scholarly journals Medical errors — causes and contradictions

2022 ◽  
Vol 99 (7-8) ◽  
pp. 469-475
Author(s):  
M. M. Makhambetchin ◽  
S. V. Lokhvitskiy ◽  
Y. M. Turgunov ◽  
K. T. Shakeyev
Keyword(s):  
Error Analysis ◽  
Medical Errors ◽  
Mutual Understanding ◽  
Common Cause ◽  
Diffi Cult ◽  
Special Studies ◽  
Advanced Version

Studying and improving the theory of errors of doctors has always been important, and today it has become especially relevant.The article lists the main provisions of the advanced version of the theory of errors of doctors. The main content of the articleis devoted to four important aspects of the problem of physician errors. The article states the main contradiction of the problemof errors in medicine. The structure of general objective and subjective causes of medical errors is shown. The main optionsfor doctors to experience errors that complicate doctors’ mutual understanding in this problem are formulated. For the fi rsttime, the reasons for the denial of errors by doctors are summarized. These aspects and conclusions on them are the result ofan analysis of publications on the problem of errors in medicine, repeated discussions of the problem on professional medicalsites. The content of these aspects was based on its own material on error analysis and observation from practice. The aboveaspects and their conclusions need not so much to be confi rmed by special studies, but rather to refl ect on their role and placein the problem of errors. The general objective and subjective reasons for the occurrence of medical errors are shown inconnection with their possible "guilt". Lack of experience is presented as the most common cause of medical errors. Variousoption for doctors to experience errors are presented as a reason that makes it diffi cult for doctors to understand this problem.

scholarly journals Stability and Compatibility Aspects of Drugs: The Case of Selected Cephalosporins

Antibiotics ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 549
Author(s):  
Szymon Tomczak ◽  
Aleksandra Gostyńska ◽  
Malwina Nadolna ◽  
Karolina Reisner ◽  
Marta Orlando ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Treatment Failure ◽  
Medical Errors ◽  
Stability Test ◽  
Intravenous Drug ◽  
Common Cause ◽  
Life Threatening ◽  
Degradation Studies ◽  
The Stability ◽  
Infusion Fluids

Intravenous drug incompatibilities are a common cause of medical errors, contributing to ineffective therapy and even life-threatening events. The co-administration of drugs must always be supported by studies confirming compatibility and thus guarantee the therapy’s safety. Particular attention should be paid to the possible incompatibilities or degradation of intravenous cephalosporins in different infusion regimens since the administration of drugs with inadequate quality may cause treatment failure. Therefore, an appropriate stability test should be performed. The study aimed to present various aspects of the stability and compatibility of five cephalosporins: cefepime (CFE), cefuroxime (CFU), ceftriaxone (CFX), ceftazidime (CFZ), and cefazoline (CFL). The degradation studies in parenteral infusion fluids and PN admixtures were conducted for CFE and CFU. The interactions between CFX or CFZ and PN admixtures, as well as the compatibility of CFL with five commercial parenteral nutrition (PN) admixtures, were investigated. The content of CFX and CFZ in PN admixture after 24 h was >90%. CFL administered simultaneously with PN admixture by the same infusion set using Y-site was compatible only with Nutriflex Lipid Special. CFE and CFU were stable in all tested infusion fluids for a minimum of 48 h and decomposed in PN admixtures during storage.

Negotiating Race: Blackness and Whiteness in the Context of Homecoming to Ghana

2009 ◽  
Vol 2 (1) ◽  
pp. 3-24 ◽  
Author(s):  
Katharina Schramm
Keyword(s):  
Racial Identity ◽  
African Americans ◽  
Mutual Understanding ◽  
Common Cause ◽  
Racial Identities

Abstract This article aims to analyse the dynamics of the making and unmaking of racial identities by looking at the ways in which the issue of race is debated in the context of historical and more recent return movements of African Americans to Ghana. The discourse surrounding the return, or homecoming as it is commonly phrased, is determined by notions of an African family and Black kinship. In official rhetoric, race is represented as an irrefutable reality, and a shared racial identity appears as the key to the mutual understanding and common cause of Africans and African Americans. Going beyond this rhetoric, the author shows how the categories of Blackness and Whiteness, while being constructed as mutually exclusive, are rather flexible and constantly re-negotiated in the course of the homecoming practice. She argues that the entangled movements of diasporic return speak in profound ways of the complexity and ambivalence that are at the heart of processes of racialisation. Cet article vise à analyser la dynamique de construction et de destruction des identités raciales en étudiant les voies par lesquelles la question de la race est débattue dans le contexte des mouvements historiques et plus récents des Afro-Américains au Ghana. Le discours entourant le retour, ou le retour au pays tel qu'il est généralement exprimé, est déterminé par les notions de la famille africaine et de la parenté noire. Dans la rhétorique officielle, la race est représentée comme une réalité irréfutable et l'identité raciale partagée apparaît comme la clef à la compréhension mutuelle et à la cause commune des Africains et des Afro-Américains. En allant au-delà de cette rhétorique, l'auteure montre que les catégories de noirceur et de blancheur, bien qu'étant construites comme mutuellement exclusives, sont plutôt flexibles et constamment renégociées au cours du retour au pays. Elle soutient que les mouvements enchevêtrés du retour de la diaspora parlent de façon profonde de la complexité et de l'ambivalence qui sont au cœur des processus de racialisation.

Simple budget-neutral tool to improve intraoperative communication

2020 ◽  
Vol 96 (1141) ◽  
pp. 703-705
Author(s):  
James Dougherty ◽  
Charlie Slowey ◽  
Anne Hermon ◽  
Jed Wolpaw
Keyword(s):  
Medical Errors ◽  
Response Rate ◽  
Cost Effective ◽  
Dramatic Improvement ◽  
Communication Failure ◽  
Common Cause ◽  
Good Communication ◽  
The Mean ◽  
Affect Patient Outcome

BackgroundCommunication failure is a common cause of medical errors and adverse events. Within the operating room (OR), there are many barriers to good communication, which can adversely affect patient outcome.ObjectiveImplementing a simple, cost-neutral tool aimed at improving intraoperative communication and engagement.MethodsThree anaesthesiology residents collected data using a data sheet and tailored surveys distributed to OR staff. Data were collected over a 2-week period in 2019, with 1 week each of preintervention and postintervention data collection. The intervention consisted of wearing OR caps displaying the first name and role of the anaesthesia resident clearly on the front.ResultsA total of 20 data sheets and 48 preintervention and postintervention surveys were collected for a response rate of 57%. There was a statistically significant increase in OR staff knowledge of the anaesthesia resident’s name (66% vs 100%, p=<0.001), an increase in the mean number of times the surgical providers addressed the anaesthesia residents (3.6 vs 7.8, p=0.0074) and an increase in the mean number of times the surgical providers addressed them by their first name (0.7 vs 4, p=0.0067). Comments received during the intervention were positive with overwhelming support.ConclusionsThis study demonstrated that a simple, cost-effective intervention can result in dramatic improvement in intraoperative communication and engagement between teams.

scholarly journals Constructing Solidarity in Belarusian Press during the Soviet Period

2021 ◽  
pp. 26-41
Author(s):  
A. A. Biyumena
Keyword(s):  
Goal Setting ◽  
Russian Language ◽  
Soviet Period ◽  
Mutual Understanding ◽  
Media Discourse ◽  
Common Cause ◽  
The Media ◽  
The Common ◽  
Post War ◽  
Historical Periods

The results of a study of the discourse of solidarity in the Soviet Russian-language press of Belarus of the post-war period on the basis of the publications of the newspaper “Sovetskaya Belorussia” is presented in the article. The directions of solidarity in media discourse are determined depending on the inclusion of an object in the group of “friends” or “aliens”. Attention is paid to the construction of solidarity both in publications about the internal life of the country and in articles about the “Western” states and countries of the socialist camp. The relevance of the study is due to the need to study the means of solidarity of the media audience in different historical periods, including during crises. The novelty of the research is seen in the fact that the objects for analysis are newspaper texts with a pragmatic goal-setting of constructing solidarity. The key words of the media discourse of solidarity of the Soviet period are revealed: lexemes with the meaning of compatibility; words labeling “friends” according to the class principle; units emphasizing the responsibility of a person for a joint business; vocabulary of the semantic groups “Struggle” and “Labour”. It has been proved that the solidarity constructed by the mass media was aimed at the awareness of the citizens of the country of their involvement in the common cause and common values, at the legitimization of political power and the formation of mutual understanding between members of society.

scholarly journals An Error Analysis of The Cohesive Devices Made by The Students In Writing Paragraph (A Study of English Department Students of Letters Faculty)

Tamaddun ◽  
2019 ◽  
Vol 17 (2) ◽  
pp. 34-40
Author(s):  
Abdollah Abdollah ◽  
Mustakim Sulo
Keyword(s):  
Data Collection ◽  
Error Analysis ◽  
Data Processing ◽  
Rural Areas ◽  
Urban Culture ◽  
English Department ◽  
Mutual Understanding ◽  
Know How ◽  
Cohesive Devices ◽  
Qualitative Models

This study raises issues about what it means and how to apply sipakatau, sipakalebbi, sipakainge in Bugis culture. This study aimed to get an idea of the meaning sipakatau, sipakalebbi, sipakainge, in Bugis culture and to know how it is applied in Bugis culture. There were two benefits in this study, the benefits of theoretical and practical benefits. The model of this research was qualitative models. The stages in this study were under preparation, data collection, and data processing stages. Data were analyzed based on the words, sentences and paragraphs. Analysis of the data in this study presented informally, by formulating with ordinary words. The result of this study indicate that the meaning of sipakatau is mutually humanizing, sipakalebbi is mutual understanding or respect and sipakainge is remind each other. Based on the observations stated sipakatau, sipakalebbi, sipakainge days ago still heal tightly by Bugis community of Wajo, because they think that this culture that has a message from the ancestors. Whereas in the present, in urban culture, the bugis culture is heading to extinct due to globalization, but in rural areas there is still a applied well.  

The O–C diagrams of minor planets − a new approach to modelling the rotation

1999 ◽  
Vol 173 ◽  
pp. 185-188
Author(s):  
Gy. Szabó ◽  
K. Sárneczky ◽  
L.L. Kiss
Keyword(s):  
Error Analysis ◽  
Time Dependence ◽  
Theoretical Work ◽  
Minor Planet ◽  
Minor Planets ◽  
New Approach ◽  
Preliminary Results ◽  
Ccd Observations

AbstractA widely used tool in studying quasi-monoperiodic processes is the O–C diagram. This paper deals with the application of this diagram in minor planet studies. The main difference between our approach and the classical O–C diagram is that we transform the epoch (=time) dependence into the geocentric longitude domain. We outline a rotation modelling using this modified O–C and illustrate the abilities with detailed error analysis. The primary assumption, that the monotonity and the shape of this diagram is (almost) independent of the geometry of the asteroids is discussed and tested. The monotonity enables an unambiguous distinction between the prograde and retrograde rotation, thus the four-fold (or in some cases the two-fold) ambiguities can be avoided. This turned out to be the main advantage of the O–C examination. As an extension to the theoretical work, we present some preliminary results on 1727 Mette based on new CCD observations.

Design of an intermediate high voltage EM for 3-D studies of biological material and its integration with a system for remote access

1995 ◽  
Vol 53 ◽  
pp. 66-67 ◽  
Author(s):  
Mark H. Ellisman
Keyword(s):  
High Voltage ◽  
High Performance ◽  
Remote Access ◽  
3 Dimensional ◽  
Voltage Electron ◽  
Remote Operation ◽  
High Voltage Electron Microscope ◽  
La Jolla ◽  
Performance Computing ◽  
Advanced Version

The increased availability of High Performance Computing and Communications (HPCC) offers scientists and students the potential for effective remote interactive use of centralized, specialized, and expensive instrumentation and computers. Examples of instruments capable of remote operation that may be usefully controlled from a distance are increasing. Some in current use include telescopes, networks of remote geophysical sensing devices and more recently, the intermediate high voltage electron microscope developed at the San Diego Microscopy and Imaging Resource (SDMIR) in La Jolla. In this presentation the imaging capabilities of a specially designed JEOL 4000EX IVEM will be described. This instrument was developed mainly to facilitate the extraction of 3-dimensional information from thick sections. In addition, progress will be described on a project now underway to develop a more advanced version of the Telemicroscopy software we previously demonstrated as a tool to for providing remote access to this IVEM (Mercurio et al., 1992; Fan et al., 1992).

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