Small group improvement efforts

Small group improvement efforts. These efforts keep moving the organization toward better operations. It also improves worker satisfaction by offering each a stake in the improvement effort. 

Background. Focused efforts must be taken to educate all customers of the improvement project. Multidisciplinary, multifaceted education is essential. When surveyed, clinicians have reported that short executive summaries or synopses of recommendations and expected benefits are most preferred. Involving the multidisciplinary teams to provide the education to their respective groups also can be very effective. Small group education sessions have been repeatedly shown to be very effective, and should be used to reinforce concepts presented at didactic sessions if large group programs are done. Ideally, one-on-one education should be performed also, because it has been shown to be very effective. - - ... 

Monitoring the safety of employees who work in small isolated groups poses a particular challenge for safety improvement efforts. Such was the case for an oil and gas company with which we consulted. Its pipeline maintenance employees worked in field groups of only a few people their job was to maintain miles of pipeline in the so-called middle of nowhere. These workers were at risk not only for physical torque injuries and line-of-fire injuries from the energized systems they worked with but also for injuries from natural hazards (such as snakes) in the rough and remote territory in which they worked. 

Peptides, when administered orally, are susceptible to degradation in the stomach by gastric enzymes and the proteinases of the pancreas and brush border of the small intestine. Their lifetimes in the plasma are often short due to rapid proteolysis and other metabolic processes. Early efforts were made to improve the resistance of renin inhibitors to hydrolysis in vivo by the use of blocking groups at the Eland C-terminii [39] and replacement of susceptible peptide bonds other than the renin cleavage site. Studies of SAR have shown that various N- and C-terminal groups, some based on the morpholine nucleus and derivatives of it, have a favorable effect on the duration of inhibition in the... 

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