scholarly journals A Late Attempt to Involve End Users in the Design of Medication-Related Alerts: Survey Study

10.2196/14855 ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. e14855 ◽  
Author(s):  
Melissa Therese Baysari ◽  
Wu Yi Zheng ◽  
Bethany Van Dort ◽  
Hannah Reid-Anderson ◽  
Mihaela Gronski ◽  
...  
Keyword(s):  
Implementation Process ◽  
Medication Administration ◽  
End Users ◽  
Survey Study ◽  
Web Based ◽  
For Profit ◽  
Not For Profit ◽  
Mailing Lists ◽  
Large Numbers ◽  
To Receive

Background When users of electronic medical records (EMRs) are presented with large numbers of irrelevant computerized alerts, they experience alert fatigue, begin to ignore alert information, and override alerts without processing or heeding alert recommendations. Anecdotally, doctors at our study site were dissatisfied with the medication-related alerts being generated, both in terms of volume being experienced and clinical relevance. Objective This study aimed to involve end users in the redesign of medication-related alerts in a hospital EMR, 4 years post implementation. Methods This work was undertaken at a private not-for-profit teaching hospital in Sydney, Australia. Since EMR implementation in 2015, the organization elected to implement all medication-related alert types available in the system for prescribers: allergy and intolerance alerts, therapeutic duplication alerts, pregnancy alerts, and drug-drug interaction alerts. The EMR included no medication administration alerts for nurses. To obtain feedback on current alerts and suggestions for redesign, a Web-based survey was distributed to all doctors and nurses at the site via hospital mailing lists. Results Despite a general dissatisfaction with alerts, very few end users completed the survey. In total, only 3.37% (36/1066) of doctors and 14.5% (60/411) of nurses took part. Approximately 90% (30/33) of doctors who responded held the view that too many alerts were triggered in the EMR. Doctors suggested that most alerts be removed and that alerts be more specific and less sensitive. In contrast, 97% (58/60) of the nurse respondents indicated that they would like to receive medication administration alerts in the EMR. Most nurses indicated that they would like to receive all the alert types available at all severity levels. Conclusions Attempting to engage with end users several years post implementation was challenging. Involving users so late in the implementation process may lead to clinicians viewing the provision of feedback to be futile. Seeking user feedback on usefulness, volume, and design of alerts is extremely valuable; however, we suggest this is undertaken early, preferably before system implementation.

Accountable Care and Evidence-Based Decision Making

2017 ◽  
pp. 360-369
Author(s):  
Nilmini Wickramasinghe ◽  
Steve Goldberg
Keyword(s):  
Decision Making ◽  
Quality Care ◽  
Evidence Based ◽  
Accountable Care ◽  
Web Based ◽  
For Profit ◽  
Not For Profit ◽  
Global Priority ◽  
Critical Issues ◽  
Evidence Based Decision Making

In today's cost challenged healthcare environment accountable care and evidence-based decision making have become important considerations. Contemporaneous to this is the fact that the superior management of diabetes has become a global priority especially given the exponential increase in the number of diabetes patients as well as the financial implications of treating this silent epidemic. Thus, this research focuses on trying to address these respective yet critical issues by examining the possibility of using a mobile web-based reporting system that taps into existing widely available resources to monitor and manage gestational diabetes. To test this solution, we adopted a randomized control trial with two-arm cross over applied to a not-for profit hospital in Victoria, Australia. From the perspective of practice, we have uncovered far reaching implications for hospital management's cost vs. quality care to patients. In particular, it appears that the adoption of smartphones to support many aspects of care and patient-clinician interactions is prudent.

scholarly journals Quality Control for RNA-Seq (QuaCRS): An Integrated Quality Control Pipeline

2014 ◽  
Vol 13s3 ◽  
pp. CIN.S14022 ◽  
Author(s):  
Karl W. Kroll ◽  
Nima E. Mokaram ◽  
Alexander R. Pelletier ◽  
David E. Frankhouser ◽  
Maximillian S. Westphal ◽  
...  
Keyword(s):  
Quality Control ◽  
Ease Of Use ◽  
Rna Seq ◽  
Web Interface ◽  
For Profit ◽  
Not For Profit ◽  
Large Numbers ◽  
Sample Data ◽  
Meta Analyses ◽  
User Friendly

QuaCRS ( Quality Control for RNA- Seq) is an integrated, simplified quality control (QC) system for RNA-seq data that allows easy execution of several open-source QC tools, aggregation of their output, and the ability to quickly identify quality issues by performing meta-analyses on QC metrics across large numbers of samples in different studies. It comprises two main sections. First is the QC Pack wrapper, which executes three QC tools: FastQC, RNA-SeQC, and selected functions from RSeQC. Combining these three tools into one wrapper provides increased ease of use and provides a much more complete view of sample data quality than any individual tool. Second is the QC database, which displays the resulting metrics in a user-friendly web interface. It was designed to allow users with less computational experience to easily generate and view QC information for their data, to investigate individual samples and aggregate reports of sample groups, and to sort and search samples based on quality. The structure of the QuaCRS database is designed to enable expansion with additional tools and metrics in the future. The source code for not-for-profit use and a fully functional sample user interface with mock data are available at http://bioserv.mps.ohio-state.edu/QuaCRS/ .

scholarly journals Oyster Demand Adjustments to Counter-Information and Source Treatments in Response to Vibrio vulnificus

2009 ◽  
Vol 41 (3) ◽  
pp. 683-696 ◽  
Author(s):  
O. Ashton Morgan ◽  
Gregory S. Martin ◽  
William L. Huth
Keyword(s):  
Vibrio Vulnificus ◽  
Source Credibility ◽  
Web Based ◽  
Post Harvest ◽  
For Profit ◽  
On Demand ◽  
Panel Model ◽  
Not For Profit ◽  
Precautionary Measures ◽  
Information Treatment

A web-based contingent behavior analysis was developed to quantify the effect of both negative and positive information treatments and post harvest processes on demand for oysters. Results from a panel model indicate that consumers of raw and cooked oysters behave differently after news of an oyster-related human mortality. While cooked oyster consumers take precautionary measures against risk, raw oyster consumers exhibit optimistic bias and increase their consumption level. Further, by varying the source of a counter-information treatment, we find that source credibility impacts behavior. Oyster consumers, and in particular, raw oyster consumers, are most responsive to information provided by a not-for-profit, nongovernmental organization. Finally, post harvest processing of oysters has no impact on demand.

scholarly journals Akshaya Patra: A Leader in Battling Classroom Hunger

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ajith Sankar
Keyword(s):  
School Children ◽  
For Profit ◽  
Partnership Model ◽  
Not For Profit ◽  
The World ◽  
Governmental Funding ◽  
To Receive

Akshaya Patra, the world’s largest mid-day meal program run by a not-for-profit organization, was started in 2000 by serving approximately 1500 school going children in Bangalore, India. In 2009, the organization achieved a milestone of serving one million lunches to the school children. By 2021, it had been feeding more than 1.8 million children and aimed at feeding five million children by 2025. Akshaya Patra also offered its services to people affected during natural calamities like floods and earthquakes, and for the homeless living in shelter homes[2]. It was also the first NGO managed food programme in the world to receive the FSMS ISO 22000:2005 certification. The project received an entry in the Limca Book of Records and India Book of Records[3]. The organisation was able to successfully create a partnership model that included governmental funding, contribution from individuals and support from for-profit companies and not-for-profit organisations.

For-profit hospital ownership status and use of brachytherapy after breast-conserving surgery.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 6511-6511
Author(s):  
Sounok Sen ◽  
Pamela R. Soulos ◽  
Jeph Herrin ◽  
Kenneth B Roberts ◽  
James B. Yu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Conserving Surgery ◽  
Whole Breast Irradiation ◽  
Medicare Beneficiaries ◽  
Breast Irradiation ◽  
Hospital Ownership ◽  
For Profit ◽  
Not For Profit ◽  
Ownership Status ◽  
To Receive

6511 Background: Because the benefits of adjuvant radiation therapy (RT) for breast cancer decrease with increasing age, the use of newer and more expensive RT modalities such as brachytherapy in the treatment of older women has been questioned. In particular, patients and policy makers may be concerned that for-profit hospitals might be more likely to use therapies with higher reimbursements. Among both younger and older Medicare beneficiaries with breast cancer, we examined whether hospital ownership status is associated with use of adjuvant brachytherapy. Methods: Using the Centers for Medicare and Medicaid Services Chronic Condition Warehouse database, we conducted a retrospective study of female Medicare beneficiaries aged 66-94 years old receiving breast-conserving surgery for invasive breast cancer in 2008 and 2009. We assessed the relationship between hospital ownership and receipt of brachytherapy, as well as overall RT (i.e. brachytherapy or whole breast irradiation) using hierarchical generalized linear models. Results: The sample consisted of 35,118 women, 8.0% of whom had undergone surgery at for-profit hospitals.Among patients who received RT, those who underwent surgery at for-profit hospitals were significantly more likely to receive brachytherapy (20.2%) than patients treated at not-for-profit hospitals (15.2%; OR for profit vs. not-for profit: 1.50; 95% CI: 1.23-1.84; p<0.001). Among women 66-79 years old, there was no relation between hospital profit status and overall RT use. However, among women age 80-94 years old, receipt of surgery at a for-profit hospital was significantly associated with higher overall RT use (OR: 1.22; 95% CI: 1.03-1.45, p=0.03) and brachytherapy use (OR: 1.66; 95% CI: 1.18-2.34, p=0.003), but not whole breast irradiation use (OR: 1.14; 95% CI: 0.96-1.36, p=0.13) Conclusions: Medicare beneficiaries undergoing breast-conserving surgery at for-profit hospitals were more likely to receive brachytherapy, a newer, less proven, and more expensive technology. Among the oldest women, who are least likely to benefit from RT, care at a for-profit hospital was associated with higher overall RT use, with this difference largely driven by the use of brachytherapy.

ACEnet

2011 ◽  
pp. 336-357
Author(s):  
Craig Van Slyke ◽  
France Belanger ◽  
Marcy Kittner
Keyword(s):  
Economic Development ◽  
Rural Areas ◽  
Small Businesses ◽  
Successful Implementation ◽  
Economic Networks ◽  
Business Training ◽  
Web Based ◽  
For Profit ◽  
Not For Profit ◽  
Computer Labs

With the advent of Web-based electronic commerce (e-commerce), businesses of all sizes rushed to take advantage of the potential of e-commerce technologies. While large organizations often have ready access to the resources necessary to implement ecommerce strategies, smaller organizations may lack some or all of these resources. Conversely, the increased reach facilitated by e-commerce may allow some small businesses to be viable in areas where limited access to customers might otherwise prevent success. This increased reach may be particularly beneficial in economically depressed rural areas, which may stand to gain greatly from the economic development potential of small businesses. Small businesses in general, and rural small businesses in particular, face a number of hurdles that must be overcome if they are to benefit from e-commerce. This case describes how a not-for-profit agency, the Appalachian Center for Economic Networks (ACEnet), facilitates the use of e-commerce by rural small businesses as a part of an overall strategy for spurring economic development through small businesses. ACEnet provides a number of resources that help small businesses take advantage of e-commerce, including computer labs, Web site hosting, consultative services, and technical and business training. This case illustrates how these services help rural small businesses overcome many of the barriers to successful implementation of e-commerce.

ACEnet

2011 ◽  
pp. 1-20
Author(s):  
Craig Van Slyke ◽  
Frank Belanger ◽  
Marcy Kittner
Keyword(s):  
Economic Development ◽  
Rural Areas ◽  
Small Businesses ◽  
Successful Implementation ◽  
Economic Networks ◽  
Business Training ◽  
Web Based ◽  
For Profit ◽  
Not For Profit ◽  
Computer Labs

With the advent of Web-based electronic commerce (e-commerce), businesses of all sizes rushed to take advantage of the potential of e-commerce technologies. While large organizations often have ready access to the resources necessary to implement e-commerce strategies, smaller organizations may lack some or all of these resources. Conversely, the increased reach facilitated by e-commerce may allow some small businesses to be viable in areas where limited access to customers might otherwise prevent success. This increased reach may be particularly beneficial in economically depressed rural areas, which may stand to gain greatly from the economic development potential of small businesses. Small businesses in general, and rural small businesses in particular, face a number of hurdles that must be overcome if they are to benefit from e-commerce. This case describes how a not-for-profit agency, the Appalachian Center for Economic Networks (ACEnet), facilitates the use of e-commerce by rural small businesses as a part of an overall strategy for spurring economic development through small businesses. ACEnet provides a number of resources that help small businesses take advantage of e-commerce, including computer labs, Web site hosting, consultative services, and technical and business training. This case illustrates how these services help rural small businesses overcome many of the barriers to successful implementation of e-commerce.

Assessment of the Pharmacy Service Needs of HIV-Positive Outpatients Receiving Zidovudine

1992 ◽  
Vol 26 (5) ◽  
pp. 621-626 ◽  
Author(s):  
Rafelina Greco ◽  
Lesley Lavack ◽  
John Rovers
Keyword(s):  
Hiv Risk ◽  
Pharmacy Service ◽  
Hiv Positive ◽  
Service Needs ◽  
For Profit ◽  
Not For Profit ◽  
Medication Counseling ◽  
Other Information ◽  
Drug History ◽  
To Receive

OBJECTIVE: To determine the pharmacy service needs of HIV-positive outpatients. DESIGN: Anonymous mail-in survey. SETTING: Accredited, not-for-profit, outpatient pharmacy. PATIENTS: A total of 226 men receiving refill prescriptions for zidovudine. Relevant demographics: For 91 percent, homosexual behavior was the primary HIV risk factor, 75 percent were HIV positive with low CD4+ count; 68 percent had been receiving zidovudine for less than 12 months. MEASUREMENTS: Survey questions determined patients' past experience and satisfaction with pharmacy services, description of pharmacy service needs, drug history, and sociodemographics. MAIN RESULTS: Confidentiality was desired by 90 percent of patients. Patients also expected to receive private medication counseling on zidovudine routinely and to receive other information upon request. Twenty patients expected no medication counseling. Such patients were more likely to have contracted HIV by transfusion or intravenous drug abuse (p<0.05). CONCLUSIONS: The perceived pharmacy service needs of outpatients taking zidovudine can reasonably be met in all ambulatory settings. Pharmacists must be aware that all patients do not have the same needs and should tailor their activities to the needs expressed by individual patients.

scholarly journals NPO Web-Based Accountability: How Can We Know If NPOs Are Doing Good Things?

2021 ◽  
pp. 089976402110628
Author(s):  
Vien Chu ◽  
Belinda Luke
Keyword(s):  
Financial Performance ◽  
Social Performance ◽  
Performance Information ◽  
Regulatory Requirements ◽  
Web Based ◽  
For Profit ◽  
Not For Profit ◽  
Performance Reporting ◽  
Online Platforms ◽  
The Government

This study develops a comprehensive but practical framework for not-for-profit organization (NPO) web-based accountability involving (a) disclosure of operations, financial performance, and social performance, and (b) dialogue; and investigates it in the practices of five Australian NPO award finalists and 160 NPOs more broadly. The findings highlight NPOs’ web-based accountability focused on operational disclosure, promoting NPOs’ activities and mission. However, financial and social performance disclosure was lacking, despite financial performance information being publicly available on the government regulator’s website. Furthermore, the use of online platforms to promote dialogue and exchange was limited. The study suggests that regulatory requirements play an important role in strengthening NPOs’ accountability, and the lack of social performance reporting means it is still unclear what “good things” NPOs are doing.

scholarly journals Public perceptions of eye symptoms and hospital services during the first UK lockdown of the COVID-19 pandemic: a web survey study

2021 ◽  
Vol 6 (1) ◽  
pp. e000854
Author(s):  
Gibran F Butt ◽  
James Hodson ◽  
Graham R Wallace ◽  
Saaeha Rauz ◽  
Philip I Murray
Keyword(s):  
Public Perceptions ◽  
Survey Study ◽  
Medical Attention ◽  
Medical Review ◽  
Web Based ◽  
Healthcare Seeking ◽  
White Ethnicity ◽  
Mailing Lists ◽  
Younger Age ◽  
Eye Symptoms

ObjectiveThis study aimed to explore the British public’s healthcare-seeking beliefs concerning eye symptoms, and assess how the first COVID-19 lockdown influenced these.Methods and analysisAn anonymous web-based survey was disseminated through mailing lists and social media between June and August 2020. The survey sought participants’ views on the severity and urgency of the need for medical review for four ophthalmic and two general medical scenarios on a five-point scale. Participants were asked to answer questions twice: once ignoring the COVID-19 pandemic, and once taking this into account, with additional questions asked to identify factors influencing the decision to seek medical attention and ward admission.ResultsA total of 402 participants completed the survey (mean age 61.6 years, 63.1% female and 87.7% of white ethnicity). Scores for symptom severity and urgency of medical review increased significantly with the severity of the clinical scenario (both p<0.001). However, participants gave significantly lower scores for the urgency of medical attention when accounting for the COVID-19 pandemic (compared with no pandemic) for all scenarios (all p<0.001). Younger age, greater deprivation and non-white ethnicity were correlated with a lower perception of seriousness and urgency of medical attention.ConclusionsDuring the first UK lockdown of the COVID-19 pandemic, reduced urgency of medical review for ocular and systemic pathologies was reported in response to the pandemic, which represents a barrier to healthcare-seeking behaviour. This has the potential to critically delay medical review and timely management, negatively impacting patient outcomes.

Sign in / Sign up

Export Citation Format

Share Document