ABSTRACT
PURPOSE: To create and assess satisfaction with an electronic-medical-record (EMR) integrated communication system designed to optimize perioperative communication with families. METHODS: We built a tool in the EMR's intraoperative nursing navigation screen for sending customized or standardized text pages to families in English or Spanish. Preoperatively, families were given text pagers with instructions and a hospital map to facilitate leaving the waiting area. After 6 months, Press-Ganey™ data and internal surveys from randomly selected families, and all nurses and surgeons were analyzed for satisfaction and effectiveness. RESULTS: Press-Ganey™ data demonstrated 30% improvement in patient satisfaction (p < 0.05). Among families, > 90% indicated pagers were easy to use and provided the desired information during surgery. Of nurses, >90% found the system easy to use and believed it improved families' experience. All surgeons reported improved intraoperative communication and ease of finding families postoperatively. CONCLUSION: Perioperative family communication via EMR-integrated text improves efficiency and family, nurse, and surgeon satisfaction.
Subject(s)
Electronic Health Records , Intraoperative Care/methods , Professional-Family Relations , Text Messaging , Attitude of Health Personnel , Health Care Surveys , Hospitals, Pediatric , Humans , Oregon , Patient Satisfaction/statistics & numerical data , Tertiary Care CentersABSTRACT
Stock solutions of (233)Th were produced by the (232)Th(n,gamma) reaction and multiple purifications were used to obtain relative intensities of weak transitions. Liquid scintillation counting (absolute disintegration rates) and gamma-ray spectroscopy with HPGe detectors yielded absolute photon intensities. Absolute intensities in % (with statistical uncertainties) of prominent radiations (L and K X-rays; 29, 86, and 459 keV gamma-rays) are 8.23(8), 1.32(10), 2.17(1), 1.843(2), and 0.989(2), respectively. These intensities are more precise and approximately 30% lower than previous results.
Subject(s)
Models, Chemical , Thorium/analysis , Thorium/chemistry , Computer Simulation , Half-Life , Photons , Radiation Dosage , RadiometryABSTRACT
Solvent extraction was used to prepare pure solutions of (237)Np and (233)Pa. Portions were used for liquid scintillation counting (disintegration rates) and gamma-ray spectroscopy with HPGe detectors. X- and gamma-ray intensities observed in the (237)Np decay were verified, with a new result of 15.08+/-0.04% for the 29 keV gamma-ray (5 sigma higher than previous reports). K X- and gamma-ray intensities observed in the (233)Pa decay were verified with new results for the L X-ray intensities (approximately 55% total L intensity), approximately twice previously reported total intensity.
