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1 – 10 of 15To examine the content of the new Foundation Years Curriculum for newly‐qualified medical graduates in terms of its patient‐safety and risk‐management emphases. To examine briefly…
Abstract
Purpose
To examine the content of the new Foundation Years Curriculum for newly‐qualified medical graduates in terms of its patient‐safety and risk‐management emphases. To examine briefly the impact the curriculum will have on medical trainers responsible for such issues.
Design/methodology/approach
Relevant sections of the curriculum are examined and reproduced within the article, along with the authors' reflections on theoretical and practical implications of its content, as applicable to current National Health Service (NHS) training of doctors. Areas of agreement with previous guidance given to the medical profession from other sources are discussed.
Findings
The curriculum gives an appropriate emphasis to patient‐safety issues. The practical achievement of its broad and ambitious aims will present major, though not insurmountable, challenges to those delivering the training of newly‐qualified doctors within the NHS.
Originality/value
This paper should help those involved in delivering the new curriculum consider the relevant patient‐safety and risk‐management issues that it raises and begin the process of practically achieving them. It should demonstrate the importance of maintaining a patient‐safety outlook as the focus of training for newly‐qualified doctors.
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A guideline to the practice of cataract surgery was produced in 2004 by the Royal College of Ophthalmologists. This complemented a guideline to best practice produced in 2000 by…
Abstract
Purpose
A guideline to the practice of cataract surgery was produced in 2004 by the Royal College of Ophthalmologists. This complemented a guideline to best practice produced in 2000 by the NHS Executive. This paper reviews the guidance given by these documents and examines their clinical governance and risk management advice and usefulness.
Design/methodology/approach
The guideline is critiqued in terms of its usefulness to clinicians and health‐care managers. Recent research on the consenting process for cataract surgery is used as a benchmark of best practice and compared with the guideline's recommended methods. The medico‐legal caseload experience of The Medical Protection Society (the authors' institution) is used to discuss areas of concern relating to risk management in cataract surgery of interest to clinicians and managers.
Findings
The guideline is felt to be a useful, well‐produced and recommended resource for clinicians and managers with clinical governance responsibilities for cataract surgery services. There was felt to be scope to improve some of the guidance on reporting adverse events following cataract surgery to patients.
Practical implications
This paper will help to inform the gaining of consent for cataract surgery in the light of the latest research in this area, and help train staff in this task.
Originality/value
This paper will be of value to clinicians and managers with responsibility for cataract surgical services. It should help to inform how they set up, review and audit their practice in this area and be useful for staff training. It highlights areas of the guideline which may be of relevance to those without time to read the whole guideline.
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This article examines problems in the delivery of healthcare by teams, with special reference to those encountered in the NHS. It identifies best practice in effective management…
Abstract
This article examines problems in the delivery of healthcare by teams, with special reference to those encountered in the NHS. It identifies best practice in effective management of teams from non‐health‐care settings and seeks to show how these principles can be applied to the health‐care arena. It reviews examples of research into team performance in health‐care delivery, and provides resources useful to those setting up, reorganising or maintaining health‐care teams. It offers practical advice concerning the important factors to be considered when undertaking these activities.
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To review guidance on the identification and management of meningococcal disease, with particular reference to primary care. To advise on appropriate strategies for training and…
Abstract
Purpose
To review guidance on the identification and management of meningococcal disease, with particular reference to primary care. To advise on appropriate strategies for training and professional development in this area for primary care teams. To give an overview of common sources of error in this area of practice, based on cases handled by The Medical Protection Society (MPS) and lessons gleaned from current guidance.
Design/methodology/approach
A review of guidance on appropriate approaches to primary care management of this illness and cases of legal claim or complaint handled by MPS.
Findings
Common deficiencies and sources of error in the management of meningococcal disease are discussed and elucidated and strategies suggested to avoid their repetition.
Practical implications
General advice is given on clinical approaches to meningococcal disease in primary care, and on the documentation of relevant features in the clinical record.
Originality/value
This paper highlights simple risk‐management issues relevant to community‐based meningococcal disease and aims to reduce the risk of litigation or complaint against primary care practitioners who are involved in its management.
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THE IRISH, it would appear, are not a romantic race ! They do not appreciate their works of art, neither do they revere their great writers. As James Joyce so aptly put it—
Articulates the concept of market segmentation and examines, critically, how the main segmentation procedures lead to the conclusions that the main concern ought to be the…
Abstract
Articulates the concept of market segmentation and examines, critically, how the main segmentation procedures lead to the conclusions that the main concern ought to be the classification of people in terms of usage of product and attitudes. Examines a new tool available to management (ACORN) a classification of residential neighbourhoods. States that in the UK 1983 General Election it emerged that nearly 40 per cent of the electorate did not vote for the party of their social class. Discusses segmentations in the electoral marketplace, which is preceded by a literature review. Concludes that the application of modern marketing techniques is ongoing in the electoral marketplace with regard to the UK. Finds that ACORN group findings of field research, undertaken to test claims, establishes that political attitudes changed regarding them during election campaigns.
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The SMART Group has been investigating joining methods for ball grid arrays (BGAs). Originally a development of IBM, and expected to be a dominant packaging technology, the BGA is…
Abstract
The SMART Group has been investigating joining methods for ball grid arrays (BGAs). Originally a development of IBM, and expected to be a dominant packaging technology, the BGA is best visualised as a legless PGA. It has the same advantages—high lead count, wide pitch, small area—but does not need holes. The problem of the BGA is that the interconnects are not visible. This places a high demand on process control and material selection — it really is a case of ‘right first time’. The investigation concentrated on this aspect.
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IT WOULD NOT BE beyond the powers of exaggeration to claim that James Joyce is one of the greatest writers of the twentieth century. But it would be doubly difficult—difficult…
Abstract
IT WOULD NOT BE beyond the powers of exaggeration to claim that James Joyce is one of the greatest writers of the twentieth century. But it would be doubly difficult—difficult, even, for a star‐spangled Dubliner whose lips had been royally touched—to substantiate such a claim within the limits of a single sentence. It is true Joyce wrote a great number of pages, but he did not write a great number of books. He was a great humorist in the true Irish tradition: a savage satirist in the manner of Swift (though subtler in his technique) and a natural parodist and punster. He could perform miracles with words, and just as Wilde was a master of the epigram, so Joyce achieved endless subtleties and successes with the pun.
Chun Sean Lau, C.Y. Khor, D. Soares, J.C. Teixeira and M.Z. Abdullah
The purpose of the present study was to review the thermo-mechanical challenges of reflowed lead-free solder joints in surface mount components (SMCs). The topics of the review…
Abstract
Purpose
The purpose of the present study was to review the thermo-mechanical challenges of reflowed lead-free solder joints in surface mount components (SMCs). The topics of the review include challenges in modelling of the reflow soldering process, optimization and the future challenges in the reflow soldering process. Besides, the numerical approach of lead-free solder reliability is also discussed.
Design/methodology/approach
Lead-free reflow soldering is one of the most significant processes in the development of surface mount technology, especially toward the miniaturization of the advanced SMCs package. The challenges lead to more complex thermal responses when the PCB assembly passes through the reflow oven. The virtual modelling tools facilitate the modelling and simulation of the lead-free reflow process, which provide more data and clear visualization on the particular process.
Findings
With the growing trend of computer power and software capability, the multidisciplinary simulation, such as the temperature and thermal stress of lead-free SMCs, under the influenced of a specific process atmosphere can be provided. A simulation modelling technique for the thermal response and flow field prediction of a reflow process is cost-effective and has greatly helped the engineer to eliminate guesswork. Besides, simulated-based optimization methods of the reflow process have gained popularity because of them being economical and have reduced time-consumption, and these provide more information compared to the experimental hardware. The advantages and disadvantages of the simulation modelling in the reflow soldering process are also briefly discussed.
Practical implications
This literature review provides the engineers and researchers with a profound understanding of the thermo-mechanical challenges of reflowed lead-free solder joints in SMCs and the challenges of simulation modelling in the reflow process.
Originality/value
The unique challenges in solder joint reliability, and direction of future research in reflow process were identified to clarify the solutions to solve lead-free reliability issues in the electronics manufacturing industry.
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