Background: Omission of patient information in perioperative communication is closely linked to adverse events. Use of checklists to standardize the handoff in the post anesthesia care unit (PACU) has been shown to ef...Background: Omission of patient information in perioperative communication is closely linked to adverse events. Use of checklists to standardize the handoff in the post anesthesia care unit (PACU) has been shown to effectively reduce medical errors. Objective: Our study investigates the use of a checklist to improve quantity of data transfer during handoffs in the PACU. Design: A cross-sectional observational study. Setting: PACU at Memorial Sloan Kettering Cancer Center (MSKCC);June 13, 2016 through July 15, 2016. Patients, other participants: We observed the handoff reports between the nurses, PACU midlevel providers, anesthesia staff, and surgical staff. Intervention: A physical checklist was provided to all anesthesia staff and recommended to adhere to the list at all observed PACU handoffs. Main outcome measure: Quantity of reported handoff items during 60 pre- and 60 post-implementation of a checklist. Results: Composite value from both surgical and anesthesia reports showed an increase in the mean report of 8.7 items from pre-implementation period to 10.9 post-implementation. Given that surgical staff reported the mean of 5.9 items pre-implementation and 5.5 items post-implementation without intervention, improvements in anesthesia staff report with intervention improved the overall handoff data transfer. Conclusions: Using a physical 12-item checklist for PACU handoff increased overall data transfer.展开更多
为了提升数据中心电源管理系统的响应速度与能效管理水平,以某互联网数据中心(Internet Data Center,IDC)机房改造项目为例,设计并实现了一套融合5G的智能IDC电源管理系统。通过构建感知层、网络层、平台层和应用层的分层架构,结合边缘...为了提升数据中心电源管理系统的响应速度与能效管理水平,以某互联网数据中心(Internet Data Center,IDC)机房改造项目为例,设计并实现了一套融合5G的智能IDC电源管理系统。通过构建感知层、网络层、平台层和应用层的分层架构,结合边缘计算与微服务技术,系统实现了能耗数据采集时间粒度、控制响应时延、平均故障发现时间、应急负载切换时间的大幅度缩短,同时在故障预警、应急调度等方面展现出显著优势。研究结果表明,该系统有效提升了电源管理的智能化、精细化与实时化水平,为绿色数据中心建设提供了可行路径。展开更多
文摘Background: Omission of patient information in perioperative communication is closely linked to adverse events. Use of checklists to standardize the handoff in the post anesthesia care unit (PACU) has been shown to effectively reduce medical errors. Objective: Our study investigates the use of a checklist to improve quantity of data transfer during handoffs in the PACU. Design: A cross-sectional observational study. Setting: PACU at Memorial Sloan Kettering Cancer Center (MSKCC);June 13, 2016 through July 15, 2016. Patients, other participants: We observed the handoff reports between the nurses, PACU midlevel providers, anesthesia staff, and surgical staff. Intervention: A physical checklist was provided to all anesthesia staff and recommended to adhere to the list at all observed PACU handoffs. Main outcome measure: Quantity of reported handoff items during 60 pre- and 60 post-implementation of a checklist. Results: Composite value from both surgical and anesthesia reports showed an increase in the mean report of 8.7 items from pre-implementation period to 10.9 post-implementation. Given that surgical staff reported the mean of 5.9 items pre-implementation and 5.5 items post-implementation without intervention, improvements in anesthesia staff report with intervention improved the overall handoff data transfer. Conclusions: Using a physical 12-item checklist for PACU handoff increased overall data transfer.
文摘为了提升数据中心电源管理系统的响应速度与能效管理水平,以某互联网数据中心(Internet Data Center,IDC)机房改造项目为例,设计并实现了一套融合5G的智能IDC电源管理系统。通过构建感知层、网络层、平台层和应用层的分层架构,结合边缘计算与微服务技术,系统实现了能耗数据采集时间粒度、控制响应时延、平均故障发现时间、应急负载切换时间的大幅度缩短,同时在故障预警、应急调度等方面展现出显著优势。研究结果表明,该系统有效提升了电源管理的智能化、精细化与实时化水平,为绿色数据中心建设提供了可行路径。
