scholarly journals 179 Improving Operative Notes in Upper GI Surgery: An Innovative QI Project Utilising Existing Electronic Hospital Systems

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
H Sadik ◽  
A Butt ◽  
Z Gowie ◽  
J Carew ◽  
A Mehta ◽  
...  

Abstract Introduction Operative notes play a valuable role in ensuring that surgical patients receive consistent and adequate care. There are many inherent difficulties affecting their quality. We performed a QI project to improve surgical operative notes at our centre. Method A questionnaire assessing subjective quality of operative notes was sent to all foundation doctors delivering post-operative care. Compliance to each inclusion recommendation in the RCS guidelines was analysed. A standardised template for operative notes was incorporated into the hospital’s electronic records system, compliance was then reassessed. Results Questionnaire responses (16) were better for typed vs hand-written notes in all domains: ease of accessing notes, following intra-operative steps, following post-operative plans and frequency of asking for additional information regarding plans. After implementation of the template, mean compliance across 19 RCS parameters improved from 69% (55 operations) to 89% (46 operations). Number of parameters with 100% compliance improved from 2/19 to 8/19. Compliance increased in 14/19 parameters, there was no change in 2/19 (already 100%) and a reduction was seen in 3/19. Conclusions Results from our analysis and questionnaire showed that typed notes were favourable when compared to hand-written. The introduction of a standardised electronic template, without investment in new software, improved compliance to RCS guidelines.

Author(s):  
G. Lehmpfuhl

Introduction In electron microscopic investigations of crystalline specimens the direct observation of the electron diffraction pattern gives additional information about the specimen. The quality of this information depends on the quality of the crystals or the crystal area contributing to the diffraction pattern. By selected area diffraction in a conventional electron microscope, specimen areas as small as 1 µ in diameter can be investigated. It is well known that crystal areas of that size which must be thin enough (in the order of 1000 Å) for electron microscopic investigations are normally somewhat distorted by bending, or they are not homogeneous. Furthermore, the crystal surface is not well defined over such a large area. These are facts which cause reduction of information in the diffraction pattern. The intensity of a diffraction spot, for example, depends on the crystal thickness. If the thickness is not uniform over the investigated area, one observes an averaged intensity, so that the intensity distribution in the diffraction pattern cannot be used for an analysis unless additional information is available.


Author(s):  
Anna-Maija Talvitie ◽  
Hanna Ojala ◽  
Teuvo Tammela ◽  
Ilkka Pietilä

Abstract Introduction This study investigates comments that prostate cancer patients spontaneously write in the margins of the Expanded Prostate Cancer Index Short Form (EPIC-26) questionnaire. We aim to show the possible barriers that patients face while answering the survey, and to consider how these barriers may affect the response data generated. We investigate the kind of information patients’ comments on EPIC-26 contain, and patients’ motivations to provide this information. We also study why some EPIC domains spark more comments than others. Method We analyzed 28 pages of transcribed comments and four pages of supplementary letters from our survey participants (n = 496). Using inductive content analysis, we generated 10 categories describing the content of participants’ comments, and four themes demonstrating their motives for commenting. The comments regarding each EPIC domain were quantified to discover any differences between domains. Results The sexual domain of EPIC-26 provoked over half of all comments. Patients without recent sexual activity or desire had difficulties answering sexual function questions 8–10. The lack of instructions on whether to take erectile aid use into account when answering erectile function questions led to a diversity of answering strategies. Patients with urinary catheters could not find suitable answer options for questions 1–4. All domains sparked comments containing additional information about experienced symptoms. Conclusion Patients are mainly willing to report their symptoms, but a lack of suitable answer options causes missing data and differing answering strategies in the sexual and urinary domains of EPIC-26, weakening the quality of the response data received.


1915 ◽  
Author(s):  
Laura Erhard ◽  
Brett McBride ◽  
Adam safir

As part of the implementation of its strategic plan, the U.S. Bureau of Labor Statistics (BLS) has increasingly studied the issue of using alternative data to improve both the quality of its data and the process by which those data are collected. The plan includes the goal of integrating alternative data into BLS programs. This article describes the framework used by the BLS Consumer Expenditure Surveys (CE) program and the potential these data hold for complementing data collected in traditional formats. It also addresses some of the challenges BLS faces when using alternative data and the complementary role that alternative data play in improving the quality of data currently collected. Alternative data can substitute for what is presently being collected from respondents and provide additional information to supplement the variables the CE program produces or to adjust the CE program’s processing and weighting procedures.


Prologia ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 127
Author(s):  
Julian Andrew ◽  
Rezi Erdiansyah

As the people's shopping habits via online starts to emerge, the e-commerce industry in Indonesia has also developed. In 2018, it was noted that 11.9% of Indonesian people were shopping online. However, in the midst of the vastness of online platforms with millions of items found in online storefronts, consumers need more information as their reference to arousing buying interest. As one of the biggest e-commerce players in Indonesia, Tokopedia provides features that enable sellers and consumers to exchange information regarding the items. In Tokopedia, prospective buyers can see electronic word of mouth messages, online reviews, and other additional information about the items that are known to be very influential in generating buying interest. This study uses a quantitative approach with an explanatory type in which the research seeks to find the effect of electronic word of mouth, online review, and the quality of information on buying interest of Jakarta students in Tokopedia e-commerce. The data collection technique used was purposive sampling by distributing questionnaires to 100 samples via online. Based on this research’s results, it was found that electronic word of mouth, online review, and information quality affect buying interest of students in Jakarta by 46% while the other 54% were influenced by other factors not examined in this study.Seiring dengan munculnya kebiasaan berbelanja masyarakat melalui online, industri e-commerce di Indonesia pun turut berkembang. Pada tahun 2018, tercatat bahwa sebanyak 11,9% orang di Indonesia melakukan kegiatan belanja secara online. Namun, di tengah luasnya platform online dengan jutaan barang yang terdapat di etalase online membuat konsumen membutuhkan informasi yang lebih sebagai bahan referensi dalam menimbulkan minat beli. Tokopedia merupakan pelaku e-commerce terbesar di Indonesia menyediakan fitur-fitur yang memungkinkan penjual dan konsumen untuk menulis dan bertukar informasi seputar barang tersebut. Di dalam Tokopedia, para calon pembeli dapat melihat pesan electronic word of mouth, online review, dan informasi-informasi tambahan lainnya seputar barang-barang yang dijual yang diketahui sangat berpengaruh dalam memunculkan minat beli. Penelitian ini menggunakan pendekatan kuantitatif dengan jenis eksplanatif dimana penelitian berusaha menemukan pengaruh e-WOM, kualitas informasi, dan online review terhadap minat beli mahasiswa Jakarta pada e-commerce Tokopedia. Teknik pengumpulan data yang digunakan adalah purposive sampling dengan menyebarkan kuesioner kepada 100 sampel secara online. Penelitian menemukan bahwa electronic word of mouth, online review, dan kualitas informasi berpengaruh terhadap minat beli pada mahasiswa di Jakarta sebanyak 46%, sedangkan 54% dipengaruhi oleh faktor-faktor lain yang tidak diteliti pada penelitian ini.


2021 ◽  
Vol 24 (2) ◽  
pp. 168-183
Author(s):  
Juan L. Gandía ◽  
David Huguet

A pesar del relativamente escaso uso de técnicas de análisis textual y de análisis del sentimiento en finanzas y contabilidad, éstas tienen un gran potencial en contabilidad, tanto por el elevado volumen de documentos utilizados para la comunicación de información financiera como por el crecimiento en el uso de herramientas digitales y medios de comunicación social. En este sentido, estas técnicas de análisis pueden ayudar a los investigadores a analizar pistas ocultas o buscar información adicional a la observada a través de los estados financieros, incrementando la cantidad y calidad de la información tradicionalmente utilizada, y proporcionando una nueva perspectiva de análisis. Por ello, el objetivo de este estudio es realizar una revisión del uso del análisis textual y del análisis del sentimiento en contabilidad. Tras presentar los conceptos de análisis textual y análisis del sentimiento y justificar teóricamente su papel en la investigación en contabilidad, llevamos a cabo una revisión de la literatura previa en el uso de estas técnicas en finanzas y contabilidad y describimos las principales técnicas de análisis del sentimiento, así como el procedimiento a seguir para el uso de esta metodología. Finalmente, sugerimos tres líneas de investigación futura que pueden beneficiarse del uso del análisis textual y del análisis del sentimiento. In spite of the relatively scarce use of textual analysis and sentiment analysis techniques in finance and accounting, they have great potential in accounting, both because of the volume of documents used for the communication of information and due to the growth in the use of digital tools and social media. In that regard, these techniques of analysis may help researchers to analyse hidden clues or look for additional information to that one observed through financial information, increasing the quantity and quality of the information traditionally used, and providing a new perspective of analysis. The aim of this study is to review the use of textual analysis and sentiment analysis in accounting. After presenting the concepts of textual analysis and sentiment analysis and expose their interest in accounting, we perform a review of the previous literature on the use of these techniques in finance and accounting and describe the main techniques of sentiment analysis, as well as the procedure to be followed for the use of this methodology. Finally, we suggest three lines of future research that may benefit from the use of textual and sentiment analysis.


Author(s):  
Anna Ferrante ◽  
James Boyd ◽  
Sean Randall ◽  
Adrian Brown ◽  
James Semmens

ABSTRACT ObjectivesRecord linkage is a powerful technique which transforms discrete episode data into longitudinal person-based records. These records enable the construction and analysis of complex pathways of health and disease progression, and service use. Achieving high linkage quality is essential for ensuring the quality and integrity of research based on linked data. The methods used to assess linkage quality will depend on the volume and characteristics of the datasets involved, the processes used for linkage and the additional information available for quality assessment. This paper proposes and evaluates two methods to routinely assess linkage quality. ApproachLinkage units currently use a range of methods to measure, monitor and improve linkage quality; however, no common approach or standards exist. There is an urgent need to develop “best practices” in evaluating, reporting and benchmarking linkage quality. In assessing linkage quality, of primary interest is in knowing the number of true matches and non-matches identified as links and non-links. Any misclassification of matches within these groups introduces linkage errors. We present efforts to develop sharable methods to measure linkage quality in Australia. This includes a sampling-based method to estimate both precision (accuracy) and recall (sensitivity) following record linkage and a benchmarking method - a transparent and transportable methodology to benchmark the quality of linkages across different operational environments. ResultsThe sampling-based method achieved estimates of linkage quality that were very close to actual linkage quality metrics. This method presents as a feasible means of accurately estimating matching quality and refining linkages in population level linkage studies. The benchmarking method provides a systematic approach to estimating linkage quality with a set of open and shareable datasets and a set of well-defined, established performance metrics. The method provides an opportunity to benchmark the linkage quality of different record linkage operations. Both methods have the potential to assess the inter-rater reliability of clerical reviews. ConclusionsBoth methods produce reliable estimates of linkage quality enabling the exchange of information within and between linkage communities. It is important that researchers can assess risk in studies using record linkage techniques. Understanding the impact of linkage quality on research outputs highlights a need for standard methods to routinely measure linkage quality. These two methods provide a good start to the quality process, but it is important to identify standards and good practices in all parts of the linkage process (pre-processing, standardising activities, linkage, grouping and extracting).


2014 ◽  
Vol 57 (4) ◽  
Author(s):  
Alessandra Maramai ◽  
Beatriz Brizuela ◽  
Laura Graziani

<p>A unified catalogue containing 290 tsunamis generated in the European and Mediterranean seas since 6150 B.C. to current days is presented. It is the result of a systematic and detailed review of all the regional catalogues available in literature covering the study area, each of them having their own format and level of accuracy. The realization of a single catalogue covering a so wide area and involving several countries was a complex task that posed a series of challenges, being the standardization and the quality of the data the most demanding. A “reliability” value was used to rate equally the quality of the data for each event and this parameter was assigned based on the trustworthiness of the information related to the generating cause, the tsunami description accuracy and also on the availability of coeval bibliographical sources. Following these criteria we included in the catalogue events whose reliability ranges from 0 (“very improbable tsunami”) to 4 (“definite tsunami”). About 900 documentary sources, including historical documents, books, scientific reports, newspapers and previous catalogues, support the tsunami data and descriptions gathered in this catalogue. As a result, in the present paper a list of the 290 tsunamis with their main parameters is reported. The online version of the catalogue, available at http://roma2.rm.ingv.it/en/facilities/data_bases/52/catalogue_of_the_euro-mediterranean_tsunamis, provides additional information such as detailed descriptions, pictures, etc. and the complete list of bibliographical sources. Most of the included events have a high reliability value (3= “probable” and 4= “definite”) which makes the Euro-Mediterranean Tsunami Catalogue an essential tool for the implementation of tsunami hazard and risk assessment.</p>


Author(s):  
Beatriz Da Silva Sousa ◽  
Ana Clara Maciel Barroso

Avaliar o registro dos enfermeiros nos prontuários do paciente eletrônico e convencional, com vista à melhoria da qualidade do cuidado. Estudo descritivo, tipo estudo de caso. Foram realizadas entrevistas semiestruturadas com 8 enfermeiros da enfermaria de coronariopatias e a análise dos registros nos dois tipos de prontuários do paciente. Nos 25 prontuários revistos, constatou-se o número de 51 registros, sendo 37 do prontuário eletrônico e 14 do prontuário convencional, média de 31 dias de internação. Atrelou-se a não realização ao número insuficiente de profissionais de enfermagem no setor em comparação à complexidade dos pacientes atendidos. Destaca-se como obstáculo o quantitativo de pessoal da equipe de enfermagem e sua carga de trabalho. Consequentemente, há necessidade de ajustes quantitativo e qualitativo no processo de trabalho relacionados a execução desta e das demais tarefas para que possam ser adequadamente conduzidas.Descritores: Cuidados de Enfermagem, Registros Eletrônicos de Saúde, Carga de trabalho. Nursing records and their implications for the quality of careAbstract: To evaluate nurses' records in the electronic and conventional patient charts, with a view to improving the quality of care. Descriptive study, case study type. Semi-structured interviews were carried out with 8 nurses from the coronary artery disease ward and the analysis of the records in the two types of patient records. In the 25 revised records, the number of 51 records was verified, being 37 of the electronic records and 14 of the conventional medical records, average of 31 days of hospitalization. There was a lack of achievement of the insufficient number of nursing professionals in the sector compared to the complexity of the patients attended. The number of nursing staff and their workload stands out as an obstacle. Consequently, there is a need for quantitative and qualitative adjustments in the work process related to the execution of this and other tasks so that they can be properly conducted.Descriptors: Nursing Care, Eletronic Health Records, Workload. Registros de enfermería y sus implicaciones para la calidad de la atenciónResumen: Evaluar el registro de los enfermeros en los prontuarios del paciente electrónico y convencional, con objetivo la mejora de la calidad del cuidado. Estudio descriptivo, tipo estudio de caso. Se realizaron entrevistas semiestructuradas con 8 enfermeros de la enfermería de coronariopatias y el análisis de los registros en los dos tipos de prontuarios del paciente. En los 25 prontuarios revisados, se constató el número de 51 registros, siendo 37 del prontuario electrónico y 14 del prontuario convencional, promedio de 31 días de internación. La no realización se debe al número insuficiente de profesionales de enfermería en el sector en comparación a la complejidad de los pacientes atendidos. Se destaca como obstáculo el cuantitativo de personal del equipo de enfermería y su carga de trabajo. En consecuencia, hay necesidad de ajustes cuantitativos y cualitativos en el proceso de trabajo relacionados con la ejecución de ésta y de las demás tareas para que puedan ser adecuadamente conducidas.Descriptores: Atención de Enfermería, Registros Electrónicos de Salud, Carga de Trabajo.


2021 ◽  
Vol 263 (4) ◽  
pp. 2544-2549
Author(s):  
Patrick Chevret ◽  
Thomas Bonzom ◽  
Lucas Lenne ◽  
Laurent Brocolini ◽  
Julien Marchand

Even if the global health crisis is currently changing the work organisation in offices in the service industry, the problem of noise in open plan offices remains a major challenge with regard to occupational health and well-being. Since 2012, the French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS) has been carrying out acoustic surveys in French open-plan offices by measuring both some usual indicators of empty offices (Tr, D2S, Lp4m, rc, Lp) and also the ambient noise levels in activity. In addition, GABO questionnaires have been proposed to employees to assess their perception of the noise environment. So far, 50 open spaces were evaluated, with more or less data collected depending on the situation encountered. Approximately 1,400 employees have already answered the questionnaire. All of the sites visited cover the entire set of activities described by the ISO 22955 standard. An analysis of the links between the acoustic parameters and the perception of employees was carried out. This analysis provides additional information to the studies on the choice of acoustic descriptors and on the use of sound masking systems that aim to control background noise to reduce noise disturbance due to intelligible conversations.


2020 ◽  
Author(s):  
Lin Cao

Abstract Artificial breeding of freshwater pearl mussels is widely used to improve the yield of pearl culture. All phases of the production cycle, including collection and culture of the broodstock, release of the glochidia, provision of the host fish for glochidia to attach to, and collection of mussel seeds, can be controlled artificially. The advantages of artificial breeding are that it can help to produce high quality pearls and improve the genetic quality of pearl mussels. Collected mussel seed are transferred from holding jars into small 200 µm mesh baskets (10 cm diameter x 5 cm). Each basket was supplied individually with 0.1-0.2 L of water per minute. When the mussels' shell length reaches over 10 cm, they can be operated to culture pearl. After post-operative care the implanted mussels are stocked in ponds. The mussels are kept in nylon bags (2 mussels per bag) and are hung from bamboo or PVC pipes and placed in ponds at 1 m depth. Periodical checking of mussels, with removal of dead ones and cleaning of bags, is required throughout the culture period of 12-18 months.


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