...Improving Nursing Shift Changes Introduction Nursing hand-offs rank high in situations where errors occur, often due to how shift changes are structured as much as mistakes by individual nurses (Halm, 2013). Wooldridge Place, for example, has a number of systemic deficiencies that contribute to communication breakdown between shifts and compromise patient care. It is anticipated that switching to a bedside handoff and addressing factors that contribute to negative outcomes from shift changes will allow Wooldridge to increase its patient safety and standards of care, and to meet National Patient Safety Goals and reduce overall costs to the organization. Background Significance While medical record-keeping is vital to patient care, nurses also...
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... Quantity sold The change in demand is a change any variable other than price, example, peoples’ change in taste and preference. This will cause a shift in the demand curve, left for a decrease in demand, right for an increase in demand. For example, if there is a perceived increase in the price, then there will be a decrease in the demand, ceteris paribus. This shift is likely to be parallel Price D Supply Quantity sold Change in the quantity demanded is the consumers’ response to a change in price; it is represented by a shift ALONG the demand curve. Price S1 ...
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...Change Paper Bedside Shift Report University of South Carolina - Upstate Bedside Shift Report Miscommunication and missed information, resulting in potential errors, have been on the rise at Pelham Medical Center. In the past, the primary nursing staff was giving verbal report to oncoming nurses at the nursing stations. There are many disadvantages to this practice. Verbal report at the nursing station is distracting with so many nurses talking at the same time and is frequently interrupted by other staff, call bells, and family members. There are also potential HIPPA violations when reporting on patients within earshot of other people who are not involved in that patient’s care. The patients and their family members or care givers are not directly involved in the report and hand off process (Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014). Pertinent information was being reported incorrectly or not reported at all. Physician orders were being missed and not completed. All of these events, collectively, have adversely affected patient safety and overall patient satisfaction. Patients and their families do not like to feel that the primary nurse does not know the “whole picture” or has an incorrect understanding of the plan of care. In an effort to reduce potential errors, increase communication between staff and with patients and their care givers, and increase patient and nursing satisfaction, the nursing administration of Pelham Medical Center decided...
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...Demand The Khan Academy video explained how demand and/or supply changes are affected when factors in the market change, and how these changes affects market equilibrium, which is the state where the supply in the market is equal to the demand in the market, price and equilibrium quantity. Because demand and supply in the market is interdependent and are constantly changing or shifting, they play a critical role in altering market equilibrium price points and quantity available. Demand shifts of more or less of a product results in a shift of both price and quantity. An increase in demand will shift price up and quantity to the right and a decrease in demand will shift price down and quantity to the left on the demand curve. Supply shifts of more or less of a product affects the equilibrium point by shifting the supply curve to the right, indicating that more availability of a product. This results in a lower price and a higher demand for a product. A shift in the supply curve to the left, indicating there is less availability of a product, which results in a higher price and a decrease in demand of a product. Supply and Demand Curves Microeconomics places emphasis on demand and supply in the marketplace, which normally determines the change of levels in price and factors of individual choices while macroeconomics is focused on economic development and changes in general income. Each change in shift affects equilibrium of price, quantity, and consuming behaviors. Concepts...
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...when the rise in demand for apartment was a direct product of the establishment of a new company in town. Same principles of microeconomics apply to an excess supply created by a price ceiling enforced by the government. Supply and Demand Shifts A shift in the demand curve was created when the new company brought an increase in population to Atlantis. A greater amount of people created a greater demand for the apartments. Equilibrium is reached in the demand shift by raising the price of rent to decrease demand. A supply shift was created when 400 apartments were converted into condominiums, which in turn caused a drop in supply. The equilibrium would be fixed by raising the cost to lower the demand because of a decrease in supply. Real World Application With the nutritional corporations expanding and health awareness on the rise prices of nutritional supplements are rising to meet the demand. Especially in local areas, there aren’t too many health and wellness shops that offer the best available supplements or expert advice, therefore the few local shops in town can raise the prices of their products because of high demand and low supply. Microeconomics: Supply/Demand Shifts A sudden increase in population can cause a demand shift which would either cause you to increase or decrease price reach equilibrium and maximize revenue....
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...schedule shows |a. |the "market potential" for a product. |d. |how much consumers would like to buy at different prices. | |b. |how much producers are willing and able to sell at different prices. |e. |All of the above are correct. | |c. |possible combinations of output under different conditions. | 2. If price rises, what happens to quantity supplied for a product? |a. |It increases. |c. |It does not change. | |b. |It decreases. |d. |Quantity supplied is constant, but supply increases. | 3. Along a supply curve, |a. |supply changes as price changes. |c. |supply changes as technology changes. | |b. |quantity supplied changes as price changes. |d. |quantity supplied changes as technology changes. | 4. If new manufacturers enter the gadget industry, then which of the following will most likely happen with gadgets? |a. |the supply will increase |c. |the quantity supplied will increase | |b. |the supply will decrease |d. |the quantity supplied will decrease | 5. An increase in the price of metal raw materials will result in which of the following in the supply of new cars? |a. |Quantity supplied will increase |d. |Supply will decrease ...
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...Bedside Report: Improving hand-off Shift Report in Hospital Settings Eastern International College Evelyn Terreros & Meron Gebrezgi April 26, 2013 End of shift reports between nurses has been an important process in clinical nursing practice. Allowing nurses to exchange vital patient information to ensure continuity of care and patient safety. Therefore, the chance of potential communication gaps causing an error is high. According to the Joint Commission, communication is the primary cause of medical errors, with handoffs accounting for 80% of these errors [ (Zhani, 2012) ]. The most commonly practiced model of report takes place in the staff room, at the nurses’ station, or other locations away from the patient’s bedside. However, more institutions are implementing the Bedside Report hand-off model to communicate patient care information. Research articles has identified the benefits of bedside report in conjunction with structured reporting tool (e.g. SBAR) as: (1) improvements in patient-centered care and nursing services, (2) less chance of medical errors, (3) decreasing the length of stay in patients [ (Chaboyer W, 2009) ]. Upon observing the shift to shift report in SMMC, it was evident that some nurses failed to provide effective communication and did not utilized the SBAR format tool as stated in the hospital’s guidelines. Hand-off reports were being done in the nurse’s station and along the unit’s hallways. Fatigue and...
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...assumption, economists can isolate the variables so other factors will not affect the development of the theory. When we see the term other things equal we know that this assumption is made to indicate that other variables are not changing or affecting the variables of interest. Without this assumption it would be impossible to develop theories about the relationships and make a causal connection between two variables that can be identified. 2 In your own words, explain the difference between a movement along the demand curve and a shift in demand. Then, provide an example from your own personal life where you have experienced each one. Answer: The demand curve is technically a graph of demand schedule where the customer’s demand is represented. This graph lists the quantities of goods or services that customers are willing to buy at different prices. The change in the quantity demanded is a movement along the demand curve and the change in the demand is represented by a...
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...Department Third Shift Implementation [pic] Axia College of University of Phoenix IT 221 Analysis and Design of Information Systems February 28, 2010 TABLE OF CONTENTS 1 PROJECT Definition 5 2 PROJECT EXECUTIVE SUMMARY 5 3 PROJECT OVERVIEW 5 4 PROJECT SCOPE 6 4.1 Goals and Objectives 6 4.2 Project Deliverables 6 4.3 Deliverables Out of Scope 6 4.4 Project Estimated Costs & Duration 6 5 PROJECT CONDITIONS 7 5.1 Project Assumptions 7 5.2 Project Risks 7 5.3 Project Constraints 7 6 Project Structure Approach 7 7 Project Team Organization Plans 8 8 Communication Plan 8 8.1 Risks and issues management 8 8.1.1 Potential exceptions and problems 8 8.1.2 Appropriate corrective measures 8 8.2 Change management process 8 8.2.1 Change management process steps 8 8.2.2 Change control board (CCB) 8 9 Development and Implementation 8 9.1 Quality Plan Processes Error! Bookmark not defined. 10 Measurement and Project Closing 9 10.1 Quality Management 9 10.2 Communication Management 9 10.3 Customer Expectation Management 9 10.4 Asset Management 9 10.5 Lessons Learned 9 10.6 Postproject Tasks 10 10.7 Project Closure Recommendations 10 PROJECT DEFINITION The United Mail Presort Department will be implementing a third shift operation to assist the existing first and second shift with the current...
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...for Standardizing Shift-to-Shift Reports Best Nursing Practice for Standardizing Shift-to-Shift Reports This paper will examine the best nursing practice for standardizing shift-to-shift reports. I became interested in this topic after hearing my mother talk about her day floating to a floor at her hospital. She received report on her patients from two different nurses that morning. Each nurse gave her different information and both were missing information that she considered vital to the care of her patients. She normally works in the ICU and on the step-down medical surgical floor, which both use a version of a template that was designed by one of the nurses to facilitate a standardized shift-to-shift report. When I attended the shift-to-shift reports in the clinical setting, I noticed that you never got a consistent picture of the patients. With the advance of the electronic medical records, the ease of finding relevant patient information has been made easier, but the shift-to-shift report is still an important tool for nurses to learn more detailed information about their patients then what is in their charts. In 2006, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) included “Standardizing communication during patient handoff (shift report)…” as one of their National Patient Safety Goals (Schroeder, 2006, p. 22). This paper will explore two articles that present evidence on different options for a shift-to-shift template and a third...
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...Lecture 6 and 7: The Aggregate Expenditures Model Reference - Chapter 7 learning OBJECTIVES 1. The factors that determine consumption expenditure and saving. 2. The factors that determine investment spending. 3. How equilibrium GDP is determined in a closed economy without a government sector. 4. What the multiplier is and its effects on changes in equilibrium GDP. 5. How adding international trade affects equilibrium output. 6. How adding the public sector affects equilibrium output. 7. The distinction between equilibrium versus full-employment GDP. I. Introduction A. This chapter focuses on the aggregate expenditures model. We use the definitions and facts from previous chapters to shift our study to the analysis of economic performance. The aggregate expenditures model is one tool in this analysis. Recall that “aggregate” means total. B. As explained in this chapter’s Last Word, the model originated with John Maynard Keynes (Pronounced Canes). II. Simplifying Assumptions for the Simple Model A. We assume a “closed economy” with no international trade. B. No Government. C. Although both households and businesses save, we assume here that all saving is personal. D. Depreciation and net foreign income are assumed to be zero for simplicity. E. There are two reminders concerning these assumptions. 1. They leave out two key components of aggregate demand...
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...Supply and Demand Simulation Summary In the city of Atlantis, there are several issues dealing with macroeconomics and microeconomic principles that affect the supply and demand equilibrium. The simulation attempts to teach the student about demand and supply shifts or curves that in real life fluctuate with the needs and availability of what people desire and suppliers offer. The apartment rental company, GoodLife, employs the student as a manager who is responsible for making key decisions that affect the economy of Atlantis. The simulation positions the student to learn from his or her experience by showing the affects of their decisions. According to the simulation, Atlantis is a small city with adequate parks and easy access to freeways and highways. The city is well maintained in such a manner that it is considered desirable and encourages residents to be engaged in outdoor activities. In addition, pollution or crime is very low which drives a high demand for population increase. Apartments and detached homes are kept in good condition. Microeconomic Principles Microeconomics according to investopedia.com, is the branch of economics that deals and analyzes the market on an individual basis, of individual consumers, and the relationship between the buyer and seller and those factors that influence the choices made between the two (Investopedia, 2014). In the simulation of supply and demand the influencing factors are the availability of apartments to be rented; moreover...
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...The Translation Shifts [Name of Student] [Name of University] Translation shift refers to the changes that occur during the process of translating from one language to another. These shifts occur at all level whether the lower level of language or the higher thematic level of text. According to Catford (1978:73) he says translation shift is the change from the formal correspondence to the target text. He has divided translation shifts into two categories and that is rank and category translations shift. Rank translation shift is where there is a change from grammar to lexis whereas category is the change from formal correspondence. The existence of a translation shift in any kind of translational activity has become an unavoidable phenomenon as translation is a process. It never stops with the evolution of time and the knowledge of mankind. Translation has never and will never reach completion or perfection. It is where our practice makes perfect. Translation shifts normally occurs when the source language is different from the target language and these are normally due to differences in word order, types of tense used grammar used parts of speech applied etc. In the case of translating English to Arabic there occurs a translational shift because English belongs to the Indo-European family and Arabic is a Semitic language. The disparity makes the shift to come out. It is always important for one to understand that translation shift helps to reduce literal translation...
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...“movements” and “shifts” in relation to the supply and demand curves represent very different market phenomena: Movements A movement refers to a change along a curve. On the demand curve, a movement denotes a change in both price and quantity demanded from one point to another on the curve. The movement implies that the demand relationship remains consistent. Therefore, a movement along the demand curve will occur when the price of the good changes and the quantity demanded changes in accordance to the original demand relationship. In other words, a movement occurs when a change in the quantity demanded is caused only by a change in price, and vice versa. Like a movement along the demand curve, a movement along the supply curve means that the supply relationship remains consistent. Therefore, a movement along the supply curve will occur when the price of the good changes and the quantity supplied changes in accordance to the original supply relationship. In other words, a movement occurs when a change in quantity supplied is caused only by a change in price, and vice versa. A movement along the supply curve is just a change in price and the corresponding quantity demanded at that price. A shift occurs when something exogenous changes, like the amount of money people have. When people have more money, the entire demand curve shifts. People demand more at each price. If the supply curve shifts, the price increases for each quantity. Shifts A shift in a demand or supply...
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...single plant with three shifts and each shift has its own supervisors. Production manager of the Goodman Company is Joe Smith and he has three supervisors reporting to him. The president of the company is Robert Goodman. The Goodman Company has been doing quite well, plant are fully staffed on each shift and has operated six days a week. Robert Goodman foresees greater opportunities in the years ahead, but increase in production must occur within the present physical plant, because the company does not have money for new equipment. The president of the Goodman Company decided to hire Ann Bennet as a production analyst to see if greater efficiency could be achieved with current equipment. Changes in production The Goodman Company has plant with three shifts. Workers are paid an hourly rate and each worker have to take care of every step in production, it means to procure material, cut material to required size and transport it to curing press and fill the boxes and transport boxes to shipping area. Workers use this system before changes came and Ms. Bennet made plan which should increase motivation and production. Her plan was to change hourly rate system to piecework system. Her main intentions were to replace the existing process, which had entailed each employee to complete each step within the process individually to job specialization, where each employee would be responsible for a specific function within the process. Implementation of the change in production was not...
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