Methods: A comprehensive bundle of interventions was implemented incorporating the standard US Centers for Disease Control and Prevention bundle with additional measures such as root-cause analysis of all CLABSI cases, use of passive disinfection caps on vascular access ports, standardisation of weekly central venous catheter (CVC) site dressing changes, and use of antithrombotic and antimicrobial-coated CVCs with fewer lumens.
Method cross-sectional study implemented in two stages: the first, was based on the analysis of secondary sources (notifications, medical records and cost reports) and the second, on the application of root-cause analysis for incidents with moderate/severe harm.
Far-field spectral imaging, coupled with computer vision methods, is demonstrated as an effective inspection method for detection, classification, and root-cause analysis of manufacturing defects in large area Si nanopillar arrays.
Further, the impact of different data transfer parameters and, root-cause analysis of the resulting performance in terms of data transfer throughput and CPU utilization for different combinations of techniques is presented.
Design/methodology/approach A survey was conducted to better understand patients' perceptions of ED services, lean tools such as process mapping and A3 problem-solving sheets were used to identify hidden process wastes and root-cause analysis was performed to determine the reasons of long waiting time in ED.
The main components of the constraint-based thinking approach are as follows: first, the identification of constraints or existing limitations, hindrances behind the current status quo that need to be changed; second, a root-cause analysis to understand the underlying causes for each of the identified constraints; third, a mapping of each of those causes to specific product characteristics or requirements; and, fourth, development of a minimal viable product or a prototype.
In addition to the electrical operating conditions, it is therefore important to also identify and characterize the climatic conditions that power converters in wind turbines are exposed to, both as a contribution to root-cause analysis and as a basis for the derivation of suitable test procedures for reliability qualification of components and systems.
Performance monitoring, anomaly detection, and root-cause analysis in complex cyber-physical systems (CPSs) are often highly intractable due to widely diverse operational modes, disparate data types, and complex fault propagation mechanisms.
This raises the issue of a possible hidden cause lying behind the perceived determinants of failure; the authors, therefore, look for the root-cause of this broad noteworthy phenomenon and apply the techniques typical of “root-cause analysis”.
3 They performed a root-cause analysis of CRC diagnoses among patients with IBD followed in a secondary care network between 1998 and 2019, utilising the PCCRC cause-identification framework developed by the World Endoscopy Organization.
Our strategic plan consisted of four main components: (1) Use of quality improvement tools for quality assessment and management (Six Sigma quality improvement processes, root-cause analysis, process maps, and brain storming); (2) participate in international collaborative networks (St.
After a series of investigations for root-cause analysis, the conclusion was that fracture of the tubing mechanistically is categorized as stress corrosion cracking (SCC) and is closely related to the application of phosphate-based completion fluid.
While useful in diverse tasks such as user behavior analytics, operational event processing, and root-cause analysis, today’s explanation engines are designed as stand-alone data processing tools that do not interoperate with traditional, SQL-based analytics workflows; this limits the applicability and extensibility of these engines.
Results show that RCM can be achieved, elimination of more costly unscheduled maintenance by 40%-70%, a decrease of labor cost by 10% to 25%, incorporation of root-cause analysis, RM reduction of emergencies by 0.
Therefore, this study proposes an adaptive fault detection and root-cause analysis scheme for complex industrial processes using moving window kernel principle component analysis (KPCA) and information geometric causal inference (IGCI).
Errors in prescribing correct medications are common, and a root-cause analysis has shown common themes such as inadequate knowledge of the drug or the patient, failure to select appropriate drug dosages, and lack of knowledge of relevant rules such as dose adjustment in renal failure.
The purpose of this study is to present the root-cause analysis on failed patient-specific quality assurance (QA) measurements of pencil-beam-scanning (PBS) protons; referred to as PBS-QA measurement.
Urgently needed are: (i) an aligned and fully validated sample preparation strategy tested on a range of different food matrices; (ii) a confirmation of positive flame ionisation detection (FID) results by confirmatory methods such as mass spectrometry – in line with the CEN Standard and the Joint Research Centre (JRC) Guidance Document, (iii) a more detailed root-cause analysis in the reports of laboratories through the use of mineral oil markers, and (iv) a fully validated official method for the concerned foods with a limit of application <10 mg/kg food.
Root-cause analysis (RCA) for service performance degradation can be a challenging exercise given the increasingly complex, inter-related, distributed infrastructure environment in today’s enterprises.
Four themes were identified within the literature: the adverse emotional influence of complications (anxiety, guilt, sadness, shame, interference with professional and leisure activities) after intraoperative adverse events; coping mechanisms used by surgeons and trainees (limited discussion with colleagues, exercise, artistic or creative outlets, alcohol and substance abuse); institutional support mechanisms and barriers to support (clinical conferences, discussion with mentors, a perception that emotional distress would be perceived as a constitutional weakness); and the consequences of complications in future clinical practice (changes in practice, introduction of protocols, education of staff members, and participating in root-cause analysis).
This root-cause analysis is summarised in this paper as is the retuning that was undertaken on the estimation and control system parameters to improve disturbance prediction and rejection within the existing ADCS architecture.
Further, a postprocessing workflow is developed to stitch together adjacent scans measured in a serial fashion and expand the FOV of each individual sc-AFM such that total inspection area per cycle can be balanced with throughput to perform larger area inspection for uses such as defect root-cause analysis.
We propose an approach to automatically generate meaningful concolic test cases for this particular problem, and design and implement a provenance tracking mechanism to assist root-cause analysis in general.
Methods: A retrospective analysis was conducted on root-cause analysis (RCA) reports of suicide in veterans occurring within 3 months of discharge from a residential drug treatment program that were reported to a Veterans Affairs facility between 2001 and 2017.
A corresponding two-part root-cause analysis procedure was developed to determine the rail locations of error motion degradation as well as the most probable physical location of damage that causes the detected error motion changes.
Baseline data collection was performed, and, in keeping with the Donabedian approach, we brought together stakeholders to collectively review and understand the reasons
behind poor TTA compliance; and root-cause analysis.
This paper provides an empirical analysis of straggler root-cause within virtualized Cloud datacenters; we analyze two large-scale production systems to quantify the frequency and impact stragglers impose, and propose a method for conducting root-cause analysis.
NGS enables the analyses of multiple regions of a genome in a single reaction format and has been shown to be a cost-effective and efficient tool for root-cause analysis of disease and optimization of treatment.
The next 2 articles in the series will focus on root-cause analysis, selection of change ideas to improve care gaps, execution of the QI project using rapid-cycle testing and monitoring to sustain improvement over time.
The evaluation using real web application datasets demonstrates that ?-Diagnosis can identify all the actual root-causes at runtime and significantly reduce the candidate problem space, outperforming other time-series distance based root-cause analysis algorithms.
This research presents the architecture of a collaborative troubleshooting platform to establish user trust by presenting practical scenarios of problem diagnosis using the technique of root-cause analysis in a high tech company in Silicon Valley.