An Ontological Approach for Dental Extraction Decision Making and Knowledge Dissemination

AbstractBackgroundWhile international guidelines recommend medication reviews as part of the management of multimorbidity, evidence on how to implement reviews in practice in primary care is lacking. The MyComrade (MultimorbiditY Collaborative Medication Review And Decision Making) intervention is an evidence-based, theoretically-informed novel intervention which aims to support the conduct of medication reviews for patients with multimorbidity in primary care. Our aim in this pilot study is to evaluate the feasibility of a trial of the intervention with unique modifications accounting for contextual variations in two neighbouring health systems (Republic of Ireland (ROI) and Northern Ireland (NI)).MethodsA pilot cluster randomised controlled trial will be conducted, using a mixed methods process evaluation to investigate the feasibility of a trial of the MyComrade intervention. A total of 16 practices will be recruited (eight in ROI; eight in NI) and four practices in each jurisdiction will be randomly allocated to intervention or control. Twenty people living with multimorbidity and prescribed ≥10 repeat medications will be recruited from each practice prior to practice randomisation. In intervention practices, the MyComrade intervention will be delivered by pairs of GPs in ROI, and a GP and Practice Based Pharmacist (PBP) in NI. The GPs/GP and PBP will schedule time to review medications together using a checklist. Usual care will proceed in practices in the control arm. Data will be collected via electronic health records and postal questionnaires at recruitment, and 4- and 8-months after randomisation. Qualitative interviews to assess the feasibility and acceptability of the intervention, and explore experiences related to multimorbidity management will be conducted with a purposive sample of GPs, PBPs, practice administration staff and patients in intervention and control practices. The feasibility of conducting a health economic evaluation as part of a future definitive trial will be assessed.DiscussionThe findings of this pilot study will assess the feasibility of a trial of the MyComrade intervention in two different health systems. Evaluation of the progression criteria will guide the decision to progress to a definitive trial and inform trial design. The findings will also contribute to the growing evidence-base related to intervention development and feasibility studies.Trial registrationRegistry: ISRCTN, ISRCTN80017020; Date of confirmation 4/11/2019; Retrospectively registered; http://www.isrctn.com/ISRCTN80017020.

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The decision-making processes of pharmacists in inland Australia - a pilot study

Rural and Remote Health ◽

10.22605/rrh1573 ◽

2011 ◽

Author(s):

Mary Madden ◽

Patrick Ball

Keyword(s):

Decision Making ◽

Pilot Study ◽

Decision Making Processes

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Perancangan Aplikasi Knowledge Management di Instansi Kearsipan Berbasis Model Choo-Sense Making

Jurnal Teknologi Informasi dan Ilmu Komputer ◽

10.25126/jtiik.0812451 ◽

2021 ◽

Vol 8 (1) ◽

pp. 15

Author(s):

Eko Nur Hermansyah ◽

Danny Manongga ◽

Ade Iriani

Keyword(s):

Decision Making ◽

Knowledge Management ◽

Data Analysis ◽

Storage System ◽

Knowledge Dissemination ◽

Management Model ◽

Sense Making ◽

Making Sense ◽

Data Collecting ◽

Space Result

AbstrakIntansi Kearsipan memiliki berbagai pengetahuan yang digunakan untuk pengelolaan arsip yang dimilikinya, knowledge management digunakan untuk mengumpulkan, mengelola, dan menyebarluaskan pengetahuan yang dimiliki, sehingga pengetahuan yang dimiliki oleh instansi kearsipan dapat digunakan untuk kemajuan intansi dan tidak hilang. Penelitian ini dilakukan di Dinas Perpustakaan dan Kearsipan Kota Salatiga. Pengumpulan data dilakukan dengan wawancara petugas kearsipan untuk mengumpulkan data tentang pengetahuan yang dimiliki dan cara penyimpanan serta penyebarluasan yang diterapkan di intansi kearsipan. Analisis data dilakukan dengan mengelompokkan pengetahuan yang dimiliki oleh intansi kearsipan sesuai dengan model Choo-Sense Making, untuk kemudian diterapkan di Confluence sesuai dengan hasil dari pengolahan data dengan model Choo-Sense Making. Hasil dari penelitian ini untuk model Choo-Sense Making pengetahuan di intansi kearsipan dibagi atas 3 tahap yaitu Sense Making yang berisi tentang pengetahuan yang berasal dari luar intansi dibuatkan wadah sebagai media diskusi, chatting, Knowledge Creating berisi tentang pengetahuan-pengetahuan yang dimiliki intansi kearsipan yang telah di dokumentasikan diubah dalam betuk softfile kemudian diunggah kedalam space untuk memudahkan penyimpanan serta penyebarluasan pengetahuan yang dimiliki, dan Decision Making yang berisi tentang jadwal-jadwal intansi dan evaluasi yang dilakukan intansi kearsipan. Hasil dari model Choo-Sense Making dimasukan ke Confluence, memperoleh hasil space yang dapat memudahkan menyimpan pengetahuan yang dimiliki berupa file aplikasi, softfile, serta memudahkan dalam pencarian kembali dan penyerluasan pengetahuan yang dimiliki. Penerapan Choo-Sense Making selain untuk mempermudah penyimpanan dan penyerbaluasan serta komunikasi, dapat mengurangi resiko kehilangan pengetahuan yang dimiliki oleh intansi kearsipan. Kata kunci: Knowledge Management, Model Choo-Sense Making, Confluence, Perpustakaan dan ArsipAbstractArchival Agency has several knowledge that are used to manage the owned archive, knowledge management is used to collect, manage and disseminate the owned knowledge so that the knowledge that the archival agency has can be used for the agency progress and it will not missing. The research is conducted in Dinas Perpustakaan dan Kearsipan Kota Salatiga. Data collecting is conducted by interviewing the archival officer to gather data related to its knowledge, the storage system and dissemination applied in this archival agency. Data analysis is conducted by categorizing the agency knowledge according to Choo-Sense Making model and then it is applied in Confluence in accordance with the result of the data analysis from the Choo-Sense Making model. The result of this research, for Choo-Sense Making model, the knowledge in the archival agency is divided into 3 steps; Sense Making, Knowledge Creating and Decision Making. Sense Making contains knowledge coming from the outside of the agency that has forum as discussion media, chatting. Knowledge Creating contains knowledge that owned by the archival agency that has been documented and changed in the form of softfile then uploaded into space to ease the storage and the knowledge dissemination. Decision Making is about agency schedules and evaluation toward the activity in this archival agency. The result of Choo-Sense Making Model is input into Confluence, get space result that ease to save the knowledge in the form of application file, softfile, and ease to search and disseminate the owned knowledge. The application of Choo-Sense Making eases the storage system, dissemination, and communication. It also reduces the risk of losing knowledge owned by the archival agency. Keywords: Knowledge Management, Model Choo-Sense Making, Confluence, Library and Archive

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Desirable features in a decision aid for prenatal screening – what do pregnant women and their partners think? A mixed methods pilot study

10.21203/rs.3.rs-26021/v1 ◽

2020 ◽

Author(s):

Titilayo Tatiana Agbadje ◽

Samira Abbasgholizadeh Rahimi ◽

Mélissa Côté ◽

Andrée-Anne Tremblay ◽

Mariama Penda Diallo ◽

...

Keyword(s):

Decision Making ◽

Down Syndrome ◽

Mixed Methods ◽

Pilot Study ◽

Pregnant Women ◽

Technology Acceptance ◽

Decision Aid ◽

Prenatal Screening ◽

Values Clarification ◽

Quebec City

Abstract Background To help pregnant women and their partners make informed value-congruent decisions about Down syndrome prenatal screening, our team developed two successive versions of a decision aid (DAv2017 and DAv2014). We aimed to assess pregnant women and their partners’ perceptions of the usefulness of the two DAs for preparing for decision making, their relative acceptability and their most desirable features. Methods This is a mixed methods pilot study. We recruited participants of study (women and their partners) when consulting for prenatal care in three clinical sites in Quebec City. To be eligible, women had to: (a) be at least 18 years old; (b) be more than 16 weeks pregnant; or having given birth in the previous year and (c) be able to speak and write in French or English. Both women and partners were invited to give their informed consent. We collected quantitative data on the usefulness of the DAs for preparing for decision making and their relative acceptability. We developed an interview grid based on the Technology Acceptance Model and Acceptability questionnaire to explore their perceptions of the most desirable features. We performed descriptive statistics and deductive analysis. Results Overall, 23 couples and 16 individual women participated in the study. The majority of participants were between 25 and 34 years old (79% of women and 59% of partners) and highly educated (66.7% of women and 54% of partners had a university-level education). DAv2017 scored higher for usefulness for preparing for decision making (86.2 ± 13 out of 100 for DAv2017 and 77.7 ± 14 for DAv2014). For most dimensions, DAv2017 was more acceptable than DAv2014 (e.g. the amount of information was found “just right” by 80% of participants for DAv2017 against 56% for DAv2014). However, participants preferred the presentation and the values clarification exercise of DAv2014. In their opinion, neither DA presented information in a completely balanced manner. They suggested adding more information about raising Down syndrome children, replacing frequencies with percentages, different values clarification methods, and a section for the partner. Conclusions A new user-centered version of the prenatal screening DA will integrate participants’ suggestions to reflect end users’ priorities.

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