scholarly journals P296 Quality of reporting of lesions detected at surveillance colonoscopy for IBD

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S301-S302
Author(s):  
N SHARMA ◽  
A Virk ◽  
O Nardone ◽  
S Smith ◽  
P Rimmer ◽  
...  

Abstract Background International guidelines of ESGE and ASGE have laid out best practice for documentation of lesions at colonoscopy but few performance indicators have been proposed for surveillance colonoscopy in IBD. A recent publication has highlighted the key performance indicators for surveillance colonoscopy.1 We conducted an audit of current quality of colonoscopy reports documenting lesions detected during surveillance colonoscopy. Methods A retrospective analysis of patients who underwent colonoscopy for IBD surveillance over a five year period (2014–2019) at the Queen Elizabeth Hospital, Birmingham, UK was performed. The reports were analysed by independent academic doctors in the gastroenterology division trained in quality of endoscopic report analysis. Optimum criteria for documentation comprised lesion nature (Paris classification), size, documentation of Kudo classification and pit pattern, borders and ulceration. Results A total of 1028 colonoscopies were performed for IBD surveillance and the procedures were standardised with routine dye spraying since 2016. The mean patient age was 47.9 years (SD 16.8). Visual evidence of colonoscopic lesions was recorded in 273 cases. Key performance indicators documented for each endoscopic criterion and lesion nature is noted in the Table. Low-grade dysplasia was detected in 61 patients, and carcinoma in 4 patients; no patient had high-grade dysplasia. Benign lesions such as pseudopolyps were detected in the rest. 7 patients had sessile serrated lesions. Conclusion At IBD surveillance colonoscopy, documentation of lesions is better for the domains of size, Paris classification and Kudo pit pattern, though not perfect. We also highlight that our colonoscopic documentation of borders and presence of ulcerations is done poorly. It is important that comprehensive training is undertaken to improve documentation as it is essential for the proper choice of management of these lesions. Reference

Author(s):  
Andriy Lishchytovych ◽  
Volodymyr Pavlenko

The present article describes setup, configuration and usage of the key performance indicators (KPIs) of members of project teams involved into the software development life cycle. Key performance indicators are described for the full software development life cycle and imply the deep integration with both task tracking systems and project code management systems, as well as a software product quality testing system. To illustrate, we used the extremely popular products - Atlassian Jira (tracking development tasks and bugs tracking system) and git (code management system). The calculation of key performance indicators is given for a team of three developers, two testing engineers responsible for product quality, one designer, one system administrator, one product manager (responsible for setting business requirements) and one project manager. For the key members of the team, it is suggested to use one integral key performance indicator per the role / team member, which reflects the quality of the fulfillment of the corresponding role of the tasks. The model of performance indicators is inverse positive - the initial value of each of the indicators is zero and increases in the case of certain deviations from the standard performance of official duties inherent in a particular role. The calculation of the proposed key performance indicators can be fully automated (in particular, using Atlassian Jira and Atlassian Bitbucket (git) or any other systems, like Redmine, GitLab or TestLink), which eliminates the human factor and, after the automation, does not require any additional effort to calculate. Using such a tool as the key performance indicators allows project managers to completely eliminate bias, reduce the emotional component and provide objective data for the project manager. The described key performance indicators can be used to reduce the time required to resolve conflicts in the team, increase productivity and improve the quality of the software product.


Author(s):  
Lam Ngoc Quynh Le ◽  
Dung The Vu ◽  
Hien Ngoc Do ◽  
Thoai Tuong Lam ◽  
Trang Thi Thuy Vuu ◽  
...  

Higher education plays a crucial role in the economic and social development. In order to fulfill its role, mission, and vision, as well as enhance competitive advantages in the global integration context, universities have to put quality as the top priority. Recently, many universities nationwide have been developing quality assurance system, conducting self assessment, and pursuing accreditation in both program and institutional levels. This process aims at developing suitable action plan for quality improvement based on determined strengths and weaknesses. However, this process requires a huge effort to collect and analyze data. In order to enhance the effectiveness and efficiency, the key performance indicators (KPIs) are proposed to evaluate the quality of higher education programs in many aspects. Those KPIs can be considered as a set of statistical measures of how higher education programs are performing. This paper, therefore, provides some general definitions and proposes some KPIs in order to measure the quality of higher education programs in engineering and technology. However, findings of this study can be used as references for other programs.


2017 ◽  
Vol 22 ◽  
pp. 112-120
Author(s):  
Svitlana Dovbnya ◽  
Oleksandra Pysmenna

The purpose of this work was to systematize basic stages of strategic HR management. The main difference between traditional strategic management and personnel one is in strategic alternatives forming. According to development of human capital concept and escalating сorporate social responsibility three components of HR strategy were suggested: “quality of personnel-expenses”, “employees' interaction, vector of corporate culture and social responsibility”, “personnel development”. The combination of these types allows to form valid strategic alternatives of HR strategy. The condition for the effective implementation of the strategy is its decomposition to the level of key performance indicators. Purpose KPIs is the ability to assess the implementation of operational strategies and achieve strategic goals.


2020 ◽  
Vol 3 (1) ◽  
pp. 347-354
Author(s):  
Katarzyna Midor ◽  
Erika Sujová ◽  
Helena Cierna ◽  
Danuta Zarebinska ◽  
Wojciech Kaniak

AbstractThe literature includes a wide selection and distribution of performance indicators to be used in different areas of the company. The paper highlights the Key Performance Indicators (KPIs) as those that are the most universal and allow the control of intended targets in different areas of the enterprise. KPIs are financial and non-financial process measures used to assess the degree of achievement with regard to strategic and operational objectives in a company. They are also used to measure the effectiveness of all activities undertaken in an organizational unit. The paper presents the possibility of using KPIs to improve the quality of manufactured products, by analyzing the trend of selected indicators. This analysis gave an impulse to undertake improvement actions in the company consisting in the use of quality management method – in this case 5 WHY leading to the initiation of preventive and corrective actions in the occurrence of defective products.


2003 ◽  
Vol 3 (1-2) ◽  
pp. 365-371 ◽  
Author(s):  
R. Matos ◽  
A. Cardoso ◽  
P. Duarte ◽  
R. Ashley ◽  
A. Molinari ◽  
...  

The aim of this paper is to present current work to develop a system of performance indicators (PI) for wastewater services undertaken under the auspices of IWA and coordinated by LNEC. Present day wastewater utilities manage their services and systems in an increasingly demanding and complex way. For this reason, it is important to support their work and decision processes with the best available tools in order to deliver services with the most effective and efficient performance. The paper focuses on proposed performance indicators (PIs) for wastewater services and on the main aspects of PI assessment. These are based on data related to: environmental, operational, personnel, physical, quality of service and economic and financial performance. Data are mostly made available through the various common-use information systems in the utilities. This IWA forum has been important not only for the dissemination of the work already developed but also as promotion of a wider discussion to enhance the final draft version of the IWA Manual of Best Practice due for publication in 2003.


2017 ◽  
Vol 31 (8) ◽  
pp. 684-706 ◽  
Author(s):  
Saskia Jünger ◽  
Sheila A Payne ◽  
Jenny Brine ◽  
Lukas Radbruch ◽  
Sarah G Brearley

Background: The Delphi technique is widely used for the development of guidance in palliative care, having impact on decisions with relevance for patient care. Aim: To systematically examine the application of the Delphi technique for the development of best practice guidelines in palliative care. Design: A methodological systematic review was undertaken using the databases PubMed, CINAHL, Web of Science, Academic Search Complete and EMBASE. Data sources: Original articles (English language) were included when reporting on empirical studies that had used the Delphi technique to develop guidance for good clinical practice in palliative care. Data extraction included a quality appraisal on the rigour in conduct of the studies and the quality of reporting. Results: A total of 30 empirical studies (1997–2015) were considered for full-text analysis. Considerable differences were identified regarding the rigour of the design and the reporting of essential process and outcome parameters. Furthermore, discrepancies regarding the use of terms for describing the method were observed, for example, concerning the understanding of a ‘round’ or a ‘modified Delphi study’. Conclusion: Substantial variation was found concerning the quality of the study conduct and the transparency of reporting of Delphi studies used for the development of best practice guidance in palliative care. Since credibility of the resulting recommendations depends on the rigorous use of the Delphi technique, there is a need for consistency and quality both in the conduct and reporting of studies. To allow a critical appraisal of the methodology and the resulting guidance, a reporting standard for Conducting and REporting of DElphi Studies (CREDES) is proposed.


2014 ◽  
Vol 21 (6) ◽  
pp. 854-883 ◽  
Author(s):  
Gunter Festel ◽  
Martin Würmseher

Purpose – The purpose of this paper is to evaluate the operational performance of industrial park infrastructures in Germany to find first indications for cost saving potentials. Design/methodology/approach – Between 2006 and 2007, six chemical parks and chemical related industrial parks in Germany participated in a benchmarking study with focus on operation and maintenance of buildings, communication infrastructures and traffic infrastructures. Based on data analysis in combination with workshops, numerous key performance indicators were defined and calculated. Findings – To compare the different complexities of the analysed infrastructures, the most important key performance indicators were adjusted using correction factors defined and verified during the workshops. This made a discussion based on comparable and comprehensible figures possible which increased the acceptance and applicability of the benchmarking methodology. The benchmarking results showed large differences in performance levels, indicating that there are significant cost saving potentials in some industrial parks. Research limitations/implications – The comparability may remain limited due to the partly insufficient availability of data from the participants. Other limitations are due to the small number of investigated industrial parks and the focus of the benchmarking study on Germany. Originality/value – The developed benchmark and best practice methodology is well suited to evaluate best practice in the field of industrial park infrastructures. It is important for industrial parks to understand the individual performance level and to adapt best practice in all areas.


2021 ◽  
Vol 11 (13) ◽  
pp. 5894
Author(s):  
Géza Fischl ◽  
Peter Johansson

There is increasing pressure from developers toward architects and engineers to deliver scientifically sound proposals for often complex and cost-intensive construction products. An increase in digitalization within the construction industry and the availability of intelligently built assets and overall sustainability make it possible to customize a construction product. This servitization of construction products is assumed to perform much preferably in satisfying stakeholders’ physical, psychological, and social needs. The degree to which these products are performing can be evaluated through an evidence index. This article aims to introduce a conceptual model of an evidence index and test it in the programming stage of a case study. The investigation follows the evidence-based design approach and renders evidence through key performance indicators in the programming stage of the building process. For testing the concept, a case study investigation was performed by simulating a novice research assistant, and the amount of evidence was collected and appraised for evidence index. The case study showed that key performance indicators of a servitized project could be evaluated on a four-point scale. The quality of the evidence index generation depended on the level of expertise the evaluator has in research and the skilful use of scientific databases.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Farnaz Jahhantigh ◽  
Fateme Behmaneshpour ◽  
Fatemaeh Gharebaghi

Background: Celiac disease (CD) is a chronic, systemic immune disorder that can affect one’s quality of life. Objectives: The aim of this study was to explore the key performance indicators (KPIs) related to the quality of life of patients with CD admitted to the Celiac Association of Bouali Hospital in Zahedan. Methods: This descriptive-analytical study was performed on 60 patients with CD who referred to the Celiac Association of Bouali Hospital in Zahedan in 2018. Data collection tools included a demographic questionnaire (age, gender, marital status, duration of illness, education, ethnicity, economic status, occupation, breastfeeding history, family history of CD, as well as vitamin D and iron supplementation) and the Quality of Life Questionnaire for patients with CD. Data were analyzed in SPSS 21 using descriptive statistics. All values less than 0.05 were considered statistically significant. Results: Sixty participants completed the study, 66.7% of whom were female, 76.7% were married, and 85.3% reported a family history of CD. The total score of patients’ quality of life was 81.66 ± 18.33, and the lowest score of quality of life was associated with patients’ concerns (51.81 ± 3.85). The findings also showed that, among various KPIs, vitamin D had a particularly significant relationship with patients’ quality of life. Conclusions: There was a significant relationship between the quality of life and vitamin D supplementation in the participants. Besides, considering the effect of physical health on improving the quality of life and the chronic nature of CD, it is necessary to enhance the quality of life of these individuals by raising their awareness about micronutrient intakes while respecting their dietary restrictions.


Ciencia Unemi ◽  
2017 ◽  
Vol 10 (23) ◽  
pp. 40
Author(s):  
Diego Marcelo Cordero Guzman ◽  
Guillermo Rodríguez López

El trabajo propone determinar un conjunto de indicadores acerca del desempeño de las empresas productivas del Cantón La Troncal, provincia del Cañar, Ecuador, para usar la “Inteligencia de Negocios” (Business Intelligence BI) como una mejor práctica que apoye la gestión organizacional y la consecución de los objetivos estratégicos. Para ello primero se levantó información en empresas locales, en base a una muestra específica, con instrumentos del tipo cuestionario y entrevista. Luego, a partir de la información obtenida se diseñó un cuadro de mando integral (Balanced Scorecard) con los indicadores claves de desempeño más significativos para las empresas de la muestra, de modo que se puedan implementar con los servicios multidimensionales que ofrecen las herramientas de Inteligencia de Negocios. Finalmente, los informes se representaron en tableros de control, con un rango de granularidad fino, que permitan a los directivos tomar decisiones claras, reduciendo el grado de incertidumbre. ABSTRACTThe paper aims to determine a set of indicators about the performance of productive enterprises in Canton La Troncal, province of Cañar, Ecuador, to use “Business Intelligence” (Business Intelligence BI) as the best practice that supports organizational management and achievement of the strategic objectives. For this purpose, information was first collected through a survey that was carried out in local companies, based on a specific sample, with questionnaires and interviews. Then, based on the information obtained, a Balanced Scorecard was designed with the most significant key performance indicators for the companies in the sample, so that they can be implemented with the multidimensional services offered by business intelligence tools. Finally, the reports were presented in control panels, with a fine granularity range, which allow managers to make clear decisions, reducing the degree of uncertainty.


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