Launch team training system

Science.gov (United States)

Webb, J. T.

1988-01-01

A new approach to the training, certification, recertification, and proficiency maintenance of the Shuttle launch team is proposed. Previous training approaches are first reviewed. Short term program goals include expanding current training methods, improving the existing simulation capability, and scheduling training exercises with the same priority as hardware tests. Long-term goals include developing user requirements which would take advantage of state-of-the-art tools and techniques. Training requirements for the different groups of people to be trained are identified, and future goals are outlined.

Development of an Integrated Team Training Design and Assessment Architecture to Support Adaptability in Healthcare Teams

Science.gov (United States)

2017-10-01

provision of training is not a major focus of this project, trainees were able to practice trauma management skills as well as leadership skills...SUBJECT TERMS Military healthcare team; Trauma teams; Team training; Teamwork; Adaptive performance; Leadership ; Simulation; Modeling; Bayesian belief...ABBREVIATIONS Healthcare team Trauma Trauma teams Team training Teamwork Adaptability Adaptive performance Leadership Simulation Modeling

Silica dust control in small-scale building/structure demolition operations using good work practice guidance

International Nuclear Information System (INIS)

Muianga, C V; Rice, C H; Succop, P

2009-01-01

Work practices can influence exposure, especially in small-scale operations conducted by mobile work crews. This study evaluated the use of information on good work practice in control guidance sheets adapted from UK Silica Essentials guidance sheets by trained workers and supervisors employed in small-scale concrete and masonry demolition operations. A one-page employee silica task-based control guidance sheet for each of four demolition tasks and multiple-page silica control guidance for supervisors were developed. Interactive, hands-on worker training on these task-based good work practice controls was developed. Training was presented to 26 participants from two demolition crews. Feedback on the training and task-based good work practice control guidance sheets was elicited. Observations of work practices were made before and after training. Participants indicated gains in knowledge and checklists were used to document skill attainment. The quality of the training and usefulness of the material/skills was rated high by trainees. Increased use of water to suppress dust and wet cleaning methods on the job were documented following the training. Additional follow-up after training is required to determine long-term impact on sustained changes in work practices, and to evaluate the need for refresher training.

Silica dust control in small-scale building/structure demolition operations using good work practice guidance

Science.gov (United States)

Muianga, C. V.; Rice, C. H.; Succop, P.

2009-02-01

Work practices can influence exposure, especially in small-scale operations conducted by mobile work crews. This study evaluated the use of information on good work practice in control guidance sheets adapted from UK Silica Essentials guidance sheets by trained workers and supervisors employed in small-scale concrete and masonry demolition operations. A one-page employee silica task-based control guidance sheet for each of four demolition tasks and multiple-page silica control guidance for supervisors were developed. Interactive, hands-on worker training on these task-based good work practice controls was developed. Training was presented to 26 participants from two demolition crews. Feedback on the training and task-based good work practice control guidance sheets was elicited. Observations of work practices were made before and after training. Participants indicated gains in knowledge and checklists were used to document skill attainment. The quality of the training and usefulness of the material/skills was rated high by trainees. Increased use of water to suppress dust and wet cleaning methods on the job were documented following the training. Additional follow-up after training is required to determine long-term impact on sustained changes in work practices, and to evaluate the need for refresher training.

Implementation of team training in medical education in Denmark

OpenAIRE

Ostergaard, H; Ostergaard, D; Lippert, A

2004-01-01

In the field of medicine, team training aiming at improving team skills such as leadership, communication, co-operation, and followership at the individual and the team level seems to reduce risk of serious events and therefore increase patient safety. The preferred educational method for this type of training is simulation. Team training is not, however, used routinely in the hospital. In this paper, we describe a framework for the development of a team training course based on need assessme...

Quality assurance and demolition: 2006 symposium

International Nuclear Information System (INIS)

Thierfeldt, S.

2006-01-01

The '2006 Symposium: Quality Assurance and Demolition' jointly organized by compra GmbH and Brenk Systemplanung GmbH this year again focused on quality assurance and the demolition of nuclear facilities as its main topics. The papers presented ranged from issues of clearance and disposal to demolition technologies and status reports about specific demolition projects. The sixteen presentations at the '2006 Symposium: Quality Assurance and Demolition' offered an interesting and very topical cross section of decommissioning and demolition of nuclear facilities in Germany. In 2007, the conference about similar main topics will again be held at the Schloss Bensberg Grand Hotel. (orig.)

Trauma team leaders' non-verbal communication: video registration during trauma team training.

Science.gov (United States)

Härgestam, Maria; Hultin, Magnus; Brulin, Christine; Jacobsson, Maritha

2016-03-25

There is widespread consensus on the importance of safe and secure communication in healthcare, especially in trauma care where time is a limiting factor. Although non-verbal communication has an impact on communication between individuals, there is only limited knowledge of how trauma team leaders communicate. The purpose of this study was to investigate how trauma team members are positioned in the emergency room, and how leaders communicate in terms of gaze direction, vocal nuances, and gestures during trauma team training. Eighteen trauma teams were audio and video recorded during trauma team training in the emergency department of a hospital in northern Sweden. Quantitative content analysis was used to categorize the team members' positions and the leaders' non-verbal communication: gaze direction, vocal nuances, and gestures. The quantitative data were interpreted in relation to the specific context. Time sequences of the leaders' gaze direction, speech time, and gestures were identified separately and registered as time (seconds) and proportions (%) of the total training time. The team leaders who gained control over the most important area in the emergency room, the "inner circle", positioned themselves as heads over the team, using gaze direction, gestures, vocal nuances, and verbal commands that solidified their verbal message. Changes in position required both attention and collaboration. Leaders who spoke in a hesitant voice, or were silent, expressed ambiguity in their non-verbal communication: and other team members took over the leader's tasks. In teams where the leader had control over the inner circle, the members seemed to have an awareness of each other's roles and tasks, knowing when in time and where in space these tasks needed to be executed. Deviations in the leaders' communication increased the ambiguity in the communication, which had consequences for the teamwork. Communication cannot be taken for granted; it needs to be practiced

Demolition of the FRJ-1 research reactor (MERLIN)

International Nuclear Information System (INIS)

Stahn, B.; Matela, K.; Zehbe, C.; Poeppinghaus, J.; Cremer, J.

2003-01-01

FRJ-2 (MERLIN), the swimming pool reactor cooled and moderated by light water, was built at the then Juelich Nuclear Research Establishment (KFA) between 1958 and 1962. In the period between 1964 and 1985, it was used for. The reactor was decommissioned in 1985. Since 1996, most of the demolition work has been carried out under the leadership of a project team. The complete secondary cooling system was removed by late 1998. After the cooling loops and experimental installations had been taken out, the reactor vessel internals were removed in 2000 after the water had been drained from the reactor vessel. After the competent authority had granted a license, demolition of the reactor block, the central part of the research reactor, was begun in October 2001. In a first step, the reactor operating floor and the reactor attachment structures were removed by the GNS/SNT consortium charged with overall planning and execution of the job. This phase gave rise to approx. The reactor block proper is dismantled in a number of steps. A variety of proven cutting techniques are used for this purpose. Demolition of the reactor block is to be completed in the first half of 2003. (orig.) [de

Specific Physical Training in Elite Male Team Handball.

Science.gov (United States)

Wagner, Herbert; Gierlinger, Manuel; Adzamija, Nermin; Ajayi, Samuel; Bacharach, David W; von Duvillard, Serge P

2017-11-01

Wagner, H, Gierlinger, M, Adzamija, N, Ajayi, S, Bacharach, DW, and von Duvillard, SP. Specific physical training in elite male team handball. J Strength Cond Res 31(11): 3083-3093, 2017-Specific physical training in elite team handball is essential for optimal player's performance; however, scientific knowledge is generally based on temporary training studies with subelite athletes. Therefore, the aim of the study was to analyze the effects of specific physical training in an elite male handball team over the entire season. Twelve players of a male handball team from the First Austrian Handball League conducted a 1-year specific physical training program in addition to their normal (team handball techniques and tactics) weekly training. Performance was measured with 5 general and 4 specific tests as well as game statistics during competition. Repeated measures analysis of variances and paired sample t-test were used to analyze differences in performance during training. We found a significant increase in oxygen uptake, offense time, defense time, fast break time, and jump height in the specific tests. Game performance statistics revealed a lower throwing percentage in the hosting team (59%) compared with the rival teams (63%). Our results indicated that specific endurance and agility are an acceptable modality in elite male team handball. However, performance in competition is strongly influenced by specific techniques and tactics. We recommend to strength and conditioning professionals that they tailor strength and power training, coordination and endurance as specific as possible, using free weights, agility exercises that include change in direction and jumps as well as short (10-15 seconds) high-intensity intervals.

Systematic evaluation of nuclear operator team skills training

International Nuclear Information System (INIS)

Harrington, D.K.; Kello, J.E.

1991-01-01

In recent years, the nuclear industry has increasingly recognized with the technical training given its control room operators. As yet, however, little has been done to determine the actual effectiveness of such nontechnical training. Thus, the questions of how team training should be carried out for maximum impact on the safety and efficiency of control room operation and just what the benefits of such training might be remain open. We are in the early stages of establishing a systematic evaluation process that will help nuclear utilities assess the effectiveness of their existing team skills training programs for control room operators. Research focuses on defining the specific behavioral and attitudinal objectives of team skills training. Simply put, what does good practice look like and sound like in the control room environment? What specific behaviors and attitudes should the training be directed toward? Obviously, the answers to the questions have clear implications for the design of nuclear team skills training programs

Drilling-and-blasting method of demolition

Directory of Open Access Journals (Sweden)

Sinitsyn Denis

2018-01-01

Full Text Available This article analyzes the experience and gives the examples of dismantling and demolition of the construction structures of the buildings and facilities using the drilling-and-blasting method. The drilling-and-blasting method is widely used in construction and reconstruction. The demolition means may be classified according to impact on a material of structures to be demolished and to forces application, where, by virtue of an impact energy type, we choose the blasting method. This method is used during the complete demolition or fragmentation of concrete, reinforced concrete, masonry structures, of old buildings and facilities demolition to their base or in the intended direction. Blasting method may be used as well during the steel and reinforced concrete structures demolition to the smaller easy-to-move parts. Reviewed are the organizational-process activities, which are performed during the various structures dismantling. Given are the areas of application for the various methods of structures demolition. Given is the example of demolition of “Sevemaya” boiler house brick chimney at the territory of Murmansk DSK using the blast in confined spaces of the operating company. Subject of research: methods of construction structures demolition in alarm situations and acts of God. Objects: determination of the most efficient demolition methods in the present conditions of construction operations development. Materials and methods: the developed activities on the construction structures dismantling are given. Results: the most efficient methods and ways of construction structures demolition are defined. Conclusions: it is required for improvement of methods and ways of the structures drilling-and-blasting demolition.

Saving lives: A meta-analysis of team training in healthcare.

Science.gov (United States)

Hughes, Ashley M; Gregory, Megan E; Joseph, Dana L; Sonesh, Shirley C; Marlow, Shannon L; Lacerenza, Christina N; Benishek, Lauren E; King, Heidi B; Salas, Eduardo

2016-09-01

As the nature of work becomes more complex, teams have become necessary to ensure effective functioning within organizations. The healthcare industry is no exception. As such, the prevalence of training interventions designed to optimize teamwork in this industry has increased substantially over the last 10 years (Weaver, Dy, & Rosen, 2014). Using Kirkpatrick's (1956, 1996) training evaluation framework, we conducted a meta-analytic examination of healthcare team training to quantify its effectiveness and understand the conditions under which it is most successful. Results demonstrate that healthcare team training improves each of Kirkpatrick's criteria (reactions, learning, transfer, results; d = .37 to .89). Second, findings indicate that healthcare team training is largely robust to trainee composition, training strategy, and characteristics of the work environment, with the only exception being the reduced effectiveness of team training programs that involve feedback. As a tertiary goal, we proposed and found empirical support for a sequential model of healthcare team training where team training affects results via learning, which leads to transfer, which increases results. We find support for this sequential model in the healthcare industry (i.e., the current meta-analysis) and in training across all industries (i.e., using meta-analytic estimates from Arthur, Bennett, Edens, & Bell, 2003), suggesting the sequential benefits of training are not unique to medical teams. Ultimately, this meta-analysis supports the expanded use of team training and points toward recommendations for optimizing its effectiveness within healthcare settings. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Assessment of a Statewide Palliative Care Team Training Course: COMFORT Communication for Palliative Care Teams.

Science.gov (United States)

Wittenberg, Elaine; Ferrell, Betty; Goldsmith, Joy; Ragan, Sandra L; Paice, Judith

2016-07-01

Despite increased attention to communication skill training in palliative care, few interprofessional training programs are available and little is known about the impact of such training. This study evaluated a communication curriculum offered to interprofessional palliative care teams and examined the longitudinal impact of training. Interprofessional, hospital-based palliative care team members were competitively selected to participate in a two-day training using the COMFORT(TM SM) (Communication, Orientation and options, Mindful communication, Family, Openings, Relating, Team) Communication for Palliative Care Teams curriculum. Course evaluation and goal assessment were tracked at six and nine months postcourse. Interprofessional palliative care team members (n = 58) representing 29 teams attended the course and completed course goals. Participants included 28 nurses, 16 social workers, 8 physicians, 5 chaplains, and one psychologist. Precourse surveys assessed participants' perceptions of institution-wide communication performance across the continuum of care and resources supporting optimum communication. Postcourse evaluations and goal progress monitoring were used to assess training effectiveness. Participants reported moderate communication effectiveness in their institutions, with the weakest areas being during bereavement and survivorship care. Mean response to course evaluation across all participants was greater than 4 (scale of 1 = low to 5 = high). Participants taught an additional 962 providers and initiated institution-wide training for clinical staff, new hires, and volunteers. Team member training improved communication processes and increased attention to communication with family caregivers. Barriers to goal implementation included a lack of institutional support as evidenced in clinical caseloads and an absence of leadership and funding. The COMFORT(TM SM) communication curriculum is effective palliative care communication

Research team training: moving beyond job descriptions.

Science.gov (United States)

Nelson, LaRon E; Morrison-Beedy, Dianne

2008-08-01

Providing appropriate training to research team members is essential to the effective implementation and overall operation of a research project. It is important to identify job requirements beyond those listed in the job description in order to fully assess basic and supplementary training needs. Training needs should be identified prior to and during the conduct of the study. Methods for delivering the training must also be identified. This article describes the identification of training needs and methods in the design of a research team training program using examples from an HIV prevention intervention trial with adolescent girls.

Approach to team skills training of nuclear power plant control room crews

International Nuclear Information System (INIS)

Davis, L.T.; Gaddy, C.D.; Turney, J.R.

1985-07-01

An investigation of current team skills training practices and research was conducted by General Physics Corporation for the Office of Nuclear Reactor Regulation. The methodology used included a review of relevant team skills training literature and a workshop to collect inputs from team training practitioners and researchers from the public and private sectors. The workshop was attended by representatives from nuclear utility training organizations, the commercial airline industry, federal agencies, and defense training and research commands. The literature reviews and workshop results provided the input for a suggested approach to team skills training that can be integrated into existing training programs for control room operating crews. The approach includes five phases: (1) team skills objectives development, (2) basic team skills training, (3) team task training, (4) team skills evaluation, and (5) team training program evaluation. Supporting background information and a user-oriented description of the approach to team skills training are provided. 47 refs

Trauma teams and time to early management during in situ trauma team training.

Science.gov (United States)

Härgestam, Maria; Lindkvist, Marie; Jacobsson, Maritha; Brulin, Christine; Hultin, Magnus

2016-01-29

To investigate the association between the time taken to make a decision to go to surgery and gender, ethnicity, years in profession, experience of trauma team training, experience of structured trauma courses and trauma in the trauma team, as well as use of closed-loop communication and leadership styles during trauma team training. In situ trauma team training. The patient simulator was preprogrammed to represent a severely injured patient (injury severity score: 25) suffering from hypovolemia due to external trauma. An emergency room in an urban Scandinavian level one trauma centre. A total of 96 participants were divided into 16 trauma teams. Each team consisted of six team members: one surgeon/emergency physician (designated team leader), one anaesthesiologist, one registered nurse anaesthetist, one registered nurse from the emergency department, one enrolled nurse from the emergency department and one enrolled nurse from the operating theatre. HRs with CIs (95% CI) for the time taken to make a decision to go to surgery was computed from a Cox proportional hazards model. Three variables remained significant in the final model. Closed-loop communication initiated by the team leader increased the chance of a decision to go to surgery (HR: 3.88; CI 1.02 to 14.69). Only 8 of the 16 teams made the decision to go to surgery within the timeframe of the trauma team training. Conversely, call-outs and closed-loop communication initiated by the team members significantly decreased the chance of a decision to go to surgery, (HR: 0.82; CI 0.71 to 0.96, and HR: 0.23; CI 0.08 to 0.71, respectively). Closed-loop communication initiated by the leader appears to be beneficial for teamwork. In contrast, a high number of call-outs and closed-loop communication initiated by team members might lead to a communication overload. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial.

Science.gov (United States)

Fransen, A F; van de Ven, J; Merién, A E R; de Wit-Zuurendonk, L D; Houterman, S; Mol, B W; Oei, S G

2012-10-01

To determine whether obstetric team training in a medical simulation centre improves the team performance and utilisation of appropriate medical technical skills of healthcare professionals. Cluster randomised controlled trial. The Netherlands. The obstetric departments of 24 Dutch hospitals. The obstetric departments were randomly assigned to a 1-day session of multiprofessional team training in a medical simulation centre or to no such training. Team training was given with high-fidelity mannequins by an obstetrician and a communication expert. More than 6 months following training, two unannounced simulated scenarios were carried out in the delivery rooms of all 24 obstetric departments. The scenarios, comprising a case of shoulder dystocia and a case of amniotic fluid embolism, were videotaped. The team performance and utilisation of appropriate medical skills were evaluated by two independent experts. Team performance evaluated with the validated Clinical Teamwork Scale (CTS) and the employment of two specific obstetric procedures for the two clinical scenarios in the simulation (delivery of the baby with shoulder dystocia in the maternal all-fours position and conducting a perimortem caesarean section within 5 minutes for the scenario of amniotic fluid embolism). Seventy-four obstetric teams from 12 hospitals in the intervention group underwent teamwork training between November 2009 and July 2010. The teamwork performance in the training group was significantly better in comparison to the nontraining group (median CTS score: 7.5 versus 6.0, respectively; P = 0.014). The use of the predefined obstetric procedures for the two clinical scenarios was also significantly more frequent in the training group compared with the nontraining group (83 versus 46%, respectively; P = 0.009). Team performance and medical technical skills may be significantly improved after multiprofessional obstetric team training in a medical simulation centre. © 2012 The Authors BJOG An

Hanford Patrol Academy Demolition Sites Closure Plan

International Nuclear Information System (INIS)

1992-11-01

From 1975 to 1991 the Hanford Patrol Academy Demolition Sites (HPADS) were used for demolition events. These demolition events were a form of thermal treatment for spent or abandoned chemical waste. Because the HPADS will no longer be used for this thermal activity, the sites will be closed. Closure will be conducted pursuant to the requirements of the Washington State Department of Ecology (Ecology) Dangerous Waste Regulations, Washington Administrative Code (WAC) 173-303-610 and 40 CFR 270.1. Closure also will satisfy closure requirements of WAC 173-303-680 and for the thermal treatment closure requirements of 40 CFR 265.381. This closure plan presents a description of the HPADS, the history of the waste treated, and the approach that will be followed to close the HPADS. Because dangerous waste does not include the source, special nuclear, and by-product material components of mixed waste, radionuclides are not within the scope of WAC 173-303 or of this closure plan. The information on radionuclides is provided only for general knowledge where appropriate. Only dangerous constituents derived from HPADS operations will be addressed in this closure plan in accordance with WAC 173-303-610(2)(b)(i). The HPADS are actually two distinct soil closure areas within the Hanford Patrol Academy training area

Enhancing team-sport athlete performance: is altitude training relevant?

Science.gov (United States)

Billaut, François; Gore, Christopher J; Aughey, Robert J

2012-09-01

Field-based team sport matches are composed of short, high-intensity efforts, interspersed with intervals of rest or submaximal exercise, repeated over a period of 60-120 minutes. Matches may also be played at moderate altitude where the lower oxygen partial pressure exerts a detrimental effect on performance. To enhance run-based performance, team-sport athletes use varied training strategies focusing on different aspects of team-sport physiology, including aerobic, sprint, repeated-sprint and resistance training. Interestingly, 'altitude' training (i.e. living and/or training in O(2)-reduced environments) has only been empirically employed by athletes and coaches to improve the basic characteristics of speed and endurance necessary to excel in team sports. Hypoxia, as an additional stimulus to training, is typically used by endurance athletes to enhance performance at sea level and to prepare for competition at altitude. Several approaches have evolved in the last few decades, which are known to enhance aerobic power and, thus, endurance performance. Altitude training can also promote an increased anaerobic fitness, and may enhance sprint capacity. Therefore, altitude training may confer potentially-beneficial adaptations to team-sport athletes, which have been overlooked in contemporary sport physiology research. Here, we review the current knowledge on the established benefits of altitude training on physiological systems relevant to team-sport performance, and conclude that current evidence supports implementation of altitude training modalities to enhance match physical performances at both sea level and altitude. We hope that this will guide the practice of many athletes and stimulate future research to better refine training programmes.

Using Artificial Team Members for Military Team Training in Virtual Environments

NARCIS (Netherlands)

Diggelen, J. van; Heuvelink, A.; Muller, T.; ; Bosch, K. van den

2010-01-01

Developing good team skills usually involves exercises with all team members playing their role. This approach is costly and has organizational and educational drawbacks. For the Netherlands army, we developed a more efficient and flexible approach by setting training in virtual environments, and

Safety Training and Awareness: a team at your service

CERN Multimedia

HSE Unit

2014-01-01

Ever wondered who is on the other end of the safety-training@cern.ch e-mail address? If so, you might like to know that all the activities relating to safety training and awareness (“Safety Training" for short) are managed by a team dedicated to ensuring the smooth running of CERN’s safety training courses.    Photo: Christoph Balle. This team currently consists of five people: the manager in charge of coordinating all the projects, two administrative assistants who provide logistical support and two technicians who manage the training centre. This team, which has seen its workload and the number of challenges it faces increase considerably with LS1, is responsible for organising classroom training sessions (in partnership with some 15 training bodies) and for the management of online e-learning courses in partnership with the GS-AIS Group. The members of the team don't just deal with enrolment on the courses: they also help with the development...

Multidisciplinary crisis simulations: the way forward for training surgical teams.

Science.gov (United States)

Undre, Shabnam; Koutantji, Maria; Sevdalis, Nick; Gautama, Sanjay; Selvapatt, Nowlan; Williams, Samantha; Sains, Parvinderpal; McCulloch, Peter; Darzi, Ara; Vincent, Charles

2007-09-01

High-reliability organizations have stressed the importance of non-technical skills for safety and of regularly providing such training to their teams. Recently safety skills training has been applied in the practice of medicine. In this study, we developed and piloted a module using multidisciplinary crisis scenarios in a simulated operating theatre to train entire surgical teams. Twenty teams participated (n = 80); each consisted of a trainee surgeon, anesthetist, operating department practitioner (ODP), and scrub nurse. Crisis scenarios such as difficult intubation, hemorrhage, or cardiac arrest were simulated. Technical and non-technical skills (leadership, communication, team skills, decision making, and vigilance), were assessed by clinical experts and by two psychologists using relevant technical and human factors rating scales. Participants received technical and non-technical feedback, and the whole team received feedback on teamwork. Trainees assessed the training favorably. For technical skills there were no differences between surgical trainees' assessment scores and the assessment scores of the trainers. However, nurses overrated their technical skill. Regarding non-technical skills, leadership and decision making were scored lower than the other three non-technical skills (communication, team skills, and vigilance). Surgeons scored lower than nurses on communication and teamwork skills. Surgeons and anesthetists scored lower than nurses on leadership. Multidisciplinary simulation-based team training is feasible and well received by surgical teams. Non-technical skills can be assessed alongside technical skills, and differences in performance indicate where there is a need for further training. Future work should focus on developing team performance measures for training and on the development and evaluation of systematic training for technical and non-technical skills to enhance team performance and safety in surgery.

Decommissioning and demolition 1992

International Nuclear Information System (INIS)

Whyte, I.L.

1992-01-01

The decommissioning and demolition of structures offshore, onshore and in nuclear works involves new technologies and industries in demolition and removal. The aim of the conference was to provide a forum to keep up to date with technological developments, to publicise new techniques and to share and discuss present and future plans. A particular feature was the multi-disciplinary approach to promote and encourage communication between different sectors of this difficult field of operations. The conference emphasised not only technical issues but also legislative, management and health and safety aspects. Papers were presented by practising engineers, contractors and research workers involved in offshore structures, buildings, power stations, contaminated sites, nuclear plant and includes specialist techniques of cutting, lifting, explosives, ground treatment and decontamination. Many valuable case histories and records based on practical experience were reported. The volume provides a reference source on the state-of-the-art in decommissioning and demolition. The ten papers relevant to the decommissioning and demolition of nuclear facilities are indexed separately. (Author)

Endoscopic non-technical skills team training: the next step in quality assurance of endoscopy training.

Science.gov (United States)

Matharoo, Manmeet; Haycock, Adam; Sevdalis, Nick; Thomas-Gibson, Siwan

2014-12-14

To investigate whether novel, non-technical skills training for Bowel Cancer Screening (BCS) endoscopy teams enhanced patient safety knowledge and attitudes. A novel endoscopy team training intervention for BCS teams was developed and evaluated as a pre-post intervention study. Four multi-disciplinary BCS teams constituting BCS endoscopist(s), specialist screening practitioners, endoscopy nurses and administrative staff (A) from English BCS training centres participated. No patients were involved in this study. Expert multidisciplinary faculty delivered a single day's training utilising real clinical examples. Pre and post-course evaluation comprised participants' patient safety awareness, attitudes, and knowledge. Global course evaluations were also collected. Twenty-three participants attended and their patient safety knowledge improved significantly from 43%-55% (P ≤ 0.001) following the training intervention. 12/41 (29%) of the safety attitudes items significantly improved in the areas of perceived patient safety knowledge and awareness. The remaining safety attitude items: perceived influence on patient safety, attitudes towards error management, error management actions and personal views following an error were unchanged following training. Both qualitative and quantitative global course evaluations were positive: 21/23 (91%) participants strongly agreed/agreed that they were satisfied with the course. Qualitative evaluation included mandating such training for endoscopy teams outside BCS and incorporating team training within wider endoscopy training. Limitations of the study include no measure of increased patient safety in clinical practice following training. A novel comprehensive training package addressing patient safety, non-technical skills and adverse event analysis was successful in improving multi-disciplinary teams' knowledge and safety attitudes.

The Impact of Environmental Complexity and Team Training on Team Processes and Performance in Multi-Team Environments

National Research Council Canada - National Science Library

Cobb, Marshall

1999-01-01

This study examined how manipulating the level of environmental complexity and the type of team training given to subject volunteers impacted important team process behaviors and performance outcomes...

Pre-license team training at San Onofre Nuclear Generating Station

International Nuclear Information System (INIS)

Freers, S.M.; Hyman, M.

1987-01-01

Team Training at San Onofre Nuclear Generating Station (SONGS) Units 2 and 3 has been developed to enhance the performance of station operations personnel. The FACT Training Program (Formality, Attention to Detail, Consistency and Team Effort) is the common denominator for operations team training. Compliance with good operating practices is enhanced by operators working as a team toward the same goal, using the same language, practicing the same operating and communication skills, possessing a clear understanding of individual roles and responsibilities of team members and practicing attention to detail in every task. These elements of effective teamwork are emphasized by the processes and criteria used in the Pre-License Operator Training Program at SONGS

Cross-Level Effects Between Neurophysiology and Communication During Team Training.

Science.gov (United States)

Gorman, Jamie C; Martin, Melanie J; Dunbar, Terri A; Stevens, Ronald H; Galloway, Trysha L; Amazeen, Polemnia G; Likens, Aaron D

2016-02-01

We investigated cross-level effects, which are concurrent changes across neural and cognitive-behavioral levels of analysis as teams interact, between neurophysiology and team communication variables under variations in team training. When people work together as a team, they develop neural, cognitive, and behavioral patterns that they would not develop individually. It is currently unknown whether these patterns are associated with each other in the form of cross-level effects. Team-level neurophysiology and latent semantic analysis communication data were collected from submarine teams in a training simulation. We analyzed whether (a) both neural and communication variables change together in response to changes in training segments (briefing, scenario, or debriefing), (b) neural and communication variables mutually discriminate teams of different experience levels, and (c) peak cross-correlations between neural and communication variables identify how the levels are linked. Changes in training segment led to changes in both neural and communication variables, neural and communication variables mutually discriminated between teams of different experience levels, and peak cross-correlations indicated that changes in communication precede changes in neural patterns in more experienced teams. Cross-level effects suggest that teamwork is not reducible to a fundamental level of analysis and that training effects are spread out across neural and cognitive-behavioral levels of analysis. Cross-level effects are important to consider for theories of team performance and practical aspects of team training. Cross-level effects suggest that measurements could be taken at one level (e.g., neural) to assess team experience (or skill) on another level (e.g., cognitive-behavioral). © 2015, Human Factors and Ergonomics Society.

Effects of script-based role play in cardiopulmonary resuscitation team training.

Science.gov (United States)

Chung, Sung Phil; Cho, Junho; Park, Yoo Seok; Kang, Hyung Goo; Kim, Chan Woong; Song, Keun Jeong; Lim, Hoon; Cho, Gyu Chong

2011-08-01

The purpose of this study is to compare the cardiopulmonary resuscitation (CPR) team dynamics and performance between a conventional simulation training group and a script-based training group. This was a prospective randomised controlled trial of educational intervention for CPR team training. Fourteen teams, each consisting of five members, were recruited. The conventional group (C) received training using a didactic lecture and simulation with debriefing, while the script group (S) received training using a resuscitation script. The team activity was evaluated with checklists both before and after 1 week of training. The videotaped simulated resuscitation events were compared in terms of team dynamics and performance aspects. Both groups showed significantly higher leadership scores after training (C: 58.2 ± 9.2 vs. 67.2 ± 9.5, p=0.007; S: 57.9 ± 8.1 vs. 65.4 ± 12.1, p=0.034). However, there were no significant improvements in performance scores in either group after training. There were no differences in the score improvement after training between the two groups in dynamics (C: 9.1 ± 12.6 vs. S: 7.4 ± 13.7, p=0.715), performance (C: 5.5 ± 11.4 vs. S: 4.7 ± 9.6, p=0.838) and total scores (C: 14.6 ± 20.1 vs. S: 12.2 ± 19.5, p=0.726). Script-based CPR team training resulted in comparable improvements in team dynamics scores compared with conventional simulation training. Resuscitation scripts may be used as an adjunct for CPR team training.

Endoscopic non-technical skills team training: The next step in quality assurance of endoscopy training

Science.gov (United States)

Matharoo, Manmeet; Haycock, Adam; Sevdalis, Nick; Thomas-Gibson, Siwan

2014-01-01

AIM: To investigate whether novel, non-technical skills training for Bowel Cancer Screening (BCS) endoscopy teams enhanced patient safety knowledge and attitudes. METHODS: A novel endoscopy team training intervention for BCS teams was developed and evaluated as a pre-post intervention study. Four multi-disciplinary BCS teams constituting BCS endoscopist(s), specialist screening practitioners, endoscopy nurses and administrative staff (A) from English BCS training centres participated. No patients were involved in this study. Expert multidisciplinary faculty delivered a single day’s training utilising real clinical examples. Pre and post-course evaluation comprised participants’ patient safety awareness, attitudes, and knowledge. Global course evaluations were also collected. RESULTS: Twenty-three participants attended and their patient safety knowledge improved significantly from 43%-55% (P ≤ 0.001) following the training intervention. 12/41 (29%) of the safety attitudes items significantly improved in the areas of perceived patient safety knowledge and awareness. The remaining safety attitude items: perceived influence on patient safety, attitudes towards error management, error management actions and personal views following an error were unchanged following training. Both qualitative and quantitative global course evaluations were positive: 21/23 (91%) participants strongly agreed/agreed that they were satisfied with the course. Qualitative evaluation included mandating such training for endoscopy teams outside BCS and incorporating team training within wider endoscopy training. Limitations of the study include no measure of increased patient safety in clinical practice following training. CONCLUSION: A novel comprehensive training package addressing patient safety, non-technical skills and adverse event analysis was successful in improving multi-disciplinary teams’ knowledge and safety attitudes. PMID:25516665

[Does simulator-based team training improve patient safety?].

Science.gov (United States)

Trentzsch, H; Urban, B; Sandmeyer, B; Hammer, T; Strohm, P C; Lazarovici, M

2013-10-01

Patient safety became paramount in medicine as well as in emergency medicine after it was recognized that preventable, adverse events significantly contributed to morbidity and mortality during hospital stay. The underlying errors cannot usually be explained by medical technical inadequacies only but are more due to difficulties in the transition of theoretical knowledge into tasks under the conditions of clinical reality. Crew Resource Management and Human Factors which determine safety and efficiency of humans in complex situations are suitable to control such sources of error. Simulation significantly improved safety in high reliability organizations, such as the aerospace industry.Thus, simulator-based team training has also been proposed for medical areas. As such training is consuming in cost, time and human resources, the question of the cost-benefit ratio obviously arises. This review outlines the effects of simulator-based team training on patient safety. Such course formats are not only capable of creating awareness and improvements in safety culture but also improve technical team performance and emphasize team performance as a clinical competence. A few studies even indicated improvement of patient-centered outcome, such as a reduced rate of adverse events but further studies are required in this respect. In summary, simulator-based team training should be accepted as a suitable strategy to improve patient safety.

Effectiveness of team training in managing shoulder dystocia: a retrospective study.

Science.gov (United States)

van de Ven, Joost; van Deursen, Frank J H M; van Runnard Heimel, Pieter J; Mol, Ben Willem J; Oei, S Guid

2016-10-01

To evaluate the effectiveness of simulation team training for the management of shoulder dystocia. Primary outcome measures were the number of reported cases of shoulder dystocia, as well as fetal injury that occurred from it. Secondary outcome is documentation of manoeuvres used to alleviate shoulder dystocia. Retrospective cohort study in a teaching hospital in the Netherlands, in a 38 month period before and after implementation of team training. We compared 3492 term vaginal cephalic deliveries with 3496 deliveries before and after team training. Incidence of shoulder dystocia increased from 51 to 90 cases (RR 1.8 (95% CI: 1.3-2.5)). Fetal injury occurred in 16 and eight cases, respectively (RR 0.50 (95% CI: 0.21-1.2)). Before team training started, the all-fours manoeuvre was never used, while after team training it was used in 41 of 90 cases (45%). Proper documentation of all manoeuvres used to alleviate shoulder dystocia significantly increased after team training (RR 1.6 (95% CI: 1.05-2.5)). Simulation team training increased the frequency of shoulder dystocia, facilitated implementation of the all-fours technique, improved documentation of delivery notes and may have a beneficial effect on the number of children injured due to shoulder dystocia.

A case for safety leadership team training of hospital managers.

Science.gov (United States)

Singer, Sara J; Hayes, Jennifer; Cooper, Jeffrey B; Vogt, Jay W; Sales, Michael; Aristidou, Angela; Gray, Garry C; Kiang, Mathew V; Meyer, Gregg S

2011-01-01

Delivering safe patient care remains an elusive goal. Resolving problems in complex organizations like hospitals requires managers to work together. Safety leadership training that encourages managers to exercise learning-oriented, team-based leadership behaviors could promote systemic problem solving and enhance patient safety. Despite the need for such training, few programs teach multidisciplinary groups of managers about specific behaviors that can enhance their role as leadership teams in the realm of patient safety. The aims of this study were to describe a learning-oriented, team-based, safety leadership training program composed of reinforcing exercises and to provide evidence confirming the need for such training and demonstrating behavior change among management groups after training. Twelve groups of managers from an academic medical center based in the Northeast United States were randomly selected to participate in the program and exposed to its customized, experience-based, integrated, multimodal curriculum. We extracted data from transcripts of four training sessions over 15 months with groups of managers about the need for the training in these groups and change in participants' awareness, professional behaviors, and group activity. Training transcripts confirmed the need for safety leadership team training and provided evidence of the potential for training to increase targeted behaviors. The training increased awareness and use of leadership behaviors among many managers and led to new routines and coordinated effort among most management groups. Enhanced learning-oriented leadership often helped promote a learning orientation in managers' work areas. Team-based training that promotes specific learning-oriented leader behaviors can promote behavioral change among multidisciplinary groups of hospital managers.

Effect of CRM team leader training on team performance and leadership behavior in simulated cardiac arrest scenarios: a prospective, randomized, controlled study.

Science.gov (United States)

Fernandez Castelao, Ezequiel; Boos, Margarete; Ringer, Christiane; Eich, Christoph; Russo, Sebastian G

2015-07-24

Effective team leadership in cardiopulmonary resuscitation (CPR) is well recognized as a crucial factor influencing performance. Generally, leadership training focuses on task requirements for leading as well as non-leading team members. We provided crisis resource management (CRM) training only for designated team leaders of advanced life support (ALS) trained teams. This study assessed the impact of the CRM team leader training on CPR performance and team leader verbalization. Forty-five teams of four members each were randomly assigned to one of two study groups: CRM team leader training (CRM-TL) and additional ALS-training (ALS add-on). After an initial lecture and three ALS skill training tutorials (basic life support, airway management and rhythm recognition/defibrillation) of 90-min each, one member of each team was randomly assigned to act as the team leader in the upcoming CPR simulation. Team leaders of the CRM-TL groups attended a 90-min CRM-TL training. All other participants received an additional 90-min ALS skill training. A simulated CPR scenario was videotaped and analyzed regarding no-flow time (NFT) percentage, adherence to the European Resuscitation Council 2010 ALS algorithm (ADH), and type and rate of team leader verbalizations (TLV). CRM-TL teams showed shorter, albeit statistically insignificant, NFT rates compared to ALS-Add teams (mean difference 1.34 (95% CI -2.5, 5.2), p = 0.48). ADH scores in the CRM-TL group were significantly higher (difference -6.4 (95% CI -10.3, -2.4), p = 0.002). Significantly higher TLV proportions were found for the CRM-TL group: direct orders (difference -1.82 (95% CI -2.4, -1.2), p CRM improves performance of the entire team, in particular guideline adherence and team leader behavior. Emphasis on training of team leader behavior appears to be beneficial in resuscitation and emergency medical course performance.

Two national teams train at CERN

CERN Multimedia

Alix Marcastel

2011-01-01

The Swedish and Czech national orienteering teams trained at CERN on Wednesday, at the invitation of the president of the orienteering club, Lennart Jirdén.   Tove Alexandersson, a junior member if the Swedish team.  Three weeks before she won gold, silver and bronze medals at the Junior World Championship.  The two national teams were training at Aix-les-Bains and were invited to come to CERN by the Laboratory's orienteering club. These top athletes had to find their bearings at CERN in the chilly July rain. CERN has a dynamic orienteering club which earned itself an international reputation by getting actively involved in the orienteering world championships last October, which took place in Geneva and Saint-Cergue and for which it prepared the routes. Having proved its worth on that occasion, the club will be helping to organise the next championships in 2012. CERN Map given to the runners. The triangle marks the starting line, and th...

The first 3 minutes: Optimising a short realistic paediatric team resuscitation training session.

Science.gov (United States)

McKittrick, Joanne T; Kinney, Sharon; Lima, Sally; Allen, Meredith

2018-01-01

Inadequate resuscitation leads to death or brain injury. Recent recommendations for resuscitation team training to complement knowledge and skills training highlighted the need for development of an effective team resuscitation training session. This study aimed to evaluate and revise an interprofessional team training session which addressed roles and performance during provision of paediatric resuscitation, through incorporation of real-time, real team simulated training episodes. This study was conducted applying the principles of action research. Two cycles of data collection, evaluation and refinement of a 30-40 minute resuscitation training session for doctors and nurses occurred. Doctors and nurses made up 4 groups of training session participants. Their responses to the training were evaluated through thematic analysis of rich qualitative data gathered in focus groups held immediately after each training session. Major themes included the importance of realism, teamwork, and reflective learning. Findings informed important training session changes. These included; committed in-situ training; team diversity; realistic resources; role flexibility, definition and leadership; increased debriefing time and the addition of a team goal. In conclusion, incorporation of interprofessional resuscitation training which addresses team roles and responsibilities into standard medical and nursing training will enhance preparedness for participation in paediatric resuscitation. Copyright © 2017 Elsevier Ltd. All rights reserved.

What are the critical success factors for team training in health care?

Science.gov (United States)

Salas, Eduardo; Almeida, Sandra A; Salisbury, Mary; King, Heidi; Lazzara, Elizabeth H; Lyons, Rebecca; Wilson, Katherine A; Almeida, Paula A; McQuillan, Robert

2009-08-01

Ineffective communication among medical teams is a leading cause of preventable patient harm throughout the health care system. A growing body of literature indicates that medical teamwork improves the quality, safety, and cost-effectiveness of health care delivery, and expectations for teamwork in health care have increased. Yet few health care professions' curricula include teamwork training, and few medical practices integrate teamwork principles. Because of this knowledge gap, growing numbers of health care systems are requiring staff to participate in formal teamwork training programs. Seven evidence-based, practical, systematic success factors for preparing, implementing, and sustaining a team training and performance improvement initiative were identified. Each success factor is accompanied by tips for deployment and a real-world example of application. (1) Align team training objectives and safety aims with organizational goals, (2) provide organizational support for the team training initiative, (3) get frontline care leaders on board, (4) prepare the environment and trainees for team training, (5) determine required resources and time commitment and ensure their availability, (6) facilitate application of trained teamwork skills on the job; and (7) measure the effectiveness of the team training program. Although decades of research in other high-risk organizations have clearly demonstrated that properly designed team training programs can improve team performance, success is highly dependent on organizational factors such as leadership support, learning climate, and commitment to data-driven change. Before engaging in a teamwork training initiative, health care organizations should have a clear understanding of these factors and the strategies for their establishment.

Team-training in healthcare: a narrative synthesis of the literature

Science.gov (United States)

Weaver, Sallie J; Dy, Sydney M; Rosen, Michael A

2014-01-01

Background Patients are safer and receive higher quality care when providers work as a highly effective team. Investment in optimising healthcare teamwork has swelled in the last 10 years. Consequently, evidence regarding the effectiveness for these interventions has also grown rapidly. We provide an updated review concerning the current state of team-training science and practice in acute care settings. Methods A PubMed search for review articles examining team-training interventions in acute care settings published between 2000 and 2012 was conducted. Following identification of relevant reviews with searches terminating in 2008 and 2010, PubMed and PSNet were searched for additional primary studies published in 2011 and 2012. Primary outcomes included patient outcomes and quality indices. Secondary outcomes included teamwork behaviours, knowledge and attitudes. Results Both simulation and classroom-based team-training interventions can improve teamwork processes (eg, communication, coordination and cooperation), and implementation has been associated with improvements in patient safety outcomes. Thirteen studies published between 2011 and 2012 reported statistically significant changes in teamwork behaviours, processes or emergent states and 10 reported significant improvement in clinical care processes or patient outcomes, including mortality and morbidity. Effects were reported across a range of clinical contexts. Larger effect sizes were reported for bundled team-training interventions that included tools and organisational changes to support sustainment and transfer of teamwork competencies into daily practice. Conclusions Overall, moderate-to-high-quality evidence suggests team-training can positively impact healthcare team processes and patient outcomes. Additionally, toolkits are available to support intervention development and implementation. Evidence suggests bundled team-training interventions and implementation strategies that embed effective

Challenges of interprofessional team training: a qualitative analysis of residents' perceptions.

Science.gov (United States)

van Schaik, Sandrijn; Plant, Jennifer; O'Brien, Bridget

2015-01-01

Simulation-based interprofessional team training is thought to improve patient care. Participating teams often consist of both experienced providers and trainees, which likely impacts team dynamics, particularly when a resident leads the team. Although similar team composition is found in real-life, debriefing after simulations puts a spotlight on team interactions and in particular on residents in the role of team leader. The goal of the current study was to explore residents' perceptions of simulation-based interprofessional team training. This was a secondary analysis of a study of residents in the pediatric residency training program at the University of California, San Francisco (United States) leading interprofessional teams in simulated resuscitations, followed by facilitated debriefing. Residents participated in individual, semi-structured, audio-recorded interviews within one month of the simulation. The original study aimed to examine residents' self-assessment of leadership skills, and during analysis we encountered numerous comments regarding the interprofessional nature of the simulation training. We therefore performed a secondary analysis of the interview transcripts. We followed an iterative process to create a coding scheme, and used interprofessional learning and practice as sensitizing concepts to extract relevant themes. 16 residents participated in the study. Residents felt that simulated resuscitations were helpful but anxiety provoking, largely due to interprofessional dynamics. They embraced the interprofessional training opportunity and appreciated hearing other healthcare providers' perspectives, but questioned the value of interprofessional debriefing. They identified the need to maintain positive relationships with colleagues in light of the teams' complex hierarchy as a barrier to candid feedback. Pediatric residents in our study appreciated the opportunity to participate in interprofessional team training but were conflicted about the

Training together: how another human's presence affects behavior during virtual human-based team training

Directory of Open Access Journals (Sweden)

Andrew Robb

2016-08-01

Full Text Available Despite research showing that team training can lead to strong improvements in team performance, logistical difficulties can prevent team training programs from being adopted on a large scale. A proposed solution to these difficulties is the use of virtual humans to replace missing teammates. Existing research evaluating the use of virtual humans for team training has been conducted in settings involving a single human trainee. However, in the real world multiple human trainees would most likely train together. In this paper, we explore how the presence of a second human trainee can alter behavior during a medical team training program. Ninety-two nurses and surgical technicians participated in a medical training exercise, where they worked with a virtual surgeon and virtual anesthesiologist to prepare a simulated patient for surgery. The agency of the nurse and the surgical technician were varied between three conditions: human nurses and surgical technicians working together; human nurses working with a virtual surgical technician; and human surgical technicians working with a virtual nurse. Variations in agency did not produce statistically significant differences in the training outcomes, but several notable differences were observed in other aspects of the team's behavior. Specifically, when working with a virtual nurse, human surgical technicians were more likely to assist with speaking up about patient safety issues that were outside of their normal responsibilities; human trainees spent less time searching for a missing item when working with a virtual partner, likely because the virtual partner was physically unable to move throughout the room and assist with the searching process; and more breaks in presence were observed when two human teammates were present. These results show that some behaviors may be influenced by the presence of multiple human trainees, though these behaviors may not impinge on core training goals. When

Leadership training in health care action teams: a systematic review.

Science.gov (United States)

Rosenman, Elizabeth D; Shandro, Jamie R; Ilgen, Jonathan S; Harper, Amy L; Fernandez, Rosemarie

2014-09-01

To identify and describe the design, implementation, and evidence of effectiveness of leadership training interventions for health care action (HCA) teams, defined as interdisciplinary teams whose members coordinate their actions in time-pressured, unstable situations. The authors conducted a systematic search of the PubMed/MEDLINE, CINAHL, ERIC, EMBASE, PsycINFO, and Web of Science databases, key journals, and review articles published through March 2012. They identified peer-reviewed English-language articles describing leadership training interventions targeting HCA teams, at all levels of training and across all health care professions. Reviewers, working in duplicate, abstracted training characteristics and outcome data. Methodological quality was evaluated using the Medical Education Research Study Quality Instrument (MERSQI). Of the 52 included studies, 5 (10%) focused primarily on leadership training, whereas the remainder included leadership training as part of a larger teamwork curriculum. Few studies reported using a team leadership model (2; 4%) or a theoretical framework (9; 17%) to support their curricular design. Only 15 studies (29%) specified the leadership behaviors targeted by training. Forty-five studies (87%) reported an assessment component; of those, 31 (69%) provided objective outcome measures including assessment of knowledge or skills (21; 47%), behavior change (8; 18%), and patient- or system-level metrics (8; 18%). The mean MERSQI score was 11.4 (SD 2.9). Leadership training targeting HCA teams has become more prevalent. Determining best practices in leadership training is confounded by variability in leadership definitions, absence of supporting frameworks, and a paucity of robust assessments.

Cycle Training Using Implanted Neural Prostheses: Team Cleveland.

Science.gov (United States)

McDaniel, John; Lombardo, Lisa M; Foglyano, Kevin M; Marasco, Paul D; J Triolo, Ronald

2017-12-05

Recently our laboratory team focused on training five individuals with complete spinal cord injuries for an overground FES bike race in the 2016 Cybathlon held in Zurich Switzerland. A unique advantage team Cleveland had over other teams was the use of implanted pulse generators that provide more selective activation of muscles compared to standard surface stimulation. The advancements in muscle strength and endurance and ultimately cycling power our pilots made during this training period helped propel our competing pilot to win gold at the Cybathlon and allowed our pilots to ride their bikes outside within their communities. Such positive outcomes has encouraged us to further explore more widespread use of FES overground cycling as a rehabilitative tool for those with spinal cord injuries. This review will describes our approach to this race including information on the pilots, stimulation strategy, bike details and training program.

Cycle Training Using Implanted Neural Prostheses: Team Cleveland

Directory of Open Access Journals (Sweden)

John McDaniel

2017-12-01

Full Text Available Recently our laboratory team focused on training five individuals with complete spinal cord injuries for an overground FES bike race in the 2016 Cybathlon held in Zurich Switzerland. A unique advantage team Cleveland had over other teams was the use of implanted pulse generators that provide more selective activation of muscles compared to standard surface stimulation. The advancements in muscle strength and endurance and ultimately cycling power our pilots made during this training period helped propel our competing pilot to win gold at the Cybathlon and allowed our pilots to ride their bikes outside within their communities. Such positive outcomes has encouraged us to further explore more widespread use of FES overground cycling as a rehabilitative tool for those with spinal cord injuries. This review will describes our approach to this race including information on the pilots, stimulation strategy, bike details and training program.

Quality and quantity of construction and demolition waste in Tehran.

Science.gov (United States)

Asgari, Alireza; Ghorbanian, Tahereh; Yousefi, Nader; Dadashzadeh, Dariush; Khalili, Fatemeh; Bagheri, Amin; Raei, Mehdi; Mahvi, Amir Hossein

2017-01-01

In recent years the generation rate of construction and demolition waste (C&D) has significantly augmented. The aim of this study was to assessed the quality and quantity of construction and demolition waste in Tehran (capital of Iran). Questionnaire methods were used for estimating the amount of generated C&D wastes national statistical data and typical waste generation data. In order to defining the composition of C&D waste, trucks were randomly selected and their wastes were separated and weighted. According to obtained results, about 82,646,051 m 3 of C&D waste (average 16,529,210 m 3 per year) were generated during 2011 to 2016 which only about 26% of them has been recycled. Mixing sand and cement, concrete, broken bricks and soil have the highest amount of the composition of C&D waste in Tehran that was 30, 19, 18 and 11%, respectively. Based on the results, about 2,784,158 t of the waste will generate in 2025 and this is approximately 122% higher than wastes generate in 2016. Based on MAPSA's data, 360 teams of personnel cruise and control the illegal disposals, but due to the expansion of Tehran this number of teams is inadequate and can't be effective in controlling the situation. In general, the overall condition of C&D waste management in Tehran seems undesirable and needs to be updated based on the experience of successful countries in this field.

Quality assurance and demolition: 2008 symposium

International Nuclear Information System (INIS)

Schartmann, F.; Thierfeldt, S.

2008-01-01

The 'Quality Assurance and Demolition Symposium, which has become a tradition established jointly by Applus RTD Deutschland GmbH (formerly compra GmbH) and Brenk Systemplanung GmbH, Aachen, was held also in 2008 with the focus on quality assurance and the demolition of nuclear facilities. The conference began with a series of lectures on knowledge and document management in general, and the use of document management systems in the nuclear field in particular. The evening lecture was presented by Axel Weis (Karlsruhe Research Center) on 'Competence Preservation in Nuclear Technology'. The 24 technical papers presented on the next 2 days of the symposium dealt with non-destructive materials testing and with special problems of radiation protection, demolition, and waste management. In 2009, the meeting will cover similar main topics and will again be held in an interesting environment, perhaps in combination with a tour of a demolition project. (orig.)

Building high reliability teams: progress and some reflections on teamwork training.

Science.gov (United States)

Salas, Eduardo; Rosen, Michael A

2013-05-01

The science of team training in healthcare has progressed dramatically in recent years. Methodologies have been refined and adapted for the unique and varied needs within healthcare, where once team training approaches were borrowed from other industries with little modification. Evidence continues to emerge and bolster the case that team training is an effective strategy for improving patient safety. Research is also elucidating the conditions under which teamwork training is most likely to have an impact, and what determines whether improvements achieved will be maintained over time. The articles in this special issue are a strong representation of the state of the science, the diversity of applications, and the growing sophistication of teamwork training research and practice in healthcare. In this article, we attempt to situate the findings in this issue within the broader context of healthcare team training, identify high level themes in the current state of the field, and discuss existing needs.

Medical Team Training: Using Simulation as a Teaching Strategy for Group Work

Science.gov (United States)

Moyer, Michael R.; Brown, Rhonda Douglas

2011-01-01

Described is an innovative approach currently being used to inspire group work, specifically a medical team training model, referred to as The Simulation Model, which includes as its major components: (1) Prior Training in Group Work of Medical Team Members; (2) Simulation in Teams or Groups; (3) Multidisciplinary Teamwork; (4) Team Leader…

Team-Based Interprofessional Competency Training for Dementia Screening and Management.

Science.gov (United States)

Tan, Zaldy S; Damron-Rodriguez, JoAnn; Cadogan, Mary; Gans, Daphna; Price, Rachel M; Merkin, Sharon S; Jennings, Lee; Schickedanz, Heather; Shimomura, Sam; Osterweil, Dan; Chodosh, Joshua

2017-01-01

As many as 50% of people satisfying diagnostic criteria for dementia are undiagnosed. A team-based training program for dementia screening and management was developed targeting four professions (medicine, nursing, pharmacy, social work) whose scope of practice involves dementia care. An interprofessional group of 10 faculty members was trained to facilitate four interactive competency stations on dementia screening, differential diagnoses, dementia management and team care planning, and screening for and managing caregiver stress. Registrants were organized into teams of five members, with at least one member of each profession per team. The teams rotated through all stations, completing assigned tasks through interprofessional collaboration. A total of 117 professionals (51 physicians, 11 nurses, 20 pharmacists, 24 social workers, 11 others) successfully completed the program. Change scores showed significant improvements in overall competence in dementia assessment and intervention (very low = 1; very high = 5; average change 1.12, P managing medication (average change 0.86, P team-based interprofessional competency training is a team teaching model that can be used to enhance competency in dementia screening and management in medical, nursing, pharmacy, and social work practitioners. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

Handling construction waste of building demolition

Directory of Open Access Journals (Sweden)

Vondráčková Terezie

2018-01-01

Full Text Available Some building defects lead to their demolition. What about construction and demolition waste? According to the Waste Act 185/2001 Coll. and its amendment 223/2015 Coll., which comes into force on January 1, 2017, the production of waste has to be reduced because, as already stated in the amendment to Act No. 229/2014 Coll., the ban on landfilling of waste will apply from 2024 onwards. The main goals of waste management can thus be considered: Preventing or minimizing waste; Waste handling to be used as a secondary raw material - recycling, composting, combustion and the remaining waste to be dumped. Company AZS 98 s. r. o. was established, among other activities, also for the purpose of recycling construction and demolition waste. It operates 12 recycling centers throughout the Czech Republic and therefore we have selected it for a demonstration of the handling of construction and demolition waste in addressing the defects of the buildings.

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review

DEFF Research Database (Denmark)

Rabøl, Louise Isager; Østergaard, Doris; Mogensen, Torben

2010-01-01

Several studies show that communication errors in healthcare teams are frequent and can lead to adverse events. Team training has been suggested as a way to safer communication and has been implemented in healthcare as classroom-based or simulation-based team training or a combination of both. Th....... The objective of this paper is to systematically review studies evaluating the outcomes of classroom-based multiprofessional team training for hospital staff.......Several studies show that communication errors in healthcare teams are frequent and can lead to adverse events. Team training has been suggested as a way to safer communication and has been implemented in healthcare as classroom-based or simulation-based team training or a combination of both...

Perturbed Communication in a Virtual Environment to Train Medical Team Leaders

OpenAIRE

Huguet , Lauriane; Lourdeaux , Domitile; Sabouret , Nicolas; Ferrer , Marie-Hélène

2016-01-01

International audience; The VICTEAMS project aims at designing a virtual environment for training medical team leaders to non-technical skills. The virtual environment ispopulated with autonomous virtual agents who are able to make mistakes (in action or communication) in order to train rescue team leaders and to make them adaptive with all kinds of situations or teams.

Code Team Training: Demonstrating Adherence to AHA Guidelines During Pediatric Code Blue Activations.

Science.gov (United States)

Stewart, Claire; Shoemaker, Jamie; Keller-Smith, Rachel; Edmunds, Katherine; Davis, Andrew; Tegtmeyer, Ken

2017-10-16

Pediatric code blue activations are infrequent events with a high mortality rate despite the best effort of code teams. The best method for training these code teams is debatable; however, it is clear that training is needed to assure adherence to American Heart Association (AHA) Resuscitation Guidelines and to prevent the decay that invariably occurs after Pediatric Advanced Life Support training. The objectives of this project were to train a multidisciplinary, multidepartmental code team and to measure this team's adherence to AHA guidelines during code simulation. Multidisciplinary code team training sessions were held using high-fidelity, in situ simulation. Sessions were held several times per month. Each session was filmed and reviewed for adherence to 5 AHA guidelines: chest compression rate, ventilation rate, chest compression fraction, use of a backboard, and use of a team leader. After the first study period, modifications were made to the code team including implementation of just-in-time training and alteration of the compression team. Thirty-eight sessions were completed, with 31 eligible for video analysis. During the first study period, 1 session adhered to all AHA guidelines. During the second study period, after alteration of the code team and implementation of just-in-time training, no sessions adhered to all AHA guidelines; however, there was an improvement in percentage of sessions adhering to ventilation rate and chest compression rate and an improvement in median ventilation rate. We present a method for training a large code team drawn from multiple hospital departments and a method of assessing code team performance. Despite subjective improvement in code team positioning, communication, and role completion and some improvement in ventilation rate and chest compression rate, we failed to consistently demonstrate improvement in adherence to all guidelines.

Medical Team Training Improves Team Performance: AOA Critical Issues.

Science.gov (United States)

Carpenter, James E; Bagian, James P; Snider, Rebecca G; Jeray, Kyle J

2017-09-20

Effective teamwork and communication can decrease medical errors in environments where the culture of safety is enhanced. Health care can benefit from programs that are based on teamwork, as in other high-stress industries (e.g., aviation), with crew resource management programs, simulator use, and utilization of checklists. Medical team training (MTT) with a strong leadership commitment was used at our institution to focus specifically on creating open, yet structured, communication in operating rooms. Training included the 3 phases of the World Health Organization protocol to organize communication and briefings: preoperative verification, preincision briefing, and debriefing at or near the end of the surgical case. This training program led to measured improvements in job satisfaction and compliance with checklist tasks, and identified opportunities to improve training sessions. MTT provides the potential for sustainable change and a positive impact on the environment of the operating room.

Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial

NARCIS (Netherlands)

Fransen, A. F.; van de Ven, J.; Merién, A. E. R.; de Wit-Zuurendonk, L. D.; Houterman, S.; Mol, B. W.; Oei, S. G.

2012-01-01

Please cite this paper as: Fransen A, van de Ven J, Merien A, de Wit-Zuurendonk L, Houterman S, Mol B, Oei S. Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial. BJOG 2012;119:13871393. Objective To determine whether obstetric team

Building a culture of safety through team training and engagement.

Science.gov (United States)

Thomas, Lily; Galla, Catherine

2013-05-01

Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healthcare team. Teamwork impacts the effectiveness of care, patient safety and clinical outcomes, and team training has been identified as a strategy for enhancing teamwork, reducing medical errors and building a culture of safety in healthcare. Therefore, we implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), an evidence-based framework which was used for team training to create transformational and/or incremental changes; facilitating transformation of organisational culture, or solving specific problems. To date, TeamSTEPPS (TS) has been implemented in 14 hospitals, two Long Term Care Facilities, and outpatient areas across the North Shore LIJ Health System. 32 150 members of the healthcare team have been trained. TeamSTEPPS was piloted at a community hospital within the framework of the health system's organisational care delivery model, the Collaborative Care Model to facilitate sustainment. AHRQ's Hospital Survey on Patient Safety Culture, (HSOPSC), was administered before and after implementation of TeamSTEPPS, comparing the perception of patient safety by the heathcare team. Pilot hospital results of HSOPSC show significant improvement from 2007 (pre-TeamSTEPPS) to 2010. System-wide results of HSOPSC show similar trends to those seen in the pilot hospital. Valuable lessons for organisational success from the pilot hospital enabled rapid spread of TeamSTEPPS across the rest of the health system.

Overcoming parochialism: interdisciplinary training of the generalist team.

Science.gov (United States)

Benson, J A

1997-01-01

The work force that will staff most health care systems of the future will include a complex array of professionals working together in teams. The traditional inpatient model of patient care has been only multidisciplinary--nurses, medical social workers, dietitians, pharmacists, and physicians, all interested in each patient, but with divided responsibilities, training formats, and faculties--whereas interdisciplinary teams openly share decision making, expectations for care, goals for the team, and mutual respect.

Serious Games for Team Training, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — We propose to investigate a virtual teamwork training suite incorporating serious games that target specific team-oriented skills and behaviors. We will define...

Staying Alive! Training High-Risk Teams for Self Correction

Science.gov (United States)

Slack, Kelley; Noe, Raymond; Weaver, Sallie

2011-01-01

Research examining teams working in high-risk operations has been lacking. The present symposium showcases research on team training that helps to optimize team performance in environments characterized by life or death situations arising spontaneously after long periods of mundane activity by pulling experts from diverse areas of industry: space flight, health care, and medical simulation.

Simulation-based multidisciplinary team training decreases time to critical operations for trauma patients.

Science.gov (United States)

Murphy, Margaret; Curtis, Kate; Lam, Mary K; Palmer, Cameron S; Hsu, Jeremy; McCloughen, Andrea

2018-05-01

Simulation has been promoted as a platform for training trauma teams. However, it is not clear if this training has an impact on health service delivery and patient outcomes. This study evaluates the association between implementation of a simulation based multidisciplinary trauma team training program at a metropolitan trauma centre and subsequent patient outcomes. This was a retrospective review of trauma registry data collected at an 850-bed Level 1 Adult Trauma Centre in Sydney, Australia. Two concurrent four-year periods, before and after implementation of a simulation based multidisciplinary trauma team training program were compared for differences in time to critical operations, Emergency Department (ED) length of stay (LOS) and patient mortality. There were 2389 major trauma patients admitted to the hospital during the study, 1116 in the four years preceding trauma team training (the PREgroup) and 1273 in the subsequent 4 years (the POST group). There were no differences between the groups with respect to gender, body region injured, incidence of polytrauma, and pattern of arrival to ED. The POST group was older (median age 54 versus 43 years, p team training was associated with a reduction in time to critical operation while overall ED length of stay increased. Simulation is promoted as a platform for training teams; but the complexity of trauma care challenges efforts to demonstrate direct links between multidisciplinary team training and improved outcomes. There remain considerable gaps in knowledge as to how team training impacts health service delivery and patient outcomes. Retrospective comparative therapeutic/care management study, Level III evidence. Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

26 CFR 1.280B-1 - Demolition of structures.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 3 2010-04-01 2010-04-01 false Demolition of structures. 1.280B-1 Section 1... (CONTINUED) INCOME TAXES Items Not Deductible § 1.280B-1 Demolition of structures. (a) In general. Section 280B provides that, in the case of the demolition of any structure, no deduction otherwise allowable...

K-25 Structural Separation and Demolition

International Nuclear Information System (INIS)

Cater, Frank

2008-01-01

The K-25 building is a former gaseous diffusion plant, built in 1944-1945 as part of the United States Manhattan Project. The structure was the largest structure under one roof, surpassed only by the Pentagon. Together the three wings represent about 17.8 hectare (44 acres) under roof and are generally about 18.3 meters (60 ft.) high on the outside face and approximately 12.2 meters (40 ft.) high on the inside face. The entire structure was built in the shape of a 'U', with a lateral distance of approximately one mile. It was constructed in individual building units with each unit connected using expansion joint-type connection. A single unit is approximately 24.4 meters (80 ft.) across and 122 meters (400 ft.) deep. The northern structure is connected to the eastern and western structures at the upper level floors. The four-level, U-shaped building is a steel-frame structure with corrugated cement-asbestos siding. The cell level is an elevated concrete structure supported by reinforced concrete columns located in the basement, or vault area. The vault area can be accessed at grade level from the outside perimeter. Inside the courtyard, the grade level has been raised to provide entry to the second or cell floor level. An engineering evaluation of the structure was performed to determine the condition of the structure and possibility of unplanned collapse of any portion of the structure. The evaluation included physical inspections, calculations for wind, pre-demolition loads, and evaluation of failure modes. The results of the evaluation have provided guidance for the demolition plan and the development of criteria for protection of personnel performing pre-demolition activities. Challenges include degradation of the structure that necessitated repair, dealing with changes in the code revisions from both the American Concrete Institute (ACI) and the American Institute of Steel Construction (AISC), access to areas of the structure that were not necessarily designed

Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial

NARCIS (Netherlands)

Fransen, A.F.; Ven, van de J.; Merién, A.E.R.; Wit-Zuurendonk, de L.D.; Houterman, S.; Mol, B.W.J.; Oei, S.G.

2012-01-01

Objective To determine whether obstetric team training in a medical simulation centre improves the team performance and utilisation of appropriate medical technical skills of healthcare professionals. Design Cluster randomised controlled trial. Setting The Netherlands. Sample The obstetric

Intensive care unit nurses' evaluation of simulation used for team training.

Science.gov (United States)

Ballangrud, Randi; Hall-Lord, Marie Louise; Hedelin, Birgitta; Persenius, Mona

2014-07-01

To implement a simulation-based team training programme and to investigate intensive care nurses' evaluations of simulation used for team training. Simulation-based training is recommended to make health care professionals aware of and understand the importance of teamwork related to patient safety. The study was based on a questionnaire evaluation design. A total of 63 registered nurses were recruited: 53 from seven intensive care units in four hospitals in one hospital trust and 10 from an intensive care postgraduate education programme. After conducting a simulation-based team training programme with two scenarios related to emergency situations in the intensive care, the participants evaluated each simulation activity with regard to: (i) outcome of satisfaction and self-confidence in learning, (ii) implementation of educational practice and (iii) simulation design/development. Intensive care nurses were highly satisfied with their simulation-based learning, and they were mostly in agreement with the statements about self-confidence in learning. They were generally positive in their evaluation of the implementation of the educational practice and the simulation design/development. Significant differences were found with regard to scenario roles, prior simulation experience and area of intensive care practice. The study indicates a positive reception of a simulation-based programme with regard to team training in emergency situations in an intensive care unit. The findings may motivate and facilitate the use of simulation for team training to promote patient safety in intensive care and provide educators with support to develop and improve simulation-based training programmes. © 2013 British Association of Critical Care Nurses.

Organizing for teamwork in healthcare: an alternative to team training?

Science.gov (United States)

Rydenfält, Christofer; Odenrick, Per; Larsson, Per Anders

2017-05-15

Purpose The purpose of this paper is to explore how organizational design could support teamwork and to identify organizational design principles that promote successful teamwork. Design/methodology/approach Since traditional team training sessions take resources away from production, the alternative approach pursued here explores the promotion of teamwork by means of organizational design. A wide and pragmatic definition of teamwork is applied: a team is considered to be a group of people that are set to work together on a task, and teamwork is then what they do in relation to their task. The input - process - output model of teamwork provides structure to the investigation. Findings Six teamwork enablers from the healthcare team literature - cohesion, collaboration, communication, conflict resolution, coordination, and leadership - are discussed, and the organizational design measures required to implement them are identified. Three organizational principles are argued to facilitate the teamwork enablers: team stability, occasions for communication, and a participative and adaptive approach to leadership. Research limitations/implications The findings could be used as a foundation for intervention studies to improve team performance or as a framework for evaluation of existing organizations. Practical implications By implementing these organizational principles, it is possible to achieve many of the organizational traits associated with good teamwork. Thus, thoughtful organization for teamwork can be used as an alternative or complement to the traditional team training approach. Originality/value With regards to the vast literature on team training, this paper offers an alternative perspective on how to improve team performance in healthcare.

Sharing life-altering information: development of pediatric hospital guidelines and team training.

Science.gov (United States)

Wolfe, Adam D; Frierdich, Sharon A; Wish, Joel; Kilgore-Carlin, Joyce; Plotkin, Julie A; Hoover-Regan, Margo

2014-09-01

Abstract Background: Despite parent and physician reports of inadequate skill development, there are few guidelines for training the pediatric care team in sharing life-altering information (SLAI), i.e., "breaking bad news." The necessary skills for SLAI differ between pediatric and adult medical environments. We set out to establish evidence-based guidelines and multidisciplinary team training for SLAI in pediatrics, and to demonstrate an improvement in immediate self-efficacy of training participants. A multidisciplinary task force, which included parent participation and feedback, and which received input from parents of patients in multiple pediatric subspecialties, crafted children's hospitalwide guidelines for SLAI. A one-hour training module on the guidelines was presented to several multidisciplinary pediatric team audiences; 159 voluntary pre- and post-presentation self-efficacy surveys were collected. Responses were analyzed by paired t-test (within groups) and ANOVA (between groups). All evaluated groups of care team members reported significant improvements in self-efficacy among four learning objectives after the training. Medical trainees, newer physicians, and nonphysician (e.g., midlevel providers including nurses) team members reported the greatest improvements, regardless of whether they had received previous training in SLAI. We propose pediatric-focused SLAI guidelines based on a modified SPIKES protocol. Focus on patient- and family-centered, culturally sensitive pediatric practices should be the basis for development of training that can be periodically reinforced. Future comprehensive training will incorporate experiential learning. SLAI requires a skill set that benefits from lifelong learning.

Large-Scale Residential Demolition

Science.gov (United States)

The EPA provides resources for handling residential demolitions or renovations. This includes planning, handling harmful materials, recycling, funding, compliance assistance, good practices and regulations.

What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training.

Science.gov (United States)

Siassakos, Dimitrios; Fox, Robert; Bristowe, Katherine; Angouri, Jo; Hambly, Helen; Robson, Lauren; Draycott, Timothy J

2013-11-01

We describe lessons for safety from a synthesis of seven studies of teamwork, leadership and team training across a healthcare region. Two studies identified successes and challenges in a unit with embedded team training: a staff survey demonstrated a positive culture but a perceived need for greater senior presence; training improved actual emergency care, but wide variation in team performance remained. Analysis of multicenter simulation records showed that variation in patient safety and team efficiency correlated with their teamwork but not individual knowledge, skills or attitudes. Safe teams tended to declare the emergency earlier, hand over in a more structured way, and use closed-loop communication. Focused and directed communication was also associated with better patient-actor perception of care. Focus groups corroborated these findings, proposed that the capability and experience of the leader is more important than seniority, and identified teamwork and leadership issues that require further research. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

Tactical decision games - developing scenario-based training for decision-making in distributed teams

NARCIS (Netherlands)

Lauche, K.; Crichton, M.; Bayerl, P.S.

2009-01-01

Team training should reflect the increasing complexity of decision-making environments. Guidelines for scenario-based training were adopted for a distributed setting and tested in a pilot training session with a distributed team in the offshore oil industry. Participants valued the scenario as

Republished: Building a culture of safety through team training and engagement.

Science.gov (United States)

Thomas, Lily; Galla, Catherine

2013-07-01

Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healthcare team. Teamwork impacts the effectiveness of care, patient safety and clinical outcomes, and team training has been identified as a strategy for enhancing teamwork, reducing medical errors and building a culture of safety in healthcare. Therefore, we implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), an evidence-based framework which was used for team training to create transformational and/or incremental changes; facilitating transformation of organisational culture, or solving specific problems. To date, TeamSTEPPS (TS) has been implemented in 14 hospitals, two Long Term Care Facilities, and outpatient areas across the North Shore LIJ Health System. 32 150 members of the healthcare team have been trained. TeamSTEPPS was piloted at a community hospital within the framework of the health system's organisational care delivery model, the Collaborative Care Model to facilitate sustainment. AHRQ's Hospital Survey on Patient Safety Culture, (HSOPSC), was administered before and after implementation of TeamSTEPPS, comparing the perception of patient safety by the heathcare team. Pilot hospital results of HSOPSC show significant improvement from 2007 (pre-TeamSTEPPS) to 2010. System-wide results of HSOPSC show similar trends to those seen in the pilot hospital. Valuable lessons for organisational success from the pilot hospital enabled rapid spread of TeamSTEPPS across the rest of the health system.

THE EFFECT OF VESSEL SUPPLY ON SHIP-DEMOLITION PRICES

Directory of Open Access Journals (Sweden)

Nikos Kagkarakis

2017-02-01

Full Text Available The ship-demolition is one of the four main markets that form the shipping industry and plays an important role on the seaborne trade, as it mitigates imbalances between supply and demand for transportation services by adjusting the merchant fleet supply. The aim of this study is to examine whether the factors that determine the supply of vessels for demolition are capable of affecting materially the ship-demolition price formation. The availability of ships for demolition is primarily a function of the fleet’s age and the conditions on the freight and secondhand markets. The analysis is conducted on the crude tanker and the bulk carrier segments and the vector autoregressive model methodology is employed, whereby the effect of both the supply and the demand factors on the ship-demolition prices is examined. The results indicate that the supply side has limited effect on the price formation in the industry, which is driven by the demand for the steel-scrap commodity.

200 West Area Ash Pit Demolition Site closure plan. Revision 1

International Nuclear Information System (INIS)

Ruck, F.R.

1994-01-01

The Ash Pit Demolition Site had two known demolition events, the first occurred in November of 1984, and the second occurred in June of 1986. These demolition events were a form of thermal treatment for discarded explosive chemical products. Because the Ash Pit Demolition Site will no longer be used for this thermal activity, the site will be closed. Closure will be conducted pursuant to the requirements of the Washington State Department of Ecology (Ecology) ''Dangerous Waste Regulations'', Washington Administrative Code (WAC) 173-303-610 and 40 Code of Federal Regulations (CFR) 270.1. The 200 West Area Ash Pit Demolition Site Closure Plan consists of a Part A, Form 3, Dangerous Waste Permit Application (Revision 4) and a closure plan. An explanation of the Part A, Form 3, submitted with this closure plan is provided at the beginning of the Part A Section. The closure plan consists of nine chapters and five appendices. This closure plan presents a description of the Ash,Pit Demolition Site, the history of the waste treated, and the approach that will be followed to close the Ash Pit Demolition Site. Because there were no radioactively contaminated chemicals involved in the demolitions, the information on radionuclides is provided for ''information only''. Remediation of any radioactive contamination is not within the scope of this closure plan. Only dangerous constituents derived from Ash Pit Demolition Site operations will be addressed in this closure plan in accordance with WAC 173-303-610(2)(b)(i)

Role of force training in physical training of student basketball team players

Directory of Open Access Journals (Sweden)

S.S. Brynzak

2013-10-01

Full Text Available Presented results of the implementation of the program of strength training in the preparation of the annual cycle of student basketball team. The study involved 15 athletes. The testing program included the evaluation of home and remote speed (running 6 and 20 m with a high launch, speed and overall endurance (2x40 shuttle run test with and Cooper, speed-strength (high jump, strength (gets dynamometry. Strength training program was included in classes 3 times a week for two months before the start of the competition period. Found that the proposed program of strength training improves physical fitness of the players. Marked increase in the level of development of motor qualities of the players during the macrocycle. There was a significant increase in physical fitness of players on the team at the end of the competition period. Marked improvement in starting, telecommuting, speed and speed endurance. Increased overall endurance and strength, but the level of development is low.

Conceptualizing Interprofessional Teams as Multi-Team Systems-Implications for Assessment and Training.

Science.gov (United States)

West, Courtney; Landry, Karen; Graham, Anna; Graham, Lori; Cianciolo, Anna T; Kalet, Adina; Rosen, Michael; Sherman, Deborah Witt

2015-01-01

SGEA 2015 CONFERENCE ABSTRACT (EDITED). Evaluating Interprofessional Teamwork During a Large-Scale Simulation. Courtney West, Karen Landry, Anna Graham, and Lori Graham. CONSTRUCT: This study investigated the multidimensional measurement of interprofessional (IPE) teamwork as part of large-scale simulation training. Healthcare team function has a direct impact on patient safety and quality of care. However, IPE team training has not been the norm. Recognizing the importance of developing team-based collaborative care, our College of Nursing implemented an IPE simulation activity called Disaster Day and invited other professions to participate. The exercise consists of two sessions: one in the morning and another in the afternoon. The disaster scenario is announced just prior to each session, which consists of team building, a 90-minute simulation, and debriefing. Approximately 300 Nursing, Medicine, Pharmacy, Emergency Medical Technicians, and Radiology students and over 500 standardized and volunteer patients participated in the Disaster Day event. To improve student learning outcomes, we created 3 competency-based instruments to evaluate collaborative practice in multidimensional fashion during this exercise. A 20-item IPE Team Observation Instrument designed to assess interprofessional team's attainment of Interprofessional Education Collaborative (IPEC) competencies was completed by 20 faculty and staff observing the Disaster Day simulation. One hundred sixty-six standardized patients completed a 10-item Standardized Patient IPE Team Evaluation Instrument developed from the IPEC competencies and adapted items from the 2014 Henry et al. PIVOT Questionnaire. This instrument assessed the standardized or volunteer patient's perception of the team's collaborative performance. A 29-item IPE Team's Perception of Collaborative Care Questionnaire, also created from the IPEC competencies and divided into 5 categories of Values/Ethics, Roles and Responsibilities

218-E-8 Borrow Pit Demolition Site closure plan. Revision 1

International Nuclear Information System (INIS)

Ruck, F.R.

1994-01-01

The 218-E-8 Demolition Site was the site of a single demolition event in November of 1984. This demolition event was a form of thermal treatment for discarded explosive chemical products. Because the 218-E-8 Demolition Site will no longer be used for this thermal activity, the site will be closed. Closure will be conducted pursuant to the requirements of the Washington State Department of Ecology (Ecology) ''Dangerous Waste Regulations,'' Washington Administrative Code (WAC) 173-303-610 and 40 Code of Federal Regulations (CFR) 270.1. The 218-E-8 Borrow Pit Demolition Site Closure Plan consists of a Hanford Facility Dangerous Waste Part A Permit Application, Form 3, Revision 4, and a closure plan. An explanation of the Part A Form 3, submitted with this closure plan is provided at the beginning of the Part A Section. The closure plan consists of nine chapters and five appendices. This closure plan presents a description of the 218-E-8 Demolition Site, the history of the waste treated, and the approach that will be followed to close the 218-E-8 Demolition Site. Because there were no radioactively contaminated chemicals involved in t he demolitions at the 218-E-8 Borrow Pit site, the information on radionuclides is provided for ''information only.'' Remediation of any radioactive contamination is not within the scope of this closure plan. Only dangerous constituents derived from 218-E-8 Demolition Site operations will be addressed in this closure plan in accordance with WAC 173-303-610(2)(b)(i)

Strength and Conditioning Training by the Danish National Handball Team Before an Olympic Tournament.

Science.gov (United States)

Kvorning, Thue; Hansen, Mikkel R B; Jensen, Kurt

2017-07-01

Kvorning, T, Hansen, MRB, and Jensen, K. Strength and conditioning training by the Danish national handball team before an Olympic tournament. J Strength Cond Res 31(7): 1759-1765, 2017-The physical demands imposed on national team handball teams during the Olympics imply significant physical preparation to improve performance and reduce incidence of injuries. The purpose of this case report was to describe and analyze the strength and conditioning (S&C) training performed by the Danish national handball team before the Beijing Olympic Games. Eight weeks of S&C was divided into 5 weeks emphasizing muscle hypertrophy and long-interval running followed by 3 weeks emphasizing strength, power, and short-interval running. Body mass increased by 1.6% (p 0.05). Agility performance was evaluated by a T-test and improved by 2.5% (p handball teams preparing for competition. Detailed and periodized S&C training programs for 8 weeks are provided and can be used by teams ranging from moderately to highly trained.

Management of construction and demolition wastes as secondary building resources

Science.gov (United States)

Manukhina, Lyubov; Ivanova, Irina

2017-10-01

The article analyzes the methods of management of construction and demolition wastes. The authors developed suggestions for improving the management system of the turnover of construction and demolition wastes. Today the issue of improving the management of construction and demolition wastes is of the same importance as problems of protecting the life-support field from pollution and of preserving biological and land resources. The authors educed the prospective directions and methods for improving the management of the turnover processes for construction and demolition wastes, including the evaluation of potential of wastes as secondary raw materials and the formation of a centralized waste management system.

The impact of brief team communication, leadership and team behavior training on ad hoc team performance in trauma care settings.

Science.gov (United States)

Roberts, Nicole K; Williams, Reed G; Schwind, Cathy J; Sutyak, John A; McDowell, Christopher; Griffen, David; Wall, Jarrod; Sanfey, Hilary; Chestnut, Audra; Meier, Andreas H; Wohltmann, Christopher; Clark, Ted R; Wetter, Nathan

2014-02-01

Communication breakdowns and care coordination problems often cause preventable adverse patient care events, which can be especially acute in the trauma setting, in which ad hoc teams have little time for advanced planning. Existing teamwork curricula do not address the particular issues associated with ad hoc emergency teams providing trauma care. Ad hoc trauma teams completed a preinstruction simulated trauma encounter and were provided with instruction on appropriate team behaviors and team communication. Teams completed a postinstruction simulated trauma encounter immediately afterward and 3 weeks later, then completed a questionnaire. Blinded raters rated videotapes of the simulations. Participants expressed high levels of satisfaction and intent to change practice after the intervention. Participants changed teamwork and communication behavior on the posttest, and changes were sustained after a 3-week interval, though there was some loss of retention. Brief training exercises can change teamwork and communication behaviors on ad hoc trauma teams. Copyright © 2014 Elsevier Inc. All rights reserved.

Construction and demolition waste indicators.

Science.gov (United States)

Mália, Miguel; de Brito, Jorge; Pinheiro, Manuel Duarte; Bravo, Miguel

2013-03-01

The construction industry is one of the biggest and most active sectors of the European Union (EU), consuming more raw materials and energy than any other economic activity. Furthermore, construction waste is the commonest waste produced in the EU. Current EU legislation sets out to implement construction and demolition waste (CDW) prevention and recycling measures. However it lacks tools to accelerate the development of a sector as bound by tradition as the building industry. The main objective of the present study was to determine indicators to estimate the amount of CDW generated on site both globally and by waste stream. CDW generation was estimated for six specific sectors: new residential construction, new non-residential construction, residential demolition, non-residential demolition, residential refurbishment, and non-residential refurbishment. The data needed to develop the indicators was collected through an exhaustive survey of previous international studies. The indicators determined suggest that the average composition of waste generated on site is mostly concrete and ceramic materials. Specifically for new residential and new non-residential construction the production of concrete waste in buildings with a reinforced concrete structure lies between 17.8 and 32.9 kg m(-2) and between 18.3 and 40.1 kg m(-2), respectively. For the residential and non-residential demolition sectors the production of this waste stream in buildings with a reinforced concrete structure varies from 492 to 840 kg m(-2) and from 401 to 768 kg/m(-2), respectively. For the residential and non-residential refurbishment sectors the production of concrete waste in buildings lies between 18.9 and 45.9 kg/m(-2) and between 18.9 and 191.2 kg/m(-2), respectively.

Tactical decision games - developing scenario-based training for decision-making in distributed teams

OpenAIRE

Lauche, K.; Crichton, M.; Bayerl, P.S.

2009-01-01

Team training should reflect the increasing complexity of decision-making environments. Guidelines for scenario-based training were adopted for a distributed setting and tested in a pilot training session with a distributed team in the offshore oil industry. Participants valued the scenario as challenging and useful, but also highlighted problems of distributed communication. The findings were used to improve the training as well as current use of the technology in the organisation. Research ...

Estimation of construction and demolition waste using waste generation rates in Chennai, India.

Science.gov (United States)

Ram, V G; Kalidindi, Satyanarayana N

2017-06-01

A large amount of construction and demolition waste is being generated owing to rapid urbanisation in Indian cities. A reliable estimate of construction and demolition waste generation is essential to create awareness about this stream of solid waste among the government bodies in India. However, the required data to estimate construction and demolition waste generation in India are unavailable or not explicitly documented. This study proposed an approach to estimate construction and demolition waste generation using waste generation rates and demonstrated it by estimating construction and demolition waste generation in Chennai city. The demolition waste generation rates of primary materials were determined through regression analysis using waste generation data from 45 case studies. Materials, such as wood, electrical wires, doors, windows and reinforcement steel, were found to be salvaged and sold on the secondary market. Concrete and masonry debris were dumped in either landfills or unauthorised places. The total quantity of construction and demolition debris generated in Chennai city in 2013 was estimated to be 1.14 million tonnes. The proportion of masonry debris was found to be 76% of the total quantity of demolition debris. Construction and demolition debris forms about 36% of the total solid waste generated in Chennai city. A gross underestimation of construction and demolition waste generation in some earlier studies in India has also been shown. The methodology proposed could be utilised by government bodies, policymakers and researchers to generate reliable estimates of construction and demolition waste in other developing countries facing similar challenges of limited data availability.

Chronic lower respiratory diseases among demolition and cement workers

DEFF Research Database (Denmark)

Mølgaard, Ellen Fischer; Hannerz, Harald; Tüchsen, Finn

2013-01-01

To estimate standardised hospitalisation ratios (SHR) for chronic lower respiratory diseases among demolition and cement workers in Denmark, 1995-2009.......To estimate standardised hospitalisation ratios (SHR) for chronic lower respiratory diseases among demolition and cement workers in Denmark, 1995-2009....

Stripping demolition of concrete by applying electric current through reinforcing bars

International Nuclear Information System (INIS)

Nakagawa, Wahei; Kumegawa, Sadatsune

1995-01-01

The presence of reinforcing bars in reinforced concrete structures is an obstruction hindering the smooth progress of demolition works. The electric heating method is, on the other hand, a demolition technique of unique concept since it adopts the bars to help the demolition of reinforced concrete structures. This technique has the following advantages for demolition: 1) the more densely a structure is reinforced with bars, the greater is the effect of the electric heating, 2) demolition after heating produces little dust, and 3) electric heating of reinforcing bars causes no damage to the portions of concrete not subjected to electric current. The present paper describes the procedures and results of a series of experiments we conducted to verify the efficiency of the electric heating method. In this method, a low-voltage high-current is run through reinforcing bars existing in a concrete structure, inducing intense heat in the bars which in its turn brings about cracks in the surrounding concrete mass, facilitating secondary demolition by hammer picks or other means. The experiments were performed on full-scale biological shield wall mock-ups of a BWR and a small nuclear reactor. The experiments revealed that these excellent features of the electric heating method are worth utilizing in stripping demolition of radioactivated regions of biological shield walls in nuclear power plants. The electric heating method is currently being adopted and shows effective results in partial demolition works in diaphragm wall shafts where starting/arriving holes are to be fixed for shield machines without damaging surrounding portions. (author)

Team training using full-scale reactor coolant pump seal mock-ups

International Nuclear Information System (INIS)

McDonald, T.J.; Hamill, R.W.

1987-01-01

The use of full-scale reactor coolant pump (RCP) seal mock-ups has greatly enhanced Northeast Utilities' ability to effectively utilize the team training approach to technical training. With the advent of the Institute of Nuclear Power Operations accreditation come a new emphasis and standards for the integrated training of plant engineering personnel, maintenance mechanics, quality control personnel, and health physics personnel. The results of purchasing full-scale RCP mock-ups to pilot the concept of team training have far exceeded expectations and cost-limiting factors. The initial training program analysis identified RCP seal maintenance as a task that required training for maintenance department personnel. Due to radiation exposure considerations and the unavailability of actual plant equipment for training purposes, the decision was made to procure a mock-up of an RCP seal assembly and housing. This mock-up was designed to facilitate seal cartridge removal, disassembly, assembly, and installation, duplicating all internal components of the seal cartridge and housing area in exact detail

[The role of self-guided training in the relationship between task conflict and innovation in virtual teams].

Science.gov (United States)

Martínez Moreno, Edurne; Orengo Castellá, Virginia; Zornoza Abad, Ana

2012-02-01

This study was conducted to evaluate the moderating role of self-guided training in the relationship between task conflict and team innovation in synchronic computer-mediated communication (SCMC) teams. For this purpose, a laboratory study was carried out in which 26 teams were assigned to the training condition and 24 to the control condition. Results confirmed that SCMC teams develop a negative relationship between task conflict and innovation, but also revealed that self-guided training may slow these counterproductive effects down. Our study provides new evidence of the linear relationship between task conflict and team innovation in SCMC teams, extending previous research findings obtained in face-to-face teams to virtual context and suggest that self-guided training can be useful for virtual team innovation.

Development of an Integrated Team Training Design and Assessment Architecture to Support Adaptability in Healthcare Teams

Science.gov (United States)

2016-10-01

chosen for their expertise and to ensure geographical representation. COMPLETED Human Research Protection Office IRB 3 The HRPO has granted exempt... taxonomy (Figure 3) can help guide the selection of appropriate training targets and can help educators target correct task complexity, appropriate...team assessment. We extended this knowledge by investigating the team science, safety science, and human factors literature. Because our work

METHODOLOGICAL ANALYSIS OF TRAINING STUDENT basketball teams

Directory of Open Access Journals (Sweden)

Kozina Zh.L.

2011-06-01

Full Text Available Considered the leading position of the preparation of basketball teams in high schools. The system includes the following: reliance on top-quality players in the structure of preparedness, widespread use of visual aids, teaching movies and cartoons with a record of technology implementation of various methods by professional basketball players, the application of the methods of autogenic and ideomotor training according to our methodology. The study involved 63 students 1.5 courses from various universities of Kharkov 1.2 digits: 32 experimental group and 31 - control. The developed system of training students, basketball players used within 1 year. The efficiency of the developed system in the training process of students, basketball players.

76 FR 35006 - Recovery Policy RP9523.4, Demolition of Private Structures

Science.gov (United States)

2011-06-15

...] Recovery Policy RP9523.4, Demolition of Private Structures AGENCY: Federal Emergency Management Agency, DHS... (FEMA) is accepting comments on Recovery Policy RP9523.4, Demolition of Private Structures. DATES... guidance in determining the eligibility of demolition of private structures under the provisions of the...

Enhanced Training for Cyber Situational Awareness in Red versus Blue Team Exercises

Energy Technology Data Exchange (ETDEWEB)

Carbajal, Armida J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Human Factors and Statistics; Stevens-Adams, Susan Marie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Risk and Reliability Analysis; Silva, Austin Ray [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Cognitive Modeling; Nauer, Kevin S. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Cyber Security Technologies; Anderson, Benjamin Robert [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Assurance Technologies and Assessment; Forsythe, James Chris [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Cognitive Modeling

2012-09-01

This report summarizes research conducted through the Sandia National Laboratories Enhanced Training for Cyber Situational Awareness in Red Versus Blue Team Exercises Laboratory Directed Research and Development project. The objective of this project was to advance scientific understanding concerning how to best structure training for cyber defenders. Two modes of training were considered. The baseline training condition (Tool-Based training) was based on current practices where classroom instruction focuses on the functions of a software tool with various exercises in which students apply those functions. In the second training condition (Narrative-Based training), classroom instruction addressed software functions, but in the context of adversary tactics and techniques. It was hypothesized that students receiving narrative-based training would gain a deeper conceptual understanding of the software tools and this would be reflected in better performance within a red versus blue team exercise.

Identifying and training non-technical skills of nuclear emergency response teams

International Nuclear Information System (INIS)

Crichton, M.T.; Flin, R.

2004-01-01

Training of the non-technical (social and cognitive) skills that are crucial to safe and effective management by teams in emergency situations is an issue that is receiving increasing emphasis in many organisations, particularly in the nuclear power industry. As teams play a major role in emergency response organisations (ERO), effective functioning and interactions within, between and across teams is crucial, particularly as the management of an emergency situation often requires that teams are extended by members from various other sections and strategic groups throughout the company, as well as members of external agencies. A series of interviews was recently conducted with members of a UK nuclear emergency response organisation to identify the non-technical skills required by team members that would be required for managing an emergency. Critical skills have been identified as decision making and situation assessment, as well as communication, teamwork, and stress management. A number of training strategies are discussed which can be tailored to the roles and responsibilities of the team members and the team leader, based on the roles within the team being defined as either Decision Maker, Evaluator, or Implementor, according to Nuclear Energy Institute (NEI) classifications. It is anticipated that enhanced learning of the necessary non-technical skills, through experience and directed practice, will improve the skills of members of emergency response teams

Identifying and training non-technical skills of nuclear emergency response teams

Energy Technology Data Exchange (ETDEWEB)

Crichton, M.T. E-mail: m.crichton@abdn.ac.uk; Flin, R

2004-08-01

Training of the non-technical (social and cognitive) skills that are crucial to safe and effective management by teams in emergency situations is an issue that is receiving increasing emphasis in many organisations, particularly in the nuclear power industry. As teams play a major role in emergency response organisations (ERO), effective functioning and interactions within, between and across teams is crucial, particularly as the management of an emergency situation often requires that teams are extended by members from various other sections and strategic groups throughout the company, as well as members of external agencies. A series of interviews was recently conducted with members of a UK nuclear emergency response organisation to identify the non-technical skills required by team members that would be required for managing an emergency. Critical skills have been identified as decision making and situation assessment, as well as communication, teamwork, and stress management. A number of training strategies are discussed which can be tailored to the roles and responsibilities of the team members and the team leader, based on the roles within the team being defined as either Decision Maker, Evaluator, or Implementor, according to Nuclear Energy Institute (NEI) classifications. It is anticipated that enhanced learning of the necessary non-technical skills, through experience and directed practice, will improve the skills of members of emergency response teams.

Virtual worlds and team training.

Science.gov (United States)

Dev, Parvati; Youngblood, Patricia; Heinrichs, W Leroy; Kusumoto, Laura

2007-06-01

An important component of all emergency medicine residency programs is managing trauma effectively as a member of an emergency medicine team, but practice on live patients is often impractical and mannequin-based simulators are expensive and require all trainees to be physically present at the same location. This article describes a project to develop and evaluate a computer-based simulator (the Virtual Emergency Department) for distance training in teamwork and leadership in trauma management. The virtual environment provides repeated practice opportunities with life-threatening trauma cases in a safe and reproducible setting.

Workplace substance abuse prevention and help seeking: comparing team-oriented and informational training.

Science.gov (United States)

Bennett, J B; Lehman, W E

2001-07-01

Employees fail to seek help for alcohol or drug (AOD) abuse because of unhealthy work climates, stigma, and distrust in Employee Assistance Programs (EAPs). To address such problems, the authors randomly assigned groups of municipal employees (N = 260) to 2 types of training: a 4-hr informational review of EAPs and policy and an 8-hr training that embedded messages about AOD reduction in the context of team building and stress management. Pre- and posttraining and 6-month follow-up surveys assessed change. Group privacy regulation, EAP trust, help seeking, and peer encouragement increased for team training. Stigma of substance users decreased for information training. EAP/policy knowledge increased for both groups. A control group showed little change. Help seeking and peer encouragement also predicted EAP utilization. Integrating both team and informational training may be the most effective for improving help seeking and EAP utilization.

Study on team evaluation. Team process model for team evaluation

International Nuclear Information System (INIS)

Sasou Kunihide; Ebisu, Mitsuhiro; Hirose, Ayako

2004-01-01

Several studies have been done to evaluate or improve team performance in nuclear and aviation industries. Crew resource management is the typical example. In addition, team evaluation recently gathers interests in other teams of lawyers, medical staff, accountants, psychiatrics, executive, etc. However, the most evaluation methods focus on the results of team behavior that can be observed through training or actual business situations. What is expected team is not only resolving problems but also training younger members being destined to lead the next generation. Therefore, the authors set the final goal of this study establishing a series of methods to evaluate and improve teams inclusively such as decision making, motivation, staffing, etc. As the first step, this study develops team process model describing viewpoints for the evaluation. The team process is defined as some kinds of power that activate or inactivate competency of individuals that is the components of team's competency. To find the team process, the authors discussed the merits of team behavior with the experienced training instructors and shift supervisors of nuclear/thermal power plants. The discussion finds four team merits and many components to realize those team merits. Classifying those components into eight groups of team processes such as 'Orientation', 'Decision Making', 'Power and Responsibility', 'Workload Management', 'Professional Trust', 'Motivation', 'Training' and 'staffing', the authors propose Team Process Model with two to four sub processes in each team process. In the future, the authors will develop methods to evaluate some of the team processes for nuclear/thermal power plant operation teams. (author)

Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: A systematic review.

Science.gov (United States)

Fung, Lillia; Boet, Sylvain; Bould, M Dylan; Qosa, Haytham; Perrier, Laure; Tricco, Andrea; Tavares, Walter; Reeves, Scott

2015-01-01

Crisis resource management (CRM) abilities are important for different healthcare providers to effectively manage critical clinical events. This study aims to review the effectiveness of simulation-based CRM training for interprofessional and interdisciplinary teams compared to other instructional methods (e.g., didactics). Interprofessional teams are composed of several professions (e.g., nurse, physician, midwife) while interdisciplinary teams are composed of several disciplines from the same profession (e.g., cardiologist, anaesthesiologist, orthopaedist). Medline, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, and ERIC were searched using terms related to CRM, crisis management, crew resource management, teamwork, and simulation. Trials comparing simulation-based CRM team training versus any other methods of education were included. The educational interventions involved interprofessional or interdisciplinary healthcare teams. The initial search identified 7456 publications; 12 studies were included. Simulation-based CRM team training was associated with significant improvements in CRM skill acquisition in all but two studies when compared to didactic case-based CRM training or simulation without CRM training. Of the 12 included studies, one showed significant improvements in team behaviours in the workplace, while two studies demonstrated sustained reductions in adverse patient outcomes after a single simulation-based CRM team intervention. In conclusion, CRM simulation-based training for interprofessional and interdisciplinary teams show promise in teaching CRM in the simulator when compared to didactic case-based CRM education or simulation without CRM teaching. More research, however, is required to demonstrate transfer of learning to workplaces and potential impact on patient outcomes.

OPEN AIR DEMOLITION OF FACILITIES HIGHLY CONTAMINATED WITH PLUTONIUM

International Nuclear Information System (INIS)

LLOYD, E.R.

2007-01-01

The demolition of highly contaminated plutonium buildings usually is a long and expensive process that involves decontaminating the building to near free- release standards and then using conventional methods to remove the structure. It doesn't, however, have to be that way. Fluor has torn down buildings highly contaminated with plutonium without excessive decontamination. By removing the select source term and fixing the remaining contamination on the walls, ceilings, floors, and equipment surfaces; open-air demolition is not only feasible, but it can be done cheaper, better (safer), and faster. Open-air demolition techniques were used to demolish two highly contaminated buildings to slab-on-grade. These facilities on the Department of Energy's Hanford Site were located in, or very near, compounds of operating nuclear facilities that housed hundreds of people working on a daily basis. To keep the facilities operating and the personnel safe, the projects had to be creative in demolishing the structures. Several key techniques were used to control contamination and keep it within the confines of the demolition area: spraying fixatives before demolition; applying fixative and misting with a fine spray of water as the buildings were being taken down; and demolishing the buildings in a controlled and methodical manner. In addition, detailed air-dispersion modeling was done to establish necessary building and meteorological conditions and to confirm the adequacy of the proposed methods. Both demolition projects were accomplished without any spread of contamination outside the modest buffer areas established for contamination control. Furthermore, personnel exposure to radiological and physical hazards was significantly reduced by using heavy equipment rather than ''hands on'' techniques

The Role of Communication During Trauma Activations: Investigating the Need for Team and Leader Communication Training.

Science.gov (United States)

Raley, Jessica; Meenakshi, Rani; Dent, Daniel; Willis, Ross; Lawson, Karla; Duzinski, Sarah

Fatal errors due to miscommunication among members of trauma teams are 2 to 4 times more likely to occur than in other medical teams, yet most trauma team members do not receive communication effectiveness training. A needs assessment was conducted to examine trauma team members' miscommunication experiences and research scientists' evaluations of live trauma activations. The purpose of this study is to demonstrate that communication training is necessary and highlight specific team communication competencies that trauma teams should learn to improve communication during activations. Data were collected in 2 phases. Phase 1 required participants to complete a series of surveys. Phase 2 included live observations and assessments of pediatric trauma activations using the assessment of pediatric resuscitation team assessments (APRC-TA) and assessment of pediatric resuscitation leader assessments (APRC-LA). Data were collected at a southwestern pediatric hospital. Trauma team members and leaders completed surveys at a meeting and were observed while conducting activations in the trauma bay. Trained research scientists and clinical staff used the APRC-TA and APRC-LA to measure trauma teams' medical performance and communication effectiveness. The sample included 29 healthcare providers who regularly participate in trauma activations. Additionally, 12 live trauma activations were assessed monday to friday from 8am to 5pm. Team members indicated that communication training should focus on offering assistance, delegating duties, accepting feedback, and controlling emotional expressions. Communication scores were not significantly different from medical performance scores. None of the teams were coded as effective medical performance and ineffective team communication and only 1 team was labeled as ineffective leader communication and effective medical performance. Communication training may be necessary for trauma teams and offer a deeper understanding of the communication

Health effects of 12 weeks of team-sport training and fitness training in a community health centre for sedentary men with lifestyle diseases

DEFF Research Database (Denmark)

Møller, Trine Kjeldgaard Tang; Nielsen, Tina-Thea; Andersen, René

2018-01-01

This study compares the effects of team-sport training, for sedentary men with lifestyle diseases, with fitness training in a pragmatic set-up in a community health centre (CHC). Thirty-two men in the fitness group (FiG) and 36 men in the team-sport group (TsG) completed the training and trained...

218 E-8 Borrow Pit Demolition Site clean closure soil evaluation report

International Nuclear Information System (INIS)

Korematsu-Olund, D.M.

1995-01-01

This report summarizes the sampling activities undertaken and the analytical results obtained in a soil sampling and analyses study performed for the 218 E-8 Borrow Pit Demolition Site (218 E-8 Demolition Site). The 218 E-8 Demolition Site is identified as a Resource Conservation and Recovery Act (RCRA) treatment unit that will be closed in accordance with the applicable laws and regulations. The site was used for the thermal treatment of discarded explosive chemical products. No constituents of concern were found in concentrations indicating contamination of the soil by 218 E-8 Demolition Site activities

Evaluation of Team Development in a Corporate Adventure Training Program.

Science.gov (United States)

Bronson, Jim; And Others

1992-01-01

An intact work unit of 17 corporate managers participated in a 3-day adventure training program to develop teamwork and group unity. The unit improved significantly on 8 of 10 items of the Team Development Inventory, administered before and 2 months after training, relative to an intact control group. (SV)

Effect of proprioception training on knee joint position sense in female team handball players.

Science.gov (United States)

Pánics, G; Tállay, A; Pavlik, A; Berkes, I

2008-06-01

A number of studies have shown that proprioception training can reduce the risk of injuries in pivoting sports, but the mechanism is not clearly understood. To determine the contributing effects of propioception on knee joint position sense among team handball players. Prospective cohort study. Two professional female handball teams were followed prospectively for the 2005-6 season. 20 players in the intervention team followed a prescribed proprioceptive training programme while 19 players in the control team did not have a specific propioceptive training programme. The coaches recorded all exposures of the individual players. The location and nature of injuries were recorded. Joint position sense (JPS) was measured by a goniometer on both knees in three angle intervals, testing each angle five times. Assessments were performed before and after the season by the same examiner for both teams. In the intervention team a third assessment was also performed during the season. Complete data were obtained for 15 subjects in the intervention team and 16 in the control team. Absolute error score, error of variation score and SEM were calculated and the results of the intervention and control teams were compared. The proprioception sensory function of the players in the intervention team was significantly improved between the assessments made at the start and the end of the season (mean (SD) absolute error 9.78-8.21 degrees (7.19-6.08 degrees ) vs 3.61-4.04 degrees (3.71-3.20 degrees ), pteam between the start and the end of the season (mean (SD) absolute error 6.31-6.22 degrees (6.12-3.59 degrees ) vs 6.13-6.69 degrees (7.46-6.49 degrees ), p>0.05). This is the first study to show that proprioception training improves the joint position sense in elite female handball players. This may explain the effect of neuromuscular training in reducing the injury rate.

Yin and yang, or peas in a pod? Individual-sport versus team-sport athletes and altitude training.

Science.gov (United States)

Aughey, Robert J; Buchheit, Martin; Garvican-Lewis, Laura A; Roach, Gregory D; Sargent, Charli; Billaut, François; Varley, Matthew C; Bourdon, Pitre C; Gore, Christopher J

2013-12-01

The question of whether altitude training can enhance subsequent sea-level performance has been well investigated over many decades. However, research on this topic has focused on athletes from individual or endurance sports, with scant number of studies on team-sport athletes. Questions that need to be answered include whether this type of training may enhance team-sport athlete performance, when success in team-sport is often more based on technical and tactical ability rather than physical capacity per se. This review will contrast and compare athletes from two sports representative of endurance (cycling) and team-sports (soccer). Specifically, we draw on the respective competition schedules, physiological capacities, activity profiles and energetics of each sport to compare the similarities between athletes from these sports and discuss the relative merits of altitude training for these athletes. The application of conventional live-high, train-high; live-high, train-low; and intermittent hypoxic training for team-sport athletes in the context of the above will be presented. When the above points are considered, we will conclude that dependent on resources and training objectives, altitude training can be seen as an attractive proposition to enhance the physical performance of team-sport athletes without the need for an obvious increase in training load.

Yin and yang, or peas in a pod? Individual-sport versus team-sport athletes and altitude training

Science.gov (United States)

Aughey, Robert J; Buchheit, Martin; Garvican-Lewis, Laura A; Roach, Gregory D; Sargent, Charli; Billaut, François; Varley, Matthew C; Bourdon, Pitre C; Gore, Christopher J

2013-01-01

The question of whether altitude training can enhance subsequent sea-level performance has been well investigated over many decades. However, research on this topic has focused on athletes from individual or endurance sports, with scant number of studies on team-sport athletes. Questions that need to be answered include whether this type of training may enhance team-sport athlete performance, when success in team-sport is often more based on technical and tactical ability rather than physical capacity per se. This review will contrast and compare athletes from two sports representative of endurance (cycling) and team-sports (soccer). Specifically, we draw on the respective competition schedules, physiological capacities, activity profiles and energetics of each sport to compare the similarities between athletes from these sports and discuss the relative merits of altitude training for these athletes. The application of conventional live-high, train-high; live-high, train-low; and intermittent hypoxic training for team-sport athletes in the context of the above will be presented. When the above points are considered, we will conclude that dependent on resources and training objectives, altitude training can be seen as an attractive proposition to enhance the physical performance of team-sport athletes without the need for an obvious increase in training load. PMID:24255910

Disaster response team FAST skills training with a portable ultrasound simulator compared to traditional training: pilot study.

Science.gov (United States)

Paddock, Michael T; Bailitz, John; Horowitz, Russ; Khishfe, Basem; Cosby, Karen; Sergel, Michelle J

2015-03-01

Pre-hospital focused assessment with sonography in trauma (FAST) has been effectively used to improve patient care in multiple mass casualty events throughout the world. Although requisite FAST knowledge may now be learned remotely by disaster response team members, traditional live instructor and model hands-on FAST skills training remains logistically challenging. The objective of this pilot study was to compare the effectiveness of a novel portable ultrasound (US) simulator with traditional FAST skills training for a deployed mixed provider disaster response team. We randomized participants into one of three training groups stratified by provider role: Group A. Traditional Skills Training, Group B. US Simulator Skills Training, and Group C. Traditional Skills Training Plus US Simulator Skills Training. After skills training, we measured participants' FAST image acquisition and interpretation skills using a standardized direct observation tool (SDOT) with healthy models and review of FAST patient images. Pre- and post-course US and FAST knowledge were also assessed using a previously validated multiple-choice evaluation. We used the ANOVA procedure to determine the statistical significance of differences between the means of each group's skills scores. Paired sample t-tests were used to determine the statistical significance of pre- and post-course mean knowledge scores within groups. We enrolled 36 participants, 12 randomized to each training group. Randomization resulted in similar distribution of participants between training groups with respect to provider role, age, sex, and prior US training. For the FAST SDOT image acquisition and interpretation mean skills scores, there was no statistically significant difference between training groups. For US and FAST mean knowledge scores, there was a statistically significant improvement between pre- and post-course scores within each group, but again there was not a statistically significant difference between

The Effects of Integrating On-Going Training for Technical Documentation Teams

Science.gov (United States)

Catanio, Joseph T.; Catanio, Teri L.

2010-01-01

The tools and techniques utilized in the technical communications profession are constantly improving and changing. Information Technology (IT) organizations devote the necessary resources to equip and train engineering, marketing, and sales teams, but often fail to do so for technical documentation teams. Many IT organizations tend to view…

Mercury-Containing Devices and Demolition

Science.gov (United States)

Some items inside residential buildings contain mercury, which poses a persistent and toxic human health and environmental threat. These materials should be carefully salvaged for proper recycling to prevent mercury contamination prior to demolition.

Training and exercises of the Emergency Response Team at the Los Alamos Plutonium Facility

International Nuclear Information System (INIS)

Yearwood, D.D.

1988-01-01

The Los Alamos National Laboratory Plutonium Facility has an active Emergency Response Team. The Emergency Response Team is composed of members of the operating and support groups within the Plutonium Facility. In addition to their initial indoctrination, the members are trained and certified in first-aid, CPR, fire and rescue, and the use of self-contained-breathing-apparatus. Training exercises, drills, are conducted once a month. The drills consist of scenarios which require the Emergency Response Team to apply CPR and/or first aid. The drills are performed in the Plutonium Facility, they are video taped, then reviewed and critiqued by site personnel. Through training and effective drills and the Emergency Response Team can efficiently respond to any credible accident which may occur at the Plutonium Facility. 3 tabs

Getting a head start: high-fidelity, simulation-based operating room team training of interprofessional students.

Science.gov (United States)

Paige, John T; Garbee, Deborah D; Kozmenko, Valeriy; Yu, Qingzhao; Kozmenko, Lyubov; Yang, Tong; Bonanno, Laura; Swartz, William

2014-01-01

Effective teamwork in the operating room (OR) is often undermined by the "silo mentality" of the differing professions. Such thinking is formed early in one's professional experience and is fostered by undergraduate medical and nursing curricula lacking interprofessional education. We investigated the immediate impact of conducting interprofessional student OR team training using high-fidelity simulation (HFS) on students' team-related attitudes and behaviors. Ten HFS OR interprofessional student team training sessions were conducted involving 2 standardized HFS scenarios, each of which was followed by a structured debriefing that targeted team-based competencies. Pre- and post-session mean scores were calculated and analyzed for 15 Likert-type items measuring self-efficacy in teamwork competencies using the t-test. Additionally, mean scores of observer ratings of team performance after each scenario and participant ratings after the second scenario for an 11-item Likert-type teamwork scale were calculated and analyzed using one-way ANOVA and t-test. Eighteen nursing students, 20 nurse anesthetist students, and 28 medical students participated in the training. Statistically significant gains from mean pre- to post-training scores occurred on 11 of the 15 self-efficacy items. Statistically significant gains in mean observer performance scores were present on all 3 subscales of the teamwork scale from the first scenario to the second. A statistically significant difference was found in comparisons of mean observer scores with mean participant scores for the team-based behaviors subscale. High-fidelity simulation OR interprofessional student team training improves students' team-based attitudes and behaviors. Students tend to overestimate their team-based behaviors. Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Position statement--altitude training for improving team-sport players' performance: current knowledge and unresolved issues.

Science.gov (United States)

Girard, Olivier; Amann, Markus; Aughey, Robert; Billaut, François; Bishop, David J; Bourdon, Pitre; Buchheit, Martin; Chapman, Robert; D'Hooghe, Michel; Garvican-Lewis, Laura A; Gore, Christopher J; Millet, Grégoire P; Roach, Gregory D; Sargent, Charli; Saunders, Philo U; Schmidt, Walter; Schumacher, Yorck O

2013-12-01

Despite the limited research on the effects of altitude (or hypoxic) training interventions on team-sport performance, players from all around the world engaged in these sports are now using altitude training more than ever before. In March 2013, an Altitude Training and Team Sports conference was held in Doha, Qatar, to establish a forum of research and practical insights into this rapidly growing field. A round-table meeting in which the panellists engaged in focused discussions concluded this conference. This has resulted in the present position statement, designed to highlight some key issues raised during the debates and to integrate the ideas into a shared conceptual framework. The present signposting document has been developed for use by support teams (coaches, performance scientists, physicians, strength and conditioning staff) and other professionals who have an interest in the practical application of altitude training for team sports. After more than four decades of research, there is still no consensus on the optimal strategies to elicit the best results from altitude training in a team-sport population. However, there are some recommended strategies discussed in this position statement to adopt for improving the acclimatisation process when training/competing at altitude and for potentially enhancing sea-level performance. It is our hope that this information will be intriguing, balanced and, more importantly, stimulating to the point that it promotes constructive discussion and serves as a guide for future research aimed at advancing the bourgeoning body of knowledge in the area of altitude training for team sports.

Position statement—altitude training for improving team-sport players’ performance: current knowledge and unresolved issues

Science.gov (United States)

Girard, Olivier; Amann, Markus; Aughey, Robert; Billaut, François; Bishop, David J; Bourdon, Pitre; Buchheit, Martin; Chapman, Robert; D'Hooghe, Michel; Garvican-Lewis, Laura A; Gore, Christopher J; Millet, Grégoire P; Roach, Gregory D; Sargent, Charli; Saunders, Philo U; Schmidt, Walter; Schumacher, Yorck O

2013-01-01

Despite the limited research on the effects of altitude (or hypoxic) training interventions on team-sport performance, players from all around the world engaged in these sports are now using altitude training more than ever before. In March 2013, an Altitude Training and Team Sports conference was held in Doha, Qatar, to establish a forum of research and practical insights into this rapidly growing field. A round-table meeting in which the panellists engaged in focused discussions concluded this conference. This has resulted in the present position statement, designed to highlight some key issues raised during the debates and to integrate the ideas into a shared conceptual framework. The present signposting document has been developed for use by support teams (coaches, performance scientists, physicians, strength and conditioning staff) and other professionals who have an interest in the practical application of altitude training for team sports. After more than four decades of research, there is still no consensus on the optimal strategies to elicit the best results from altitude training in a team-sport population. However, there are some recommended strategies discussed in this position statement to adopt for improving the acclimatisation process when training/competing at altitude and for potentially enhancing sea-level performance. It is our hope that this information will be intriguing, balanced and, more importantly, stimulating to the point that it promotes constructive discussion and serves as a guide for future research aimed at advancing the bourgeoning body of knowledge in the area of altitude training for team sports. PMID:24282213

Leadership, Training, and Gender Influences on Team Decision Making

National Research Council Canada - National Science Library

Bird, Megan

1997-01-01

This study explored the effects of gender of the leader, gender of the non-leader, and whether the leader or non-leader was trained on team decision making while solving a computerized Tower of Hanoi puzzle...

200 West Ash Pit Demolition Site closure plan

International Nuclear Information System (INIS)

1992-11-01

The Hanford Facility is owned by the US Government and operated by the US Department of Energy, Richland Field Office. Dangerous waste and mixed waste (containing both radioactive and dangerous components) are managed and produced on the Hanford Facility. Westinghouse Hanford Company is a major contractor to the US Department of Energy, Richland Field Office and serves as cooperator of the 200 West Ash Pit Demolition Site, the unit addressed in this closure plan. The 200 West Ash Pit Demolition Site Closure Plan consists of a Part A Permit Application (Revision 3) and a closure plan. An explanation of the Part A Permit Application revision is provided at the beginning of the Part A section. The closure plan consists of nine chapters and three appendices. This 200 West Ash Pit Demolition Site Closure Plan submittal contains information current as of October 15, 1992

Model for Team Training Using the Advanced Trauma Operative Management Course: Pilot Study Analysis.

Science.gov (United States)

Perkins, R Serene; Lehner, Kathryn A; Armstrong, Randy; Gardiner, Stuart K; Karmy-Jones, Riyad C; Izenberg, Seth D; Long, William B; Wackym, P Ashley

2015-01-01

Education and training of surgeons has traditionally focused on the development of individual knowledge, technical skills, and decision making. Team training with the surgeon's operating room staff has not been prioritized in existing educational paradigms, particularly in trauma surgery. We aimed to determine whether a pilot curriculum for surgical technicians and nurses, based on the American College of Surgeons' Advanced Trauma Operative Management (ATOM) course, would improve staff knowledge if conducted in a team-training environment. Between December 2012 and December 2014, 22 surgical technicians and nurses participated in a curriculum complementary to the ATOM course, consisting of 8 individual 8-hour training sessions designed by and conducted at our institution. Didactic and practical sessions included educational content, hands-on instruction, and alternating role play during 5 system-specific injury scenarios in a simulated operating room environment. A pre- and postcourse examination was administered to participants to assess for improvements in team members' didactic knowledge. Course participants displayed a significant improvement in didactic knowledge after working in a team setting with trauma surgeons during the ATOM course, with a 9-point improvement on the postcourse examination (83%-92%, p = 0.0008). Most participants (90.5%) completing postcourse surveys reported being "highly satisfied" with course content and quality after working in our simulated team-training setting. Team training is critical to improving the knowledge base of surgical technicians and nurses in the trauma operative setting. Improved communication, efficiency, appropriate equipment use, and staff awareness are the desired outcomes when shifting the paradigm from individual to surgical team training so that improved patient outcomes, decreased risk, and cost savings can be achieved. Determine whether a pilot curriculum for surgical technicians and nurses, based on the

Why Simulation-Based Team Training Has Not Been Used Effectively and What Can Be Done about It

Science.gov (United States)

Masiello, Italo

2012-01-01

Advanced medical education simulators are broadly used today to train both technical/procedural and team-based skills. While there is convincing evidence of the benefits of training technical skills, this is not the case for team-based skills. Research on medical expertise could drive the creation of a new regime of simulation-based team training.…

[Multiprofessional family-system training programme in psychiatry--effects on team cooperation and staff strain].

Science.gov (United States)

Zwack, Julika; Schweitzer, Jochen

2008-01-01

How does the interdisciplinary cooperation of psychiatric staff members change after a multiprofessional family systems training programme? Semi-structured interviews were conducted with 49 staff members. Quantitative questionnaires were used to assess burnout (Maslach Burnout Inventory, MBI) and team climate (Team-Klima-Inventar, TKI). The multiprofessional training intensifies interdisciplinary cooperation. It results in an increased appreciation of the nurses involved and in a redistribution of therapeutic tasks between nurses, psychologists and physicians. Staff burnout decreased during the research period, while task orientation and participative security within teams increased. The multiprofessional family systems training appears suitable to improve quality of patient care and interdisciplinary cooperation and to reduce staff burnout.

Studying distributed cognition of simulation-based team training with DiCoT.

Science.gov (United States)

Rybing, Jonas; Nilsson, Heléne; Jonson, Carl-Oscar; Bang, Magnus

2016-03-01

Health care organizations employ simulation-based team training (SBTT) to improve skill, communication and coordination in a broad range of critical care contexts. Quantitative approaches, such as team performance measurements, are predominantly used to measure SBTTs effectiveness. However, a practical evaluation method that examines how this approach supports cognition and teamwork is missing. We have applied Distributed Cognition for Teamwork (DiCoT), a method for analysing cognition and collaboration aspects of work settings, with the purpose of assessing the methodology's usefulness for evaluating SBTTs. In a case study, we observed and analysed four Emergo Train System® simulation exercises where medical professionals trained emergency response routines. The study suggests that DiCoT is an applicable and learnable tool for determining key distributed cognition attributes of SBTTs that are of importance for the simulation validity of training environments. Moreover, we discuss and exemplify how DiCoT supports design of SBTTs with a focus on transfer and validity characteristics. Practitioner Summary: In this study, we have evaluated a method to assess simulation-based team training environments from a cognitive ergonomics perspective. Using a case study, we analysed Distributed Cognition for Teamwork (DiCoT) by applying it to the Emergo Train System®. We conclude that DiCoT is useful for SBTT evaluation and simulator (re)design.

Demolition wastes recycling; Reciclado de residuos de construccion y demolicion

Energy Technology Data Exchange (ETDEWEB)

Aguilar, A.; Monge, G. [INGURU Constructore, S.A. (Spain)

1995-06-01

This paper wants to show the up-to-date situation of demolition wastes from an international point of view. On the one hand it describes the different type of demolition wastes; on the other hand it explains the kind of treatment that is more adequate to each one. (Author)

Simulation team training for improved teamwork in an intensive care unit.

Science.gov (United States)

Sandahl, Christer; Gustafsson, Helena; Wallin, Carl-Johan; Meurling, Lisbet; Øvretveit, John; Brommels, Mats; Hansson, Johan

2013-01-01

This study aims to describe implementation of simulator-based medical team training and the effect of this programme on inter-professional working in an intensive care unit (ICU). Over a period of two years, 90 percent (n = 152) of the staff of the general ICU at Karolinska University Hospital, Huddinge, Sweden, received inter-professional team training in a fully equipped patient room in their own workplace. A case study method was used to describe and explain the planning, formation, and results of the training programme. In interviews, the participants reported that the training had increased their awareness of the importance of effective communication for patient safety. The intervention had even had an indirect impact by creating a need to talk, not only about how to communicate efficaciously, but also concerning difficult care situations in general. This, in turn, had led to regular reflection meetings for nurses held three times a week. Examples of better communication in acute situations were also reported. However, the findings indicate that the observed improvements will not last, unless organisational features such as staffing rotas and scheduling of rounds and meetings can be changed to enable use of the learned behaviours in everyday work. Other threats to sustainability include shortage of staff, overtime for staff, demands for hospital beds, budget cuts, and poor staff communication due to separate meetings for nurses and physicians. The present results broaden our understanding of how to create and sustain an organizational system that supports medical team training.

Models and Methods for Adaptive Management of Individual and Team-Based Training Using a Simulator

Science.gov (United States)

Lisitsyna, L. S.; Smetyuh, N. P.; Golikov, S. P.

2017-05-01

Research of adaptive individual and team-based training has been analyzed and helped find out that both in Russia and abroad, individual and team-based training and retraining of AASTM operators usually includes: production training, training of general computer and office equipment skills, simulator training including virtual simulators which use computers to simulate real-world manufacturing situation, and, as a rule, the evaluation of AASTM operators’ knowledge determined by completeness and adequacy of their actions under the simulated conditions. Such approach to training and re-training of AASTM operators stipulates only technical training of operators and testing their knowledge based on assessing their actions in a simulated environment.

Team Work and Democratic Learning in Projectmanagement Training

DEFF Research Database (Denmark)

Lidon, Ivan; Rebollar, Ruben; Qvist, Palle

of Zaragoza, which makes it possible to detect problems of teamwork functioning in groups while they develop their projects, in order to prevent possible failure once projects are completed. The Democratic Learning Questionnaire developed at Aalborg University, which studies the decision-making process within...... it possible to establish a correlation between a group's decision making process and the quality of its functioning as a team.......Project Management is a discipline of a basically professional nature. Training in Project Management must provide students with a series of professional competencies, among which teamwork stands out as one of the most important, since all projects, by definition, must be carried out by teams...

22 CFR 121.11 - Military demolition blocks and blasting caps.

Science.gov (United States)

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Military demolition blocks and blasting caps... blasting caps. Military demolition blocks and blasting caps referred to in Category IV(a) do not include the following articles: (a) Electric squibs. (b) No. 6 and No. 8 blasting caps, including electric...

Team Training and Institutional Protocols to Prevent Shoulder Dystocia Complications.

Science.gov (United States)

Smith, Samuel

2016-12-01

Shoulder dystocia is an obstetrical emergency that may result in significant neonatal complications. It requires rapid recognition and a coordinated response. Standardization of care, teamwork and communication, and clinical simulation are the key components of patient safety programs in obstetrics. Simulation-based team training and institutional protocols for the management of shoulder dystocia are emerging as integral components of many labor and delivery safety initiatives because of their impact on technical skills and team performance.

Intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care: a descriptive qualitative study.

Science.gov (United States)

Ballangrud, Randi; Hall-Lord, Marie Louise; Persenius, Mona; Hedelin, Birgitta

2014-08-01

To describe intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care. Failures in team processes are found to be contributory factors to incidents in an intensive care environment. Simulation-based training is recommended as a method to make health-care personnel aware of the importance of team working and to improve their competencies. The study uses a qualitative descriptive design. Individual qualitative interviews were conducted with 18 intensive care nurses from May to December 2009, all of which had attended a simulation-based team training programme. The interviews were analysed by qualitative content analysis. One main category emerged to illuminate the intensive care nurse perception: "training increases awareness of clinical practice and acknowledges the importance of structured work in teams". Three generic categories were found: "realistic training contributes to safe care", "reflection and openness motivates learning" and "finding a common understanding of team performance". Simulation-based team training makes intensive care nurses more prepared to care for severely ill patients. Team training creates a common understanding of how to work in teams with regard to patient safety. Copyright © 2014 Elsevier Ltd. All rights reserved.

Ada training evaluation and recommendations from the Gamma Ray Observatory Ada Development Team

International Nuclear Information System (INIS)

1985-10-01

The Ada training experiences of the Gamma Ray Observatory Ada development team are related, and recommendations are made concerning future Ada training for software developers. Training methods are evaluated, deficiencies in the training program are noted, and a recommended approach, including course outline, time allocation, and reference materials, is offered

Environmental impacts of manufactured gas plant demolition: examples from site remediation experience

Energy Technology Data Exchange (ETDEWEB)

Unites, D. [Atlantic Environmental Services, Inc., Colchester, CT (United States)

1995-12-31

Inappropriate demolition of manufactured gas plant (MGP) sites may leave a continuing legacy in the environmental record. Much of the contamination encountered at former gas plants originated from on-site disposal or from spills and leaks during operations. However, some of the greatest potential for continual release comes from inappropriately decommissioned vessels and tanks. These structures contained liquids such as tars, oils, water, and other fluids associated with by-product removal or the gas stream purification process. Inorganic `solids` constitute another, although generally minor, source of contaminants during demolition. These contaminants include: cyanide- and sulfide-containing purifier materials; asbestos from roofing, pipe lagging, etc.; mercury from controls and manometers; and lead from painted surfaces. Normal elements of decommissioning and dismantling include: purging the piping system with inert gas; removal and sale of liquids having commercial value; disposal or abandonment of non-saleable liquids; scrapping and dismantling of above-grade metal vessels; abandonment of below-grade vessels; and demolition of above-grade buildings. Depending on the time from the cessation of operations to the demolition, some steps may have been omitted. Appropriate demolition would also take into account removal and disposal of asbestos, cyanide, lead, and mercury-containing materials prior to razing structures. By employing precautions during demolition, widespread contamination can be avoided and subsequent reuse of the site can be facilitated.

Green Residential Demolitions: Case Study of Vacant Land Reuse in Storm Water Management in Cleveland

Science.gov (United States)

The demolition process impacts how vacant land might be reused for storm water management. For five residential demolition sites (Cleveland, Ohio), an enhanced green demolition process was observed in 2012, and soil physical and hydrologic characteristics were measured predemolit...

Cluster randomized trial to evaluate the impact of team training on surgical outcomes.

Science.gov (United States)

Duclos, A; Peix, J L; Piriou, V; Occelli, P; Denis, A; Bourdy, S; Carty, M J; Gawande, A A; Debouck, F; Vacca, C; Lifante, J C; Colin, C

2016-12-01

The application of safety principles from the aviation industry to the operating room has offered hope in reducing surgical complications. This study aimed to assess the impact on major surgical complications of adding an aviation-based team training programme after checklist implementation. A prospective parallel-group cluster trial was undertaken between September 2011 and March 2013. Operating room teams from 31 hospitals were assigned randomly to participate in a team training programme focused on major concepts of crew resource management and checklist utilization. The primary outcome measure was the occurrence of any major adverse event, including death, during the hospital stay within the first 30 days after surgery. Using a difference-in-difference approach, the ratio of the odds ratios (ROR) was estimated to compare changes in surgical outcomes between intervention and control hospitals. Some 22 779 patients were enrolled, including 5934 before and 16 845 after team training implementation. The risk of major adverse events fell from 8·8 to 5·5 per cent in 16 intervention hospitals (adjusted odds ratio 0·57, 95 per cent c.i. 0·48 to 0·68; P trends revealed significant improvements among ten institutions, equally distributed across intervention and control hospitals. Surgical outcomes improved substantially, with no difference between trial arms. Successful implementation of an aviation-based team training programme appears to require modification and adaptation of its principles in the context of the the surgical milieu. Registration number: NCT01384474 (http://www.clinicaltrials.gov). © 2016 BJS Society Ltd Published by John Wiley & Sons Ltd.

Team Action Imagery and Team Cognition: Imagery of Game Situations and Required Team Actions Promotes a Functional Structure in Players' Representations of Team-Level Tactics.

Science.gov (United States)

Frank, Cornelia; Linstromberg, Gian-Luca; Hennig, Linda; Heinen, Thomas; Schack, Thomas

2018-02-01

A team's cognitions of interpersonally coordinated actions are a crucial component for successful team performance. Here, we present an approach to practice team action by way of imagery and examine its impact on team cognitions in long-term memory. We investigated the impact of a 4-week team action imagery intervention on futsal players' mental representations of team-level tactics. Skilled futsal players were assigned to either an imagery training group or a no imagery training control group. Participants in the imagery training group practiced four team-level tactics by imagining team actions in specific game situations for three times a week. Results revealed that the imagery training group's representations were more similar to that of an expert representation after the intervention compared with the control group. This study indicates that team action imagery training can have a significant impact on players' tactical skill representations and thus order formation in long-term memory.

Development and validation of an instrument for measuring the quality of teamwork in teaching teams in postgraduate medical training (TeamQ)

NARCIS (Netherlands)

Slootweg, Irene A.; Lombarts, Kiki M. J. M. H.; Boerebach, Benjamin C. M.; Heineman, Maas Jan; Scherpbier, Albert J. J. A.; van der Vleuten, Cees P. M.

2014-01-01

Teamwork between clinical teachers is a challenge in postgraduate medical training. Although there are several instruments available for measuring teamwork in health care, none of them are appropriate for teaching teams. The aim of this study is to develop an instrument (TeamQ) for measuring

Every team needs a coach: Training for interprofessional clinical placements.

Science.gov (United States)

Grymonpre, Ruby; Bowman, Susan; Rippin-Sisler, Cathy; Klaasen, Kathleen; Bapuji, Sunita B; Norrie, Ola; Metge, Colleen

2016-09-01

Despite growing awareness of the benefits of interprofessional education and interprofessional collaboration (IPC), understanding how teams successfully transition to IPC is limited. Student exposure to interprofessional teams fosters the learners' integration and application of classroom-based interprofessional theory to practice. A further benefit might be reinforcing the value of IPC to members of the mentoring team and strengthening their IPC. The research question for this study was: Does training in IPC and clinical team facilitation and mentorship of pre-licensure learners during interprofessional clinical placements improve the mentoring teams' collaborative working relationships compared to control teams? Statistical analyses included repeated time analysis multivariate analysis of variance (MANOVA). Teams on four clinical units participated in the project. Impact on intervention teams pre- versus post-interprofessional clinical placement was modest with only the Cost of Team score of the Attitudes Towards Healthcare Team Scale improving relative to controls (p = 0.059) although reflective evaluations by intervention team members noted many perceived benefits of interprofessional clinical placements. The significantly higher group scores for control teams (geriatric and palliative care) on three of four subscales of the Assessment of Interprofessional Team Collaboration Scale underscore our need to better understand the unique features within geriatric and palliative care settings that foster superior IPC and to recognise that the transition to IPC likely requires a more diverse intervention than the interprofessional clinical placement experience implemented in this study. More recently, it is encouraging to see the development of innovative tools that use an evidence-based, multi-dimensional approach to support teams in their transition to IPC.

Optimisation of simulated team training through the application of learning theories: a debate for a conceptual framework

Science.gov (United States)

2014-01-01

Background As a conceptual review, this paper will debate relevant learning theories to inform the development, design and delivery of an effective educational programme for simulated team training relevant to health professionals. Discussion Kolb’s experiential learning theory is used as the main conceptual framework to define the sequence of activities. Dewey’s theory of reflective thought and action, Jarvis modification of Kolb’s learning cycle and Schön’s reflection-on-action serve as a model to design scenarios for optimal concrete experience and debriefing for challenging participants’ beliefs and habits. Bandura’s theory of self-efficacy and newer socio-cultural learning models outline that for efficient team training, it is mandatory to introduce the social-cultural context of a team. Summary The ideal simulated team training programme needs a scenario for concrete experience, followed by a debriefing with a critical reflexive observation and abstract conceptualisation phase, and ending with a second scenario for active experimentation. Let them re-experiment to optimise the effect of a simulated training session. Challenge them to the edge: The scenario needs to challenge participants to generate failures and feelings of inadequacy to drive and motivate team members to critical reflect and learn. Not experience itself but the inadequacy and contradictions of habitual experience serve as basis for reflection. Facilitate critical reflection: Facilitators and group members must guide and motivate individual participants through the debriefing session, inciting and empowering learners to challenge their own beliefs and habits. To do this, learners need to feel psychological safe. Let the group talk and critical explore. Motivate with reality and context: Training with multidisciplinary team members, with different levels of expertise, acting in their usual environment (in-situ simulation) on physiological variables is mandatory to introduce

Training, executive, attention and motor skills (TEAMS) training versus standard treatment for preschool children with attention deficit hyperactivity disorder

DEFF Research Database (Denmark)

Vibholm, Helle Annette; Pedersen, Jesper; Faltinsen, Erlend

2018-01-01

OBJECTIVE: This study compared the effectiveness of manualised training, executive, attention, and motor skills (TEAMS) training versus standard treatment in preschool children with attention deficit hyperactivity disorder (ADHD). We conducted a randomised parallel group, single...

Leadership Training in an MBA Program Using Peer-Led Team Learning

Science.gov (United States)

Dobson, Gregory; Frye, Robin; Mantena, Ravi

2013-01-01

Leadership training is an important part of any MBA program, but is often difficult to provide in an effective way. Over the last three years, we implemented a program of Peer-Led Team Learning in two core courses of our MBA curriculum, which we believe provides a good solution. The program combines leadership training with practical hands-on…

Decommissioning and demolition in the European Union. Current status

International Nuclear Information System (INIS)

Blohm-Hieber, Ute

2009-01-01

The European Commission pursues the environmental and energy policy goals of limiting global warming to a maximum of 2 C and, therefore, reducing CO 2 emissions by at least 20%. Nuclear power, with its present 30% contribution to the Community's electricity supply and the low CO 2 emissions of the entire fuel cycle, makes an important contribution to an energy mix matching the 3 factors of competitiveness, security of supply, and sustainability. The decision to use nuclear power plants in their respective countries for electricity production is left to each member state. As of mid-2008, 146 nuclear power plants were in operation in the European Union, while 74 had been shut down permanently. Two nuclear power plants had been demolished completely, showing that the European Community is just at the beginning of the learning curve in this field. The importance of nuclear power plant decommissioning and demolition will increase in the future as replacement capacity in nuclear power generation will become necessary. The European Commission's activities in decommissioning and demolition date from the 1990s: The provisions about environmental impact assessment and the recommendations to apply Article 37 (potential impacts on water, soil and air) of the Euratom Treaty demand a description of decommissioning and demolition of nuclear power plants. In a ruling of 2002, the European Court of Justice assigns to the Community the required competences in the fields of nuclear safety and, consequently, also decommissioning and demolition. The financial provisions necessary for these activities are covered in the Electricity Directive within the framework of the rules for a common single market in 2003. After a first status report, the Commission published recommendations about financing decommissioning and demolition in 2006. (orig.)

Evaluation of aviation-based safety team training in a hospital in The Netherlands.

Science.gov (United States)

De Korne, Dirk F; Van Wijngaarden, Jeroen D H; Van Dyck, Cathy; Hiddema, U Francis; Klazinga, Niek S

2014-01-01

The purpose of this paper is to evaluate the implementation of a broad-scale team resource management (TRM) program on safety culture in a Dutch eye hospital, detailing the program's content and procedures. Aviation-based TRM training is recognized as a useful approach to increase patient safety, but little is known about how it affects safety culture. Pre- and post-assessments of the hospitals' safety culture was based on interviews with ophthalmologists, anesthesiologists, residents, nurses, and support staff. Interim observations were made at training sessions and in daily hospital practice. The program consisted of safety audits of processes and (team) activities, interactive classroom training sessions by aviation experts, a flight simulator session, and video recording of team activities with subsequent feedback. Medical professionals considered aviation experts inspiring role models and respected their non-hierarchical external perspective and focus on medical-technical issues. The post-assessment showed that ophthalmologists and other hospital staff had become increasingly aware of safety issues. The multidisciplinary approach promoted social (team) orientation that replaced the former functionally-oriented culture. The number of reported near-incidents greatly increased; the number of wrong-side surgeries stabilized to a minimum after an initial substantial reduction. The study was observational and the hospital's variety of efforts to improve safety culture prevented us from establishing a causal relation between improvement and any one specific intervention. Aviation-based TRM training can be a useful to stimulate safety culture in hospitals. Safety and quality improvements are not single treatment interventions but complex socio-technical interventions. A multidisciplinary system approach and focus on "team" instead of "profession" seems both necessary and difficult in hospital care.

Efficacy of simulation-based trauma team training of non-technical skills. A systematic review.

Science.gov (United States)

Gjeraa, K; Møller, T P; Østergaard, D

2014-08-01

Trauma resuscitation is a complex situation, and most organisations have multi-professional trauma teams. Non-technical skills are challenged during trauma resuscitation, and they play an important role in the prevention of critical incidents. Simulation-based training of these is recommended. Our research question was: Does simulation-based trauma team training of non-technical skills have effect on reaction, learning, behaviour or patient outcome? The authors searched PubMed, EMBASE and the Cochrane Library and found 13 studies eligible for analysis. We described and compared the educational interventions and the evaluations of effect according to the four Kirkpatrick levels: reaction, learning (knowledge, skills, attitudes), behaviour (in a clinical setting) and patient outcome. No studies were randomised, controlled and blinded, resulting in a moderate to high risk of bias. The multi-professional trauma teams had positive reactions to simulation-based training of non-technical skills. Knowledge and skills improved in all studies evaluating the effect on learning. Three studies found improvements in team performance (behaviour) in the clinical setting. One of these found difficulties in maintaining these skills. Two studies evaluated on patient outcome, of which none showed improvements in mortality, complication rate or duration of hospitalisation. A significant effect on learning was found after simulation-based training of the multi-professional trauma team in non-technical skills. Three studies demonstrated significantly increased clinical team performance. No effect on patient outcome was found. All studies had a moderate to high risk of bias. More comprehensive randomised studies are needed to evaluate the effect on patient outcome. © 2014 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Effects of Plyometric Training on Physical Fitness in Team Sport Athletes: A Systematic Review.

Science.gov (United States)

Slimani, Maamer; Chamari, Karim; Miarka, Bianca; Del Vecchio, Fabricio B; Chéour, Foued

2016-12-01

Plyometric training (PT) is a very popular form of physical conditioning of healthy individuals that has been extensively studied over the last decades. In this article, we critically review the available literature related to PT and its effects on physical fitness in team sport athletes. We also considered studies that combined PT with other popular training modalities (e.g. strength/sprint training). Generally, short-term PT (i.e. 2-3 sessions a week for 4-16 weeks) improves jump height, sprint and agility performances in team sport players. Literature shows that short PT (plyometric exercises and the bilateral and unilateral jumps could improve these performances more than the use of single plyometric drills or traditional PT. Thus, the present review shows a greater effect of PT alone on jump and sprint (30 m sprint performance only) performances than the combination of PT with sprint/strength training. Although many issues related to PT remain to be resolved, the results presented in this review allow recommending the use of well-designed and sport-specific PT as a safe and effective training modality for improving jumping and sprint performance as well as agility in team sport athletes.

Choosing a sustainable demolition waste management strategy using multicriteria decision analysis

International Nuclear Information System (INIS)

Roussat, Nicolas; Dujet, Christiane; Mehu, Jacques

2009-01-01

This paper presents an application of the ELECTRE III decision-aid method in the context of choosing a sustainable demolition waste management strategy for a case study in the city of Lyon, France. This choice of waste management strategy takes into consideration the sustainable development objectives, i.e. economic aspects, environmental consequences, and social issues. Nine alternatives for demolition waste management were compared with the aid of eight criteria, taking into account energy consumption, depletion of abiotic resources, global warming, dispersion of dangerous substances in the environment, economic activity, employment, and quality of life of the local population. The case study concerned the demolition of 25 buildings of an old military camp. Each alternative was illustrated with different waste treatments, such as material recovery, recycling, landfilling, and energy recovery. The recommended solution for sustainable demolition waste management for the case study is a selective deconstruction of each building with local material recovery in road engineering of inert wastes, local energy recovery of wood wastes, and specific treatments for hazardous wastes

Training loads of female canoeing youth national team in sprint competitions

Directory of Open Access Journals (Sweden)

Cieslicka Miroslawa.

2012-12-01

Full Text Available Introduction Long-term training process need precise, scientific management, based on recognition indicators of fitness preparation, technical, mental health status of the player. Control is treated as a collection of information allowing to organize rational technological solution. Verification should provide high reliability and information of the test results, what is achieved by standardizing test conditions, sets of samples used in any of the disciplines and measurement techniques. Objective The objective was to calculate the training loads of female canoeing youth national team (sprint. In addition, attempts to answer the following questions: What was the structure of the annual training plans and whether it is consistent with the theory of training canoeist?; What was the pace and direction of changes in the volume of work within each group of training? Materials and methods The study used records of logs implementation training loads what competitors have done in the years 2009 to 2010. The analysis included data on training loads and boot. The loads presented as the number of kilometers completed during each season training and during each period of the season and in arbitrary units. Results and conclusions Based on the collected material research analysed training of female canoeing youth national team both in terms of its subject, as well as temporary structures. Every aspect of fitness requires adequate time, necessary to make adaptive changes. Therefore, it is necessary to vary the time required for development. Comparing the training load can be seen that in 2009 competitors have done more work in the run-up than in 2010, but much smaller loads can be seen in 2009 during start season comparing the training load during startup in 2010.

Transfer of communication skills to the workplace: impact of a 38-hour communication skills training program designed for radiotherapy teams.

Science.gov (United States)

Merckaert, Isabelle; Delevallez, France; Gibon, Anne-Sophie; Liénard, Aurore; Libert, Yves; Delvaux, Nicole; Marchal, Serge; Etienne, Anne-Marie; Bragard, Isabelle; Reynaert, Christine; Slachmuylder, Jean-Louis; Scalliet, Pierre; Van Houtte, Paul; Coucke, Philippe; Razavi, Darius

2015-03-10

This study assessed the efficacy of a 38-hour communication skills training program designed to train a multidisciplinary radiotherapy team. Four radiotherapy teams were randomly assigned to a training program or a waiting list. Assessments were scheduled at baseline and after training for the training group and at baseline and 4 months later for the waiting list group. Assessments included an audio recording of a radiotherapy planning session to assess team members' communication skills and expression of concerns of patients with breast cancer (analyzed with content analysis software) and an adapted European Organisation for Research and Treatment of Cancer satisfaction with care questionnaire completed by patients at the end of radiotherapy. Two hundred thirty-seven radiotherapy planning sessions were recorded. Compared with members of the untrained teams, members of the trained teams acquired, over time, more assessment skills (P = .003) and more supportive skills (P = .050) and provided more setting information (P = .010). Over time, patients interacting with members of the trained teams asked more open questions (P = .022), expressed more emotional words (P = .025), and exhibited a higher satisfaction level regarding nurses' interventions (P = .028). The 38-hour training program facilitated transfer of team member learned communication skills to the clinical practice and improved patients' satisfaction with care. © 2015 by American Society of Clinical Oncology.

Hanford Patrol Academy demolition sites closure plan

Energy Technology Data Exchange (ETDEWEB)

1993-09-30

The Hanford Site is owned by the U.S. Government and operated by the U.S. Department of Energy, Richland Operations Office. Westinghouse Hanford Company is a major contractor to the U.S. Department of Energy, Richland Operations Office and serves as co-operator of the Hanford Patrol Academy Demolition Sites, the unit addressed in this paper. This document consists of a Hanford Facility Dangerous Waste Part A Permit Application, Form 3 (Revision 4), and a closure plan for the site. An explanation of the Part A Form 3 submitted with this closure plan is provided at the beginning of the Part A section. This Hanford Patrol Academy Demolition Sites Closure Plan submittal contains information current as of December 15, 1994.

Building patient safety in intensive care nursing : Patient safety culture, team performance and simulation-based training

OpenAIRE

Ballangrud, Randi

2013-01-01

Aim: The overall aim of the thesis was to investigate patient safety culture, team performance and the use of simulation-based team training for building patient safety in intensive care nursing. Methods: Quantitative and qualitative methods were used. In Study I, 220 RNs from ten ICUs responded to a patient safety culture questionnaire analysed with statistics. Studies II-IV were based on an evaluation of a simulation-based team training programme. Studies II-III included 53 RNs from seven I...

The Reflecting Team: A Training Method for Family Counselors

Science.gov (United States)

Chang, Jeff

2010-01-01

The reflecting team (RT) is an innovative method used in the training and supervision of family counselors. In this article, I trace the history, development, and current uses of RTs and review current findings on RTs. In my opinion, many users of RTs have diverged from their original theoretical principles and have adopted RTs mainly as a…

Recycling the construction and demolition waste to produce polymer concrete

Science.gov (United States)

Hamza, Mohammad T.; Hameed, Awham M., Dr.

2018-05-01

The sustainable management for solid wastes of the construction and demolition waste stimulates searching for safety applications for these wastes. The aim of this research is recycling of construction and demolition waste with some different types of polymeric resins to be used in manufacturing process of polymer mortar or polymer concrete, and studying their mechanical and physical properties, and also Specify how the values of compressive strength and the density are affected via the different parameters. In this research two types of construction and demolition waste were used as aggregates replacement (i.e. waste cement/concrete debris, and the waste blocks) while the two types of polymer resins (i.e. Unsaturated polyester and Epoxy) as cement replacements. The used weight percentages of the resins were changed within (1°, 20, 25 and 30) % to manufacture this polymer concrete.

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.

Science.gov (United States)

Jones, Katherine J; Skinner, Anne M; High, Robin; Reiter-Palmon, Roni

2013-05-01

Effective teamwork facilitates collective learning, which is integral to safety culture. There are no rigorous evaluations of the impact of team training on the four components of safety culture-reporting, just, flexible and learning cultures. We evaluated the impact of a year-long team training programme on safety culture in 24 hospitals using two theoretical frameworks. We used two quasi-experimental designs: a cross-sectional comparison of hospital survey on patient safety culture (HSOPS) results from an intervention group of 24 hospitals to a static group of 13 hospitals and a pre-post comparison of HSOPS results within intervention hospitals. Dependent variables were HSOPS items representing the four components of safety culture; independent variables were derived from items added to the HSOPS that measured the extent of team training, learning and transfer. We used a generalised linear mixed model approach to account for the correlated nature of the data. 59% of 2137 respondents from the intervention group reported receiving team training. Intervention group HSOPS scores were significantly higher than static group scores in three dimensions assessing the flexible and learning components of safety culture. The distribution of the adoption of team behaviours (transfer) varied in the intervention group from 2.8% to 31.0%. Adoption of team behaviours was significantly associated with odds of an individual reacting more positively at reassessment than baseline to nine items reflecting all four components of safety culture. Team training can result in transformational change in safety culture when the work environment supports the transfer of learning to new behaviour.

Benefits of training and development for individuals and teams, organizations, and society.

Science.gov (United States)

Aguinis, Herman; Kraiger, Kurt

2009-01-01

This article provides a review of the training and development literature since the year 2000. We review the literature focusing on the benefits of training and development for individuals and teams, organizations, and society. We adopt a multidisciplinary, multilevel, and global perspective to demonstrate that training and development activities in work organizations can produce important benefits for each of these stakeholders. We also review the literature on needs assessment and pretraining states, training design and delivery, training evaluation, and transfer of training to identify the conditions under which the benefits of training and development are maximized. Finally, we identify research gaps and offer directions for future research.

Influence of construction and demolition waste management on the environmental impact of buildings

International Nuclear Information System (INIS)

Coelho, André; Brito, Jorge de

2012-01-01

Highlights: ► Environmental impacts of different demolition practices. ► “Top-down” approach to the Life Cycle Analysis methodology. ► Results based on real buildings measurements and demolition contractor activities. ► Not every type of selective demolition brings about environmental benefits. - Abstract: The purpose of this study is to quantify comparable environmental impacts within a Life Cycle Analysis (LCA) perspective, for buildings in which the first (Materials) and last (End of Life) life cycle stages are adjusted to several waste/material management options. Unlike most LCAs, the approach is “top-down” rather than “bottom-up”, which usually involves large amounts of data and the use of specific software applications. This approach is considered appropriate for a limited but expedient LCA designed to compare the environmental impacts of different life cycle options. Present results, based on real buildings measurements and demolition contractor activities, show that shallow, superficial, selective demolition may not result in reduced environmental impacts. Calculations actually show an increase (generally less than 5%) in most impact categories for the Materials and End of Life stages because of extra transportation needs. However, core material separation in demolition operations and its recycling and/or reuse does bring environmental benefits. A reduction of around 77% has been estimated in the climate change impact category, 57% in acidification potential and 81% in the summer smog impact (for the life cycle stages referred).

Short-term adaptations following Complex Training in team-sports: A meta-analysis.

Science.gov (United States)

Freitas, Tomás T; Martinez-Rodriguez, Alejandro; Calleja-González, Julio; Alcaraz, Pedro E

2017-01-01

The purpose of this meta-analysis was to study the short-term adaptations on sprint and vertical jump (VJ) performance following Complex Training (CT) in team-sports. CT is a resistance training method aimed at developing both strength and power, which has a direct effect on sprint and VJ. It consists on alternating heavy resistance training exercises with plyometric/power ones, set for set, on the same workout. A search of electronic databases up to July 2016 (PubMed-MEDLINE, SPORTDiscus, Web of Knowledge) was conducted. Inclusion criteria: 1) at least one CT intervention group; 2) training protocols ≥4-wks; 3) sample of team-sport players; 4) sprint or VJ as an outcome variable. Effect sizes (ES) of each intervention were calculated and subgroup analyses were performed. A total of 9 studies (13 CT groups) met the inclusion criteria. Medium effect sizes (ES) (ES = 0.73) were obtained for pre-post improvements in sprint, and small (ES = 0.41) in VJ, following CT. Experimental-groups presented better post-intervention sprint (ES = 1.01) and VJ (ES = 0.63) performance than control-groups. large ESs were exhibited in younger athletes (training programs >12 total sessions (ES = 0.74). Large ESs in programs with >12 total sessions (ES = 0.81). Medium ESs obtained for under-Division I individuals (ES = 0.56); protocols with intracomplex rest intervals ≥2 min (ES = 0.55); conditioning activities with intensities ≤85% 1RM (ES = 0.64); basketball/volleyball players (ES = 0.55). Small ESs were found for younger athletes (ES = 0.42); interventions ≥6 weeks (ES = 0.45). CT interventions have positive medium effects on sprint performance and small effects on VJ in team-sport athletes. This training method is a suitable option to include in the season planning.

The Effects of Data Collection Method and Monitoring of Workers’ Behavior on the Generation of Demolition Waste

Directory of Open Access Journals (Sweden)

Gi-Wook Cha

2017-10-01

Full Text Available The roles of both the data collection method (including proper classification and the behavior of workers on the generation of demolition waste (DW are important. By analyzing the effect of the data collection method used to estimate DW, and by investigating how workers’ behavior can affect the total amount of DW generated during an actual demolition process, it was possible to identify strategies that could improve the prediction of DW. Therefore, this study surveyed demolition waste generation rates (DWGRs for different types of building by conducting on-site surveys immediately before demolition in order to collect adequate and reliable data. In addition, the effects of DW management strategies and of monitoring the behavior of workers on the actual generation of DW were analyzed. The results showed that when monitoring was implemented, the estimates of DW obtained from the DWGRs that were surveyed immediately before demolition and the actual quantities of DW reported by the demolition contractors had an error rate of 0.63% when the results were compared. Therefore, this study has shown that the proper data collection method (i.e., data were collected immediately before demolition applied in this paper and monitoring on the demolition site have a significant impact on waste generation.

OPERATIONAL LIMITATIONS FOR DEMOLITION OF A HIGHLY ALPHA CONTAMINATED BUILDING MODLES VERSUS MEASURED AIR & SURFACE ACTIVITY CONCENTRATIONS

Energy Technology Data Exchange (ETDEWEB)

LLOYD, E.R.

2006-11-02

The demolition of a facility historically used for processing and handling transuranic materials is considered. Residual alpha emitting radionuclide contamination poses an exposure hazard if released to the local environment during the demolition. The process of planning for the demolition of this highly alpha contaminated building, 232-Z, included a predemolition modeling analysis of potential exposures. Estimated emission rates were used as input to an air dispersion model to estimate frequencies of occurrence of peak air and surface exposures. Postdemolition modeling was also conducted, based on the actual demolition schedule and conditions. The modeling results indicated that downwind deposition is the main operational limitation for demolition of a highly alpha-contaminated building. During the demolition of 232-Z, airborne radiation and surface contamination were monitored. The resultant non-detect monitoring results indicate a significant level of conservatism in the modeled results. This comparison supports the use of more realistic assumption in the estimating emission rates. The resultant reduction in modeled levels of potential exposures has significant implications in terms of the projected costs of demolition of such structures.

Training to Enhance Design Team Performance: A Cure for Tunnel Vision

Science.gov (United States)

Parker, James W.; Parker, Nelson C. (Technical Monitor)

2001-01-01

Design Team performance is a function of the quality and degree of academic training and the cumulative, learned experience of the individual members of the team. Teamwork, leadership, and communications certainly are factors that affect the measure of the performance of the team, but they are not addressed here. This paper focuses on accelerating the learned experience of team members and describes an organizational approach that can significantly increase the effective experience level for any engineering design team. The performance measure of the whole team can be increased by increasing the engineering disciplines' cross awareness of each other and by familiarizing them with their affect at the system level. Discipline engineers know their own discipline well, but typically are not intimately familiar with their technical interaction with and dependencies on all the other disciplines of engineering. These dependencies are design integration functions and are worked out well by the discipline engineers as long as they are involved in the design of types of systems that they have experience with.

Effect of team sports and resistance training on physical function, quality of life, and motivation in older adults

DEFF Research Database (Denmark)

Petersen, Jacob Vorup

2016-01-01

The aim of this study was to investigate the effect of team sports and resistance training on physical function, psychological health, quality of life, and motivation in older untrained adults. Twenty-five untrained men and forty-seven untrained women aged 80 (range: 67-93) years were recruited...... curls within 30 seconds (Phealth-related quality of life, as well as decreased anxiety and depression...... interaction during the activity, whereas RG was more motivated by extrinsic factors like health and fitness benefits. In conclusion, both team training and resistance training improved physical function, psychological well-being, and quality of life. However, team sport training motivated the participants...

Teaching nurses teamwork: Integrative review of competency-based team training in nursing education.

Science.gov (United States)

Barton, Glenn; Bruce, Anne; Schreiber, Rita

2017-12-20

Widespread demands for high reliability healthcare teamwork have given rise to many educational initiatives aimed at building team competence. Most effort has focused on interprofessional team training however; Registered Nursing teams comprise the largest human resource delivering direct patient care in hospitals. Nurses also influence many other health team outcomes, yet little is known about the team training curricula they receive, and furthermore what specific factors help translate teamwork competency to nursing practice. The aim of this review is to critically analyse empirical published work reporting on teamwork education interventions in nursing, and identify key educational considerations enabling teamwork competency in this group. CINAHL, Web of Science, Academic Search Complete, and ERIC databases were searched and detailed inclusion-exclusion criteria applied. Studies (n = 19) were selected and evaluated using established qualitative-quantitative appraisal tools and a systematic constant comparative approach. Nursing teamwork knowledge is rooted in High Reliability Teams theory and Crew or Crisis Resource Management sources. Constructivist pedagogy is used to teach, practice, and refine teamwork competency. Nursing teamwork assessment is complex; involving integrated yet individualized determinations of knowledge, skills, and attitudes. Future initiatives need consider frontline leadership, supportive followership and skilled communication emphasis. Collective stakeholder support is required to translate teamwork competency into nursing practice. Copyright © 2017 Elsevier Ltd. All rights reserved.

A review of simulation-enhanced, team-based cardiopulmonary resuscitation training for undergraduate students.

Science.gov (United States)

Onan, Arif; Simsek, Nurettin; Elcin, Melih; Turan, Sevgi; Erbil, Bülent; Deniz, Kaan Zülfikar

2017-11-01

Cardiopulmonary resuscitation training is an essential element of clinical skill development for healthcare providers. The International Liaison Committee on Resuscitation has described issues related to cardiopulmonary resuscitation and emergency cardiovascular care education. Educational interventions have been initiated to try to address these issues using a team-based approach and simulation technologies that offer a controlled, safe learning environment. The aim of the study is to review and synthesize published studies that address the primary question "What are the features and effectiveness of educational interventions related to simulation-enhanced, team-based cardiopulmonary resuscitation training?" We conducted a systematic review focused on educational interventions pertaining to cardiac arrest and emergencies that addressed this main question. The findings are presented together with a discussion of the effectiveness of various educational interventions. In conclusion, student attitudes toward interprofessional learning and simulation experiences were more positive. Research reports emphasized the importance of adherence to established guidelines, adopting a holistic approach to training, and that preliminary training, briefing, deliberate practices, and debriefing should help to overcome deficiencies in cardiopulmonary resuscitation training. Copyright © 2017 Elsevier Ltd. All rights reserved.

Simulation-based team training improved the self-assessed ability of physicians, nurses and midwives to perform neonatal resuscitation.

Science.gov (United States)

Malmström, B; Nohlert, E; Ewald, U; Widarsson, M

2017-08-01

The use of simulation-based team training in neonatal resuscitation has increased in Sweden during the last decade, but no formal evaluation of this training method has been performed. This study evaluated the effect of simulation-based team training on the self-assessed ability of personnel to perform neonatal resuscitation. We evaluated a full-day simulation-based team training course in neonatal resuscitation, by administering a questionnaire to 110 physicians, nurses and midwives before and after the training period. The questionnaire focused on four important domains: communication, leadership, confidence and technical skills. The study was carried out in Sweden from 2005 to 2007. The response rate was 84%. Improvements in the participants' self-assessed ability to perform neonatal resuscitation were seen in all four domains after training (p technical skills domain compared to experienced personnel (p = 0.001). No differences were seen between professions or time since training in any of the four domains. Personnel with less previous experience with neonatal resuscitation showed improved confidence (p = 0.007) and technical skills (p = 0.003). A full-day course on simulation-based team training with video-supported debriefing improved the participants' self-assessed ability to perform neonatal resuscitation. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Improving Care Teams' Functioning: Recommendations from Team Science.

Science.gov (United States)

Fiscella, Kevin; Mauksch, Larry; Bodenheimer, Thomas; Salas, Eduardo

2017-07-01

Team science has been applied to many sectors including health care. Yet there has been relatively little attention paid to the application of team science to developing and sustaining primary care teams. Application of team science to primary care requires adaptation of core team elements to different types of primary care teams. Six elements of teams are particularly relevant to primary care: practice conditions that support or hinder effective teamwork; team cognition, including shared understanding of team goals, roles, and how members will work together as a team; leadership and coaching, including mutual feedback among members that promotes teamwork and moves the team closer to achieving its goals; cooperation supported by an emotionally safe climate that supports expression and resolution of conflict and builds team trust and cohesion; coordination, including adoption of processes that optimize efficient performance of interdependent activities among team members; and communication, particularly regular, recursive team cycles involving planning, action, and debriefing. These six core elements are adapted to three prototypical primary care teams: teamlets, health coaching, and complex care coordination. Implementation of effective team-based models in primary care requires adaptation of core team science elements coupled with relevant, practical training and organizational support, including adequate time to train, plan, and debrief. Training should be based on assessment of needs and tasks and the use of simulations and feedback, and it should extend to live action. Teamlets represent a potential launch point for team development and diffusion of teamwork principles within primary care practices. Copyright © 2017 The Joint Commission. Published by Elsevier Inc. All rights reserved.

A change in strategy for a CERCLA Removal Action Demolition Project in progress results in overall project enhancements

International Nuclear Information System (INIS)

Albertin, M.; Nichols, R.M.; Edwards, D.T.

1995-01-01

This paper discusses changes made in a demolition project at the Fernald Environmental Management Project (FEMP), a site on the National Priorities list (NPL), owned by the Department of Energy. The project, to demolish fourteen uranium ore silos and their structure, was based on a Removal Action Work Plan, submitted and approved by the United States Environmental Protection Agency (USEPA), that integrated Comprehensive Environmental Response Compensation and Liability Act (CERCLA) requirements to remove the source of contamination and threat to public health and the environment. After the demolition contractor defaulted at 30% complete, completion of the project by the USEPA deadline was threatened. The recovery plan included re-evaluation of project documents in addition to the schedule. It was determined that re-interpretation of the removal action criteria, including design and Removal Action Work Plan, would eliminate road-blocks, and optimize resources, resulting in project completion by the original deadline even after lost-time in mobilizing another contractor. This presentation will discuss the open-quotes lessons learnedclose quotes by the project team and illustrate how simplification of construction methods resulted in enhancements to the environmental controls, improved material handing, and created a safer work environment

Progressively safer, cheaper demolition of Fernald

International Nuclear Information System (INIS)

Nichols, Robert; Pennington, Norman

2000-01-01

Fluor Fernald, Inc. has been progressively improving Decontamination and Dismantlement (D and D) at the Department of Energy's Fernald Environmental Management Project by applying new technologies and better methodologies to the work. Demolition issues existed in the past that necessitated new or improved solutions to maintain worker safety, protect the environment and accomplish the work in a cost effective manner. Lessons learned from D and D of 80 structures has led to a systematic approach, which can be implemented in various D and D arenas. When facility production was halted, hold-up material and process residues remained in the process piping and components. Over 500,000 pounds of material was removed by workers who completed the tasks two years ahead of schedule, $7 million under budget and with an excellent safety record. This success was the result of detailed planning and irdision of lessons learned as work progressed from facility to facility. Work sequences were developed that reduced airborne contamination. Demolition of structures has been performed at Fernald by carefully selected and qualified subcontractors. Asbestos and lead abatement, equipment, piping and conduit removal, and structural demolition have been completed to progressively higher performance specifications developed by Fluor Fernald based on lessons learned during execution. Safety continues to be the primary consideration in performing potentially hazardous work. Technologies such as hydraulic shears have been developed and used to keep workers away from danger. A new technology, ''Cool Suits,'' has been demonstrated to help prevent heat stress when anti-contamination clothing is required in elevated temperature working conditions. For tall structures, implosion technologies have been employed with progressively improved results, Several other new technologies have been evaluated by Fluor Fernald and applied by subcontractors. The improved technologies included the oxy-gas torch

Characterizing the environmental impact of metals in construction and demolition waste.

Science.gov (United States)

Yu, Danfeng; Duan, Huabo; Song, Qingbin; Li, Xiaoyue; Zhang, Hao; Zhang, Hui; Liu, Yicheng; Shen, Weijun; Wang, Jinben

2018-05-01

Large quantities of construction and demolition (C&D) waste are generated in China every year, but their potential environmental impacts on the surrounding areas are rarely assessed. This study focuses on metals contained in C&D waste, characterizing the metal concentrations and their related environmental risks. C&D waste samples were collected in Shenzhen City, China, from building demolition sites, renovation areas undergoing refurbishment, landfill sites, and recycling companies (all located in Shenzhen city) that produce recycled aggregate, in order to identify pollution levels of the metals As, Cd, Cr, Cu, Pb, Ni, and Zn. The results showed that (1) the metal concentrations in most demolition and renovation waste samples were below the soil environmental quality standard for agricultural purposes (SQ-Agr.) in China; (2) Cd, Cu, and Zn led to relatively higher environmental risks than other metals, especially for Zn (DM5 tile sample, 360 mg/kg; R4 tile sample, 281 mg/kg); (3) non-inert C&D waste such as wall insulation and foamed plastic had high concentrations of As and Cd, so that these materials required special attention for sound waste management; and (4) C&D waste collected from landfill sites had higher concentrations of Cd and Cu than did waste collected from demolition and refurbishment sites.

Pilot-based assessment of the economics of recycling construction demolition waste.

Science.gov (United States)

Srour, Issam M; Chehab, Ghassan R; El-Fadel, Mutasem; Tamraz, Sandy

2013-11-01

The significant amount of waste generated from construction demolition has become a chronic problem in many developing countries. Using data obtained from demolition contractors and various other sources, this paper proposes a framework for proper handling of construction demolition waste (CDW) to serve as a decision support tool in countries suffering from the lack of national CDW management guidelines. The framework is then demonstrated through a case study in the city of Beirut, Lebanon, and a sensitivity analysis is carried out to examine the economic feasibility of developing a recycling facility. The analysis showed that in order for a facility to be feasible, a gate fee should be charged in the presence of a market for recycled aggregates. The results confirm the significance of instigating and implementing legislation to control illegal dumping, constructing, and managing engineered landfills, and establishing markets for recycled CDW.

Application of Updated Construction and Demolition Waste Reduction Policy to Army Projects

Science.gov (United States)

2015-12-01

recovering materials for reuse and recycling from demolition, new construction, and renovation and repurposing projects. In its efforts to improve the...Building contents; reuse and recycling potential (including the follow- ing specific materials, products and components that are potentially re- usable...conventional demolition. Implement deconstruction wherever markets or on-site reuse opportunities exist or are anticipated.  Page 24, 3-7 REDUCE

Effects of Two Different Training Periodization Models on Physical and Physiological Aspects of Elite Female Team Handball Players.

Science.gov (United States)

Manchado, Carmen; Cortell-Tormo, Juan M; Tortosa-Martínez, Juan

2018-01-01

Manchado, C, Cortell-Tormo, JM, and Tortosa-Martínez, J. Effects of two different training periodization models on physical and physiological aspects of elite female team handball players. J Strength Cond Res 32(1): 280-287, 2018-The aim of this study was to compare training-induced changes in selected physiological and physical team handball performance factors after 2 training periodization models: traditional periodization (TP) vs. block periodization (BP). Eleven female team handball players who played over 2 consecutive seasons for a Spanish first league team were assessed twice per season during a training cycle. On each occasion, participants completed anthropometric, maximal strength, and lower-body power assessments. In addition, incremental tests to determine maximum oxygen uptake (V[Combining Dot Above]O2max), sprint- and sport-specific throwing velocity tests were performed. Block periodization group experienced significantly greater improvements than TP on squat jump (5.97%; p handball performance factors in high level female handball players.

Evaluation of simparteam - a needs-orientated team training format for obstetrics and neonatology.

Science.gov (United States)

Zech, Alexandra; Gross, Benedict; Jasper-Birzele, Céline; Jeschke, Katharina; Kieber, Thomas; Lauterberg, Jörg; Lazarovici, Marc; Prückner, Stephan; Rall, Marcus; Reddersen, Silke; Sandmeyer, Benedikt; Scholz, Christoph; Stricker, Eric; Urban, Bert; Zobel, Astrid; Singer, Ingeborg

2017-04-01

A standardized team-training program for healthcare professionals in obstetric units was developed based on an analysis of common causes for adverse events found in claims registries. The interdisciplinary and inter-professional training concept included both technical and non-technical skill training. Evaluation of the program was carried out in hospitals with respect to the immediate personal learning of participants and also regarding changes in safety culture. Trainings in n=7 hospitals including n=270 participants was evaluated using questionnaires. These were administered at four points in time to staff from participating obstetric units: (1) 10 days ahead of the training (n=308), (2) on training day before (n=239), (3) right after training (n=248), and (4) 6 months after (n=188) the intervention. Questionnaires included several questions for technical and non-technical skills and the Hospital Survey on Patient Safety (HSOPS). Strong effects were found in the participants' perception of their own competence regarding technical skills and handling of emergencies. Small effects could be observed in the scales of the HSOPS questionnaire. Most effects differed depending on professional groups and hospitals. Integrated technical and team management training can raise employees' confidence with complex emergency management skills and processes. Some indications for improvements on the patient safety culture level were detected. Furthermore, differences between professional groups and hospitals were found, indicating the need for more research on contributing factors for patient safety and for the success of crew resource management (CRM) trainings.

Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study.

Science.gov (United States)

Meurling, Lisbet; Hedman, Leif; Felländer-Tsai, Li; Wallin, Carl-Johan

2013-06-01

A growing body of evidence shows that team training can develop essential team skills and contribute to better patient outcomes. Current simulation-based team training (SBTT) programmes most often include targets and feedback focused on the whole team and/or leader, ignoring the follower as a unique entity. By considering followers' individual experiences, and tailoring behavioural targets for training and feedback, SBTT could be improved. Our aim was to explore the individual experiences and behaviours of leaders and followers during the early phase of SBTT, and we hypothesised that leaders and followers would show different responses. Medical students (n=54) participated in half-day SBTT including three video-recorded scenarios. Self-efficacy was assessed pretraining and post-training. For each scenario (n=36), the individual teamwork behaviours, concentration, mental strain and the team's clinical performance were recorded. Data were analysed using a mixed model allowing for participants to be their own control in their roles as leader or follower. Self-efficacy improved. In the role of leader, participants communicated to a greater extent and experienced higher mental strain and concentration than they did in the role of follower. The increased self-efficacy enables a positive learning outcome after only three scenarios. Individual experiences and behaviours differed between the role of leader and that of follower. By shedding further light on leaders' and followers' individual experiences and behaviours, targets for training and feedback could be specified in order to improve SBTT.

Effectiveness of team training in managing shoulder dystocia : a retrospective study

NARCIS (Netherlands)

van de Ven, Joost; van Deursen, Frank J.H.M.; van Runnard Heimel, Pieter J.; Mol, Ben Willem J.; Oei, S. Guid

2016-01-01

Objectives: To evaluate the effectiveness of simulation team training for the management of shoulder dystocia. Primary outcome measures were the number of reported cases of shoulder dystocia, as well as fetal injury that occurred from it. Secondary outcome is documentation of manoeuvres used to

Integrating technical and non-technical skills coaching in an acute trauma surgery team training: Is it too much?

Science.gov (United States)

Alken, Alexander; Luursema, Jan-Maarten; Weenk, Mariska; Yauw, Simon; Fluit, Cornelia; van Goor, Harry

2017-08-25

Research on effective integration of technical and non-technical skills in surgery team training is sparse. In a previous study we found that surgical teachers predominantly coached on technical and hardly on non-technical skills during the Definitive Surgical and Anesthetic Trauma Care (DSATC) integrated acute trauma surgery team training. This study aims to investigate whether the priming of teachers could increase the amount of non-technical skills coaching during such a training. Coaching activities of 12 surgical teachers were recorded on audio and video. Six teachers were primed on non-technical skills coaching prior to the training. Six others received no priming and served as controls. Blind observers reviewed the recordings of 2 training scenario's and scored whether the observed behaviors were directed on technical or non-technical skills. We compared the frequency of the non-technical skills coaching between the primed and the non-primed teachers and analyzed for differences according to the trainees' level of experience. Surgical teachers coached trainees during the highly realistic DSATC integrated acute trauma surgery team training. Trainees performed damage control surgery in operating teams on anesthetized porcine models during 6 training scenario's. Twelve experienced surgical teachers participated in this study. Coaching on non-technical skills was limited to about 5%. The primed teachers did not coach more often on non-technical skills than the non-primed teachers. We found no differences in the frequency of non-technical skills coaching based on the trainees' level of experience. Priming experienced surgical teachers does not increase the coaching on non-technical skills. The current DSATC acute trauma surgery team training seems too complex for integrating training on technical and non-technical skills. Patient care, Practice based learning and improvement. Copyright © 2017 Elsevier Inc. All rights reserved.

Can a community health worker and a trained traditional birth attendant work as a team to deliver child health interventions in rural Zambia?

Science.gov (United States)

Yeboah-Antwi, Kojo; Hamer, Davidson H; Semrau, Katherine; Waltensperger, Karen Z; Snetro-Plewman, Gail; Kambikambi, Chilobe; Sakala, Amon; Filumba, Stephen; Sichamba, Bias; Marsh, David R

2014-10-27

Teaming is an accepted approach in health care settings but rarely practiced at the community level in developing countries. Save the Children trained and deployed teams of volunteer community health workers (CHWs) and trained traditional birth attendants (TBAs) to provide essential newborn and curative care for children aged 0-59 months in rural Zambia. This paper assessed whether CHWs and trained TBAs can work as teams to deliver interventions and ensure a continuum of care for all children under-five, including newborns. We trained CHW-TBA teams in teaming concepts and assessed their level of teaming prospectively every six months for two years. The overall score was a function of both teamwork and taskwork. We also assessed personal, community and service factors likely to influence the level of teaming. We created forty-seven teams of predominantly younger, male CHWs and older, female trained TBAs. After two years of deployment, twenty-one teams scored "high", twelve scored "low," and fourteen were inactive. Teamwork was high for mutual trust, team cohesion, comprehension of team goals and objectives, and communication, but not for decision making/planning. Taskwork was high for joint behavior change communication and outreach services with local health workers, but not for intra-team referral. Teams with members residing within one hour's walking distance were more likely to score high. It is feasible for a CHW and a trained TBA to work as a team. This may be an approach to provide a continuum of care for children under-five including newborns.

PROJECT EXPERIENCE REPORT DEMOLITION OF HANFORDS 233-S PLUTONIUM CONCENTRATION FACILITY

International Nuclear Information System (INIS)

BERLIN, G.T.; ORGILL, T.K.

2004-01-01

This report provides a summary of the preparation, operations, innovative work practices, and lessons learned associated with demolition of the 2334 Plutonium Concentration Facility. This project represented the first open-air demolition of a highly-contaminated plutonium facility at the Hanford Site. This project may also represent the first plutonium facility in the US. Department of Energy (DOE) complex to have been demolished without first decontaminating surfaces to near ''free release'' standards. Demolition of plutonium contaminated structures, if not properly managed, can subject cleanup personnel and the environment to significant risk. However, with proper sequencing and innovative use of commercially available equipment, materials, and services, this project demonstrated that a plutonium processing facility can be demolished while avoiding the need to perform extensive decontamination or to construct large enclosures. This project utilized an excavator with concrete shears, diamond circular saws, water misting and fogging equipment, commercially available fixatives and dust suppressants, conventional mobile crane and rigging services, and near real-time modeling of meteorological and radiological conditions. Following a significant amount of preparation, actual demolition of the 233-S Facility began in October 2003 and was completed in late April 2004. The knowledge and experience gained on this project are important to the Hanford Site as additional plutonium processing facilities are scheduled for demolition in the near future. Other sites throughout the DOE Complex may also be faced with similar challenges. Numerous innovations and effective work practices were implemented on this project. Accordingly, a series of ''Lessons Learned and Innovative Practices Fact Sheets'' were developed and are included as an appendix to this report. This collection of fact sheets is not intended to capture every innovative work practice and lesson learned, but rather

PROJECT EXPERIENCE REPORT DEMOLITION OF HANFORDS 233-S PLUTONIUM CONCENTRATION FACILITY

International Nuclear Information System (INIS)

BERLIN, G.T.

2004-01-01

This report provides a summary of the preparation, operations, innovative work practices, and lessons learned associated with demolition of the 2334 Plutonium Concentration Facility. This project represented the first open-air demolition of a highly-contaminated plutonium facility at the Hanford Site. This project may also represent the first plutonium facility in the US. Department of Energy (DOE) complex to have been demolished without first decontaminating surfaces to near ''free release'' standards. Demolition of plutonium contaminated structures, if not properly managed, can subject cleanup personnel and the environment to significant risk. However, with proper sequencing and innovative use of commercially available equipment, materials, and services, this project demonstrated that a plutonium processing facility can be demolished while avoiding the need to perform extensive decontamination or to construct large enclosures. This project utilized an excavator with concrete shears, diamond circular saws, water misting and fogging equipment, commercially available fixatives and dust suppressants, conventional mobile crane and rigging services, and near real-time modeling of meteorological and radiological conditions. Following a significant amount of preparation, actual demolition of the 2333 Facility began in October 2003 and was completed in late April 2004. The knowledge and experience gained on this project are important to the Hanford Site as additional plutonium processing facilities are scheduled for demolition in the near future. Other sites throughout the DOE Complex may also be faced with similar challenges. Numerous innovations and effective work practices were implemented on this project. Accordingly, a series of ''Lessons Learned and Innovative Practices Fact Sheets'' were developed and are included as an appendix to this report. This collection of fact sheets is not intended to capture every innovative work practice and lesson learned, but rather to

A 'mixed reality' simulator concept for future Medical Emergency Response Team training.

Science.gov (United States)

Stone, Robert J; Guest, R; Mahoney, P; Lamb, D; Gibson, C

2017-08-01

The UK Defence Medical Service's Pre-Hospital Emergency Care (PHEC) capability includes rapid-deployment Medical Emergency Response Teams (MERTs) comprising tri-service trauma consultants, paramedics and specialised nurses, all of whom are qualified to administer emergency care under extreme conditions to improve the survival prospects of combat casualties. The pre-deployment training of MERT personnel is designed to foster individual knowledge, skills and abilities in PHEC and in small team performance and cohesion in 'mission-specific' contexts. Until now, the provision of airborne pre-deployment MERT training had been dependent on either the availability of an operational aircraft (eg, the CH-47 Chinook helicopter) or access to one of only two ground-based facsimiles of the Chinook 's rear cargo/passenger cabin. Although MERT training has high priority, there will always be competition with other military taskings for access to helicopter assets (and for other platforms in other branches of the Armed Forces). This paper describes the development of an inexpensive, reconfigurable and transportable MERT training concept based on 'mixed reality' technologies-in effect the 'blending' of real-world objects of training relevance with virtual reality reconstructions of operational contexts. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Training van crisismanagement-teams [Training of emergency management teams

NARCIS (Netherlands)

Berlo, M.P.W. van; Stroomer, S.; Bosch, K. van den

2003-01-01

Een rampenplan of bedrijfsnoodplan bestaat veelal slechts uit een lijst met telefoonnummers, of het is een plan dat niet is geactualiseerd. Bovendien is het trainen van crisismanagement-teams lastig omdat crises vaak een onvoorspelbaar karakter hebben. in deze bijdrage worden twee methoden

Building the team for team science

Science.gov (United States)

Read, Emily K.; O'Rourke, M.; Hong, G. S.; Hanson, P. C.; Winslow, Luke A.; Crowley, S.; Brewer, C. A.; Weathers, K. C.

2016-01-01

The ability to effectively exchange information and develop trusting, collaborative relationships across disciplinary boundaries is essential for 21st century scientists charged with solving complex and large-scale societal and environmental challenges, yet these communication skills are rarely taught. Here, we describe an adaptable training program designed to increase the capacity of scientists to engage in information exchange and relationship development in team science settings. A pilot of the program, developed by a leader in ecological network science, the Global Lake Ecological Observatory Network (GLEON), indicates that the training program resulted in improvement in early career scientists’ confidence in team-based network science collaborations within and outside of the program. Fellows in the program navigated human-network challenges, expanded communication skills, and improved their ability to build professional relationships, all in the context of producing collaborative scientific outcomes. Here, we describe the rationale for key communication training elements and provide evidence that such training is effective in building essential team science skills.

Simulation-based team training for multi-professional obstetric care teams to improve patient outcome : a multicentre, cluster randomised controlled trial

NARCIS (Netherlands)

Fransen, A F; van de Ven, J; Schuit, E; van Tetering, Aac; Mol, B W; Oei, S G

OBJECTIVE: To investigate whether simulation-based obstetric team training in a simulation centre improves patient outcome. DESIGN: Multicentre, open, cluster randomised controlled trial. SETTING: Obstetric units in the Netherlands. POPULATION: Women with a singleton pregnancy beyond 24 weeks of

Effect of team sports and resistance training on physical function, quality of life, and motivation in older adults.

Science.gov (United States)

Pedersen, M T; Vorup, J; Nistrup, A; Wikman, J M; Alstrøm, J M; Melcher, P S; Pfister, G U; Bangsbo, J

2017-08-01

The aim of this study was to investigate the effect of team sports and resistance training on physical function, psychological health, quality of life, and motivation in older untrained adults. Twenty-five untrained men and forty-seven untrained women aged 80 (range: 67-93) years were recruited. Fifty-one were assigned to a training group (TRG) of which twenty-five performed team training (TG) and twenty-six resistance training (RG). The remaining twenty-one were allocated to a control group (CG). TRG trained for 1 hour twice a week for 12 weeks. Compared with CG, TRG improved the number of arm curls within 30 seconds (Ppsychological well-being, general quality of life, and health-related quality of life, as well as decreased anxiety and depression levels. No differences between changes in TG and RG were found over the intervention period, neither in physical function tests nor psychological questionnaires. Both TG and RG were highly motivated for training, but TG expressed a higher degree of enjoyment and intrinsic motivation mainly due to social interaction during the activity, whereas RG was more motivated by extrinsic factors like health and fitness benefits. In conclusion, both team training and resistance training improved physical function, psychological well-being, and quality of life. However, team sport training motivated the participants more by intrinsic factors than resistance training. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

High fidelity simulation based team training in urology: a preliminary interdisciplinary study of technical and nontechnical skills in laparoscopic complications management.

Science.gov (United States)

Lee, Jason Y; Mucksavage, Phillip; Canales, Cecilia; McDougall, Elspeth M; Lin, Sharon

2012-04-01

Simulation based team training provides an opportunity to develop interdisciplinary communication skills and address potential medical errors in a high fidelity, low stakes environment. We evaluated the implementation of a novel simulation based team training scenario and assessed the technical and nontechnical performance of urology and anesthesiology residents. Urology residents were randomly paired with anesthesiology residents to participate in a simulation based team training scenario involving the management of 2 scripted critical events during laparoscopic radical nephrectomy, including the vasovagal response to pneumoperitoneum and renal vein injury during hilar dissection. A novel kidney surgical model and a high fidelity mannequin simulator were used for the simulation. A debriefing session followed each simulation based team training scenario. Assessments of technical and nontechnical performance were made using task specific checklists and global rating scales. A total of 16 residents participated, of whom 94% rated the simulation based team training scenario as useful for communication skill training. Also, 88% of urology residents believed that the kidney surgical model was useful for technical skill training. Urology resident training level correlated with technical performance (p=0.004) and blood loss during renal vein injury management (p=0.022) but not with nontechnical performance. Anesthesia resident training level correlated with nontechnical performance (p=0.036). Urology residents consistently rated themselves higher on nontechnical performance than did faculty (p=0.033). Anesthesia residents did not differ in the self-assessment of nontechnical performance compared to faculty assessments. Residents rated the simulation based team training scenario as useful for interdisciplinary communication skill training. Urology resident training level correlated with technical performance but not with nontechnical performance. Urology residents

Concrete decontamination and demolition methods

International Nuclear Information System (INIS)

LaGuardia, T.S.

1980-01-01

The US Department of Energy (DOE), Division of Environmental Control Technology, requested Nuclear Energy Services to prepare a handbook for the decontamination and decommissioning (D and D) of DOE-owned and commercially-owned radioactive facilities. the objective of the handbook is to provide the nuclear industry with guidance on the state-of-the-art methods and equipment available for decommissioning and to provide the means to estimate decommissioning costs and environmental impact. The methods available for concrete decontamination and demolition are summarized to provide an overview of some of the state-of-the-art techniques to be discussed at this workshop. The pertinent information on each method will include the selection factors such as the rate of performance in terms of concrete removal per unit time (cubic yards per day), manpower required by craft, unit cost (dollars per cubic yard) and the advantages and disadvantages. The methods included in this overview are those that have been routinely used in nuclear and nonnuclear applications or demonstrated in field tests. These methods include controlled blasting, wrecking ball or slab, backhoe mounted ram, flame torch, thermic lance, rock splitter, demolition compound, sawing, core stitch drilling, explosive cutting, paving breaker and power chisel, drill and spall, scarifying, water cannon and grinding

Determining the need for team-based training in delirium management: A needs assessment of surgical healthcare professionals.

Science.gov (United States)

Sockalingam, Sanjeev; Tehrani, Hedieh; Kacikanis, Anna; Tan, Adrienne; Hawa, Raed; Anderson, Ruthie; Okrainec, Allan; Abbey, Susan

2015-01-01

The high incidence of delirium in surgical units is a serious quality concern, given its impact on morbidity and mortality. While successful delirium management depends upon interdisciplinary care, training needs for surgical teams have not been studied. A needs assessment of surgical units was conducted to determine perceived comfort in managing delirium, and interprofessional training needs for team-based care. We administered a survey to 106 General Surgery healthcare professionals (69% response rate) with a focus on attitudes towards delirium and team management. Although most respondents identified delirium as important to patient outcomes, only 61% of healthcare professionals indicated that a team-based approach was always observed in practice. Less than half had a clear understanding of their role in delirium care, while just over half observed team communication of delirium care plans during handover. This is the first observation of clear gaps in perceived team performance in a General Surgery setting.

An Effective Procedure for Training Early Special Education Teams to Implement a Model Program.

Science.gov (United States)

Rogers, Sally J.; And Others

1987-01-01

Training of early special education teams (serving 11 autistic and 10 developmentally-delayed children) to use the Playschool model resulted in: positive perception of the training's value; increases in knowledge about child development, infantile autism, and the model; increased use of Playschool techniques; and positive developmental changes in…

Effects of Plyometric Training on Physical Fitness in Team Sport Athletes: A Systematic Review

Directory of Open Access Journals (Sweden)

Slimani Maamer

2016-12-01

Full Text Available Plyometric training (PT is a very popular form of physical conditioning of healthy individuals that has been extensively studied over the last decades. In this article, we critically review the available literature related to PT and its effects on physical fitness in team sport athletes. We also considered studies that combined PT with other popular training modalities (e.g. strength/sprint training. Generally, short-term PT (i.e. 2-3 sessions a week for 4-16 weeks improves jump height, sprint and agility performances in team sport players. Literature shows that short PT (<8 weeks has the potential to enhance a wide range of athletic performance (i.e. jumping, sprinting and agility in children and young adult amateur players. Nevertheless, 6 to 7 weeks training appears to be too short to improve physical performance in elite male players. Available evidence suggests that short-term PT on non-rigid surfaces (i.e. aquatic, grass or sand-based PT could elicit similar increases in jumping, sprinting and agility performances as traditional PT. Furthermore, the combination of various plyometric exercises and the bilateral and unilateral jumps could improve these performances more than the use of single plyometric drills or traditional PT. Thus, the present review shows a greater effect of PT alone on jump and sprint (30 m sprint performance only performances than the combination of PT with sprint/strength training. Although many issues related to PT remain to be resolved, the results presented in this review allow recommending the use of well-designed and sport-specific PT as a safe and effective training modality for improving jumping and sprint performance as well as agility in team sport athletes.

Construction and Demolition Waste

DEFF Research Database (Denmark)

Christensen, Thomas Højlund; Andersen, L.

2011-01-01

Construction and demolition waste (C&D waste) is the waste generated during the building, repair, remodeling or removal of constructions. The constructions can be roads, residential housing and nonresidential buildings. C&D waste has traditionally been considered without any environmental problems...... should be managed accordingly. Another reason is that it has been documented that a large fraction of C&D waste (about 90 %) can be easily recycled and thus can conserve landfill capacity. C&D waste may conveniently be divided into three subcategories: Buildings, roads and excavations. This chapter...

Evaluation of tactical training in team handball by means of artificial neural networks.

Science.gov (United States)

Hassan, Amr; Schrapf, Norbert; Ramadan, Wael; Tilp, Markus

2017-04-01

While tactical performance in competition has been analysed extensively, the assessment of training processes of tactical behaviour has rather been neglected in the literature. Therefore, the purpose of this study is to provide a methodology to assess the acquisition and implementation of offensive tactical behaviour in team handball. The use of game analysis software combined with an artificial neural network (ANN) software enabled identifying tactical target patterns from high level junior players based on their positions during offensive actions. These patterns were then trained by an amateur junior handball team (n = 14, 17 (0.5) years)). Following 6 weeks of tactical training an exhibition game was performed where the players were advised to use the target patterns as often as possible. Subsequently, the position data of the game was analysed with an ANN. The test revealed that 58% of the played patterns could be related to the trained target patterns. The similarity between executed patterns and target patterns was assessed by calculating the mean distance between key positions of the players in the game and the target pattern which was 0.49 (0.20) m. In summary, the presented method appears to be a valid instrument to assess tactical training.

Physical demands of game-based training drills in women's team handball.

Science.gov (United States)

Luteberget, Live S; Trollerud, Hege P; Spencer, Matt

2018-03-01

Game-based training drills are popular in team sports. This study compared two game-based training conditions and official matches in team handball. Thirty-one women players wore inertial measurement units in five training sessions and five official matches. In training, 3vs3 and 6vs6 game-based training conditions were performed with a 5-min duration. PlayerLoad™ and high-intensity events (HIEs; >2.5 m · s -1 ) were extracted from the raw data. Data were analysed using magnitude-based inferences and reported with effect sizes (ESs). PlayerLoad™ · min -1 from all positions combined was 11.37 ± 0.49 (mean ± 90% confidence limits) and 9.71 ± 0.3 for the 3vs3 and 6vs6 conditions, respectively. Backs (ES: 1.63), wings (ES: 1.91), and pivots (ES: 1.58) had greater PlayerLoad™ in 3vs3 than 6vs6. Substantially greater HIE · min -1 in 3vs3 occurred for all positions. There was substantially greater PlayerLoad™ · min -1 in 3vs3 and 6vs6 than match play for backs, wings, and pivots. Wings (ES: 1.95), pivots (ES: 0.70), and goalkeeper (ES: 1.13) had substantially greater HIE · min -1 in 3vs3 than match play. This study shows greater PlayerLoad™ and HIE in 3vs3 than 6vs6. Both game-based training conditions investigated in this study provide an overload in overall PlayerLoad™; however, additional exercises might be needed to overload HIE, especially for backs and pivots.

Culture, leaders, and operator team training

International Nuclear Information System (INIS)

Sagan, G.

1989-01-01

Every nuclear utility has a culture which either drives or becomes a barrier to the vision of high performance and accountability of its personnel. This paper discusses two very powerful cultures at work in the nuclear power industry that may have very different values or ways of doing things. Employees from fossil plants have moved over to the nuclear plants where they meet with personnel who have been raised in the US Navy Nuclear Power Program. If these two cultures collide, as many plants have experienced, no one wins. Left alone, the two cultures may merge naturally, but if not, no amount of technical or procedural training will bridge the gulf. A second powerful influence within nuclear utilities is leadership. While culture explains how we do things around here, leadership has to do with the example people follow. This example may be set by a top executive in the corporate office or by a supervisor in the control room. The influence of leaders, whether positive or negative, can be seen at all levels of the utility. Team training, at any level, begins with a thorough understanding of the parent utility's culture, followed closely by an efficient method of implanting a culture suited to the company's strategy

Clinical teachers' views on how teaching teams deliver and manage residency training

NARCIS (Netherlands)

Slootweg, Irene; Lombarts, Kiki; van der Vleuten, Cees; Mann, Karen; Jacobs, Johanna; Scherpbier, Albert

2013-01-01

Residents learn by working in a multidisciplinary context, in different locations, with many clinical teachers. Although clinical teachers are collectively responsible for residency training, little is known about the way teaching teams function. We conducted a qualitative study to explore clinical

Clinical teachers' views on how teaching teams deliver and manage residency training

NARCIS (Netherlands)

Slootweg, I.; Lombarts, K.; Vleuten, C.P.M. van der; Mann, K.; Jacobs, J.; Scherpbier, A.

2013-01-01

Background: Residents learn by working in a multidisciplinary context, in different locations, with many clinical teachers. Although clinical teachers are collectively responsible for residency training, little is known about the way teaching teams function. Aim: We conducted a qualitative study to

Effect of team sports and resistance training on physical function, quality of life, and motivation in older adults

DEFF Research Database (Denmark)

Pedersen, Mogens Theisen; Vorup Petersen, Jacob; Nistrup, Anne

2017-01-01

The aim of this study was to investigate the effect of team sports and resistance training on physical function, psychological health, quality of life, and motivation in older untrained adults. Twenty-five untrained men and forty-seven untrained women aged 80 (range: 67-93) years were recruited...... levels. No differences between changes in TG and RG were found over the intervention period, neither in physical function tests nor psychological questionnaires. Both TG and RG were highly motivated for training, but TG expressed a higher degree of enjoyment and intrinsic motivation mainly due to social...... interaction during the activity, whereas RG was more motivated by extrinsic factors like health and fitness benefits. In conclusion, both team training and resistance training improved physical function, psychological well-being, and quality of life. However, team sport training motivated the participants...

Evaluating team-based inter-professional advanced life support training in intensive care-a prospective observational study.

Science.gov (United States)

Brewster, D J; Barrett, J A; Gherardin, E; O'Neill, J A; Sage, D; Hanlon, G

2017-01-01

Recent focus on national standards within Australian hospitals has prompted a focus on the training of our staff in advanced life support (ALS). Research in critical care nursing has questioned the traditional annual certification of ALS competence as the best method of delivering this training. Simulation and team-based training may provide better ALS education to intensive care unit (ICU) staff. Our new inter-professional team-based advanced life support program involved ICU staff in a large private metropolitan ICU. A prospective observational study using three standardised questionnaires and two multiple choice questionnaire assessments was conducted. Ninety-nine staff demonstrated a 17.8% (95% confidence interval 4.2-31, P =0.01) increase in overall ICU nursing attendance at training sessions. Questionnaire response rates were 93 (94%), 99 (100%) and 60 (61%) respectively; 51 (52%) staff returned all three. Criteria were assessed by scores from 0 to 10. Nurses reported improved satisfaction with the education program (9.4 to 7.1, P versus 7.9 and 8.2, P versus 7.4 and 7.8, P versus 8.1, P =0.04). The new program cost approximately an extra $16,500 in nursing salaries. We concluded that team-based, inter-professional ALS training produced statistically significant improvements in nursing attendance, satisfaction with ALS education, confidence and role understanding compared to traditional ALS training.

Cognitive model supported team skill training

NARCIS (Netherlands)

Doesburg, W.A. van; Stroomer, S.M.

2006-01-01

Complex tasks require coordinated performance by multiple team members. To perform the task effectively each team member must not only master the individual task component but also needs to function in the overall team. To increase team performance, each team member will need to acquire the relevant

Mr. Traore introduces team supervision. Case scenarios for training and group discussion.

Science.gov (United States)

1993-01-01

This supplement to "The Family Planning Manager" presents a case example and five case discussion questions to illustrate the concept of team supervision. In contrast to traditional supervision, where an emphasis is placed on inspection and the uncovering of deficiencies, team supervision uses a facilitative, advocacy-oriented approach. Problem-solving and decision-making responsibilities are assumed by the clinic staff, who identify and analyze problems in group meetings. Thus, the focus shifts from assessing individual performance to evaluating how well they meet clinic objectives as a team. In the team meetings, the visiting supervisor asks the team as a whole to analyze clinic problems and ensures that all staff members are aware of the significance of their contributions. The supervisor also clarifies the division of labor required for implementing solutions and performance standards. Staff are asked if they have concerns they would like communicated to the next organizational level. The supervisory report of the visit can serve as a guide for implementing the recommendations. This approach may require that supervisors and clinic managers receive training in problem solving, motivating staff, team building, and providing constructive feedback.

Enhanced Critical Care Air Transport Team Training for Mitigation of Task Saturation

Science.gov (United States)

2013-03-01

specialized members (physician, critical care nurse , and respiratory therapist) trained to handle the complex, critical nature of patients in hemodynamic ...with complex medical conditions have been poorly studied. 3.0 BACKGROUND Teams are composed of three medical personnel (a physician, a nurse , and

The system of tactical training basketball teams of students using interactive technologies.

Directory of Open Access Journals (Sweden)

Kozina Zh.L

2011-08-01

Full Text Available A program for improving the effectiveness of tactical training of basketball teams of students with techniques to enhance the perception of figurative elements of technique and tactics of basketball on the basis of modern information technology. The study involved 23 female basketball players of 18-23 years of student teams, 11 of which were experimental group and 12 - control. Established that the developed system improves the quality of performance technique techniques of basketball, the effectiveness of actions in the game, raising the number of implemented in-game tactical interactions.

Alcohol brief interventions practice following training for multidisciplinary health and social care teams: a qualitative interview study.

Science.gov (United States)

Fitzgerald, Niamh; Molloy, Heather; MacDonald, Fiona; McCambridge, Jim

2015-03-01

Few studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams. Fifteen semi-structured telephone interviews were carried out with trained practitioners and with managers to explore the use of, perceived need for and approaches to ABI delivery and recording with clients, and compatibility of ABIs with current practice. Interviews were analysed thematically using an inductive approach. Very few practitioners reported delivery of any ABIs following training primarily because they felt ABIs to be inappropriate for their clients. According to practitioners, this was either because they drank too much or too little to benefit. Practitioners reported a range of current activities relating to alcohol, and some felt that their knowledge and confidence were improved following training. One practitioner reported ABI delivery and was considered a training success, while expectations of ABIs did not fit with current practice including assessment procedures for the remainder. Identified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model. They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part. © 2014 The Authors. Drug and Alcohol Review published by Wiley Publishing Asia Pty Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.

Individual and team performance in team-handball: a review.

Science.gov (United States)

Wagner, Herbert; Finkenzeller, Thomas; Würth, Sabine; von Duvillard, Serge P

2014-12-01

Team handball is a complex sport game that is determined by the individual performance of each player as well as tactical components and interaction of the team. The aim of this review was to specify the elements of team-handball performance based on scientific studies and practical experience, and to convey perspectives for practical implication. Scientific studies were identified via data bases of PubMed, Web of Knowledge, SPORT Discus, Google Scholar, and Hercules. A total of 56 articles met the inclusion criteria. In addition, we supplemented the review with 13 additional articles, proceedings and book sections. It was found that the specific characteristics of team-handball with frequent intensity changes, team-handball techniques, hard body confrontations, mental skills and social factors specify the determinants of coordination, endurance, strength and cognition. Although we found comprehensive studies examining individual performance in team-handball players of different experience level, sex or age, there is a lack of studies, particularly for team-handball specific training, as well as cognition and social factors. Key PointsThe specific characteristics of team-handball with frequent intensity changes, specific skills, hard body confrontations, mental skills and social factors define the determinants of coordination, endurance, strength and cognition.To increase individual and team performance in team-handball specific training based on these determinants have been suggested.Although there are comprehensive studies examining individual performance in team-handball players of different experience level, sex, or age are published, there is a lack of training studies, particularly for team-handball specific techniques and endurance, as well as cognition and social factors.

Training of Trainers (ToT) Program in Team Teaching

Science.gov (United States)

Febrianti, Werry; Wiryanto, Leo Hari

2018-01-01

The first year students in Sumatera Institute of Technology (ITERA) follow the first year program (TPB). They will learn about mathematics, physics, chemistry, and all of the basic subjects that they need for learning in ITERA. They will study in the big classrooms with different background department of their friends. This situation makes the lectures become more challenging in teaching their lessons. Besides the classrooms, the experience of the lecturers is still need to be improved because the lecturers are young and less of experience in teaching so that they need guidance from their senior lecturer. Because of that situation, Training of Trainers (ToT) program in team teaching is one of the solution that can increase the young lecturers’s ability so that they can teach well in the massal conditions of the classrooms. ToT program in team teaching indicated the better result than regular teaching.

Core competencies necessary for a managerial psycho-educational training programme for business team coaches

Directory of Open Access Journals (Sweden)

Jeanette E. Maritz

2009-06-01

Full Text Available The objective of this research was to explore and describe core competencies necessary for a managerial psycho-educational training programme for business team coaches. The total number of participants in this qualitative research was 30. A purposive and snowball sampling strategy was used. Triangulation was achieved through focus groups, in-depth individual interviews and naïve sketches. Data were analysed through an open inductive approach and descriptive analysis. The results describe core competencies of a business team coach as situated within an Outcomes Based Education framework and relate to the knowledge to be discovered, skills to be mastered and the attitudes to be formed during a managerial psycho-educational training programme.

On teams, teamwork, and team performance: discoveries and developments.

Science.gov (United States)

Salas, Eduardo; Cooke, Nancy J; Rosen, Michael A

2008-06-01

We highlight some of the key discoveries and developments in the area of team performance over the past 50 years, especially as reflected in the pages of Human Factors. Teams increasingly have become a way of life in many organizations, and research has kept up with the pace. We have characterized progress in the field in terms of eight discoveries and five challenges. Discoveries pertain to the importance of shared cognition, the measurement of shared cognition, advances in team training, the use of synthetic task environments for research, factors influencing team effectiveness, models of team effectiveness, a multidisciplinary perspective, and training and technological interventions designed to improve team effectiveness. Challenges that are faced in the coming decades include an increased emphasis on team cognition; reconfigurable, adaptive teams; multicultural influences; and the need for naturalistic study and better measurement. Work in human factors has contributed significantly to the science and practice of teams, teamwork, and team performance. Future work must keep pace with the increasing use of teams in organizations. The science of teams contributes to team effectiveness in the same way that the science of individual performance contributes to individual effectiveness.

Development and validation of an instrument for measuring the quality of teamwork in teaching teams in postgraduate medical training (TeamQ).

Science.gov (United States)

Slootweg, Irene A; Lombarts, Kiki M J M H; Boerebach, Benjamin C M; Heineman, Maas Jan; Scherpbier, Albert J J A; van der Vleuten, Cees P M

2014-01-01

Teamwork between clinical teachers is a challenge in postgraduate medical training. Although there are several instruments available for measuring teamwork in health care, none of them are appropriate for teaching teams. The aim of this study is to develop an instrument (TeamQ) for measuring teamwork, to investigate its psychometric properties and to explore how clinical teachers assess their teamwork. To select the items to be included in the TeamQ questionnaire, we conducted a content validation in 2011, using a Delphi procedure in which 40 experts were invited. Next, for pilot testing the preliminary tool, 1446 clinical teachers from 116 teaching teams were requested to complete the TeamQ questionnaire. For data analyses we used statistical strategies: principal component analysis, internal consistency reliability coefficient, and the number of evaluations needed to obtain reliable estimates. Lastly, the median TeamQ scores were calculated for teams to explore the levels of teamwork. In total, 31 experts participated in the Delphi study. In total, 114 teams participated in the TeamQ pilot. The median team response was 7 evaluations per team. The principal component analysis revealed 11 factors; 8 were included. The reliability coefficients of the TeamQ scales ranged from 0.75 to 0.93. The generalizability analysis revealed that 5 to 7 evaluations were needed to obtain internal reliability coefficients of 0.70. In terms of teamwork, the clinical teachers scored residents' empowerment as the highest TeamQ scale and feedback culture as the area that would most benefit from improvement. This study provides initial evidence of the validity of an instrument for measuring teamwork in teaching teams. The high response rates and the low number of evaluations needed for reliably measuring teamwork indicate that TeamQ is feasible for use by teaching teams. Future research could explore the effectiveness of feedback on teamwork in follow up measurements.

Remediation and demolition of coke by-products plants

Energy Technology Data Exchange (ETDEWEB)

Stiffler, M A; Gould, W C

1992-08-01

The programme undertaken by ICF Kaiser Engineers and LTV Steel Co. to clean up and demolish four closed coking plants is described, including PCB removal, asbestos abatement, pipe removal and cleaning, tank cleaning, demolition and soil bioremediation. Costs are discussed.

Using artificial team members for team training in virtual environments

NARCIS (Netherlands)

Diggelen, J. van; Muller, T.; Bosch, K. van den

2010-01-01

In a good team, members do not only perform their individual task, they also coordinate their actions with other members of the team. Developing such team skills usually involves exercises with all members playing their role. This approach is costly and has organizational and educational drawbacks.

Agility in Team Sports: Testing, Training and Factors Affecting Performance.

Science.gov (United States)

Paul, Darren J; Gabbett, Tim J; Nassis, George P

2016-03-01

Agility is an important characteristic of team sports athletes. There is a growing interest in the factors that influence agility performance as well as appropriate testing protocols and training strategies to assess and improve this quality. The objective of this systematic review was to (1) evaluate the reliability and validity of agility tests in team sports, (2) detail factors that may influence agility performance, and (3) identify the effects of different interventions on agility performance. The review was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We conducted a search of PubMed, Google Scholar, Science Direct, and SPORTDiscus databases. We assessed the methodological quality of intervention studies using a customized checklist of assessment criteria. Intraclass correlation coefficient values were 0.80-0.91, 0.10-0.81, and 0.81-0.99 for test time using light, video, and human stimuli. A low-level reliability was reported for youth athletes using the video stimulus (0.10-0.30). Higher-level participants were shown to be, on average, 7.5% faster than their lower level counterparts. Reaction time and accuracy, foot placement, and in-line lunge movement have been shown to be related to agility performance. The contribution of strength remains unclear. Efficacy of interventions on agility performance ranged from 1% (vibration training) to 7.5% (small-sided games training). Agility tests generally offer good reliability, although this may be compromised in younger participants responding to various scenarios. A human and/or video stimulus seems the most appropriate method to discriminate between standard of playing ability. Decision-making and perceptual factors are often propositioned as discriminant factors; however, the underlying mechanisms are relatively unknown. Research has focused predominantly on the physical element of agility. Small-sided games and video training may offer effective

Environmental and economical feasibility of selective demolition project; Viabilidad ambiental y economica de un proyecto de demolicion selectiva: hacia una optima gestion de los RCD

Energy Technology Data Exchange (ETDEWEB)

Vegas, I.

2004-07-01

Selective demolition practices have not yet become popular in our country. Unlike conventional demolition practices, selective demolition helps to increase the amount of components to be reused or materials to be recycled. Thus, the percentage of demolition waste deposited in landfills can be reduced, and the production of recycled materials with optimum quality is fostered. Taking the case study of selective demolition carried out in the municipally of Lasarte-Oria (Basque Country-Spain) as its basis, this paper presents an economic and environmental analysis of the same. Likewise, the economic costs deriving from selective demolition are compared with analogous costs from conventional demolition with an aim to establishing the ideal frame supporting economically feasible selective demolition. (Author)

GIS-based planning system for managing the flow of construction and demolition waste in Brazil.

Science.gov (United States)

Paz, Diogo Henrique Fernandes da; Lafayette, Kalinny Patrícia Vaz; Sobral, Maria do Carmo

2018-05-01

The objective of this article was to plan a network for municipal management of construction and demolition waste in Brazil with the assistance of a geographic information system, using the city of Recife as a case study. The methodology was carried out in three stages. The first was to map the illegal construction and demolition of waste disposal points across Recife and classify the waste according to its recyclability. In sequence, a method for indicating suitable areas for installation of voluntary delivery points, for small waste generators, are presented. Finally, a method for indicating suitable areas for the installation of trans-shipment and waste sorting areas, developed for large generators, is presented. The results show that a geographic information system is an essential tool in the planning of municipal construction and demolition waste management, in order to facilitate the spatial analysis and control the generation, sorting, collection, transportation, and final destination of construction and demolition waste, increasing the rate of recovery and recycling of materials.

Construction and Demolition Waste Characteristics in Tanzania ...

African Journals Online (AJOL)

The construction industry generates a lot of construction and demolition (C&D) waste which puts some challenges to its management. For example, currently, in many towns in Tanzania, there are no landfill sites for solid waste disposal; and as a consequence open air dumping sites are used. Dumping C&D waste puts ...

Focused and Corrective Feedback Versus Structured and Supported Debriefing in a Simulation-Based Cardiac Arrest Team Training: A Pilot Randomized Controlled Study.

Science.gov (United States)

Kim, Ji-Hoon; Kim, Young-Min; Park, Seong Heui; Ju, Eun A; Choi, Se Min; Hong, Tai Yong

2017-06-01

The aim of the study was to compare the educational impact of two postsimulation debriefing methods-focused and corrective feedback (FCF) versus Structured and Supported Debriefing (SSD)-on team dynamics in simulation-based cardiac arrest team training. This was a pilot randomized controlled study conducted at a simulation center. Fourth-year medical students were randomly assigned to the FCF or SSD group, with each team composed of six students and a confederate. Each team participated in two simulations and the assigned debriefing (FCF or SSD) sessions and then underwent a test simulation. Two trained raters blindly assessed all of the recorded simulations using checklists. The primary outcome was the improvement in team dynamics scores between baseline and test simulation. The secondary outcomes were improvements before and after training in team clinical performance scores, self-assessed comprehension of and confidence in cardiac arrest management and team dynamics, as well as evaluations of the postsimulation debriefing intervention. In total, 95 students participated [FCF (8 teams, n = 47) and SSD (8 teams, n = 48)]. The SSD team dynamics score during the test simulation was higher than at baseline [baseline: 74.5 (65.9-80.9), test: 85.0 (71.9-87.6), P = 0.035]. However, there were no differences in the improvement in the team dynamics or team clinical performance scores between the two groups (P = 0.328, respectively). There was no significant difference in improvement in team dynamics scores during the test simulation compared with baseline between the SSD and FCF groups in a simulation-based cardiac arrest team training in fourth-year Korean medical students.

Is it possible to improve radiotherapy team members’ communication skills? A randomized study assessing the efficacy of a 38-h communication skills training program

International Nuclear Information System (INIS)

Gibon, Anne-Sophie; Merckaert, Isabelle; Liénard, Aurore; Libert, Yves; Delvaux, Nicole; Marchal, Serge; Etienne, Anne-Marie; Reynaert, Christine; Slachmuylder, Jean-Louis; Scalliet, Pierre; Van Houtte, Paul; Coucke, Philippe; Salamon, Emile

2013-01-01

Background and purpose: Optimizing communication between radiotherapy team members and patients and between colleagues requires training. This study applies a randomized controlled design to assess the efficacy of a 38-h communication skills training program. Material and methods: Four radiotherapy teams were randomly assigned either to a training program or to a waiting list. Team members’ communication skills and their self-efficacy to communicate in the context of an encounter with a simulated patient were the primary endpoints. These encounters were scheduled at the baseline and after training for the training group, and at the baseline and four months later for the waiting list group. Encounters were audiotaped and transcribed. Transcripts were analyzed with content analysis software (LaComm) and by an independent rater. Results: Eighty team members were included in the study. Compared to untrained team members, trained team members used more turns of speech with content oriented toward available resources in the team (relative rate [RR] = 1.38; p = 0.023), more assessment utterances (RR = 1.69; p < 0.001), more empathy (RR = 4.05; p = 0.037), more negotiation (RR = 2.34; p = 0.021) and more emotional words (RR = 1.32; p = 0.030), and their self-efficacy to communicate increased (p = 0.024 and p = 0.008, respectively). Conclusions: The training program was effective in improving team members’ communication skills and their self-efficacy to communicate in the context of an encounter with a simulated patient. Future study should assess the effect of this training program on communication with actual patients and their satisfaction. Moreover a cost-benefit analysis is needed, before implementing such an intensive training program on a broader scale

Quantities of arsenic-treated wood in demolition debris generated by Hurricane Katrina.

Science.gov (United States)

Dubey, Brajesh; Solo-Gabriele, Helena M; Townsendt, Timothy G

2007-03-01

The disaster debris from Hurricane Katrina is one of the largest in terms of volume and economic loss in American history. One of the major components of the demolition debris is wood waste of which a significant proportion is treated with preservatives, including preservatives containing arsenic. As a result of the large scale destruction of treated wood structures such as electrical poles, fences, decks, and homes a considerable amount of treated wood and consequently arsenic will be disposed as disaster debris. In this study an effort was made to estimate the quantity of arsenic disposed through demolition debris generated in the Louisiana and Mississippi area through Hurricane Katrina. Of the 72 million cubic meters of disaster debris generated, roughly 12 million cubic meters were in the form of construction and demolition wood resulting in an estimated 1740 metric tons of arsenic disposed. Management of disaster debris should consider the relatively large quantities of arsenic associated with pressure-treated wood.

A Quantitative Team Situation Awareness Measurement Method Considering Technical and Nontechnical Skills of Teams

Directory of Open Access Journals (Sweden)

Ho Bin Yim

2016-02-01

Full Text Available Human capabilities, such as technical/nontechnical skills, have begun to be recognized as crucial factors for nuclear safety. One of the most common ways to improve human capabilities in general is training. The nuclear industry has constantly developed and used training as a tool to increase plant efficiency and safety. An integrated training framework was suggested for one of those efforts, especially during simulation training sessions of nuclear power plant operation teams. The developed training evaluation methods are based on measuring the levels of situation awareness of teams in terms of the level of shared confidence and consensus as well as the accuracy of team situation awareness. Verification of the developed methods was conducted by analyzing the training data of real nuclear power plant operation teams. The teams that achieved higher level of shared confidence showed better performance in solving problem situations when coupled with high consensus index values. The accuracy of nuclear power plant operation teams' situation awareness was approximately the same or showed a similar trend as that of senior reactor operators' situation awareness calculated by a situation awareness accuracy index (SAAI. Teams that had higher SAAI values performed better and faster than those that had lower SAAI values.

Stripping demolition of reinforced concrete by electric heating method

International Nuclear Information System (INIS)

Nakagawa, Wahei; Nishita, Kiwamu; Kasai, Yoshio

1993-01-01

The present paper describes the procedures and results of a series of experiments the authors conducted to verify the efficiency of the electric heating method, previously proposed for so-called stripping demolition by applying electric current through reinforcing bars. In this method, a low voltage high current is run from one end to the other of a reinforcing bar or bars existing in a concrete structure, inducing intense heat in the bar(s) which in its turn brings about cracks in the surrounding concrete mass, facilitating secondary demolition by hammer picks or other means. The experiments were performed on full-scale biological shield wall mock-ups of a BWR and a small reactor. The results of the experiments are summarized as follows. (1) When electric current is applied through reinforcing bars, the bond between concrete and bars is loosened, and cracks start from one bar and progress toward other bars. Under appropriate conditions, the cracks in concrete run from the contact surface at one bar all the way to its the contact surface on another bar. (2) Cracks appear and grow only between two electrodes between which current is applied, not extending out of the area thus defined. (3) The concrete in the region closer to a current-bearing bar is intensely heated, whereas the concrete far from the bars remains nearly unheated. (4) Concrete walls after electric heating of bars disintegrates, if demolished with hammers, with the covering concrete are removed from the remaining portion of the structure together with heated bars, in shapes of flakes. (5) The reinforced concrete collapses in massive pieces of concrete, without generating much dust as is the case with the demolition of a concrete structure not heated by electricity. Results of the experiments show that the electric heating method is worth applying also to the demolition of nuclear power plants where concrete in the radioactivated surface region of shield walls needs to be stripped off in flakes

Does demolition or refurbishment of old and inefficient homes help to increase our environmental, social and economic viability?

International Nuclear Information System (INIS)

Power, Anne

2008-01-01

The issue of whether to demolish or refurbish older housing has been debated for over a century. It has been an active policy area since the late 1880s, when the Government first authorised the statutory demolition of insanitary slums. In the 1960s, revulsion at the scale of 'demolition blight' and new building caused a rethink, leading to a major reinvestment in inner city neighbourhoods of older housing. In the past 5 years, debate on demolition and new building has been intensified by the Government's Sustainable Communities Plan of 2003, with its proposals for large-scale clearance and building. Environmental arguments about renovating the existing stock have gained increasing prominence as people have sought to defend their communities from demolition. The evidence on whether demolition would reduce the amount of greenhouse gases we emit into the atmosphere is unclear and disputed. This paper summarises the evidence and arguments, and attempts to clarify the most realistic, achievable route to major reductions in energy use in homes

Asbestos exposure among construction workers during demolition of old houses in Tehran, Iran.

Science.gov (United States)

Kakooei, Hossein; Normohammadi, Mohhammad

2014-01-01

Air quality in demolition practices has seldom been evaluated in Iran. Accordingly, we evaluated asbestos exposure among Tehran construction workers during the demolition of old houses. To identify possible sources of asbestos exposure, including thermal insulations, chimney pipes and cement sheets, were all sampled. This study also were taken the personal air samples to evaluate any asbestos exposure during the demolition. The asbestos fibers found in the samples were analyzed by phase-contrast optical microscopy (PCM), scanning electron microscopy (SEM) equipped with an energy dispersive X-ray analysis, and polarized light microscopy (PLM) methods. Personal monitoring of asbestos fiber levels indicated a range from 0.01 to 0.15 PCM f/ml (0.02-0.42 SEM f/ml). The geometric mean concentrations were 0.07 PCM f/ml (0.20 SEM f/ml), which is considerably higher than the threshold limit value (TLV) proposed by American Conference of Governmental Industrial Hygienist (ACGIH), which is 0.1 f/ml. The analysis showed a presence in the bulk samples only chrysotile asbestos and an absence of the other type asbestos. Therefore, it might be expected that workers who worked in the demolition of old houses will suffer from negative effects of exposing to the asbestos fibers.

The End of the Line, Preparing the Main Plant Process Building for Demolition at the West Valley Demonstration Project

International Nuclear Information System (INIS)

Rowell, L.E.; Kurasch, D.H.; Hackett, M.; Gorsuch, G.; Sullivan, D.W.

2009-01-01

The West Valley Demonstration Project (WVDP) Act of 1980 authorized the Department of Energy to conduct a high-level radioactive waste management demonstration project at the site of the former Spent Fuel Reprocessing Plant in West Valley, New York to demonstrate solidification techniques to prepare high-level liquid waste for disposal. The reprocessing facility at this site was the only commercial NRC-licensed spent fuel reprocessing plant to have operated in the United States. The spent fuel reprocessing operations ended in 1972 and DoE's cleanup operations have been underway since 1982. High-level waste solidification was safely concluded in 2002 and follow-on activities at the site have been concentrated on facility decontamination and waste management and off-site disposal. Among the features that remain at the WVDP site is the highly-contaminated Main Plant Process Building (MPPB). The five-story reinforced concrete structure, which was formerly used to reprocess irradiated nuclear fuel, contains residual levels of contamination in some areas that prohibit safe human entry. DoE's long-range plans for the site include demolition of the MPPB. Current site contractor, West Valley Environmental Services LLC (WVES), while actively working to dismantle equipment and decontaminate areas inside the MPPB, has developed a conceptual two-phase plan for demolishing the structure that provides a cost-effective, lower-dose alternative to conventional demolition techniques. This paper discusses the current condition of the MPPB and the demolition-ready preparations conducted in the facility thus far. This paper also introduces the concept of a two-part surgical demolition plan that has been proposed and is being evaluated as a safe method of demolishing the structure. The practical applications that support feasibility for the demolition approach are being demonstrated through current work applications in the MPPB. The Inside-Out Demolition proposal for the MPPB is a safe

Better team management--better team care?

Science.gov (United States)

Shelley, P; Powney, B

1994-01-01

Team building should not be a 'bolt-on' extra, it should be a well planned, integrated part of developing teams and assisting their leaders. When asked to facilitate team building by a group of NHS managers we developed a framework which enabled individual members of staff to become more effective in the way they communicated with each other, their teams and in turn within the organization. Facing the challenge posed by complex organizational changes, staff were able to use 3 training days to increase and develop their awareness of the principles of teamwork, better team management, and how a process of leadership and team building could help yield better patient care.

Application of micro blasting technique to demolition of biological shield wall of reactor building

International Nuclear Information System (INIS)

Kontani, Osamu

2016-01-01

Although heavily reinforced concrete structures in nuclear facilities could be dismantled effectively with the controlled blasting technique, the noises and vibrations caused by blasting were matters of concern. Recently, in the building replacement at urban areas, there are increasing cases of demolition of large reinforced concrete members below ground. Instead of applying heavy weight breakers, the micro blasting technique that enables to lower noises and vibrations has developed and applied to demolition work of large reinforced concrete members in urban areas. In this report, the features of the micro blasting technique is reviewed by comparing with existing controlled blasting technique and its applicability to demolition work of nuclear facilities is investigated. The results of those study find that it is confirmed that the micro blasting technique could be applicable to large reinforced concrete structures in nuclear facilities because of the low levels of noises and vibrations. However, it is recommended to perform mock-up tests to confirm the demolition efficiency and levels of the noises and vibrations since the rebar used in nuclear facilities is larger in diameters and in rebar ratio compared with ordinary reinforced concrete structures. (author)

Distribution of materials in construction and demolition waste in Portugal.

Science.gov (United States)

Coelho, André; de Brito, Jorge

2011-08-01

It may not be enough simply to know the global volume of construction and demolition waste (CDW) generated in a certain region or country if one wants to estimate, for instance, the revenue accruing from separating several types of materials from the input entering a given CDW recycling plant. A more detailed determination of the distribution of the materials within the generated CDW is needed and the present paper addresses this issue, distinguishing different buildings and types of operation (new construction, retrofitting and demolition). This has been achieved by measuring the materials from buildings of different ages within the Portuguese building stock, and by using direct data from demolition/retrofitting sites and new construction average values reported in the literature. An attempt to establish a benchmark with other countries is also presented. This knowledge may also benefit industry management, especially that related to CDW recycling, helping to optimize procedures, equipment size and operation and even industrial plant spatial distribution. In an extremely competitive market, where as in Portugal low-tech and high environmental impact procedures remain the norm in the construction industry (in particular, the construction waste industry), the introduction of a successful recycling industry is only possible with highly optimized processes and based on a knowledge-based approach to problems.

Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ)

Science.gov (United States)

Slootweg, Irene A.; Lombarts, Kiki M. J. M. H.; Boerebach, Benjamin C. M.; Heineman, Maas Jan; Scherpbier, Albert J. J. A.; van der Vleuten, Cees P. M.

2014-01-01

Background Teamwork between clinical teachers is a challenge in postgraduate medical training. Although there are several instruments available for measuring teamwork in health care, none of them are appropriate for teaching teams. The aim of this study is to develop an instrument (TeamQ) for measuring teamwork, to investigate its psychometric properties and to explore how clinical teachers assess their teamwork. Method To select the items to be included in the TeamQ questionnaire, we conducted a content validation in 2011, using a Delphi procedure in which 40 experts were invited. Next, for pilot testing the preliminary tool, 1446 clinical teachers from 116 teaching teams were requested to complete the TeamQ questionnaire. For data analyses we used statistical strategies: principal component analysis, internal consistency reliability coefficient, and the number of evaluations needed to obtain reliable estimates. Lastly, the median TeamQ scores were calculated for teams to explore the levels of teamwork. Results In total, 31 experts participated in the Delphi study. In total, 114 teams participated in the TeamQ pilot. The median team response was 7 evaluations per team. The principal component analysis revealed 11 factors; 8 were included. The reliability coefficients of the TeamQ scales ranged from 0.75 to 0.93. The generalizability analysis revealed that 5 to 7 evaluations were needed to obtain internal reliability coefficients of 0.70. In terms of teamwork, the clinical teachers scored residents' empowerment as the highest TeamQ scale and feedback culture as the area that would most benefit from improvement. Conclusions This study provides initial evidence of the validity of an instrument for measuring teamwork in teaching teams. The high response rates and the low number of evaluations needed for reliably measuring teamwork indicate that TeamQ is feasible for use by teaching teams. Future research could explore the effectiveness of feedback on teamwork in

Strategy of Construction and Demolition Waste Management after Chemical Industry Facilities Removal

Science.gov (United States)

Tashkinova, I. N.; Batrakova, G. M.; Vaisman, Ya I.

2017-06-01

Mixed waste products are generated in the process of irrelevant industrial projects’ removal if conventional techniques of their demolition and dismantling are applied. In Russia the number of unused chemical industry facilities including structures with high rate of wear is growing. In removing industrial buildings and production shops it is used conventional techniques of demolition and dismantling in the process of which mixed waste products are generated. The presence of hazardous chemicals in these wastes makes difficulties for their use and leads to the increasing volume of unutilized residues. In the process of chemical industry facilities’ removal this fact takes on special significance as a high level of hazardous chemicals in the waste composition demands for the realization of unprofitable measures aimed at ensuring environmental and industrial safety. The proposed strategy of managing waste originated from the demolition and dismantling of chemical industry facilities is based on the methodology of industrial metabolism which allows identifying separate material flows of recycled, harmful and ballast components, performing separate collection of components during removal and taking necessary preventive measures. This strategy has been tested on the aniline synthesis plant being in the process of removal. As a result, a flow of 10 wt. %, subjected to decontamination, was isolated from the total volume of construction and demolition waste (C&D waste). The considered approach allowed using the resource potential of more than 80wt. % of waste and minimizing the disposed waste volume.

Construction and demolition waste generation rates for high-rise buildings in Malaysia.

Science.gov (United States)

Mah, Chooi Mei; Fujiwara, Takeshi; Ho, Chin Siong

2016-12-01

Construction and demolition waste continues to sharply increase in step with the economic growth of less developed countries. Though the construction industry is large, it is composed of small firms with individual waste management practices, often leading to the deleterious environmental outcomes. Quantifying construction and demolition waste generation allows policy makers and stakeholders to understand the true internal and external costs of construction, providing a necessary foundation for waste management planning that may overcome deleterious environmental outcomes and may be both economically and environmentally optimal. This study offers a theoretical method for estimating the construction and demolition project waste generation rate by utilising available data, including waste disposal truck size and number, and waste volume and composition. This method is proposed as a less burdensome and more broadly applicable alternative, in contrast to waste estimation by on-site hand sorting and weighing. The developed method is applied to 11 projects across Malaysia as the case study. This study quantifies waste generation rate and illustrates the construction method in influencing the waste generation rate, estimating that the conventional construction method has a waste generation rate of 9.88 t 100 m -2 , the mixed-construction method has a waste generation rate of 3.29 t 100 m -2 , and demolition projects have a waste generation rate of 104.28 t 100 m -2 . © The Author(s) 2016.

Construction, Maintenance and Demolition of Nuclear Power Plants

Energy Technology Data Exchange (ETDEWEB)

Smet, Camiel de [Hilti Corporation, P.O. Box 333, FL-9494 Schaan (Liechtenstein)

2008-07-01

Hilti is your reliable partner in nuclear power plant construction, maintenance and demolition worldwide. Professional advice and innovative solutions for virtually every phase of construction and supply technologically leading products and systems to increase your productivity and help to create and maintain safe and lasting plants is offered. The solutions for nuclear power plants construction, maintenance and demolition have been employed with great success in many different countries on a wide variety of projects due in no small way to their worldwide availability. An unbroken, international exchange of experience upholds a permanent innovation process. This assures our customers that they always receive products on the very latest technological standard. This paper is not intended to cover all topics related to nuclear power plants. The idea is more to give a kind of an overview. The paper covers briefly the following topics: safety (corrosion and fire), fastenings, measuring and finally decommissioning of nuclear power plants. (author)

Towards a more professional demolition and dismantling industry

International Nuclear Information System (INIS)

1988-01-01

The work of the National Economic Development Office Demolition and Dismantling Group in four areas which are crucial to the economic performance of the demolition and dismantling industry and its safety record is considered. The first concerns the availability and accessibility of information about unconventional structures and details are given of the sort of information often kept for different types of structure. Secondly, the need is stressed for guidelines for the client, particularly on the risks involved and the choice of a competent contractor. Thirdly, basic credentials which it is important for contractors to set out in order to establish a good reputation for the industry are set out. Finally, the particular case of nuclear power station decommissioning is considered with reference to the size of the market, the pioneering knowledge to be gained from the decommissioning of the Windscale Advanced Gas-cooled Reactor, private sector involvement and the special techniques required. (U.K.)

Construction, Maintenance and Demolition of Nuclear Power Plants

International Nuclear Information System (INIS)

Smet, Camiel de

2008-01-01

Hilti is your reliable partner in nuclear power plant construction, maintenance and demolition worldwide. Professional advice and innovative solutions for virtually every phase of construction and supply technologically leading products and systems to increase your productivity and help to create and maintain safe and lasting plants is offered. The solutions for nuclear power plants construction, maintenance and demolition have been employed with great success in many different countries on a wide variety of projects due in no small way to their worldwide availability. An unbroken, international exchange of experience upholds a permanent innovation process. This assures our customers that they always receive products on the very latest technological standard. This paper is not intended to cover all topics related to nuclear power plants. The idea is more to give a kind of an overview. The paper covers briefly the following topics: safety (corrosion and fire), fastenings, measuring and finally decommissioning of nuclear power plants. (author)

Teaming for Speech and Auditory Training.

Science.gov (United States)

Nussbaum, Debra B.; Waddy-Smith, Bettie

1985-01-01

The article suggests three strategies for the audiologist and speech/communication specialist to use in assisting the preschool teacher to implement student's individualized education program: (1) demonstration teaming, (2) dual teaming; and (3) rotation teaming. (CL)

Does the effect of one-day simulation team training in obstetric emergencies decline within one year? A post-hoc analysis of a multicentre cluster randomised controlled trial.

Science.gov (United States)

van de Ven, J; Fransen, A F; Schuit, E; van Runnard Heimel, P J; Mol, B W; Oei, S G

2017-09-01

Does the effect of one-day simulation team training in obstetric emergencies decline within one year? A post-hoc analysis of a multicentre cluster randomised controlled trial. J van de Ven, AF Fransen, E Schuit, PJ van Runnard Heimel, BW Mol, SG Oei OBJECTIVE: To investigate whether the effect of a one-day simulation-based obstetric team training on patient outcome changes over time. Post-hoc analysis of a multicentre, open, randomised controlled trial that evaluated team training in obstetrics (TOSTI study).We studied women with a singleton pregnancy beyond 24 weeks of gestation in 24 obstetric units. Included obstetric units were randomised to either a one-day, multi-professional simulation-based team training focusing on crew resource management in a medical simulation centre (12 units) or to no team training (12 units). We assessed whether outcomes differed between both groups in each of the first four quarters following the team training and compared the effect of team training over quarters. Primary outcome was a composite outcome of low Apgar score, severe postpartum haemorrhage, trauma due to shoulder dystocia, eclampsia and hypoxic-ischemic encephalopathy. During a one year period after the team training the rate of obstetric complications, both on the composite level and the individual component level, did not differ between any of the quarters. For trauma due to shoulder dystocia team training led to a significant decrease in the first quarter (0.06% versus 0.26%, OR 0.19, 95% CI 0.03 to 0.98) but in the subsequent quarters no significant reductions were observed. Similar results were found for invasive treatment for severe postpartum haemorrhage where a significant increase was only seen in the first quarter (0.4% versus 0.03%, OR 19, 95% CI 2.5-147), and not thereafter. The beneficial effect of a one-day, simulation-based, multiprofessional, obstetric team training seems to decline after three months. If team training is further evaluated or

A BIM-based system for demolition and renovation waste estimation and planning.

Science.gov (United States)

Cheng, Jack C P; Ma, Lauren Y H

2013-06-01

Due to the rising worldwide awareness of green environment, both government and contractors have to consider effective construction and demolition (C&D) waste management practices. The last two decades have witnessed the growing importance of demolition and renovation (D&R) works and the growing amount of D&R waste disposed to landfills every day, especially in developed cities like Hong Kong. Quantitative waste prediction is crucial for waste management. It can enable contractors to pinpoint critical waste generation processes and to plan waste control strategies. In addition, waste estimation could also facilitate some government waste management policies, such as the waste disposal charging scheme in Hong Kong. Currently, tools that can accurately and conveniently estimate the amount of waste from construction, renovation, and demolition projects are lacking. In the light of this research gap, this paper presents a building information modeling (BIM) based system that we have developed for estimation and planning of D&R waste. BIM allows multi-disciplinary information to be superimposed within one digital building model. Our system can extract material and volume information through the BIM model and integrate the information for detailed waste estimation and planning. Waste recycling and reuse are also considered in our system. Extracted material information can be provided to recyclers before demolition or renovation to make recycling stage more cooperative and more efficient. Pick-up truck requirements and waste disposal charging fee for different waste facilities will also be predicted through our system. The results could provide alerts to contractors ahead of time at project planning stage. This paper also presents an example scenario with a 47-floor residential building in Hong Kong to demonstrate our D&R waste estimation and planning system. As the BIM technology has been increasingly adopted in the architectural, engineering and construction industry

Use of demolition residues construction in soil-lime bricks

International Nuclear Information System (INIS)

Figueiredo, S.S.; Silva, C.G.; Silva, I.A.; Neves, G.A.

2011-01-01

Besides being responsible for several environmental damage caused by its residues, the construction industry is also considered the greatest natural resources consumer. When finely ground, such residues can exhibit cementing properties, which may replace part of the lime used in the manufacture of soil-lime bricks. This study aimed to verify the viability of using demolition residues (DR) in soil-lime bricks without structural function. For this, test specimens were prepared using mixes in a 1:10 ratio of lime:soil and embedding residue in partial replacement of lime in the proportions of 25%, 50% and 75%. The test specimens were submitted to curing periods of 28 and 52 days, then it was determined the compression strength. The results showed that when embedded on moderate percentages, demolition residues construction can be used in the production of soil-lime bricks. (author)

Energy savings from housing: Ineffective renovation subsidies vs efficient demolition and reconstruction incentives

International Nuclear Information System (INIS)

Dubois, Maarten; Allacker, Karen

2015-01-01

Energy savings in the housing sector are key to reduce global greenhouse gas emissions. Policies to incentivize energy savings are however disparate between countries. Taking into account environmental aspects and consumer surplus, the paper uses a stylized economic model to assess the effectiveness and efficiency of three economic instruments: subsidies for renovation, subsidies for demolition and reconstruction projects and subsidies for building new houses on virgin land. The assessment also relates to differentiated value added taxes and other financial incentives such as green loans. In a counter-intuitive way, the model highlights that subsidies for renovations with minor energy gains worsen the overall energy consumption of housing due to the inducement of lock-ins with energy inefficient houses. Structural changes are needed in the use of policy instruments. First, commonly applied support schemes for renovations with minor energy savings should be abolished. Second, scarce public resources should incentivize deep renovation and demolition and reconstruction. Finally, taxes should apply on the use of virgin land to persuade households with a high willingness to pay for a new house, to invest in demolition and reconstruction. - Highlights: • Renovation subsidies worsen overall energy consumption of housing. • Renovation induces a lock-in with energy inefficient houses. • Renovation subsidies should be abolished or structurally reformed. • Policy should incentivize demolition and reconstruction projects. • Building on virgin land should be taxed.

Identifying deficiencies in national and foreign medical team responses through expert opinion surveys: implications for education and training.

Science.gov (United States)

Djalali, Ahmadreza; Ingrassia, Pier Luigi; Corte, Francesco Della; Foletti, Marco; Gallardo, Alba Ripoll; Ragazzoni, Luca; Kaptan, Kubilay; Lupescu, Olivera; Arculeo, Chris; von Arnim, Gotz; Friedl, Tom; Ashkenazi, Michael; Heselmann, Deike; Hreckovski, Boris; Khorram-Manesh, Amir; Khorrram-Manesh, Amir; Komadina, Radko; Lechner, Kostanze; Patru, Cristina; Burkle, Frederick M; Fisher, Philipp

2014-08-01

Unacceptable practices in the delivery of international medical assistance are reported after every major international disaster; this raises concerns about the clinical competence and practice of some foreign medical teams (FMTs). The aim of this study is to explore and analyze the opinions of disaster management experts about potential deficiencies in the art and science of national and FMTs during disasters and the impact these opinions might have on competency-based education and training. This qualitative study was performed in 2013. A questionnaire-based evaluation of experts' opinions and experiences in responding to disasters was conducted. The selection of the experts was done using the purposeful sampling method, and the sample size was considered by data saturation. Content analysis was used to explore the implications of the data. This study shows that there is a lack of competency-based training for disaster responders. Developing and performing standardized training courses is influenced by shortcomings in budget, expertise, and standards. There is a lack of both coordination and integration among teams and their activities during disasters. The participants of this study emphasized problems concerning access to relevant resources during disasters. The major findings of this study suggest that teams often are not competent during the response phase because of education and training deficiencies. Foreign medical teams and medically related nongovernmental organizations (NGOs) do not always provide expected capabilities and services. Failures in leadership and in coordination among teams are also a problem. All deficiencies need to be applied to competency-based curricula.

Development and pilot testing of an interprofessional patient-centered team training programme in medical rehabilitation clinics in Germany: a process evaluation.

Science.gov (United States)

Becker, Sonja; Körner, Mirjam; Müller, Christian; Lippenberger, Corinna; Rundel, Manfred; Zimmermann, Linda

2017-07-14

Interprofessional teamwork is considered to be a key component of patient-centred treatment in healthcare, and especially in the rehabilitation sector. To date, however, no interventions exist for improving teamwork in rehabilitation clinics in Germany. A team training programme was therefore designed that is individualised in content but standardised regarding methods and process. It is clinic specific, task related, solution focused and context oriented. The aim of the study was to implement and evaluate this training for interprofessional teams in rehabilitation clinics in Germany. The measure consists of a training of a varying number of sessions with rehabilitation teams that consists of four distinct phases. Those are undergone chronologically, each with clinic-specific contents. It was implemented between 2013 and 2014 in five rehabilitation clinics in Germany and evaluated by the participants via questionnaire (n = 52). Staff in three clinics evaluated the programme as helpful, in particular rating moderation, discussions and communication during the training positively. Staff in the remaining two clinics rated it as not very or not helpful and mentioned long-term structural problems or a lack of need for team training as a reason for this. The team training is applicable and accepted by staff. It should, however, be tested in a greater sample and compared with a control group. Processes should be studied in more detail in order to determine what differentiates successful from non-successful interventions and the different requirements each of these might have.

Performance of district disaster management teams after undergoing an operational level planners' training in Uganda.

Science.gov (United States)

Orach, Christopher Garimol; Mayega, Roy William; Woboya, Vincent; William, Bazeyo

2013-06-01

Uganda is vulnerable to several natural, man-made and a hybrid of disasters including drought, famine, floods, warfare, and disease outbreaks. We assessed the district disaster team's performance, roles and experiences following the training. The disasters most commonly experienced by the district teams were epidemics of diseases in humans (7 of 12), animals (epizoonotics) (3 of 12) and crops (3 of 12); hailstorms and floods (3 of 12). The capabilities viewed most useful for management of disasters were provision of health care services (9/12) and response management (8 of 12). The capability domains most often consulted during the disasters were general response management (31%), health services (29%) and water and sanitation (17%). The skills areas perceived to be vital following the training were response to epidemics 10/12, disaster management planning 8/12, hazards and vulnerability analysis 7/12 and principles of disaster planning 7/12 respectively. Main challenges mentioned by district teams were inadequacy of finance and logistics, lack of commitment by key partners towards disaster preparedness and response. The most common disaster experienced disasters related to outbreaks of diseases in man, animals and crops. The most frequently applied capabilities were response management and provision of emergency health services. The activities most frequently implemented following disaster management teams training were conducting planning meetings, refinement of plans and dissemination of skills gained. The main challenges were related to limited budget allocations and legal frameworks for disaster management that should be addressed by both central and local governments.

Ambivalence in Place Attachment : The Lived Experiences of Residents in Declining Neighbourhoods Facing Demolition in Shenyang, China

NARCIS (Netherlands)

Li, X.; Kleinhans, R.J.; van Ham, M.

This paper investigates the place attachment of residents in declining neighbourhoods that are facing demolition in Shenyang, China. Through in-depth interviews with homeowners living in danwei communities, or urban villages, at the pre-demolition phase, this paper reveals the strong connection

Evaluation of aviation-based safety team training in a hospital in The Netherlands

NARCIS (Netherlands)

de Korne, Dirk F.; van Wijngaarden, Jeroen D. H.; van Dyck, Cathy; Hiddema, U. Francis; Klazinga, Niek S.

2014-01-01

Purpose - The purpose of this paper is to evaluate the implementation of a broad-scale team resource management (TRM) program on safety culture in a Dutch eye hospital, detailing the program's content and procedures. Aviation-based TRM training is recognized as a useful approach to increase patient

Evaluation of team skills for control room crews

International Nuclear Information System (INIS)

Gaddy, C.D.; Koontz, J.L.

1987-01-01

Although team training has received considerable attention throughout industry, a systematic approach to team skills training has only recently been proposed for control room crews. One important step of the approach to team skills training is evaluation of team skills. This paper describes methods and resources, and program considerations in team skills evaluation. The three areas pertaining to methods and resources are: development of evaluation criteria, preparation of event scenarios, and instructor training and additional resources. The program considerations include sequencing and coordination of team skills evaluation in the context of an overall operator training program

Postwar City: Importance of Recycling Construction and Demolition Waste

Science.gov (United States)

Al-Qaraghuli, Hanan; Alsayed, Yaman; Almoghazy, Ali

2017-10-01

Wars and armed conflicts have heavy tolls on the built environment when they take place in cities. It is not only restricted to the actually fighting which destroys or damages buildings and infrastructure, but the damage and destruction inflicts its impacts way beyond the cessation of military actions. They can even have another impact through physical segregation of city quarters through walls and checkpoints that complicates, or even terminates, mobility of citizens, goods, and services in the post-war scenario. The accumulation of debris in the streets often impedes the processes of rescue, distribution of aid and services, and other forms of city life as well. Also, the amount of effort and energy needed to remove those residual materials to their final dumping sites divert a lot of urgently needed resources. In this paper, the components of construction and demolition waste found in post-war cities are to be discussed, relating each one to its origins and potential reuses. Then the issues related to the management of construction waste and demolition debris resulting from military actions are to be discussed. First, an outlook is to be given on the historical example of Berlin and how the city was severely damaged during World War II, and how the reconstruction of the city was aided in part by the reuse of demolition debris. Then two more recent examples will be given, the cities of Baghdad in Iraq, and Homs in Syria. In Baghdad, though major military actions have ceased but not all rubble is cleared out, some security structures in the form of concrete walls separate the cities into quarters and impede city life and lie around as poorly allocated resource needed for reconstruction. While in the case of Homs, and the wider Syrian context, major military operations are still raging, making more pressure on the resources needed for reconstruction. This recycling of demolition debris can bring economic and social stability through the conservation of resources

48 CFR 52.249-3 - Termination for Convenience of the Government (Dismantling, Demolition, or Removal of Improvements).

Science.gov (United States)

2010-10-01

... Convenience of the Government (Dismantling, Demolition, or Removal of Improvements). 52.249-3 Section 52.249-3... Convenience of the Government (Dismantling, Demolition, or Removal of Improvements). As prescribed in 49.502(b)(2), insert the following clause: Termination for Convenience of the Government (Dismantling...

Simulation-based education for building clinical teams

Directory of Open Access Journals (Sweden)

Marshall Stuart

2010-01-01

Full Text Available Failure to work as an effective team is commonly cited as a cause of adverse events and errors in emergency medicine. Until recently, individual knowledge and skills in managing emergencies were taught, without reference to the additional skills required to work as part of a team. Team training courses are now becoming commonplace, however their strategies and modes of delivery are varied. Just as different delivery methods of traditional education can result in different levels of retention and transfer to the real world, the same is true in team training of the material in different ways in traditional forms of education may lead to different levels of retention and transfer to the real world, the same is true in team training. As team training becomes more widespread, the effectiveness of different modes of delivery including the role of simulation-based education needs to be clearly understood. This review examines the basis of team working in emergency medicine, and the components of an effective emergency medical team. Lessons from other domains with more experience in team training are discussed, as well as the variations from these settings that can be observed in medical contexts. Methods and strategies for team training are listed, and experiences in other health care settings as well as emergency medicine are assessed. Finally, best practice guidelines for the development of team training programs in emergency medicine are presented.

Helping fluid teams work: A research agenda for effective team adaptation in healthcare.

Science.gov (United States)

Bedwell, Wendy L; Ramsay, P Scott; Salas, Eduardo

2012-12-01

Although membership changes within teams are a common practice, research into this phenomenon is relatively nascent (Summers et al.; Acad Manag J 55:314-338, 2012). The small literature base, however, does provide insight into skills required for effective adaptation. The purpose of this effort is to provide a brief research synopsis, leading to research hypotheses about medical team training. By generalizing previous scientific findings regarding skills required for effective membership adaptation in different kinds of teams, we posit mechanisms whereby teamwork training might also support adaptation among medical teams (Burke et al.; Qual & Saf Health Care 13:i96-i104, 2004 and Salas et al.; Theor Issues Ergon Sci 8:381-394, 2007). We provide an overview of the membership change literature. Drawing upon literature from both within and outside of the medical domain, we suggest a framework and research propositions to aid in research efforts designed to determine the best content for helping to create adaptable medical teams through team training efforts. For effective adaptation, we suggest ad hoc teams should be trained on generalizable teamwork skills, to share just "enough" and the "right" information, to engage in shared leadership, and to shift from explicit to implicit coordination. Our overarching goal was to present what is known from the general research literature on successful team adaptation to membership changes, and to propose a research agenda to evaluate whether findings generalize to member changes in medical teams.

Face and content validity of Xperience™ Team Trainer: bed-side assistant training simulator for robotic surgery.

Science.gov (United States)

Sessa, Luca; Perrenot, Cyril; Xu, Song; Hubert, Jacques; Bresler, Laurent; Brunaud, Laurent; Perez, Manuela

2018-03-01

In robotic surgery, the coordination between the console-side surgeon and bed-side assistant is crucial, more than in standard surgery or laparoscopy where the surgical team works in close contact. Xperience™ Team Trainer (XTT) is a new optional component for the dv-Trainer ® platform and simulates the patient-side working environment. We present preliminary results for face, content, and the workload imposed regarding the use of the XTT virtual reality platform for the psychomotor and communication skills training of the bed-side assistant in robot-assisted surgery. Participants were categorized into "Beginners" and "Experts". They tested a series of exercises (Pick & Place Laparoscopic Demo, Pick & Place 2 and Team Match Board 1) and completed face validity questionnaires. "Experts" assessed content validity on another questionnaire. All the participants completed a NASA Task Load Index questionnaire to assess the workload imposed by XTT. Twenty-one consenting participants were included (12 "Beginners" and 9 "Experts"). XTT was shown to possess face and content validity, as evidenced by the rankings given on the simulator's ease of use and realism parameters and on the simulator's usefulness for training. Eight out of nine "Experts" judged the visualization of metrics after the exercises useful. However, face validity has shown some weaknesses regarding interactions and instruments. Reasonable workload parameters were registered. XTT demonstrated excellent face and content validity with acceptable workload parameters. XTT could become a useful tool for robotic surgery team training.

Evaluation of aviation-based safety team training in a hospital in The Netherlands

NARCIS (Netherlands)

de Korne, D.F.; van Wijngaarden, J.D.H.; van Dyck, C.; Hiddema, F.; Klazinga, N.S.

2014-01-01

Purpose – The purpose of this paper is to evaluate the implementation of a broad-scale team resource management (TRM) program on safety culture in a Dutch eye hospital, detailing the program’s content and procedures. Aviation-based TRM training is recognized as a useful approach to increase patient

Evaluation of aviation-based safety team training in a hospital in The Netherlands

NARCIS (Netherlands)

D.F. de Korne (Dirk); J.D.H. van Wijngaarden (Jeroen); C. van Dyck (Cathy); U.F. Hiddema (Frans); N.S. Klazinga (Niek)

2014-01-01

textabstractPurpose – The purpose of this paper is to evaluate the implementation of a broad-scale team resource management (TRM) program on safety culture in a Dutch eye hospital, detailing the program’s content and procedures. Aviation-based TRM training is recognized as a useful approach to

Medical team training: applying crew resource management in the Veterans Health Administration.

Science.gov (United States)

Dunn, Edward J; Mills, Peter D; Neily, Julia; Crittenden, Michael D; Carmack, Amy L; Bagian, James P

2007-06-01

Communication failure, a leading source of adverse events in health care, was involved in approximately 75% of more than 7,000 root cause analysis reports to the Department of Veterans Affairs (VA) National Center for Patient Safety (NCPS). The VA NCPS Medical Team Training (MTT) program, which is based on aviation principles of crew resource management (CRM), is intended to improve outcomes of patient care by enhancing communication between health care professionals. Unique features of MTT include a full-day interactive learning session (facilitated entirely by clinical peers in a health care context), administration of pre-and postintervention safety attitudes questionnaires, and follow-up semistructured interviews with reports of program activities and lessons learned. Examples of projects in these facilities include intensive care unit (ICU) teams' patient-centered multidisciplinary rounds, surgical teams' preoperative briefings and debriefings, an entire operating room (OR) unit's adoption of "Rules of Conduct" for expected staff behavior, and an ICU team's use of the model for daily administrative briefings. An MTT program based on applied CRM principles was successfully developed and implemented in 43 VA medical centers from September 2003 to May 2007.

HAZWOPER project documents for demolition of the Waste Evaporator Facility, Building 3506, at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1996-03-01

This document, in support of the Waste Evaporator Facility (WEF) demolition project and contains the Project Work Plan and the Project Health and Safety Plan for demolition and partial remediation actions by ATG at the Waste Evaporator Facility, Building 3506. Various activities will be conducted during the course of demolition, and this plan provides details on the work steps involved, the identification of hazards, and the health and safety practices necessary to mitigate these hazards. The objective of this document is to develop an approach for implementing demolition activities at the WEF. This approach is based on prior site characterization information and takes into account all of the known hazards at this facility. The Project Work Plan provides instructions and requirements for identified work steps that will be utilized during the performance of demolition, while the Health and Safety Plan addresses the radiological, hazardous material exposure, and industrial safety concerns that will be encountered

HAZWOPER project documents for demolition of the Waste Evaporator Facility, Building 3506, at Oak Ridge National Laboratory, Oak Ridge, Tennessee

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-03-01

This document, in support of the Waste Evaporator Facility (WEF) demolition project and contains the Project Work Plan and the Project Health and Safety Plan for demolition and partial remediation actions by ATG at the Waste Evaporator Facility, Building 3506. Various activities will be conducted during the course of demolition, and this plan provides details on the work steps involved, the identification of hazards, and the health and safety practices necessary to mitigate these hazards. The objective of this document is to develop an approach for implementing demolition activities at the WEF. This approach is based on prior site characterization information and takes into account all of the known hazards at this facility. The Project Work Plan provides instructions and requirements for identified work steps that will be utilized during the performance of demolition, while the Health and Safety Plan addresses the radiological, hazardous material exposure, and industrial safety concerns that will be encountered.

Demolition of Building 12, an old plutonium filter facility

International Nuclear Information System (INIS)

Christensen, E.L.; Garde, R.; Valentine, A.M.

1975-01-01

This report discusses the decommissioning and disposal of a plutonium-contaminated air filter facility that provided ventilation for the main plutonium processing plant at Los Alamos from 1945 until 1973. The health physics, waste management, and environmental aspects of the demolition are also discussed

Simulation training improves team dynamics and performance in a low-resource cardiac intensive care unit

Directory of Open Access Journals (Sweden)

Sivaram Subaya Emani

2018-01-01

Conclusions: This study demonstrates the feasibility and effectiveness of simulationbased training in improving team dynamics and performance in lowresource pediatric CICU environments, indicating its potential role in eliminating communication barriers in these settings.

Autonomy support and motivational responses across training and competition in individual and team sports

NARCIS (Netherlands)

Pol, P.K.C. van de; Kavussanu, M.; Kompier, M.A.J.

2015-01-01

This study examined: (a) whether athletes’ (N = 348) perceived autonomy support (i.e., showing interest in athletes’ input and praising autonomous behavior) differs across contexts (training vs. competition) and sport types (individual vs. team sports), and (b) whether the relationships between

Neuromuscular training improves knee kinematics, in particular in valgus aligned adolescent team handball players of both sexes.

NARCIS (Netherlands)

Barendrecht, M.; Lezeman, H.C.; Duysens, J.E.J.; Smits-Engelsman, B.C.M.

2011-01-01

The purpose of this study was to investigate the effects of added neuromuscular training (NMT), as compared to just regular training (RT), on lower extremity kinematics and single leg stability in adolescent team handball players of both sexes and to investigate whether these effects are more

Modeling end-of-life pathways of construction and demolition debris in the United States (poster for LCM 2017)

Science.gov (United States)

In 2013, the United States generated 530 million tons of construction and demolition debris (CDD), 90% of which was related to demolition. Despite this major contribution to national waste streams, Life Cycle Assessment (LCA) studies and product declarations of buildings and buil...

Y-12 Construction/Demolition Landfill VII: Permit application: Part 1 and 2

International Nuclear Information System (INIS)

1992-04-01

The United States Department of Energy (DOE) has three major operating facilities on the DOE Oak Ridge Reservation (ORR) at Oak Ridge, Tennessee: the Y-12 Plant, the K-25 Site, and the Oak Ridge National Laboratory (ORNL). Operations associated with the DOE energy research and production facilities at Oak Ridge result in the production of several types of waste materials. Disposal of solid waste (as defined in the Solid Waste Processing and Disposal Rules for Tennessee) in disposal facilities operated by the Y-12 Plant is the responsibility of Y-12 Waste Management Division (MWD). The WMD is proposing to develop a facility that will include two new disposal units: one for construction/demolition waste and spoil and one for industrial solid waste. This manual describes the closure and post-closure plans for the construction/demolition waste and spoil disposal unit. This disposal unit is referred to as the Y-12 Construction/Demolition Landfill VII (CD-VII) and is to be operated by the Y-12 Plant for the DOE. This will be a Tennessee Department of Environment and Conservation/Division of Solid Waste Management (TDEC/DSWM) Class IV disposal unit

Rural general practice training: experience of a rural general practice team and a postgraduate year two registrar.

Science.gov (United States)

Scott-Jones, Joseph; Lucas, Sarah

2013-09-01

Undertaking training in rural areas is a recognised way of helping recruit staff to work in rural communities. Postgraduate year two medical doctors in New Zealand have been able to undertake a three-month placement in rural practice as part of their pre-vocational training experience since November 2010. To describe the experience of a rural general practice team providing training to a postgraduate year two medical trainee, and to describe the teaching experience and range of conditions seen by the trainee. A pre- and post-placement interview with staff, and analysis of a logbook of cases and teaching undertaken in the practice. The practice team's experience of having the trainee was positive, and the trainee was exposed to a wide range of conditions over 418 clinical encounters. The trainee received 22.5 hours of formal training over the three-month placement. Rural general practice can provide a wide range of clinical experience to a postgraduate year two medical trainee. Rural practices in New Zealand should be encouraged to offer teaching placements at this training level. Exposure to rural practice at every level of training is important to encourage doctors to consider rural practice as a career.

Quantum demolition filtering and optimal control of unstable systems.

Science.gov (United States)

Belavkin, V P

2012-11-28

A brief account of the quantum information dynamics and dynamical programming methods for optimal control of quantum unstable systems is given to both open loop and feedback control schemes corresponding respectively to deterministic and stochastic semi-Markov dynamics of stable or unstable systems. For the quantum feedback control scheme, we exploit the separation theorem of filtering and control aspects as in the usual case of quantum stable systems with non-demolition observation. This allows us to start with the Belavkin quantum filtering equation generalized to demolition observations and derive the generalized Hamilton-Jacobi-Bellman equation using standard arguments of classical control theory. This is equivalent to a Hamilton-Jacobi equation with an extra linear dissipative term if the control is restricted to Hamiltonian terms in the filtering equation. An unstable controlled qubit is considered as an example throughout the development of the formalism. Finally, we discuss optimum observation strategies to obtain a pure quantum qubit state from a mixed one.

The FRJ-1 (MERLIN) research reactor: its main activity inventory has been removed by successful demolition of the reactor block

International Nuclear Information System (INIS)

Stahn, B.; Printz, R.; Matela, K.; Zehbe, C.; Poeppinghaus, J.; Cremer, J.

2004-01-01

The FRJ-1 (MERLIN) research reactor was decommissioned in 1985 after twenty-three years of operation. Demolition of the plant was begun in 1996. The article contains a survey of the demolition steps carried out so far within the framework of three partial permits. The main activity is the demolition of the reactor core structures as a precondition for subsequent measures to ensure clearance measurements of the building. The core structures are demolished which were exposed to high neutron fluxes during reactor operation and now show the highest activity and dose rate levels, except for the core internals. For demolition and disassembly of the metal structures in this part of the plant, the tools specially designed and made include a remotely operated sawing system and a pipe cutting system for internal segmentation of the beam lines. The universal demolition tool for use also above and beyond the concrete structures has been found to be a remotely controlled electrohydraulic demolition shovel. Spreading contamination in the course of the demolition work was avoided. One major reason for this success was the fact that no major airborne contamination existed at any time as a consequence of the quality of the material demolished and also of the consistent use of technical tools. While the reactor block was being demolished, an application for clearance measurement of the reactor hall and subsequent release from the scope of the Atomic Energy Act was filed as early as in mid-2003. The fourth partial permit covering these activities is expected to be issued in the spring of 2004. (orig.)

Modified Brokk Demolition Machine with Remote Operator Console. Innovative Technology Summary Report

International Nuclear Information System (INIS)

2001-01-01

The Low-Cost D and D System modifies a commercially available BROKK demolition system for remote viewing and long tether remote operation that provides a portable facility camera pod and interfaces with the Compact Remote Operator Console (TMS Tech ID 2180) to extend the applicability of the BROKK system to projects that require removal of the operator from the work area due to exposure to radiological, chemical, or industrial hazards. The modified BROKK has been integrated with the Compact Remote Operator Console to provide a true remotely operated low-cost D and D system applicable to a wide range of small D and D demolition tasks across the DOE complex

Simulated Trauma and Resuscitation Team Training course-evolution of a multidisciplinary trauma crisis resource management simulation course.

Science.gov (United States)

Gillman, Lawrence M; Brindley, Peter; Paton-Gay, John Damian; Engels, Paul T; Park, Jason; Vergis, Ashley; Widder, Sandy

2016-07-01

We previously reported on a pilot trauma multidisciplinary crisis resource course titled S.T.A.R.T.T. (Simulated Trauma and Resuscitative Team Training). Here, we study the course's evolution. Satisfaction was evaluated by postcourse survey. Trauma teams were evaluated using the Ottawa global rating scale and an Advanced Trauma Life Support primary survey checklist. Eleven "trauma teams," consisting of physicians, nurses, and respiratory therapists, each completed 4 crisis simulations over 3 courses. Satisfaction remained high among participants with overall mean satisfaction being 4.39 on a 5-point Likert scale. As participants progressed through scenarios, improvements in global rating scale scores were seen between the 1st and 4th (29.8 vs 36.1 of 42, P = .022), 2nd and 3rd (28.2 vs 34.6, P = .017), and 2nd and 4th (28.2 vs 36.1, P = .003) scenarios. There were no differences in Advanced Trauma Life Support checklist with mean scores for each scenario ranging 11.3 to 13.2 of 17. The evolved Simulated Trauma and Resuscitative Team Training curriculum has maintained high participant satisfaction and is associated with improvement in team crisis resource management skills over the duration of the course. Copyright © 2015 Elsevier Inc. All rights reserved.

Healthcare team training programs aimed at improving depression management in primary care: A systematic review.

Science.gov (United States)

Vöhringer, Paul A; Castro, Ariel; Martínez, Pablo; Tala, Álvaro; Medina, Simón; Rojas, Graciela

2016-08-01

Although evidence from Latin America and the Caribbean suggests that depression can be effectively treated in primary care settings, depression management remains unevenly performed. This systematic review evaluates all the international evidence on healthcare team training programs aimed at improving the outcomes of patients with depression. Three databases were searched for articles in English or Spanish indexed up to November 20, 2014. Studies were included if they fulfilled the following conditions: clinical trials, meta-analyses, or systematic reviews; and if they evaluated a training or educational program intended to improve the management of depression by primary healthcare teams, and assessed change in depressive symptoms, diagnosis or response rates, referral rates, patients' satisfaction and/or quality of life, and the effectiveness of treatments. Nine studies were included in this systematic review. Five trials tested the effectiveness of multi-component interventions (training included), and the remaining studies evaluated the effectiveness of specific training programs for depression management. All the studies that implemented multi-component interventions were efficacious, and half of the training trials were shown to be effective. Contribution of training programs alone to the effectiveness of multi-component interventions is yet to be established. The lack of specificity regarding health providers' characteristics might be a confounding factor. The review conducted suggests that stand-alone training programs are less effective than multi-component interventions. In applying the evidence gathered from developed countries to Latin America and the Caribbean, these training programs must consider and address local conditions of mental health systems, and therefore multi-component interventions may be warranted. Copyright © 2016 Elsevier B.V. All rights reserved.

Demolition Range Noise Abatement Technique Demonstration and Evaluation for the McAlester Army Ammunition Plant; TOPICAL

International Nuclear Information System (INIS)

CALDERONE, JAMES J.; GARBIN H, DOUGLAS

2001-01-01

Public concern regarding the effects of noise generated by the detonation of excess and obsolete explosive munitions at U.S. Army demolition ranges is a continuing issue for the Army's demilitarization and disposal groups. Recent concerns of citizens living near the McAlester Army Ammunition Plant (MCAAP) in Oklahoma have lead the U.S. Army Defense Ammunition Center (DAC) to conduct a demonstration and evaluation of noise abatement techniques that could be applied to the MCAAP demolition range. With the support of the DAC, MCAAP, and Sandia National Laboratories (SNL), three types of noise abatement techniques were applied: aqueous foams, overburden (using combinations of sand beds and dirt coverings), and rubber or steel blast mats. Eight test configurations were studied and twenty-four experiments were conducted on the MCAAP demolition range in July of 2000. Instrumentation and data acquisition systems were fielded for the collection of near-field blast pressures, far-field acoustic pressures, plant boundary seismic signals, and demolition range meteorological conditions. The resulting data has been analyzed and reported, and a ranking of each technique's effects has been provided to the DAC

The Importance of Team Sex Composition in Team-Training Research Employing Complex Psychomotor Tasks.

Science.gov (United States)

Jarrett, Steven M; Glaze, Ryan M; Schurig, Ira; Arthur, Winfred

2017-08-01

The relationship between team sex composition and team performance on a complex psychomotor task was examined because these types of tasks are commonly used in the lab-based teams literature. Despite well-documented sex-based differences on complex psychomotor tasks, the preponderance of studies-mainly lab based-that use these tasks makes no mention of the sex composition of teams across or within experimental conditions. A sample of 123 four-person teams with varying team sex composition learned and performed a complex psychomotor task, Steal Beasts Pro PE. Each team completed a 5-hr protocol whereby they conducted several performance missions. The results indicated significant large mean differences such that teams with larger proportions of males had higher performance scores. These findings demonstrate the potential effect of team sex composition on the validity of studies that use complex psychomotor tasks to explore and investigate team performance-related phenomena when (a) team sex composition is not a focal variable of interest and (b) it is not accounted for or controlled. Given the proclivity of complex psychomotor action-based tasks used in lab-based team studies, it is important to understand and control for the impact of team sex composition on team performance. When team sex composition is not controlled for, either methodologically or statistically, it may affect the validity of the results in teams studies using these types of tasks.

[Motivations and emotional experiences of the first hospital multidisciplinary team trained to care for people with Ebola in Andalusia, Spain (2014-2016)].

Science.gov (United States)

Casado-Mejía, Rosa; Brea-Ruiz, Ma Teresa; Torres-Enamorado, Dolores; Albar-Marín, Ma Jesús; Botello-Hermosa, Alicia; Santos-Casado, María; Casado-Rojas, Irene

2016-01-01

The Hospital Universitario Virgen del Rocío (HUVR) of Seville was chosen as the reference Andalusian site to treat possible cases of Ebola. After the health alert (WHO, 2014), a voluntary group of healthcare and non-healthcare professionals was set up, which, after being trained, treated a possible case. In this light, the aim is to understand the motivations and emotional experiences of this group and to identify the facilitators of and obstacles to its operation. Qualitative, interpretative and phenomenological study. Observation unit: professional team of the HUVR trained to treat Ebola cases. Analysis units: teamwork, motivations and emotions. Three interviews with key informants were conducted, as well as three discussion groups involving 23 of the 60 team members (2014-2016). A content analysis of the motivations, emotions and elements affecting the team's operation was conducted with QSRNUDISTVivo10. data sources, techniques and disciplinary perspectives were triangulated. The results were presented to the team, which duly agreed with the findings. Training, professional responsibility, professional self-esteem, risk appetite or loyalty to the leader stood out as motivations to voluntarily join the team. Emotional experiences evolved from fear and stress to self-pressure control, while essential elements for the team's operation were found to be calmness and confidence based on training and teamwork. Family, source department, resources, communication media and emotional management were facilitators of or obstacles to the team's success. An understanding of the key motivational and influential factors may be important in the management of effective and successful multidisciplinary teams during health alerts. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

Simulation Based Training Improves Airway Management for Helicopter EMS Teams

Science.gov (United States)

Dhindsa, Harinder S.; Reid, Renee; Murray, David; Lovelady, James; Powell, Katie; Sayles, Jeff; Stevenson, Christopher; Baker, Kathy; Solada, Brian; Carroll, Scott;

The DREAMS Team: Creating Community Partnerships through Research Advocacy Training for Diverse Older Adults

Science.gov (United States)

Hart, Ariel R.; Dillard, Rebecca; Perkins, Molly M.; Vaughan, Camille P.; Kinlaw, Kathy; McKay, J. Lucas; Waldrop-Valverde, Drenna; Hagen, Kimberley; Wincek, Ron C.; Hackney, Madeleine E.

2017-01-01

The DREAMS Team research advocacy training program helps clinical faculty and health students introduce basic clinical research concepts to diverse older adults to galvanize their active involvement in the research process. Older adults are frequently underrepresented in clinical research, due to barriers to participation including distrust,…

Stimulating teachers’ team performance through team-oriented HR practices

NARCIS (Netherlands)

Bouwmans, Machiel; Runhaar, Piety; Wesselink, Renate; Mulder, Martin

2017-01-01

Teams of teachers are increasingly held accountable for the quality of education and educational reforms in vocational education and training institutions. However, historically teachers have not been required to engage in deep-level collaboration, thus team-oriented HR practices are being used

Environmental Impacts Assessment of Recycling of Construction and Demolition Waste

DEFF Research Database (Denmark)

Butera, Stefania

.e. soil and stones, concrete, asphalt and masonry, and as such it has the potential to be used as aggregate in the construction sector. A typical application is in an unbound state as filler in road structures. This practice offers evident benefits in terms of resource savings, however it might lead......Construction and demolition waste (C&DW) is waste derived from the construction, demolition and renovation of buildings and civil infrastructure. With 900 million tons generated every year in Europe, it is the largest waste stream on the continent. C&DW is mainly constituted of mineral fractions, i...... be evaluated critically.Owing to its high toxicity and significant mobility, especially at high pH levels, Cr(VI) is one of the elements of concern found in C&DW leachates. Its fate in the sub-soil below road applications was assessed experimentally, and its vertical migration was then predicted through...

Creating a gold medal Olympic and Paralympics health care team: a satisfaction survey of the mobile medical unit/polyclinic team training for the Vancouver 2010 winter games.

Science.gov (United States)

Brown, D Ross; Heidary, Behrouz; Bell, Nathaniel; Appleton, Leanne; Simons, Richard K; Evans, David C; Hameed, S Morad; Taunton, Jack; Khwaja, Kosar; O'Connor, Michael; Garraway, Naisan; Hennecke, Peter; Kuipers, Donna; Taulu, Tracey; Quinn, Lori

2013-11-13

The mobile medical unit/polyclinic (MMU/PC) was an essential part of the medical services to support ill or injured Olympic or Paralympics family during the 2010 Olympic and Paralympics winter games. The objective of this study was to survey the satisfaction of the clinical staff that completed the training programs prior to deployment to the MMU. Medical personnel who participated in at least one of the four training programs, including (1) week-end sessions; (2) web-based modules; (3) just-in-time training; and (4) daily simulation exercises were invited to participate in a web-based survey and comment on their level of satisfaction with training program. A total of 64 (out of 94 who were invited) physicians, nurses and respiratory therapists completed the survey. All participants reported favorably that the MMU/PC training positively impacted their knowledge, skills and team functions while deployed at the MMU/PC during the 2010 Olympic Games. However, components of the training program were valued differently depending on clinical job title, years of experience, and prior experience in large scale events. Respondents with little or no experience working in large scale events (45%) rated daily simulations as the most valuable component of the training program for strengthening competencies and knowledge in clinical skills for working in large scale events. The multi-phase MMU/PC training was found to be beneficial for preparing the medical team for the 2010 Winter Games. In particular this survey demonstrates the effectiveness of simulation training programs on teamwork competencies in ad hoc groups.

Rural general practice training: experience of a rural general practice team and a postgraduate year two registrar

Directory of Open Access Journals (Sweden)

Scott-Jones J

2013-09-01

Full Text Available INTRODUCTION: Undertaking training in rural areas is a recognised way of helping recruit staff to work in rural communities. Postgraduate year two medical doctors in New Zealand have been able to undertake a three-month placement in rural practice as part of their pre-vocational training experience since November 2010. AIM: To describe the experience of a rural general practice team providing training to a postgraduate year two medical trainee, and to describe the teaching experience and range of conditions seen by the trainee. METHODS: A pre- and post-placement interview with staff, and analysis of a logbook of cases and teaching undertaken in the practice. RESULTS: The practice team's experience of having the trainee was positive, and the trainee was exposed to a wide range of conditions over 418 clinical encounters. The trainee received 22.5 hours of formal training over the three-month placement. DISCUSSION: Rural general practice can provide a wide range of clinical experience to a postgraduate year two medical trainee. Rural practices in New Zealand should be encouraged to offer teaching placements at this training level. Exposure to rural practice at every level of training is important to encourage doctors to consider rural practice as a career.

Does demolition or refurbishment of old and inefficient homes help to increase our environmental, social and economic viability?

Energy Technology Data Exchange (ETDEWEB)

Power, Anne [London School of Economics, Houghton Street, London WC2A 2AE (United Kingdom); Sustainable Development Commission, Room 101, 55 Whitehall, c/o 3-8 Whitehall Place, London SW1A 2HH (United Kingdom)

2008-12-15

The issue of whether to demolish or refurbish older housing has been debated for over a century. It has been an active policy area since the late 1880s, when the Government first authorised the statutory demolition of insanitary slums. In the 1960s, revulsion at the scale of 'demolition blight' and new building caused a rethink, leading to a major reinvestment in inner city neighbourhoods of older housing. In the past 5 years, debate on demolition and new building has been intensified by the Government's Sustainable Communities Plan of 2003, with its proposals for large-scale clearance and building. Environmental arguments about renovating the existing stock have gained increasing prominence as people have sought to defend their communities from demolition. The evidence on whether demolition would reduce the amount of greenhouse gases we emit into the atmosphere is unclear and disputed. This paper summarises the evidence and arguments, and attempts to clarify the most realistic, achievable route to major reductions in energy use in homes. The arguments that apply to housing also apply to most other buildings and therefore to the overall built environment, which accounts for half of all carbon emissions. Three main sources of evidence have helped in the development of this paper, but there are many other studies we draw on in the discussion.

Heart Rate Monitoring in Team Sports—A Conceptual Framework for Contextualizing Heart Rate Measures for Training and Recovery Prescription

Directory of Open Access Journals (Sweden)

Christoph Schneider

2018-05-01

Full Text Available A comprehensive monitoring of fitness, fatigue, and performance is crucial for understanding an athlete's individual responses to training to optimize the scheduling of training and recovery strategies. Resting and exercise-related heart rate measures have received growing interest in recent decades and are considered potentially useful within multivariate response monitoring, as they provide non-invasive and time-efficient insights into the status of the autonomic nervous system (ANS and aerobic fitness. In team sports, the practical implementation of athlete monitoring systems poses a particular challenge due to the complex and multidimensional structure of game demands and player and team performance, as well as logistic reasons, such as the typically large number of players and busy training and competition schedules. In this regard, exercise-related heart rate measures are likely the most applicable markers, as they can be routinely assessed during warm-ups using short (3–5 min submaximal exercise protocols for an entire squad with common chest strap-based team monitoring devices. However, a comprehensive and meaningful monitoring of the training process requires the accurate separation of various types of responses, such as strain, recovery, and adaptation, which may all affect heart rate measures. Therefore, additional information on the training context (such as the training phase, training load, and intensity distribution combined with multivariate analysis, which includes markers of (perceived wellness and fatigue, should be considered when interpreting changes in heart rate indices. The aim of this article is to outline current limitations of heart rate monitoring, discuss methodological considerations of univariate and multivariate approaches, illustrate the influence of different analytical concepts on assessing meaningful changes in heart rate responses, and provide case examples for contextualizing heart rate measures using

Heart Rate Monitoring in Team Sports-A Conceptual Framework for Contextualizing Heart Rate Measures for Training and Recovery Prescription.

Science.gov (United States)

Schneider, Christoph; Hanakam, Florian; Wiewelhove, Thimo; Döweling, Alexander; Kellmann, Michael; Meyer, Tim; Pfeiffer, Mark; Ferrauti, Alexander

2018-01-01

A comprehensive monitoring of fitness, fatigue, and performance is crucial for understanding an athlete's individual responses to training to optimize the scheduling of training and recovery strategies. Resting and exercise-related heart rate measures have received growing interest in recent decades and are considered potentially useful within multivariate response monitoring, as they provide non-invasive and time-efficient insights into the status of the autonomic nervous system (ANS) and aerobic fitness. In team sports, the practical implementation of athlete monitoring systems poses a particular challenge due to the complex and multidimensional structure of game demands and player and team performance, as well as logistic reasons, such as the typically large number of players and busy training and competition schedules. In this regard, exercise-related heart rate measures are likely the most applicable markers, as they can be routinely assessed during warm-ups using short (3-5 min) submaximal exercise protocols for an entire squad with common chest strap-based team monitoring devices. However, a comprehensive and meaningful monitoring of the training process requires the accurate separation of various types of responses, such as strain, recovery, and adaptation, which may all affect heart rate measures. Therefore, additional information on the training context (such as the training phase, training load, and intensity distribution) combined with multivariate analysis, which includes markers of (perceived) wellness and fatigue, should be considered when interpreting changes in heart rate indices. The aim of this article is to outline current limitations of heart rate monitoring, discuss methodological considerations of univariate and multivariate approaches, illustrate the influence of different analytical concepts on assessing meaningful changes in heart rate responses, and provide case examples for contextualizing heart rate measures using simple heuristics. To

Comparative characteristics of the physical and technical preparedness of the women's national team of Ukraine and Lithuania basketball (hearing impaired before and after training to Deaflympic Games

Directory of Open Access Journals (Sweden)

I.N. Sobko

2014-10-01

Full Text Available Purpose: to compare the physical and technical readiness women basketball teams of Ukraine and Lithuania. Material : participated in the study of female athletes team of Ukraine and Lithuania (n = 24. Athletes age - 25-30 years. Teacher testing was conducted physical and technical readiness. Ukrainian team trained by the author's method with the use of innovative technologies. Included the use of technology in the training process of copyright video tutorials with animated illustrations and LED linear luminaire. Results : the results indicated significant improvement of athletes Ukrainian team in the tests: a standing jump, cross 2000 meters, throwing a medicine ball with a running start, lifting the trunk in 30 seconds from a prone position, speed equipment, three points shots, special endurance. The proposed new management training process helped increase mobility, intensity and complexity of team training in Ukraine. Conclusions : It is recommended to use a program of technical and tactical training with the use of innovative technologies in the training process basketball players are hearing impaired.

A BIM-based system for demolition and renovation waste estimation and planning

International Nuclear Information System (INIS)

Cheng, Jack C.P.; Ma, Lauren Y.H.

2013-01-01

Highlights: ► We developed a waste estimation system leveraging the BIM technology. ► The system can calculate waste disposal charging fee and pick-up truck demand. ► We presented an example scenario demonstrating this system. ► Automatic, time-saving and wide applicability are the features of the system. - Abstract: Due to the rising worldwide awareness of green environment, both government and contractors have to consider effective construction and demolition (C and D) waste management practices. The last two decades have witnessed the growing importance of demolition and renovation (D and R) works and the growing amount of D and R waste disposed to landfills every day, especially in developed cities like Hong Kong. Quantitative waste prediction is crucial for waste management. It can enable contractors to pinpoint critical waste generation processes and to plan waste control strategies. In addition, waste estimation could also facilitate some government waste management policies, such as the waste disposal charging scheme in Hong Kong. Currently, tools that can accurately and conveniently estimate the amount of waste from construction, renovation, and demolition projects are lacking. In the light of this research gap, this paper presents a building information modeling (BIM) based system that we have developed for estimation and planning of D and R waste. BIM allows multi-disciplinary information to be superimposed within one digital building model. Our system can extract material and volume information through the BIM model and integrate the information for detailed waste estimation and planning. Waste recycling and reuse are also considered in our system. Extracted material information can be provided to recyclers before demolition or renovation to make recycling stage more cooperative and more efficient. Pick-up truck requirements and waste disposal charging fee for different waste facilities will also be predicted through our system. The results

A BIM-based system for demolition and renovation waste estimation and planning

Energy Technology Data Exchange (ETDEWEB)

Cheng, Jack C.P., E-mail: cejcheng@ust.hk [Department of Civil and Environmental Engineering, The Hong Kong University of Science and Technology (Hong Kong); Ma, Lauren Y.H., E-mail: yingzi@ust.hk [Department of Civil and Environmental Engineering, The Hong Kong University of Science and Technology (Hong Kong)

2013-06-15

Highlights: ► We developed a waste estimation system leveraging the BIM technology. ► The system can calculate waste disposal charging fee and pick-up truck demand. ► We presented an example scenario demonstrating this system. ► Automatic, time-saving and wide applicability are the features of the system. - Abstract: Due to the rising worldwide awareness of green environment, both government and contractors have to consider effective construction and demolition (C and D) waste management practices. The last two decades have witnessed the growing importance of demolition and renovation (D and R) works and the growing amount of D and R waste disposed to landfills every day, especially in developed cities like Hong Kong. Quantitative waste prediction is crucial for waste management. It can enable contractors to pinpoint critical waste generation processes and to plan waste control strategies. In addition, waste estimation could also facilitate some government waste management policies, such as the waste disposal charging scheme in Hong Kong. Currently, tools that can accurately and conveniently estimate the amount of waste from construction, renovation, and demolition projects are lacking. In the light of this research gap, this paper presents a building information modeling (BIM) based system that we have developed for estimation and planning of D and R waste. BIM allows multi-disciplinary information to be superimposed within one digital building model. Our system can extract material and volume information through the BIM model and integrate the information for detailed waste estimation and planning. Waste recycling and reuse are also considered in our system. Extracted material information can be provided to recyclers before demolition or renovation to make recycling stage more cooperative and more efficient. Pick-up truck requirements and waste disposal charging fee for different waste facilities will also be predicted through our system. The results

Facilitating the implementation of the American College of Surgeons/Association of Program Directors in Surgery phase III skills curriculum: training faculty in the assessment of team skills.

Science.gov (United States)

Hull, Louise; Arora, Sonal; Stefanidis, Dimitrios; Sevdalis, Nick

2015-11-01

Effective teamwork is critical to safety in the operating room; however, implementation of phase III of the American College of Surgeons (ACS) and Association of Program Directors in Surgery (APDS) Curriculum that focuses on team-based skills remains worryingly low. Training and assessing the complexities of teamwork is challenging. The objective of this study was to establish guidelines and recommendations for training faculty in assessing/debriefing team skills. A multistage survey-based consensus study was completed by 108 experts responsible for training and assessing surgical residents from the ACS Accredited Educational Institutes. Experts agreed that a program to teach faculty to assess team-based skills should include training in the recognition of teamwork skills, practice rating these skills, and training in the provision of feedback/debriefing. Agreement was reached that faculty responsible for conducting team-based skills assessment should be revalidated every 2 years and stringent proficiency criteria should be met. Faculty development is critical to ensure high-quality, standardized training and assessment. Training faculty to assess team-based skills has the potential to facilitate the effective implementation of phase III of the ACS and APDS Curriculum. Copyright © 2015 Elsevier Inc. All rights reserved.

Regular in-situ simulation training of paediatric Medical Emergency Team leads to sustained improvements in hospital response to deteriorating patients, improved outcomes in intensive care and financial savings.

Science.gov (United States)

Theilen, Ulf; Fraser, Laura; Jones, Patricia; Leonard, Paul; Simpson, Dave

2017-06-01

The introduction of a paediatric Medical Emergency Team (pMET) was accompanied by weekly in-situ simulation team training. Key ward staff participated in team training, focusing on recognition of the deteriorating child, teamwork and early involvement of senior staff. Following an earlier study [1], this investigation aimed to evaluate the long-term impact of ongoing regular team training on hospital response to deteriorating ward patients, patient outcome and financial implications. Prospective cohort study of all deteriorating in-patients in a tertiary paediatric hospital requiring admission to paediatric intensive care (PICU) the year before, 1year after and 3 years after the introduction of pMET and team training. Deteriorating patients were recognised more promptly (before/1year after/3years after pMET; median time 4/1.5/0.5h, pIntroduction of pMET coincided with significantly reduced hospital mortality (p<0.001). These results indicate that lessons learnt by ward staff during team training led to sustained improvements in the hospital response to critically deteriorating in-patients, significantly improved patient outcomes and substantial savings. Integration of regular in-situ simulation training of medical emergency teams, including key ward staff, in routine clinical care has potential application in all acute specialties. Copyright © 2017. Published by Elsevier B.V.

Influence of construction and demolition waste management on the environmental impact of buildings.

Science.gov (United States)

Coelho, André; de Brito, Jorge

2012-03-01

The purpose of this study is to quantify comparable environmental impacts within a Life Cycle Analysis (LCA) perspective, for buildings in which the first (Materials) and last (End of Life) life cycle stages are adjusted to several waste/material management options. Unlike most LCAs, the approach is "top-down" rather than "bottom-up", which usually involves large amounts of data and the use of specific software applications. This approach is considered appropriate for a limited but expedient LCA designed to compare the environmental impacts of different life cycle options. Present results, based on real buildings measurements and demolition contractor activities, show that shallow, superficial, selective demolition may not result in reduced environmental impacts. Calculations actually show an increase (generally less than 5%) in most impact categories for the Materials and End of Life stages because of extra transportation needs. However, core material separation in demolition operations and its recycling and/or reuse does bring environmental benefits. A reduction of around 77% has been estimated in the climate change impact category, 57% in acidification potential and 81% in the summer smog impact (for the life cycle stages referred). Copyright © 2011 Elsevier Ltd. All rights reserved.

Training of medical teams on-site for individual and coordinated response in emergency management

DEFF Research Database (Denmark)

Andersen, Verner

2003-01-01

A system for training of coordination and cooperation of decision makers in emergency management has been under construction for some time. A first prototype of the system was developed in the MUSTER system. The system is being developed modularly with one module for each of the suborganisations...... involved in the complete preparedness: fire brigade, police, medical team, civil defence, etc. All these modules will in the end be integrated on a common integration platform, either to a fully-fledged system covering all aspects of training for the complete preparedness, or for creating a dedicated...

Developing team cognition: A role for simulation

Science.gov (United States)

Fernandez, Rosemarie; Shah, Sachita; Rosenman, Elizabeth D.; Kozlowski, Steve W. J.; Parker, Sarah Henrickson; Grand, James A.

2016-01-01

SUMMARY STATEMENT Simulation has had a major impact in the advancement of healthcare team training and assessment. To date, the majority of simulation-based training and assessment focuses on the teamwork behaviors that impact team performance, often ignoring critical cognitive, motivational, and affective team processes. Evidence from team science research demonstrates a strong relationship between team cognition and team performance and suggests a role for simulation in the development of this team-level construct. In this article we synthesize research from the broader team science literature to provide foundational knowledge regarding team cognition and highlight best practices for using simulation to target team cognition. PMID:28704287

Structure, Function, and Training the Rehabilitation Team.

Science.gov (United States)

Settles, Robert B.; Crisler, Jack R.

The traditional team concept in rehabilitation is a differentiated team in which each member performs a different function. In practice, such teams are rarely cooperative and their additive services are disjointed. Presented is the philosophic rationale for the revitalization of a large rehabilitation center serving mental patients. Reorganization…

Concrete block production from construction and demolition waste in Tanzania

NARCIS (Netherlands)

Sabai, M.M.; Cox, M.G.D.M.; Mato, R.R.A.M.; Egmond - de Wilde De Ligny, van E.L.C.; Lichtenberg, J.J.N.

2013-01-01

In Tanzania, construction and demolition (C&D) waste is not recycled and knowledge on how it can be recycled especially into valuable products like building materials are still limited. This study aimed at investigating the possibility of recycling the C&D waste (mainly cementitious rubble) into

Creation and demolition of illegal structures in Nigerian cities ...

African Journals Online (AJOL)

The paper examined the issue of demolition of illegal structures in Benin City. The study revealed that the poor economic condition of the country forced many landlords in the city to restructure and convert their houses into mixed uses in order to make a living. In the process many illegal structures sprang up as many ...

Exploring Leadership Capability Team Leaders for Construction Industry in Malaysia: Training and Experience

Science.gov (United States)

Muda, W. H. N. Wan; Halim, F. Ab; Libunao, W. H.

2017-08-01

It has been said that the construction industry must unleash its potential as a source of wealth creation and provide opportunity for the betterment of quality of life. In ensuring the quality of workmanship at construction sites, supervisory skills of site supervisors need to be enhanced. It stressed out that to match business growth and excellence overseas, we must recognize and act on the importance of continuously developing niche expertise and capabilities. Undoubtedly, the role of research in determining the specific leadership skills and the needed core capabilities cannot be over-emphasized. In ensuring the quality of workmanship at construction sites, leadership skills especially supervisory skill for site supervisors need to be enhanced. In this study, quantitative research design with survey questionnaire was used to collect the data and simple random sampling was employed in selecting 248 respondents involving team leaders in construction industry from whole of Malaysia. The data was analyzed using descriptive and inferential statistics; ANOVA in SPSS 21.0. Training and experience in leadership has been found to be significance to leadership capability of team leaders. The opinions from the respondents also indicated that they need the training of leadership and they had to enhance themselves to enable them to become better and more competitive leaders. The results of this assessment can pinpoint the areas needing improvement and therefore can be used as basis in designing and/or deciding development programmes. This study also found that generally the team leaders in construction industry needed more opportunities to expand their leadership capability to become the effective leaders in future.

Reducing errors in health care: cost-effectiveness of multidisciplinary team training in obstetric emergencies (TOSTI study); a randomised controlled trial

NARCIS (Netherlands)

van de Ven, Joost; Houterman, Saskia; Steinweg, Rob A. J. Q.; Scherpbier, Albert J. J. A.; Wijers, Willy; Mol, Ben Willem J.; Oei, S. Guid; Group, The Tosti-Trial

2010-01-01

ABSTRACT: BACKGROUND: There are many avoidable deaths in hospitals because the care team is not well attuned. Training in emergency situations is generally followed on an individual basis. In practice, however, hospital patients are treated by a team composed of various disciplines. To prevent

High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.

Science.gov (United States)

Wheeler, Derek S; Geis, Gary; Mack, Elizabeth H; LeMaster, Tom; Patterson, Mary D

2013-06-01

In situ simulation training is a team-based training technique conducted on actual patient care units using equipment and resources from that unit, and involving actual members of the healthcare team. We describe our experience with in situ simulation training in a major children's medical centre. In situ simulations were conducted using standardised scenarios approximately twice per month on inpatient hospital units on a rotating basis. Simulations were scheduled so that each unit participated in at least two in situ simulations per year. Simulations were conducted on a revolving schedule alternating on the day and night shifts and were unannounced. Scenarios were preselected to maximise the educational experience, and frequently involved clinical deterioration to cardiopulmonary arrest. We performed 64 of the scheduled 112 (57%) in situ simulations on all shifts and all units over 21 months. We identified 134 latent safety threats and knowledge gaps during these in situ simulations, which we categorised as medication, equipment, and/or resource/system threats. Identification of these errors resulted in modification of systems to reduce the risk of error. In situ simulations also provided a method to reinforce teamwork behaviours, such as the use of assertive statements, role clarity, performance of frequent updating, development of a shared mental model, performance of independent double checks of high-risk medicines, and overcoming authority gradients between team members. Participants stated that the training programme was effective and did not disrupt patient care. In situ simulations can identify latent safety threats, identify knowledge gaps, and reinforce teamwork behaviours when used as part of an organisation-wide safety programme.

“Team Building: Proven Strategies for Improving Team Performance, 4th Edition”

Directory of Open Access Journals (Sweden)

Greg Homan

2008-12-01

Full Text Available Team Building is an important issue for Youth Development professionals. We utilize team-focused work to achieve our objectives in educating youth. The team building skills we integrate into programming serve to prepare youth for the dynamic, highly interpersonal work environment of today. “Team Building: Proven Strategies for Improving Team Performance, 4th Edition,” by W. Dyer, W.G. Dyer, and J. Dyer (2007, provides a practical theoretical framework for those interested in team building application, training, and practice in everyday work.

Use of rubble from building demolition in mortars.

Science.gov (United States)

Corinaldesi, V; Giuggiolini, M; Moriconi, G

2002-01-01

Because of increasing waste production and public concerns about the environment, it is desirable to recycle materials from building demolition. If suitably selected, ground, cleaned and sieved in appropriate industrial crushing plants, these materials can be profitably used in concrete. Nevertheless, the presence of masonry instead of concrete rubble is particularly detrimental to the mechanical performance and durability of recycled-aggregate concrete and the same negative effect is detectable when natural sand is replaced by fine recycled aggregate fraction. An alternative use of both masonry rubble and fine recycled material fraction could be in mortars. These could contain either recycled instead of natural sand or powder obtained by bricks crushing as partial cement substitution. In particular, attention is focused on the modification that takes place when either polypropylene or stainless steel fibers are added to these mortars. Polypropylene fibers are added in order to reduce shrinkage of mortars, stainless steel fibers for improving their flexural strength. The combined use of polypropylene fibers and fine recycled material from building demolition could allow the preparation of mortars showing good performance, in particular when coupled with bricks. Furthermore, the combined use of stainless steel fibers and mortars containing brick powder seems to be an effective way to guarantee a high flexural strength.

Effects of 6 Weeks Psychological Skill Training on Team Cohesion, Self-Confidence & Anxiety: A Case of Youth Basketball Players

Science.gov (United States)

Miçoogullari, Bülent Okan; Kirazci, Sadettin

2016-01-01

The purpose of this study was to examine the impact of a six-week psychological skill training (PST) program that is based on a cognitive-behavioral conceptual framework on team cohesion, confidence, and anxiety of an intact team. Thirty-six male basketball players, 19 athletes for the experimental group and 17 athletes for the control group, aged…

Bat Surveys of Retired Facilitiies Scheduled for Demolition by Washington Closure Hanford

Energy Technology Data Exchange (ETDEWEB)

Gano, K. A.; Lucas, J. G.; Lindsey, C. T.

2011-06-30

This project was conducted to evaluate buildings and facilities remaining in the Washington Closure Hanford (WCH) deactivation, decontamination, decommissioning, and demolition schedule for bat roost sites. The project began in spring of 2009 and was concluded in spring of 2011. A total of 196 buildings and facilities were evaluated for the presence of bat roosting sites. The schedule for the project was prioritized to accommodate the demolition schedule. As the surveys were completed, the results were provided to the project managers to facilitate planning and project completion. The surveys took place in the 300 Area, 400 Area, 100-H, 100-D, 100-N, and 100-B/C Area. This report is the culmination of all the bat surveys and summarizes the findings by area and includes recommended mitigation actions where bat roosts were found.

A multi-level approach of evaluating crew resource management training: a laboratory-based study examining communication skills as a function of team congruence.

Science.gov (United States)

Sauer, J; Darioly, A; Mast, M Schmid; Schmid, P C; Bischof, N

2010-11-01

The article proposes a multi-level approach for evaluating communication skills training (CST) as an important element of crew resource management (CRM) training. Within this methodological framework, the present work examined the effectiveness of CST in matching or mismatching team compositions with regard to hierarchical status and competence. There is little experimental research that evaluated the effectiveness of CRM training at multiple levels (i.e. reaction, learning, behaviour) and in teams composed of members of different status and competence. An experiment with a two (CST: with vs. without) by two (competence/hierarchical status: congruent vs. incongruent) design was carried out. A total of 64 participants were trained for 2.5 h on a simulated process control environment, with the experimental group being given 45 min of training on receptiveness and influencing skills. Prior to the 1-h experimental session, participants were assigned to two-person teams. The results showed overall support for the use of such a multi-level approach of training evaluation. Stronger positive effects of CST were found for subjective measures than for objective performance measures. STATEMENT OF RELEVANCE: This work provides some guidance for the use of a multi-level evaluation of CRM training. It also emphasises the need to collect objective performance data for training evaluation in addition to subjective measures with a view to gain a more accurate picture of the benefits of such training approaches.

Interprofessional education in team communication: working together to improve patient safety.

Science.gov (United States)

Brock, Douglas; Abu-Rish, Erin; Chiu, Chia-Ru; Hammer, Dana; Wilson, Sharon; Vorvick, Linda; Blondon, Katherine; Schaad, Douglas; Liner, Debra; Zierler, Brenda

2013-05-01

Communication failures in healthcare teams are associated with medical errors and negative health outcomes. These findings have increased emphasis on training future health professionals to work effectively within teams. The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) communication training model, widely employed to train healthcare teams, has been less commonly used to train student interprofessional teams. The present study reports the effectiveness of a simulation-based interprofessional TeamSTEPPS training in impacting student attitudes, knowledge and skills around interprofessional communication. Three hundred and six fourth-year medical, third-year nursing, second-year pharmacy and second-year physician assistant students took part in a 4 h training that included a 1 h TeamSTEPPS didactic session and three 1 h team simulation and feedback sessions. Students worked in groups balanced by a professional programme in a self-selected focal area (adult acute, paediatric, obstetrics). Preassessments and postassessments were used for examining attitudes, beliefs and reported opportunities to observe or participate in team communication behaviours. One hundred and forty-nine students (48.7%) completed the preassessments and postassessments. Significant differences were found for attitudes toward team communication (pskills included, team structure (p=0.002), situation monitoring (pcommunication (p=0.002). Significant shifts were reported for knowledge of TeamSTEPPS (pcommunicating in interprofessional teams (pcommunication is important in patient safety. We demonstrate positive attitudinal and knowledge effects in a large-scale interprofessional TeamSTEPPS-based training involving four student professions.

Coal and wood fuel for electricity production: An environmentally sound solution for waste and demolition wood

Energy Technology Data Exchange (ETDEWEB)

Penninks, F.W.M. [EPON, Zwolle (Netherlands)

1997-12-31

Waste wood from primary wood processing and demolition presents both a problem and a potential. If disposed in landfills, it consumes large volumes and decays, producing CH{sub 4}, CO{sub 2} and other greenhouse gases. As an energy source used in a coal fired power plant it reduces the consumption of fossil fuels reducing the greenhouse effect significantly. Additional advantages are a reduction of the ash volume and the SO{sub 2} and NO{sub x} emissions. The waste wood requires collection, storage, processing and burning. This paper describes a unique project which is carried out in the Netherlands at EPON`s Gelderland Power Plant (635 MW{sub e}) where 60 000 tonnes of waste and demolition wood will be used annually. Special emphasis is given to the processing of the powdered wood fuel. Therefore, most waste and demolition wood can be converted from an environmental liability to an environmental and economic asset. (author)

Coal and wood fuel for electricity production: An environmentally sound solution for waste and demolition wood

Energy Technology Data Exchange (ETDEWEB)

Penninks, F W.M. [EPON, Zwolle (Netherlands)

1998-12-31

Waste wood from primary wood processing and demolition presents both a problem and a potential. If disposed in landfills, it consumes large volumes and decays, producing CH{sub 4}, CO{sub 2} and other greenhouse gases. As an energy source used in a coal fired power plant it reduces the consumption of fossil fuels reducing the greenhouse effect significantly. Additional advantages are a reduction of the ash volume and the SO{sub 2} and NO{sub x} emissions. The waste wood requires collection, storage, processing and burning. This paper describes a unique project which is carried out in the Netherlands at EPON`s Gelderland Power Plant (635 MW{sub e}) where 60 000 tonnes of waste and demolition wood will be used annually. Special emphasis is given to the processing of the powdered wood fuel. Therefore, most waste and demolition wood can be converted from an environmental liability to an environmental and economic asset. (author)

Responding To Changes in the Decommissioning Plans for Demolition of a Former Active Handling Building at The United Kingdom Atomic Energy Establishment Winfrith

International Nuclear Information System (INIS)

Brown, N.; Parkinson, S.J.; Cornell, R.M.; Staples, A.T.

2006-01-01

novel hot-cutting technique used to remove steel coatings from sections of each block was also instrumental in assisting with achieving this objective. Finally, the paper sets out the plans that have been developed for the sequenced demolition of the building structure, the two heavily reinforced concrete cave lines and the base slab. This will include details of the means by which residually contaminated and partly inaccessible items will be recovered for disposal during the demolition process. The decommissioning programme remains on schedule and has been achieved by the employment of a non-adversarial team working approach between client and contractor. This has greatly assisted in developing cost-effective and safe solutions to a number of problems that have arisen during the programme, demonstrating the worth of adopting this co-operative approach for mutual benefit. (authors)

Hyper-Realistic, Team-Centered Fleet Surgical Team Training Provides Sustained Improvements in Performance.

Science.gov (United States)

Hoang, Tuan N; Kang, Jeff; Siriratsivawong, Kris; LaPorta, Anthony; Heck, Amber; Ferraro, Jessica; Robinson, Douglas; Walsh, Jonathan

2016-01-01

The high-stress, fast-paced environment of combat casualty care relies on effective teamwork and communication which translates into quality patient care. A training course was developed for U.S. Navy Fleet Surgical Teams to address these aspects of patient care by emphasizing efficiency and appropriate patient care. An effective training course provides knowledge and skills to pass the course evaluation and sustain the knowledge and skills acquired over time. The course included classroom didactic hours, and hands-on simulation sessions. A pretest was administered before the course, a posttest upon completion, and a sustainment test 5 months following course completion. The evaluation process measured changes in patient time to disposition and critical errors made during patient care. Naval Base San Diego, with resuscitation and surgical simulations carried out within the shipboard medical spaces. United States Navy medical personnel including physicians of various specialties, corpsmen, nurses, and nurse anesthetists deploying aboard ships. Time to disposition improved significantly, 11 ± 3 minutes, from pretest to posttest, and critical errors improved by 4 ± 1 errors per encounter. From posttest to sustainment test, time to disposition increased by 3 ± 1, and critical errors decreased by 1 ± 1. This course showed value in improving teamwork and communication skills of participants, immediately upon completion of the course, and after 5 months had passed. Therefore, with ongoing sustainment activities within 6 months, this course can substantially improve trauma care provided by shipboard deployed Navy medical personnel to wounded service members. Published by Elsevier Inc.

Exploring virtual worlds for scenario-based repeated team training of cardiopulmonary resuscitation in medical students.

Science.gov (United States)

Creutzfeldt, Johan; Hedman, Leif; Medin, Christopher; Heinrichs, Wm LeRoy; Felländer-Tsai, Li

2010-09-03

Contemporary learning technologies, such as massively multiplayer virtual worlds (MMVW), create new means for teaching and training. However, knowledge about the effectiveness of such training is incomplete, and there are no data regarding how students experience it. Cardiopulmonary resuscitation (CPR) is a field within medicine in high demand for new and effective training modalities. In addition to finding a feasible way to implement CPR training, our aim was to investigate how a serious game setting in a virtual world using avatars would influence medical students' subjective experiences as well as their retention of knowledge. An MMVW was refined and used in a study to train 12 medical students in CPR in 3-person teams in a repeated fashion 6 months apart. An exit questionnaire solicited reflections over their experiences. As the subjects trained in 4 CPR scenarios, measurements of self-efficacy, concentration, and mental strain were made in addition to measuring knowledge. Engagement modes and coping strategies were also studied. Parametric and nonparametric statistical analyses were carried out according to distribution of the data. The majority of the subjects reported that they had enjoyed the training, had found it to be suitable, and had learned something new, although several asked for more difficult and complex scenarios as well as a richer virtual environment. The mean values for knowledge dropped during the 6 months from 8.0/10 to 6.25/10 (P = .002). Self-efficacy increased from before to after each of the two training sessions, from 5.9/7 to 6.5/7 (P = .01) after the first and from 6.0/7 to 6.7/7 (P = .03) after the second. The mean perceived concentration value increased from 54.2/100 to 66.6/100 (P = .006), and in general the mental strain was found to be low to moderate (mean = 2.6/10). Using scenario-based virtual world team training with avatars to train medical students in multi-person CPR was feasible and showed promising results. Although we

Fracture analysis of cement treated demolition waste using a lattice model

NARCIS (Netherlands)

Xuan, D.; Schlangen, H.E.J.G.; Molenaar, A.A.A.; Houben, L.J.M.

2013-01-01

Fracture properties of cement treated demolition waste were investigated using a lattice model. In practice the investigated material is applied as a cement treated road base/subbase course. The granular aggregates used in this material were crushed recycled concrete and masonry. This results in six

Positive impact of crisis resource management training on no-flow time and team member verbalisations during simulated cardiopulmonary resuscitation: a randomised controlled trial.

Science.gov (United States)

Fernandez Castelao, Ezequiel; Russo, Sebastian G; Cremer, Stephan; Strack, Micha; Kaminski, Lea; Eich, Christoph; Timmermann, Arnd; Boos, Margarete

2011-10-01

To evaluate the impact of video-based interactive crisis resource management (CRM) training on no-flow time (NFT) and on proportions of team member verbalisations (TMV) during simulated cardiopulmonary resuscitation (CPR). Further, to investigate the link between team leader verbalisation accuracy and NFT. The randomised controlled study was embedded in the obligatory advanced life support (ALS) course for final-year medical students. Students (176; 25.35±1.03 years, 63% female) were alphabetically assigned to 44 four-person teams that were then randomly (computer-generated) assigned to either CRM intervention (n=26), receiving interactive video-based CRM-training, or to control intervention (n=18), receiving an additional ALS-training. Primary outcomes were NFT and proportions of TMV, which were subdivided into eight categories: four team leader verbalisations (TLV) with different accuracy levels and four follower verbalisation categories (FV). Measurements were made of all groups administering simulated adult CPR. NFT rates were significantly lower in the CRM-training group (31.4±6.1% vs. 36.3±6.6%, p=0.014). Proportions of all TLV categories were higher in the CRM-training group (ptraining in undergraduate medical education reduces NFT in simulated CPR and improves TLV proportions during simulated CPR. Further research will test how these results translate into clinical performance and patient outcome. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Group attributional training as an effective approach to human resource development under team work systems.

Science.gov (United States)

Wang, Z M

1994-07-01

An experimental programme of group attributional training under team work system was conducted as part of human resource development in Chinese industrial enterprises. One hundred and ten shopfloor employees participated in the study. Among them, 58 employees took part in the factorial-designed experiment to find out the effects of attributions on performance, and 52 employees of ten work groups participated in the group attributional training programme twice a week for two months. The results showed that the group attributional training was effective in modifying employees' attributional patterns and enhancing group performance and satisfaction. On the basis of the results, an attributional model of work motivation is proposed, and its theoretical and practical implications for human resource management discussed.

Interprofessional education in team communication: working together to improve patient safety.

Science.gov (United States)

Brock, Douglas; Abu-Rish, Erin; Chiu, Chia-Ru; Hammer, Dana; Wilson, Sharon; Vorvick, Linda; Blondon, Katherine; Schaad, Douglas; Liner, Debra; Zierler, Brenda

2013-11-01

Communication failures in healthcare teams are associated with medical errors and negative health outcomes. These findings have increased emphasis on training future health professionals to work effectively within teams. The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) communication training model, widely employed to train healthcare teams, has been less commonly used to train student interprofessional teams. The present study reports the effectiveness of a simulation-based interprofessional TeamSTEPPS training in impacting student attitudes, knowledge and skills around interprofessional communication. Three hundred and six fourth-year medical, third-year nursing, second-year pharmacy and second-year physician assistant students took part in a 4 h training that included a 1 h TeamSTEPPS didactic session and three 1 h team simulation and feedback sessions. Students worked in groups balanced by a professional programme in a self-selected focal area (adult acute, paediatric, obstetrics). Preassessments and postassessments were used for examining attitudes, beliefs and reported opportunities to observe or participate in team communication behaviours. One hundred and forty-nine students (48.7%) completed the preassessments and postassessments. Significant differences were found for attitudes toward team communication (pteam structure (p=0.002), situation monitoring (pteams (pteam communication is important in patient safety. We demonstrate positive attitudinal and knowledge effects in a large-scale interprofessional TeamSTEPPS-based training involving four student professions.

Team management as a condition for the implementation of competency management training of future specialists

OpenAIRE

Драч, Ірина Іванівна

2015-01-01

The article described the specific features that define the independent status of the competence-based management training of future specialists in the management of educational activities. The use of principles of team in the implementation of a new management paradigm is justified. The advantages of using a matrix organizational structure are characterized

The decommissioning and demolition of four suites of high active chemical analysis cells at DNPDE

International Nuclear Information System (INIS)

Black, R.M.; Spence, B.W.; Stewart, C.W.

1987-11-01

The decommissioning and demolition of four laboratory suites of high active cells at DNPDE is described. All four suites had suffered drain leaks of high active liquor into underfloor ducts; the options available at the time and current policy for dealing with the resultant activity deposits are given. The decommissioning procedures are detailed to provide information for future similar exercises. Features to ease demolition of such facilities and to eliminate the possibility of long term activity deposition from drain leaks are highlighted for incorporation in future designs. The waste arisings and radiation doses received during the work are tabulated. (author)

Organizational and training factors that promote team science: A qualitative analysis and application of theory to the National Institutes of Health's BIRCWH career development program.

Science.gov (United States)

Guise, Jeanne-Marie; Winter, Susan; Fiore, Stephen M; Regensteiner, Judith G; Nagel, Joan

2017-04-01

Research organizations face challenges in creating infrastructures that cultivates and sustains interdisciplinary team science. The objective of this paper is to identify structural elements of organizations and training that promote team science. We qualitatively analyzed the National Institutes of Health's Building Interdisciplinary Research Careers in Women's Health, K12 using organizational psychology and team science theories to identify organizational design factors for successful team science and training. Seven key design elements support team science: (1) semiformal meta-organizational structure, (2) shared context and goals, (3) formal evaluation processes, (4) meetings to promote communication, (5) role clarity in mentoring, (6) building interpersonal competencies among faculty and trainees, and (7) designing promotion and tenure and other organizational processes to support interdisciplinary team science. This application of theory to a long-standing and successful program provides important foundational elements for programs and institutions to consider in promoting team science.

Downcycling versus recycling of construction and demolition waste: Combining LCA and LCC to support sustainable policy making.

Science.gov (United States)

Di Maria, Andrea; Eyckmans, Johan; Van Acker, Karel

2018-05-01

Urgent solutions are needed in Europe to deal with construction and demolition waste (CDW). EU policy has contributed to significantly reducing the amount of CDW going to landfill, but most of the effort has been put in downcycling practices. Therefore, further policies are needed to stimulate high-quality recycling of CDW. The present paper presents a combined life cycle assessment (LCA) and life cycle costing (LCC) methodologies to analyse the environmental and the economic drivers in four alternative CDW end-of-life scenarios in the region of Flanders, in Belgium. The four analysed alternatives are (i) landfilling, (ii) downcycling, (iii) advanced recycling and (iv) recycling after selective demolition. LCA results show that landiflling is the scenario having the highest environmental impacts in terms of person equivalent (PE), followed by downcycling and recycling (-36%) and recycling after selective demolition (-59%). The decrease in environmental impacts is mostly due to the avoided landfilling of CDW and the recovery of materials from selective demolition. LCC results indicate that landfilling is the scenario bearing the highest total economic costs. This is due to the high landfill tax in Flanders. The recycling after selective demolition bears the second highest cost. The increase of high-quality CDW recycling can significantly reduce the overall environmental impact of the system. Implementing a high landfill tax, increasing the gate fee to the recycling plant, and boosting the sales price of recycled aggregates are the most effective drivers to facilitate a transition towards a more sustainable CDW management system. The paper demonstrates that the combined LCA and LCC results can highlight the environmental and economic drivers in CDW management. The results of the combined analysis can help policymakers to promote the aspects contributing to sustainability and to limit the ones creating a barrier. Copyright © 2018 Elsevier Ltd. All rights reserved.

Construction and Demolition Debris 2014 US Final Disposition Estimates Using the CDDPath Method

Data.gov (United States)

U.S. Environmental Protection Agency — Estimates of the final amount and final disposition of materials generated in the Construction and Demolition waste stream measured in total mass of each material....

An integrated approach for the management of demolition waste in Cyprus.

Science.gov (United States)

Kourmpanis, Basilis; Papadopoulos, Achilleas; Moustakas, Konstantinos; Kourmoussis, Fotis; Stylianou, Marinos; Loizidou, Maria

2008-12-01

This study investigated the generation and management of demolition waste (DW) in Cyprus. A methodology has been developed and applied for the estimation of the quantities of the waste stream under examination, since quantitative primary data were not available. The existing situation relating to the practices applied for the management of DW was investigated and assessed. Furthermore, a multi-criteria analysis method (PROMETHEE II) was developed and applied in order to examine alternative systems that could be implemented for the management of the DW in the country. In particular, nine management systems (scenarios) were examined, evaluated and ranked according to their efficiency using seventeen individual criteria, divided into four groups (social-legislative, environmental, economic and technical). The ranking of the alternative waste management scenarios indicated that the optimum management system for possible implementation in the island included complete selective demolition procedures and transfer of mixed recyclable materials to the recycling centre and non-recyclable material to landfill.

Integration of Hands-On Team Training into Existing Curriculum Improves Both Technical and Nontechnical Skills in Laparoscopic Cholecystectomy.

Science.gov (United States)

Caskey, Robert C; Owei, Lily; Rao, Raghavendra; Riddle, Elijah W; Brooks, Ari D; Dempsey, Daniel T; Morris, Jon B; Neylan, Christopher J; Williams, Noel N; Dumon, Kristoffel R

Nontechnical skills are an essential component of surgical education and a major competency assessed by the ACGME milestones project. However, the optimal way to integrate nontechnical skills training into existing curricula and then objectively evaluate the outcome is still unknown. The aim of this study was to determine the effect laparoscopic team-based task training would have on the nontechnical skills needed for laparoscopic surgery. 9 PGY-1 residents underwent an established training curriculum for teaching the knowledge and technical skills involved in laparoscopic cholecystectomy. Initial training involved a didactic session, expert-led practice on a porcine model in a simulated operating room and laparoscopic skills practice on a virtual reality trainer. Residents then performed a laparoscopic cholecystectomy on the same porcine model as a preintervention test. Three to four months following this, residents were subjected to specific nontechnical skills training involving 2 simple team-based laparoscopic tasks. They then practiced a further 4 to 6 hours on the virtual reality trainer. A repeat postintervention laparoscopic cholecystectomy was then performed 3 to 4 months after nontechnical skills training. Both the preintervention and postintervention laparoscopic cholecystectomies were audiovisually recorded and then evaluated by 2 independent surgeons in a blinded fashion. Technical skills were assessed using objective structured assessment of technical skills (OSATS) and a technique specific rating scale (TRS) that we developed for laparoscopic cholecystectomy. Nontechnical skills were assessed using nontechnical skills for surgeons (NOTSS). Residents also completed a survey at the beginning and end of the training. Tertiary care, university based teaching institution. A total of 9 general surgery residents at the intern level. The mean OSATS score improved from 13.7 ± 1.24 to 26.7 ± 0.31 (p training. There was a strong correlation between OSATS and

Effect of small-sided team sport training and protein intake on muscle mass, physical function and markers of health in older untrained adults

DEFF Research Database (Denmark)

Vorup, Jacob; Pedersen, Mogens Theisen; Brahe, Lena Kirchner

2017-01-01

The effect of small-sided team sport training and protein intake on muscle mass, physical function, and adaptations important for health in untrained older adults was examined. Forty-eight untrained older (72±6 (±standard deviation, SD) years men and women were divided into either a team sport...... group ingesting a drink high in protein (18 g) immediately and 3 h after each training session (TS-HP, n = 13), a team sport group ingesting an isocaloric drink with low protein content (3 g; TS-LP, n = 18), or a control group continuing their normal activities (CON, n = 17). The team sport training...... was performed as ~20 min of small-sided ball games twice a week over 12 weeks. After the intervention period, leg muscle mass was 0.6 kg higher (P = 0.047) in TS-HP, with no effect in TS-LP. In TS-HP, number of sit-to-stand repetitions increased (1.2±0.6, P = 0.054), time to perform 2.45 m up-and-go was lower...

The Simulation-Based Assessment of Pediatric Rapid Response Teams.

Science.gov (United States)

Fehr, James J; McBride, Mary E; Boulet, John R; Murray, David J

2017-09-01

To create scenarios of simulated decompensating pediatric patients to train pediatric rapid response teams (RRTs) and to determine whether the scenario scores provide a valid assessment of RRT performance with the hypothesis that RRTs led by intensivists-in-training would be better prepared to manage the scenarios than teams led by nurse practitioners. A set of 10 simulated scenarios was designed for the training and assessment of pediatric RRTs. Pediatric RRTs, comprising a pediatric intensive care unit (PICU) registered nurse and respiratory therapist, led by a PICU intensivist-in-training or a pediatric nurse practitioner, managed 7 simulated acutely decompensating patients. Two raters evaluated the scenario performances and psychometric analyses of the scenarios were performed. The teams readily managed scenarios such as supraventricular tachycardia and opioid overdose but had difficulty with more complicated scenarios such as aortic coarctation or head injury. The management of any particular scenario was reasonably predictive of overall team performance. The teams led by the PICU intensivists-in-training outperformed the teams led by the pediatric nurse practitioners. Simulation provides a method for RRTs to develop decision-making skills in managing decompensating pediatric patients. The multiple scenario assessment provided a moderately reliable team score. The greater scores achieved by PICU intensivist-in-training-led teams provides some evidence to support the validity of the assessment. Copyright © 2017 Elsevier Inc. All rights reserved.

Learning Team Review 2016-0001: Installing Outlets for Programmatic Equipment

Energy Technology Data Exchange (ETDEWEB)

Dunwoody, John Tyler [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Obrey, Kimberly Ann [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Bridgewater, Jon S. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Griego, Frank X. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Brenner, Andrew Karl [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Lopez, Ted T. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Henderson, Kevin C. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Gordon, Lloyd Baumgardner [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Blumberg, Paul A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Wilburn, Dianne Williams [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2016-09-08

The purpose of a Learning Team is to transfer and communicate the information into operational feedback and improvement. We want to pay attention to the small things that go wrong because they are often early warning signals and may provide insight into the health of the whole system. An ESR was placed in the October of 2015 to move/install a number of 120V and 208V outlets in 455-104B to support programmatic furnace needs. Electrical design review was completed for ESR 22217 on February 22, 2016 and a Design Change Form completed describing the modification needed as: demolish 1 existing receptacle and circuit leaving conduit and jbox for use to install new receptacle and 5 new receptacles/circuits are required and one existing receptacle is to be relocated, listed under FSR 149229. The FSR scope of work was written:: Please have the Electricians come out to perform demolition (1ea.), installation (6ea.)& relocation (1ea.) of receptacles / circuits. ESR 22217 & DCF-16-35-0455-1281 is in place for this work. Coordinate final receptacle locations with Laboratory Resident. Contact John Dunwoody or O-MC for this information. WO# 545580-01 was signed on April 20, 2016.: Electricians to perform demolition, installation, & relocation of receptacles / circuits PER attached DCF-16-0455-1281-SK-1.

Effect of Co-Composting Cattle Manure with Construction and Demolition Waste on the Archaeal, Bacterial, and Fungal Microbiota, and on Antimicrobial Resistance Determinants.

Science.gov (United States)

Holman, Devin B; Hao, Xiying; Topp, Edward; Yang, Hee Eun; Alexander, Trevor W

2016-01-01

Agricultural operations generate large quantities of manure which must be eliminated in a manner that is consistent with public health guidelines. Meanwhile, construction and demolition waste makes up about 25% of total solid municipal waste. Co-composting of manure with construction and demolition waste offers a potential means to make manure safe for soil amendment and also divert construction and demolition waste from municipal landfills. Therefore, the archaeal, bacterial, and fungal microbiota of two different types of composted cattle manure and one co-composted with construction and demolition waste, were assessed over a 99-day composting period. The microbiota of the three compost mixtures did not differ, but significant changes over time and by sampling depth were observed. Bacillus and Halocella, however, were more relatively abundant in composted manure from cattle fed dried distillers' grains and solubles. Proteobacteria and Bacteroidetes were enriched at day 0 and Firmicutes at day 99. The fungal genus Kernia was the most relatively abundant overall and was enriched at day 0. The concentration of 12 antimicrobial resistance determinants in the compost mixtures was also determined, and 10 of these determinants decreased significantly from days 0 to 99. The addition of construction and demolition waste did not affect the persistence of antimicrobial resistance genes or community structure of the compost microbiota and therefore co-composting construction and demolition waste with cattle manure offers a safe, viable way to divert this waste from landfills.

Effect of Co-Composting Cattle Manure with Construction and Demolition Waste on the Archaeal, Bacterial, and Fungal Microbiota, and on Antimicrobial Resistance Determinants

Science.gov (United States)

Holman, Devin B.; Hao, Xiying; Topp, Edward; Yang, Hee Eun; Alexander, Trevor W.

2016-01-01

Agricultural operations generate large quantities of manure which must be eliminated in a manner that is consistent with public health guidelines. Meanwhile, construction and demolition waste makes up about 25% of total solid municipal waste. Co-composting of manure with construction and demolition waste offers a potential means to make manure safe for soil amendment and also divert construction and demolition waste from municipal landfills. Therefore, the archaeal, bacterial, and fungal microbiota of two different types of composted cattle manure and one co-composted with construction and demolition waste, were assessed over a 99-day composting period. The microbiota of the three compost mixtures did not differ, but significant changes over time and by sampling depth were observed. Bacillus and Halocella, however, were more relatively abundant in composted manure from cattle fed dried distillers’ grains and solubles. Proteobacteria and Bacteroidetes were enriched at day 0 and Firmicutes at day 99. The fungal genus Kernia was the most relatively abundant overall and was enriched at day 0. The concentration of 12 antimicrobial resistance determinants in the compost mixtures was also determined, and 10 of these determinants decreased significantly from days 0 to 99. The addition of construction and demolition waste did not affect the persistence of antimicrobial resistance genes or community structure of the compost microbiota and therefore co-composting construction and demolition waste with cattle manure offers a safe, viable way to divert this waste from landfills. PMID:27300323

Life cycle assessment and life cycle costing for demolition waste management

NARCIS (Netherlands)

Hu, M.; Miranda-Xicotencat, B.; Ita-Nagy, D.; Prado, V.; Guinée, J.B.; van Roekel, E; Huismans, R.; Rens, F.; Lotfi, Somayeh; Di Maio, F.; Di Maio, F.; Lotfi, S.; Bakker, M.; Hu, M.; Vahidi, A.

2017-01-01

Ninety five percent of the construction and demolition waste is recycled in the Netherlands. Most of it is used for low value applications such as road base materials; the use of secondary material in buildings is still less than 3%7. In order to recover waste for higher value applications,

Portland blended cements: demolition ceramic waste management

International Nuclear Information System (INIS)

Trezza, M.A.; Zito, S.; Tironi, A.; Irassar, E.F.; Rahhal, V.F.

2017-01-01

Demolition ceramic wastes (DCWs) were investigated in order to determine their potential use as supplementary cementitious materials in Portland Blended Cements (PBCs). For this purpose, three ceramic wastes were investigated. After characterization of the materials used, the effect of ceramic waste replacement (8, 24 and 40% by mass) was analyzed. Pozzolanic activity, hydration progress, workability and compressive strength were determined at 2, 7 and 28 days. The results showed that the ground wastes behave as filler at an early age, but as hydration progresses, the pozzolanic activity of ceramic waste contributes to the strength requirement. [es

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.

Science.gov (United States)

Vanderbilt, Allison A; Pappada, Scott M; Stein, Howard; Harper, David; Papadimos, Thomas J

2017-01-01

Hospitals have struggled for years regarding the handoff process of communicating patient information from one health care professional to another. Ineffective handoff communication is recognized as a serious patient safety risk within the health care community. It is essential to take communication into consideration when examining the safety of neonates who require immediate medical attention after birth; effective communication is vital for positive patient outcomes, especially with neonates in a delivery room setting. Teamwork and effective communication across the health care continuum are essential for providing efficient, quality care that leads to favorable patient outcomes. Interprofessional simulation and team training can benefit health care professionals by improving interprofessional competence, defined as one's knowledge of other professionals including an understanding of their training and skillsets, and role clarity. Interprofessional teams that include members with specialization in obstetrics, gynecology, and neonatology have the potential to considerably benefit from training effective handoff and communication practices that would ensure the safety of the neonate upon birth. We must strive to provide the most comprehensive systematic, standardized, interprofessional handoff communication training sessions for such teams, through Graduate Medical Education and Continuing Medical Education that will meet the needs across the educational continuum.

Assessment of leaching from Construction & Demolition Waste concrete

DEFF Research Database (Denmark)

Butera, Stefania; Christensen, Thomas Højlund; Astrup, Thomas

2012-01-01

Construction and demolition waste features two very important properties when considering its management options: the large amounts, and the low environmental hazardousness. Therefore, concrete waste can be recycled relatively easily: most common end-of-life option is utilization as unbound...... approaches exist, often implying unrealistic or not relevant conditions if compared to real life utilization scenarios. A modified version of the CEN/TS 14405 column percolation test has been implemented on four crushed concrete samples, with the purpose of analysing the release of chromium, one...

Dehomed: the impacts of house demolitions on the well-being of women from the unrecognized Bedouin-Arab villages in the Negev/Israel.

Science.gov (United States)

Gottlieb, Nora; Feder-Bubis, Paula

2014-09-01

Thirty-five Bedouin-Arab villages in South Israel are regarded illegal settlements by the state. Consequently, the residents׳ homes are subject to demolition. Based on 12 semi-structured multiple-participant interviews, this paper examines the house demolitions׳ impacts on women, in the context of gendered constructions of social roles and space. It highlights that the marginalized position of Arab-Bedouin women - as women in a patriarchal community, as members of a minority within Israeli society, and as residents of an "invisible" settlement - contributes to the devastating effects of the house demolitions. In particular, the study׳s results show that the house demolitions inflict severe personal and collective trauma, amplified by women׳s primary role as mothers. Paradoxically, the very same role also becomes a source of resilience and political resistance, as women act to defend a sense of home and restore family life in the face of state violence. Copyright © 2014 Elsevier Ltd. All rights reserved.

[Team training and assessment in mixed reality-based simulated operating room : Current state of research in the field of simulation in spine surgery exemplified by the ATMEOS project].

Science.gov (United States)

Stefan, P; Pfandler, M; Wucherer, P; Habert, S; Fürmetz, J; Weidert, S; Euler, E; Eck, U; Lazarovici, M; Weigl, M; Navab, N

2018-04-01

Surgical simulators are being increasingly used as an attractive alternative to clinical training in addition to conventional animal models and human specimens. Typically, surgical simulation technology is designed for the purpose of teaching technical surgical skills (so-called task trainers). Simulator training in surgery is therefore in general limited to the individual training of the surgeon and disregards the participation of the rest of the surgical team. The objective of the project Assessment and Training of Medical Experts based on Objective Standards (ATMEOS) is to develop an immersive simulated operating room environment that enables the training and assessment of multidisciplinary surgical teams under various conditions. Using a mixed reality approach, a synthetic patient model, real surgical instruments and radiation-free virtual X‑ray imaging are combined into a simulation of spinal surgery. In previous research studies, the concept was evaluated in terms of realism, plausibility and immersiveness. In the current research, assessment measurements for technical and non-technical skills are developed and evaluated. The aim is to observe multidisciplinary surgical teams in the simulated operating room during minimally invasive spinal surgery and objectively assess the performance of the individual team members and the entire team. Moreover, the effectiveness of training methods and surgical techniques or success critical factors, e. g. management of crisis situations, can be captured and objectively assessed in the controlled environment.

Working with the 'difficult' patient: the use of a contextual cognitive-analytic therapy based training in improving team function in a routine psychiatry service setting.

Science.gov (United States)

Caruso, Rosangela; Biancosino, Bruno; Borghi, Cristiana; Marmai, Luciana; Kerr, Ian B; Grassi, Luigi

2013-12-01

The clinical management of 'difficult' patients is a major challenge which exposes mental health teams to an increased risk of frustration and stress and may lead to professional burnout. The aim of the present study was to investigate whether a cognitive-analytic therapy (CAT) based training undertaken by a mental health team working with 'difficult' patients reduced professional burnout symptoms, improved patients' service engagement and increased the levels of team-cohesion. Twelve mental health staff members from different professional and educational backgrounds took part in five 2-hour sessions providing a basic CAT training intervention, an integrative and relational model of psychotherapy for the treatment of borderline personality disorders. Participants were administered the Maslach Burnout Inventory (MBI), the Service Engagement Scale (SES) and the Group Environment Questionnaire (GEQ) before (T0) and after (T1) CAT training, and at 1-month follow-up (T2). A significant decrease were found, at T2, on the MBI Emotional Exhaustion scores, the SES Availability subscale, the GEQ Attraction to Group-Social and Group Integration-Social, while the MBI-Personal Accomplishment scores increased from baseline.The results of this study suggest that a CAT-based training can facilitate team cohesion and patient engagement with a service and reduce burnout levels among mental health team members dealing with 'difficult' patients.

Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in the programme.

Science.gov (United States)

Neily, Julia; Mills, Peter D; Lee, Pamela; Carney, Brian; West, Priscilla; Percarpio, Katherine; Mazzia, Lisa; Paull, Douglas E; Bagian, James P

2010-08-01

Communication is problematic in healthcare. The Veterans Health Administration is implementing Medical Team Training. The authors describe results of the first 32 of 130 sites to undergo the programme. This report is unique; it provides aggregate results of a crew resource-management programme for numerous facilities. Facilities were taught medical team training and implemented briefings, debriefings and other projects. The authors coached teams through consultative phone interviews over a year. Implementation teams self-reported implementation and rated programme impact: 1='no impact' and 5='significant impact.' We used logistic regression to examine implementation of briefing/debriefing. Ninety-seven per cent of facilities implemented briefings and debriefings, and all implemented an additional project. As of the final interview, 73% of OR and 67% of ICU implementation teams self-reported and rated staff impact 4-5. Eighty-six per cent of OR and 82% of ICU implementation teams self-reported and rated patient impact 4-5. Improved teamwork was reported by 84% of OR and 75% of ICU implementation teams. Efficiency improvements were reported by 94% of OR implementation teams. Almost all facilities (97%) reported a success story or avoiding an undesirable event. Sites with lower volume were more likely to conduct briefings/debriefings in all cases for all surgical services (p=0.03). Sites are implementing the programme with a positive impact on patients and staff, and improving teamwork, efficiency and safety. A unique feature of the programme is that implementation was facilitated through follow-up support. This may have contributed to the early success of the programme.

Recycling of rubble from building demolition for low-shrinkage concretes.

Science.gov (United States)

Corinaldesi, Valeria; Moriconi, Giacomo

2010-04-01

In this project concrete mixtures were prepared that were characterized by low ductility due to desiccation by using debris from building demolition, which after a suitable treatment was used as aggregate for partial replacement of natural aggregates. The recycled aggregate used came from a recycling plant, in which rubble from building demolition was selected, crushed, cleaned, sieved, and graded. Such aggregates are known to be more porous as indicated by the Saturated Surface Dry (SSD) moisture content. The recycled concrete used as aggregates were added to the concrete mixture in order to study their influence on the fresh and hardened concrete properties. They were added either after water pre-soaking or in dry condition, in order to evaluate the influence of moisture in aggregates on the performance of concrete containing recycled aggregate. In particular, the effect of internal curing, due to the use of such aggregates, was studied. Concrete behavior due to desiccation under dehydration was studied by means of both drying shrinkage test and German angle test, through which shrinkage under the restrained condition of early age concrete can be evaluated. Copyright 2009 Elsevier Ltd. All rights reserved.

Teamwork education improves trauma team performance in undergraduate health professional students.

Science.gov (United States)

Baker, Valerie O'Toole; Cuzzola, Ronald; Knox, Carolyn; Liotta, Cynthia; Cornfield, Charles S; Tarkowski, Robert D; Masters, Carolynn; McCarthy, Michael; Sturdivant, Suzanne; Carlson, Jestin N

2015-01-01

Effective trauma resuscitation requires efficient and coordinated care from a team of providers; however, providers are rarely instructed on how to be effective members of trauma teams. Team-based learning using Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) has been shown to improve team dynamics among practicing professionals, including physicians and nurses. The impact of TeamSTEPPS on students being trained in trauma management in an undergraduate health professional program is currently unknown. We sought to determine the impact of TeamSTEPPS on team dynamics among undergraduate students being trained in trauma resuscitation. We enrolled teams of undergraduate health professional students from four programs: nursing, physician assistant, radiologic science, and respiratory care. After completing an online training on trauma resuscitation principles, the participants completed a trauma resuscitation scenario. The participants then received teamwork training using TeamSTEPPS and completed a second trauma resuscitation scenario identical to the first. All resuscitations were recorded and scored offline by two blinded research assistants using both the Team Emergency Assessment Measure (TEAM) and Trauma Team Performance Observation Tool (TPOT) scoring systems. Pre-test and post-test TEAM and TPOT scores were compared. We enrolled a total of 48 students in 12 teams. Team leadership, situational monitoring, and overall communication improved with TeamSTEPPS training (P=0.04, P=0.02, and P=0.03, respectively), as assessed by the TPOT scoring system. TeamSTEPPS also improved the team's ability to prioritize tasks and work together to complete tasks in a rapid manner (P<0.01 and P=0.02, respectively) as measured by TEAM. Incorporating TeamSTEPPS into trauma team education leads to improved TEAM and TPOT scores among undergraduate health professionals.

An estimation framework for building information modeling (BIM)-based demolition waste by type.

Science.gov (United States)

Kim, Young-Chan; Hong, Won-Hwa; Park, Jae-Woo; Cha, Gi-Wook

2017-12-01

Most existing studies on demolition waste (DW) quantification do not have an official standard to estimate the amount and type of DW. Therefore, there are limitations in the existing literature for estimating DW with a consistent classification system. Building information modeling (BIM) is a technology that can generate and manage all the information required during the life cycle of a building, from design to demolition. Nevertheless, there has been a lack of research regarding its application to the demolition stage of a building. For an effective waste management plan, the estimation of the type and volume of DW should begin from the building design stage. However, the lack of tools hinders an early estimation. This study proposes a BIM-based framework that estimates DW in the early design stages, to achieve an effective and streamlined planning, processing, and management. Specifically, the input of construction materials in the Korean construction classification system and those in the BIM library were matched. Based on this matching integration, the estimates of DW by type were calculated by applying the weight/unit volume factors and the rates of DW volume change. To verify the framework, its operation was demonstrated by means of an actual BIM modeling and by comparing its results with those available in the literature. This study is expected to contribute not only to the estimation of DW at the building level, but also to the automated estimation of DW at the district level.

The human side of lean teams.

Science.gov (United States)

Wackerbarth, Sarah B; Strawser-Srinath, Jamie R; Conigliaro, Joseph C

2015-05-01

Organizations use lean principles to increase quality and decrease costs. Lean projects require an understanding of systems-wide processes and utilize interdisciplinary teams. Most lean tools are straightforward, and the biggest barrier to successful implementation is often development of the team aspect of the lean approach. The purpose of this article is to share challenges experienced by a lean team charged with improving a hospital discharge process. Reflection on the experience provides an opportunity to highlight lessons from The Team Handbook by Peter Scholtes and colleagues. To improve the likelihood that process improvement initiatives, including lean projects, will be successful, organizations should consider providing training in organizational change principles and team building. The authors' lean team learned these lessons the hard way. Despite the challenges, the team successfully implemented changes throughout the organization that have had a positive impact. Training to understand the psychology of change might have decreased the resistance faced in implementing these changes. © 2014 by the American College of Medical Quality.

Teamwork education improves trauma team performance in undergraduate health professional students

Directory of Open Access Journals (Sweden)

Valerie O’Toole Baker

2015-06-01

Full Text Available Purpose: Effective trauma resuscitation requires efficient and coordinated care from a team of providers; however, providers are rarely instructed on how to be effective members of trauma teams. Team-based learning using Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS has been shown to improve team dynamics among practicing professionals, including physicians and nurses. The impact of TeamSTEPPS on students being trained in trauma management in an undergraduate health professional program is currently unknown. We sought to determine the impact of TeamSTEPPS on team dynamics among undergraduate students being trained in trauma resuscitation. Methods: We enrolled teams of undergraduate health professional students from four programs: nursing, physician assistant, radiologic science, and respiratory care. After completing an online training on trauma resuscitation principles, the participants completed a trauma resuscitation scenario. The participants then received teamwork training using TeamSTEPPS and completed a second trauma resuscitation scenario identical to the first. All resuscitations were recorded and scored offline by two blinded research assistants using both the Team Emergency Assessment Measure (TEAM and Trauma Team Performance Observation Tool (TPOT scoring systems. Pre-test and post-test TEAM and TPOT scores were compared. Results: We enrolled a total of 48 students in 12 teams. Team leadership, situational monitoring, and overall communication improved with TeamSTEPPS training (P=0.04, P=0.02, and P=0.03, respectively, as assessed by the TPOT scoring system. TeamSTEPPS also improved the team’s ability to prioritize tasks and work together to complete tasks in a rapid manner (P<0.01 and P=0.02, respectively as measured by TEAM. Conclusions: Incorporating TeamSTEPPS into trauma team education leads to improved TEAM and TPOT scores among undergraduate health professionals.

Construction and demolition waste as a source of PVC for recycling.

Science.gov (United States)

Prestes, Sabrina Moretto Darbello; Mancini, Sandro Donnini; Rodolfo, Antonio; Keiroglo, Raquel Carramillo

2012-02-01

Construction and demolition waste can contain considerable amounts of polyvinyl chloride (PVC). This paper describes a study of the recycling of PVC pipes collected from such waste materials. In a sorting facility for the specific disposal of construction and demolition waste, PVC was found to represent one-third of the plastics separated by workers. Pipes were sorted carefully to preclude any possible contamination by poly(ethylene terephthalate) (PET) found in the waste. The material was ground into two distinct particle sizes (final mesh of 12.7 and 8 mm), washed, dried and recycled. The average formulation of the pipes was determined based on ash content tests and used in the fabrication of a similar compound made mainly of virgin PVC. Samples of recycled pipes and of compound based on virgin material were subjected to tensile and impact tests and provided very similar results. These results are a good indication of the application potential of the recycled material and of the fact that longer grinding to obtain finer particles is not necessarily beneficial.

Integrating team resource management program into staff training improves staff's perception and patient safety in organ procurement and transplantation: the experience in a university-affiliated medical center in Taiwan.

Science.gov (United States)

Hsu, Ya-Chi; Jerng, Jih-Shuin; Chang, Ching-Wen; Chen, Li-Chin; Hsieh, Ming-Yuan; Huang, Szu-Fen; Liu, Yueh-Ping; Hung, Kuan-Yu

2014-08-11

The process involved in organ procurement and transplantation is very complex that requires multidisciplinary coordination and teamwork. To prevent error during the processes, teamwork education and training might play an important role. We wished to evaluate the efficacy of implementing a Team Resource Management (TRM) program on patient safety and the behaviors of the team members involving in the process. We implemented a TRM training program for the organ procurement and transplantation team members of the National Taiwan University Hospital (NTUH), a teaching medical center in Taiwan. This 15-month intervention included TRM education and training courses for the healthcare workers, focused group skill training for the procurement and transplantation team members, video demonstration and training, and case reviews with feedbacks. Teamwork culture was evaluated and all procurement and transplantation cases were reviewed to evaluate the application of TRM skills during the actual processes. During the intervention period, a total of 34 staff members participated the program, and 67 cases of transplantations were performed. Teamwork framework concept was the most prominent dimension that showed improvement from the participants for training. The team members showed a variety of teamwork behaviors during the process of procurement and transplantation during the intervention period. Of note, there were two potential donors with a positive HIV result, for which the procurement processed was timely and successfully terminated by the team. None of the recipients was transplanted with an infected organ. No error in communication or patient identification was noted during review of the case records. Implementation of a Team Resource Management program improves the teamwork culture as well as patient safety in organ procurement and transplantation.

Healthcare management strategies: interdisciplinary team factors.

Science.gov (United States)

Andreatta, Pamela; Marzano, David

2012-12-01

Interdisciplinary team factors are significant contributors to clinical performance and associated patient outcomes. Quality of care and patient safety initiatives identify human factors associated with team performance as a prime improvement area for clinical patient care. The majority of references to interdisciplinary teams in obstetrics and gynecology in the literature recommends the use of multidisciplinary approaches when managing complex medical cases. The reviewed literature suggests that interdisciplinary team development is important for achieving optimally efficient and effective performance; however, few reports provide specific recommendations for how to optimally achieve these objectives in the process of providing interdisciplinary care to patients. The absence of these recommendations presents a significant challenge for those tasked with improving team performance in the workplace. The prescribed team development programs cited in the review are principally built around communication strategies and simulation-based training mechanisms. Few reports provide descriptions of optimal team-based competencies in the various contexts of obstetric and gynecology teams. However, team-based evaluation strategies and empirical data documenting the transfer of team training to applied clinical care are increasing in number and quality. Our findings suggest that research toward determining team factors that promote optimal performance in applied clinical practice requires definition of specific competencies for the variable teams serving obstetrics and gynecology.

Team awareness for workplace substance abuse prevention: the empirical and conceptual development of a training program.

Science.gov (United States)

Bennett, J B; Lehman, W E; Reynolds, G S

2000-09-01

This paper describes the empirical and theoretical development of a workplace training program to help reduce/prevent employee alcohol and drug abuse and enhance aspects of the work group environment that support ongoing prevention. The paper (1) examines the changing social context of the workplace (e.g., teamwork, privacy issues) as relevant for prevention, (2) reviews studies that assess risks and protective factors in employee substance abuse (work environment, group processes, and employee attitudes), (3) provides a conceptual model that focuses on work group processes (enabling, neutralization of deviance) as the locus of prevention efforts, (4) describes an enhanced team-oriented training that was derived from previous research and the conceptual model, and (5) describes potential applications of the program. It is suggested that the research and conceptual model may help prevention scientists to assess the organizational context of any workplace prevention strategy. The need for this team-oriented approach may be greater among employees who experience psychosocial risks such as workplace drinking climates, social alienation, and policies that emphasize deterrence (drug testing) over educative prevention. Limitations of the model are also discussed.

Time Series Trends in Corporate Team Development.

Science.gov (United States)

Priest, Simon; Lesperance, Mary Ann

1994-01-01

In two studies, the Team Development Indicator was repeatedly administered to intact work groups participating in intensive 48-hour residential corporate adventure training (CAT) and various follow-up procedures. CAT significantly improved team behaviors in all training groups, but improvements were maintained or increased only in groups that…

Nuclear Rocket Facility Decommissioning Project: Controlled Explosive Demolition of Neutron-Activated Shield Wall

International Nuclear Information System (INIS)

Michael R, Kruzic

2008-01-01

Located in Area 25 of the Nevada Test Site (NTS), the Test Cell A (TCA) Facility (Figure 1) was used in the early to mid-1960s for testing of nuclear rocket engines, as part of the Nuclear Rocket Development Program, to further space travel. Nuclear rocket testing resulted in the activation of materials around the reactors and the release of fission products and fuel particles. The TCA facility, known as Corrective Action Unit 115, was decontaminated and decommissioned (D and D) from December 2004 to July 2005 using the Streamlined Approach for Environmental Restoration (SAFER) process, under the Federal Facility Agreement and Consent Order. The SAFER process allows environmental remediation and facility closure activities (i.e., decommissioning) to occur simultaneously, provided technical decisions are made by an experienced decision maker within the site conceptual site model. Facility closure involved a seven-step decommissioning strategy. First, preliminary investigation activities were performed, including review of process knowledge documentation, targeted facility radiological and hazardous material surveys, concrete core drilling and analysis, shield wall radiological characterization, and discrete sampling, which proved to be very useful and cost-effective in subsequent decommissioning planning and execution and worker safety. Second, site setup and mobilization of equipment and personnel were completed. Third, early removal of hazardous materials, including asbestos, lead, cadmium, and oil, was performed ensuring worker safety during more invasive demolition activities. Process piping was to be verified void of contents. Electrical systems were de-energized and other systems were rendered free of residual energy. Fourth, areas of high radiological contamination were decontaminated using multiple methods. Contamination levels varied across the facility. Fixed beta/gamma contamination levels ranged up to 2 million disintegrations per minute (dpm)/100

Nuclear Rocket Facility Decommissioning Project: Controlled Explosive Demolition of Neutron-Activated Shield Wall

Energy Technology Data Exchange (ETDEWEB)

Michael R. Kruzic

2008-06-01

Located in Area 25 of the Nevada Test Site (NTS), the Test Cell A (TCA) Facility (Figure 1) was used in the early to mid-1960s for testing of nuclear rocket engines, as part of the Nuclear Rocket Development Program, to further space travel. Nuclear rocket testing resulted in the activation of materials around the reactors and the release of fission products and fuel particles. The TCA facility, known as Corrective Action Unit 115, was decontaminated and decommissioned (D&D) from December 2004 to July 2005 using the Streamlined Approach for Environmental Restoration (SAFER) process, under the Federal Facility Agreement and Consent Order. The SAFER process allows environmental remediation and facility closure activities (i.e., decommissioning) to occur simultaneously, provided technical decisions are made by an experienced decision maker within the site conceptual site model. Facility closure involved a seven-step decommissioning strategy. First, preliminary investigation activities were performed, including review of process knowledge documentation, targeted facility radiological and hazardous material surveys, concrete core drilling and analysis, shield wall radiological characterization, and discrete sampling, which proved to be very useful and cost-effective in subsequent decommissioning planning and execution and worker safety. Second, site setup and mobilization of equipment and personnel were completed. Third, early removal of hazardous materials, including asbestos, lead, cadmium, and oil, was performed ensuring worker safety during more invasive demolition activities. Process piping was to be verified void of contents. Electrical systems were de-energized and other systems were rendered free of residual energy. Fourth, areas of high radiological contamination were decontaminated using multiple methods. Contamination levels varied across the facility. Fixed beta/gamma contamination levels ranged up to 2 million disintegrations per minute (dpm)/100

Involving youth with disabilities in the development and evaluation of a new advocacy training: Project TEAM.

Science.gov (United States)

Kramer, Jessica; Barth, Yishai; Curtis, Katie; Livingston, Kit; O'Neil, Madeline; Smith, Zach; Vallier, Samantha; Wolfe, Ashley

2013-04-01

This paper describes a participatory research process in which six youth with disabilities (Youth Panel) participated in the development and evaluation of a manualized advocacy training, Project TEAM (Teens making Environment and Activity Modifications). Project TEAM teaches youth with disabilities how to identify environmental barriers, generate solutions, and request accommodations. The Youth Panel conducted their evaluation after the university researcher implemented Project TEAM with three groups of trainees. The Youth Panel designed and administered a survey and focus group to evaluate enjoyment and usefulness of Project TEAM with support from an advocate/researcher. Members of the Youth Panel analyzed survey response frequencies. The advocate/researcher conducted a content analysis of the open-ended responses. Sixteen of 21 Project TEAM trainees participated in the evaluation. The evaluation results suggest that the trainees found the interactive and individualized aspects of the Project TEAM most enjoyable and useful. Some instructional materials were difficult for trainees with cognitive disabilities to understand. The Youth Panel's involvement in the development of Project TEAM may explain the relatively positive experiences reported by trainees. Project TEAM should continue to provide trainees with the opportunity to apply concepts in real-life situations. Project TEAM requires revisions to ensure it is enjoyable and useful for youth with a variety of disabilities. • Group process strategies, picture-based data collection materials, peer teamwork, and mentorship from adults with disabilities can enable youth with disabilities to engage in research. • Collaborating with youth with disabilities in the development of new rehabilitation approaches may enhance the relevance of interventions for other youth with disabilities. • Youth with cognitive disabilities participating in advocacy and environment-focused interventions may prefer interactive and

The Effects of Supplementary Low-Load Blood Flow Restriction Training on Morphological and Performance-Based Adaptations in Team Sport Athletes.

Science.gov (United States)

Scott, Brendan R; Peiffer, Jeremiah J; Goods, Paul S R

2017-08-01

Scott, BR, Peiffer, JJ, and Goods, PSR. The effects of supplementary low-load blood flow restriction training on morphological and performance-based adaptations in team sport athletes. J Strength Cond Res 31(8): 2147-2154, 2017-Low-load resistance training with blood flow restriction (BFR) may be a method to enhance muscular development even in trained athletes. This study aimed to assess whether supplemental low-load BFR training can improve muscle size, strength, and physical performance characteristics in team sport athletes. Twenty-one semiprofessional Australian football athletes were assessed for 3-repetition maximum (3RM) and muscular endurance in the back squat, vastus lateralis muscle architecture, and performance in sprint and vertical jump tasks. Participants then undertook a 5-week training program, consisting of normal high-load resistance training supplemented by low-load squats with (LLBFR) or without (LL) BFR. Participants also performed regular conditioning and football training during this period. After the training intervention, participants again completed the pretraining testing battery. Squat 3RM and endurance increased from pretraining levels in both LL (3RM = 12.5% increase; endurance = 24.1% increase; p ≤ 0.007) and LLBFR (3RM = 12.3% increase; endurance = 21.2% increase; p = 0.007) groups, though there were no between-group differences. No post-training changes were observed for muscle architecture, or performance in sprinting and jumping tasks. Although squat 3RM and endurance performance increased in both groups, adding BFR during supplemental exercise did not enhance these responses. Similarly, there were no large differences in the assessments of sprint, acceleration, and jumping performance between the groups after training. These findings suggest that although LLBFR did not negatively affect adaptive responses to resistance training, this training strategy may not provide added benefit for healthy Australian football athletes

Impacts of Fire Ecology Range Management (FERM) on the Fate and Transport of Energetic Materials on Testing and Training Ranges

National Research Council Canada - National Science Library

Foote, Eric

2006-01-01

.... One such practice may be prescribed or controlled burning, which is used on military training ranges for a variety of purposes including safety clearance prior to detection and demolition of unexploded ordnance (UXO...

Technical and tactical training team «Helios» Kharkiv in the first round of 23 Ukrainian football championship in the premier league 2013–2014

Directory of Open Access Journals (Sweden)

Rebaz Sleman

2014-10-01

Full Text Available Purpose: to define the characteristics of the model command of technical and tactical training team participating in the Ukrainian Premier League First League. Material and Methods: the research was conducted using the method of peer review. The experts were involved 5 specialists football. Results: the mean values for the analyzed variables in 10 games. The various technical and tactical actions and their percentage in the overall structure of the game team statistics for 20 games, as well as some indicators of team play "Helios" Kharkov. Conclusions: the obtained quantitative and qualitative indicators (coefficient of marriage as a team on the technical and tactical actions, as well as separately for each technical and tactical reception. The performances allow you to make adjustments to the training process this command to improve sportsmanship.

Mixture optimization of cement treated demolition waste with recycled masonry and concrete

NARCIS (Netherlands)

Xuan, D.X.; Houben, L.J.M.; Molenaar, A.A.A.; Shui, Z.H,

2011-01-01

Due to environmental reasons and the shortage of natural resources, it is greatly valuable to recycle construction and demolition waste (CDW) as much as possible. One of effective ways to reuse more CDW is to produce a cemented road base material. The recycled CDW however is a mix of recycled

24 CFR 970.15 - Specific criteria for HUD approval of demolition requests.

Science.gov (United States)

2010-04-01

... modifications is cost-effective to return the public housing project or portion of the project to useful life... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Specific criteria for HUD approval of demolition requests. 970.15 Section 970.15 Housing and Urban Development Regulations Relating to...

Effect of small-sided team sport training and protein intake on muscle mass, physical function and markers of health in older untrained adults: A randomized trial.

Science.gov (United States)

Vorup, Jacob; Pedersen, Mogens Theisen; Brahe, Lena Kirchner; Melcher, Pia Sandfeld; Alstrøm, Joachim Meno; Bangsbo, Jens

2017-01-01

The effect of small-sided team sport training and protein intake on muscle mass, physical function, and adaptations important for health in untrained older adults was examined. Forty-eight untrained older (72±6 (±standard deviation, SD) years men and women were divided into either a team sport group ingesting a drink high in protein (18 g) immediately and 3 h after each training session (TS-HP, n = 13), a team sport group ingesting an isocaloric drink with low protein content (3 g; TS-LP, n = 18), or a control group continuing their normal activities (CON, n = 17). The team sport training was performed as ~20 min of small-sided ball games twice a week over 12 weeks. After the intervention period, leg muscle mass was 0.6 kg higher (P = 0.047) in TS-HP, with no effect in TS-LP. In TS-HP, number of sit-to-stand repetitions increased (1.2±0.6, P = 0.054), time to perform 2.45 m up-and-go was lower (0.7±0.3 s, P = 0.03) and number of arm curl repetitions increased (3.5±1.2, P = 0.01), whereas in TS-LP only number of repetitions in sit-to-stand was higher (1.6±0.6, P = 0.01). In TS-LP, reductions were observed in total and abdominal fat mass (1.2±0.5 and 0.4±0.2 kg, P = 0.03 and P = 0.02, respectively), heart rate at rest (9±3 bpm, P = 0.002) and plasma C-reactive protein (1.8±0.8 mmol/L, P = 0.03), with no effects in TS-HP. Thus, team sport training improves functional capacity of untrained older adults and increases leg muscle mass only when ingesting proteins after training. Furthermore, team sport training followed by intake of drink with low protein content does lower fat mass, heart rate at rest and level of systemic inflammation. clinicaltrials.gov NCT03120143.

Trends in demolition planning and in the cutting techniques employed; Trends bei der Rueckbauplanung und den verwendeten Schneidverfahren

Energy Technology Data Exchange (ETDEWEB)

Brueggemann, Pascal [NUKEM Technologies GmbH, Alzenau (Germany)

2009-08-15

The past couple of years have seen the continuous further development of cutting techniques employed in demolishing nuclear facilities. This trend is continuing. After mostly mechanical cutting techniques had been used initially, there has been a tendency in the past few years to make increasing use of thermal cutting. Reasons for this preference are the reduced space requirement and the advantages this technique offers in remote handling because of the low weight and the small dimensions of the cutting heads, and the high flexibility in materials to be cut. This results in greater planning reliability in calculating quotations and performing the demolition work. The emissions generated by these techniques are manageable reliably at low additional expense for the required extraction and filter systems. Thermal cutting is likely to achieve wide use in dismantling and demolition of nuclear plant components also in the future. Advanced developments in computer hardware and software allow more and more detailed planning of demolition work. While, in the past, CAD had been applied only to generate two-dimensional drawings, current 3D applications allow animated representations of entire demolition scenes with high accuracy in detail. In this way, potential problems associated with handling large components or using manipulators for cutting can be detected and solved much more easily in the preparatory phase. Although current CAD use can be no substitute for mockup tests, it does help to enhance clearly reliability in planning prior to running mockup tests. (orig.)

Learning to evaluate multidisciplinary crisis-management team exercises

NARCIS (Netherlands)

Berlo, M.P.W. van; Dommele, R. van; Schneider, P.; Veerdonk, I. van de; Braakhekke, E.; Hendriks van de Weem, N.; Dijkman, E. van; Wartna, S.

2007-01-01

Training of multidisciplinary crisis management teams is becoming more common practice. Nevertheless, the value of these trainings and exercises is questionable. Scenarios are quite often realistic and challenging to the trainees: the team members are heavily engaged in doing their jobs in a

Does “Live High-Train Low (and High)” Hypoxic Training Alter Running Mechanics In Elite Team-sport Players?

Science.gov (United States)

Girard, Olivier; Millet, Grégoire P.; Morin, Jean-Benoit; Brocherie, Franck

2017-01-01

This study aimed to investigate if “Live High-Train Low (and High)” hypoxic training alters constant-velocity running mechanics. While residing under normobaric hypoxia (≥14 h·d-1; FiO2 14.5-14.2%) for 14 days, twenty field hockey players performed, in addition to their usual training in normoxia, six sessions (4 × 5 × 5-s maximal sprints; 25 s passive recovery; 5 min rest) under either normobaric hypoxia (FiO2 ~14.5%, n = 9) or normoxia (FiO2 20.9%, n = 11). Before and immediately after the intervention, their running pattern was assessed at 10 and 15 km·h-1 as well as during six 30-s runs at ~20 km·h-1 with 30-s passive recovery on an instrumented motorised treadmill. No clear changes in running kinematics and spring-mass parameters occurred globally either at 10, 15 or ~20 km·h-1, with also no significant time × condition interaction for any parameters (p > 0.14). Independently of the condition, heart rate (all p < 0.05) and ratings of perceived exertion decreased post-intervention (only at 15 km·h-1, p < 0.05). Despite indirect signs for improved psycho-physiological responses, no forthright change in stride mechanical pattern occurred after “Live High-Train Low (and High)” hypoxic training. Key points There are indirect signs for improved psycho-physiological responses in responses to “Live High-Train Low (and High)” hypoxic training. This hypoxic training regimen, however, does not modify the running mechanics of elite team-sport players at low and high velocities. Coaches can be confident that this intervention, known for inducing significant metabolic benefits, is appropriate for athletes since their running kinetics and kinematics are not negatively affected by chronic hypoxic exposure. PMID:28912649

The Effects of Plyometric Education Trainings on Balance and Some Psychomotor Characteristics of School Handball Team

Science.gov (United States)

Karadenizli, Zeynep Inci

2016-01-01

This study aims to search the effects of plyometric education trainings which was applied for 10-week on static-dynamic balance and some psychomotor characteristics of students who were been handball team of school. The female students-players (N = 16) who are in age 14,57 ± 0,92 years. All student have got 3,66 ± 0,63 years sport experience.…

Overview regarding construction and demolition waste in Spain.

Science.gov (United States)

Rodríguez-Robles, Desirée; García-González, Julia; Juan-Valdés, Andrés; Morán-Del Pozo, Julia M; Guerra-Romero, M Ignacio

2015-01-01

The construction sector comprises a number of activities that may result in environmental impacts of considerable magnitude, waste generation being one of the major negative effects of this industry due to the large streams generated. Proper knowledge of the environmental problem caused by the sector is of great importance in order to achieve an effective waste management. Thus, this paper analyse the Spanish situation regarding construction and demolition waste (CDW) compared with other European Union countries; which sets out the current figures of the CDW scenario (legislation, generation, composition, treatment and market) as well as the difficulties encountered when handling this residue.

Demolition of one of the old barracks

CERN Multimedia

2002-01-01

Many people at CERN will no doubt remember having rented accommodation in the four barracks-type huts near Entrance A. The rates were certainly rock bottom but it was hardly the Ritz! Put up at the end of the 1950s, they were abandoned in favour of the Saint-Genis-Pouilly hostel and the Meyrin site hostels. As they no longer meet current safety standards, they will all ultimately have to be demolished. One of them, situated immediately below the HV power line, has just been demolished at the request of the Swiss electricity company Energie Ouest Suisse. With its demolition, a little piece of CERN's social history has gone for ever.

Chemical sulphate removal for treatment of construction and demolition debris leachate.

Science.gov (United States)

Kijjanapanich, Pimluck; Annachhatre, Ajit P; Esposito, Giovanni; Lens, Piet N L

2014-08-01

Construction and demolition debris (CDD) is a product of construction, renovation or demolition activities. It has a high gypsum content (52.4% of total gypsum), concentrated in the CDD sand (CDDS) fraction. To comply with the posed limit of the maximum amount of sulphate present in building sand, excess sulphate needs to be removed. In order to enable reuse of CDDS, a novel treatment process is developed based on washing of the CDDS to remove most of the gypsum, and subsequent sulphate removal from the sulphate-rich CDDS leachate. This study aims to assess chemical techniques, i.e. precipitation and adsorption, for sulphate removal from the CDDS leachate. Good sulphate removal efficiencies (up to 99.9%) from the CDDS leachate can be achieved by precipitation with barium chloride (BaCl2) and lead(II) nitrate (Pb(NO3)2). Precipitation with calcium chloride (CaCl2), calcium carbonate (CaCO3) and calcium oxide (CaO) gave less efficient sulphate removal. Adsorption of sulphate to aluminium oxide (Al2O3) yielded a 50% sulphate removal efficiency, whereas iron oxide-coated sand as adsorbent gave only poor (10%) sulphate removal efficiencies.

Demolition of the FRJ-1 research reactor (MERLIN); Abbau des Reaktorblocks des Forschungsreaktors FRJ-1 (MERLIN)

Energy Technology Data Exchange (ETDEWEB)

Stahn, B.; Matela, K.; Zehbe, C. [Forschungszentrum Juelich GmbH (Germany); Poeppinghaus, J. [Gesellschaft fuer Nuklearservice, Essen (Germany); Cremer, J. [SNT Siempelkamp Nukleartechnik, Heidelberg (Germany)

2003-06-01

FRJ-2 (MERLIN), the swimming pool reactor cooled and moderated by light water, was built at the then Juelich Nuclear Research Establishment (KFA) between 1958 and 1962. In the period between 1964 and 1985, it was used for. The reactor was decommissioned in 1985. Since 1996, most of the demolition work has been carried out under the leadership of a project team. The complete secondary cooling system was removed by late 1998. After the cooling loops and experimental installations had been taken out, the reactor vessel internals were removed in 2000 after the water had been drained from the reactor vessel. After the competent authority had granted a license, demolition of the reactor block, the central part of the research reactor, was begun in October 2001. In a first step, the reactor operating floor and the reactor attachment structures were removed by the GNS/SNT consortium charged with overall planning and execution of the job. This phase gave rise to approx. The reactor block proper is dismantled in a number of steps. A variety of proven cutting techniques are used for this purpose. Demolition of the reactor block is to be completed in the first half of 2003. (orig.) [German] Der mit Leichtwasser gekuehlte und moderierte Schwimmbad-Forschungsreaktor FRJ-2 (MERLIN) wurde von 1958 bis 1962 fuer die damalige Kernforschungsanlage Juelich (KFA) errichtet. Von 1964 bis 1985 wurde er fuer Experimente mit zunaechst 5 MW und spaeter 10 MW thermischer Leistung bei einem maximalen thermischen Neutronenfluss von 1,1.10{sup 14} n/cm{sup 2}s genutzt. Im Jahr 1985 stellte der Reaktor seinen Betrieb ein. Die Brennelemente wurden aus der Anlage entfernt und in die USA und nach Grossbritannien verbracht. Seit 1996 erfolgen die wesentlichen Abbautaetigkeiten unter Leitung eines verantwortlichen Projektteams. Bis Ende 1998 wurde das komplette Sekundaerkuehlsystem entfernt. Dem Abbau der Kuehlkreislaeufe und Experimentiereinrichtungen folgte im Jahr 2000 der Ausbau der

High Flux Isotopes Reactor (HFIR) Cooling Towers Demolition Waste Management

Energy Technology Data Exchange (ETDEWEB)

Pudelek, R. E.; Gilbert, W. C.

2002-02-26

This paper describes the results of a joint initiative between Oak Ridge National Laboratory, operated by UT-Battelle, and Bechtel Jacobs Company, LLC (BJC) to characterize, package, transport, treat, and dispose of demolition waste from the High Flux Isotope Reactor (HFIR), Cooling Tower. The demolition and removal of waste from the site was the first critical step in the planned HFIR beryllium reflector replacement outage scheduled. The outage was scheduled to last a maximum of six months. Demolition and removal of the waste was critical because a new tower was to be constructed over the old concrete water basin. A detailed sampling and analysis plan was developed to characterize the hazardous and radiological constituents of the components of the Cooling Tower. Analyses were performed for Resource Conservation and Recovery Act (RCRA) heavy metals and semi-volatile constituents as defined by 40 CFR 261 and radiological parameters including gross alpha, gross beta, gross gamma, alpha-emitting isotopes and beta-emitting isotopes. Analysis of metals and semi-volatile constituents indicated no exceedances of regulatory limits. Analysis of radionuclides identified uranium and thorium and associated daughters. In addition 60Co, 99Tc, 226Rm, and 228Rm were identified. Most of the tower materials were determined to be low level radioactive waste. A small quantity was determined not to be radioactive, or could be decontaminated. The tower was dismantled October 2000 to January 2001 using a detailed step-by-step process to aid waste segregation and container loading. The volume of waste as packaged for treatment was approximately 1982 cubic meters (70,000 cubic feet). This volume was comprised of plastic ({approx}47%), wood ({approx}38%) and asbestos transite ({approx}14%). The remaining {approx}1% consisted of the fire protection piping (contaminated with lead-based paint) and incidental metal from conduit, nails and braces/supports, and sludge from the basin. The waste

Enhancing Team Performance for Long-Duration Space Missions

Science.gov (United States)

Orasanu, Judith M.

2009-01-01

Success of exploration missions will depend on skilled performance by a distributed team that includes both the astronauts in space and Mission Control personnel. Coordinated and collaborative teamwork will be required to cope with challenging complex problems in a hostile environment. While thorough preflight training and procedures will equip creW'S to address technical problems that can be anticipated, preparing them to solve novel problems is much more challenging. This presentation will review components of effective team performance, challenges to effective teamwork, and strategies for ensuring effective team performance. Teamwork skills essential for successful team performance include the behaviors involved in developing shared mental models, team situation awareness, collaborative decision making, adaptive coordination behaviors, effective team communication, and team cohesion. Challenges to teamwork include both chronic and acute stressors. Chronic stressors are associated with the isolated and confined environment and include monotony, noise, temperatures, weightlessness, poor sleep and circadian disruptions. Acute stressors include high workload, time pressure, imminent danger, and specific task-related stressors. Of particular concern are social and organizational stressors that can disrupt individual resilience and effective mission performance. Effective team performance can be developed by training teamwork skills, techniques for coping with team conflict, intracrew and intercrew communication, and working in a multicultural team; leadership and teamwork skills can be fostered through outdoor survival training exercises. The presentation will conclude with an evaluation of the special requirements associated with preparing crews to function autonomously in long-duration missions.

Quantum non-demolition phonon counter with a hybrid optomechnical system

Science.gov (United States)

Song, Qiao; Zhang, KeYe; Dong, Ying; Zhang, WeiPing

2018-05-01

A phonon counting scheme based on the control of polaritons in an optomechanical system is proposed. This approach permits us to measure the number of phonons in a quantum non-demolition (QND) manner for arbitrary modes not limited by the frequency matching condition as in usual photon-phonon scattering detections. The performance on phonon number transfer and quantum state transfer of the counter are analyzed and simulated numerically by taking into account all relevant sources of noise.

The effects of team reflexivity on psychological well-being in manufacturing teams.

Science.gov (United States)

Chen, Jingqiu; Bamberger, Peter A; Song, Yifan; Vashdi, Dana R

2018-04-01

While the impact of team reflexivity (a.k.a. after-event-reviews, team debriefs) on team performance has been widely examined, we know little about its implications on other team outcomes such as member well-being. Drawing from prior team reflexivity research, we propose that reflexivity-related team processes reduce demands, and enhance control and support. Given the centrality of these factors to work-based strain, we posit that team reflexivity, by affecting these factors, may have beneficial implications on 3 core dimensions of employee burnout, namely exhaustion, cynicism, and inefficacy (reduced personal accomplishment). Using a sample of 469 unskilled manufacturing workers employed in 73 production teams in a Southern Chinese factory, we implemented a time lagged, quasi-field experiment, with half of the teams trained in and executing an end-of-shift team debriefing, and the other half assigned to a control condition and undergoing periodic postshift team-building exercises. Our findings largely supported our hypotheses, demonstrating that relative to team members assigned to the control condition, those assigned to the reflexivity condition experienced a significant improvement in all 3 burnout dimensions over time. These effects were mediated by control and support (but not demands) and amplified as a function of team longevity. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME

Directory of Open Access Journals (Sweden)

Vanderbilt AA

2017-06-01

Full Text Available Allison A Vanderbilt,1 Scott M Pappada,2 Howard Stein,3 David Harper,4 Thomas J Papadimos5 1Department of Family Medicine, 2Department of Anesthesiology, College of Medicine and Life Sciences, University of Toledo, 3Department of Pediatrics, ProMedica Toledo Children’s Hospital, 4Department of Obstetrics and Gynecology, ProMedica Toledo Hospital, 5Department of Anesthesiology, College of Medicine and the Life Sciences, University of Toledo, Toledo, OH, USA Abstract: Hospitals have struggled for years regarding the handoff process of communicating patient information from one health care professional to another. Ineffective handoff communication is recognized as a serious patient safety risk within the health care community. It is essential to take communication into consideration when examining the safety of neonates who require immediate medical attention after birth; effective communication is vital for positive patient outcomes, especially with neonates in a delivery room setting. Teamwork and effective communication across the health care continuum are essential for providing efficient, quality care that leads to favorable patient outcomes. Interprofessional simulation and team training can benefit health care professionals by improving interprofessional competence, defined as one’s knowledge of other professionals including an understanding of their training and skillsets, and role clarity. Interprofessional teams that include members with specialization in obstetrics, gynecology, and neonatology have the potential to considerably benefit from training effective handoff and communication practices that would ensure the safety of the neonate upon birth. We must strive to provide the most comprehensive systematic, standardized, interprofessional handoff communication training sessions for such teams, through Graduate Medical Education and Continuing Medical Education that will meet the needs across the educational continuum. Keywords

Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills.

Science.gov (United States)

Hamman, William R; Beaudin-Seiler, Beth M; Beaubien, Jeffrey M

2010-09-01

In the report "Five Years After 'To Err is Human' ", it was noted that "the combination of complexity, professional fragmentation, and a tradition of individualism, enhanced by a well-entrenched hierarchical authority structure and diffuse accountability, forms a daunting barrier to creating the habits and beliefs of common purpose, teamwork, and individual accountability for successful interdependence that a safe culture requires". Training physicians, nurses, and other professionals to work in teams is a concept that has been promoted by many patient safety experts. However the model of teamwork in healthcare is diffusely defined, no clear performance metrics have been established, and the use of simulation to train teams has been suboptimal. This paper reports on the first three years of work performed in the Michigan Economic Development Corporation (MEDC) Tri-Corridor life science grant to apply concepts and processes of simulation design that were developed in the air carrier industry to understand and train healthcare teams. This work has been monitored by the American Academy for the Advancement of Science (AAA) and is based on concepts designed in the Advanced Qualification Program (AQP) from the air carrier industry, which trains and assesses teamwork skills in the same manner as technical skills. This grant has formed the foundation for the Center of Excellence for Simulation Education and Research (CESR).

Leadership training and delivery prospects of team leaders in Communication Network Support Services Limited, Ilorin

Directory of Open Access Journals (Sweden)

Abdulahi G. Olatunji

2017-10-01

Full Text Available Training and development of staff has been one of the key focuses of every human resources department of any formal work organisation. This is as a result of the realisation that training is an important determinant of people’s behaviour as well as their general delivery ability at work. In realisation of this, intellectuals and researchers in industrial relations generally have put vested interest in the phenomena of training and work delivery ability. However, despite the enormous volume of literatures available in this regard, very few among them have specifically examined the importance of leadership training as a possible determinant of work delivery. Thus, this study is an attempt to cover this gap. In order to achieve this objective, survey design was used as the research design for the study. A questionnaire was used to elicit information from the respondents, while simple random sampling technique was used to select the study sample. Frequency distribution and percentage were used as descriptive tools, while chi-square was used as an inferential statistical tool in the study. The study found out that leadership training has a significant relationship with the identified work delivery elements measured in the study. The study concluded that leadership training has a significant effect on delivery ability of team leaders and thus recommended that leadership training should be given utmost priority in work organisations so that work delivery prospects of the employees could be realised.

Brownfields Recover Your Resources - Reduce, Reuse, and Recycle Construction and Demolition Materials at Land Revitalization Projects

Science.gov (United States)

This document provides background information on how the sustainable reuse of brownfield properties includes efforts to reduce the environmental impact by reusing and recycling materials generated during building construction, demolition, or renovation.

The Effect of Natural or Simulated Altitude Training on High-Intensity Intermittent Running Performance in Team-Sport Athletes: A Meta-Analysis.

Science.gov (United States)

Hamlin, Michael J; Lizamore, Catherine A; Hopkins, Will G

2018-02-01

While adaptation to hypoxia at natural or simulated altitude has long been used with endurance athletes, it has only recently gained popularity for team-sport athletes. To analyse the effect of hypoxic interventions on high-intensity intermittent running performance in team-sport athletes. A systematic literature search of five journal databases was performed. Percent change in performance (distance covered) in the Yo-Yo intermittent recovery test (level 1 and level 2 were used without differentiation) in hypoxic (natural or simulated altitude) and control (sea level or normoxic placebo) groups was meta-analyzed with a mixed model. The modifying effects of study characteristics (type and dose of hypoxic exposure, training duration, post-altitude duration) were estimated with fixed effects, random effects allowed for repeated measurement within studies and residual real differences between studies, and the standard-error weighting factors were derived or imputed via standard deviations of change scores. Effects and their uncertainty were assessed with magnitude-based inference, with a smallest important improvement of 4% estimated via between-athlete standard deviations of performance at baseline. Ten studies qualified for inclusion, but two were excluded owing to small sample size and risk of publication bias. Hypoxic interventions occurred over a period of 7-28 days, and the range of total hypoxic exposure (in effective altitude-hours) was 4.5-33 km h in the intermittent-hypoxia studies and 180-710 km h in the live-high studies. There were 11 control and 15 experimental study-estimates in the final meta-analysis. Training effects were moderate and very likely beneficial in the control groups at 1 week (20 ± 14%, percent estimate, ± 90% confidence limits) and 4-week post-intervention (25 ± 23%). The intermittent and live-high hypoxic groups experienced additional likely beneficial gains at 1 week (13 ± 16%; 13 ± 15%) and 4-week post

Mitigation of Hexavalent Chromium in Storm Water Resulting from Demolition of Large Concrete Structure at the East Tennessee Technology Park - 12286

Energy Technology Data Exchange (ETDEWEB)

Britto, Ronnie; Brown, Bridget; Hale, Timothy B.; Hensley, Janice L.; Johnson, Robert T.; Patel, Madhu [Tetra Tech, Inc. (United States); Emery, Jerry A. [Energy Solutions, Inc. (United States); Gaston, Clyde [LATA-SHARP Remediation Services - LSRS (United States); Queen, David C. [U.S. DOE-ORO (United States)

2012-07-01

surface water at the out-falls that discharge to nearby receiving water. After implementation of the actions described above, concentrations of hexavalent chromium have been effectively reduced to less than 25 ppb at the out-falls. The LSRS team completed demolition of K-33 five months ahead of schedule, and debris removal was completed three months ahead of schedule. A total of 164,000 tons of steel and concrete from the building demolition, accounting for 13,000 shipments, were disposed to the EMWMF. Because of the high toxicity of hexavalent chromium at low concentrations, hexavalent chromium had to be controlled at ppb levels. Hexavalent chromium contaminant concentrations were successfully reduced by over 90% in surface water discharged from the K-33 demolition site into nearby receiving water. Initial efforts of wind-rowing debris piles and obtaining real-time hexavalent chromium measurements to focus initiatives coupled with placement of steel wool in pools or catch basins had some effectiveness. More significant reductions were obtained as the debris piles were removed/disposed in EMWMF, and treatment of surface water with sodium bisulfite in integrated manholes occurred. (authors)

High-fidelity simulation-based team training in urology: evaluation of technical and nontechnical skills of urology residents during laparoscopic partial nephrectomy.

Science.gov (United States)

Abdelshehid, Corollos S; Quach, Stephen; Nelson, Corey; Graversen, Joseph; Lusch, Achim; Zarraga, Jerome; Alipanah, Reza; Landman, Jaime; McDougall, Elspeth M

2013-01-01

The use of low-risk simulation training for resident education is rapidly expanding as teaching centers integrate simulation-based team training (SBTT) sessions into their education curriculum. SBTT is a valuable tool in technical and communication skills training and assessment for residents. We created a unique SBTT scenario for urology residents involving a laparoscopic partial nephrectomy procedure. Urology residents were randomly paired with a certified registered nurse anesthetists or an anesthesia resident. The scenario incorporated a laparoscopic right partial nephrectomy utilizing a unique polyvinyl alcohol kidney model with an embedded 3cm lower pole exophytic tumor and the high-fidelity SimMan3G mannequin. The Urology residents were instructed to pay particular attention to the patient's identifying information provided at the beginning of the case. Two scripted events occurred, the patient had an anaphylactic reaction to a drug and, after tumor specimen was sent for a frozen section, the confederate pathologist called into the operating room (OR) twice, first with the wrong patient name and subsequently with the wrong specimen. After the scenario was complete, technical performance and nontechnical performance were evaluated and assessed. A debriefing session followed the scenario to discuss and assess technical performance and interdisciplinary nontechnical communication between the team. All Urology residents (n = 9) rated the SBTT scenario as a useful tool in developing communication skills among the OR team and 88% rated the model as useful for technical skills training. Despite cuing to note patient identification, only 3 of 9 (33%) participants identified that the wrong patient information was presented when the confederate "pathologist" called in to report pathology results. All urology residents rated SBTT sessions as useful for the development of communication skills between different team members and making residents aware of unlikely but

Communication between members of the cardiac arrest team--a postal survey.

Science.gov (United States)

Pittman, J; Turner, B; Gabbott, D A

2001-05-01

Effective communication enhances team building and is perceived to improve the quality of team performance. A recent publication from the Resuscitation Council (UK) has highlighted this fact and recommended that cardiac arrest team members make contact daily. We wished to identify how often members of this team communicate prior to a cardiopulmonary arrest. A questionnaire on cardiac arrest team composition, leadership, communication and debriefing was distributed nationally to Resuscitation Training Officers (RTOs) and their responses analysed. One hundred and thirty (55%) RTOs replied. Physicians and anaesthetists were the most prominent members of the team. The Medical Senior House Officer is usually nominated as the team leader. Eighty-seven centres (67%) have no communication between team members prior to attending a cardiopulmonary arrest. In 33%, communication occurs but is either informal or fortuitous. The RTOs felt that communication is important to enhance team dynamics and optimise task allocation. Only 7% achieve a formal debrief following a cardiac arrest. Communication between members of the cardiac arrest team before and after a cardiac arrest is poor. Training and development of these skills may improve performance and should be prioritised. Team leadership does not necessarily reflect experience or training.

The impact of team characteristics and context on team communication: An integrative literature review.

Science.gov (United States)

Tiferes, Judith; Bisantz, Ann M

2018-04-01

Many studies on teams report measures of team communication; however, these studies vary widely in terms of the team characteristics, situations, and tasks studied making it difficult to understand impacts on team communication more generally. The objective of this review is systematically summarize relationships between measures of team communication and team characteristics and situational contexts. A literature review was conducted searching in four electronic databases (PsycINFO, MEDLINE, Ergonomics Abstracts, and SocINDEX). Additional studies were identified by cross-referencing. Articles included for final review had reported at least one team communication measure associated with some team and/or context dimension. Ninety-nine of 727 articles met the inclusion criteria. Data extracted from articles included characteristics of the studies and teams and the nature of each of the reported team and/or context dimensions-team communication properties relationships. Some dimensions (job role, situational stressors, training strategies, cognitive artifacts, and communication media) were found to be consistently linked to changes in team communication. A synthesized diagram that describes the possible associations between eleven team and context dimensions and nine team communication measures is provided along with research needs. Copyright © 2017 Elsevier Ltd. All rights reserved.

On the use of mobile inflatable hypoxic marquees for sport-specific altitude training in team sports.

Science.gov (United States)

Girard, Olivier; Brocherie, Franck; Millet, Grégoire P

2013-12-01

With the evolving boundaries of sports science and greater understanding of the driving factors in the human performance physiology, one of the limiting factors has now become the technology. The growing scientific interest on the practical application of hypoxic training for intermittent activities such as team and racket sports legitimises the development of innovative technologies serving athletes in a sport-specific setting. Description of a new mobile inflatable simulated hypoxic equipment. The system comprises two inflatable units-that is, a tunnel and a rectangular design, each with a 215 m(3) volume and a hypoxic trailer generating over 3000 Lpm of hypoxic air with FiO₂ between 0.21 and 0.10 (a simulated altitude up to 5100 m). The inflatable units offer a 45 m running lane (width=1.8 m and height=2.5 m) as well as a 8 m × 10 m dome tent. FiO₂ is stable within a range of 0.1% in normal conditions inside the tunnel. The air supplied is very dry-typically 10-15% relative humidity. This mobile inflatable simulated hypoxic equipment is a promising technological advance within sport sciences. It offers an opportunity for team-sport players to train under hypoxic conditions, both for repeating sprints (tunnel configuration) or small-side games (rectangular configuration).

HEAVY METALS IN RECOVERED FINES FOR CONSTRUCTION AND DEMOLITION DEBRIS RECYCLING FACILITIES IN FLORIDA

Science.gov (United States)

A major product recovered from the processing and recycling of construction and demolition (C&D) debris is screened soil, also referred to as fines. A proposed reuse option for C&D debris fines is fill material, typically in construction projects as a substitute for natural soil....

78 FR 40705 - Takes of Marine Mammals Incidental to Specified Activities; Demolition and Construction...

Science.gov (United States)

2013-07-08

... (Zalophus californianus), and northern elephant seals (Mirounga angustirostris) incidental to demolition and... activities by the general public. Over the last three years (2010 through 2012), an average of 1,556,184..., but because of basic year-round working condition needs for the lifeguards and the demand for...

SecurityCom: A Multi-Player Game for Researching and Teaching Information Security Teams

Directory of Open Access Journals (Sweden)

Douglas P. Twitchell

2007-12-01

Full Text Available A major portion of government and business organizations’ attempts to counteract information security threats is teams of security personnel.  These teams often consist of personnel of diverse backgrounds in specific specialties such as network administration, application development, and business administration, resulting in possible conflicts between security, functionality, and availability.  This paper discusses the use of games to teach and research information security teams and outlines research to design and build a simple, team-oriented, configurable, information security game. It will be used to study how information security teams work together to defend against attacks using a multi-player game, and to study the use of games in training security teams.  Studying how information security teams work, especially considering the topic of shared-situational awareness, could lead to better ways of forming, managing, and training teams.  Studying the effectiveness of the game as a training tool could lead to better training for security teams. 

Assessment of different construction and demolition waste management approaches

Directory of Open Access Journals (Sweden)

Manal S. Abdelhamid

2014-12-01

Full Text Available The waste generated from construction and demolition sites is considered one of the most irritating problems in Egypt. In the last 10 years some effort has been made toward solving this problem, the most outstanding is the newly issued Egyptian rating system “Green Pyramids Rating System”. It emphasizes on waste management and particularly “site provision and environment” which contributes to 75% of the management category score. However the traditional practice which is limited to dumping all the generated waste is still dominating. The absence of sustainable practices in construction sector in Egypt led to the lack in financial and environmental data. From strategic perspective, the research aims at developing a detailed procedure to evaluate two construction and demolition waste management approaches by means of Decision Matrix technique. A detailed study is introduced for the two approaches; for each approach a flow chart is developed to demonstrate its lifecycle, as well as the cost break down structure and the different stakeholders’ roles. A penetration discussion of the pros and cons for each approach was developed accordingly and came out with sixteen influencing attributes for both approaches. The previous steps paved the ground to construct a Decision Matrix to decide on one of the approaches from a strategic environmentally oriented perspective. The study relied on the detailed and deep demonstration of the two approaches to justify the assigned weight for attributes and scores for corresponding approach. From a strategic perspective, the decision came out in favor of the more environmentally friendly approach.

Evaluation of a Pilot Project to Introduce Simulation-Based Team Training to Pediatric Surgery Trauma Room Care

Directory of Open Access Journals (Sweden)

Markus Lehner

2017-01-01

Full Text Available Introduction. Several studies in pediatric trauma care have demonstrated substantial deficits in both prehospital and emergency department management. Methods. In February 2015 the PAEDSIM collaborative conducted a one and a half day interdisciplinary, simulation based team-training course in a simulated pediatric emergency department. 14 physicians from the medical fields of pediatric surgery, pediatric intensive care and emergency medicine, and anesthesia participated, as well as four pediatric nurses. After a theoretical introduction and familiarization with the simulator, course attendees alternately participated in six simulation scenarios and debriefings. Each scenario incorporated elements of pediatric trauma management as well as Crew Resource Management (CRM educational objectives. Participants completed anonymous pre- and postcourse questionnaires and rated the course itself as well as their own medical qualification and knowledge of CRM. Results. Participants found the course very realistic and selected scenarios highly relevant to their daily work. They reported a feeling of improved medical and nontechnical skills as well as no uncomfortable feeling during scenarios or debriefings. Conclusion. To our knowledge this pilot-project represents the first successful implementation of a simulation-based team-training course focused on pediatric trauma care in German-speaking countries with good acceptance.

29 CFR 1910.410 - Qualifications of dive team.

Science.gov (United States)

2010-07-01

... 29 Labor 5 2010-07-01 2010-07-01 false Qualifications of dive team. 1910.410 Section 1910.410... Requirements § 1910.410 Qualifications of dive team. (a) General. (1) Each dive team member shall have the experience or training necessary to perform assigned tasks in a safe and healthful manner. (2) Each dive team...

The Relationships Between Internal and External Measures of Training Load and Intensity in Team Sports: A Meta-Analysis.

Science.gov (United States)

McLaren, Shaun J; Macpherson, Tom W; Coutts, Aaron J; Hurst, Christopher; Spears, Iain R; Weston, Matthew

2018-03-01

The associations between internal and external measures of training load and intensity are important in understanding the training process and the validity of specific internal measures. We aimed to provide meta-analytic estimates of the relationships, as determined by a correlation coefficient, between internal and external measures of load and intensity during team-sport training and competition. A further aim was to examine the moderating effects of training mode on these relationships. We searched six electronic databases (Scopus, Web of Science, PubMed, MEDLINE, SPORTDiscus, CINAHL) for original research articles published up to September 2017. A Boolean search phrase was created to include search terms relevant to team-sport athletes (population; 37 keywords), internal load (dependent variable; 35 keywords), and external load (independent variable; 81 keywords). Articles were considered for meta-analysis when a correlation coefficient describing the association between at least one internal and one external measure of session load or intensity, measured in the time or frequency domain, was obtained from team-sport athletes during normal training or match-play (i.e., unstructured observational study). The final data sample included 122 estimates from 13 independent studies describing 15 unique relationships between three internal and nine external measures of load and intensity. This sample included 295 athletes and 10,418 individual session observations. Internal measures were session ratings of perceived exertion (sRPE), sRPE training load (sRPE-TL), and heart-rate-derived training impulse (TRIMP). External measures were total distance (TD), the distance covered at high and very high speeds (HSRD ≥ 13.1-15.0 km h -1 and VHSRD ≥ 16.9-19.8 km h -1 , respectively), accelerometer load (AL), and the number of sustained impacts (Impacts > 2-5 G). Distinct training modes were identified as either mixed (reference condition), skills, metabolic, or

Interpersonal team leadership skills.

Science.gov (United States)

Nelson, M

1995-05-01

To say that a team leader's job is a tough one is certainly not saying enough. It is up to the team leader to manage a group of people to be individuals but yet work as a team. The team leader must keep the peace and yet create a revolution with this group all at the same time. The good leader will require a lot of education, training, and tons of practical application to be a success. The good news, however, is that the team leader's job is a rewarding one, one that they'll always feel good about if they do it right. How many of us get the opportunity to take a group of wonderful, thinking individual minds and pull from them ideas that a whole team can take to success? Yes, the job is indeed tough, but the paybacks are many.

77 FR 70684 - Safety Zone; Bridge Demolition Project; Indiana Harbor Canal, East Chicago, IN

Science.gov (United States)

2012-11-27

... environmental risk to health or risk to safety that may disproportionately affect children. 10. Indian Tribal... the Cline Avenue bridge in East Chicago, IN. The Captain of the Port, Sector Lake Michigan, has determined that this demolition project will pose a significant risk to public safety and property. Such...

Creating High Reliability Teams in Healthcare through In situ Simulation Training

Directory of Open Access Journals (Sweden)

Kristi Miller RN

2011-07-01

Full Text Available The importance of teamwork on patient safety in healthcare has been well established. However, the theory and research of healthcare teams are seriously lacking in clinical application. While conventional team theory assumes that teams are stable and leadership is constant, a growing body of evidence indicates that most healthcare teams are unstable and lack constant leadership. For healthcare organizations to reduce error and ensure patient safety, the true nature of healthcare teams must be better understood. This study presents a taxonomy of healthcare teams and the determinants of high reliability in healthcare teams based on a series of studies undertaken over a five-year period (2005–2010.

Gentrification in black and white: the racial impact of public housing demolition in American cities.

Science.gov (United States)

Goetz, Edward

2011-01-01

The gentrification that has transformed high-poverty neighbourhoods in US cities since the mid 1990s has been characterised by high levels of state reinvestment. Prominent among public-sector interventions has been the demolition of public housing and in some cases multimillion dollar redevelopment efforts. In this paper, the racial dimension of state-supported gentrification in large US cities is examined by looking at the direct and indirect displacement induced by public housing transformation. The data show a clear tendency towards the demolition of public housing projects with disproportionately high African American occupancy. The pattern of indirect displacement is more varied; public housing transformation has produced a number of paths of neighbourhood change. The most common, however, involve significant reductions in poverty, sometimes associated with Black to White racial turnover and sometimes not. The findings underscore the central importance of race in understanding the dynamics of gentrification in US cities.

Total and respirable dust exposures among carpenters and demolition workers during indoor work in Denmark

DEFF Research Database (Denmark)

Kirkeskov, Lilli; Hanskov, Dorte Jessing Agerby; Brauer, Charlotte

2016-01-01

BACKGROUND: Within the construction industry the risk of lung disorders depends on the specific professions probably due to variations in the levels of dust exposure, and with dust levels depending on the work task and job function. We do not know the extent of exposure in the different professions...... was 3.90 (95 % confidence interval 1.13-13.5) mg/m(3). Dust exposure varied depending on work task for both professions. The dustiest work occurred during demolition, especially when it was done manually. Only few workers used personal respiratory protection and only while performing the dustiest work...... or the variation between the different work tasks. The purpose of this study was therefore to assess if there were differences in dust exposure between carpenters and demolition workers who were expected to have low and high dust exposure, respectively. METHODS: Through interviews of key persons...

The effect of the mediator training of teachers of educational institutions on the psychological climate in the team

Directory of Open Access Journals (Sweden)

Shamlikashvili C.A.

2017-12-01

Full Text Available The article examines the impact of the training programmes of mediation in special educational institution (SUVA and educational institutions (ei on the psychological climate in the team. The research is based on data obtained from 154 people, employees of educational institutions. Of them, 37 persons – employees of SUVA, and 117 bangs – employees OU. There were three methods of psychological diagnostics - Methods of assessment of psychological atmosphere in the team at A. F. Fielder, index Sikora and assessment of communicative skills. When comparing the performance of tests to conduct training programs on the basics of mediation and after its passage determined that among the staff of the SUVA (in analysis Wilcoxon test, p = 0,0027 and staff of the OU (in the test analysis Wilcoxon p <0.0001 is statistically significant increase in the level of group cohesion, defined in test Sisera. Obtained data on scales methods for the assessment of psychological atmosphere in the team at A. F. Fielder. According to the results of this study are the employees of SUVA has not been a statistically significant change in rates of bipolar scales that measure different quality characteristics of the atmosphere in the team. At that time, as the employees OU for all the ten scales produced statistically significant differences, indicating improvement. In the test of evaluation of communicative skills not observed statistically significant differences neither in the group of the SUVA (in analysis Wilcoxon test, p=0,079 or in the Oh group (in analysis Wilcoxon test, p=0.95 of employees. The results of the study indicate that learning the basics of mediation contributes to the improvement of several characteristics of the psychological climate within the collectives, SUVA and OU. At the same time, there are fundamental differences between the groups of those agencies that require additional testing.

Strength and Conditioning Training by the Danish National Handball Team Before an Olympic Tournament

DEFF Research Database (Denmark)

Kvorning, Thue; Hansen, Mikkel R B; Jensen, Kurt

2017-01-01

preparation to improve performance and reduce incidence of injuries. The purpose of this case report was to describe and analyze the strength and conditioning (S&C) training performed by the Danish national handball team before the Beijing Olympic Games. Eight weeks of S&C was divided into 5 weeks emphasizing...... muscle hypertrophy and long-interval running followed by 3 weeks emphasizing strength, power, and short-interval running. Body mass increased by 1.6% (p 0.05). Agility...... performance was evaluated by a T-test and improved by 2.5% (p Running performance was tested by the Yo-Yo intermittent...

Code Blue Emergencies: A Team Task Analysis and Educational Initiative.

Science.gov (United States)

Price, James W; Applegarth, Oliver; Vu, Mark; Price, John R

2012-01-01

The objective of this study was to identify factors that have a positive or negative influence on resuscitation team performance during emergencies in the operating room (OR) and post-operative recovery unit (PAR) at a major Canadian teaching hospital. This information was then used to implement a team training program for code blue emergencies. In 2009/10, all OR and PAR nurses and 19 anesthesiologists at Vancouver General Hospital (VGH) were invited to complete an anonymous, 10 minute written questionnaire regarding their code blue experience. Survey questions were devised by 10 recovery room and operation room nurses as well as 5 anesthesiologists representing 4 different hospitals in British Columbia. Three iterations of the survey were reviewed by a pilot group of nurses and anesthesiologists and their feedback was integrated into the final version of the survey. Both nursing staff (n = 49) and anesthesiologists (n = 19) supported code blue training and believed that team training would improve patient outcome. Nurses noted that it was often difficult to identify the leader of the resuscitation team. Both nursing staff and anesthesiologists strongly agreed that too many people attending the code blue with no assigned role hindered team performance. Identifiable leadership and clear communication of roles were identified as keys to resuscitation team functioning. Decreasing the number of people attending code blue emergencies with no specific role, increased access to mock code blue training, and debriefing after crises were all identified as areas requiring improvement. Initial team training exercises have been well received by staff.

Code Blue Emergencies: A Team Task Analysis and Educational Initiative

Directory of Open Access Journals (Sweden)

James W. Price

2012-04-01

Full Text Available Introduction: The objective of this study was to identify factors that have a positive or negative influence on resuscitation team performance during emergencies in the operating room (OR and post-operative recovery unit (PAR at a major Canadian teaching hospital. This information was then used to implement a team training program for code blue emergencies. Methods: In 2009/10, all OR and PAR nurses and 19 anesthesiologists at Vancouver General Hospital (VGH were invited to complete an anonymous, 10 minute written questionnaire regarding their code blue experience. Survey questions were devised by 10 recovery room and operation room nurses as well as 5 anesthesiologists representing 4 different hospitals in British Columbia. Three iterations of the survey were reviewed by a pilot group of nurses and anesthesiologists and their feedback was integrated into the final version of the survey. Results: Both nursing staff (n = 49 and anesthesiologists (n = 19 supported code blue training and believed that team training would improve patient outcome. Nurses noted that it was often difficult to identify the leader of the resuscitation team. Both nursing staff and anesthesiologists strongly agreed that too many people attending the code blue with no assigned role hindered team performance. Conclusion: Identifiable leadership and clear communication of roles were identified as keys to resuscitation team functioning. Decreasing the number of people attending code blue emergencies with no specific role, increased access to mock code blue training, and debriefing after crises were all identified as areas requiring improvement. Initial team training exercises have been well received by staff.

The rehabilitation team: staff perceptions of the hospital environment, the interdisciplinary team environment, and interprofessional relations.

Science.gov (United States)

Strasser, D C; Falconer, J A; Martino-Saltzmann, D

1994-02-01

Although inpatient rehabilitation is an interdisciplinary activity organized around a treatment team, there is a limited understanding of the workings of the interdisciplinary process. To elucidate staff perceptions of key aspects of the rehabilitation treatment process, we surveyed staff (n = 113) from selected inpatient teams. The staff completed social psychological instruments that measure perceptions of the hospital environment (The Ward Atmosphere Scale [WAS]), the team's environment (the Group Environment Scale [GES]), and interprofessional relations (Interprofessional Perception Scale [IPS]). Rehabilitation staff generally endorse the team approach, but express concerns over professional boundaries. Interprofessional difficulties seemed to be independent of team membership or professional training. Compared with published data from other settings, rehabilitation teams resembled task-oriented groups, but showed significant differences across teams in their perceptions of the team and hospital environments. The task-oriented character of rehabilitation teams, team-specific characteristics, and discord in interprofessional relationships may need to be considered in studies of rehabilitation teams effectiveness.

77 FR 63732 - Safety Zone; Bridge Demolition Project; Indiana Harbor Canal, East Chicago, IN

Science.gov (United States)

2012-10-17

..., Protection of Children from Environmental Health Risks and Safety Risks. This rule is not an economically significant rule and does not create an environmental risk to health or risk to safety that may.... The Captain of the Port, Sector Lake Michigan, has determined that this demolition project will pose a...

Human Factors in Training - Space Flight Resource Management Training

Science.gov (United States)

Bryne, Vicky; Connell, Erin; Barshi, Immanuel; Arsintescu, L.

2009-01-01

Accidents and incidents show that high workload-induced stress and poor teamwork skills lead to performance decrements and errors. Research on teamwork shows that effective teams are able to adapt to stressful situations, and to reduce workload by using successful strategies for communication and decision making, and through dynamic redistribution of tasks among team members. Furthermore, superior teams are able to recognize signs and symptoms of workload-induced stress early, and to adapt their coordination and communication strategies to the high workload, or stress conditions. Mission Control Center (MCC) teams often face demanding situations in which they must operate as an effective team to solve problems with crew and vehicle during onorbit operations. To be successful as a team, flight controllers (FCers) must learn effective teamwork strategies. Such strategies are the focus of Space Flight Resource Management (SFRM) training. SFRM training in MOD has been structured to include some classroom presentations of basic concepts and case studies, with the assumption that skill development happens in mission simulation. Integrated mission simulations do provide excellent opportunities for FCers to practice teamwork, but also require extensive technical knowledge of vehicle systems, mission operations, and crew actions. Such technical knowledge requires lengthy training. When SFRM training is relegated to integrated simulations, FCers can only practice SFRM after they have already mastered the technical knowledge necessary for these simulations. Given the centrality of teamwork to the success of MCC, holding SFRM training till late in the flow is inefficient. But to be able to train SFRM earlier in the flow, the training cannot rely on extensive mission-specific technical knowledge. Hence, the need for a generic SFRM training framework that would allow FCers to develop basic teamwork skills which are mission relevant, but without the required mission knowledge