scholarly journals AB200. SOH21AS157. Fracture liaison services interventions compliance with best practice framework at Tallaght University Hospital

2021 ◽  
Vol 5 ◽  
pp. AB200-AB200
Author(s):  
Wafi Mohammed ◽  
Almutaz Billah Alsayed ◽  
David Askin ◽  
James Sproule
2020 ◽  
Vol 15 (1) ◽  
Author(s):  
A. Naranjo ◽  
S. Ojeda ◽  
M. Giner ◽  
M. Balcells-Oliver ◽  
L. Canals ◽  
...  

Abstract Summary The coordination of Fracture Liaison Services (FLS) with Primary Care (PC) is necessary for the continuity of care of patients with fragility fractures. This study proposes a Best Practice Framework (BPF) and performance indicators for the implementation and follow-up of FLS-PC coordination in clinical practice in Spain. Purpose To develop a BPF for the coordination of FLS with PC in Spain and to improve the continuity of care for patients with fragility fractures. Methods A Steering Committee selected experts from seven Spanish FLS and related PC doctors and nurses to participate in a best practice workshop. Selection criteria were an active FLS with an identified champion and prior contact with PC centres linked to the hospital. The main aim of the workshop was to review current FLS practices in Spain and their integration with PC. A BPF document with processes, tools, roles, and metrics was then generated. Results Spanish FLS consists of a multidisciplinary team of physicians/nurses but with low participation of other professionals and PC staff. Evaluation and treatment strategies are widely variable. Four desired standards were agreed upon: (1) Effective channels for FLS-PC communication; (2) minimum contents of an FLS clinical report and its delivery to PC; (3) adherence monitoring 3 months after FLS baseline visit; and (4) follow-up by PC. Proposed key performance indicators are (a) number of FLS-PC communications, including consensus protocols; (b) confirmation FLS report received by PC; (c) medical/nursing PC appointment after FLS report received; and (d) number of training sessions in PC. Conclusions The BPF provides a comprehensive approach for FLS-PC coordination in Spain, to promote the continuity of care in patients with fragility fractures and improve secondary prevention. The implementation of BPF recommendations and performance indicator tracking will benchmark best FLS practices in the future.


LOGOS ◽  
2021 ◽  
Vol 32 (2) ◽  
pp. 34-42
Author(s):  
Sarah Bacaller

Abstract Audiobooks offer increased accessibility and new ways of engaging with scholarly texts. Although the development of academic audiobooks is in a relatively early stage, one significant issue that is yet to receive appropriate attention is the presentation of referenced materials in audio form. Presently, this is approached on a case-by-case basis with no centralized industry standards, and so protocols are either set by individual publishers or negotiated between rights-holders and narrators. Narrators usually adopt one of four options for dealing with notes or other referencing tools: complete omission; addition of audio effects to differentiate the reading of references from the primary narrative; reading the reference notes at the end of a chapter or the book; or including with the audiobook files an optional PDF download with reference details. These options give consideration to aesthetic issues, but it is uncertain whether they do justice to questions of academic integrity. The purpose of this article is to encourage scholarly dialogue and a conversation between the audio publishing industry and academia on this issue, and to begin working towards a ‘best practice’ framework that satisfies questions of both aesthetic experience and academic integrity.


2021 ◽  
Author(s):  
Andrea Sharam ◽  
Sean McNelis ◽  
Hyunbum Cho ◽  
Callum Logan ◽  
Terry Burke ◽  
...  

This research examines social housing asset management (AM) in Australia and develops a best practice framework that outlines AM processes and criteria for making decisions.


Author(s):  
Lennert Voogt ◽  
Lisa Dow ◽  
Simon Dobson

Author(s):  
Mohamed Elhefnawi

The experience of many organizations that have automated their business capabilities using enterprise information systems indicates that the realization of the sought business gains and promised returns on investment are conditional to having in place an effective strategy to support and maintain such systems technically and functionally during the post-implementation phase. It is argued that the proper implementation of Information Technology Infrastructure Library (ITIL) represents an ideal forum for providing effective support tools that include service/help desk and incident reporting functions for end-users to report problems and issues or request enhancements, change management and configuration management functions to manage and document changes to the applications and functionalities, as well as IT infrastructure inventory and tracking applications. ITIL framework is widely used as a best-practice framework for IT services management. It outlines a set of integrated processes and procedures that will structure and re-engineer IT services activities, shifting IT function to be enterprise-wide business-focused while making the best use of the deployed technology. The case described in this chapter reflects the approach adopted by the IT function of an Arabian Gulf Company (AGC) used for ITIL implementation, highlighting the main challenges that have been encountered in this project.


2019 ◽  
pp. bmjspcare-2019-001849 ◽  
Author(s):  
Francesca Rusalen ◽  
Maria Elena Cavicchiolo ◽  
Paola Lago ◽  
Sabrina Salvadori ◽  
Franca Benini

ObjectiveEnsure access to perinatal palliative care (PnPC) to all eligible fetuses/infants/parents.DesignDuring 12 meetings in 2016, a multidisciplinary work-group (WG) performed literature review (Grading of Recommendations, Assessment, Development and Evaluation (GRADE) method was applied), including the ethical and legal references, in order to propose shared care pathway.SettingMaternal-Infant Department of Padua’s University Hospital.PatientsPnPC eligible population has been divided into three main groups: extremely preterm newborns (first group), newborns with prenatal/postnatal diagnosis of life-limiting and/or life-threatening disease and poor prognosis (second group) and newborns for whom a shift to PnPC is appropriate after the initial intensive care (third group).InterventionsThe multidisciplinary WG has shared care pathway for these three groups and defined roles and responsibilities.Main outcome measuresPrenatal and postnatal management, symptom’s treatment, end-of-life care.ResultsThe best care setting and the best practice for PnPC have been defined, as well as the indications for family support, corpse management and postmortem counselling, as well suggestion for conflicts’ mediation.ConclusionsPnPC represents an emerging field within the paediatric palliative care and calls for the development of dedicated shared pathways, in order to ensure accessibility and quality of care to this specific population of newborns.


Author(s):  
Ehap H. Sabri

This chapter explains the best practice in implementing e-business Technologies to achieve business cost reduction and business agility. Many companies started to realize that gaining competitive advantage is no longer feasible by only managing their own organizations; it also requires getting involved in the management of all upstream supply organizations as well as the downstream network. E-business technologies present huge opportunities that are already being tapped by several companies and supply chains. Although the benefits of implementing e-business technologies are clear, enterprises struggle in integrating e-business technologies into supply- chain operations. The author illustrates the strategic and operational impact of e-business technologies on supply chains and explains the performance benefits and challenges firms should expect in implementing these technologies. Also, the author provides the best-practice framework in leveraging e-business applications to support process improvements in order to eliminate nonvalue- added activities and provide real-time visibility and velocity for the supply chain. Finally, this chapter presents the future trends of using e-business in transformation programs.


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