År 2003 introducerades en checklista för patienters kliniska status och vårdplats påneurointensivvårdsavdelningen (NIVA) på ett universitetssjukhus i Mellansverige.Studiens syfte var att utvärdera denna checklista som verktyg i klinisk verksamhet med fokuspå brister, åtgärder och användarvänlighet.Studien består av tre delar och är deskriptiv med kvantitativ ansats. En observationsstudie avtvärsnittskaraktär där funna brister och åtgärder studerats, en journalgranskning däranvändarvänlighet studerats och en enkätstudie avseende intensivvårdssjuksköterskornaserfarenheter och upplevelser.Resultatet visade att checklistan var användarvänlig med nyttjandefrekvens på 100 %.Intensivvårdssjuksköterskorna ansåg att checklistan inverkar positivt på arbetet, utgör ett stödoch bidrar till ökad patientsäkerhet. Den vanligast funna bristen var larmgränser. Totaltpåträffades brister i 38 % av fallen och dessa gav en åtgärdsfrekvens på 77,5 %. Ensignifikant skillnad avseende åtgärdsfrekvensen påträffades mellan dag- och nattpass.Slutsatsen är att checklistan bidrar till att brister upptäcks och åtgärdas, den är användarvänligoch personalen är positivt inställd till den.

The Swedish Aviation Safety Authority has decided to standardise a classification system for reporting deviations found in inspections. The purpose of a classification system is that similar deviations always should be reported in the same way since this will enable better decisions regarding different risk areas. The inspectors are therefore constrained to use a standardised classification system and are not free to use their own words when reporting deviations. A hierarchal classification system with predefined phrases is in aviation referred to as taxonomy. Taxonomy is already in use when reporting accidents and incidents but not when reporting deviations found in inspections.

Background: It is required that health care professionals continuously work with patient safety and quality improvements, and the skills of registered nurses are significant in this work. However, quality improvement also requires commitment and knowledge about how to improve health care and ensure patient safety. There is a lack of studies that highlights the importance of supportive functions for this work. Nurses in clinical settings can be utilized as facilitators that make things easier for other health care professionals who are engaged in quality improvement and patient safety. In order to gain understanding about the significance and needs of nurses with a role of facilitator, it is urgent to learn from their experiences of facilitating quality improvement in health care.Aim: The aim was to study nurses? experiences of facilitating quality improvement of nursing care, patient safety and multi-professional collaboration in health care.Method: Semi-structured qualitative interviews were performed with ten registered nurses who had experience of being in the role of facilitators.

Bakgrund: Alltmer integrerade ekonomier har gett upphov till nya behov såsom ettinternationellt standardiserat redovisningssystem. I EU gäller sedan 2005 för noterade bolagIASB:s system kallat IFRS. Detta regelsystem styr bl.a. vilken information som ska lämnasom finansiella risker och där IFRS 7 blev obligatorisk 2007. Bolag är i flera avseendenexponerade mot finansiella risker t.ex.

This examination has been made in cooperation with Jernhusen which is an estate company owned by the government, with estates along the railways in Sweden. This assignment is to help Jernhusens business area Projektfastigheter with their experience feedback, which is to-day almost absent. Business area Projektfastigheter has the task of supporting Jernhusens three other business areas with skills and resources for the estate projects that Jernhusen runs. Jernhusen must become stronger with the collecting of experiences and as a business because of the liberalization of the railways, which leads to a more competitive market. A tool for this is successful experience feedback.The concept of experience feedback is to gain experience across a variety of cases, where individuals and/or groups can chose situations with relevant similarities and differences with current case.

The main aim of this master thesis was to examine the visual ergonomics and the systematic work environment management concerning lighting issues for nurses within domiciliary care. Further aims were to examine a few existing lighting solutions, to come up with ideas for future possible lighting solutions, and to evaluate if the legal regulations for lighting is satisfying and if the regulations are obeyed in domiciliary nursing.The methods used were a questionnaire completed by 55 nurses, field studies of used lightings in cooperation with a student in industrial esign, test of ten existing lighting solutions in a laboratory environment, and a field test of five existing lighting solutions tested by nine nurses in the home of the patient.The result indicates that 40 % of the asked nurses were dissatisfied with the working light in the patient?s homes. All respondents reported poor working light close to the patient, 50 % reported that this problem occurred daily. One third reported that they had to work in uncomfortable working postures due to insufficient working light, and 15 % reported risk of making mistakes due to the same reason.

This Master?s Thesis aims to illustrate in what ways the two Swedish environmental assessment tools, the Environmental Load Profile and EcoEffect differ and if performed valuations gives different results and environmental goals.The built urban environment causes about half the environmental loading in Sweden. The society?s ambition towards sustainable development has resulted in demands reducing the environmental load. One way to accomplish this change is with the assistance of tools for environmental assessment of the built environment.

Cumulative effects are seldom treated in Swedish Environmental Impact Assessments (EIA). This report treats these questions and which procedures and methods that can be used when assessing cumulative effects in EIA. This report is a literature study where also a case study is a part. The case study shows how existing methods for cumulative effects can be used in practice. The report is concentrated on biology and treats cumulative effects on premises of biodiversity and roads. Cumulative effects include both direct and indirect effects.