Monitoring Clinical Performance: The Role of Software Architecture

2005 ◽  
Vol 8 (3) ◽  
pp. 197-203 ◽  
Author(s):  
Mike Rees ◽  
Jitesh Dineschandra
Keyword(s):  
Software Architecture ◽  
Clinical Performance

“Experience Isn’t Everything”: How Emotion Affects the Relationship Between Experience and Cue Utilization

2018 ◽  
Vol 60 (5) ◽  
pp. 685-698 ◽  
Author(s):  
Monique Frances Crane ◽  
Sue Brouwers ◽  
Mark William Wiggins ◽  
Thomas Loveday ◽  
Kirsty Forrest ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Experience Level ◽  
Cue Utilization ◽  
Practice Experience ◽  
Negative Arousal ◽  
Range Anxiety ◽  
Research Findings ◽  
Post Hoc ◽  
The Relationship

Objective: This research examined whether negative and positive arousal emotions modify the relationship between experience level and cue utilization among anesthetists. Background: The capacity of a practitioner to form precise associations between clusters of features (e.g., symptoms) and events (e.g., diagnosis) and then act on them is known as cue utilization. A common assumption is that practice experience allows opportunities for cue acquisition and cue utilization. However, this relationship is often not borne out in research findings. This study investigates the role of emotional state in this relationship. Method: An online tool (EXPERTise 2.0) was used to assess practitioner cue utilization for tasks relevant to anesthesia. The experience of positive and negative arousal emotions in the previous three days was measured, and emotion clusters were generated. Experience was measured as the composite of practice years and hours of practice experience. The moderating role of emotion on the relationship between experience and cue utilization was examined. Results: Data on 125 anesthetists (36% female) were included in the analysis. The predicted interaction between arousal emotions and the experience level emerged. In particular, post hoc analyses revealed that anxiety-related emotions facilitated the likelihood of high cue utilization in less experienced practitioners. Conclusion: The findings suggest a role for emotions in cue use and suggest a functional role for normal range anxiety emotions in a simulated work-relevant task. Application: This research illustrates the importance of understanding the potentially functional effects common negative arousal emotions may have on clinical performance, particularly for those with less experience.

scholarly journals The Mosaic porcine bioprosthesis: Role of age on clinical performance in aortic position

2011 ◽  
Vol 141 (6) ◽  
pp. 1440-1448.e1 ◽  
Author(s):  
Friedrich-Christian Rieß ◽  
Ralf Bader ◽  
Eva Cramer ◽  
Lorenz Hansen ◽  
Sandra Schiffelers ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Porcine Bioprosthesis

scholarly journals Mors Gaudet Succurrere Vitae. The Role of Clinical Autopsy in Preventing Litigation Related to the Management of Liver and Digestive Disorders

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1436
Author(s):  
Stefano D’Errico ◽  
Martina Zanon ◽  
Michela Peruch ◽  
Monica Concato ◽  
Martina Padovano ◽  
...  
Keyword(s):  
Risk Management ◽  
Clinical Diagnosis ◽  
Cause Of Death ◽  
Clinical Performance ◽  
Improve Patient Safety ◽  
Methodological Approach ◽  
Post Mortem ◽  
Accurate Analysis ◽  
Hepatic Diseases

Over the last 50 years, the number of clinical autopsies has decreased, but their role in assessing cause of death and clinical performance is still acknowledged. Few publications have studied their role in malpractice claim prevention. The paper aims to highlight the role of clinical autopsy in preventing errors and improve healthcare quality. A retrospective study was conducted on 28 clinical autopsies performed between 2015 and 2021 on patients dead unexpectedly after procedures for the diagnosis and treatment of digestive and hepatic diseases. After an accurate analysis of medical records and consultation with healthcare professionals, all cases were subjected to autopsy and histopathology. The data obtained were analyzed and shared with the risk-management team to identify pitfalls and preventive strategies. Post-mortem evaluations confirmed the clinical diagnosis only in six cases (21.4%). Discordances were observed in 10 cases (35.7%). In the remaining 12 cases (42.9%) the clinical diagnosis was labeled as “unknown” and post-mortem examinations made it possible to document the cause of death. Post-mortem examinations can concretely enrich hospital prevention systems and improve patient safety. The methodological approach outlined certainly demonstrates that, even in the risk-management field, “mors gaudet succurrere vitae” (“death delights in helping life”).

scholarly journals Giving effective feedback to psychiatric trainees

2009 ◽  
Vol 15 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Nick Brown ◽  
Louise Cooke
Keyword(s):  
Clinical Performance ◽  
Daily Practice ◽  
Educational Process ◽  
Effective Feedback ◽  
Assessment Feedback ◽  
Workplace Based Assessment ◽  
Competency Based ◽  
Process Feedback ◽  
The Uk

SummaryFeedback is an essential part of the learning process. Feedback can be positive or negative, constructive or destructive, minimal or in depth. It must always occur and should never be ignored. The role of effective feedback is critical in the modern postgraduate medical educational process in the UK, with its emphasis on competency-based curricula and workplace-based assessment. Feedback is not new in medical education and has been shown in research to be effective in bringing about change, particularly improvement in clinical performance. There are clear principles and features of good and bad feedback and these are highlighted, along with descriptions of models for use in daily practice.

The role of software architecture in requirements engineering

2002 ◽  
Author(s):  
C. Shekaran ◽  
D. Garlan ◽  
M. Jackson ◽  
N.R. Mead ◽  
C. Potts ◽  
...  
Keyword(s):  
Software Architecture ◽  
Requirements Engineering

Architecture and Implementation of a Design Repository System

2002 ◽  
Author(s):  
Simon Szykman
Keyword(s):  
Product Development ◽  
Software Architecture ◽  
Software Systems ◽  
Software System ◽  
Product Knowledge ◽  
Product Models ◽  
Computer Aided ◽  
Prototype Software ◽  
Repository Software

This paper describes the design and development of a design repository software system. This system is a prototype implementation intended to demonstrate the role of design repositories as part of a vision for the next generation of product development software systems. This research involves not only the creation of a prototype software system, but is part of a broader effort that also includes the development of a core product knowledge representation, and that seeks to address terminological and semantic issues associated with computer-aided product development. This paper focuses on the interfaces that have been developed to support authoring and navigation of the product models stored in design repositories, as well as the software architecture and associated rationale that provide the framework on which the system is built.

scholarly journals A Study on the Role of Software Architecture in the Evolution and Quality of Software

2015 ◽  
Author(s):  
Ehsan Kouroshfar ◽  
Mehdi Mirakhorli ◽  
Hamid Bagheri ◽  
Lu Xiao ◽  
Sam Malek ◽  
...  
Keyword(s):  
Software Architecture

scholarly journals Biomarkers of Alzheimer Disease

2019 ◽  
Vol 5 (1) ◽  
pp. 194-208 ◽  
Author(s):  
Melissa M Budelier ◽  
Randall J Bateman
Keyword(s):  
Alzheimer Disease ◽  
Clinical Diagnosis ◽  
Biomarker Discovery ◽  
Clinical Performance ◽  
Laboratory Medicine ◽  
Assay Development ◽  
Careful Attention ◽  
Asymptomatic Individuals ◽  
Research Studies

Abstract Background Alzheimer disease (AD) was once a clinical diagnosis confirmed by postmortem autopsy. Today, with the development of AD biomarkers, laboratory assays to detect AD pathology are able to complement clinical diagnosis in symptomatic individuals with uncertain diagnosis. A variety of commercially available assays are performed as laboratory-developed tests, and many more are in development for both clinical and research purposes. Content The role of laboratory medicine in diagnosing and managing AD is expanding; thus, it is important for laboratory professionals and ordering physicians to understand the strengths and limitations of both existing and emerging AD biomarker assays. In this review, we will provide an overview of the diagnosis of AD, discuss existing laboratory assays for AD and their recommended use, and examine the clinical performance of emerging AD biomarkers. Summary The field of AD biomarker discovery and assay development is rapidly evolving, with recent studies promising to improve both the diagnosis of symptomatic individuals and enrollment and monitoring of asymptomatic individuals in research studies. However, care must be taken to ensure proper use and interpretation of these assays. For clinical purposes, these assays are meant to aid in diagnosis but are not themselves diagnostic. For individuals without symptoms, AD biomarker tests are still only appropriate for research purposes. Additionally, there are analytical challenges that require careful attention, especially for longitudinal use of AD tests.

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