Options for Enhancing the Effectiveness of Virginia's Safety Management System


Book Description

In 1993, Virginia began to formalize the relationships and organizational structure for its Safety Management System (SMS). Although the SMS is no longer a federal requirement, Virginia decided to continue its implementation. The Focal Point for the SMS is within the Virginia Department of Transportation (VDOT), the SMS Steering Committee in Virginia is composed of representatives of VDOT, the Department of Motor Vehicles, the Virginia State Police, the Office of Emergency Medical Services of the Virginia Department of Health, and the Commission on the Virginia Alcohol Safety Action Program. This report outlines options that have the potential to enhance the ability of Virginia's SMS to facilitate traffic safety in the Commonwealth. The report recommends that Virginia's SMS Steering Committee consider the following options: (1) establish an SMS coordinator position, (2) formalize a strategic planning process, (3) use the SMS to vitalize local traffic safety commissions, (4) encourage the use of the holistic corridor approach by community traffic safety programs, (5) provide for more integral involvement of the public health community in Virginia's SMS, (6) determine whether electronic communication would further Virginia's transportation safety goals, and (7) provide for the implementation of improved traffic records.










Comprehensive Healthcare Simulation: Improving Healthcare Systems


Book Description

This book presents simulation as an essential, powerful tool to develop the best possible healthcare system for patients. It provides vital insights into the necessary steps for supporting and enhancing medical care through the simulation methodology. Organized into four sections, the book begins with a discussion on the overarching principles of simulation and systems. Section two then delves into the practical applications of simulation, including developing new workflows, utilizing new technology, building teamwork, and promoting resilience. Following this, section three examines the transition of ideas and initiatives into everyday practices. Chapters in this section analyze complex interpersonal topics such as how healthcare clinical stakeholders, simulationists, and experts who are non-clinicians can collaborate. The closing section explores the potential future directions of healthcare simulation, as well as leadership engagement. A new addition to the Comprehensive Healthcare Simulation Series, Improving Healthcare Systems stimulates the critical discussion of new and innovative concepts and reinforces well-established and germane principles.




Keeping Patients Safe


Book Description

Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.




Patty's Industrial Hygiene, Hazard Recognition


Book Description

Since the first edition in 1948, Patty’s Industrial Hygiene and Toxicology has become a flagship publication for Wiley. During its nearly seven decades in print, it has become a standard reference for the fields of occupational health and toxicology. The volumes on industrial hygiene are cornerstone reference works for not only industrial hygienists but also chemists, engineers, toxicologists, lawyers, and occupational safety personnel. Volume 1 covers Introduction of Industrial Hygiene and Recognition of Chemical Agents. In addition to revised and updated chapters, a number of new chapters reflect current technology and concerns. The chapters include Ethics in Industrial Hygiene, Prevention through Design, Risk Communication, Managing Workplace Demographics, and Mastering Digital Media for Workers, Employers and Community Practice.




Considerations in the Development of Procedures for Prioritizing Transportation Improvement Projects in Virginia


Book Description

The transportation programming process is undergoing a fundamental change akin to that which transpired with the advent of the Intermodal Surface Transportation Efficiency Act in 1991. Some stakeholders have expressed a desire that the programming process be transparent, and some have expressed an interest in using data-driven performance measures. Although there is widespread agreement concerning broad criteria, stakeholders may disagree over specific performance measures. Thus, transportation agencies have become interested in methods for selecting projects based on their merits rather than the more traditional approach of "first in first out." Accordingly, the Virginia Department of Transportation (VDOT) requested that the Virginia Transportation Research Council develop a template that VDOT could use to prioritize capital improvement projects. The role of the template is to help VDOT decide which project should be undertaken first. The scope of the template is limited to projects that are already being programmed. A template based on 14 of 75 performance measures examined was developed and applied to two projects. The template is oriented toward projects relating to the interstate and primary systems, but it is flexible enough that key policy choices can be made in its framework. These include controversial issues, such as access management and land use configurations, and more tedious but critical considerations, such as the relative importance of crash risk, infrastructure maintenance, economic development, and congestion relief. A promising benefit of the template is that it provides an opportunity to manage the debate as to the approach for deciding the order in which projects are programmed. The template will not eliminate disagreement, but it can foster discussion when parties have legitimate and differing opinions as to how projects should be prioritized. To that end, the template may be used as a discussion instrument between VDOT and some of its key stakeholders, including metropolitan planning organizations, planning district commissions, the Commonwealth Transportation Board, and advocacy groups who influence transportation infrastructure decisions




Safety, Reliability, Risk and Life-Cycle Performance of Structures and Infrastructures


Book Description

Safety, Reliability, Risk and Life-Cycle Performance of Structures and Infrastructures contains the plenary lectures and papers presented at the 11th International Conference on STRUCTURAL SAFETY AND RELIABILITY (ICOSSAR2013, New York, NY, USA, 16-20 June 2013), and covers major aspects of safety, reliability, risk and life-cycle performance of str







Anesthesia E-Book


Book Description

From fundamental principles to advanced subspecialty procedures, Miller’s Anesthesia covers the full scope of contemporary anesthesia practice. It is the go-to reference for masterful guidance on the technical, scientific, and clinical challenges you face. Now new chapters, new authors, meticulous updates, an increased international presence, and a new full-color design ensure that the 7th edition continues the tradition of excellence that you depend on. Covers the full scope of contemporary anesthesia practice. Offers step-by-step instructions for patient management and an in-depth analysis of ancillary responsibilities and problems. Incorporates ‘Key Points’ boxes in every chapter that highlight important concepts. Extends the breadth of international coverage with contributions from prominent anesthesiologists from all over the world, including China, India, and Sweden. Features 30 new authors and 13 new chapters such as Sleep, Memory and Consciousness; Perioperative Cognitive Dysfunction; Ultrasound Guidance for Regional Anesthesia; Anesthesia for Correction of Cardiac Arrhythmias; Anesthesia for Bariatric Surgery; Prehospital Emergency and Trauma Care; Critical Care Protocols; Neurocritical Care; and Renal Replacement Therapy. Dedicates an entire section to pediatric anesthesia, to help you address the unique needs of pediatric patients. Presents a new full-color design -- complete with more than 1,500 full-color illustrations -- for enhanced visual guidance.