Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 20 for “"Near-misses"”.
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Using near misses to teach concepts to a human intelligence system
If we are to understand how we can build artificial intelligence machines that are able to organically process and acquire knowledge like humans do, we must first understand how to teach a human intelligence system to model and learn generic concepts without resorting to mechanistic hand-coding of …
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Behavioral and Psychophysiological Effects of Near-Miss Outcomes in a Game of War
… as leading to the misidentification of wins is near-misses. Near-misses occur when the outcome of an event closely resembles a winning outcome, even though it is a loss. The current study intended to further investigate the effects of near-misses relative to wins and losses on player’s …
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Maternal near miss audit in Metro West Maternity services
Background: A near miss occurs when a pregnant woman experiences a severe life threatening complication during pregnancy or up to 42 days after the end of the pregnancy and survives. The near miss rate is defined as the number of near misses per 1000 live births. In 2011, World Health Organization …
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Descriptive study of maternal outcomes in a near-miss cohort at Kagadi District Hospital, Uganda
… of pregnancy related morbidity (obstetric near miss) provides valuable information that can be used in reduction of maternal mortality. This study aims to (i) Describe the prevalence and short term outcomes of obstetric near misses (ii) Evaluate the level of care through comparative …
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Adverse event registry analysis of an EMS system in a low resource setting: a descriptive study
… all cases classified as an adverse event or near miss were extracted for in depth review. Demographics, type of error, and types of recommendations implemented are reported. Results Altogether 106 (69%) adverse events and 47 (31%) near misses were reported over the six-year period. The mean …
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An urban waterfront room in Georgetown: an architecture school
… of this range and scope there are: Direct hits, Near hits, Near misses, Direct misses, All within the whole. Finally as with anything that is thoroughly Done it is fuel for beginning and not an end In and of itself.
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Establishing Relationships Between Risk Management and Knowledge Transfer
… the form of lessons learned, best practices and near misses as a focal investigation point for knowledge management. The question answered in this dissertation is "Does knowledge transfer have a positive impact on risk management capabilities?"</p> <p>A conceptual model of the relationships …
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Examining the Relationship Between Patient Safety Culture and Patient Experience in Ambulatory Surgery Center Settings
… promote a blame-free environment when errors or near misses occur to enable staff to feel empowered to speak up. Implementation and assessment recommendations are provided, along with opportunities for future research involving patient safety culture and patient experience. Keywords: Leadership, …
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Implementation of a Debrief “Takeaway” board
… away and improve on after all critical events/near misses. I had to start my project by presenting the idea to the PPSP group, which consist of the head of the perinatal service department, our manager, an assistant manager, nurses from each department, the head of Pediatrics and OB, a midwife, …
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Safety On A Drilling Rig: Is It Safety Culture?
… hundreds of miles offshore, far from the nearest hospital, working in all kinds of weather presents an industry ripe with risks. The worker or rig hand holds the key to making safe or unsafe decisions. Numerous studies and research projects on worker safety on shore (factories) have been …
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Development of an Efficient Planned Maintenance Framework for Marine and Offshore Machinery Operating under Highly Uncertain Environment
… reported in databases were as a result of near misses and incidents which are potential accident indicators. Moreover, experience has shown that modelling of past accident events and scenarios can provide insights into how a machinery failure can be subsisted even if it is not avoidable, …
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Patient safety and Errors in Veterinary Anesthesia
… in Calgary. Most reports (69% [33/48]) were near misses (an error that did not reach the patient). Dose calculation errors were the most common type reported; 50% (24/48). During a live animal teaching laboratory session, in which 83 anesthesia procedures were performed, a dose calculation …
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The Effects of Job Stress of Fire Fighters in Gyeonggi Province on Occupational Injuries
… of participants(145 people) have experienced near-misses more than once. Third, in terms of the difference between job stress of the participants and occupational injuries, there were significant difference between total score of each section of job stress and the factor of inappropriate …
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Worker's Behavioral Adaptation to Safety Interventions and Technologies: Empirical Evidence and Theoretical Considerations Through The Case of Simulated Residential Roofing Task
… As a result, they also experienced more near-misses (close calls). This behavioral adaptation was more pronounced when they were provided with an injury-preventing safety intervention (e.g., guardrail). The findings also suggested that the productivity and safety benefits of safety …
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A theoretical exploration of hospital clinical pharmacists' perceptions, experiences and behavioural determinants in relation to provision of optimal and suboptimal pharmaceutical care.
… defined route to report adverse events or near misses that arose from within the service. In quality management terms this meant it was difficult to determine whether optimal pharmaceutical care was being delivered, or to establish how accurate clinical pharmacists were in their …
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Assessment of the Effectiveness of Emergency Lighting, Retroreflective Markings, and Paint Color on Policing and Law Enforcement Safety
… least 18 months. This was to assess the rate of near-misses and crash rate to relate the vehicle changes to law enforcement safety. Additionally, rates of citations were assessed, and surveys offered an opportunity for law enforcement to provide their own feedback on the implementations. The …
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Assessing natural risks for railway infrastructure and transportation in Austria
… documentation of damaging events and near-misses is a prerequisite. Overall, the findings of the research presented in this thesis agree on the necessity to improve event and damage documentation procedures in order to enable the acquisition of comprehensive and reliable risk …
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How the psychological safety of healthcare teams relates to team performance, specifically patient outcomes in an acute private hospital in Mpumalanga, South Africa
The primary purpose of this study was to investigate the influence of psychological safety on patient safety performance within an acute private hospital in Mpumalanga, South Africa. In the context of a resource-constrained and hierarchical healthcare environment, the study sought to identify the …
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Latent preconditions of medication administration errors: development of a proactive error-management tool
… patient outcomes and intended to also capture near misses. After a pilot study was conducted to improve the construct and face validity of the tool, 13 items which reflected 7 types of MAE had good face validity and were retained for study 4. The final study was conducted to measure the …
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Characteristics of scoring instances during the 2016 Australian Football League Home and Away Season
… (accurate scores [a ‘goal’; 6 points] and near misses [a ‘behind’; 1 point]) and the characteristics of those instances (e.g. proximity to goal) in both the Australian Football League (AFL; the premier national competition) and the lower levels of the game. Furthermore, goal conversion …