Ron is reputed to be a very bright and creative fellow who was part of another highly successful group in the organization. However, Ron has been arriving late to group meetings and recently showed up halfway through the meeting and was clearly unprepared. You overheard two members of the group discussing Ron's behavior. One group member, Marsha, was wondering why Ron had not been removed from the group yet; the other team member, Bill, speculated that Ron has been having some problems at home and suggested that everyone should cut him some slack.
Next week your group is expected to complete an important project so that the results can be passed along to other members of the organization. Each team member is responsible for a different part of the project, and Ron is responsible for the two most important parts.
Your group is scheduled to meet tomorrow to do any last minute coordination that may be required. Based on that timetable, you gave the head of your Association your personal guarantee that the project would be done by Monday. Ron calls you today and says he doesn't have his sections finished and probably won't be able to finish them before the meeting.
He says he just needs more time. What would you say to Ron?
In the space below, write in your own words exactly how you would respond to Ron to address this situation. Mary is a year-old mother of two small children who presented to the hospital's GI suite to undergo a procedure under moderate [procedural] sedation. Her parents, Bill and Beth, accompany her. Toward the end of the procedure, the nurse notices that Mary has turned blue and stops the procedure. The nurse also notices that Mary is not breathing, and her EKG shows a heart rate of less than The nurse calls for a code blue response while the team involved in the procedure begins to administer CPR.
When the code team arrives, there are some delays in providing appropriate care while different physicians argue about the proper course of treatment. Eventually the team is able to re-establish Mary's normal heart rate, blood pressure, and adequate blood oxygen level. During the resuscitation efforts, information obtained from the devices monitoring Mary's EKG, blood pressure, and blood oxygen levels reveals a period of approximately 7 minutes during which she may not have been breathing adequately, possible from too much sedation medication during the procedure.
The nurse involved in monitoring Mary appears visibly shaken and states that she was distracted during the procedure because she was trying to obtain different pieces of equipment for the procedure. Bill and Beth are in the waiting room.
They have heard the overhead call of code blue and have seen many people running to the procedure area. You have been asked to go to the waiting room and speak with Mary's parents.
You approach Bill and Beth in the waiting room. In the space below, write in your own words exactly what you would say to Mary's parents. Adam, a 55 year-old male is admitted to your hospital for an elective removal of his spleen. The nurses, operating surgeon and anesthesiologist are all employed by the hospital, which is self-insured for professional liability. The procedure is technically challenging due to the patient's obesity but appears to go smoothly. Adam is discharged after 3 days and has mild, persistent abdominal pain.
The medical team attributes the pain to the surgical incision. When Adam returns for his 2-week post-operative check at the surgeon's office, he reports increasing abdominal pain and a 3-day history of a low-grade fever. An X-ray of the abdomen reveals a surgical sponge. Adam undergoes another surgery to remove the sponge, at which time an abdominal infection is discovered.
The surgery is performed by a different surgical team at the same hospital. Treatment of the abdominal infection requires a 4-day stay in the hospital followed by a 3-week course of intravenous antibiotics at home. Adam, who is employed as an architect, misses a total of 8 weeks of work. The root cause analysis reveals that the sponge counts took place before and after the surgical procedure, and correct counts were documented.
And for most modeling tools, there is the further complication of getting the non-English expressions for the technical concepts and their explanations to be technically correct for that speech community. Like Scenario 1, but the modeling tool can export the model with the business vocabulary entries and links in a form that can be used by other modeling tools, at least for the same modeling language.
And the tool should be able to import models with links in that form from other modeling tools for the same modeling language. In addition, the modeling tool can import and export models with links to externally maintained vocabulary entries. The modeling tool need not be able to create or maintain a business vocabulary; it does need to support user search of the vocabulary. The modeling tool should be able to import more than one business vocabulary, for different speech communities, and link model entries to all of the corresponding vocabulary entries. This scenario combines the capabilities of scenarios 2 and 3 in the modeling tool.
The modeling tool can import an existing business vocabulary, enable the user to modify it, or to create new vocabularies, and export vocabularies. The tool can import and export models with model elements linked to the vocabulary entries. The modeling tool itself can act as a vocabulary management tool, more or less independent of any model.
Sure, it's a worst-case scenario move, but no one will ever know if you don't tell! Leave a Reply Cancel reply Your email address will not be published. However, it is essential to point out two fundamental historical elements in order to put in perspective the trends at work in the Middle East area:. Still another scenario might include a child who has learned how to climb out of her crib. Return to Contents Scenario 4: Disclosure After Event Analysis Alphonse, a 50 year-old CEO of a large aerospace company with a family history of high cholesterol has come to your hospital for cardiac bypass surgery.
These cases from Fred seem to be about reconciling a user-specified vocabulary with other business vocabularies associated with, or independent of, existing models. They apply to Scenario 4, where the modeling tool also serves as a vocabulary management tool. Whether it was originally created by a modeling tool or a vocabulary tool is irrelevant, because the vocabulary itself is a separate resource.
By externalizing the vocabulary resource, we can choose to use a standard exchange form. The vocabulary is for the same model. The user must examine the terms of the imported vocabulary and correlate them with the terms of an existing, internal vocabulary maintained by the tool. The structure of the model will be very helpful if the user can view the sending model and the receiving model for comparison.
It is a very reasonable concern. One might expect the modeling tool to add the links from the second vocabulary to the corresponding model elements, however that is done. I don't understand what other kind of correlation is required. The alternative seems to be some kind of vocabulary merging activity in vocabulary management tooling, which is not an MVF concern.
Some of the concepts may be shared by the two models, and links from the active model elements can point to the matching concepts, so alignment for these will be simplified. This could be used to develop a unified vocabulary for a business domain, combining the existing, internal vocabulary with the imported vocabulary to create a reconciled vocabulary. However, since the models are not the same, differences in the semantics of model concepts may be more difficult to recognize.
This is a special case of C below. It is based on the idea that the imported business vocabulary was created with a specific model, and that the vocabulary is exported with that model. The vocabulary is useful to the user, but the model is not the model the user wants to work on. The vocabulary has to be a separable import in one way or another. It must be possible for the modeling tool to extract that vocabulary and treat the other model as separately linked to it.
This is the general case — the relationship of the vocabulary to other models is irrelevant to its import. The user must reconcile concepts based on natural language semantics of terms and definitions in both the internal vocabulary s and imported vocabulary s. The existence of this universal vocabulary might evolve from efforts of standards or professional organizations, but it represents a major investment and years before it provides business value to users.
The vocabularies include semantic formulations in a standard, formal language so that corresponding concepts can be automatically identified. This scenario is like scenario 3 on the model management side, but the business vocabulary is not available for import.
In Not Just Another Scenario 2, Winston combines his prodigious knowledge of Jewish texts with his creative mind to construct a novel about the events at the. Not Just Another Scenario 2 book. Read reviews from world's largest community for readers. THE TALMUD TELLS us that we are supposed to.
It is controlled by a service that maintains it and does not export it, but rather provides interfaces for accessing concepts, terms and definitions for different speech communities. The modeling tool provides user access to the vocabulary services and enables the model elements to be linked to vocabulary items as maintained by the service. The modeling tool can import and export models so linked.
A modeling tool can import the metamodel with the links and use the multiple language terminologies in dialogues with the user. Tool vendors or vocabulary vendors may provide alternative vocabularies for the metamodel. This reduces the user burden and should have market value at least for the tool vendors. Yes, the vocabulary and links should be provided by the submitters of the metamodel. The problem with alternative vocabularies for the metamodel is to ensure that a version of the standard in some other commercial language is a proper translation that matches the intent of the original.
If tool vendors do this themselves, to improve their customer experience and their market, it can get legally and politically messy. Such a tool is essentially an adjunct to a modeling tool for that specific modeling language.
This case may require nothing but proprietary capabilities, but for exchange purposes, if that is wanted, it requires the same MVF features as Case 4.