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Emergency Plans (emergency + plan)
Selected AbstractsReactive chemicals emergency response and post-event calorimetric testingPROCESS SAFETY PROGRESS, Issue 1 2010David Frurip Abstract A serious upset in process conditions may result in a Reactive Chemicals incident. In such an emergency, procedures must be implemented to prevent injuries, mitigate the event and minimize property loss and/or environmental release as dictated by the required facility Emergency Plan. This article describes the process the Dow Chemical Company uses for engaging Reactive Chemicals experts in an emergency situation. In order to be effective, the Reactive Chemicals expert must have or be provided with in-depth knowledge of the process streams and raw materials involved. The information is crucial for understanding what is happening, what might happen in the immediate future, and what can be done to successfully mitigate the Reactive Chemicals incident. Following the incident, calorimetric experiments are typically performed to confirm or refute the hypotheses of what caused the event; additionally, the experiments provide information as to reactive chemicals hazards that may potentially still exist in the process streams. The aforementioned process will be illustrated by describing an actual event. Useful methods are described and recommended for (a) characterizing and storing reactive chemicals, and (b) responding and mitigating safety incidents with reactive chemicals. The role of a reactive chemicals "expert" during and after a plant emergency is important and potentially critical to the safe handling of an ongoing event and also in determining the root cause of the incident. © 2009 American Institute of Chemical Engineers Process Saf Prog, 2010 [source] The Need for Double-Sampling Designs in Survival Studies: An Application to Monitor PEPFARBIOMETRICS, Issue 1 2009Ming-Wen An Summary In 2007, there were 33.2 million people around the world living with HIV/AIDS (UNAIDS/WHO, 2007). In May 2003, the U.S. President announced a global program, known as the President's Emergency Plan for AIDS Relief (PEPFAR), to address this epidemic. We seek to estimate patient mortality in PEPFAR in an effort to monitor and evaluate this program. This effort, however, is hampered by loss to follow-up that occurs at very high rates. As a consequence, standard survival data and analysis on observed nondropout data are generally biased, and provide no objective evidence to correct the potential bias. In this article, we apply double-sampling designs and methodology to PEPFAR data, and we obtain substantially different and more plausible estimates compared with standard methods (1-year mortality estimate of 9.6% compared to 1.7%). The results indicate that a double-sampling design is critical in providing objective evidence of possible nonignorable dropout and, thus, in obtaining accurate data in PEPFAR. Moreover, we show the need for appropriate analysis methods coupled with double-sampling designs. [source] Emergency preparedness consultants at the local government level: the Israeli experienceDISASTERS, Issue 4 2010Moshe Maor This study evaluates the effectiveness of the Municipal Emergency Consultation project in eight Israeli local authorities. The initiative centres on the appointment of independent emergency preparedness consultants entrusted with tailoring an emergency preparedness package to suit the specific needs of each locality. Regarding emergency preparedness improvements, in all of the municipalities examined, a concept of municipal emergency operation was consolidated and the derived emergency plan tested. Emergency work processes were structured and service-level agreements reached between municipality departments. Where necessary, a-linear patterns of municipal functioning in an emergency were established. Concerning a ,spillover' of emergency preparedness improvements into routine operations, and a ,spillover' of routine management improvements into local emergency preparedness, two municipalities near Gaza, which typically function in an emergency routine, saw a significant ,spillover' of emergency preparedness into routine functioning. In other localities, local managers chose to improve a number of municipal structures and procedures in times of routine functioning, which are also related to the functioning of the municipality during an emergency. [source] Emergency preparation and green engineering: Augmenting the environmental knowledge and assessment toolENVIRONMENTAL PROGRESS & SUSTAINABLE ENERGY, Issue 4 2009Clinton E. Whiteley Abstract As our society continues to better prepare itself to address biological, radiological, chemical, and environmental emergencies, there is a need for better and more readily available emergency planning information for program managers and military or business personnel. Incorporating an online hazardous materials (HAZMATs) and emergency planning tool into the Environmental Knowledge and Assessment Tool (EKAT: www.ekat-tool.com) would adequately fill that need. Although not yet fully functional, the project report that this manuscript is based on is available for viewing on the EKAT web site. The proposed online emergency preparation and green engineering (EPGE) tool would provide the user with information regarding links to local emergency response teams and resources, guides for developing emergency plans and reports, HAZMATs training information, case studies to illustrate HAZMAT situations, and the ability to judge the environmental greenness of chemicals. In this way, it will serve as a means of facilitating and educating individuals for best responses in an organized fashion. To address their environmental responsibilities, public and private organizations are adopting environmental management systems (EMS). The EPGE tool is used in conjunction with EMS to address sustainability. Currently, the creation of a comprehensive tool that identifies environmental, health, and safety concerns along with supplying relevant emergency data is applicable to any business or organization. It is designed to be used as a guide to characterize and solve the environmental issues that could affect any business. © 2009 American Institute of Chemical Engineers Environ Prog, 2009 [source] Impact of quality circles for improvement of asthma care: results of a randomized controlled trialJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 2 2008Antonius Schneider MD Abstract Rationale and aims, Quality circles (QCs) are well established as a means of aiding doctors. New quality improvement strategies include benchmarking activities. The aim of this paper was to evaluate the efficacy of QCs for asthma care working either with general feedback or with an open benchmark. Methods, Twelve QCs, involving 96 general practitioners, were organized in a randomized controlled trial. Six worked with traditional anonymous feedback and six with an open benchmark; both had guided discussion from a trained moderator. Forty-three primary care practices agreed to give out questionnaires to patients to evaluate the efficacy of QCs. Results, A total of 256 patients participated in the survey, of whom 185 (72.3%) responded to the follow-up 1 year later. Use of inhaled steroids at baseline was high (69%) and self-management low (asthma education 27%, individual emergency plan 8%, and peak flow meter at home 21%). Guideline adherence in drug treatment increased (P = 0.19), and asthma steps improved (P = 0.02). Delivery of individual emergency plans increased (P = 0.008), and unscheduled emergency visits decreased (P = 0.064). There was no change in asthma education and peak flow meter usage. High medication guideline adherence was associated with reduced emergency visits (OR 0.24; 95% CI 0.07,0.89). Use of theophylline was associated with hospitalization (OR 7.1; 95% CI 1.5,34.3) and emergency visits (OR 4.9; 95% CI 1.6,14.7). There was no difference between traditional and benchmarking QCs. Conclusions, Quality circles working with individualized feedback are effective at improving asthma care. The trial may have been underpowered to detect specific benchmarking effects. Further research is necessary to evaluate strategies for improving the self-management of asthma patients. [source] Veterinary profession has key role in emergency plansAUSTRALIAN VETERINARY JOURNAL, Issue 9 2002Article first published online: 10 MAR 200 No abstract is available for this article. [source] | ||||||||||