No abstract

Abstract-The classic way of building a software today simplistically consists in connecting a piece of code calling a method with the piece of code implementing that method. We consider these piece of code (software systems) not calling anything, behaving in a non deterministic way and providing complex sets of services in different domains. In software engineering reusability is the holly grail, and specially the reusability of code from autonomus tools requires powerful compostion/integration mechanisms. These systems are developed by different developers and being modified inceremently. Integrating these autonomous tools generate various conflicts. To deal with these conflicts, current integration mechanisms defines specific set of rules to resolve these conflicts and accompalish integration. Indeed still there is a big chance that changes made by other developers, or they update their changes in order to make them compliant with other developers cancel the updates done by others. The approach presented here claims three contributions in the field of Hetrogeneous Software Integration. First, this approach eliminate the need of conflicts resolving mechanism. Secondly, it provides the mechanism to work in the presence of conflicts without resolving them. Finally, contribution is that the integration mechanism does not affect if either of the system evolves. We do this by introducing an intermediate virtual layer between two systems that introduce a delta models which consist of three parts; viability that share required elements, hiding that hide conflicting elements and aliasing that aliases same concepts in both systems.

OBJECTIVES This study aimed to explore the contributing factors which inhibit the role of nurses in the activation of a rapid response team system in a tertiary care hospital. METHODOLOGY A qualitative exploratory study was carried out using focused group discussion in a private tertiary care hospital. The nurse’s viewpoint was determined regarding the increased frequency of Cardiopulmonary Arrests in 2018 as compared to 2017 in the hospital setting. Data were thematically analyzed. RESULTS Nurses described rapid response teams as “the team comprising of different healthcare professionals equipped with lifesaving resources to patients who need immediate medical care to prevent health deteriorations or the need of intensive care. There is a “Red Flags” criteria established in the hospital setting to activate the RRT system resulting in the quick arrival of a skilled ICU team with needed resources. CONCLUSION Many factors hinder the activation of the Rapid Response Team such as Knowledge about the Rapid Response team, role and responsibility confusion about RRT activation, peer pressure, lack of management support.