Comparison of Time spent between an electronic and a paper-based laboratory information system by laboratorians at a polyclinic in Greater Accra, Ghana: A time-motion study

2020 ◽  
Author(s):  
Philip Boakye
Keyword(s):  
Information System ◽  
Negative Impact ◽  
Laboratory Information System ◽  
Time Motion ◽  
Accessible Information ◽  
Motion Study ◽  
Significant Difference ◽  
Significant Negative Impact ◽  
Key Issues ◽  
Motion Studies

The acceptance of electronic laboratory information system (LIS) is gradually increasing in developing countries. However, the issue of time effectiveness due to computerization is less clear as there is fewer accessible information. One of the key issues for laboratorians is their indecision with LISs’ would-be effect of time on their work. A polyclinic in Ghana was in the process of implementing electronic LIS. Several of the laboratorians did not have knowledge and skill in computing and there were disagreeing views on the time effectiveness of the LIS after implementation. The management of the polyclinic laboratory was concerned to assess time advantageousness of recording data when using the electronic LIS compared with paper-based LIS. <div><br></div><div>Five randomly selected laboratorians were provided two sheets of paper with tables to document the time they spent for both paper-based and electronic LIS. Data were collected for a total of 230 records,115 electronic LIS and 115 paper-based LIS. The t-test (mean-comparison test) was computed to compare the means of both electronic and paperbased LIS times. </div><div><br></div><div>There was a statistical significant difference in the time spent between electronic and paper-based LIS. The time spent between paper-based and electronic LIS was 0.41 minutes (95% CI 0.15 to 0.66) longer than in electronic LIS. </div><div><br></div><div>LIS can be adopted in polyclinics without having significant negative impact on time spent between electronic and paper-based LIS. More time–motion studies that include laboratorians are however necessary in order to get a more complete picture of time spent between electronic and paper-based LIS. </div>

scholarly journals Comparison of Time spent between an electronic and a paper-based laboratory information system by laboratorians at a polyclinic in Greater Accra, Ghana: A time-motion study

2020 ◽  
Author(s):  
Philip Boakye
Keyword(s):  
Information System ◽  
Negative Impact ◽  
Laboratory Information System ◽  
Time Motion ◽  
Accessible Information ◽  
Motion Study ◽  
Significant Difference ◽  
Significant Negative Impact ◽  
Key Issues ◽  
Motion Studies

The acceptance of electronic laboratory information system (LIS) is gradually increasing in developing countries. However, the issue of time effectiveness due to computerization is less clear as there is fewer accessible information. One of the key issues for laboratorians is their indecision with LISs’ would-be effect of time on their work. A polyclinic in Ghana was in the process of implementing electronic LIS. Several of the laboratorians did not have knowledge and skill in computing and there were disagreeing views on the time effectiveness of the LIS after implementation. The management of the polyclinic laboratory was concerned to assess time advantageousness of recording data when using the electronic LIS compared with paper-based LIS. <div><br></div><div>Five randomly selected laboratorians were provided two sheets of paper with tables to document the time they spent for both paper-based and electronic LIS. Data were collected for a total of 230 records,115 electronic LIS and 115 paper-based LIS. The t-test (mean-comparison test) was computed to compare the means of both electronic and paperbased LIS times. </div><div><br></div><div>There was a statistical significant difference in the time spent between electronic and paper-based LIS. The time spent between paper-based and electronic LIS was 0.41 minutes (95% CI 0.15 to 0.66) longer than in electronic LIS. </div><div><br></div><div>LIS can be adopted in polyclinics without having significant negative impact on time spent between electronic and paper-based LIS. More time–motion studies that include laboratorians are however necessary in order to get a more complete picture of time spent between electronic and paper-based LIS. </div>

scholarly journals High-Resolution Esophageal Manometry: A Time Motion Study

2008 ◽  
Vol 22 (4) ◽  
pp. 365-368 ◽  
Author(s):  
Daniel C Sadowski ◽  
Linda Broenink
Keyword(s):  
High Resolution ◽  
Esophageal Manometry ◽  
Clinical Investigation ◽  
Study Quality ◽  
Procedure Time ◽  
High Resolution Manometry ◽  
Time Motion ◽  
Motion Study ◽  
Significant Difference ◽  
End Times

INTRODUCTION: High-resolution manometry (HRM) of the esophagus is a new technique that provides a more precise assessment of esophageal motility than conventional techniques. Because HRM measures pressure events along the entire length of the esophagus simultaneously, clinical procedure time should be shorter because less catheter manipulation is required. According to manufacturer advertising, the new HRM system is more accurate and up to 50% faster than conventional methods.OBJECTIVE: To test the hypothesis that clinical testing with HRM requires less procedural time than a standard water perfusion (WP) method.METHODS: Forty-one consecutive patients were studied (20 underwent WP and 21 underwent HRM). Using time-motion analysis, the start and end times for each task associated with performing the study were recorded. Patient discomfort and study quality were also assessed by using five- and four-point qualitative scales, respectively.RESULTS: Total procedure time was reduced on average by 25.6% in the HRM group (from 41.8 minutes with WP to 30.7 minutes with HRM, P<0.05). There was no significant difference in the discomfort scores reported by the study subjects and no difference in study quality.CONCLUSIONS: HRM requires less time to complete than conventional manometry and should therefore shorten the wait-times of patients scheduled for esophageal manometry and have a significant impact on the cost of performing this commonly used clinical investigation.

scholarly journals Maternal and Neonatal Outcome following Day Two versus Day Five or Seven Discharge after an Uncomplicated Elective Caesarean Section: A Randomized Control Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Fidelis A. Onu ◽  
Chidebe C. Anikwe ◽  
Johnbosco E. Mamah ◽  
Okechukwu B. Anozie ◽  
Osita S. Umeononihu ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Hospital Discharge ◽  
Negative Impact ◽  
Elective Caesarean Section ◽  
Early Discharge ◽  
Control Group ◽  
Maternal Satisfaction ◽  
Significant Difference ◽  
Significant Negative Impact ◽  
Maternal And Neonatal Outcomes

Background. In recent times, it has become a common practice to discharge a woman early after an uncomplicated caesarean section (CS), to satisfy their wishes, reduce cost, and maximize efficient use of healthcare system resources. Objective. To conduct a comparative analysis of maternal and neonatal outcomes following day two hospital discharge versus day 5 or 7 discharge after an uncomplicated CS. Materials and Methods. Eligible parturient (228) who met the inclusion criteria were randomized into two groups between 1st October 2018 and 30th September 2019 in two different maternity centers in Ebonyi state. The study group (114) was discharged two days after an uncomplicated CS while the control group (114) was discharged on the 5th or 7th postoperative day. Their satisfaction, cost, morbidities, and breastfeeding practices were evaluated using a pretested questionnaire. Data were analyzed using IBM SPSS version 22. Results. Day 2 discharge was not associated with a higher rate of readmission as compared with day 5-7 discharge ( χ 2 = 0.95 , P = 0.329 ). There were no statistically significant differences in cost incurred by patients discharged on day 2 after uncomplicated CS compared to the control group ( χ 2 = 1.65 , P = 0.649 ). Maternal satisfaction was high following day 2 discharge compared with day 5-7 discharge ( χ 2 = 16.64 , P = 0.0001 , OR = 0.857 , 95 % CI = 0.59 – 1.25 ). The majority of mothers (79.6%) discharged on day 2 were able to initiate and sustain breastfeeding with no statistically significant difference in the initiation and sustenance of breastfeeding with those discharged on days 5-7 ( χ 2 = 4.45 , P = 0.108 ). Early hospital discharge did not have any significant negative impact on neonatal health ( χ 2 = 1.063 , P = 0.303 ). Conclusion. Early discharge of patients after an uncomplicated CS is not associated with increased rate of readmission. It is associated with good maternal satisfaction, adequate initiation and sustenance of breastfeeding, and good neonatal wellbeing. We advocate early discharge of women following uncomplicated CS.

scholarly journals Hepatitis E Seroprevalence and Risk Factors in Humans and pig in Ghana

2021 ◽  
Author(s):  
Husein Bagulo ◽  
Ayodele O. Majekodunmi ◽  
Susan C. Welburn ◽  
Langbong Bimi
Keyword(s):  
Risk Factors ◽  
Negative Impact ◽  
Significant Risk ◽  
Hepatitis E ◽  
Cross Sectional Study ◽  
Community Members ◽  
Cross Sectional ◽  
Domestic Pigs ◽  
Significant Difference ◽  
Significant Negative Impact

Abstract Background Although Hepatitis E has significant negative impact on the health and wellbeing of underprivileged populations, the burden of HEV in Ghana is still unclear, despite widespread conditions that predispose people to the risk of infection. Methods A cross-sectional study was conducted to explore rates of HEV exposure and active infection, as well as risk factors in humans and domestic pigs in Ghana. The study involved 1365 community members, 105 pig farmers and 474 domestic pigs from four administrative regions of Ghana. Results Results showed overall seroprevalence and actual prevalence of 12.4% and 0.7% in community members and 15.2% and 2.9% in pig farmers respectively. There was no significant difference in seroprevalence between the two groups (Z = 0.851; p = 0.395). However, the prevalence in pig farmers was significantly higher than in other community members (Z = 2.412; p = 0.016). Age (OR = 1.369, CI = 1.243 – 1.508; p = 0.0000), gender (OR = 1.419, CI = 1.101 – 1.991; p = 0.043), and the region of residence (OR = 1.569, CI = 1.348 – 1.827; p = 0.0000) were significant risk factors for HEV seroprevalence in a multivariate regression model.

Activities of the Clinical Pharmacist Practicing in the Office of a Family Practitioner

1975 ◽  
Vol 9 (3) ◽  
pp. 129-133 ◽  
Author(s):  
Paul J. Perry ◽  
Stephen C. Hurley
Keyword(s):  
Patient Care ◽  
Community Pharmacist ◽  
Clinical Pharmacist ◽  
Care Facility ◽  
Improve Patient Care ◽  
Family Practitioner ◽  
Care Services ◽  
Time Motion ◽  
Motion Study ◽  
Significant Difference

The activities of a clinical pharmacist within a primary care facility are measured in a time-motion study. This type of practice allows the pharmacist an opportunity to provide many patient-care services normally unavailable at community pharmacies. The innovative services are described in detail to establish how they produce savings of physician time and to imply how they improve patient care. The activities of the clinical pharmacist are compared to those of the community pharmacist. The indications are that a significant difference exists between the activities of the community pharmacist and a clinical pharmacist working within the office of a physician.

scholarly journals Zeleni cinizam – dimenzije i učinci na kupnju ekoloških prehrambenih proizvoda

2019 ◽  
Vol 9 (1) ◽  
pp. 45-57 ◽  
Author(s):  
Marija Ham
Keyword(s):  
Negative Impact ◽  
Organic Food ◽  
Food Products ◽  
Marketing Strategies ◽  
The Past ◽  
Significant Difference ◽  
Significant Negative Impact ◽  
Negative Effect ◽  
Sustainable Marketing ◽  
The Impact

Numerous criticisms as well as the conspicuous number of unfair manufacturing practices in the past have led to a significant scepticism and distrust by consumers. This deeply rooted distrust, scepticism, and disinterest in some consumers, can be encompassed by the notion of green cynicism. Green cynicism significantly interferes with and disturbs all activities and efforts from the domain of sustainable marketing, given that due to the extreme distrust, it is much harder or even impossible to place the product or maintain sustainable a business entity. This leads to an aggravated acceptance of Oeconomica Jadertina 1/2019. 45 these products by consumers and slower adoption of sustainable marketing strategies by economic operators, which is undoubtedly a socially undesirable phenomenon. For this reason, it is of great importance to study and understand the factors that influence this form of cynicism and how it affects certain behaviours. This paper aims to propose and explain the concept of green cynicism and explore some of its possible dimensions and verify their impact on the intention to buy organic food products. The survey was conducted on a sample of 411 respondents from eastern Croatia representing persons who purchase most household goods. The results based on the regression analysis have shown that the strongest negative effect on intentional purchases of ecological food products is attributed to the disinterest expressed as a lack of time to contemplate these issues at all. The distrust towards the organic food products or labels that distinguish them from conventional products achieves also a significant negative impact. In this research, the impact of scepticism on the issue of the environment did not prove to be significant, which could be a consequence of the fact that it concerns a significant difference in the width of the variable range.

Modification of WPSS for the Time of Diagnosis Retains Its Prognostic Impact and Confirms Transfusion Dependency as An Important Parameter Affecting Survival in Early MDS Patients with Isolated Erythroid Dysplasia.

Blood ◽  
2008 ◽  
Vol 112 (11) ◽  
pp. 1654-1654 ◽  
Author(s):  
Jaroslav Cermak ◽  
Dana Mikulenkova ◽  
Petra Kacirkova ◽  
Kyra Michalova
Keyword(s):  
Negative Impact ◽  
Multivariate Regression Analysis ◽  
Prognostic Impact ◽  
Kaplan Meier ◽  
Significant Difference ◽  
Significant Negative Impact ◽  
Impact On Survival ◽  
Laboratory Variables ◽  
Transfusion Dependency ◽  
Independent Variable

Abstract We attempted to overcome a limitation of WPSS at the time of diagnosis by replacement of transfusion dependency with initial Hb level. Hb &lt; 80 g/l was scored 1, Hb ≥ 80 g/l was scored 0. This adjustment was tested in a retrospective analysis of 107 non-transplanted patients with early MDS without of excess of blasts diagnosed between 1980 and 2004. Kaplan Meier estimates for 5 years survival were 58%, 57%, 36% and 12% for patients with very low, low, intermediate and high risk scored at the time of diagnosis according to modified WPSS. A significant difference in overall survival was present between patients with score &lt; 2 and ≥ 2 and in leukemia free survival between patients with score &lt; 1 and ≥1 (P=0.02). An analysis of individual WPSS parameters revealed a significant difference in median survival between patients receiving ≤ 2 units and those receiving &gt; 2 units of RBC transfusions/month (46.1 vs. 26.9 months, respectively, P=0.03), between patients with RA+RARS+5q-syndrome and those with RCMD+RCMD-RS (45.4 vs. 27.8 months, respectively, P=0.02) and between patients with good karyotype and intermediate or poor karyotype according to IPSS (48.0 vs. 22.0 months, respectively, P=0.02). An impact of transfusion dependency on survival was validated by univariate and multivariate regression analysis of different clinical and laboratory variables. Leukemic progression was the most important parameter affecting survival in both univariate (χ2=47.7, P=0,001) and multivariate (P&lt;0.0001) analysis and was the only independent variable affecting survival in patients with progressive disease. In patients without MDS progression, administration of &gt; 2 units of RBC transfusions/month was the only independent variable with adverse impact on survival in patients with unilineage erythroid dysplasia (P=0.02). In patients with multilineage dysplasia only heavy transfusion dependence (&gt; 3 TU RBC/month) in combination with serum ferritin &gt; 2000 μg/l adversely affected survival (P=0.03). In conclusion, modification of WPSS by replacement of transfusion dependency with initial Hb level &lt; 80 g/l retained its prognostic relevance and allowed to identify even at the time of diagnosis a potentially risk subset of early MDS patients with intermediate and high score and limited survival (&lt; 40% at 5 years). Our results also confirmed a significant negative impact of transfusion dependency on survival in at least a subset of patients with early MDS. This subgroup is characterized by unilineage dysplasia limited to erythropoiesis in combination with dependency on &gt; 2 TU of RBC per month. These patients have usually a prolonged survival enabling development of heavy transfusion iron overload and thus represent the main target group for intensive chelation therapy. The study was supported by scientific grant NR 9235-3 from the Czech Ministry of Health.

scholarly journals Identifying the Predictors of Community Acceptance of Waste Incineration Plants in Urban China: A Qualitative Analysis from a Public Perspective

2021 ◽  
Vol 18 (19) ◽  
pp. 10189
Author(s):  
Yanbo Zhang ◽  
Yong Liu ◽  
Keyu Zhai
Keyword(s):  
Qualitative Analysis ◽  
Negative Impact ◽  
Waste Incineration ◽  
Urban China ◽  
Situational Factors ◽  
Community Acceptance ◽  
Significant Difference ◽  
Significant Negative Impact ◽  
Waste Incinerators ◽  
The Impact

Due to concerns about consequences to public health, the ecosystem, the natural landscape etc., the planning and construction of waste incineration plants always gives rise to a reaction and even protests from local communities. This study aims to investigate the determinants affecting public acceptance of waste incinerators. We contribute to the existing knowledge in the following ways: (1) this study undertook a qualitative analysis on community acceptance of nimby facilities in the context of China for the first time; (2) through qualitative interview analysis, we emphasize the impact of interactions among multiple factors regarding the acceptance of waste incinerators; (3) we finally construct a framework to systematically explain the formation mechanism of community acceptance of waste incineration plants. Employing in-depth interviews with 22 representative residents, the results indicate that from the perspective of externality, risk perception has a significant negative impact, whereas the effects of benefit perception are positive. In terms of interaction between government and citizen, both justice perception and political efficacy are positive. Social situational factors positively promote community acceptance. Lastly, the impact of individual cognition is mixed. This study has the potential to make a significant difference in better community governance and environment-friendly cities.

A Control-Theoretic Model for Human Time-Motion Evaluation in Pick-and-Place Operations

2017 ◽  
Vol 139 (4) ◽  
Author(s):  
Chao Wang ◽  
Bahram Ravani ◽  
Ronald A. Hess
Keyword(s):  
Physical Model ◽  
Movement Time ◽  
Industrial Applications ◽  
Human Hand ◽  
Theoretic Model ◽  
Time Motion ◽  
Motion Study ◽  
Pick And Place ◽  
Motion Studies ◽  
Pick And Place Operation

This paper deals with physical modeling of human hand–eye coordinated movement for applications in time-motion study of pick-and-place operations. Time-motion studies typically use experimentations to closely examine each segment of a worker's pick-and-place movements in order to design a more optimized operation. This paper presents two different methods that can replace the need for experimentation or estimation in the time motion process with control-theoretic models. The first method is a control-theoretic physical model of the human hand–eye coordinated movement in performing a pick-and-place operation. It is based on an extension of control theoretic models of airplane pilots. The second method combines two existing techniques developed in the literature for different purposes. It is shown in this paper that the combination of these two existing methods provides for an alternative approach that can be used for time-motion studies related to the human pick-and-place operation. Using simple experimentation, it is shown that both methods provide reasonable model-based representation of time motion studies for pick-and-place tasks. In developing the physical model, a method based on the use of the quantitative feedback theory (QFT) is also developed for tuning the physical model that can be utilized in making the model specific to different applications involving human hand–eye coordinated movements. Furthermore, the physical model is applied in a predictive fashion and it is shown that it can successfully estimate the movement time for manual pick-and-place tasks found in some industrial applications.

Transportation Economic and Land Use System

1998 ◽  
Vol 1617 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Louis J. Pignataro ◽  
Joseph Wen ◽  
Robert Burchell ◽  
Michael L. Lahr ◽  
Ann Strauss-Wieder
Keyword(s):  
Land Use ◽  
Information System ◽  
Management Tool ◽  
Improvement Program ◽  
Transportation Projects ◽  
Accessible Information ◽  
Surface Transportation ◽  
Land Use System ◽  
Land Use Effects ◽  
Computer Based

The purpose of the Transportation Economic and Land Use System (TELUS) is to convert the transportation improvement program (TIP) into a management tool. Accordingly, the system provides detailed and easily accessible information on transportation projects in the region, as well as their interrelationships and impacts. By doing so, TELUS enables public-sector agencies to meet organizational, Intermodal Surface Transportation Efficiency Act, state, and other mandates more effectively. The objectives are accomplished by providing the computer-based capability to analyze, sort, combine, and track transportation projects in or under consideration for a TIP; assessing the interrelationships among significant transportation projects; estimating the regional economic and land use effects of transportation projects; and presenting project information in an easily understood format, including geographic information system formats.

Sign in / Sign up

Export Citation Format

Share Document