Establishing best practice recommendations for systemic treatment regimen development and maintenance.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 40-40
Author(s):  
Andrea Crespo ◽  
Erin Redwood ◽  
Kathy Vu ◽  
Vishal Kukreti
Keyword(s):  
Best Practices ◽  
Best Practice ◽  
Systemic Treatment ◽  
Careful Analysis ◽  
Patient Harm ◽  
Stakeholder Groups ◽  
Practice Recommendations ◽  
Multidisciplinary Group ◽  
Quality Process ◽  
Computerized Prescriber Order Entry

40 Background: A province-wide review of oncology regimens identified discrepancies in a number of regimens in systemic treatment computerized prescriber order entry (ST CPOE) systems. The potential patient harm from such discrepancies includes unnecessary toxicities and reduced treatment efficacy. The regimen review highlighted the need for a high-quality process to improve the safety of systemic treatment prescribing in Ontario. The objective of this work was to develop recommendations on best practices for the development and maintenance of oncology regimens. Methods: An expert multidisciplinary group of oncology clinicians and administrators was formed to review available literature and leverage their expertise to establish oncology-specific recommendations. These were then circulated to broader stakeholder groups for feedback and consensus. Results: Practical, consensus-based best practice recommendations for ST CPOE and pre-printed order regimen development and maintenance were created. Detailed processes for new regimen development are outlined in the table below. Moreover, broad areas of roles and responsibility, frequency of review, and sign-off were highlighted. This was repeated for regimen changes (not shown). Conclusions: There is a lack of guidance in the literature on best practices for oncology regimen development and maintenance. Careful analysis and application of the expertise of oncology professionals resulted in consensus-based best practice recommendations that will enable the advancement of safe, standardized, systemic treatment prescribing.[Table: see text]

scholarly journals Concussion Management Plans' Compliance with NCAA Requirements: Preliminary Evidence Suggesting Possible Improvement

2017 ◽  
Vol 45 (2) ◽  
pp. 231-237
Author(s):  
Christine M. Baugh ◽  
Emily Kroshus ◽  
Kaitlyn I. Perry ◽  
Alexandra P. Bourlas
Keyword(s):  
Best Practices ◽  
Best Practice ◽  
National Collegiate Athletic Association ◽  
Preliminary Evidence ◽  
Concussion Management ◽  
Practice Recommendations ◽  
Management Plans ◽  
Baseline Examination

This study examined the extent to which concussion management plans at National Collegiate Athletic Association (NCAA) member schools were in line with NCAA Concussion Policy and best practice recommendations in absence of any process to ensure compliance. Most schools' concussion management plans were in compliance with 3 (60%) or 4 (25.6%) of the NCAA's 4 required components. Annual athlete education and acknowledgement was the requirement least often included, representing an area for improvement. Further, schools tended to more often include best practices that were more medically-oriented (e.g., including baseline examination), compared to best practices that were less medical in nature (e.g., avoiding flagrant head hits).

Concordance with best-practice guidelines for systemic treatment computerized prescriber order entry systems.

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 245-245
Author(s):  
Sherrie Hertz ◽  
John Gilks ◽  
Leonard Kaizer ◽  
Marta Yurcan ◽  
Vishal Kukreti
Keyword(s):  
Practice Guidelines ◽  
System Integration ◽  
Best Practice ◽  
Systemic Treatment ◽  
Quality Care ◽  
Advisory Group ◽  
Order Entry ◽  
Hospital Data ◽  
Best Practice Guidelines ◽  
Computerized Prescriber Order Entry

245 Background: In 2012, Cancer Care Ontario, released evidence-based guidance for the key features, functionalities, and components of a Systemic Treatment Computerized Prescriber Order Entry (ST CPOE) system to ensure safe, high-quality care. Concordance measurement indicators were developed alongside the guidelines and a survey was then conducted to understand the current state in a meaningful and practical manner in the province of Ontario. Methods: A self-assessment survey was distributed to 22 hospital groups, including cancer centres and both academic and community hospitals, using four different ST CPOE systems in Ontario. 52 items were assessed on a four-point Likert scale, and descriptive hospital data was collected. Composite scores were calculated by category (regimen and protocols, functionality, useful alerts, audit logs, system integration, usability) and overall. Local and provincial results were analyzed. Results: Twenty-one (21) responses were received, with the majority (17) of surveys being completed by pharmacists. 48% had been using a ST CPOE system for more than 5 years and 38% for less than one year. 81% responded that they did not, or did not know if, they had local/institutional indicators for monitoring their systems. The mean total concordance score overall was 79% (range 65% to 92%) of a potential 208 total points. The highest mean score was in the category of audit logs (92%) and the lowest in system integration (69%). Approximately half (48%) had a multidisciplinary ST CPOE advisory group. While 16 hospitals were using the same ST CPOE system, there was distinct variability in responses from these sites, indicating the effects of tailored implementations and/or discrepancy in level of knowledge of system functionalities. Conclusions: Current concordance with best practice guidelines for ST CPOE systems in Ontario is incomplete and variable. While ST CPOE systems have potential to improve safety in the chemotherapy delivery, differences in system functionalities and their implementation have been identified. This study will be used to inform specific areas of strength, set benchmarks and potential areas for improvement.

Reviewing systemic treatment regimens to reduce unintentional errors.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 51-51
Author(s):  
Andrea Crespo ◽  
Erin Redwood ◽  
Kathy Vu ◽  
Vishal Kukreti
Keyword(s):  
Human Error ◽  
Systemic Treatment ◽  
Patient Harm ◽  
High Quality ◽  
Hub And Spoke ◽  
Treatment Delivery ◽  
Treatment Regimens ◽  
Maintenance Process ◽  
Computerized Prescriber Order Entry

51 Background: Use of systemic treatment computerized prescriber order entry (ST CPOE) and pre-printed orders (PPO) are proven error reduction measures. Such systems are not failsafe, as regimen development depends on cognitive input at critical points and is susceptible to human error. No known guidance currently exists in oncology to ensure regimens are of high quality and built as intended. The purpose of this initiative was to improve the quality of oncology regimens in Ontario. Methods: A review of 35 centres, representing 75 treatment centres in a hub-and-spoke model, was conducted for all active regimens (PPO and CPOE) to ensure they were built as intended, with respect to drugs and doses. Centres completed an exploratory survey to report any unintentional discrepancies and existing maintenance review processes. The survey collected centre demographics and contained descriptive questions to document details of the regimen review and maintenance processes. Results: The review yielded an 86% response rate (12 regional and 18 community cancer centres). Upwards of 700 regimens were reviewed by a multidisciplinary team at each participating centre. Unintentional discrepancies were reported by 7 of the 30 (23%) centres (range of 2 – 141 per centre); types and examples are presented in the Table. Only 2 of 30 centres (7%) had an established regimen maintenance process. Conclusions: The review identified unintentional discrepancies and, due to the potential for patient harm, corrective action has been taken. There is a need for guidance and adoption of a standardized approach in order to sustain a high-quality regimen build and review process across the province. Consensus-based recommendations for ST CPOE and PPO regimen development and maintenance have been developed. Identified discrepancies have been amended and maintenance review processes are now implemented to improve the quality and safety of systemic treatment delivery. [Table: see text]

Approaches and Best Practices in Web Service Style, XML Data Binding and Validation – Implications to Securing Web Services

2008 ◽  
pp. 318-344 ◽  
Author(s):  
Asif Akram ◽  
David Meredith
Keyword(s):  
Best Practices ◽  
Web Services ◽  
Web Service ◽  
Best Practice ◽  
Xml Data ◽  
Application Security ◽  
Practice Recommendations ◽  
Data Binding ◽  
Data Typing

This chapter shows how the WSDL interface style (RPC / Document), strength of data typing and approach to data binding and validation have important implications on application security (and interoperability). This is because some (common) bad-practices and poor implementation choices can render a service vulnerable to the consequences of propagating loosely bound or poorly constrained data. The chosen Web service style and strength of data typing dictate how SOAP messages are constructed and serialized, and to what extent SOAP messages can be constrained and secured during validation. The chosen approach to binding and validation dictates how and where the SOAP-body and SOAP-header (which includes the security constructs) are handled in the application, and also determines the reliability of message parsing. The authors show how these Web service styles and implementation choices must be carefully considered and applied correctly by providing implementation examples and best practice recommendations.

scholarly journals Volcano observatory best practices (VOBP) workshops - a summary of findings and best-practice recommendations

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
John Pallister ◽  
Paolo Papale ◽  
John Eichelberger ◽  
Chris Newhall ◽  
Charles Mandeville ◽  
...  
Keyword(s):  
Best Practices ◽  
Best Practice ◽  
Practice Recommendations ◽  
Volcano Observatory

Before It Is Too Late: Implementation Strategies of an Efficient Opioid and Pain Stewardship Program

2019 ◽  
pp. 001857871988232
Author(s):  
Oscar Santalo
Keyword(s):  
Best Practices ◽  
Best Practice ◽  
Substance Misuse ◽  
Implementation Strategies ◽  
Practice Recommendations ◽  
Drug Diversion ◽  
Stewardship Program ◽  
History Information ◽  
Dosing Strategies ◽  
Information Recognition

Hospital pharmacies may not have the necessary resources, tools, or policies in place to implement a valuable opioid stewardship program. Meanwhile, the number of opioid prescriptions and medication use has increased nationwide. The overuse of opioids is due to the challenging nature of pain management, drug diversion prevention, and opioid abuse, as well as difficulty in recognizing and implementing best practices regarding opioid stewardship. The purpose of this review is to describe the components and executional strategy of an effective opioid and pain stewardship program. Opioid and pain stewardship programs can help identify opportunities for better adherence to best practice recommendations such as standardization of opioid dosing strategies, prescription of multimodal and opioid-sparing regimens, identification of substance misuse, review of patient history information, recognition of pain as a disease state, and increased dispensing of opioid reversal medications.

scholarly journals Assessment of Evidence-Based Health and Safety Policies on Sudden Death and Concussion Management in Secondary School Athletics: A Benchmark Study

2018 ◽  
Vol 53 (8) ◽  
pp. 756-767 ◽  
Author(s):  
William M. Adams ◽  
Samantha E. Scarneo ◽  
Douglas J. Casa
Keyword(s):  
Best Practices ◽  
Sudden Death ◽  
Secondary School ◽  
Best Practice ◽  
Health And Safety ◽  
State Level ◽  
Heat Acclimatization ◽  
Automated External Defibrillators ◽  
Concussion Management ◽  
Practice Recommendations

Context: Implementation of best-practice health and safety policies has been shown to be effective at reducing the risk of sudden death in sport; however, little is known about the extent to which these policies are required within secondary school athletics.Objective: To examine best-practice health and safety policies pertaining to the leading causes of sudden death and to concussion management in sport mandated at the state level for secondary school athletics.Design: Descriptive observational study.Setting: State high school athletic associations (SHSAAs), state departments of education, and enacted legislation.Patients or Other Participants: United States (including the District of Columbia) SHSAAs.Main Outcome Measure(s): A review of SHSAA health and safety policies for the 2016–2017 academic year, state department of education policies, and enacted legislation was undertaken to assess the polices related to the leading causes of sudden death and concussion management in sport. Current best-practice recommendations used to assess health and safety policies were specific to emergency action plans, automated external defibrillators, heat acclimatization, environmental monitoring and modification, and concussion management. The total number of best-practice recommendations required for each SHSAA's member schools for the aforementioned areas was quantified and presented as total number and percentage of recommendations required.Results: Four of 51 SHSAA member schools were required to follow best practices for emergency action plans, 7 of 51 for access to automated external defibrillators, 8 of 51 for heat acclimatization, and 3 of 51 for management of concussion.Conclusions: At the time of this study, SHSAA member schools were not required to follow all best-practice recommendations for preventing the leading causes of sudden death and for concussion management in sport. Continued advocacy for the development and implementation of best practices at the state level to be required of all secondary schools is needed to appropriately serve the health and well-being of our young student-athletes.

Unilateral Hearing Loss in Young Children: Developing Best Practices with Limited Evidence

2014 ◽  
Vol 24 (2) ◽  
pp. 64-73 ◽  
Author(s):  
Sarah McKay
Keyword(s):  
Young Children ◽  
Best Practices ◽  
Best Practice ◽  
Scientific Evidence ◽  
Unilateral Hearing Loss ◽  
Clinical Expertise ◽  
Limited Evidence ◽  
Substantial Evidence ◽  
Practice Recommendations ◽  
Professional Perspectives

Substantial evidence exists to highlight the difficulties that children with UHL can experience. Unfortunately, the research regarding effective intervention for this population of children remains limited, particularly for young children. Professional perspectives vary widely regarding best choices and timing of interventions. As a result, clinicians are currently in a position of integrating the available scientific evidence with their clinical expertise to develop “best practice” recommendations for the management of their patients.

scholarly journals Quantitative research in tourism and hospitality: an agenda for best-practice recommendations

2019 ◽  
Vol 31 (7) ◽  
pp. 2776-2787 ◽  
Author(s):  
A. George Assaf ◽  
Mike G. Tsionas
Keyword(s):  
Best Practices ◽  
Quantitative Research ◽  
Design Methodology ◽  
Best Practice ◽  
Original Research ◽  
Content Type ◽  
Practice Recommendations ◽  
Main Observation ◽  
Areas Of Concern ◽  
Tourism And Hospitality

Purpose This paper aims to serve as an important guide for more rigorous quantitative research in tourism and hospitality. Design/methodology/approach This paper relies on comments from several methodological experts in the field, as well as the authors’ main observation of the literature. Findings This paper identifies ten important areas of concern. In each of these areas, the authors provide recommendations for best practices. Research limitations/implications There are certainly other issues and concerns that are not covered in this paper. However, the issues addressed can be applied or generalized to most methodological contexts. Originality/value This paper does not present results from original research but provides interesting and comprehensive recommendations for more rigorous quantitative research.

scholarly journals Best-Practice Recommendations for Producers, Evaluators, and Users of Methodological Literature Reviews

2020 ◽  
pp. 109442812094328 ◽  
Author(s):  
Herman Aguinis ◽  
Ravi S. Ramani ◽  
Nawaf Alabduljader
Keyword(s):  
Content Analysis ◽  
Literature Review ◽  
Best Practice ◽  
Methodological Issue ◽  
Applied Psychology ◽  
Next Generation ◽  
Stakeholder Groups ◽  
Journal Editors ◽  
Practice Recommendations ◽  
Literature Reviews

We categorized and content-analyzed 168 methodological literature reviews published in 42 management and applied psychology journals. First, our categorization uncovered that the majority of published reviews (i.e., 85.10%) belong in three categories (i.e., critical, narrative, and descriptive reviews), which points to opportunities and promising directions for additional types of methodological literature reviews in the future (e.g., meta-analytic and umbrella reviews). Second, our content analysis uncovered implicit features of published methodological literature reviews. Based on the results of our content analysis, we created a checklist of actionable recommendations regarding 10 components to include to enhance a methodological literature review’s thoroughness, clarity, and ultimately, usefulness. Third, we describe choices and judgment calls in published reviews and provide detailed explications of exemplars that illustrate how those choices and judgment calls can be made explicit. Overall, our article offers recommendations that are useful for three methodological literature review stakeholder groups: producers (i.e., potential authors), evaluators (i.e., journal editors and reviewers), and users (i.e., substantive researchers interested in learning about a particular methodological issue and individuals tasked with training the next generation of scholars).

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