EffectivenessRobot Arm

Question: Explainthe adequacy of the robot arm. Answer: (David thornton) to build up the adequacy of the robot arm he associated a robot arm to a remote and led a game with kids with a pick and drop a ball in the vessel with the remote control by means of web. In the wake of finishing the analysis, the effectiveness is determined by an advancement sheet and the mistake is diminished by diminishing the speed and expanding the hour of development (ding). After a few programming dialects to control robot in 2004 (chang sei kim, 2004) he built up a PC-based disconnected programming technique utilizing the computer generated experience demonstrating language. The created OLP has various calculations that can be masterminded with TRIBON CAD interface. The benefits of the OLP writing computer programs are powerful programming of robot-order, simple confirmation of recreation and representation of robot programming documentation can be effortlessly sorted out by reenactment models with fitting programming, reuse of existing projects of robots and cost freedom can be proceeded while programming. Furthermore, later on a few mechanical recreations are created like ROBCAD and IGRIP, yet now a days utilizing of CAD frameworks has been fluidly expanded. (vinicius menezes de oliveira)The fundamental part in online control of robot is customizing which is the principle wellspring of working of robot. The diverse programming dialects are (OROCOS) O pen RobotControl programming C++, Robotics4.net on the Microsoft.NET and java. Java language has gotten well known in programming for mechanical robots. (A.Cisternino, 2005)As innovation built up a ton (jiacheng tan, 2005) he completed a few investigates and afterward he coordinated virtual condition and 3d displaying instruments he created VE with various demonstrating methods. After that regardless of programming stage he created arranged robot framework and structured a control board to control the robot. At that point he customized remote robot programming with VE measured strategies and afterward boundary procurement is one of the key issues of picture based demonstrating. This improves boundary obtaining for cuboids, chambers as for work space of robot. (kim)Let us examine about the remote robot control and related issues in which dissemination control, assembling and office the board may effortlessly be directed through a remote robot control and observing framework. It has p oints of interest like minimal effort, simple upkeep and liberated from reality limitation for robot and administrator. Be that as it may, the principle hindrance is time delay in information transmission for the application. Be that as it may, this issue can be corrected by running the program on java stage which we can say can be diminished however can't be amended. (yong ming wang, 2008).Then the new innovation has created by the organization ELKO EP known as RF contact innovation which is remote in which robot can be constrained by remote remotes which are known as RF pilot, RF key. This comprises of RF control framework, RF contact control unit. This unit comprises of 6-channel multifunctional switch, sun-blinds actuator, thermoregulatory head and different finders. It is basically relying upon the gadget programming too. (david kubat, 2011). And afterward ACTA specialized shows created remote control of mechanical robot with teleportation, correspondence and control through we b and visual servo control. (Kamil zidek). With the joint effort of same organization Lola establishment built up a programming on the foundation of L-IRL (Lola Industrial Robot Language) programming language. (maja lutovac, 2012).Programming of robot should be possible disconnected as for work piece coordination framework which is utilized in CAD and CAPE frameworks with reenactment and work piece facilitates. (bozek, 2011). Disconnected programming can likewise be customized additionally by numerical depiction of a robot and furthermore by electromagnetic effectors organizes and with attractive gripper from the appointed points in virtual condition. (bozek c. , 2011). There has been remote checking process for the continuous control and for keeping up a higher profitability and the adaptability in the framework. The time deferral could be handily comprehended through the controlled stream bending with the web time delays and the information bundle misfortune. There have been vario us outcomes which exhibit about the way to deal with handle the e-fabricating condition alongside the application capability of the exploration. The models for the equivalent incorporate the controlled recreation, virtual machining and the administrator preparing for all the continuous observing procedure for control. The controlling of the ABB robots has experienced the introduction of the strategies for the self-governing portable robot where the preparing time is simple for doing the examples. In this, there have been activities which are set to deal with the diverse ordinary techniques into the standard based strategies. The examples have been set to procure the inquiry on the ground where the computational assets take a shot at proper circumstances. The calculation depends on circumstances of the robot condition where there have been constant activity search techniques that have been considered for rolling out the improvements at the hour of procurement with the strategies for speaking to the data. The various activities are investigated by the robots that are required to play out the acknowledgment over the various circumstances and the examples. The methodology depends on working over the pursuit time alongside dealing with the acquisitions which permits to grab hold and utilize the sensors for the robots with the bigger measure of handling that is done according to the prerequisites. The current exploration depends on the circumstances to deal with the obtaining time which is significant for the detecting of the calculation system. There are sensor prepared robots which can give the advantages from utilizing the world model at the hour of handling the choices and the controlling of the crash in the ongoing procedure. The concentration and the portrayal depend on the Computer Aided Robotics which can remotely control the movements and work on the execution of the framework. The paper has the Robot Application Protocol which gives a best interface to the principles of the ABB robot controller. According to the current pattern, there is a need to deal with the item change alongside the customisation and the enhancement of the plans using the new and the better materials of the assembling. This incorporates the documentation with the Remote Controlled Procedural call which depends on the various materials and the strategies. The RAPID writing computer programs is to make the movement on the fly by interfacing with the ongoing examination of the restricted data transmission. The work is basically for the usage of the remote access in the robots where there is a programming and the checking of the focused condition. The examples have been set for the various methodologies where the Matlab tool compartment is significant for the arrangement of the ABB robot with the power or the torque sensor. The paper has been exploring on the quality, usefulness and the restrictions of the circumstances where the robot movements are not constrained t o just the customized parts in the RAPID program. There have been various tasks which are set to grab hold of the frameworks performed through a channel joint weld on a work environment and the direction varies from the first ostensible posture. The arranged investigations incorporate the ADD IRB2400 that has been furnished with the compiler apparatus for the improvement of the correct strategies. With the quick advancement, there have been schedules in the systems, capacities and the snare schedules for the information which are constants, factors and industrious. The highlights are set to hold the normal boundaries with the number-crunching and the consistent articulations, blunder taking care of, program demonstrating and performing various tasks. ABB has been founded on the usefulness which is incorporated into the framework that permits the work on the various bundles and the transmissions. The help is predominantly for the simple access with the perusing of the log records, in put yield and the educating of the analysis of the activities with an arranging creation. The combination of the procedure and the framework depends on the immediate principle processor where there have been associations of the robot to deal with the constant showcase for the associated robots. The immediate fundamental processors access and work on PC record administrator with remote access, with administrator correspondence and PLC the executives. The framework supports of the ABB reports depend on the PLC and the simple to-utilize frameworks with the solid diagnostics. The decrease in the creation with the diminished expenses is for the administration call-outs with the goals of the issues using the ABB. According to the exploration, there have been bargains which identify with the programming of the robot on PC with no specific requirement for the creation which empowers to set up the robot programs with the expansion in the efficiency of the framework. With the usage procedure, there have been administrator administrations where there are applications set for the law of cosines. The applications potential prospects are for the working administrations with the single capacities in the client system and the virtualized mechanical robot which have been appropriate to hold the coordinated circuits. The stepper engine driver changes the lower memory signals with the control of the circuits of the stepper engine. There have been implies which depend on the referenced conveying program with the capacities division between the various periods of the parsing and aggregating. With the on the web and disconnected programming, there has been improvement of nature of the dialects with the compilers for the robot programming. The info has been set for the reproduction of the movements and the arranged treatment of the dynamic clusters with the equal execution of the squares and the other framework factors. This has been characterized and dependent on the c

The Homestead Steel Strike of 1892

The Homestead Steel Strike of 1892 The Homestead Strike, a work stoppageâ at Carnegie Steels plant at Homestead, Pennsylvania, transformed into one of the most vicious scenes in the American work battles of the late 1800s. An arranged control of the plant transformed into a grisly fight when many men from the Pinkerton Detective Agency traded gunfire with laborers and townspeople along the banks of the Monongahela River. In an amazing turn, strikers caught various Pinkertons when the strikebreakers had to give up. The fight on July 6, 1892 finished with a ceasefire, and the arrival of detainees. Be that as it may, the state volunteer army showed up seven days after the fact to settle things for the organization. What's more, after fourteen days a revolutionary offended by the conduct of Henry Clay Frick, the passionately hostile to work administrator of Carnegie Steel, attempted to kill Frick in his office. Despite the fact that shot twice, Frick endure. Other work associations had energized to the resistance of the association at Homestead, the Amalgamated Association of Iron and Steel Workers. What's more, for a period popular assessment appeared to agree with the laborers. Be that as it may, the endeavored death of Frick, and the inclusion of a known rebel, was utilized to dishonor the work development. At long last, the administration of Carnegie Steel won. Foundation of the Homestead Plant Labor Problems In 1883 Andrew Carnegieâ bought the Homestead Works, a steel plant in Homestead, Pennsylvania, east of Pittsburgh on the Monongahela River. The plant, which had been centered around delivering steel rails for railways, was changed and modernized under Carnegies proprietorship to create steel plate, which could be utilized for creation of reinforced boats. Carnegie,â known for uncanny business foreknowledge, had gotten perhaps the most extravagant man in America, outperforming the abundance of prior tycoons, for example, John Jacob Astor and Cornelius Vanderbilt. Under Carnegies bearing, the Homestead plant continued extending, and the town of Homestead, which had around 2,000 occupants in 1880, when the plant initially opened, developed to a populace of around 12,000 out of 1892. Around 4,000 laborers were utilized at the steel plant. The association speaking to laborers at the Homestead plant, the Amalgamated Association of Iron and Steel Workers, had marked an agreement with Carnegies organization in 1889. The agreement was set to lapse on July 1, 1892. Carnegie, and particularly his colleague Henry Clay Frick, needed to break the association. There has consistently been considerableâ dispute about the amount Carnegie knew about the heartless strategies Frick intended to utilize. At the hour of the 1892 strike, Carnegie was at a rich bequest he possessed in Scotland. Yet, it appears, in light of letters the men traded, that Carnegie was completely mindful of Fricks strategies. The Beginning of the Homestead Strike In 1891 Carnegie started to consider lessening compensation at the Homestead plant, and when his organization held gatherings with the Amalgamated association in the spring of 1892 the organization educated the association that it would be cutting wages at the plant. Carnegie likewise composed a letter, before he left for Scotland in April 1892, which demonstrated that he proposed to make Homestead a non-association plant. In late May, Henry Clay Frick trained the organization moderators to educate the association that wages were being diminished. The association would not acknowledge the proposition, which the organization said was non-debatable. In late June 1892, Frick had open notification posted inâ the town of Homestead illuminating endorsers that since the association had dismissed the companys offer, the organization would have nothing to do with the association. Also, to additionally incite the association, Frick started development of what was being called Fort Frick. Tall wall were developed around the plant, bested with spiked metal. The plan of the blockades and spiked metal was self-evident: Frick planned to bolt out the association and get scabs, non-association laborers. The Pinkertons Attempted to Invade Homestead The evening of July 5, 1892, around 300 Pinkerton operators showed up in western Pennsylvania via train and boarded two freight boats which had been loaded with several guns and rifles just as outfits. The canal boats were towed onâ the Monongahela River to Homestead, where Frick expected the Pinkertonsâ could land undetected in the night. Posts saw the freight boats coming and alarmed the laborers in Homestead, who hustled to the riverbank. At the point when the Pinkertons attempted to land at day break, many townspeople, some of them equipped with weapons going back to the Civil War, were pausing. It was never figured out who discharged the principal fired, however a weapon fight broke out. Men were slaughtered and injured on the two sides, and the Pinkertons were nailed down on the canal boats, with no way out conceivable. For the duration of the day of July 6, 1892, townspeople of Homestead attempted to assault the freight boats, in any event, siphoning oil into the waterway trying to set flames on the water. At long last, late toward the evening, a portion of the association heads persuaded the townspeople to allow the Pinkertons to give up. As the Pinkertons left the freight boats to stroll to a neighborhood show house, where they would be held until the nearby sheriff could come and capture them, townspeople tossed blocks at them. Some Pinkertons were beaten. The sheriff showed up that night and evacuated the Pinkertons, however none of them were captured or prosecuted for homicide, as the townspeople had requested. Papers had been covering the emergency for a considerable length of time, however the updates on the viciousness caused a buzz when it moved rapidly over the message wires. Paper releases were surged out with surprising records of the encounter. The New York Evening World distributed an uncommon additional release with the feature: AT WAR: Pinkertons and Workers Fight at Homestead. Six steelworkers had been killed in the battling, and would be covered in the next days. As the individuals in Homestead held burial services, Henry Clay Frick, in a paper meet, reported that he would have no dealings with the association. Henry Clay Frick Was Shot After a month, Henry Clay Frick was in his office in Pittsburgh and a youngster came to see him, professing to speak to an office that could gracefully substitution laborers. The guest to Frick was really a Russian revolutionary, Alexander Berkman, who had been living in New York City and who had no association with the association. Berkman constrained his way into Fricks office and shot him twice, about slaughtering him. Frick endure the death endeavor, however the occurrence was utilized to ruin the association and the American work development by and large. The episode turned into an achievement in U.S. work history, alongside the Haymarket Riot and the 1894 Pullman Strike. Carnegie Succeeded in Keeping the Union Out of His Plants The Pennsylvania state army (like todays National Guard) assumed control over the Homestead Plant and non-association strikebreakers were acquired to work. In the end, with the association broken, a large number of the first laborers came back to the plant. Pioneers of the association were arraigned, yet juries in western Pennsylvania neglected to convict them. While the brutality had been occurring in western Pennsylvania, Andrew Carnegie had been off in Scotland, dodging the press at his home. Carnegie would later guarantee that he had little to do with the viciousness at Homestead, however his cases were met with wariness, and his notoriety for being a reasonable manager and humanitarian was incredibly discolored. What's more, Carnegie succeeded in keeping associations out of his plants.

The Modern Rules of the Memo (With Examples)

The Modern Rules of the Memo (With Examples) Whether its called a business memorandum, memoranda, or memo, it is a common form of business communication when the information to be disseminated is informal and not private. According to Business Etiquette for Dummies, 2nd Edition, If you have something confidential to communicate, dont do it in a memo.The purpose of your memoMemos are the typical form of communication used within companies and organizations. Most will be limited to a few paragraphs, but some memos may be longer, depending on their purpose and messaging.In general, a memo is used:to inform others within the company on changes in policies, directives, or procedures.to announce changes in leadership, management structure, team divisions, or workflow.to disseminate information pertaining to meetings and events held within the organization.to introduce new employees, divisions, clients, etc.The format of your memoThe most typical format of interoffice memos is as follows:Heading: (usually MEMORANDUM or MEMO in all cap s, centered, although this format is not required and can vary based on organizational style guides.)To: (Who or which department gets it)From: (Who or which department sent it)Date: (When it was sent)Subject: (Briefly, what its about)(A line generally separates the header from the content, as shown above.)Your introductory paragraph should quickly orient the reader to what the memo is about and how it pertains to them or their department. It should be written succinctly, with as few words as possible to convey the needed message. The rule of thumb is tight, informative sentences.For the body, here are a few pointers:If there are tasks that need to be completed related to the subject of the memo, those can be detailed in the body of the memo.Keep in mind that bullet points are a great way to present most information in a way that can be easily scanned and understood by the reader.Its easier for the human eye to read bullet points than long, overly complicated paragraphs.Include the important details but if there are complex details involved, direct readers to another document (a memo is not really the place for that).Memo example 1MEMORANDUMTo: All departmentsFrom: Dan Lumberg, CEODate: October 1, 2018Subject: Internet use on company timeThis is to remind all employees that Internet use on company time is prohibited. Please refrain from checking your personal email, social media accounts, or messaging platforms while on the clock, unless it is on your break time or lunch time.As noted in the employee handbook, section 2.4., all employees are responsible for:Using on-the-clock hours for company projects only.Limiting their online interactions while on the clock to clients and fellow employees within the company.Applying their break or lunch-time hours to any time spent reading personal email, personal social media accounts, or messages sent for personal use.As always, we appreciate the time and effort you put into all that you do at XYZ Corp and trust that our employees will maintain professional standards at all times while on the clock. If you have questions or concerns about these company policies, please direct them to Megan Smith at ext. 1208.Best regards,Dan Lumberg, CEOMemo example 2MEMORANDUMTo: Executive assistants, all departmentsFrom: Jon BeakerDate: October 1, 2018Subject: Attaching cover sheets to all outgoing faxesIm sending this memo to inform you of recent changes in company procedure related to faxes sent out. We have a new standard cover sheet (Form 12E) that should be used in all outgoing fax transmissions and the old one (Form 12D) should be recycled or discarded.The new cover sheet includes our new company address, along with a legal statement that is required to be attached to all outgoing fax transmissions. Without the use of this new cover sheet, we run the risk of falling out of compliance with our legal directives.This might seem like a small matter but I assure you, it is extremely important. I suggest that you immediately recycle or discard all the old fax cover sheets to avoid confusion. If there are any questions, please contact me at extension 101.Best regards,Jon Beaker

Health Plan For Increase Expenditure - 898 Words

There are a number of products and initiatives being used by health plans to control expenditures and maintain market competitiveness. Recent slowing in health expenditures has largely been due to price changes, a shift from inpatient to outpatient care, and increased coverage. However, here I will focus on operational changes within the health plan that can be made to decrease expenditures. I will discuss how investing in disease management programs, wellness incentives, and value-based insurance design now can be used to control rising healthcare expenditures in the future while adding value for consumers. I will also discuss the challenges involved with implementing these initiatives. Disease Management Programs: Background A small portion of the patient population accounts for a disproportionate amount of health care expenditures primarily due to chronic illness (Shelton, 2002). Because of this, and the overall rise in healthcare costs, stakeholders have been searching for ways to target this small but expensive group of people. One way is through disease management programs. It is a common belief that education and preventive measures make it easier to manage chronic illness and reduce adverse outcomes including lengthy hospitalizations (Shelton, 2002). Although these programs are fairly new and there isn’t much data to support or refute their success, this is an area worth exploring to potentially curve skyrocketing healthcare expenditures. Cost Control MethodShow MoreRelatedIndia s Government Expenditure On Health1322 Words   |  6 PagesLanka was 64.7% and 45.6% of total expenditure on health, while that of India in the same year was only 17.3%. 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Then, hard and soft benefits of projects vary depending on the for-profit and not-for-profit organization. The soft benefit also known as (qualitative data) is most useful for when a project team wishes toRead MoreHcs 440 Economics : the Financing of Healthcare1633 Words   |  7 Pageshealthcare expenditures and to determine if we as Americans are spending too much on healthcare. The author of this paper will provide examples and solutions where we as a nation should add or cut from the healthcare expenditures. This paper will also detail how the general publics healthcare needs are being paid for, the biggest economic healthcare challenge, why the challenge should be addressed, and how this challenge to be financed. The current level of national healthcare expenditures Read MoreFinancing Issues Of Prescription Drugs1633 Words   |  7 Pageseconomy. While the health care industry continues to grow, transformational changes also continue to enforce change in its organizational structure. 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Manitoba’s pharma-care program is based on theRead MoreEssay on The Underlying Dynamics of Health Care Spending 1442 Words   |  6 Pagespay for health care, and it is not getting any cheaper. With the baby boomers getting older the population is going to need health care now more than ever. The hospital stays, the procedures and surgeries, long-term care, the doctor and dentist visits, the medical supplies, and medications are hardly affordable. How will we pay for it and how much will we have to pay? Where will the money come from? Citizens, businesses, and the government are paying more and more for health care. Health care as

Postnatal Depression ( Pnd ) Essay - 1295 Words

Postnatal depression (PND) is an isolating and debilitating mental health disorder that effects an estimated 13-15% of new mothers within one year post-delivery (CDC, 2008; Gaynes et al., 2005). PND can be experienced as a vast array of symptoms such as anhedonia, excessive crying, mixed anxious mood, sleep disturbance, and even suicidality (Kantrowitz-Gordon, 2013). Further, mothers with PND typically report difficulty bonding with their infant and a reduced ability to express love and warmth (Letourneau et al., 2012; Paulson, Dauber Leiferman, 2006). Occasionally, the mother has thoughts and images associated with hurting herself or her baby (NEED REFERENCE). Women who experience PND may experience confusion and shame, as their experience is contrary to the ascribed social role of motherhood which depicts an effortless, natural experience expected to bring joy. Qualitative research suggests that women with PND universally report fear of stigma, especially the stigma of being label ed a bad mother. This fear can lead to denial of symptoms and avoidance of help seeking behavior (Bilszta, Ericksen, Buist, Milgrom, 2008). Women are even reluctant to disclose distress to significant others and family members (Bilszta et al., 2008). Further, women seem to have minimal accurate education about PND and when to seek medical services (Bilszta et al., 2008). Women with PND are at-risk and vulnerable to experiencing both social and self-stigmatization. Stigma in Mental HealthShow MoreRelatedA Brief Note On The Postpartum Depression ( Ppd )1479 Words   |  6 PagesSummary of Study Sword, Busser, Ganann, McMillan, Swinton (2008) questioned women’s experiences in regards to seeking care for probable postpartum depression (PPD) following a referral from the visiting public health nurse. 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The search strategy adopted for this study can be broken down into several steps. The key concepts and terminologies for the study were identified. The synonyms of the terms were then determined which were also included within the search terms. Boolean operators were the chosen search features. Databases from whichRead MoreAntenatal Notes On Prenatal Care1247 Words   |  5 Pageshappen to her the doctors would have the correct information. The hospital and midwife may have duplicate copies. By 28 weeks, the hospital will expect the mother to have a bed booked for a hospital delivery. Postnatal Care: NCT http://www.nct.org.uk/postnatal-care State that, â€Å"The quality of postnatal care provided to women and families in the first days and weeks after birth can have a significant impact on their experience of the transition to parenthood.† The needs of the mother and her family determineRead MorePublic Health Essay example4148 Words   |  17 Pagespost-natal depression following birth of her first child, now two years old .On the new birth visit with her second child she had also showed signs and symptoms of feeling loss, low self-esteem and anxiety. On the day of the visit I and my mentor found Jenny very angry, anxious and not very happy with our presence there .Moreover Jenny avoided eye contact and seemed not interested and subsequently not eager to communicate. 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Well, shes all over the place these days. Emotionally, I mean. One minute, shes on top of things - coping fine. The next, shes cranky and irritable. One simple conversation can turn into a huge fight, just likeRead MorePhysiological And Behavioral Effects Of Early Life Stress Essay1724 Words   |  7 Pagesability to delineate the mechanisms and structures that are affected during postnatal exposure to chronic stress has the potential to provide invaluable insight into the development of a multitude of neuropsychiatric disorders. While we have come to understand a few of the mechanisms involved in many of these illnesses – such as the significance of the serotonin (5-hydroxytryptamine, 5-HT) neurotransmitter in many depression cases – the complex nature of these disorders and our ability to effectively

Als Doctor and Auntie Pele Free Essays

Why chose AL S: Have you ever heard of a disease that can’t be figure out? When the doctors don’t know how people would get it? Do we really know how to cure it? So many questions we have about things, but we can’t figure it out†¦ It was a sad day for my whole family last year and it’s because someone REALLY REALLY important to our family has passed away. It all start about when my auntie Peel was 30 and she owned her own business in American Samoa, Then one day she felt a weird tingle feeling in her hands, so she went to the doctor to check it out†¦ Later that day the doctor told her it was nothing. So the next day she was working like usual and she noticed that she couldn’t move her right arm, so she Went to the doctor to check it Out, and like the doctor said before, â€Å"it was nothing’ then told her not to worry about the whole thing. We will write a custom essay sample on Als: Doctor and Auntie Pele or any similar topic only for you Order Now The following weeks, her arm didn’t improve and she became more worried. She visited the hospital again, she told them her arm had not improved. They ran a bunch of test, through some blood, and even did a cat scan on her brain. They told her later that they still couldn’t find anything wrong. So she BEGGED them to transfer her to a hospital in Hawaii that could help her, in a ewe months, she traveled to Kaiser Hospital in Hawaii. Where she underwent more test. It lasted a few weeks, and the news they gave her wasn’t good at all. They told her that the test they ran found out that she had ALAS or Lou Geris disease and it’s also known as. This name was given to the disease after a famous baseball player of the same name. They only gave her only 7 years to live. These doctors didn’t know my Auntie Peel – she was strong willed, stubborn, and full of life. My auntie actually lived for 28 MORE YEARS, and for 10 years she was bed redden. How to cite Als: Doctor and Auntie Pele, Papers

Leadership and Clinical Governance-Free-Samples-Myassignmenthelp

Question: Discuss about the Leadership and Clinical Governance. Answer: Introduction The assignment is the part of learning leadership and clinical governance. A critical role is played by the nurses in identifying and responding to changes in the health status of the patient. It is the role of the registered nurse to prevent adverse events and support the patients throughout the care. A variety of leadership skills are required to be cultivated to ensure patient safety. One of these skills is to identify and mange the patient risk to safety. The aim of the assignment is to examine and critically disuses the evidence related to the impact of effective communication on maintaining patient safety. Further, the assignment presents the reflection on an incident where the patient safety was identified at risk as a result of ineffective communication. The discussion in the reflection is based on the role of the registered nurse as the leader in risk management. Critical analysis Patient safety is considered a public health issue. Communication is considered a crucial factor in the patient care process. According to Brock et al. (2013), communication between the physicians, patients, nurses, and other care providers is vital for care process. Adverse events were recorded in the last decade as a result of the miscommunication between the heath care professionals. Medical errors have been reported in several countries such as Australia, US and others that were severe and fatal. It was estimated by the World Health Organisation or WHO that 10% of all the hospital admitted people suffer damage due to care process (Wittich et al., 2014). Amongst all the adverse events one third of them are found to result from the human errors. As per the literature review these errors are preventable and can be prevented by effective communication. It can be interpreted that effective communication enhances the patient care and it plays a vital role. In the book, critical conversation for patient safety: an essential guide for health professionals edited by Tracy Levett-Jones, a greater emphasis has been laid on therapeutic communication. There is a need of therapeutic communication between patients and the health professionals. However, the focus is now extended to include communication between the health care providers. The author of the book also emphasise on addressing the critical relationship between the patent safety and communication. Patient safety is enhanced by the critical conversation as it bridges the gap between the care providers and the care users (Levett-Jones, 2017). It means that effective communication is critical not only between the health care professionals and the patients but also among the health care professionals. It ensures better sharing of the health status of the patient with other specialists and physicians in the interdisciplinary team. According to Levett-Jones Bourgeois (2015), therapeutic an d the interpersonal communication was found to satisfy the innate needs of the patients. It includes the feelings of safety and confidence during the treatment as outlined in the Maslows hierarchy of needs. There are many evidences that effective communication ensures the patient safety. The SBAR system was developed for eliminating the simple communication error in the health care. This system stands for situation, background, assessment and recommendations. It is the information transfer system between the nurse and doctor in concise manner. This tool is used during the medical handover in the intensive care unit. This system was found to improve the communication between the health care providers and enhanced the patient safety. However, the tool is criticised in terms of lack of awareness among the patient and difficulty for nurses in communicating the sensitive issues to the patient (Randmaa et al., 2014). It can be interpreted from the literature review that there are more advantages than disadvantages of SBAR in ensuring the patient safety. It can be concluded from such system that effective communication is challenged by the coexistence of inter-personal, intra-personal and organisational dynamics. Other structured communication tool used for improving the hand offs and the communication across the organisation is group rounds and the briefings. Group rounds involve visiting of the whole care team to the patient to dscuss and communicate the heakth status. Briefings set the tone for the open communication. It improves the collaboration as the team members discuss to identify the patient risks. Briefing and debriefing are useful before and after the process is over (Johnson et al., 2015). This effective communication tools have helped in reducing the medication error and enhanced the patient safety. Effective communication enhances the safe care and team work among the health care professionals. In unsafe situation the use of common critical language among the care providers helped to create an environment where the patient could share their concerns. Application of the briefings in the surgical setting ensured high reliability perinatal care as per Lyndon et al., (2011). Effect ive communication can help make positive changes in the environment, meet the language needs of the patients, which aids in providing support and understanding in the workplace. This is also evident from the modern tools like telehealth and telemedicine that have improved the health care access and quick sharing of the patent information and management of risks immediately (Lyngstad et al., 2013). Overall the impact of effective communication in the health care setting is positive and was found to have postie outcomes in the patients. It helps the patients in the vulnerable situation to feel safe, respected and secure. Therapeutic communication ensures individualised care, and better sharing of the concerns by the patients, increase the patient satisfaction and safety. Reflection Refection is the process of learning from mistakes and makes better decisions. In health care system reflection helps in healing and therapeutic process (Tashiroe et al., 2013). I was placed in the mental health setting where I have diagnosed him with Schizophrenia. While I was conducting the mini mental settle exam I realised that he was answering irrelevantly. The other nurse in the room rebuked him for his behaviour which made the patient more aggressive. I realised that the patient was at risk of physical harm due to lack of empathy and emotional abuse by other nose in the wards. The patient needed effective verbal and nonverbal communication as the ineffective communication has shattered the nurse patient relationship. I could observe a gap formed and the patient concerns were not addressed. I was determined to adhere to the Nursing and Midwifery Board of Australias nursing standards of registered nurse. I approached to the patient once again and continued with my examination. I engaged with him in therapeutic relationship. I was critically analysing his symptoms with the evidence based information (Nursingmidwiferyboard.gov.au., 2017). The patient shared that he does not feel like living. I was aware of the accountability of my practice. I also responded to the other nurses capability for practice to prevent harm to any other patient by emotional abuse. I ensured conducting the assessment of the patient with holistic and culturally appropriate approach. I planned for actions that were ethical and goal directed and evaluated the outcomes on a timely basis (Nursingmidwiferyboard.gov.au, 2017). As a part of my leadership imitative I conveyed the other nurse about her poor nursing management, communication error and insufficient training evident from such behaviour. My aim was to increase the supervision to prevent such ineffective communication by carers. According to Laschinger (2014) lack of supervision and workplace mistreatment is the barrier to effective communication. Mental health is likely to be devastated by the communication flaws (Varcarolis, 2016). I realised that therapeutic communication allowed the patent to share his feelings and concerns. My leadership role helped me mange the risk of physical harm in the patient. I tried to improve my colleagues and my weak points by collecting feedbacks in the workplace. As a registered nurse I have emphasised on empathy, awareness and active listening skills to manage the risk as per Lyndon et al. (2011). My role aligned with the transformational leadership. As per Hutchinson Jackson (2013), transformational nurse leaders should be full partners with the health professionals in redesigning the health care and be accountable for their contributions towards high quality care. It also emphasises that nurse leaders must transform the new research findings to the practice environment. Engaging in therapeutic communication was evidenced based option that led to positive options. I had collaborated with other team members for improving the quality of care of the patient which was the key strategy of leadership in collaborative environment (Ryan et al., 2015). My leadership skills were strong as per Reem et al. (2014) as my strategies wee based on evidence and experience and also mutually respected others opinions. Though the patient was taking long time to recover, he was out of risk of physical harm. Conclusion Health care is the complex system and effective communication can prevent the medical errors, disruptions and save patient lives. Registered nurses are frontline carers of the patient; they have the opportunity to make improvement in the communication system as it is the fundamental component of the patient safety. It can be concluded from the above discussion that effective communication leads to positive outcomes of the patients. Therefore, it is worth the time and investment of the health care providers and the organisation. Nurse may commit error in communication skills. To sustain the therapeutic nurse-patient relationship effective communication and leadership skills are required by registered nurse. Transformational leadership is the effective leadership style in addressing the communication barrier in health care and enhancing the patient safety. References Brock, D., Abu-Rish, E., Chiu, C. R., Hammer, D., Wilson, S., Vorvick, L., ... Zierler, B. (2013). Interprofessional education in team communication: working together to improve patient safety.BMJ Qual Saf,22(5), 414-423. Hutchinson, M., Jackson, D. (2013). Transformational leadership in nursing: towards a more critical interpretation.Nursing inquiry,20(1), 11-22. Johnson, C., Carta, T. R. I. C. I. A., Throndson, K. (2015). Communicate with me: information exchanges between nurses.Can Nurse,3, 24-7. Laschinger, H. K. S. (2014). Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes.Journal of Nursing Administration,44(5), 284-290. Levett-Jones, T. (2017).Critical conversations for patient safety: an essential guide for health professionals - Version details.Trove. Retrieved 30 November 2017, from https://trove.nla.gov.au/work/182790573?qsort=holdings+desc_=1512013127960versionId=212201920 Levett-Jones, T., Bourgeois, S. (2015).The Clinical Placement-E-Book: An Essential Guide for Nursing Students. Elsevier Health Sciences. Lyngstad, M., Melby, L., Grimsmo, A., Helles, R. (2013). Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners.Home Health Care Management Practice,25(5), 203-211. Nursingmidwiferyboard.gov.au. (2017).Nursing and Midwifery Board of Australia - Fact Sheets.Nursingmidwiferyboard.gov.au. Retrieved 30 November 2017, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/FAQ.aspx Nursingmidwiferyboard.gov.au. (2017).Nursing and Midwifery Board of Australia - Registered nurse standards for practice.Nursingmidwiferyboard.gov.au. Retrieved 30 November 2017, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx Randmaa, M., Mrtensson, G., Swenne, C. L., Engstrm, M. (2014). SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.BMJ open,4(1), e004268. Reem, A. D., Kitsantas, P., Maddox, P. J. (2014). The impact of residency programs on new nurse graduates' clinical decision-making and leadership skills: A systematic review.Nurse Education Today,34(6), 1024-1028. Ryan, R. W., Harris, K. K., Mattox, L., Singh, O., Camp, M., Shirey, M. R. (2015). Nursing leader collaboration to drive quality improvement and implementation science.Nursing administration quarterly,39(3), 229-238. Tashiro, J., Shimpuku, Y., Naruse, K., Matsutani, M. (2013). Concept analysis of reflection in nursing professional development.Japan Journal of Nursing Science,10(2), 170-179. Varcarolis, E. M. (2016).Essentials of Psychiatric Mental Health Nursing-E-Book: A Communication Approach to Evidence-Based Care. Elsevier Health Sciences. Wittich, C. M., Burkle, C. M., Lanier, W. L. (2014, August). Medication errors: an overview for clinicians. InMayo Clinic Proceedings(Vol. 89, No. 8, pp. 1116-1125). Elsevier