scholarly journals The past, present, and future of urological quality improvement collaboratives

2021 ◽  
Vol 10 (5) ◽  
pp. 2280-2288
Author(s):  
Adam C. Reese ◽  
Serge Ginzburg
Author(s):  
Shalini Saxena

Wetlands, either constructed or natural, offer a cheaper and low-cost alternative technology for wastewater treatment. A constructed wetland system that is specifically engineered for water quality improvement as a primary purpose is termed as a ‘Constructed Wetland Treatment System’ (CWTS). In the past, many such systems were constructed to treat low volumes of wastewater loaded with easily degradable organic matter for isolated populations in urban areas. However, widespread demand for improved receiving water quality, and water reclamation and reuse, is currently the driving force for the implementation of CWTS all over the world. Recent concerns over wetland losses have generated a need for the creation of wetlands, which are intended to emulate the functions and values of natural wetlands that have been destroyed. Natural characteristics are applied to CWTS with emergent macrophyte stands that duplicate the physical, chemical and biological processes of natural wetland systems. The number of CWTS in use has very much increased in the past few years. The use of constructed wetlands is gaining rapid interest. Most of these systems cater for tertiary treatment from towns and cities. They are larger in size, usually using surface-flow system to remove low concentration of nutrient (N and P) and suspended solids. However, in some countries, these constructed wetland treatment systems are usually used to provide secondary treatment of domestic sewage for village populations. These constructed wetland systems have been seen as an economically attractive, energy-efficient way of providing high standards of wastewater treatment by the help of Phragmite karka plant. Typically, wetlands are constructed for one or more of four primary purposes: creation of habitat to compensate for natural wetlands converted for agriculture and urban development, water quality improvement, flood control, and production of food and fiber.


2014 ◽  
Vol 10 (6) ◽  
pp. 339-344 ◽  
Author(s):  
Kristen K. McNiff ◽  
Joseph O. Jacobson

The authors review the advances made in oncology over the past 50 years and describe methods for closing the gap in care quality.


Author(s):  
Priscilla A. Arling ◽  
Edward J. Miech ◽  
Greg W. Arling

For several decades, researchers have studied the comparative effects of face-to-face and electronic communication. Some have claimed that electronic communication is detrimental to outcomes while others have emphasized its advantages. For members of healthcare quality improvement (QI) collaboratives, a mix of both of types of communication is often used, due to geographical dispersion. This chapter examines the outcomes of a specific QI collaborative, the Empira Falls Prevention project in Minnesota, USA. Levels of electronic communication between collaborative members were found to be associated with a positive patient outcome, specifically a reduction in falls. Electronic and face-to-face communication differed in their association with success measures for the collaborative. The findings suggest that the two modes of communication can be leverage to attain maximum benefits from participating in a quality improvement collaborative.


2020 ◽  
Vol 37 (S 02) ◽  
pp. S14-S17
Author(s):  
Stephen A. Pearlman

Neonatal infections, including those associated with central lines, continue to be a major cause of morbidity and mortality despite many other improvements in neonatal outcomes. Over the past decades, significant advances have been made to reduce central line-associated bloodstream infections (CLABSIs) using quality improvement methodology. This article will review pertinent studies that used both the Institute for Healthcare Improvement Model for Improvement and other innovative techniques such as orchestrated testing and health care failure mode and effects analysis. These studies, by applying best practices, have demonstrated substantial and sustainable reductions in CLABSI. Some initiatives have been able to achieve rates of zero CLABSI for prolonged periods of time. While neonates often require prolonged central venous access and suffer from impaired immunity which increases the risk of CLABSI, this review demonstrates the journey to zero is feasible. Key Points


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