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A discussion about types of penile implants, risks and benefits, preoperative steps and postoperative expectations. Both malleable and inflatable penile prostheses are discussed.
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4. Use α=.01, and n=100Determine the Chi-Square value, and come to the appropriate conclusion concerning this goodness of fit procedure. *From the Table of Random Numbers…all have a probability of 1/10 “numbers from 0-9” Number Observed Expected 0 5 10 25 2.5 1 15 10 25 2.5 2 10 10 0 0 3 8 10 4 0.4 4 12 10 4 0.4 5 15 10 25 2.5 6 5 10 25 2.5 7 10 10 0 0 8 10 10 0 0 9 10 10 0 0 Total 100 100 108 10.8 5. Construct a confidence interval for σ2 using the following values of the variable, X. You may assume that the variable itself is normally distributed. X 30 32 28 25 31 34 30 20 40 A. let alpha be .01, and construct the confidence interval. B. Now let alpha be .10, and again construct the confidence interval. C. Why did we have to assume that the variable itself was normally distributed? 1 310 week 5 Response: Response needed to each Post! I have listed an example of a “response” in RED. There are four “post” total that need responses. · Post: Lisa Kaufman posted Nov 17, 2015 1:21 PM The Medical Device Safety Act (MDSA) I found this “ACT/LAW” very much and advocate for the patient….The Medical Device Safety Act (MDSA) was implemented in 2009. This law will restore patients’ ability to hold medical device manufacturers accountable for injuries caused by defective medical devices. Medical devices range from catheters, implantable defibrillators, pacemaker wires and artificial heart valves. “Although, the bill replies to a 2008 Supreme Court decision, Riegel v. Medtronic.” That case held that a medical device manufacturer usually cannot be sued by injured patients if the Food and Drug Administration (FDA) approved the device for marketing through its premarket approval (PMA) process. This bill has two important goals; ▪Improved Recall Processes: This bill has implantation to have the Government Accountability Office (GAO) to improve the handling on the FDA’s recall of defective devices. The GAO will require the FDA to assess and revaluate each device that falls under the unsafe device and expedite the recalls once the “problem” is discovered. ▪ Enhance Post-Market Surveillance Tools: “This legislation would improve FDA’s ability to conduct post-market surveillance for 510(k) cleared devices by allowing FDA to require the collection of post-market data as a condition of approval.” “The authority would mirror the post-market studies that can be required as a condition of a Pre-Market Approval (PMA) for highest risk devices. Under this legislation, the FDA could require conditions of clearance for 510(k) cleared devices that may have safety concerns. If FDA found a device substantially equivalent to a predicate for a higher-risk device, FDA could clear the device for market through 510(k) but require companies to conduct clinical studies and collect and report more complete data”. Background FDA’s oversight of medical devices has landed the agency on GAO’s “high-risk list”.2 GAO cites its concerns about FDA’s post-ma.
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“ Why can’t admitting remember to change these patients to pre-admit so that we can see the information from the emergency room in their electronic record and view their current medication?” the scribe complained to the cath leb nurse. “ I will never understand why it is so difficult to get cath lab patients transferred from an ED patient to pre-admit.” The scribe stops trying to record patient information in the electronic health record and calls the admitting department. The scribe is so frustrated because admitting has not updated the patient type listed in the electronic health record. This patient was seen a few minutes ago in the ED for an acute myocardial infarction. The patient had come into Western States Hospital with a chest pain. An EKG was ordered for the patient and the EKG showed that the patient had a STEMI. Once this diagnosis was made, the patient was emergently transferred to the cath lab. Although the electronic health record used by the facility has many features that allow care providers to access necessary patient information, the system has a few issues. The issue that caused the most headaches in the cath lab was the fact that the cath lab personnel could not view important patient information or chart new information until the admitting department changed the patient type from ED to pre-admit. Although there was a way to override the system to view the necessary information, this process was also concerning. Charting within the system was not possible even with the override, and there had been some instances where the latest information from the ED was not in the system if the system had been overridden. Time frames were also problematic. Quality measures and reporting requirements necessitate accurate times. “ Door-to-balloon times” are an important reporting measure. Without the ability to chart in real time, the time of arrival to the cath lab and the time the vessel was opened are not accurately reflected in the system. As Western States Hospital collects data to determine how long it takes cath lab staff to open a vessel once the patient is in the cath lab, the report is showing that it happens very quickly, it almost seems like the average time is unrealistic. The procedure in the cath lab is that a scribe or technician is responsible for developing everything that happens during the encounter. Without the ability to document directly into the electronic health record, the scribe or technician sends precious time contacting admitting and documenting the encounter on paper. This information must then be transferred into the electronic health record or “back charted.” At Western States Hospital the scribe calls the admitting clerk and states, “ The patient from ED room 5 is here in the cath lab and patient type is still set at ED. You do realize that I cannot do my job when you do not do yours, right? Why can’t you admitting clerks figure out how to get these patient types changed faster and do your job so that I ...
Why can’t admitting remember to change these patients to pre-adm
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