A Real-Time Safety and Quality Reporting System: Assessment of Clinical Data and Staff Participation

2014 ◽  
Vol 90 (5) ◽  
pp. 1202-1207 ◽  
Author(s):  
Douglas A. Rahn ◽  
Gwe-Ya Kim ◽  
Arno J. Mundt ◽  
Todd Pawlicki
Keyword(s):  
Real Time ◽  
Clinical Data ◽  
Reporting System ◽  
Quality Reporting ◽  
System Assessment

A breast analytics dashboard to allow near-real-time visualization of quality assurance data.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 186-186
Author(s):  
Mia Alyce Levy ◽  
Jeremy Warner ◽  
Neal Sanders ◽  
Pam Carney ◽  
Joy Pratt ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Real Time ◽  
Clinical Data ◽  
Breast Biopsy ◽  
Pilot Project ◽  
Quality Reporting ◽  
Image Guided ◽  
Time Period ◽  
National Quality ◽  
Clinical Systems

186 Background: Quality metrics for internal use (e.g. quality improvement; quality assurance [QA/QI] activities) and external use (e.g. accreditation; national quality reporting) are currently primarily obtained through retrospective manual data abstraction on subsets of patients, at a majority of cancer centers. Real-time QA/QI of all patients is attractive but requires collection of electronic data from disparate clinical systems that are rarely fully interoperable. We developed a dashboard to aggregate relevant clinical information in near real-time for QA/QI visualizations. Methods: Tableau® software was used to visualize data from multiple clinical systems at Vanderbilt University Medical Center (VUMC). Custom extract, transform, and load (ETL) processes were developed to collect radiology, pathology, professional billing, and clinical data on a daily basis. An integrated dashboard was developed through an iterative process involving physicians, nurses, and software engineers. As a pilot project, data from all patients with an image-guided breast biopsy obtained at VUMC from 2009-2013 was visualized. Results: 4177 biopsies were included in the visualized cohort as of June 2014. 3,210 (77%) of the biopsies were preceded by a BiRADS 4 or 5 mammogram. The annual biopsy rate increased by 51% over the time period. Despite this increase in volume, the median number of weekdays from BiRADS 4 or 5 mammogram to image-guided biopsy was stable at 5 days over the time period. Prior diagnosis status, lesion class, procedure type, and imaging exam type were also included in the dashboard. Conclusions: This pilot project demonstrates the ability to visualize near real-time clinical data for QA/QI purposes. Tableau® is interactive, so that certain patterns (e.g. the distribution of number of days from screening mammogram to biopsy) can be explored at a granular level. This functionality also allows the user to investigate why 23% of patients had no apparent imaging before biopsy. Based on a perceived pattern of delayed biopsy in certain outliers, QI efforts at VUMC are underway to ensure timely biopsy. Interactive visual dashboards such as the one described present opportunities to rapidly cycle QA findings into QI actions.

Reducing Culture Reporting Errors in the Microbiology Laboratory

2019 ◽  
Vol 152 (Supplement_1) ◽  
pp. S131-S132
Author(s):  
Kathryn Hogan ◽  
Beena Umar ◽  
Mohamed Alhamar ◽  
Kathleen Callahan ◽  
Linoj Samuel
Keyword(s):  
Real Time ◽  
Error Rate ◽  
Reporting System ◽  
Error Rates ◽  
Tracking Errors ◽  
Corrective Measures ◽  
Safety Awareness ◽  
Before And After ◽  
Set Up ◽  
System Errors

Abstract Objectives There are few papers that characterize types of errors in microbiology laboratories and scant research demonstrating the effects of interventions on microbiology lab errors. This study aims to categorize types of culture reporting errors found in microbiology labs and to document the error rates before and after interventions designed to reduce errors and improve overall laboratory quality. Methods To improve documentation of error incidence, a self-reporting system was changed to an automatic reporting system. Errors were categorized into five types Gram stain (misinterpretations), identification (incorrect analysis), set up labeling (incorrect patient labels), procedures (not followed), and miscellaneous. Error rates were tracked according to technologist, and technologists were given real-time feedback by a manager. Error rates were also monitored in the daily quality meeting and frequently detected errors were discussed at staff meetings. Technologists attended a year-end review with a manager to improve their performance. To maintain these changes, policies were developed to monitor technologist error rate and to define corrective measures. If a certain number of errors per month was reached, technologists were required to undergo retraining by a manager. If a technologist failed to correct any error according to protocol, they were also potentially subject to corrective measures. Results In 2013, we recorded 0.5 errors per 1,000 tests. By 2018, we recorded only 0.1 errors per 1,000 tests, an 80% decrease. The yearly culture volume from 2013 to 2018 increased by 32%, while the yearly error rate went from 0.05% per year to 0.01% per year, a statistically significant decrease (P = .0007). Conclusion This study supports the effectiveness of the changes implemented to decrease errors in culture reporting. By tracking errors in real time and using a standardized process that involved timely follow-up, technologists were educated on error prevention. This practice increased safety awareness in our micro lab.

A Real Time Vehicle Collision Sensor and Reporting System Using Load Sensor, GSM and GPS Technology

2013 ◽  
Vol 718-720 ◽  
pp. 1740-1745
Author(s):  
Tulu Muluneh Mekonnen ◽  
De Ning Jiang ◽  
Yong Xin Feng
Keyword(s):  
Real Time ◽  
Pressure Sensor ◽  
Reporting System ◽  
Electronic Device ◽  
Text Message ◽  
Sensor System ◽  
Gps Receiver ◽  
Gps Technology ◽  
Vehicle Collision ◽  
Load Sensor

Vehicle collision sensor system and reporting accident to police is an electronic device installed in a vehicle to inform police man in case of accident to track the vehicles location. This system works using pressure sensor, GPS and GSM technology. These technology embedded together to sense the vehicle collision and indicate the position of the vehicle or locate the place of accident in order to solve the problem immediately (as soon as possible).For doing so AT89S52 microcontroller is interfaced serially to a GSM modem, GPS receiver, and pressure sensor. A GSM modem is used to send the position (Latitude and Longitude) of the vehicle, the plate of the vehicle and the SMS text from the accident place. The GPS modem will continuously give the data (longitude and latitude) and Load sensor senses the collision of the vehicle against obstacles and input to microcontroller. As load sensor senses the collision, the GSM start to send the plate of the vehicle, text message and the position of the vehicle in terms of latitude and longitude in real time.

scholarly journals Non-invasive, real-time reporting drug release in vitro and in vivo

2015 ◽  
Vol 51 (32) ◽  
pp. 6948-6951 ◽  
Author(s):  
Yanfeng Zhang ◽  
Qian Yin ◽  
Jonathan Yen ◽  
Joanne Li ◽  
Hanze Ying ◽  
...  
Keyword(s):  
Drug Release ◽  
Real Time ◽  
Near Infrared ◽  
Reporting System ◽  
Real Time Monitoring ◽  
Near Infrared Fluorescence ◽  
Non Invasive ◽  
Fluorescence Dye

Anin vitroandin vivodrug-reporting system is developed for real-time monitoring of drug release via the analysis of the concurrently released near-infrared fluorescence dye.

scholarly journals Raise your Glasses - the Water's Magic! Strategic IT at SA Water: A Case Study in Alignment, Outsourcing and Governance

2004 ◽  
Vol 19 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Alan Thorogood ◽  
Philip Yetton ◽  
Anthony Vlasic ◽  
Joan Spiller
Keyword(s):  
Water Quality ◽  
Information Technology ◽  
Reporting System ◽  
Business Value ◽  
It Infrastructure ◽  
Australian Water ◽  
Quality Reporting ◽  
Business Applications ◽  
The Government

The South Australian Water case study illustrates the management challenges in aligning Information Technology with business objectives in a publicly owned corporation. To achieve the alignment, the new CIO begins by refreshing the IT infrastructure to support the required business applications. When the Government establishes ‘Improved water quality’ as a major corporate goal, the CIO seeks to add value to the business by developing a quality reporting system that leverages the existing technology. At the same time, he demonstrates to the corporation the IT function's capability to deliver business value through the management of multiple outsourcing vendors.

scholarly journals Physician Quality Reporting System Program Updates and the Impact on Emergency Medicine Practice

2016 ◽  
Vol 17 (2) ◽  
pp. 229-237 ◽  
Author(s):  
Jennifer Wiler ◽  
Michael Granovsky ◽  
Stephen Cantrill ◽  
Richard Newell ◽  
Arjun Venkatesh ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Reporting System ◽  
Quality Reporting ◽  
Physician Quality Reporting System ◽  
The Impact ◽  
System Program

scholarly journals IPTEKS PENGARUH MINAT PERILAKU WAJIB PAJAK DALAM MENGGUNAKAN SYSTEM ONLINE DI KPP PRATAMA MANADO

2018 ◽  
Vol 2 (02) ◽  
Author(s):  
Tri Sukma M. Suci ◽  
Lady D. Latjandu
Keyword(s):  
Information Technology ◽  
Human Resources ◽  
Real Time ◽  
Reporting System ◽  
Positive Influence ◽  
Tax Returns

Reporting system (SPT) starts the expansion of information technology online & real time, namely e-Filing. With an existence of e-Filing provides convenience to taxpayers in reportin tax returns. The purpose of this study’s to look at the factors that affect interest in taxpayer behavior toward the use of e-Filing at KPP Pratama Manado. E-Filing makes a good contribution to Taxpayers and by using e-Filing, a Taxpayers can feel the benefits, wich one is convenience when delivering taxes. Taxpayers interest in using e-Filing is based on perceptions and the experience gained by taxpayers on e-Filing. Factors of usability, convenience, security and confidentiality, and human resources have a positive influence, so that the benefits of e-Filing can be felt by all Taxpayers registered at the KPP Pratama Manado.Keywords: e-Filing, taxpayers, SPT

Audiologist's Role Within the Changing Climate of Fall Prevention: Are We Ready?

2016 ◽  
Vol 1 (8) ◽  
pp. 4-13
Author(s):  
Alaina M. Bassett ◽  
Julie A. Honaker
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Fall Prevention ◽  
Fall Risk ◽  
Reporting System ◽  
Risk Assessments ◽  
Mandated Reporting ◽  
Medicare Beneficiaries ◽  
Medical Settings ◽  
Quality Reporting

This article is aimed to address the vestibular audiologist's role in assessing patient fall risk as tasked by Medicare. With implementation of the Physician's Quality Reporting System (PQRS), audiologists performing standard measures of the vestibular battery must report on measures #154: Falls: Risk assessment and #155: Falls: Plan of care for Medicare beneficiaries. Mandated reporting of this measure includes vestibular audiologists in the multidisciplinary medical management of fall prevention in older adults. In order for audiologists to provide the most relevant care, it is important to evaluate the current fall risk assessments in medical settings, how the implementation of these measures can be structured within the audiology clinic, and challenges audiologist may face with implementation.

Sign in / Sign up

Export Citation Format

Share Document