Consultation-Liaison Outcome Evaluation System

1983 ◽  
Vol 40 (2) ◽  
pp. 215 ◽  
Author(s):  
Michael K. Popkin
2020 ◽  
Author(s):  
Yue Zhou ◽  
Haishaerjiang Wushouer ◽  
Xi Zhang ◽  
Jiajia Feng ◽  
Likai Lin ◽  
...  

Abstract Background The study aimed to assess the development of antimicrobial stewardship (AMS) program in China’s tertiary hospitals to identify the potential challenges for AMS program and provide references and benchmarks for strategic policymaking. Methods A nationwide cross-sectional study was conducted online by sending questionnaires to tertiary hospitals under China Antimicrobial Resistance Surveillance System (CARSS) between November 1, 2018 and December 10, 2018. The questionnaire included 5 sections regarding structure, technical support, antimicrobial use management, antimicrobial use surveillance and education. Descriptive statistics were used for data analysis. Results Of 1044 tertiary hospitals under CARSS, 13.4% (140) hospitals participated in the study. Among them, 99.3% (139/140) set up AMS program. Hospital president (82.1%, 115/140) and medical service department (59.3%, 83/140) were responsible for AMS outcomes in most hospitals. Structured antimicrobial formulary restriction management was adopted by 99.3% (139/140) hospitals. Infection disease department, infection control department and microbiological laboratories were established in 87.1% (122/140), 99.3% (139/140), and 100% (140/140) hospitals, respectively. Up to 85.6% (124/140) hospitals applied clinical pathways and 33.6% (47/140) hospitals implemented hospital-specific guidelines for infectious diseases. Outpatient prescription audit, inpatient prescription audit and prophylactic antimicrobial prescription audit of aseptic operation were performed in 99.3% (139/140), 98.6% (138/140) and 95.7% (134/140) hospitals, respectively. Up to 97.1% (136/140) hospitals participated in antimicrobial use surveillance network and 99.3% (139/140) hospitals established the specialized management of carbapenem and tigecycline. Staff education and AMS-related popular science education were provided with different ways and frequency in 100% (140/140) and 88.6% (124/140) hospitals, respectively. Conclusions AMS in China’s tertiary hospitals were primarily headed by hospital presidents and involved collaboration among various disciplines and administrative departments. More efforts should be put into further promoting and strengthening the development of hospital-specific guidelines and the establishment of progress and outcome evaluation system.


2003 ◽  
Vol 37 (4) ◽  
pp. 421-428 ◽  
Author(s):  
Neil J. Preston ◽  
Neil J. Preston ◽  
Maree L. Stirling ◽  
Kanthi Perera ◽  
Richard J. Bell ◽  
...  

Objective: We describe a system of outcome evaluation for early psychosis programmes and present preliminary data. The Early Psychosis Outcome Evaluation System (EPOES) was designed for use in a naturalistic, prospective study of a cohort of early-episode psychosis patients. We describe patients in terms of symptoms, substance use, social functioning and family burden, and examine the effectiveness of treatment programmes. Method: Four sites in Perth, Western Australia, participated. Outcome was evaluated from three sources: case manager (CM), patient (P) and family member (FM). Seven clinical outcome measures were used: the Brief Psychiatric Rating Scale (CM), Brief Symptom Inventory (P), Substance Use (CM); Social Functioning Scale (P); Global Assessment Scale (CM); Burden Assessment Scale (FM), and the General Health Questionnaire-12 (FM). Measures were collected at intake (baseline) into a specialist early psychosis service and thereafter every 6 months until discharge from the service. Results: After the first year of data capture, 84 baseline assessments have been completed, and 23 patients have been followed up at 6 months. Clinicians and patients reported significantly less psychopathology at 6 months. Sixty per cent of patients reported marijuana use within 3 months of baseline assessment, and 30% amphetamine, ecstasy or cocaine use. Increased levels of psychopathology were recorded for substance-using patients. Family members (59%) reported psychological distress at baseline; this was reduced at 6 months. Patient social functioning and family burden did not improve measurably. Conclusions: The EPOES is an effective system that provides feedback on the clinical status of early-episode psychosis patients. Both observed and self-rated psychopathology and family psychological distress, is improved after 6 months of intervention. Family burden and patient social functioning did not demonstrate improvement. Patient social functioning is an important area for treatment. Substance use is associated with poorer psychopathology. EPOES provides a feasible system of measuring outcome in early psychosis intervention.


2019 ◽  
Vol 131 (1) ◽  
pp. 81-96 ◽  
Author(s):  
Umile Giuseppe Longo ◽  
Mauro Ciuffreda ◽  
Vincenzo Candela ◽  
Alessandra Berton ◽  
Nicola Maffulli ◽  
...  

Abstract Introduction During the past decades, several rating scales have been developed to assess the functional status of patients with hip pain. Source of data A search in Medline, PubMed, Cochrane and CINAHL was performedusing combinations of the following‘hip’, ‘scoring system’, ‘scale’, ‘scores’, ‘outcome assessment’, ‘arthroplasty’, ‘arthroscopy’ and ‘clinical evaluation’. Areas of agreement A total 16 scoring systems are currently available for the evaluation of the hip. Areas of controversy Two types of questionnaires are available: physician-rated and patient-rated questionnaires. Growing points Each hip score consists of different domains. Interpreting these domains becomes sometimes difficult, because, even though they can be common to more than one scoring system, each stresses them in a different way. Areas timely for developing research Although many scoring systems have been used to evaluate hip function, we are still far from a single outcome evaluation system which is reliable, valid and sensitive.


2021 ◽  
Vol 13 (20) ◽  
pp. 11434
Author(s):  
Sara Molgora ◽  
Chiara Fusar Poli ◽  
Giancarlo Tamanza

This contribution illustrates the training evaluation system developed within the Master’s Program in Family and Community Mediation at Università Cattolica del Sacro Cuore in Milan. This is an interim evaluation which focuses on the training process and which considers the collaboration with the subjects of the training to be fundamental. The peculiarity of this work concerns the possibility of inserting research within the training process, following a logic of mutual enrichment both in terms of content and learning. The contribution illustrates in detail the outcome and the process evaluation system, defining the perspective, the objectives, and the methodology of implementation. In particular, the outcome evaluation focuses on the distal and proximal outcomes of the training, while the process analysis focuses on the dynamics within the group of participants. Preliminary findings from 33 participants highlighted that the majority of participants (19) have a “regular” profile, that is, they appreciate both the theoretical contents, as well as the practical activities proposed during the training program. As for the process, the findings showed the importance of reflexivity as a major factor of change. Although these findings are referred to the specific experience of a particular group, and so further evaluations involving different training groups and other training processes are needed, this training evaluation system sheds light on both the topic and the context in which training is delivered. The integration between different points of view and several levels of analysis allows the researchers to deepen the individual path of each participant as well as to obtain feedbacks on the progress of the training group as a whole and allows participants to better understand their contexts of work thanks to the use of reflexivity. This can guarantee a sustainable growth both at individual and interpersonal level.


2020 ◽  
Vol 36 (S1) ◽  
pp. 31-31
Author(s):  
Gengliang Bai ◽  
Minghui Hu ◽  
Yue Liu ◽  
Yingxiong Wu ◽  
Kan Tian

IntroductionIt is difficult to generalize health technology assessment in the field of traditional Chinese medicine (TCM). The lack of an outcomes evaluation system based on TCM theory is one of the important reasons. Studies conducted in menstruating women have shown that the prevalence of primary dysmenorrhea varies from 45 to 95 percent. As a debilitating condition for many women, dysmenorrhea is one of the leading causes of absenteeism from school or work, which has a negative effect on quality of life (QoL). TCM has obvious advantages in treating dysmenorrhea. This study aimed to develop a dysmenorrhea QoL scale based on TCM theory.MethodsWe conducted focus group discussions and in-depth interviews with TCM gynecologists and patients, and adapted items from previously published scales. We generated an initial pool of forty-one items with eight domains. The Delphi method was used for preliminary item selection. Then, we administered the items to a sample of adolescent girls (n = 200). The distribution of survey items, discrete trend, factor analysis, correlation coefficient, and Cronbach's α coefficient were used to select items.ResultsAfter two rounds of expert consultation, a total of thirty items were included in the dysmenorrhea QoL scale. And after sample analysis, four items' frequency distribution was skewed, five items' standard deviation (SD) was <0.8, four items' factor loading was <0.4, five items' score correlation coefficient with a related domain was <0.4, and three items’ deletion would cause their domain's Cronbach's α coefficient increased. The items were deleted when they met more than two above standards.ConclusionsA total of twenty items with eight domains were included in the dysmenorrhea QoL scale. The methods to select the dysmenorrhea QoL scale items based on TCM theory were preferable. Given the paucity of research in this area, this new dysmenorrhea QoL scale may provide opportunities for patient-reported outcome evaluation in the field of TCM.


Author(s):  
Sara Molgora ◽  
Chiara Fusar Poli ◽  
Giancarlo Tamanza

This contribution illustrates the training evaluation system developed within the Master&rsquo;s Program in Family and Community Mediation at Universit&agrave; Cattolica del Sacro Cuore in Milan. This is an interim evaluation, which focuses on the training process and which considers fundamental the collaboration with the subjects of the training. The peculiarity of this work concerns the possibility of inserting research within the training process, following a logic of mutual enrichment both in terms of content and learning. The contribution illustrates in detail the outcome and the process evaluation system, defining the perspective, the objectives, and the methodology of implementation. In particular, the outcome evaluation focuses on the distal and proximal outcomes of the training, while the process analysis focuses on the dynamics within the group of participants. Although further evaluations involving different training groups and other training processes are needed, this training evaluation system allows to shed light on both the topic and the context in which training is delivered. The integration between different points of view and several levels of analysis allows the researchers to deepen the individual path of each participant as well as to have feedbacks on the progress of the training group as a whole.


2012 ◽  
Vol 12 (2) ◽  
Author(s):  
Jailani Jailani

There are a lot of criticism on the implementation of the learning outcome evaluation system in schools at the moment. The criticism is directed primarily to the substance and ambiguity between the idealism targeted in the perspective learning essence. This article tries to present an evaluation model to answer the criticisms. The writer tries to introduce portfolio assessment in detail. It is a collection of documents or options providing information of assessment. It contains the work of the students during a given time providing information on objective assessment which present of what can be done by the students in their learning experiences. The results are intended to be a measure of how well the task given to students in accordance with the curriculum learning objectives. Portfolio assessment is based on a collection or set of work set by the teacher to the students according to the learning objectives. Through portfolio assessment students can demonstrate differences ability to complete the tasks given by the teacher from time to time and or in comparison with other students' work. In portfolio assessment students are given more opportunities to assess themselves from time to time. There are three important elements in the portfolio assessment, namely: (1) storing, (2) sorting, and (3) dating of a task.


1976 ◽  
Vol 6 (2) ◽  
pp. 345-360 ◽  
Author(s):  
Socrates Litsios

This paper is concerned with the problem of introducing an evaluative capability in the administration of the health services of developing countries. The scarcity of resources available for evaluation is taken for granted; as a consequence, the approach to evaluation must be simple and straightforward. A strategy for developing such an approach is presented. The strategy is characterized by a gradual build-up of an evaluative capability along with a strong tie with existing decision-making and planning activities. If successful, the evaluation activity constitutes an integral part of the management system of the services, one which should permeate all service levels.


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