scholarly journals Internetalapú, országos betegségregiszter adatainak minőségbiztosítása

2021 ◽  
Vol 162 (2) ◽  
pp. 61-68
Author(s):  
Erika Sinka Lászlóné Adamik ◽  
Péter Hári ◽  
Anikó Póth ◽  
Ágnes Zorándi ◽  
Anna Bradák ◽  
...  

Összefoglaló. Bevezetés: A Nemzeti Szívinfarktus Regiszterben 111 788 beteg 122 351 infarktusos eseményéhez kapcsolódó 145 292 kezelés adatai szerepelnek. Módszer: A rögzített adatokat az üzemeltetők folyamatosan kontrollálják, bemutatják azokat a minőségbiztosítási módszereket, amelyekkel az adatbázis teljességét és megfelelőségét biztosítják. Az online informatikai rendszerben az adatbevitel során 119 automatikus ellenőrzési algoritmust működtetnek. Az automatikus ellenőrzési algoritmussal nem kezelhető adatok ellenőrzését 5 részállású, egészségügyi képzettségű kontroller és 2 főállású munkatárs végzi. A regiszter működése során folyamatosan fejlesztették az ellenőrzés módszereit, ennek során 2018-tól a kontrollerek által ellenőrzött adatlapok utóellenőrzésére is sor kerül. Az utóellenőrzés során a már ellenőrzött adatlapok 2,4%-ában további javításra volt szükség. Eredmények: Az utóellenőrzés eredménye, hogy a kontrolleri munkát hatékonyabbá sikerült tenni, mivel egyre kevesebb az utóellenőrzés során hibásnak talált adatlapok száma. Megvizsgálták, hogy az adatlap kérdéseire milyen arányban kaptak értékelhető választ. Az értékelhető válaszok aránya a legtöbb esetben meghaladta a 90%-ot, azonban a panaszok kezdetének ideje az adatlapok 39%-ában volt megadva, míg a dohányzási szokásokkal kapcsolatos válasz az esetek 59%-ában volt megfelelő. Megbeszélés: A szerzők rámutatnak arra, hogy a Nemzeti Egészségbiztosítási Alapkezelő és a Nemzeti Szívinfarktus Regiszter adatbázisának folyamatos egyeztetése hozzájárul a regisztráció teljességének biztosításához, lehetővé teszi a betegek állapotának hosszú távú követését. Miután a program kötelező jellegűvé vált 2014. 01. 01-jén, az első évben a szívinfarktus-diagnózissal finanszírozott betegek kétharmada (67%) szerepelt a regiszter adatbázisában; ez az arány a 2017–2019-es években meghaladta a 90%-ot (91,7–93,6–91,3%). Következtetés: Vizsgálatukból a szerzők azt a következtetést vonják le, hogy a betegségregiszter működése során szükséges az adatok teljességének és megfelelőségének folyamatos ellenőrzése. A regiszter adatbázisának 90% feletti teljessége az ellátórendszer minőségi paramétereinek folyamatos követését teszi lehetővé. Orv Hetil. 2021; 162(2): 61–68. Summary. Introduction: The Hungarian Myocardial Infarction Registry contains data on 145 592 treatments related to the 111 788 patients and the 122 351 myocardial infarctions. Method: The recorded information is continuously monitored, and the quality assurance methods used to ensure the completeness and adequacy of the database are presented. In the online IT system, 119 automatic verification algorithms are operated during data entry. Data that cannot be handled by the automated verification algorithm is checked by five part-time health-qualified controllers and two full-time employees. During the operation of the register, the control methods were continuously developed, during which the data sheets checked by the controllers will be post-checked from 2018 onwards. During the post-checked process, 2.4% of the datasheets required further correction. Results: The number of data sheets found to be incorrect during the post-audit was decreasing. The authors examined the proportion of evaluable answers to the questionnaire. The rate of evaluable responses was over 90% in most cases; however, the time of the onset of symptoms was given in 39% of the datasheets, while the answer to smoking habits was adequate in 59% of cases. Discussion: The authors point out that the continuous consultation of the database of the National Health Fund Management Centre and the Hungarian Myocardial Infarction Registry contributes to ensuring the completeness of registration, enabling long-term monitoring of the condition of patients. In the first year of the mandatory period of the program, two-thirds (67%) of patients treated with a diagnosis of myocardial infarction were included in the registry database, and this proportion exceeded 90% in the years 2017–2019 (91.7–93.6–91.3%). Conclusion: The study of the authors concludes that the completeness and adequacy of the data need to be constantly monitored during the operation of the patient registry. The integrity of the register database above 90% enables the continuous monitoring of the quality parameters of the system. Orv Hetil. 2021; 162(2): 61–68.

Author(s):  
Salvatore Barbagallo ◽  
Roberto Bertonasco ◽  
Fulvio Corno ◽  
Laura Farinetti ◽  
Marco Mezzalama ◽  
...  

Politecnico di Torino has been actively experimenting distance education scenarios since 1992, through the development of innovative methodologies and tools. The real challenge today, however, is to move from small settings to a large-scale system able to suit the needs of a broad number of users belonging to different categories, from traditional students to part-time or full-time workers, from students living far from Torino to people with participation restriction due to disability. The emphasis then, is not only on the innovation of methodologies and technologies, but on their effective and economically sustainable use in a complex and multi-faceted setting. This chapter describes the services introduced in this direction and gives a preliminary evaluation after the first year of delivery.


2022 ◽  
pp. 93-103
Author(s):  
Kat D. Alves ◽  
Melissa K. Driver

The training and retention of special education teachers is a critical need in the education field. One innovation that can be used in educator preparation programs to better prepare teachers is to establish a residency model. In this model, preservice teachers work as full-time teachers, while also completing their coursework. They receive support from university faculty and peers during this structured first year of teaching. This chapter will explore the need for residency programs, possible features and structures, short and long-term benefits, and potential challenges. In addition, this chapter explores ways to incorporate high-leverage practices into residency coursework.


BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033616
Author(s):  
Mo Wang ◽  
Marjan Vaez ◽  
Thomas Ernst Dorner ◽  
Syed Ghulam Rahman ◽  
Magnus Helgesson ◽  
...  

ObjectivesResearch covering a wide range of risk factors related to the prognosis during the first year after an acute myocardial infarction (AMI) is insufficient. This study aimed to investigate whether sociodemographic, labour market marginalisation and medical characteristics before/at AMI were associated with subsequent reinfarction and all-cause mortality.DesignPopulation-based cohort study.ParticipantsThe cohort included 15 069 individuals aged 25–64 years who had a first AMI during 2008–2010.Primary and secondary outcome measuresThe outcome measures consisted of reinfarction and all-cause mortality within 1 year following an AMI, which were estimated by univariate and multivariable HRs and 95% CIs by Cox regression.ResultsSociodemographic characteristics such as lower education showed a 1.1-fold and 1.3-fold higher risk for reinfarction and mortality, respectively. Older age was associated with a higher risk of mortality while being born in non-European countries showed a lower risk of mortality. Labour market marginalisation such as previous long-term work disability was associated with a twofold higher risk of mortality. Regarding medical characteristics, ST-elevation myocardial infarction was predictive for reinfarction (HR: 1.14, 95% CI: 1.07 to 1.21) and all-cause mortality (HR: 3.80, 95% CI: 3.08 to 4.68). Moreover, diabetes mellitus, renal insufficiency, stroke, cancer and mental disorders were associated with a higher risk of mortality (range of HRs: 1.24–2.59).ConclusionsSociodemographic and medical risk factors were identified as risk factors for mortality and reinfarction after AMI, including older age, immigration status, somatic and mental comorbidities. Previous long-term work disability and infarction type provide useful information for predicting adverse outcomes after AMI during the first year, particularly for mortality.


1976 ◽  
Vol 20 (1) ◽  
pp. 105-106 ◽  
Author(s):  
Neil Baumgart

In a study of discontinuing students at Macquarie University major analyses were based on a sample of 444 students divided into four categories: students still persisting in Term 3 of second year, students who discontinued during first year, students who voluntarily discontinued after first year, and students excluded because of failure at the end of first year. Multiple discriminant analyses were used to relate potential predictors to category membership. Predictors included both entry and process variables. Results are reported separately for full-time and part-time students, and for males and females within these categories. The major findings carry implications for those who need to make management decisions in relation to higher education. Additionally, the paper attempts to highlight some of the design problems inherent in correlational studies and to present selected methodological strategies used in this study to minimize the effects of these problems.


2012 ◽  
Vol 4 (1) ◽  
pp. 101
Author(s):  
Patricia Jabre ◽  
Veronique Roger ◽  
Frederic Adnet ◽  
Benoit Vivien ◽  
Susan Weston ◽  
...  

2014 ◽  
Vol 89 (12) ◽  
pp. 1655-1663 ◽  
Author(s):  
Patricia Jabre ◽  
Véronique L. Roger ◽  
Susan A. Weston ◽  
Frédéric Adnet ◽  
Ruoxiang Jiang ◽  
...  

2018 ◽  
Vol 2 ◽  
pp. e25194
Author(s):  
Heidi Schlumpf ◽  
Nina Gaze ◽  
Hugh Grenfell ◽  
Frances Duff ◽  
Kelly Hall ◽  
...  

The Collection Access and Readiness Programme (CARP) is a unique, well-defined programme with committed funding at Auckland War Memorial Museum (AWMM). In the Natural Sciences department, CARP has funded the equivalent of five positions over five collecting areas for four years. These are filled by six part-time collection technicians and a senior full-time manager. As Collection Technicians, our role, across Botany, Entomology, Geology, Marine, and Palaeontology, is to digitise acquisitions prior to December 2012. We are processing the backlogs of our collections, which are prioritised across all museum activities in distinct taxonomic projects. The cataloguing method involves gathering and verifying all available information and entering data into Vernon, our collections management system (https://vernonsystems.com/products/vernon-cms/), with specifically designed record standards aligned to Darwin Core (Wieczorek et al. 2012). CARP has allowed us the freedom to explore backlog collections, some of which have not been fully processed, revealing mysteries that would otherwise have sat undiscovered, and to resolve uncertainties across the collections. For example, in Botany, cataloguing the foreign ferns reveals previously unrealised type specimens; in Marine, cataloguing all 9117 specimen lots of the New Zealand Bivalvia collection, brought classification and locality data uncertainties to resolution. There are multiple projects running concurrently in each collecting area, continually enriching our collection data. In turn, this is opening up a far wider range of information to the public through our online collection portal, AWMM Collections Online http://www.aucklandmuseum.com/discover/collections-online (currently 800,000 records). Open accessibility promotes careful consideration of how and what data we deliver, as it is disseminated through global portals, such as the Global Biodiversity Information Facility (GBIF) and Atlas of Living Australia (ALA). Collections that have often had no more attention than recording of their original labels, have interesting stories beyond “just” cataloguing them. As cataloguers, we have found that the uncertainties or sometimes apparent lack of detail increases our engagement with our collections. Rather than solely copying information into the database, we become detectives, resolving uncertainties and verifying the background of our objects, collection sites and collectors. This engagement and the global reach of our data mean that we are invested in the programme, so that data entry continuity and accuracy are maximised. Our presentation will give an overview of the CARP and our method, and a look at our progress two years in, highlighting some of our discoveries and how the uncertainty in our data allows us to engage more with our collections.


2020 ◽  
Vol 4 (3) ◽  
pp. 441-446
Author(s):  
Raija Leinonen ◽  
Maria Kuukkanen

The focus of this article is to introduce the community-based adult foster care of older people in Finland. Although adult foster care is a public care service, it is organised in a private home, either in the foster carer’s home or in the older person’s home. The foster carer and the county make a commission agreement. Adult foster care can be full-time long-term care or short-term full-time or part-time care.


Author(s):  
Lynn M. Boettler ◽  
Ruth A. Goldfine ◽  
Don W. Leech ◽  
Gerald R. (Jerry) Siegrist

In this study, retention and academic performance of students enrolled in four different versions of a first-year seminar at a large, public 4-year university were compared for a 2-year period. The first-year seminars examined were 3-credit courses with either traditional, global, community engagement, or leadership themes and were essentially required of all first-year, full-time students. Statistical analysis using logistic regression and analysis of covariance were employed to determine whether differences existed. In addition, the variables of gender, race, high school grade point average, American College Testing/Scholastic Aptitude Test scores, type of instructor (full time or part time), and enrollment in a learning community were considered covariates in data analysis. The study revealed no significant differences in first-year to second-year retention rate or in academic performance as measured by college grade point average for the four different versions of the seminar; however, enrollment in a learning community did have significant impact on retention, even after controlling for covariates known to strongly affect retention.


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