Who could disagree with the seemingly common-sense reasoning that: “We must learn from the things that go wrong.”? Despite major investments to improve patient safety, relatively few evaluations demonstrate convincing reductions in risk, harm, serious error or death. This disappointing trajectory of improvement from learning from errors or Safety-I as it is sometimes known has led some research...

The influence of the multi-boson effects on pion multiplicities, single-pion spectra and two-pion correlation functions is discussed in terms of an analytically solvable model. It is argued that spectacular multi-boson effects are likely to be observed only in the rare events containing sufficiently high density fluctuations. The possibilities of unlike particle correlations for a study of the ...

abstract:   video embossed tiles, the tiles are fairly large group makes up period, the number of these tiles at golestan palace museum's main hall is used. the study of these works, illuminating many issues and matters relating to art is in period. the phenomenon is illustrated in qajar embossed tiles, cultural factors, social and arts related courses. in this article, the influence of cu...

This is exactly the kind of book I like to read and seem see too few examples of. Jill Ingram sets herself explore two interrelated questions: first, how did festive drama negotiate radical ideological changes precipitated by Protestant Reformation, second, it continue fund itself in wake equally significant social structures communities on which had previously relied? Her answer that so taking...

The purpose of this study is to analyze financial performance using the independently ratio, effectiveness efficiency and dependency ratio between regional governments Central Aceh Bener Meriah in 2015-2019. This type research descriptive quantitative analysis method. uses LKPD data obtained from BPK office. results showed that independence regencys was at a very low level. government Tengah ha...

The ANN-based mesoscale-microscale coupling model forecasts wind speed and wind direction with high accuracy for wind parks located in complex terrain onshore, yet some weather regimes remains unresolved and forecast of such events failing. The model's generalization improved significantly when categorization information added as an input. The improved model is able to resolve extreme events an...