scholarly journals 91 Enhancing the quality of out of hours telephone advice: A decision support tool for nursing staff

2021 ◽  
Author(s):  
Andrew Tan ◽  
Louise Pennington ◽  
Suzanne Hutt-Williams
Keyword(s):  
Decision Support ◽  
Nursing Staff ◽  
Decision Support Tool ◽  
Out Of Hours ◽  
Support Tool ◽  
Telephone Advice

Decision Support Techniques for the Interpretation of Quantitative Amino Acid Data

1996 ◽  
Vol 33 (3) ◽  
pp. 227-233 ◽  
Author(s):  
A Briddon
Keyword(s):  
Decision Support ◽  
Amino Acid ◽  
Decision Support Techniques ◽  
Decision Support Tool ◽  
Reference Intervals ◽  
Alternative Methods ◽  
Quality Of Information ◽  
Support Tool ◽  
Amino Acid Profiles

Quantitative amino acid profiles are traditionally reported as a list of individual concentrations and reference intervals. By the use of selected examples it is shown that alternative methods of presenting and assessing these results can enhance both the quantity and quality of information. A candidate decision support tool is offered as an aid to the interpretation of amino acid profiles.

Relevance lost: the rise and fall of activity-based costing

2005 ◽  
Vol 24 (2) ◽  
pp. 133-144
Author(s):  
Nitza Geri ◽  
Boaz Ronen
Keyword(s):  
Nineteenth Century ◽  
Decision Making ◽  
Decision Support ◽  
Value Creation ◽  
Financial Services ◽  
Decision Support Tool ◽  
Activity Based Costing ◽  
Support Tool

In the debate between marginal decision-making and full absorbance that has been going on since the nineteenth century, activity-based costing/management (ABC/M) appeared as a promising decision support tool which answers the criticism leveled against traditional cost accounting. This paper describes the strengths and weaknesses of ABC/M from a global value creation perspective, in an effort to explain why it failed to live up to its promise and why not too many companies retained it beyond a short pilot period. The paper suggests the global decision-making methodology (GDM), as an effective alternative to costing methods, which improves the quality of decisions and enhances organization value. The paper illustrates its implementation by presenting a case study of a large international financial services organization that abandoned the ABC/M system it had been using for seven years in favor of GDM. The ABC/M system was transformed to a throughput focused “light ABC” system that supports GDM. The article describes the circumstances that led the organization to adopt GDM, and provides general guidelines for its implementation.

scholarly journals 2505

2017 ◽  
Vol 1 (S1) ◽  
pp. 19-20
Author(s):  
Margaret Demment ◽  
Ivelisse Rivera ◽  
Morgan Pratte ◽  
Miriam Weber ◽  
Chris Morley ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Decision Support ◽  
Process Evaluation ◽  
Medical Center ◽  
Decision Support Tool ◽  
Future Research ◽  
Patient Portal ◽  
Health Providers ◽  
Support Tool

OBJECTIVES/SPECIFIC AIMS: The goal of this study is to assess how quality of life scores change in menopausal women before and after implementation of this aid. In addition, we are also interested in 2 process evaluation objectives: (1) determine if MyChart, the patient portal, is an effective way for this patient population to provide insight their quality of life to their providers and (2) to evaluate providers use of and reactions to the decision support tool. METHODS/STUDY POPULATION: This project is a collaboration between University of Rochester Medical Center and S.U.N.Y. Upstate Medical University. Participants were recruited through Upstate’s Family Medicine and OB/GYN practices via a MyChart invitation sent by the practices. Participating patients will be asked to complete a survey, through MyChart, every 3 months for 18 months. Participating health providers will be trained to use the decision support tool and participate in 3 interviews with the researchers to gain insight into the usefulness and effectiveness of the tool. RESULTS/ANTICIPATED RESULTS: Of the 465 eligible women, 117 women responded to our MyChart invitation to join our study. Of these, 105 agreed to participate and 98 met eligibility criteria. Only half of the women currently enrolled in our study had spoken to a provider about menopause related symptoms (56.1%) prior to study enrollment. DISCUSSION/SIGNIFICANCE OF IMPACT: The goal of this study is to improve menopause related symptoms in women, thus increasing their quality of life, but it will also provide important process evaluation for using EPIC and MyChart for future research studies.

scholarly journals Contraceptive counselling experiences in Spain in the process of creating a web-based contraceptive decision support tool: a qualitative study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Laura Reyes-Martí ◽  
Lourdes Rubio-Rico ◽  
Laura Ortega-Sanz ◽  
Laia Raigal-Aran ◽  
Miriam de la Flor-López ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support Tool ◽  
Group Discussions ◽  
Web Based ◽  
Support Tool ◽  
Contraceptive Counselling ◽  
Support Tools ◽  
Counselling Process ◽  
Complex Decision

Abstract Background The choice of contraceptive method is a complex decision, and professionals should offer counselling based on the preferences, values and personal situation of the user(s). Some users are unsatisfied with the counselling received, which may, among other consequences, adversely affect method use adherence. In view of this situation, we propose exploring the experiences and needs of users and professionals for contraceptive counselling, in the context of creating a web-based contraceptive decision support tool. Methods/design Qualitative research was conducted through focus group discussions (64 users split into eight groups, and 19 professionals in two groups, in Tarragona, Spain) to explore the subjects’ experiences and needs. The data were categorized and the categories were defined and classified based on the three-step protocol or framework for Quality on Contraceptive Counseling (QCC), created by experts, which reviews the quality of interactions between user and professional during the counselling process. Results In counselling, users demand more information about the different methods, in an environment of erroneous knowledge and misinformation, which lead to false beliefs and myths in the population that are not contrasted by the professional in counselling. They complain that the method is imposed on them and that their views regarding the decision are not considered. Professionals are concerned that their lack of training leads to counselling directed towards the methods they know best. They acknowledge that a paternalistic paradigm persists in the healthcare they provide, and decision support tools may help to improve the situation. Conclusions Users feel unsatisfied and/or demand more information and a warmer, more caring approach. Professionals are reluctant to assume a process of shared decision-making. The use of a contraception DST website may solve some shortcomings in counselling detected in our environment.

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