Sunday, November 3, 2019

Building the Boeing 787 Case Study Essay Example | Topics and Well Written Essays - 2500 words

Building the Boeing 787 Case Study - Essay Example It manufactures commercial aeroplanes, military jets, space shuttles and rockets. It has over the years produced a series of planes among them the latest project; the Boeing 787. This project was referred to as the 7E7 before being renamed the 787 in 2005. The plane has a similar size to the 767 with the overriding advantage over the former being its fuel consumption which is at 20% less. In addition to fuel efficiency, the 787 is credited with features like smooth nose shape, noise reducing chevrons and a four-panel windshield which are streamlined to reduce air resistance when airborne (Turner, 2010). This 787 project has not gone smoothly without operational hiccups; when the engineers came up with the first design, the plane said to have been overweight to the tune of 2,300kgs above the specified weight. This was however not all; there were 7 delays in the project process among them being an in flight fire on the Rolls Royce engine during testing. That not enough, just in the mon th of January 2012, the company reported numerous problems on some 787 fuselages. The effort and capital that was employed to come up with this latest machine is outrageous. Once the airline companies and other clients found the products offered by this company faulty, they claimed compensation which resulted in a dip in Boeing’s margins. Boeing’s corporate profile In terms of turnover, the company is among the largest in designing, assembly, selling and after-sales maintenance of aircrafts and other defence equipment. There are other companies within the European Union for instance the European Aeronautic Defence and Space Company (EADS) and French owned Dassault, who collectively share this global aircraft manufacturing business with Boeing. It is placed third, according to the latest estimations, in supply of defence systems and aerospace equipment with the biggest client being the American government. America continues to have interest in the management of the comp any because of the place it occupies in being part of its future ambitions in space exploration and general protection of the citizenry. The company, listed in the Dow Jones bourse, is America’s sixth largest exporter by product value. Good share prices at the listing helps it get more operational capital to finance its expansion strategies which is vital in an increasingly competitive market with new entrants like Embraer from Brazil. To add insult to injury, the year 2001 bombing of Twin Towers in New York dented the company’s revenue streams as the markets were down because of weak American economy. Such terrorist activities and general insecurity causes a fall in the number of airline passengers and increases fuel prices which are the two main problems associated with airline industry. Boeing global business model focuses on mass production of these plane components and defence equipment. It has a strong and well funded research and development department that look s into new technologies to tackle global communication problems. Its vitality as a producer of these important gadgets to the American government makes it look like a partner to the administration which funds some of its processes. In 2007, it partnered with NASA which is fully funded by the government to produce special parts of the Space Shuttle. By the year 2008, it topped the list of companies with the highest value

Friday, November 1, 2019

Frequency Distribution Assignment Example | Topics and Well Written Essays - 250 words

Frequency Distribution - Assignment Example A project needs to be measureable and therefore frequency distribution helps in assessing the frequency distribution. In the process of measuring the work output of different people we could make use of mean and correlation to get the right figures (Meredith,  2011). Frequency distributions allows for measuring of specific results for different people within a project. We could use of means and correlation analysis for the purposes of analysing the output of different employees in a company. Many projects are planned with timetables in the analysis of frequency distributions. As a result, frequency distribution allows for the analysis of time taken by different employees in undertaking their jobs even in cases of people undertaking the same job (Meredith,  2011). Project management involves undertaking various jobs and duties in the process of accomplishing certain tasks that are relevant and therefore, we could make use of frequency distributions. Graphs and tables show disparity to detail on different measures undertaken by different employees

Wednesday, October 30, 2019

Comparitive Argumentive essay on the primary text of the Canadian

Comparitive Argumentive on the primary text of the Canadian Dream - Essay Example There is a great Canadian dream that is related to the aspect of immigration. Both of these texts are involved with this dream though in different ways. It is this aspect that brings about the main difference between the texts. In both texts, there are immigrants who gain entry into the Canadian land. Each of them is astonished and overwhelmed by what they see and encounter. In this sense, they are both driven by the Canadian dream to afford the lives of the inhabitants hence make their future in the new land better. They also have similar experiences. However, they handle these experiences in different ways hence accomplishing the Canadian dream in completely varied ways. Thus, while others are able to realize this dream fully, there are others who are not able to do so based on the different ways that they work towards it and against the oppression that they face as they try to adapt into the new ways. The Canadian dream was created for those who were moving from Canada to other new places. It made use of the term ethnic, which was used to refer to all those individuals who have become immigrants but are not members of the founding cultures in Canada. They include those who are not the catholic French or the protestant Anglo-Celtic. In addition, the term ethic was also used to involve all those aboriginal inhabitants of Canada, the native Indians as well as the Inuits, who have always kept their distance and alienated themselves from the Canadian society. The main aim was to bring about personal development and prosperity for the individuals. It was clear that any immigrant from Canada to other areas would feel pressured to adapt to most of the new ways that they experienced in the new areas. However, despite their ability to learn new ways, it was advisable that they do not get fully assimilated in the new ways but also try as much as possible to hold on to their previous ways an d not forget

Monday, October 28, 2019

Alcohol and Drug Abuse Essay Example for Free

Alcohol and Drug Abuse Essay Hello fellow classmates, today I’m going to inform you on Alcohol and Drug Abuse. Alcohol abuse is due to many factors, including how you were raised, your social environment and your emotional health. American Indians and Native Alaskans are more likely to develop alcohol abuse, also people who have a family history of alcoholism or heavy drinkers are more likely to develop some sort of drinking problem. People who suffer from mental health problems such as anxiety, depression or bipolar disorder are at risk because alcohol may have been used to self-medicate Alcohol abuse effects society in many ways including more people getting divorced, domestic violence problems, unemployment and even living in poverty, also if you have children they are effected the most as they are sensitive and are most likely to suffer from long-lasting emotional trauma because a parent or caretaker is an alcohol abuser Many people experiment with drugs for different reasons. Many people try drugs for the first time because they are curious; think they’re going to have a good time, because everyone around them is doing it including friends, others do it to enhance athletic performance or to ease other problems such as stress, anxiety or depression. Some may think using drugs automatically leads to abuse but it depends on the individual. Drug Abuse isn’t about how much you take or how frequently you take it, it’s about the consequences from taking the drug, if it’s causing problems at home, school, work or even relationships, it’s possible you have a drug abuse problem. Drug abuse affects society in many different ways such as, neglecting your responsibilities at school, work or home, causing problems in your relationships such as fights with your partner, family member or friends We need to change the way Alcohol and Drug abuse affects not only society but the abusers, because it is unfaithful to God’s teachings as he never wanted us to abuse anything in anyway shape or form. God’s love for everyone is so strong and powerful that he doesn’t want you to get hurt because you feel the need to abuse Alcohol and especially Drugs The solution to these problems is depending on there condition. Most abusers can control there use therefore and easy solution for them is moderation, for example setting limits and using there will power, but if that doesn’t work they need to obtain counselling, which will help them with different strategies in coping with all there emotions, but if someone is a social drinker because they have a low self-esteem, they can get psychological help to feel better about themselves so they don’t have to drink So we need to spread the word of god to start decreasing the number of people who abuse drugs and alcohol

Saturday, October 26, 2019

John Donnes Unusual Conceits: Bizarre Imagery or Thoughtful Comparisons? :: Biography Biographies Essays

John Donne's Unusual Conceits: Bizarre Imagery or Thoughtful Comparisons?      Ã‚  Ã‚   What exactly do a flea and the intense emotion of love have in common?   Does the sun ever intrude upon you and your lover while in bed?   To most people these questions would draw nothing but quizzical or blank stares followed by perhaps a referral to one psychologist or another.   However, if one asked a certain young minister from seventeenth century London the same questions, he would have suddenly become inspired.   This exceptional personality was the metaphysical poet John Donne.    Many people debate whether Donne's metaphysical style of verse is genuinely contemplative comparison or merely eccentric imagery.   However, if one looks deep enough into the witty his witty works such as, "The Sun Rising," or "The Flea," they will find evidence to support both views.   It has been said of Donne's love poetry that it was "losing itself at times in the fantastic and absurd" (Grierson 25).   By using his unusual conceits, or far-fetched metaphors, John Donne utilizes his remarkable ability to draw a wistful sigh of love from any reader while shocking and twisting brain cells at the same time.   It is this innovative method of combining such passion and great intellect that entices poets like T. S.   Eliot to imitate him and others like Samuel Johnson to criticize him.    One example of John Donne's words coming off as a thoughtful and indeed intriguing comparison is presented in "The Sun Rising. "   In this composition, Donne proclaims in a conceit, " She is all states, and all princes, I, Nothing else is" (Line 21-22).  Ã‚   By this he is so boldly declaring that he and his own love are the center of the universe and all that is important (Carey 109).   He goes on to tell the "unruly sun," "This bed thy center is, these walls, thy sphere" (Line 30).   By these lines we can see that Donne is portraying love as an all-empowering emotion.   He is telling us that being in love signifies a completeness, an obsession that makes all else negligible.      When the speaker asserts to the sun, "If her eyes have not blinded thine; Look, and tomorrow late, tell me, Whether both the Indias of spice and mine Be where thou leftst them, or lie here with me," (Line 15-18), he is masterfully showing both his loves' superiority and the sun's inferiority. John Donne's Unusual Conceits: Bizarre Imagery or Thoughtful Comparisons? :: Biography Biographies Essays John Donne's Unusual Conceits: Bizarre Imagery or Thoughtful Comparisons?      Ã‚  Ã‚   What exactly do a flea and the intense emotion of love have in common?   Does the sun ever intrude upon you and your lover while in bed?   To most people these questions would draw nothing but quizzical or blank stares followed by perhaps a referral to one psychologist or another.   However, if one asked a certain young minister from seventeenth century London the same questions, he would have suddenly become inspired.   This exceptional personality was the metaphysical poet John Donne.    Many people debate whether Donne's metaphysical style of verse is genuinely contemplative comparison or merely eccentric imagery.   However, if one looks deep enough into the witty his witty works such as, "The Sun Rising," or "The Flea," they will find evidence to support both views.   It has been said of Donne's love poetry that it was "losing itself at times in the fantastic and absurd" (Grierson 25).   By using his unusual conceits, or far-fetched metaphors, John Donne utilizes his remarkable ability to draw a wistful sigh of love from any reader while shocking and twisting brain cells at the same time.   It is this innovative method of combining such passion and great intellect that entices poets like T. S.   Eliot to imitate him and others like Samuel Johnson to criticize him.    One example of John Donne's words coming off as a thoughtful and indeed intriguing comparison is presented in "The Sun Rising. "   In this composition, Donne proclaims in a conceit, " She is all states, and all princes, I, Nothing else is" (Line 21-22).  Ã‚   By this he is so boldly declaring that he and his own love are the center of the universe and all that is important (Carey 109).   He goes on to tell the "unruly sun," "This bed thy center is, these walls, thy sphere" (Line 30).   By these lines we can see that Donne is portraying love as an all-empowering emotion.   He is telling us that being in love signifies a completeness, an obsession that makes all else negligible.      When the speaker asserts to the sun, "If her eyes have not blinded thine; Look, and tomorrow late, tell me, Whether both the Indias of spice and mine Be where thou leftst them, or lie here with me," (Line 15-18), he is masterfully showing both his loves' superiority and the sun's inferiority.

Thursday, October 24, 2019

Jack Sparrow Ca

Jack Sparrow Character Analysis. The Pirates of the Caribbean film series is one of the most popular film series to run its course through theaters in recent years. Action, adventure, and romance are some of the things we come to expect when we sit down to watch these amazing film adventures. But one of the things we can rely on most is the presence of Captain Jack Sparrow. While Sparrow was conceived to be only a supporting character, he proved to be popular after he was added into Disney’s theme park ride that spawned the movie series.Of course, a character as â€Å"far out† as Captain Jack had to be played by someone equally out-there: Johnny Depp. First we’ll talk about how Depp got into the role of Captain Jack and then I will analyze how Jack is portrayed as a character. In 2001, Depp was at Walt Disney Studios looking to do a family film. However, the fact that the Pirates theme park ride was going to be adapted into a film caught his attention first.Depp looked at the movie adaptation as a chance to revive his favorite movie genre,  and he was even more pleased when he found out the script fit his personality perfectly: a quirky pirate looking for adventure and in the end, showing he has a soft side. Depp was cast on June 10, 2002. Producer  of the series Jerry Bruckheimer  said that Depp was â€Å"an edgy actor who will kind of counter the Disney  Country Bears  soft quality and tell an audience that an adult and teenager can go see this and have a good time with it. When the cast got together for their read-through of the script, Depp surprised everyone by portraying the character in an off-kilter manner. After Depp did some research of his own on 18th century pirates, he compared the swashbucklers to modern rock stars and said he would base his performance on  Keith Richards. In a comic follow-up, Richards would later appear in two cameos as Jack's father,  Captain Teague, in  At World's End  and  On Stranger Tides. Director Gore Verbinski and Jerry Bruckheimer had confidence in Depp, in part because Orlando Bloom would be playing the traditional â€Å"hero† character in the series.Depp also improvised the film's final line, â€Å"Now, bring me that horizon†, which was writer Ted Elliot’s favorite line. Disney executives were, at first, confused by Depp's performance. Some even asked him whether the character was  drunk  or gay. Michael Eisner  even proclaimed while watching the events unfold, â€Å"He's ruining the film! †Ã‚  Depp actually fought back and responded, â€Å"Look, these are the choices I made. You know my work. So either trust me or give me the boot.   Some industry insiders also questioned Depp's casting, as he wasn’t known for working in a traditional studio setting and had even been called an unconventional actor. Depp's portrayal as Captain Jack Sparrow was critically acclaimed. Alan Morrison said â€Å"Gloriously over-the- top  Ã¢â‚¬ ¦ In terms of physical precision and verbal delivery, it's a master-class in comedy acting. †Ã‚  Roger Ebert  also found his performance â€Å"original in its every atom. There has never been a pirate, or for that matter a human being, like this in any other movie  Ã¢â‚¬ ¦ his behavior shows a lifetime of rehearsal. Ebert also praised Depp for moving away from the how Captain Jack was written. Depp won a  Screen Actor's Guild  award for his performance, and was also nominated for a  Golden Globe  and an  Academy Award for Best Actor, the first in his career. Film School Rejects  argued and wrote, â€Å"That because of Pirates, Depp has become as much a movie star as a  character actor. Johnny Depp returned as Jack Sparrow in  Dead Man's Chest, the first time the actor ever made a sequel. Drew McWeeny  stated, â€Å"Remember how cool  Han Solo  was in  Star Wars  the first time you saw it?And then remember how much cooler he seemed when  Empire  came out? This is that big a jump. †Ã‚  Depp received an  MTV Movie Award  and a  Teen Choice Award  for  Dead Man's Chest, and was also nominated for an  Empire Award  and another  Golden Globe. For his performance in  At World's End, Depp won an  MTV Movie Award  for Best Comedic Performance, as well as a  People's Choice Award, a  Kids' Choice Award, and another  Teen Choice Award. He has signed on to reprise the role for future sequels. Captain Jack appeals to us as moviegoers because he brings out our inner-most sense of adventure.We want him to succeed and we feel like we are right there when he takes us on an adventure. The first time we meet Captain Jack in The Curse of the Black Pearl he is sailing into Port Royal on a dinghy-like boat that is sinking to the ocean floor the during the whole scene. He eventually walks onto the dock from the crow’s nest, acting if nothing ever happened. He immediately pays off a dock worker in order to skip the mandatory ID check required to enter the city. This is what we love from a character; someone who makes the best of his situation and finds a way to get into the crowd.In the real world, we would never considering acting like Jack does. But in the movies, his adventure-seeking nature is something we crave. Despite all of the moral faults of Sparrow, the audience still finds him loveable. This is all thanks to Johnny Depp’s masterful portrayal. Depp was able to create a very human, multifaceted, believable character. What’s even weirder is that Jack is not the typical pirate that peaks our interests. He is not bulky, muscular, or very intimidating. His actions at some times are very effeminate.Although he used his brain more than brawn, the films will show us that he is very athletic on his own. Sparrow also shows us that it doesn’t matter who our friends are. Just look at his crew while he is commanding the Black Pearl. It is the most rag-tag group of pirates you will ever see. It even included a woman in the first movie, something that was very taboo for Captains to have in their crew at the time. Another bright spot on Sparrow is that he uses everything that is available to him. He may not be the best swordsman, but if there is anything that could possibly be a weapon near him, he will use it.Anything you can think of really; whiskey barrels, horses, even him fighting on a water-wheel that generates power. In Dead Man’s Chest Jack was found to be the accepted leader of a tribe of Caribbean natives. He somehow mastered their language and was living in the lap of luxury until he found out that he was going to be a human sacrifice. Things like this are what draw us to The Captain. His wild and crazy adventures may come to an end someday, but he will always be memorable to me and definitely left a mark on the movie world.

Wednesday, October 23, 2019

Research Proposal Electronic Health Records

Effects of Technological Experience on Adoption and Usage of Electronic Health Records Introduction The integration of electronic health records in the IT infrastructures supporting medical facilities enables improved access to and recording of patient data, enhanced ability to make more informed and more-timely decisions, and decreased errors. Despite these benefits, there are mixed results as to the use of EHR.The aim of this research is to determine if medical health professionals who lack experience with technology are slower to adopt and use electronic health records (EHR). Research has shown that the healthcare industry is plagued by rapidly increasing costs and poor quality. The United States medical care is the world’s most costly, but its outcomes are mediocre compared with other industrialized, and some non-industrialized, nations. Medical errors are a major problem resulting in upwards of 98000 deaths a year; as a result, patient safety has become a top priority.The healthcare system has been slow to take advantage of EHR and realize the benefits of computerization: that is, to improve access to records and patient data, to reduce incorrect dose errors, avoid drug interactions, and ensure the right patient is in the operating room (Noteboom 2012). Despite the obvious benefits a 2007 survey by the American Hospital Association reported that only 11% of hospitals had fully implemented EHR. Another study by Vishwanath& Scamurra reported less than 10% of physicians in different practices and settings in the US use EHR. Blumenthal (2009) cites only 1. 5% of US hospitals have comprehensive EHR systems.A similar 2009 study by the American Hospital Association shows less than 2% of hospitals use comprehensive EHR and about 8% use a basic EHR in at least one care unit. These findings indicate the adoption of HER continues to be low in US hospitals (Manos, 2009). Understanding the reason for the lack of technological integration is pivotal to securing q uality and affordable medical care. Education expert Mark Prensky (2001) defined two terms, digital natives and digital immigrants, which he used to describe those who have an innate ability for technology from an early age (native) and those who are slower to learn and adopt it (immigrant).This disparity is suggested to play a key role in the ability and desire of professional to use technological solutions in their day-to-day activities. Our intent is to expand this possibility to medical health professionals’ use of electronic health records. Our research will attempt to determine if being native to technology has any impact on a practitioner’s desire to incorporate information technology in to their work routine. We will also see if natives have perform better in health information settings as has been shown in other areas.Previous Research A 2008 study by DesRoches et al. attempted to discern barriers to the adoption of electronic health records. The authors condu cted a survey of physicians registered in the masterfile of the American Medical Association, excluding Doctors of Osteopathy. The authors listed 4 basic reasons the respondents could choose from; financial barriers, organizational barriers, legal barriers, and barriers from the state of the technology. Respondents could further clarify their responses base on subgroups.Financial barriers could include initial capital to implement the systems or uncertainty about the return on investment. Organizational barriers were sub-divided in to physician didn’t want to, the physicians did not have the capacity to, or they feared there would be a loss of productivity during implementation. Legal barriers included fears of breaches of confidentiality, hackers, and legal liability. State of technology included failure to locate an EHR that could meet their needs or that the system would become obsolete to quickly.Their results show that 66% of physicians without EHR’s cited capital costs as a reason. The also responded with not finding a system to meet their needs, 54%, uncertainty about their return on the investment, 50%, and concern that a system would become obsolete, 44%. Physicians working in locations with EHRs tended to highlight the same barriers, though less frequently. The authors concluded that financial limitations are the greatest barrier to the adoption of electronic health records. They do admit that their study, like all surveys, could be subject to response bias.Burt (2005) also surveyed physicians, this time from the National Ambulatory Medical Care Survey, a yearly survey conducted by the US census bureau. The authors were attempting to find correlations between EHR implementation and other statistics, such as age, practice size, and ownership (physician, physician group, or HMO). They used regression modeling and bivariate analysis of three years of survey data. They found that practices owned by HMOs were three times more likely to adopt EHR as single physician or group owned practices.Also, large physician group owned practices (20 or more) had an increased usage of EHR over small group and single physician owned. The authors reported that there were no variations due to practice size in the different ownership groups. Physicians’ age did not have any effect on EHR usage. The authors concluded that the ability of larger practices to spread the sizable investment required to purchase and implement the technology over more physicians and services was the largest factor in implementation EHR. Laerum (2001) was the first to look at how individual Physicians interact and use EHRs on an everyday basis.The conducted surveys and telephone interviews with physician in 32 units of 19 hospitals in Norway, because a much higher percentage of Norwegian hospitals use EHR, about 73%. The authors selected 23 possible common tasks a physician that could be assisted by or completed by an EHR. The also collected computer lite racy data, respondent age and sex and overall satisfaction with the system. The authors found that very few of the possible tasks were being utilized in the EHR. The found that on average physicians were using EHR for 2 to 7 of the possible 23 tasks.Most of the tasks used related to reading patient data. The also found that the computer literacy rate was high (72. 2/100) and there was no correlation with respondents age or sex. They gave the users satisfaction as a generally positive rating. Though demonstrating that physicians use EHR less than they could they gave no explanation as to why. Simon (2009) followed the same path as Laerum mentioned above, surveying physicians usage of EHR in practices that have systems deployed. The authors identified ten main functions available in EHR systems deployed in hospitals in Massachusetts.They attempted to determine if these ten functions were actually being utilized or if the physicians were still using paper. The authors deployed mail bas ed surveys, in 2005 and 2007, to physician in Massachusetts. The surveys asked the practitioners if they had an EHR deployed in their hospital, if and how they used the EHR for the ten predetermined tasks, and simple demographic information. The authors found that while EHR deployment grew by 12% (from 23% to 35% of hospitals), the amount of usage self reported didn't change.EHRs were still mostly being used for reading patient data, but there was a small increase in the use of electronic prescribing, with 19. 9% of physicians with this function available in 2005 using it most of the time, compared to 42. 6% in 2007. Linder (2006) expanded on this by asking why physicians aren't using EHRs. The authors also conducted a survey of Partners Healthcare; which supports an internally developed, web based, fully functioning EHR called Longitudinal Medical Record. They also expanded their base to include nurses, nurse practitioners, and physicians.The survey contained basic demographic info rmation, self-reporting skill level with the EHR, how often they used the EHR, and what they felt were barriers to their use of the system. Since this survey was contained to a system that had already implemented the EHR, the authors had removed the typical barriers of capital as reported above, but they still found that 25% never or rarely used the system, and less than 15% used the system exclusively every time, i. e. never took paper notes or wrote paper prescriptions.They found no correlation of EHR usage to age or gender, but did find that nurses were slightly less likely to use the system. The most uprising data was why practitioners said they didn’t use the EHR with 62% of respondents saying they didn't want to suffer a loss of eye contact with the patients and 31% of respondents saying that they thought it was rude to use a computer in front of a patient. Other notable reasons were falling behind schedule at 52%, computer being to slow (49%), typing skill (32%), and p referring to write â€Å"long prose notes† (28%).This was the first study to identify social barriers to the adoption of EHR in professional settings. Since the majority of the research had been unable to identify simple solutions a series of workshops consisting of industry leaders were formed to study the problem. Kaplan (2009) reports that participants convened and discussed current issues and challenges with widespread adoption of EHR. The workshops conclude that while there are still some technical issues with Information technology in the health sector the main focus needs to shift to revealing sociological and cultural problems.Noteboom (2012) took a different method to determine barriers to EHR adoption; eschewing all previous research in to problems with the usage of EHRs. The authors decide to use an approach more commonly seen in social sciences called open coding, a type of grounded theory. This method is almost the complete revers of traditional research in that it starts with data collection. From this data, key points of text, in this case transcripts from case studies, are marked with a series of codes.These codes are anchors that allow key points of data to be gathered. The researcher can then use these key points to construct a theory or hypothesis. Noteboom started with simple interviews with physician, attempting to elicit â€Å"perceptions, meanings, feelings, reasons, and comments† about their interaction with EHRs. The interviewed physician at the Research Medical Center, Kansas City, and labeled the transcripts of these interviews. From these interviews the authors discovered that users of EHR fall victim to positive and negative work cycles.Positive cycles are ways in which the system helps the physician, i. e. quicker reading of patient data or mining historical data. Negative cycles are tasks that take longer like data entry, which was done by nurses prior to EHR implementation, or lack of specific functions for special ists, calculate rad dosage for radiation therapy. Design Our research methodology will consist of a case study of medical health professional, preferably physicians, physician assistants, nurses, and nurse practitioners, currently employed in an institute running EHRs.The primary data will be gathered through interviews to elicit perceptions on ability to adapt to and use new technology, feelings on the implementation of the technology, comments about the systems, and history of their technology use (to determine natives and immigrants). Secondary data will be collected by having competent users observing participants interaction with the system and evaluating their efficacy. Once the data has been collected it will be analyzed to determine if there is any correlation between digital natives and digital immigrants as it pertains to their use of EHR.Special attention will be paid to how often the system is used compared to the theoretical maximum and how efficient the practitioner is compared to how efficient they perceive they are. Requirements to conduct this study are small. All that is required are willing hospitals that have EHR systems installed, hopefully with a diverse staff spanning many age groups and experience levels. We would also require around 5 interviewers who are well versed in assessing software efficacy to conduct the interviews and gauge practitioners’ abilities on the EHR system.Statistical data will be calculated on IBM SPSS or similar. ? References Bates, D. W. , Ebell, M. , Gotlieb, E. , Zapp, J. , & Mullins, H. C. (2003). A proposal for electronic medical records in US primary care. Journal of the American Medical Informatics Association, 10(1), 1-10. Blumenthal, D. (2009). Stimulating the adoption of health information technology. New England Journal of Medicine, 360(15), 1477-1479. Burt, C. W. , & Sisk, J. E. (2005). Which physicians and practices are using electronic medical records?. Health Affairs, 24(5), 1334-1343. DesRoch es, C.M. , Campbell, E. G. , Rao, S. R. , Donelan, K. , Ferris, T. G. , Jha, A. , †¦ & Blumenthal, D. (2008). Electronic health records in ambulatory care—a national survey of physicians. New England Journal of Medicine, 359(1), 50-60 Kohn, L. T. , Corrigan, J. , & Donaldson, M. S. (2000). To err is human: building a safer health system (Vol. 6). Joseph Henry Press. Kaplan, B. , & Harris-Salamone, K. D. (2009). Health IT success and failure: recommendations from literature and an AMIA workshop. Journal of the American Medical Informatics Association, 16(3), 291-299.L? rum, H. , Ellingsen, G. , & Faxvaag, A. (2001). Doctors' use of electronic medical records systems in hospitals: cross sectional survey. Bmj, 323(7325), 1344-1348. Linder, J. A. , Schnipper, J. L. , Tsurikova, R. , Melnikas, A. J. , Volk, L. A. , & Middleton, B. (2006). Barriers to electronic health record use during patient visits. In AMIA Annual Symposium Proceedings (Vol. 2006, p. 499). American Medical Informatics Association Manos, D. (2009). New study shows few hospitals have comprehensive EHR. Healthcare IT News. McDonald, C. J. (1997).The barriers to electronic medical record systems and how to overcome them. Journal of the American Medical Informatics Association, 4(3), 213-221. Noteboom, C. , Bastola, D. , & Qureshi, S. (2012, January). Cycles of Electronic Health Records Adaptation by Physicians: How Do the Positive and Negative Experiences with the EHR System Affect Physicians' EHR Adaptation Process?. In System Science (HICSS), 2012 45th Hawaii International Conference on (pp. 2685-2695). IEEE Prensky, M. (2001). Digital natives, digital immigrants Part 2: Do they really think differently?.On the horizon, 9(6), 1-6 Simon, S. R. , Soran, C. S. , Kaushal, R. , Jenter, C. A. , Volk, L. A. , Burdick, E. , †¦ & Bates, D. W. (2009). Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide survey. Journal of the American Medical Informati cs Association, 16(4), 465-470. Vishwanath, A. , & Scamurra, S. D. (2007). Barriers to the adoption of electronic health records: using concept mapping to develop a comprehensive empirical model. Health Informatics Journal, 13(2), 119-134.