Baseline management

Risk is an important aspect of baseline management. The decision to use one technology or technologies and designs must be well researched and tested. However, these decisions can have a dramatic effect on both the schedule and the cost of the project. Risk can also establish the priorities of performing one task over another, thus controlling the work environment. 

Orders that WSRC identified as applicable to WSRC, but not ESH QA-related, were assessed through a parallel effort that resulted in the issuance of "DOE Directives Baseline Management Systems Assessment Phase 2 Final Report" (Reference 8). This report, which details WSRC s assessment of non-ESH QA-related Orders, is similar to the ESH QA-Related Order Compliance Plan in structure. The staff determined that the lists of DOE Orders identified in both of these WSRC assessments are incomplete. This is an open item. 

DOE Directives Baseline Management Systems Assessment Phase 2 Final Report (U)", WSRC-RP-89-969, September 29, 1989. 

All pollution prevention programs start the same - with an audit. The objective of an audit is to gather information aimed at developing a baseline description of the operations. Once we understand how much the costs of compliance to air and other pollution media are, then we can apply engineering tools and management practices to reduce these costs. 

The audit team, through its systematic analysis, should document areas that require corrective action as well as where the process safety management system is effective. This provides a record of the audit procedures and findings and serves as a baseline of operation data for future audits. It will assist in determining changes or trends in future audits. 

Having agreed on PSM goals and objectives, your next step is to conduct a more detailed assessment of the present status of PSM activities within your company, to form the basis for your implementation plan. This baseline assessment works against both the model you have selected for PSM and the characteristics that describe a sound management system, such as those described by CCPS. 

Buy-in" of facility management. Cooperation of facility-based staff and managers strongly influences the effectiveness of baseline PSM assessments. The assessment phase may be the first visible manifestation of your company s PSM initiative at the local level, and should be properly understood by those participating—especially those whose PSM activities and programs are under review. An assessment method with which local personnel are at least somewhat familiar, conducted by professionals whose skills they respect, will more likely gain buy-in and cooperation. 

FIGURE 4-5. Baseline Audit Report for Management of Change... 

As with audits, survey results form the basis of a facility-specific report for circulation to facility management and the PSM team. This report may follow the questionnaire format, with responses tabulated and analysis and commentary provided at the end. If necessary, baseline PSM assessments can be performed by a single individual using a survey method. 

If you have diligently kept senior management informed (either directly or through superiors) of your team s progress throughout the effort to date, your job at this point will be far easier. Management will have a solid baseline of... 

The main output from this stage is a detailed assessment of the human error problem areas. If possible this should include quantitative data on the incidence of errors and the significance of their consequences. This will provide a valuable baseline against which to evaluate the success of the error management program. 

The committee will formulate an error management strategy to address the specific needs of the plant based on the information collected during the baseline exercise. The strategy will address the following areas ... 

Before administering die first dose of vasopressin for die management of diabetes insipidus, die nurse takes die patient s blood pressure, pulse, and respiratory rate. The nurse weighs the patient to obtain a baseline weight for future comparison. Serum electrolyte levels and odier laboratory tests may be ordered by die primary health care provider. 

Solutions used to manage body fluids are often administered IV. Before administering an IV solution, the nurse assesses the patient s general status, reviews recent laboratory test results (when appropriate), weighs the patient (when appropriate), and takes the vital signs. Blood pressure, pulse, and respiratory rate provide a baseline, which is especially important when the patient is receiving blood plasma, plasma expanders, or plasma protein fractions for shock or other serious disorders. 

R D management tends to be dominated by a project management paradigm, and most organizations develop systems based upon standard project management software, for example, Microsoft Project . This is very useful for project control, but of much less help in decision support. John Gittins claimed in 1997 [10] that very few pharmaceutical companies practice use of decision analysis in planning their work. Decisions tend to be made only for a baseline plan, and typically... 

Scheuhammer AM. 1990. Accumulation and toxicity of mercury, cadmium and lead in vertebrates. In Workshop to Design Baseline and Monitoring Studies for the OCS Mining Program, Norton Sound, Alaska — Workshop Proceedings, US Dept, of the Interior Minerals Management Service, OCS Study, mms90-059. 

The recent CORTICUS trial (hydrocortisone vs placebo) does not support the routine use of corticosteroids in the management of septic shock. No difference in 28-d mortality was observed between groups, regardless of baseline relative adrenal insufficiency. Duration of shock was shorter in the hydrocortisone group however, an increased incidence of hyperglycemia, sepsis, and recurrent septic shock was observed. This section reflects the 2004 consensus guidelines... 

Guidelines for managing corticosteroid-induced osteoporosis recommend measuring BMD at the beginning of chronic therapy (prednisone 5 mg or more daily or equivalent for at least 6 months) and followup monitoring with DXA in 6 to 12 months. BMD should be measured in patients taking chronic therapy whose baseline values were not obtained. 

Beyond simple data storage and instrument control, modern data systems provide extensive data analysis capabilities, including fitted baselines, peak start and stop tic marks, named components, retention times, timed events and baseline subtraction. Further, they provide advanced capabilities, such as multiple calibration techniques, user-customizable information and reports and collation of multiple reports. If a Laboratory Information Management System (LIMS) is available, the chromatographic data system should be able to directly transfer data files and reports to the LIMS without user intervention. The chapter by McDowall provides a terse but thorough description of the... 

DoD should select a program manager who was not and never had been associated with the baseline incineration program. 

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