scholarly journals Quality measurement of out-patient neuropsychological therapy after stroke in Germany: definition of indicators and retrospective pilot study

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
I. Padberg ◽  
S. Heel ◽  
P. Thiem ◽  
A. Diebel ◽  
E. Mordhorst ◽  
...  
Keyword(s):  
Quality Indicators ◽  
Social Care ◽  
Hospital Setting ◽  
Quality Measurement ◽  
Process And Outcome ◽  
Definition Of ◽  
Clinical Records ◽  
Current Guidelines ◽  
Selection Of

Abstract Background In contrast to the hospital setting, today little work has been directed to the definition, measurement, and improvement of the quality of out-patient medical and therapeutic care. We developed a set of indicators to measure the quality of out-patient neuropsychological therapy after stroke. Methods The indicators cover core and interdisciplinary aspects of out-patient neuropsychological work such as mediation of patients into social care in case of need. Selection of the quality-indicators was done together with a consensus group of out-patient therapists and supported by evidence, validity, reliability as well as estimated relevance and variability with the quality of care. The set of indicators was further tested in a retrospective cohort study. Anonymous data of 104 patients were collected from out-patient clinical records of five clinics between November 2017 and April 2018. Associations between process and outcome quality were estimated exploitatively. Results Results allowed for the identification of areas with greater variability in the quality of process care and indicated that attention training as recommended by current guidelines had the lowest overall rate for meeting the quality-aim (met in 44% of the cases). This was followed by time < 1 month until the start of therapy (63% met) and mediation into social care in case of need (65% met). We further observed that overall quality and involving relatives in the therapy was associated with higher rates of professional reintegration (p-value = 0.03). However, the need for mediation into social care was associated with a reduced chance for successful professional reintegration (p-value = 0.009). Conclusion In conclusion, we describe a first set of quality indicators which cover different aspects of out-patient neuropsychological therapy and sufficient variability with care. First data further suggests that meeting the specified quality aims may indeed have relevant effects on outcomes.

scholarly journals Functional Unit for Impact Assessment in the Mining Sector—Part 1

2020 ◽  
Vol 12 (22) ◽  
pp. 9313
Author(s):  
Julien Bongono ◽  
Birol Elevli ◽  
Bertrand Laratte
Keyword(s):  
Life Cycle Assessment ◽  
Life Cycle ◽  
Functional Unit ◽  
Multiscale Approach ◽  
Mining Sector ◽  
End Use ◽  
Definition Of ◽  
Sector Part ◽  
Selection Of

More and more efforts are directed towards the standardization of the methods of determining the functional unit (FU) in a Life Cycle Assessment (LCA). These efforts concern the development of theories and detailed methodological guides, but also the evaluation of the quality of the FU obtained. The objective of this article is to review this work in order to propose, using a multiscale approach, a method for defining the FU in the mining sector, which takes into account all the dimensions of the system under study. In this first part, the emphasis is on identifying the shortcomings of the FU. The absence of a precise normative framework specific to each sector of activity, as well as the complex, multifunctional and hard-to-scale nature of the systems concerned, are at the origin of the flexibility in the selection of the FU. This lack of a framework, beyond generating a heterogeneous definition of the FU for the same system, most often leads to an incomplete formulation of this sensitive concept of LCA. It has been found that key parameters such as the end-use of a product or process, as well as the interests of stakeholders, are hardly taken into account in the specification of the FU.

Evaluation of the quality of the management of cancer of the corpus uteri — Selection of relevant quality indicators and implementation in Belgium

2013 ◽  
Vol 131 (3) ◽  
pp. 512-519 ◽  
Author(s):  
J. Werbrouck ◽  
G. Bouche ◽  
E. de Jonge ◽  
G. Jacomen ◽  
V. D'Hondt ◽  
...  
Keyword(s):  
Quality Indicators ◽  
Corpus Uteri ◽  
Selection Of

Methodology for managing quality indicators of hardware products with elements of robust design

2020 ◽  
pp. 38-43
Author(s):  
K. G. Pivovarova ◽  
◽  
A. G. Korchunov ◽  
Keyword(s):  
Product Quality ◽  
Quality Indicators ◽  
Robust Design ◽  
Control Method ◽  
Efficient Production ◽  
Related Quality ◽  
Definition Of ◽  
Noise Factors ◽  
The Impact

Production of metalware is characterized with a great variety of shapes and sizes, originality of each product and a multiple-stage process. Various techniques used to process steel sections (such as cold and hot forming, machining, heat treatment, etc.) make it significantly more difficult to tackle product quality problems. Modern product quality management methodologies are based on a wide use of economical, organizational, technical and other methods. This paper describes a production-related quality control method involving certain elements of robust design. This method is based on the definition of noise factors and control parameters, as well as the conduction of noise and principal experiments. The noise experiment will help estimate the impact of disturbing factors (environmental or industrial) on product quality indicators, whereas the principal experiment will help identify the optimum production mode that can deliver the best quality and, at the same time, minimize the production losses. Robust design techniques can be effectively utilized to control the quality of metalware when developing new and optimizing the existing processes. The paper gives an example of how the quality of S10S steel bars can be controlled through the application of efficient production modes enabling to minimize quality-related costs.

scholarly journals Quality Measurement Recommendations Relevant to Clinical Guidelines in Germany and the United Kingdom: (What) Can We Learn From Each Other?

2018 ◽  
Vol 55 ◽  
pp. 004695801876149 ◽  
Author(s):  
Thomas Petzold ◽  
Stefanie Deckert ◽  
Paula R. Williamson ◽  
Jochen Schmitt
Keyword(s):  
Quality Of Care ◽  
Quality Indicators ◽  
Clinical Guidelines ◽  
Quality Indicator ◽  
Health Care Systems ◽  
Quality Measurement ◽  
Routine Care ◽  
Measurement Properties ◽  
Measurement Instruments

We conducted a systematic review of clinical guidelines (CGs) to examine the methodological approaches of quality indicator derivation in CGs, the frequency of quality indicators to check CG recommendations in routine care, and clinimetric properties of quality indicators. We analyzed the publicly available CG databases of the Association of the Scientific Medical Societies in Germany (AWMF) and National Institute for Health and Care Excellence (NICE). Data on the methodology of subsequent quality indicator derivation, the content and definition of recommended quality indicators, and clinimetric properties of measurement instruments were extracted. In Germany, no explicit methodological guidance exists, but 3 different approaches are used. For NICE, a general approach is used for the derivation of quality indicators out of quality standards. Quality indicators were defined in 34 out of 87 CGs (39%) in Germany and for 58 out of 133 (43%) NICE CGs. Statements regarding measurement properties of instruments for quality indicator assessment were missing in German and NICE documents. Thirteen pairs of CGs (32%) have associated quality indicators. Thirty-four quality indicators refer to the same aspect of the quality of care, which corresponds to 27% of the German and 7% of NICE quality indicators. The development of a standardized and internationally accepted methodology for the derivation of quality indicators relevant to CGs is needed to measure and compare quality of care in health care systems.

scholarly journals Assessment of Technical Means Quality Indicators for Smart Transport Systems

2021 ◽  
Vol 2096 (1) ◽  
pp. 012184
Author(s):  
K Goloskokov ◽  
V Korotkov ◽  
V Marley ◽  
T Knysh
Keyword(s):  
Information Systems ◽  
Quality Indicators ◽  
Transport Systems ◽  
Output Data ◽  
Processing Technologies ◽  
Operational Quality ◽  
Task Time ◽  
System Task ◽  
Selection Of

Abstract The purpose of this article is to show that it is necessary to assess the quality indicators for the technical means of smart transport systems. The quality of technical means, including smart transport systems, is associated with the selection of rational information processing technologies. Data in information systems is processed in different sections. The authors suggest an assessment technology for the operational quality of technical means of automated transport information systems. They identify the key quality indicators for the operation of technical means of information systems. The authors demonstrate that the operation of technical means can be characterized by the system task time, output data accuracy, and system implementability. They present the calculation of technical means quality indicators for smart transport systems

scholarly journals Selection criteria of optimal characteristic material and technologies for precision processing of basic working surface of human hip-joint implant

2018 ◽  
Vol 184 ◽  
pp. 01015 ◽  
Author(s):  
Raul Turmanidze ◽  
Predrag Dašić ◽  
Giorgi Popkhadze
Keyword(s):  
Hip Joint ◽  
Spherical Surface ◽  
Sapphire Crystal ◽  
Spherical Surfaces ◽  
Degree Of Orientation ◽  
Original Scheme ◽  
Definition Of ◽  
Influence Degree ◽  
Selection Of

In view of the fact that the endo-prosthesis heads of human hip-joint are operated in extreme conditions, in respect of load, the selection of corresponding material and also increase of precision and quality of machining of spherical surfaces is rather topical task. In the submitted work are reviewed the problems connected with definition of the influence degree of orientation of the sapphire crystal on its workability during diamond grinding with a butt of the ring and elaboration of the perspective, original scheme of formation of the incomplete spherical surface, particularly, of the sapphire head of endo-prosthesis of the human hip-joint.

Timing Space and Spacing Time

1975 ◽  
Vol 7 (6) ◽  
pp. 651-670 ◽  
Author(s):  
D N Parkes ◽  
N Thrift
Keyword(s):  
Quality Of Life ◽  
Future Development ◽  
Final Section ◽  
Urban Residents ◽  
Similar Consideration ◽  
Accordion Effect ◽  
Urban Behaviour ◽  
Definition Of ◽  
Selection Of

A plea is made for a chronosophical approach to the selection of dimensions of time which might be relevant to the description and explanation of urban processes. Following the definition of some basic terms and concepts which might be used in the future development of a notational schema, the paper considers some possibilities which are inherent in the idea of timing space. This is followed by similar consideration of the idea of spacing time. These themes are compounded in a simple example which suggests that fundamental ongoing processes in daily urban behaviour are usefully summarised by what we call the accordion effect. The final section proposes that new insights into the problem of evaluating the quality of life of urban residents are obtained when such an approach is taken.

scholarly journals Approaches to Modelling Territorial Brand

2019 ◽  
pp. 1-13 ◽  
Author(s):  
Tatiana G. Butova ◽  
Irina V. Krotova ◽  
Evgenia A. Demakova ◽  
Ekaterina Iu. Iakovleva ◽  
Vasily N. Morgun
Keyword(s):  
Structural Models ◽  
Future Studies ◽  
Interdisciplinary Approaches ◽  
Consumer Values ◽  
Strategic Goals ◽  
Definition Of ◽  
Theoretic Solution ◽  
Stable Development ◽  
Selection Of

Strategic goals of stable development of territories of all levels at the expense of producing competitive goods and increase in export potential of regional producers, as well as the need to improve quality of life, have justified the necessity of using effective technologies for territory branding, which, in turn, requires theoretic solution of some scientific problems in terminological and instrumental areas of knowledge. Current problems of the regional branding as the branding of special areas have got less attention than national and regional branding, which has led to the lack of common concepts and continuation of terminological discussions, and also searching for universal model of the regional branding. Researches done by the specialists in this area have allowed us to know their views on the definition of the term “regional branding” in relation to the need to develop structural models of brands (different for different regions), to consider commodity brands as preferrable constituent parts of regional brands, to develop integrated model of consumer values which form preferences in selection of food products of well-known brands and brands of local producers. In the conclusion of the present work there is a list of problems to be solved in future studies through interdisciplinary approaches

scholarly journals A Novel Approach to Medical Tourism Support System

2021 ◽  
Vol 9 (VII) ◽  
pp. 942-944
Author(s):  
Ms. Pooja Sangitrao
Keyword(s):  
Medical Tourism ◽  
Profile Analysis ◽  
User Profile ◽  
Medical Support ◽  
Novel Approach ◽  
Definition Of ◽  
Medical Recommendations ◽  
Medical Tourist ◽  
Selection Of

A new model with decision support capabilities to assist medical tourism customers is to be develop. The analysis of popularity and quality of medical tourist applications are conducted. The information sources used to arrange medical tourism trips are given in the paper. The formation of the user's medical recommendations is based on the information about symptoms of the user, processing of this information, creation / search of the user medical card, search for the coincidence of the user's symptoms with the signs of illness, finding the best treatment option for the user. The system to support medical tourism consists of seven interdependence components: user interface, user profile analysis, definition of the user disease, selection of hospitals and doctors, communication with doctors and tour organization. The system to support medical tourism which provides the user with the all necessary information about the travel organization and medical support is described. Tasks that require further research are defined.

scholarly journals Quality indicators of telemedical care offshore—a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael Hellfritz ◽  
Alexander Waschkau ◽  
Jost Steinhäuser
Keyword(s):  
Quality Indicators ◽  
Scoping Review ◽  
Web Of Science ◽  
Care Delivery ◽  
Cochrane Library ◽  
Structure Quality ◽  
Offshore Installations ◽  
Definition Of ◽  
Telemedical Care

Abstract Background Offshore industries operate all around the world in diverse and remote environments. The use of telemedicine to ensure up-to-date medical care for thousands of people offshore has been common practice for decades. Thus, in this setting, extensive experiences with this type of health care delivery have already been gathered, while in other settings this is just beginning. However, the quality of telemedical care on offshore installations is rarely reported yet. The objective of this review was to explore published literature with regards to the following questions: Have any Quality Indicators (QIs) been published for measuring the quality of telemedical care on offshore installations or are there identifiable items that could be used as such QIs? Methods We conducted a comprehensive Scoping Review (PRISMA-ScR) of the published literature using the databases MEDLINE, Cochrane Library, Web of Science (Core Collection), and Google Scholar. Search results were read and QIs or findings from which QIs could be derived were classified according to the dimensions of quality established by Donabedian (structure, process, or outcome QIs). Results The search returned 10,236 non-recurring articles, 45 of which were full-text screened and 15 of which were included in this review. Types of publications were heterogenous. No QIs for the quality of telemedical care offshore have been published yet. Findings that could be the basis for QIs focused on structure quality (11 QIs) followed by process quality (11 QIs), while outcome quality was less common (1 QI). Conclusion Currently, although years of experience with telemedical care on offshore installations exist, there is a paucity of research on a solid data base regarding the quality of telemedical care offshore. The authors derived a list of 24 possible QIs from the findings of the publications for further validation. This could be the basis for implementation and definition of QIs in this and in similar remote settings.

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