scholarly journals Establishing a Quality Measurement System for Cancer Care in Japan

2013 ◽  
Vol 43 (3) ◽  
pp. 225-232 ◽  
Author(s):  
Takahiro Higashi ◽  
Fumiaki Nakamura ◽  
Nobuhiro Saruki ◽  
Tomotaka Sobue
Author(s):  
Kazuma MINOTE ◽  
Yuki SAKAMOTO ◽  
Shohei TANE ◽  
Yo NAKAJIMA ◽  
Atsuhiro FURUICHI ◽  
...  

2014 ◽  
Vol 23 (10) ◽  
pp. 1450141
Author(s):  
MUHAMMAD AKMAL CHAUDHARY ◽  
JONATHAN LEES ◽  
JOHANNES BENEDIKT ◽  
PAUL TASKER

This paper presents a fully automated time domain, waveform measurement system, capable of measuring multi-tone waveforms up to a frequency of 14 GHz. Multi-tone waveform measurement capabilities will prove useful in enhancing the understanding of the response of devices under realistic operating conditions, and allow for detailed investigation into device problems leading to memory effects. The system, which is based around a standard sampling oscilloscope, is capable of measuring all four traveling waves simultaneously. It is a cost effective solution, capable of capturing high quality measurement data, it consists of two test sets one to measure RF components of the signal and one to measure IF components, which are then recombined before being measured by the sampling oscilloscope. Vector error correction is applied to the measured data to fully calibrate the system to the device plane, ensuring any dispersion in the connecting hardware is removed. A multi-tone waveform sampling method is employed, ensuring the waveforms are captured in the most efficient manner. Device results are presented showing the multi-tone voltage and current waveforms at the device plane. Some useful applications of the system are demonstrated and explained.


2020 ◽  
pp. 1446-1454
Author(s):  
Lydia E. Pace ◽  
Lauren E. Schleimer ◽  
Cyprien Shyirambere ◽  
André Ilbawi ◽  
Jean Marie Vianney Dusengimana ◽  
...  

PURPOSE The burden of cancer is growing in low- and middle-income countries (LMICs), including sub-Saharan Africa. Ensuring the delivery of high-quality cancer care in such regions is a pressing concern. There is a need for strategies to identify meaningful and relevant quality measures that are applicable to and usable for quality measurement and improvement in resource-constrained settings. METHODS To identify quality measures for breast cancer care at Butaro Cancer Center of Excellence (BCCOE) in Rwanda, we used a modified Delphi process engaging two panels of experts, one with expertise in breast cancer evidence and measures used in high-income countries and one with expertise in cancer care delivery in Rwanda. RESULTS Our systematic review of the literature yielded no publications describing breast cancer quality measures developed in a low-income country, but it did provide 40 quality measures, which we adapted for relevance to our setting. After two surveys, one conference call, and one in-person meeting, 17 measures were identified as relevant to pathology, staging and treatment planning, surgery, chemotherapy, endocrine therapy, palliative care, and retention in care. Successes of the process included participation by a diverse set of global experts and engagement of the BCCOE community in quality measurement and improvement. Anticipated challenges include the need to continually refine these measures as resources, protocols, and measurement capacity rapidly evolve in Rwanda. CONCLUSION A modified Delphi process engaging both global and local expertise was a promising strategy to identify quality measures for breast cancer in Rwanda. The process and resulting measures may also be relevant for other LMIC cancer facilities. Next steps include validation of these measures in a retrospective cohort of patients with breast cancer.


2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 85-85
Author(s):  
Stephanie Teleki

85 Background: In 2012, approximately 140,000 patients (more than 16 new cases each hour) were diagnosed with cancer in California. Yet there is little useful information about the quality of cancer care to help patients, providers and payers make decisions about care. Methods: In 2012, the California HealthCare Foundation, an Oakland-based independent nonprofit philanthropy, launched an initiative focused on improving cancer care quality measurement and public reporting in the State. Since then, the Foundation has funded a number of projects aimed at filling information gaps: development of an interactive map and reports with data about the variation of care for breast and prostate cancer in California using State discharge and registry data (May 2013); development of a Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient experience of cancer care survey instrument (with NCI and AHRQ, in progress); exploratory analytic work to determine the feasibility of measuring and reporting the number of cancer procedures performed by hospitals using State discharge data, for procedures where there is an established volume-outcome link (with Stanford University, in progress); exploratory analytic work to determine the feasibility of measuring cancer care quality at the medical group level in California (with Integrated Healthcare Association; in progress); a report on cancer care spending in California (with Dana Farber, in progress). Results: Significant challenges exist at the state level to provide information for improved decision-making about cancer care. Among them: access to data, especially cancer registry data that importantly includes detailed diagnostic information; lack of clinical outcome and patient experience measures; time needed to engage partners; and costs of carrying out quality measurement projects. Conclusions: This presentation would review efforts underway in California, providing a view of the challenges and opportunities at the state level for cancer quality measurement and public reporting. This presentation could be conceived as part of an interactive break-out session with 1-2 other panelists with real-world experience.


Author(s):  
Teddy Surya Gunawan ◽  
Yasmin Mahira Saiful Munir ◽  
Mira Kartiwi ◽  
Hasmah Mansor

Recently, there is increasing public awareness of the real time air quality due to air pollution can cause severe effects to human health and environments. The Air Pollutant Index (API) in Malaysia is measured by Department of Environment (DOE) using stationary and expensive monitoring station called Continuous Air Quality Monitoring stations (CAQMs) that are only placed in areas that have high population densities and high industrial activities. Moreover, Malaysia did not include particulate matter with the size of less than 2.5μm (PM2.5) in the API measurement system. In this paper, we present a cost effective and portable air quality measurement system using Arduino Uno microcontroller and four low cost sensors. This device allows people to measure API in any place they want. It is capable to measure the concentration of carbon monoxide (CO), ground level ozone (O3) and particulate matters (PM10 & PM2.5) in the air and convert the readings to API value. This system has been tested by comparing the API measured from this device to the current API measured by DOE at several locations. Based on the results from the experiment, this air quality measurement system is proved to be reliable and efficient.


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