El sector de la atención en salud está necesitando un cambio fundamental a fin de mejorar significativamente los resultados y limitar al mismo tiempo los costos. Los métodos Lean desarrollados inicialmente en la industria manufacturera han demostrado mejorar realmente la calidad, la productividad y la seguridad, a la vez que permiten utilizar menos recursos en la gestión de la salud. Estas herramientas, prácticas gerenciales y filosofías se han adaptado con éxito en los servicios de cirugía del SC. Pueden transformar el sistema y la cultura mediante el compromiso del personal de asistencia para el desarrollo de un servicio que mejora continuamente y permite obtener mejores resultados clínicos duraderos.

Healthcare is in need of fundamental change if we are going to make significant improvements in outcomes while limiting costs. Lean methods, initially developed in the manufacturing industry, have been shown to deliver real improvements in quality, productivity, and safety while using fewer resources in healthcare service settings. These tools, management practices and philosophies have been successfully adapted in operative services at SC. They can transform your system and culture through engagement of frontline staff into a continuously improving service with real and sustainable enhancements in clinical outcomes.

A review of the dependence of the electron mobility on the free carrier concentration for gallium nitride and indium nitride nanowires grown using hot-wall chemical vapour deposition is presented. Gallium nitride nanowires exhibit mobilities of 100 cm²/Vs to below 1 cm²/Vs for carrier concentrations of 10(19) to 10(20) cm- 3. Theoretical estimations and annealing experiments indicate that the nanowires are heavily compensated. Indium nitride nanowires also exhibit high carrier concentrations, of the order of 10(20) to 10(22) cm- 3. For both types of nanowires, mobility decreases with increasing carrier concentration, consistent with transport limited by impurity scattering.