scholarly journals Disposition time for first instance administrative cases, 2014, 2016 and 2018

2021 ◽  
Keyword(s):  
Disposition Time

scholarly journals (P2-74) Does Implementation of Protocols Improve the Red Area Disposition Time of Emergency Department at a Level-1 Trauma Center?

2011 ◽  
Vol 26 (S1) ◽  
pp. s160-s160
Author(s):  
R. Kumar ◽  
K. Shyamla ◽  
S. Bhoi ◽  
T.P. Sinha ◽  
S. Chauhan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Emergency Department ◽  
Trauma Center ◽  
Safety Issues ◽  
Ed Visits ◽  
Level 1 ◽  
The Impact ◽  
Level 1 Trauma Center ◽  
Final Disposition ◽  
Disposition Time

BackgroundAcute care addresses immediate resuscitation and early disposition to definitive care. Delay in final disposition from the emergency department (ED) affects outcomes in terms of morbidity and mortality. An audit was performed to assess the impact of protocols on red area disposition time.MethodsAn audit of red (resuscitation) area disposition time was performed among patients with compromised airway, breathing, and circulation. The red area disposition time was defined as the time from ED arrival to red area disposition. Pre-protocol data from nursing report books were reviewed for ED to operating room (OR), ED to intensive care unit (ICU), and overall disposition time between September 2007 and January 2008. Similar outcomes were documented after implementation of protocols during February to December 2008.ResultsIn the pre-protocol period, 992 red area patients were enrolled out of 10,000 ED visits. Out of which 527 (53.1%) were shifted to the OR and 222 (22.3%) to ICU. The average ED disposition time was 3.5 hours (range 2–5). Similarly, 1797 red area patients were enrolled in the post-protocol period out of 25,928. Of these, 453 (25.2%) patients were shifted to the OR, and 423 (23.7%) were shifted to the ICU. The average ED disposition time was 1.5 hours (range 10 minutes–3 hours).ConclusionsImplementation of protocols improves the red area disposition time of the ED. Auditing is an important tool to address patient safety issues.

scholarly journals Analiza pojedinih statističkih pokazatelja učinkovitosti hrvatskog građanskog pravosuđa

2021 ◽  
Vol 71 (3-4) ◽  
pp. 533-566
Author(s):  
Marko Mećar ◽  
Keyword(s):  
European Commission ◽  
Clearance Rate ◽  
Statistical Data ◽  
Short Term ◽  
Lower Efficiency ◽  
Public Authorities ◽  
Eu Member States ◽  
Statistical Indicators ◽  
Different Parts ◽  
Disposition Time

The intention of this paper is to provide an analysis of certain statistical indicators regarding the efficiency of the Croatian civil judiciary, since efficiency is one of the most important aspects of the judiciary. After a brief overview of different statistical indicators which may be used to measure the efficiency of the judiciary, this paper focuses on the analysis of the statistical indicators disposition time (hereinafter: DT) and clearance rate (hereinafter: CR), used by the European Commission for the Efficiency of Justice (hereinafter: CEPEJ) and the statistical indicators regarding the number of unresolved cases, the number of judges and the number of resolved cases per judge published by the ministry competent for the judiciary. Although CEPEJ’s statistical indicators should be used cautiously due to methodological inconsistencies in the data, the paper concludes that these statistical indicators are useful to the extent that they can point to structural flaws in the judiciary system or can point to a trend of rise or decline in the judiciary’s efficiency. The central part of the paper focuses on the analysis of the DT and CR statistical indicators for the Croatian judiciary in general and compares it to the DT and CR statistical indicators for the judiciaries in other EU Member States. Further, the paper analyzes the statistical data published by the ministry competent for the judiciary regarding the number of unresolved cases, the number of judges and the number of resolved cases per judge, drawing conclusions therefrom on the efficiency of different parts of the Croatian judiciary. Also, historical statistical data published by the ministry competent for the judiciary are analyzed to show whether systematic problems in efficiency of concrete parts of the judiciary exist, as opposed to short-term efficiency shortfalls. The paper also highlights the lack of adequate, publicly available statistical data on the efficiency of the judiciary which limits the possibility of reaching a conclusion on the causes for such lower efficiency. The paper concludes that, taking into consideration the publicly available data, it is possible to reach conclusions as to which parts of the judiciary have lower efficiency, those being litigation procedures, especially before first instance municipal courts. However, there are no publicly available data that would show the causes for the lower efficiency of these parts of the judiciary, even though public authorities have means at their disposal to obtain and publish such relevant data. Such practice by public authorities hinders further efforts of the interested public to focus the discussion on the real causes for the lower efficiency of the Croatian judiciary and ultimately, on the necessary reforms aimed at increasing its efficiency.

Durability of complete response (CR) with atezolizumab (atezo) in locally advanced/metastatic urothelial carcinoma (mUC).

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 4527-4527
Author(s):  
Yohann Loriot ◽  
Arjun Vasant Balar ◽  
Robert Dreicer ◽  
Jean H. Hoffman-Censits ◽  
Jose Luis Perez-Gracia ◽  
...  
Keyword(s):  
Locally Advanced ◽  
Complete Response ◽  
First Response ◽  
Long Term Follow Up ◽  
Metastatic Urothelial Carcinoma ◽  
Post Hoc ◽  
Clinical Trial Information ◽  
Disposition Time

4527 Background: Atezo (anti–PD-L1) has been shown to elicit CRs in a number of mUC patients (pts) in clinical trials. We sought to describe the kinetics, durability and outcomes associated with these CRs in Ph I (PCD) and II (IMvigor210) atezo studies, each with long-term follow-up. Methods: In PCD (pre-treated mUC) and IMvigor210 (Cohort 1, cisplatin-ineligible untreated mUC; Cohort 2, platinum-treated mUC), pts received atezo per protocol (Petrylak JAMA Oncol 2018; Balar Lancet 2017; Rosenberg Lancet 2016). This post hoc analysis descriptively assessed pt disposition, time to and duration of RECIST 1.1 response and overall survival in pts with CR. Results: CR rates were 13%, 8% and 7% in PCD, IMvigor210 Cohort 1 and Cohort 2, respectively. First response was PR in most pts with CR. Median CR duration was > 3 y in PCD, not estimable (NE) in IMvigor210 Cohort 1 and > 2 y in Cohort 2 (Table). At data cutoff, all but 2, 0 and 1 pts were alive, respectively; across studies, ≥ 40% of pts with CR were on treatment. CR pts had a first response (PR/CR) by a median of 3.5 cycles. Further pt characteristics and survival outcomes will be reported. Conclusions: Across Ph I/II atezo mUC studies, CRs appeared durable (median duration > 2 y) despite small pt numbers. Most pts with CR were alive, with responses ongoing after long-term follow-up (median follow-up > 30 mo). Clinical trial information: NCT01375842, NCT02951767, NCT02108652. [Table: see text]

scholarly journals Implementing Triage Standing Orders in the Emergency Department Leads to Reduced Physician-to-Disposition Times

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Charles W. Hwang ◽  
Thomas Payton ◽  
Emily Weeks ◽  
Michelle Plourde
Keyword(s):  
Emergency Department ◽  
Retrospective Cohort ◽  
Medical Decision Making ◽  
Medical Director ◽  
Diagnostic Assessment ◽  
Medical Decision ◽  
Ed Crowding ◽  
Assessment Strategies ◽  
The Impact ◽  
Disposition Time

Emergency departments (EDs) throughout USA have improvised various processes to curb the “national epidemic” termed ED “crowding.” Standing orders (SOs), one such process, are medical orders approved by the medical director and entered by nurses when patients cannot be seen expeditiously, expediting medical decision-making and decreasing length of stay (LOS) and time to disposition. This retrospective cohort study evaluates the impact of SOs on ED LOS and disposition time at a large university ED. Results indicate that SOs significantly improve ED throughput by reducing disposition time by up to 16.9% (p=0.04), which is especially significant in busy ED settings. SOs by themselves are not sufficient for a complete diagnostic assessment. Strategies such as having a provider in the waiting area may help make key decisions earlier.

scholarly journals Efficiency of Emergency Physicians: Insights from an Observational Study using EHR Log Files

2018 ◽  
Vol 09 (01) ◽  
pp. 099-104 ◽  
Author(s):  
Thomas Kannampallil ◽  
Courtney Denton ◽  
Jason Shapiro ◽  
Vimla Patel
Keyword(s):  
Performance Metrics ◽  
Clinical Care ◽  
Emergency Physicians ◽  
Federal Mandates ◽  
Health Records ◽  
Physician Review ◽  
Log Files ◽  
Positive Correlations ◽  
Attending Physicians ◽  
Disposition Time

Objective With federal mandates and incentives since the turn of this decade, electronic health records (EHR) have been widely adopted and used for clinical care. Over the last several years, we have seen both positive and negative perspectives on its use. Using an analysis of log files of EHR use, we investigated the nature of EHR use and their effect on an emergency department's (ED) throughput and efficiency. Methods EHR logs of time spent by attending physicians on EHR-based activities over a 6-week period (n = 2,304 patients) were collected. For each patient encounter, physician activities in the EHR were categorized into four activities: documentation, review, orders, and navigation. Four ED-based performance metrics were also captured: door-to-provider time, door-to-doctor time, door-to-disposition time, and length of stay (LOS). Association between the four EHR-based activities and corresponding ED performance metrics were evaluated. Results We found positive correlations between physician review of patient charts, and door-to-disposition time (r = 0.43, p < 0.05), and with LOS (r = 0.48, p < 0.05). There were no statistically significant associations between any of the other performance metrics and EHR activities. Conclusion The results highlight that longer time spent on reviewing information on the EHR is potentially associated with decreased ED throughput efficiency. Balancing these competing goals is often a challenge of physicians, and its implications for patient safety is discussed.

Moment Analysis for the Separation of Mean In Vivo Disintegration, Dissolution, Absorption, and Disposition Time of Ampicillin Products

1982 ◽  
Vol 71 (10) ◽  
pp. 1129-1133 ◽  
Author(s):  
Yusuke Tanigawara ◽  
Kiyoshi Yamaoka ◽  
Terumichi Nakagawa ◽  
Toyozo Uno
Keyword(s):  
Moment Analysis ◽  
Disposition Time

scholarly journals СТУДИЈА О АСЕРТИВНОСТИ, ЕФИКАСНОСТИ И КВАЛИТЕТУ РАДА СУДИЈА

TEME ◽  
2017 ◽  
pp. 243
Author(s):  
Aleksandar S Mojašević ◽  
Sandra Mojašević
Keyword(s):  
Subject Matter ◽  
Clearance Rate ◽  
The Other ◽  
Work Quality ◽  
Dependent Variables ◽  
Independent Variable ◽  
The Subject ◽  
The One ◽  
Disposition Time

The subject matter of this research is the correlation between the judges’ assertiveness and the efficiency and quality of judicial work. The primary aim is to examine whether there is a correlation between the judges’ assertiveness, on the one hand, and the efficiency and quality of their work, on the other hand. The second aim is to explore the correlation between the efficiency and quality of judicial work. The starting premise is that there is a correlation between particular indicators of these variables. Judges’ assertiveness is a conditionally independent variable used as a referential point for measuring two conditionally dependent variables: the efficiency and the work quality of the judiciary. The assertiveness was measured by a standardized questionnaire which was distributed to a research sample including 40 judges from the Criminal Department and the Civil Department of the Basic Court in Niš in May 2015. The efficiency of judicial work was measured by employing four indicators: the clearance rate (CR), the disposition time (DT), the clearance coefficient (CC) and the percentage of solved cases as related to the total number of cases (PS), whereas the quality of judicial work was assessed by measuring the overall work quality (WQ). The data on the efficiency and quality of judicial work were collected from the 2014 Report on the work of the judges in the Civil Department and the Criminal Department of the Basic Court in Niš. Contrary to our expectation, the most important finding is that there is no correlation between assertiveness and the efficiency and quality of judicial work; however, there are various correlations between the aforementioned indicators of efficiency and quality of judicial work.

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