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Beamer, Carl Brent. "Gray ghostbusters : Eastern theatre Union Counterguerrilla operations in the Civil War, 1861-1865 /." The Ohio State University, 1988. http://rave.ohiolink.edu/etdc/view?acc_num=osu148758688918807.
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Jonsson, Lina, and Ellen Hedman. "Operations- och anestesisjuksköterskors upplevelser av att använda checklista för säkerhet vid operationer." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-63838.
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Bakgrund: World Health Organization, WHO har arbetat fram en checklista för säker kirurgi, som skall stötta arbetslaget i arbetet kring patienten. Checklistans syfte är att förbättra kommunikationen i arbetslaget och minska komplikationer och dödsfall i samband med kirurgi. Studiens syfte var att undersöka operations- och anestesisjuksköterskors upplevelser av att använda checklista för säkerhet vid operationer i sitt dagliga arbete. Metod: Studien var en kvalitativ intervjustudie som genomförts i fokusgrupper med operationssjuksköterskor i ena gruppen och anestesisjuksköterskor i andra. Data från två intervjuer analyserades med hjälp av en kvalitativ innehållsanalys. Resultat: Studien visade att brister fanns vid implementeringen och att personalen arbetade enligt gamla rutiner. Ett varierat intresse fanns till checklistan, vilket resulterade i en varierad följsamhet i användandet. Resultatet visade på att kommunikationen förbättras och att checklistan synliggjorde alla medarbetarna och ökade möjligheten till att alla kunde känna sig delaktig i vården kring patienten. Vid användning av checklistan reds frågetecken ut och checklistan skapade ett öppet klimat där personalen kunde ta upp eventuella frågetecken som fanns. Resultatet i studien visar dock på att checklistan inte löser alla kommunikationsproblem, då det framkommer att dåliga attityder och bristande respekt till varandra fanns och försvårade användandet. Konklusion: Operation -och anestesisjuksköterskorna ansåg att checklistan var ett bra verktyg när det gäller patientsäkerhet, kommunikation och teamarbete men att det fanns brister i följsamheten. De ansåg att användandet av checklistan var personbundet och att det trots checklistans tydliga utformning ändå fanns frågetecken hos personalen, speciellt vem som ansvarade att den blev gjord.
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Skogström, Jennifer, and Emmeli Johansson. "Avspark på sal : En intervjustudie om operations- anestesisjuksköterskors och undersköterskors upplevelser." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-62583.
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Introduktion: I sammanhang som kräver komplexa lösningar skapas team för att tillgodose dessa komplexa behov. På en operationsavdelning består detta team av operation- och anestesisjuksköterskor och undersköterskor. Alla professioner behöver samspela för att kunna ge en god vård till patienten. Som ett hjälpmedel för teamen har ”avspark på sal” tagits i bruk, där teamet samlas på morgonen. Tidigare forskning visar på ett behov av en rutin som uppmuntrar till kommunikation i gruppen. Syfte: Syftet var att belysa hur arbetsmodellen ”avspark på sal” upplevs av operationanestesisjuksköterskor och undersköterskor inom operationsteam. Metod: En kvalitativ intervjustudie med en induktiv ansats. Studiens baseras på 15 ostrukturerade intervjuer med operation- anestesisjuksköterskor och undersköterskor. Materialet analyserades med en kvalitativ innehållsanalys. Resultat: ”Avspark på sal” upplevs bidra till en ökad samhörighet i teamet. Det skapas förutsättningar för ökad respekt och förståelse för varandra. Att ha information och kontroll inom teamet oavsett om det rör sig om förståelsen över professionsgränserna och veta vad som kommer hända ökar tryggheten inom teamet. Trots detta finns det svårigheter som påverkar ”avspark på sal” eller gör att det inte genomförs. Klinisk slutsats: Studiens resultat kan användas som utvärdering för vidare förbättringsarbete. Inblick kan öka förståelsen mellan medarbetarna. I liknande kontext eller andra sammanhang där teamarbete är en central del kan studiens resultat ligga till grund för införandet av likande rutiner.Introduction: In contexts that require complex solutions teams are created to meet these complex needs. In an operation theatre this team is composed of operation- and anesthesia nurses and assistant nurses. All professions need to interact in order to provide quality care to the patient. As an aid to the teams a working model called “avspark på sal” put into use, where the team gathered in the morning. Previous research indicates a need for a routine that encourages communication in the group. Purpose/Aim: The aim was to illustrate how the working model “avspark på sal” is experienced by operation- and anesthesia nurses and assistant nurses in the surgical team. Method: A qualitative interview study with an inductive approach. The study is based on 15 unstructured interviews with operation- and anesthesia nurses and auxiliary nurses. The material was analyzed with a qualitative content analysis. Results: “Avspark på sal” is experienced to contribute to an increased affinity of the team. It creates the conditions for greater respect and understanding for each other. To have information and control within the team, whether it concerns the understanding of professional boundaries, to know what will happen to increase security within the team. Despite this, there are difficulties affecting “avspark på sal”. Clinical conclusions: The study results can be used as evaluation for further improvement. Insight can increase understanding between employees. In a similar context or other contexts where teamwork is central the study's results could provide the basis for the introduction of similar routine.
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Hallmann, Frank. "Optimizing operational and logistical planning in a theater of operations." Thesis, Monterey, Calif. : Naval Postgraduate School, 2009. http://edocs.nps.edu/npspubs/scholarly/theses/2009/Jun/09Jun%5FHallmann.pdf.
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Thesis (M.S. in Operations Research)--Naval Postgraduate School, June 2009.Thesis Advisor(s): Brown, Gerald G. "June 2009." Description based on title screen as viewed on July 10, 2009. Author(s) subject terms: Optimization, Navy Logistics, Operational Planning , Navy Mission Planner, Combat Logistic Force Planner, Ship scheduling, Optimization decision aid, Integer Programming, Mathematical Programming. Includes bibliographical references (p. 71-72). Also available in print.
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Pavlíček, Tomáš. "Slovinské národní divadlo v Lublani." Master's thesis, Vysoké učení technické v Brně. Fakulta architektury, 2009. http://www.nusl.cz/ntk/nusl-215579.
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Slovene national theatre in the centre of Ljubljana as a part of existing city block. The composition of buildings creates new urban areas as a continuation of the urban axis of Josip Plečnik. The basic principle was to resolve the issues of entry into building, the definition and organization of space inner block, the creation and cultivation of new and existing urban areas. Unifying element of the whole composition is solution to the facade, which paraphrases the high order, typical for the surrounding buildings and significant not only for cultural buildings. As a contrast to massive and heavy mass of facade stand glass facade which makes lighter impression. White facade adds significance to the composition.
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Chen, Lu. "Irvine Barclay Theatre Operating Company." ScholarWorks@UNO, 2009. http://scholarworks.uno.edu/aa_rpts/105.
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The following report, which I hope will serve as a reference for future alumni and arts administrators who are interested in theatre operation and performing arts management, is based on my internship experience at the Irvine Barclay Theatre, which took place from July 1st to September 30th, 2009. The Irvine Barclay Theatre is a performing arts center which is uniquely designed to bring international and culturally-diverse programs which range from music to dance to drama to the Orange County community. It has the capacity to hold 756 people. It is managed by an independent non-profit operating company with its own professional staff and governed by a volunteer-based board of directors. This report includes detailed information in regards to the Barclay's history and current operations. It also includes sections on my contributions, a S.W.O.T. analysis, best practices, and recommendations I've formulated from knowledge I have acquired through the Arts Administration program and my internship as a multi-purpose assistant at the Barclay. It is important to note that throughout the time my internship and the writing of this report took place, the United States was experiencing the effects of a severe economic recession.
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Leitsmann, Conrad [Verfasser]. "Evaluierung des SOTOS (Silent Operating Theatre Optimisation System) bei roboterassistierten Operationen in der Urologie / Conrad Leitsmann." Göttingen : Niedersächsische Staats- und Universitätsbibliothek Göttingen, 2021. http://d-nb.info/1231076240/34.
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Riley, Craig Allen. "The role of special operations forces in operations against theater missiles /." Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1996. http://handle.dtic.mil/100.2/ADA312387.
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Thesis (M.A. in National Security Affairs) Naval Postgraduate School, March 1996.Thesis advisor(s): James J. Wirtz. "March 1996." Includes bibliographical references (p. 163). Also available online.
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Riley, Craig Allen. "The Role of Special Operations Forces in Operations Against Theater Missiles." Thesis, Monterey, California. Naval Postgraduate School, 1995. http://hdl.handle.net/10945/44388.
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Approved for public release; distribution is unlimited.The U.S. military has never been able to prevent theater missiles (TMs) from being launched at U.S. and Allied or Coalition forces and citizens. Post-war analysis of interdiction efforts during World War II and the Persian Gulf War could not identify a single instance where either a German V weapon or an Iraqi SCUD missile was destroyed before launch. During the Cuban Missile Crisis, the best estimate that the Air Force could provide the National Command Authority was that ninety percent of the Soviet missiles in Cuba would be destroyed by an airstrike. To correct this deficiency, the military developed joint theater missile defense (JTMD) doctrine. This doctrine attempts to integrate synergistically all U.S. military assets and capabilities. However, this doctrine does not fully integrate Special Operations Forces (SOF) into attack operations against TMs. Additionally, the joint tactics, techniques, and procedures (JTTPs) needed to implement this doctrine have not been developed. The integration of SOF's capability to conduct pre-strike and post-strike reconnaissance, critical material recovery operations and target acquisition tasks can immediately improve JTMD capabilities.
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Cope, Alexandra Clare. "The pedagogy of the operating theatre." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/18890.
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This thesis outlines the findings of a large body of research work undertaken during 3 years of full-time study. The findings have already provided the author with helpful anchors for structuring formative feedback to surgical trainees within a simulation program, as well as helpful insights into her own learning. This thesis explores the operating theatre as a teaching and learning environment for postgraduate surgical trainees. The work crosses paradigms and uses contrasting methodologies to provide rich insights into surgical pedagogic practice. The first chapter is an introduction to the subject material, outlining the thesis aims and research questions, making clear why the research is important. The perspectives of the researcher are explained, in the first person, to make explicit her background and epistemological stance. The next chapter presents a narrative review of the literature, providing a background to the subject and a theoretical framework. Chapters three to six constitute empirical work. The third and fourth chapters use a grounded theory method to explore surgeons’ perceptions of the content and process of learning in the operating theatre. Chapter five uses case study methodology to illustrate teaching and learning in the operating theatre with concrete examples of pedagogic practice. The sixth chapter is a quasi-experimental study of learning which makes comparison between different pedagogic styles. The final chapter of the thesis draws together the findings from the empirical investigations. The personal development of the researcher is discussed in the first person and the body of research work is critically examined in view of its contribution to the field and its implications for future educational innovation.
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Rowse, Elizabeth Louise. "Robust optimisation of operating theatre schedules." Thesis, Cardiff University, 2015. http://orca.cf.ac.uk/80684/.
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Hospitals in the UK are increasingly having to cancel a large proportion of elective operations due to the unavailability of beds on hospital wards for post-operative recovery. The availability of post-operative beds is therefore critical to the scheduling of surgical procedures and the throughput of patients in a hospital. The focus of this research is to investigate, via data-driven modelling, systematic reasons for the unavailability of beds and to demonstrate how the Master Surgery Schedule (MSS) can be constructed using Operational Research techniques to minimise the number of cancellations of elective operations. Statistical analysis of data provided by the University Hospital of Wales, Cardiff was performed, providing information on patient demand and length of stay distributions. A two-stage modelling process was developed to construct and simulate an MSS that minimises the number of cancellations. The first stage involves a novel set partitioning based optimisation model that incorporates operating room and bed constraints. The second stage simulates the resulting optimal schedule to provide measures on how well the schedule would perform if implemented. The results from this two-stage model provide insights into when best to schedule surgical specialties and how best the beds are distributed between wards. Two optimisation under uncertainty techniques are then employed to incorporate the uncertainty associated with the bed requirements into the optimisation process. A robust optimisation (RO) approach that uses protection functions in each bed constraint is developed. Investigations into varying levels of protection are performed in order to gain insight into the so called `price of robustness'. Results show that MSSs that are constructed from protecting more of the uncertainty result in fewer cancellations and a smaller probability of requiring more beds than are available. The deterministic optimisation model is then extended to become a scenario-based optimisation model in which more scenarios of bed requirement are incorporated into a single optimisation model. Results show that as more scenarios are included, a more robust schedule is generated and fewer cancellations are expected. Results from the different approaches are compared to assess the benefits of using RO techniques. Future research directions following from this work are discussed, including the construction of the MSS based on sub-specialties and investigation of different working practices within the case study hospital.
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Undre, Shabnam. "Team performance in the operating theatre." Thesis, Imperial College London, 2007. http://hdl.handle.net/10044/1/11941.
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Ricotta, Anthony G. "Motivation Strategies for Improving Consistency in Live-Entertainment Employees' Performances." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5409.
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The lack of discrete motivation strategies to improve the consistency of employees' performances was the problem that instigated this research. The purpose of this single-case study was to explore the motivation strategies live-entertainment artistic directors (ADs) use to improve consistency in the artists' performances. Data were collected within an international live-entertainment company to uncover whether artists self-determined the approach to improving consistency in performance or whether consistency occurred from strategies developed by the ADs. Data were collected from face-to-face interviews with ADs and senior ADs and performance evaluations of employees, and then analyzed using Miles, Huberman, and Saldana's data analysis method. The 2 emergent themes indicated that the ADs achieved consistency from performers through strategies supporting well-being and technical proficiency. Analysis of employee evaluations indicated the use of alternative motivational strategies for achieving and improving consistency at the show level. Some ADs rely on artists to self-determine consistency when working in environments perceived as conducive to consistent behavior. These findings might result in a mutual understanding between employers and employees of the role of consistency in employees' live performances, which may also improve employer-to-employee relationships in the live-entertainment sector. Such understanding might lead to positive social change by improving cultural output to the community and improving employees' economic viability and ability to contribute to society.
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Velásquez, Flores Jorge Rafael. "Hierarchical multi-criteria operating theatre scheduling solving the tactical, operational and online planning problems with mathematical programming." Tönning Lübeck Marburg Der Andere Verl, 2008. http://d-nb.info/995846022/04.
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Brouillette, Gregory Albert. "Modeling joint theater level operations in the Early Entry Theater Level Model." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1994. http://handle.dtic.mil/100.2/ADA286170.
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Jeong, Young-Sik. "Optimal military transportation in a Korean wartime theater." Thesis, Monterey California. Naval Postgraduate School, 2006. http://hdl.handle.net/10945/2439.
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Due to their high dependency on highway transportation, Republic of Korea's (ROK's) military and industry suffer from congestion, shortfall of means (convoys in the military case), high cost and increase in environmental damage. Our research develops an optimization model to guide TOK's military planning using multi-modal transportation. We apply our Military Logistics Transportation Model (MLTM) to a realistic scenario. MLTM provides guidance on the optimal frequency of transportation services and the optimal routes for the freight. By comparing the solution of MLTM with current practice for Wartime Transportation Planning (represented by a heuristic method), our MLTM can reduce the transportation cost up to 29%. This is enabled by the activitation of multi-modal transportation and service sharing by multiple demands. We also analyze scenarios in which either sea-port of debarkation (SPOD) where the supply originates has been shut down by enemy attacks. We find that losing Busan SPOD is more damaging than losing Kwangyang SPOD.
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Hume, Robert S. "Modeling attack helicopter operations in theater level simulations." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1996. http://handle.dtic.mil/100.2/ADA316734.
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Martin, Kiel M. (Kiel Michael). "Dynamic planning under uncertainty for theater airlift operations." Thesis, Massachusetts Institute of Technology, 2007. http://hdl.handle.net/1721.1/40387.
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Thesis (S.M.)--Massachusetts Institute of Technology, Sloan School of Management, Operations Research Center, 2007.Includes bibliographical references (p. 92-93).
In this thesis, we analyze intratheater airlift operations, and propose methods to improve the planning process. The United States Air Mobility Command is responsible for the air component of the world wide U.S. military logistics network. Due to the current conflict in Iraq, a small cell within Air Mobility Command, known as Theater Direct Delivery, is responsible for supporting ongoing operations by assisting with intratheater airlift. We develop a mathematical programming approach to schedule airlift missions that pick up and deliver prioritized cargo within time windows. In our approach, we employ composite variables to represent entire missions and associated decisions, with each decision variable including information pertaining to the mission routing and scheduling, and assigned aircraft and cargo. We compare our optimization-based approach to one using a greedy heuristic that is representative of the current planning process. Using measures of efficiency and effectiveness, we evaluate and compare the performance of these different approaches. Finally, we adjust selected parameters of our model and measure the resulting changes in operating performance of our solutions, and the required computational effort to generate the solutions.
by Kiel M. Martin.
S.M.
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Viscio, Francesca. "Algoritmi euristici per il Robust Operating Theatre Scheduling." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2018.
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La tesi affronta il problema dell'Operating Theatre Scheduling, ossia della pianificazione degli interventi nelle sale operatorie nell'orizzonte temporale di breve periodo. In lavori precedenti, è stato sviluppato un algoritmo euristico atto a fornire soluzioni robuste a particolari variazioni che possono alterare le durate medie di tali interventi rispetto a quelle deterministiche, misurate precedentemente. Sono state prese in considerazione, data una lista d'attesa di 1017 pazienti, 11 diverse istanze. Tali istanze, sono un campione della lista completa e su di esse sono stati effettuati veri test, considerando i possibili ritardi medi che gli interventi possono comportare. In relazione a ciò, si è ritenuto opportuno calcolare il tasso di saturazione medio delle sale operatorie a fronte di queste possibili variazioni. Uno step successivo è stato quello modificare una porzione di codice per apportare un ulteriore miglioramento, muovendosi verso un tipo di "ricerca locale": inserire dei buffer tra i diversi interventi in modo da assorbire al meglio eventuali ritardi. Sono stati riportati e commentati i risultati computazionali delle diverse casistiche considerate e proposti ulteriori sviluppi futuri.
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Anderson, Wayne W. "Alternative headquarters support funding for theater special operations commands." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2002. http://library.nps.navy.mil/uhtbin/hyperion-image/02Dec%5FAnderson.pdf.
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Thesis (M.S. in Management)--Naval Postgraduate School, December 2002.Thesis advisor(s): Lawrence R. Jones, Jerry L. McCaffery. Includes bibliographical references (p. 93-95). Also available online.
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Kylmänen, Päivi, and Alexandra Spasic. "Assessing competence in technical skills of theatre nurses in India and Sweden : Evaluation of an observational tool." Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-15.
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Surgical processes are a complex function of a number of inter-related factors that include individual skills, team working and operating theatre environment. Individual skills can be divided to technical and non-technical skills. This distinction between technical and non-technical skills is rather recent in the healthcare literature. There are studies made about assessing non-technical skills performed in the operating theatre but studies made to assess theatre nurses‘ technical skills have been lacking until recently. The aim of this study is to evaluate clinical applicability of a newly developed observation tool in different contexts and through observing describe similarities or differences between theatre nursing. The observations in the present study are structured with a newly developed observational tool that is developed to assess technical skills of a theatre nurse. The two authors of this study performed the data collection simultaneously at different operation departments. The present study makes evident that the technical skills required of a theatre nurse are considerably different in two different countries. Therefore, it is difficult to use an observational tool without modifying it according to local routines.Kirurgiska processer består av ett antal komplext inbördes relaterade faktorer som inkluderar individuella färdigheter, teamarbete och miljön i operationssalen. Individuella färdigheter kan delas till tekniska och icke-tekniska färdigheter. Denna åtskillnad mellan tekniska och icke-tekniska färdigheter är ganska ny i omvårdnadslitteraturen. Det har genomförts studier där man har bedömt icke-tekniska färdigheter som utförs i operationssalen men studier för att bedöma operationssjuksköterskans tekniska färdigheter har saknats fram till nyligen. Syftet med denna studie är att utvärdera den kliniska tillämpligheten av ett nyutvecklat observationsverktyg i olika kontext och genom att observera kunna beskriva likheter eller skillnader mellan tekniska färdigheter. Observationerna i den aktuella studien är strukturerade med ett nyutvecklat observationsverktyg som är utvecklad för att bedöma en operationssjuksköterskas tekniska färdigheter. De två författarna till denna studie genomförde datainsamlingen samtidigt på olika operationsavdelningar. Den aktuella studiens resultat visar att de tekniska färdigheterna som krävs av en operationssjuksköterska är betydligt olika i två olika länder. Därför är det svårt att använda ett observationsverktyg utan att anpassa det enligt de lokala rutinerna.
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LeFever, Brett Christopher. "Evaluation of maritime operational threat response forces for the Pacific Coast Theater." Thesis, Monterey, Calif. : Naval Postgraduate School, 2009. http://edocs.nps.edu/npspubs/scholarly/theses/2009/Mar/09Mar%5FLeFever.pdf.
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Thesis (M.S. in Operations Research)--Naval Postgraduate School, March 2009.Thesis Advisor(s): Jacobs, Patricia A. ; Gaver, Donald P. "March 2009." Description based on title screen as viewed on April 24, 2009. Author(s) subject terms: MOTR, Homeland Defense, Simulation, MIO, Port Defense, Analytical Model, West Coast Ports Includes bibliographical references (p. 115-116). Also available in print.
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Gainey, Thomas K. "Taking charge of joint theater logistics : the case for a theater logistics command /." Norfolk, Va. : Joint Forces Staff College, Joint Advanced Warfighting School, 2006. http://handle.dtic.mil/100.2/ADA451236.
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Thesis (M.S. in Joint Campaign Planning and Strategy)--Joint Forces Staff College, Joint Advanced Warfighting School, 2006."14 April 2006." Vita. "National Defense Univ Norfolk VA"--DTIC cover. Includes bibliographical references (p. 74-76). Also available via the Internet.
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Slattery, Maureen L. (Maureen Louise). "Walking in the city--an operational theater." Thesis, Massachusetts Institute of Technology, 1997. http://hdl.handle.net/1721.1/70285.
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Thesis (M. Arch.)--Massachusetts Institute of Technology, Dept. of Architecture, 1997.Includes bibliographical references (p. 79-81).
The city is to be considered a site of power. Privileged, gendered, uneven, the city exercises authority and control over its inhabitants. What masks as public, in truth, is private. Its space and structures are fixed by its economic and political operations, impenetrable to the lived practices of its inhabitants. To transgress boundaries is to reclaim urban space for its residents. Urbanism is recast as a space of social production; the city is a contested site. The city as theatre reveals a totalizing impulse. The theatrical city suggests a scopic tendency, an image of the city grasped as a whole. Theatre itself is much more elusive; its definitions multiply. As scenography, it reasserts authority; as performance it infiltrates; as spectacle; it alienates; as drama, it contests. Theatre in the city operates at this intersection; its stage is mutable, its architecture muted. This thesis is then a strategy of inhabiting the city. Normal conceptions of the public city are set aside, the definition is appraised anew. To construct a momentary encounter that interrupts the familiar, reclaims territory. Occupying the unknown, viewing from below are tactics to remap the city. The program is a constructed theatre, sited and re-sited in New York City. To be assembled in place, the project intends to appropriate given public space and redefine it as a public space for performance. The inherent transmutive qualities of the stage and performance are appropriated for the building. The question becomes: How does a theatre operate in the city?
by Maureen L. Slattery.
M.Arch.
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Boutwell, Brian. "Some planning considerations for joint operations in a maritime theater." Thesis, Monterey, California. Naval Postgraduate School, 1989. http://hdl.handle.net/10945/27276.
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Caliendo, Mara. "Modelli e algoritmi per l'Operating Theatre Scheduling." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2017.
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Negli ultimi anni i presidi ospedalieri hanno dovuto fronteggiare una domanda crescente di servizi, pur avendo a disposizione un budget di spesa sanitaria limitato. In questo contesto nasce la ricerca di approcci innovativi per ottimizzare la gestione delle risorse e delle attività coinvolte nei blocchi ospedalieri. Una delle strutture più critiche da gestire è l’unità chirurgica, caratterizzata da costi molti elevati e da un significativo rischio clinico per il paziente. A fronte di tale criticità nasce e si sviluppa la disciplina dell’Operating Room Management. In questo lavoro di tesi è stato trattato uno dei principali problemi legati a questa disciplina: L’Operating Theatre Scheduling. Tale problema parte da una lista d’attesa in cui sono presenti tutti i pazienti che devono subire un intervento chirurgico. L’operazione di Scheduling consiste nella selezione e programmazione di questi interventi nelle diverse sale del blocco operatorio, su un orizzonte temporale definito. In particolare il problema è stato esaminato utilizzando dati reali provenienti da un importante presidio ospedaliero dell’Emilia Romagna. Nel corso di questo elaborato sono stati studiati due diversi approcci risolutivi: un modello matematico processato con AMPL e un algoritmo euristico. Entrambi gli approcci sono volti al raggiungimento di obiettivo quali:
1 La schedulazione di molti pazienti, dando la priorità ai pazienti più urgenti in modo da evitare sforamenti della deadline e ridurre i tempi di attesa in lista
2 La saturazione delle sale operatorie
3 Il miglioramento dell’utilizzo delle sale, evitando di schedulare in sala operatoria trattamenti pre e post operatori che avrebbero potuto svolgersi nelle sale dedicate.
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Sjödin, Michaela, and Sara Norén. "Patient safety in operating theatres in Bangladesh." Thesis, KTH, Medicinsk teknik, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-149489.
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Background Because of extreme population and a lack of resources the risk of beeing harmed while admitted to a hospital in Bangladesh is big. Mistakes made at operating theatres can result in devastating consequences, but by evaluating the patient safety that risk can be minimized. Right now Bangladesh is in the middle of an industrialisation that is contributing to the growing need for an expanding health care. The country is regularly suffering from cyclones, tsunamis and monsoon rains and there is an urgent demand for safe health care. Method The aim of this thesis was to study the physical structure, organisation and practice at operating theatres in Bangladesh. At three private and two public hospitals 14 operating rooms in total were visited and the basic equipment was examined. Managers, physicians, nurses and technicians were interviewed at all hospitals, 41 people in total participated in the study. Results The temperature control was not up to standard, bigger storages were needed and none of the public hospitals had enough washing equipment for proper scrubbing. Only one hospital could monitor the patient’s body temperature during surgery and proper resuscitation equipment was missing in half of the operating rooms. The autoclave process could not keep up with the surgeries and delays were not unusual. The cleaning staff had no training in patient safety and the staff found that the nurse’s education was not enough. The reporting of mistakes rarely reached the management and a written report was unusual. Discussion Most of the staff did not know what calibration meant and there were only biomedical departments at two of the hospitals. Even though training was re- quested by the staff the management did not plan for any changes. This shows that it is the organisation, not the human errors, that is the source to the unstable situation of health care. The lacking of the reporting system is an- other reason for the slow development. Staff with technical knowledge must be available at the hospitals in order to help prevent risks and all hospitals should establish a biomedical department. Patients had to lie on the floor, due to the shortness of space. This is not good for patient safety, but the alternative would be that they would end up with no help at all. The outcome of patient safety should always result in better health for the people. The personal had this view of thinking and they showed great engagement to their work. Key words: Patient safety, Bangladesh, operating theatres, operating roomsBakgrund På grund av extrem befolkningsmängd och brist på resurser är risken för att bli skadad av sjukvården i Bangladesh stor. Misstag inom kirurgin ger förödande konsekvenser, men genom att utreda patientsäkerheten kan risken minimeras avsevärt. Bangladesh befinner sig just nu i en industrialisering som bidrar till det ökande behovet av vård. Flodvågor, översvämningar och stormar drabbar landet regelbundet och efterfrågan på säker sjukvård är akut. Metod Patientsäkerheten analyserades genom att undersöka den fysiska miljön, organi- sationen och den praktiska utövningen i operationssalar. På tre privata och två statliga sjukhus i Bangladesh besöktes sammanlagt 14 operationsrum, där den grundläggande utrustningen utvärderades. Avdelningschefer, läkare, sköterskor och tekniker intervjuades på samtliga sjukhus, totalt är 41 anställda med i stu- dien. Resultat Temperaturkontrollen var bristfällig, bättre förvaringsmöjligheter efterfrågades och ingen av de statliga sjukhusen hade tillräcklig utrustning för att tvätta händerna rätt. Endast ett sjuhus kunde övervaka patientens kroppstemperatur och återupplivningsutrustning saknades på hälften. Sterilisering av instrument kunde inte ske i samma tempo som operationerna och förseningar var vanligt. Städpersonalen hade ingen träning i patientsäkerhet och det fanns ett missnöje över sköterskornas utbildning. Rapportering av misstag gick sällan till sjukhus- ledningen och skriftlig rapportering var sällsynt. Diskussion De flesta av de tillfrågade visste inte vad innebörden av kalibrering var och endast två av sjukhusen hade en medicinteknisk avdelning. Trots att vidareut- bildning efterfrågades av personalen hade ledningen inga planer på förändringar. Detta visar på att det är organisationen, inte de anställdas misstag, som är källan till den osäkra sjukvården. Den otillräckliga rapporteringen är också en anled- ning till varför utvecklingen hämmas. Tekniskt kunniga personer måste finnas tillgängliga på sjukhusen för att förebygga risker och varje sjukhus bör organi- sera en medicinteknisk avdelning. På grund av platsbrist låg många patienter på golvet. Detta är självklart inte bra för patientsäkerheten, men alternativet skulle vara att de inte fick någon hjälp alls. Synen på patientsäkerhet måste alltid inkludera att hälsan i sin helhet förbättras, den insikten hade personalen på sjukhusen och de visade stort engagemang. Key words: Patientsäkerhet, Bangladesh, operationsavdelningar, operations- salar
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Watts, Melissa Jane. "Communication and teamworking in the operating theatre : an ethnographic study." Thesis, University of Sunderland, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.592891.
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This study examines the cognitive and social processes making up the non-technical skills that, together with technical expertise, are considered important for the safe and efficient functioning of operating theatre teams. Methods included observations of nurses and surgeons in the operating theatre undertaking operative procedures that involved both conscious and unconscious patients, individual interviews with a sub-set of these staff, and an examination of their perceived reactions to critical incidents. Based on ethnographic principles, such an approach affords a comprehensive and multidimensional understanding of the ways in which the work in an operating theatre is carried out and what may impact upon the successful development and manifestation of non-technical skills. From the framework analysis of the resultant data, and the themes that emerged across all three data collection methods, perceptions of team membership influenced the differing priorities in the way participants viewed their work, and shaped communication style and content; potentially contributing to barriers in communication between professions. The presence of a conscious patient had an inhibiting effect on explicit communication. This had a subsequent impact on the distributed cognition of the team and intensified the need for an increase in emotional labour, as well as affecting the effective implementation of other nontechnical skills, such as situation awareness. The accuracy of team mental models was also affected by the interaction of social and cognitive processes of both the individual and the team, with the teams' experience of working together also contributing to this and to the ways in which the recovery of non-standard events within theatre is managed. In the context of patient safety these results, and the subsequent enhanced understanding of the role of non-technical skills, provide a useful contribution to on-going discussions regarding how the performance of operating theatre staff teams may be optimised, leading to improved patient outcomes.
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Radulovic, Igor, and Timmie Abrahamsson. "The Impact Of Optimized Scheduling Within The Swedish Operating Theatre." Thesis, Blekinge Tekniska Högskola, Institutionen för industriell ekonomi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-18265.
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Improved utilization of scarce resources such as health care personnel is necessary to address well-known problem of long waiting times within the health care. Implementing mathematically modeled scheduling in the operating theatre has the potential to result in more efficient allocation of resources and financial gains. Despite the promising results, the adoption rate of such models is low. This thesis examines the impact of a mixed-integer linear programming model using an overlapping strategy. We perform a computational experiment where both sequential and parallel schedules are produced with real surgery data from an orthopedic department at a Swedish university hospital. The generated schedules are compared against each other in measurements of cost productivity. Statistical analysis shows that there is a statistical significant difference between the two schedules, favoring the optimized schedule. The results further suggest that three operating rooms and four surgery teams is the most optimal combination of the 18 combinations analyzed, where operating rooms and surgery teams varies between 1-4 and 1-6, respectively.
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Penn, Marion Louise. "Developing a multi-methodological approach to hospital operating theatre scheduling." Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/366470/.
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Operating theatres and surgeons are among the most expensive resources in any hospital, so it is vital that they are used efficiently. Due to the complexity of the challenges involved in theatre scheduling we split the problem into levels and address the tactical and day-to-day scheduling problems. Cognitive mapping is used to identify the important factors to consider in theatre scheduling and their interactions. This allows development and testing of our understanding with hospital staff, ensuring that the aspects of theatre scheduling they consider important are included in the quantitative modelling. At the tactical level, our model assists hospitals in creating new theatre timetables, which take account of reducing the maximum number of beds required, surgeons’ preferences, surgeons’ availability, variations in types of theatre and their suitability for different types of surgery, limited equipment availability and varying the length of the cycle over which the timetable is repeated. The weightings given to each of these factors can be varied allowing exploration of possible timetables. At the day-to-day scheduling level we focus on the advanced booking of individual patients for surgery. Using simulation a range of algorithms for booking patients are explored, with the algorithms derived from a mixture of scheduling literature and ideas from hospital staff. The most significant result is that more efficient schedules can be achieved by delaying scheduling as close to the time of surgery as possible, however, this must be balanced with the need to give patients adequate warning to make arrangements to attend hospital for their surgery. The different stages of this project present different challenges and constraints, therefore requiring different methodologies. As a whole this thesis demonstrates that a range of methodologies can be applied to different stages of a problem to develop better solutions.
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Jönsson, Marie. "Operating theatre nurses perceptions of patient safety in perioperative nursing." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25906.
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Bakgrund: Enligt Socialstyrelsens drabbas ca 110 000 patienter eller 8% av alla i den somatiska sjukhusvården av en vårdskada. En vårdskada är en undvikbar skada och patientsäkerhet är då att skydda patienten mot denna skada. En operationsavdelning är en komplex enhet med högteknologisk utrustning där många specialiteter och yrkeskategorier ska samordnas och arbeta i team för att patienten ska få en säker vård. Operationssjuksköterskan ska arbeta för en god och patientsäker perioperativ omvårdnad. Kärnan i operationssjuksköterskans omvårdnadsarbete är att säkerställa patientens säkerhet under operation och att arbeta förebyggande genom att tänka på allt som kan gå fel under en operation. Men vad som tillhör operationssjuksköterskans ansvarsområde och hur vederbörande kan säkerställa patientsäkerhet inom perioperativ omvårdnad behöver belysas och analyseras bättre.Syfte: Att belysa operationssjuksköterskans uppfattning om patientsäkerhet inom perioperativ omvårdnad i en svensk kontext.Metod: Kvalitativa semistrukturerade intervjuer genomfördes med 14 operationssjuksköterskor på ett mellanstort sjukhus i Södra Sverige. Intervjuernas innehåll analyserades med innehållsanalys.Resultat: Följande kategorier framkom i resultatet; Klinisk kompetens, Kommunikation, Vårdmiljö och Kompetensutveckling med elva underkategorier. Dessa kategorier reflekterade hur operationssjuksköterskorna uppfattade patientsäkerhet i förhållande till sin roll och ansvarsområden inom den perioperativa omvårdnaden.Slutsats: Resultatet indikerar att operationssjuksköterskan uppfattar att det huvudsakliga ansvarsområdet inom perioperativ omvårdnad är hygien och att bevara steriliteten och inom detta område försöker arbeta för att förhindra vårdskador och ge patienten en säker vård. Det finns dock omständigheter i organisationen på operationsavdelningen, i teamet och bristande respekt för operationssjuksköterskans kompetens som försvårar det arbetet.Background: The National Board of Health and Welfare estimates that 110 000 patients or 8% of all patients in the somatic hospital care are affected by health care errors. A health care error is an avoidable damage and patient safety are defined to protect patient against damage. An operation theatre is a complex environment with advanced technical equipment. Interdisciplinary groups of health professionals work together in teams to deliver safe care for the patients. The operating theatre nurse shall work to give the patient safe perioperative nursing. The core of their work is to ensure patient safety during surgery, managing risks and preventing harm. However, to analyze and illuminate the responsibility of the operating theatre nurses work to secure patient safety during perioperative nursing seems to be scarcely investigated.Aim: The aim of this study was to illuminate the operating theatre nurses perceptions of patient safety in perioperative nursing in a Swedish context.Method: Qualitative semi structured interviews were conducted with 14 operating theatre nurses in a hospital in the South of Sweden. The data was analyzed using content analysis.Results: These categories were identified in the results; clinical competence, communication, care environment and skills development with eleven subcategories. These categories reflected how the operating theatre nurses perceived patient safety related to their role and responsibility in perioperative nursing.Conclusion: The result indicates that these operating theatre nurse perceive that the main responsibility in perioperative nursing is hygiene and to preserve sterility. Furthermore, work to prevent health care error and to give the patient safe care. There are circumstances in the organization of the operation theatre, in the team and lack of respect for the operating theatre nurses competence that complicates that work.
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Haberlin, Richard J. "Analysis of unattended ground sensors in theater Missile Defense Attack Operations." Thesis, Monterey, California. Naval Postgraduate School, 1997. http://hdl.handle.net/10945/26369.
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Approved for public release; distribution is unlimitedUnattended ground sensors have a tremendous potential for improving Tactical Ballistic Missile Attack Operations. To date, however, this potential has gone unrealized primarily due to a lack of confidence in the systems and a lack of tactical doctrine for their employment. This thesis provides analyses to demonstrate the effective use of sensor technology and provides recommendations as to how they may best be employed. The probabilistic decision model reports the optimal size array for each of the candidate array locations. It also provides an optimal policy for determining the likelihood that the target is a Time Critical Target based on the number of sensors in agreement as to its identity. This policy may vary with each candidate array. Additionally, recommendations are made on the placement of the arrays within the theater of operations and their optimal configuration to maximize information gained while minimizing the likelihood of compromise. Specifics include, inter-sensor spacing, placement patterns, array locations, and off-road distance
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Seichter, Stephan. "The Fast Theater Model (FATHM) : optimization of air-to-ground engagements as a defender-attacker model /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2005. http://library.nps.navy.mil/uhtbin/hyperion/05Dec%5FSeichter.pdf.
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Thesis (M.S. in Operations Research)--Naval Postgraduate School, December 2005.Thesis Advisor(s): Robert F. Dell, Gerald G. Brown. Includes bibliographical references (p. 57). Also available online.
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Barrowman, Mary Ann McCullen. "Evaluation of operation plans using the Joint Theater Level Simulation." Thesis, Monterey, California. Naval Postgraduate School, 1985. http://hdl.handle.net/10945/21317.
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Corbett, Robert. "Human capital in the operating department : the significance of academic qualifications to the operating theatre workforce." Thesis, Staffordshire University, 2017. http://eprints.staffs.ac.uk/3040/.
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The pre-registration preparation of health care professionals for work in the operating department is in a transformative period. Now firmly entrenched in higher education, the professions are pursuing a policy of graduate entry based on a discourse underpinned by human capital theory. The impact of the introduction of graduate entry to nursing and Operating Department Practice (ODP) is explored in the context of the role of these professional groups in the operating department. A purposive sample of ODPs and theatre nurses participated in a survey, which was followed up with semi-structured interviews with a purposive sample of ODPs and theatre nurses, from each of the salary Bands 5 – 8. The findings from the study provide an original contribution to the field of education in three areas. First is a reconceptualisation of human capital theory which acknowledges both organisational and individual factors as determinants of participation in further education and training. Human capital theory is repositioned as a multidimensional model which maintains and builds on Becker’s (1993) original conceptualisation. Second is an insight into professionalisation at an individual practitioner level, which is linked to the red queen hypothesis to explain individual actions and reactions to the introduction of graduate entry. Third, a recommendation for review of the pre-registration training for ODPs and nurses is made, based on how the practitioners in this study developed their body of professional knowledge and contextualised clinical experience.
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Lovell, Neal T. "Theater level operations other than war modeling : applications of decision making theory." Thesis, Monterey, California. Naval Postgraduate School, 1994. http://hdl.handle.net/10945/28601.
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Approved for public release; distribution is unlimitedThis paper presents an automated model for generating courses of action in support of an Operations Other Than War (OOTW) simulation. The model simulates the decision making of a theater level staff in the OOTW humanitarian assistance mission environment. The model uses probabilistic forecasting models and Bayesian techniques to predict what the state of a region in the theater will be some time in the future. Decision tree structures and the forecasting module are used to solve the decision making problem using expected utility. The model uses pairwise comparisons of utility attributes to obtain a decision maker's preference structure, This structure is applied over a multi-attribute utility function and the decision tree. to find the optimal course of action for some region of the theater at a specific time. Some variations on Lanchester's attrition equations are used to model attrition, the effect of civilians in a combat zone, and the effect of rules of engagement. The model was tested using data representative of Somalia in late 1992. The results indicated the best approach in this instance is to initially provide a high level of aid to reduce the civilian starvation rates then transition to a more aggressive posture with a strong force in readiness to retaliate for attacks by opposing forces
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Woolshlager, Richard S., and Fredrick J. Wright. "Force of choice: optimizing theater special operations commands to achieve synchronized effects." Thesis, Monterey, California. Naval Postgraduate School, 2012. http://hdl.handle.net/10945/27922.
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SOCAFRICA, a theater special operations command (TSOC), executes the full spectrum of Special Operations in complex environments, emphasizing the indirect approach to operations. The operational emphasis on preventive activities in a steady-state environment provides access, awareness, and options to the U.S. and its partners in the event of crises. Special Operation Forces (SOF) have doubled in size over the past decade, and SOCOM has built tremendous capabilities in that time, but TSOCsthe regional-level SOF organizationshave not shared in these capability increases. Because TSOCs are under-manned and under-resourced, they are not capable of effectively applying the indirect approach to achieve long-term effects for Geographic Combatant Commanders and Chiefs of Mission. Change is needed to improve TSOC effectiveness. This thesis will analyze the organizational shortfalls of TSOCs through the lens of the newest TSOC, SOCAFRICA, and will examine USSOCOMs Global SOF Network concept which intends to provide authorities, capabilities, and resources to TSOCs to make them the force of choice at the regional level. SOCOM has established a road map to optimize TSOCs. However, the GSN alone is not capable of implementing the necessary changes; it will require commitment and continued support from the individual services, the GCCs, and from Congress. t
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Bickel, William G. Jr. "Improving the analysis capabilities of the Synthetic Theater Operations Research Model (STORM)." Thesis, Monterey, California: Naval Postgraduate School, 2014. http://hdl.handle.net/10945/43878.
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Approved for public release; distribution is unlimitedThe Office of the Chief of Naval Operations, Capability Analysis and Assessment Division (OPNAV N81), along with other DOD organizations, utilizes the Synthetic Theater Operations Research Model (STORM) as its primary campaign analysis tool. STORM aids senior-level policymakers in evaluating military strategy and capabilities, force structure, and operational effectiveness. This is a proof-of-concept thesis that determines the feasibility of implementing a simple design of experiments within the complicated framework of STORM. Such a capability will enable quicker and more robust estimates of proposed force structure trade-offs. After utilizing various methods and statistical techniques, this thesis concludes that it is possible to implement small designs within STORM that could offer useful insights to OPNAV N81 analysts. However, the steps needed to successfully complete a design are far from automated and fairly complex. Currently, they require a great deal of time to manually apply. As a pilot study, these results pave the way for future researchers to apply our results to a real-world, classified scenario.
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Seymour, Christian N. "Capturing the full potential of the Synthetic Theater Operations Research Model (STORM)." Thesis, Monterey, California: Naval Postgraduate School, 2014. http://hdl.handle.net/10945/44000.
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Approved for public release; distribution is unlimitedThe Synthetic Theater Operations Research Model (STORM) is the primary campaign analysis tool used by the Office of the Chief of Naval Operations, Assessment Division (OPNAV N81) and other Department of Defense organizations to aid in providing analysis to top-level officials on force structures, operational concepts, and military capabilities. This thesis describes how STORM works, analyzes the variability associated with many replications, and evaluates the trade-off between the expected number of replications and the precision and probability of coverage of confidence intervals. The results of this research provide OPNAV 81 with the ability to capitalize on STORM’s full potential on a time-line conducive to its high-paced environment. The distribution of outcomes is examined via standard statistical techniques for multiple metrics. All metrics appear to have sufficient variability, which is critical in modeling the combat environment. The trade-off for confidence intervals between the expected number of replications, precision, and the probability of coverage is very important. If a more precise solution and a higher probability of coverage are required, more replications are generally needed. This relationship is explored and a framework is provided to conduct this analysis on simulation output data.
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Roberts, David. "CFD evaluation of airborne infection routes in operating theatres." Thesis, University of Leeds, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.436246.
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Sanchez, Svensson Marcus. "Configuring awareness : work, interaction and collaboration in operating theatres." Thesis, King's College London (University of London), 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417385.
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Savage, David M. "A comparative analysis of U. S. Army Air Defense Artillery strategies using the Joint Theater Level Simulation model." Thesis, Monterey, California : Naval Postgraduate School, 1990. http://handle.dtic.mil/100.2/ADA241037.
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Thesis (M.S. in Operations Research)--Naval Postgraduate School, September 1990.Thesis Advisor(s): Parry, Samuel H. Second Reader: Caldwell, William J. "September 1990." Description based on title screen as viewed on December 18, 2009. DTIC Descriptor(s): Air Defense, Artillery, Simulation, Warfare, Theater Level Operations, Aircraft, Strategy, Defense Systems, Point Defense, Loads(Forces), Attack, Theses, Missions, Army, ADA Programming Language, Bombing, USSR, Computerized Simulation, Models. DTIC Identifier(s): Belt Defense. Author(s) subject terms: JTLS, ADA strategy, point defense, belt defense. Includes bibliographical references (p. 56). Also available in print.
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Finn, Rachael. "Collaborative work in the operating theatre : conflict and the discourse of 'teamwork'." Thesis, University of Nottingham, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397548.
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Hull, Louise Mary. "Teamwork in the operating theatre : scientific principles of assessment and clinical applications." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/11057.
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Hospitalised patients are most likely to suffer harm in the operating theatre. Non-technical and team skills have been identified, and are increasingly recognised, as critical to safety and efficiency in the operating theatre. Despite increasing awareness of the importance of these skills to patient safety, education, training and assessment is lacking. The overarching aim of this Thesis is to facilitate and accelerate the integration of these skills into the education, training, and assessment of operating theatre teams by addressing a number of challenges related to this endeavour. An introduction to patient safety and the core non-technical and team skills that underpin expertise and safety in the operating theatre is presented, providing the theoretical basis for this work (Chapters 1 & 2). A systematic review on the impact of non-technical skills on technical performance in surgery is presented (Chapter 3), underlining the need to integrate these skills into the education, training and assessment of operating theatre teams. The empirical work of this Thesis is then reported. An observational study exploring stress and teamwork in the operating theatre is presented (Chapter 4), increasing our understanding of the factors that facilitate and impede teamwork in the operating theatre. To ensure the robust assessment of teamwork in the operating theatre, the formal content validation and refinement of the Observational Teamwork Assessment for Surgery (OTAS) tool is reported (Chapter 5). This is followed by an observational study exploring team performance at specific operative stages, as well as in multiport versus single incision laparoscopic surgery (Chapter 6). Chapters 7-8 report the development of guidelines, based on expert consensus, to train faculty in the assessment of non-technical and teamwork skills, an essential feat if non-technical and team skills are to be successfully integrated into the training and assessment of operating theatre teams. Chapter 9 reports the development, piloting and evaluation of a programme, based on the findings of Chapters 7-8, to train faculty to assess teamwork in the operating theatre. Finally, Chapter 10 provides a general discussion of the work presented in this Thesis, reflecting on the findings and the wider evidence base. Implications for clinical practice, patient safety and future research are explored.
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Brown, David K. "An analysis of movement of 40 foot containers in a theater of operations." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1995. http://handle.dtic.mil/100.2/ADA295398.
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McGarvey, Helen Elizabeth. "The operating department : investigating the role of the nurse." Thesis, University of Ulster, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326331.
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Harris, Natalie K. "Gas detection using semiconducting polymers." Thesis, University of Manchester, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.262652.
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Bregazzi, Richard Cretney. "Teaching surgeons to be sergeons How operating theatre practise may enable and constrain learning." Thesis, University of Newcastle Upon Tyne, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.506675.
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Motseki, Ellen 'Maliapa. "Student nurses' experience of the operating theatre as a clinical learning environment in Lesotho." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/2960.
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Wilk, Thomas J. "Theater level operations : modeling ground unit logistical requirements in the Joint Warfare Analysis Experimental Prototype /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 1995. http://handle.dtic.mil/100.2/ADA306189.
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