Open Charts Research Articles

Productivity Formula of Horizontal Well in Low-Permeability Gas Reservoir considering Multiple Factors

For horizontal well in low-permeability gas reservoir, the effects of threshold pressure gradient, stress sensitivity, and gas slippage have significant impacts on the well productivity. At present, there are few productivity formulas for horizontal gas well considering all these factors. In this paper, based on the flow analysis of horizontal well in low-permeability gas reservoir, the whole flow field was divided into two parts, namely, far wellbore region and near wellbore region, among which the far wellbore region is composed of plane linear flow region and plane radial flow region and the near wellbore region is composed of vertical plane radial flow region and spherical plane central flow region. Then, a new productivity formula is established based on the steady-state seepage theory and the equivalent seepage resistance method, with the consideration of threshold pressure gradient, stress sensitivity, and gas slippage effect. The accuracy of the formula in this paper is verified through comparing with other classical models, and the influence of various factors on the well productivity is analyzed. The analysis results show that stress sensitivity has the most significant effect on horizontal gas well production, followed by threshold pressure gradient, and the gas slippage has the least effect. With the consideration of all influencing factors, the higher the formation pressure and reservoir thickness, the higher the productivity, and the increase of productivity increases with the increase of flow pressure difference. The increasing trend of gas productivity index per meter with the increase of reservoir permeability is first fast and then slow. When the reservoir permeability is greater than 1.2 mD, the increment of gas productivity index per meter (MGPI) decreases. When the length of horizontal well is greater than 1400 m, the increment of gas productivity index per meter decreases with the increase of gas reservoir thickness. Therefore, it is recommended to control the horizontal well length within 1400 m in low-permeability gas reservoir. In addition, the absolute open flow charts corresponding to reservoir thickness and horizontal well length under different reservoir permeability conditions were also given, which can provide theoretical guidance for the selection of horizontal well length during the development of low-permeability gas reservoirs.

Black-box estimation of expanding parameter for de Sitter universe

We study the black-box parameter estimation of expanding parameters and the dynamics of Gaussian interferometric power for the de Sitter space. We find that the state between separated open charts can be employed as a probe state for the black-box quantum metrology. This is nontrivial because the open charts are causally disconnected and classical information can not be exchanged between them according to the general relativity. It is shown that the mass of the scalar field remarkably affects the accuracy of the black-box parameter estimation in the de Sitter space, which is quite different from the flat space case where the mass parameter does not influence the precision of estimation. Quantum discord is found to be a key resource for the estimation of the expanding parameter when there is no entanglement between the initially uncorrelated open charts. It is demonstrated that the role of the probe state between different open charts is quite distinct because the curvature effect of the de sitter space damages quantum resources for the initially correlated probe states, while it generates quantum resources for the initially uncorrelated probe states.

Incomplete Medical Charts: Impacts And Possible Solutions

IntroductionProper documentation and relevant updating of patients’ health status has become a cumbersome task with the inception of electronic medical records.Inpatient, ED, and ambulatory patient evaluation generate billions of records each year.It brings about a burden on the workload of the providers regarding registering and completing patients’ records.Incomplete medical records set up complications in patient management and subsequent administrative operations.Specifically, denials for reimbursement because of incomplete medical records emerge as a critical concern.Effective measures, consisting of both technical and administrative enforcements are required to reduce number of open charts.ObjectivesTo understand the reasons,consequences and solutions for Incomplete/Delinquent medical records.MethodsWe searched Google scholar and Pubmed database using keywords “Incomplete medical records”, “Imapacts” and “Solutions”.Articles popped up.We selected 4 based on internal and external validity.ResultsIncomplete/Delinquent medical records are nowadays imposing a critical challenge upon financial, administrative and legal affairs in practicing Medicine.Our review shows that CMS recovery audit with hospital denials went high from 7-10% in recent years because of open/incomplete medical records.Provider’s documentation time increases as well with implementation of EHR.Appropriate measures could be taken to resolve this issue, broadly we can try two ways- training and administrative courses.ConclusionsPhysicians,residents and all respective providers should get training on a regular basis regarding EMR/EHR to complete medical records duly and effectively.The other way is administrative surveillance.If providers fail repeatedly to comply with HIM standard and complete delinquent medical records, warnings, suspensions or other regulatory actions can be executed strictly to keep them on track.DisclosureNo significant relationships.

Distribution and Generation of Quantum Coherence for Gaussian States in de Sitter Space

AbstractThe distribution and generation of quantum coherence for two‐mode and multi‐mode Gaussian states in de Sitter space are studied. It is found that the quantum coherence is redistributed among the mode in different open charts under the curvature effect of de Sitter space. In particular, the Gaussian coherence for the initially correlated state is found to survive in the limit of infinite curvature, while quantum entanglement vanishes in this limit. Unlike entanglement and steering, the coherence of a massive scalar field is more robust than a massless field under the influence of curvature of de Sitter space. In addition, it is shown that the curvature generates two‐mode Gaussian state and three‐mode Gaussian state quantum coherence among the open charts, even though the observers are localized in causally disconnected regions. It is worth noting that the gravity‐generated three‐mode coherence is extremely sensitive to the curvature effect for the conformal and massless scalar fields, which may be in principle employed to design an effective detector for the space curvature.

Limiting the number of open charts does not impact wrong patient order entry in the emergency department.

ObjectiveWe sought to examine the impact of limiting the number of open active charts on wrong patient order entry events among 13 emergency departments (EDs) in a large integrated health system.MethodsA retrospective chart review of all orders placed between September 2017 and September 2019 was conducted. The rate of retract and reorder events was analyzed with no overlap in both the period pre‐ and post‐intervention period. Secondary analysis of error rate by clinician type, clinician patient load, and time of day was performed.ResultsThe order retraction rate was not improved pre‐ and post‐intervention. Retraction rates varied by clinician type with residents retracting more often than physicians (odds ratio [OR] = 1.443 [1.349, 1.545]). Advanced practice providers also showed a slightly higher rate than physicians (OR = 1.114 [1.071, 1.160]). Pharmacists showed very low rates compared to physicians (OR = 0.191 [0.048, 0.764]). Time of day and staffing ratios appear to be a factor with wrong patient order entry rates slightly lower during the night (1900–0700) than the day (OR 0.958 [0.923, 0.995]), and increasing slightly with every additional patient per provider (OR 1.019 [1.005, 1.032]). The Academic Medical Center had more retractions that the other EDs. OR for the various ED types compared to the Academic Medical Center included Community (OR 0.908 [0.859, 0.959]), Teaching Hospitals (OR 0.850 [0.802, 0.900]), and Freestanding (OR 0.932 [0.864, 1.006]).ConclusionsLimiting the number of open active charts from 4 to 2 did not significantly reduce the incidence of wrong patient order entry. Further investigation into other factors contributing to order entry errors is warranted.

Quantum steering for continuous variable in de Sitter space

We study the distribution of quantum steerability for continuous variables between two causally disconnected open charts in de Sitter space. It is shown that quantum steerability suffers from “sudden death” in de Sitter space, which is quite different from the behaviors of entanglement and discord because the latter always survives and the former vanishes only in the limit of infinite curvature. It is found that the attainment of maximal steerability asymmetry indicates a transition between unidirectional steerable and bidirectional steerable. Unlike in the flat space, the asymmetry of quantum steerability can be completely destroyed in the limit of infinite curvature for the conformal and massless scalar fields in de Sitter space.

Generation of genuine tripartite entanglement for continuous variables in de Sitter space

We study the distribution of quantum entanglement for continuous variables among causally disconnected open charts in de Sitter space. It is found that genuine tripartite entanglement is generated among the open chart modes under the influence of curvature of de Sitter space for any nonzero squeezing. Bipartite entanglement is also generated when the curvature is strong enough, even though the observers are separated by the event horizon. This provides a clearcut interpretation of the two-mode squeezing mechanism in the de Sitter space. In addition, the curvature generated genuine tripartite entanglement is found to be less sensitive to the mass parameter than the generated bipartite entanglement. The effects of the curvature of de Sitter space on the generated entanglement become more apparent in the limit of conformal and massless scalar fields.

52 Limiting the Number of Open Charts in the Electronic Medical Record Does Not Decrease Order Errors in the Emergency Department

In the ED, clinicians maintain multiple patient charts open simultaneously to facilitate rapid access as they multi-task. Little is known about the rate of errors from orders being entered on the wrong patient as a consequence of this practice in this setting. Our health system limited the number of active simultaneously open charts from 4 to 2 to potentially reduce errors. Retract-and-reorder, which is defined as an order written for one patient that was retracted (or canceled) then ordered on a different patient within 10 minutes, reflects that an order was entered on an incorrect patient and serves as a marker for order error (Adelman J et al.

Quantum entanglement in de Sitter space with a wall and the decoherence of bubble universes

We study the effect of a bubble wall on the entanglement entropy of a free massive scalar field between two causally disconnected open charts in de Sitter space. We assume there is a delta-functional wall between the open charts. This can be thought of as a model of pair creation of bubble universes in de Sitter space. We first derive the Euclidean vacuum mode functions of the scalar field in the presence of the wall in the coordinates that respect the open charts. We then derive the Bogoliubov transformation between the Euclidean vacuum and the open chart vacua that makes the reduced density matrix diagonal. We find that larger walls lead to less entanglement. Our result may be regarded as evidence of decoherence of bubble universes from each other. We also note an interesting relationship between our results and discussions of the black hole firewall problem.

Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.

To reduce the risk of wrong-patient errors, safety experts recommend allowing only one patient chart to be open at a time. Due to the lack of empirical evidence, the number of allowable open charts is often based on anecdotal evidence or institutional preference, and hence varies across institutions. Using an interrupted time series analysis of intercepted wrong-patient medication orders in an emergency department during 2010-2016 (83.6 intercepted wrong-patient events per 100 000 orders), we found no significant decrease in the number of intercepted wrong-patient medication orders during the transition from a maximum of 4 open charts to a maximum of 2 (b = -0.19, P = .33) and no significant increase during the transition from a maximum of 2 open charts to a maximum of 4 (b = 0.08, P = .67). These results have implications regarding decisions about allowable open charts in the emergency department in relation to the impact on workflow and efficiency.

Monitoring inbaskets with feedback to providers enhances the timeliness of patient care.

132 Background: The adoption of Electronic Health Records (EHRs) has changed the workflow for providers. The “inBasket” feature supplants telephone and email communications, replaces paper results review and has become the way to track incomplete encounters. Failure to promptly complete medical records leads to unread notes and impairs multidisciplinary communication. Also, unclosed encounters lead to potential penalties and uncollected fees. One benefit of the inBasket, is that it can be monitored. Methods: We created a report that tracked EPIC inBasket activities by provider including numbers of open charts, unchecked results, phone calls, incomplete dictations and orders needing cosign. The report shows the number and length of time each activity has been delinquent. In December 2015 we began emailing automated reports to all providers with their monthly results. In January 2016 we began an enforcement process for providers with >50 open charts: 30 days to complete charts or practice would be closed to new patients; if >50 remained after 30 days providers had 60 days before complete suspension from practice. We modeled the financial impact of chart closure by creating a weighted average by payor of fees collected per visit. For charts that would have been delinquent beyond payor filing deadlines this represents actual increased revenue. For charts that would have eventually been closed before the filing deadline this represents earlier revenue capture. Results: See table. Conclusions: Inbasket monitoring with structured feedback to providers led to improvement in the number of open charts, the focus of corrective action. We did not see consistent improvements in the other inbasket metrics. Future work will involve a similar approach to all inBasket metrics. Closing charts also has a significant financial impact; we estimate that $483,049 in fees that could have been lost due to exceeding payor deadlines became collectable. [Table: see text]

Vacuum state of the Dirac field in de Sitter space and entanglement entropy

We compute the entanglement entropy of a free massive Dirac field between two causally disconnected open charts in de Sitter space. We first derive the Bunch-Davies vacuum mode functions of the Dirac field. We find there exists no supercurvature mode for the Dirac field. We then give the Bogoliubov transformation between the Bunch-Davies vacuum and the open chart vacua that makes the reduced density matrix diagonal. We find that the Dirac field becomes more entangled than a scalar field as m2/H2 becomes small, and the difference is maximal in the massless limit.

Poisson Geometry of Monic Matrix Polynomials

We study the Poisson geometry of the first congruence subgroup $G_1[[z^{-1}]]$ of the loop group $G[[z^{-1}]]$ endowed with the rational r-matrix Poisson structure for $G=GL_m$ and $SL_m$. We classify all the symplectic leaves on a certain ind-subvariety of $G_1[[z^{-1}]]$ in terms of Smith Normal Forms. This classification extends known descriptions of symplectic leaves on the (thin) affine Grassmannian and the space of $SL_m$-monopoles. We show that a generic leaf is covered by open charts with Poisson transition functions, the charts being birationally isomorphic to products of coadjoint $GL_m$ orbits. Finally, we discuss our results in terms of (thick) affine Grassmannians and Zastava spaces.

Entanglement negativity in the multiverse

We explore quantum entanglement between two causally disconnected regions in the multiverse. We first consider a free massive scalar field, and compute the entanglement negativity between two causally separated open charts in de Sitter space. The qualitative feature of it turns out to be in agreement with that of the entanglement entropy. We then introduce two observers who determine the entanglement between two causally disconnected de Sitter spaces. When one of the observers remains constrained to a region of the open chart in a de Sitter space, we find that the scale dependence enters into the entanglement. We show that a state which is initially maximally entangled becomes more entangled or less entangled on large scales depending on the mass of the scalar field and recovers the initial entanglement in the small scale limit. We argue that quantum entanglement may provide some evidence for the existence of the multiverse.

Impact of quantum entanglement on spectrum of cosmological fluctuations

We investigate the effect of entanglement between two causally separated open charts in de Sitter space on the spectrum of vacuum fluctuations. We consider a free massive scalar field, and construct the reduced density matrix by tracing out the vacuum state for one of the open charts, as recently derived by Maldacena and Pimentel. We formulate the mean-square vacuum fluctuations by using the reduced density matrix and show that the scale invariant spectrum of massless scalar field is realized on small scales. On the other hand, we find that the quantum entanglement affects the shape of the spectrum on large scales comparable to or greater than the curvature radius.

Infinite transitivity on universal torsors

Let X be an algebraic variety covered by open charts isomorphic to the affine space and q: X' \to X be the universal torsor over X. We prove that the automorphism group of the quasiaffine variety X' acts on X' infinitely transitively. Also we find wide classes of varieties X admitting such a covering.

Pre-formatted Structured Charts Versus Open Charts: A Comparison of Documentation and Adherence to Consensus Guidelines

Pre-formatted Structured Charts Versus Open Charts: A Comparison of Documentation and Adherence to Consensus Guidelines

Jordan pairs of quadratic forms with values in invertible modules

Jordan pairs of quadratic forms are generalized so that they have forms with values in invertible modules. The role of such pairs turns out to be natural in describing ‘big cells’, a kind of open charts around unit sections, of Clifford and orthogonal groups as group schemes. Group germ structures on big cells are particularly interested in and related also to Cayley-Lipschitz transforms.

Socialization of children and adolescents with cystic fibrosis: support for nursing care

The aim of this paper is to identify the routine (school, work, free time activities and relationships with friends and family) of children and adolescents with Cystic Fibrosis (CF) through their experiences and identify situations that can affect these routines. The objects of analysis of this research are children and adolescents with CF who attend a teaching hospital in a city of the State of São Paulo--Brazil. It is a qualitative research, with data collection based on open interviews and patient charts. The data brought the following themes: misleading knowledge about the disease, concern with self-image, search for self-care and hope of improvement in the future. The results evidence the repercussion of CF in those patients' socialization process, evidencing the importance of health professionals knowing about these demands and incorporating them into the care plan, with a view to effective interventions to promote infant-juvenile growth and development.