scholarly journals Impact of a more restrictive overlapping surgery policy: an analysis of pre- and postimplementation complication rates, resident involvement, and surgical wait times at a high-volume neurosurgical department

2018 ◽  
Vol 129 (2) ◽  
pp. 515-523 ◽  
Author(s):  
Jian Guan ◽  
Michael Karsy ◽  
Andrea A. Brock ◽  
William T. Couldwell ◽  
John R. W. Kestle ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Policy Change ◽  
Linear Regression Analysis ◽  
Medical Community ◽  
Wait Times ◽  
Neurosurgical Procedures ◽  
Complication Rates ◽  
First Case ◽  
Resident Involvement ◽  
The Impact

OBJECTIVERecently, overlapping surgery has been a source of controversy both in the popular press and within the academic medical community. There have been no studies examining the possible effects of more stringent overlapping surgery restrictions. At the authors’ institution, a new policy was implemented that restricts attending surgeons from starting a second case until all critical portions of the first case that could require the attending surgeon’s involvement are completed. The authors examined the impact of this policy on complication rates, neurosurgical resident education, and wait times for neurosurgical procedures.METHODSThe authors performed a retrospective chart review of nonemergency neurosurgical procedures performed over two periods—from June 1, 2014, to October 31, 2014 (pre–policy change) and from June 1, 2016, to October 31, 2016 (post–policy change)—by any of 4 senior neurosurgeons at a single institution who were authorized to schedule overlapping cases. Information on preoperative evaluation, patient demographics, premorbid conditions, surgical variables, and postoperative course were collected and analyzed.RESULTSSix hundred fifty-three patients met inclusion criteria for complications analysis. Of these, 378 (57.9%) underwent surgery before the policy change. On multivariable regression analysis, neither overlapping surgery (odds ratio [OR] 1.072, 95% confidence interval [CI] 0.710–1.620) nor the overlapping surgery policy change (OR 1.057, 95% CI 0.700–1.596) was associated with overall complication rates. Similarly, neither overlapping surgery (OR 1.472, 95% CI 0.883–2.454) nor the overlapping surgery policy change (OR 1.251, 95% CI 0.748–2.091) was associated with numbers of serious complications. After the policy change, the percentage of procedures in which the senior assistant was a postresidency fellow increased significantly, from 11.9% to 34.2% (p < 0.001). In a multiple linear regression analysis of surgery wait times, patients undergoing surgery after the policy change had significantly longer delays from the decision to operate until the actual neurosurgical procedure (p < 0.001).CONCLUSIONSAt the authors’ institution, further restriction of overlapping surgery was not associated with a reduction in overall or serious complications. Resident involvement in neurosurgical procedures decreased significantly after the policy change, and this study suggests that wait times for neurosurgical procedures also significantly lengthened.

109 Impact of a More Restrictive Overlapping Surgery Policy An Analysis of Complication Rates, Resident Involvement, and Surgical Wait Times at a High-Volume Neurosurgical Department

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 222-222 ◽  
Author(s):  
Jian Guan ◽  
Michael Karsy ◽  
Andrea Archambault Brock ◽  
William T Couldwell ◽  
John R Kestle ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Policy Change ◽  
Preoperative Evaluation ◽  
Linear Regression Analysis ◽  
Medical Community ◽  
Wait Times ◽  
Neurosurgical Procedures ◽  
Complication Rates ◽  
Resident Involvement ◽  
The Impact

Abstract INTRODUCTION Recently, overlapping surgery has been a source of controversy both in the popular press and within the academic medical community. There have been no studies examining the possible effects of more stringent overlapping surgery restrictions. The authors examined the impact of a new overlapping surgery policy on complication rates, neurosurgical resident education, and wait times for neurosurgical procedures. METHODS The authors performed a retrospective chart review of nonemergent neurosurgical procedures performed over two periods from June 1, 2014, to October 31, 2014 (pre-policy change) and from June 1, 2016, to October 31, 2016 (post-policy change) by any of 4 senior neurosurgeons at a single institution who were authorized to schedule overlapping cases. Information on preoperative evaluation, patient demographics, premorbid conditions, surgical variables, and postoperative course were collected and analyzed. RESULTS >Six hundred fifty-three patients met inclusion criteria for complications analysis. Of these, 378 (57.9%) underwent surgery before the policy change. On multivariable regression analysis, neither overlapping surgery (OR 1.072, 95% CI 0.710-1.620) nor the overlapping surgery policy change (1.057, OR 0.700 1.596) was associated with overall complication rates. Similarly, neither overlapping surgery (OR 1.472, 95% CI 0.883 2.454) nor the overlapping surgery policy change (OR 1.251, 95% CI 0.748 2.091) was associated with numbers of serious complications. After the policy change, the percentage of procedures in which the senior assistant was a post-residency fellow increased significantly, from 11.9% to 34.2% (P< 0.001). In a multiple linear regression analysis of surgery wait time, patients undergoing surgery post-policy change had significantly longer delays from the decision to operate to the actual neurosurgical procedure (P< 0.001). CONCLUSION At our institution, further restriction of overlapping surgery was not associated with a reduction in overall or serious complications. Resident involvement in neurosurgical procedures decreased significantly after the policy change, and our study suggests that waiting times for neurosurgical procedures also significantly lengthened.

scholarly journals Analysis of an overlapping surgery policy change on costs in a high-volume neurosurgical department

2019 ◽  
Vol 131 (3) ◽  
pp. 903-910 ◽  
Author(s):  
Jian Guan ◽  
Michael Karsy ◽  
Andrea A. Brock ◽  
William T. Couldwell ◽  
John R. W. Kestle ◽  
...  
Keyword(s):  
Policy Change ◽  
Linear Regression Analysis ◽  
Hospital Costs ◽  
Medical Community ◽  
Neurosurgical Procedures ◽  
Multivariate Linear Regression Analysis ◽  
Neurosurgical Department ◽  
Total Hospital ◽  
Entire Cohort ◽  
Significant Difference

OBJECTIVEOverlapping surgery remains a controversial topic in the medical community. Although numerous studies have examined the safety profile of overlapping operations, there are few data on its financial impact. The authors assessed direct hospital costs associated with neurosurgical operations during periods before and after a more stringent overlapping surgery policy was implemented.METHODSThe authors retrospectively reviewed the records of nonemergency neurosurgical operations that took place during the periods from June 1, 2014, to October 31, 2014 (pre–policy change), and from June 1, 2016, to October 31, 2016 (post–policy change), by any of the 4 senior neurosurgeons authorized to perform overlapping cases during both periods. Cost data as well as demographic, surgical, and hospitalization-related variables were obtained from an institutional tool, the Value-Driven Outcomes database.RESULTSA total of 625 hospitalizations met inclusion criteria for cost analysis; of these, 362 occurred prior to the policy change and 263 occurred after the change. All costs were reported as a proportion of the average total hospitalization cost for the entire cohort. There was no significant difference in mean total hospital costs between the prechange and postchange period (0.994 ± 1.237 vs 1.009 ± 0.994, p = 0.873). On multivariate linear regression analysis, neither the policy change (p = 0.582) nor the use of overlapping surgery (p = 0.273) was significantly associated with higher total hospital costs.CONCLUSIONSA more restrictive overlapping surgery policy was not associated with a reduction in the direct costs of hospitalization for neurosurgical procedures.

Pengungkapan Corporate Social Responsibility (CSR) dan Kinerja Keuangan Perusahaan dengan Pengungkapan Anti Korupsi sebagai Variabel Moderasi

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Arief Hidayatullah Khamainy ◽  
Dessy Novitasari Laras Asih
Keyword(s):  
Regression Analysis ◽  
Financial Performance ◽  
Stock Exchange ◽  
Linear Regression Analysis ◽  
Sampling Technique ◽  
Analysis Technique ◽  
Study Population ◽  
Csr Disclosure ◽  
Corporate Social ◽  
The Impact

The research was carried out to find the influence of training material and methods of training toward workability. The study was conducted respectively from an employee of PD BPR Bantul Yogyakarta. The purpose of this research is expected to be useful for stakeholders in seeing CSR disclosure in the company in testing and analyzing its effect on the company's financial performance and with the presence of anti-corruption exposure, whether it will strengthen the impact of CSR disclosure on the company's financial performance. The study population in this study were all mining companies registered on the Indonesia Stock Exchange in 2016-2018 with a total of 63 companies. The research sample was taken using a random sampling technique that was calculated by the Slovin formula so that 54 samples were obtained for analysis. Linear Regression Analysis and Moderation Regression Analysis were chosen as the analysis technique used in this study. The results show that CSR disclosure does not affect the company's financial performance, and anti-corruption disclosure does not affect the relationship between the two.

scholarly journals ANALISIS DAMPAK KEBERADAAN TOKO SWALAYAN TERHADAP OMZET PENJUALAN KIOS–KIOS KECIL DI KOTA MATARAM

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Basri Basri
Keyword(s):  
Regression Analysis ◽  
Linear Regression ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Product Diversification ◽  
Sampling Techniques ◽  
Study Guide ◽  
Validity And Reliability ◽  
The Impact ◽  
Level 2

The objective of the study was to evaluate the impact of stores existence toward sales turnover of stalls in Mataram city. Associative research design was adopted as the study guide. Purposive sampling techniques were used in which 100 copies of the research instrument were administered to stalls owner in Mataram city, out of which 100 copies of questionnaire were filled and returned. Test of validity and reliability, classical assumption test, and multiple linear regression analysis was used to analyse the data generated from respondents. The findings revealed that stores existence variable consisted of services, product diversification, price, and comfortable of consumer have significant influence on sales turnover of stalls at 0,05 level (2-tailed). The result of the research shows the variables negatively affecting sales turnover of stalls. Furthermore, price ranks the first follow by comfortable, product diversification, and services. This research will help the owner of stalls to understand and recognize the ranking of variables affecting sales turnover of stalls in Mataram city. Keywords:   Stores Existence, Stall, and Sales Turnover.

scholarly journals STUDI EMPIRIS TENTANG PENGAWASAN KERJA, PENGALAMAN KERJA, DAN KEMAMPUAN KERJA SERTA PENGARUHNYA TERHADAP MOTIVASI BERPRESTASI KARYAWAN

2022 ◽  
Vol 18 (1) ◽  
pp. 80-100
Author(s):  
Rahayu Mardikaningsih ◽  
Samsul Arifin
Keyword(s):  
Regression Analysis ◽  
Linear Regression ◽  
Achievement Motivation ◽  
Work Experience ◽  
Sampling Method ◽  
Linear Regression Analysis ◽  
Main Function ◽  
Quantitative Studies ◽  
The Impact ◽  
Analytical Device

Human assets as one of the elements of manufacturing are the riding pressure of each organisation. They have a main function in understanding the organisation's goals. Companies ought to constantly inspire them to offer the excellent paintings effects in order that organisation sports aren't hampered consistent with their workload and responsibilities. Good paintings effects are primarily based totally at the lifestyles of a cause for fulfillment and there are numerous variables that have effect on this. This studies targets to research and decide the impact of labor supervision, paintings revel in, and paintings cappotential on fulfillment motivation. This quantitative studies takes the populace targeted on personnel who paintings withinside the manufacturing phase of a multinational organisation in Sidoarjo. Respondents on this observe have been a hundred and twenty respondents. The analytical device used, particularly SPSS model 25 program. The sampling method on this observe the usage of purposive sampling method. The analytical device used is more than one linear regression analysis. The effects confirmed that each one hypotheses have been demonstrated correct. Work supervision has a massive effective impact on fulfillment motivation. Work revel in and paintings cappotential even have a massive have effect on fulfillment motivation. The 3 of them offer a massive impact concurrently on fulfillment motivation. Keywords: job supervision, work experience, work ability, achievement motivation.

scholarly journals The Impact of Leadership, Motivation and Discipline on Employee Performance (a Study on Employees of PT Surabaya Marine)

2021 ◽  
Author(s):  
Eva Trisnawati Chumairoh ◽  
Trianggoro Wiradinata
Keyword(s):  
Regression Analysis ◽  
Data Analysis ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Employee Performance ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Independent Variables ◽  
Leadership Motivation ◽  
The Impact

This purpose of this study was to determine the effect of leadership, motivation and discipline on employee performance. The independent variables were leadership (X1), motivation (X1) and discipline (X3). The dependent variable was employee performance (Y). This was explanatory research with a quantitative approach. The study was conducted at PT Surabaya Marine with employees. Data analysis was carried out through multiple linear regression analysis with the F test and t test. Employee performance was strongly influenced by leadership, motivation and discipline. Keywords: leadership, motivation, discipline, employee performance

The Impact of Adopting CSR on the Firm's Overall Performance

2021 ◽  
pp. 239-255
Author(s):  
Abdelmajid Ibenrissoul ◽  
Khawla Bouraqqadi ◽  
Souhaila Kammoun
Keyword(s):  
Developing Countries ◽  
Regression Analysis ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Social Dimensions ◽  
The Social ◽  
Managerial Implications ◽  
Overall Performance ◽  
The Impact ◽  
The Relationship

The purpose of the chapter is to study what effect CSR has on firms' overall performance in a developing country context. While most of the previous empirical researches focused on the relationship between CSR and financial performance, the present study suggests exploring the impact of CSR on overall performance which encompasses economic, environmental, and social dimensions as well as stakeholders. The empirical study aims to analyze and measure the social and environmental involvement of large Moroccan firms operating in the main sectors of activity and located in different geographical areas. Using multiple linear regression analysis, the authors empirically test the impact of CSR on overall performance on a sample of 44 companies. The main findings reveal that CSR is a driver for improving image and reputation, enabling the firm to achieve overall corporate performance. On the basis of the main results, they set out some managerial implications and further directions for CSR research in developing countries.

scholarly journals An Investigation into the Spatial and Temporal Variability of the Meteorological Drought in Jordan

Climate ◽  
2019 ◽  
Vol 7 (6) ◽  
pp. 82 ◽  
Author(s):  
Haitham Aladaileh ◽  
Mohammed Al Qinna ◽  
Barta Karoly ◽  
Emad Al-Karablieh ◽  
János Rakonczai
Keyword(s):  
Regression Analysis ◽  
Hierarchical Clustering ◽  
Linear Regression Analysis ◽  
Meteorological Drought ◽  
Kendall Test ◽  
Spatial And Temporal Variability ◽  
Drought Event ◽  
Mann Kendall Test ◽  
The Impact

Following the impact of droughts witnessed during the last decade there is an urgent need to develop a drought management strategy, policy framework, and action plan for Jordan. This study aims to provide a historical baseline using the standardized precipitation index (SPI) and meteorological drought maps, and to investigate the spatial and temporal trends using long-term historical precipitation records. Specifically, this study is based on the statistical analysis of 38 years of monthly rainfall data, gathered from all 29 meteorological stations that cover Jordan. The Mann–Kendall test and linear regression analysis were used to uncover evidence of long-term trends in precipitation. Drought indices were used for calculating the meteorological SPI on an annual (SPI12), 6-months (SPI6), and 3-months basis (SPI3). At each level, every drought event was characterized according to its duration, interval, and intensity. Then, drought maps were generated using interpolation kriging to investigate the spatial extent of drought events, while drought patterns were temporally characterized using multilinear regression and spatial grouped using the hierarchical clustering technique. Both annual and monthly trend analyses and the Mann–Kendall test indicated significant reduction of precipitation in time for all weather stations except for Madaba. The rate of decrease is estimated at approximately 1.8 mm/year for the whole country. The spatial SPI krig maps that were generated suggest the presence of two drought types in the spatial dimension: Local and national. Local droughts reveal no actual observed trends or repeatable patterns of occurrence. However, looking at meteorological droughts across all time scales indicated that Jordan is facing an increasing number of local droughts. With a probability of occurrence of once every two years to three years. On the other hand, extreme national droughts occur once every 15 to 20 years and last for two or more consecutive years. Linear trends indicated significant increase in drought magnitude by time with a rate of 0.02 (p < 0.0001). Regression analysis indicated that draught in Jordan is time dependent (p < 0.001) rather than being spatially dependent (p > 0.99). Hierarchical clustering was able to group national draughts into three zones, namely the northern zone, the eastern zone, and the southern zone. This study highlights the urgent need for a monitoring program to investigate local and national drought impacts on all sectors, as well as the development of a set of proactive risk management measures and preparedness plans for various physiographic regions.

scholarly journals GAMBARAN SUPERVISI, IKLIM KERJA SERTA KEPUASAN KERJA KARYAWAN PT. TRIBUANA REKAYASA BANDUNG

2018 ◽  
Vol 3 (1) ◽  
pp. 81-86
Author(s):  
Devi Robissalami ◽  
Sumiyati Sumiyati ◽  
Eded Tarmedi
Keyword(s):  
Regression Analysis ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Positive Influence ◽  
Cross Sectional ◽  
Employee Job Satisfaction ◽  
Analysis Technique ◽  
The Difference ◽  
Cross Sectional Design ◽  
The Impact

Purpose - The purpose of this study is to determine the effect of supervision and working climate on employee job satisfactionDesign / methodology / approach - This research was conducted in less than 1 year period, the research design is cross-sectional design. The method used is exolanatory survey, and population 67 employees. The analysis technique used is descriptive, the questionnaire is used as a research instrument to collect data from respondents.Findings - based on the results of the study using multiple linear regression analysis, the result that there is a positive influence of supervision and work climate on employee job satisfaction.Originality / value - this study provides a basis for find out the impact of supervision and working climate on employee job satisfaction. The difference of this study with previous research is on the objects, variables, theories and the references.

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