One of the most vital tools for the designer today, to achieve a practical design, is economic analysis, and this technique has particular relevance to the evaluation of alternative arrangements and specifications of equipment This article points out the various methods that can be used, and where they are applicable, together with the types of error that can be made It also contains an example of such a study for low- and medium-speed machinery (Author)

Consensus in Anesthesia Handoff Reporting by Robin L. Groves Anselm MSN, Case Western Reserve University, 1994 BSN, University of Akron, 1984 Project Submitted in Partial Fulfillment Of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 13, 2017 Abstract Despite some improvement, no consensus exists to perfect quality in anesthesia handoff practice and policy. This quality improvement project was designed to assist a local anesthesia and perioperative workforce questioning the quality of its current handoff.Despite some improvement, no consensus exists to perfect quality in anesthesia handoff practice and policy. This quality improvement project was designed to assist a local anesthesia and perioperative workforce questioning the quality of its current handoff. Theories and models used to inform the project included the Inter-Professional Team Collaborative, Lewin’s change theory, the continuous quality improvement theory, and the knowledge to action model. The communication assessment tool (CAT) functioned as a needs assessment yielding a gap in handoff practice of 25 participants. The CAT also served as the post project evaluation survey. The situation, background, assessment, and recommendation (SBAR) tool was preferred. Participants received SBAR education, and clinical evaluation experience (CEX) survey training. The CEX described the quality indicators of participant handovers during four consecutive weeks. Descriptive and inferential statistics used to analyze data collections included means and standard deviations, examining trends in the continuous level variables. Reliability of the CAT variables was evaluated through Cronbach’s alpha test of internal consistency. Inferential analyses included independent sample t tests, Pearson correlations, and analyses of variance (ANOVAs). Statistical significance was evaluated at the conventional level, α = .05. The use of the SBAR handoff tool showed parity in communication competency. Quality indicators of overall handoff remained highly satisfactory. Recommendations include the consensual use of SBAR handoff and competency evaluation across the anesthesia community. Modification of handoff practices and policies will enable social change by promoting quality indicators in anesthesia collaborative communication. Consensus in Anesthesia Handoff Reporting by Robin L. Groves Anselm MSN, Case Western University, 1994 BSN, University of Akron, 1984 Project Submitted in Partial Fulfillment Of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 13, 2017 Dedication Dedicated to my brother, Daniel Lee Groves, in support of the Melanoma Research Foundation. Acknowledgments I would like to acknowledge my family, classmates, coworkers, and friends for your encouragement. I would like to acknowledge my project mentor, Dr. Kurt Mueller; my professors at Walden University, particularly my review committee chair Dr. Amelia Nichols; my review committee member, Dr. Kathleen Brewer; and the Dean of the Walden University School of Nursing, Dr. Nancy Moss. Your support and helpful departmental staff was integral in my Doctorate of Nursing Practice scholarly transformation. Finally, I would like to thank the director of nursing, the director of perioperative services, the director of anesthesia services, and all of the staff at Richmond Heights Regional Medical Center, in Richmond Heights, Ohio, who participated in my project study. It is because of your contributions that I was able to complete this DNP journey.

/pdf/consensus-in-anesthesia-handoff-reporting-1p7tre6hfa.pdf

Economic analysis: methods of using this design tool

Citations

Consensus in anesthesia handoff reporting

References

Consensus in anesthesia handoff reporting

Related Papers (5)

Computer aids for ship design, integration and control

A disciplined approach to machinery arrangements in ship design

Preliminary design of conventional and unconventional surface ships using a building block approach

A logical, integrated approach to naval combatant design

General arrangement design computer system and methodology