Diagnostic accuracy and appropriateness of care for seborrheic keratoses. A pilot study of an approach to quality assurance for cutaneous surgery

JAMA ◽  
1991 ◽  
Vol 265 (1) ◽  
pp. 74-77 ◽  
Author(s):  
R. S. Stern
Author(s):  
Min Wang ◽  
Xinjian Duan ◽  
Michael J. Kozluk

A probabilistic fracture mechanics code, PRAISE-CANDU 1.0, has been developed under a software quality assurance program in full compliance with CSA N286.7-99, and was initially released in 2012 June. Extensive verification and validation has been performed on PRAISE-CANDU 1.0 for the purpose of software quality assurance. This paper presents the benchmarking performed between PRAISE-CANDU 1.0 and xLPR (eXtremely Low Probability of Rupture) version 1.0 using the cases from the xLPR pilot study. The xLPR code was developed in a configuration management and quality assured manner. Both codes adopted a state-of-art code architecture for the treatment of the uncertainties. Inputs to the PRAISE-CANDU were established as close as possible to those used in corresponding xLPR cases. Excellent agreement has been observed among the results obtained from the two PFM codes in spite of some differences between the codes. This benchmarking is considered to be an important element of the validation of PRAISE-CANDU.


Author(s):  
Haomin Wang ◽  
Mingming Shao

This chapter is a report on using a course management system Desire2Learn® to facilitate the implementation of the quality assurance standards recommended by Quality Matters. After a brief introduction to the Quality Matters standards, the chapter describes how the Desire2Learn learning environment can be structured to build an interconnected framework to promote objective-oriented, criterion-referenced, dynamic assessment. A pilot study was conducted to explore how learning activities can be assessed in alignment with measurable learning objectives, with reference to criterion-based rubrics. The chapter discusses issues found through the study and lessons learned in using the competency structure of Desire2Learn to enforce objective-oriented assessment.


Author(s):  
Gary Massey ◽  
Regine Wieder

While the nature and status of translators' work are changing due to technologisation and other factors, translation is acquiring a strategic function in organisations. The intercultural component of translation competence makes translators well positioned to play a key role in assuring quality in international corporate communications. But quality models envisage only restricted interactions between translators, clients and communications specialists. Moreover, evidence about translators' self-concepts shows them underequipped to adopt the roles that meaningful cooperation with corporate communications suggests. This chapter reports on a pilot study at the interface between translation and corporate communications in Switzerland. Presenting findings from a survey of translation and communications professionals, it reveals underdeveloped feedforward and feedback cultures and a translator self-concept that underplays the mediatory, advisory added value of human translation. Concrete implications for quality assurance and translator education are drawn and future research is outlined.


1991 ◽  
Vol 11 (9) ◽  
pp. 34-40
Author(s):  
P Brown-Stewart

Care of the critically ill has become increasingly challenging due to demands from external sources to measure the quality and appropriateness of care provided. Quality assurance is the responsibility of every critical care nurse and requires vigilance as well as a knowledge of the principles of standards, monitoring and evaluation. Through quality assurance activities, the contribution of critical care nurses in the achievement of patient outcomes can be measured. Quality assurance challenges us to evaluate the way we practice, and assists us to continuously improve the way we provide care to critically ill patients.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Elysia K. Donovan ◽  
Jeffrey Greenspoon ◽  
Kara L. Schnarr ◽  
Timothy J. Whelan ◽  
James R. Wright ◽  
...  

Abstract Purpose Metastatic epidural spinal cord compression (MESCC) is a devastating complication of advanced malignancy, which can result in neurologic complications and significant deterioration in overall function and quality of life. Most patients are not candidates for optimal surgical decompression and as a result, receive urgent 3D conformal radiotherapy (3DCRT) to prevent or attempt to reverse neurologic progression. Multiple trials indicate that response and ambulatory rates after 3DCRT are inferior to surgery. The advent of stereotactic body radiation therapy (SBRT) has created a method with which a “radiosurgical decompression” boost may facilitate improve outcomes for MESCC patients. Methods We are conducting a pilot study to investigate SBRT boost after urgent 3D CRT for patients with MESCC. The aim of the study is to establish feasibility of this two-phase treatment regimen, and secondarily to characterize post-treatment ambulation status, motor response, pain control, quality of life and survival. Discussion We describe the study protocol and present a case report of one patient. A quality assurance review was conducted after the first seven patients, and resultant dose-constraints were revised to improve safety and feasibility of planning through more conservative organ at risk constraints. There have been no severe adverse events (grade 3–5) to date. We have illustrated clinical and dosimetric data of an example case, where a patient regained full strength and ambulatory capacity. Conclusions Our study aims to determine if SBRT is a feasible option in addition to standard 3DCRT for MESCC patients, with the goal to consider future randomized trials if successful. Having a robust quality assurance process in this study ensures translatability going forward if future trials with multicenter and increased patient representation are to be considered. Trial registration clinicaltrials.gov; registration no. NCT03529708; https://clinicaltrials.gov/ct2/show/NCT03529708; First posted May 18, 2018.


Oral Diseases ◽  
2020 ◽  
Vol 26 (S1) ◽  
pp. 161-164
Author(s):  
Shumani Charlotte Manenzhe ◽  
Sizakele Pride Ngwenya ◽  
Sindisiwe Londiwe Shangase

2014 ◽  
Vol 19 (1) ◽  
pp. 183-190 ◽  
Author(s):  
Maria Clotilde Carra ◽  
Nelly Huynh ◽  
Gilles J. Lavigne

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