Evaluation of an In-Situ Neonatal Resuscitation Simulation Program Using the New World Kirkpatrick Model

2021 ◽  
Vol 50 ◽  
pp. 27-37
Author(s):  
Manini Bhatia ◽  
Alice E. Stewart ◽  
Andrea Wallace ◽  
Arunaz Kumar ◽  
Atul Malhotra
Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 202
Author(s):  
Mary Eckels ◽  
Terry Zeilinger ◽  
Henry C. Lee ◽  
Janine Bergin ◽  
Louis P. Halamek ◽  
...  

Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a high adrenaline state. Implementing a neonatal patient safety simulation and debriefing program can help teams improve the behavioral, cognitive, and technical skills necessary to reduce morbidity and mortality. In Simulating Success, a 15-month quality improvement (QI) project, the Center for Advanced Pediatric and Perinatal Education (CAPE) and California Perinatal Quality Care Collaborative (CPQCC) provided outreach and training on neonatal simulation and debriefing fundamentals to individual teams, including community hospital settings, and assisted in implementing a sustainable program at each site. The primary Aim was to conduct two simulations a month, with a goal of 80% neonatal intensive care unit (NICU) staff participation in two simulations during the implementation phase. While the primary Aim was not achieved, in-situ simulations led to the identification of latent safety threats and improvement in system processes. This paper describes one unit’s QI collaborative experience implementing an in-situ neonatal simulation and debriefing program.


1957 ◽  
Vol 22 (4) ◽  
pp. 411-412 ◽  
Author(s):  
George B. Barbour
Keyword(s):  

As far as can be learned from a study of the scientific contributions of Yoder (1950), Foshag (1945), and others who have dealt with the jade-jadeite problem, it appears that, although the presence of one or the other mineral has been reported from a considerable list of widely separated localities in both the Old and the New World, the exact conditions leading to their development have been subject to controversy, partly because occurrence in situ is extremely rare. The passing references to places from which the Mayans secured their supplies of raw material are in general vague, based on hearsay or traditional accounts, combined with inferences relating to the abundant artifacts unearthed at classical sites.


2021 ◽  
Author(s):  
◽  
Edīte Biseniece

Legal requirements as well as life quality requirements demand to increase energy efficiency of existing buildings, that has been seen to represent a huge potential in energy savings, based on the size of the segment and the individual potential. The biggest challenges during the renovation of buildings occur when it comes to historic buildings where the facade cannot be modified to maintain its unique architectural appearance and integrity. Policy makers and building owners are facing “building energy efficiency versus heritage value” dilemma when on the one hand it is important to preserve a building’s architectural value and on the other hand, energy consumption should be reduced significantly. Internal insulation is one of the energy efficiency measures that can be applied. However, this is one of the most challenging and complex energy efficiency measures due to changes in boundary conditions and hygrothermal behaviour of walls, especially for buildings in cold climate Applying of interior insulation significantly modifies the hygrothermal performance of walls and, as a consequence, may induce a risk on interstitial condensation, frost damage, mould growth and other damage patterns. The behaviour of internally insulated wall strongly depends on the properties of the used materials. There is a need to develop new methods and guidelines for decision makers on how to implement energy efficiency measures in historic buildings. The aim of this Thesis is to offer safe and effective solutions for internal insulation systems of historic masonry buildings. To achieve this goal, the following tasks have been set: to perform historic construction material testing and analyse the test wall in a laboratory environment to determine the factors influencing the accumulation of moisture and the risks associated with it; to predict hygrothermal conditions of internally insulated masonry building using dynamic simulation program and to validate said models based on long term in-situ measurements in internally insulated case buildings; to estimate potential energy savings using dynamic simulation program. Several methods are combined within the research, including regression analysis, sensitivity analysis and heat and moisture transfer simulation validated by long-term in situ measurements.


2020 ◽  
Vol 42 (7) ◽  
pp. 868-873.e1
Author(s):  
Valerie Bloomfield ◽  
Susan Ellis ◽  
Julie Pace ◽  
Michelle Morais

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