Pembuatan Dan Pengelolaan Peta Laut Indonesia Berbasiskan Sistem Datasentris Hydrographic Production D (HPD)

Pushidrosal ditetapkan sebagai Lembaga Hidrografi Nasional berdasarkan Perpres Nomor 62 Tahun 2016. Pushidrosal bertugas menyelenggarakan pembinaan hidro-oseanografi yang meliputi survei, penelitian, pemetaan laut, publikasi, penerapan lingkungan laut, dan keselamatan navigasi pelayaran baik untuk kepentingan TNI maupun untuk kepentingan umum, dan menyiapkan data dan informasi wilayah pertahanan di laut dalam rangka mendukung tugas pokok TNI Angkatan Laut. Salah satu produk Pushidrosal yang digunakan secara resmi dalam pelayaran di kawasan Perairan Indonesia adalah peta laut. Pushidrosal menggunakan tiga tool software dalam pembuatan peta laut, salah satunya yaitu Caris HPD. Perangkat lunak HPD (Hydrographic Production) terdiri dari Source Editor, Product Editor dan Paper Chart Editor (PCE). Pembuatan dan pengelolaan Peta Laut Kertas menggunakan Paper Chart Editor (PCE). Peta kertas yang dihasilkan berupa format vektor atau raster dari gudang data, sehingga terjaga konsistensinya dari duplikasi data.

Effect of Wrapping Materials and Storage Time on Shelf Life of Tuberose (Polianthes tuberosa L.)

Background: The use of wrapping material during storage of cut flowers creates a modified atmosphere which reduces flower metabolism during storage, thereby slowing carbohydrate consumption as respiratory substrate. The main problem related to dry storage is moisture loss or desiccation. Keeping in view the above aspects, the present study was conducted to enhance the shelf life of tuberose.Methods: The experiment was carried out at Post-Harvest Laboratory of Department of Horticulture, COA, CCS HAU, Hisar during the cropping season (March to September) of year 2019. It was laid out in CRD (factorial) with three replications and twenty-four treatment combinations, comprising of six wrapping materials (newspaper, butter paper, chart sheet, low density polyethylene of 100µ, high density polyethylene of 200µ and control as without wrapping) and four storage time (1, 4, 7 and 10 days), were tested. After harvesting, cut spikes were wrapped in wrapping materials and kept in cold-store at low temperature (less than 5°C), thereafter cut spikes were placed in vase solution (4% sucrose plus 300 ppm 8-HQC) for recording observations on floral parameters. Result: Among different wrapping materials, the butter paper wrapped cut spikes observed better in most of the parameters followed by LDPE (100µ) wrapped cut spikes. Among the storage time, storage of cut spikes for 1 day observed better in most of the parameters except time taken up to opening of first pair of florets and total post-harvest life. Overall, butter paper wrapped cut spikes stored for 1 day performed better in term of floret diameter (46.73 mm), floret length (56.10 mm), floret longevity (2.89 days), appearance (3.70/5.0 scale), florets opened at a time (32.30%), total opened florets (54.32%), marketable vase life (6.53 days), total vase life (11.17 days), weight loss (17.08%) and solution consumed (135.33 ml) by the spikes. However, the cut spikes wrapped in butter paper stored for 10 days were found better with early opening of first pair of florets (0.95 days) and maximum post-harvest life (20.10 days).

Assessing Use of a Standardized Allergy History Questionnaire for Patients with Reported Allergy to Penicillin

Background: Inappropriate allergy labelling is associated with significant clinical and pharmacoeconomic implications. Detailed antimicrobial allergy assessments represent a key component of antimicrobial stewardship and aid in identifying true type I (immediate hypersensitivity) reactions. The allergy history form currently used at the University Hospital of Northern British Columbia (UHNBC), in Prince George, relies on the assessor’s ability to ask appropriate prompting questions to obtain a thorough history, but it may not be sufficient to accurately identify true allergies. Objective: To compare a standardized allergy history questionnaire and the current allergy history form in terms of the quality and quantity of documentation gathered. Methods: This prospective observational study involved patients who were admitted to medical and surgical services at UHNBC from November 2018 to January 2019 with a penicillin-class allergy reported on their electronic medical record (EMR). A list of patients with EMR-reported allergies was generated by the hospital’s health information software system, and these patients were interviewed using the standardized allergy history questionnaire. Results: A total of 48 patients were assessed during the study period. Nineteen (40%) of the patients had an inappropriate allergy label on their EMR. Only 36 (75%) had an allergic reaction described on their EMR. Furthermore, only 36 (75%) of the 48 patients had the same allergy recorded on the EMR and on the allergy history form contained in their paper chart, of whom 22 had a documented reaction. The mean time to complete the standardized allergy history questionnaire was 2 minutes. Conclusions: At the study institution, documentation of allergy histories was often incomplete. Detailed allergy assessments are the first step in identifying true immunoglobulin E–mediated hypersensitivity reactions. Utilization of a standardized allergy history questionnaire is feasible and may serve to improve documentation and overall antimicrobial stewardship. RÉSUMÉ Contexte : L’étiquetage inapproprié de l’allergie est associé à des conséquences cliniques et pharmacoéconomiques importantes. Les évaluations détaillées des allergies antimicrobiennes sont une composante-clé de la gestion antimicrobienne : elles contribuent à déterminer les réactions d’hypersensibilité véritables de type 1 (immédiates). Le formulaire des antécédents d’allergies actuellement utilisé à l’University Hospital of Northern British Columbia (UHNBC), à Prince George, s’appuie sur la capacité de l’évaluateur à poser les questions appropriées pour obtenir un historique détaillé, mais il ne suffit pas de déterminer précisément les véritables allergies. Objectif : Comparer la qualité et la quantité des informations recueillies au moyen d’un questionnaire normalisé sur les antécédents d’allergies avec celles recueillies au moyen des formulaires. Méthodes : Cette étude d’observation prospective portait sur des patients admis dans les services médicaux et chirurgicaux à l’UHNBC de novembre 2018 à janvier 2019, dont les dossiers médicaux électroniques (DME) indiquaient une allergie à des médicaments de la classe de la pénicilline. Le logiciel des informations sur la santé a généré une liste des patients présentant les allergies indiquées et ces patients ont été interrogés à l’aide d’un questionnaire normalisé des antécédents d’allergies. Résultats : Un total de 48 patients a été évalué pendant la période de l’étude. Le DME de dix-neuf (40 %) patients portait une étiquette inappropriée. Seuls 36 DME des patients (75 %) décrivaient une réaction allergique. De plus, seulement 36 (75 %) des 48 patients avaient la même réaction allergique enregistrée à la fois au DME et dans le formulaire des antécédents d’allergies de leur dossier papier, et la réaction de 22 d’entre eux était documentée. Le temps de réponse moyen au questionnaire normalisé sur les antécédents d’allergies était de 2 minutes. Conclusion : Dans cette étude, la description des antécédents d’allergies était souvent incomplète. Les évaluations détaillées des allergies sont la première étape permettant de déterminer les réactions véritables d’hypersensibilité à l’immunoglobuline E. L’utilisation d’un questionnaire normalisé des antécédents d’allergies est faisable et pourrait servir à améliorer la documentation ainsi que la gestion globale des antimicrobiens.

Leveraging Real-World Data for the Selection of Relevant Eligibility Criteria for the Implementation of Electronic Recruitment Support in Clinical Trials

Background Even though clinical trials are indispensable for medical research, they are frequently impaired by delayed or incomplete patient recruitment, resulting in cost overruns or aborted studies. Study protocols based on real-world data with precisely expressed eligibility criteria and realistic cohort estimations are crucial for successful study execution. The increasing availability of routine clinical data in electronic health records (EHRs) provides the opportunity to also support patient recruitment during the prescreening phase. While solutions for electronic recruitment support have been published, to our knowledge, no method for the prioritization of eligibility criteria in this context has been explored. Methods In the context of the Electronic Health Records for Clinical Research (EHR4CR) project, we examined the eligibility criteria of the KATHERINE trial. Criteria were extracted from the study protocol, deduplicated, and decomposed. A paper chart review and data warehouse query were executed to retrieve clinical data for the resulting set of simplified criteria separately from both sources. Criteria were scored according to disease specificity, data availability, and discriminatory power based on their content and the clinical dataset. Results The study protocol contained 35 eligibility criteria, which after simplification yielded 70 atomic criteria. For a cohort of 106 patients with breast cancer and neoadjuvant treatment, 47.9% of data elements were captured through paper chart review, with the data warehouse query yielding 26.9% of data elements. Score application resulted in a prioritized subset of 17 criteria, which yielded a sensitivity of 1.00 and specificity 0.57 on EHR data (paper charts, 1.00 and 0.80) compared with actual recruitment in the trial. Conclusion It is possible to prioritize clinical trial eligibility criteria based on real-world data to optimize prescreening of patients on a selected subset of relevant and available criteria and reduce implementation efforts for recruitment support. The performance could be further improved by increasing EHR data coverage.

Status of digitization of medical records in oncology centers in India: A survey of current status.

306 Background: Electronic medical or health record (EMR/EHR) system is yet to be universally adopted in India. In 2012 and 2016 Indian Ministry of Health published a detailed roadmap for EHR adoption. We wanted to assess the status of EMR/EHR adoption in oncology centers in India. Methods: Authors developed a short online survey to capture the use of paper charts vs. generic EMR vs. oncology specific EMR by practicing oncologists in India. The survey was shared to oncologists on June 6, 2020 through closed social media groups. Responses to the survey were collected anonymously and data aggregated for analysis. Survey will remain open till July 4, 2020. Results: At the time of abstract submission on June 16, there were 48 unique survey responses. Of those who responded to the survey, 69% were 25-45 years of age, 73% male, 71% were practicing in the state of Tamil Nadu, and 21% were practicing in a rural area or close to a small city. Oncologists from all subspecialties were represented in the survey including radiation oncology (65%), surgical oncology (25%), medical oncology (6%), and pediatric oncology/nuclear medicine (4%). About 46% had completed their training within the last 10 years, and 30% of respondents have done part of their training in foreign countries. Summary of responses to our survey is provided in the table below. Conclusions: Paper chart is still the predominant mode of clinical data capture within oncology. Administrative barriers and cost are perceived as major obstacles despite most oncologists reporting that they would very likely adapt to an onco specific EMR. [Table: see text]

Electronic Diabetes Management System Replaces Paper Insulin Chart: Improved Quality in Diabetes Inpatient Care Processes Due to Digitalization

Background: GlucoTab, an electronic diabetes management system (eDMS), supports healthcare professionals (HCPs) in inpatient blood glucose (BG) management at point-of-care and was implemented for the first time under routine conditions in a regional hospital to replace the paper insulin chart. Method: To investigate quality of the eDMS for inpatients with type 2 diabetes mellitus a monocentric retrospective before-after evaluation was conducted. We compared documentation possibilities by assessing a blank paper chart vs the eDMS user interface. Further quality aspects were compared by assessing filled-in paper charts ( n = 106) vs filled-in eDMS documentation ( n = 241). HCPs ( n = 59) were interviewed regarding eDMS satisfaction. Results: The eDMS represented an improvement of documentation possibilities by offering a more structured and comprehensive user interface compared to the blank paper chart. The number of good diabetes days averaged to a median value of four days in both groups (paper chart: 4.38 [0-7] vs eDMS: 4.38 [0-7] days). Median daily BG was 170 (117-297) mg/dL vs 168 (86-286) mg/dL and median fasting BG was 152 (95-285) mg/dL vs 145 (69-333) mg/dL, and 0.1% vs 0.4% BG values <54 mg/dL were documented. Diabetes documentation quality improved when using eDMS, for example, documentation of ordered BG measurement frequency (1% vs 100%) and ordered BG targets (0% vs 100%). HCPs stated that by using eDMS errors could be prevented (74%), and digital support of work processes was completed (77%). Time saving was noted by 8 out of 11 HCPs and estimated at 10-15 minutes per patient day by two HCPs. Conclusions: The eDMS completely replaced the paper chart, showed comparable glycemic control, was positively accepted by HCPs, and is suitable for inpatient diabetes management.

Zone of Confidence Impact on Cross Track Limit Determination in ECDIS Passage Planning

The technology breakthrough that Electronic Chart Display and Information System (ECDIS) has brought to modern navigation has the capability to improve the safety of navigation. This could be achieved only when the capabilities of the system are known by an end-user. Cross Track Limit (XTL) is an ECDIS safety parameter, set by the navigator, which enhances the navigational task automation in the function of workload reduction. Determination of factors affecting the value of XTL safety parameter, with special consideration to chart data reliability, is elaborated in this paper. Chart data reliability depends on the quality of chart survey data, which in many cases are outdated and unreliable. Analysis of past research on this subject is used to define the factors affecting XTL. Practices of different shipping companies with regards to XTL are analyzed and compared in order to confirm if there is a uniform practice between them. Nevertheless, shipping companies have a different or no practice of obtaining XTL, which allows the navigator to define safety parameters by a subjective opinion. In this paper, method of XTL determination for a specific vessel is suggested, considering previously defined factors. Finally, crucial influence of survey data to the safety of navigation is presented in this study.

Pembuatan Peta Wisata Bahari (PWB) Menggunakan Perangkat Lunak Caris Paper Chart Composer 2.1 (Studi Kasus Wilayah Labuan Bajo dan Pulau Komodo)

Peta Wisata Bahari (PWB) dibuat untuk menyajikan informasi tentang lokasi tempat – tempat wisata, ada banyak ikon/simbol yang mudah dikenali dan disertai informasi singkat tentang tempat tersebut, serta sebagai sarana pendukung bantu bernavigasi dalam pelayaran sehingga mempermudah para wisatawan dalam menentukan pilihan wisata-wisata yang ada yang akan dijadikan sebagai destinasi wisata. PWB Wilayah Labuan Bajo dan Pulau Komodo yang telah sesuai dapat digunakan oleh para pengguna dan kapal-kapal wisatawan secara efektif.Pembuatan PWB di Pushidrosal saat ini menggunakan perangkat lunak CARIS GIS 4.5 dengan proses tahapan yang panjang dan waktu yang cukup lama. Caris Paper Chart Composer 2.1 (CARIS PCC 2.1) merupakan perangkat lunak yang mempunyai fungsi sama dengan CARIS GIS 4.5 dalam hal pembuatan peta laut. Tujuan yang ingin dicapai dari penelitian ini adalah tersedianya PWB Wilayah Labuan Bajo dan Pulau Komodo yang sesuai dengan juknis pembuatan PWB dengan proses tahapan pembuatan yang efektif dan efisien. Metode yang digunakan adalah dengan mendigitasi PWB Wilayah Labuan Bajo dan Pulau Komodo berupa raster menggunakan perangkat lunak CARIS PCC 2.1. Hasil digitasi tersebut dikoreksi dengan optimalisasi, validasi dan analisis hingga nilai kesalahan tidak ada yang muncul.

Methods of implementation for an electronic ongoing professional practice evaluation system.

313 Background: Hospitals accredited by the Joint Commission are required to provide Ongoing Professional Practice Evaluation (OPPE) for all privileged providers. Historically, OPPE reports had been created and completed by a peer review process on a paper-based system, where the data was managed in spreadsheets. The Division of Quality and Safety (DQS) developed an electronic system of collecting clinical and administrative data, with the goal of assessing quality of care in an impartial, modernized, and efficient process. Methods: Electronic implementation of the OPPE process can be divided into three main parts: metric development using electronic medical records (EMR), report automation, and application development for review. We designed queries to extract EMR data to validate the quality measures developed in collaboration with clinical leadership. Data pulls are then automated to populate outcomes to a table, from which the OPPE reports are populated according to selected parameters such as provider’s unique ID and OPPE period. Reports are then accessed by supervisors and providers directly through a web application developed by DQS. After verifying the data, clinicians can sign off in the application to complete the OPPE review process. Results: We have distributed 8,630 electronic OPPE report since 2012, and 1,486 distinct physicians had received reports. We evaluated engagement of the process by looking at engagement rate (number of OPPE signed reports divided by the total number of OPPE reports). The engagement rate varies by department, but the median of engagement rates of the OPPE process is 100%. Conclusions: Moving from paper chart reviews to an electronic process enables the institution to scale, lower the burden on employees, and improve the convenience of OPPE for busy providers. It also provides opportunities to evaluate quality of care on the provider level by analyzing outliers using the OPPE measure outcomes and finding the correlation of engagement rate and the quality outcomes.