne-1 computer, certain simplifying approximations and assumptions are made. These are described, along with default values (assumptions used in the absence of specific input) in the text of this document. Two companion volumes to this one provide additional information on IRDAM. The user's Guide (NUREG/CR-3012, Volume 1) describes the setup and operation of equipment necessary to run IRDAM. Scenarios for Comparing Dose Assessment Models (NUREG/CR-3012, Volume 3) provides the results of calculations made by IRDAM and other models for specific accident scenarios.« less

  19. Independent Orbiter Assessment (IOA): Assessment of the reaction control system, volume 4

    NASA Technical Reports Server (NTRS)

    Prust, Chet D.; Hartman, Dan W.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the aft and forward Reaction Control System (RCS) hardware and Electrical Power Distribution and Control (EPD and C), generating draft failure modes and potential critical items. The IOA results were then compared to the proposed Post 51-L NASA FMEA/CIL baseline. This report documents the results of that comparison for the Orbiter RCS hardware and EPD and C systems. Volume 4 continues the presentation of IOA worksheets and contains the potential critical items list.

  20. Command Center Library Model Document. Comprehensive Approach to Reusable Defense Software (CARDS)

    DTIC Science & Technology

    1992-05-31

    system, and functionality for specifying the layout of the document. 3.7.16.1 FrameMaker FrameMaker is a Commercial Off The Shelf (COTS) component...facilitating WYSIWYG creation of formatted reports with embedded graphics. FrameMaker is an advanced publishing tool that integrates word processing...available for the component FrameMaker : * Product evaluation reports in ASCII and postscript formats • Product assessment on line in model 0 Product

  1. Sound Attenuation Kit for Diesel-Powered Buses

    DOT National Transportation Integrated Search

    1976-06-01

    The Transportation Systems Center (TSC), on behalf of the U.S. Department of Transportation (DOT), initiated a project to assess, demonstrate and document the noise reduction potential of optimized commercially-available exhaust, intake, and fan subs...

  2. Rose Canyon Sustainable Aquaculture Project, San Diego, CA

    EPA Pesticide Factsheets

    Documents related to EPA's preparation of an Environmental Assessment (EA) to analyze the potential impacts related to the issuance of a National Pollutant Discharge Elimination System (NPDES) permit for the Rose Canyon Sustainable Aquaculture Project.

  3. North Carolina "Sealed Corridor" phase IV assessment -- private crossings

    DOT National Transportation Integrated Search

    2012-07-31

    The U.S. Department of Transportations (USDOT) Federal Railroad Administration tasked the USDOT Research and Innovative Technology Administrations John A. Volpe National Transportation Systems Center to document the success of the safety improv...

  4. Potential of spark ignition engine, electronic engine and transmission control : final report

    DOT National Transportation Integrated Search

    1980-03-01

    This report identifies, evaluates, and documents the characteristics and functions of significant electronic engine and powertrain control systems. Important considerations in the assessment are the powertrain variables controlled, the technology uti...

  5. FIREX mission requirements document for renewable resources

    NASA Technical Reports Server (NTRS)

    Carsey, F.; Dixon, T.

    1982-01-01

    The initial experimental program and mission requirements for a satellite synthetic aperture radar (SAR) system FIREX (Free-Flying Imaging Radar Experiment) for renewable resources is described. The spacecraft SAR is a C-band and L-band VV polarized system operating at two angles of incidence which is designated as a research instrument for crop identification, crop canopy condition assessments, soil moisture condition estimation, forestry type and condition assessments, snow water equivalent and snow wetness assessments, wetland and coastal land type identification and mapping, flood extent mapping, and assessment of drainage characteristics of watersheds for water resources applications. Specific mission design issues such as the preferred incidence angles for vegetation canopy measurements and the utility of a dual frequency (L and C-band) or dual polarization system as compared to the baseline system are addressed.

  6. System configuration management plan for 101-SY Hydrogen Mitigation Test Project Mini-Data Acquisition and Control System of Tank Waste Remediation System

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Vargo, G.F. Jr.

    1994-10-11

    The DOE Standard defines the configuration management program by the five basic program elements of ``program management,`` ``design requirements,`` ``document control,`` ``change control,`` and ``assessments,`` and the two adjunct recovery programs of ``design reconstitution,`` and ``material condition and aging management. The C-M model of five elements and two adjunct programs strengthen the necessary technical and administrative control to establish and maintain a consistent technical relationship among the requirements, physical configuration, and documentation. Although the DOE Standard was originally developed for the operational phase of nuclear facilities, this plan has the flexibility to be adapted and applied to all life-cycle phasesmore » of both nuclear and non-nuclear facilities. The configuration management criteria presented in this plan endorses the DOE Standard and has been tailored specifically to address the technical relationship of requirements, physical configuration, and documentation during the full life-cycle of the 101-SY Hydrogen Mitigation Test Project Mini-Data Acquisition and Control System of Tank Waste Remediation System.« less

  7. Comparison of provider-documented and patient-reported brief intervention for unhealthy alcohol use in VA outpatients.

    PubMed

    Lapham, Gwen T; Rubinsky, Anna D; Shortreed, Susan M; Hawkins, Eric J; Richards, Julie; Williams, Emily C; Berger, Douglas; Chavez, Laura J; Kivlahan, Daniel R; Bradley, Katharine A

    2015-08-01

    Performance measures for brief alcohol interventions (BIs) are currently based on provider documentation of BI. However, provider documentation may not be a reliable measure of whether or not patients are offered clinically meaningful BIs. In particular, BI documented with clinical decision support in an electronic medical record (EMR) could appear identical irrespective of the quality of BI provided. We hypothesized that differences in how BI was implemented across health systems could lead to differences in the proportion of documented BI recalled and reported by patients across health systems. Male outpatients with unhealthy alcohol use identified by confidential satisfaction surveys (2009-2012) were assessed for whether they reported receiving BI in the past year (patient-reported BI) and whether they had BI documented in the EMR during the same period (documented BI). We evaluated and compared the prevalence of documented BI to patient-reported BI across 21 VA networks to determine whether documented BI had a variable association with patient-reported BI across the networks. Of 9896 eligible male outpatients with unhealthy alcohol use, 59.0% (95% CI 57.4-60.5%) reported BI (50.4-64.9% across networks) and 37.4% (95% CI 36.0-38.9%) had BI documented in the EMR (28.0-44.2% across networks). Overall, 72.9% (95% CI 70.8-75.5%) of patients with documented BI also reported BI. The association between documented BI and patient-reported BI did not vary across VA networks in adjusted logistic regression models. Performance measures of BI that rely on provider documentation in EMRs appear comparable to patient report for comparing care across VA networks. Published by Elsevier Ireland Ltd.

  8. An Assessment of the "Diploma in Computer Engineering" Course in the Technical Education System in Nepal

    ERIC Educational Resources Information Center

    Basnet, Kul Bahadur; Kim, Jinsoo

    2010-01-01

    The purpose of this study was to assess the Diploma in Computer Engineering (DCE) courses offered at affiliated schools of the Council for Technical Education and Vocational Training (CTEVT) with a focus on the goals of the curriculum and employment opportunities. Document analysis, questionnaires, focus group discussions and semi-structured…

  9. An Assessment System for Competence Based Education: The Educational Development, Dissemination, and Evaluation Training Program.

    ERIC Educational Resources Information Center

    Hood, Paul D.; Blackwell, Laird

    This manual provides a description of the development and a guide to the use of the assessment resources developed in connection with the Far West Development, Dissemination, and Evaluation (DD&E) Functional Competence Training Program. The document concentrates on a user-oriented description of the content, validation, and use of the final…

  10. 75 FR 63518 - Notice of Availability of Environmental Assessment and Finding of No Significant Impact for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... Environmental Assessment and Finding of No Significant Impact for License Amendment No. 61 for Rio Algom Mining... amendment to Source Materials License SUA-1473 issued to Rio Algom Mining LLC (Rio Algom, or the Licensee... access the NRC's Agencywide Document Access and Management System (ADAMS), which provides text and image...

  11. Utility Assessment Report for SPIDERS Phase 2: Ft. Carson (Rev 1.0)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Barr, Jonathan L.; Tuffner, Francis K.; Hadley, Mark D.

    2014-01-01

    This document contains the Utility Assessment Report (UAR) for the Phase 2 operational Demonstration (OD) of the Smart Power Infrastructure Demonstration for Energy Reliability and Security (SPIDERS) Joint Capability Technology Demonstration (JCTD). The UAR for Phase 2 shows that the SPIDERS system was able to meet the requirements of the Implementation Directive at Ft. Carson.

  12. Permit application modifications

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1995-11-01

    This document contains the Permit Application Modifications for the Y-12 Industrial Landfill V site on the Oak Ridge Reservation. These modifications include the assessment of stability of the proposed Landfill V under static and loading conditions. Analyses performed include the general slope stability, veneer stability of the bottom liner and cover system, and a liquefaction potential assessment of the foundation soils.

  13. The Pollution Hazard Assessment System Version 20: Documentation and Users Manual

    DTIC Science & Technology

    1991-03-15

    block number) FIELD GROUP SUB-ROUP Risk Assessment BASIC -- Public Health Baseline Assessments Environmental Effects Su r und 19. ABSTRACT (Continue...PHAS20 health - effects related concepts and operational instructions. Appendix A presents a glossary of terms and data identifications. Appendix B...Computerization) in the Environmental Quality Research Branch of the Health Effects Research Division. The author acknowledges the support of Jesse J. Barkley, Jr

  14. Asset Management Plans. Sections 1-5: Framework [and] Property Information Systems and Schools Premises Data [and] condition Assessment [and] Suitability Assessment [and] Sufficiency Assessment.

    ERIC Educational Resources Information Center

    Department for Education and Employment, London (England).

    The aim of these documents is to assist Local Authorities in Britain with asset management planning (AMPs) for schools. AMPs set out the information needed, and the criteria used, to make decisions about spending on school premises which will: raise standards of educational attainment; provide sustainable and energy-efficient buildings that are…

  15. Outcomes of Computerized Physician Order Entry in an Electronic Health Record After Implementation in an Outpatient Oncology Setting

    PubMed Central

    Harshberger, Cara A.; Harper, Abigail J.; Carro, George W.; Spath, Wayne E.; Hui, Wendy C.; Lawton, Jessica M.; Brockstein, Bruce E.

    2011-01-01

    Purpose: Computerized physician order entry (CPOE) in electronic health records (EHR) has been recognized as an important tool in optimal health care provision that can reduce errors and improve safety. The objective of this study is to describe documentation completeness and user satisfaction of medical charts before and after implementation of an outpatient oncology EHR/ CPOE system in a hospital-based outpatient cancer center within three treatment sites. Methods: This study is a retrospective chart review of 90 patients who received one of the following regimens between 1999 and 2006: FOLFOX, AC, carboplatin + paclitaxel, ABVD, cisplatin + etoposide, R-CHOP, and clinical trials. Documentation completeness scores were assigned to each chart based on the number of documented data points found out of the total data points assessed. EHR/CPOE documentation completeness was compared with completeness of paper charts orders of the same regimens. A user satisfaction survey of the paper chart and EHR/CPOE system was conducted among the physicians, nurses, and pharmacists who worked with both systems. Results: The mean percentage of identified data points successfully found in the EHR/CPOE charts was 93% versus 67% in the paper charts (P < .001). Regimen complexity did not alter the number of data points found. The survey response rate was 64%, and the results showed that satisfaction was statistically significant in favor of the EHR/CPOE system. Conclusion: Using EHR/CPOE systems improves completeness of medical record and chemotherapy order documentation and improves user satisfaction with the medical record system. EHR/CPOE requires constant vigilance and maintenance to optimize patient safety. PMID:22043187

  16. 77 FR 22316 - Notification of a Public Teleconference of the Science Advisory Board Ecological Processes and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ...) document, ``Integrating Ecological Assessment and Decision-Making at EPA, 2011 RAF Ecological Assessment... document, ``Integrating Ecological Assessment and Decision- Making at EPA, 2011 RAF Ecological Assessment... review comments on the EPA RAF draft document ``Integrating Ecological Assessment and Decision-Making at...

  17. Linguistics and Information Science. LINCS Project Document Series.

    ERIC Educational Resources Information Center

    Montgomery, Christine A.

    The relationship between the disciplines of linguistics and information science has not yet been studied in depth. We must assess the state of our knowledge of natural language and determine how this knowledge is applicable within the context of an information system. The concept of a natural language information system can be specified in terms…

  18. 77 FR 61446 - Proposed Revision Probabilistic Risk Assessment and Severe Accident Evaluation for New Reactors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-09

    ... documents online in the NRC Library at http://www.nrc.gov/reading-rm/adams.html . To begin the search... of digital instrumentation and control system PRAs, including common cause failures in PRAs and uncertainty analysis associated with new reactor digital systems, and (4) incorporation of additional...

  19. TADS and Technical Assistance: Readings on System Design, Needs Assessment, Consultation, and Evaluation.

    ERIC Educational Resources Information Center

    Trohanis, Pascal L., Ed.

    The document reviews the technical assistance process used by TADS (Technical Assistance Development System), a project to provide support to HCEEP (Handicapped Children's Early Education Program) demonstration projects serving young handicapped children and their families. Chapter 1, by P. Trohanis, focuses on a number of questions that people…

  20. MERRA-2 Input Observations: Summary and Assessment

    NASA Technical Reports Server (NTRS)

    Koster, Randal D. (Editor); McCarty, Will; Coy, Lawrence; Gelaro, Ronald; Huang, Albert; Merkova, Dagmar; Smith, Edmond B.; Sienkiewicz, Meta; Wargan, Krzysztof

    2016-01-01

    The Modern-Era Retrospective Analysis for Research and Applications, Version 2 (MERRA-2) is an atmospheric reanalysis, spanning 1980 through near-realtime, that uses state-of-the-art processing of observations from the continually evolving global observing system. The effectiveness of any reanalysis is a function not only of the input observations themselves, but also of how the observations are handled in the assimilation procedure. Relevant issues to consider include, but are not limited to, data selection, data preprocessing, quality control, bias correction procedures, and blacklisting. As the assimilation algorithm and earth system models are fundamentally fixed in a reanalysis, it is often a change in the character of the observations, and their feedbacks on the system, that cause changes in the character of the reanalysis. It is therefore important to provide documentation of the observing system so that its discontinuities and transitions can be readily linked to discontinuities seen in the gridded atmospheric fields of the reanalysis. With this in mind, this document provides an exhaustive list of the input observations, the context under which they are assimilated, and an initial assessment of selected core observations fundamental to the reanalysis.

  1. Privacy Impact Assessment for the eDiscovery Service

    EPA Pesticide Factsheets

    This system collects Logical Evidence Files, which include data from workstations, laptops, SharePoint and document repositories. Learn how the data is collected, used, who has access, the purpose of data collection, and record retention policies.

  2. Privacy Impact Assessment for the Science Advisory Board Database for Scientific and Technical Experts

    EPA Pesticide Factsheets

    This system collects contact information, financial disclosure forms, and personnel information. This document describes how the data is collected, used, accessed, the purpose of data collection, and record retention policies.

  3. Final Design Documentation for the Wartime Personnel Assessment Model (WARPAM) (Version 1.0)

    DTIC Science & Technology

    1991-03-25

    Bldg 401B) Ft. Benjamin Harrison, IN 46216-5000 Accesion For DTI& NTIS CRA& I J DTIC 1A;3 A Uta,I.ou- i Justilicatluol .... . .. . By...GENERATOR FIGURE 2: WARPAN OPERATIONAL ARCHITECTURE 10 WARPAN DESIGN DOCUMENTATION WARPAM is programmed in FORTRAN 77, except for the CRC model which is...to enter directly into a specific model and utilize data currently in the system. The modular architecture of WARPAM is depicted in Figure 3

  4. Independent Orbiter Assessment (IOA): Analysis of the life support and airlock support subsystems

    NASA Technical Reports Server (NTRS)

    Arbet, Jim; Duffy, R.; Barickman, K.; Saiidi, Mo J.

    1987-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. This report documents the independent analysis results corresponding to the Orbiter Life Support System (LSS) and Airlock Support System (ALSS). Each level of hardware was evaluated and analyzed for possible failure modes and effects. Criticality was assigned based upon the severity of the effect for each failure mode. The LSS provides for the management of the supply water, collection of metabolic waste, management of waste water, smoke detection, and fire suppression. The ALSS provides water, oxygen, and electricity to support an extravehicular activity in the airlock.

  5. Using education and support strategies to improve the way nurses assess regular and transient pain - A quality improvement study of three hospitals.

    PubMed

    Peterson, Anna; Carlfjord, Siw; Schaller, Anne; Gerdle, Björn; Larsson, Britt

    2017-07-01

    Systematic and regular pain assessment has been shown to improve pain management. Well-functioning pain assessments require using strategies informed by well-established theory. This study evaluates documented pain assessments reported in medical records and by patients, including reassessment using a Numeric Rating Scale (NRS) after patients receive rescue medication. Documentation surveys (DS) and patient surveys (PS) were performed at baseline (BL), after six months, and after 12 months in 44 in-patient wards at the three hospitals in Östergötland County, Sweden. Nurses and nurse assistants received training on pain assessment and support. The Knowledge to Action Framework guided the implementation of new routines. According to DS pain assessment using NRS, pain assessment increased significantly: from 7% at baseline to 36% at 12 months (p<0.001). For PS, corresponding numbers were 33% and 50% (p<0.001). According to the PS, the proportion of patients who received rescue medication and who had been reassessed increased from 73% to 86% (p=0.003). The use of NRS to document pain assessment after patients received rescue medication increased significantly (4% vs. 17%; p<0.001). After implementing education and support strategies, systematic pain assessment increased, an encouraging finding considering the complex contexts of in-patient facilities. However, the achieved assessment levels and especially reassessments related to rescue medication were clinically unsatisfactory. Future studies should include nursing staff and physicians and increase interactivity such as providing online education support. A discrepancy between documented and reported reassessment in association with given rescue medication might indicate that nurses need better ways to provide pain relief. The fairly low level of patient-reported pain via NRS and documented use of NRS before and 12 months after the educational programme stresses the need for education on pain management in nursing education. Implementations differing from traditional educational attempts such as interactive implementations might complement educational programmes given at the work place. Standardized routines for pain management that include the possibility for nurses to deliver pain medication within well-defined margins might improve pain management and increase the use of pain assessments. Further research is needed that examines the large discrepancy between patient-reported pain management and documentation in the medical recording system of transient pain. Copyright © 2017 Scandinavian Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

  6. Facility Energy Decision System (FEDS) Assessment Report for US Army Garrison, Japan - Honshu Installations

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kora, Angela R.; Brown, Daryl R.; Dixon, Douglas R.

    2010-03-09

    This report documents an assessment was performed by a team of engineers from Pacific Northwest National Laboratory (PNNL) under contract to the Installation Management Command (IMCOM) Pacific Region Office (PARO). The effort used the Facility Energy Decision System (FEDS) model to determine how energy is consumed at five U.S. Army Garrison-Japan (USAG-J) installations in the Honshu area, identify the most cost-effective energy retrofit measures, and calculate the potential energy and cost savings.

  7. Risk assessment of technologies for detecting illicit drugs in containers

    NASA Astrophysics Data System (ADS)

    Brandenstein, Albert E.

    1995-03-01

    This paper provides the highlights of the role risk assessment plays in the United States technology program for nonintrusive inspection of cargo containers for illicit drugs. The Counterdrug Technology Assessment Center is coordinating the national effort to develop prototype technologies for an advanced generation, nonintrusive cargo inspection system. In the future, the U.S. Customs Service could configure advanced technologies for finding not only drugs and other contraband hidden in cargo, but for a wide variety of commodities for customs duty verification purposes. The overall nonintrusive inspection system is envisioned to consist primarily of two classes of subsystems: (1) shipment document examination subsystems to prescreen exporter and importer documents; and (2) chemical and physics-based subsystems to detect and characterize illicit substances. The document examination subsystems would use software algorithms, artificial intelligence, and neural net technology to perform an initial prescreening of the information on the shipping manifest for suspicious patterns. This would be accomplished by creating a `profile' from the shipping information and matching it to trends known to be used by traffickers. The chemical and physics-based subsystems would apply nuclear physics, x-ray, gas chromatography and spectrometry technologies to locate and identify contraband in containers and other conveyances without the need for manual searches. The approach taken includes using technology testbeds to assist in evaluating technology prototypes and testing system concepts in a fully instrumented but realistic operational environment. This approach coupled with a substance signature phenomenology program to characterize those detectable elements of benign, as well as target substances lends itself particularly well to the topics of risk assessment and elemental characterization of substances. A technology testbed established in Tacoma, Washington provides a national facility for testing and evaluating existing and emerging prototype systems in an operational environment. The results of initial tests using the advanced x-ray subsystem installed at the testbed are given in this paper. A description of typical cargo contents and those characteristics applicable to nuclear interrogation techniques are provided in the appendix.

  8. Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers.

    PubMed

    Makam, Anil N; Lanham, Holly J; Batchelor, Kim; Samal, Lipika; Moran, Brett; Howell-Stampley, Temple; Kirk, Lynne; Cherukuri, Manjula; Santini, Noel; Leykum, Luci K; Halm, Ethan A

    2013-08-09

    Despite considerable financial incentives for adoption, there is little evidence available about providers' use and satisfaction with key functions of electronic health records (EHRs) that meet "meaningful use" criteria. We surveyed primary care providers (PCPs) in 11 general internal medicine and family medicine practices affiliated with 3 health systems in Texas about their use and satisfaction with performing common tasks (documentation, medication prescribing, preventive services, problem list) in the Epic EHR, a common commercial system. Most practices had greater than 5 years of experience with the Epic EHR. We used multivariate logistic regression to model predictors of being a structured documenter, defined as using electronic templates or prepopulated dot phrases to document at least two of the three note sections (history, physical, assessment and plan). 146 PCPs responded (70%). The majority used free text to document the history (51%) and assessment and plan (54%) and electronic templates to document the physical exam (57%). Half of PCPs were structured documenters (55%) with family medicine specialty (adjusted OR 3.3, 95% CI, 1.4-7.8) and years since graduation (nonlinear relationship with youngest and oldest having lowest probabilities) being significant predictors. Nearly half (43%) reported spending at least one extra hour beyond each scheduled half-day clinic completing EHR documentation. Three-quarters were satisfied with documenting completion of pneumococcal vaccinations and half were satisfied with documenting cancer screening (57% for breast, 45% for colorectal, and 46% for cervical). Fewer were satisfied with reminders for overdue pneumococcal vaccination (48%) and cancer screening (38% for breast, 37% for colorectal, and 31% for cervical). While most believed the problem list was helpful (70%) and kept an up-to-date list for their patients (68%), half thought they were unreliable and inaccurate (51%). Dissatisfaction with and suboptimal use of key functions of the EHR may mitigate the potential for EHR use to improve preventive health and chronic disease management. Future work should optimize use of key functions and improve providers' time efficiency.

  9. ClinGen Pathogenicity Calculator: a configurable system for assessing pathogenicity of genetic variants.

    PubMed

    Patel, Ronak Y; Shah, Neethu; Jackson, Andrew R; Ghosh, Rajarshi; Pawliczek, Piotr; Paithankar, Sameer; Baker, Aaron; Riehle, Kevin; Chen, Hailin; Milosavljevic, Sofia; Bizon, Chris; Rynearson, Shawn; Nelson, Tristan; Jarvik, Gail P; Rehm, Heidi L; Harrison, Steven M; Azzariti, Danielle; Powell, Bradford; Babb, Larry; Plon, Sharon E; Milosavljevic, Aleksandar

    2017-01-12

    The success of the clinical use of sequencing based tests (from single gene to genomes) depends on the accuracy and consistency of variant interpretation. Aiming to improve the interpretation process through practice guidelines, the American College of Medical Genetics and Genomics (ACMG) and the Association for Molecular Pathology (AMP) have published standards and guidelines for the interpretation of sequence variants. However, manual application of the guidelines is tedious and prone to human error. Web-based tools and software systems may not only address this problem but also document reasoning and supporting evidence, thus enabling transparency of evidence-based reasoning and resolution of discordant interpretations. In this report, we describe the design, implementation, and initial testing of the Clinical Genome Resource (ClinGen) Pathogenicity Calculator, a configurable system and web service for the assessment of pathogenicity of Mendelian germline sequence variants. The system allows users to enter the applicable ACMG/AMP-style evidence tags for a specific allele with links to supporting data for each tag and generate guideline-based pathogenicity assessment for the allele. Through automation and comprehensive documentation of evidence codes, the system facilitates more accurate application of the ACMG/AMP guidelines, improves standardization in variant classification, and facilitates collaborative resolution of discordances. The rules of reasoning are configurable with gene-specific or disease-specific guideline variations (e.g. cardiomyopathy-specific frequency thresholds and functional assays). The software is modular, equipped with robust application program interfaces (APIs), and available under a free open source license and as a cloud-hosted web service, thus facilitating both stand-alone use and integration with existing variant curation and interpretation systems. The Pathogenicity Calculator is accessible at http://calculator.clinicalgenome.org . By enabling evidence-based reasoning about the pathogenicity of genetic variants and by documenting supporting evidence, the Calculator contributes toward the creation of a knowledge commons and more accurate interpretation of sequence variants in research and clinical care.

  10. A nursing data base for initial patient assessment.

    PubMed

    Hartman, D; Knudson, J

    1991-01-01

    The introduction of nursing diagnoses at Saddleback Memorial Medical Center, Laguna Hills, CA, resulted in the nursing process becoming the basis for the documentation system. However, the medical model or body system remained the organizational structure for nursing data collection and narrative charting. The need for a model that would aid in identification and treatment of illness and not negatively affect the nursing process was the impetus behind the selection of Gordon's functional health patterns as the assessment format. These patterns provide a standard method for data collection and a holistic approach to assessment and diagnosis.

  11. Review assessment support in Open Journal System using TextRank

    NASA Astrophysics Data System (ADS)

    Manalu, S. R.; Willy; Sundjaja, A. M.; Noerlina

    2017-01-01

    In this paper, a review assessment support in Open Journal System (OJS) using TextRank is proposed. OJS is an open-source journal management platform that provides a streamlined journal publishing workflow. TextRank is an unsupervised, graph-based ranking model commonly used as extractive auto summarization of text documents. This study applies the TextRank algorithm to summarize 50 article reviews from an OJS-based international journal. The resulting summaries are formed using the most representative sentences extracted from the reviews. The summaries are then used to help OJS editors in assessing a review’s quality.

  12. Orbiter global positioning system design and Ku-band problems investigation, exhibit B, revision 1

    NASA Technical Reports Server (NTRS)

    Chie, C. M.; Braun, W. R.

    1981-01-01

    The LinCom effort in supporting the JSC study of the use of the Global Positioning System (GPS) on the space shuttle and in Ku-band problem investigation is documented. LinCom was tasked to evaluate system implementation, performance, and integration aspects of the shuttle GPS and to provide independent technical assessment of reports submitted to JSC regarding integration studies, system studies and navigation analyses.

  13. Patient reminder systems and asthma medication adherence: a systematic review.

    PubMed

    Tran, Nancy; Coffman, Janet M; Sumino, Kaharu; Cabana, Michael D

    2014-06-01

    One of the most common reasons for medication non-adherence for asthma patients is forgetfulness. Daily medication reminder system interventions in the form of text messages, automated phone calls and audiovisual reminder devices can potentially address this problem. The aim of this review was to assess the effectiveness of reminder systems on patient daily asthma medication adherence. We conducted a systematic review of the literature to identify randomized controlled trials (RCTs) which assessed the effect of reminder systems on daily asthma medication adherence. We searched all English-language articles in Pub Med (MEDLINE), CINAHL, EMBASE, PsychINFO and the Cochrane Library through May 2013. We abstracted data on the year of study publication, location, inclusion and exclusion criteria, patient characteristics, reminder system characteristics, effect on patient adherence rate and other outcomes measured. Descriptive statistics were used to summarize the characteristics and results of the studies. Five RCTs and one pragmatic RCT were included in the analysis. Median follow-up time was 16 weeks. All of the six studies suggested that the reminder system intervention was associated with greater levels of participant asthma medication adherence compared to those participants in the control group. None of the studies documented a change in asthma-related quality of life or clinical asthma outcomes. All studies in our analysis suggest that reminder systems increase patient medication adherence, but none documented improved clinical outcomes. Further studies with longer intervention durations are needed to assess effects on clinical outcomes, as well as the sustainability of effects on patient adherence.

  14. Engineered Barrier System: Physical and Chemical Environment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    P. Dixon

    2004-04-26

    The conceptual and predictive models documented in this Engineered Barrier System: Physical and Chemical Environment Model report describe the evolution of the physical and chemical conditions within the waste emplacement drifts of the repository. The modeling approaches and model output data will be used in the total system performance assessment (TSPA-LA) to assess the performance of the engineered barrier system and the waste form. These models evaluate the range of potential water compositions within the emplacement drifts, resulting from the interaction of introduced materials and minerals in dust with water seeping into the drifts and with aqueous solutions forming bymore » deliquescence of dust (as influenced by atmospheric conditions), and from thermal-hydrological-chemical (THC) processes in the drift. These models also consider the uncertainty and variability in water chemistry inside the drift and the compositions of introduced materials within the drift. This report develops and documents a set of process- and abstraction-level models that constitute the engineered barrier system: physical and chemical environment model. Where possible, these models use information directly from other process model reports as input, which promotes integration among process models used for total system performance assessment. Specific tasks and activities of modeling the physical and chemical environment are included in the technical work plan ''Technical Work Plan for: In-Drift Geochemistry Modeling'' (BSC 2004 [DIRS 166519]). As described in the technical work plan, the development of this report is coordinated with the development of other engineered barrier system analysis model reports.« less

  15. Independent Orbiter Assessment (IOA): Analysis of the hydraulics/water spray boiler subsystem

    NASA Technical Reports Server (NTRS)

    Duval, J. D.; Davidson, W. R.; Parkman, William E.

    1986-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items (PCIs). To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. This report documents the independent analysis results for the Orbiter Hydraulics/Water Spray Boiler Subsystem. The hydraulic system provides hydraulic power to gimbal the main engines, actuate the main engine propellant control valves, move the aerodynamic flight control surfaces, lower the landing gear, apply wheel brakes, steer the nosewheel, and dampen the external tank (ET) separation. Each hydraulic system has an associated water spray boiler which is used to cool the hydraulic fluid and APU lubricating oil. The IOA analysis process utilized available HYD/WSB hardware drawings, schematics and documents for defining hardware assemblies, components, and hardware items. Each level of hardware was evaluated and analyzed for possible failure modes and effects. Criticality was assigned based upon the severity of the effect for each failure mode. Of the 430 failure modes analyzed, 166 were determined to be PCIs.

  16. Independent Orbiter Assessment (IOA): Analysis of the remote manipulator system

    NASA Technical Reports Server (NTRS)

    Tangorra, F.; Grasmeder, R. F.; Montgomery, A. D.

    1987-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items (PCIs). To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The independent analysis results for the Orbiter Remote Manipulator System (RMS) are documented. The RMS hardware and software are primarily required for deploying and/or retrieving up to five payloads during a single mission, capture and retrieve free-flying payloads, and for performing Manipulator Foot Restraint operations. Specifically, the RMS hardware consists of the following components: end effector; displays and controls; manipulator controller interface unit; arm based electronics; and the arm. The IOA analysis process utilized available RMS hardware drawings, schematics and documents for defining hardware assemblies, components and hardware items. Each level of hardware was evaluated and analyzed for possible failure modes and effects. Criticality was assigned based upon the severity of the effect for each failure mode. Of the 574 failure modes analyzed, 413 were determined to be PCIs.

  17. Impact of Quality Improvement Educational Interventions on Documented Adherence to Quality Measures for Adults with Crohn's Disease.

    PubMed

    Greene, Laurence; Sapir, Tamar; Moreo, Kathleen; Carter, Jeffrey D; Patel, Barry; Higgins, Peter D R

    2015-09-01

    In recent years, leading organizations in inflammatory bowel disease (IBD) have developed quality measures for the care of adults with Crohn's disease or ulcerative colitis. We used chart audits to assess the impact of quality improvement educational activities on documented adherence to Physician Quality Reporting System measures for IBD. Twenty community-based gastroenterologists were recruited to participate in baseline chart audits (n = 200), a series of 4 accredited educational activities with feedback, and follow-up chart audits (n = 200). Trained abstractors reviewed randomly selected charts of adults with moderate or severe Crohn's disease. The charts were retrospectively abstracted for physicians' documented performance of the 2013 Physician Quality Reporting System IBD quality measures. We compared the physicians' baseline and posteducation rates of documented adherence with 10 of these measures. In a secondary analysis, we compared preeducation with posteducation difference scores of low-performing physicians, those whose baseline documentation rates were in the lowest quartile, and the rest of the cohort. At baseline, documentation of mean provider-level adherence to the 10 quality measures ranged from 3% to 98% (grand mean = 35.8%). In the overall analysis, baseline and posteducation rates of documented adherence did not differ significantly for any of the measures. However, for 4 measures, preeducation to posteducation difference scores were significantly greater among low performers than physicians in the highest 3 quartiles. The results of this preliminary pragmatic study indicate that quality improvement education affords the potential to improve adherence to Physician Quality Reporting System quality measures for IBD among low-performing gastroenterologists.

  18. Program and Project Management Framework

    NASA Technical Reports Server (NTRS)

    Butler, Cassandra D.

    2002-01-01

    The primary objective of this project was to develop a framework and system architecture for integrating program and project management tools that may be applied consistently throughout Kennedy Space Center (KSC) to optimize planning, cost estimating, risk management, and project control. Project management methodology used in building interactive systems to accommodate the needs of the project managers is applied as a key component in assessing the usefulness and applicability of the framework and tools developed. Research for the project included investigation and analysis of industrial practices, KSC standards, policies, and techniques, Systems Management Office (SMO) personnel, and other documented experiences of project management experts. In addition, this project documents best practices derived from the literature as well as new or developing project management models, practices, and techniques.

  19. An observational study to assess an electronic point-of-care wound documentation and reporting system regarding user satisfaction and potential for improved care.

    PubMed

    Florczak, Beth; Scheurich, Anne; Croghan, John; Sheridan, Philip; Kurtz, Debra; McGill, William; McClain, Bonny

    2012-03-01

    The integration of information technology into daily patient care potentially provides a means to standardize care and enable continuous quality improvement through improved communication among care teams. A 2-month observational study was conducted on 38 residents with pressure ulcers at a 51-bed skilled nursing facility to rate the Ease of Use and Wound Management Effectiveness of a point-of-care electronic wound documentation system. Nine nurses evaluated the use of handheld "smart phone" devices equipped with a digital camera to document pressure ulcer assessment and treatment at point of care. Ease of Use (five items) was scored on a 5-point Likert scale (5 = very easy); Wound Management Effectiveness (eight items) was scored on a 5-point Likert scale (5 = very effective). Statistically significant mean changes in nurses' ratings were found for baseline compared to 2-month follow-up by paired t-test. Ease of Use ratings across the five criteria increased from an overall mean of 3.3 at baseline to 4.7 at follow-up (P = 0.5), while Wound Management Effectiveness increased from an overall mean of 3.3 at baseline to 4.4 at follow-up (P = 0.5) . The greatest gains for single items were reviewing wound progress (mean difference = 2.35; P = 0.000) and recognizing changes in wound status (mean difference = 1.78; P = 0.001) within the Ease of Use and Wound Management Effectiveness scales, respectively. The smallest change occurred in reading charts and notes (mean difference = 0.89) and ability to determine resident's risk level (mean difference = 0.39). Further research is needed to assess use of a wound documentation system in this and other settings, as well as to ascertain validity and reliability.

  20. Independent Orbiter Assessment (IOA): FMEA/CIL assessment

    NASA Technical Reports Server (NTRS)

    Hinsdale, L. W.; Swain, L. J.; Barnes, J. E.

    1988-01-01

    The McDonnell Douglas Astronautics Company (MDAC) was selected to perform an Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL). Direction was given by the Orbiter and GFE Projects Office to perform the hardware analysis and assessment using the instructions and ground rules defined in NSTS 22206. The IOA analysis featured a top-down approach to determine hardware failure modes, criticality, and potential critical items. To preserve independence, the analysis was accomplished without reliance upon the results contained within the NASA and Prime Contractor FMEA/CIL documentation. The assessment process compared the independently derived failure modes and criticality assignments to the proposed NASA post 51-L FMEA/CIL documentation. When possible, assessment issues were discussed and resolved with the NASA subsystem managers. Unresolved issues were elevated to the Orbiter and GFE Projects Office manager, Configuration Control Board (CCB), or Program Requirements Control Board (PRCB) for further resolution. The most important Orbiter assessment finding was the previously unknown stuck autopilot push-button criticality 1/1 failure mode. The worst case effect could cause loss of crew/vehicle when the microwave landing system is not active. It is concluded that NASA and Prime Contractor Post 51-L FMEA/CIL documentation assessed by IOA is believed to be technically accurate and complete. All CIL issues were resolved. No FMEA issues remain that have safety implications. Consideration should be given, however, to upgrading NSTS 22206 with definitive ground rules which more clearly spell out the limits of redundancy.

  1. Independent Orbiter Assessment (IOA): Assessment of the reaction control system, volume 5

    NASA Technical Reports Server (NTRS)

    Prust, Chet D.; Hartman, Dan W.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the aft and forward Reaction Control System (RCS) hardware and Electrical Power Distribution and Control (EPD and C), generating draft failure modes and potential critical items. The IOA results were then compared to the proposed Post 51-L NASA FMEA/CIL baseline. This report documents the results of that comparison for the Orbiter RCS hardware and EPD and C systems. Volume 5 contains detailed analysis and superseded analysis worksheets and the NASA FMEA to IOA worksheet cross reference and recommendations.

  2. Closing the Loop in ICU Decision Support: Physiologic Event Detection, Alerts, and Documentation

    PubMed Central

    Norris, Patrick R.; Dawant, Benoit M.

    2002-01-01

    Automated physiologic event detection and alerting is a challenging task in the ICU. Ideally care providers should be alerted only when events are clinically significant and there is opportunity for corrective action. However, the concepts of clinical significance and opportunity are difficult to define in automated systems, and effectiveness of alerting algorithms is difficult to measure. This paper describes recent efforts on the Simon project to capture information from ICU care providers about patient state and therapy in response to alerts, in order to assess the value of event definitions and progressively refine alerting algorithms. Event definitions for intracranial pressure and cerebral perfusion pressure were studied by implementing a reliable system to automatically deliver alerts to clinical users’ alphanumeric pagers, and to capture associated documentation about patient state and therapy when the alerts occurred. During a 6-month test period in the trauma ICU at Vanderbilt University Medical Center, 530 alerts were detected in 2280 hours of data spanning 14 patients. Clinical users electronically documented 81% of these alerts as they occurred. Retrospectively classifying documentation based on therapeutic actions taken, or reasons why actions were not taken, provided useful information about ways to potentially improve event definitions and enhance system utility.

  3. IRIS Toxicological Review of Inorganic Arsenic (Cancer) ...

    EPA Pesticide Factsheets

    EPA's Science Advisory Board (SAB) conducted a review of the scientific basis supporting the human health cancer hazard and dose-response assessment of inorganic arsenic that will appear on the Integrated Risk Information System (IRIS) database. EPA revised the assessment and is now returning the assessment to the SAB and releasing the document to the public for a focused review of EPA's responses to the SAB recommendations. This draft IRIS health assessment addresses only cancer human health effects that may result from chronic exposure to this chemical.

  4. RE: Request for Correction - SAB Workgroup Review of Draft IRIS Assessment for Inorganic Arsenic

    EPA Pesticide Factsheets

    Request from Lynn Bergeson for the correction of information in the draft EPA document Toxicological Review of Inorganic Arsenic: In Support of the Summary Information on the Integrated Risk Information System (IRIS).

  5. 12 CFR 217.122 - Qualification requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... related processes; (ii) Have and document a process (which must capture business environment and internal... current business activities, risk profile, technological processes, and risk management processes; and (ii... assessment systems. (D) Business environment and internal control factors. The Board-regulated institution...

  6. 12 CFR 324.122 - Qualification requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... related processes; (ii) Have and document a process (which must capture business environment and internal... current business activities, risk profile, technological processes, and risk management processes; and (ii... assessment systems. (D) Business environment and internal control factors. The FDIC-supervised institution...

  7. Automated documentation error detection and notification improves anesthesia billing performance.

    PubMed

    Spring, Stephen F; Sandberg, Warren S; Anupama, Shaji; Walsh, John L; Driscoll, William D; Raines, Douglas E

    2007-01-01

    Documentation of key times and events is required to obtain reimbursement for anesthesia services. The authors installed an information management system to improve record keeping and billing performance but found that a significant number of their records still could not be billed in a timely manner, and some records were never billed at all because they contained documentation errors. Computer software was developed that automatically examines electronic anesthetic records and alerts clinicians to documentation errors by alphanumeric page and e-mail. The software's efficacy was determined retrospectively by comparing billing performance before and after its implementation. Staff satisfaction with the software was assessed by survey. After implementation of this software, the percentage of anesthetic records that could never be billed declined from 1.31% to 0.04%, and the median time to correct documentation errors decreased from 33 days to 3 days. The average time to release an anesthetic record to the billing service decreased from 3.0+/-0.1 days to 1.1+/-0.2 days. More than 90% of staff found the system to be helpful and easier to use than the previous manual process for error detection and notification. This system allowed the authors to reduce the median time to correct documentation errors and the number of anesthetic records that were never billed by at least an order of magnitude. The authors estimate that these improvements increased their department's revenue by approximately $400,000 per year.

  8. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bashor, B.S.

    The major resources used by the Bureau of Environment, and Environmental Epidemiology (EEP) for risk assessment are: the Integrated Risk Information System (IRIS), Health and Environmental Effects Summary Table (HEAST), Agency for Toxic Substances and disease Registry (ATSDR) Toxicological Profiles, databases at the National Library of Medicine (NLM), World Health Organization (WHO) ENvironmental Criteria, and documents that the Environmental Protection Agency (EPA) has published on Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) risk assessment activities. The Risk Assessment Review has been helpful in providing information about availability of new documents or information. No systematic method has been made availablemore » to us to locate information resources. IRIS User`s Support has been helpful in making appropriate and timely referrals. Most other EPA resources were located by serendipity and persistence. The CERCLA methodology for risk assessments is being used in environmental programs, and at present, one person is responsible for all risk assessment activities in the department, but plans are underway to train one or two people from each program area. 2 figs.« less

  9. Social tagging in the life sciences: characterizing a new metadata resource for bioinformatics.

    PubMed

    Good, Benjamin M; Tennis, Joseph T; Wilkinson, Mark D

    2009-09-25

    Academic social tagging systems, such as Connotea and CiteULike, provide researchers with a means to organize personal collections of online references with keywords (tags) and to share these collections with others. One of the side-effects of the operation of these systems is the generation of large, publicly accessible metadata repositories describing the resources in the collections. In light of the well-known expansion of information in the life sciences and the need for metadata to enhance its value, these repositories present a potentially valuable new resource for application developers. Here we characterize the current contents of two scientifically relevant metadata repositories created through social tagging. This investigation helps to establish how such socially constructed metadata might be used as it stands currently and to suggest ways that new social tagging systems might be designed that would yield better aggregate products. We assessed the metadata that users of CiteULike and Connotea associated with citations in PubMed with the following metrics: coverage of the document space, density of metadata (tags) per document, rates of inter-annotator agreement, and rates of agreement with MeSH indexing. CiteULike and Connotea were very similar on all of the measurements. In comparison to PubMed, document coverage and per-document metadata density were much lower for the social tagging systems. Inter-annotator agreement within the social tagging systems and the agreement between the aggregated social tagging metadata and MeSH indexing was low though the latter could be increased through voting. The most promising uses of metadata from current academic social tagging repositories will be those that find ways to utilize the novel relationships between users, tags, and documents exposed through these systems. For more traditional kinds of indexing-based applications (such as keyword-based search) to benefit substantially from socially generated metadata in the life sciences, more documents need to be tagged and more tags are needed for each document. These issues may be addressed both by finding ways to attract more users to current systems and by creating new user interfaces that encourage more collectively useful individual tagging behaviour.

  10. ODMSummary: A Tool for Automatic Structured Comparison of Multiple Medical Forms Based on Semantic Annotation with the Unified Medical Language System.

    PubMed

    Storck, Michael; Krumm, Rainer; Dugas, Martin

    2016-01-01

    Medical documentation is applied in various settings including patient care and clinical research. Since procedures of medical documentation are heterogeneous and developed further, secondary use of medical data is complicated. Development of medical forms, merging of data from different sources and meta-analyses of different data sets are currently a predominantly manual process and therefore difficult and cumbersome. Available applications to automate these processes are limited. In particular, tools to compare multiple documentation forms are missing. The objective of this work is to design, implement and evaluate the new system ODMSummary for comparison of multiple forms with a high number of semantically annotated data elements and a high level of usability. System requirements are the capability to summarize and compare a set of forms, enable to estimate the documentation effort, track changes in different versions of forms and find comparable items in different forms. Forms are provided in Operational Data Model format with semantic annotations from the Unified Medical Language System. 12 medical experts were invited to participate in a 3-phase evaluation of the tool regarding usability. ODMSummary (available at https://odmtoolbox.uni-muenster.de/summary/summary.html) provides a structured overview of multiple forms and their documentation fields. This comparison enables medical experts to assess multiple forms or whole datasets for secondary use. System usability was optimized based on expert feedback. The evaluation demonstrates that feedback from domain experts is needed to identify usability issues. In conclusion, this work shows that automatic comparison of multiple forms is feasible and the results are usable for medical experts.

  11. In Situ Corrosion and Heat Loss Assessment of Two Nonstandard Underground Heat Distribution System Piping Designs: Supplement-Appendices for Final Report on Project F07-AR01

    DTIC Science & Technology

    2011-06-01

    negative mission impacts . This report documents the assessment of two similar nonstandard UHDS piping system designs — one at Fort Carson, CO, and one at...psig and monitored for 2 hours to determine whether the conduit piping system is protected from ground water infiltration and its degrading impacts ...Conduits to/from this pit were tested from adjacent pits. 2. Supply, Return drains tested on 8/15/07: All Dry N S EW MH-3N ERDC/CERL TR-11-14 H13

  12. Dossier of Evaluation Instruments for Literacy Programmes. A Contribution to the International Literacy Year 1990.

    ERIC Educational Resources Information Center

    Muller, Josef, Ed.; Dietrich, Anja, Ed.

    This document contains a collection of literacy program evaluation instruments from developing countries, as well as several papers describing how to use evaluation instruments to assess various types of systems. The following titles (with author or country of origin) are contained in this collection: "Designing a System of Evaluation and…

  13. 49 CFR Appendix F to Part 236 - Minimum Requirements of FRA Directed Independent Third-Party Assessment of PTC System Safety...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., national, or international standards. (f) The reviewer shall analyze all Fault Tree Analyses (FTA), Failure... cited by the reviewer; (4) Identification of any documentation or information sought by the reviewer...) Identification of the hardware and software verification and validation procedures for the PTC system's safety...

  14. Report on Health Care Education in Nevada.

    ERIC Educational Resources Information Center

    Nevada Univ. and Community Coll. System, Reno. Office of the Chancellor.

    This document attempts to determine whether the University and Community College System of Nevada (UCCSN) is preparing a health care workforce that is appropriate for the current and future health care needs of the state of Nevada. To assess this issue, the system collected and analyzed current data in terms of the state of health and health care…

  15. Documenting pharmacist interventions on an intranet.

    PubMed

    Simonian, Armen I

    2003-01-15

    The process of developing and implementing an intranet Web site for clinical intervention documentation is described. An inpatient pharmacy department initiated an organizationwide effort to improve documentation of interventions by pharmacists at its seven hospitals to achieve real-time capture of meaningful benchmarking data. Standardization of intervention types would allow the health system to contrast and compare medication use, process improvement, and patient care initiatives among its hospitals. After completing a needs assessment and reviewing current methodologies, a computerized tracking tool was developed in-house and integrated with the organization's intranet. Representatives from all hospitals agreed on content and functionality requirements for the Web site. The site was completed and activated in February 2002. Before this Web site was established, the most documented intervention types were Renal Adjustment and Clarify Dose, with a daily average of four and three, respectively. After site activation, daily averages for Renal Adjustment remained unchanged, but Clarify Dose is now documented nine times per day. Drug Information and i.v.-to-p.o. intervention types, which previously averaged less than one intervention per day, are now documented an average of four times daily. Approximately 91% of staff pharmacists are using this site. Future plans for this site include enhanced accessibility to the site with wireless personal digital assistants. The design and implementation of an intranet Web site to document pharmacists' interventions doubled the rate of intervention documentation and standardized the intervention types among hospitals in the health system.

  16. Independent Orbiter Assessment (IOA): Assessment of the extravehicular mobility unit, volume 2

    NASA Technical Reports Server (NTRS)

    Raffaelli, Gary G.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort performed an independent analysis of the Extravehicular Mobility Unit (EMU) hardware and system, generating draft failure modes criticalities and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the most recent proposed Post 51-L NASA FMEA/CIL baseline. A resolution of each discrepancy from the comparison was provided through additional analysis as required. This report documents the results of that comparison for the Orbiter EMU hardware. Volume 2 continues the presentation of IOA analysis worksheets and contains the potential critical items list and NASA FMEA to IOA worksheet cross references and recommendations.

  17. Understanding human resource management practices in Botswana's public health sector.

    PubMed

    Seitio-Kgokgwe, Onalenna Stannie; Gauld, Robin; Hill, Philip C; Barnett, Pauline

    2016-11-21

    Purpose The purpose of this paper is to assess the management of the public sector health workforce in Botswana. Using institutional frameworks it aims to document and analyse human resource management (HRM) practices, and make recommendations to improve employee and health system outcomes. Design/methodology/approach The paper draws from a large study that used a mixed methods approach to assess performance of Botswana's Ministry of Health (MOH). It uses data collected through document analysis and in-depth interviews of 54 key informants comprising policy makers, senior staff of the MOH and its stakeholder organizations. Findings Public health sector HRM in Botswana has experienced inadequate planning, poor deployment and underutilization of staff. Lack of comprehensive retention strategies and poor working conditions contributed to the failure to attract and retain skilled personnel. Relationships with both formal and informal environments affected HRM performance. Research limitations/implications While document review was a major source of data for this paper, the weaknesses in the human resource information system limited availability of data. Practical implications This paper presents an argument for the need for consideration of formal and informal environments in developing effective HRM strategies. Originality/value This research provides a rare system-wide approach to health HRM in a Sub-Saharan African country. It contributes to the literature and evidence needed to guide HRM policy decisions and practices.

  18. Engineering risk reduction in satellite programs

    NASA Technical Reports Server (NTRS)

    Dean, E. S., Jr.

    1979-01-01

    Methods developed in planning and executing system safety engineering programs for Lockheed satellite integration contracts are presented. These procedures establish the applicable safety design criteria, document design compliance and assess the residual risks where non-compliant design is proposed, and provide for hazard analysis of system level test, handling and launch preparations. Operations hazard analysis identifies product protection and product liability hazards prior to the preparation of operational procedures and provides safety requirements for inclusion in them. The method developed for documenting all residual hazards for the attention of program management assures an acceptable minimum level of risk prior to program deployment. The results are significant for persons responsible for managing or engineering the deployment and production of complex high cost equipment under current product liability law and cost/time constraints, have a responsibility to minimize the possibility of an accident, and should have documentation to provide a defense in a product liability suit.

  19. Authentication systems for securing clinical documentation workflows. A systematic literature review.

    PubMed

    Schwartze, J; Haarbrandt, B; Fortmeier, D; Haux, R; Seidel, C

    2014-01-01

    Integration of electronic signatures embedded in health care processes in Germany challenges health care service and supply facilities. The suitability of the signature level of an eligible authentication procedure is confirmed for a large part of documents in clinical practice. However, the concrete design of such a procedure remains unclear. To create a summary of usable user authentication systems suitable for clinical workflows. A Systematic literature review based on nine online bibliographic databases. Search keywords included authentication, access control, information systems, information security and biometrics with terms user authentication, user identification and login in title or abstract. Searches were run between 7 and 12 September 2011. Relevant conference proceedings were searched manually in February 2013. Backward reference search of selected results was done. Only publications fully describing authentication systems used or usable were included. Algorithms or purely theoretical concepts were excluded. Three authors did selection independently. DATA EXTRACTION AND ASSESSMENT: Semi-structured extraction of system characteristics was done by the main author. Identified procedures were assessed for security and fulfillment of relevant laws and guidelines as well as for applicability. Suitability for clinical workflows was derived from the assessments using a weighted sum proposed by Bonneau. Of 7575 citations retrieved, 55 publications meet our inclusion criteria. They describe 48 different authentication systems; 39 were biometric and nine graphical password systems. Assessment of authentication systems showed high error rates above European CENELEC standards and a lack of applicability of biometric systems. Graphical passwords did not add overall value compared to conventional passwords. Continuous authentication can add an additional layer of safety. Only few systems are suitable partially or entirely for use in clinical processes. Suitability strongly depends on national or institutional requirements. Four authentication systems seem to fulfill requirements of authentication procedures for clinical workflows. Research is needed in the area of continuous authentication with biometric methods. A proper authentication system should combine all factors of authentication implementing and connecting secure individual measures.

  20. LIFE CYCLE ASSESSMENT: PRINCIPLES AND PRACTICE

    EPA Science Inventory

    The following document provides an introductory overview of Life Cycle Assessment (LCA) and describes the general uses and major components of LCA. This document is an update and merger of two previous EPA documents on LCA ("Life Cycle Assessment: Inventory Guidelines and Princip...

  1. Alcoa North American Extrusions Implements Energy Use Assessments at Multiple Facilities

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    None

    2001-08-01

    This case study is the latest in a series on industrial firms who are implementing energy efficient technologies and system improvements into their manufacturing processes. The case studies document the activities, savings, and lessons learned on these projects.

  2. Space Based Infrared System High (SBIRS High)

    DTIC Science & Technology

    2015-12-01

    Cost Assessment and Program Evaluation CARD - Cost Analysis Requirements Description CDD - Capability Development Document CLIN - Contract Line Item...Funds for the Commercially Hosted Infrared Payload ( CHIRP ), project number A040, were excluded from this report. Those RDT&E funds are not associated

  3. ITS impacts assessment for Seattle MMDI evaluation : modeling methodology and results

    DOT National Transportation Integrated Search

    1999-01-01

    This document presents a modeling analysis of Intelligent Transportation Systems (ITS) impacts from the SmartTrek program in Seattle, Washington. This report describes the methodology of the study and presents the finding for a mixed freeway/arterial...

  4. North Carolina "Sealed Corridor" Phase I, II, and III Assessment

    DOT National Transportation Integrated Search

    2009-10-01

    The Federal Railroad Administration (FRA) tasked the John A. Volpe National Transportation Systems Center to document the further success of the North Carolina DOT "Sealed Corridor" project through Phases I, II, and III. The Sealed Corridor is the se...

  5. 36 CFR 220.3 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... environmental impact statement (EIS) or environmental assessment (EA). Decision notice. A concise written record... ENVIRONMENTAL POLICY ACT (NEPA) COMPLIANCE § 220.3 Definitions. The following definitions supplement, by adding... about natural resource systems is sometimes uncertain. Decision document. A record of decision, decision...

  6. ITS impacts assessment for Seattle MMDI evaluation : modeling methodology and results

    DOT National Transportation Integrated Search

    1999-09-01

    This document presents an executive summary of a modeling analysis of Intelligent Transportation Systems (ITS) impacts from the SmartTrek program in Seattle, Washington. This report describes the methodology of the study and presents the finding for ...

  7. Independent Orbiter Assessment (IOA): Assessment of the reaction control system, volume 1

    NASA Technical Reports Server (NTRS)

    Prust, Chet D.; Hartman, Dan W.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the aft and forward Reaction Control System (RCS) hardware, and Electrical Power Distribution and Control (EPD and C), generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the proposed Post 51-L NASA FMEA/CIL baseline. This report documents the results of that comparison for the Orbiter RCS hardware and EPD and C systems. The IOA product for the RCS analysis consisted of 208 hardware and 2064 EPD and C failure mode worksheets that resulted in 141 hardware and 449 EPD and C potential critical items (PCIs) being identified. A comparison was made of the IOA product to the NASA FMEA/CIL baseline. After comparison and discussions with the NASA subsystem manager, 96 hardware issues, 83 of which concern CIL items or PCIs, and 280 EPD and C issues, 158 of which concern CIL items or PCIs, and 280 EPD and C issues, 158 of which concern CIL items or PCIs, remain unresolved. Volume 1 contains the subsystem description, assessment results, and some of the IOA worksheets.

  8. Joint Precision Approach and Landing System Nunn-McCurdy Breach Root Cause Analysis and Portfolio Assessment Metrics for DoD Weapons Systems. Volume 8

    DTIC Science & Technology

    2015-01-01

    system that would help in adverse weather conditions. U.S. operations in Bosnia, which were run from a relatively austere airfield with limited air... operations beginning in 2013 (CVN21, Joint Strike Fighter, Joint Unmanned Combat Air System ). cAccording to multiple FAA ofcial planning documents...Positioning System Next Generation Operational Control System HMS Handheld, Manpack and Small Form Fit HUD Head up Display IAMD Integrated Air and

  9. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.

    PubMed

    Hanson, Janice L; Stephens, Mark B; Pangaro, Louis N; Gimbel, Ronald W

    2012-11-19

    There are no empirically-grounded criteria or tools to define or benchmark the quality of outpatient clinical documentation. Outpatient clinical notes document care, communicate treatment plans and support patient safety, medical education, medico-legal investigations and reimbursement. Accurately describing and assessing quality of clinical documentation is a necessary improvement in an increasingly team-based healthcare delivery system. In this paper we describe the quality of outpatient clinical notes from the perspective of multiple stakeholders. Using purposeful sampling for maximum diversity, we conducted focus groups and individual interviews with clinicians, nursing and ancillary staff, patients, and healthcare administrators at six federal health care facilities between 2009 and 2011. All sessions were audio-recorded, transcribed and qualitatively analyzed using open, axial and selective coding. The 163 participants included 61 clinicians, 52 nurse/ancillary staff, 31 patients and 19 administrative staff. Three organizing themes emerged: 1) characteristics of quality in clinical notes, 2) desired elements within the clinical notes and 3) system supports to improve the quality of clinical notes. We identified 11 codes to describe characteristics of clinical notes, 20 codes to describe desired elements in quality clinical notes and 11 codes to describe clinical system elements that support quality when writing clinical notes. While there was substantial overlap between the aspects of quality described by the four stakeholder groups, only clinicians and administrators identified ease of translation into billing codes as an important characteristic of a quality note. Only patients rated prioritization of their medical problems as an aspect of quality. Nurses included care and education delivered to the patient, information added by the patient, interdisciplinary information, and infection alerts as important content. Perspectives of these four stakeholder groups provide a comprehensive description of quality in outpatient clinical documentation. The resulting description of characteristics and content necessary for quality notes provides a research-based foundation for assessing the quality of clinical documentation in outpatient health care settings.

  10. A portable digital microphotography unit for rapid documentation of periungual nailfold capillary changes in autoimmune connective tissue diseases.

    PubMed

    Sontheimer, Richard D

    2004-03-01

    While employing a DermLite dermoscopy unit to assess pigment pattern networks in melanocytic skin lesions, it was observed that this compact, portable dermoscopy unit can also be used to quickly detect nailfold capillary changes when entertaining a diagnosis of autoimmune connective tissue diseases (CTD) such as dermatomyositis (DM), scleroderma/systemic sclerosis (SSc), or systemic lupus erythematosus. Aware that the suppliers of the DermLite dermoscopy unit also market a portable digital microphotography unit based on the DermLite optical principles for efficiently documenting cutaneous pigment network patterns, we investigated whether this unit (DermLite Foto flash unit attached to a Nikon Coolpix digital camera) might be used to photographically document nailfold capillary changes in patients with autoimmune CTD. A DermLite Foto flash unit attached to a Nikon Coolpix digital camera was used in a controlled observational study to obtain digital photographs of nailfold capillaries in a small sequential sample of patients with autoimmune CTD attending a rheumatic skin disease subspecialty clinic in an academic department of dermatology. The digital microphotography system proved to be highly useful in documenting the nailfold vascular changes observed in a small sample of patients with DM. We observed that the nailfold capillary changes seen in patients with clinically amyopathic DM were qualitatively and quantitatively similar to those seen in patients with classical DM. Digital microphotography systems designed for examining pigmented skin lesions can be used easily to document nailfold capillary changes often observed in DM and SSc. Nailfold capillary changes documented in this manner appear to be indistinguishable in clinically amyopathic DM and classical DM.

  11. A systematic review of nursing research priorities on health system and services in the Americas.

    PubMed

    Garcia, Alessandra Bassalobre; Cassiani, Silvia Helena De Bortoli; Reveiz, Ludovic

    2015-03-01

    To systematically review literature on priorities in nursing research on health systems and services in the Region of the Americas as a step toward developing a nursing research agenda that will advance the Regional Strategy for Universal Access to Health and Universal Health Coverage. This was a systematic review of the literature available from the following databases: Web of Science, PubMed, LILACS, and Google. Documents considered were published in 2008-2014; in English, Spanish, or Portuguese; and addressed the topic in the Region of the Americas. The documents selected had their priority-setting process evaluated according to the "nine common themes for good practice in health research priorities." A content analysis collected all study questions and topics, and sorted them by category and subcategory. Of 185 full-text articles/documents that were assessed for eligibility, 23 were selected: 12 were from peer-reviewed journals; 6 from nursing publications; 4 from Ministries of Health; and 1 from an international organization. Journal publications had stronger methodological rigor; the majority did not present a clear implementation or evaluation plan. After compiling the 444 documents' study questions and topics, the content analysis resulted in a document with 5 categories and 16 subcategories regarding nursing research priorities on health systems and services. Research priority-setting is a highly important process for health services improvement and resources optimization, but implementation and evaluation plans are rarely included. The resulting document will serve as basis for the development of a new nursing research agenda focused on health systems and services, and shaped to advance universal health coverage and universal access to health.

  12. A multi-agent system for monitoring patient flow.

    PubMed

    Rosati, Samanta; Tralli, Augusta; Balestra, Gabriella

    2013-01-01

    Patient flow within a healthcare facility may follow different and, sometimes, complicated paths. Each path phase is associated with the documentation of the activities carried out during it and may require the consultation of clinical guidelines, medical literature and the use of specific software and decision aid systems. In this study we present the design of a Patient Flow Management System (PFMS) based on Multi Agent Systems (MAS) methodology. System requirements were identified by means of process modeling tools and a MAS consisting of six agents was designed and is under construction. Its main goal is to support both the medical staff during the health care process and the hospital managers in assuring that all the required documentation is completed and available. Moreover, such a tool can be used for the assessment and comparison of different clinical pathways, in order to identify possible improvementsand the optimum patient flow.

  13. The standard calibration instrument automation system for the atomic absorption spectrophotometer. Part 3: Program documentation

    NASA Astrophysics Data System (ADS)

    Ryan, D. P.; Roth, G. S.

    1982-04-01

    Complete documentation of the 15 programs and 11 data files of the EPA Atomic Absorption Instrument Automation System is presented. The system incorporates the following major features: (1) multipoint calibration using first, second, or third degree regression or linear interpolation, (2) timely quality control assessments for spiked samples, duplicates, laboratory control standards, reagent blanks, and instrument check standards, (3) reagent blank subtraction, and (4) plotting of calibration curves and raw data peaks. The programs of this system are written in Data General Extended BASIC, Revision 4.3, as enhanced for multi-user, real-time data acquisition. They run in a Data General Nova 840 minicomputer under the operating system RDOS, Revision 6.2. There is a functional description, a symbol definitions table, a functional flowchart, a program listing, and a symbol cross reference table for each program. The structure of every data file is also detailed.

  14. Capability of Using Clinical Care Classification System to Represent Nursing Practice in Acute Setting in Taiwan

    PubMed Central

    Feng, Rung-Chuang; Tseng, Kuan-Jui; Yan, Hsiu-Fang; Huang, Hsiu-Ya; Chang, Polun

    2012-01-01

    This study examines the capability of the Clinical Care Classification (CCC) system to represent nursing record data in a medical center in Taiwan. Nursing care records were analyzed using the process of knowledge discovery in data sets. The study data set included all the nursing care plan records from December 1998 to October 2008, totaling 2,060,214 care plan documentation entries. Results show that 75.42% of the documented diagnosis terms could be mapped using the CCC system. A total of 21 established nursing diagnoses were recommended to be added into the CCC system. Results show that one-third of the assessment and care tasks were provided by nursing professionals. This study shows that the CCC system is useful for identifying patterns in nursing practices and can be used to construct a nursing database in the acute setting. PMID:24199066

  15. Guidance on the Technology Performance Level (TPL) Assessment Methodology

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Weber, Jochem; Roberts, Jesse D.; Babarit, Aurelien

    This document presents the revised Technology Performance Level (TPL) assessment methodology. There are three parts to this revised methodology 1) the Stakeholder Needs and Assessment Guidance (this document), 2) the Technical Submission form, 3) the TPL scoring spreadsheet. The TPL assessment is designed to give a technology neutral or agnostic assessment of any wave energy converter technology. The focus of the TPL is on the performance of the technology in meeting the customer’s needs. The original TPL is described in [1, 2] and those references also detail the critical differences in the nature of the TPL when compared to themore » more widely used technology readiness level (TRL). (Wave energy TRL is described in [3]). The revised TPL is particularly intended to be useful to investors and also to assist technology developers to conduct comprehensive assessments in a way that is meaningful and attractive to investors. The revised TPL assessment methodology has been derived through a structured Systems Engineering approach. This was a formal process which involved analyzing customer and stakeholder needs through the discipline of Systems Engineering. The results of the process confirmed the high level of completeness of the original methodology presented in [1] (as used in the Wave Energy Prize judging) and now add a significantly increased level of detail in the assessment and an improved more investment focused structure. The revised TPL also incorporates the feedback of the Wave Energy Prize judges.« less

  16. Conceptions of systemic reform: California science education as an investigative example

    NASA Astrophysics Data System (ADS)

    Sachse, Thomas Paul

    This study explored three perspectives of systemic reform in the context of the California state strategies for improving science education. The three perspectives are those of conceptualizers, implementers, and government administrators. The California case study is examined during the ten-year period from 1983 to 1993. This study is of particular significance, because it examines science education reforms during the ten-year period of Bill Honig's state superintendency in the largest and most diverse state. By examining the facets of state science reforms from three rather different perspectives, the study contrasts how systemic reform definitions vary with role. This qualitative study employs document analysis, archival reviews, and participant interviews as the primary data collection methods. Document analysis included key curriculum frameworks, project proposals and reports, relevant legislation, and professional correspondence. Archival reviews included databases (such as the California Basic Educational Data System), assessment reports (such as the California Assessment Program---Rationale and Content), and policy analyses (such as the Policy Analysis for California Education---Conditions of Education). Interviews were conducted for each of the three perspectives across five segments of the reform strategy for a total of fifteen interviews. Data analysis consisted of combining detailed reviews of documents, archives, and interview information with an examination of perspectives, by role group. The study concludes with an analysis of how each role group perceived the facets of systemic reform in the context of the California case study of science education reform. In addition, the research points to "lessons learned", the strengths and weaknesses of systemic reform strategies at the state level. The study offers recommendations to other large-scale (state level) policy reformers interested in creating, sustaining, and maintaining lasting change.

  17. Assessing Weapon System Acquisition Cycle Times: Setting Program Schedules

    DTIC Science & Technology

    2015-06-01

    additional research, focused as follows: 1 . Acquisition schedule development: How are schedules for acquisition programs actually set and how are they...the germinating requirements documents specific to systems reviewed. A clear statement was found for only one system (Air and Missile Defense Radar...AMDR) when specific threat capabilities were projected to be operational. • Program schedule setting varies in rigor: 1 Up to the interim version of

  18. Human Systems Integration (HSI) in Acquisition. Acquisition Phase Guide

    DTIC Science & Technology

    2009-08-01

    information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and...maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of...available Concept of Operations (CONOPS) and other available data 1.1 Select and review Baseline Comparison System(s) (BCS) documentation 1.2 Assess

  19. Information and problem report usage in system saftey engineering division

    NASA Technical Reports Server (NTRS)

    Morrissey, Stephen J.

    1990-01-01

    Five basic problems or question areas are examined. They are as follows: (1) Evaluate adequacy of current problem/performance data base; (2) Evaluate methods of performing trend analysis; (3) Methods and sources of data for probabilistic risk assessment; and (4) How is risk assessment documentation upgraded and/or updated. The fifth problem was to provide recommendations for each of the above four areas.

  20. Modular Engine Noise Component Prediction System (MCP) Technical Description and Assessment Document

    NASA Technical Reports Server (NTRS)

    Herkes, William H.; Reed, David H.

    2005-01-01

    This report describes an empirical prediction procedure for turbofan engine noise. The procedure generates predicted noise levels for several noise components, including inlet- and aft-radiated fan noise, and jet-mixing noise. This report discusses the noise source mechanisms, the development of the prediction procedures, and the assessment of the accuracy of these predictions. Finally, some recommendations for future work are presented.

  1. Joint Land Attack Cruise Missile Defense Elevated Netted Sensor System (JLENS)

    DTIC Science & Technology

    2013-12-01

    Initial Production $M - Millions of Dollars MILCON - Military Construction N /A - Not Applicable O&S - Operating and Support Oth - Other PAUC - Program...RDT&E - Research, Development, Test, and Evaluation SAR - Selected Acquisition Report Sch - Schedule Spt - Support TBD - To Be Determined TY - Then...completion, assess test results, correct short comings/deficiencies, and develop documentation to track and assess program status. On January 31

  2. Progress Made on a Plan To Integrate Planning, Budgeting, Assessment and Quality Principles To Achieve Institutional Improvement. First Year Report. AIR 1996 Annual Forum Paper.

    ERIC Educational Resources Information Center

    Griffith, Susan R.; And Others

    This paper describes first year implementation efforts of Southwest Texas (SWT) State University to develop a system to integrate planning, budgeting, assessment, and quality to improve the delivery of education and other services to all the institution's customers. The document addresses the common situation when an organization already has…

  3. Assessment of oral mucositis in adult and pediatric oncology patients: an evidence-based approach.

    PubMed

    Farrington, Michele; Cullen, Laura; Dawson, Cindy

    2010-01-01

    Oral mucositis is a frequent side effect of cancer treatment and can lead to delayed treatment, reduced treatment dosage, altered nutrition, dehydration, infections, xerostomia, pain, and higher healthcare costs. Mucositis is defined as "inflammatory lesions of the oral and/or gastrointestinal tract caused by high-dose cancer therapies. Alimentary tract mucositis refers to the expression of mucosal injury across the continuum of oral and gastrointestinal mucosa, from the mouth to the anus" (Peterson, Bensadoun, & Roila, 2008, p. ii122). Evidence demonstrates that oral mucositis is quite distressing for patients. In addition, the majority of oncology nurses are unaware of available guidelines related to the care of oral mucositis. A multidisciplinary Oral Mucositis Committee was formed by the University of Iowa Hospitals and Clinics to develop evidence-based prevention and treatment strategies for adult and pediatric oncology patients experiencing oral mucositis. The first step was implementing an evidence-based nursing oral assessment. The Iowa Model was used to guide this evidence-based practice initiative. The Oral Assessment Guide (OAG) is reliable and valid, feasible, and sensitive to changing conditions. The OAG was piloted on an Adult Leukemia and Bone Marrow Transplant Unit leading to modification and adaptation. The pilot evaluation found 87% of patients had an abnormal oral assessment involving all categories in the tool. Nursing questionnaires showed that staff (8/23; 35% response) felt they were able to identify at risk patients using the OAG (3.3; 1-4 scale), and the tool accurately identifies mucosal changes (2.9; 1-4 scale). A knowledge assessment found nurses correctly identified OAG components 63% of the time. Unlike results from a national survey, most University of Iowa Hospitals and Clinics nurses (63%) were aware of national guidelines for prevention and treatment of oral mucositis. Developing an evidence-based nursing policy and updating documentation systems was done before implementation occurred. Computer-based and printed educational materials were developed for nursing staff caring for oncology patients. Team members were responsible for facilitating adoption in clinical areas. After organizational roll out, the nursing assessment was documented in all patients 87% of the time, and 99% for inpatients. The highest risk population, head and neck cancer patients receiving radiation, had documentation in 88% of audited visits. Other clinics required further work. Changing the system to the electronic medical record created an additional need for integration of the evidence-based practice with housewide documentation of oral assessment being completed 60.9% of the time. Use of an evidence-based assessment is the first step in a comprehensive program to reduce a common and highly distressing side effect of cancer treatment. Nursing documentation of oral assessment is well integrated on inpatient units. Opportunities for improvement remain in ambulatory care. Multidisciplinary team collaborations to expand evidence-based assessment and research questions generated from this work will be shared.

  4. Independent Orbiter Assessment (IOA): Analysis of the auxiliary power unit

    NASA Technical Reports Server (NTRS)

    Barnes, J. E.

    1986-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. This report documents the independent analysis results corresponding to the Orbiter Auxiliary Power Unit (APU). The APUs are required to provide power to the Orbiter hydraulics systems during ascent and entry flight phases for aerosurface actuation, main engine gimballing, landing gear extension, and other vital functions. For analysis purposes, the APU system was broken down into ten functional subsystems. Each level of hardware was evaluated and analyzed for possible failure modes and effects. Criticality was assigned based upon the severity of the effect for each failure mode. A preponderance of 1/1 criticality items were related to failures that allowed the hydrazine fuel to escape into the Orbiter aft compartment, creating a severe fire hazard, and failures that caused loss of the gas generator injector cooling system.

  5. Inter-professional electronic documents and child health: a study of persisting non-electronic communication in the use of electronic documents.

    PubMed

    Saario, Sirpa; Hall, Christopher; Peckover, Sue

    2012-12-01

    Information and communication technologies are widely used in health and social care settings to replace previous means of record keeping, assessment and communication. Commentary on the strengths and weaknesses of such systems abound, thus it is useful to examine how they are used in practice. This article draws on findings from two separate studies, conducted between 2005 and 2007, which examined how child health and welfare professionals use electronic documents in Finland and England. Known respectively as Miranda and CAF, these systems are different in terms of structure and function but in their everyday use common features are identified, notably the continued use of and reliance on non-electronic means of communication. Based on interviews with professionals, three forms of non-electronic communication are described: alternative records, phone calls and letters, which facilitate the sharing of the electronic record. Finally, the electronic documents are further analysed as potential boundary objects which aim to create common understanding between sites and professionals. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Document creation, linking, and maintenance system

    DOEpatents

    Claghorn, Ronald [Pasco, WA

    2011-02-15

    A document creation and citation system designed to maintain a database of reference documents. The content of a selected document may be automatically scanned and indexed by the system. The selected documents may also be manually indexed by a user prior to the upload. The indexed documents may be uploaded and stored within a database for later use. The system allows a user to generate new documents by selecting content within the reference documents stored within the database and inserting the selected content into a new document. The system allows the user to customize and augment the content of the new document. The system also generates citations to the selected content retrieved from the reference documents. The citations may be inserted into the new document in the appropriate location and format, as directed by the user. The new document may be uploaded into the database and included with the other reference documents. The system also maintains the database of reference documents so that when changes are made to a reference document, the author of a document referencing the changed document will be alerted to make appropriate changes to his document. The system also allows visual comparison of documents so that the user may see differences in the text of the documents.

  7. Documenting Student Competence through Effective Performance Assessment: Employability Skills. Workshop Summary.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Agricultural Curriculum Materials Service.

    This report contains 26 performance assessments for documenting student employability skills. Each performance assessment consists of the following: a competency; a terminal performance objective (outcome); competency builders and pupil performance objectives (criteria for documenting mastery of the objective); applied academic competencies;…

  8. Recommendations for and Documentation of Biological Values for Use in Risk Assessment

    EPA Science Inventory

    The document was prepared by the Office of Health and Environmental Assessment, Environmental Criteria and Assessment Office, Cincinnati, OH for the Office of Solid Waste and Emergency Response. The document consists of an extensive compliation of values gleaned from published li...

  9. Does teaching of documentation of shoulder dystocia delivery through simulation result in improved documentation in real life?

    PubMed

    Comeau, Robyn; Craig, Catherine

    2014-03-01

    Documentation of deliveries complicated by shoulder dystocia is a valuable communication skill necessary for residents to attain during residency training. Our objective was to determine whether the teaching of documentation of shoulder dystocia in a simulation environment would translate to improved documentation of the event in an actual clinical situation. We conducted a cohort study involving obstetrics and gynaecology residents in years 2 to 5 between November 2010 and December 2012. Each resident participated in a shoulder dystocia simulation teaching session and was asked to write a delivery note immediately afterwards. They were given feedback regarding their performance of the delivery and their documentation of the events. Following this, dictated records of shoulder dystocia deliveries immediately before and after the simulation session were identified through the Meditech system. An itemized checklist was used to assess the quality of residents' dictated documentation before and after the simulation session. All eligible residents (18) enrolled in the study, and 17 met the inclusion criteria. For 10 residents (59%) documentation of a delivery with shoulder dystocia was present before and after the simulation session, for five residents (29%) it was only present before the session, and for two residents (18%) it was only present after the session. When residents were assessed as a group, there were no differences in the proportion of residents recording items on the checklist before and after the simulation session (P > 0.05 for all). Similarly, analysis of the performance of the10 residents who had dictated documentation both before and after the session showed no differences in the number of elements recorded on dictations done before and after the simulation session (P > 0.05 for all). The teaching of shoulder dystocia documentation through simulation did not result in a measurable improvement in the quality of documentation of shoulder dystocia in actual clinical situations.

  10. Metrics for the NASA Airspace Systems Program

    NASA Technical Reports Server (NTRS)

    Smith, Jeremy C.; Neitzke, Kurt W.

    2009-01-01

    This document defines an initial set of metrics for use by the NASA Airspace Systems Program (ASP). ASP consists of the NextGen-Airspace Project and the NextGen-Airportal Project. The work in each project is organized along multiple, discipline-level Research Focus Areas (RFAs). Each RFA is developing future concept elements in support of the Next Generation Air Transportation System (NextGen), as defined by the Joint Planning and Development Office (JPDO). In addition, a single, system-level RFA is responsible for integrating concept elements across RFAs in both projects and for assessing system-wide benefits. The primary purpose of this document is to define a common set of metrics for measuring National Airspace System (NAS) performance before and after the introduction of ASP-developed concepts for NextGen as the system handles increasing traffic. The metrics are directly traceable to NextGen goals and objectives as defined by the JPDO and hence will be used to measure the progress of ASP research toward reaching those goals. The scope of this document is focused on defining a common set of metrics for measuring NAS capacity, efficiency, robustness, and safety at the system-level and at the RFA-level. Use of common metrics will focus ASP research toward achieving system-level performance goals and objectives and enable the discipline-level RFAs to evaluate the impact of their concepts at the system level.

  11. Goals of patient care system change with video-based education increases rates of advance cardiopulmonary resuscitation decision-making and discussions in hospitalised rehabilitation patients.

    PubMed

    Johnson, Claire E; Chong, Jeffrey C; Wilkinson, Anne; Hayes, Barbara; Tait, Sonia; Waldron, Nicholas

    2017-07-01

    Advance cardiopulmonary resuscitation (CPR) discussions and decision-making are not routine clinical practice in the hospital setting. Frail older patients may be at risk of non-beneficial CPR. To assess the utility and safety of two interventions to increase CPR decision-making, documentation and communication for hospitalised older patients. A pre-post study tested two interventions: (i) standard ward-based education forums with CPR content; and (ii) a combined, two-pronged strategy with 'Goals of Patient Care' (GoPC) system change and a structured video-based workshop; against usual practice (i.e. no formal training). Participants were a random sample of patients in a hospital rehabilitation unit. The outcomes were the proportion of patients documented as: (i) not for resuscitation (NFR); and (ii) eligible for rapid response team (RRT) calls, and rates of documented discussions with the patient, family and carer. When compared with usual practice, patients were more likely to be documented as NFR following the two-pronged intervention (adjusted odds ratio (aOR): 6.4, 95% confidence interval (CI): 3.0; 13.6). Documentation of discussions with patients was also more likely (aOR: 3.3, 95% CI:1.8; 6.2). Characteristics of patients documented NFR were similar between the phases, but were more likely for RRT calls following Phase 3 (P 0.03). An increase in advance CPR decisions occurred following GoPC system change with education. This appears safe as NFR patients had the same level of frailty between phases but were more likely to be eligible for RRT review. Increased documentation of discussions suggests routine use of the GoPC form may improve communication with patients about their care. © 2017 Royal Australasian College of Physicians.

  12. Documentation systems for educators seeking academic promotion in U.S. medical schools.

    PubMed

    Simpson, Deborah; Hafler, Janet; Brown, Diane; Wilkerson, LuAnn

    2004-08-01

    To explore the state and use of teaching portfolios in promotion and tenure in U.S. medical schools. A two-phase qualitative study using a Web-based search procedure and telephone interviews was conducted. The first phase assessed the penetration of teaching portfolio-like systems in U.S. medical schools using a keyword search of medical school Web sites. The second phase examined the current use of teaching portfolios in 16 U.S. medical schools that reported their use in a survey in 1992. The individual designated as having primary responsibility for faculty appointments/promotions was contacted to participate in a 30-60 minute interview. The Phase 1 search of U.S. medical schools' Web sites revealed that 76 medical schools have Web-based access to information on documenting educational activities for promotion. A total of 16 of 17 medical schools responded to Phase 2. All 16 continued to use a portfolio-like system in 2003. Two documentation categories, honors/awards and philosophy/personal statement regarding education, were included by six more of these schools than used these categories in 1992. Dissemination of work to colleagues is now a key inclusion at 15 of the Phase 2 schools. The most common type of evidence used to document education was learner and/or peer ratings with infrequent use of outcome measures and internal/external review. The number of medical schools whose promotion packets include portfolio-like documentation associated with a faculty member's excellence in education has increased by more than 400% in just over ten years. Among early-responder schools the types of documentation categories have increased, but students' ratings of teaching remain the primary evidence used to document the quality or outcomes of the educational efforts reported.

  13. Development of a Tool for Documenting, Tracking, Recording, and Analyzing Improvements to Intersection Sites and Roadway Departures in Curve Locations : Research Project Capsule

    DOT National Transportation Integrated Search

    2012-09-01

    Intermodal transportation : system planning, design, : improvement, performance : evaluation, or economic : assessments include safety : improvements because they : lower the overall cost of : transportation. State Departments of Transportation (DOTs...

  14. Libby Amphibole asbestos

    Integrated Risk Information System (IRIS)

    EPA / 635 / R - 11 / 002F www.epa.gov / iris TOXICOLOGICAL REVIEW OF LIBBY AMPHIBOLE ASBESTOS In Support of Summary Information on the Integrated Risk Information System ( IRIS ) December 2014 ( Note : This document is an assessment of the noncancer and cancer health effects associated with the inha

  15. Emotionally Handicapped Pupils: Developing Appropriate Educational Programs.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Public Instruction, Raleigh. Div. for Exceptional Children.

    The document is designed to assist local school systems as they plan, develop, and improve programs for emotionally handicapped students. Sections cover the following areas: definition of emotionally handicapped students; pre-planninq for emotionally handicapped programs; identification, referral, screening, assessment, and placement; service…

  16. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-80

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Lin, Jill D.

    1997-01-01

    A debris/ice/thermal protection system (TPS) assessment and integrated photographic analysis was conducted for Shuttle mission STS-80. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission Space Transportation System (STS-80) and the resulting effect on the Space Shuttle Program.

  17. Earth Observations and the Role of UAVs: A Capabilities Assessment. Version 1.1

    NASA Technical Reports Server (NTRS)

    Cox, Timothy H.; Somers, Ivan; Fratello, David J.

    2006-01-01

    This document provides an assessment of the civil UAV missions and technologies and is intended to parallel the Office of the Secretary of Defense UAV Roadmap. The intent of this document is four-fold: 1. Determine and document desired future missions of Earth observation UAVs based on user-defined needs 2. Determine and document the technologies necessary to support those missions 3. Discuss the present state of the platform capabilities and required technologies, identifying those in progress, those planned, and those for which no current plans exist 4. Provide the foundations for development of a comprehensive civil UAV roadmap to complement the Department of Defense (DoD) effort (http://www.acq.osd.mil/uas/). Two aspects of the President's Management Agenda (refer to the document located at: www.whitehouse.gov/omb/budget/fy2002/mgmt.pdf ) are supported by this undertaking. First, it is one that will engage multiple Agencies in the effort as stakeholders and benefactors of the systems. In that sense, the market will be driven by the user requirements and applications. The second aspect is one of supporting economic development in the commercial sector. Market forecasts for the civil use of UAVs have indicated an infant market stage at present with a sustained forecasted growth. There is some difficulty in quantifying the value of the market since the typical estimate excludes system components other than the aerial platforms. Section 2.4 addresses the civil UAV market forecast and lists several independent forecasts. One conclusion that can be drawn from these forecasts is that all show a sustained growth for the duration of each long-term forecast.

  18. Documentation of pain care processes does not accurately reflect pain management delivered in primary care.

    PubMed

    Krebs, Erin E; Bair, Matthew J; Carey, Timothy S; Weinberger, Morris

    2010-03-01

    Researchers and quality improvement advocates sometimes use review of chart-documented pain care processes to assess the quality of pain management. Studies have found that primary care providers frequently fail to document pain assessment and management. To assess documentation of pain care processes in an academic primary care clinic and evaluate the validity of this documentation as a measure of pain care delivered. Prospective observational study. 237 adult patients at a university-affiliated internal medicine clinic who reported any pain in the last week. Immediately after a visit, we asked patients to report the pain treatment they received. Patients completed the Brief Pain Inventory (BPI) to assess pain severity at baseline and 1 month later. We extracted documentation of pain care processes from the medical record and used kappa statistics to assess agreement between documentation and patient report of pain treatment. Using multivariable linear regression, we modeled whether documented or patient-reported pain care predicted change in pain at 1 month. Participants' mean age was 53.7 years, 66% were female, and 74% had chronic pain. Physicians documented pain assessment for 83% of visits. Patients reported receiving pain treatment more often (67%) than was documented by physicians (54%). Agreement between documentation and patient report was moderate for receiving a new pain medication (k = 0.50) and slight for receiving pain management advice (k = 0.13). In multivariable models, documentation of new pain treatment was not associated with change in pain (p = 0.134). In contrast, patient-reported receipt of new pain treatment predicted pain improvement (p = 0.005). Chart documentation underestimated pain care delivered, compared with patient report. Documented pain care processes had no relationship with pain outcomes at 1 month, but patient report of receiving care predicted clinically significant improvement. Chart review measures may not accurately reflect the pain management patients receive in primary care.

  19. Parabolic Dish Solar Thermal Power Annual Program Review Proceedings

    NASA Technical Reports Server (NTRS)

    Lucas, J. W.

    1982-01-01

    The results of activities of the parabolic dish technology and applications development element of DOE's Solar Thermal Energy System Program are presented. Topics include the development and testing of concentrators, receivers, and power conversion units; system design and development for engineering experiments; economic analysis and marketing assessment; and advanced development activities. A panel discussion concerning industrial support sector requirements is also documented.

  20. EarthSat spring wheat yield system test 1975, appendix 4

    NASA Technical Reports Server (NTRS)

    1976-01-01

    A computer system is presented which processes meteorological data from both ground observations and meteorologic satellites to define plant weather aspects on a four time per day basis. Plant growth stages are calculated and soil moisture profiles are defined by the system. The EarthSat system assesses plant stress and prepares forecasts of end-of-year yields. The system was used to forecast spring wheat yields in the upper Great Plains states. Hardware and software documentation is provided.

  1. Renewable Energy Marketplace

    NASA Astrophysics Data System (ADS)

    Ghadimian, Vachik

    The renewable energy sector is evolving, and today, renewable energy has become a viable alternative for many facilities. Because this sector is in its infancy stage, lack of experience has resulted in failing solar projects. This project involves the design and implementation of a functioning web application that streamlines and automates the planning, risk assessment and financing of a solar development project. The three key stakeholders, the host facility, solar installer and financier are seamlessly integrated into a single marketplace. By designing a project development workflow, projects are vetted early on and terminated if deemed infeasible, saving time and resources. By risk assessing the project using the proposed scoring model, one can inherit more confident investors. The project scoring model also serves as a debt rating system, where investors can measure the risk/rewards. The platform will also serve as a communication medium between the three stakeholders. Besides storing documents like engineering drawings, permits, etc., the platform auto-generates all necessary transactional documents, legal documents and agreements among the three stakeholders.

  2. Measuring performance to drive improvement: development of a clinical indicator set for general medicine.

    PubMed

    Brand, C; Lam, S K L; Roberts, C; Gorelik, A; Amatya, B; Smallwood, D; Russell, D

    2009-06-01

    There are delays in implementing evidence about effective therapy into clinical practice. Clinical indicators may support implementation of guideline recommendations. To develop and evaluate the short-term impact of a clinical indicator set for general medicine. A set of clinical process indicators was developed using a structured process. The indicator set was implemented between January 2006 and December 2006, using strategies based on evidence about effectiveness and local contextual factors. Evaluation included a structured survey of general medical staff to assess awareness and attitudes towards the programme and qualitative assessment of barriers to implementation. Impact on documentation of adherence to clinical indicators was assessed by auditing a random sample of medical records before (2003-2005) and after (2006) implementation. Clinical indicators were developed for the following areas: venous thromboembolism, cognition, chronic heart failure, chronic obstructive pulmonary disease, diabetes, low trauma fracture, patient written care plans. The programme was well supported and incurred little burden to staff. Implementation occurred largely as planned; however, documentation of adherence to clinical indicators was variable. There was a generally positive trend over time, but for most indicators this was independent of the implementation process and may have been influenced by other system improvement activities. Failure to demonstrate a significant impact during the pilot phase is likely to have been influenced by administrative factors, especially lack of an integrative data documentation and collection process. Successful implementation in phase two is likely to depend upon an effective data collection system integrated into usual care.

  3. The present status and problems in document retrieval system : document input type retrieval system

    NASA Astrophysics Data System (ADS)

    Inagaki, Hirohito

    The office-automation (OA) made many changes. Many documents were begun to maintained in an electronic filing system. Therefore, it is needed to establish efficient document retrieval system to extract useful information. Current document retrieval systems are using simple word-matching, syntactic-matching, semantic-matching to obtain high retrieval efficiency. On the other hand, the document retrieval systems using special hardware devices, such as ISSP, were developed for aiming high speed retrieval. Since these systems can accept a single sentence or keywords as input, it is difficult to explain searcher's request. We demonstrated document input type retrieval system, which can directly accept document as an input, and can search similar documents from document data-base.

  4. Reminder Cards Improve Physician Documentation of Obesity But Not Obesity Counseling.

    PubMed

    Shungu, Nicholas; Miller, Marshal N; Mills, Geoffrey; Patel, Neesha; de la Paz, Amanda; Rose, Victoria; Kropa, Jill; Edi, Rina; Levy, Emily; Crenshaw, Margaret; Hwang, Chris

    2015-01-01

    Physicians frequently fail to document obesity and obesity-related counseling. We sought to determine whether attaching a physical reminder card to patient encounter forms would increase electronic medical record (EMR) assessment of and documentation of obesity and dietary counseling. Reminder cards for obesity documentation were attached to encounter forms for patient encounters over a 2-week intervention period. For visits in the intervention period, the EMR was retrospectively reviewed for BMI, assessment of "obesity" or "morbid obesity" as an active problem, free-text dietary counseling within physician notes, and assessment of "dietary counseling" as an active problem. These data were compared to those collected through a retrospective chart review during a 2-week pre-intervention period. We also compared physician self-report of documentation via reminder cards with EMR documentation. We found significant improvement in the primary endpoint of assessment of "obesity" or "morbid obesity" as an active problem (42.5% versus 28%) compared to the pre-intervention period. There was no significant difference in the primary endpoints of free-text dietary counseling or assessment of "dietary counseling" as an active problem between the groups. Physician self-reporting of assessment of "obesity" or "morbid obesity" as an active problem (77.7% versus 42.5%), free-text dietary counseling on obesity (69.1% versus 35.4%) and assessment of "dietary counseling" as an active problem (54.3% versus 25.2%) were all significantly higher than those reflected in EMR documentation. This study demonstrates that physical reminder cards are a successful means of increasing obesity documentation rates among providers but do not necessarily increase rates of obesity-related counseling or documentation of counseling. Our study suggests that even with such interventions, physicians are likely under-documenting obesity and counseling compared to self-reported rates.

  5. Independent Orbiter Assessment (IOA): Analysis of the Orbiter Experiment (OEX) subsystem

    NASA Technical Reports Server (NTRS)

    Compton, J. M.

    1987-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. This report documents the independent analysis results corresponding to the Orbiter Experiments hardware. Each level of hardware was evaluated and analyzed for possible failure modes and effects. Criticality was assigned based upon the severity of the effect for each failure mode. The Orbiter Experiments (OEX) Program consists of a multiple set of experiments for the purpose of gathering environmental and aerodynamic data to develop more accurate ground models for Shuttle performance and to facilitate the design of future spacecraft. This assessment only addresses currently manifested experiments and their support systems. Specifically this list consists of: Shuttle Entry Air Data System (SEADS); Shuttle Upper Atmosphere Mass Spectrometer (SUMS); Forward Fuselage Support System for OEX (FFSSO); Shuttle Infrared Laced Temperature Sensor (SILTS); Aerodynamic Coefficient Identification Package (ACIP); and Support System for OEX (SSO). There are only two potential critical items for the OEX, since the experiments only gather data for analysis post mission and are totally independent systems except for power. Failure of any experiment component usually only causes a loss of experiment data and in no way jeopardizes the crew or mission.

  6. Portable Wireless LAN Device and Two-way Radio Threat Assessment for Aircraft Navigation Radios

    NASA Technical Reports Server (NTRS)

    Nguyen, Truong X.; Koppen, Sandra V.; Ely, Jay J.; Williams, Reuben A.; Smith, Laura J.; Salud, Maria Theresa P.

    2003-01-01

    Measurement processes, data and analysis are provided to address the concern for Wireless Local Area Network devices and two-way radios to cause electromagnetic interference to aircraft navigation radio systems. A radiated emission measurement process is developed and spurious radiated emissions from various devices are characterized using reverberation chambers. Spurious radiated emissions in aircraft radio frequency bands from several wireless network devices are compared with baseline emissions from standard computer laptops and personal digital assistants. In addition, spurious radiated emission data in aircraft radio frequency bands from seven pairs of two-way radios are provided, A description of the measurement process, device modes of operation and the measurement results are reported. Aircraft interference path loss measurements were conducted on four Boeing 747 and Boeing 737 aircraft for several aircraft radio systems. The measurement approach is described and the path loss results are compared with existing data from reference documents, standards, and NASA partnerships. In-band on-channel interference thresholds are compiled from an existing reference document. Using these data, a risk assessment is provided for interference from wireless network devices and two-way radios to aircraft systems, including Localizer, Glideslope, Very High Frequency Omnidirectional Range, Microwave Landing System and Global Positioning System. The report compares the interference risks associated with emissions from wireless network devices and two-way radios against standard laptops and personal digital assistants. Existing receiver interference threshold references are identified as to require more data for better interference risk assessments.

  7. The development of regulatory expectations for computer-based safety systems for the UK nuclear programme

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hughes, P. J.; Westwood, R.N; Mark, R. T.

    2006-07-01

    The Nuclear Installations Inspectorate (NII) of the UK's Health and Safety Executive (HSE) has completed a review of their Safety Assessment Principles (SAPs) for Nuclear Installations recently. During the period of the SAPs review in 2004-2005 the designers of future UK naval reactor plant were optioneering the control and protection systems that might be implemented. Because there was insufficient regulatory guidance available in the naval sector to support this activity the Defence Nuclear Safety Regulator (DNSR) invited the NII to collaborate with the production of a guidance document that provides clarity of regulatory expectations for the production of safety casesmore » for computer based safety systems. A key part of producing regulatory expectations was identifying the relevant extant standards and sector guidance that reflect good practice. The three principal sources of such good practice were: IAEA Safety Guide NS-G-1.1 (Software for Computer Based Systems Important to Safety in Nuclear Power Plants), European Commission consensus document (Common Position of European Nuclear Regulators for the Licensing of Safety Critical Software for Nuclear Reactors) and IEC nuclear sector standards such as IEC60880. A common understanding has been achieved between the NII and DNSR and regulatory guidance developed which will be used by both NII and DNSR in the assessment of computer-based safety systems and in the further development of more detailed joint technical assessment guidance for both regulatory organisations. (authors)« less

  8. The effects of the application of SIMPRO on the completeness and time efficiency of nursing documentation in the outpatient instalation at Dompet Dhuafa Hospital Parung

    NASA Astrophysics Data System (ADS)

    Dwisatyadini, M.; Hariyati, R. T. S.; Afifah, E.

    2018-03-01

    Nursing documentation is clinical information that has a vital role in nursing services. The nursing process includes assessment, diagnosis, intervention, implementation, and evaluation. The purpose of this study was to determine the effects of the application of SIMPRO on the completeness and the efficiency of nursing documentation in the outpatient installation at Dompet Dhuafa Hospital Parung. This study used quantitative method with pre experimental (pre and posttest without control group) design. The mean of the documentation completeness marks before the application of SIMPRO was 1.87 (SD 0.922), and after SIMPRO was applied increased to 3.61 (0.588). This increase indicated an improvement of the nursing documentation completeness after the implementation of SIMPRO. The mean of time needed by nurses in documenting the nursing care before the application of SIMPRO was 476.13 seconds (SD 78.896). The mean of documenting time decreased more than a half after the application of SIMPRO which was 202.52 seconds (SD 196.723). SIMPRO made a nurse easier to take a decision analysis and decision support system to nursing care plan and documentation.

  9. Obesity perceptions and documentation among primary care clinicians at a rural academic health center.

    PubMed

    Aleem, Sohaib; Lasky, Rosalind; Brooks, W Blair; Batsis, John A

    2015-01-01

    Obesity recognition in primary care is important to address the epidemic. We aimed to evaluate primary care clinician-reported documentation, management practices, beliefs and attitudes toward obesity compared to body mass index (BMI) calculation, obesity prevalence and actual documentation of obesity as an active problem in electronic health record in a rural academic center. Our target population for previously validated clinician survey was 56 primary care providers working at 3 sites. We used calendar year 2012 data for assessment of baseline system performance for metrics of documentation of BMI in primary care visits, and proportion of visits in patients with obesity with obesity as a problem. Standard statistical methods assessed the data. Survey response rate was 91%. Average age of respondents was 48.9 years and 62.7% were females. 72.5% clinicians reported having normal BMI. The majority of clinicians reported regularly documenting obesity as an active problem, and utilized motivational interviewing and basic good nutrition and healthy exercise. Clinicians identified lack of discipline and exercise time, access to unhealthy food and psychosocial issues as major barriers. Most denied disliking weight loss discussion or patients taking up too much time. In 21,945 clinic visits and 11,208 annual preventive care visits in calendar year 2012, BMI was calculated in 93% visits but obesity documentation as an active problem only 27% of patients meeting BMI criteria for obesity. Despite high clinician-reported documentation of obesity as an active problem, actual obesity documentation rates remained low in a rural academic medical center. Copyright © 2015 Asian Oceanian Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  10. 75 FR 72829 - Los Alamos Historical Document Retrieval and Assessment (LAHDRA) Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-26

    ... Historical Document Retrieval and Assessment (LAHDRA) Project The Centers for Disease Control and Prevention... release of the Final Report of the Los Alamos Historical Document Retrieval and Assessment (LAHDRA)Project... information about historical chemical or radionuclide releases from facilities at the Los Alamos National...

  11. Information systems on human resources for health: a global review

    PubMed Central

    2012-01-01

    Background Although attainment of the health-related Millennium Development Goals relies on countries having adequate numbers of human resources for health (HRH) and their appropriate distribution, global understanding of the systems used to generate information for monitoring HRH stock and flows, known as human resources information systems (HRIS), is minimal. While HRIS are increasingly recognized as integral to health system performance assessment, baseline information regarding their scope and capability around the world has been limited. We conducted a review of the available literature on HRIS implementation processes in order to draw this baseline. Methods Our systematic search initially retrieved 11 923 articles in four languages published in peer-reviewed and grey literature. Following the selection of those articles which detailed HRIS implementation processes, reviews of their contents were conducted using two-person teams, each assigned to a national system. A data abstraction tool was developed and used to facilitate objective assessment. Results Ninety-five articles with relevant HRIS information were reviewed, mostly from the grey literature, which comprised 84 % of all documents. The articles represented 63 national HRIS and two regionally integrated systems. Whereas a high percentage of countries reported the capability to generate workforce supply and deployment data, few systems were documented as being used for HRH planning and decision-making. Of the systems examined, only 23 % explicitly stated they collect data on workforce attrition. The majority of countries experiencing crisis levels of HRH shortages (56 %) did not report data on health worker qualifications or professional credentialing as part of their HRIS. Conclusion Although HRIS are critical for evidence-based human resource policy and practice, there is a dearth of information about these systems, including their current capabilities. The absence of standardized HRIS profiles (including documented processes for data collection, management, and use) limits understanding of the availability and quality of information that can be used to support effective and efficient HRH strategies and investments at the national, regional, and global levels. PMID:22546089

  12. ODMSummary: A Tool for Automatic Structured Comparison of Multiple Medical Forms Based on Semantic Annotation with the Unified Medical Language System

    PubMed Central

    Krumm, Rainer; Dugas, Martin

    2016-01-01

    Introduction Medical documentation is applied in various settings including patient care and clinical research. Since procedures of medical documentation are heterogeneous and developed further, secondary use of medical data is complicated. Development of medical forms, merging of data from different sources and meta-analyses of different data sets are currently a predominantly manual process and therefore difficult and cumbersome. Available applications to automate these processes are limited. In particular, tools to compare multiple documentation forms are missing. The objective of this work is to design, implement and evaluate the new system ODMSummary for comparison of multiple forms with a high number of semantically annotated data elements and a high level of usability. Methods System requirements are the capability to summarize and compare a set of forms, enable to estimate the documentation effort, track changes in different versions of forms and find comparable items in different forms. Forms are provided in Operational Data Model format with semantic annotations from the Unified Medical Language System. 12 medical experts were invited to participate in a 3-phase evaluation of the tool regarding usability. Results ODMSummary (available at https://odmtoolbox.uni-muenster.de/summary/summary.html) provides a structured overview of multiple forms and their documentation fields. This comparison enables medical experts to assess multiple forms or whole datasets for secondary use. System usability was optimized based on expert feedback. Discussion The evaluation demonstrates that feedback from domain experts is needed to identify usability issues. In conclusion, this work shows that automatic comparison of multiple forms is feasible and the results are usable for medical experts. PMID:27736972

  13. Seismic assessment of Technical Area V (TA-V).

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Medrano, Carlos S.

    The Technical Area V (TA-V) Seismic Assessment Report was commissioned as part of Sandia National Laboratories (SNL) Self Assessment Requirement per DOE O 414.1, Quality Assurance, for seismic impact on existing facilities at Technical Area-V (TA-V). SNL TA-V facilities are located on an existing Uniform Building Code (UBC) Seismic Zone IIB Site within the physical boundary of the Kirtland Air Force Base (KAFB). The document delineates a summary of the existing facilities with their safety-significant structure, system and components, identifies DOE Guidance, conceptual framework, past assessments and the present Geological and Seismic conditions. Building upon the past information and themore » evolution of the new seismic design criteria, the document discusses the potential impact of the new standards and provides recommendations based upon the current International Building Code (IBC) per DOE O 420.1B, Facility Safety and DOE G 420.1-2, Guide for the Mitigation of Natural Phenomena Hazards for DOE Nuclear Facilities and Non-Nuclear Facilities.« less

  14. Preliminary remediation goals for use at the US Department of Energy Oak Ridge Operations Office. Revision 1

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1996-05-01

    This technical memorandum presents Preliminary Remediation Goals (PRGs) for use in human health risk assessment efforts under the United States Department of Energy, Oak Ridge Operations Office Environmental Restoration (ER) Division. This document provides the ER Division with standardized PRGs which are integral to the Remedial Investigation/Feasibility Study process. They are used during project scooping (Data Quality Objectives development), in screening level risk assessments to support early action or No Further Investigation decisions, and in the baselines risk assessment where they are employed in the selection of chemicals of potential concern. The primary objective of this document is to standardizemore » these values and eliminate any duplication of effort by providing PRGs to all contractors involved in risk activities. In addition, by managing the assumptions and systems used in PRG derivation, the ER Risk Assessment Program will be able to control the level of quality assurance associated with these risk-based guideline values.« less

  15. Framing the ecosystem concept through a longitudinal study of developments in science and policy.

    PubMed

    Aggestam, Filip

    2015-08-01

    This paper examines how scientific literature and policy documents frame the ecosystem concept and how these frames have shaped scientific dialogue and policy making over time. This was achieved by developing a frame typology, as a basis for organizing relevant value expressions, to assess how different frames have altered perspectives of the ecosystem concept. The frame typology and analysis is based on a semi-grounded and longitudinal document analysis of scientific literature and policy documents using the ecosystem concept. Despite changing discourses and public priorities (e.g., cultural constructs of biodiversity) both science and policy documents are characterized by stable value systems that have not changed substantially since the 1930s. These value systems were defined based on ethical principles that delineate 6 core frames: humans first, dual systems, eco-science, eco-holism, animals first, and multicentrism. Specific crises (e.g., climate change) and cross-disciplinary uptake and re-uptake of, for example, the ecosystem services concept, have brought new perspectives to the forefront of public discourse. These developments triggered changes in the core frames that, rather than being value based, are based on how the ecosystem is conceptualized under fixed value systems and over time. Fourteen subframes were developed to reflect these longitudinal changes. There are as such clear framing effects in both scientific literature and in policy. Ecosystem research is for instance often characterized by unstated value judgments even though the scientific community does not make these explicit. In contrast, policy documents are characterized by clear value expressions but are principally management driven and human centered. © 2015 Society for Conservation Biology.

  16. UST CORRECTIVE ACTION TECHNOLOGIES: ENGINEERING DESIGN OF FREE PRODUCT RECOVERY SYSTEMS

    EPA Science Inventory

    The objective of this project was to develop a technical assistance document for assessment of subsurface hydrocarbon spills and for evaluating effects of well placement and pumping rates on separate phase plume control and on free product recovery. Procedures developed for estim...

  17. Distributed Multimedia Computing: An Assessment of the State of the Art.

    ERIC Educational Resources Information Center

    Williams, Neil; And Others

    1991-01-01

    Describes multimedia computing and the characteristics of multimedia information. Trends in information technology are reviewed; distributed multimedia computing is explained; media types are described, including digital media; and multimedia applications are examined, including office systems, documents, information storage and retrieval,…

  18. Operational readiness review phase-1 final report for WRAP-1

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bowen, W., Westinghouse Hanford

    1996-12-27

    This report documents the Operational Readiness Review for WRAP-1 Phase-1 operations. The report includes all criteria, lines of inquiry with resulting Findings and Observations. The review included assessing operational capability of the organization and the computer controlled process and facility systems.

  19. Development and validation of deterioration models for concrete bridge decks - phase 1 : artificial intelligence models and bridge management system.

    DOT National Transportation Integrated Search

    2013-06-01

    This research documents the development and evaluation of artificial neural network (ANN) models to predict the condition ratings of concrete highway bridge decks in Michigan. Historical condition assessments chronicled in the national bridge invento...

  20. Improving FHWA's Ability to Assess Highway Infrastructure Health : National Meeting Report

    DOT National Transportation Integrated Search

    2011-12-08

    The FHWA in coordination with AASHTO conducted a study to define a consistent and reliable method to document infrastructure health with a focus on pavements and bridges on the Interstate System, and to develop a framework for tools that can provide ...

  1. Closing the loop in ICU decision support: physiologic event detection, alerts, and documentation.

    PubMed Central

    Norris, P. R.; Dawant, B. M.

    2001-01-01

    Automated physiologic event detection and alerting is a challenging task in the ICU. Ideally care providers should be alerted only when events are clinically significant and there is opportunity for corrective action. However, the concepts of clinical significance and opportunity are difficult to define in automated systems, and effectiveness of alerting algorithms is difficult to measure. This paper describes recent efforts on the Simon project to capture information from ICU care providers about patient state and therapy in response to alerts, in order to assess the value of event definitions and progressively refine alerting algorithms. Event definitions for intracranial pressure and cerebral perfusion pressure were studied by implementing a reliable system to automatically deliver alerts to clinical users alphanumeric pagers, and to capture associated documentation about patient state and therapy when the alerts occurred. During a 6-month test period in the trauma ICU at Vanderbilt University Medical Center, 530 alerts were detected in 2280 hours of data spanning 14 patients. Clinical users electronically documented 81% of these alerts as they occurred. Retrospectively classifying documentation based on therapeutic actions taken, or reasons why actions were not taken, provided useful information about ways to potentially improve event definitions and enhance system utility. PMID:11825238

  2. Concordance Between Veterans' Self-Report and Documentation of Surrogate Decision Makers: Implications for Quality Measurement.

    PubMed

    Garner, Kimberly K; Dubbert, Patricia; Lensing, Shelly; Sullivan, Dennis H

    2017-01-01

    The Measuring What Matters initiative of the American Academy of Hospice and Palliative Medicine and the Hospice and Palliative Nurses Association identified documentation of a surrogate decision maker as one of the top 10 quality indicators in the acute hospital and hospice settings. To better understand the potential implementation of this Measuring What Matters quality measure #8, Documentation of Surrogate in outpatient primary care settings by describing primary care patients' self-reported identification and documentation of a surrogate decision maker. Examination of patient responses to self-assessment questions from advance health care planning educational groups conducted in one medical center primary care clinic and seven community-based outpatient primary care clinics. We assessed the concordance between patient reports of identifying and naming a surrogate decision maker and having completed an advance directive (AD) with presence of an AD in the electronic medical record. Of veterans without a documented AD on file, more than half (66%) reported that they had talked with someone they trusted and nearly half (52%) reported that they had named someone to communicate their preferences. Our clinical project data suggest that many more veterans may have initiated communications with surrogate decision makers than is evident in the electronic medical record. System changes are needed to close the gap between veterans' plans for a surrogate decision maker and the documentation available to acute care health care providers. Published by Elsevier Inc.

  3. Comparison of handheld computer-assisted and conventional paper chart documentation of medical records. A randomized, controlled trial.

    PubMed

    Stengel, Dirk; Bauwens, Kai; Walter, Martin; Köpfer, Thilo; Ekkernkamp, Axel

    2004-03-01

    Daily documentation and maintenance of medical record quality is a crucial issue in orthopaedic surgery. The purpose of the present study was to determine whether the introduction of a handheld computer could improve both the quantitative and qualitative aspects of medical records. A series of consecutive patients who were admitted for the first time to a thirty-six-bed orthopaedic ward of an academic teaching hospital for a planned operation or any other treatment of an acute injury or chronic condition were randomized to daily documentation of their clinical charts on a handheld computer or on conventional paper forms. The electronic documentation consisted of a specially designed software package on a handheld computer for bedside use with structured decision trees for examination, obtaining a history, and coding. In the control arm, chart notes were compiled on standard paper forms and were subsequently entered into the hospital's information system. The number of documented ICD (International Classification of Diseases) diagnoses was the primary end point for sample size calculations. All patient charts were reread by an expert panel consisting of two surgeons and the surgical quality assurance manager. These experts assigned quality ratings to the different documentation systems by scrutinizing the extent and accuracy of the patient histories and the physical findings as assessed by daily chart notes. Eighty patients were randomized to one of the two documentation arms, and seventy-eight (forty-seven men and thirty-one women) of them were eligible for final analysis. Documentation with the handheld computer increased the median number of diagnoses per patients from four to nine (p < 0.0001), but it produced some overcoding for false or redundant items. Documentation quality ratings improved significantly with the introduction of the handheld device (p < 0.01) with respect to the correct assessment of a patient's progress and translation into ICD diagnoses. Various learning curve effects were observed with different operators. Study physicians assigned slightly better practicability ratings to the handheld device. The preliminary data from this study suggest that handheld computers may improve the quality of hospital charts in orthopaedic surgery. Therapeutic study, Level I-1a (randomized controlled trial [significant difference]). See Instructions to Authors for a complete description of levels of evidence.

  4. Application of SAE ARP4754A to Flight Critical Systems

    NASA Technical Reports Server (NTRS)

    Peterson, Eric M.

    2015-01-01

    This report documents applications of ARP4754A to the development of modern computer-based (i.e., digital electronics, software and network-based) aircraft systems. This study is to offer insight and provide educational value relative to the guidelines in ARP4754A and provide an assessment of the current state-of-the- practice within industry and regulatory bodies relative to development assurance for complex and safety-critical computer-based aircraft systems.

  5. Preliminary design review package for the solar heating and cooling central data processing system

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The Central Data Processing System (CDPS) is designed to transform the raw data collected at remote sites into performance evaluation information for assessing the performance of solar heating and cooling systems. Software requirements for the CDPS are described. The programming standards to be used in development, documentation, and maintenance of the software are discussed along with the CDPS operations approach in support of daily data collection and processing.

  6. Independent Orbiter Assessment (IOA): Assessment of the EPD and C/remote manipulator system FMEA/CIL

    NASA Technical Reports Server (NTRS)

    Robinson, W. W.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Electrical Power Distribution and Control (EPD and C)/Remote Manipulator System (RMS) hardware, generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA analysis of the EPD and C/RMS hardware initially generated 345 failure mode worksheets and identified 117 Potential Critical Items (PCIs) before starting the assessment process. These analysis results were compared to the proposed NASA Post 51-L baseline of 132 FMEAs and 66 CIL items.

  7. Preliminary environmental assessment for the Satellite Power System (SPS). Volume 2: Detailed assessment

    NASA Technical Reports Server (NTRS)

    1978-01-01

    Volume 2 provides a preliminary assessment of the impact of the Satellite Power System (SPS) on the environment in a technically detailed format more suitable for peer review than the executive summary of Vol. 1. It serves to integrate and assimilate information that has appeared in documents referenced herein and to focus on issues that are purely environmental. It discloses the state-of-knowledge as perceived from recently completed DOE-sponsored studies and defines prospective research and study programs that can advance the state-of-knowledge and provide an expanded data base for use in an assessment planned for 1980. Alternatives for research that may be implemented in order to achieve this advancement are also discussed.

  8. Report on Lithium Ion Battery Trade Studies to Support the Exploration Technology Development Program (ETDP) Energy Storage Project

    NASA Technical Reports Server (NTRS)

    Green, Robert D.; Kissock, Barbara I.; Bennett, William R.

    2010-01-01

    This report documents the results of two system related analyses to support the Exploration Technology Development Program (ETDP) Energy Storage Project. The first study documents a trade study to determine the optimum Li-ion battery cell capacity for the ascent stage battery for the Altair lunar lander being developed under the Constellation Systems program. The battery cell capacity for the Ultra High Energy (UHE) Li-ion battery initially chosen as the target for development was 35 A-hr; this study concludes that a 19.4 A-hr cell capacity would be more optimum from a minimum battery mass perspective. The second study in this report is an assessment of available low temperature Li-ion battery cell performance data to determine whether lowering the operating temperature range of the Li-ion battery, in a rover application, could save overall system mass by eliminating thermal control system mass normally needed to maintain battery temperature within a tighter temperature limit than electronics or other less temperature sensitive components. The preliminary assessment for this second study indicates that the reduction in the thermal control system mass is negated by an increase in battery mass to compensate for the loss in battery capacity due to lower temperature operating conditions.

  9. Advanced Life Support Research and Technology Development Metric

    NASA Technical Reports Server (NTRS)

    Hanford, A. J.

    2004-01-01

    The Metric is one of several measures employed by the NASA to assess the Agency s progress as mandated by the United States Congress and the Office of Management and Budget. Because any measure must have a reference point, whether explicitly defined or implied, the Metric is a comparison between a selected ALS Project life support system and an equivalently detailed life support system using technology from the Environmental Control and Life Support System (ECLSS) for the International Space Station (ISS). This document provides the official calculation of the Advanced Life Support (ALS) Research and Technology Development Metric (the Metric) for Fiscal Year 2004. The values are primarily based on Systems Integration, Modeling, and Analysis (SIMA) Element approved software tools or reviewed and approved reference documents. For Fiscal Year 2004, the Advanced Life Support Research and Technology Development Metric value is 2.03 for an Orbiting Research Facility and 1.62 for an Independent Exploration Mission.

  10. Completion of risk assessment and monitoring within forensic psychiatry.

    PubMed

    Galappathie, Nuwan; Heeramun, Ragini; Jethwa, Krishma

    2009-04-01

    There is a clear need for high standards of risk assessment and monitoring within forensic psychiatry. This has been highlighted by a number of high profile homicide enquires which have called for better standards of multidisciplinary risk assessment and monitoring. There are no national standards for risk assessment. We conducted a study to audit electronically the completion rate of a service-designed risk assessment document within Fromside, a medium secure unit in the UK. The completion rates for key sections of 64 risk assessment documents were assessed. Only 48 of the 64 (75%) documents were electronically available. The completion rates ranged from 59/64 (92%) for the retrospective risk review to 46/64 (72%) for relapse indicators. Only 35/64 (55%) risk documents were updated within the last three months. We found that the use of risk profile documents has helped achieve good standards of risk assessment, however greater priority needs to be given to ongoing monitoring. We recommend that consideration is given to the development of national guidelines for multidisciplinary risk assessment and monitoring.

  11. A Synthetic Vision Preliminary Integrated Safety Analysis

    NASA Technical Reports Server (NTRS)

    Hemm, Robert; Houser, Scott

    2001-01-01

    This report documents efforts to analyze a sample of aviation safety programs, using the LMI-developed integrated safety analysis tool to determine the change in system risk resulting from Aviation Safety Program (AvSP) technology implementation. Specifically, we have worked to modify existing system safety tools to address the safety impact of synthetic vision (SV) technology. Safety metrics include reliability, availability, and resultant hazard. This analysis of SV technology is intended to be part of a larger effort to develop a model that is capable of "providing further support to the product design and development team as additional information becomes available". The reliability analysis portion of the effort is complete and is fully documented in this report. The simulation analysis is still underway; it will be documented in a subsequent report. The specific goal of this effort is to apply the integrated safety analysis to SV technology. This report also contains a brief discussion of data necessary to expand the human performance capability of the model, as well as a discussion of human behavior and its implications for system risk assessment in this modeling environment.

  12. An improved approach for flight readiness certification: Methodology for failure risk assessment and application examples. Volume 2: Software documentation

    NASA Technical Reports Server (NTRS)

    Moore, N. R.; Ebbeler, D. H.; Newlin, L. E.; Sutharshana, S.; Creager, M.

    1992-01-01

    An improved methodology for quantitatively evaluating failure risk of spaceflight systems to assess flight readiness and identify risk control measures is presented. This methodology, called Probabilistic Failure Assessment (PFA), combines operating experience from tests and flights with engineering analysis to estimate failure risk. The PFA methodology is of particular value when information on which to base an assessment of failure risk, including test experience and knowledge of parameters used in engineering analyses of failure phenomena, is expensive or difficult to acquire. The PFA methodology is a prescribed statistical structure in which engineering analysis models that characterize failure phenomena are used conjointly with uncertainties about analysis parameters and/or modeling accuracy to estimate failure probability distributions for specific failure modes, These distributions can then be modified, by means of statistical procedures of the PFA methodology, to reflect any test or flight experience. Conventional engineering analysis models currently employed for design of failure prediction are used in this methodology. The PFA methodology is described and examples of its application are presented. Conventional approaches to failure risk evaluation for spaceflight systems are discussed, and the rationale for the approach taken in the PFA methodology is presented. The statistical methods, engineering models, and computer software used in fatigue failure mode applications are thoroughly documented.

  13. Independent Orbiter Assessment (IOA): Assessment of the life support and airlock support systems, volume 1

    NASA Technical Reports Server (NTRS)

    Arbet, J. D.; Duffy, R. E.; Barickman, K.; Saiidi, M. J.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Life Support and Airlock Support Systems (LSS and ALSS) hardware, generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the NASA FMEA/CIL baseline with proposed Post 51-L updates included. The discrepancies were flagged for potential future resolution. This report documents the results of that comparison for the Orbiter LSS and ALSS hardware. The IOA product for the LSS and ALSS analysis consisted of 511 failure mode worksheets that resulted in 140 potential critical items. Comparison was made to the NASA baseline which consisted of 456 FMEAs and 101 CIL items. The IOA analysis identified 39 failure modes, 6 of which were classified as CIL items, for components not covered by the NASA FMEAs. It was recommended that these failure modes be added to the NASA FMEA baseline. The overall assessment produced agreement on all but 301 FMEAs which caused differences in 111 CIL items.

  14. Assessment of Ocean Wave Model used to Analyze the Constellation Program (CxP) Orion Project Crew Module Water Landing Conditions

    NASA Technical Reports Server (NTRS)

    Smith, Bryan K.; Bouchard, Richard; Teng, Chung-Chu; Dyson, Rodger; Jenson, Robert; OReilly, William; Rogers, Erick; Wang, David; Volovoi, Vitali

    2009-01-01

    Mr. Christopher Johnson, NASA's Systems Manager for the Orion Project Crew Module (CM) Landing and Recovery at the Johnson Space Center (JSC), and Mr. James Corliss, Project Engineer for the Orion CM Landing System Advanced Development Project at the Langley Research Center (LaRC) requested an independent assessment of the wave model that was developed to analyze the CM water landing conditions. A NASA Engineering and Safety Center (NESC) initial evaluation was approved November 20, 2008. Mr. Bryan Smith, NESC Chief Engineer at the NASA Glenn Research Center (GRC), was selected to lead this assessment. The Assessment Plan was presented and approved by the NESC Review Board (NRB) on December 18, 2008. The Assessment Report was presented to the NRB on March 12, 2009. This document is the final Assessment Report.

  15. The need for transparency and reproducibility in documenting values for regulatory decision making and evaluating causality: The example of formaldehyde.

    PubMed

    Van Landingham, Cynthia; Mundt, Kenneth A; Allen, Bruce C; Gentry, P Robinan

    2016-11-01

    Reproducibility and transparency in scientific reporting is paramount to advancing science and providing the foundation required for sound regulation. Recent examples demonstrate that pivotal scientific findings cannot be replicated, due to poor documentation or methodological bias, sparking debate across scientific and regulatory communities. However, there is general agreement that improvements in communicating and documenting research and risk assessment methods are needed. In the case of formaldehyde, the peer-review conducted by a National Academy of Sciences (NAS) Committee questioned the approaches used by the Integrated Risk Information System (IRIS) in developing draft unit risk values. Using the original data from the key study (Beane Freeman et al., 2009) and documentation provided in the draft IRIS profile, we attempted to duplicate the reported inhalation unit risk values and address the NAS Committee's questions regarding application of the appropriate dose-response model. Overall, documentation of the methods lacked sufficient detail to allow for replication of the unit risk estimates, specifically for Hodgkin lymphoma and leukemias, the key systemic endpoints selected by IRIS. The lack of apparent exposure-response relationships for selected endpoints raises the question whether quantitative analyses are appropriate for these endpoints, and if so, how results are to be interpreted. Copyright © 2016. Published by Elsevier Inc.

  16. 78 FR 42086 - Draft Guidance for Industry on Arsenic in Apple Juice: Action Level; Supporting Document for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-15

    ... Level for Arsenic in Apple Juice; A Quantitative Assessment of Inorganic Arsenic in Apple Juice... Arsenic in Apple Juice'' (the draft supporting document) and ``A Quantitative Assessment of Inorganic... document entitled ``A Quantitative Assessment of Inorganic Arsenic in Apple Juice.'' The draft guidance...

  17. Comparing the Efficacy of an Engineered-Based System (College Livetext) with an Off-the-Shelf General Tool (Hyperstudio) for Developing Electronic Portfolios in Teacher Education

    ERIC Educational Resources Information Center

    Johnson-Leslie, Natalie A.

    2009-01-01

    In teacher education, electronic portfolios provide an authentic form of assessment documenting students' personal and professional growth. Using the engineered-based system, College LiveText, and an off-the-shelf general tool, HyperStudio, pre-service teachers constructed e-portfolios as part of their teacher preparation requirements. This case…

  18. Using Data to Inform Systems: Assessing Teacher Implementation of Key Features of Program-Wide Positive Behavioral Support in Head Start Classrooms

    ERIC Educational Resources Information Center

    Stormont, Melissa; Covington, Sandra; Lewis, Timothy J.

    2006-01-01

    To date, data-based research has not been conducted specifically on the use of systems of schoolwide positive behavioral support (SW-PBS) in early childhood settings; however, several articles have described how the process can be implemented to support children in early childhood settings. Research has also documented early childhood teachers'…

  19. Berthing mechanism final test report and program assessment

    NASA Technical Reports Server (NTRS)

    1988-01-01

    The purpose is to document the testing performed on both hardware and software developed under the Space Station Berthing Mechanisms Program. Testing of the mechanism occurred at three locations. Several system components, e.g., actuators and computer systems, were functionally tested before assembly. A series of post assembly tests were performed. The post assembly tests, as well as the dynamic testing of the mechanism, are presented.

  20. Tank waste remediation system nuclear criticality safety program management review

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    BRADY RAAP, M.C.

    1999-06-24

    This document provides the results of an internal management review of the Tank Waste Remediation System (TWRS) criticality safety program, performed in advance of the DOE/RL assessment for closure of the TWRS Nuclear Criticality Safety Issue, March 1994. Resolution of the safety issue was identified as Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-40-12, due September 1999.

  1. Integrated Clinical Decision Support Systems Promote Absolute Cardiovascular Risk Assessment: An Important Primary Prevention Measure in Aboriginal and Torres Strait Islander Primary Health Care.

    PubMed

    Matthews, Veronica; Burgess, Christopher P; Connors, Christine; Moore, Elizabeth; Peiris, David; Scrimgeour, David; Thompson, Sandra C; Larkins, Sarah; Bailie, Ross

    2017-01-01

    Aboriginal and Torres Strait Islander Australians experience a greater burden of disease compared to non-Indigenous Australians. Around one-fifth of the health disparity is caused by cardiovascular disease (CVD). Despite the importance of absolute cardiovascular risk assessment (CVRA) as a screening and early intervention tool, few studies have reported its use within the Australian Indigenous primary health care (PHC) sector. This study utilizes data from a large-scale quality improvement program to examine variation in documented CVRA as a primary prevention strategy for individuals without prior CVD across four Australian jurisdictions. We also examine the proportion with elevated risk and follow-up actions recorded. We undertook cross-sectional analysis of 2,052 client records from 97 PHC centers to assess CVRA in Indigenous adults aged ≥20 years with no recorded chronic disease diagnosis (2012-2014). Multilevel regression was used to quantify the variation in CVRA attributable to health center and client level factors. The main outcome measure was the proportion of eligible adults who had CVRA recorded. Secondary outcomes were the proportion of clients with elevated risk that had follow-up actions recorded. Approximately 23% ( n  = 478) of eligible clients had documented CVRA. Almost all assessments (99%) were conducted in the Northern Territory. Within this jurisdiction, there was wide variation between centers in the proportion of clients with documented CVRA (median 38%; range 0-86%). Regression analysis showed health center factors accounted for 48% of the variation. Centers with integrated clinical decision support systems were more likely to document CVRA (OR 21.1; 95% CI 5.4-82.4; p  < 0.001). Eleven percent ( n  = 53) of clients were found with moderate/high CVD risk, of whom almost one-third were under 35 years ( n  = 16). Documentation of follow-up varied with respect to the targeted risk factor. Fewer than 30% with abnormal blood lipid or glucose levels had follow-up management plans recorded. There was wide variation in CVRA between jurisdictions and between PHC centers. Learnings from successful interventions to educate and support centers in CVRA provision should be shared with stakeholders more widely. Where risk has been identified, further improvement in follow-up management is required to prevent CVD onset and reduce future burden in Australia's Indigenous population.

  2. Metrics, models and data for assessment of resilience of urban infrastructure systems : final report

    DOT National Transportation Integrated Search

    2016-12-01

    This document is a summary of findings based on this research as presented in several conferences during the : course of the project. The research focused on identifying the basic metrics and models that can be used to : develop representations of pe...

  3. 75 FR 22416 - Statement of Organization, Functions, and Delegations of Authority

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-28

    ... Document Management System; (13) develops and distributes leadership reports, including the Secretary's 90... principal advisor to the Director, CDC, on internal and external affairs of CDC; (2) convenes key leadership for assessment, management, mitigation options, and resolution of issues and initiatives affecting CDC...

  4. Systems Security Engineering Capability Maturity Model SSE-CMM Model Description Document

    DTIC Science & Technology

    1999-04-01

    management is the process of accessing and quantifying risk , and establishing an acceptable level of risk for the organization. Managing risk is an...Process of assessing and quantifying risk and establishing acceptable level of risk for the organization. [IEEE 13335-1:1996] Security Engineering

  5. 40 CFR 132.1 - Scope, purpose, and availability of documents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Great Lakes System to protect human health, aquatic life, and wildlife. (b) The U.S. Environmental... this part. (d) EPA understands that the science of risk assessment is rapidly improving. Therefore, to... request to the Educational Resources Information Center/Clearinghouse for Science, Mathematics, and...

  6. Independent Orbiter Assessment (IOA): Assessment of the backup flight system FMEA/CIL

    NASA Technical Reports Server (NTRS)

    Prust, E. E.; Ewell, J. J., Jr.; Hinsdale, L. W.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Backup Flight System (BFS) hardware, generating draft failure modes and Potential Critical Items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the proposed NASA Post 51-L FMEA/CIL baseline. A resolution of each discrepancy from the comparison is provided through additional analysis as required. This report documents the results of that comparison for the Orbiter BFS hardware. The IOA product for the BFS analysis consisted of 29 failure mode worksheets that resulted in 21 Potential Critical Items (PCI) being identified. This product was originally compared with the proposed NASA BFS baseline and subsequently compared with the applicable Data Processing System (DPS), Electrical Power Distribution and Control (EPD and C), and Displays and Controls NASA CIL items. The comparisons determined if there were any results which had been found by the IOA but were not in the NASA baseline. The original assessment determined there were numerous failure modes and potential critical items in the IOA analysis that were not contained in the NASA BFS baseline. Conversely, the NASA baseline contained three FMEAs (IMU, ADTA, and Air Data Probe) for CIL items that were not identified in the IOA product.

  7. Independent Orbiter Assessment (IOA): Assessment of the orbital maneuvering system FMEA/CIL, volume 1

    NASA Technical Reports Server (NTRS)

    Prust, Chet D.; Haufler, W. A.; Marino, A. J.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Orbital Maneuvering System (OMS) hardware and Electrical Power Distribution and Control (EPD and C), generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the proposed Post 51-L NASA FMEA/CIL baseline. This report documents the results of that comparison for the Orbiter OMS hardware. The IOA analysis defined the OMS as being comprised of the following subsystems: helium pressurization, propellant storage and distribution, Orbital Maneuvering Engine, and EPD and C. The IOA product for the OMS analysis consisted of 284 hardware and 667 EPD and C failure mode worksheets that resulted in 160 hardware and 216 EPD and C potential critical items (PCIs) being identified. A comparison was made of the IOA product to the NASA FMEA/CIL baseline which consisted of 101 hardware and 142 EPD and C CIL items.

  8. Space vehicle propulsion systems: Environmental space hazards

    NASA Technical Reports Server (NTRS)

    Disimile, P. J.; Bahr, G. K.

    1990-01-01

    The hazards that exist in geolunar space which may degrade, disrupt, or terminate the performance of space-based LOX/LH2 rocket engines are evaluated. Accordingly, a summary of the open literature pertaining to the geolunar space hazards is provided. Approximately 350 citations and about 200 documents and abstracts were reviewed; the documents selected give current and quantitative detail. The methodology was to categorize the various space hazards in relation to their importance in specified regions of geolunar space. Additionally, the effect of the various space hazards in relation to spacecraft and their systems were investigated. It was found that further investigation of the literature would be required to assess the effects of these hazards on propulsion systems per se; in particular, possible degrading effects on exterior nozzle structure, directional gimbals, and internal combustion chamber integrity and geometry.

  9. Advanced Life Support Systems

    NASA Technical Reports Server (NTRS)

    Barta, Daniel J.

    2004-01-01

    This presentation is planned to be a 10-15 minute "catalytic" focused presentation to be scheduled during one of the working sessions at the TIM. This presentation will focus on Advanced Life Support technologies key to future human Space Exploration as outlined in the Vision, and will include basic requirements, assessment of the state-of-the-art and gaps, and include specific technology metrics. The presentation will be technical in character, lean heavily on data in published ALS documents (such as the Baseline Values and Assumptions Document) but not provide specific technical details or build to information on any technology mentioned (thus the presentation will be benign from an export control and a new technology perspective). The topics presented will be focused on the following elements of Advanced Life Support: air revitalization, water recovery, waste management, thermal control, habitation systems, food systems and bioregenerative life support.

  10. FEATURES, EVENTS, AND PROCESSES: SYSTEM-LEVEL AND CRITICALITY

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    D.L. McGregor

    The primary purpose of this Analysis/Model Report (AMR) is to identify and document the screening analyses for the features, events, and processes (FEPs) that do not easily fit into the existing Process Model Report (PMR) structure. These FEPs include the 3 1 FEPs designated as System-Level Primary FEPs and the 22 FEPs designated as Criticality Primary FEPs. A list of these FEPs is provided in Section 1.1. This AMR (AN-WIS-MD-000019) documents the Screening Decision and Regulatory Basis, Screening Argument, and Total System Performance Assessment (TSPA) Disposition for each of the subject Primary FEPs. This AMR provides screening information and decisionsmore » for the TSPA-SR report and provides the same information for incorporation into a project-specific FEPs database. This AMR may also assist reviewers during the licensing-review process.« less

  11. Geography Assessment and Exercise Specifications for the 1994 National Assessment of Educational Progress.

    ERIC Educational Resources Information Center

    American Inst. for Research, Washington, DC. Washington Research Center.

    This document lists and outlines the specific educational objectives of the content of the 1994 National Assessment of Educational Progress's Geography Assessment. The document is divided into two sections: "Assessment Specifications" and "Exercise Specifications." The "Assessment Specifications" provide an overall…

  12. Survey and documentation of emerging technologies for the Satellite Power System (SPS)

    NASA Technical Reports Server (NTRS)

    Glaser, P.; Chapman, P.

    1981-01-01

    The genesis of the solar power satellite (SPS) concept is reviewed historically and the original assumptions and guidelines which led to development of the SPS reference system design concept are discussed. Some guidelines are applicable to almost any SPS design, but others can be changed, leading to new and perhaps preferable systems. In order to stimulate new SPS concepts and to facilitate comparative assessment of emerging SPS technologies, one useful approach is to break the overall system into functional parts. The system functions which must be performed by any SPS concept and the interrelations between them are discussed and a systematic framework is presented for assessing the wide variety of system concepts and subsystem technologies which have been proposed. About 80 alternative SPS technologies are reviewed.

  13. Guidelines for development of structural integrity programs for DOE high-level waste storage tanks

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bandyopadhyay, K.; Bush, S.; Kassir, M.

    Guidelines are provided for developing programs to promote the structural integrity of high-level waste storage tanks and transfer lines at the facilities of the Department of Energy. Elements of the program plan include a leak-detection system, definition of appropriate loads, collection of data for possible material and geometric changes, assessment of the tank structure, and non-destructive examination. Possible aging degradation mechanisms are explored for both steel and concrete components of the tanks, and evaluated to screen out nonsignificant aging mechanisms and to indicate methods of controlling the significant aging mechanisms. Specific guidelines for assessing structural adequacy will be provided inmore » companion documents. Site-specific structural integrity programs can be developed drawing on the relevant portions of the material in this document.« less

  14. Technology resource document for the assembled chemical weapons assessment environmental impact statement. Vol. 4 : assembled systems for weapons destruction at Pueblo Chemical Depot.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kimmell, T.; Folga, S., Frey, G.; Molberg, J.

    2001-04-30

    This volume of the Technical Resource Document (TRD) for the ''Environmental Impact Statement (EIS) for the Design, Construction and Operation of One or More Pilot Test Facilities for Assembled Chemical Weapons Destruction Technologies at One or More Sites'' (PMACWA 2001c) pertains to the destruction of assembled chemical weapons (ACW) stored at Pueblo Chemical Depot (PCD), located outside Pueblo, Colorado. This volume presents technical and process information on each of the destruction technologies applicable to treatment of the specific ACW stored at PCD. The destruction technologies described are those that have been demonstrated during Phase I of the Assembled Chemical Weaponsmore » Assessment (ACWA) demonstration process (see Volume 1).« less

  15. Debris/ice/tps Assessment and Integrated Photographic Analysis of Shuttle Mission STS-81

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Lin, Jill D.

    1997-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-81. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-81 and the resulting effect on the Space Shuttle Program.

  16. Debris/ice/tps Assessment and Integrated Photographic Analysis of Shuttle Mission STS-83

    NASA Technical Reports Server (NTRS)

    Lin, Jill D.; Katnik, Gregory N.

    1997-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-83. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-83 and the resulting effect on the Space Shuttle Program.

  17. Debris/ice/TPS assessment and integrated photographic analysis of Shuttle Mission STS-71

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Davis, J. Bradley

    1995-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-71. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanner data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-71 and the resulting effect on the Space Shuttle Program.

  18. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-102

    NASA Technical Reports Server (NTRS)

    Rivera, Jorge E.; Kelly, J. David (Technical Monitor)

    2001-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-102. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch were analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or inflight anomalies. This report documents the debris/ice /thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-102 and the resulting effect on the Space Shuttle Program.

  19. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-94

    NASA Technical Reports Server (NTRS)

    Bowen, Barry C.; Lin, Jill D.

    1997-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-94. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-94 and the resulting effect on the Space Shuttle Program.

  20. Debris/ice/tps Assessment and Integrated Photographic Analysis of Shuttle Mission STS-79

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Lin, Jill D.

    1996-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-79. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-79 and the resulting effect on the Space Shuttle Program.

  1. Debris/ice/TPS assessment and integrated photographic analysis of Shuttle mission STS-73

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Lin, Jill D.

    1995-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-73. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanner data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle Mission STS-73 and the resulting effect on the Space Shuttle Program.

  2. Debris/Ice/TPS assessment and integrated photographic analysis of Shuttle Mission STS-77

    NASA Technical Reports Server (NTRS)

    Katnik, GregoryN.; Lin, Jill D. (Compiler)

    1996-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-77. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-77 and the resulting effect on the Space Shuttle Program.

  3. Debris/ice/TPS assessment and integrated photographic analysis of Shuttle Mission STS-70

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Davis, J. Bradley

    1995-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-70. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanner data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-70 and the resulting effect on the Space Shuttle Program.

  4. Debris/ice/TPS assessment and integrated photographic analysis of Shuttle mission STS-69

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Davis, J. Bradley

    1995-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-69. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanner data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in flight anomalies. This report documents the ice/debris/thermal protection system condition and integrated photographic analysis of Shuttle Mission STS-69 and the resulting effect on the Space Shuttle Program.

  5. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-106

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Kelley, J. David (Technical Monitor)

    2000-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-106. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-106 and the resulting effect on the Space Shuttle Program.

  6. Debris/Ice/TPS assessment and integrated photographic analysis of shuttle mission STS-76

    NASA Technical Reports Server (NTRS)

    Lin, Jill D.

    1996-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-76. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-76 and the resulting effect on the Space Shuttle Program.

  7. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-72

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Lin, Jill D.

    1996-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-72. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-72 and the resulting effect on the Space Shuttle Program.

  8. Development, manufacturing, and test of graphite-epoxy composite spoilers for flight service on 737 transport aircraft

    NASA Technical Reports Server (NTRS)

    Stoecklin, R. L.

    1976-01-01

    A total of 114 spoiler units were fabricated in a production shop environment, utilizing three graphite epoxy material systems. Production planning paper was generated for each spoiler unit to completely document each production step of each spoiler unit. The graphite epoxy skins were laid up on production tooling using both mechanical and hand layup techniques. Inspection techniques utilized MRB type assessment in the abscence of quality requirements. Each completed spoiler was subjected to ultrasonic inspection utilizing a multicolor recording system that documented each inspection result. In addition, one static test spoiler was sectioned after the test to examine the adhesive filleting to the honeycomb core. Visual examination of the cured adhesives showed excellent results.

  9. Evaluation of the Carcinogenicity of Ethylene Oxide (2006 ...

    EPA Pesticide Factsheets

    EPA conducted a peer review and public comment of the scientific basis supporting the human health hazard and dose-response assessment of ethylene oxide (cancer) that when finalized will appear on the Integrated Risk Information System (IRIS) database. EPA is announcing a 30-day public comment period for this document. The release of this draft document is solely for the purpose of seeking public comment and for review by the EPA Science Advisory Board (SAB) via a meeting to be held later in 2006. The time and place of the SAB meeting will be announced in a separate Federal Register notice. This document has not been formally disseminated by EPA and does not represent, and should not be construed to represent, any Agency policy or determination. EPA will consider any public comments submitted in accordance with the requirements specified in the Notice of Public Comment Period when revising this draft document.

  10. 43 CFR 3835.31 - When do I file an annual FLPMA document?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... MAINTENANCE FEES Annual FLPMA Documents § 3835.31 When do I file an annual FLPMA document? (a) If you must... because you located the claim during the current assessment year or because BLM has deferred assessment... FLPMA document filing. You must state in the notice of intent to hold either that BLM has deferred the...

  11. 43 CFR 3835.31 - When do I file an annual FLPMA document?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... MAINTENANCE FEES Annual FLPMA Documents § 3835.31 When do I file an annual FLPMA document? (a) If you must... because you located the claim during the current assessment year or because BLM has deferred assessment... FLPMA document filing. You must state in the notice of intent to hold either that BLM has deferred the...

  12. 43 CFR 3835.31 - When do I file an annual FLPMA document?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... MAINTENANCE FEES Annual FLPMA Documents § 3835.31 When do I file an annual FLPMA document? (a) If you must... because you located the claim during the current assessment year or because BLM has deferred assessment... FLPMA document filing. You must state in the notice of intent to hold either that BLM has deferred the...

  13. 43 CFR 3835.31 - When do I file an annual FLPMA document?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... MAINTENANCE FEES Annual FLPMA Documents § 3835.31 When do I file an annual FLPMA document? (a) If you must... because you located the claim during the current assessment year or because BLM has deferred assessment... FLPMA document filing. You must state in the notice of intent to hold either that BLM has deferred the...

  14. Design criteria for payload workstation accommodations

    NASA Technical Reports Server (NTRS)

    Watters, H. H.; Stokes, J. W.

    1975-01-01

    Anticipated shuttle sortie payload man-system design criteria needs are investigated. Man-system interactions for the scientific disciplines are listed and the extent is assessed to which documented Skylab experience is expected to provide system design guidance for each of the identified interactions. Where the analysis revealed that the reduced Skylab data does not answer the anticipated needs candidate criteria, based on unreduced Skylab data, available prior research, original analysis, or related requirements derived from previous space programs, are provided.

  15. Camera Ready Masters. B/M-1 Resource Assessment. B/M-2 Surveying. B/M-3 Tabulation. B/M-4 Selecting Program Goals. B/M-5 Producing CDU's. Career Planning Support System.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center for Vocational Education.

    This package of camera ready masters is one of a set of twelve documents describing the Career Planning Support System (CPSS) and its use. (CPSS is a comprehensive guidance program management system which (1) provides techniques to improve a high school's career guidance program, (2) focuses on the skills students need to make decisions about and…

  16. Medical devices; ovarian adnexal mass assessment score test system; labeling; black box restrictions. Final rule.

    PubMed

    2011-12-30

    The Food and Drug Administration (FDA) is amending the regulation classifying ovarian adnexal mass assessment score test systems to restrict these devices so that a prescribed warning statement that addresses a risk identified in the special controls guidance document must be in a black box and must appear in all labeling, advertising, and promotional material. The black box warning mitigates the risk to health associated with off-label use as a screening test, stand-alone diagnostic test, or as a test to determine whether or not to proceed with surgery.

  17. Implementation of the Nutrition Care Process and International Dietetics and Nutrition Terminology in a single-center hemodialysis unit: comparing paper vs electronic records.

    PubMed

    Rossi, Megan; Campbell, Katrina Louise; Ferguson, Maree

    2014-01-01

    There is little doubt surrounding the benefits of the Nutrition Care Process and International Dietetics and Nutrition Terminology (IDNT) to dietetics practice; however, evidence to support the most efficient method of incorporating these into practice is lacking. The main objective of our study was to compare the efficiency and effectiveness of an electronic and a manual paper-based system for capturing the Nutrition Care Process and IDNT in a single in-center hemodialysis unit. A cohort of 56 adult patients receiving maintenance hemodialysis were followed for 12 months. During the first 6 months, patients received the usual standard care, with documentation via a manual paper-based system. During the following 6-month period (Months 7 to 12), nutrition care was documented by an electronic system. Workload efficiency, number of IDNT codes used related to nutrition-related diagnoses, interventions, monitoring and evaluation using IDNT, nutritional status using the scored Patient-Generated Subjective Global Assessment Tool of Quality of Life were the main outcome measures. Compared with paper-based documentation of nutrition care, our study demonstrated that an electronic system improved the efficiency of total time spent by the dietitian by 13 minutes per consultation. There were also a greater number of nutrition-related diagnoses resolved using the electronic system compared with the paper-based documentation (P<0.001). In conclusion, the implementation of an electronic system compared with a paper-based system in a population receiving hemodialysis resulted in significant improvements in the efficiency of nutrition care and effectiveness related to patient outcomes. Copyright © 2014 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  18. NONCARCINOGENIC EFFECTS OF CHROMIUM: UPDATE TO HEALTH ASSESSMENT DOCUMENT

    EPA Science Inventory

    This 1990 document updates the 1984 Health Assessment Document for Chromium by addressing issues regarding noncarcinogenic health effects of chromium: oxidation states and persistence of these states in the environment, sampling and analytical methodology to differentiate these o...

  19. Probabilistic Survivability Versus Time Modeling

    NASA Technical Reports Server (NTRS)

    Joyner, James J., Sr.

    2016-01-01

    This presentation documents Kennedy Space Center's Independent Assessment work completed on three assessments for the Ground Systems Development and Operations (GSDO) Program to assist the Chief Safety and Mission Assurance Officer during key programmatic reviews and provided the GSDO Program with analyses of how egress time affects the likelihood of astronaut and ground worker survival during an emergency. For each assessment, a team developed probability distributions for hazard scenarios to address statistical uncertainty, resulting in survivability plots over time. The first assessment developed a mathematical model of probabilistic survivability versus time to reach a safe location using an ideal Emergency Egress System at Launch Complex 39B (LC-39B); the second used the first model to evaluate and compare various egress systems under consideration at LC-39B. The third used a modified LC-39B model to determine if a specific hazard decreased survivability more rapidly than other events during flight hardware processing in Kennedy's Vehicle Assembly Building.

  20. Analysis of Documentation Speed Using Web-Based Medical Speech Recognition Technology: Randomized Controlled Trial.

    PubMed

    Vogel, Markus; Kaisers, Wolfgang; Wassmuth, Ralf; Mayatepek, Ertan

    2015-11-03

    Clinical documentation has undergone a change due to the usage of electronic health records. The core element is to capture clinical findings and document therapy electronically. Health care personnel spend a significant portion of their time on the computer. Alternatives to self-typing, such as speech recognition, are currently believed to increase documentation efficiency and quality, as well as satisfaction of health professionals while accomplishing clinical documentation, but few studies in this area have been published to date. This study describes the effects of using a Web-based medical speech recognition system for clinical documentation in a university hospital on (1) documentation speed, (2) document length, and (3) physician satisfaction. Reports of 28 physicians were randomized to be created with (intervention) or without (control) the assistance of a Web-based system of medical automatic speech recognition (ASR) in the German language. The documentation was entered into a browser's text area and the time to complete the documentation including all necessary corrections, correction effort, number of characters, and mood of participant were stored in a database. The underlying time comprised text entering, text correction, and finalization of the documentation event. Participants self-assessed their moods on a scale of 1-3 (1=good, 2=moderate, 3=bad). Statistical analysis was done using permutation tests. The number of clinical reports eligible for further analysis stood at 1455. Out of 1455 reports, 718 (49.35%) were assisted by ASR and 737 (50.65%) were not assisted by ASR. Average documentation speed without ASR was 173 (SD 101) characters per minute, while it was 217 (SD 120) characters per minute using ASR. The overall increase in documentation speed through Web-based ASR assistance was 26% (P=.04). Participants documented an average of 356 (SD 388) characters per report when not assisted by ASR and 649 (SD 561) characters per report when assisted by ASR. Participants' average mood rating was 1.3 (SD 0.6) using ASR assistance compared to 1.6 (SD 0.7) without ASR assistance (P<.001). We conclude that medical documentation with the assistance of Web-based speech recognition leads to an increase in documentation speed, document length, and participant mood when compared to self-typing. Speech recognition is a meaningful and effective tool for the clinical documentation process.

  1. Building Energy Audit Report, for Hickam AFB, HI

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chvala, William D.; De La Rosa, Marcus I.; Brown, Daryl R.

    2010-09-30

    A building energy assessment was performed by a team of engineers from Pacific Northwest National Laboratory (PNNL) under contract to the Department of Energy/Federal Energy Management program (FEMP). The effort used the Facility Energy Decision System (FEDS) model to determine how energy is consumed at Hickam AFB, identify the most cost-effective energy retrofit measures, and calculate the potential energy and cost savings. This documents reports the results of that assessment.

  2. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    The SPS Concept Development and Evaluation Program includes a comparative assessment. An early first step in the assessment process is the selection and characterization of alternative technologies. This document describes the cost and performance (i.e., technical and environmental) characteristics of six central station energy alternatives: (1) conventional coal-fired powerplant; (2) conventional light water reactor (LWR); (3) combined cycle powerplant with low-Btu gasifiers; (4) liquid metal fast breeder reactor (LMFBR); (5) photovoltaic system without storage; and (6) fusion reactor.

  3. Metal Vapor Arcing Risk Assessment Tool

    NASA Technical Reports Server (NTRS)

    Hill, Monika C.; Leidecker, Henning W.

    2010-01-01

    The Tin Whisker Metal Vapor Arcing Risk Assessment Tool has been designed to evaluate the risk of metal vapor arcing and to help facilitate a decision toward a researched risk disposition. Users can evaluate a system without having to open up the hardware. This process allows for investigating components at risk rather than spending time and money analyzing every component. The tool points to a risk level and provides direction for appropriate action and documentation.

  4. Building Energy Audit Report for Camp Smith, HI

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chvala, William D.; De La Rosa, Marcus I.; Brown, Daryl R.

    2010-09-30

    A detailed energy assessment was performed by a team of engineers from Pacific Northwest National Laboratory (PNNL) under contract to the Department of Energy/Federal Energy Management program (FEMP). The effort used the Facility Energy Decision System (FEDS) model to determine how energy is consumed at Camp Smith, identify the most cost-effective energy retrofit measures, and calculate the potential energy and cost savings. This report documents the results of that assessment.

  5. The NBS Energy Model Assessment project: Summary and overview

    NASA Astrophysics Data System (ADS)

    Gass, S. I.; Hoffman, K. L.; Jackson, R. H. F.; Joel, L. S.; Saunders, P. B.

    1980-09-01

    The activities and technical reports for the project are summarized. The reports cover: assessment of the documentation of Midterm Oil and Gas Supply Modeling System; analysis of the model methodology characteristics of the input and other supporting data; statistical procedures undergirding construction of the model and sensitivity of the outputs to variations in input, as well as guidelines and recommendations for the role of these in model building and developing procedures for their evaluation.

  6. Southern California Priority Corridor Showcase Program evaluation : Corridor-wide Rideshare Data Exchange Project evaluation report

    DOT National Transportation Integrated Search

    2004-11-01

    As required by federal law, all Intelligent Transportation System (ITS) projects that : receive federal funding must undergo an evaluation to help assess the costs and benefits : of ITS. This document is one of 23 reports produced as part of the Sout...

  7. UPDATE A COMPUTER MODEL, TITLED GENII-NESHAPS VERSION 2, FOR EVALUATING ATMOSPHERIC RELEASES OF RADIONUCLIDES.

    EPA Science Inventory

    The GENII System provides a state-of-the-art, fully documented set of programs for calculating radiation dose and risk from radionuclides released to the environment. The GENII-NESHAPs Edition can be utilized for assessing compliance with 40 CFR 61, Subparts H and I.

  8. Storm related closures of I-5 and I-90 : freight transportation economic impact assessment report, winter 2007-2008.

    DOT National Transportation Integrated Search

    2008-09-01

    This report documents the economic impact analysis undertaken by WSDOTs Freight Systems Division in response to the : storm-related closures of I-5 and I-90 in the winter 2007-2008. The closures were the result of severe weather that : overwhelmed...

  9. Videodiscs in Special Education.

    ERIC Educational Resources Information Center

    Education Turnkey Systems, Inc., Falls Church, VA.

    One of four reports designed to assess the current state of new technologies, the document reviews the current and future 5-year status of videodisc technology in special and regular education. Described first are the history, technological features, and prices of videodisc systems (which consist of a player, programing material stored on a disc,…

  10. Managing Corporate Annual Reports. SPEC Kit 258.

    ERIC Educational Resources Information Center

    O'Connor, Lisa, Comp.

    2000-01-01

    The purpose of the survey for this SPEC (Systems and Procedures Exchange Center) Kit was to assess the current print corporate annual report collection practices of ARL (Association of Research Libraries) libraries, describe the effects of these collections, and recommend best practices for preserving these significant historical documents. The…

  11. Identification and Control of Pollution from Salt Water Intrusion.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC. Office of Water Programs.

    This document contains informational guidelines for identifying and evaluating the nature and extent of pollution from salt water intrusion. The intent of these guidelines is to provide a basic framework for assessing salt water intrusion problems and their relationship to the total hydrologic system, and to provide assistance in developing…

  12. Collaborative Information and Multimedia to Assess Team Interaction in Technology Teacher Preparation

    ERIC Educational Resources Information Center

    Ernst, Jeremy V.; Clark, Aaron C.

    2011-01-01

    The utilization of information technology to assist communication and collaboration has become a central theme in information systems research and practice. Rising information and communication technologies could considerably enhance interaction and collaboration. For the purposes of this research study, applications that permit documents and…

  13. Skylab thruster attitude control system

    NASA Technical Reports Server (NTRS)

    Wilmer, G. E., Jr.

    1974-01-01

    Preflight activities and the Skylab mission support effort for the thruster attitude control system (TACS) are documented. The preflight activities include a description of problems and their solutions encountered in the development, qualification, and flight checkout test programs. Mission support effort is presented as it relates to system performance assessment, real-time problem solving, flight anomalies, and the daily system evaluation. Finally, the detailed flight evaluation is presented for each phase of the mission using system telemetry data. Data assert that the TACS met or exceeded design requirements and fulfilled its assigned mission objectives.

  14. Reporting of feasibility factors in publications on integrated treatment programs for women with substance abuse issues and their children: a systematic review and analysis.

    PubMed

    Henderson, Joanna; Milligan, Karen; Niccols, Alison; Thabane, Lehana; Sword, Wendy; Smith, Ainsley; Rosenkranz, Susan

    2012-12-07

    Implementation of evidence-based practices in real-world settings is a complex process impacted by many factors, including intervention, dissemination, service provider, and organizational characteristics. Efforts to improve knowledge translation have resulted in greater attention to these factors. Researcher attention to the applicability of findings to applied settings also has increased. Much less attention, however, has been paid to intervention feasibility, an issue important to applied settings. In a systematic review of 121 documents regarding integrated treatment programs for women with substance abuse issues and their children, we examined the presence of feasibility-related information. Specifically, we analysed study descriptions for information regarding feasibility factors in six domains (intervention, practitioner, client, service delivery, organizational, and service system). On average, fewer than half of the 25 feasibility details assessed were included in the documents. Most documents included some information describing the participating clients, the services offered as part of the intervention, the location of services, and the expected length of stay or number of sessions. Only approximately half of the documents included specific information about the treatment model. Few documents indicated whether the intervention was manualized or whether the intervention was preceded by a standardized screening or assessment process. Very few provided information about the core intervention features versus the features open to local adaptation, or the staff experience or training required to deliver the intervention. As has been found in reviews of intervention studies in other fields, our findings revealed that most documents provide some client and intervention information, but few documents provided sufficient information to fully evaluate feasibility. We consider possible explanations for the paucity of feasibility information and provide suggestions for better reporting to promote diffusion of evidence-based practices.

  15. Representing nursing assessments in clinical information systems using the logical observation identifiers, names, and codes database.

    PubMed

    Matney, Susan; Bakken, Suzanne; Huff, Stanley M

    2003-01-01

    In recent years, the Logical Observation Identifiers, Names, and Codes (LOINC) Database has been expanded to include assessment items of relevance to nursing and in 2002 met the criteria for "recognition" by the American Nurses Association. Assessment measures in LOINC include those related to vital signs, obstetric measurements, clinical assessment scales, assessments from standardized nursing terminologies, and research instruments. In order for LOINC to be of greater use in implementing information systems that support nursing practice, additional content is needed. Moreover, those implementing systems for nursing practice must be aware of the manner in which LOINC codes for assessments can be appropriately linked with other aspects of the nursing process such as diagnoses and interventions. Such linkages are necessary to document nursing contributions to healthcare outcomes within the context of a multidisciplinary care environment and to facilitate building of nursing knowledge from clinical practice. The purposes of this paper are to provide an overview of the LOINC database, to describe examples of assessments of relevance to nursing contained in LOINC, and to illustrate linkages of LOINC assessments with other nursing concepts.

  16. Informatics in radiology: use of CouchDB for document-based storage of DICOM objects.

    PubMed

    Rascovsky, Simón J; Delgado, Jorge A; Sanz, Alexander; Calvo, Víctor D; Castrillón, Gabriel

    2012-01-01

    Picture archiving and communication systems traditionally have depended on schema-based Structured Query Language (SQL) databases for imaging data management. To optimize database size and performance, many such systems store a reduced set of Digital Imaging and Communications in Medicine (DICOM) metadata, discarding informational content that might be needed in the future. As an alternative to traditional database systems, document-based key-value stores recently have gained popularity. These systems store documents containing key-value pairs that facilitate data searches without predefined schemas. Document-based key-value stores are especially suited to archive DICOM objects because DICOM metadata are highly heterogeneous collections of tag-value pairs conveying specific information about imaging modalities, acquisition protocols, and vendor-supported postprocessing options. The authors used an open-source document-based database management system (Apache CouchDB) to create and test two such databases; CouchDB was selected for its overall ease of use, capability for managing attachments, and reliance on HTTP and Representational State Transfer standards for accessing and retrieving data. A large database was created first in which the DICOM metadata from 5880 anonymized magnetic resonance imaging studies (1,949,753 images) were loaded by using a Ruby script. To provide the usual DICOM query functionality, several predefined "views" (standard queries) were created by using JavaScript. For performance comparison, the same queries were executed in both the CouchDB database and a SQL-based DICOM archive. The capabilities of CouchDB for attachment management and database replication were separately assessed in tests of a similar, smaller database. Results showed that CouchDB allowed efficient storage and interrogation of all DICOM objects; with the use of information retrieval algorithms such as map-reduce, all the DICOM metadata stored in the large database were searchable with only a minimal increase in retrieval time over that with the traditional database management system. Results also indicated possible uses for document-based databases in data mining applications such as dose monitoring, quality assurance, and protocol optimization. RSNA, 2012

  17. Analysis and classification of the tools for assessing the risks associated with industrial machines.

    PubMed

    Paques, Joseph-Jean; Gauthier, François; Perez, Alejandro

    2007-01-01

    To assess and plan future risk-analysis research projects, 275 documents describing methods and tools for assessing the risks associated with industrial machines or with other sectors such as the military, and the nuclear and aeronautics industries, etc., were collected. These documents were in the format of published books or papers, standards, technical guides and company procedures collected throughout industry. From the collected documents, 112 documents were selected for analysis; 108 methods applied or potentially applicable for assessing the risks associated with industrial machines were analyzed and classified. This paper presents the main quantitative results of the analysis of the methods and tools.

  18. An Interventional Quality Improvement Study to Assess the Compliance to Cardiopulmonary Resuscitation Documentation in an Indian Teaching Hospital

    PubMed Central

    Nevrekar, Viraj; Panda, Prasan Kumar; Wig, Naveet; Pandey, R. M.; Agarwal, Praveen; Biswas, Ashutosh

    2017-01-01

    Background: Cardiopulmonary resuscitation (CPR) should be performed as per the international guidelines; however, compliance to these guidelines is difficult to assess. This study was conducted to determine the compliance to American Heart Association (2010) guideline on CPR documentation by among resident physicians before and after resident training (two arms). Methods: This pre–postinterventional quality improvement study was conducted in a referral center, North India. Data of hospitalized in-hospital CPR patients were collected in the form of quality indicators (checklists) as defined by the guideline and compared between two arms of before–after resident training. Residents were given appropriate training in CPR technique as per the guideline. The compliance of CPR documentation was assessed pre- and post-intervention. Results: The baseline arm compliance of various components of CPR documentation was low. The postintervention arm compliances of all components significantly increased (baseline, 2.5% to postintervention, 15.11%, P = 0.03). Individual components assessed were documentation of assessment of responsiveness (65% to 77.9%, P = 0.19), assessment of breathing (37.5% to 58.1%, P = 0.03), assessment of carotid pulse (62.5% to 79%, P = 0.05), rate of chest compressions (20% to 39.5%, P = 0.04), airway management (62.5% to 82.5%, P = 0.02), and compressions to breaths ratio (12.5% to 31.4%, P = 0.02). Documentation of chest compression rate compared to nondocumentation (12 of 42 vs. 11 of 84, P = 0.04) was independently associated with a higher rate of return of spontaneous circulation. The study however did not show any survival benefits. Conclusions: This study establishes that the compliance to CPR documentation is poor as assessed by CPR documentation content and quality, which improves after physician training, but not up to the mark level (100%) that may be due to busy Indian hospital settings and human behavioral factors. Due to ethical constraints of live CPR assessment, this document checklist approach may be considered as an internal quality assessment method for CPR compliance. Furthermore, correct instruction in CPR technique along with proper documentation of the procedure is required, followed up with periodic re-education during the residency period and beyond. PMID:29279637

  19. Industrial energy systems and assessment opportunities

    NASA Astrophysics Data System (ADS)

    Barringer, Frank Leonard, III

    Industrial energy assessments are performed primarily to increase energy system efficiency and reduce energy costs in industrial facilities. The most common energy systems are lighting, compressed air, steam, process heating, HVAC, pumping, and fan systems, and these systems are described in this document. ASME has produced energy assessment standards for four energy systems, and these systems include compressed air, steam, process heating, and pumping systems. ASHRAE has produced an energy assessment standard for HVAC systems. Software tools for energy systems were developed for the DOE, and there are software tools for almost all of the most common energy systems. The software tools are AIRMaster+ and LogTool for compressed air systems, SSAT and 3E Plus for steam systems, PHAST and 3E Plus for process heating systems, eQUEST for HVAC systems, PSAT for pumping systems, and FSAT for fan systems. The recommended assessment procedures described in this thesis are used to set up an energy assessment for an industrial facility, collect energy system data, and analyze the energy system data. The assessment recommendations (ARs) are opportunities to increase efficiency and reduce energy consumption for energy systems. A set of recommended assessment procedures and recommended assessment opportunities are presented for each of the most common energy systems. There are many assessment opportunities for industrial facilities, and this thesis describes forty-three ARs for the seven different energy systems. There are seven ARs for lighting systems, ten ARs for compressed air systems, eight ARs for boiler and steam systems, four ARs for process heating systems, six ARs for HVAC systems, and four ARs for both pumping and fan systems. Based on a history of past assessments, average potential energy savings and typical implementation costs are shared in this thesis for most ARs. Implementing these ARs will increase efficiency and reduce energy consumption for energy systems in industrial facilities. This thesis does not explain all energy saving ARs that are available, but does describe the most common ARs.

  20. An assessment of the status and trends in satellite communications 1986-2000: An information document prepared for the Communications Subcommittee of the Space Applications Advisory Committee

    NASA Technical Reports Server (NTRS)

    Poley, W. A.; Stevens, G. H.; Stevenson, S. M.; Lekan, J.; Arth, C. H.; Hollansworth, J. E.; Miller, E. F.

    1986-01-01

    This is a response to a Space Applications Advisory Committee (SAAC) request for information about the status and trends in satellite communications, to be used to support efforts to conceive and recommend long range goals for NASA communications activities. Included in this document are assessments of: (1) the outlook for satellite communications, including current applications, potential future applications, and impact of the changing environment such as optical fiber networks, the Integrated Services Digital Network (ISDN) standard, and the rapidly growing market for Very Small Aperture Terminals (VSAT); (2) the restrictions imposed by our limited spectrum resource; and (3) technology needs indicated by future trends. Potential future systems discussed include: large powerful satellites for providing personal communications; VSAT compatible satellites with onboard switching and having voice capability; large satellites which offer a pervasive T1 network service (primarily for video-phone); and large geostationary communications facilities which support common use by several carriers. Also, discussion is included of NASA particular needs and possible future systems. Based on the mentioned system concepts, specific technology recommendations are provided for the time frames of now - 1993, 1994 - 2000, and 2000 - 2010.

  1. Independent Orbiter Assessment (IOA): Analysis of the active thermal control subsystem

    NASA Technical Reports Server (NTRS)

    Sinclair, S. K.; Parkman, W. E.

    1987-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical (PCIs) items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The independent analysis results corresponding to the Orbiter Active Thermal Control Subsystem (ATCS) are documented. The major purpose of the ATCS is to remove the heat, generated during normal Shuttle operations from the Orbiter systems and subsystems. The four major components of the ATCS contributing to the heat removal are: Freon Coolant Loops; Radiator and Flow Control Assembly; Flash Evaporator System; and Ammonia Boiler System. In order to perform the analysis, the IOA process utilized available ATCS hardware drawings and schematics for defining hardware assemblies, components, and hardware items. Each level of hardware was evaluated and analyzed for possible failure modes and effects. Criticality was assigned based upon the severity of the effect for each failure mode. Of the 310 failure modes analyzed, 101 were determined to be PCIs.

  2. Independent Orbiter Assessment (IOA): Analysis of the nose wheel steering subsystem

    NASA Technical Reports Server (NTRS)

    Mediavilla, Anthony Scott

    1986-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The independent analysis results for the Orbiter Nose Wheel Steering (NWS) hardware are documented. The NWS hardware provides primary directional control for the Orbiter vehicle during landing rollout. Each level of hardware was evaluated and analyzed for possible failure modes and effects. Criticality was assigned based upon the severity of the effect for each failure mode. The original NWS design was envisioned as a backup system to differential braking for directional control of the Orbiter during landing rollout. No real effort was made to design the NWS system as fail operational. The brakes have much redundancy built into their design but the poor brake/tire performance has forced the NSTS to upgrade NWS to the primary mode of directional control during rollout. As a result, a large percentage of the NWS system components have become Potential Critical Items (PCI).

  3. Checklist and Scoring System for the Assessment of Soft Tissue Preservation in CT Examinations of Human Mummies: Application to the Tyrolean Iceman.

    PubMed

    Panzer, Stephanie; Pernter, Patrizia; Piombino-Mascali, Dario; Jankauskas, Rimantas; Zesch, Stephanie; Rosendahl, Wilfried; Hotz, Gerhard; Zink, Albert R

    2017-12-01

    Purpose  Soft tissues make a skeleton into a mummy and they allow for a diagnosis beyond osteology. Following the approach of structured reporting in clinical radiology, a recently developed checklist was used to evaluate the soft tissue preservation status of the Tyrolean Iceman using computed tomography (CT). The purpose of this study was to apply the "Checklist and Scoring System for the Assessment of Soft Tissue Preservation in CT Examinations of Human Mummies" to the Tyrolean Iceman, and to compare the Iceman's soft tissue preservation score to the scores calculated for other mummies. Materials and Methods  A whole-body (CT) (SOMATOM Definition Flash, Siemens, Forchheim, Germany) consisting of five scans, performed in January 2013 in the Department of Radiodiagnostics, Central Hospital, Bolzano, was used (slice thickness 0.6 mm; kilovolt ranging from 80 to 140). For standardized evaluation the "CT Checklist and Scoring System for the Assessment of Soft Tissue Preservation in Human Mummies" was used. Results  All checkpoints under category "A. Soft Tissues of Head and Musculoskeletal System" and more than half in category "B. Organs and Organ Systems" were observed. The scoring system accounted for a total score of 153 (out of 200). The comparison of the scores between the Iceman and three mummy collections from Vilnius, Lithuania, and Palermo, Sicily, as well as one Egyptian mummy resulted in overall higher soft tissue preservation scores for the Iceman. Conclusion  Application of the checklist allowed for standardized assessment and documentation of the Iceman's soft tissue preservation status. The scoring system allowed for a quantitative comparison between the Iceman and other mummies. The Iceman showed remarkable soft tissue preservation. Key Points   · The approach of structured reporting can be transferred to paleoradiology.. · The checklist allowed for standardized soft tissue assessment and documentation.. · The scoring system facilitated a quantitative comparison among mummies.. · Based on CT, the Tyrolean Iceman demonstrated remarkable soft tissue preservation.. Citation Format · Panzer S, Pernter P, Piombino-Mascali D et al. Checklist and Scoring System for the Assessment of Soft Tissue Preservation in CT Examinations of Human Mummies: Application to the Tyrolean Iceman. Fortschr Röntgenstr 2017; 189: 1152 - 1160. © Georg Thieme Verlag KG Stuttgart · New York.

  4. Emergency Response Capability Baseline Needs Assessment - Requirements Document

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sharry, John A.

    This document was prepared by John A. Sharry, LLNL Fire Marshal and LLNL Division Leader for Fire Protection and reviewed by LLNL Emergency Management Department Head James Colson. The document follows and expands upon the format and contents of the DOE Model Fire Protection Baseline Capabilities Assessment document contained on the DOE Fire Protection Web Site, but only addresses emergency response.

  5. Radioactive waste isolation in salt: special advisory report on the status of the Office of Nuclear Waste Isolation's plans for repository performance assessment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ditmars, J.D.; Walbridge, E.W.; Rote, D.M.

    1983-10-01

    Repository performance assessment is analysis that identifies events and processes that might affect a repository system for isolation of radioactive waste, examines their effects on barriers to waste migration, and estimates the probabilities of their occurrence and their consequences. In 1983 Battelle Memorial Institute's Office of Nuclear Waste Isolation (ONWI) prepared two plans - one for performance assessment for a waste repository in salt and one for verification and validation of performance assessment technology. At the request of the US Department of Energy's Salt Repository Project Office (SRPO), Argonne National Laboratory reviewed those plans and prepared this report to advisemore » SRPO of specific areas where ONWI's plans for performance assessment might be improved. This report presents a framework for repository performance assessment that clearly identifies the relationships among the disposal problems, the processes underlying the problems, the tools for assessment (computer codes), and the data. In particular, the relationships among important processes and 26 model codes available to ONWI are indicated. A common suggestion for computer code verification and validation is the need for specific and unambiguous documentation of the results of performance assessment activities. A major portion of this report consists of status summaries of 27 model codes indicated as potentially useful by ONWI. The code summaries focus on three main areas: (1) the code's purpose, capabilities, and limitations; (2) status of the elements of documentation and review essential for code verification and validation; and (3) proposed application of the code for performance assessment of salt repository systems. 15 references, 6 figures, 4 tables.« less

  6. Application and Validation of Workload Assessment Techniques

    DTIC Science & Technology

    1993-03-01

    tech ical report documents the process and outcome of meeting this objective. Procedure: A series of eight separate studies was conducted using three...development process . The task analysis and simulation technique was shown to have the capability to track empirical workload ratings. More research is...operator workload during the systems acquisi- tion process , and (b) a pamphlet for the managers of Army systems that describes the need and some procedures

  7. Foundation for California Community Colleges (F.C.C.C.) Facility Program: Saving Community California Community Colleges $$$ on Assessments and Bulk Purchasing.

    ERIC Educational Resources Information Center

    Chen, Spencer; Toy, Larry

    The Foundation for California Community Colleges (FCCC) is a non-profit foundation whose mission is to support the California Community College (CCC) system and to save the CCC money. FCCC is the official auxiliary to the Board of Governors, the Chancellor's office, and the system of 108 colleges of the CCC. This document provides details on the…

  8. Clinical benchmarking enabled by the digital health record.

    PubMed

    Ricciardi, T N; Masarie, F E; Middleton, B

    2001-01-01

    Office-based physicians are often ill equipped to report aggregate information about their patients and practice of medicine, since their practices have relied upon paper records for the management of clinical information. Physicians who do not have access to large-scale information technology support can now benefit from low-cost clinical documentation and reporting tools. We developed a hosted clinical data mart for users of a web-enabled charting tool, targeting the solo or small group practice. The system uses secure Java Server Pages with a dashboard-like menu to provide point-and-click access to simple reports such as case mix, medications, utilization, productivity, and patient demographics in its first release. The system automatically normalizes user-entered clinical terms to enhance the quality of structured data. Individual providers benefit from rapid patient identification for disease management, quality of care self-assessments, drug recalls, and compliance with clinical guidelines. The system provides knowledge integration by linking to trusted sources of online medical information in context. Information derived from the clinical record is clinically more accurate than billing data. Provider self-assessment and benchmarking empowers physicians, who may resent "being profiled" by external entities. In contrast to large-scale data warehouse projects, the current system delivers immediate value to individual physicians who choose an electronic clinical documentation tool.

  9. Atmospheric Boundary Layer Wind Data During the Period January 1, 1998 Through January 31, 1999 at the Dallas-Fort Worth Airport. Volume 1; Quality Assessment

    NASA Technical Reports Server (NTRS)

    Zak, J. Allen; Rodgers, William G., Jr.

    2000-01-01

    The quality of the Aircraft Vortex Spacing System (AVOSS) is critically dependent on representative wind profiles in the atmospheric boundary layer. These winds observed from a number of sensor systems around the Dallas-Fort Worth airport were combined into single vertical wind profiles by an algorithm developed and implemented by MIT Lincoln Laboratory. This process, called the AVOSS Winds Analysis System (AWAS), is used by AVOSS for wake corridor predictions. During times when AWAS solutions were available, the quality of the resultant wind profiles and variance was judged from a series of plots combining all sensor observations and AWAS profiles during the period 1200 to 0400 UTC daily. First, input data was evaluated for continuity and consistency from criteria established. Next, the degree of agreement among all wind sensor systems was noted and cases of disagreement identified. Finally, the resultant AWAS solution was compared to the quality-assessed input data. When profiles differed by a specified amount from valid sensor consensus winds, times and altitudes were flagged. Volume one documents the process and quality of input sensor data. Volume two documents the data processing/sorting process and provides the resultant flagged files.

  10. Independent Orbiter Assessment (IOA): Analysis of the extravehicular mobility unit

    NASA Technical Reports Server (NTRS)

    Raffaelli, Gary G.

    1986-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA approach features a top-down analysis of the hardware to determine failure modes, criticality, and potential critical items (PCIs). To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. This report documents the independent analysis results corresponding to the Extravehicular Mobility Unit (EMU) hardware. The EMU is an independent anthropomorphic system that provides environmental protection, mobility, life support, and communications for the Shuttle crewmember to perform Extravehicular Activity (EVA) in Earth orbit. Two EMUs are included on each baseline Orbiter mission, and consumables are provided for three two-man EVAs. The EMU consists of the Life Support System (LSS), Caution and Warning System (CWS), and the Space Suit Assembly (SSA). Each level of hardware was evaluated and analyzed for possible failure modes and effects. The majority of these PCIs are resultant from failures which cause loss of one or more primary functions: pressurization, oxygen delivery, environmental maintenance, and thermal maintenance. It should also be noted that the quantity of PCIs would significantly increase if the SOP were to be treated as an emergency system rather than as an unlike redundant element.

  11. [Recommendations for the control of documents and the establishment of a documentary system].

    PubMed

    Vinner, E

    2013-06-01

    The quality management system that must be implemented in a MBL to meet the requirements of the standard NF EN ISO 15189 is based, among other things, on the creation and use by staff of a documentary system approved and updated. This documentary system is constituted by external documents (standards, suppliers' documents...) and internal documents (quality manual, procedures, instructions, technical and quality recordings...). A procedure of the documentary system control must be formalized. The documentary system should be modeled in order to identify the various procedures to be drafted and the incurred risks in the case a document would be missing in this system. Each document must be indexed in a unique way and document management must be carried out rigorously. The use of document management software is a great help to manage the life cycle of documents.

  12. SU-F-T-234: Quality Improvements in the Electronic Medical Record of Patients Treated with High Dose-Rate Brachytherapy

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Diener, T; Wilkinson, D

    Purpose: To improve workflow efficiency and patient safety by assessing the quality control documentation for HDR brachytherapy within our Electronic Medical Record System (Mosaiq). Methods: A list of parameters based on NRC regulations, our quality management program (QMP), recommendations of the ACR and the American Brachytherapy Society, and HDR treatment planning risks identified in our previous FMEA study was made. Next, the parameter entries were classified according to the type of data input—manual, electronic, or both. Manual entry included the electronic Brachytherapy Treatment Record (BTR) and pre-treatment Mosaiq Assessments list. Oncentra Treatment Reports (OTR) from the Oncentra Treatment Control Systemmore » constituted the electronic data. The OTR includes a Pre-treatment Report for each fraction, and a Treatment Summary Report at the completion of treatment. Each entry was then examined for appropriateness and completeness of data; adjustments and additions as necessary were then made. Results: Ten out of twenty-one recorded treatment parameters were identified to be documented within both the BTR and OTR. Of these ten redundancies, eight were changed from recorded values to a simple checklist in the BTR to avoid recording errors. The other redundancies were kept in both documents due to their value to ensuring patient safety. An edit was made to the current BTR quality assessment; this change revises the definition of a medical event in accordance with ODH Regulation 3701:1-58-101. One addition was made to the current QMP documents regarding HDR. This addition requires a physician to be present through the duration of HDR treatment in accordance with ODH Regulation 3701:1-58-59; Paragraph (F); Section (2); Subsection (a). Conclusion: Careful examination of HDR documentation that originates from different sources can help to improve the accuracy and reliability of the documents. In addition, there may be a small improvement in efficiency due to elimination of unnecessary redundancies.« less

  13. Enhancing the performance of gastrointestinal tumour board by improving documentation.

    PubMed

    Alsuhaibani, Roaa Saleh; Alzahrani, Hajer; Algwaiz, Ghada; Alfarhan, Haneen; Alolayan, Ashwaq; Abdelhafiz, Nafisa; Ali, Yosra; Jazieh, Abdul Rahman

    2018-01-01

    Tumour board contributes to providing better patient care by using a multidisciplinary team approach. In the efforts of evaluating the performance of the gastrointestinal tumour board at our institution, it was difficult to assess past performance due to lack of proper use of standardised documentation tool. This project aimed at improving adherence to the documentation tool and its recommendations in order to obtain performance measures for the tumour board. A multidisciplinary team and a plan were developed to improve documentation. Four rapid improvement cycles, Plan-Do-Study-Act (PDSA) cycles, were conducted. The first cycle focused on updating the case discussion summary form (CDSF) based on experts' input and previous identified deficiencies to enhance documentation and improve performance. The second PDSA cycle aimed at incorporating the CDSF into the electronic medical records system and assessing its functionality. The third cycle was to orient and train staff on using the form and launching it. The fourth PDSA cycle aimed at assessing the ability to obtain tumour board performance measures. Adherence to completion of the CDSF improved from 82% (baseline) to 94% after the fourth PDSA cycle. Over 104 consecutive cases discussed in the tumour board between January and July 2016 and 76 cases discussed in 2015, results were as follows: adherence to National Comprehensive Cancer Network guidelines in 2016 was observed in 141 (95%) recommendations, while it was observed in 90 (92%) recommendations in 2015. Changes in the management plans were observed in 37 (36%) cases in 2016 and in 6 (8%) cases in 2015. Regarding tumour board recommendations, 87% were done within 3 months of tumour board discussion in 2016, while 69% were done in 2015. Implementing electronic standardised documentation tool improved communication among the team and enabled getting accurate data about performance measures of the tumour board with positive impact on healthcare process and outcomes.

  14. Enhancing the performance of gastrointestinal tumour board by improving documentation

    PubMed Central

    Alsuhaibani, Roaa Saleh; Alzahrani, Hajer; Algwaiz, Ghada; Alfarhan, Haneen; Alolayan, Ashwaq; Abdelhafiz, Nafisa; Ali, Yosra; Jazieh, Abdul Rahman

    2018-01-01

    Tumour board contributes to providing better patient care by using a multidisciplinary team approach. In the efforts of evaluating the performance of the gastrointestinal tumour board at our institution, it was difficult to assess past performance due to lack of proper use of standardised documentation tool. This project aimed at improving adherence to the documentation tool and its recommendations in order to obtain performance measures for the tumour board. A multidisciplinary team and a plan were developed to improve documentation. Four rapid improvement cycles, Plan–Do–Study–Act (PDSA) cycles, were conducted. The first cycle focused on updating the case discussion summary form (CDSF) based on experts’ input and previous identified deficiencies to enhance documentation and improve performance. The second PDSA cycle aimed at incorporating the CDSF into the electronic medical records system and assessing its functionality. The third cycle was to orient and train staff on using the form and launching it. The fourth PDSA cycle aimed at assessing the ability to obtain tumour board performance measures. Adherence to completion of the CDSF improved from 82% (baseline) to 94% after the fourth PDSA cycle. Over 104 consecutive cases discussed in the tumour board between January and July 2016 and 76 cases discussed in 2015, results were as follows: adherence to National Comprehensive Cancer Network guidelines in 2016 was observed in 141 (95%) recommendations, while it was observed in 90 (92%) recommendations in 2015. Changes in the management plans were observed in 37 (36%) cases in 2016 and in 6 (8%) cases in 2015. Regarding tumour board recommendations, 87% were done within 3 months of tumour board discussion in 2016, while 69% were done in 2015. Implementing electronic standardised documentation tool improved communication among the team and enabled getting accurate data about performance measures of the tumour board with positive impact on healthcare process and outcomes. PMID:29610771

  15. Documentation of violence risk information in psychiatric hospital patient charts: an empirical examination.

    PubMed

    Elbogen, Eric B; Tomkins, Alan J; Pothuloori, Antara P; Scalora, Mario J

    2003-01-01

    Studies have identified risk factors that show a strong association with violent behavior in psychiatric populations. Yet, little research has been conducted on the documentation of violence risk information in actual clinical practice, despite the relevance of such documentation to risk assessment liability and to conducting effective risk management. In this study, the documentation of cues of risk for violence were examined in psychiatric settings. Patient charts (n = 283) in four psychiatric settings were reviewed for documentation of violence risk information summarized in the MacArthur Violence Risk Assessment Study. The results revealed that particular patient and institutional variables influenced documentation practices. The presence of personality disorder, for example, predicted greater documentation of cues of violence risk, regardless of clinical setting. These findings have medicolegal implications for risk assessment liability and clinical implications for optimizing risk management in psychiatric practice.

  16. Detection and Assessment of Secondary Sonic Booms in New England.

    DTIC Science & Technology

    1980-05-01

    MEASUREMENT DATA During the period May 3, 1979 to September 14, 1979, infra - sonic measurements were made at Malden MA, at six other sites in the Greater...D-AO8O 160 TRANSPORTATION SYSTEMS CENTER CAMBRIDGE MA F/ 20/1 DETECTION AND ASSESSMENT OF SECONDARY SONIC BOOMS IN NEW ENGLAN--ETC(U) MAY 80 E J...CHART F AA-AEE-8O-22 DETECTION AND ASSESSMENT OF SECONDARY SONIC BOOMS IN NEW ENGLAND AD A088 160 MAY 1980 Q4 = Ci OF T R, 4 This document has been

  17. Independent Assessment of Instrumentation for ISS On-Orbit NDE. Volume 1

    NASA Technical Reports Server (NTRS)

    Madaras, Eric I

    2013-01-01

    International Space Station (ISS) Structural and Mechanical Systems Manager, requested that the NASA Engineering and Safety Center (NESC) provide a quantitative assessment of commercially available nondestructive evaluation (NDE) instruments for potential application to the ISS. This work supports risk mitigation as outlined in the ISS Integrated Risk Management Application (IRMA) Watch Item #4669, which addresses the requirement for structural integrity after an ISS pressure wall leak in the event of a penetration due to micrometeoroid or debris (MMOD) impact. This document contains the outcome of the NESC assessment.

  18. Client Functional Assessment Data as Management Information: Woodrow Wilson Rehabilitation Center's Management Information System

    PubMed Central

    Steidle, Ernest F.

    1983-01-01

    This paper describes the design of a functional assessment system, a component of a management information system (MIS) that supports a comprehensive rehabilitation facility. Products of the subsystem document the functional status of rehabilitation clients through process evaluation reporting and outcomes reporting. The purpose of this paper is to describe the design of this MIS component. The environment supported, the integration requirements and the needed development approach is unique, requiring significant input from health care professionals, medical informatics specialists, statisticians and program evaluators. Strategies for the implementation of the functional assessment system are the major results reported in this paper. They are most useful to the systems designer or management engineer in a human service delivery setting. MIS plan development, computer file structure and access methods, and approaches to scheduling applications is described. Finally, the development of functional status measures is discussed. Application of the methodologies described will facilitate similar efforts towards systems development in other human service delivery settings.

  19. Equity in Reform: Case Studies of Five Middle Schools Involved in Systemic Reform

    NASA Astrophysics Data System (ADS)

    Kahle, Jane Butler; Kelly, Mary Kay

    Science and mathematics education reform documents of the last decade have called for improved teaching and learning for all children. To overcome inequalities, a systemic approach to reform has been adopted. The case studies synthesized in this analysis arc part of a larger effort to reform science and mathematics education systemically and assess the progress of systemic reform. The purpose of this study was to assess the progress toward achieving equitable systemic reform in five middle schools. A multiple-case study design was used, and qualitative data were collected. Kahle's Equity Metric was used to analyze the schools' progress toward achieving equitable systemic reform of mathematics and science. Two results occurred: Various equity issues were identified in the five case studies, and the metric proved efficacious in identifying barriers to or facilitators of equitable reform in the schools. Overall, the study illustrates how schools might assess their commitments to providing high-quality science and mathematics education to all students.

  20. Development of Regulatory Documents for Creation (Upgrade) of Physical Protection Systems under the Russian/American MPC&A Program

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Izmaylov, Alexandr V.; Babkin, Vladimir; Kurov, Valeriy

    2009-10-07

    The development of new or the upgrade of existing physical protection systems (PPS) for nuclear facilities involves a multi-step and multidimensional process. The process consists of conceptual design, design, and commissioning stages. The activities associated with each of these stages are governed by Russian government and agency regulations. To ensure a uniform approach to development or upgrading of PPS at Russian nuclear facilities, the development of a range of regulatory and methodological documents is necessary. Some issues of PPS development are covered by the regulatory documents developed by Rosatom, as well as other Russian agencies with nuclear facilities under theirmore » control. This regulatory development has been accomplished as part of the U.S.-Russian MPC&A cooperation or independently by the Russian Federation. While regulatory coverage is extensive, there are a number of issues such as vulnerability analysis, effectiveness assessment, upgrading PPS, and protection of information systems for PPS that require additional regulations be developed. This paper reports on the status of regulatory coverage for PPS development or upgrade, and outlines a new approach to regulatory document development. It describes the evolutionary process of regulatory development through experience gained in the design, development and implementation of PPS as well as experience gained through the cooperative efforts of Russian and U.S. experts involved the development of MPC&A regulations.« less

  1. Management: A continuing literature survey with indexes, March 1976

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Management is a compilation of references to selected reports, journal articles, and other documents on the subject of management. This publication lists 368 documents originally announced in the 1975 issues of Scientific and Technical Aerospace Reports (STAR) or International Aerospace Abstracts (IAA). It includes references on the management of research and development, contracts, production, logistics, personnel, safety, reliability and quality control. It also includes references on: program, project and systems management; management policy, philosophy, tools, and techniques; decisionmaking processes for managers; technology assessment; management of urban problems; and information for managers on Federal resources, expenditures, financing, and budgeting.

  2. Technical Submission Form: Technical Specification of a Wave Energy Farm.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Roberts, Jesse D.; Nielsen, Kim; Kennedy, Ben

    The Wave - SPARC project developed the Technology Performance Level (TPL) assessment procedure based on a rigorous Systems Engineering exercise. The TPL assessment allows a whole system evaluation of Wave Energy Conversion Technology by measuring it against the requirements determined through the Systems Engineering exercise. The TPL assessment is intended to be useful in technology evaluation; in technology innovation; in allocation of public or priva te investment, and; in making equipment purchasing decisions. This Technical Submission Form (TSF) serves the purpose of collecting relevant and complete information, in a technology agnostic way, to allow TPL assessment s to be mademore » by third party assessor s. The intended usage of this document is that the organization or people that are performing the role of developers or promoters of a particular technology will use this form to provide the information necessary for the organization or people who are perf orming the assessor role to use the TPL assessment.« less

  3. Naturalistic Decision Making in Power Grid Operations: Implications for Dispatcher Training and Usability Testing

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Greitzer, Frank L.; Podmore, Robin

    2008-11-17

    The focus of the present study is on improved training approaches to accelerate learning and improved methods for analyzing effectiveness of tools within a high-fidelity power grid simulated environment. A theory-based model has been developed to document and understand the mental processes that an expert power system operator uses when making critical decisions. The theoretical foundation for the method is based on the concepts of situation awareness, the methods of cognitive task analysis, and the naturalistic decision making (NDM) approach of Recognition Primed Decision Making. The method has been systematically explored and refined as part of a capability demonstration ofmore » a high-fidelity real-time power system simulator under normal and emergency conditions. To examine NDM processes, we analyzed transcripts of operator-to-operator conversations during the simulated scenario to reveal and assess NDM-based performance criteria. The results of the analysis indicate that the proposed framework can be used constructively to map or assess the Situation Awareness Level of the operators at each point in the scenario. We can also identify the mental models and mental simulations that the operators employ at different points in the scenario. This report documents the method, describes elements of the model, and provides appendices that document the simulation scenario and the associated mental models used by operators in the scenario.« less

  4. Emergency department-based interventions for women suffering domestic abuse: a critical literature review.

    PubMed

    Ansari, Sereena; Boyle, Adrian

    2017-02-01

    Domestic abuse represents a serious public health and human rights concern. Interventions to reduce the risk of abuse include staff training and standardized documentation improving detection and adherence to referral pathways. Interventional studies have been conducted in primary care, maternity and outpatient settings. Women disclosing abuse in emergency departments differ from women attending other healthcare settings, and it is unclear whether these interventions can be transferred to the emergency care setting. This review examines interventional studies to evaluate the effectiveness of emergency department-based interventions in reducing domestic abuse-related morbidity. Medline, EMBASE, CINAHL, PsycINFO and Cochrane Library were searched, according to prespecified selection criteria. Study quality was assessed using the Jadad scale. Of 273 search results, nine were eligible for review. Interventions involving staff training demonstrated benefits in subjective measures, such as staff knowledge regarding abuse, but no changes in clinical practice, based on detection and referral rates. When staff training was implemented in conjunction with supporting system changes - for example, standardized documentation for assessment and referral - clinically relevant improvements were noted. Interventions centred around staff training are insufficient to bring about improvements in the management and, thus, outcome of patients suffering abuse. Instead, system changes, such as standardized documentation and referral pathways, supported by training, may bring about beneficial changes. It remains uncertain whether surrogate outcomes employed by most studies translate to changes in abuse-related morbidity: the ultimate goal.

  5. Hazard Analysis for Building 34 Vacuum Glove Box Assembly

    NASA Technical Reports Server (NTRS)

    Meginnis, Ian

    2014-01-01

    One of the characteristics of an effective safety program is the recognition and control of hazards before mishaps or failures occur. Conducting potentially hazardous tests necessitates a thorough hazard analysis in order to prevent injury to personnel, and to prevent damage to facilities and equipment. The primary purpose of this hazard analysis is to define and address the potential hazards and controls associated with the Building 34 Vacuum Glove Box Assembly, and to provide the applicable team of personnel with the documented results. It is imperative that each member of the team be familiar with the hazards and controls associated with his/her particular tasks, assignments and activities while interfacing with facility test systems, equipment and hardware. In fulfillment of the stated purposes, the goal of this hazard analysis is to identify all hazards that have the potential to harm personnel, damage the facility or its test systems or equipment, test articles, Government or personal property, or the environment. This analysis may also assess the significance and risk, when applicable, of lost test objectives when substantial monetary value is involved. The hazards, causes, controls, verifications, and risk assessment codes have been documented on the hazard analysis work sheets in Appendix A of this document. The preparation and development of this report is in accordance with JPR 1700.1, "JSC Safety and Health Handbook" and JSC 17773 Rev D "Instructions for Preparation of Hazard Analysis for JSC Ground Operations".

  6. IDA and the Technical Cooperation Program Real-Time Systems and Ada Workshop, 21-23 June 1988

    DTIC Science & Technology

    1988-06-01

    IDA Memorandum Report M-540, IDA and the Technical Cooperation Program Real - Time Systems and Ada Workshop, 21-23 June 1988, documents the results of... time systems , (2) identify and clarify known Ada real-time issues, (3) identify near-term and long-term solutions, and (4) provide assessment and...Technology (ODUSD R&AT). Funding was provided by the STARS Joint Program Office. The objectives were to (1) define requirements for using Ada in real

  7. Environmental Assessment for the Replacement of a Vehicle Wash Rack, Travis Air Force Base, California

    DTIC Science & Technology

    2005-04-01

    meet state and U.S. Air Force (Air Force) environmental requirements for the use of cleaning products and washing systems; comply with Air Force and...and O/WSs • Use environmentally compliant cleaning products and wash systems • Be equipped with a credit card reader or similar device, to document... cleaning products and washing systems, including operating a covered O/WS within design capacity limits • Comply with Air Force and Department of

  8. PPM/NAR 8.4-GHz noise temperature statistics for DSN 64-meter antennas, 1982-1984

    NASA Technical Reports Server (NTRS)

    Slobin, S. D.; Andres, E. M.

    1986-01-01

    From August 1982 through November 1984, X-band downlink (8.4-GHz) system noise temperature measurements were made on the DSN 64-m antennas during tracking periods. Statistics of these noise temperature values are needed by the DSN and by spacecraft mission planners to assess antenna, receiving, and telemetry system needs, present performance, and future performance. These measurements were made using the DSN Mark III precision power monitor noise-adding radiometers located at each station. It is found that for DSS 43 and DSS 63, at the 90% cumulative distribution level, equivalent zenith noise temperature values fall between those presented in the earlier (1977) and present (1983) versions of DSN/Flight Project design documents. Noise temperatures measured for DSS 14 (Goldstone) are higher than those given in existing design documents and this disagreement will be investigated as a diagnostic of possible PPM or receiving system performance problems.

  9. Gaia DR2 documentation Chapter 3: Astrometry

    NASA Astrophysics Data System (ADS)

    Hobbs, D.; Lindegren, L.; Bastian, U.; Klioner, S.; Butkevich, A.; Stephenson, C.; Hernandez, J.; Lammers, U.; Bombrun, A.; Mignard, F.; Altmann, M.; Davidson, M.; de Bruijne, J. H. J.; Fernández-Hernández, J.; Siddiqui, H.; Utrilla Molina, E.

    2018-04-01

    This chapter of the Gaia DR2 documentation describes the models and processing steps used for the astrometric core solution, namely, the Astrometric Global Iterative Solution (AGIS). The inputs to this solution rely heavily on the basic observables (or astrometric elementaries) which have been pre-processed and discussed in Chapter 2, the results of which were published in Fabricius et al. (2016). The models consist of reference systems and time scales; assumed linear stellar motion and relativistic light deflection; in addition to fundamental constants and the transformation of coordinate systems. Higher level inputs such as: planetary and solar system ephemeris; Gaia tracking and orbit information; initial quasar catalogues and BAM data are all needed for the processing described here. The astrometric calibration models are outlined followed by the details processing steps which give AGIS its name. We also present a basic quality assessment and validation of the scientific results (for details, see Lindegren et al. 2018).

  10. Assessment of the monitoring and evaluation system for integrated community case management (ICCM) in Ethiopia: a comparison against global benchmark indicators.

    PubMed

    Mamo, Dereje; Hazel, Elizabeth; Lemma, Israel; Guenther, Tanya; Bekele, Abeba; Demeke, Berhanu

    2014-10-01

    Program managers require feasible, timely, reliable, and valid measures of iCCM implementation to identify problems and assess progress. The global iCCM Task Force developed benchmark indicators to guide implementers to develop or improve monitoring and evaluation (M&E) systems. To assesses Ethiopia's iCCM M&E system by determining the availability and feasibility of the iCCM benchmark indicators. We conducted a desk review of iCCM policy documents, monitoring tools, survey reports, and other rele- vant documents; and key informant interviews with government and implementing partners involved in iCCM scale-up and M&E. Currently, Ethiopia collects data to inform most (70% [33/47]) iCCM benchmark indicators, and modest extra effort could boost this to 83% (39/47). Eight (17%) are not available given the current system. Most benchmark indicators that track coordination and policy, human resources, service delivery and referral, supervision, and quality assurance are available through the routine monitoring systems or periodic surveys. Indicators for supply chain management are less available due to limited consumption data and a weak link with treatment data. Little information is available on iCCM costs. Benchmark indicators can detail the status of iCCM implementation; however, some indicators may not fit country priorities, and others may be difficult to collect. The government of Ethiopia and partners should review and prioritize the benchmark indicators to determine which should be included in the routine M&E system, especially since iCCMdata are being reviewed for addition to the HMIS. Moreover, the Health Extension Worker's reporting burden can be minimized by an integrated reporting approach.

  11. Assessment Environment for Complex Systems Software Guide

    NASA Technical Reports Server (NTRS)

    2013-01-01

    This Software Guide (SG) describes the software developed to test the Assessment Environment for Complex Systems (AECS) by the West Virginia High Technology Consortium (WVHTC) Foundation's Mission Systems Group (MSG) for the National Aeronautics and Space Administration (NASA) Aeronautics Research Mission Directorate (ARMD). This software is referred to as the AECS Test Project throughout the remainder of this document. AECS provides a framework for developing, simulating, testing, and analyzing modern avionics systems within an Integrated Modular Avionics (IMA) architecture. The purpose of the AECS Test Project is twofold. First, it provides a means to test the AECS hardware and system developed by MSG. Second, it provides an example project upon which future AECS research may be based. This Software Guide fully describes building, installing, and executing the AECS Test Project as well as its architecture and design. The design of the AECS hardware is described in the AECS Hardware Guide. Instructions on how to configure, build and use the AECS are described in the User's Guide. Sample AECS software, developed by the WVHTC Foundation, is presented in the AECS Software Guide. The AECS Hardware Guide, AECS User's Guide, and AECS Software Guide are authored by MSG. The requirements set forth for AECS are presented in the Statement of Work for the Assessment Environment for Complex Systems authored by NASA Dryden Flight Research Center (DFRC). The intended audience for this document includes software engineers, hardware engineers, project managers, and quality assurance personnel from WVHTC Foundation (the suppliers of the software), NASA (the customer), and future researchers (users of the software). Readers are assumed to have general knowledge in the field of real-time, embedded computer software development.

  12. Information system life-cycle and documentation standards, volume 1

    NASA Technical Reports Server (NTRS)

    Callender, E. David; Steinbacher, Jody

    1989-01-01

    The Software Management and Assurance Program (SMAP) Information System Life-Cycle and Documentation Standards Document describes the Version 4 standard information system life-cycle in terms of processes, products, and reviews. The description of the products includes detailed documentation standards. The standards in this document set can be applied to the life-cycle, i.e., to each phase in the system's development, and to the documentation of all NASA information systems. This provides consistency across the agency as well as visibility into the completeness of the information recorded. An information system is software-intensive, but consists of any combination of software, hardware, and operational procedures required to process, store, or transmit data. This document defines a standard life-cycle model and content for associated documentation.

  13. Technology resource document for the assembled chemical weapons assessment environmental impact statement. Vol. 5 : assembled systems for weapons destruction at Blue Grass Army Depot.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kimmell, T.; Folga, S., Frey, G.; Molberg, J.

    2001-05-02

    This volume of the Technical Resource Document (TRD) for the ''Environmental Impact Statement (EIS) for the Design, Construction and Operation of One or More Pilot Test Facilities for Assembled Chemical Weapons Destruction Technologies at One or More Sites'' (PMACWA 2001g) pertains to the destruction of assembled chemical weapons (ACW) stored in the U.S. Army's unitary chemical stockpile at Blue Grass Army Depot (BGAD), located outside Richmond, Kentucky. This volume presents technical and process information on each of the destruction technologies applicable to treatment of the specific ACW stored at BGAD. The destruction technologies described are those that have been demonstratedmore » as part of the Assembled Chemical Weapons Assessment (ACWA) selection process (see Volume 1).« less

  14. Study of a conceptual nuclear energy center at Green River, Utah. Power demand, load center assessment and transmission

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Smith, D.R.; Thaik, A.; Pingel, P.

    This document constitutes a segment of a feasibility study investigating the ramification of constructing a nuclear energy center in an arid western region. In this phase of the study. The projected power demands and load center locations were reviewed and assessed. Alternative transmission systems were analysed and a conceptual transmission for bulk power transportation is proposed with potential line routes. Environmental impacts of the proposed transmission were also identified.

  15. Decision Support System For Management Of Low-Level Radioactive Waste Disposal At The Nevada Test Site

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Shott, G.; Yucel, V.; Desotell, L.

    2006-07-01

    The long-term safety of U.S. Department of Energy (DOE) low-level radioactive disposal facilities is assessed by conducting a performance assessment -- a systematic analysis that compares estimated risks to the public and the environment with performance objectives contained in DOE Manual 435.1-1, Radioactive Waste Management Manual. Before site operations, facilities design features such as final inventory, waste form characteristics, and closure cover design may be uncertain. Site operators need a modeling tool that can be used throughout the operational life of the disposal site to guide decisions regarding the acceptance of problematic waste streams, new disposal cell design, environmental monitoringmore » program design, and final site closure. In response to these needs the National Nuclear Security Administration Nevada Site Office (NNSA/NSO) has developed a decision support system for the Area 5 Radioactive Waste Management Site in Frenchman Flat on the Nevada Test Site. The core of the system is a probabilistic inventory and performance assessment model implemented in the GoldSim{sup R} simulation platform. The modeling platform supports multiple graphic capabilities that allow clear documentation of the model data sources, conceptual model, mathematical implementation, and results. The combined models have the capability to estimate disposal site inventory, contaminant concentrations in environmental media, and radiological doses to members of the public engaged in various activities at multiple locations. The model allows rapid assessment and documentation of the consequences of waste management decisions using the most current site characterization information, radionuclide inventory, and conceptual model. The model is routinely used to provide annual updates of site performance, evaluate the consequences of disposal of new waste streams, develop waste concentration limits, optimize the design of new disposal cells, and assess the adequacy of environmental monitoring programs. (authors)« less

  16. Assessing semantic similarity of texts - Methods and algorithms

    NASA Astrophysics Data System (ADS)

    Rozeva, Anna; Zerkova, Silvia

    2017-12-01

    Assessing the semantic similarity of texts is an important part of different text-related applications like educational systems, information retrieval, text summarization, etc. This task is performed by sophisticated analysis, which implements text-mining techniques. Text mining involves several pre-processing steps, which provide for obtaining structured representative model of the documents in a corpus by means of extracting and selecting the features, characterizing their content. Generally the model is vector-based and enables further analysis with knowledge discovery approaches. Algorithms and measures are used for assessing texts at syntactical and semantic level. An important text-mining method and similarity measure is latent semantic analysis (LSA). It provides for reducing the dimensionality of the document vector space and better capturing the text semantics. The mathematical background of LSA for deriving the meaning of the words in a given text by exploring their co-occurrence is examined. The algorithm for obtaining the vector representation of words and their corresponding latent concepts in a reduced multidimensional space as well as similarity calculation are presented.

  17. Independent Orbiter Assessment (IOA): Assessment of the guidance, navigation, and control subsystem FMEA/CIL

    NASA Technical Reports Server (NTRS)

    Trahan, W. H.; Odonnell, R. A.; Pietz, K. C.; Drapela, L. J.

    1988-01-01

    The results of the Independent Orbiter Assessment (IOA) of the Failure Modes and Effects Analysis (FMEA) and Critical Items List (CIL) are presented. The IOA effort first completed an analysis of the Guidance, Navigation, and Control System (GNC) hardware, generating draft failure modes and potential critical items. To preserve independence, this analysis was accomplished without reliance upon the results contained within the NASA FMEA/CIL documentation. The IOA results were then compared to the NASA FMEA/CIL baseline with proposed Post 51-L updates included. A resolution of each discrepancy from the comparison is provided through additional analysis as required. The results of that comparison for the Orbiter GNC hardware is documented. The IOA product for the GNC analysis consisted of 141 failure mode worksheets that resulted in 24 potential critical items being identified. Comparison was made to the NASA baseline which consisted of 148 FMEAs and 36 CIL items. This comparison produced agreement on all but 56 FMEAs which caused differences in zero CIL items.

  18. Consensus document on osteoporosis in males.

    PubMed

    Varsavsky, Mariela; Romero Muñoz, Manuel; Ávila Rubio, Verónica; Becerra, Antonio; García Martín, Antonia; Martínez Díaz-Guerra, Guillermo; Rozas Moreno, Pedro; Jódar Gimeno, Esteban; Muñoz Torres, Manuel

    2018-03-01

    To provide practical recommendations to assess and treat osteoporosis in males. Members of the Bone Metabolism Working Group of the Spanish Society of Endocrinology. Recommendations were formulated using the GRADE system (Grading of Recommendations, Assessment, Development, and Evaluation) to describe both the strength of recommendations and the quality of evidence. A systematic search was made in Medline (PubMed) using the following associated terms: «osteoporosis», «men», «fractures», «bone mineral density», «treatment», «hypogonadism», and «prostate cancer». Papers in English and Spanish with publication date before 30 August 2017 were included. Current evidence for each disease was reviewed by 2group members. Finally, recommendations were discussed in a meeting of the working group. The document provides evidence-based practical recommendations for diagnosis, assessment, and management of osteoporosis in men and special situations such as hypogonadism and prostate cancer. Copyright © 2018 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

  19. LANL Safeguards and Security Assurance Program. Revision 6

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1995-04-03

    The Safeguards and Security (S and S) Assurance Program provides a continuous quality improvement approach to ensure effective, compliant S and S program implementation throughout the Los Alamos National Laboratory. Any issues identified through the various internal and external assessments are documented, tracked and closed using the Safeguards and Security Issue Management Program. The Laboratory utilizes an integrated S and S systems approach to protect US Department of Energy (DOE) interests from theft or diversion of special nuclear material (SNM), sabotage, espionage, loss or theft of classified/controlled matter or government property, and other hostile acts that may cause unacceptable impactsmore » on national security, health and safety of employees and the public, and the environment. This document explains the basis, scope, and conduct of the S and S process to include: self-assessments, issue management, risk assessment, and root cause analysis. It also provides a discussion of S and S topical areas, roles and responsibilities, process flow charts, minimum requirements, methodology, terms, and forms.« less

  20. Radar remote sensing for crop classification and canopy condition assessment: Ground-data documentation

    NASA Technical Reports Server (NTRS)

    Ulaby, F. T. (Principal Investigator); Jung, B.; Gillespie, K.; Hemmat, M.; Aslam, A.; Brunfeldt, D.; Dobson, M. C.

    1983-01-01

    A vegetation and soil-moisture experiment was conducted in order to examine the microwave emission and backscattering from vegetation canopies and soils. The data-acquisition methodology used in conjunction with the mobile radar scatterometer (MRS) systems is described and associated ground-truth data are documented. Test fields were located in the Kansas River floodplain north of Lawrence, Kansas. Ten fields each of wheat, corn, and soybeans were monitored over the greater part of their growing seasons. The tabulated data summarize measurements made by the sensor systems and represent target characteristics. Target parameters describing the vegetation and soil characteristics include plant moisture, density, height, and growth stage, as well as soil moisture and soil-bulk density. Complete listings of pertinent crop-canopy and soil measurements are given.

  1. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-103

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    2000-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-103. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-103 and the resulting effect on the Space Shuttle Program.

  2. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-91

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    1998-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-91. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-91 and the resulting effect on the Space Shuttle Program.

  3. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-93

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    1999-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-93. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis findings of Space Shuttle mission STS-93 and the resulting effect on the Space Shuttle Program.

  4. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-95

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    1999-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-95. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-95 and the resulting effect on the Space Shuttle Program.

  5. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-90

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    1998-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-90. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system-conditions and integrated photographic analysis of Space Shuttle mission STS-90 and the resulting effect on the Space Shuttle Program.

  6. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-89

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    1998-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-89. Debris inspections of the flight element and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection systems conditions and integrated photographic analysis of Space Shuttle mission STS-89 and the resulting effect on the Space Shuttle Program.

  7. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-112

    NASA Technical Reports Server (NTRS)

    Oliu, Armando

    2002-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-112. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. The report documents the debris/ice/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-112 and the resulting effect of the Space Shuttle Program.

  8. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-74

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Lin, Jill D.

    1996-01-01

    A debris/ice/thermal protection system (TPS) assessment and integrated photographic analysis was conducted for shuttle mission STS-74. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanner data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of shuttle mission STS-74 and the resulting effect on the Space Shuttle Program.

  9. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-87

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    1998-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-87. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the-use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-87 and the resulting effect on the Space Shuttle Program.

  10. Debris/ice/tps Assessment and Integrated Photographic Analysis of Shuttle Mission STS-96

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    1999-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-96. Debris inspections of the flight elements and launch pad were performed before and after launch. icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-96 and the resulting effect on the Space Shuttle Program.

  11. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-101

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    2000-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle Mission STS-101. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-101 and the resulting effect on the Space Shuttle Program.

  12. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-88

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    1999-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-88. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-88 and the resulting effect on the Space Shuttle Program.

  13. Debris/ice/TPS assessment and integrated photographic analysis of Shuttle Mission STS-64 on 9 August 1994

    NASA Technical Reports Server (NTRS)

    Davis, J. Bradley; Bowen, Barry C.; Rivera, Jorge E.; Speece, Robert F.; Katnik, Gregory N.

    1994-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-64. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs, nomographs, and infrared scanner data during cryogenic loading of the vehicle followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-64, and the resulting effect on the Space Shuttle Program.

  14. Debris/ice/TPS assessment and integrated photographic analysis of Shuttle mission STS-68

    NASA Technical Reports Server (NTRS)

    Rivera, Jorge E.; Bowen, Barry C.; Davis, J. Bradley; Speece, Robert F.

    1994-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-68. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs, nomographs, and infrared scanner data during cryogenic loading of the vehicle followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report-documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-68, and the resulting effect on the Space Shuttle Program.

  15. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-111

    NASA Technical Reports Server (NTRS)

    Oliu, Armando

    2005-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-111. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. The report documents the debris/ice/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-111 and the resulting effect of the Space Shuttle Program.

  16. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-99

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    2000-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-99. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the debris/ice/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-99 and the resulting effect on the Space Shuttle Program.

  17. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-98

    NASA Technical Reports Server (NTRS)

    Speece, Robert F.

    2004-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle Mission STS-98. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the debris/ice/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-98 and the resulting effect on the Space Shuttle Program.

  18. Debris/ice/TPS assessment and integrated photographic analysis of shuttle mission STS-63

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Davis, J. Bradley

    1995-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for shuttle mission STS-63. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the external tank were assessed by the use of computer programs, monographs, and infrared scanner data during cryogenic loading of the vehicle followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of shuttle mission STS-63, and the resulting effect on the space shuttle program.

  19. Debris/ice/TPS assessment and integrated photographic analysis of Shuttle mission STS-66

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Davis, J. Bradley

    1995-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-66. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer program nomographs, and infrared scanner data during cryogenic loading of the vehicle followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Shuttle mission STS-66, and the resulting effect on the Space Shuttle Program.

  20. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-97

    NASA Technical Reports Server (NTRS)

    Rivera, Jorge E.; Kelly, J. David (Technical Monitor)

    2001-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-97. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch were analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the debris /ice/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-97 and the resulting effect on the Space Shuttle Program.

  1. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-86

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Lin, Jill D.

    1997-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-86. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-86 and the resulting affect on the Space Shuttle Program.

  2. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-100

    NASA Technical Reports Server (NTRS)

    Oliu, Armando

    2004-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-100. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. The report documents the debris/ice/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-100 and the resulting effect of the Space Shuttle Program.

  3. Debris/Ice/TPS Assessment and Integrated Photographic Analysis of Shuttle Mission STS-92

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.

    2000-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for Shuttle mission STS-92. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the External Tank were assessed by the use of computer programs and infrared scanned data during cryogenic loading of the vehicle, followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the debris/ice/thermal protection system conditions and integrated photographic analysis of Space Shuttle mission STS-92 and the resulting effect, if any, on the Space Shuttle Program.

  4. Debris/ice/TPS assessment and integrated photographic analysis of Shuttle Mission STS-65

    NASA Technical Reports Server (NTRS)

    Katnik, Gregory N.; Bowen, Barry C.; Davis, J. Bradley

    1994-01-01

    A debris/ice/thermal protection system assessment and integrated photographic analysis was conducted for shuttle mission STS-65. Debris inspections of the flight elements and launch pad were performed before and after launch. Icing conditions on the external tank were assessed by the use of computer programs, nomographs, and infrared scanner data during cryogenic loading of the vehicle followed by on-pad visual inspection. High speed photography of the launch was analyzed to identify ice/debris sources and evaluate potential vehicle damage and/or in-flight anomalies. This report documents the ice/debris/thermal protection system conditions and integrated photographic analysis of shuttle mission STS-65, and the resulting effect on the Space Shuttle Program.

  5. Cassini/Huygens Probe Entry, Descent, and Landing (EDL) at Titan Independent Technical Assessment

    NASA Technical Reports Server (NTRS)

    Powell, Richard W.; Lockwood, Mary Kae; Cruz, Juan R.; Striepe, Scott A.; Sutton, Kenneth; Fisher, Jody; Takashima, Naruhisa T.; Justus, Jere; Keller, Vernon W.; Bose, Deepak; hide

    2009-01-01

    Starting in January 2004, the NESC has received several communications from knowledgeable technical experts at NASA expressing shared concerns (mainly at the Langley Research Center (LaRC) and Ames Research Center (ARC)) about Huygens mission success. It was suggested that NASA become more technically involved directly in the analysis of Huygens' entry, descent and landing (EDL) focusing on the parachute deployment trigger performance and the resultant effects on the operation of the parachute system, and the determination of the radiative heating environment at Titan by ESA and the corresponding thermal protection system (TPS) response. A NESC Team was formed and tasked to provide an independent assessment of these concerns. The results of that assessment are documented in this report.

  6. Technical Potential Assessment for the Renewable Energy Zone (REZ) Process: A GIS-Based Approach

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lee, Nathan; Roberts, Billy J

    Geographic Information Systems (GIS)-based energy resource and technical potential assessments identify areas capable of supporting high levels of renewable energy (RE) development as part of a Renewable Energy Zone (REZ) Transmission Planning process. This document expands on the REZ Process to aid practitioners in conducting GIS-based RE resource and technical potential assessments. The REZ process is an approach to plan, approve, and build transmission infrastructure that connects REZs - geographic areas that have high-quality RE resources, suitable topography and land-use designations, and demonstrated developer interest - to the power system. The REZ process helps to increase the share of solarmore » photovoltaic (PV), wind, and other resources while also maintaining reliability and economics.« less

  7. A randomized trial of standardized nursing patient assessment using wireless devices.

    PubMed

    Dykes, Patricia C; Carroll, Diane L; Benoit, Angela; Coakley, Amanda; Chang, Frank; Empoliti, Joanne; Gallagher, Joan; Lasala, Cynthia; O'Malley, Rosemary; Rath, Greg; Silva, Judy; Li, Qi

    2007-10-11

    A complete and accurate patient assessment database is essential for effective communication, problem identification, planning and evaluation of patient status. When employed consistently for point-of-care documentation, information systems are associated with completeness and quality of documentation. The purpose of this paper is to report on the findings of a randomized, cross-over study conducted to evaluate the adequacy of a standard patient assessment module to support problem identification, care planning and tracking of nursing sensitive patient outcomes. The feasibility of wireless devices to support patient assessment data collection at the point-of-care was evaluated using wireless PDAs and tablet PCs. Seventy-nine (79) nurses from two patient care units at Massachusetts General Hospital (Boston, MA) were recruited into the study and randomized to complete patient assessment using wireless or paper devices. At the end of six weeks, nurses who where randomized to the paper assessment module were assigned to a device and those who used a device were assigned to paper for an additional six weeks. Impact was evaluated with regard to data capture, workflow implications and nurse satisfaction. Findings suggest that a standard patient assessment set promotes patient sensitive and quality data capture, which is augmented by the use of wireless devices.

  8. A Randomized Trial of Standardized Nursing Patient Assessment Using Wireless Devices

    PubMed Central

    Dykes, Patricia C.; Carroll, Diane L.; Benoit, Angela; Coakley, Amanda; Chang, Frank; Empoliti, Joanne; Gallagher, Joan; Lasala, Cynthia; O’Malley, Rosemary; Rath, Greg; Silva, Judy; Li, Qi

    2007-01-01

    A complete and accurate patient assessment database is essential for effective communication, problem identification, planning and evaluation of patient status. When employed consistently for point-of-care documentation, information systems are associated with completeness and quality of documentation. The purpose of this paper is to report on the findings of a randomized, cross-over study conducted to evaluate the adequacy of a standard patient assessment module to support problem identification, care planning and tracking of nursing sensitive patient outcomes. The feasibility of wireless devices to support patient assessment data collection at the point-of-care was evaluated using wireless PDAs and tablet PCs. Seventy-nine (79) nurses from two patient care units at Massachusetts General Hospital (Boston, MA) were recruited into the study and randomized to complete patient assessment using wireless or paper devices. At the end of six weeks, nurses who where randomized to the paper assessment module were assigned to a device and those who used a device were assigned to paper for an additional six weeks. Impact was evaluated with regard to data capture, workflow implications and nurse satisfaction. Findings suggest that a standard patient assessment set promotes patient sensitive and quality data capture, which is augmented by the use of wireless devices. PMID:18693827

  9. Emergency department documentation templates: variability in template selection and association with physical examination and test ordering in dizziness presentations.

    PubMed

    Kerber, Kevin A; Hofer, Timothy P; Meurer, William J; Fendrick, A Mark; Morgenstern, Lewis B

    2011-03-24

    Clinical documentation systems, such as templates, have been associated with process utilization. The T-System emergency department (ED) templates are widely used but lacking are analyses of the templates association with processes. This system is also unique because of the many different template options available, and thus the selection of the template may also be important. We aimed to describe the selection of templates in ED dizziness presentations and to investigate the association between items on templates and process utilization. Dizziness visits were captured from a population-based study of EDs that use documentation templates. Two relevant process outcomes were assessed: head computerized tomography (CT) scan and nystagmus examination. Multivariable logistic regression was used to estimate the probability of each outcome for patients who did or did not receive a relevant-item template. Propensity scores were also used to adjust for selection effects. The final cohort was 1,485 visits. Thirty-one different templates were used. Use of a template with a head CT item was associated with an increase in the adjusted probability of head CT utilization from 12.2% (95% CI, 8.9%-16.6%) to 29.3% (95% CI, 26.0%-32.9%). The adjusted probability of documentation of a nystagmus assessment increased from 12.0% (95%CI, 8.8%-16.2%) when a nystagmus-item template was not used to 95.0% (95% CI, 92.8%-96.6%) when a nystagmus-item template was used. The associations remained significant after propensity score adjustments. Providers use many different templates in dizziness presentations. Important differences exist in the various templates and the template that is used likely impacts process utilization, even though selection may be arbitrary. The optimal design and selection of templates may offer a feasible and effective opportunity to improve care delivery.

  10. Identification and Assessment of Professional Competencies for Implementation of Nanotechnology in Engineering Education

    ERIC Educational Resources Information Center

    Jean, Ming-Der; Jiang, Ji-Bin; Chien, Jia-Yi

    2017-01-01

    The purpose of this study was to construct the indicators of professional competencies of the nanotechnology-based sputtering system industry based on industry requirements and analyse the core competencies of the industry for promoting the human resource of physical vapour deposition technology. The document analysis, expert interview, and Delphi…

  11. (Dis)empowerment: The Implementation of Corrective Mathematics in Philadelphia Empowerment Schools

    ERIC Educational Resources Information Center

    Connor, Hannah

    2011-01-01

    The need to improve math education around the country has been well documented, especially in urban school systems like Philadelphia. In Spring 2010, only 56.6% of students in Philadelphia Public schools scored proficient or advanced on the Pennsylvania State Standardized Assessment (PSSA). In Philadelphia Empowerment Schools, the 107 lowest…

  12. IRIS Toxicological Review and Summary Documents for 1,4-Dichlorobenzene (External Peer Review)

    EPA Science Inventory

    The U.S. EPA has conducted a peer review of the scientific basis supporting the human health hazard and dose-response assessment of 1,4-dichlorobenzene that will appear on the Integrated Risk Information System (IRIS) database. Peer review is meant to ensure that science is used ...

  13. Analysis of Dual Mode Systems in an Urban Area : Volume 4A. Program Documentation of the Transportation Economic Analysis Model.

    DOT National Transportation Integrated Search

    1973-12-01

    Various forms of Dual Mode Transportation were analyzed in order to assess the economic viability of the Dual Mode concept. A Dual Mode vehicle is one which operates under manual control on a streee network for some portionof its trip, and operates u...

  14. A Progress Assessment of the School Health Education Project of Appalachian Maryland.

    ERIC Educational Resources Information Center

    Regional Education Service Agency of Appalachian Maryland, Cumberland.

    This document evaluates the effectiveness of a project on health education conducted in Appalachian Maryland. The emphasis of the project was on teaching children in the fifth grade about lung and respiratory system problems and their connection with smoking. This health education course was incorporated into their regular curriculum. Prior to…

  15. IRIS TOXICOLOGICAL REVIEW AND SUMMARY DOCUMENTS FOR BORON AND COMPOUNDS (THIRD EXTERNAL REVIEW DRAFT 2002)

    EPA Science Inventory

    The U. S. EPA has conducted a peer review of the scientific basis supporting the health hazard and dose response assessment for Boron that will appear on the Agency's online data base, the Integrated Risk Information System (IRIS). Peer Review is meant to ensure that science is u...

  16. Travelling Policies and Contextual Considerations: On Threshold Criteria

    ERIC Educational Resources Information Center

    Nir, Adam; Kondakci, Yasar; Emil, Serap

    2018-01-01

    Educational policy borrowing has become rather common in our globalised world. However, the literature lacks contextual criteria that may be employed by researchers and policy makers to assess the correspondence of a particular policy to the local context of a borrowing system. Based on a secondary analysis of documents and research reports, this…

  17. IRIS TOXICOLOGICAL REVIEW AND SUMMARY DOCUMENTS FOR 2,2,4-TRIMETHYLPENTANE (EXTERNAL REVIEW DRAFT)

    EPA Science Inventory

    EPA has conducted a peer review of the scientific basis supporting the human health hazard and dose-response assessment of 2,2,4-trimethylpentane, also called TMP, that will appear on the Integrated Risk Information System (IRIS) database. Peer review is meant to ensure that scie...

  18. IRIS TOXICOLOGICAL REVIEW AND SUMMARY DOCUMENTS FOR 1,1,1-TRICHLOROETHANE (EXTERNAL REVIEW DRAFT)

    EPA Science Inventory

    EPA has conducted a peer review of the scientific basis supporting the human health hazard and dose-response assessment of 1,1,1-trichloroethane that will appear on the Integrated Risk Information System (IRIS) database. Peer review is meant to ensure that science is used credibl...

  19. Managing painful chronic wounds: the Wound Pain Management Model.

    PubMed

    Price, Patricia; Fogh, Karsten; Glynn, Chris; Krasner, Diane L; Osterbrink, Jürgen; Sibbald, R Gary

    2007-04-01

    Chronic wound pain is not well understood and the literature is limited. Six of 10 patients venous leg ulcer experience pain with their ulcer, and similar trends are observed for other chronic wounds. Chronic wound pain can lead to depression and the feeling of constant tiredness. Pain related to the wound should be handled as one of the main priorities in chronic wound management together with addressing the cause. Management of pain in chronic wounds depends on proper assessment, reporting and documenting patient experiences of pain. Assessment should be based on six critical dimensions of the pain experience: location, duration, intensity, quality, onset and impact on activities of daily living. Holistic management must be based on a safe and effective mix of psychosocial approaches together with local and systemic pain management. It is no longer acceptable to ignore or inadequately document persistent wound pain and not to develop a treatment and monitoring strategy to improve the lives of persons with chronic wounds. Unless wound pain is optimally managed, patient suffering and costs to health care systems will increase.

  20. Laboratory quality management system: road to accreditation and beyond.

    PubMed

    Wadhwa, V; Rai, S; Thukral, T; Chopra, M

    2012-01-01

    This review attempts to clarify the concepts of Laboratory Quality Management System (Lab QMS) for a medical testing and diagnostic laboratory in a holistic way and hopes to expand the horizon beyond quality control (QC) and quality assurance. It provides an insight on accreditation bodies and highlights a glimpse of existing laboratory practices but essentially it takes the reader through the journey of accreditation and during the course of reading and understanding this document, prepares the laboratory for the same. Some of the areas which have not been highlighted previously include: requirement for accreditation consultants, laboratory infrastructure and scope, applying for accreditation, document preparation. This section is well supported with practical illustrations and necessary tables and exhaustive details like preparation of a standard operating procedure and a quality manual. Concept of training and privileging of staff has been clarified and a few of the QC exercises have been dealt with in a novel way. Finally, a practical advice for facing an actual third party assessment and caution needed to prevent post-assessment pitfalls has been dealt with.

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