In this paper we show that a slight modification to the widely popular interconnection and damping assignment passivity-based control method-originally proposed for stabilization of equilibria of nonlinear systems-allows us to provide a solution to the more challenging orbital stabilization problem. Two different, though related, ways how this procedure can be applied are proposed. First, the assignment of an energy function that has a minimum in a closed curve, i.e., with the shape of a Mexican sombrero. Second, the use of a damping matrix that changes "sign" according to the position of the state trajectory relative to the desired orbit, that is, pumping or dissipating energy. The proposed methodologies are illustrated with the example of the induction motor and prove that it yields the industry standard field oriented control.
Purpose
Patients transferred between hospitals are at high risk of adverse events and mortality. This study aims to identify which components of the transfer handoff process are important predictors of adverse events and mortality.
Materials and Methods
We conducted a retrospective, observational study of 335 consecutive patient transfers to three ICUs at an academic tertiary referral center. We assessed the relationship between handoff documentation completeness and patient outcomes. The primary outcome was in-hospital mortality. Secondary outcomes included adverse events, duplication of labor, disposition error, and length of stay.
Results
Transfer documentation was frequently absent with overall completeness of 58.3%. Adverse events occurred in 42% of patients within 24 hours of arrival, with an overall in-hospital mortality of 17.3%. Higher documentation completeness was associated with reduced in-hospital mortality (OR 0.07, 95% CI 0.02 to 0.38, p=0.002), reduced adverse events (coef −2.08, 95% CI −2.76 to −1.390, p<0.001), and reduced duplication of labor (OR 0.19, 95% CI 0.04 to 0.88, p=0.033) when controlling for severity of illness.
Conclusions
Documentation completeness is associated with improved outcomes and resource utilization in patients transferred between hospitals.
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