Examining user satisfaction with single sign-on and computer application roaming within emergency departments

Purpose In response to elevated local self-harm and suicide rates, and the lack of a dedicated pathway for children and young people (CYP) who self-harm, a rapid response pathway united to reduce self-harm (RUSH) was developed and implemented within Norwich (Norfolk, England). This public health case study aims to describe the pathway model and share its outcomes, learnings, and reflections over the pilot year. Design/methodology/approach RUSH was a community-based pilot pathway aiming to support CYP, 11–18 years old, engaging in or at risk of engaging in repeated self-harm and subsequently at risk of repeated attendance at local emergency departments. From May 2020 to April 2021, RUSH supported 61 CYP using funding from NHS England and Improvement. Findings This case study shares the pathway’s outcomes, through a mixed-method evaluation. Results indicate statistically significant reductions in self-harm frequency (p = 0.01) and anxiety and depression symptomatology (p < 0.001); a statistically significant increase in progress towards goals (p < 0.001); and a general downward trend in re-attendance at local emergency departments following RUSH. Findings also illustrate high service user satisfaction. Framework analysis of focus group data highlights positive experiences with hope for recommissioning from a staff perspective. Originality/value This study will be valuable for services looking to develop and implement a similar service provision, in response to the need to tackle self-harm rates as a broader approach to suicide prevention. In light of the NHS long-term plan (2019), it also serves as an example of how to develop and use a strategic co-production group, and work collaboratively with the voluntary, community and social enterprise sectors.

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Sistema Informático para la gestión de servicios médicos de la Fundación Padre Miguel Fitzgerald del Cantón Chone

Revista Científica Sinapsis ◽

10.37117/s.v2i7.68 ◽

2015 ◽

Vol 2 (7) ◽

Author(s):

Daniela Vera Vélez ◽

Cristian Mera Macías

Keyword(s):

Computer System ◽

User Satisfaction ◽

Health Management ◽

Computer Application ◽

Medical Services ◽

Sufficient Information ◽

Reasonable Time ◽

Software Application ◽

Palabras Clave ◽

El Sistema

El objetivo de esta investigación fue analizar la realidad de la Fundación Padre Miguel Fitzgerald del Cantón Chone en cuanto a los servicios médicos que ofrece, a partir de una encuesta aplicada a 343 clientes externos o pacientes y 15 clientes internos o empleados de la entidad, una vez analizada dicha problemática se procedió a construir un sistema informático con la finalidad de mejorar la gestión de servicios médicos, para esto se recopiló la información necesaria para construir una aplicación informática hecha a la medida del problema encontrado, con la aplicación construida se procedió a implementarla para proceder con la evaluación respectiva luego de un tiempo prudencial, una vez que se contó con la información suficiente registrada en el sistema se evaluó el nivel de satisfacción de los usuarios, dando como resultado niveles “muy satisfactorios” de aceptación p ara el sistema informático implementado. Palabras clave: Aplicación informática, sistema computacional, gestión de salud, servicios médicos, software de salud. Computer system for the management of medical services of the Father Miguel Fitzgerald Foundation of Chone Canton. Abstract The objective of this research was to analyze the reality of Father Miguel Fitzgerald Foundation of Chone Canton regarding the medical services it offers, from a survey of 343 patients and 15 employees of the entity, once this problem analyzed it proceeded to build a computer system in order to improve the management of medical services, for this necessary information is collected to build a software application tailored to the problem encountered with the application built it proceeded to implement to proceed with the respective evaluation after a reasonable time, once they had sufficient information recorded in the system the level of user satisfaction was evaluated, resulting in "very satisfactory" levels of acceptance for the implemented computer system. Keyword: Computer application, computer system, health management, medical services, health software

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First experiences with a portable analysis infrastructure for LHC at INFN

EPJ Web of Conferences ◽

10.1051/epjconf/202125102045 ◽

2021 ◽

Vol 251 ◽

pp. 02045

Author(s):

Diego Ciangottini ◽

Tommaso Boccali ◽

Andrea Ceccanti ◽

Daniele Spiga ◽

Davide Salomoni ◽

...

Keyword(s):

User Satisfaction ◽

Nuclear Physics ◽

Data Science ◽

Data Access ◽

Integrated Analysis ◽

Fully Integrated ◽

Single Sign On ◽

Cloud Resource ◽

Analysis Workflow ◽

Portable Software

The challenges proposed by the HL-LHC era are not limited to the sheer amount of data to be processed: the capability of optimizing the analyser's experience will also bring important benefits for the LHC communities, in terms of total resource needs, user satisfaction and in the reduction of end time to publication. At the Italian National Institute for Nuclear Physics (INFN) a portable software stack for analysis has been proposed, based on cloud-native tools and capable of providing users with a fully integrated analysis environment for the CMS experiment. The main characterizing traits of the solution consist in the user-driven design and the portability to any cloud resource provider. All this is made possible via an evolution towards a “python-based” framework, that enables the usage of a set of open-source technologies largely adopted in both cloud-native and data-science environments. In addition, a “single sign on”-like experience is available thanks to the standards-based integration of INDIGO-IAM with all the tools. The integration of compute resources is done through the customization of a JupyterHUB solution, able to spawn identity-aware user instances ready to access data with no further setup actions. The integration with GPU resources is also available, designed to sustain more and more widespread ML based workflow. Seamless connections between the user UI and batch/big data processing framework (Spark, HTCondor) are possible. Eventually, the experiment data access latency is reduced thanks to the integrated deployment of a scalable set of caches, as developed in the context of ESCAPE project, and as such compatible with the future scenarios where a data-lake will be available for the research community. The outcome of the evaluation of such a solution in action is presented, showing how a real CMS analysis workflow can make use of the infrastructure to achieve its results.

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Emergency Departments Are Underutilized Sites for Suicide Prevention

Crisis ◽

10.1027/0227-5910/a000001 ◽

2010 ◽

Vol 31 (1) ◽

pp. 1-6 ◽

Cited By ~ 62

Author(s):

Gregory Luke Larkin ◽

Annette L. Beautrais

Keyword(s):

Suicide Prevention ◽

Emergency Departments

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Suicidal Behavior and Non-Suicidal Self-Injury in Emergency Departments Underestimated by Administrative Claims Data

Crisis ◽

10.1027/0227-5910/a000499 ◽

2018 ◽

Vol 39 (5) ◽

pp. 318-325 ◽

Cited By ~ 8

Author(s):

Barbara Stanley ◽

Glenn W. Currier ◽

Megan Chesin ◽

Sadia Chaudhury ◽

Shari Jager-Hyman ◽

...

Keyword(s):

Emergency Departments ◽

Suicide Attempts ◽

The United States ◽

Administrative Claims ◽

Suicide Attempters ◽

Self Injury ◽

Axis I ◽

Ed Visits ◽

External Causes ◽

Severe Psychopathology

Abstract. Background: External causes of injury codes (E-codes) are used in administrative and claims databases for billing and often employed to estimate the number of self-injury visits to emergency departments (EDs). Aims: This study assessed the accuracy of E-codes using standardized, independently administered research assessments at the time of ED visits. Method: We recruited 254 patients at three psychiatric emergency departments in the United States between 2007 and 2011, who completed research assessments after presenting for suicide-related concerns and were classified as suicide attempters (50.4%, n = 128), nonsuicidal self-injurers (11.8%, n = 30), psychiatric controls (29.9%, n = 76), or interrupted suicide attempters (7.8%, n = 20). These classifications were compared with their E-code classifications. Results: Of the participants, 21.7% (55/254) received an E-code. In all, 36.7% of research-classified suicide attempters and 26.7% of research-classified nonsuicidal self-injurers received self-inflicted injury E-codes. Those who did not receive an E-code but should have based on the research assessments had more severe psychopathology, more Axis I diagnoses, more suicide attempts, and greater suicidal ideation. Limitations: The sample came from three large academic medical centers and these findings may not be generalizable to all EDs. Conclusion: The frequency of ED visits for self-inflicted injury is much greater than current figures indicate and should be increased threefold.

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