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21.
Ibrahim Adham Taib Andrew Stuart McIntosh Carlo Caponecchia Melissa T. Baysari 《Safety Science》2011,49(5):607-615
Although a large number of medical error taxonomies have been published, there is little evidence to suggest that these taxonomies have been systematically compared. This paper describes a study comparing 26 medical error taxonomies using a human factors perspective. The taxonomies were examined to determine if they classified systemic factors of medical errors and if they utilized theoretical error concepts in their classifications. Scope of classification was also examined. It was found that two-thirds of the taxonomies classified systemic factors of medical errors and only a third utilized theoretical error concepts. Medical error taxonomies based on theoretical error concepts were more likely to be generic in applicability and also more likely to classify systemic factors and psychological error mechanisms of medical errors. In addition to terminology, the medical error taxonomies also varied in terms of domain-specificity, granularity, and developmental process. Different medical error taxonomies provide different information; how these differences affect medical error management needs to be investigated. 相似文献
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M.S. Bedinger James R. Harrill 《Journal of the American Water Resources Association》2006,42(4):827-839
ABSTRACT: Devils Hole is a collapse depression connected to the regional carbonate aquifer of the Death Valley ground water flow system. Devils Hole pool is home to an endangered pupfish that was threatened when irrigation pumping in nearby Ash Meadows lowered the pool stage in the 1960s. Pumping at Ash Meadows ultimately ceased, and the stage recovered until 1988, when it began to decline, a trend that continued until at least 2004. Regional ground water pumping and changes in recharge are considered the principal potential stresses causing long term stage changes. A regression was found between pumpage and Devils Hole water levels. Though precipitation in distant mountain ranges is the source of recharge to the flow system, the stage of Devils Hole shows small change in stage from 1937 to 1963, a period during which ground water withdrawals were small and the major stress on stage would have been recharge. Multiple regression analyses, made by including the cumulative departure from normal precipitation with pumpage as independent variables, did not improve the regression. Drawdown at Devils Hole was calculated by the Theis Equation for nearby pumping centers to incorporate time delay and drawdown attenuation. The Theis drawdowns were used as surrogates for pumpage in multiple regression analyses. The model coefficient for the regression, R2= 0.982, indicated that changes in Devils Hole were largely due to effects of pumping at Ash Meadows, Amargosa Desert, and Army 1. 相似文献
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Rebecca J. McLain Patrick T. Hurley Marla R. Emery Melissa R. Poe 《Local Environment》2014,19(2):220-240
Recent “green” planning initiatives envision food production, including urban agriculture and livestock production, as desirable elements of sustainable cities. We use an integrated urban political ecology and human–plant geographies framework to explore how foraging for “wild” foods in cities, a subversive practice that challenges prevailing views about the roles of humans in urban green spaces, has potential to also support sustainability goals. Drawing on research from Baltimore, New York City, Philadelphia, and Seattle, we show that foraging is a vibrant and ongoing practice among diverse urban residents in the USA. At the same time, as reflected in regulations, planning practices, and attitudes of conservation practitioners, it is conceptualised as out of place in urban landscapes and an activity to be discouraged. We discuss how paying attention to urban foraging spaces and practices can strengthen green space planning and summarise opportunities for and challenges associated with including foragers and their concerns. 相似文献
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Naumann RB Dellinger AM Anderson ML Bonomi AE Rivara FP 《Journal of Safety Research》2012,43(2):141-144
PurposeThis study compared the healthcare utilization and costs for specific types of medical services among older adult women who currently drive and those who no longer drive.MethodsThis study included 347 women aged 65 or older who were either former (had stopped driving) or current drivers, randomly sampled from a large U.S. health plan to participate in a telephone survey, and who had automated health records with healthcare utilization and cost data. Bivariate analyses and generalized linear modeling were used to examine associations between driving status and healthcare utilization and costs.ResultsAdjusting for age, income, and marital status, former drivers were more likely than current drivers to use mental health care services (RR = 3.37; 95% CI: 1.03, 10.98). Former drivers also tended to use more inpatient (RR = 1.85; 95% CI: 0.88, 3.87) and emergency services (RR = 1.89; 95% CI: 0.96, 3.70), but results did not reach statistical significance. Total annual healthcare costs in 2005 were almost twice as high for former drivers compared with current drivers ($13,046 vs. $7,054; mean difference = $5,992; 95% CI: -$360, $12,344), although this relationship was not statistically significant (CR = 1.61; 95% CI: 0.88, 2.96).Impact on IndustryFormer drivers were more than three times as likely as current drivers to use mental health services, and tended to use more emergency and inpatient services. Further research on factors that potentially mediate the relationship between driving status and health service use is warranted. 相似文献