Reporting Hierarchy

A strong, healthy culture is an essential ingredient in healthcare safety. One indicator of a strong, healthy culture is that everyone—whatever their position in or relationship to the organization, whether patient, vendor, nurse, CEO, janitor, or visitor— feels empowered to step outside the usual reporting hierarchy to raise a safety concern or call a halt to an unsafe activity before an error occurs. 

Lubrication skid. The gas turbine lubrication skid is usually independent of the steam turbine skid as the lubrication oil is usually synthetic due to the high temperatures in the gas turbine. Another reason is due to water contamination of the lubrication oil from the steam turbine. It is advisable to have the lubrication system be totally independent. The gas turbine lubrication skid would report to the gas turbine controller. Since the lubrication system is also used for providing cooling, it is usually operated for about 20 minutes after the gas turbine is shutdown. The lubrication skid contains at least three pumps, two pumps in which each can provide the head required and a third pump, which is usually recommended to be a DC drive for emergency use. These pumps and their control fall under the drive level hierarchy. 

The fuel. skid. This could contain a gas compressor if the fuel gas pressure is low and a knockout drum for any liquid contamination that the gas may have. The requirement of fuel gas pressure is that it should be operated at a minimum of 50-70 psi (3.5-4.83 Bar) above the compressor discharge pressure. The compressor and its motor drive fall under the drive level hierarchy. In the case of liquid fuels, the skid may also contain a fuel treatment plant, which would have centrifuges, electrostatic precipitators, fuel additive pumps, and other equipment. These could be directly controlled by the D-CS system, which would then report its readiness to the gas turbine controller. 

Fienemann, M. and C. Mason. Nuclear Plant Component Nomenclature Hierarchy for Failure and Repair Reporting. SAI/NY-R-81-4, 1981. 

Moody, J., Fast learning in multi-resolution hierarchies," Research Report, Yale University, YALEU/DCS/RR-681 (1989). 

Although the quantities reported for the first two years are estimates of quantities already managed, the quantities reported for the third and fourth years are projections only. U.S. EPA requires these projections to encourage facilities to consider future waste generation and source reduction of those quantities as well as movement up the waste management hierarchy. Future-year estimates are not commitments that facilities reporting under TRI are required to meet. 

In view of the reported growing importance ascribed to folic acid deficiency in the prevention of various disease conditions, such as neural tube defects, megaloblastic anemia, colon cancer, and colorectal cancer, a dissolution requirement is specified for folic acid when it is present in multivitamin-mineral combination products. Currently, the dissolution standard required in the official articles of dietary supplements (including vitamin-mineral combination products) places folic acid outside the index vitamin hierarchy. Therefore, a mandatory dissolution test for folic acid is required that is independent of and in addition to the mandatory index vitamin test for multivitamin preparations containing folic acid. 

Although the calculations reported here have been carried out in a small basis, there is no reason to believe that our conclusions regarding the convergence of the coupled-cluster hierarchy would be different had the calculations been carried out in larger basis. In particular, we conclude that the CCSDT model is incapable of predicting AEs to within 1 kJ/mol. 

In the next section, we recapitulate the derivation of the Cauchy moment expressions for CC wavefunction models and give the CC3-specific formulas we also outline an efficient implementation of the CCS Cauchy moments. Section 3 contains computational details. In Section 4, we report the Cauchy moments calculated for the Ne, Ar, and Kr gases using the CCS, CC2, CCSD, CCS hierarchy and correlation-consistent basis sets augmented with diffuse functions. In particular, we consider the issues of one- and A-electron convergence and compare with the Cauchy moments obtained from the DOSD approach and other experiments. 

Although this study provided insight into the clonal composition of human HSC hierarchy, it was unknown if the ex vivo manipulations required for retroviral marking had quantitative or qualitative effects on SRC fates. The developments in lentivector transduction protocols enabled efficient transduction of SRC in the absence of cytokine and serum stimulation . Using minimal ex vivo manipulation to mark hematopoietic cells with lentiviral integration, the fates of SRC were evaluated . As reported previously using retroviral-marking, lentivector transduced short-term SRC contributed rapidly... 

Whereas the microprocessor controls an individual basic operation, the central computer, which has all the analytical procedures held in its memory, controls the particular analytical procedure required. At the appropriate time, the central computer transmits the relevant set of parameters to the corresponding units and provides the schedule for the sample-transport operation. All units are monitored to ensure proper functioning. If one of the units signals an error, a predetermined action, such as disposing of the sample, is taken. The basic results from the units are transferred to the central computer, the final results are calculated, and the report is passed to the output terminal. These results can also be transmitted to other data processing equipment for administrative or management purposes. The central control is, therefore, the leading element in a hierarchy of... 

Section 2.0 identifies metals listed by the California Code of Regulations as hazardous in industrial waste streams. Section 2.0 also discusses the waste reduction hierarchy and waste management methods examined in the report... 

As with many enzymes the role of AMP aminohydrolase in the hierarchy of metabolic catalysts is not clearly understood. Enzymic activity in muscle is markedly reduced in the dystrophic mouse (161, 162), in humans suffering from Duchanne type muscular dystrophy (163), in hypokaliemic periodic paralysis (164), and upon denervation of normal and dystrophic mouse gastronemii (165). Activity is reported to increase in both transplanted and primary hepatomas (151) and in precancerous livers prior to the onset of neoplasia induced by feeding or by intraabdominal injections of the potent carcinogen 3 -methyl-4-dimethyl-aminoazobenzene (166). The weak carcinogen, 4 -methyl-4-dimethyl-aminoazobenzene was not effective (166). Increases in enzyme activity concomitant with altered nuclear-nucleolar morphology, nuclear RNA content, and nuclear RNA biosynthesis were also observed after injections of thioacetamide, a hepatocarcinogen (167, 168). 

In science, there is a hierarchy of questions (i) what , (ii) how , and (iii) why . The report of a given fact, e.g., the determination of a series of products and their yields, only answers the question what . Additional kinetic studies raise our level of understanding, as it answers the question how . The ultimate scientific question, why , has as yet rarely been answered, but this level of knowledge is a prerequisite for being able to predict a certain reaction without too many flanking experiments. Thus, it will be one of the main goals of future research to strive for an in-depth theoretical understanding. This, of course, has to be based on our present (and future) experimental data, and it is one of the intentions of this book to provide the necessary information in a compact form. 

Chapter 4 covers the site selection and site controlling phase. Consequently, it deals with the assessment of individual production sites based on primarily qualitative criteria. Alternative Multiple Attribute Decision Analysis methods are reviewed and a decision support model employing the Analytic Hierarchy Process, which can be used both for site selection problems and as a controlling tool to perform site portfolio rankings of entire production networks, is proposed. Experiences from application in industry are reported. 

---