740 Quality Indicators in Pediatric Digestive Endoscopy: Lessons Learned From a High Volume Endoscopy Unit

2016 ◽  
Vol 150 (4) ◽  
pp. S151
Author(s):  
Anne-Sophie Groleau ◽  
Mélissandre Ostiguy ◽  
Prevost Jantchou
2016 ◽  
Vol 151 (1) ◽  
pp. 204 ◽  
Author(s):  
Anne-Sophie Groleau ◽  
Mélissandre Ostiguy ◽  
Dieudonné Soubeiga ◽  
Patricia Perreault ◽  
Jessica Ezri ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1593
Author(s):  
Alejandra Martinez ◽  
Witold Gertych ◽  
Christophe Pomel ◽  
Gwenael Ferron ◽  
Amelie Lusque ◽  
...  

Background: Quality Indicators for ovarian cancer (OC) have been developed by the European Society of Gynaecological Oncology (ESGO) and by the French National Cancer Institute (Institut National du Cancer, INCa). The aim of the study was to characterize OC care distribution in France by case-volume and to prospectively evaluate the adherence of high-volume institutions to INCa/ESGO quality indicators. Methods: The cost-utility of radical surgery in ovarian cancer (CURSOC) trial is a prospective, multicenter, comparative and non-randomized study that includes patients with stage IIIC-IV epithelial OC treated in nine French health care tertiary institutions. Adherence to institutional quality indicators were anonymously assessed by an independent committee. OC care distribution in France were provided by the nationwide database of hospital procedures. Results: More than half of patients are treated in low-volume institutions. Among the nine high-volume centers participating in the study, four (44.4%) met all institutional INCa/ESGO quality indicators. The other five (55.6%) did not fulfil one of the quality indicator criteria. Conclusions: Access to high-volume OC providers in France is restricted to a minority of patients, and yet half of the referral institutions included in this study failed to meet all recommended institutional quality indicators. It is mandatory that national authorities work both to improve OC centralization and to incorporate quality assurance programs into certified centers.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Nikolaos Mouchtouris ◽  
David Hasan ◽  
Fadi Al Saiegh ◽  
Ahmad Sweid ◽  
Mario Zanaty ◽  
...  

Introduction: Wide-neck bifurcation cerebral aneurysms have always posed a treatment challenge and have historically required either clip ligation, or stent vs. balloon-assisted coil embolization. This predicament led to the development of the newly FDA-approved Woven EndoBridge (WEB) aneurysm embolization system (Sequent Medical Inc, Aliso Viejo, CA) Which is a self-expanding mesh that achieves intrasaccular flow disruption and does not require antithrombotic medications. In this study, we report our experience with the first 64 consecutive aneurysms treated via WEB embolization at two high-volume institutions. Methods: We reviewed our first 61 consecutive patients with 64 cerebral aneurysms who underwent WEB embolization from February-August 2019. We collected data on patient demographics and clinical presentation, aneurysm characteristics, device and procedural details, and functional outcomes. Results: A total of 64 aneurysms were included in our study. Fifteen patients (24.1%) presented with acutely ruptured aneurysm while the rest were unruptured. The majority of patients (82.8%) required only one attempt for successful device deployment, while a stent was necessary as an adjunct treatment in 4 patients (6.3%) due to WEB herniation. Two patients had residual aneurysm that had to undergo additional treatment; one of them underwent second WEB embolization and one underwent clip ligation. One patient with a PICA aneurysm had device dislodgment with injury to the parent vessel—Onyx and coils were used to deconstruct the vertebral artery. Conclusions: The advent of the WEB device has significantly impacted the surgical decision-making for the treatment of bifurcation, wide-neck aneurysms. We discuss in detail the lessons learned from patient selection, device size selection, technique, and complications from two institutions with high-volume endovascular and microsurgical aneurysm treatment experience.


2009 ◽  
Vol 136 (5) ◽  
pp. A-333
Author(s):  
David Armstrong ◽  
Roger Hollingworth ◽  
Donald G. MacIntosh ◽  
Ying Chen ◽  
Ronald Bridges ◽  
...  

2019 ◽  
Vol 20 (1) ◽  
pp. 32-37
Author(s):  
Shahem Abbarh ◽  
Mostafa Seleem ◽  
Areej Al Balkhi ◽  
Abdullah Al Mtawa ◽  
Abdullah Al Khathlan ◽  
...  

Author(s):  
Christina Laskowski ◽  
Stephen Derby

Polymer-electrode membrane fuel cell technology, a low-emission power source receiving much attention for its efficiency, will need to progress from low-volume production to high-volume within the course of the next decade. To successfully achieve this transition, significant research progress has already been made toward developing a fully functional fuel cell automatic stack assembly robotic station. Lessons can be drawn from this research with regards to design-for-manufacture (DFM) and design-for-assembly (DFA) considerations of fuel cells; however, more work still remains to be done. This document outlines both iterations of the robotic fuel cell assembly stations, other work to date, DFM and DFA lessons learned, and the anticipated future progression of automatic fuel cell stack assembly stations. Two individual robotic fuel cell assembly stations were constructed, including custom-built end effectors and part feeders. The second station incorporated numerous improvements, including overlapping work envelopes, elimination of a shuttle cart, software synchronization, fewer axes, and a better end effector. Consequentially, the second workcell achieved a fourfold improvement in cycle time over the previous iteration. Future improvements will focus in part upon improving the reliability of the overall system. As the stack assembly workcell continues to improve, research will focus upon the ramifications and interplay of tolerances, stack failure modes, sealing, reliability, and the potential for component redesign specifically to optimize fuel cell manufacturing throughput.


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