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TRB"s National Cooperative Highway Research Program (NCHRP) Research Results Digest 345: Alternate Strategies for Safety Improvement Investments explores the "black spot" analysis and "systematic" methods currently being used by states to help make decisions on the allocation of safety resources.
"This digest spresents the results of NCHRP Project 17-18(19), "White paper on alternate strategies for safety improvement investments." The study was conducted by Howard Preston [and others]. Howard Preston was the principal investigator."
"This digest spresents the results of NCHRP Project 17-18(19), "White paper on alternate strategies for safety improvement investments." The study was conducted by Howard Preston ... [et al.]. Howard Preston was the principal investigator."
Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.
How can you construct a financial investment strategy to protect yourself … yet still get the growth to ensure a solid financial future and comfortable retirement during these turbulent times? By building an investing safety net that gives you the gains needed for growth – though more modest than those of past years – but protection against the downside. So when turbulence strikes again – and it will – you won’t re-live the financial nightmares of recent years when portfolios and 401Ks were devastated. Jim Glassman provides the specifics you need for shrewd asset allocation, specifically: Reduce stock ownership. For those stocks you do own, ensure they meet one of these criteria: pay dividends; are low-priced and from industries of the future; or companies based in aspiring nations such as India, Brazil and China. Make a substantial investment in bonds, especially US Treasury TIPS bonds and corporate bonds Hedge against decline by owning a bear fund that shorts the US economy. Own funds based on other currencies, thus protecting yourself against the potential declining value of the US dollar. And consider derivatives. Yes, derivatives! Specific stock, bond and fund recommendations and ample portfolios then provide the starter ideas for properly balancing a portfolio. And the 5 principles and 18 specific rules of “the new rule book” help keep “animal spirits” in check when fads and news flashes provide the temptation to make rash investing decisions that will be quickly regretted.
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Although the construction and engineering sector makes important contributions to the economic, social, and environmental objectives of a nation, it has a notorious reputation for being an unsafe industry in which to work. Despite the fact that safety performance in the industry has improved, injuries and fatalities still occur frequently. To address this, the industry needs to evolve further by integrating safety into all decision making processes. Strategic Safety Management in Construction and Engineering takes a broad view of safety from a strategic decision making and management perspective with a particular focus on the need to balance and integrate ‘science’ and ‘art’ when implementing safety management. The principles covered here include the economics of safety, safety climate and culture, skills for safety, safety training and learning, safety in design, risk management, building information modelling, and safety research methods and the research-practice nexus. They are integrated into a strategic safety management framework which comprises strategy development, implementation, and evaluation. Practical techniques are included to apply the principles in the context of the construction and engineering industry and projects. Case studies are also provided to demonstrate the localised context and applications of the principles and techniques in practice.