Micro- and macroergonomic changes in mental workload and medication safety following the implementation of new health IT

Health information technology (IT) is a promising way to achieve safer medication management in the delivery of healthcare. However, human factors/ergonomics dictates that in order to make the complex, cognitive work of healthcare delivery safer, health IT must properly support human cognition. This means, for example, that new health IT must reduce, not increase, workload during safety-critical tasks. The present study was the first to quantitatively assess the short- and long-term impact of bar coded medication administration (BCMA) IT on nurses' mental workload as well as on perceived medication safety. One-hundred seventy registered nurses across 3 dissimilar clinical units at an academic, freestanding pediatric hospital in the Midwest US participated in surveys administered before, 3 months after, and 12 months after the hospital implemented BCMA. Nurses rated their external mental workload (interruptions, divided attention, being rushed) and internal mental workload (concentration, mental effort) during medication administration tasks as well as the likelihood of each of three medication safety events: medication administration errors, medication errors on the clinical unit, and clinical unit-level adverse drug events. Clinical unit differences were assessed. Findings generally confirmed the hypothesis that external but not internal mental workload was associated with the perceived likelihood of a medication safety event. Comparisons of mental workload from pre- to post-BCMA revealed statistically significant changes in the critical care unit only. Medication safety appeared to improve over the long term in the hematology/oncology unit only. In the critical care and medical/surgical units, medication safety exhibited short-term improvements that were eliminated over time. Changes in mental workload and medication safety, two classically microergonomic constructs, were deeply embedded in macroergonomic phenomena. These included the fit between the BCMA system and the nature of nursing work, the process of BCMA implementation, and BCMA interactions with concurrent changes occurring in the hospital. Findings raise questions about achieving sustainable performance improvement with health IT as well as the balance between micro- and macroergonomic approaches to studying technology change.Relevance to industryDesigners must consider how technology changes cognitive work, including mental workload. Hospitals and other implementers of technology must ensure that new technology fits its users, their tasks, and the context of use, which may entail tailoring implementation, for example, to specific clinical units. Evaluators must look over time to assess both changes in cognitive work and implementation issues. Healthcare practitioners must also recognize that new technology means a complex transformation to an already complex sociotechnical system, which calls for a macroergonomic approach to design and analysis.     

基于小波变换的医学图象压缩编码

本文研究了医学图象小波变换系数的统计特征。根据医学图象的特点，提出了基于小波变换的医学图象编码方法。实验表明，这种方法具有较好的压缩编码性能，优于JPEG标准。同时，它支持逐次浮现式传输，从而能满足医学图象存储、通信、检索的需要。     

格状编码和RS码级连技术在HDTV中应用的性能模拟

设计一种用于ＨＤＴＶ地面数字传输系统的级连格状编码和ＲＳ码方案，并对其在ＨＤＴＶ中应用进行计算机模拟。模拟结果表明：该级连格状编码方案在低信噪比具有较好的误码性能。     

企业专网号码的合理编制

号码是一种有限的资源,虽然企业专网的号码资源比较丰富,但也不能毫无规律随意编制,否则会为将来发展带来意想不到的麻烦,本文叙述了号码编制必须遵循的一些原则,希望对专网的管理人员有一些帮助。     

广义准正则格形码距离谱的计算

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Turbo码综合性能分析与Turbo编码调制

对 Ｔｕｒｂｏ码的 ＲＳＣ分量码、交织器、调制方式、信道以及迭代译码算法进行了综合研究与性能分析，并给出了一种基于逐比特ＭＡＰ算法的Ｔｕｒｂｏ编码与多元调制相结合的编码调制方式。仿真结果表明，该方案将Ｔｕｒｂｏ码的高编码增益与多元调制的高频谱利用率有效地结合在一起，是一种功率和频谱高效的编码调制方式，比传统的ＴＣＭ方式有更好的性能。     

逆向工程中的一种编号点及其识别方法

对机械逆向工程中运用到的一种点的编码方式进行了简单的阐述和特征化，并详细介绍了运用区域搜索进行目标分割以及运用查找特性表并结合矩不变量的一种识别的算法。     

一种用于多相编码信号参数估计的MST改进算法

多相编码信号是一类典型的低截获概率雷达信号,具有类线性调频的特点,其参数估计问题是当前电子侦察信号分析的研究热点.该文基于匹配信号变换理论,推导了截获信号与匹配信号变换时间函数不匹配时的调频斜率估计性能.针对多相编码信号的特点,以及实际电子侦察环境中截获信号存在载频估计误差、信号不完整、噪声干扰等问题,提出了一种基于二维搜索的改进匹配信号变换算法.仿真实验以P4码为例,分析了提出算法的参数估计性能.实验结果表明,提出算法能够较好地解决信号失配问题,估计精度高、速度快,具有较大的工程应用价值.     

Territorial targeting in EU private law

In a series of rulings given in the last few years, the Court of Justice of the European Union (EU) has made use of the concept of targeting by a trader of a particular territorial market as a device for determining the scope of European legislation on private law. The concept is of particular importance in the context of trading activities conducted by means of the Internet, though its significance is not confined to such activities. In particular, the European Court has used the concept of targeting for the purpose of restricting the substantive ambit of intellectual property rights created or harmonised by EU legislation. On the other hand, it has avoided use of the concept of targeting in the context of EU legislation allocating jurisdiction between the courts of the Member States, even in respect of disputes involving intellectual property, except where a legislative text specifically invokes such a concept. The instant paper endeavours to review the position as currently established by the European case-law, and to predict the likely further developments.     

全维观测器问题的算法研究

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