scholarly journals 408 Hand Trauma Consent

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
G Masterton ◽  
R Aly ◽  
A Siddiqui ◽  
C Talwar ◽  
C Talwar
Keyword(s):  
Service Provision ◽  
Consent Process ◽  
Hand Trauma ◽  
Legal Cases ◽  
Consent Forms ◽  
Local Practice ◽  
Regular Process ◽  
Trainee Surgeon ◽  
Review Current

Abstract Background Consenting patients for procedures is a regular process for a trainee surgeon. The process of consent has come under scrutiny in recent years due to inadequacies highlighted by legal cases. With over 1.36 million patients attending A&E per year with hand trauma, this is the most common acute referral to Plastic surgeons. Aim To review current local practice by auditing risks and complications from hand trauma consent forms. To develop and implement a standardised pre-printed label including relevant risks and complications for hand trauma. Method Sample of hand trauma related consent forms audited assessing and comparing the risks and complications sections to a standardised set agreed locally by Consultant Plastic surgeons, cross referenced with literature. Standardised label including relevant risks and complications put into practice then re-audit their use. Results Use of the new standardised label demonstrated an elimination of omissions and increased adherence to 100% for all the relevant risks and complications. Conclusions Significant improvements in the process of consent were achieved through the development and implementation of a standardised risk and complications label. This ensures standards from the GMC and RCS guidelines are satisfied; positively impacting on service provision by improving the quality of the consent process.

Readability of Informed Consent Forms: Analysis and Recommendations for Development of Consent Forms for Use with Communities with Limited or Low Literacy

2016 ◽  
Author(s):  
Miraida Morales ◽  
Sarah Barriage
Keyword(s):  
Informed Consent ◽  
Pilot Study ◽  
Informed Consent Process ◽  
Consent Process ◽  
Measurement Tool ◽  
Low Literacy ◽  
Consent Forms ◽  
Early Readers ◽  
Research With Children ◽  
Consentement Éclairé

This poster presents a pilot study that analyzed a small corpus of informed consent forms used in research with children, adolescents, and adult early readers using Coh-Metrix, a readability measurement tool. Recommendations for increasing readability of consent forms in order to improve the informed consent process are also provided. Cette affiche présente une étude pilote qui a analysé un corpus restreint de formulaires de consentement éclairé utilisés dans la recherche avec les enfants, les adolescents et les lecteurs précoces adultes,  utilisant Coh-Metrix, un outil de mesure de la lisibilité. Nous fournissons également des recommandations pour augmenter la lisibilité des formulaires de consentement afin d'améliorer le processus de consentement éclairé.

scholarly journals Implementation of a performance-based financing scheme in Malawi and resulting externalities on the quality of care of non-incentivized services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephan Brenner ◽  
Caterina Favaretti ◽  
Julia Lohmann ◽  
Jobiba Chinkhumba ◽  
Adamson S. Muula ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Services ◽  
Antenatal Care ◽  
Service Provision ◽  
Child Health Services ◽  
Negative Externalities ◽  
Positive Externalities ◽  
Performance Based Financing ◽  
A Performance

Abstract Background Countries in Africa progressively implement performance-based financing schemes to improve the quality of care provided by maternal, newborn and child health services. Beyond its direct effects on service provision, evidence suggests that performance-based financing can also generate positive externalities on service utilization, such as increased use of those services that reached higher quality standards after effective scheme implementation. Little, however, is known about externalities generated within non-incentivized health services, such as positive or negative effects on the quality of services within the continuum of maternal care. Methods We explored whether a performance-based financing scheme in Malawi designed to improve the quality of childbirth service provision resulted positive or negative externalities on the quality of non-targeted antenatal care provision. This non-randomized controlled pre-post-test study followed the phased enrolment of facilities into a performance-based financing scheme across four districts over a two-year period. Effects of the scheme were assessed by various composite scores measuring facilities’ readiness to provide quality antenatal care, as well as the quality of screening, prevention, and education processes offered during observed antenatal care consultations. Results Our study did not identify any statistically significant effects on the quality of ANC provision attributable to the implemented performance-based financing scheme. Our findings therefore suggest not only the absence of positive externalities, but also the absence of any negative externalities generated within antenatal care service provision as a result of the scheme implementation in Malawi. Conclusions Prior research has shown that the Malawian performance-based financing scheme was sufficiently effective to improve the quality of incentivized childbirth service provision. Our findings further indicate that scheme implementation did not affect the quality of non-incentivized but clinically related antenatal care services. While no positive externalities could be identified, we also did not observe any negative externalities attributable to the scheme’s implementation. While performance-based incentives might be successful in improving targeted health care processes, they have limited potential in producing externalities – neither positive nor negative – on the provision quality of related non-incentivized services.

scholarly journals Active Surveillance of Small Renal Masses: A Systematic Review

Kidney Cancer ◽  
2021 ◽  
pp. 1-14
Author(s):  
Elizabeth E. Ellis ◽  
Edward Messing
Keyword(s):  
Active Surveillance ◽  
Meta Analysis ◽  
Cost Effective ◽  
Management Approach ◽  
Small Renal Masses ◽  
Cancer Specific Survival ◽  
Renal Masses ◽  
Review Current ◽  
Delayed Intervention

Background: Our goal is to review current literature regarding active surveillance (AS) of small renal masses (SRMs) and identify trends in survival outcomes, factors that predict the need for further intervention, and quality of life (QOL). Methods: We performed a comprehensive literature search in PubMed and EMBASE and identified 194 articles. A narrative summary was performed in lieu of a meta-analysis due to the heterogeneity of selected studies. Results: Seventeen articles were chosen to be featured in this review. Growth rate (GR) was not an accurate predictor of malignancy, although it was the characteristic most commonly used to trigger delayed intervention (DI). The mean 5-year overall survival (OS) of all studies was 73.6% ±1.7% for AS groups. The combined cancer specific survival (CSS) for AS is 97.1% ±0.6% , compared to 98.6% ±0.4% for the primary intervention (PI) groups, (p = 0.038). Conclusions: Short and intermediate-term data demonstrate that AS with the option for DI is a management approach whose efficacy (in terms of CSS) approaches that of PI at 5 years, is cost effective, and prevents overtreatment, especially in patients with significant comorbidities.

Differential quality-of-service provision in mobile networks

2008 ◽  
Vol 6 (1) ◽  
pp. 133 ◽  
Author(s):  
Jui Chi Shen ◽  
Dong Her Shih ◽  
Han Chuan Wei ◽  
Chiao Chu Li
Keyword(s):  
Quality Of Service ◽  
Mobile Networks ◽  
Service Provision

Quality of Service Provision Within IEEE 802.11 CSMA/CA Protocol

2020 ◽  
pp. 313-319
Author(s):  
Kamil Samara ◽  
Hossein Hosseini ◽  
Zaid Altahat ◽  
Joseph Stewart ◽  
David Ehley ◽  
...  
Keyword(s):  
Quality Of Service ◽  
Ieee 802.11 ◽  
Service Provision

scholarly journals Trailing back from quasi decentralisation to centralisation. Municipal reform in Hungary

2020 ◽  
Vol 14 ◽  
pp. 117-137
Author(s):  
László Kákai
Keyword(s):  
Spatial Distribution ◽  
Public Administration ◽  
Service Provision ◽  
Point Of View ◽  
Direct Impact ◽  
Municipal Reform ◽  
Distribution Of Power ◽  
State Organization ◽  
Centralization And Decentralization

Trailing back from quasi decentralisation to centralisation. Municipal reform in Hungary It is very difficult to group countries and state structures according to the extent of their decentralization or the model they follow in the spatial distribution of power. The bounds of responsibility of local government and the state, the distribution of the roles and tasks between the two stakeholders and the question of centralization and decentralization are issues regularly debated in recent years and today. This topic is not merely a public administration, financial or state organization issue since these decisions have a direct impact on citizens’ lives through public services. In my study I wish to introduce this process via Hungary’s example. I also examine how and what those concerned by the financial and political changes, i.e. the population perceived of this most important structural transformation of the period since the transition in 1989. Can it be verified from the consumers’ point of view that the transformation of the local municipal system improves the quality of service provision?

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