Large Scale Cognitive Error in Critical Care: The Adoption of “Best Practices” That Are Either Ineffective or Harm Patients

2013 ◽  
pp. 441-454
Author(s):  
Timothy G. Buchman
Keyword(s):  
Critical Care ◽  
Best Practices ◽  
Large Scale ◽  
Cognitive Error

Implementation aspects of agile methods in large organizations

e-mentor ◽  
2021 ◽  
Vol 90 (3) ◽  
pp. 64-72
Author(s):  
Robert Pawlak ◽  
Keyword(s):  
Best Practices ◽  
Large Scale ◽  
Success Factors ◽  
Implementation Process ◽  
Business Practice ◽  
Organization Culture ◽  
Agile Methods ◽  
Implementation Challenges ◽  
Depth Analysis ◽  
Implementation Aspects

The aim of this article is to analyze the challenges and success factors on organizations’ path to agile transformation, as frequently discussed in the literature and encountered in business practice. The research conducted proved that large-scale agile transformations require a dedicated approach with set of tools and best practices in place. The implementation challenges and barriers have been categorized into method-, organization-, culture- and technology-oriented groups. As a result of an in-depth analysis carried on for the purpose of this paper, a dedicated methodology of agile transformation has been proposed to ease the implementation process.

scholarly journals Experimenting With Online Governance

2021 ◽  
Vol 3 ◽  
Author(s):  
Ofer Tchernichovski ◽  
Seth Frey ◽  
Nori Jacoby ◽  
Dalton Conley
Keyword(s):  
Best Practices ◽  
Virtual Worlds ◽  
Large Scale ◽  
Online Communication ◽  
Institutional Logic ◽  
Social Feedback ◽  
Rating Systems ◽  
Community Rating ◽  
Fast Pace ◽  
Test Outcomes

To solve the problems they face, online communities adopt comprehensive governance methods including committees, boards, juries, and even more complex institutional logics. Helping these kinds of communities succeed will require categorizing best practices and creating toolboxes that fit the needs of specific communities. Beyond such applied uses, there is also a potential for an institutional logic itself to evolve, taking advantage of feedback provided by the fast pace and large ecosystem of online communication. Here, we outline an experimental strategy aiming at guiding and facilitating such an evolution. We first review the advantages of studying collective action using recent technologies for efficiently orchestrating massive online experiments. Research in this vein includes attempts to understand how behavior spreads, how cooperation evolves, and how the wisdom of the crowd can be improved. We then present the potential usefulness of developing virtual-world experiments with governance for improving the utility of social feedback. Such experiments can be used for improving community rating systems and monitoring (dashboard) systems. Finally, we present a framework for constructing large-scale experiments entirely in virtual worlds, aimed at capturing the complexity of governance dynamics, to empirically test outcomes of manipulating institutional logic.

Acute and Critical Care Clinical Nurse Specialists: Synergy for Best Practices

2008 ◽  
Vol 28 (4) ◽  
pp. 68-68 ◽  
Author(s):  
Theresa Murray ◽  
Lynn M. Simko
Keyword(s):  
Critical Care ◽  
Best Practices ◽  
Clinical Nurse ◽  
Clinical Nurse Specialists

scholarly journals Conducting quantitative studies with the participation of political elites: best practices for designing the study and soliciting the participation of political elites

2020 ◽  
Author(s):  
Barbara Vis ◽  
Sjoerd Stolwijk
Keyword(s):  
Decision Making ◽  
Best Practices ◽  
Quantitative Research ◽  
Large Scale ◽  
Response Rate ◽  
Response Rates ◽  
Political Elite ◽  
Political Elites ◽  
Future Studies ◽  
Quantitative Studies

Abstract Conducting quantitative research (e.g., surveys, a large number of interviews, experiments) with the participation of political elites is typically challenging. Given that a population of political elites is typically small by definition, a particular challenge is obtaining a sufficiently high number of observations and, thus, a certain response rate. This paper focuses on two questions related to this challenge: (1) What are best practices for designing the study? And (2) what are best practices for soliciting the participation of political elites? To arrive at these best practices, we (a) examine which factors explain the variation in response rates across surveys within and between large-scale, multi-wave survey projects by statistically analyzing a newly compiled dataset of 342 political elite surveys from eight projects, spanning 30 years and 58 countries, (b) integrate the typically scattered findings from the existing literature and (c) discuss results from an original expert survey among researchers with experience with such research (n = 23). By compiling a comprehensive list of best practices, systematically testing some widely held believes about response rates and by providing benchmarks for response rates depending on country, survey mode and elite type, we aim to facilitate future studies where participation of political elites is required. This will contribute to our knowledge and understanding of political elites’ opinions, information processing and decision making and thereby of the functioning of representative democracies.

scholarly journals Best practices for analyzing large-scale health data from wearables and smartphone apps

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Jennifer L. Hicks ◽  
Tim Althoff ◽  
Rok Sosic ◽  
Peter Kuhar ◽  
Bojan Bostjancic ◽  
...  
Keyword(s):  
Best Practices ◽  
Large Scale ◽  
Health Data ◽  
Smartphone Apps

scholarly journals (P1-103) Utilization of a Pediatric Disaster Coalition as a Model for Regional Pediatric Disaster Planning

2011 ◽  
Vol 26 (S1) ◽  
pp. s132-s132
Author(s):  
G. Foltin ◽  
A. Flamm ◽  
A. Cooper ◽  
M. Sagy ◽  
B.M. Greenwald ◽  
...  
Keyword(s):  
Critical Care ◽  
Emergency Preparedness ◽  
Large Scale ◽  
Pediatric Emergency ◽  
Mass Casualty ◽  
Metropolitan Region ◽  
Pediatric Care ◽  
Preparedness Planning ◽  
Field Triage ◽  
Care Surgery

PurposeThere remains a lack of comprehensive pediatric emergency preparedness planning worldwide. A disaster or mass-casualty incident (MCI) involving pediatric patients could overwhelm existing pediatric resources within the New York City (NYC) metropolitan region. The NYC Department of Health and Mental Hygiene (DOHMH) recognizing the importance to plan for a MCI with a large number of pediatric victims, implemented a project (the Pediatric Disaster Coalition; PDC), to address gaps in the healthcare system to provide effective and timely pediatric care during a MCI.MethodsThe PDC includes experts in emergency preparedness, critical care, surgery, and emergency medicine from the NYC pediatric/children's hospitals, DOHMH, Office of Emergency Management, and Fire Department (FDNY). Two committees addressed pediatric prehospital triage, transport, and pediatric critical care (PCC) surge capacities. They developed guidelines and recommendations for pediatric field triage and transport, matching patients' needs to resources, and increasing PCC Surge Capacities.ResultsSurge recommendations were formulated. The algorithm developed provides specific pediatric triage criteria that identify severity of illness using the traditional Red, Yellow, and Green categories plus an Orange designation for continual reassessments that has been adopted by FDNY that has trained > 3,000 FDNY EMS personnel in its use. Triaged patients can be transported to appropriate resources based on a tiered system that defines pediatric hospital capabilities. The Surge Committee has created PCC Surge Capacity Guideline that can be used by hospitals to create their individual PCC surge plans. 15 of 25 NYC hospitals with PCC capabilities are participating with PDC planning; 5 have completed surge plans, 3 are nea completion, and 7 are in development. The completed plans add 92 surge beds to 244 regularly available PICU beds. The goal is to increase the PCC surge bed capacity by 200 + beds.ConclusionsThe project is an effective, multidisciplinary group approach to planning for a regional, large-scale pediatric MCI. Regional lead agencies must emphasize pediatric emergency preparedness in their disaster plans.

Telemedicine in critical care

2016 ◽  
Author(s):  
Bela Patel ◽  
Eric J. Thomas
Keyword(s):  
Critical Care ◽  
Best Practices ◽  
Bloodstream Infections ◽  
Ventilator Associated Pneumonia ◽  
Care Model ◽  
Stress Ulcers ◽  
Care Environment ◽  
The Past ◽  
The Usa ◽  
The Impact

The majority of critically-ill patients are admitted to hospitals that do not have physician intensivist coverage, despite strong evidence that clinical outcomes are improved with intensivist staffing. Telemedicine can leverage clinical resources by providing critical care expertise to patients in intensive care units (ICUs) by off-site clinicians using video, audio, and electronic links. In the past 10 years, telemedicine in critical care has seen tremendous growth in the number of ICU patients being supported by this care model across the USA. The impact of ICU telemedicine coverage has been studied rigorously only in a few studies and the outcomes have been mixed and inconsistent. Telemedicine has been shown in some studies to improve adherence to ICU best practices for the prevention of deep venous thrombosis, stress ulcers, ventilator-associated pneumonia, and catheter-related bloodstream infections. Further research in ICU telemedicine is required to understand the variability of outcomes among the telemedicine programmes studied and to effectively implement the technology to consistently improve outcomes and reduce costs in the critical care environment.

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