Journal articles on the topic 'Documentation Incorporated'
To see the other types of publications on this topic, follow the link: Documentation Incorporated.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Documentation Incorporated.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Melín-Aldana, Héctor, Barbara Carter, and Debra Sciortino. "Documentation of Surgical Specimens Using Digital Video Technology." Archives of Pathology & Laboratory Medicine 130, no. 9 (September 1, 2006): 1335–38. http://dx.doi.org/10.5858/2006-130-1335-dossud.
Full textAbstract:
Abstract Context.—Digital technology is commonly used for documentation of specimens in anatomic pathology and has been mainly limited to still photographs. Technologic innovations, such as digital video, provide additional, in some cases better, options for documentation. Objective.—To demonstrate the applicability of digital video to the documentation of surgical specimens. Design.—A Canon Elura MC40 digital camcorder was used, and the unedited movies were transferred to a Macintosh PowerBook G4 computer. Both the camcorder and specimens were hand-held during filming. The movies were edited using the software iMovie. Annotations and histologic photographs may be easily incorporated into movies when editing, if desired. Results.—The finished movies are best viewed in computers which contain the free program QuickTime Player. Movies may also be incorporated onto DVDs, for viewing in standard DVD players or appropriately equipped computers. The final movies are on average 2 minutes in duration, with a file size between 2 and 400 megabytes, depending on the intended use. Because of file size, distribution is more practical via CD or DVD, but movies may be compressed for distribution through the Internet (e-mail, Web sites) or through internal hospital networks. Conclusions.—Digital video is a practical, easy, and affordable methodology for specimen documentation, permitting a better 3-dimensional understanding of the specimens. Discussions with colleagues, student education, presentation at conferences, and other educational activities can be enhanced with the implementation of digital video technology.
2
Hester, Robert Harrison, Lindsey Leigh Farmer, Rohit Vivek Goswamy, Natalie Chen, Sophia Seo-hyeon Lee, Quinne Sember, Raamis Khwaja, et al. "Improving oral chemotherapy compliance and documentation in a safety-net oncology clinic." Journal of Clinical Oncology 39, no. 28_suppl (October 1, 2021): 263. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.263.
Full textAbstract:
263 Background: Barriers to safe delivery of oral chemotherapy in a safety net hospital population include lack of health insurance, delays in medication delivery, and language barriers. Baseline chart review at the Lyndon B. Johnson Hospital oncology clinic revealed sparse documentation of oral chemotherapy education and compliance. Our team conducted the present quality improvement project to improve documentation of toxicity assessment, patient education, and compliance with the oral chemotherapy agents capecitabine, palbociclib, and sorafenib by 25% from October through December 2020. Methods: A set of standardized questions designed to assess for the above domains were generated in the form of an auto-populated electronic medical record phrase ("dot phrase," see Figure 1). Using weekly timed email notifications, physicians were reminded to incorporate these questions in their documentation during clinic visits. Chart review was performed to assess usage frequency of the dot phrase. A post-intervention survey was administered to assess providers' experience with use of the dot phrase, and assess barriers to consistent documentation. Results: 41 patients over 3 months were identified as taking the oral chemotherapy drugs capecitabine (68%), palbociclib (29%) or sorafenib (3%). 63% were non-English speakers. 49% had breast cancer, 39% GI cancers, and 12% other cancers. 12% of clinic visits correctly incorporated use of the dot phrase. Education on the dosing and schedule for oral chemo was addressed for 48% of patients, documentation of adverse effects was performed for 34% of patients, and assessment of medication adherence was documented for 22% of patients. While 73% of providers felt that documentation of oral chemotherapy compliance is important, 70% cited failure to remember to incorporate the dot phrase in real time as the primary reason for failure to use the dot phrase for oral chemotherapy documentation. Conclusions: Despite providers' view of documentation of oral chemotherapy toxicities and compliance as important, low uptake of the dot phrase was observed. The main barrier to use of the dot phrase was providers' forgetting to incorporate the dot phrase prior to and during their clinic charting. Future efforts should focus on automated reminders and regular assessments to increase compliance to this important quality domain. [Table: see text]
3
Kyle, Tammy, and Sherry Wright. "Reflecting the Model of Human Occupation in Occupational Therapy Documentation." Canadian Journal of Occupational Therapy 63, no. 3 (August 1996): 192–96. http://dx.doi.org/10.1177/000841749606300306.
Full textAbstract:
This paper describes an innovative Screening Assessment Form developed at the Ottawa Civic Hospital. The development of the form was prompted by the need for a concise, time efficient guide that could be easily applied to a culturally diverse clientele presenting with various bio-psychosocial difficulties. The department had adopted the Model of Human Occupation as its frame of reference, however it was difficult to consistently covey the structure of the model in report writing. The challenge was to create an assessment tool which incorporated not only essential clinical information but also occupational therapy's unique holistic perspective of function.
4
Dick, Peter, Tessa Durham, Mitchell Stewart, Scott Kane, and Jim Duffy. "Care Programme Approach – documentation of past risk-related behaviour." Psychiatric Bulletin 27, no. 08 (August 2003): 298–300. http://dx.doi.org/10.1017/s0955603600002774.
Full textAbstract:
Aims and Method The aim of the study was to assess the practicality of extracting past risk-related information from case records and to assess how this process might be cost-effectively incorporated in routine practice. Case records of 43 patients referred to the Care Programme Approach in Dundee were examined. Results Our study yielded relevant information – 39% of patients had a history of violence, 58% of self-harm or suicide, 58% of severe self-neglect and 72% of non-compliance with medication. However, it took an average of 5 hours to conduct a thorough review of each case because the notes were bulky and poorly organised. Clinical Implications Retrospective review of conventional case records in routine practice is likely to be incomplete and misleading. Prospective recording should be practicable if used selectively, but requires a standardised approach to clinical recording and case note maintenance. The risk recording system we developed, incorporating a dated index of incidents by risk category, followed by brief summaries of each incident, provides key clinical information not available from a simple check list while not sacrificing brevity.
5
Dick, Peter, Tessa Durham, Mitchell Stewart, Scott Kane, and Jim Duffy. "Care Programme Approach – documentation of past risk-related behaviour." Psychiatric Bulletin 27, no. 8 (August 2003): 298–300. http://dx.doi.org/10.1192/pb.27.8.298.
Full textAbstract:
Aims and MethodThe aim of the study was to assess the practicality of extracting past risk-related information from case records and to assess how this process might be cost-effectively incorporated in routine practice. Case records of 43 patients referred to the Care Programme Approach in Dundee were examined.ResultsOur study yielded relevant information – 39% of patients had a history of violence, 58% of self-harm or suicide, 58% of severe self-neglect and 72% of non-compliance with medication. However, it took an average of 5 hours to conduct a thorough review of each case because the notes were bulky and poorly organised.Clinical ImplicationsRetrospective review of conventional case records in routine practice is likely to be incomplete and misleading. Prospective recording should be practicable if used selectively, but requires a standardised approach to clinical recording and case note maintenance. The risk recording system we developed, incorporating a dated index of incidents by risk category, followed by brief summaries of each incident, provides key clinical information not available from a simple check list while not sacrificing brevity.
6
Ghoshal, Arunangshu, Jayita Deodhar, Chandana Adhikarla, Avinash Tiwari, Sydney Dy, and CS Pramesh. "Implementation of an Early Palliative Care Referral Program in Lung Cancer: A Quality Improvement Project at the Tata Memorial Hospital, Mumbai, India." Indian Journal of Palliative Care 27 (August 12, 2021): 211–15. http://dx.doi.org/10.25259/ijpc_394_20.
Full textAbstract:
Objectives: Access to early palliative care (EPC) for all patients with metastatic lung cancer is yet to be achieved in spite of recommendations. This quality improvement (QI) project was initialized to improve the rates of such referrals from the thoracic oncology clinic for all new outpatients in a premier cancer center in India. Materials and Methods: Change in the proportion of patients receiving referrals for EPC during and after intervention (April–May 2018), compared to baseline (January–March 2018) were explored. Interventions included understanding of the process flow, identification of key drivers, and root cause analysis which identified the gaps as lack of documentation for EPC. Teaching and encouraging staff at the clinic to incorporate referrals into all initial visits for patients with metastatic lung cancer were incorporated. Results: The bundle of QI interventions increased referrals from an average of 50% to 75%, mean difference = 12.64 (standard deviation = 10.13) (95% confidence interval = 22.01–3.29), P = 0.016 (two-tailed) on paired sample test. Conclusion: Improved referral rates for EPC in a multidisciplinary cancer clinic is possible with a QI project. This project also identifies the importance of data documentation and patient information processes that can be targeted for improvement.
7
Olson, Rose McKeon, Wendy Macias-Konstantopoulos, Roseline Muchai, Katy Johnson, Ranit Mishori, and Brett Nelson. "Development and validation of a data quality index for forensic documentation of sexual and gender-based violence in Kenya." PLOS ONE 17, no. 1 (January 27, 2022): e0262297. http://dx.doi.org/10.1371/journal.pone.0262297.
Full textAbstract:
Introduction High-quality forensic documentation can improve justice outcomes for survivors of sexual and gender-based violence, but there are limited tools to assess documentation data quality. This study aimed to develop and validate a data quality assessment index to objectively assess clinician documentation across the 26 key elements of the standardized forensic evidence forms used in Kenya. Methods Informed by prior quality assessment tools, an initial draft of the index was developed. Feedback from Kenya- and U.S.-based clinicians and human rights experts was solicited and incorporated into the draft index in an iterative fashion. Two raters independently employed the finalized Physicians for Human Rights Data Quality Index to assess and score the quality of documentation across 31 clinician-completed forms. Inter-rater reliability was determined using Cohen kappa (к) coefficients. Results The Index was found to have substantial overall reliability. Of the 26 documentation items, the Index had a perfect (к = 1.0) and almost perfect (к = 0.81–0.99) level of inter-rater agreement across 17 (65.4%) and 5 (19.2%) items, respectively. On a low-to-high documentation quality scale of 0 to 2, the majority of items (n = 19, 73.1%) had a mean documentation quality score >1.5–2. Conclusion Quality assurance of forensic documentation is an essential component of post-sexual assault care. To our knowledge, this is the first validated quality-assessment tool in the peer-reviewed literature for sexual assault documentation and may be a promising strategy to enhance the quality of sexual assault documentation in other settings, locally, regionally, and internationally.
8
Douglass, Matthew, Sam Lin, and Michael Chodoronek. "The Application of 3D Photogrammetry for In-Field Documentation of Archaeological Features." Advances in Archaeological Practice 3, no. 2 (May 2015): 136–52. http://dx.doi.org/10.7183/2326-3768.3.2.136.
Full textAbstract:
AbstractThe logistics of time-efficient yet accurate documentation of archaeological features are a challenge within the context of pedestrian survey. Here we present results of two case studies documenting the use of photogrammetry under field conditions within the Great Plains. Results demonstrate the ease with which high quality models can be obtained with minimal training and by using standard field cameras and computers. Different models of pit hearth and architectural features are presented to demonstrate the versatility of model output formats in terms of their accessibility to broad audiences and the variety of display options available. Comparison with more traditional field measurements indicates the suitability and superiority of this approach in terms of time investment and mapping detail and accuracy. Combined, these efforts demonstrate the potential of this technique to be incorporated into the standard practices of academic and professional field projects with minimal interruption.
9
Emerson, Donald, and Greg Benz. "Major Investment Studies and Environmental Documentation: Clearing Up the Confusion." Transportation Research Record: Journal of the Transportation Research Board 1618, no. 1 (January 1998): 32–38. http://dx.doi.org/10.3141/1618-04.
Full textAbstract:
Federal planning regulations issued in 1993 require major investment studies (MISs) to help metropolitan planning organizations reach decisions on high-cost, high-impact highway and transit facilities. The regulations offer two options for the development of National Environmental Policy Act (NEPA) documents for major investments. In Option 1, draft and final NEPA documents are prepared during the project development/ preliminary engineering phase for any projects that emerge from an MIS and have been incorporated into the region’s long-range plan. In Option 2, a draft NEPA document is prepared as part of the MIS. Although there is general appreciation and understanding of the planning principles underlying the MIS process, the role of environmental impact analysis and documentation has been a source of confusion, misunderstanding, and skepticism. An attempt is made to clear up this confusion by explaining Option 1, Option 2, and the more recently conceived Option 1½ and by presenting situations and circumstances in which each option might be most advantageous. Also presented is the federal “vision” that led to the development of the MIS process, the nature of MIS alternatives is highlighted, suggestions for establishing the appropriate level of detail are offered, and a distinction is made between NEPA principles and documentation requirements.
10
Richards, Clive James. "Drawing out information - lines of communication in technical illustration." Information Design Journal 14, no. 2 (July 7, 2006): 93–107. http://dx.doi.org/10.1075/idj.14.2.01ric.
Full textAbstract:
The main graphical modes of information presentation, used in technical illustrations to show hidden detail, are identified and some historical precedents for them in the work of Leonardo Da Vinci are reviewed. Research into one particular aspect of graphic representation used in technical illustrations is reported. This concerns the deployment in hand-drawn images of different line thicknesses and their contribution to enhancing the interpretation of what is depicted. Whilst the use of varying line thicknesses has been formally incorporated into some documentation standards, it is not always observed in relevant domains. The case for and the process of replicating this line thickness code in computer-generated imagery, for use in multimedia technical documentation, are introduced.
11
Aziz, Shadman, James Bottomley, Vasant Mohandas, Arif Ahmad, Gemma Morelli, and Sam Thenabadu. "Improving the documentation quality of point-of-care ultrasound scans in the emergency department." BMJ Open Quality 9, no. 1 (March 2020): e000636. http://dx.doi.org/10.1136/bmjoq-2019-000636.
Full textAbstract:
A point-of-care ultrasound scan (POCUS) is a core element of the Royal College of Emergency Medicine (RCEM) specialty training curriculum. However, POCUS documentation quality can be poor, especially in the time-pressured environment of the emergency department (ED). A survey of 10 junior ED clinicians at the Princess Royal University Hospital (PRUH) found that total POCUS documentation was as low as 38% in some examinations.This quality improvement project aimed to increase the coverage and quality of POCUS documentation in the ED. This was done by using a plan-do-study-act (PDSA) regime to improve the quality of POCUS documentation from the original baseline to 80%. There were three discreet PDSA cycles and the interventions included improving education and training about POCUS documentation and the introduction of an original proforma, which incorporated six minimum requirements for POCUS documentation as per the joint RCEM and Royal College of Radiologists (RCR) guidelines for POCUS documentation (patient details, indications, findings, conclusions, signature and date).The project team audited the quality of all documented scans in the resuscitation department of the PRUH against the RCEM/RCR guidelines at baseline and following three discrete PDSA cycles. This was done over an 8-week period, spanning 696 attendances to the resuscitation area of the ED and 42 documented POCUS examinations.Quality recording of the six RCEM/RCR elements of POCUS documentation was poor at baseline but improved following three successful PDSA cycles. There was a demonstrated improvement in five of six documentation elements: patient details on POCUS documentation increased from 53.3% to the 66.7%, indication from 60.0% to 66.7%, conclusion from 13.0% to 83.0%, signature from 86.7% to 100.0% and date from 46.7% to 66.7%.These results suggest that the introduction of a proforma and a vigorous education strategy are effective ways to improve the quality of documentation of ED POCUS.
12
Velazquez Manana, Ana I., Rahul Banerjee, Vanessa Elaine Kennedy, August Reich Dietrich, Amy M. Lin, and Pelin Cinar. "Improving performance status documentation by hematology-oncology fellows." Journal of Clinical Oncology 38, no. 29_suppl (October 10, 2020): 250. http://dx.doi.org/10.1200/jco.2020.38.29_suppl.250.
Full textAbstract:
250 Background: Accurate performance status (PS) documentation is essential as poor PS is a strong predictor of treatment-related toxicity. At our institution, a baseline chart review revealed missing PS documentation in 28% of Fellow-seen new patient visits (NPV); PS documentation as unstructured text comprised the remainder. The lack of structured PS documentation represents a missed opportunity for accurate data in registries, trial registration, and supportive care referrals. Methods: To improve standardized documentation of PS for NPV, we designed a Fellow-led quality improvement (QI) initiative over the course of 2 PDSA cycles. Specifically, we developed and implemented a structured PS smart data element tool (SDET) into our electronic medical record (EMR). PDSA cycle 1 (7/2019–11/2019) included SDET implementation and publicity using flyers & emails. PDSA cycle 2 (12/2019–4/2020) incorporated individualized feedback to Fellows, biweekly email reminders, and outreach to attendings regarding our SDET. We calculated cumulative usage of our SDET for PS documentation during the 2019-2020 academic year among NPV seen by Fellows. Our aim was to assess and document PS in at least 50% of NPV seen in person. Results: During PDSA cycle 1, cumulative structured PS documentation increased from 8% to 31% (Table). Focus groups revealed that Fellows were not consistently incorporating our SDET into their note templates or were relying on attending-written templates. Over PDSA cycle 2, the cumulative structured PS documentation rate increased from 24% to 54%. Overall our cumulative documentation rate is 40%, in large part driven by cycle 1 because of a drop in NPVs and the transition to telehealth during the COVID-19 pandemic. Conclusions: Our Fellow-led QI intervention improved cumulative structured PS documentation from 8% to 40% using two rapid PDSA cycles. Our intervention highlights the importance of real-time data review and stakeholder feedback to identify ongoing challenges. Our third PDSA cycle will include expansion to all clinic providers (Fellows, attendings, and advanced-practice providers), as well as the incorporation of telehealth encounters and follow-up visits. We also hope to align our QI initiative with broader steps toward data interoperability via the ASCO-sponsored mCODE initiative. [Table: see text]
13
Reiners, Stephanie, Alison Barnwell, Lisa Murray, Mohamed Abdelbaki, Sally Jones, Brunilda Lluka, and Heather Roemerman. "OTHR-14. Responding to the COVID Challenge: evaluating a new method of adverse event recording in response to remote working." Neuro-Oncology 24, Supplement_1 (June 1, 2022): i149—i150. http://dx.doi.org/10.1093/neuonc/noac079.553.
Full textAbstract:
Abstract BACKGROUND: The SARS-COV2 pandemic had huge impact on how clinical research is conducted when clinical research coordinators (CRC) transitioned to working remotely. An urgent transition of paper documentation into electronic formats had to occur without compromising participant safety or data integrity. Adverse event (AE) reporting had previously been captured in various paper formats with wet signature. AEs, attribution, severity, and clinical significance had to be changed into being electronically captured and incorporated into the medical record that captures the events in real time. METHOD: We assessed the satisfaction of the new method of AE recording amongst pediatric hematology oncology physicians and staff in a large academic institution during the COVID pandemic through a REDCap survey. The survey assessed the time, effort, perceived efficacy and overall acceptability of the paper-based and electronic methods of AE documentation. RESULTS: Seventy-one staff members were surveyed. Fifty (65%) responded, including 6 participants who were not involved in the AE reporting process and did not complete the survey. Of the remaining 44 participants, 43 (98%) preferred an electronic documentation method. Secondary results and further analysis will be presented at the meeting. CONCLUSIONS: The COVID pandemic has changed how CRC report AEs and electronic documentation seems to be the preferred method of documentation.
14
Merzkirch, Matthias, Kay André Weidenmann, Eberhard Kerscher, and Detlef Löhe. "Documentation of the Corrosion of Composite-Extruded Aluminium Matrix Extrusions Using the Push-Out Test." Advanced Materials Research 43 (April 2008): 17–22. http://dx.doi.org/10.4028/www.scientific.net/amr.43.17.
Full textAbstract:
A possibility to increase both stiffness and strength of aluminium-based structures for the application in lightweight profiles for vehicle space frames is the use of composite extrusions in which high-strength metallic reinforcements are incorporated. Within the scope of the present investigations, composite-extruded profiles with wire-reinforcements made of austenitic spring steel 1.4310 (X10CrNi18-8), in an aluminium matrix AA6060 (AlMgSi0.5), which were exposed to different corrosive media for different times, were characterised in terms of the debonding shear strength using the push-out-technique. The formation of a galvanic couple could be conceived mathematically in regard of terms describing the formation of a shear-impeding layer and the corrosive attack. Thereby the parameters for the different media could be determined.
15
Kulazhanov, T. K., L. K. Baibolova, M. S. Serikkyzy, D. K. Balev, and D. B. Vlahova-Vangelova. "Traceability of meat products with incorporated functional ingredients." Journal of Almaty Technological University 1, no. 3 (September 8, 2023): 63–69. http://dx.doi.org/10.48184/2304-568x-2023-3-63-69.
Full textAbstract:
The demand for natural and functional food products is constantly increasing, driving the research on new ingredients and technologies to enhance the quality and safety of meat products. This literature review focuses on the application of new functional ingredients and traceability of meat products to ensure their quality. The study examines the surface treatment of meat with bioactive substances such as dihydroquercetin from Larix sibirica Ledeb, rosemary extract (Rosmarinus officinalis), and distilled rose petal extract (Rosa damescena Mill.). Additionally, the inclusion of functional ingredients such as dried goji berries (Lycium barbarum) and pumpkin (Cucurbita moschata) in meat matrices is discussed. The research highlights the potential benefits of these functional ingredients in inhibiting lipid oxidation, preserving color, and improving the taste qualities of meat products. The inclusion of natural antioxidants and bioactive compounds derived from plants presents a promising alternative to synthetic additives. Furthermore, the reduction of potentially harmful substances, such as nitrites, in meat products is achieved through the inclusion of functional ingredients. To ensure the quality and safety of these functionally processed meat products, a traceability system is proposed. This system includes documentation of ingredient origin, production processes, and packaging information. Implementing a traceability system enables the tracking of product movement and distribution throughout the supply chain, thereby confirming the positive effects of the ingredients and ensuring consumer trust. The aim of this article is to integrate new functional ingredients and implement a traceability system to enhance the quality, safety, and acceptability of meat products by consumers. These approaches align with the growing demand for natural and high-quality food products, opening opportunities for innovation in the meat industry. Funding information: The materials were prepared within the framework of the "Zhas Galym" project within the scientific and technical program AP15473123 "Digitalization of the traceability system of meat products to improve the quality of semi-smoked sausages during long-term storage" of the budget program 217 "Development of Science" subprogram 102 "Grant financing of scientific research" of the Ministry of Science and Higher Education of the Republic of Kazakhstan for 2022-2024.
16
Abbate, E., G. Sammartano, and A. Spanò. "PROSPECTIVE UPON MULTI-SOURCE URBAN SCALE DATA FOR 3D DOCUMENTATION AND MONITORING OF URBAN LEGACIES." ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLII-2/W11 (May 4, 2019): 11–19. http://dx.doi.org/10.5194/isprs-archives-xlii-2-w11-11-2019.
Full textAbstract:
<p><strong>Abstract.</strong> The investigation on the built urban heritage and its current transformations can progressively benefit from the use of geospatial data related to urban environment. This is even more interesting when urban design studies of historical and stratified cities meet the contribution of 4D geospatial data within the urban morphology researches, aiming at quickly and accurately identifying and then measuring with a spatial relationship, both localized transformation (volumes demolitions, addition, etc…) and wide-scale substantial modification resulting from urban zones of diversification spaces that incorporates urban legacies. In this domain, the comparison and analysis of multi-source and multi-scale information belonging to Spatial Data Infrastructures (SDI) organized by Municipality and Region Administration (mainly, orthoimages and DSM and digital mapping) are a crucial support for multi-temporal spatial analysis, especially if compared with new DSMs related to past urban situations. The latter can be generated by new solution of digital image-matching techniques applicable to the available historical aerial images. The goal is to investigate the amount of available data and their effectiveness, to later test different experimental tools and methods for quick detection, localization and quantification of morphological macro-transformation at urban scale. At the same time, it has been examined the opportunity to made available, with up-and-coming Mobile Mapping Systems (MMS) based on image- and range-based techniques, a rapid and effective approach of data gathering, updating and sharing at validated urban scales. The presented research, carried out in the framework of the FULL@Polito research lab, applies to urban legacies and their regeneration, and is conducted on a key redevelopment area in northern Torino, the Parco Dora, that was occupied by steel industries actively working up to 1992. The long-standing steel structures of the Ferriere FIAT lot have been refurbished and incorporated in the new urban park, generating a contemporary space with a new evolving urban fabric, and being integrated in the new updated geo-spatial databases as well.</p>
17
Pugacheva, S. S., and A. F. Strakhov. "AUTOMATION OF INFORMATIONAL SUPPORT OF OPERATIONAL AND SERVICE PERSONNEL IN CASE OF MAINTENANCE AND ORGANISATIONAL REPAIR OF AIR DEFENCE WEAPONS AND MILITARY EQUIPMENT." Issues of radio electronics, no. 6 (June 20, 2018): 35–38. http://dx.doi.org/10.21778/2218-5453-2018-6-35-38.
Full textAbstract:
Methods of informational support of works related to maintenance and organizational repair of air defence (AD) weapons and military equipment (WME) component parts (CPs) performed by operational and service personnel at proper locations of the CPs are considered. A conventional approach to the informational support of the works related to maintenance and organizational repair is based on the use of operational and repair documentation represented in a paper format. This approach turns to be inefficient for a number of reasons, in particular, due to complicated prompt data search related to arising situations when using a vast amount of paper documentation in conditions of a limited workspace (at proper locations of the CPs incorporated in the AD WME pieces). In order to ensure effective informational support of the works related to maintenance and organizational repair at the proper locations of the AD WME component parts, an innovative method and instruments of informational support automation, including creation and application of interactive electronic organizational repair documentation and a portable automated control and diagnostic system, are developed.
18
Börjesson, Lisa. "Grey literature – grey sources? Nuancing the view on professional documentation." Journal of Documentation 71, no. 6 (October 12, 2015): 1158–82. http://dx.doi.org/10.1108/jd-09-2014-0137.
Full textAbstract:
Purpose – The purpose of this paper is to nuance the perception about professional documentation (a.k.a. “grey literature”), assuming perception of documentation being a cultural aspect of accessibility. Design/methodology/approach – The study explores variations within the archaeological report genre through a bibliometric analysis of source use. Source characteristics are explored as well as correlations between report authors and source originators. Statistical frequency distribution is complemented by a correspondence analysis and a k-means cluster analysis to explore patterns. The patterns are interpreted as “frames of references” and related to circumstances for archaeological work. The study also discusses source representations. Findings – The source use patterns reveal a latent variation, not visible in the general analysis: a professional/academic frame of reference (mainly among authors affiliated with incorporated businesses and sole proprietorships) and an administrative frame of reference (mainly among authors affiliated with government agencies, foundations, and member associations) emerge. Research limitations/implications – The study focuses on Swedish field evaluation reports. Future research could test the results in relation to other types of reports and go beyond the document perspective to explore source use in documentation practices. Social implications – The results on variations in frames of references among report writers have implication for report readers and user. The results should also be considered in archaeology management and policy-making. On the level of source representation the results call for clarifications of vague representations and possibly omitted sources. Originality/value – This study contextualizes archaeological information use and focuses on variations in professional archaeology which has received little previous research attention. The bibliometric approach complements previous qualitative studies of archaeological information.
19
James Hone, Matthew. "Innovations in Intervention: El Salvador’s Role as a U.S. Strategic and Tactical Laboratory." De Raíz Diversa. Revista Especializada en Estudios Latinoamericanos 4, no. 7 (January 1, 2017): 159. http://dx.doi.org/10.22201/ppela.24487988e.2017.7.64048.
Full textAbstract:
The United States, amongst other motives, utilized their intervention into El Salvador as a laboratory for strategic, tactical and technological military techniques. The extent of the experimentation has not been fully divulged due to the continued classification of documentation and the secretive nature of U.S. special operations. However, there is sufficient evidence available to reveal that the U.S. participation in El Salvador initiated or expanded on a number of practices that would be incorporated well after the conflict
20
James Hone, Matthew. "Innovations in Intervention: El Salvador’s Role as a U.S. Strategic and Tactical Laboratory." De Raíz Diversa. Revista Especializada en Estudios Latinoamericanos 4, no. 7 (January 1, 2017): 159. http://dx.doi.org/10.22201/ppla.24487988e.2017.7.64048.
Full textAbstract:
The United States, amongst other motives, utilized their intervention into El Salvador as a laboratory for strategic, tactical and technological military techniques. The extent of the experimentation has not been fully divulged due to the continued classification of documentation and the secretive nature of U.S. special operations. However, there is sufficient evidence available to reveal that the U.S. participation in El Salvador initiated or expanded on a number of practices that would be incorporated well after the conflict
21
Melín-Aldana, Héctor, Valdas Gasilionis, and Umesh Kapur. "Use of Digital Video for Documentation of Microscopic Features of Tissue Samples." Archives of Pathology & Laboratory Medicine 132, no. 5 (May 1, 2008): 820–22. http://dx.doi.org/10.5858/2008-132-820-uodvfd.
Full textAbstract:
Abstract Context.—Digital photography is commonly used to document microscopic features of tissue samples, but it relies on the capture of arbitrarily selected representative areas. Current technologic advances permit the review of an entire sample, some even replicating the use of a microscope. Objective.—To demonstrate the applicability of digital video to the documentation of histologic samples. Design.—A Canon Elura MC40 digital camcorder was mounted on a microscope, glass slide–mounted tissue sections were filmed, and the unedited movies were transferred to a Apple Mac Pro computer. Movies were edited using the software iMovie HD, including placement of a time counter and a voice recording. Results.—The finished movies can be viewed in computers, incorporated onto DVDs, or placed on a Web site after compression with Flash software. The final movies range, on average, between 2 and 8 minutes, depending on the size of the sample, and between 50 MB and 1.6 GB, depending on the intended means of distribution, with DVDs providing the best image quality. Conclusions.—Digital video is a practical methodology for documentation of entire tissue samples. We propose an affordable method that uses easily available hardware and software and does not require significant computer knowledge. Pathology education can be enhanced by the implementation of digital video technology.
22
Monzó, Esther. "E-lectra: A Bibliography for the Study and Practice of Legal, Court and Official Translation and Interpreting." Meta 55, no. 2 (August 10, 2010): 355–73. http://dx.doi.org/10.7202/044245ar.
Full textAbstract:
Scientific development presupposes the efficient communication of new findings. The increase in the number of academic journals and publications worldwide burdens scholars, also translation scholars, with the responsibility of keeping up to date with ever increasingly scattered relevant literature. On the other hand, legal translation professionals need to select and find specialised documentation and reference material, which the market addresses not to translators or interpreters but to law specialists. E-lectra is an electronic bibliographic database whose purpose is to help legal translation scholars and practitioners select and find relevant literature and documentation resources, and further help researchers to present their work by providing a powerful pool of formats and styles incorporated in an easy-to-use system for citing references in their works and adapting them to the conventions of different journals from the field of translation studies.
23
Dembo, Richard, William R. Blount, James Schmeidler, and William Burgos. "Methodological and Substantive Issues Involved in Using the Concept of Risk in Research into the Etiology of Drug Use among Adolescents." Journal of Drug Issues 15, no. 4 (October 1985): 537–53. http://dx.doi.org/10.1177/002204268501500409.
Full textAbstract:
The present paper reviews the various sets of variables that have been found to relate to youths' drug use. It considers various experiences, deriving from our accumulated knowledge, which need to be incorporated into research into the etiology of drug use, and discusses methodological strategies and models of analysis which show promise of improving the state of the art in this field. Documentation is provided concerning the usefulness of screening subsets of cases on relevant risk variables prior to data analysis.
24
Bolin, Robert L. "A model CD‐ROM library: The University of Idaho experience." Library Hi Tech 13, no. 3 (March 1, 1995): 94–100. http://dx.doi.org/10.1108/eb047957.
Full textAbstract:
The University of Idaho Library has incorporated CD‐ROMs into its collection. Library users identify CD‐ROMs and related documentation through the library catalog, check out the disks from the reserve desk, and run search software for most of them on general purpose CD‐ROM workstations. Access to the search software is provided through menus organized by title or call number. The approach used allows the library to make a large number of CD‐ROM publications readily available with use of a minimum amount of equipment.
25
Alby, E. "TEN YEARS OF DIGITAL DOCUMENTATION OF THE ARCHAEOLOGICAL SITE OF THE MONASTERY OF SAINT HILARION IN TELL UMM EL-AMR, GAZA STRIP." International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLVI-M-1-2021 (August 28, 2021): 17–21. http://dx.doi.org/10.5194/isprs-archives-xlvi-m-1-2021-17-2021.
Full textAbstract:
Abstract. The archaeological richness of a site is independent of its geopolitical context. The use of photogrammetry for the documentation of the monastery of Saint-Hilarion in the gaza strip illustrates the flexibility of the uses of this technique despite some obstacles linked to the situation. As access to the site on demand, depending on representation needs is not possible, means have been implemented to delegate the acquisition and allow continuity of surveys adapted to the evolution of archaeological excavations. Developments in acquisition techniques and methods can be incorporated into on-site practices and can also lead to improved processing of old data.
26
Catalano Jr, Edward W., Stephen Gerard Ruby, Michael L. Talbert, and Douglas G. Knapman. "College of American Pathologists Considerations for the Delineation of Pathology Clinical Privileges." Archives of Pathology & Laboratory Medicine 133, no. 4 (April 1, 2009): 613–18. http://dx.doi.org/10.5858/133.4.613.
Full textAbstract:
Abstract Context.—The Joint Commission (JC) established new medical staff privileging requirements effective January 2008. The new requirements include the development of ongoing professional practice evaluation (OPPE) and focused professional practice evaluation (FPPE) processes and incorporate the general competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice jointly developed by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS). The College of American Pathologists makes resources available to assist members and their facilities in implementing the new requirements and improving patient care. Objectives.—To review the general requirements for privileging and identify how they may apply to pathologists, to identify currently available activities and metrics that may be useful in addressing these requirements, and to present identified concepts, activities, and metrics for consideration by pathologists and hospitals for their adaptation into the policies and procedures that address the new JC physician privileging requirements. Design.—Review available pathology privileging documentation that addressed the previous JC requirements, review the new requirements, and search for and review available and applicable resources, activities, and metrics. Results.—Common pathology activities and metrics can be incorporated into the privileging processes. Current and new activities and metrics can be incorporated or developed to address the 6 ACGME/ABMS “General Competencies.” Conclusion.—Each hospital has unique privileging and physician evaluation requirements. Providing concepts, activities, and metrics for pathologists and hospitals to consider in pathology privileging will help implement the OPPE and FPPE processes and meet medical staff privileging requirements.
27
Morris, E. Scott. "From Cantor To Christaller?" Quaestiones Geographicae 34, no. 4 (December 1, 2015): 83–84. http://dx.doi.org/10.1515/quageo-2015-0039.
Full textAbstract:
Abstract It is possible that Georg Cantor and Walter Christaller may have been aware of one another during their careers, however, there is no indication the two collaborated. Also, there is no documentation that Christaller’s central place theory (CPT) contains any tenets derived from Cantor’s middle third set (CMT). Regardless, CMT and CPT are linked by their constructions as nested hierarchies and the geometry of hexagons. The end points and intervals of CMT may be incorporated, respectively, as anchor points and radii for the hexagonal tessellations of central place theory.
28
Phuyal, Naveen, Sumana Bajracharya, Alisha Adhikari, Srijana Katwal, and Ashis Shrestha. "Development and update of hospital disaster preparedness and response plan of 25 hub hospitals of Nepal – process documentation." Journal of General Practice and Emergency Medicine of Nepal 10, no. 15 (August 30, 2023): 53–59. http://dx.doi.org/10.59284/jgpeman229.
Full textAbstract:
Hospital disaster preparation involves creating systems and processes to enhance a hospital's readiness for emergencies. The first step in crisis management is having a disaster management strategy, mandated by international agreements like the Sendai Framework. The 2015 Nepal earthquake highlighted hospitals' capacity concerns, leading to the inclusion of hub and satellite hospitals in disaster plans. Later, infectious disease management and lessons from COVID-19 were incorporated. The disaster plans for Nepal's 25 hub hospitals, collaborating with Health Emergency Operation Center (HEOC) and Provincial Health Emergency Center (PHEOC), were updated. Workshops aimed to empower participants to own hospital plans. The Hospital Disaster Preparedness and Response Plan (HDPRP) addresses preparedness, response, and recovery, including COVID-19 management. Developed through testing, the HDPRP, along with workshops and engagement strategies, bolsters hospitals' disaster response capabilities.
29
Waheed, Atif, Kamran Ahmed, Sameh Ansara, and Shivanand S. Geeranavar. "Consent in elective joint replacement surgery: are we doing enough?" Clinical Risk 13, no. 4 (July 1, 2007): 131–32. http://dx.doi.org/10.1258/135626207781250988.
Full textAbstract:
A substantial number of clinical negligence claims arise from a failure to adequately advise patients prior to surgery. It is important for surgeons at all levels to maintain good practice in obtaining consent and to recognize that the standards against which they are judged in litigation have changed in recent years. Consent is a process rather than an event and evidence of valid consent includes the surgeon's letters, oral and written information given to the patient and, to a limited extent, the consent form. We retrospectively audited the documentation relating to consent in the case notes of 50 patients undergoing elective joint replacement surgery between August 2004 and March 2005, and found that documentation was generally inadequate. We recommend that there should be national guidance on complications for standard elective joint replacement procedures. This could be incorporated into the best practice guidance on joint replacement surgery published by the British Orthopaedic Association.
30
Trolan, C. "27 A COLLABORATIVE QUALITY IMPROVEMENT PROJECT BETWEEN AN NHS TRUST AND INDEPENDENT PROVIDER TO DEVELOP A CARE-HOME SPECIFIC TREATMENT ESCALATION PLAN." Age and Ageing 50, Supplement_3 (November 2021): ii9—ii41. http://dx.doi.org/10.1093/ageing/afab219.27.
Full textAbstract:
Abstract Background The COVID19 pandemic highlighted deficiencies in information exchange around treatment escalation plans (TEP) in an intermediate care unit, based in a 30 bed independent care home, into which the hospital organisation assigns medical, pharmacy, physiotherapy, occupational therapy and social work teams to provide post-acute care rehabilitation for adults. Mean length of stay is 20 days and > 75% return home. Weekly bed turnover is approximately 15%. TEP documentation is a component of RESTORE2 use, as recommended in the British Geriatric Society Good Practice Guide for Managing COVID19 in Care Homes. Methods Semi-structured interviews with nursing leaders and a weighted questionnaire for the whole nursing team were used to determine baseline levels of confidence around aspects of TEP. An Ishikawa diagram analysed factors contributing to poor documentation and communication. The ‘Chain Of Care’ vision for care home environments incorporated the need for a TEP. Three iterations occurred. A post-implementation weighted questionnaire collated qualitative information on confidence change. Results Areas of greatest ‘swing’ towards INCREASED or SLIGHTLY INCREASED confidence around...: 90%, Cardiopulmonary Resuscitation (CPR) status clarity; 90%, treatment ‘ceiling of care’ e.g. ‘conveyance to the Emergency Department in any situation that the clinical team deem necessary’; 40%, conversations with out-of-hours services/external clinicians around appropriate actions; 30%, conversations with nominated persons around appropriate actions. Conclusion The TEP incorporates more than just CPR status and contributed to increased nursing team confidence in responding to the acutely deteriorating adult appropriately in a care home environment. Clear documentation of: capacity assessment; patient prioritisation (using ReSPECT principles); and agreed treatment escalation and limitation, enabled information exchange. Standardisation of language, and cross-fertilisation with Nursing Handover, facilitated conversations with external clinicians and nominated persons. Tailoring the TEP to the care-home environment and rendering it generalisable to non-intermediate care, non-geriatrician supported care home microsystems was considered in the iterations.
31
Nguyen, Oliver, Amir Alishahi, Colin Evan Moore, Randa Perkins, Jennifer Bickel Young, Dorte Heimbeck, and Kea Turner. "Identifying sources of burnout among clinicians at a cancer center: A qualitative analysis." Journal of Clinical Oncology 40, no. 28_suppl (October 1, 2022): 429. http://dx.doi.org/10.1200/jco.2022.40.28_suppl.429.
Full textAbstract:
429 Background: Clinician burnout leads to increased job turnover and workforce shortages, and reduced patient satisfaction and quality of care. Despite its importance, there has been limited study of burnout among the cancer care workforce including sources of burnout. This information can be used to inform intervention design for use in the cancer care setting specifically. To address this gap, we analyzed open-ended responses to a well-being survey administered to clinicians (physicians and advanced practice providers) at a Cancer Center. Methods: In February 2022, we electronically administered the American Medical Association’s clinician well-being survey to all practicing clinicians at a National Cancer Institute-designated Comprehensive Cancer Center in Florida. Of 700 clinicians, 405 (58%) responded. Of the respondents, 259 (64.0%) answered the free-text question “Tell us more about your stressors and what we can do to minimize them.” We used in-vivo coding to develop qualitative themes across responses. If a given response incorporated multiple themes, we coded the response under all pertinent themes. Results: A majority (76/259) of respondents commented on staffing issues, such as their clinics being understaffed or the quality of current staff. Another frequent theme (64/259) was the electronic health records (EHR) system, such as lack of integration between modules, inbox fatigue, alert fatigue, and inefficient documentation review processes. Respondents also reported scheduling issues as a pain point (56/259), such as having schedules that do not reflect actual clinical practice, being overbooked, and scheduling errors. Documentation burden was also highlighted as an issue across respondents (34/259). Documentation was considered tedious and some respondents reported a mismatch between available documentation tools in the EHR and actual documentation needs. Less common themes reported across respondents included design issues of facility space (e.g., no dedicated workspace to complete work without interruptions) and insufficient time to complete administrative, research, and documentation requirements. Conclusions: Our findings suggest that interventions that optimize staffing models, EHR processes (e.g., documentation), and scheduling practices may reduce burnout for a considerable number of cancer care clinicians.
32
Charette, Natalie, Evelyn Delgado, and Jaclyn Kozak. "Stop, collaborate and listen: Reimagining & Rebuilding the Royal Alberta Museum." Museum and Society 16, no. 3 (November 21, 2018): 383–97. http://dx.doi.org/10.29311/mas.v16i3.2796.
Full textAbstract:
The field of museum education is continually examining and reconsidering how best to engage child audiences, offering child-centered experiences to complement knowledge-rich environments. The implementation of Reggio Emilia approach-based programs and activities, which embrace children’s multiple literacies and provide opportunities for free, unstructured play, are best served when complemented by documentation in order to render learning visible to all audiences. It is through documentation that we can actively demonstrate our respect and value for children’s learning and play. Play has to be honoured and celebrated in its own right, and the act of documentation needs to be incorporated into daily operations so it becomes a natural part of the museum experience, and a natural part of evaluation practices. The Royal Alberta Museum has recently undergone a large-scale renewal project; staff sought inspiration from these Reggio Emilia-based philosophies in designing a space that will welcome play and value it as learning, reframing the museum educator’s role as one that documents, collects and curates children’s learning experiences on the gallery floor. In this way, our museum will continue to shape the visitor experience in a ways that place children’s contributions at the forefront – in the way that Elee Kirk imagined.
33
Brown, Kirk W., Lisa Williams, and Thomas Janicki. "Using a Web-Based Database to Record and Monitor Athletic Training Students' Clinical Experiences." Athletic Training Education Journal 3, no. 3 (July 1, 2008): 115–22. http://dx.doi.org/10.4085/1947-380x-3.3.115.
Full textAbstract:
Objective: The purpose of this article is to introduce a documentation recording system employing the Microsoft Structured Query Language (MS-SQL) database used by the Athletic Training Education Program (ATEP) for recording and monitoring of athletic training student (ATS) clinical experiences and hours. Background: Monitoring ATSs clinical experiences and hours can be a monumental task for an athletic training education program director (PD). This article seeks to explain and demonstrate how a web-based database is incorporated into an athletic training education program to manage the ATSs clinical experiences. To date, a thorough review of the literature did not reveal any published documentation of a web-based database being used for monitoring ATSs clinical experiences. In our ATEP, prior documentation of the ATSs clinical experiences consisted of a paper-based system which involved the ATS writing down their clinical hours and having their assigned approved clinical instructor (ACI) or clinical instructors (CI) verify them. After reviewing other software application programs (i.e., Microsoft Excel and Microsoft Access), it was determined that these programs did not provide the flexibility needed for a program-wide database. Therefore, time management and evaluation accessibility constraints played a pivotal role in the decision to move to a web-based database.
34
Reeves, Matthew E., Ross Mudgway, Sarah K. Lee, Nikita Kadakia, Chelsea Santos, Kirollos Malek, Naveenraj L. Solomon, and Sharon S. Lum. "Do Better Operative Reports Equal Better Surgery? A Comparative Evaluation of Compliance With Operative Standards for Cancer Surgery." American Surgeon 86, no. 10 (October 2020): 1281–88. http://dx.doi.org/10.1177/0003134820964225.
Full textAbstract:
To improve the quality of cancer operations, the American College of Surgeons published Operative Standards for Cancer Surgery, which has been incorporated into Commission on Cancer (CoC) accreditation requirements. We sought to determine if compliance with operative standards was associated with technical surgical outcomes. Oncologic operative reports from 2017 at a CoC and non-CoC institution were examined for documentation of Operative Standards essential steps. Lymph node (LN) yield for lung and colon cases and re-excision rates for breast cases were recorded. Correct documentation was poor for colon, breast, and lung cases with numerous elements documented in <10% of operative reports at both centers. For lung cases, there was no significant difference in meeting ≥10 LN benchmark or average LN yield between the 2 institutions. For colon cases, average lymph node yield was lower in the non-CoC facility, but there was no significant difference in meeting ≥12 LN benchmark. For breast cases, re-excision rates were similar in both programs. Many essential steps in Operative Standards were poorly documented in operative reports, regardless of CoC status. Achieving benchmark technical surgical outcomes was not associated with documented compliance with these standards. Whether improved documentation leads to better surgical outcomes requires further investigation.
35
Astuti, Astuti, Elly Susanti, and Hery Pandapotan Silitonga. "ANALISIS DAMPAK RASIO KEUANGAN PERUSAHAAN TERHADAP HARGA SAHAM PADA PERUSAHAAN YANG TERCATAT PADA JII." Jesya (Jurnal Ekonomi & Ekonomi Syariah) 3, no. 2 (May 31, 2020): 108–217. http://dx.doi.org/10.36778/jesya.v3i2.202.
Full textAbstract:
The research method uses qualitative data, secondary data sources, using documentation methods, classic data assumption test analysis techniques, coefficient of determination, hypothesis testing. The object of research in companies incorporated in the Jakarta Islamic Index in the period 2014 - 2018. The results of this study by F statistical tests show that all independent variables influence the dependent variable. In statistical test t current ratio has a negative and significant effect on stock prices. Size and Debt to Asset Ratio influence and are not significant on stock prices. Return on Assets has a positive and significant effect on stock prices.
36
Velazquez Manana, Ana I., Rahul Banerjee, Swetha Kambhampati, Anna Parks, Sam Brondfield, Claire Mulvey, and Pelin Cinar. "Got stage fright? A fellow-led initiative to improve cancer staging documentation." Journal of Clinical Oncology 37, no. 27_suppl (September 20, 2019): 310. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.310.
Full textAbstract:
310 Background: Accurate cancer staging is essential for estimating prognosis, guiding treatment, populating cancer registries, and assessing clinical trial eligibility. Hence, timely staging of new solid oncology patients (NSOP) is an ASCO QOPI priority. At our institution, baseline review of staging documentation revealed fellows staged only 47% of NSOP, generally as unstructured free text. During the 2017-18 academic year, our structured electronic medical record (EMR) staging tool (ST) was used in only 11% of NSOP. We used Quality Improvement (QI) methods to improve structured EMR staging documentation rates of NSOP seen by fellows during the 2018-19 academic year. Methods: A fellow focus group identified poor integration of the EMR ST as root cause of our low staging rates. We set a cumulative goal of 70% structured EMR staging of NSOP within 1 month of initial visit as our target (50% increase from baseline). We incorporated the EMR ST into our visit workflow and used promotional flyers and fellow orientation to introduce our QI initiative. Staging rates were tracked by EMR-generated reports. We used periodic emails and QI-specific boards to disseminate progress among our oncology practices. Fellows were anonymously surveyed for feedback. Results: Over an 8-month period, the cumulative rate of NSOP staging by fellows increased from 47% to 70% (Table). Statistical process control analysis showed special-cause variation in July 2018 (low performance) and December 2018 (high performance). Fellow feedback highlighted the educational value of this QI intervention and identified incomplete workup as a barrier to staging. Conclusions: Our fellow-led QI intervention achieved our goal of leveraging an existing EMR tool to increase staging documentation. In addition, this QI intervention facilitated fellow education and use of data for clinical and research purposes. Future steps include ensuring sustainability and expansion into our hematology clinics. [Table: see text]
37
McDonough, Anna, and Shane O'Hanlon. "243 An Audit of Documentation of Resuscitation Status in a Teaching Hospital." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.147.
Full textAbstract:
Abstract Background The documentation of discussions about resuscitation status with patients and their relatives is an important part of medical care, but can be a time-consuming process. These discussions may be difficult, particularly for patients who have cognitive impairment or are acutely unwell. The National Consent Policy1 recommends that resuscitation decisions should be made with patients themselves, or with family members if the patient cannot participate. It also recommends decisions are made by the most senior decision maker with responsibility for the patient’s care and discussions should be carefully documented. Methods The charts of all 106 inpatients in our hospital were audited on a single day. Documentation of resuscitation status in the medical and nursing notes was reviewed. Results The average age of inpatients was 79.8 years. 25.5% of patients had a DNACPR order. Of these, 92% had their DNACPR status documented in the nursing notes. 100% had a DNACPR form in their medical notes but none were fully completed. 48% had not had the decision endorsed by the consultant in charge of the patient’s care. 74% had not been discussed with the patient or had not had a reason documented as to why the decision had not been discussed. 41% did not have any discussion documented in the medical notes. Conclusion The DNACPR form in use includes the details recommended by national guidelines but these forms are not being completed in their entirety. Discussions with patients themselves are possibly inappropriate at the time resuscitation status is being considered, but documentation of the reasons for this is still important. This, in particular is an area which needs to be highlighted to medical staff in our hospital. Results of this audit will be incorporated into an education session, with a view to changing practice.
38
Colvard, Michael D., Jeremy L. Hirst, Benjamin J. Vesper, George E. DeTella, Mila P. Tsagalis, Mary J. Roberg, David E. Peters, Jimmy D. Wallace, and James J. James. "Just-in-Time Training of Dental Responders in a Simulated Pandemic Immunization Response Exercise." Disaster Medicine and Public Health Preparedness 8, no. 3 (June 2014): 247–51. http://dx.doi.org/10.1017/dmp.2014.44.
Full textAbstract:
ABSTRACTObjectiveThe reauthorization of the Pandemic and All-Hazards Preparedness Act in 2013 incorporated the dental profession and dental professionals into the federal legislation governing public health response to pandemics and all-hazard situations. Work is now necessary to expand the processes needed to incorporate and train oral health care professionals into pandemic and all-hazard response events.MethodsA just-in-time (JIT) training exercise and immunization drill using an ex vivo porcine model system was conducted to demonstrate the rapidity to which dental professionals can respond to a pandemic influenza scenario. Medical history documentation, vaccination procedures, and patient throughput and error rates of 15 dental responders were evaluated by trained nursing staff and emergency response personnel.ResultsThe average throughput (22.33/hr) and medical error rates (7 of 335; 2.08%) of the dental responders were similar to those found in analogous influenza mass vaccination clinics previously conducted using certified public health nurses.ConclusionsThe dental responder immunization drill validated the capacity and capability of dental professionals to function as a valuable immunization resource. The ex vivo porcine model system used for JIT training can serve as a simple and inexpensive training tool to update pandemic responders’ immunization techniques and procedures supporting inoculation protocols.
39
Hovan-Somborac, Jaroslava. "Risk factors for chronic non-communicable diseases: A follow-up model." Medical review 55, no. 11-12 (2002): 470–74. http://dx.doi.org/10.2298/mpns0212470h.
Full textAbstract:
Chronic non-communicable diseases are caused by interaction between numerous environmental and socio-economic factors and biological response of the human body. They are gaining importance due to the fact that they largely depend on common risk factors, of which more than 70% can be prevented. In 1996, an integrated health prevention program for chronic non-communicable disease based on the Aims of the World Health Organization ?Health for all in the 21st century? was designed in the Republic of Serbia. This program concerns the whole population and measures for its implementation. For its successful realization it is necessary to define standard procedures: uniform terminology, diagnostics, therapy and rehabilitation, its risk factors. The aim of this study was to establish data from basic medical documentation of the primary health care and propose a more efficient and effective evidence, as well as to establish a program for surveillance, prevention and control of mass non-communicable diseases within the existing medical documentation. The data were gathered from medical records of the general practice and occupational health services. A special questionnaire was designed to register data from medical records. Medical records of general practice and occupational health service in Kikinda have been analyzed. The existing medical documentation is insufficient regarding data necessary for evidence, surveillance and analysis of risk factors for chronic non-communicable diseases. A follow-up model for surveillance and evidence of risk factors in basic medical documentation, which should be incorporated in routine statistical reports, would actively include medical professionals - doctors and medical staff in prevention and detection of risk factors.
40
Zolezzi, Monica, Ingo Gottstein, and Benjamin Nilsson. "Redesigning the clinical pharmacy practice model at a psychiatric hospital." Mental Health Clinician 5, no. 1 (January 1, 2015): 50–56. http://dx.doi.org/10.9740/mhc.2015.01.050.
Full textAbstract:
Introduction: Integrated, patient-centered clinical pharmacy services have been shown to improve patient outcomes in a variety of settings, including mental health. In this article, we describe and report the impact of a restructured clinical practice model that incorporated direct patient care by pharmacists implemented at a psychiatric facility in Edmonton, Canada. The purpose of redesigning the clinical pharmacy program was to deliver proactive pharmacist care through integrated clinical pharmacy services and to better align pharmacists' activities with those that have been reported to have a positive impact on patient outcomes. Methods: Pharmacists' documentation notes in medical records for patients admitted and discharged from the hospital at four different time periods were reviewed. For each time period, the number, type, and documentation rate were measured and compared using a Student t test with correction for unequal variances. Significant change was defined as P < .05. Documentation rates were also compared for short-stay versus long-stay patients. Results: A consistent and statistically significant increase was found in pharmacists' clinical notes per chart from 0.15 to 1.5 (P < .001) after implementation of the redesigned clinical practice model. The proportion of clinical notes also increased from 22% in the preimplementation period to up to 68% in the current period. This indicates that pharmacists were spending proportionally more time on proactive versus reactive care. Documentation rates also increased regardless of the patients' length of stay. Discussion: The redesigned clinical practice model enabled a successful transition of the pharmacists' role, from being predominantly reactive to becoming more proactive and integrated.
41
Harris, Marcelline R., Laura Heermann Langford, Holly Miller, Mary Hook, Patricia C. Dykes, and Susan A. Matney. "Harmonizing and extending standards from a domain-specific and bottom-up approach: an example from development through use in clinical applications." Journal of the American Medical Informatics Association 22, no. 3 (February 10, 2015): 545–52. http://dx.doi.org/10.1093/jamia/ocu020.
Full textAbstract:
Abstract Objective Currently, the processes for harmonizing and extending standards by leveraging the knowledge within local documentation artifacts are not well described. We describe a collaborative project to develop common information models, terminology bindings, and term definitions based on nursing documentation systems, and carry the findings through to the adoption in standards development organizations (SDOs) and technical implementations in clinical applications. Materials and Methods Nursing flowsheet documents from six large organizations were analyzed to generate a common information model and terminologies that fully expressed documentation across all systems, and were sufficient for evidence-based decision support, reporting, and analysis. Results Significant gaps in existing standards were identified. The models and terminologies were submitted to and incorporated by SDOs, are published, implemented, and now serving as a foundation for an eMeasure. Discussion There are few examples in the literature of success working through the standards development process from a bottom-up perspective. Subsequently, standards do not yet fully address the need for detailed clinical data that enables, for example, decision support as well as a range of reporting and analytic requirements. Recommendations from this project include transparent processes within SDOs, registries that make models and associated terminologies freely available, and coordinated governance processes. Conclusion We demonstrated the feasibility of using documentation artifacts in a bottom-up approach to develop common models and sets of terms that are complete from the perspective of clinical implementation. Importantly, we demonstrated a process by which a community of practice can contribute to closing gaps in existing standards using SDO processes.
42
Varveris, Dimitrios. "Applied Digital Documentation with Parametric 3D Modeling and Internet of Trees Functionality for Smart Forests and Monument Landscapes." Journal of Engineering Research and Reports 24, no. 5 (February 23, 2023): 18–45. http://dx.doi.org/10.9734/jerr/2023/v24i5814.
Full textAbstract:
The Problem: The classic traditional digital documentation (i.e. study, design, development, and maintenance of forests, parks, and monument landscapes) shows significant problems of functionality, adaptability, sustainability, velocity, and viability.
Target & Research Objectives: In the framework of forests, parks, and monument landscapes, the massive volumes of Big Data (greater variety, arriving in increasing volumes, and with more velocity) can be used to address documentation problems that wouldn’t have been able to tackle before. Smart forest, as an Internet- enabled “product”, requires Big Data because it operates in real-time and requires real-time evaluation and action. Also, the recent research and practice advances in Blockchain data structures and Distributed Ledger Technologies (DLT) support generic structures with many services (e.g. parametric functionality). Hence, a DLT smart digital documentation can address the documentation problems.
The research objectives, for digital documentation with blockchain functionality (DLT smart documentation), are defined by grouping in user-friendly palettes generic 3D CAD modeling tools which could be parameterized (e.g. trees modeling) in order to support adaptability; and by designing a new flexible and customized GUI (Graphical User Interface).
Methods: The proposed methodology is based on parameterized 3D modeling of trees usually found in forests and urban parks (width and height parameters). Also, a personalized GUI operates as an interface between the end-user and the parameterized CAD (GUI palettes with many 3D modeling tools). Hence, in this paper, a parameterized 3D design is examined, analyzed, and presented in the context of digital documentation with internet of trees functionality for smart forests, urban parks, monument landscapes, and cultural heritage.
Results: From the research conducted the results are: (i) a personalized, innovative, and flexible graphical interface (GUI) that could be incorporated in any commercial CAD environment; (ii) many parameterized 3D design tools specialized in the development of forms, plans, and modules (e.g., parametric tree 3D models) of objects and entities found in forests, urban parks, and monument landscapes; and (iii) the introduced internet of trees operativity (software routine), ideal for smart forests, smart monument landscapes, and landscape architecture digital documentation applications with blockchain functionality.
Application: Possibility to support foresters, engineers, and landscape architects in development studies and documentation of peri-urban forests, recreational parks, pocket parks, monument landscapes, and cultural heritage projects. Increased integration functionality in blockchain knowledge databases.
43
Moreno, Bernabé. "Keeping Track of Scientific Dives in Countries with Incipient Diving Programmes: The Scidive Record Forms." Polish Hyperbaric Research 72, no. 3 (September 1, 2020): 29–38. http://dx.doi.org/10.2478/phr-2020-0015.
Full textAbstract:
Abstract Pre-dive checks and dive logs are fundamental documentation for any diving operation and must be incorporated as mandatory ‘good operating practices’ in scientific diving (SD) projects. Data included in dive logs may vary in detail, however, there is basic information to provide based on global standards. Differently to several developed countries in Europe, North America and Australasia, there are countries with incipient, sometimes non-regulated, SD programmes. In this article the importance of documentation in SD is highlighted and record forms are provided as templates, including versions both in English and Spanish. The Diving Supervisor (DS) is the designated person to fill the ‘Daily SciDive Log’ and ‘SCUBA & surface-supplied LogSheet’ (Table 1, 2 and 3, respectively), whilst every diver is responsible for filing their own ‘SciDiver’s Digital LogBook’ (Table 4). General and specific considerations for all tables are described throughout the text. This effort was done to facilitate systematic data management and start developing the bases towards solid national/regional standards on scientific diving operations, particularly for those countries with incipient (scientific) diving programmes.
44
Su, Shian, Vincent J. Carey, Lori Shepherd, Matthew Ritchie, Martin T. Morgan, and Sean Davis. "BiocPkgTools: Toolkit for mining the Bioconductor package ecosystem." F1000Research 8 (May 29, 2019): 752. http://dx.doi.org/10.12688/f1000research.19410.1.
Full textAbstract:
Motivation: The Bioconductor project, a large collection of open source software for the comprehension of large-scale biological data, continues to grow with new packages added each week, motivating the development of software tools focused on exposing package metadata to developers and users. The resulting BiocPkgTools package facilitates access to extensive metadata in computable form covering the Bioconductor package ecosystem, facilitating downstream applications such as custom reporting, data and text mining of Bioconductor package text descriptions, graph analytics over package dependencies, and custom search approaches. Results: The BiocPkgTools package has been incorporated into the Bioconductor project, installs using standard procedures, and runs on any system supporting R. It provides functions to load detailed package metadata, longitudinal package download statistics, package dependencies, and Bioconductor build reports, all in "tidy data" form. BiocPkgTools can convert from tidy data structures to graph structures, enabling graph-based analytics and visualization. An end-user-friendly graphical package explorer aids in task-centric package discovery. Full documentation and example use cases are included. Availability: The BiocPkgTools software and complete documentation are available from Bioconductor (https://bioconductor.org/packages/BiocPkgTools).
45
Jackson, L., J. Saund, and G. Donnelly. "70 Improving the Documentation of DNACPR Decisions Following the Transition to Electronic Record Keeping." Age and Ageing 50, Supplement_1 (March 2021): i12—i42. http://dx.doi.org/10.1093/ageing/afab030.31.
Full textAbstract:
Abstract Background This quality improvement project was based at The Royal Bolton Hospital across our four Complex Care wards. Introduction We have recently transferred to electronic record keeping. At these points of transition there may be an adverse impact on the quality of patient care and safety. We recognised on our own ward there were inaccuracies between the required paper form and electronic documentation of DNACPR decisions. Consequently, we wanted to review and improve the accuracy of our DNACPR documentation to ensure safe and effective patient care. Methods To gauge the scope of the problem we audited 87 patient’s electronic and paper notes, with no exclusion criteria. We reviewed whether each patient had a formal resuscitation decision, and if a DNACPR decision had been made whether we met our hospital policy by having: 93% of the 87 patient’s had an active decision regarding resuscitation, with a DNACPR decision documented for 50 patients. Of these 50 patients only 11 had all three forms of documentation. More worryingly, there were discrepancies in the documented DNACPR decisions for 11 patients across paper and electronic records. Interventions We escalated our concerns to the Clinical Governance team who sent out a trust wide SBAR highlighting this as an urgent clinical issue. On a directorate level we incorporated DNACPR decision documentation into our afternoon safety huddle and arranged informal teaching for medical, nursing and administrative staff. Results Reassuringly, the subsequent re-audit of 90 patient’s notes showed only one patient to have a discrepancy between paper and electronic documentation. We saw an improvement to 98% having paper forms in the right bedside notes and 100% having a documented electronic DNACPR decision. Conclusion Through local education and trust-wide dissemination of our expected standards we have seen some improvement. We recognise the importance of maintaining this, and importantly that there is still work to be done. The electronic “Resuscitation and treatment escalation plan” is still rarely completed and provides important information on escalation of care and thus will be the focus of a further educational intervention.
46
Dolmaya, Julie McDonough. "A place for oral history within Translation Studies?" Target. International Journal of Translation Studies 27, no. 2 (June 8, 2015): 192–214. http://dx.doi.org/10.1075/target.27.2.02mcd.
Full textAbstract:
To explore how oral history methodologies could be incorporated into translation studies research, this paper begins by reviewing oral history’s approach to conducting, preserving and analyzing oral, retrospective interviews. It then examines how oral history methods could help enhance existing methodological and documentation standards in translation studies, expand the range of sources available for current and future historical studies of translators and interpreters, and enhance existing theoretical frameworks in translation studies. Particular emphasis is placed on memory and performance in oral narratives, two aspects of interviews that seem underrepresented in existing translation studies literature, and some attention is paid to how existing translation studies research could benefit oral history.
47
Salliyanti, Salliyanti, Hariadi Susilo, and Pribadi Bangun. "Petatah-Petitih in Minangkabau Community in Medan, Indonesia: Its Use and Meanings." Studies in Media and Communication 11, no. 4 (April 6, 2023): 115. http://dx.doi.org/10.11114/smc.v11i4.5904.
Full textAbstract:
This study depicts how petatah-petitih (proverbs) and their meanings are used by the Minangkabau people in Medan, Indonesia. This study utilized a qualitative approach. The method used in data collection is documentation techniques to informants talk about sayings and their meanings in Minangkabau society. The data were in the form of utterances taken from observation and interview. The findings present the meanings of petatah-petitih used by community members on some occasion such as giving advice, thanksgiving, marriage, courtesy, and arranging marriage contracts. The moral values incorporated in the proverbs include tolerance, loyalty, humility, satire, and success. Proverbs used for family advice are the most dominant.
48
Astrid, Annisa, Fitri Alya Okta Sukma, Eko Saputra, and Muhamad Chalik Chairuman. "Culture Representations Incorporated within the English Textbook Used for Teaching Seventh-Grade Students in Indonesia." Journal of English Education and Teaching 7, no. 4 (October 30, 2023): 805–21. http://dx.doi.org/10.33369/jeet.7.4.805-821.
Full textAbstract:
This study aims to examine the cultural representation incorporated within the English textbook that the teachers utilized for instructing seventh-grade students in Indonesia. The Study employed qualitative content analysis techniques. The study utilized documentation and a checklist table containing criteria to assess the presence of cultural aspects in the textbook recommended by experts in teaching English as a foreign language. The results indicated that the textbook has successfully fulfilled specific criteria for including cultural information. A distinct and well-defined learning objective accompanies every chapter within this English textbook. The textbook organizes its content into individual chapters, each exploring diverse topics about various cultural aspects. The introduction of vocabulary on the topic of each unit occurs exclusively within the respective unit, without subsequent repetition in subsequent chapters. The content covered in Chapters 1 to 5 of the textbook has encompassed a wide range of cultural elements, exhibiting significant diversity. The material has been tailored to suit the student's age group. Every chapter within this English textbook also presents four distinct categories of language skills. However, the learning materials primarily emphasize Indonesian culture through the inclusion of cultural materials. The chapters within the textbook need to cultivate students' awareness of intercultural understanding. There need to be more activities that facilitate students' engagement in intercultural understanding and cross-cultural communication
49
Klementyev, A. P. "The GMRA Framework Agreement as an Example of Standard Documentation on the International REPO Market." Actual Problems of Russian Law 19, no. 1 (February 16, 2023): 66–78. http://dx.doi.org/10.17803/1994-1471.2024.158.1.066-078.
Full textAbstract:
The paper provides a general description of the contractual standards of the International Capital Markets Association (ICMA) for concluding and executing over-the-counter repo agreements and focuses on the GMRA 2011 — the most relevant standard agreement of this Association. The author underlines insufficiency of international unification of legal regulation in the field of securities markets, which leads to the need for contractual unification by the participants of such markets themselves. The paper consistently examines general characteristics of the repo agreement, work of the Association in preparing standard documentation, the mechanism of a crossborder repo agreement in accordance with the GMRA 2011 agreement. It is noted that the provisions of this agreement on the procedure for concluding individual repo transactions are highly flexible, and the rights of a party in case of violation of the agreement are protected using the liquidation netting mechanism. The advantages of using ICMA documentation include the availability of country applications that bring it into line with the requirements of local legislation in certain countries, as well as regular updating of standard contracts. Successful application of GMRA 2011 in transactions with Russian counterparties is facilitated by its recognition by the Russian regulator as approximate terms of the repo agreement, a special country application, and translation of the agreement into Russian. In the context of sanctions pressure and the presence of Russian anti-sanctions, the possibility of using the GMRA agreement in transactions with counterparties from «unfriendly» countries seems difficult. However, ICMA documentation can still be used for repo transactions with parties incorporated in other regions, making it possible to refocus the Russian financial sector to Asian markets.
50
Van Acker, Wouter. "Reconnecting library architecture and the information space." Art Libraries Journal 35, no. 4 (2010): 29–34. http://dx.doi.org/10.1017/s0307472200016643.
Full textAbstract:
This article explores how our understanding of the materiality of knowledge has changed during the 20th century and how these meanings got incorporated into the concept of information. Special attention is given to Paul Otlet, the founding father of documentation, and to Norbert Wiener, the founding father of cybernetics. Furthermore, there is the question of what these changes that surround the notion of information imply for the architectural conception of the library. If the current discourse treats the library no longer as a space of books but as an information space, what implications does this evolution have for the architecture of the contemporary library? What is this information space that architects are required to articulate and to interpret?