Breastfeeding Telephone Triage and Advice

2012 ◽  
Author(s):  
Maya Bunik
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Medical Staff ◽  
Telephone Triage ◽  
Triage Decision

New Edition! This all-new telehealth care resource helps nurses, lactation professionals, and other medical staff confidently advise breastfeeding mothers. The volume introduces more than 60 practice-tested breadstfeeding protocols. New Edition! This all-new telehealth care resource helps nurses, lactation professionals, and other medical staff confidently advise breastfeeding mothers. The volume introduces more than 60 practice-tested breadstfeeding protocols. Here’s how to respond when breastfeeding mothers call for help… Breastfeeding Telephone Triage and Advice Authored by Maya Bunik, MD, MSPH, FABM, FAAP This all-new decision support care tool helps nurses, lactation professionals, and other medical staff confidently advise breastfeeding mothers. Created by one of the field’s foremost authorities, it is designed to be used in tandem with the acclaimed AAP best seller Pediatric Telephone Protocols. This volume introduces 60 practice-tested protocols presented on easy-reading double-column pages to help simplify targeted triage decision-making.

Triage Nurses Decision-Support Application Design

2018 ◽  
Vol 7 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Tamari Levis ◽  
Dagan Schwartz ◽  
Yuval Bitan
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Medical Condition ◽  
Data Gathering ◽  
Severity Index ◽  
Triage Decision ◽  
Planning And Design ◽  
Frequent Use ◽  
Current Design ◽  
Decision Making Model

In this paper, we will present the planning and design process of a triage decision-support application, aimed to be used for both research data gathering and real-time triage decision-making. Triage is an initial classification of emergency department (ED) patients, according to the severity level of their medical condition. The need of fast and accurate triage decision-making, lead to the development of widely used triage algorithms, such as ESI (Emergency Severity Index). Observations and interviews with triage personnel exposed difficulties of triage process and helped us create an ESI-based decision making model. Next, we built a multiple-choice questioner to characterize the application and required features. 40 triage nurses completed the questioner. Results indicated that the most highly requested feature was an automated severity grade calculator, which became the core of the proposed design. While current design focuses on the analytical decision model, statistical analysis of the questioner results indicated that it is often insufficient when facing medical reality complexities, dictating nurse’s frequent use of intuition. Using triage systems data analysis and modern machine-learning methodologies, we inspire to develop a second version of the application that will integrate intuitive insights into triage scale algorithmic decision process.

Triage Decisions of United Kingdom Police Firearms Officers Using a Multiple-Casualty Scenario Paper Exercise

2005 ◽  
Vol 20 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Tim Kilner ◽  
F. John Hall
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Police Officers ◽  
Medical Training ◽  
Clinical Skills ◽  
Support Material ◽  
Support Materials ◽  
Triage Decision ◽  
Severity Of Injury ◽  
Triage Decisions

AbstractIntroduction:British police officers authorized to carry firearms may need to make judgments about the severity of injury of individuals or the relative priority of clinical need of a group of injured patients in tactical and non-tactical situations. Most of these officers receive little or no medical training beyond basic first aid to enable them to make these clinical decisions. Therefore, the aim of this study is to determine the accuracy of triage decision-making of firearms-trained police officers with and without printed decision-support materials.Methods:Eighty-two police firearms officers attending a tactical medicine course (FASTAid) were recruited to the study. Data were collected using a paper-based triage exercise that contained brief, clinical details of 20 adults and 10 children. Subjects were asked to assign a clinical priority of immediate or priority 1 (P1); urgent or priority 2 (P2); delayed or priority 3 (P3); or dead, to each casualty. Then, they were provided with decision-making materials, but were not given any instruction as to how these materials should be used. Subjects then completed a second triage exercise, identical to the first, except this time using the decision-support materials.Data were analyzed using mixed between-within subjects analysis of variance. This allowed comparisons to be made between the scores for Exercise 1 (no decision-support material) and Exercise 2 (with decision-support material). It also allowed any differences between those students with previous triage training and those without previous training to be explored.Results:The use of triage decision-making materials resulted in a significant increase in correct responses (p <0.001). Improvement in accuracy appears to result mainly from a reduction in the extent of under-triage. There were significant differences (p <0.05) between those who had received previous triage training and those who had not, with those having received triage training doing slightly better.Conclusion:It appears that significant improvements in the accuracy of triage decision-making by police firearms officers can be achieved with the use of appropriate triage decision-support materials. Training may offer additional improvements in accuracy, but this improvement is likely to be small when decision-support materials are provided. With basic clinical skills and appropriate decision-support materials, it is likely that the police officer can make accurate triage decisions in a multiple-casualty scenario or make judgments of the severity of injury of a given individual in both tactical and non-tactical situations.

Sistem Pendukung Keputusan SNMPTN Jalur Undangan Dengan Metode Electre

2018 ◽  
Vol 3 ◽  
pp. 14
Author(s):  
Lidia K Simanjuntak ◽  
Tessa Y M Sihite ◽  
Mesran Mesran ◽  
Nuning Kurniasih ◽  
Yuhandri Yuhandri
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Action Selection ◽  
Multi Criteria Decision Making ◽  
Prospective Students ◽  
College Entrance ◽  
Electre Method ◽  
Selection Of

All colleges each year organize the selection of new admissions. Acceptance of prospective students in universities as education providers is done by selecting prospective students based on achievement in school and college entrance selection. To select the best student candidates based on predetermined criteria, then use Multi-Criteria Decision Making (MCDM) or commonly called decision support system. One method in MCDM is the Elimination Et Choix Traduisant la Reality (ELECTRE). The ELECTRE method is the best method of action selection. The ELECTRE method to obtain the best alternative by eliminating alternative that do not fit the criteria and can be applied to the decision SNMPTN invitation path.

PEMILIHAN KEPLING TELADAN MENERAPKAN METODE RANK ORDER CENTROID (ROC) DAN METODE ADDITIVE RATIO ASSESSMENT (ARAS) DI KECAMATAN MEDAN AREA

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Liza Handayani ◽  
Muhammad Syahrizal ◽  
Kennedi Tampubolon
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Rank Order ◽  
Priority Level ◽  
The Village ◽  
Field Area ◽  
Selection Of

The head of the environment is an extension of the head of the village head in assisting or providing services to the community both in the administration of administration in the village and to other problems. It is natural for a kepling to be appreciated for their performance during their special tenure in the kecamatan field area. Previously, the selection of a dipling in a sub-district was very inefficient and seemed unfair for this exemplary selection to use a system to produce an accurate value, and no intentional element. To overcome the process of selecting an exemplary kepling that experiences these obstacles by using an application called a Decision Support System. Decision Support System (SPK) is a system that can solve a problem, and this system is also assisted with several methods, namely the Rank Order Centroid (ROC) method that can assign weight values to each of the criteria based on their priority level. And to do the ranking or determine an exemplary set using the Additive Ratio Assessment (ARAS) method, this method provides decision making that takes decisions based on ranking or the highest value.Keywords: Head of Medan Area Subdistrict, SPK, Centroid Rank Order, Additive Ratio Assessment (ARAS).

SISTEM PENDUKUNG KEPUTUSAN PEMILIHAN GURU BERPRESTASI KOTA MEDAN MENERAPKAN METODE PREFERENCES SELECTION INDEX (STUDI KASUS : DINAS PENDIDIKAN KOTA MEDAN)

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Fajar Syahputra ◽  
Mesran Mesran ◽  
Ikhwan Lubis ◽  
Agus Perdana Windarto
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Formal Education ◽  
Basic Education ◽  
Selection Index ◽  
Main Task ◽  
Selection Of

The teacher is a major milestone in the world of education, the ability and achievement of students cannot be separated from the role of a teacher in teaching and guiding students. Based on the Law of the Republic of Indonesia No. 14 of 2005 concerning Teachers and Lecturers, in Article 1 explained that teachers are professional educators with the main task of educating, teaching, guiding, directing, training, evaluating, and evaluating students in early childhood education through formal education, basic education and education medium. Whereas in Article 4 of the Act, it is explained that the position of teachers as professionals serves to enhance the dignity and role of teachers as learning agents to function to improve the quality of national education.Decision making is an election process, among various alternatives that aim to meet one or several targets. The decision-making system has 4 phases, namely intelligence, design, choice and implementation. These phases are the basis for decision making, which ends with a recommendation.The Preferences Selection Index (PSI) method is a rarely used decision support system method. This method is a method developed by stevanie and Bhatt (2010) to solve the Multi Criteria Decision Making (MCDM). With the right consideration, this method can be one of the tools to determine policies in decision-making systems, especially the selection of outstanding teachers. Determination of policies taken as a basis for decision making, must use criteria that can be defined clearly and objectively.Keywords: Decision Support System, PSI, Selection of Achieving Teachers

IMPLEMENTASI METODE VIKOR DALAM PENERIMAAN JURNALIS PADA KORAN WASPADA MEDAN

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Soraya Rahma Hayati ◽  
Mesran Mesran ◽  
Taronisokhi Zebua ◽  
Heri Nurdiyanto ◽  
Khasanah Khasanah
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Support System ◽  
Decision Support Systems ◽  
Support System ◽  
Support Systems ◽  
Knowledge Based ◽  
Computer Based ◽  
Support Decision Making ◽  
Made In

The reception of journalists at the Waspada Daily Medan always went through several rigorous selections before being determined to be accepted as journalists at the Waspada Medan Daily. There are several criteria that must be possessed by each participant as a condition for becoming a journalist in the Daily Alert Medan. To get the best participants, the Waspada Medan Daily needed a decision support system. Decision Support Systems (SPK) are part of computer-based information systems (including knowledge-based systems (knowledge management)) that are used to support decision making within an organization or company. Decision support systems provide a semitructured decision, where no one knows exactly how the decision should be made. In this study the authors applied the VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) as the method to be applied in the decision support system application. The VIKOR method is part of the Multi-Attibut Decision Making (MADM) Concept, which requires normalization in its calculations. The expected results in this study can obtain maximum decisions.Keywords: Journalist Acceptance, Decision Support System, VIKOR

Models of decision support in socio-cyber-physical systems

2019 ◽  
pp. 55-70 ◽  
Author(s):  
A. V. Smirnov ◽  
T. V. Levashova
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Situation Awareness ◽  
Cyber Physical Systems ◽  
Emergent Behavior ◽  
Emergent Properties ◽  
Decision Making Process ◽  
Physical Systems ◽  
Decision Support Models ◽  
Common Goals

Introduction: Socio-cyber-physical systems are complex non-linear systems. Such systems display emergent properties. Involvement of humans, as a part of these systems, in the decision-making process contributes to overcoming the consequences of the emergent system behavior, since people can use their experience and intuition, not just the programmed rules and procedures.Purpose: Development of models for decision support in socio-cyber-physical systems.Results: A scheme of decision making in socio-cyber-physical systems, a conceptual framework of decision support in these systems, and stepwise decision support models have been developed. The decision-making scheme is that cybernetic components make their decisions first, and if they cannot do this, they ask humans for help. The stepwise models support the decisions made by components of socio-cyber-physical systems at the conventional stages of the decision-making process: situation awareness, problem identification, development of alternatives, choice of a preferred alternative, and decision implementation. The application of the developed models is illustrated through a scenario for planning the execution of a common task for robots.Practical relevance: The developed models enable you to design plans on solving tasks common for system components or on achievement of common goals, and to implement these plans. The models contribute to overcoming the consequences of the emergent behavior of socio-cyber-physical systems, and to the research on machine learning and mobile robot control.

Pengembangan Aplikasi Pendukung Keputusan Pemilihan Program Studi dengan Metode Fuzzy Logic (Studi Kasus: Universitas Multimedia Nusantara)

2016 ◽  
Vol 7 (1) ◽  
pp. 12-18
Author(s):  
Joko Haryanto ◽  
Seng Hansun
Keyword(s):  
Decision Making ◽  
Fuzzy Logic ◽  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
System Application ◽  
Prospective Students ◽  
Fuzzy Logic Method ◽  
Index Terms ◽  
Selection Of

This paper describes the development of decision support system application to assist students who want to enter college so that no one choose the majors incorrectly. This application uses fuzzy logic method because fuzzy logic is very flexible in data which are vague and can be represented as a linguistic variable. The purpose of this application is to assist students to choose available majors at University Multimedia Nusantara which are appropriate with his/her capabilities. This application accepts five kinds of input values i.e. Mathematics, Indonesian, English, Physics, and TIK. Received input will be processed by the calculation of the system for decision-making and the application will generate output that shows how great a match for each majors. With this application, prospective students can find out where the majors that match his/her capabilities. This application has ninety nine percentage of match result accuracy. Index Terms—fuzzy logic, decision support system, UMN, selection of major

Formation of requirements for the information system of environmental monitoring

2020 ◽  
pp. 31-34
Author(s):  
CHUNMEI JI
Keyword(s):  
Decision Making ◽  
Information System ◽  
Decision Support ◽  
Environmental Monitoring ◽  
Environmental Uncertainty ◽  
Agricultural Enterprises ◽  
Ecological Uncertainty

The study considers the problem of decision-making in the actvites of agricultural enterprises in conditons of environmental uncertainty. The problem is formalized as a multcriteria conditonal optmizaton problem. The novelty of the work is that the factors are considered as dynamic fuzzy quanttes. The choice of the best alternatve is made between the elements of a predetermined fnite set of alternatves. Based on this formalizaton of the decision-making task, six requirements to the informaton system of decision support in the conditons of ecological uncertainty are formulated.

PENERAPAN METODE SIMPLE ADDITIVE WEIGHTING DALAM PENETAPAN TENAGA KEPENDIDIKAN BERPRESTASI

2018 ◽  
Vol 1 (2) ◽  
pp. 45-54
Author(s):  
Helpi Nopriandi
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Support Systems ◽  
Support Systems ◽  
Multiple Attribute Decision Making ◽  
Multiple Attribute ◽  
Simple Additive Weighting

Tenaga Kependidikan merupakan anggota masyarakat yang mengabdikan diri dan diangkat untuk menunjang penyelenggaraan pendidikan. Decision Support Systems atau lebih dikenal dengan Sistem Pendukung Keputusan adalah bagian dari sebuah sistem informasi yang berbasis komputer termasuk sistem yang berbasis ilmu pengetahuan dan dipakai untuk mendukung pengambil  keputusan dalam suatu organisasi atau perusahaan. untuk memudahkan pimpinan dalam mengambil sebuah keputusan dibuatlah suatu sistem pengambil keputusan dengan menggunakan Fuzzy Multiple Attribute Decision Making  (FMADM) digunakan untuk mencari alternatif optimalkan dari sejumlah alternatif dengan kriteria tertentu, sedangkan metode Simple Additive Weighting (SAW). Metode SAW sering juga dikenal istilah metode penjumlahan terbobot. Konsep dasar metode SAW adalah mencari penjumlahan terbobot dari rating kinerja pada setiap alternatif dari semua atribut.

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