Lloydmcguire6958

Pharmacy verified 94 (94%) orders and nursing verified 55 (55%) orders within 1 hour (gold standard). Sixteen (16%) patients received CSCIO within 1 hour. The 5 Whys identified nursing order verification and pharmacy lack of visual STAT order notification for priority as the potential sources for infusion timeliness improvement. The follow-up time study confirmed improvement in pharmacy delivery time from 29% to 75% on time. CONCLUSION Pharmacist-led intervention directed to improve CSCIO processes in an inpatient hospice unit utilizing LEAN QI methodology increased timeliness of pharmacy CSCIO delivery.Opioids are an effective treatment for patients with intractable pain. Long-term administration of opioids for pain relief is being delivered by an increasing number of medical providers in the United States including primary care physicians and nonspecialists. One common complication of chronic opioid use is sleep-disordered breathing which can result in various morbidities as well as an increase in all-cause mortality. It is important for providers to understand the relationship between opioids and sleep-disordered breathing as well as methods to improve diagnosis and strategies for treatment. This review aims to update clinicians on the mechanism, diagnosis, and treatment of opioid-related sleep-disordered breathing in order to improve the quality of care for patients with chronic pain.Recent attentional capture studies with the spatial cueing paradigm often found that target-dissimilar precues resulted in longer RTs on valid than invalid cue trials. These same location costs were accompanied by a contralateral positivity over posterior electrodes from 200 to 300 ms, similar to a PD component. Same location costs and the PD have been linked to the inhibition of cues with a unique feature (singleton cues) that do not match the target feature. In some studies reporting same location costs, the cue was surrounded by other cues (i.e., the context cues) that matched the physical or relative feature of the target. We hypothesized that the context cues might have captured attention and might have elicited data patterns that mimicked the inhibitory effects. To disentangle inhibition of the singleton cue from capture by the context cues, we added gray cues to the cue array, which we considered neutral because gray matched neither the target nor the nontarget color. In four experiments, the results consistently showed that the context cues in the nonmatching cue condition captured attention, as reflected in shorter RTs compared to neutral cues and a substantial N2pc to lateralized context cues. By contrast, the evidence for inhibition of the singleton cue was rather weak. Therefore, same location costs and lateralized positivity in the event-related potential of participants in several recent studies probably reflected attentional capture by the context cues, not inhibition of the singleton cue. (PsycINFO Database Record (c) 2020 APA, all rights reserved).During ensemble coding, the visual system extracts summary information from input that has been integrated, facilitating gist-level judgments about objects and features that belong together. In contrast, input can be segmented, allowing for quick categorical distinctions between objects. Integration and segmentation usually work in parallel but may sometimes conflict in the context of ensemble coding. To investigate this possibility, we examined summary perception of aspect ratio (i.e., "tallness/flatness"). Aspect ratio has a category boundary (e.g., a circle), and individual aspect ratios may be perceptually exaggerated-segmented-away from this boundary. We predicted that summary perception of multiple aspect ratios would be disrupted when, as a set, they spanned the category boundary, since integration and segmentation would then be at odds. We found that when observers reported the average aspect ratio of a set of ellipses, they were less sensitive to the mean of sets that included both tall and flat ellipses, compared to sets comprised of tall or flat ellipses. Follow-up experiments suggest this occurred because segmentation distorted the appearance of ellipses away from the category boundary, exaggerating set heterogeneity. These experiments advance understanding of how the visual system summarizes information by showing that integration and segmentation can conflict. (PsycINFO Database Record (c) 2020 APA, all rights reserved).Prevailing theories of visual working memory assume that each encoded item is stored or forgotten as a separate unit independent from other items. Here, we show that items are not independent and that the recalled orientation of an individual item is strongly influenced by the summary statistical representation of all items (ensemble representation). We find that not only is memory for an individual orientation substantially biased toward the mean orientation, but the precision of memory for an individual item also closely tracks the precision with which people store the mean orientation (which is, in turn, correlated with the physical range of orientations). Thus, individual items are reported more precisely when items on a trial are more similar. this website Moreover, the narrower the range of orientations present on a trial, the more participants appear to rely on the mean orientation as representative of all individuals. This can be observed not only when the range is carefully controlled, but also shown even in randomly generated, unstructured displays, and after accounting for the possibility of location-based 'swap' errors. Our results suggest that the information about a set of items is represented hierarchically, and that ensemble information can be an important source of information to constrain uncertain information about individuals. (PsycINFO Database Record (c) 2020 APA, all rights reserved).Successful interactions within the environment are contingent upon the perceiver's ability to perceive the maximum extent over which they can perform actions, commonly referred to as action boundaries. Individuals are extremely calibrated to their action boundaries, and the perceptual system can quickly and flexibly recalibrate to changes in the size of action boundaries in the event of physiological and/or environmental changes. However, because even the most basic motor activities are subject to variability over time, the information upon which action boundaries are based must also be subject to variability. In this set of studies, we examined the effect of random and systematic variability in reaching experience on the perception of action boundaries for reaching using virtual reality. Participants were asked to estimate their reachability following experience reaching with either a long virtual arm, short virtual arm, or a virtual arm that varied in size. Overall, we found that individuals tended toward liberal estimates of their reachability; however, individuals can be influenced to be slightly more conservative after a higher percentage of short reaches.