Editorial Evaluation - Henk Visscher

2010 ◽  
Vol 35 (2) ◽  
pp. 77-77
Author(s):  
Henk Visscher
Keyword(s):  
Quality Improvement ◽  
Large Scale ◽  
Energy Use ◽  
Housing Stock ◽  
Physical Quality ◽  
Fossil Energy ◽  
Health Quality

From whatever perspective we look upon the sustainability and health quality of housing, the quality improvement of the housing stock will be of major importance. To achieve the goals of reduction of fossil energy use, large scale refurbishments programs will have to be carried out. This goes together with the necessity to prevent the ageing stock from deterioration and to improve the physical quality of neighborhoods and dwellings for livability reasons.

Abstract WP237: Improved Thrombolysis Rates and Quality of Care for Stroke Patients Through a Provincial Emergency Department Quality Improvement Initiative

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Devin R Harris ◽  
Robert Stenstrom ◽  
Eric Grafstein ◽  
Mark Collison ◽  
Grant Innes ◽  
...  
Keyword(s):  
Emergency Department ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Performance Measures ◽  
Large Scale ◽  
Primary Outcome ◽  
Baseline Data ◽  
Quality Improvement Initiative ◽  
Stroke Patients

Background: The care of stroke patients in the emergency department (ED) is time sensitive and complex. We sought to improve quality of care for stroke patients in British Columbia (B.C.), Canada, emergency departments. Objectives: To measure the outcomes of a large-scale quality improvement initiative on thrombolysis rates and other ED performance measures. Methods: This was an evaluation of a large-scale stroke quality improvement initiative, within ED’s in B.C., Canada, in a before-after design. Baseline data was derived from a medical records review study performed between December 1, 2005 to January 31, 2007. Adherence to best practice was determined by measuring selected performance indicators. The quality improvement initiative was a collaboration between multidisciplinary clinical leaders within ED’s throughout B.C. in 2007, with a focus on implementing clinical practice guidelines and pre-printed order sets. The post data was derived through an identical methodology as baseline, from March to December 2008. The primary outcome was the thrombolysis rate; secondary outcomes consisted of other ED stroke performance measures. Results: 48 / 81 (59%) eligible hospitals in B.C. were selected for audit in the baseline data; 1258 TIA and stroke charts were audited. For the post data, 46 / 81 (57%) acute care hospitals were selected: 1199 charts were audited. The primary outcome of the thrombolysis rate was 3.9% (23 / 564) before and 9.3% (63 / 676) after, an absolute difference of 5.4% (95% CI: 2.3% - 7.6%; p=0.0005). Other measures showed changes: administration of aspirin to stroke patients in the ED improved from 23.7% (127 / 535) to 77.1% (553 / 717), difference = 53.4% (95% CI: 48.3% - 58.1%; p=0.0005); and, door to imaging time improved from 2.25 hours (IQR = 3.81 hours) to 1.57 hours (IQR 3.0), difference = 0.68 hours (p=0.03). Differences were found in improvements between large and small institutions, and between health regions. Conclusions: Implementation of a provincial emergency department quality improvement initiative showed significant improvement in thrombolysis rates and adherence to other best practices for stroke patients. The specific factors that influenced improvement need to be further explored.

Scenarios for examination of highly distributed power systems

2008 ◽  
Vol 222 (7) ◽  
pp. 643-655 ◽  
Author(s):  
C N Jardine ◽  
G W Ault
Keyword(s):  
Power Systems ◽  
Carbon Dioxide Emissions ◽  
Power Flow ◽  
Large Scale ◽  
Energy Use ◽  
Housing Stock ◽  
Distributed Power ◽  
Distributed Power Systems ◽  
Network Operation ◽  
The Uk

A set of three scenarios has been created in order to examine the incorporation of extensive penetrations of micro-generators into electricity networks (termed ‘highly distributed power systems’). The scenarios have been created as a synthesis of the Future Network Technologies scenarios and the UK domestic carbon model, and yields energy use and carbon dioxide emissions of the UK housing stock from inputs of household numbers, house type, thermal efficiency, appliance efficiency, as well as the number and efficiency of micro-generators used. The centralized supply mix also varies between scenarios and features extensive penetrations of large-scale renewables. The scenarios illustrate the scale of change required to reduce CO2 emissions by 60 per cent by 2050, which has substantial impacts for electricity network operation. Moving from a centralized system to the one where one-third of electricity comes from distributed sources poses significant challenges including: reverse power flow on networks, load balancing, storage requirements, phase unbalance, harmonics, and ancillary services.

Evaluation and measurement for improvement in service-level quality improvement initiatives

2011 ◽  
Vol 24 (4) ◽  
pp. 182-189 ◽  
Author(s):  
Nicholas C C Russell ◽  
Louise M Wallace ◽  
Diane Ketley
Keyword(s):  
Quality Improvement ◽  
Health Service ◽  
Large Scale ◽  
Service Level ◽  
Service Improvement ◽  
Quality Of Patient Care ◽  
Problems And Solutions ◽  
Measurement And Evaluation ◽  
Service Managers

The National Health Service (NHS) in England, as with other health services worldwide, currently faces the need to reduce costs and to improve the quality of patient care. Evidence gathered through effective and appropriate measurement and evaluation, is essential to achieving this. Through interviews with service improvement managers and analysis of comments in a seminar of NHS staff involved in health service improvement, we found a lack of understanding regarding the definition and methodology of both measurement and evaluation, which decreases the likelihood that NHS staff will be competent to commission or provide these skills. In addition, we highlight the importance of managers assessing their organizations' ‘readiness’ to undergo change before embarking on a quality improvement (QI) initiative, to ensure that the initiative's impact can be adequately judged. We provide definitions of measurement for improvement and of evaluation, and propose a comparative framework from which to gauge an appropriate approach. Examples of two large-scale QI initiatives are also given, along with descriptions of some of their problems and solutions, to illustrate the use of the framework. We recommend that health service managers use the framework to determine the most appropriate approach to evaluation and measurement for improvement for their context, to ensure that their decisions are evidence based.

scholarly journals The Physical And Microbiological Quality Of Clean Water In Nanas Sub Village Kediri District Post Natural Phenomena Sinking Wells

2018 ◽  
Vol 10 (4) ◽  
pp. 36
Author(s):  
Clairine Maretha Martin Putra
Keyword(s):  
Research Result ◽  
Microbiological Quality ◽  
Water Source ◽  
Well Water ◽  
Clean Water ◽  
Natural Phenomena ◽  
Physical Quality ◽  
Tectonic Plates ◽  
Health Quality

Indonesia prones to natural disasters because it is located at the meeting of three world’s major tectonic plates that move and collide each other. The natural phenomena of sinking well that occurs in 2017 damaging 79 wells in the Nanas sub village, Puncu sub-district, Kediri district. The sinking well is natural phenomena which causes wells to down or to sink underground. The highest percentage of sinking well is in Nanas sub-village, There are 40 (50.6%) of wells are damaged. The research purpose was to know the physical quality and microbiology of well water in Nanas sub-village. This research type was observational. Samples were taken by purposive sampling. The water samples were obtained from 10 wells which were not damaged, 10 wells which were once muddy, and 10 wells which were sunk in 2017. The water check results were compared to regulation of the Minister of Health no. 32 in 2017 about Environmental Health Quality Standards and Water Requirements for Hygiene Sanitation, Swimming Pool, SPA and Public Bath. This research result was 30 (100%) water source fulfilled the physical quality requirement, and 28 (93,3%) qualified microbiology quality, while the remaining 2 (6,7%) did not fulfill the microbiological quality requirements for the need of hygiene and sanitation. The physical and microbiological quality of well water, after the natural phenomena of sinking wells, is qualified. The society is expected to maintain clean water sources.

scholarly journals Assessment of the manufacturability of construction products in the renovation zone

2021 ◽  
Vol 263 ◽  
pp. 04045
Author(s):  
Pavel Oleinik
Keyword(s):  
Large Scale ◽  
Housing Stock ◽  
Residential Buildings ◽  
Urban Infrastructure ◽  
Residential Areas ◽  
Labor Costs ◽  
Construction Products ◽  
Design Values ◽  
Industrial Zones

Nowadays, the large-scale development of the renovation of the housing stock of cities includes not only the reconstruction of residential areas, but also the actively expanding renovation of industrial zones. Moreover, each renovation area is characterized by a wide variety of residential and non-residential buildings, urban infrastructure facilities. According to the structure of renovation objects, eight main zones have been identified, which include various combinations of the above objects. At the same time, in the process of work, it is necessary to constantly monitor the compliance of technology regulations with the design values of the quality of construction products. For this, in order to assess both individual groups of objects and buildings and structures for the renovation zone in general, a system of manufacturability indicators is proposed. As a basic indicator, labor costs (machine time) are recommended, since it is the changes in the technology of work that immediately affect the work of construction teams and their links. The conditions are given under which it is possible to assert the compliance or non-compliance of the applied technological regulations with the design requirements. The sequence of establishing an integral indicator of the manufacturability of construction products during the period of their creation in the whole renovation zone is described.

The Productive Ward Program™

2017 ◽  
Vol 49 (1) ◽  
pp. 28-38 ◽  
Author(s):  
Peter Van Bogaert ◽  
Danny Van heusden ◽  
Martijn Verspuy ◽  
Kristien Wouters ◽  
Stijn Slootmans ◽  
...  
Keyword(s):  
Social Capital ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Large Scale ◽  
Practice Environment ◽  
Job Outcomes ◽  
Decision Latitude ◽  
Improvement Programs ◽  
Quality Improvement Programs

Aim To investigate the impact of the quality improvement program “Productive Ward – Releasing Time to Care™” using nurses’ and midwives’ reports of practice environment, burnout, quality of care, job outcomes, as well as workload, decision latitude, social capital, and engagement. Background Despite the requirement for health systems to improve quality and the proliferation of quality improvement programs designed for healthcare, the empirical evidence supporting large-scale quality improvement programs impacting patient satisfaction, staff engagement, and quality care remains sparse. Method A longitudinal study was performed in a large 600-bed acute care university hospital at two measurement intervals for nurse practice environment, burnout, and quality of care and job outcomes and three measurement intervals for workload, decision latitude, social capital, and engagement between June 2011 and November 2014. Results Positive results were identified in practice environment, decision latitude, and social capital. Less favorable results were identified in relation to perceived workload, emotional exhaustion. and vigor. Moreover, measures of quality of care and job satisfaction were reported less favorably. Conclusion This study highlights the need to further understand how to implement large-scale quality improvement programs so that they integrate with daily practices and promote “quality improvement” as “business as usual.”

scholarly journals Performance of Papua Petanque Athletes Facing Covid-19

2020 ◽  
Vol 16 (2) ◽  
pp. 256-262
Author(s):  
Kurdi Kurdi ◽  
Rif'iy Qomarrullah ◽  
I Putu Eka Wijaya Putra
Keyword(s):  
Body Weight ◽  
Data Analysis ◽  
New Paradigm ◽  
Physical Test ◽  
Physical Quality ◽  
Qualitative And Quantitative ◽  
Health Quality ◽  
The Impact

This research is a new paradigm mix method by combining grounded theory and case study construction, which involved 11 elite Papuan petanque athletes, data taken from March to May 2020. Data instruments using physical test data, observations, questionnaires, documents, and interviews . Data analysis combines two elements, namely: qualitative, and quantitative. Then the results and discussion in this study are: (1) The health quality of athletes experiencing problems, this is marked by an increase in the proportion of body weight; (2) The physical quality of the athlete experienced a decrease in physical quality before the occurrence of a pandemic above 81.80% and dropped to below 72.70%; (3) Psychologically, when viewed from the aspect of motivation (institutions and extrinsic), it is categorized as high during the pandemic. This research empirically provides a description of the impact received as a result of the Covid-19 outbreak in sports achievements.

The efficiency of energy use in animal production

1992 ◽  
Vol 1992 ◽  
pp. 50-50
Author(s):  
A.J.F. Webster
Keyword(s):  
Steady State ◽  
Research And Development ◽  
Renewable Resources ◽  
Energy Use ◽  
Biological Efficiency ◽  
Agricultural Systems ◽  
Fossil Energy ◽  
The World

Efficiency has replaced productivity as the prime rationale for research and development in agriculture. The reasons for this are to (1) reduce input costs when output is static; (2) to make best use of limited renewable resources; (3) to conserve both non-renewable resources and the quality of the environment. Efficient agriculture and conservation are often seen as opposing arguments because parties are arguing from different, incomplete premises. Blaxter (1975) explored the biological efficiency of agricultural systems using energy as a unit of account. He recognised that it was primarily the use of fossil energy as fuel (0.42) and as fertiliser (0.38) that had increased the productivity of U.K. agriculture but that “in the long term …the world must eventually reach a steady state in which energy provision will not entail a depletion of its capital resources.“

scholarly journals Wind Catcher and Solar Chimney Integrated As An Alternative Ventilation For Urban Dense Settlements In Tropical Climate

2019 ◽  
Vol 3 (1) ◽  
pp. 51-68 ◽  
Author(s):  
Yoka Prima ◽  
Sugini Prima
Keyword(s):  
Energy Use ◽  
Tropical Climate ◽  
High Energy ◽  
Residential Areas ◽  
Solar Chimney ◽  
Fossil Energy ◽  
The Earth ◽  
Humid Tropical Climate ◽  
Tropical Climates

The high energy use for building operations in humid tropical climates is mostly used for operational mechanical ventilation such as air conditioning (AC) and fans. The use of large amounts of energy, especially fossil energy can reduce the quality of the environment, causing an increase in the temperature of the earth. Need more efforts for management of energy use by reducing fossil energy consumption. One effort that can be done is to replace mechanical production and utilize passive ventilation in buildings. this study is a literature review regarding the use of passive ventilation using a windcatcher integrated with solarc himneys. The use of windcatcher and the solar chimney is still very rare in Indonesia, but has the potential to solve thermal problems, especially in densely populated residential areas in cities that have the character of a humid tropical climate. The results of this study recommend criteria from windcatchers and soler chimney that might be applicable and adapt to the character of the urban humid tropical climate.   Keyword: Wind Catcher, Solar chimney, Passive Ventilation, Urban Dense Settlements

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