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Pondasi ◽  
2021 ◽  
Vol 26 (2) ◽  
pp. 80
Author(s):  
Karina Aurora Nadea

ABSTRACTOne of the city parks designed as a recreation area is Teras Cikapundung. Teras Cikapundung has an area of 5,128 m2 and located in the Siliwangi area of Bandung City. Based on the results of preliminary observations have found several indications of problems with existing facilities in the Teras Cikapundung recreation area, namely non-operational children's rides, unavailability of parking spaces for bicycles, the stairs are not equipped with handrails, some of park chairs, picnic tables, and garden lights can’t be used because in the damage condition, and there is only two kind of signage: direction and information. The purpose of this case study research is to determine the performance of facility assets based Recreational Facility Audit Tool and provide solutions or recommendations for problems in recreational facilities in Teras Cikapundung. The theory for this research based on 'The Recreational Facility Audit Tool' from Macfarlane et al (2013) includes availability of sport facilities, accessibility, and availability of supportive amenities. The research method is descriptive method with qualitative and quantitative research approaches. The data collection techniques were observation, interview, and documentation study. The analysis techniques is using descriptive analysis techniques. Therefore, the recommended problem solving recommendation is the renovation of recreational facilities assets in Teras Cikapundung Bandung City.Keywords: Asset Performance Evaluation, City Park, Recreational FacilitiesABSTRAKSalah satu taman kota yang dirancang sebagai tempat rekreasi taman kota adalah Teras Cikapundung. Teras Cikapundung memiliki luas sebesar 5.128 m2 dan berlokasi di daerah Siliwangi Kota Bandung. Berdasarkan hasil observasi pendahuluan ditemukan beberapa indikasi masalah pada fasilitas yang ada pada kawasan rekreasi Teras Cikapundung yaitu permainan anak yang tidak beroperasi, tidak tersedianya tempat parkir untuk sepeda, tangga yang disediakan tidak dilengkapi oleh pegangan, selain itu beberapa fasilitas kursi taman, meja piknik, dan lampu taman tidak dapat digunakan karena dalam kondisi rusak, serta hanya tersedia 2 jenis rambu yaitu rambu petunjuk arah dan informasi. Tujuan penelitian studi kasus ini untuk mengetahui kinerja aset fasilitas berdasarkan Recreational Facility Audit Tool dan memberikan solusi atau rekomendasi atas permasalahan yang terdapat pada fasilitas rekreasi di Teras Cikapundung. Teori yang digunakan pada penelitian ini adalah ‘The Recreational Facility Audit Tool’ dari Macfarlane et al (2013) meliputi availability of sport facilities, accessibility, dan availability of supportive amenities. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan penelitian kualitatif dan kuantitatif. Teknik pengumpulan data yang digunakan yaitu observasi, wawancara, dan studi dokumentasi. Teknik analisis yang digunakan adalah teknik analisis deskriptif. Rekomendasi pemecahan masalah yang disarankan dalam penelitian ini adalah renovasi aset fasilitas rekreasi di Teras Cikapundung Kota Bandung.Kata kunci : Evaluasi Kinerja Aset, Fasilitas Rekreasi, Taman Kota


2021 ◽  
pp. 0148558X2110642
Author(s):  
Thomas W. Hall ◽  
Lucas A. Hoogduin ◽  
Bethane Jo Pierce ◽  
Jeffrey J. Tsay

Despite technological advances in accounting systems and audit techniques, sampling remains a commonly used audit tool. For critical estimation applications involving low error rate populations, stratified mean-per-unit sampling (SMPU) has the unique advantage of producing trustworthy confidence intervals. However, SMPU is less efficient than other classical sampling techniques because it requires a larger sample size to achieve comparable precision. To address this weakness, we investigated how SMPU efficiency can be improved via three key design choices: (a) stratum boundary selection method, (b) number of sampling strata, and (c) minimum stratum sample size. Our tests disclosed that SMPU efficiency varies significantly with stratum boundary selection method. An iterative search-based method yielded the best efficiency, followed by the Dalenius–Hodges and Equal-Value-Per-Stratum methods. We also found that variations in Dalenius–Hodges implementation procedures yielded meaningful differences in efficiency. Regardless of boundary selection method, increasing the number of sampling strata beyond levels recommended in the professional literature yielded significant improvements in SMPU efficiency. Although a minor factor, smaller values of minimum stratum sample size were found to yield better SMPU efficiency. Based on these findings, suggestions for improving SMPU efficiency are provided. We also present the first known equations for planning the number of sampling strata given various application-specific parameters.


2021 ◽  
Author(s):  
◽  
Robert Bland

Practice Problem: Lung cancer is the leading cause of global cancer deaths and is a significant health issue in the US, claiming more than 155,000 lives each year. Lung cancer screening through low dose computed tomography (LDCT) can reduce lung cancer mortality by 20 percent but unfortunately, lung cancer screening is underutilized. PICOT Question: The PICOT question that guided this project was: in a patient population eligible for LDCT lung screening (P), how does auditing of practice with feedback to the providers (I), compared to not doing the interventions as mentioned above (C), increase LDCT lung cancer screenings in the identified population (O), in an eight-week period (T)? Evidence: A thorough literature review was conducted to determine if audit and feedback is an evidence-based strategy for increasing cancer screening rates. The literature review produced ample evidence supporting audit and feedback as an effective strategy for significantly increasing cancer screening rates. Intervention: A lung cancer screening audit tool with essential elements for determining patient eligibility for LDCT lung cancer screening was created for this project, and the face validity of the audit tool was obtained. During the project’s intervention and evaluation phase, each audit tool submitted was analyzed for completeness, and performance feedback was given to the clinic’s providers on a weekly basis. Outcome: Although Chi-Square analysis did not show statistical significance, the number of LDCT lung cancer screening scans nearly doubled during the intervention phase compared to the baseline phase of the project. Conclusion: The continued usage of the lung cancer screening audit and feedback tool is recommended for increasing the number of LDCT lung cancer screenings.


Author(s):  
Krupa Ravi ◽  
Annabel Killen ◽  
Angus Alexander ◽  
Frances Bell-Davies ◽  
James Biganiro Sebintu ◽  
...  

Abstract Background The Global Initiative for Children's Surgery (GICS) group produced the Optimal Resources for Children’s Surgery (OReCS) document in 2019, listing standards of children’s surgical care by level of healthcare facilities within low resource settings. We have previously created and piloted an audit tool based on the OReCS criteria in a high-income setting. In this study, we aimed to validate its use in identifying gaps in children’s surgery provision worldwide. Methods Our OReCS audit tool was implemented in 10 hospitals providing children’s surgery across eight countries. Collaborators were recruited via the Oxford Paediatrics Linking Our Research with Electives (OxPLORE) international network of medical students and trainees. The audit tool measured a hospital’s current capacity for children’s surgery. Data were analysed firstly to express the percentage of ‘essential’ criteria met for each specialty. Secondly, the ‘OxPLORE method’ was used to allocate each hospital specialty a level based on procedures performed and resources available. A User Evaluation Tool (UET) was developed to obtain feedback on the ease of use of the tool. Results The percentage of essential criteria met within each category varied widely between hospitals. The level given to hospitals for subspecialties based on OReCS criteria often did not reflect their self-defined level. The UET indicated the audit tool was practicable across multiple settings. Conclusions We recommend the use of the OReCS criteria to identify areas for local hospital improvement and inform national children’s surgical plans. We have made informed suggestions to increase usability of the OReCS audit tool.


2021 ◽  
Vol 64 (2) ◽  
pp. 9-16
Author(s):  
Grzegorz Załęski ◽  
Krzysztof Horoszkiewicz

Alcohol consumption by drivers has a negative impact on the driving behaviour and the risk of an accident. The objective of the work the usefulness of the AUDIT tool in relation to alcohol consumption patterns of people who lost their driving license for drunk driving. The study used a 10-item AUDIT questionnaire, which included 196 people aged 19 to 71 years. The experimental group (Group 1) consisted of people who lost their driving license "after drinking", and the control group (Group 2) consisted of people who drive motor vehicles at work. It has been shown that the majority of people who had their authorization to drive a car revoked, faced difficulties in controlling their alcohol consumption. There were no statistically significant differences in the results of the AUDIT questionnaire, taking into account the group and gender criteria. The surveyed drivers most often revealed a low and moderate pattern of alcohol consumption. People who drink, in the problem model (risky) significantly more often lost their driving license than people in the control group.


Author(s):  
Ellen Evashwick ◽  
Michael A Ben-Aderet ◽  
Mathew JP Almario ◽  
Meghan S Madhusudhan ◽  
Ryan Raypon ◽  
...  

Work ◽  
2021 ◽  
pp. 1-10
Author(s):  
Hiro Kaleh ◽  
Farough Mohammadian ◽  
Mostafa Pouyakian

BACKGROUND: The structure of buildings is in degradation over time, monitoring their safety status and providing timely warnings is crucial. Therefore, an efficient visual inspection of the building’s safety has intrinsic value to give early warnings to owners and managers. OBJECTIVE: This study aimed to provide an audit tool for evaluation of the administrative in-operation buildings’ safety status. METHODS: Factors affecting the administrative buildings’ safety status was determined based on the National Building Regulations of Iran (NBRI) and other studies. checklist items and their guidelines were prepared. Face validity (quantitative and qualitative), content validity ratio (CVR), and content validity index (CVI) were calculated for the checklist. The Intra-class correlation coefficient (ICC) used for inter-rater reliability and Cronbach’s α was used to evaluate internal consistency of the checklist. RESULTS: Forty-seven items related to in-operation building safety were extracted from literature review. Based on the results of the psychometric analysis, 5 items were removed and 42 items remained. The values of different psychometric indices for the other items indicated their acceptable validity. (α= 0.82, ICC≥0.75). CONCLUSION: The designed checklist had a good level of validity and reliability for inspecting architectural, technical services, and managerial safety aspects of administrative in-operation buildings. Stakeholders can use it for quick and comprehensive assessment of building safety. Use of this checklist are expected to give early warnings about the safety of buildings to the stakeholders.


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shrinivas Kalaskar ◽  
Mathew Bonomoully

Abstract Aim NICE CG50 guidelines are a response to evidence suggesting patients who are, or become, acutely unwell may receive suboptimal care. The guidelines suggest: After previously unsuccessful audits a fourth re-audit was designed to re-assess compliance with the CG 50 guidelines. Method After implementing previous recommendations like, keeping a poster of recommendations in the handover room and making these guidelines as part of surgical induction, a re-audit was planned. A prospective random sample of 40 patients admitted during the general surgery was taken. Using the audit tool the following parameters were recorded for each patient in the sample: Results The compliance was 100% for patients who have had their physiological observations recorded at the time of admission or initial assessment, the percentage of patients monitored using a physiological track and trigger system, and the percentage whose physiological observations were monitored at least every 12 hours. The compliance was 95% for the percentage of patients with a clear written monitoring plan. Conclusions Following the interventions detailed above, there is now 95 to 100% compliance with NICE guidelines in the documentation.


Author(s):  
Anne Fahsold ◽  
Richard Fleming ◽  
Hilde Verbeek ◽  
Bernhard Holle ◽  
Rebecca Palm

Background: In dementia-specific care, the design of the environment is regarded as an influential element in the support and maintenance of skills and can improve the quality of life of residents. To date, there is no valid instrument in the German-speaking countries with which the quality of the physical environment in residential long-term care facilities can be systematically assessed. Objective: To report the translation, linguistic validation, cultural adaptation, and content validity evaluation of the Australian Environmental Audit Tool—High Care in preparation for use in German nursing homes. Method: The procedure was guided by an adapted multistep process of the World Health Organization (1998) and included focus groups involving potential users of the new tool such as scientific experts and healthcare professionals ( n = 40). Content validity indices were calculated following a two-step expert survey. Results: The final draft versions of the German Environmental Audit Tool (G-EAT) included 74 and 77 items, for non-secured units and secure units, respectively, divided into 10 key design principles according to the Australian original. The evaluation of content validity showed that cultural differences existed in several items. Conclusions: The G-EAT provides the means for conducting a valid assessment of the environmental quality of people with dementia in German nursing homes. However, its usability in healthcare research must be preceded by testing its interrater reliability.


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