Development and initial validation of a dairy biological risk management assessment tool

In HIV prevention trials, male partners have influenced women’s ability to adhere to investigational products, including antiretroviral (ARV) containing vaginal rings. Validated scales can be useful tools to systematically measure complex constructs, such as those related to male partner engagement. Although multiple scales exist to assess physical, psychological and sexual violence within intimate relationships, fewer scales focus on supportive behaviors within these relationships. Our intervention involved development of a Healthy Relationship Assessment Tool (HEART) that assessed both positive and negative aspects of male partner involvement in women’s HIV prevention. We identified and refined 127 potential items, representing intimate partner violence, agency and social support. A structured survey, including potential items and other sociodemographic and behavioral variables was administered to former microbicide trial and non-trial participants. We conducted an exploratory factor analysis (EFA) to identify a reduced set of constructs and items to screen women who might experience social harms or benefits from vaginal ring use. We examined associations between constructs and with other survey variables to assess content and construct validity. In a subset of 10 women who participated in the survey and qualitative interviews, we used qualitative data to predict survey scores. We retained five constructs with theoretical relevance and good-to-strong reliability for the tool, including: Traditional Values; Partner Support; Partner Abuse & Control; Partner Resistance to HIV Prevention; and HIV Prevention Readiness. Predicted associations between HEART constructs, and correspondence between participants’ qualitative data and HEART scores were generally correct, while those between constructs and other sociodemographic variables were more mixed. Initial validation of the HEART tool was promising. The tool will be used during the CHARISMA pilot study at the Johannesburg MTN 025/HOPE site and validated as part of a randomized controlled trial of CHARISMA within a PrEP demonstration project. Beyond clinical trial settings, HEART could assist PrEP or antiretroviral treatment (ART) providers with an easy-to-administer tool to identify risk and tailor risk reduction, empowerment and adherence counseling for microbicides, PrEP or ART related services.

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Enterprise risk management and bow ties: going beyond patient safety

Business Process Management Journal ◽

10.1108/bpmj-03-2019-0102 ◽

2019 ◽

Vol 26 (3) ◽

pp. 770-785

Author(s):

Hossam Elamir

Keyword(s):

Risk Assessment ◽

Risk Management ◽

Patient Safety ◽

Assessment Tool ◽

Enterprise Risk Management ◽

Risk Assessment Tool ◽

Management Tool ◽

Content Type ◽

Enterprise Risk ◽

Bow Tie

Purpose The growing importance of risk management programmes and practices in different industries has given rise to a new risk management approach, i.e. enterprise risk management. The purpose of this paper is to better understand the necessity, benefit, approaches and methodologies of managing risks in healthcare. It compares and contrasts between the traditional and enterprise risk management approaches within the healthcare context. In addition, it introduces bow tie methodology, a prospective risk assessment tool proposed by the American Society for Healthcare Risk Management as a visual risk management tool used in enterprise risk management. Design/methodology/approach This is a critical review of published literature on the topics of governance, patient safety, risk management, enterprise risk management and bow tie, which aims to draw a link between them and find the benefits behind their adoption. Findings Enterprise risk management is a generic holistic approach that extends the benefits of risk management programme beyond the traditional insurable hazards and/or losses. In addition, the bow tie methodology is a barrier-based risk analysis and management tool used in enterprise risk management for critical events related to the relevant day-to-day operations. It is a visual risk assessment tool which is used in many higher reliability industries. Nevertheless, enterprise risk management and bow ties are reported with limited use in healthcare. Originality/value The paper suggests the applicability and usefulness of enterprise risk management to healthcare, and proposes the bow tie methodology as a proactive barrier-based risk management tool valid for enterprise risk management implementation in healthcare.

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Biological Risk Management for the Interface of Wildlife, Domestic Animals, and Humans

Proceedings of the Vertebrate Pest Conference ◽

10.5070/v422110211 ◽

2006 ◽

Vol 22 ◽

Author(s):

John , R. Fischer ◽

Richard , W. Gerhold

Keyword(s):

Risk Management ◽

Domestic Animals ◽

Biological Risk

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Development and initial validation of a self-report assessment tool for anxiety among older adults: The Geriatric Anxiety Scale

Journal of Anxiety Disorders ◽

10.1016/j.janxdis.2010.05.002 ◽

2010 ◽

Vol 24 (7) ◽

pp. 709-714 ◽

Cited By ~ 65

Author(s):

Daniel L. Segal ◽

Andrea June ◽

Matthew Payne ◽

Frederick L. Coolidge ◽

Brian Yochim

Keyword(s):

Older Adults ◽

Assessment Tool ◽

Anxiety Scale ◽

Self Report ◽

Initial Validation

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Computational Bottom-Up Vulnerability Indicator for Low-Income Flood-Prone Urban Areas

Sustainability ◽

10.3390/su11164341 ◽

2019 ◽

Vol 11 (16) ◽

pp. 4341 ◽

Cited By ~ 3

Author(s):

Edna M. Rodríguez-Gaviria ◽

Sol Ochoa-Osorio ◽

Alejandro Builes-Jaramillo ◽

Verónica Botero-Fernández

Keyword(s):

Risk Management ◽

Correspondence Analysis ◽

Low Income ◽

Urban Areas ◽

Assessment Tool ◽

Multiple Correspondence Analysis ◽

Traditional Approach ◽

Computational Method ◽

Urban Territories ◽

Vulnerability Indicator

This study presents the implementation of a methodology for the formulation of a vulnerability indicator for low-income urban territories in flood-prone areas, for two flood types: Sudden and slow. The methodology developed a computational assessment tool based on the Multiple Correspondence Analysis and the framework for vulnerability analysis in sustainable science. This approach uses participatory mapping and on-site data. The data collection was easily implemented with free software tools to facilitate its use in low-income urban territories. The method combines the evaluation of experts using the of the traditional approach for the qualification of the variables of vulnerability in its three components (exposure, susceptibility, and resilience), and incorporates a computational method of the correspondence analysis family to formulate the indicators of vulnerability. The results showed that the multiple correspondence analysis is useful for the identification of the most representative variables in the vulnerability assessment, used for the construction of spatial disaggregated vulnerability indicators and therefore the development of vulnerability maps that will help in the short term in disaster risk management, urban planning, and infrastructure protection. In addition, the variables of the susceptibility component are the most representative regardless of the type of flooding, followed by the variables of the exposure component, for sudden flood-prone territories, and the resilience component for slow flood-prone territories. Our findings and the computational tool can facilitate the prioritization of improvement projects and flood risk management on a household, neighborhood, and municipal level.

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