scholarly journals The potential impacts of a digital preoperative assessment service on appointments, travel-related CO2 emissions, and user experience: a case study (Preprint)

2021 ◽  
Author(s):  
Madison Milne-Ives ◽  
John Leyden ◽  
Inocencio Maramba ◽  
Ray Jones ◽  
Arunangsu Chatterjee ◽  
...  

BACKGROUND The NHS cannot keep up with the demand for operations and procedures. Preoperative assessments, which can last 30 minutes to 2 hours, could be conducted online to save patient and clinician time, reducing wait times for operations. MyPreOp is a cloud-based platform where patients can set up an account and complete their preoperative questionnaires. This data is reviewed by a nurse, who determines if they need a subsequent face-to-face appointment. OBJECTIVE The primary objective was to describe the potential impact of MyPreOp® (Ultramed Ltd, Penryn, UK) the number of face-to-face appointments. Secondary objectives were to examine the time spent on preoperative assessments completed using MyPreOp in everyday use in NHS Trusts and user ratings of usability and acceptability. METHODS A case study service evaluation of data collected by the MyPreOp system from two NHS Trusts (Guy’s and St Thomas’ and Royal United Hospitals Bath) and the private BMI Bath Clinic during the four-month period of September to December 2020. MyPreOp is delivered by the hospital conducting the preoperative assessment but is typically completed at home at the patients’ convenience. Participants were adults of any age and health status at the participating hospitals who used MyPreOp to complete a preoperative assessment before a scheduled surgery. The primary outcome was the number of face-to-face appointments avoided by patients who used MyPreOp. Secondary outcomes were the length of time spent by nurses completing preoperative assessments, associated travel-related CO2 emissions, and quantitative user feedback. RESULTS Data from 2,500 participants was included. Half of the patients assessed did not need a further face-to-face appointment and required a median of only 5.3 minutes of nurses’ time. The reduction in appointments was associated with a small saving of CO2e emissions (9.05 tonnes). Patient feedback was generally positive: 80% of respondents rated MyPreOp as easy or very easy to use and 85% thought the overall experience was good or very good. CONCLUSIONS This evaluation demonstrated potential benefits of MyPreOp. However, further research using rigorous scientific methodology and a larger sample of NHS Trusts and users is needed to provide strong evidence of MyPreOp’s efficacy, usability, and cost-effectiveness.

2017 ◽  
Vol 25 (3) ◽  
pp. 287-302 ◽  
Author(s):  
Lynne Bowker

Purpose This paper aims to investigate the potential benefits and limitations associated with aligning accreditation and academic program reviews in post-secondary institutions, using a descriptive case study approach. Design/methodology/approach The paper describes two Canadian graduate programs that are subject to both external professional accreditation and institutional cyclical reviews, as they underwent an aligned review. The process was developed as a collaborative effort between the academic units, the professional associations and the university’s graduate-level quality assurance office. For each program, a single self-study was developed, a single review panel was constituted, and a single site visit was conducted. The merits and challenges posed by the alignment process are discussed. Findings Initial feedback from the academic units suggests that the alignment of accreditation and program reviews is perceived as reducing the burden on programs with regard to the time and effort invested by faculty, staff and other stakeholders, as well as in terms of financial expenses. Based on this feedback, along with input from reviewers and program evaluation committee members, 14 recommendations emerged for ways in which an aligned review process can be set up for success. Practical implications The results suggest that aligned reviews are not only resource-efficient but also allow reviewers to provide more holistic feedback that faculty may be more willing to engage with for program enhancement. Originality/value The present study contributes to the existing body of knowledge about conducting aligned reviews in response to external accreditation requirements or institutional needs. It summarizes the potential benefits and limitations and offers recommendations for potential best practices for carrying out aligned reviews for policymakers and practitioners.


2019 ◽  
Vol 11 (23) ◽  
pp. 6788 ◽  
Author(s):  
Watkin ◽  
Ruangpan ◽  
Vojinovic ◽  
Weesakul ◽  
Torres

Nature-based solutions (NBS) are solutions that can protect, sustainably manage, and restore natural or modified ecosystems in urban and rural areas, while providing many benefits and co-benefits including stormwater mitigation, biodiversity enhancement, and human well-being. As such, NBS have the potential to alleviate many of the environmental, social, and economic issues that we face today. Grey infrastructure, such as lined trenches and catch basins, pipes, and concrete dikes are frequently used for stormwater management and flood protection, but they do not provide many of the co-benefits that are common with NBS. Grey infrastructure is designed to quickly collect and remove rainwater, whereas NBS keep rainwater where it falls, and where it can be used by the environment. Many stakeholders lack knowledge of the capabilities and benefits of NBS, and as a result, they continue to rely on grey infrastructure in their projects. When information is made available on the benefits and how they can be quantitatively measured, it is hoped that NBS will be promoted to a mainstream infrastructure choice. A valuable way to quantify and highlight the benefits of NBS is by using an evaluation framework. There are several evaluation frameworks that qualitatively assess the potential benefits of possible NBS, however there is a need for quantitative frameworks that can assess the actual benefits (or performance) of implemented (or existing) NBS. This article presents an evaluation framework that aims to quantify the benefits and co-benefits of implemented NBS. The framework involves five main steps: (1) selection of NBS benefit categories, (2) selection of NBS indicators, (3) calculation of indicator values, (4) calculation of NBS grade, and (5) recommendations. The outcome of the framework is a single numerical grade that reflects the benefit functioning for an NBS site and values for each performance indicator. This information may be used by decision makers to determine their budget allocations to expand or construct a new NBS site, to update maintenance plans that will improve the benefits of that site, to set up programs to monitor the NBS benefits and co-benefits over time, and to schedule labour and resources for other NBS projects. The framework was tested and validated on a case study of NBS in Thailand. Through conversations with stakeholders and knowledge of the case study area, relevant categories and indicators were chosen. Using data and information obtained through various means, values for each indicator and the overall NBS grade were calculated. The values revealed which benefits were pronounced, those that were weak, and where improvements were required.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
J Morris ◽  
H Jenny ◽  
C Park ◽  
A Scarborough ◽  
V Antoniou ◽  
...  

Abstract Introduction During the COVID-19 pandemic, face to face journal clubs have been curtailed due to Governmental guidance for social distancing. We present an example of a virtual journal club set up for Orthopaedic senior house officers (SHOs) & trainees in the North West Thames (NWT) Deanery from April to August 2020. Method Our aims were to establish a regular online journal club for orthopaedic trainees in NWT that successfully met the objectives of the more established face to face meetings. Assessment of each session was evaluated using a post attendance survey created using an established online generator. Results 64.4% (16/25 participants) had not attended a virtual journal club before, with 100% (33/33) reporting that they would attend another virtual journal club. 39.4% (13/33) of attendees agreed or strongly agreed that they could participate in sessions over more conventional meetings. 24.2% (8/33) of participants reported experiencing technical issues during the sessions. 90.9% (30/33) of respondents reporting the virtual model to be more convenient than standard journal clubs. Conclusions The potential benefits of significantly increased accessibility increased visiting expert contribution whilst still adhering to government guidelines; weighed against marginally less effective teaching nonetheless results in an overall benefit.


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
James Morris ◽  
Heloise Jenney ◽  
Chang Park ◽  
Alexander Scarborough ◽  
Vaki Antoniou ◽  
...  

Abstract Introduction During the COVID-19 pandemic, face to face journal clubs have been curtailed due to Governmental guidance for social distancing. We present an example of a virtual journal club set up for Orthopaedic senior house officers (SHOs) & trainees in the North West Thames (NWT) Deanery from April to August 2020. Methods Our aims were to establish a regular online journal club for orthopaedic trainees in NWT that successfully met the objectives of the more established face to face meetings. Assessment of each session was evaluated using a post attendance survey created using an established online generator. Results 64.4% (16/25 participants) had not attended a virtual journal club before, with 100% (33/33) reporting that they would attend another virtual journal club. 39.4% (13/33) of attendees agreed or strongly agreed that they could participate in sessions over more conventional meetings. 24.2% (8/33) of participants reported experiencing technical issues during the sessions. 90.9% (30/33) of respondents reporting the virtual model to be more convenient than standard journal clubs. Conclusion The potential benefits of significantly increased accessibility, increased visiting expert contribution whilst still adhering to government guidelines; weighed against marginally less effective teaching nonetheless results in an overall benefit


2018 ◽  
Vol 26 (1) ◽  
pp. 27-30
Author(s):  
Dan Mihai Popa

Abstract The primary objective of this paper is to show where the engineering of risk management is placed and how its implementation has been tried in multinational companies in automotive industry from Romania. A large number of companies don’t use a strategy to avoid the engineering risk in their design products. The main reason is not because these companies haven’t heard about standards for risk management such as ISO 31000; the problem is that the business units which were summed up, have just set up a risk list at the beginning of the project, without any follow up. The purpose of this article is to create an implementation risk tracking in automotive industry companies in Romania, due to a change request from customers according to supply companies within the quality process, in the research and development phase.


2020 ◽  
Vol 32 (1) ◽  
pp. 73-85 ◽  
Author(s):  
Danielle Davidson ◽  
Gai Harrison

INTRODUCTION: Human service practitioners who work over the telephone are physically invisible to their clients and this invisibility shapes their work. Existing literature suggests that physical invisibility, coupled with anonymity and the immediacy of service provision are defining features of telephone counselling. However, little research has explored how telephone counsellors experience these features in any real depth.METHODOLOGY: This article reports on a case study conducted at a youth helpline in Aotearoa New Zealand. Qualitative, semi-structured interviews were conducted with 10 practitioners on their experiences of telephone counselling work. One key finding from this case study is discussed: the impact of invisibility and anonymity.FINDINGS: Findings indicate that practitioners’ experiences of delivering telephone counselling are more divergent than those presented in extant literature. While telephone counsellors face challenges delivering non-face-to-face counselling support, the physical invisibility of this medium, coupled with a supportive work environment can also provide potential benefits to counsellors.CONCLUSIONS: Counsellors’ experiences of telephone counselling work appear to be more nuanced than traditionally understood. While practitioners may experience a range of possible challenges in delivering telephone counselling, such as responding to hoax and abusive callers, they also experience benefits such feeling relaxed, and supported by colleagues and supervisors. Management practices, such as flexible rules and accessible supervision, can help practitioners manage the impact working non-face-to-face with clients. Given the ongoing popularity of telephone counselling, further research is needed on the working conditions that promote practitioner wellbeing and job satisfaction.


2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696773
Author(s):  
Abi Eccles ◽  
Mike Hopper ◽  
Helen Atherton

BackgroundOnline triage software is a new way to triage patients online that allows patients to describe their problem via an online form. A GP then contacts the patient to arrange either a face-to-face or telephone consultation.AimThis study aimed to explore use of online consultation software and gain insight into patients’ experiences of using online consultations, identifying potential barriers and facilitators to use.MethodThis is a mixed methods retrospective study analysing data about patient users and their associated feedback. Data from a sample of 5591 patients were quantitatively analysed to describe characteristics of users. 576 out of the 5591 users left free-text feedback comments on their experience of use. These were thematically analysed.ResultsThe highest levels of use were observed in 25–35-year olds and lowest from those aged >65. Key themes identified included convenience, consultation quality, appropriateness, resource-use and functionality. Within each, a range of subthemes were present representing both positive and negative perceptions, suggesting that experiences of using online triage varied and were often context-dependentConclusionThere are various advantages to online triage software, but these are context-dependent. Therefore, such applications should be offered as an additional way to contact the GP surgery, rather than a replacement for more established methods, to ensure appropriate and equal access for patients.


2020 ◽  
Author(s):  
Eny Puspita Ningrum

Education is an important thing that has become a necessity for every human being in order to achieve a better quality of life. Education cannot be separated from the educational curriculum, which is where the curriculum continues to develop following every development of society and technological advances. The curriculum is the heart of education and is dynamic in nature where the curriculum must always be updated or changed. From this curriculum reform and change, it is a challenge for teachers to continue to innovate to improve the quality of education. By using a qualitative research method a case study approach, it is hoped that it can explain the real picture that is being experienced by the teacher at SMK Ibnu Sina. which focuses on the Sharia Banking major due to changes in the adjusted curriculum because the world is being faced by COVID-19. In the era of COVID-19, the educational curriculum must be adjusted, which in the beginning learning can be face-to-face now has turned into a distance learning online learning model.


2005 ◽  
Vol 5 (3-4) ◽  
pp. 9-16
Author(s):  
C. Kim ◽  
D. Han

The primary objective of this study is to improve the methodology for water allocation focused on efficiency and risk aspects. To attain the primary objective, this study sets up an objective function to maximize social expected benefits, and considers three types of allocation methods. Three types of allocation methods are optimal, proportional, and fixed allocation between regions and service sectors. The results of case study area shows that the fixed allocation method is preferred to the proportional allocation in most cases except that the variance of flow is small with respect to efficiency. Also, efficient and less-risky allocation is simultaneously obtained in some cases, while efficiency and risk show the relation of trade-off in other cases.


2015 ◽  
Vol 6 (1and2) ◽  
Author(s):  
Kingstone Mutsonziwa

This paper is a follow-up article based on the first article titled Customers speak for themselves: A case of Customer Satisfaction in the four Main South African Banks. Customer satisfaction within the banking industry is very important in the South African context. Although banks are trying their best to give their customers the best service, it is important to continuously measure customer satisfaction and identify service attributes that contribute to overall customer satisfaction for the banks. The data used in the analysis is based on a quantitative survey of 500 randomly selected customers in Pretoria, Johannesburg, Durban and Cape Town were interviewed using a face to face methodology. The key drivers of overall customer satisfaction based on regression analysis for the different banks were helpfulness and innovativeness (ABSA), helpfulness, innovativeness of the bank, resolution of problems and investment advice (FNB), language usage and friendliness of service consultants (Nedbank), innovativeness of the bank, investment advice and use of language (Standard bank). These attributes were important to the overall customer satisfaction and need to be closely monitored by the management of these banks.


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