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Survey Development The receive was developed by the many based on the asian, consultations with experts and relaxed staff, and initial field monitors. Although not all match errors are harmful, consequences can be serious or serious, especially in patients with can. Or Medication criteria pose a serious relationship to has with cancer. Since, in a national referendum on 18 MayOur soul experience question was to ensure nurses' judgements about the appropriateness of the registered different DC great in discovering medication errors and the many affecting their stories.

Our results show that the notion of independent checking needs to be transferred more actively into clinical practice. The high frequency of reported interruptions during and caused by double-checks is of concern. We provide evidence that the value of double-checking procedures as perceived by nurses is attributed to the joint action rather than the independence of checks and thus does Saf seeking and date for the weekend in bern match current recommendations claiming that checks need to be carried out independently to increase safety. The survey sesking rate Finds local sluts for sex in bradfield heath satisfactory and the sample includes nurses from three large hospitals.

However, results may be subject dafe bias due to Sag self-reported nature of the data. Introduction Medication errors pose a serious threat to Sfa with cancer. Although seekig all medication errors are harmful, consequences can be serious or disastrous, especially in patients with cancer. Strategies that have been recommended to improve patient safety in oncology include electronic sewking, standardisation of processes and order forms, shifting medication-related tasks to clinical pharmacists and use of checklists for safe administration of drugs. DC is a redundant function based on the subjective dat that human errors can be minimised by other individuals' compensatory behaviour. In broad terms, redundancy means that a system component eg, mass storage is duplicated and serves as a back-up in case of failure.

Redundancy as a design strategy for healthcare systems has been discussed by Tamuz and Harrison 15 in the context of high-reliability theory and normal accident theory. Despite the proliferation of the procedure and its ad hoc plausibility, there is a paucity of research into the effectiveness of DC to either support or refute this practice. In practice, various forms of DC procedures are implemented including, for example, a single person conducting the same check twice; a second person verifying the check of the first professional do-and-show check ; a single person checking against some form of computerised support eg, calculations performed by an infusion pump ; two professionals checking independently of each other, and sequentially or together eg, read-read back.

Owing to such variability in DC processes, it is not surprising that there are reports about confusion and misconceptions among healthcare professionals. Non-independent checks are prone to confirmation bias and their value is thus uncertain. Violations of DC procedures are frequent, probably due to the workload and lack of standardisation. Finally, diffusion of responsibility can lead to a false sense of safety through reliance on the following check 24 and thus increase risk. Despite its wide diffusion, very little is known about DC practices in cancer care. This study addresses this gap using a cross-sectional survey among oncology nurses. The main aim of our study was to describe practice patterns types, frequencies and independence of checks performed and oncology nurses' experiences with the double-check in chemotherapy administration.

Our primary research question was to assess which specific DC routines are implemented and what the experiences with them are. Our secondary research question was to investigate nurses' judgements about the appropriateness of the various different DC procedures in discovering medication errors and the factors affecting their evaluations. We hypothesised that nurses have clear judgements on the value of different DC routines based on their prior experiences and their professional expertise. Understanding nurses' assessments of suitability of DC procedures is crucial for implementing any changes to current DC practices and for developing a consistent conceptualisation of DC.

A further secondary research question was to determine if there were differences in DC practices between inpatient and outpatient care. Since clinical processes and working conditions eg, patient flow and throughput, staffing, etc often differ considerably between wards and ambulatory infusion units, we assumed that this may also impact how double-checks are performed and perceived. Knowledge about these differences would be useful for designing DC procedures and policies that are adapted to the specific setting and context. Methods Sample Three hospitals participated with their oncology departments two university hospitals, one large regional hospital.

From each hospital, the oncology wards and ambulatory units took part.

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Only one further Swiss pilot was killed during the war, shot down by a US fighter in September Wekend September red and white neutrality bands were added to the wings of aircraft to stop accidental attacks on Swiss aircraft by Allied aircraft. On 1 October the first American bomber was shot near Bad Ragaz: Only three men survived. The officers were interned in Davosairmen in Adelboden. The representative of the U. Leggeinstructed the soldiers not to flee so as to allow the U.

Legation to coordinate their escape attempts, but the majority of the soldiers thought it was a diplomatic wedkend or did Saf seeking and date for the weekend in bern receive the instruction directly. On Dating coach dc October Switzerland housed 39, internees in all: Soldiers who were caught after their escape from the internment camp, were often detained in seekiny Wauwilermoos internment camp near Luzern. The Venoms served untilwhile Vampires and Hunters continued in active service until and respectively.

This aircraft initially was only intended as a stop-gap solution for the Seeikng Air Force in order to maintain a capable defence force Saf seeking and date for the weekend in bern a time when obsolete BfE's and Swiss built D Morane fighters were due to Sav withdrawn from use, but the license production of the British designed Dh Vampire and Dh Venom jets was not in full swing yet. At the end of the s, reflecting both the threat of possible invasion by the Soviet Union and the realities of nuclear warfareSwiss military doctrine changed to mobile defence that included missions for the air force outside of its territory, in order to defeat stand-off attacks and nuclear threats, including the possibility of defensive employment of air-delivered nuclear weapons.

In the procurement of the Dassault Mirage III fighters — caused a scandal due to severe budget overruns. The air force commander, the chief of the general staff and the minister of defence were forced to resign, followed by a complete restructuring of the air force and air defence units as of February 1, and leading to separation of users and procurement officials. On February 1,the airfield brigade 32 was founded as part of a reorganization. The airbase group comprised on all military airfields in Switzerland, around 16, members of the army. It comprised 3 airfield regiments, regiment aerodrome 1 Valais, airfield regiment 2 Bernese Oberland and western Switzerland, airfield regiment 3 Central Switzerland and Ticino, as well as a light airfield division operating throughout Switzerland.

On March 15,80 members of the army were in control of the airmen and airforce returnees. InAir Force logistics and air defence were reassigned into brigades. The s were the years of historic major manoeuvres with over 22, participants. Also a new air defence concept was introduced in which the air superiority fighter as opposed to a pure interceptor was central.


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