This paper highlights the critical role of medical device design and development documents within the quality system,including their compliance with regulatory standards,their function as a traceable record,their supp...This paper highlights the critical role of medical device design and development documents within the quality system,including their compliance with regulatory standards,their function as a traceable record,their support for all stages,and their use in risk and change management.It also covers document template creation,review record association,information management,adverse event traceability,and the reconciliation of differences in international declarations.展开更多
Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;...Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;and research that found that it is time consuming. The purpose of this quantitative retrospective before-after project was to measure the impact of using the laboratory value flowsheet within the EHR on documentation time. The research question was: “Does the use of a laboratory value flowsheet in the EHR impact documentation time by primary care providers (PCPs)?” The theoretical framework utilized in this project was the Donabedian Model. The population in this research was the two PCPs in a small primary care clinic in the northwest of Puerto Rico. The sample was composed of all the encounters during the months of October 2019 and December 2019. The data was obtained through data mining and analyzed using SPSS 27. The evaluative outcome of this project is that there is a decrease in documentation time after implementation of the use of the laboratory value flowsheet in the EHR. However, patients per day increase therefore having an impact on the number of patients seen per day/week/month. The implications for clinical practice include the use of templates to improve workflow and documentation as well as decreasing documentation time while also increasing the number of patients seen per day. .展开更多
提单的所谓物权凭证性质在中国长期存在争议,其实质是大陆法系所称提单的物权效力,系指交付提单与交付货物具有相同效力,由此可以满足货物物权变动的生效或对抗要件。英美法系认为提单是一种document of title,而大陆法系主要法域普遍...提单的所谓物权凭证性质在中国长期存在争议,其实质是大陆法系所称提单的物权效力,系指交付提单与交付货物具有相同效力,由此可以满足货物物权变动的生效或对抗要件。英美法系认为提单是一种document of title,而大陆法系主要法域普遍均有提单物权效力的规定,长期以来形成了代表说、严格相对说、绝对说、物权效力否定说等较为稳定的学说。两大法系均认可提单代表货物的拟制占有或谓间接占有,提单的转让由此代表了货物占有的移转,但持有提单本身并不代表享有货物的所有权等物权。“提单代表货物”只是一种强调提单象征意义的简略表述。提单的物权效力在中国现行法下尚无明文规定,但具有作为习惯补充适用的空间,且《民法典》第598条也从买卖合同的角度提供了一定依据。提单交付对于货物所有权变动而言属于现实交付,而提单质押则应认定为权利质权。提单表征的货物拟制占有属于间接占有。提单电子化对物权效力的主要影响,应是如何对无形的电子提单认定占有。《海商法》修订应对提单的物权效力作出明确规定。展开更多
自联合国国际搜索与救援咨询团(The International Search and Rescue Advisory Group,简称INSARAG)成立30多年来,通过不断总结巨灾国际救援经验,形成了一套覆盖国际救援准备阶段、行动阶段到撤离阶段的国际救援全流程全要素的协调工作...自联合国国际搜索与救援咨询团(The International Search and Rescue Advisory Group,简称INSARAG)成立30多年来,通过不断总结巨灾国际救援经验,形成了一套覆盖国际救援准备阶段、行动阶段到撤离阶段的国际救援全流程全要素的协调工作机制,并通过出台一系列的指南、指导性文件和推荐性技术文件,规范救援能力和队伍建设,强化国际救援协调和现场救援的效率。该文系统介绍了INSARAG标准和技术文件组成体系架构,并阐述了各标准及技术文件的出台背景、主要内容及对中国的搜救队伍建设的推动作用,并讨论其对我国灾害救援工作的启示与借鉴意义。展开更多
文摘This paper highlights the critical role of medical device design and development documents within the quality system,including their compliance with regulatory standards,their function as a traceable record,their support for all stages,and their use in risk and change management.It also covers document template creation,review record association,information management,adverse event traceability,and the reconciliation of differences in international declarations.
文摘Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;and research that found that it is time consuming. The purpose of this quantitative retrospective before-after project was to measure the impact of using the laboratory value flowsheet within the EHR on documentation time. The research question was: “Does the use of a laboratory value flowsheet in the EHR impact documentation time by primary care providers (PCPs)?” The theoretical framework utilized in this project was the Donabedian Model. The population in this research was the two PCPs in a small primary care clinic in the northwest of Puerto Rico. The sample was composed of all the encounters during the months of October 2019 and December 2019. The data was obtained through data mining and analyzed using SPSS 27. The evaluative outcome of this project is that there is a decrease in documentation time after implementation of the use of the laboratory value flowsheet in the EHR. However, patients per day increase therefore having an impact on the number of patients seen per day/week/month. The implications for clinical practice include the use of templates to improve workflow and documentation as well as decreasing documentation time while also increasing the number of patients seen per day. .
文摘提单的所谓物权凭证性质在中国长期存在争议,其实质是大陆法系所称提单的物权效力,系指交付提单与交付货物具有相同效力,由此可以满足货物物权变动的生效或对抗要件。英美法系认为提单是一种document of title,而大陆法系主要法域普遍均有提单物权效力的规定,长期以来形成了代表说、严格相对说、绝对说、物权效力否定说等较为稳定的学说。两大法系均认可提单代表货物的拟制占有或谓间接占有,提单的转让由此代表了货物占有的移转,但持有提单本身并不代表享有货物的所有权等物权。“提单代表货物”只是一种强调提单象征意义的简略表述。提单的物权效力在中国现行法下尚无明文规定,但具有作为习惯补充适用的空间,且《民法典》第598条也从买卖合同的角度提供了一定依据。提单交付对于货物所有权变动而言属于现实交付,而提单质押则应认定为权利质权。提单表征的货物拟制占有属于间接占有。提单电子化对物权效力的主要影响,应是如何对无形的电子提单认定占有。《海商法》修订应对提单的物权效力作出明确规定。
文摘自联合国国际搜索与救援咨询团(The International Search and Rescue Advisory Group,简称INSARAG)成立30多年来,通过不断总结巨灾国际救援经验,形成了一套覆盖国际救援准备阶段、行动阶段到撤离阶段的国际救援全流程全要素的协调工作机制,并通过出台一系列的指南、指导性文件和推荐性技术文件,规范救援能力和队伍建设,强化国际救援协调和现场救援的效率。该文系统介绍了INSARAG标准和技术文件组成体系架构,并阐述了各标准及技术文件的出台背景、主要内容及对中国的搜救队伍建设的推动作用,并讨论其对我国灾害救援工作的启示与借鉴意义。
