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"Discharge process"

Lindsey Ryan, Stephanie Scott, Willa Fields
Lack of collaboration and communication can lead to medical errors, increased length of stay, and diminished patient satisfaction. The purpose of this project was to improve nurse efficiency, interdisciplinary communication and collaboration, and patient satisfaction with the discharge process through Rapid Rounds. The results demonstrated that interdisciplinary communication and collaboration improved coordination of care, as evidenced by improved Press Ganey percentile rankings for readiness for discharge and speed of the discharge process, increased pharmaceutical interventions, and fewer phone calls to physicians...
February 15, 2017: Journal of Nursing Care Quality
Yizhi Yan, Haolin Tang, Junsheng Li, Fan Wu, Tianbao Wu, Rui Wang, Dan Liu, Mu Pan, Zhizhong Xie, Deyu Qu
A novel cocoon-like Fe2O3@C nanoparticle was fabricated via a facile hydrothermally molecular self-assembly procedure. Compared to bare Fe2O3 nanoparticles, the carbon coated Fe2O3 nanoparticles exhibit higher specific capacity, excellent rate capacity and cyclic stability as the anode in lithium ion batteries. These cocoon-like Fe2O3@C nanoparticles carry enhanced lithium storage properties with a reversible capacity of 358mAhg(-1) after 150 cycles under the current density of 1000mAg(-1), while the carbon-free bare Fe2O3 can only deliver a much lower capacity of 127...
December 30, 2016: Journal of Colloid and Interface Science
Yimin A Wu, Zuwei Yin, Maryam Farmand, Young-Sang Yu, David A Shapiro, Hong-Gang Liao, Wen-I Liang, Ying-Hao Chu, Haimei Zheng
We report the study of Mg cathodic electrochemical deposition on Ti and Au electrode using a multimodal approach by examining the sample area in-situ using liquid cell transmission electron microscopy (TEM), scanning transmission X-ray microscopy (STXM) and X-ray absorption spectroscopy (XAS). Magnesium Aluminum Chloride Complex was synthesized and utilized as electrolyte, where non-reversible features during in situ charging-discharging cycles were observed. During charging, a uniform Mg film was deposited on the electrode, which is consistent with the intrinsic non-dendritic nature of Mg deposition in Mg ion batteries...
February 10, 2017: Scientific Reports
Yu Song, Tian-Yu Liu, Bin Yao, Tian-Yi Kou, Dong-Yang Feng, Xiao-Xia Liu, Yat Li
Previous studies show that vanadium oxides suffer from severe capacity loss during cycling in the liquid electrolyte, which has hindered their applications in electrochemical energy storage. The electrochemical instability is mainly due to chemical dissolution and structural pulverization of vanadium oxides during charge/discharge cyclings. In this study the authors demonstrate that amorphous mixed-valence vanadium oxide deposited on exfoliated carbon cloth (CC) can address these two limitations simultaneously...
February 3, 2017: Small
Tara Szyamnski, Megan Begnoche, Carol Chase, Michelle Moreau, Jessica Barnett
: 77 Background: Patients are often overwhelmed at the time of hospital discharge and focus on home rather than the discharge process. Fragmented communication and lack of planning between the hospital team, patient, family and primary oncologist can lead to frustration and delays in implementation of palliative or curative therapies and potential hospital readmission when the plan of care is not followed in a timely manner. Our goal is to avoid medication errors, delays in implementation of a care plan and reemergence of symptoms or new symptoms as a result of a suboptimal discharge transition...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Gina Aranzamendez, Beverly A Hayes, Kavita Pathak, Duke Rohe, Valerie Haywood
: 226 Background: Patients undergoing complex oncologic operations are at high risk for perioperative complications associated with adverse effects on quality of life, costs and overall outcomes. Complications within 30 days of discharge are most commonly identified during first 48-72 hours post-discharge. Telephone follow-up can provide a safety net and is part of a larger discharge teaching process. Initial review of the current follow up processes underscored many variations. An interdisciplinary team was tasked to optimize discharge processes across the continuum of care which leads to a more efficient follow-up call encounter...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Soo Chan Carusone, Bill O'Leary, Simone McWatt, Ann Stewart, Shelley Craig, David J Brennan
BACKGROUND: Transitions in care are a high-risk time for patients. Complex patients account for the largest proportion of healthcare costs but experience lower quality and discontinuity of care. The experiences of complex patients can be used to identify gaps in hospital discharge practices and design interventions to improve outcomes. METHODS: We used a case study approach with serial interviews and chart abstraction to explore the hospital discharge and transition experience over 6 weeks...
January 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Beizhou Wang, Ning Zhao, Youwei Wang, Wenqing Zhang, Wencong Lu, Xiangxin Guo, Jianjun Liu
Tuning the composition of discharge products is an important strategy to reduce charge potential, suppress side reactions, and improve the reversibility of metal-oxygen batteries. In the present study, first-principles calculations and experimental confirmation were performed to unravel the influence of O2 pressure, particle size, and electrolyte on the composition of charge products in Na-O2 batteries. The electrolytes with medium and high donor numbers (>12.5) are favorable for the formation of sole NaO2, while those with low donor numbers (<12...
January 12, 2017: Physical Chemistry Chemical Physics: PCCP
Yinghui Yin, Ruijie Zhao, Yue Deng, Alejandro A Franco
We simulated the discharge process of Li-O2 batteries and the growth of Li2O2 thin films at the mesoscale with a novel kinetic Monte Carlo model, which combined a stochastic description of mass transport and detailed elementary reaction kinetics. The simulation results show that the ordering of the Li2O2 thin film is determined by the interplay between diffusion and reaction kinetics. Due to the fast reaction kinetics on the catalyst, the Li2O2 formed in the presence of catalyst (cat-CNF) shows a low degree of ordering and is more likely to be amorphous...
January 19, 2017: Journal of Physical Chemistry Letters
Minmin Hu, Zhaojin Li, Tao Hu, Shihao Zhu, Chao Zhang, Xiaohui Wang
MXenes represent an emerging family of conductive two-dimensional materials. Their representative, Ti3C2Tx, has been recognized as an outstanding member in the field of electrochemical energy storage. However, an in-depth understanding of fundamental processes responsible for the superior capacitance of Ti3C2Tx MXene in acidic electrolytes is lacking. Here, to understand the mechanism of capacitance in Ti3C2Tx MXene, we studied electrochemically the charge/discharge processes of Ti3C2Tx electrodes in sulfate ion-containing aqueous electrolytes with three different cations, coupled with in situ Raman spectroscopy...
December 27, 2016: ACS Nano
R Bapat, R McClead, E Shepherd, G Ryshen, T Bartman
AIM: To evaluate readmission data in a level IV neonatal intensive care unit (NICU) to identify patient characteristics and process failures which serve as drivers for readmission. METHODS: Our center is a primary referral center in Central and Southeast Ohio, providing us a unique opportunity to evaluate readmissions. We studied our current discharge process, caregiver perception of discharge readiness, parental comfort and the pre-discharge and post-discharge characteristics of infants...
2016: Journal of Neonatal-perinatal Medicine
Seung-Keun Park, Jeongyeon Lee, Taejin Hwang, Byungchul Jang, Yuanzhe Piao
There is a growing need to improve the electrical conductivity of the cathode and to suppress the rapid capacity decay during cycling in lithium-sulfur (Li-S) batteries. This can be achieved by developing facile methods for the synthesis of novel nanostructured carbon materials that can function as effective cathode hosts. In this Article, we report the scalable synthesis of ordered mesoporous carbon nanosheets (OMCNS) via the etching of self-assembled iron oxide/carbon hybrid nanosheets (IO-C NS), which serve as an advanced sulfur host for Li-S batteries...
January 10, 2017: ACS Applied Materials & Interfaces
Bérengère Couturier, Fabrice Carrat, Gilles Hejblum
OBJECTIVE: The transition from hospital to home represents a key step in the management of patients and several problems related to this transition may arise, with potential adverse effects on patient health after discharge. The purpose of our study was to explore the association between components of the hospital discharge process including subsequent continuity of care and patient outcomes in the post-discharge period. DESIGN: Systematic review of observational and interventional studies...
December 21, 2016: BMJ Open
Jenny Ingram, Maggie Redshaw, Sarah Manns, Lucy Beasant, Debbie Johnson, Peter Fleming, David Pontin
BACKGROUND: Preparing families and preterm infants for discharge is relatively unstructured in many UK neonatal units (NNUs). Family-centred neonatal care and discharge planning are recommended but variable. DESIGN AND PARTICIPANTS: Qualitative interviews with 37 parents of infants in NNUs, and 18 nursing staff and 5 neonatal consultants explored their views of discharge planning and perceptions of a planned family-centred discharge process (Train-to-Home). Train-to-Home facilitates communication between staff and parents throughout the neonatal stay, using a laminated train and parent booklets...
December 21, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
Stephanie P Wladkowski
Hospice offers holistic support for individuals living with terminal illness and their caregivers. However, some individuals who enroll onto hospice services do not decline in health as quickly as determined by current regulations, termed a 'live discharge.' Persons with dementia are among those who experience a live discharge due to the slow physical decline associated with the disease. When a live discharge occurs, it affects not only the patient but also the caregiver(s). There is very little data on the outcomes of persons who experience a live discharge and even less on their caretakers...
December 20, 2016: Journal of Gerontological Social Work
Shuangbao Shu, Chongyang Xu, Meiwen Chen, Zhendong Yang
The controlling of plasma shape and position are essential to the success of Tokamak discharge. A real-time image acquisition system was designed to obtain plasma radiation image during the discharge processes in the Experimental Advanced Superconducting Tokamak (EAST) device. The hardware structure and software design of this visible camera system are introduced in detail. According to the general structure of EAST and the layout of the observation window, spatial location of the discharging plasma in the image was measured...
2016: SpringerPlus
Tao Yuan, Jiafeng Ruan, Weimin Zhang, Zhuopeng Tan, Junhe Yang, Zi-Feng Ma, Shiyou Zheng
Flexible polypyrrole (PPy) films with highly ordered structures were fabricated by a novel vapor phase polymerization (VPP) process and used as the anode material in lithium-ion batteries (LIBs) and sodium-ion batteries (SIBs). The PPy films demonstrate excellent rate performance and cycling stability. At a charge/discharge rate of 1 C, the reversible capacities of the PPy film anode reach 284.9 and 177.4 mAh g(-1) in LIBs and SIBs, respectively. Even at a charge/discharge rate of 20 C, the reversible capacity of the PPy film anode retains 54...
December 28, 2016: ACS Applied Materials & Interfaces
Min Jia, Yubin Niu, Cuiping Mao, Sangui Liu, Yan Zhang, Shu-Juan Bao, Maowen Xu
A novel porous carbon material using the spongy tissue of sunflower as raw material is reported for the first time. The obtained porous carbon has an extremely high surface area of 2493.0m(2)g(-1), which is beneficial to focus on encapsulating selenium in it and have an inhibiting effect about diffusion of polyselenides over the charge/discharge processes used as the host matrix for Li-Se battery. The porous carbon/Se composite electrode with 63wt% selenium delivers a high specific capacitance of 319mAhg(-1) of the initial capacity, and maintains 290mAhg(-1), representing an extremely high capacity retention of 90...
December 8, 2016: Journal of Colloid and Interface Science
Hui Qi, Liyun Cao, Jiayin Li, Jianfeng Huang, Zhanwei Xu, Yayi Cheng, Xingang Kong, Kazumichi Yanagisawa
Capacitive storage has been considered as one type of Li-ion storage with fast faradaic surface redox reactions to offer high power density for electrochemical applications. However, it is often limited by low extent of energy contribution during the charge/discharge process, providing insufficient influences to total capacity of Li-ion storage in electrodes. In this work, we demonstrate a pseudocapacitance predominated storage (contributes 82% of the total capacity) from an in-situ pulverization process of FeOOH rods on rGO (reduced graphene oxide) sheets for the first time...
December 28, 2016: ACS Applied Materials & Interfaces
Wei Yin, Alexis Grimaud, Florent Lepoivre, Chunzhen Yang, Jean Marie Tarascon
The Li-O2/CO2 battery with high capacity has recently been proposed as a new protocol to convert CO2. However, the fundamental mechanism for the reaction still remains hazy. Here, we investigated the discharge processes of Li-O2/CO2 (70%/30%) batteries in two solvents, dimethyl sulfoxide (DMSO) and 1,2-dimethoxyethane (DME). During discharge, both solvents initially show the reduction of oxygen. However, afterward, the solvent affects the reaction pathways of superoxide species by solvating Li(+) with different strength, depending on the so-called donor number...
December 19, 2016: Journal of Physical Chemistry Letters
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