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overflow: hidden; text-overflow: ellipsis; -webkit-line-clamp: 3; -webkit-box-orient: vertical; }</style><div class="col-xs-12 clearfix"><div class="u-floatLeft"><h1 class="PageHeader-title u-m0x u-fs30">Quality Improvement</h1><div class="u-tcGrayDark">26,880 Followers</div><div class="u-tcGrayDark u-mt2x">Recent papers in <b>Quality Improvement</b></div></div></div></div></div></div><div class="TabbedNavigation"><div class="container"><div class="row"><div class="col-xs-12 clearfix"><ul class="nav u-m0x u-p0x list-inline u-displayFlex"><li class="active"><a href="https://www.academia.edu/Documents/in/Quality_Improvement">Top Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Quality_Improvement/MostCited">Most Cited Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Quality_Improvement/MostDownloaded">Most Downloaded Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Quality_Improvement/MostRecent">Newest Papers</a></li><li><a class="" href="https://www.academia.edu/People/Quality_Improvement">People</a></li></ul></div><style type="text/css">ul.nav{flex-direction:row}@media(max-width: 567px){ul.nav{flex-direction:column}.TabbedNavigation li{max-width:100%}.TabbedNavigation li.active{background-color:var(--background-grey, #dddde2)}.TabbedNavigation li.active:before,.TabbedNavigation li.active:after{display:none}}</style></div></div></div><div class="container"><div class="row"><div class="col-xs-12"><div class="u-displayFlex"><div class="u-flexGrow1"><div class="works"><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_17221306" data-work_id="17221306" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/17221306/Evaluation_of_Safety_in_a_Radiation_Oncology_Setting_Using_Failure_Mode_and_Effects_Analysis">Evaluation of Safety in a Radiation Oncology Setting Using Failure Mode and Effects Analysis</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">Purpose-Failure mode and effects analysis (FMEA) is a widely used tool for prospectively evaluating safety and reliability. We report our experiences in applying FMEA in the setting of radiation oncology.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/17221306" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a5815e0b79e173f5a5e08b76c57d7cf4" rel="nofollow" data-download="{"attachment_id":41893004,"asset_id":17221306,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/41893004/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="36831835" href="https://johnshopkins.academia.edu/LillyEngineer">Lilly Engineer</a><script data-card-contents-for-user="36831835" type="text/json">{"id":36831835,"first_name":"Lilly","last_name":"Engineer","domain_name":"johnshopkins","page_name":"LillyEngineer","display_name":"Lilly Engineer","profile_url":"https://johnshopkins.academia.edu/LillyEngineer?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_17221306 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="17221306"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 17221306, container: ".js-paper-rank-work_17221306", }); 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$(".js-view-count[data-work-id=17221306]").text(description); $(".js-view-count-work_17221306").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_17221306").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="17221306"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">14</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="428" rel="nofollow" href="https://www.academia.edu/Documents/in/Algorithms">Algorithms</a>, <script data-card-contents-for-ri="428" type="text/json">{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2443" rel="nofollow" href="https://www.academia.edu/Documents/in/Radiation_Oncology">Radiation Oncology</a>, <script data-card-contents-for-ri="2443" type="text/json">{"id":2443,"name":"Radiation Oncology","url":"https://www.academia.edu/Documents/in/Radiation_Oncology?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3286" rel="nofollow" href="https://www.academia.edu/Documents/in/Patient_Safety">Patient Safety</a>, <script data-card-contents-for-ri="3286" type="text/json">{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a><script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=17221306]'), work: {"id":17221306,"title":"Evaluation of Safety in a Radiation Oncology Setting Using Failure Mode and Effects Analysis","created_at":"2015-10-23T12:09:58.033-07:00","url":"https://www.academia.edu/17221306/Evaluation_of_Safety_in_a_Radiation_Oncology_Setting_Using_Failure_Mode_and_Effects_Analysis?f_ri=9745","dom_id":"work_17221306","summary":"Purpose-Failure mode and effects analysis (FMEA) is a widely used tool for prospectively evaluating safety and reliability. We report our experiences in applying FMEA in the setting of radiation oncology.","downloadable_attachments":[{"id":41893004,"asset_id":17221306,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":36831835,"first_name":"Lilly","last_name":"Engineer","domain_name":"johnshopkins","page_name":"LillyEngineer","display_name":"Lilly Engineer","profile_url":"https://johnshopkins.academia.edu/LillyEngineer?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=9745","nofollow":true},{"id":2443,"name":"Radiation Oncology","url":"https://www.academia.edu/Documents/in/Radiation_Oncology?f_ri=9745","nofollow":true},{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":16664,"name":"Risk assessment","url":"https://www.academia.edu/Documents/in/Risk_assessment?f_ri=9745"},{"id":33069,"name":"Probability","url":"https://www.academia.edu/Documents/in/Probability?f_ri=9745"},{"id":37306,"name":"Quality Control","url":"https://www.academia.edu/Documents/in/Quality_Control?f_ri=9745"},{"id":43364,"name":"Medical errors","url":"https://www.academia.edu/Documents/in/Medical_errors?f_ri=9745"},{"id":59918,"name":"Quality Assurance","url":"https://www.academia.edu/Documents/in/Quality_Assurance?f_ri=9745"},{"id":91900,"name":"Process Improvement","url":"https://www.academia.edu/Documents/in/Process_Improvement?f_ri=9745"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745"},{"id":289315,"name":"Safety Management","url":"https://www.academia.edu/Documents/in/Safety_Management?f_ri=9745"},{"id":622589,"name":"Risk Assessment","url":"https://www.academia.edu/Documents/in/Risk_Assessment-2?f_ri=9745"},{"id":1364373,"name":"Failure Mode","url":"https://www.academia.edu/Documents/in/Failure_Mode?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_24182421" data-work_id="24182421" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/24182421/Are_All_Pressure_Ulcers_Avoidable">Are All Pressure Ulcers Avoidable?</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">A quality of care debate centers on whether pressure ulcers result from factors largely dependent on caregivers, or whether pressure ulcers result from factors associated with patient morbidity. A reduction in incidence, defined as the... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_24182421" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">A quality of care debate centers on whether pressure ulcers result from factors largely dependent on caregivers, or whether pressure ulcers result from factors associated with patient morbidity. A reduction in incidence, defined as the development of a new pressure ulcer, is the focus of prevention strategies. Yet epidemiological data demonstrates a stability in the incidence of pressure ulcers despite drastic improvements in understanding of pressure ulcers, increased regulatory oversight, and improvements in technologies available for prevention of pressure ulcers. The explanation for this stable incidence of pressure ulcers includes a failure of known effective preventive treat-ment to be applied or the failure of prevention strategies to be effective in spite of being applied. No intervention strategy has been reported that consistently and reproducibly reduces the incidence of pressure ulcers to zero. The published data on prevention of pressure ulcers do not support an assumption that all pressure ulcers are preventable. An effective prevention strategy demonstrated to eliminate pressure ulcers across healthcare settings is lacking. (J Am Med Dir Assoc 2003; 4: S44-S48)</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/24182421" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="00258cd3a83d5d705abe78cd192a1eb4" rel="nofollow" data-download="{"attachment_id":44519877,"asset_id":24182421,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44519877/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="46614534" href="https://independent.academia.edu/JacobDimant">Jacob Dimant</a><script data-card-contents-for-user="46614534" type="text/json">{"id":46614534,"first_name":"Jacob","last_name":"Dimant","domain_name":"independent","page_name":"JacobDimant","display_name":"Jacob Dimant","profile_url":"https://independent.academia.edu/JacobDimant?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_24182421 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="24182421"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 24182421, container: ".js-paper-rank-work_24182421", }); });</script></li><li class="js-percentile-work_24182421 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 24182421; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_24182421"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_24182421 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="24182421"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 24182421; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=24182421]").text(description); $(".js-view-count-work_24182421").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_24182421").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="24182421"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="1907" rel="nofollow" href="https://www.academia.edu/Documents/in/Nutrition">Nutrition</a>, <script data-card-contents-for-ri="1907" type="text/json">{"id":1907,"name":"Nutrition","url":"https://www.academia.edu/Documents/in/Nutrition?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8974" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care">Quality of Mental Health Care</a>, <script data-card-contents-for-ri="8974" type="text/json">{"id":8974,"name":"Quality of Mental Health Care","url":"https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="90380" rel="nofollow" href="https://www.academia.edu/Documents/in/Nursing_Homes">Nursing Homes</a><script data-card-contents-for-ri="90380" type="text/json">{"id":90380,"name":"Nursing Homes","url":"https://www.academia.edu/Documents/in/Nursing_Homes?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=24182421]'), work: {"id":24182421,"title":"Are All Pressure Ulcers Avoidable?","created_at":"2016-04-07T14:04:36.597-07:00","url":"https://www.academia.edu/24182421/Are_All_Pressure_Ulcers_Avoidable?f_ri=9745","dom_id":"work_24182421","summary":"A quality of care debate centers on whether pressure ulcers result from factors largely dependent on caregivers, or whether pressure ulcers result from factors associated with patient morbidity. A reduction in incidence, defined as the development of a new pressure ulcer, is the focus of prevention strategies. Yet epidemiological data demonstrates a stability in the incidence of pressure ulcers despite drastic improvements in understanding of pressure ulcers, increased regulatory oversight, and improvements in technologies available for prevention of pressure ulcers. The explanation for this stable incidence of pressure ulcers includes a failure of known effective preventive treat-ment to be applied or the failure of prevention strategies to be effective in spite of being applied. No intervention strategy has been reported that consistently and reproducibly reduces the incidence of pressure ulcers to zero. The published data on prevention of pressure ulcers do not support an assumption that all pressure ulcers are preventable. An effective prevention strategy demonstrated to eliminate pressure ulcers across healthcare settings is lacking. (J Am Med Dir Assoc 2003; 4: S44-S48)","downloadable_attachments":[{"id":44519877,"asset_id":24182421,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":46614534,"first_name":"Jacob","last_name":"Dimant","domain_name":"independent","page_name":"JacobDimant","display_name":"Jacob Dimant","profile_url":"https://independent.academia.edu/JacobDimant?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1907,"name":"Nutrition","url":"https://www.academia.edu/Documents/in/Nutrition?f_ri=9745","nofollow":true},{"id":8974,"name":"Quality of Mental Health Care","url":"https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":90380,"name":"Nursing Homes","url":"https://www.academia.edu/Documents/in/Nursing_Homes?f_ri=9745","nofollow":true},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States?f_ri=9745"},{"id":174502,"name":"Incidence","url":"https://www.academia.edu/Documents/in/Incidence?f_ri=9745"},{"id":192721,"name":"Risk factors","url":"https://www.academia.edu/Documents/in/Risk_factors?f_ri=9745"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=9745"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=9745"},{"id":620049,"name":"Risk Factors","url":"https://www.academia.edu/Documents/in/Risk_Factors-1?f_ri=9745"},{"id":687277,"name":"Pressure Ulcer","url":"https://www.academia.edu/Documents/in/Pressure_Ulcer?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_12797132" data-work_id="12797132" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/12797132/Training_and_Development_process_element_of_Organisational_Social_Capital_Building_A_review_of_Nigeria_medium_enterprises_human_resource_practitioners">Training and Development process, element of Organisational Social Capital Building: A review of Nigeria medium enterprises human resource practitioners.</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This paper similar to the study of recruitment and selection process, element of organisation social capital building, the paper focused attention on one function of human resource as it relates to organisational social capital building,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_12797132" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This paper similar to the study of recruitment and selection process, element of organisation social capital building, the paper focused attention on one function of human resource as it relates to organisational social capital building, the paper is widening the gap in knowledge on how to influence other human resources function such as training and development. This paper opens discussion on how training and development relates to organisational social capital building using Nigeria medium enterprises human resource perception. Business today operates in an environment, where every organisation focus on attaining increased productivity and performance from the staff they recruit. Human resource practitioners are expected to, not just, recruit staffs; they are saddled with the responsibility of training and developing employees they recruit in order to the achieve objectives of their firm. Hence, the use of training and development programmes and policies to build social capital for firms requires attention, that too, in a contextual manner. This paper studied the view of medium enterprises human resource practitioners as regards using training and development programmes to build organisation social capital.<br />Quantitative approach was used as the sole research method, 500 questionnaires were sent out to human resource practitioners in Nigeria medium enterprises, 451 were retrieved back. The paper uses a Likert-scale questionnaire as instrument and descriptive, bivariate and multiple regression analysis to investigate if human resource practitioners in Nigeria medium enterprises understand the need to use their training and development programmes to build organisation social capital for their firms and what influences this perception generates. The study reveal that Nigeria medium enterprises human resource practitioners focus on the social nature of work than on efficient process of work whilst design training and development programmes and in assessment of training needs of the organisation implying they are in support of the use of training and development function to build organisation social capital. Education background and qualification of human resource practitioners is found to the only factor responsible this positive perception.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/12797132" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="417b7c6094bba838eaf24f54eb14f4ae" rel="nofollow" data-download="{"attachment_id":44062686,"asset_id":12797132,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44062686/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="283150" href="https://independent.academia.edu/AdeniyiAdetunji1">Professor Adeniyi T Adetunji</a><script data-card-contents-for-user="283150" type="text/json">{"id":283150,"first_name":"Professor Adeniyi","last_name":"Adetunji","domain_name":"independent","page_name":"AdeniyiAdetunji1","display_name":"Professor Adeniyi T Adetunji","profile_url":"https://independent.academia.edu/AdeniyiAdetunji1?f_ri=9745","photo":"https://0.academia-photos.com/283150/69606/10979674/s65_adeniyi.adetunji.jpg"}</script></span></span></li><li class="js-paper-rank-work_12797132 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="12797132"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 12797132, container: ".js-paper-rank-work_12797132", }); 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$(".js-view-count[data-work-id=12797132]").text(description); $(".js-view-count-work_12797132").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_12797132").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="12797132"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="1451" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Management">Quality Management</a>, <script data-card-contents-for-ri="1451" type="text/json">{"id":1451,"name":"Quality Management","url":"https://www.academia.edu/Documents/in/Quality_Management?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1826" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality">Quality</a>, <script data-card-contents-for-ri="1826" type="text/json">{"id":1826,"name":"Quality","url":"https://www.academia.edu/Documents/in/Quality?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2621" rel="nofollow" href="https://www.academia.edu/Documents/in/Higher_Education">Higher Education</a>, <script data-card-contents-for-ri="2621" type="text/json">{"id":2621,"name":"Higher Education","url":"https://www.academia.edu/Documents/in/Higher_Education?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3023" rel="nofollow" href="https://www.academia.edu/Documents/in/Training_and_Development">Training and Development</a><script data-card-contents-for-ri="3023" type="text/json">{"id":3023,"name":"Training and Development","url":"https://www.academia.edu/Documents/in/Training_and_Development?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=12797132]'), work: {"id":12797132,"title":"Training and Development process, element of Organisational Social Capital Building: A review of Nigeria medium enterprises human resource practitioners.","created_at":"2015-06-04T07:53:02.327-07:00","url":"https://www.academia.edu/12797132/Training_and_Development_process_element_of_Organisational_Social_Capital_Building_A_review_of_Nigeria_medium_enterprises_human_resource_practitioners?f_ri=9745","dom_id":"work_12797132","summary":"This paper similar to the study of recruitment and selection process, element of organisation social capital building, the paper focused attention on one function of human resource as it relates to organisational social capital building, the paper is widening the gap in knowledge on how to influence other human resources function such as training and development. This paper opens discussion on how training and development relates to organisational social capital building using Nigeria medium enterprises human resource perception. Business today operates in an environment, where every organisation focus on attaining increased productivity and performance from the staff they recruit. Human resource practitioners are expected to, not just, recruit staffs; they are saddled with the responsibility of training and developing employees they recruit in order to the achieve objectives of their firm. Hence, the use of training and development programmes and policies to build social capital for firms requires attention, that too, in a contextual manner. This paper studied the view of medium enterprises human resource practitioners as regards using training and development programmes to build organisation social capital.\nQuantitative approach was used as the sole research method, 500 questionnaires were sent out to human resource practitioners in Nigeria medium enterprises, 451 were retrieved back. The paper uses a Likert-scale questionnaire as instrument and descriptive, bivariate and multiple regression analysis to investigate if human resource practitioners in Nigeria medium enterprises understand the need to use their training and development programmes to build organisation social capital for their firms and what influences this perception generates. The study reveal that Nigeria medium enterprises human resource practitioners focus on the social nature of work than on efficient process of work whilst design training and development programmes and in assessment of training needs of the organisation implying they are in support of the use of training and development function to build organisation social capital. Education background and qualification of human resource practitioners is found to the only factor responsible this positive perception.","downloadable_attachments":[{"id":44062686,"asset_id":12797132,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":283150,"first_name":"Professor Adeniyi","last_name":"Adetunji","domain_name":"independent","page_name":"AdeniyiAdetunji1","display_name":"Professor Adeniyi T Adetunji","profile_url":"https://independent.academia.edu/AdeniyiAdetunji1?f_ri=9745","photo":"https://0.academia-photos.com/283150/69606/10979674/s65_adeniyi.adetunji.jpg"}],"research_interests":[{"id":1451,"name":"Quality Management","url":"https://www.academia.edu/Documents/in/Quality_Management?f_ri=9745","nofollow":true},{"id":1826,"name":"Quality","url":"https://www.academia.edu/Documents/in/Quality?f_ri=9745","nofollow":true},{"id":2621,"name":"Higher Education","url":"https://www.academia.edu/Documents/in/Higher_Education?f_ri=9745","nofollow":true},{"id":3023,"name":"Training and Development","url":"https://www.academia.edu/Documents/in/Training_and_Development?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745"},{"id":13602,"name":"Continuous Improvement","url":"https://www.academia.edu/Documents/in/Continuous_Improvement?f_ri=9745"},{"id":20179,"name":"Higher Education Management","url":"https://www.academia.edu/Documents/in/Higher_Education_Management?f_ri=9745"},{"id":82174,"name":"University","url":"https://www.academia.edu/Documents/in/University?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_4971672" data-work_id="4971672" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/4971672/The_Productive_Ward_Releasing_Time_to_Care_A_Review_of_the_Literature_for_Implementation">The Productive Ward: Releasing Time to Care™: A Review of the Literature for Implementation</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/4971672" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="cbf063be165c756d0e56985d4ec1d083" rel="nofollow" data-download="{"attachment_id":32220986,"asset_id":4971672,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32220986/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="1846290" href="https://setu.academia.edu/MarkWhite">Mark White</a><script data-card-contents-for-user="1846290" type="text/json">{"id":1846290,"first_name":"Mark","last_name":"White","domain_name":"setu","page_name":"MarkWhite","display_name":"Mark White","profile_url":"https://setu.academia.edu/MarkWhite?f_ri=9745","photo":"https://0.academia-photos.com/1846290/627919/12818523/s65_mark.white.jpg"}</script></span></span></li><li class="js-paper-rank-work_4971672 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="4971672"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 4971672, container: ".js-paper-rank-work_4971672", }); });</script></li><li class="js-percentile-work_4971672 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 4971672; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_4971672"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_4971672 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="4971672"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 4971672; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=4971672]").text(description); $(".js-view-count-work_4971672").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_4971672").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="4971672"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="109874" rel="nofollow" href="https://www.academia.edu/Documents/in/Improving_healthcare_improvement_science">Improving healthcare improvement science</a>, <script data-card-contents-for-ri="109874" type="text/json">{"id":109874,"name":"Improving healthcare improvement science","url":"https://www.academia.edu/Documents/in/Improving_healthcare_improvement_science?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="593655" rel="nofollow" href="https://www.academia.edu/Documents/in/Complex_Social_Interventions">Complex Social Interventions</a>, <script data-card-contents-for-ri="593655" type="text/json">{"id":593655,"name":"Complex Social Interventions","url":"https://www.academia.edu/Documents/in/Complex_Social_Interventions?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1019488" rel="nofollow" href="https://www.academia.edu/Documents/in/Change_Implementation">Change Implementation</a><script data-card-contents-for-ri="1019488" type="text/json">{"id":1019488,"name":"Change Implementation","url":"https://www.academia.edu/Documents/in/Change_Implementation?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=4971672]'), work: {"id":4971672,"title":"The Productive Ward: Releasing Time to Care™: A Review of the Literature for Implementation","created_at":"2013-11-02T21:32:56.584-07:00","url":"https://www.academia.edu/4971672/The_Productive_Ward_Releasing_Time_to_Care_A_Review_of_the_Literature_for_Implementation?f_ri=9745","dom_id":"work_4971672","summary":null,"downloadable_attachments":[{"id":32220986,"asset_id":4971672,"asset_type":"Work","always_allow_download":false},{"id":32220988,"asset_id":4971672,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":1846290,"first_name":"Mark","last_name":"White","domain_name":"setu","page_name":"MarkWhite","display_name":"Mark White","profile_url":"https://setu.academia.edu/MarkWhite?f_ri=9745","photo":"https://0.academia-photos.com/1846290/627919/12818523/s65_mark.white.jpg"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":109874,"name":"Improving healthcare improvement science","url":"https://www.academia.edu/Documents/in/Improving_healthcare_improvement_science?f_ri=9745","nofollow":true},{"id":593655,"name":"Complex Social Interventions","url":"https://www.academia.edu/Documents/in/Complex_Social_Interventions?f_ri=9745","nofollow":true},{"id":1019488,"name":"Change Implementation","url":"https://www.academia.edu/Documents/in/Change_Implementation?f_ri=9745","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_2470086" data-work_id="2470086" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/2470086/The_Productive_Ward_Releasing_Time_to_Care_A_Review_of_the_Literature_for_Implementation">The Productive Ward: Releasing Time to Care™: A Review of the Literature for Implementation</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">" Aim of Review: This paper aims to review the Productive Ward literature, to extract key elements of best practice for successful implementation and assess the strength of the literature in relation to these elements. Each of the key... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_2470086" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">" <br />Aim of Review: <br />This paper aims to review the Productive Ward literature, to extract key elements of best practice for successful implementation and assess the strength of the literature in relation to these elements. Each of the key elements will be examined and discussed with a view to learning what they can teach us about the implementation path for the productive ward in Ireland and elsewhere. <br /> <br />Search and review methodology: <br />An initial search in contemporary Nursing Journal databases (January 2006 until June 2012) was undertaken. Key search terms used were: Productive Ward, Productive Series, Releasing Time to Care. Articles that reported on multiple or eclectic initiatives (such as 'Lean' and ''Transforming Care at the bedside') were excluded. Once duplicate and non-relevant citations were removed, 109 potential references were screened for relevance and yielded 74 papers for consideration. The search then focused on references to 'Implementation/challenges/lessons learned', which yielded 53 relevant articles. These were then then arranged into a Taxonomic map which highlighted the key issues for reporting (Hart 2010). <br /> <br />Findings: <br />Seven common contextual characteristics for consideration during implementation were identified: Robust and Engaging Communication; Enabling and Empowering Roles; Appropriate Training; Project Planning and Management; Leadership; Corporate/Management Engagement and Support, and Financial and Human Resource Commitment. <br /> <br />Conclusions and Implications: <br />The literature suggests 7 interdependent key characteristics that directly impact on implementing the Productive Ward. These characteristics are contextual and specific to this initiative. The degree to which they interplay, depend or impact with each other warrants further investigation and reporting. In their current form they offer a practical reference-list for implementers. <br /> <br />"</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/2470086" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="10bae74ae9c3f6ef1c27bfb10a0cf21d" rel="nofollow" data-download="{"attachment_id":32221467,"asset_id":2470086,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32221467/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="1846290" href="https://setu.academia.edu/MarkWhite">Mark White</a><script data-card-contents-for-user="1846290" type="text/json">{"id":1846290,"first_name":"Mark","last_name":"White","domain_name":"setu","page_name":"MarkWhite","display_name":"Mark White","profile_url":"https://setu.academia.edu/MarkWhite?f_ri=9745","photo":"https://0.academia-photos.com/1846290/627919/12818523/s65_mark.white.jpg"}</script></span></span></li><li class="js-paper-rank-work_2470086 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="2470086"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 2470086, container: ".js-paper-rank-work_2470086", }); 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$(".js-view-count[data-work-id=2470086]").text(description); $(".js-view-count-work_2470086").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_2470086").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="2470086"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="588" rel="nofollow" href="https://www.academia.edu/Documents/in/Nursing">Nursing</a>, <script data-card-contents-for-ri="588" type="text/json">{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="97016" rel="nofollow" href="https://www.academia.edu/Documents/in/Lean_Systems">Lean Systems</a>, <script data-card-contents-for-ri="97016" type="text/json">{"id":97016,"name":"Lean Systems","url":"https://www.academia.edu/Documents/in/Lean_Systems?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="593655" rel="nofollow" href="https://www.academia.edu/Documents/in/Complex_Social_Interventions">Complex Social Interventions</a><script data-card-contents-for-ri="593655" type="text/json">{"id":593655,"name":"Complex Social Interventions","url":"https://www.academia.edu/Documents/in/Complex_Social_Interventions?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=2470086]'), work: {"id":2470086,"title":"The Productive Ward: Releasing Time to Care™: A Review of the Literature for Implementation","created_at":"2013-01-27T00:43:35.376-08:00","url":"https://www.academia.edu/2470086/The_Productive_Ward_Releasing_Time_to_Care_A_Review_of_the_Literature_for_Implementation?f_ri=9745","dom_id":"work_2470086","summary":"\"\r\nAim of Review: \r\nThis paper aims to review the Productive Ward literature, to extract key elements of best practice for successful implementation and assess the strength of the literature in relation to these elements. Each of the key elements will be examined and discussed with a view to learning what they can teach us about the implementation path for the productive ward in Ireland and elsewhere.\r\n\r\nSearch and review methodology: \r\nAn initial search in contemporary Nursing Journal databases (January 2006 until June 2012) was undertaken. Key search terms used were: Productive Ward, Productive Series, Releasing Time to Care. Articles that reported on multiple or eclectic initiatives (such as 'Lean' and ''Transforming Care at the bedside') were excluded. Once duplicate and non-relevant citations were removed, 109 potential references were screened for relevance and yielded 74 papers for consideration. The search then focused on references to 'Implementation/challenges/lessons learned', which yielded 53 relevant articles. These were then then arranged into a Taxonomic map which highlighted the key issues for reporting (Hart 2010).\r\n\r\nFindings: \r\nSeven common contextual characteristics for consideration during implementation were identified: Robust and Engaging Communication; Enabling and Empowering Roles; Appropriate Training; Project Planning and Management; Leadership; Corporate/Management Engagement and Support, and Financial and Human Resource Commitment.\r\n\r\nConclusions and Implications: \r\nThe literature suggests 7 interdependent key characteristics that directly impact on implementing the Productive Ward. These characteristics are contextual and specific to this initiative. The degree to which they interplay, depend or impact with each other warrants further investigation and reporting. In their current form they offer a practical reference-list for implementers. \r\n\r\n\"","downloadable_attachments":[{"id":32221467,"asset_id":2470086,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":1846290,"first_name":"Mark","last_name":"White","domain_name":"setu","page_name":"MarkWhite","display_name":"Mark White","profile_url":"https://setu.academia.edu/MarkWhite?f_ri=9745","photo":"https://0.academia-photos.com/1846290/627919/12818523/s65_mark.white.jpg"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":97016,"name":"Lean Systems","url":"https://www.academia.edu/Documents/in/Lean_Systems?f_ri=9745","nofollow":true},{"id":593655,"name":"Complex Social Interventions","url":"https://www.academia.edu/Documents/in/Complex_Social_Interventions?f_ri=9745","nofollow":true},{"id":963015,"name":"Lean Healthcare","url":"https://www.academia.edu/Documents/in/Lean_Healthcare?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_40849241" data-work_id="40849241" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/40849241/A_PLAN_FOR_NURSING_and_MIDWIFERY_EDUCATION_QUALITY_IMPROVEMENT_IN_UNIVERSAL_HEALTH_AND_PRIMARY_HEALTH_CARE">A PLAN FOR NURSING & MIDWIFERY EDUCATION QUALITY IMPROVEMENT IN UNIVERSAL HEALTH AND PRIMARY HEALTH CARE</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">University of Alabama at Birmingham School of Nursing & Pan American Health Organization. A plan for nursing & midwifery education quality improvement in universal health and primary health care. [Internet] 2019. Available from:... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_40849241" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">University of Alabama at Birmingham School of Nursing & Pan American<br />Health Organization. A plan for nursing & midwifery education quality improvement in universal health and primary health care. [Internet] 2019. Available from:<br /><a href="https://www.uab.edu/nursing/home/images/OCGP/PAHO-WHO/QI-Toolkit-Joint-Publication.pdf" rel="nofollow">https://www.uab.edu/nursing/home/images/OCGP/PAHO-WHO/QI-Toolkit-Joint-Publication.pdf</a></div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/40849241" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="6bb6cfc089c72d1338b5d887aa7f31e9" rel="nofollow" data-download="{"attachment_id":61134768,"asset_id":40849241,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/61134768/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7877985" href="https://ua-birmingham.academia.edu/AdelaisMarkaki">Adelais Markaki</a><script data-card-contents-for-user="7877985" type="text/json">{"id":7877985,"first_name":"Adelais","last_name":"Markaki","domain_name":"ua-birmingham","page_name":"AdelaisMarkaki","display_name":"Adelais Markaki","profile_url":"https://ua-birmingham.academia.edu/AdelaisMarkaki?f_ri=9745","photo":"https://0.academia-photos.com/7877985/14129775/15134034/s65_adelais.markaki.jpg"}</script></span></span></li><li class="js-paper-rank-work_40849241 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="40849241"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 40849241, container: ".js-paper-rank-work_40849241", }); });</script></li><li class="js-percentile-work_40849241 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 40849241; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_40849241"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_40849241 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="40849241"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 40849241; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=40849241]").text(description); $(".js-view-count-work_40849241").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_40849241").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="40849241"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">3</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="86507" rel="nofollow" href="https://www.academia.edu/Documents/in/Nursing_Education">Nursing Education</a>, <script data-card-contents-for-ri="86507" type="text/json">{"id":86507,"name":"Nursing Education","url":"https://www.academia.edu/Documents/in/Nursing_Education?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="163604" rel="nofollow" href="https://www.academia.edu/Documents/in/Nursing_and_midwifery">Nursing and midwifery</a><script data-card-contents-for-ri="163604" type="text/json">{"id":163604,"name":"Nursing and midwifery","url":"https://www.academia.edu/Documents/in/Nursing_and_midwifery?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=40849241]'), work: {"id":40849241,"title":"A PLAN FOR NURSING \u0026 MIDWIFERY EDUCATION QUALITY IMPROVEMENT IN UNIVERSAL HEALTH AND PRIMARY HEALTH CARE","created_at":"2019-11-05T08:48:34.262-08:00","url":"https://www.academia.edu/40849241/A_PLAN_FOR_NURSING_and_MIDWIFERY_EDUCATION_QUALITY_IMPROVEMENT_IN_UNIVERSAL_HEALTH_AND_PRIMARY_HEALTH_CARE?f_ri=9745","dom_id":"work_40849241","summary":"University of Alabama at Birmingham School of Nursing \u0026 Pan American\nHealth Organization. A plan for nursing \u0026 midwifery education quality improvement in universal health and primary health care. [Internet] 2019. Available from:\nhttps://www.uab.edu/nursing/home/images/OCGP/PAHO-WHO/QI-Toolkit-Joint-Publication.pdf","downloadable_attachments":[{"id":61134768,"asset_id":40849241,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":7877985,"first_name":"Adelais","last_name":"Markaki","domain_name":"ua-birmingham","page_name":"AdelaisMarkaki","display_name":"Adelais Markaki","profile_url":"https://ua-birmingham.academia.edu/AdelaisMarkaki?f_ri=9745","photo":"https://0.academia-photos.com/7877985/14129775/15134034/s65_adelais.markaki.jpg"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":86507,"name":"Nursing Education","url":"https://www.academia.edu/Documents/in/Nursing_Education?f_ri=9745","nofollow":true},{"id":163604,"name":"Nursing and midwifery","url":"https://www.academia.edu/Documents/in/Nursing_and_midwifery?f_ri=9745","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_13200908" data-work_id="13200908" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/13200908/Satysfakcja_klienta_w_systemie_zarz%C4%85dzania_jako%C5%9Bci%C4%85_Customer_satisfaction_in_the_quality_managament_system_">Satysfakcja klienta w systemie zarządzania jakością (Customer satisfaction in the quality managament system)</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Przeprowadzanie badań satysfakcji klienta jest obowiązkowe w przedsiębior-stwach mających wdrożony System Zarządzania Jakością (SZJ), jednak organizacje bez wdrożonego SZJ również zauważają korzyści płynące z prowadzenia tego typu badań.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_13200908" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Przeprowadzanie badań satysfakcji klienta jest obowiązkowe w przedsiębior-stwach mających wdrożony System Zarządzania Jakością (SZJ), jednak organizacje bez wdrożonego SZJ również zauważają korzyści płynące z prowadzenia tego typu badań. Analiza poziomu satysfakcji klienta w przedsiębiorstwach traktowana jest jako cenne źródło wiedzy o stopniu jego zadowolenia z działalności przedsiębiorstwa. <br /><br />The assessment of customer satisfaction is obligatory in the companies that have implemented the Quality Management System (QMS). Yet, the organizations without the QMS implemented also notice benefits of such assessments. The analysis of customer satisfaction shows how much they are content with the company activities.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/13200908" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="96943f65c89e7885e3a1a4afe60dbc21" rel="nofollow" data-download="{"attachment_id":37978960,"asset_id":13200908,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/37978960/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="12461165" href="https://uek-krakow.academia.edu/UBalon">Urszula Balon</a><script data-card-contents-for-user="12461165" type="text/json">{"id":12461165,"first_name":"Urszula","last_name":"Balon","domain_name":"uek-krakow","page_name":"UBalon","display_name":"Urszula Balon","profile_url":"https://uek-krakow.academia.edu/UBalon?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_13200908 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="13200908"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 13200908, container: ".js-paper-rank-work_13200908", }); });</script></li><li class="js-percentile-work_13200908 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 13200908; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_13200908"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_13200908 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="13200908"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 13200908; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=13200908]").text(description); $(".js-view-count-work_13200908").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_13200908").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="13200908"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="1451" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Management">Quality Management</a>, <script data-card-contents-for-ri="1451" type="text/json">{"id":1451,"name":"Quality Management","url":"https://www.academia.edu/Documents/in/Quality_Management?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1826" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality">Quality</a>, <script data-card-contents-for-ri="1826" type="text/json">{"id":1826,"name":"Quality","url":"https://www.academia.edu/Documents/in/Quality?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12815" rel="nofollow" href="https://www.academia.edu/Documents/in/Customer_Satisfaction">Customer Satisfaction</a><script data-card-contents-for-ri="12815" type="text/json">{"id":12815,"name":"Customer Satisfaction","url":"https://www.academia.edu/Documents/in/Customer_Satisfaction?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=13200908]'), work: {"id":13200908,"title":"Satysfakcja klienta w systemie zarządzania jakością (Customer satisfaction in the quality managament system)","created_at":"2015-06-23T02:44:12.398-07:00","url":"https://www.academia.edu/13200908/Satysfakcja_klienta_w_systemie_zarz%C4%85dzania_jako%C5%9Bci%C4%85_Customer_satisfaction_in_the_quality_managament_system_?f_ri=9745","dom_id":"work_13200908","summary":"Przeprowadzanie badań satysfakcji klienta jest obowiązkowe w przedsiębior-stwach mających wdrożony System Zarządzania Jakością (SZJ), jednak organizacje bez wdrożonego SZJ również zauważają korzyści płynące z prowadzenia tego typu badań. Analiza poziomu satysfakcji klienta w przedsiębiorstwach traktowana jest jako cenne źródło wiedzy o stopniu jego zadowolenia z działalności przedsiębiorstwa. \n\nThe assessment of customer satisfaction is obligatory in the companies that have implemented the Quality Management System (QMS). Yet, the organizations without the QMS implemented also notice benefits of such assessments. The analysis of customer satisfaction shows how much they are content with the company activities.","downloadable_attachments":[{"id":37978960,"asset_id":13200908,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":12461165,"first_name":"Urszula","last_name":"Balon","domain_name":"uek-krakow","page_name":"UBalon","display_name":"Urszula Balon","profile_url":"https://uek-krakow.academia.edu/UBalon?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1451,"name":"Quality Management","url":"https://www.academia.edu/Documents/in/Quality_Management?f_ri=9745","nofollow":true},{"id":1826,"name":"Quality","url":"https://www.academia.edu/Documents/in/Quality?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":12815,"name":"Customer Satisfaction","url":"https://www.academia.edu/Documents/in/Customer_Satisfaction?f_ri=9745","nofollow":true},{"id":42097,"name":"Customer Behaviour","url":"https://www.academia.edu/Documents/in/Customer_Behaviour?f_ri=9745"},{"id":148281,"name":"Quality Management System","url":"https://www.academia.edu/Documents/in/Quality_Management_System?f_ri=9745"},{"id":154704,"name":"Total Quality Management","url":"https://www.academia.edu/Documents/in/Total_Quality_Management?f_ri=9745"},{"id":700817,"name":"Zarządzanie Jakością","url":"https://www.academia.edu/Documents/in/Zarzadzanie_Jakoscia?f_ri=9745"},{"id":1195797,"name":"Doskonalenie Jakości","url":"https://www.academia.edu/Documents/in/Doskonalenie_Jakosci?f_ri=9745"},{"id":1952738,"name":"Obsługa klienta","url":"https://www.academia.edu/Documents/in/Obs%C5%82uga_klienta?f_ri=9745"},{"id":1972679,"name":"Satysfakcja klienta","url":"https://www.academia.edu/Documents/in/Satysfakcja_klienta?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5755072 coauthored" data-work_id="5755072" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5755072/Quality_control_Quality_assurance_systems_and_application">Quality control, Quality assurance, systems and application.</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Mainly, the concept of quality control is applying a system of routine technical activities to measure and control activities. In this publication you will find two main tracks of discussion, the quality control procedures in construction... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5755072" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Mainly, the concept of quality control is applying a system of routine technical activities to measure and control activities. In this publication you will find two main tracks of discussion, the quality control procedures in construction field, and also you will find its procedures in project management field in scale of planning, execution, and control. Also you will find a brief about types of sources of specifications. Also the methodology of six sigma which is mainly used to optimize the quality of production.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5755072" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="50e439952fc77064ebb54a811ac10144" rel="nofollow" data-download="{"attachment_id":32783654,"asset_id":5755072,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/32783654/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="8314158" href="https://uow.academia.edu/MuhammadHashim">Muhammad Hashim</a><script data-card-contents-for-user="8314158" type="text/json">{"id":8314158,"first_name":"Muhammad","last_name":"Hashim","domain_name":"uow","page_name":"MuhammadHashim","display_name":"Muhammad Hashim","profile_url":"https://uow.academia.edu/MuhammadHashim?f_ri=9745","photo":"https://0.academia-photos.com/8314158/2835306/26580600/s65_muhammad.hashim.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-5755072">+1</span><div class="hidden js-additional-users-5755072"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://helwanuniversity.academia.edu/MohamedSalah">Mohamed Salah</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-5755072'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-5755072').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_5755072 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5755072"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5755072, container: ".js-paper-rank-work_5755072", }); });</script></li><li class="js-percentile-work_5755072 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 5755072; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_5755072"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_5755072 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="5755072"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 5755072; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=5755072]").text(description); $(".js-view-count-work_5755072").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_5755072").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="5755072"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">14</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="73" rel="nofollow" href="https://www.academia.edu/Documents/in/Civil_Engineering">Civil Engineering</a>, <script data-card-contents-for-ri="73" type="text/json">{"id":73,"name":"Civil Engineering","url":"https://www.academia.edu/Documents/in/Civil_Engineering?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1451" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Management">Quality Management</a>, <script data-card-contents-for-ri="1451" type="text/json">{"id":1451,"name":"Quality Management","url":"https://www.academia.edu/Documents/in/Quality_Management?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1826" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality">Quality</a>, <script data-card-contents-for-ri="1826" type="text/json">{"id":1826,"name":"Quality","url":"https://www.academia.edu/Documents/in/Quality?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2277" rel="nofollow" href="https://www.academia.edu/Documents/in/Project_Management">Project Management</a><script data-card-contents-for-ri="2277" type="text/json">{"id":2277,"name":"Project Management","url":"https://www.academia.edu/Documents/in/Project_Management?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=5755072]'), work: {"id":5755072,"title":"Quality control, Quality assurance, systems and application.","created_at":"2014-01-17T19:55:31.326-08:00","url":"https://www.academia.edu/5755072/Quality_control_Quality_assurance_systems_and_application?f_ri=9745","dom_id":"work_5755072","summary":"Mainly, the concept of quality control is applying a system of routine technical activities to measure and control activities. In this publication you will find two main tracks of discussion, the quality control procedures in construction field, and also you will find its procedures in project management field in scale of planning, execution, and control. Also you will find a brief about types of sources of specifications. Also the methodology of six sigma which is mainly used to optimize the quality of production.","downloadable_attachments":[{"id":32783654,"asset_id":5755072,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":8314158,"first_name":"Muhammad","last_name":"Hashim","domain_name":"uow","page_name":"MuhammadHashim","display_name":"Muhammad Hashim","profile_url":"https://uow.academia.edu/MuhammadHashim?f_ri=9745","photo":"https://0.academia-photos.com/8314158/2835306/26580600/s65_muhammad.hashim.jpg"},{"id":8360911,"first_name":"Mohamed","last_name":"Salah","domain_name":"helwanuniversity","page_name":"MohamedSalah","display_name":"Mohamed Salah","profile_url":"https://helwanuniversity.academia.edu/MohamedSalah?f_ri=9745","photo":"https://0.academia-photos.com/8360911/2840926/3327782/s65_mohamed.salah.jpg"}],"research_interests":[{"id":73,"name":"Civil Engineering","url":"https://www.academia.edu/Documents/in/Civil_Engineering?f_ri=9745","nofollow":true},{"id":1451,"name":"Quality Management","url":"https://www.academia.edu/Documents/in/Quality_Management?f_ri=9745","nofollow":true},{"id":1826,"name":"Quality","url":"https://www.academia.edu/Documents/in/Quality?f_ri=9745","nofollow":true},{"id":2277,"name":"Project Management","url":"https://www.academia.edu/Documents/in/Project_Management?f_ri=9745","nofollow":true},{"id":3105,"name":"Construction Management","url":"https://www.academia.edu/Documents/in/Construction_Management?f_ri=9745"},{"id":3445,"name":"Lean Construction","url":"https://www.academia.edu/Documents/in/Lean_Construction?f_ri=9745"},{"id":6842,"name":"Construction Project Management","url":"https://www.academia.edu/Documents/in/Construction_Project_Management?f_ri=9745"},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745"},{"id":21635,"name":"Accreditation and Quality Assurance","url":"https://www.academia.edu/Documents/in/Accreditation_and_Quality_Assurance?f_ri=9745"},{"id":37306,"name":"Quality Control","url":"https://www.academia.edu/Documents/in/Quality_Control?f_ri=9745"},{"id":50975,"name":"Construction Engineering and Management","url":"https://www.academia.edu/Documents/in/Construction_Engineering_and_Management?f_ri=9745"},{"id":59918,"name":"Quality Assurance","url":"https://www.academia.edu/Documents/in/Quality_Assurance?f_ri=9745"},{"id":154704,"name":"Total Quality Management","url":"https://www.academia.edu/Documents/in/Total_Quality_Management?f_ri=9745"},{"id":652414,"name":"Total Quality Managment","url":"https://www.academia.edu/Documents/in/Total_Quality_Managment?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_80126453" data-work_id="80126453" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/80126453/Effect_of_Physical_Processing_of_Commercial_De_oiled_Rice_Bran_on_Particle_Size_Distribution_and_Content_of_Chemical_and_Bio_functional_Components">Effect of Physical Processing of Commercial De-oiled Rice Bran on Particle Size Distribution, and Content of Chemical and Bio-functional Components</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Rice bran is a rich source of nutrients and nutraceuticals, which has bio-functional properties. Deoiled rice bran, a major byproduct of rice bran oil industry, is not yet efficiently utilized for human consumption due to its poor edible... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_80126453" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Rice bran is a rich source of nutrients and nutraceuticals, which has bio-functional properties. Deoiled rice bran, a major byproduct of rice bran oil industry, is not yet efficiently utilized for human consumption due to its poor edible quality. Various physical processing methods like sieving, pin milling and air classification were applied to upgrade the quality of bran and also to investigate its effect on particle size distribution, content of ash, protein, total dietary fiber, insoluble fiber, soluble fiber and oryzanol as well as total antioxidant activity in bran fractions. Sieve separation resulted in an increase in the content of protein and bio-functional components like soluble fiber and oryzanol as well as total antioxidant activity. Pin milling and sieving resulted in smaller particle size fraction without loss in the content of protein and other bio-functional components and antioxidant activity. Air classification of this material resulted in significant decrease in ash content with moderate increase in protein content and significant increase in the contents of oryzanol and soluble fiber and the total antioxidant activity. This resulted in quality improvement of commercial de-oiled bran viz., reduction in coarse bran fraction (>250μ m size particles) from 65% to 0%, content of ash from 14.3 to 13.1 g/ 100 g, and insoluble fiber from 49.3 to 46.1 g/100 g, and increase in the content of protein from 13.7 to 17 g/100 g, soluble fiber from 2.75 to 4.35 g/100 g, oryzanol from 13.6 to 18.1 mg/100 g, and total antioxidant activity from 61 to 96 mM α-tocopherol equivalent/g. About 30% edible and nutrient rich rice bran, which can be used as an ingredient in the bakery products and health food formulations, was obtained from unutilized commercial de-oiled bran by this process.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/80126453" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="1b04dc70c19aefd737a7ea57128c9c6d" rel="nofollow" data-download="{"attachment_id":86612555,"asset_id":80126453,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/86612555/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="19677766" href="https://independent.academia.edu/VasudevaSingh">Vasudeva Singh</a><script data-card-contents-for-user="19677766" type="text/json">{"id":19677766,"first_name":"Vasudeva","last_name":"Singh","domain_name":"independent","page_name":"VasudevaSingh","display_name":"Vasudeva Singh","profile_url":"https://independent.academia.edu/VasudevaSingh?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_80126453 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="80126453"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 80126453, container: ".js-paper-rank-work_80126453", }); 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$(".js-view-count[data-work-id=80126453]").text(description); $(".js-view-count-work_80126453").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_80126453").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="80126453"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="523" rel="nofollow" href="https://www.academia.edu/Documents/in/Chemistry">Chemistry</a>, <script data-card-contents-for-ri="523" type="text/json">{"id":523,"name":"Chemistry","url":"https://www.academia.edu/Documents/in/Chemistry?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="80960" rel="nofollow" href="https://www.academia.edu/Documents/in/Functional_Food">Functional Food</a>, <script data-card-contents-for-ri="80960" type="text/json">{"id":80960,"name":"Functional Food","url":"https://www.academia.edu/Documents/in/Functional_Food?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="216187" rel="nofollow" href="https://www.academia.edu/Documents/in/Rice_bran_oil">Rice bran oil</a><script data-card-contents-for-ri="216187" type="text/json">{"id":216187,"name":"Rice bran oil","url":"https://www.academia.edu/Documents/in/Rice_bran_oil?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=80126453]'), work: {"id":80126453,"title":"Effect of Physical Processing of Commercial De-oiled Rice Bran on Particle Size Distribution, and Content of Chemical and Bio-functional Components","created_at":"2022-05-28T09:46:33.922-07:00","url":"https://www.academia.edu/80126453/Effect_of_Physical_Processing_of_Commercial_De_oiled_Rice_Bran_on_Particle_Size_Distribution_and_Content_of_Chemical_and_Bio_functional_Components?f_ri=9745","dom_id":"work_80126453","summary":"Rice bran is a rich source of nutrients and nutraceuticals, which has bio-functional properties. Deoiled rice bran, a major byproduct of rice bran oil industry, is not yet efficiently utilized for human consumption due to its poor edible quality. Various physical processing methods like sieving, pin milling and air classification were applied to upgrade the quality of bran and also to investigate its effect on particle size distribution, content of ash, protein, total dietary fiber, insoluble fiber, soluble fiber and oryzanol as well as total antioxidant activity in bran fractions. Sieve separation resulted in an increase in the content of protein and bio-functional components like soluble fiber and oryzanol as well as total antioxidant activity. Pin milling and sieving resulted in smaller particle size fraction without loss in the content of protein and other bio-functional components and antioxidant activity. Air classification of this material resulted in significant decrease in ash content with moderate increase in protein content and significant increase in the contents of oryzanol and soluble fiber and the total antioxidant activity. This resulted in quality improvement of commercial de-oiled bran viz., reduction in coarse bran fraction (\u003e250μ m size particles) from 65% to 0%, content of ash from 14.3 to 13.1 g/ 100 g, and insoluble fiber from 49.3 to 46.1 g/100 g, and increase in the content of protein from 13.7 to 17 g/100 g, soluble fiber from 2.75 to 4.35 g/100 g, oryzanol from 13.6 to 18.1 mg/100 g, and total antioxidant activity from 61 to 96 mM α-tocopherol equivalent/g. About 30% edible and nutrient rich rice bran, which can be used as an ingredient in the bakery products and health food formulations, was obtained from unutilized commercial de-oiled bran by this process.","downloadable_attachments":[{"id":86612555,"asset_id":80126453,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":19677766,"first_name":"Vasudeva","last_name":"Singh","domain_name":"independent","page_name":"VasudevaSingh","display_name":"Vasudeva Singh","profile_url":"https://independent.academia.edu/VasudevaSingh?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":523,"name":"Chemistry","url":"https://www.academia.edu/Documents/in/Chemistry?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":80960,"name":"Functional Food","url":"https://www.academia.edu/Documents/in/Functional_Food?f_ri=9745","nofollow":true},{"id":216187,"name":"Rice bran oil","url":"https://www.academia.edu/Documents/in/Rice_bran_oil?f_ri=9745","nofollow":true},{"id":290433,"name":"Antioxidant Activity","url":"https://www.academia.edu/Documents/in/Antioxidant_Activity?f_ri=9745"},{"id":390245,"name":"Particle Size","url":"https://www.academia.edu/Documents/in/Particle_Size?f_ri=9745"},{"id":879669,"name":"Rice Bran","url":"https://www.academia.edu/Documents/in/Rice_Bran?f_ri=9745"},{"id":1136005,"name":"Particle Size Distribution","url":"https://www.academia.edu/Documents/in/Particle_Size_Distribution?f_ri=9745"},{"id":1948704,"name":"Total Antioxidant Activity","url":"https://www.academia.edu/Documents/in/Total_Antioxidant_Activity?f_ri=9745"},{"id":2045377,"name":"Functional Properties","url":"https://www.academia.edu/Documents/in/Functional_Properties?f_ri=9745"},{"id":2731504,"name":"Protein content","url":"https://www.academia.edu/Documents/in/Protein_content?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_77673768" data-work_id="77673768" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" rel="nofollow" href="https://www.academia.edu/77673768/Evolution_of_The_Guideline_Advantage_Lessons_Learned_From_the_Front_Lines_of_Outpatient_Performance_Measurement">Evolution of “The Guideline Advantage”: Lessons Learned From the Front Lines of Outpatient Performance Measurement</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Heart disease, cancer, stroke, and diabetes mellitus collectively account for .1.37 million U.S. deaths each year (1). Compounding the tragedy is the knowledge that many of those deaths could be avoided through better application of... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_77673768" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Heart disease, cancer, stroke, and diabetes mellitus collectively account for .1.37 million U.S. deaths each year (1). Compounding the tragedy is the knowledge that many of those deaths could be avoided through better application of clinical guidelines related to primary and secondary prevention or disease management. The combined control of blood pressure, lipids, and glucose has been shown to substantially reduce mortality and cardiovascular events (2,3). Screening for colon, cervical, breast, and lung cancer has been proven to reduce age-adjusted mortality from these diseases (4). In recognition of the common risk factors across these disease areas, the chief executive officers of the American Cancer Society, American Diabetes Association, and American Heart Association formed the Preventive Health Partnership in 2004. The 3 organizations have been working closely ever since to increase public awareness about healthy lifestyles, support policies that increase funding for and access to prevention programs and research, and increase the focus on prevention among healthcare providers. The American Cancer Society, American Diabetes Association, and American Heart Association have long developed scientific statements and evidence-based guidelines that promote public health services and clinical interventions of known efficacy for improving patient outcomes. Thus, maximizing adherence to quality-ofcare guidelines is a high priority for each organization, because this will save lives and improve quality of life. This common purpose has served as a focal point for much of the collaborative work undertaken by the 3 organizations, including The Guideline Advantage (TGA). Launched in 2011, TGA is a jointly operated program designed to promote consistent use of evidence-based practice guidelines through existing healthcare technology in the outpatient setting. The ultimate goal of this undertaking is to improve patient care through quality improvement programs that provide feedback to clinicians and their practices on performance across various quality measures. The data gathered through TGA will provide a platform for longitudinal research on the impact of preventive care while also allowing practices to compare themselves to others across the country through benchmarking capabilities. The program's research strategy is focused on identifying patient-, provider-, and practice-level factors associated with guideline adherence and assessing the effectiveness of quality improvement interventions in increasing guideline adherence. The program's recognition component will publicly acknowledge achievements in providing consistent guidelines-based care. The present report reviews the origins and intent of TGA, explores recent changes in the health information technology landscape, and provides a set of key recommendations for outpatient performance measurement programs.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/77673768" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="4f09766300037a112b37908d1d99a861" rel="nofollow" data-download="{"attachment_id":84980421,"asset_id":77673768,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/84980421/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="186699978" rel="nofollow" href="https://tu-ca.academia.edu/jshubrook">jay shubrook</a><script data-card-contents-for-user="186699978" type="text/json">{"id":186699978,"first_name":"jay","last_name":"shubrook","domain_name":"tu-ca","page_name":"jshubrook","display_name":"jay shubrook","profile_url":"https://tu-ca.academia.edu/jshubrook?f_ri=9745","photo":"https://0.academia-photos.com/186699978/67729267/56100192/s65_jay.shubrook.jpg"}</script></span></span></li><li class="js-paper-rank-work_77673768 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="77673768"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 77673768, container: ".js-paper-rank-work_77673768", }); });</script></li><li class="js-percentile-work_77673768 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77673768; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_77673768"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_77673768 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="77673768"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77673768; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77673768]").text(description); $(".js-view-count-work_77673768").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_77673768").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="77673768"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">19</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="1212" rel="nofollow" href="https://www.academia.edu/Documents/in/Medical_Informatics">Medical Informatics</a>, <script data-card-contents-for-ri="1212" type="text/json">{"id":1212,"name":"Medical Informatics","url":"https://www.academia.edu/Documents/in/Medical_Informatics?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3645" rel="nofollow" href="https://www.academia.edu/Documents/in/Evidence_Based_Medicine">Evidence Based Medicine</a>, <script data-card-contents-for-ri="3645" type="text/json">{"id":3645,"name":"Evidence Based Medicine","url":"https://www.academia.edu/Documents/in/Evidence_Based_Medicine?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3709" rel="nofollow" href="https://www.academia.edu/Documents/in/Evidence_Based_Practice">Evidence Based Practice</a>, <script data-card-contents-for-ri="3709" type="text/json">{"id":3709,"name":"Evidence Based Practice","url":"https://www.academia.edu/Documents/in/Evidence_Based_Practice?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9350" rel="nofollow" href="https://www.academia.edu/Documents/in/Electronic_Health_Records">Electronic Health Records</a><script data-card-contents-for-ri="9350" type="text/json">{"id":9350,"name":"Electronic Health Records","url":"https://www.academia.edu/Documents/in/Electronic_Health_Records?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=77673768]'), work: {"id":77673768,"title":"Evolution of “The Guideline Advantage”: Lessons Learned From the Front Lines of Outpatient Performance Measurement","created_at":"2022-04-26T06:41:18.698-07:00","url":"https://www.academia.edu/77673768/Evolution_of_The_Guideline_Advantage_Lessons_Learned_From_the_Front_Lines_of_Outpatient_Performance_Measurement?f_ri=9745","dom_id":"work_77673768","summary":"Heart disease, cancer, stroke, and diabetes mellitus collectively account for .1.37 million U.S. deaths each year (1). Compounding the tragedy is the knowledge that many of those deaths could be avoided through better application of clinical guidelines related to primary and secondary prevention or disease management. The combined control of blood pressure, lipids, and glucose has been shown to substantially reduce mortality and cardiovascular events (2,3). Screening for colon, cervical, breast, and lung cancer has been proven to reduce age-adjusted mortality from these diseases (4). In recognition of the common risk factors across these disease areas, the chief executive officers of the American Cancer Society, American Diabetes Association, and American Heart Association formed the Preventive Health Partnership in 2004. The 3 organizations have been working closely ever since to increase public awareness about healthy lifestyles, support policies that increase funding for and access to prevention programs and research, and increase the focus on prevention among healthcare providers. The American Cancer Society, American Diabetes Association, and American Heart Association have long developed scientific statements and evidence-based guidelines that promote public health services and clinical interventions of known efficacy for improving patient outcomes. Thus, maximizing adherence to quality-ofcare guidelines is a high priority for each organization, because this will save lives and improve quality of life. This common purpose has served as a focal point for much of the collaborative work undertaken by the 3 organizations, including The Guideline Advantage (TGA). Launched in 2011, TGA is a jointly operated program designed to promote consistent use of evidence-based practice guidelines through existing healthcare technology in the outpatient setting. The ultimate goal of this undertaking is to improve patient care through quality improvement programs that provide feedback to clinicians and their practices on performance across various quality measures. The data gathered through TGA will provide a platform for longitudinal research on the impact of preventive care while also allowing practices to compare themselves to others across the country through benchmarking capabilities. The program's research strategy is focused on identifying patient-, provider-, and practice-level factors associated with guideline adherence and assessing the effectiveness of quality improvement interventions in increasing guideline adherence. The program's recognition component will publicly acknowledge achievements in providing consistent guidelines-based care. The present report reviews the origins and intent of TGA, explores recent changes in the health information technology landscape, and provides a set of key recommendations for outpatient performance measurement programs.","downloadable_attachments":[{"id":84980421,"asset_id":77673768,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":186699978,"first_name":"jay","last_name":"shubrook","domain_name":"tu-ca","page_name":"jshubrook","display_name":"jay shubrook","profile_url":"https://tu-ca.academia.edu/jshubrook?f_ri=9745","photo":"https://0.academia-photos.com/186699978/67729267/56100192/s65_jay.shubrook.jpg"}],"research_interests":[{"id":1212,"name":"Medical Informatics","url":"https://www.academia.edu/Documents/in/Medical_Informatics?f_ri=9745","nofollow":true},{"id":3645,"name":"Evidence Based Medicine","url":"https://www.academia.edu/Documents/in/Evidence_Based_Medicine?f_ri=9745","nofollow":true},{"id":3709,"name":"Evidence Based Practice","url":"https://www.academia.edu/Documents/in/Evidence_Based_Practice?f_ri=9745","nofollow":true},{"id":9350,"name":"Electronic Health Records","url":"https://www.academia.edu/Documents/in/Electronic_Health_Records?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745"},{"id":43774,"name":"Learning","url":"https://www.academia.edu/Documents/in/Learning?f_ri=9745"},{"id":57926,"name":"CA","url":"https://www.academia.edu/Documents/in/CA?f_ri=9745"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745"},{"id":378991,"name":"Outpatients","url":"https://www.academia.edu/Documents/in/Outpatients?f_ri=9745"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=9745"},{"id":690114,"name":"American Heart Association","url":"https://www.academia.edu/Documents/in/American_Heart_Association?f_ri=9745"},{"id":720069,"name":"American cancer society","url":"https://www.academia.edu/Documents/in/American_cancer_society?f_ri=9745"},{"id":1426858,"name":"Diabetes Care","url":"https://www.academia.edu/Documents/in/Diabetes_Care?f_ri=9745"},{"id":1453350,"name":"Ambulatory Care","url":"https://www.academia.edu/Documents/in/Ambulatory_Care?f_ri=9745"},{"id":2491318,"name":"Guideline Adherence","url":"https://www.academia.edu/Documents/in/Guideline_Adherence?f_ri=9745"},{"id":2735826,"name":"Health Care Surveys","url":"https://www.academia.edu/Documents/in/Health_Care_Surveys?f_ri=9745"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences?f_ri=9745"},{"id":3789879,"name":"Cardiovascular medicine and haematology","url":"https://www.academia.edu/Documents/in/Cardiovascular_medicine_and_haematology?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_50484620 coauthored" data-work_id="50484620" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/50484620/Effect_of_integrated_infectious_disease_training_and_on_site_support_on_the_management_of_childhood_illnesses_in_Uganda_a_cluster_randomized_trial">Effect of integrated infectious disease training and on-site support on the management of childhood illnesses in Uganda: a cluster randomized trial</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: The Integrated Infectious Disease Capacity-Building Evaluation (IDCAP) was designed to test the effects of two interventions, Integrated Management of Infectious Disease (IMID) training and on-site support (OSS), on clinical... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_50484620" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: The Integrated Infectious Disease Capacity-Building Evaluation (IDCAP) was designed to test the effects of two interventions, Integrated Management of Infectious Disease (IMID) training and on-site support (OSS), on clinical practice of mid-level practitioners. This article reports the effects of these interventions on clinical practice in management of common childhood illnesses. Methods: Two trainees from each of 36 health facilities participated in the IMID training. IMID was a three-week core course, two one-week boost courses, and distance learning over nine months. Eighteen of the 36 health facilities were then randomly assigned to arm A, and participated in OSS, while the other 18 health facilities assigned to arm B did not. Clinical faculty assessed trainee practice on clinical practice of six sets of tasks: patient history, physical examination, laboratory tests, diagnosis, treatment, and patient/caregiver education. The effects of IMID were measured by the post/pre adjusted relative risk (aRR) of appropriate practice in arm B. The incremental effects of OSS were measured by the adjusted ratio of relative risks (aRRR) in arm A compared to arm B. All hypotheses were tested at a 5 % level of significance. Results: Patient samples were comparable across arms at baseline and endline. The majority of children were aged under five years; 84 % at baseline and 97 % at endline. The effects of IMID on patient history (aRR = 1.12; 95 % CI = 1.04-1.21) and physical examination (aRR = 1.40; 95 % CI = 1.16-1.68) tasks were statistically significant. OSS was associated with incremental improvement in patient history (aRRR = 1.18; 95 % CI = 1.06-1.31), and physical examination (aRRR = 1.27; 95 % CI = 1.02-1.59) tasks. Improvements in laboratory testing, diagnosis, treatment, and patient/caregiver education were not statistically significant. Conclusion: IMID training was associated with improved patient history taking and physical examination, and OSS further improved these clinical practices. On-site training and continuous quality improvement activities support transfer of learning to practice among mid-level practitioners.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/50484620" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f2ba8328b6a51d50f8c5b8f381b50e4b" rel="nofollow" data-download="{"attachment_id":68453270,"asset_id":50484620,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68453270/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="148236799" href="https://independent.academia.edu/KirundaI">Ibrahim Kirunda</a><script data-card-contents-for-user="148236799" type="text/json">{"id":148236799,"first_name":"Ibrahim","last_name":"Kirunda","domain_name":"independent","page_name":"KirundaI","display_name":"Ibrahim Kirunda","profile_url":"https://independent.academia.edu/KirundaI?f_ri=9745","photo":"https://0.academia-photos.com/148236799/61046474/109206667/s65_ibrahim.kirunda.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-50484620">+1</span><div class="hidden js-additional-users-50484620"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/PeaceImani">Peace Imani</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-50484620'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-50484620').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_50484620 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="50484620"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 50484620, container: ".js-paper-rank-work_50484620", }); });</script></li><li class="js-percentile-work_50484620 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 50484620; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_50484620"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_50484620 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="50484620"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 50484620; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=50484620]").text(description); $(".js-view-count-work_50484620").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_50484620").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="50484620"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="8828" rel="nofollow" href="https://www.academia.edu/Documents/in/Uganda">Uganda</a>, <script data-card-contents-for-ri="8828" type="text/json">{"id":8828,"name":"Uganda","url":"https://www.academia.edu/Documents/in/Uganda?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12500" rel="nofollow" href="https://www.academia.edu/Documents/in/Midwifery">Midwifery</a>, <script data-card-contents-for-ri="12500" type="text/json">{"id":12500,"name":"Midwifery","url":"https://www.academia.edu/Documents/in/Midwifery?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="20159" rel="nofollow" href="https://www.academia.edu/Documents/in/Capacity_Building">Capacity Building</a><script data-card-contents-for-ri="20159" type="text/json">{"id":20159,"name":"Capacity Building","url":"https://www.academia.edu/Documents/in/Capacity_Building?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=50484620]'), work: {"id":50484620,"title":"Effect of integrated infectious disease training and on-site support on the management of childhood illnesses in Uganda: a cluster randomized trial","created_at":"2021-08-01T00:38:15.207-07:00","url":"https://www.academia.edu/50484620/Effect_of_integrated_infectious_disease_training_and_on_site_support_on_the_management_of_childhood_illnesses_in_Uganda_a_cluster_randomized_trial?f_ri=9745","dom_id":"work_50484620","summary":"Background: The Integrated Infectious Disease Capacity-Building Evaluation (IDCAP) was designed to test the effects of two interventions, Integrated Management of Infectious Disease (IMID) training and on-site support (OSS), on clinical practice of mid-level practitioners. This article reports the effects of these interventions on clinical practice in management of common childhood illnesses. Methods: Two trainees from each of 36 health facilities participated in the IMID training. IMID was a three-week core course, two one-week boost courses, and distance learning over nine months. Eighteen of the 36 health facilities were then randomly assigned to arm A, and participated in OSS, while the other 18 health facilities assigned to arm B did not. Clinical faculty assessed trainee practice on clinical practice of six sets of tasks: patient history, physical examination, laboratory tests, diagnosis, treatment, and patient/caregiver education. The effects of IMID were measured by the post/pre adjusted relative risk (aRR) of appropriate practice in arm B. The incremental effects of OSS were measured by the adjusted ratio of relative risks (aRRR) in arm A compared to arm B. All hypotheses were tested at a 5 % level of significance. Results: Patient samples were comparable across arms at baseline and endline. The majority of children were aged under five years; 84 % at baseline and 97 % at endline. The effects of IMID on patient history (aRR = 1.12; 95 % CI = 1.04-1.21) and physical examination (aRR = 1.40; 95 % CI = 1.16-1.68) tasks were statistically significant. OSS was associated with incremental improvement in patient history (aRRR = 1.18; 95 % CI = 1.06-1.31), and physical examination (aRRR = 1.27; 95 % CI = 1.02-1.59) tasks. Improvements in laboratory testing, diagnosis, treatment, and patient/caregiver education were not statistically significant. Conclusion: IMID training was associated with improved patient history taking and physical examination, and OSS further improved these clinical practices. On-site training and continuous quality improvement activities support transfer of learning to practice among mid-level practitioners.","downloadable_attachments":[{"id":68453270,"asset_id":50484620,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":148236799,"first_name":"Ibrahim","last_name":"Kirunda","domain_name":"independent","page_name":"KirundaI","display_name":"Ibrahim Kirunda","profile_url":"https://independent.academia.edu/KirundaI?f_ri=9745","photo":"https://0.academia-photos.com/148236799/61046474/109206667/s65_ibrahim.kirunda.jpg"},{"id":212084092,"first_name":"Peace","last_name":"Imani","domain_name":"independent","page_name":"PeaceImani","display_name":"Peace Imani","profile_url":"https://independent.academia.edu/PeaceImani?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":8828,"name":"Uganda","url":"https://www.academia.edu/Documents/in/Uganda?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":12500,"name":"Midwifery","url":"https://www.academia.edu/Documents/in/Midwifery?f_ri=9745","nofollow":true},{"id":20159,"name":"Capacity Building","url":"https://www.academia.edu/Documents/in/Capacity_Building?f_ri=9745","nofollow":true},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child?f_ri=9745"},{"id":69637,"name":"Infection Control","url":"https://www.academia.edu/Documents/in/Infection_Control?f_ri=9745"},{"id":86507,"name":"Nursing Education","url":"https://www.academia.edu/Documents/in/Nursing_Education?f_ri=9745"},{"id":109739,"name":"Infection","url":"https://www.academia.edu/Documents/in/Infection?f_ri=9745"},{"id":457859,"name":"Cost Benefit Analysis","url":"https://www.academia.edu/Documents/in/Cost_Benefit_Analysis?f_ri=9745"},{"id":516735,"name":"Physical examination","url":"https://www.academia.edu/Documents/in/Physical_examination?f_ri=9745"},{"id":704648,"name":"Clinical Competence","url":"https://www.academia.edu/Documents/in/Clinical_Competence?f_ri=9745"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool?f_ri=9745"},{"id":3269466,"name":"Medical History Taking","url":"https://www.academia.edu/Documents/in/Medical_History_Taking?f_ri=9745"},{"id":3365887,"name":"Allied Health Personnel","url":"https://www.academia.edu/Documents/in/Allied_Health_Personnel?f_ri=9745"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_69598330 coauthored" data-work_id="69598330" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/69598330/A_New_Method_to_Increase_Ultrafiltration_in_Peritoneal_Dialysis_Steady_Concentration_Peritoneal_Dialysis">A New Method to Increase Ultrafiltration in Peritoneal Dialysis: Steady Concentration Peritoneal Dialysis</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">♦ Background: Peritoneal dialysis (PD) has limited power for liquid extraction (ultrafiltration), so fluid overload remains a major cause of treatment failure. ♦ Methods: We present steady concentration peritonal dialysis (SCPD), which... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_69598330" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">♦ Background: Peritoneal dialysis (PD) has limited power for liquid extraction (ultrafiltration), so fluid overload remains a major cause of treatment failure. ♦ Methods: We present steady concentration peritonal dialysis (SCPD), which increases ultrafiltration of PD exchanges by maintaining a constant peritoneal glucose concentration. This is achieved by infusing 50% glucose solution at a constant rate (typically 40 mL/h) during the 4-hour dwell of a 2-L 1.36% glucose exchange. We treated 21 fluid overload episodes on 6 PD patients with high or average-high peritoneal transport characteristics who refused hemodialysis as an alternative. Each treatment consisted of a single session with 1 to 4 SCPD exchanges (as needed). ♦ Results: Ultrafiltration averaged 653 ± 363 mL/4 h — twice the ultrafiltration of the peritoneal equilibration test (PET) (300 ± 251 mL/4 h, p &lt; 0.001) and 6-fold the daily ultrafiltration (100 ± 123 mL/4 h, p &lt; 0.001). Serum and peritoneal glucose stability...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/69598330" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="addf78c356e9c5341a216ee39bd61817" rel="nofollow" data-download="{"attachment_id":79631880,"asset_id":69598330,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/79631880/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="83620976" href="https://independent.academia.edu/VicenteP%C3%A9rezD%C3%ADaz">Vicente Pérez Díaz</a><script data-card-contents-for-user="83620976" type="text/json">{"id":83620976,"first_name":"Vicente","last_name":"Pérez Díaz","domain_name":"independent","page_name":"VicentePérezDíaz","display_name":"Vicente Pérez Díaz","profile_url":"https://independent.academia.edu/VicenteP%C3%A9rezD%C3%ADaz?f_ri=9745","photo":"https://0.academia-photos.com/83620976/28190017/26399676/s65_vicente.p_rez_d_az.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-69598330">+3</span><div class="hidden js-additional-users-69598330"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/SofiaPalomoAparicio">Sofía Palomo-Aparicio</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/SusanaValencianoMartinez">Susana Valenciano-Martínez</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/GuadalupeRodriguezPortela">Guadalupe Rodríguez-Portela</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-69598330'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-69598330').html(); 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container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_69598330 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="69598330"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 69598330; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=69598330]").text(description); $(".js-view-count-work_69598330").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_69598330").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="69598330"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="3286" rel="nofollow" href="https://www.academia.edu/Documents/in/Patient_Safety">Patient Safety</a>, <script data-card-contents-for-ri="3286" type="text/json">{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a>, <script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="16664" rel="nofollow" href="https://www.academia.edu/Documents/in/Risk_assessment">Risk assessment</a><script data-card-contents-for-ri="16664" type="text/json">{"id":16664,"name":"Risk assessment","url":"https://www.academia.edu/Documents/in/Risk_assessment?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=69598330]'), work: {"id":69598330,"title":"A New Method to Increase Ultrafiltration in Peritoneal Dialysis: Steady Concentration Peritoneal Dialysis","created_at":"2022-01-27T01:58:11.711-08:00","url":"https://www.academia.edu/69598330/A_New_Method_to_Increase_Ultrafiltration_in_Peritoneal_Dialysis_Steady_Concentration_Peritoneal_Dialysis?f_ri=9745","dom_id":"work_69598330","summary":"♦ Background: Peritoneal dialysis (PD) has limited power for liquid extraction (ultrafiltration), so fluid overload remains a major cause of treatment failure. ♦ Methods: We present steady concentration peritonal dialysis (SCPD), which increases ultrafiltration of PD exchanges by maintaining a constant peritoneal glucose concentration. This is achieved by infusing 50% glucose solution at a constant rate (typically 40 mL/h) during the 4-hour dwell of a 2-L 1.36% glucose exchange. We treated 21 fluid overload episodes on 6 PD patients with high or average-high peritoneal transport characteristics who refused hemodialysis as an alternative. Each treatment consisted of a single session with 1 to 4 SCPD exchanges (as needed). ♦ Results: Ultrafiltration averaged 653 ± 363 mL/4 h — twice the ultrafiltration of the peritoneal equilibration test (PET) (300 ± 251 mL/4 h, p \u0026lt; 0.001) and 6-fold the daily ultrafiltration (100 ± 123 mL/4 h, p \u0026lt; 0.001). Serum and peritoneal glucose stability...","downloadable_attachments":[{"id":79631880,"asset_id":69598330,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":83620976,"first_name":"Vicente","last_name":"Pérez Díaz","domain_name":"independent","page_name":"VicentePérezDíaz","display_name":"Vicente Pérez Díaz","profile_url":"https://independent.academia.edu/VicenteP%C3%A9rezD%C3%ADaz?f_ri=9745","photo":"https://0.academia-photos.com/83620976/28190017/26399676/s65_vicente.p_rez_d_az.jpg"},{"id":214696508,"first_name":"Sofía","last_name":"Palomo-Aparicio","domain_name":"independent","page_name":"SofiaPalomoAparicio","display_name":"Sofía Palomo-Aparicio","profile_url":"https://independent.academia.edu/SofiaPalomoAparicio?f_ri=9745","photo":"/images/s65_no_pic.png"},{"id":214686733,"first_name":"Susana","last_name":"Valenciano-Martínez","domain_name":"independent","page_name":"SusanaValencianoMartinez","display_name":"Susana Valenciano-Martínez","profile_url":"https://independent.academia.edu/SusanaValencianoMartinez?f_ri=9745","photo":"/images/s65_no_pic.png"},{"id":214695692,"first_name":"Guadalupe","last_name":"Rodríguez-Portela","domain_name":"independent","page_name":"GuadalupeRodriguezPortela","display_name":"Guadalupe Rodríguez-Portela","profile_url":"https://independent.academia.edu/GuadalupeRodriguezPortela?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=9745","nofollow":true},{"id":16664,"name":"Risk assessment","url":"https://www.academia.edu/Documents/in/Risk_assessment?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745"},{"id":71289,"name":"Glucose","url":"https://www.academia.edu/Documents/in/Glucose?f_ri=9745"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=9745"},{"id":447741,"name":"Peritoneal Dialysis","url":"https://www.academia.edu/Documents/in/Peritoneal_Dialysis?f_ri=9745"},{"id":609176,"name":"Osmosis","url":"https://www.academia.edu/Documents/in/Osmosis?f_ri=9745"},{"id":622589,"name":"Risk Assessment","url":"https://www.academia.edu/Documents/in/Risk_Assessment-2?f_ri=9745"},{"id":945595,"name":"Pilot Projects","url":"https://www.academia.edu/Documents/in/Pilot_Projects?f_ri=9745"},{"id":1106287,"name":"Chronic Kidney Failure","url":"https://www.academia.edu/Documents/in/Chronic_Kidney_Failure?f_ri=9745"},{"id":1379742,"name":"Peritoneum","url":"https://www.academia.edu/Documents/in/Peritoneum?f_ri=9745"},{"id":2463779,"name":"Combined Modality Therapy","url":"https://www.academia.edu/Documents/in/Combined_Modality_Therapy?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_77364372" data-work_id="77364372" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/77364372/Economic_Impact_of_a_Peritoneal_Dialysis_Continuous_Quality_Improvement_Program_in_Colombia">Economic Impact of a Peritoneal Dialysis Continuous Quality Improvement Program in Colombia</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">♦ Background: There is little information regarding the financial burden of peritonitis and the economic impact of continuous quality improvement (CQI) programs in peritoneal dialysis (PD) patients. The objectives of this study were to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_77364372" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">♦ Background: There is little information regarding the financial burden of peritonitis and the economic impact of continuous quality improvement (CQI) programs in peritoneal dialysis (PD) patients. The objectives of this study were to measure the costs of peritonitis, and determine the net savings of a PD CQI program in Colombia. ♦ Methods: The Renal Therapy Services (RTS) network in Colombia, along with Coomeva EPS, provided healthcare resource utilization data for PD patients with and without peritonitis between January 2012 and December 2013. Propensity score matching and regression analysis were performed to estimate the incremental cost of peritonitis. Patient months at risk, episodes of peritonitis pre- and post-CQI, and costs of CQI were obtained. Annual net savings of the CQI program were estimated based on the number of peritonitis events prevented. ♦ Results: The incremental cost of a peritonitis episode was $250. In an 8-year period, peritonitis decreased from 1,837 epis...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/77364372" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="7d5f98ff11a5152998776819b237fc2c" rel="nofollow" data-download="{"attachment_id":84755618,"asset_id":77364372,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/84755618/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="31960656" href="https://independent.academia.edu/SurreyWalton">Surrey Walton</a><script data-card-contents-for-user="31960656" type="text/json">{"id":31960656,"first_name":"Surrey","last_name":"Walton","domain_name":"independent","page_name":"SurreyWalton","display_name":"Surrey Walton","profile_url":"https://independent.academia.edu/SurreyWalton?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_77364372 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="77364372"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 77364372, container: ".js-paper-rank-work_77364372", }); });</script></li><li class="js-percentile-work_77364372 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77364372; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_77364372"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_77364372 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="77364372"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77364372; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77364372]").text(description); $(".js-view-count-work_77364372").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_77364372").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="77364372"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="202" rel="nofollow" href="https://www.academia.edu/Documents/in/Program_Evaluation">Program Evaluation</a>, <script data-card-contents-for-ri="202" type="text/json">{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3261" rel="nofollow" href="https://www.academia.edu/Documents/in/Colombia">Colombia</a>, <script data-card-contents-for-ri="3261" type="text/json">{"id":3261,"name":"Colombia","url":"https://www.academia.edu/Documents/in/Colombia?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=77364372]'), work: {"id":77364372,"title":"Economic Impact of a Peritoneal Dialysis Continuous Quality Improvement Program in Colombia","created_at":"2022-04-23T07:43:11.724-07:00","url":"https://www.academia.edu/77364372/Economic_Impact_of_a_Peritoneal_Dialysis_Continuous_Quality_Improvement_Program_in_Colombia?f_ri=9745","dom_id":"work_77364372","summary":"♦ Background: There is little information regarding the financial burden of peritonitis and the economic impact of continuous quality improvement (CQI) programs in peritoneal dialysis (PD) patients. The objectives of this study were to measure the costs of peritonitis, and determine the net savings of a PD CQI program in Colombia. ♦ Methods: The Renal Therapy Services (RTS) network in Colombia, along with Coomeva EPS, provided healthcare resource utilization data for PD patients with and without peritonitis between January 2012 and December 2013. Propensity score matching and regression analysis were performed to estimate the incremental cost of peritonitis. Patient months at risk, episodes of peritonitis pre- and post-CQI, and costs of CQI were obtained. Annual net savings of the CQI program were estimated based on the number of peritonitis events prevented. ♦ Results: The incremental cost of a peritonitis episode was $250. In an 8-year period, peritonitis decreased from 1,837 epis...","downloadable_attachments":[{"id":84755618,"asset_id":77364372,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":31960656,"first_name":"Surrey","last_name":"Walton","domain_name":"independent","page_name":"SurreyWalton","display_name":"Surrey Walton","profile_url":"https://independent.academia.edu/SurreyWalton?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true},{"id":3261,"name":"Colombia","url":"https://www.academia.edu/Documents/in/Colombia?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745","nofollow":true},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=9745"},{"id":447741,"name":"Peritoneal Dialysis","url":"https://www.academia.edu/Documents/in/Peritoneal_Dialysis?f_ri=9745"},{"id":457859,"name":"Cost Benefit Analysis","url":"https://www.academia.edu/Documents/in/Cost_Benefit_Analysis?f_ri=9745"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies?f_ri=9745"},{"id":648040,"name":"Peritonitis","url":"https://www.academia.edu/Documents/in/Peritonitis?f_ri=9745"},{"id":906536,"name":"Health Care Costs","url":"https://www.academia.edu/Documents/in/Health_Care_Costs?f_ri=9745"},{"id":1106287,"name":"Chronic Kidney Failure","url":"https://www.academia.edu/Documents/in/Chronic_Kidney_Failure?f_ri=9745"},{"id":1819400,"name":"Cohort Studies","url":"https://www.academia.edu/Documents/in/Cohort_Studies?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_79788683" data-work_id="79788683" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/79788683/Quality_improvement_program_reduces_venous_thromboembolism_in_infants_and_children_with_long_gap_esophageal_atresia_LGEA_">Quality improvement program reduces venous thromboembolism in infants and children with long-gap esophageal atresia (LGEA)</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Patients with long-gap esophageal atresia (LGEA) treated with the Foker process are at increased risk of venous thromboembolism (VTE). An institutional quality improvement program to decrease VTE risk factor exposure and utilize... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_79788683" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Patients with long-gap esophageal atresia (LGEA) treated with the Foker process are at increased risk of venous thromboembolism (VTE). An institutional quality improvement program to decrease VTE risk factor exposure and utilize prophylactic anticoagulation was implemented. We aim to evaluate the efficacy and safety of a VTE risk-reduction program in patients with LGEA. Implementation and evaluation of a VTE risk-reduction program in patients with LGEA from 2012 to 2015 was performed. Symptomatic VTE with radiographic confirmation were defined as events. Post-program characteristics were evaluated and compared to a historical cohort. Sixty-seven patients were identified. Two developed VTE (7 %) post-program implementation; compared to 13/40 (33 %) VTE incidence in the historical cohort (p = 0.018). Baseline demographics were similar, including age, esophageal atresia type and gap length. Post-protocol patients had fewer paralysis episodes (p = 0.004), paralysis days (p = 0.003), cen...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/79788683" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0c590220a0b3087e65f18574686ecf89" rel="nofollow" data-download="{"attachment_id":86385789,"asset_id":79788683,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/86385789/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33182746" href="https://independent.academia.edu/SigridBairdain">Sigrid Bairdain</a><script data-card-contents-for-user="33182746" type="text/json">{"id":33182746,"first_name":"Sigrid","last_name":"Bairdain","domain_name":"independent","page_name":"SigridBairdain","display_name":"Sigrid Bairdain","profile_url":"https://independent.academia.edu/SigridBairdain?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_79788683 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="79788683"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 79788683, container: ".js-paper-rank-work_79788683", }); 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$(".js-view-count[data-work-id=79788683]").text(description); $(".js-view-count-work_79788683").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_79788683").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="79788683"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">13</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="22506" rel="nofollow" href="https://www.academia.edu/Documents/in/Adolescent">Adolescent</a>, <script data-card-contents-for-ri="22506" type="text/json">{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="64933" rel="nofollow" href="https://www.academia.edu/Documents/in/Child">Child</a>, <script data-card-contents-for-ri="64933" type="text/json">{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="98134" rel="nofollow" href="https://www.academia.edu/Documents/in/United_States">United States</a><script data-card-contents-for-ri="98134" type="text/json">{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=79788683]'), work: {"id":79788683,"title":"Quality improvement program reduces venous thromboembolism in infants and children with long-gap esophageal atresia (LGEA)","created_at":"2022-05-23T22:07:24.207-07:00","url":"https://www.academia.edu/79788683/Quality_improvement_program_reduces_venous_thromboembolism_in_infants_and_children_with_long_gap_esophageal_atresia_LGEA_?f_ri=9745","dom_id":"work_79788683","summary":"Patients with long-gap esophageal atresia (LGEA) treated with the Foker process are at increased risk of venous thromboembolism (VTE). An institutional quality improvement program to decrease VTE risk factor exposure and utilize prophylactic anticoagulation was implemented. We aim to evaluate the efficacy and safety of a VTE risk-reduction program in patients with LGEA. Implementation and evaluation of a VTE risk-reduction program in patients with LGEA from 2012 to 2015 was performed. Symptomatic VTE with radiographic confirmation were defined as events. Post-program characteristics were evaluated and compared to a historical cohort. Sixty-seven patients were identified. Two developed VTE (7 %) post-program implementation; compared to 13/40 (33 %) VTE incidence in the historical cohort (p = 0.018). Baseline demographics were similar, including age, esophageal atresia type and gap length. Post-protocol patients had fewer paralysis episodes (p = 0.004), paralysis days (p = 0.003), cen...","downloadable_attachments":[{"id":86385789,"asset_id":79788683,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33182746,"first_name":"Sigrid","last_name":"Bairdain","domain_name":"independent","page_name":"SigridBairdain","display_name":"Sigrid Bairdain","profile_url":"https://independent.academia.edu/SigridBairdain?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=9745","nofollow":true},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child?f_ri=9745","nofollow":true},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States?f_ri=9745","nofollow":true},{"id":121178,"name":"Pediatric Surgery","url":"https://www.academia.edu/Documents/in/Pediatric_Surgery?f_ri=9745"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant?f_ri=9745"},{"id":174502,"name":"Incidence","url":"https://www.academia.edu/Documents/in/Incidence?f_ri=9745"},{"id":192721,"name":"Risk factors","url":"https://www.academia.edu/Documents/in/Risk_factors?f_ri=9745"},{"id":253560,"name":"Newborn Infant","url":"https://www.academia.edu/Documents/in/Newborn_Infant?f_ri=9745"},{"id":620049,"name":"Risk Factors","url":"https://www.academia.edu/Documents/in/Risk_Factors-1?f_ri=9745"},{"id":653601,"name":"Venous thromboembolism","url":"https://www.academia.edu/Documents/in/Venous_thromboembolism?f_ri=9745"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool?f_ri=9745"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_79300151" data-work_id="79300151" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/79300151/ICD_11_for_quality_and_safety_overview_of_the_who_quality_and_safety_topic_advisory_group">ICD-11 for quality and safety: overview of the who quality and safety topic advisory group</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This paper outlines the approach that the WHO's Family of International Classifications (WHO-FIC) network is undertaking to create ICD-11. We also outline the more focused work of the Quality and Safety Topic Advisory Group, whose... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_79300151" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This paper outlines the approach that the WHO's Family of International Classifications (WHO-FIC) network is undertaking to create ICD-11. We also outline the more focused work of the Quality and Safety Topic Advisory Group, whose activities include the following: (i) cataloguing existing ICD-9 and ICD-10 quality and safety indicators; (ii) reviewing ICD morbidity coding rules for main condition, diagnosis timing, numbers of diagnosis fields and diagnosis clustering; (iii) substantial restructuring of the healthcare related injury concepts coded in the ICD-10 chapters 19/20, (iv) mapping of ICD-11 quality and safety concepts to the information model of the WHO's International Classification for Patient Safety and the AHRQ Common Formats; (v) the review of vertical chapter content in all chapters of the ICD-11 beta version and (vi) downstream field testing of ICD-11 prior to its official 2015 release. The transition from ICD-10 to ICD-11 promises to produce an enhanced classification that will have better potential to capture important concepts relevant to measuring health system safety and quality-an important use case for the classification.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/79300151" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="fa6d70a5ebe23356fa6a8bda99ee9878" rel="nofollow" data-download="{"attachment_id":86061612,"asset_id":79300151,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/86061612/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="25716635" href="https://hacettepe.academia.edu/BedirhanUstun">Bedirhan Ustun</a><script data-card-contents-for-user="25716635" type="text/json">{"id":25716635,"first_name":"Bedirhan","last_name":"Ustun","domain_name":"hacettepe","page_name":"BedirhanUstun","display_name":"Bedirhan Ustun","profile_url":"https://hacettepe.academia.edu/BedirhanUstun?f_ri=9745","photo":"https://0.academia-photos.com/25716635/7173836/8078507/s65_bedirhan.ustun.jpg_oh_7eef7907bc972d667ea08fbbdffc7844_oe_555b71e3___gda___1435360114_e9a50256c9bbcad72959c29511bfd524"}</script></span></span></li><li class="js-paper-rank-work_79300151 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="79300151"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 79300151, container: ".js-paper-rank-work_79300151", }); 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$(".js-view-count[data-work-id=79300151]").text(description); $(".js-view-count-work_79300151").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_79300151").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="79300151"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="3286" rel="nofollow" href="https://www.academia.edu/Documents/in/Patient_Safety">Patient Safety</a>, <script data-card-contents-for-ri="3286" type="text/json">{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8974" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care">Quality of Mental Health Care</a>, <script data-card-contents-for-ri="8974" type="text/json">{"id":8974,"name":"Quality of Mental Health Care","url":"https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a><script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=79300151]'), work: {"id":79300151,"title":"ICD-11 for quality and safety: overview of the who quality and safety topic advisory group","created_at":"2022-05-17T04:52:28.938-07:00","url":"https://www.academia.edu/79300151/ICD_11_for_quality_and_safety_overview_of_the_who_quality_and_safety_topic_advisory_group?f_ri=9745","dom_id":"work_79300151","summary":"This paper outlines the approach that the WHO's Family of International Classifications (WHO-FIC) network is undertaking to create ICD-11. We also outline the more focused work of the Quality and Safety Topic Advisory Group, whose activities include the following: (i) cataloguing existing ICD-9 and ICD-10 quality and safety indicators; (ii) reviewing ICD morbidity coding rules for main condition, diagnosis timing, numbers of diagnosis fields and diagnosis clustering; (iii) substantial restructuring of the healthcare related injury concepts coded in the ICD-10 chapters 19/20, (iv) mapping of ICD-11 quality and safety concepts to the information model of the WHO's International Classification for Patient Safety and the AHRQ Common Formats; (v) the review of vertical chapter content in all chapters of the ICD-11 beta version and (vi) downstream field testing of ICD-11 prior to its official 2015 release. The transition from ICD-10 to ICD-11 promises to produce an enhanced classification that will have better potential to capture important concepts relevant to measuring health system safety and quality-an important use case for the classification.","downloadable_attachments":[{"id":86061612,"asset_id":79300151,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":25716635,"first_name":"Bedirhan","last_name":"Ustun","domain_name":"hacettepe","page_name":"BedirhanUstun","display_name":"Bedirhan Ustun","profile_url":"https://hacettepe.academia.edu/BedirhanUstun?f_ri=9745","photo":"https://0.academia-photos.com/25716635/7173836/8078507/s65_bedirhan.ustun.jpg_oh_7eef7907bc972d667ea08fbbdffc7844_oe_555b71e3___gda___1435360114_e9a50256c9bbcad72959c29511bfd524"}],"research_interests":[{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true},{"id":8974,"name":"Quality of Mental Health Care","url":"https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true},{"id":138569,"name":"Advisory Committees","url":"https://www.academia.edu/Documents/in/Advisory_Committees?f_ri=9745"},{"id":323476,"name":"International Classification of Diseases","url":"https://www.academia.edu/Documents/in/International_Classification_of_Diseases?f_ri=9745"},{"id":452912,"name":"Oxford university","url":"https://www.academia.edu/Documents/in/Oxford_university?f_ri=9745"},{"id":521881,"name":"World Health Organization","url":"https://www.academia.edu/Documents/in/World_Health_Organization?f_ri=9745"},{"id":2922956,"name":"Psychology and Cognitive Sciences","url":"https://www.academia.edu/Documents/in/Psychology_and_Cognitive_Sciences?f_ri=9745"},{"id":3194761,"name":"Quality of health care","url":"https://www.academia.edu/Documents/in/Quality_of_health_care?f_ri=9745"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_74825386" data-work_id="74825386" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/74825386/Nutrition_assessment_and_intervention_in_the_patient_with_dysphagia_challenges_for_quality_improvement">Nutrition assessment and intervention in the patient with dysphagia: challenges for quality improvement</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Dysphagia, a symptom characterized by difficulty swallowing, is an independent predictor of poor outcome, worsening morbidity, increasing the risk for hospital readmissions, health care costs and mortality. Dysphagia is a result of a... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_74825386" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Dysphagia, a symptom characterized by difficulty swallowing, is an independent predictor of poor outcome, worsening morbidity, increasing the risk for hospital readmissions, health care costs and mortality. Dysphagia is a result of a number of illnesses including neurological diseases, after surgery for head and neck pathology, observed in the intensive care unit after prolonged endotracheal intubation among others, and is particularly frequent in the elderly. Dysphagia increases the incidence of malnutrition, which in turn delays patient recovery. Treatment of dysphagia can be successful, but requires the use of multidisciplinary teams. A focus on the management of malnutrition including prevention and treatment is essential. Perhaps the biggest challenge is the lack of awareness of the presence of dysphagia and malnutrition, so that only a minority of patients are identified and successfully treated. We propose that better identification and treatment of dysphagia could occur with...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/74825386" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="7f9b7ffa87485bb70e75ace79ef5f2bd" rel="nofollow" data-download="{"attachment_id":82838105,"asset_id":74825386,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/82838105/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="168567358" href="https://independent.academia.edu/JuanOchoa207">Juan Ochoa</a><script data-card-contents-for-user="168567358" type="text/json">{"id":168567358,"first_name":"Juan","last_name":"Ochoa","domain_name":"independent","page_name":"JuanOchoa207","display_name":"Juan Ochoa","profile_url":"https://independent.academia.edu/JuanOchoa207?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_74825386 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="74825386"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 74825386, container: ".js-paper-rank-work_74825386", }); });</script></li><li class="js-percentile-work_74825386 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 74825386; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_74825386"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_74825386 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="74825386"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 74825386; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=74825386]").text(description); $(".js-view-count-work_74825386").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_74825386").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="74825386"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a>, <script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="59372" rel="nofollow" href="https://www.academia.edu/Documents/in/Malnutrition">Malnutrition</a>, <script data-card-contents-for-ri="59372" type="text/json">{"id":59372,"name":"Malnutrition","url":"https://www.academia.edu/Documents/in/Malnutrition?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="395473" rel="nofollow" href="https://www.academia.edu/Documents/in/Patient_Care_Team">Patient Care Team</a><script data-card-contents-for-ri="395473" type="text/json">{"id":395473,"name":"Patient Care Team","url":"https://www.academia.edu/Documents/in/Patient_Care_Team?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=74825386]'), work: {"id":74825386,"title":"Nutrition assessment and intervention in the patient with dysphagia: challenges for quality improvement","created_at":"2022-03-28T14:31:56.001-07:00","url":"https://www.academia.edu/74825386/Nutrition_assessment_and_intervention_in_the_patient_with_dysphagia_challenges_for_quality_improvement?f_ri=9745","dom_id":"work_74825386","summary":"Dysphagia, a symptom characterized by difficulty swallowing, is an independent predictor of poor outcome, worsening morbidity, increasing the risk for hospital readmissions, health care costs and mortality. Dysphagia is a result of a number of illnesses including neurological diseases, after surgery for head and neck pathology, observed in the intensive care unit after prolonged endotracheal intubation among others, and is particularly frequent in the elderly. Dysphagia increases the incidence of malnutrition, which in turn delays patient recovery. Treatment of dysphagia can be successful, but requires the use of multidisciplinary teams. A focus on the management of malnutrition including prevention and treatment is essential. Perhaps the biggest challenge is the lack of awareness of the presence of dysphagia and malnutrition, so that only a minority of patients are identified and successfully treated. We propose that better identification and treatment of dysphagia could occur with...","downloadable_attachments":[{"id":82838105,"asset_id":74825386,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":168567358,"first_name":"Juan","last_name":"Ochoa","domain_name":"independent","page_name":"JuanOchoa207","display_name":"Juan Ochoa","profile_url":"https://independent.academia.edu/JuanOchoa207?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true},{"id":59372,"name":"Malnutrition","url":"https://www.academia.edu/Documents/in/Malnutrition?f_ri=9745","nofollow":true},{"id":395473,"name":"Patient Care Team","url":"https://www.academia.edu/Documents/in/Patient_Care_Team?f_ri=9745","nofollow":true},{"id":3225903,"name":"Nutrition assessment","url":"https://www.academia.edu/Documents/in/Nutrition_assessment?f_ri=9745"},{"id":3275398,"name":"Deglutition","url":"https://www.academia.edu/Documents/in/Deglutition?f_ri=9745"},{"id":3500853,"name":"Deglutition disorders","url":"https://www.academia.edu/Documents/in/Deglutition_disorders?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_73904318" data-work_id="73904318" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/73904318/Specimen_rejection_in_laboratory_medicine_Necessary_for_patient_safety">Specimen rejection in laboratory medicine: Necessary for patient safety?</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Introduction: The emergency laboratory in Hacettepe University Hospitals receives specimens from emergency departments (EDs), inpatient services and intensive care units (ICUs). The samples are accepted according to the rejection criteria... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_73904318" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Introduction: The emergency laboratory in Hacettepe University Hospitals receives specimens from emergency departments (EDs), inpatient services and intensive care units (ICUs). The samples are accepted according to the rejection criteria of the laboratory. In this study, we aimed to evaluate the sample rejection ratios according to the types of pre-preanalytical errors and collection areas. Materials and methods: The samples sent to the emergency laboratory were recorded during 12 months between January to December, 2013 in which 453,171 samples were received and 27,067 specimens were rejected. Results: Rejection ratios was 2.5% for biochemistry tests, 3.2% for complete blood count (CBC), 9.8% for blood gases, 9.2% for urine analysis, 13.3% for coagulation tests, 12.8% for therapeutic drug monitoring, 3.5% for cardiac markers and 12% for hormone tests. The most frequent rejection reasons were fibrin clots (28%) and inadequate volume (9%) for biochemical tests. Clotted samples (35%) and inadequate volume (13%) were the major causes for coagulation tests, blood gas analyses and CBC. The ratio of rejected specimens was higher in the EDs (40%) compared to ICUs (30%) and inpatient services (28%). The highest rejection ratio was observed in neurology ICU (14%) among the ICUs and internal medicine inpatient service (10%) within inpatient clinics. Conclusions: We detected an overall specimen rejection rate of 6% in emergency laboratory. By documentation of rejected samples and periodic training of healthcare personnel, we expect to decrease sample rejection ratios below 2%, improve total quality management of the emergency laboratory and promote patient safety.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/73904318" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="3b63291108f14c16b7f4d9d39e1baa72" rel="nofollow" data-download="{"attachment_id":82250504,"asset_id":73904318,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/82250504/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="212609172" href="https://independent.academia.edu/FilizAkb%C4%B1y%C4%B1k">Filiz Akbıyık</a><script data-card-contents-for-user="212609172" type="text/json">{"id":212609172,"first_name":"Filiz","last_name":"Akbıyık","domain_name":"independent","page_name":"FilizAkbıyık","display_name":"Filiz Akbıyık","profile_url":"https://independent.academia.edu/FilizAkb%C4%B1y%C4%B1k?f_ri=9745","photo":"https://0.academia-photos.com/212609172/71684236/60133851/s65_filiz.akb_y_k.png"}</script></span></span></li><li class="js-paper-rank-work_73904318 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="73904318"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 73904318, container: ".js-paper-rank-work_73904318", }); });</script></li><li class="js-percentile-work_73904318 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 73904318; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_73904318"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_73904318 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="73904318"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 73904318; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=73904318]").text(description); $(".js-view-count-work_73904318").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_73904318").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="73904318"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="3286" rel="nofollow" href="https://www.academia.edu/Documents/in/Patient_Safety">Patient Safety</a>, <script data-card-contents-for-ri="3286" type="text/json">{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="10966" rel="nofollow" href="https://www.academia.edu/Documents/in/Turkey">Turkey</a>, <script data-card-contents-for-ri="10966" type="text/json">{"id":10966,"name":"Turkey","url":"https://www.academia.edu/Documents/in/Turkey?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a><script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=73904318]'), work: {"id":73904318,"title":"Specimen rejection in laboratory medicine: Necessary for patient safety?","created_at":"2022-03-16T12:37:48.817-07:00","url":"https://www.academia.edu/73904318/Specimen_rejection_in_laboratory_medicine_Necessary_for_patient_safety?f_ri=9745","dom_id":"work_73904318","summary":"Introduction: The emergency laboratory in Hacettepe University Hospitals receives specimens from emergency departments (EDs), inpatient services and intensive care units (ICUs). The samples are accepted according to the rejection criteria of the laboratory. In this study, we aimed to evaluate the sample rejection ratios according to the types of pre-preanalytical errors and collection areas. Materials and methods: The samples sent to the emergency laboratory were recorded during 12 months between January to December, 2013 in which 453,171 samples were received and 27,067 specimens were rejected. Results: Rejection ratios was 2.5% for biochemistry tests, 3.2% for complete blood count (CBC), 9.8% for blood gases, 9.2% for urine analysis, 13.3% for coagulation tests, 12.8% for therapeutic drug monitoring, 3.5% for cardiac markers and 12% for hormone tests. The most frequent rejection reasons were fibrin clots (28%) and inadequate volume (9%) for biochemical tests. Clotted samples (35%) and inadequate volume (13%) were the major causes for coagulation tests, blood gas analyses and CBC. The ratio of rejected specimens was higher in the EDs (40%) compared to ICUs (30%) and inpatient services (28%). The highest rejection ratio was observed in neurology ICU (14%) among the ICUs and internal medicine inpatient service (10%) within inpatient clinics. Conclusions: We detected an overall specimen rejection rate of 6% in emergency laboratory. By documentation of rejected samples and periodic training of healthcare personnel, we expect to decrease sample rejection ratios below 2%, improve total quality management of the emergency laboratory and promote patient safety.","downloadable_attachments":[{"id":82250504,"asset_id":73904318,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":212609172,"first_name":"Filiz","last_name":"Akbıyık","domain_name":"independent","page_name":"FilizAkbıyık","display_name":"Filiz Akbıyık","profile_url":"https://independent.academia.edu/FilizAkb%C4%B1y%C4%B1k?f_ri=9745","photo":"https://0.academia-photos.com/212609172/71684236/60133851/s65_filiz.akb_y_k.png"}],"research_interests":[{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":10966,"name":"Turkey","url":"https://www.academia.edu/Documents/in/Turkey?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true},{"id":43364,"name":"Medical errors","url":"https://www.academia.edu/Documents/in/Medical_errors?f_ri=9745"},{"id":58380,"name":"Therapeutic drug monitoring","url":"https://www.academia.edu/Documents/in/Therapeutic_drug_monitoring?f_ri=9745"},{"id":154704,"name":"Total Quality Management","url":"https://www.academia.edu/Documents/in/Total_Quality_Management?f_ri=9745"},{"id":291643,"name":"Urinalysis","url":"https://www.academia.edu/Documents/in/Urinalysis?f_ri=9745"},{"id":871724,"name":"University Hospitals","url":"https://www.academia.edu/Documents/in/University_Hospitals?f_ri=9745"},{"id":3189424,"name":"Blood Specimen Collection","url":"https://www.academia.edu/Documents/in/Blood_Specimen_Collection?f_ri=9745"},{"id":3789880,"name":"Medical biochemistry and metabolomics","url":"https://www.academia.edu/Documents/in/Medical_biochemistry_and_metabolomics?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_69010580" data-work_id="69010580" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/69010580/Effect_of_Promoting_High_Quality_Staff_Interactions_on_Fall_Prevention_in_Nursing_Homes_A_Cluster_Randomized_Trial">Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">New approaches are needed to enhance implementation of complex interventions for geriatric syndromes such as falls. To test whether a complexity science-based staff training intervention (CONNECT) promoting high-quality staff interactions... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_69010580" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">New approaches are needed to enhance implementation of complex interventions for geriatric syndromes such as falls. To test whether a complexity science-based staff training intervention (CONNECT) promoting high-quality staff interactions improves the impact of an evidence-based falls quality improvement program (FALLS). Cluster-randomized trial in 24 nursing homes receiving either CONNECT followed by FALLS (intervention), or FALLS alone (control). Nursing home staff in all positions were asked to complete surveys at baseline, 3, 6, and 9 months. Medical records of residents with at least 1 fall in the 6-month pre- and postintervention windows (n = 1794) were abstracted for fall risk reduction measures, falls, and injurious falls. CONNECT taught staff to improve their connections with coworkers, increase information flow, and use cognitive diversity in problem solving. Intervention components included 2 classroom sessions, relationship mapping, and self-monitoring. FALLS provided in...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/69010580" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c23c8745cc902031252576ea5c43a3b6" rel="nofollow" data-download="{"attachment_id":79274433,"asset_id":69010580,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/79274433/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33443305" href="https://independent.academia.edu/michaelcary1">michael cary</a><script data-card-contents-for-user="33443305" type="text/json">{"id":33443305,"first_name":"michael","last_name":"cary","domain_name":"independent","page_name":"michaelcary1","display_name":"michael cary","profile_url":"https://independent.academia.edu/michaelcary1?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_69010580 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="69010580"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 69010580, container: ".js-paper-rank-work_69010580", }); 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$(".js-view-count[data-work-id=69010580]").text(description); $(".js-view-count-work_69010580").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_69010580").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="69010580"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">10</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="859" rel="nofollow" href="https://www.academia.edu/Documents/in/Communication">Communication</a>, <script data-card-contents-for-ri="859" type="text/json">{"id":859,"name":"Communication","url":"https://www.academia.edu/Documents/in/Communication?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3709" rel="nofollow" href="https://www.academia.edu/Documents/in/Evidence_Based_Practice">Evidence Based Practice</a>, <script data-card-contents-for-ri="3709" type="text/json">{"id":3709,"name":"Evidence Based Practice","url":"https://www.academia.edu/Documents/in/Evidence_Based_Practice?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a><script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=69010580]'), work: {"id":69010580,"title":"Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial","created_at":"2022-01-21T07:37:13.073-08:00","url":"https://www.academia.edu/69010580/Effect_of_Promoting_High_Quality_Staff_Interactions_on_Fall_Prevention_in_Nursing_Homes_A_Cluster_Randomized_Trial?f_ri=9745","dom_id":"work_69010580","summary":"New approaches are needed to enhance implementation of complex interventions for geriatric syndromes such as falls. To test whether a complexity science-based staff training intervention (CONNECT) promoting high-quality staff interactions improves the impact of an evidence-based falls quality improvement program (FALLS). Cluster-randomized trial in 24 nursing homes receiving either CONNECT followed by FALLS (intervention), or FALLS alone (control). Nursing home staff in all positions were asked to complete surveys at baseline, 3, 6, and 9 months. Medical records of residents with at least 1 fall in the 6-month pre- and postintervention windows (n = 1794) were abstracted for fall risk reduction measures, falls, and injurious falls. CONNECT taught staff to improve their connections with coworkers, increase information flow, and use cognitive diversity in problem solving. Intervention components included 2 classroom sessions, relationship mapping, and self-monitoring. FALLS provided in...","downloadable_attachments":[{"id":79274433,"asset_id":69010580,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33443305,"first_name":"michael","last_name":"cary","domain_name":"independent","page_name":"michaelcary1","display_name":"michael cary","profile_url":"https://independent.academia.edu/michaelcary1?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":859,"name":"Communication","url":"https://www.academia.edu/Documents/in/Communication?f_ri=9745","nofollow":true},{"id":3709,"name":"Evidence Based Practice","url":"https://www.academia.edu/Documents/in/Evidence_Based_Practice?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true},{"id":90380,"name":"Nursing Homes","url":"https://www.academia.edu/Documents/in/Nursing_Homes?f_ri=9745"},{"id":93353,"name":"North Carolina","url":"https://www.academia.edu/Documents/in/North_Carolina?f_ri=9745"},{"id":131237,"name":"Cluster Analysis","url":"https://www.academia.edu/Documents/in/Cluster_Analysis?f_ri=9745"},{"id":1231577,"name":"Accident Prevention","url":"https://www.academia.edu/Documents/in/Accident_Prevention?f_ri=9745"},{"id":3101416,"name":"Inservice training","url":"https://www.academia.edu/Documents/in/Inservice_training?f_ri=9745"},{"id":3761707,"name":"Accidental falls","url":"https://www.academia.edu/Documents/in/Accidental_falls?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_61693877" data-work_id="61693877" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/61693877/Aligning_Documentation_With_Congenital_Muscular_Torticollis_Clinical_Practice_Guidelines_Administrative_Case_Report">Aligning Documentation With Congenital Muscular Torticollis Clinical Practice Guidelines: Administrative Case Report</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background and Purpose A hospital-based pediatric outpatient center, wanting to weave evidence into practice, initiated an update of knowledge, skills, and documentation patterns with its staff physical therapists and occupational... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_61693877" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background and Purpose A hospital-based pediatric outpatient center, wanting to weave evidence into practice, initiated an update of knowledge, skills, and documentation patterns with its staff physical therapists and occupational therapists who treat people with congenital muscular torticollis (CMT). This case report describes 2 cycles of implementation: (1) the facilitators and barriers to implementation and (2) selected quality improvement outcomes aligned with published clinical practice guidelines (CPGs). Case Description The Pediatric Therapy Services of St Joseph&#39;s Regional Medical Center in New Jersey has 4 full-time, 1 part-time, and 3 per diem staff. Chart audits in 2012 revealed variations in measurement, interventions, and documentation that led to quality improvement initiatives. An iterative process, loosely following the knowledge-to-action cycle, included a series of in-service training sessions to review the basic anatomy, pathokinesiology, and treatment strateg...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/61693877" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c30f1b8c34001dfa199507dce0b1f1b6" rel="nofollow" data-download="{"attachment_id":74666284,"asset_id":61693877,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/74666284/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="205970149" href="https://independent.academia.edu/DennisGutierrez24">Dennis Gutierrez</a><script data-card-contents-for-user="205970149" type="text/json">{"id":205970149,"first_name":"Dennis","last_name":"Gutierrez","domain_name":"independent","page_name":"DennisGutierrez24","display_name":"Dennis Gutierrez","profile_url":"https://independent.academia.edu/DennisGutierrez24?f_ri=9745","photo":"https://0.academia-photos.com/205970149/66461157/54813446/s65_dennis.gutierrez.jpeg"}</script></span></span></li><li class="js-paper-rank-work_61693877 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="61693877"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 61693877, container: ".js-paper-rank-work_61693877", }); 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$(".js-view-count[data-work-id=61693877]").text(description); $(".js-view-count-work_61693877").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_61693877").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="61693877"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">10</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="2725" rel="nofollow" href="https://www.academia.edu/Documents/in/Documentation">Documentation</a>, <script data-card-contents-for-ri="2725" type="text/json">{"id":2725,"name":"Documentation","url":"https://www.academia.edu/Documents/in/Documentation?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3709" rel="nofollow" href="https://www.academia.edu/Documents/in/Evidence_Based_Practice">Evidence Based Practice</a>, <script data-card-contents-for-ri="3709" type="text/json">{"id":3709,"name":"Evidence Based Practice","url":"https://www.academia.edu/Documents/in/Evidence_Based_Practice?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="32473" rel="nofollow" href="https://www.academia.edu/Documents/in/Physical_Therapy">Physical Therapy</a><script data-card-contents-for-ri="32473" type="text/json">{"id":32473,"name":"Physical Therapy","url":"https://www.academia.edu/Documents/in/Physical_Therapy?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=61693877]'), work: {"id":61693877,"title":"Aligning Documentation With Congenital Muscular Torticollis Clinical Practice Guidelines: Administrative Case Report","created_at":"2021-11-15T02:22:15.971-08:00","url":"https://www.academia.edu/61693877/Aligning_Documentation_With_Congenital_Muscular_Torticollis_Clinical_Practice_Guidelines_Administrative_Case_Report?f_ri=9745","dom_id":"work_61693877","summary":"Background and Purpose A hospital-based pediatric outpatient center, wanting to weave evidence into practice, initiated an update of knowledge, skills, and documentation patterns with its staff physical therapists and occupational therapists who treat people with congenital muscular torticollis (CMT). This case report describes 2 cycles of implementation: (1) the facilitators and barriers to implementation and (2) selected quality improvement outcomes aligned with published clinical practice guidelines (CPGs). Case Description The Pediatric Therapy Services of St Joseph\u0026#39;s Regional Medical Center in New Jersey has 4 full-time, 1 part-time, and 3 per diem staff. Chart audits in 2012 revealed variations in measurement, interventions, and documentation that led to quality improvement initiatives. An iterative process, loosely following the knowledge-to-action cycle, included a series of in-service training sessions to review the basic anatomy, pathokinesiology, and treatment strateg...","downloadable_attachments":[{"id":74666284,"asset_id":61693877,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":205970149,"first_name":"Dennis","last_name":"Gutierrez","domain_name":"independent","page_name":"DennisGutierrez24","display_name":"Dennis Gutierrez","profile_url":"https://independent.academia.edu/DennisGutierrez24?f_ri=9745","photo":"https://0.academia-photos.com/205970149/66461157/54813446/s65_dennis.gutierrez.jpeg"}],"research_interests":[{"id":2725,"name":"Documentation","url":"https://www.academia.edu/Documents/in/Documentation?f_ri=9745","nofollow":true},{"id":3709,"name":"Evidence Based Practice","url":"https://www.academia.edu/Documents/in/Evidence_Based_Practice?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":32473,"name":"Physical Therapy","url":"https://www.academia.edu/Documents/in/Physical_Therapy?f_ri=9745","nofollow":true},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child?f_ri=9745"},{"id":142697,"name":"New Jersey","url":"https://www.academia.edu/Documents/in/New_Jersey?f_ri=9745"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745"},{"id":796754,"name":"Torticollis","url":"https://www.academia.edu/Documents/in/Torticollis?f_ri=9745"},{"id":2489706,"name":"Organizational case studies","url":"https://www.academia.edu/Documents/in/Organizational_case_studies?f_ri=9745"},{"id":2839877,"name":"Physical therapy specialty","url":"https://www.academia.edu/Documents/in/Physical_therapy_specialty?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 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itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/50414678/A_standardized_trauma_care_protocol_decreased_mortality_of_patients_with_severe_traumatic_brain_injury_at_a_teaching_hospital_in_a_middle_income_country">A standardized trauma care protocol decreased mortality of patients with severe traumatic brain injury at a teaching hospital in a middle-income country</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">A standardized trauma care protocol decreased mortality of patients with severe traumatic brain injury at a teaching hospital in a middle-income country</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm 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href="https://www.academia.edu/4384588/Steps_towards_Quality_Improvement_of_Airborne_Laser_Scanner_Data">Steps towards Quality Improvement of Airborne Laser Scanner Data</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Airborne laser scanning is a fast, cost-effective technique for the acquisition of 2.5D data, mainly for use in topographic and mapping operations. In recent years, however, the range of applications in which laser scanning can be used... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_4384588" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Airborne laser scanning is a fast, cost-effective technique for the acquisition of 2.5D data, mainly for use in topographic and mapping operations. In recent years, however, the range of applications in which laser scanning can be used has greatly broadened and this has made higher data quality a necessity.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/4384588" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a2cc52123f7858cde0632ba7f6fc9d6e" rel="nofollow" data-download="{"attachment_id":31818772,"asset_id":4384588,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/31818772/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="669610" href="https://tudublin.academia.edu/ABehan">Avril Behan</a><script data-card-contents-for-user="669610" type="text/json">{"id":669610,"first_name":"Avril","last_name":"Behan","domain_name":"tudublin","page_name":"ABehan","display_name":"Avril Behan","profile_url":"https://tudublin.academia.edu/ABehan?f_ri=9745","photo":"https://0.academia-photos.com/669610/6827557/8913256/s65_avril.behan.jpg"}</script></span></span></li><li class="js-paper-rank-work_4384588 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="4384588"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 4384588, container: ".js-paper-rank-work_4384588", }); 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$(".js-view-count[data-work-id=4384588]").text(description); $(".js-view-count-work_4384588").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_4384588").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="4384588"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="8126" rel="nofollow" href="https://www.academia.edu/Documents/in/Airborne_Laser_Scanning">Airborne Laser Scanning</a>, <script data-card-contents-for-ri="8126" type="text/json">{"id":8126,"name":"Airborne Laser Scanning","url":"https://www.academia.edu/Documents/in/Airborne_Laser_Scanning?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="113460" rel="nofollow" href="https://www.academia.edu/Documents/in/Laser_Scanning">Laser Scanning</a>, <script data-card-contents-for-ri="113460" type="text/json">{"id":113460,"name":"Laser Scanning","url":"https://www.academia.edu/Documents/in/Laser_Scanning?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="137986" rel="nofollow" href="https://www.academia.edu/Documents/in/Data_Quality">Data Quality</a><script data-card-contents-for-ri="137986" type="text/json">{"id":137986,"name":"Data Quality","url":"https://www.academia.edu/Documents/in/Data_Quality?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=4384588]'), work: {"id":4384588,"title":"Steps towards Quality Improvement of Airborne Laser Scanner Data","created_at":"2013-09-01T21:07:00.546-07:00","url":"https://www.academia.edu/4384588/Steps_towards_Quality_Improvement_of_Airborne_Laser_Scanner_Data?f_ri=9745","dom_id":"work_4384588","summary":"Airborne laser scanning is a fast, cost-effective technique for the acquisition of 2.5D data, mainly for use in topographic and mapping operations. In recent years, however, the range of applications in which laser scanning can be used has greatly broadened and this has made higher data quality a necessity.","downloadable_attachments":[{"id":31818772,"asset_id":4384588,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":669610,"first_name":"Avril","last_name":"Behan","domain_name":"tudublin","page_name":"ABehan","display_name":"Avril Behan","profile_url":"https://tudublin.academia.edu/ABehan?f_ri=9745","photo":"https://0.academia-photos.com/669610/6827557/8913256/s65_avril.behan.jpg"}],"research_interests":[{"id":8126,"name":"Airborne Laser Scanning","url":"https://www.academia.edu/Documents/in/Airborne_Laser_Scanning?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":113460,"name":"Laser Scanning","url":"https://www.academia.edu/Documents/in/Laser_Scanning?f_ri=9745","nofollow":true},{"id":137986,"name":"Data Quality","url":"https://www.academia.edu/Documents/in/Data_Quality?f_ri=9745","nofollow":true},{"id":165565,"name":"Cost effectiveness","url":"https://www.academia.edu/Documents/in/Cost_effectiveness?f_ri=9745"},{"id":340577,"name":"Laser scanner","url":"https://www.academia.edu/Documents/in/Laser_scanner?f_ri=9745"},{"id":668259,"name":"Positional information","url":"https://www.academia.edu/Documents/in/Positional_information?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_9910196" data-work_id="9910196" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/9910196/Managing_Pain_with_Algorithms_An_Opportunity_for_Improvement_Or_The_Development_and_Utilization_of_Algorithms_to_Manage_Acute_Pain">Managing Pain with Algorithms: An Opportunity for Improvement? Or: The Development and Utilization of Algorithms to Manage Acute Pain</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/9910196" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c91fdfc8d76bbb284d11c88de4becac5" rel="nofollow" data-download="{"attachment_id":47607508,"asset_id":9910196,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/47607508/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="24060520" href="https://independent.academia.edu/LaurieLyckholm">Laurie Lyckholm</a><script data-card-contents-for-user="24060520" type="text/json">{"id":24060520,"first_name":"Laurie","last_name":"Lyckholm","domain_name":"independent","page_name":"LaurieLyckholm","display_name":"Laurie Lyckholm","profile_url":"https://independent.academia.edu/LaurieLyckholm?f_ri=9745","photo":"https://0.academia-photos.com/24060520/10203038/11386262/s65_laurie.lyckholm.jpg"}</script></span></span></li><li class="js-paper-rank-work_9910196 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="9910196"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 9910196, container: ".js-paper-rank-work_9910196", }); });</script></li><li class="js-percentile-work_9910196 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 9910196; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_9910196"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_9910196 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="9910196"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 9910196; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=9910196]").text(description); $(".js-view-count-work_9910196").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_9910196").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="9910196"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">10</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="428" rel="nofollow" href="https://www.academia.edu/Documents/in/Algorithms">Algorithms</a>, <script data-card-contents-for-ri="428" type="text/json">{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="588" rel="nofollow" href="https://www.academia.edu/Documents/in/Nursing">Nursing</a>, <script data-card-contents-for-ri="588" type="text/json">{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3286" rel="nofollow" href="https://www.academia.edu/Documents/in/Patient_Safety">Patient Safety</a><script data-card-contents-for-ri="3286" type="text/json">{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=9910196]'), work: {"id":9910196,"title":"Managing Pain with Algorithms: An Opportunity for Improvement? Or: The Development and Utilization of Algorithms to Manage Acute Pain","created_at":"2014-12-26T14:11:49.542-08:00","url":"https://www.academia.edu/9910196/Managing_Pain_with_Algorithms_An_Opportunity_for_Improvement_Or_The_Development_and_Utilization_of_Algorithms_to_Manage_Acute_Pain?f_ri=9745","dom_id":"work_9910196","summary":null,"downloadable_attachments":[{"id":47607508,"asset_id":9910196,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":24060520,"first_name":"Laurie","last_name":"Lyckholm","domain_name":"independent","page_name":"LaurieLyckholm","display_name":"Laurie Lyckholm","profile_url":"https://independent.academia.edu/LaurieLyckholm?f_ri=9745","photo":"https://0.academia-photos.com/24060520/10203038/11386262/s65_laurie.lyckholm.jpg"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=9745","nofollow":true},{"id":428,"name":"Algorithms","url":"https://www.academia.edu/Documents/in/Algorithms?f_ri=9745","nofollow":true},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing?f_ri=9745","nofollow":true},{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745"},{"id":40165,"name":"Pain Management","url":"https://www.academia.edu/Documents/in/Pain_Management?f_ri=9745"},{"id":231637,"name":"Organizational Policy","url":"https://www.academia.edu/Documents/in/Organizational_Policy?f_ri=9745"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745"},{"id":303636,"name":"Acute Pain","url":"https://www.academia.edu/Documents/in/Acute_Pain?f_ri=9745"},{"id":1445770,"name":"Analgesics","url":"https://www.academia.edu/Documents/in/Analgesics?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_69774090" data-work_id="69774090" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/69774090/ACOG_SMFM_Obstetric_Care_Consensus">ACOG/SMFM Obstetric Care Consensus</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The information reflects emerging clinical and scientific advances as of the date issued, is subject to change, and should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_69774090" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The information reflects emerging clinical and scientific advances as of the date issued, is subject to change, and should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/69774090" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="30688708cb49ccc3399c0385a4009776" rel="nofollow" data-download="{"attachment_id":79740674,"asset_id":69774090,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/79740674/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="42784732" href="https://independent.academia.edu/MaryMenard">Mary K Menard</a><script data-card-contents-for-user="42784732" type="text/json">{"id":42784732,"first_name":"Mary","last_name":"Menard","domain_name":"independent","page_name":"MaryMenard","display_name":"Mary K Menard","profile_url":"https://independent.academia.edu/MaryMenard?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_69774090 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="69774090"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 69774090, container: ".js-paper-rank-work_69774090", }); });</script></li><li class="js-percentile-work_69774090 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 69774090; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_69774090"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_69774090 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="69774090"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 69774090; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=69774090]").text(description); $(".js-view-count-work_69774090").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_69774090").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="69774090"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="625" rel="nofollow" href="https://www.academia.edu/Documents/in/Obstetrics">Obstetrics</a>, <script data-card-contents-for-ri="625" type="text/json">{"id":625,"name":"Obstetrics","url":"https://www.academia.edu/Documents/in/Obstetrics?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="793" rel="nofollow" href="https://www.academia.edu/Documents/in/Medical_Anthropology">Medical Anthropology</a>, <script data-card-contents-for-ri="793" type="text/json">{"id":793,"name":"Medical Anthropology","url":"https://www.academia.edu/Documents/in/Medical_Anthropology?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a><script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=69774090]'), work: {"id":69774090,"title":"ACOG/SMFM Obstetric Care Consensus","created_at":"2022-01-28T04:49:51.205-08:00","url":"https://www.academia.edu/69774090/ACOG_SMFM_Obstetric_Care_Consensus?f_ri=9745","dom_id":"work_69774090","summary":"The information reflects emerging clinical and scientific advances as of the date issued, is subject to change, and should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice.","downloadable_attachments":[{"id":79740674,"asset_id":69774090,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":42784732,"first_name":"Mary","last_name":"Menard","domain_name":"independent","page_name":"MaryMenard","display_name":"Mary K Menard","profile_url":"https://independent.academia.edu/MaryMenard?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":625,"name":"Obstetrics","url":"https://www.academia.edu/Documents/in/Obstetrics?f_ri=9745","nofollow":true},{"id":793,"name":"Medical Anthropology","url":"https://www.academia.edu/Documents/in/Medical_Anthropology?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true},{"id":62550,"name":"Pregnancy","url":"https://www.academia.edu/Documents/in/Pregnancy?f_ri=9745"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States?f_ri=9745"},{"id":2549475,"name":"Health Services Accessibility","url":"https://www.academia.edu/Documents/in/Health_Services_Accessibility?f_ri=9745"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_79448214" data-work_id="79448214" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/79448214/Reducing_prescribing_errors_in_the_paediatric_intensive_care_unit_an_experience_from_Egypt">Reducing prescribing errors in the paediatric intensive care unit: an experience from Egypt</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">To investigate the impact of different measures, implemented by clinical pharmacists, on prescribing error rates in a paediatric intensive care unit (PICU) in Cairo, Egypt. Methods: We performed a pre-post study of prescribing errors in a... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_79448214" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">To investigate the impact of different measures, implemented by clinical pharmacists, on prescribing error rates in a paediatric intensive care unit (PICU) in Cairo, Egypt. Methods: We performed a pre-post study of prescribing errors in a 12 bed PICU. We utilized a chart review method for the detection of prescribing errors. The rate and potential severity of prescribing errors were determined before and then after the implementation of the medication error reducing measures. These measures included the use of a new structured medication order chart, physician education, provision of dosing assists and physician performance feedback. Results: We evaluated 1417 medication orders for 139 patients preintervention and 1097 orders for 101 patients postintervention. Of preintervention orders, 1107 (78.1%) had at least one prescribing error. The intervention resulted in significant reduction in prescribing error rate to 35.2% postintervention (p < 0.001). The intervention resulted also in a significant reduction in the rate of potentially severe errors from 29.7% preintervention to 7% postintervention (p < 0.001) and the rate of potentially moderate errors from 39.8% preintervention to 24.2% postintervention (p < 0.001). Besides, rates of all types of prescribing errors were declined to different degrees as a result of the intervention. Conclusion: Clinical pharmacists' activities, focusing on improving physician-nurse communication, physician drug knowledge and awareness of errors, were shown effective in reducing the rate of prescribing errors and their potential severity in a PICU.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/79448214" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="31db956f19d344932e25bed79f1240fc" rel="nofollow" data-download="{"attachment_id":86159758,"asset_id":79448214,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/86159758/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="138256432" href="https://independent.academia.edu/halaagha2">hala agha</a><script data-card-contents-for-user="138256432" type="text/json">{"id":138256432,"first_name":"hala","last_name":"agha","domain_name":"independent","page_name":"halaagha2","display_name":"hala agha","profile_url":"https://independent.academia.edu/halaagha2?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_79448214 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="79448214"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 79448214, container: ".js-paper-rank-work_79448214", }); });</script></li><li class="js-percentile-work_79448214 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 79448214; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_79448214"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_79448214 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="79448214"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 79448214; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=79448214]").text(description); $(".js-view-count-work_79448214").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_79448214").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="79448214"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12537" rel="nofollow" href="https://www.academia.edu/Documents/in/Egypt">Egypt</a>, <script data-card-contents-for-ri="12537" type="text/json">{"id":12537,"name":"Egypt","url":"https://www.academia.edu/Documents/in/Egypt?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="22506" rel="nofollow" href="https://www.academia.edu/Documents/in/Adolescent">Adolescent</a>, <script data-card-contents-for-ri="22506" type="text/json">{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a><script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=79448214]'), work: {"id":79448214,"title":"Reducing prescribing errors in the paediatric intensive care unit: an experience from Egypt","created_at":"2022-05-19T06:27:38.162-07:00","url":"https://www.academia.edu/79448214/Reducing_prescribing_errors_in_the_paediatric_intensive_care_unit_an_experience_from_Egypt?f_ri=9745","dom_id":"work_79448214","summary":"To investigate the impact of different measures, implemented by clinical pharmacists, on prescribing error rates in a paediatric intensive care unit (PICU) in Cairo, Egypt. Methods: We performed a pre-post study of prescribing errors in a 12 bed PICU. We utilized a chart review method for the detection of prescribing errors. The rate and potential severity of prescribing errors were determined before and then after the implementation of the medication error reducing measures. These measures included the use of a new structured medication order chart, physician education, provision of dosing assists and physician performance feedback. Results: We evaluated 1417 medication orders for 139 patients preintervention and 1097 orders for 101 patients postintervention. Of preintervention orders, 1107 (78.1%) had at least one prescribing error. The intervention resulted in significant reduction in prescribing error rate to 35.2% postintervention (p \u003c 0.001). The intervention resulted also in a significant reduction in the rate of potentially severe errors from 29.7% preintervention to 7% postintervention (p \u003c 0.001) and the rate of potentially moderate errors from 39.8% preintervention to 24.2% postintervention (p \u003c 0.001). Besides, rates of all types of prescribing errors were declined to different degrees as a result of the intervention. Conclusion: Clinical pharmacists' activities, focusing on improving physician-nurse communication, physician drug knowledge and awareness of errors, were shown effective in reducing the rate of prescribing errors and their potential severity in a PICU.","downloadable_attachments":[{"id":86159758,"asset_id":79448214,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":138256432,"first_name":"hala","last_name":"agha","domain_name":"independent","page_name":"halaagha2","display_name":"hala agha","profile_url":"https://independent.academia.edu/halaagha2?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":12537,"name":"Egypt","url":"https://www.academia.edu/Documents/in/Egypt?f_ri=9745","nofollow":true},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true},{"id":58569,"name":"Continuing Medical Education","url":"https://www.academia.edu/Documents/in/Continuing_Medical_Education?f_ri=9745"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child?f_ri=9745"},{"id":134346,"name":"Infant","url":"https://www.academia.edu/Documents/in/Infant?f_ri=9745"},{"id":571027,"name":"Pharmacists","url":"https://www.academia.edu/Documents/in/Pharmacists?f_ri=9745"},{"id":1261825,"name":"Medication Errors","url":"https://www.academia.edu/Documents/in/Medication_Errors?f_ri=9745"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool?f_ri=9745"},{"id":3276599,"name":"interprofessional relations","url":"https://www.academia.edu/Documents/in/interprofessional_relations?f_ri=9745"},{"id":3789883,"name":"Paediatrics and reproductive medicine","url":"https://www.academia.edu/Documents/in/Paediatrics_and_reproductive_medicine?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_75249567" data-work_id="75249567" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/75249567/A_physician_charter_on_medical_professionalism_who_wants_it_and_who_needs_it">A physician charter on medical professionalism—who wants it and who needs it?</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/75249567" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0ecbda731711a5bf7738f36d09a4c8ef" rel="nofollow" data-download="{"attachment_id":83094387,"asset_id":75249567,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/83094387/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="156692" href="https://independent.academia.edu/shimonglick">shimon glick</a><script data-card-contents-for-user="156692" type="text/json">{"id":156692,"first_name":"shimon","last_name":"glick","domain_name":"independent","page_name":"shimonglick","display_name":"shimon glick","profile_url":"https://independent.academia.edu/shimonglick?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_75249567 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="75249567"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 75249567, container: ".js-paper-rank-work_75249567", }); 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$(".js-view-count[data-work-id=75249567]").text(description); $(".js-view-count-work_75249567").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_75249567").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="75249567"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="4441" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Care">Health Care</a>, <script data-card-contents-for-ri="4441" type="text/json">{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4455" rel="nofollow" href="https://www.academia.edu/Documents/in/Medical_Education">Medical Education</a>, <script data-card-contents-for-ri="4455" type="text/json">{"id":4455,"name":"Medical Education","url":"https://www.academia.edu/Documents/in/Medical_Education?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="5792" rel="nofollow" href="https://www.academia.edu/Documents/in/Social_Justice">Social Justice</a>, <script data-card-contents-for-ri="5792" type="text/json">{"id":5792,"name":"Social Justice","url":"https://www.academia.edu/Documents/in/Social_Justice?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9435" rel="nofollow" href="https://www.academia.edu/Documents/in/Medical_Ethics">Medical Ethics</a><script data-card-contents-for-ri="9435" type="text/json">{"id":9435,"name":"Medical Ethics","url":"https://www.academia.edu/Documents/in/Medical_Ethics?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=75249567]'), work: {"id":75249567,"title":"A physician charter on medical professionalism—who wants it and who needs it?","created_at":"2022-04-02T11:24:28.409-07:00","url":"https://www.academia.edu/75249567/A_physician_charter_on_medical_professionalism_who_wants_it_and_who_needs_it?f_ri=9745","dom_id":"work_75249567","summary":null,"downloadable_attachments":[{"id":83094387,"asset_id":75249567,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":156692,"first_name":"shimon","last_name":"glick","domain_name":"independent","page_name":"shimonglick","display_name":"shimon glick","profile_url":"https://independent.academia.edu/shimonglick?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care?f_ri=9745","nofollow":true},{"id":4455,"name":"Medical Education","url":"https://www.academia.edu/Documents/in/Medical_Education?f_ri=9745","nofollow":true},{"id":5792,"name":"Social Justice","url":"https://www.academia.edu/Documents/in/Social_Justice?f_ri=9745","nofollow":true},{"id":9435,"name":"Medical Ethics","url":"https://www.academia.edu/Documents/in/Medical_Ethics?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745"},{"id":12890,"name":"Moral Development","url":"https://www.academia.edu/Documents/in/Moral_Development?f_ri=9745"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745"},{"id":65390,"name":"Internal Medicine","url":"https://www.academia.edu/Documents/in/Internal_Medicine?f_ri=9745"},{"id":226330,"name":"Socioeconomic Status","url":"https://www.academia.edu/Documents/in/Socioeconomic_Status?f_ri=9745"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745"},{"id":468220,"name":"Role Models","url":"https://www.academia.edu/Documents/in/Role_Models?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_52552121" data-work_id="52552121" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/52552121/Effect_of_CMOS_technology_scaling_on_thermal_management_during_burn_in">Effect of CMOS technology scaling on thermal management during burn-in</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Burn-in is a quality improvement procedure challenged by the high leakage currents that are rapidly increasing with IC technology scaling. These currents are expected to increase even more under the new burn-in environments leading to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_52552121" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Burn-in is a quality improvement procedure challenged by the high leakage currents that are rapidly increasing with IC technology scaling. These currents are expected to increase even more under the new burn-in environments leading to higher junction temperatures, possible thermal runaway, and yield loss during burn-in. The authors estimate the increase in junction temperature with technology scaling. Their research shows that under normal operating conditions, the junction temperature is increasing 1.45 /generation. The increase in junction temperature under the burn-in condition was found to be exponential. The range of optimal burn-in voltage and temperature is reduced significantly with technology scaling. Index Terms-Burn-in testing, CMOS technology scaling, junction temperature, thermal management.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/52552121" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="2636256f4d6dc4f4d45052a4982a2ec6" rel="nofollow" data-download="{"attachment_id":69765286,"asset_id":52552121,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/69765286/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="141851148" href="https://independent.academia.edu/OlegSemenov2">Oleg Semenov</a><script data-card-contents-for-user="141851148" type="text/json">{"id":141851148,"first_name":"Oleg","last_name":"Semenov","domain_name":"independent","page_name":"OlegSemenov2","display_name":"Oleg Semenov","profile_url":"https://independent.academia.edu/OlegSemenov2?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_52552121 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="52552121"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 52552121, container: ".js-paper-rank-work_52552121", }); });</script></li><li class="js-percentile-work_52552121 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 52552121; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_52552121"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_52552121 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="52552121"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 52552121; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=52552121]").text(description); $(".js-view-count-work_52552121").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_52552121").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="52552121"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="82551" rel="nofollow" href="https://www.academia.edu/Documents/in/Semiconductor">Semiconductor</a>, <script data-card-contents-for-ri="82551" type="text/json">{"id":82551,"name":"Semiconductor","url":"https://www.academia.edu/Documents/in/Semiconductor?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="96825" rel="nofollow" href="https://www.academia.edu/Documents/in/Manufacturing_Engineering">Manufacturing Engineering</a>, <script data-card-contents-for-ri="96825" type="text/json">{"id":96825,"name":"Manufacturing Engineering","url":"https://www.academia.edu/Documents/in/Manufacturing_Engineering?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="121477" rel="nofollow" href="https://www.academia.edu/Documents/in/Leakage_Current">Leakage Current</a><script data-card-contents-for-ri="121477" type="text/json">{"id":121477,"name":"Leakage Current","url":"https://www.academia.edu/Documents/in/Leakage_Current?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=52552121]'), work: {"id":52552121,"title":"Effect of CMOS technology scaling on thermal management during burn-in","created_at":"2021-09-16T14:04:59.909-07:00","url":"https://www.academia.edu/52552121/Effect_of_CMOS_technology_scaling_on_thermal_management_during_burn_in?f_ri=9745","dom_id":"work_52552121","summary":"Burn-in is a quality improvement procedure challenged by the high leakage currents that are rapidly increasing with IC technology scaling. These currents are expected to increase even more under the new burn-in environments leading to higher junction temperatures, possible thermal runaway, and yield loss during burn-in. The authors estimate the increase in junction temperature with technology scaling. Their research shows that under normal operating conditions, the junction temperature is increasing 1.45 /generation. The increase in junction temperature under the burn-in condition was found to be exponential. The range of optimal burn-in voltage and temperature is reduced significantly with technology scaling. Index Terms-Burn-in testing, CMOS technology scaling, junction temperature, thermal management.","downloadable_attachments":[{"id":69765286,"asset_id":52552121,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":141851148,"first_name":"Oleg","last_name":"Semenov","domain_name":"independent","page_name":"OlegSemenov2","display_name":"Oleg Semenov","profile_url":"https://independent.academia.edu/OlegSemenov2?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":82551,"name":"Semiconductor","url":"https://www.academia.edu/Documents/in/Semiconductor?f_ri=9745","nofollow":true},{"id":96825,"name":"Manufacturing Engineering","url":"https://www.academia.edu/Documents/in/Manufacturing_Engineering?f_ri=9745","nofollow":true},{"id":121477,"name":"Leakage Current","url":"https://www.academia.edu/Documents/in/Leakage_Current?f_ri=9745","nofollow":true},{"id":123506,"name":"Reliability","url":"https://www.academia.edu/Documents/in/Reliability?f_ri=9745"},{"id":323827,"name":"Thermal Resistance","url":"https://www.academia.edu/Documents/in/Thermal_Resistance?f_ri=9745"},{"id":402011,"name":"Thermal management","url":"https://www.academia.edu/Documents/in/Thermal_management?f_ri=9745"},{"id":543432,"name":"Exponential distribution","url":"https://www.academia.edu/Documents/in/Exponential_distribution?f_ri=9745"},{"id":706703,"name":"Junction","url":"https://www.academia.edu/Documents/in/Junction?f_ri=9745"},{"id":789521,"name":"Optimal Design","url":"https://www.academia.edu/Documents/in/Optimal_Design?f_ri=9745"},{"id":1237788,"name":"Electrical And Electronic Engineering","url":"https://www.academia.edu/Documents/in/Electrical_And_Electronic_Engineering?f_ri=9745"},{"id":3857116,"name":"Yield Loss","url":"https://www.academia.edu/Documents/in/Yield_Loss?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_52372514" data-work_id="52372514" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/52372514/Improving_quality_and_outcomes_of_stroke_care_in_hospitals_Protocol_and_statistical_analysis_plan_for_the_Stroke123_implementation_study">Improving quality and outcomes of stroke care in hospitals: Protocol and statistical analysis plan for the Stroke123 implementation study</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Rationale The effectiveness of clinician-focused interventions to improve stroke care is uncertain. Aims To determine whether an organizational intervention can improve the quality of stroke care over usual care. Sample size estimates To... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_52372514" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Rationale The effectiveness of clinician-focused interventions to improve stroke care is uncertain. Aims To determine whether an organizational intervention can improve the quality of stroke care over usual care. Sample size estimates To detect an absolute 10% difference in overall performance (composite outcome), a minimum of 21 hospitals and 843 patients per group was determined. Methods and design Before and after controlled design in hospitals in Queensland, Australia. Intervention Externally facilitated program (StrokeLink) using outreach workshops incorporating clinical performance feedback, patient outcomes (survival, quality of life at 90–180 days), local barrier assessments to best practice care, action planning, and ongoing support. Descriptive and multivariable analyses adjusted for patient correlations by hospital (intention-to-treat method). Context Concurrent implementation of financial incentives to increase stroke unit access and use of the Australian Stroke Clinical...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/52372514" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="65bf57e67413a339c22992b78fc9a0a6" rel="nofollow" data-download="{"attachment_id":69666945,"asset_id":52372514,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/69666945/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32531516" href="https://independent.academia.edu/NadineAndrew">Nadine Andrew</a><script data-card-contents-for-user="32531516" type="text/json">{"id":32531516,"first_name":"Nadine","last_name":"Andrew","domain_name":"independent","page_name":"NadineAndrew","display_name":"Nadine Andrew","profile_url":"https://independent.academia.edu/NadineAndrew?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_52372514 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="52372514"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 52372514, container: ".js-paper-rank-work_52372514", }); });</script></li><li class="js-percentile-work_52372514 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 52372514; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_52372514"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_52372514 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="52372514"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 52372514; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=52372514]").text(description); $(".js-view-count-work_52372514").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_52372514").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="52372514"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="61234" rel="nofollow" href="https://www.academia.edu/Documents/in/Stroke">Stroke</a>, <script data-card-contents-for-ri="61234" type="text/json">{"id":61234,"name":"Stroke","url":"https://www.academia.edu/Documents/in/Stroke?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="68567" rel="nofollow" href="https://www.academia.edu/Documents/in/Queensland">Queensland</a>, <script data-card-contents-for-ri="68567" type="text/json">{"id":68567,"name":"Queensland","url":"https://www.academia.edu/Documents/in/Queensland?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=52372514]'), work: {"id":52372514,"title":"Improving quality and outcomes of stroke care in hospitals: Protocol and statistical analysis plan for the Stroke123 implementation study","created_at":"2021-09-14T18:42:22.496-07:00","url":"https://www.academia.edu/52372514/Improving_quality_and_outcomes_of_stroke_care_in_hospitals_Protocol_and_statistical_analysis_plan_for_the_Stroke123_implementation_study?f_ri=9745","dom_id":"work_52372514","summary":"Rationale The effectiveness of clinician-focused interventions to improve stroke care is uncertain. Aims To determine whether an organizational intervention can improve the quality of stroke care over usual care. Sample size estimates To detect an absolute 10% difference in overall performance (composite outcome), a minimum of 21 hospitals and 843 patients per group was determined. Methods and design Before and after controlled design in hospitals in Queensland, Australia. Intervention Externally facilitated program (StrokeLink) using outreach workshops incorporating clinical performance feedback, patient outcomes (survival, quality of life at 90–180 days), local barrier assessments to best practice care, action planning, and ongoing support. Descriptive and multivariable analyses adjusted for patient correlations by hospital (intention-to-treat method). Context Concurrent implementation of financial incentives to increase stroke unit access and use of the Australian Stroke Clinical...","downloadable_attachments":[{"id":69666945,"asset_id":52372514,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32531516,"first_name":"Nadine","last_name":"Andrew","domain_name":"independent","page_name":"NadineAndrew","display_name":"Nadine Andrew","profile_url":"https://independent.academia.edu/NadineAndrew?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":61234,"name":"Stroke","url":"https://www.academia.edu/Documents/in/Stroke?f_ri=9745","nofollow":true},{"id":68567,"name":"Queensland","url":"https://www.academia.edu/Documents/in/Queensland?f_ri=9745","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745","nofollow":true},{"id":1011136,"name":"Clinical Protocols","url":"https://www.academia.edu/Documents/in/Clinical_Protocols?f_ri=9745"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies?f_ri=9745"},{"id":1239755,"name":"Neurosciences","url":"https://www.academia.edu/Documents/in/Neurosciences?f_ri=9745"},{"id":3009044,"name":"quality assurance in health care","url":"https://www.academia.edu/Documents/in/quality_assurance_in_health_care?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_50212765" data-work_id="50212765" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/50212765/Developing_a_Common_Understanding_of_Networks_of_Care_through_a_Scoping_Study">Developing a Common Understanding of Networks of Care through a Scoping Study</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The phrase "Networks of Care" seems familiar but remains poorly defined. A health system that exemplifies effective Networks of Care (NOC) purposefully and effectively interconnects service delivery touch points within a catchment area to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_50212765" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The phrase "Networks of Care" seems familiar but remains poorly defined. A health system that exemplifies effective Networks of Care (NOC) purposefully and effectively interconnects service delivery touch points within a catchment area to fill critical service gaps and create continuity in patient care. To more fully elaborate the concept of Networks of Care, we conducted a multimethod scoping study that included a literature review, stakeholder interviews, and descriptive case studies from five low-and middle-income countries. Our extended definition of a Network of Care features four overlapping and interdependent domains of activity at multiple levels of health systems, characterized by: 1) Agreement and Enabling Environment, 2) Operational Standards, 3) Quality, Efficiency and Responsibility, and 4) Learning and Adaptation. There are a series of key interrelated themes within each domain. Creating a common understanding of what characterizes and fosters an effective Network of Care can drive the evolution and strengthening of national health programs, especially those incorporating universal health coverage and promoting comprehensive care and integrated services. An understanding of the Networks of Care model can help guide efforts to move health service delivery toward goals that can benefit a diversity of stakeholders, including a variety of health system actors, such as health care workers, users of health systems, and the wider community at large. It can also contribute to improving poor health outcomes and reducing waste originating from fragmented services and lack of access.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/50212765" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="33971d3d06f1892dbeca13a183ae8739" rel="nofollow" data-download="{"attachment_id":68282955,"asset_id":50212765,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68282955/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="45689359" href="https://independent.academia.edu/AndyCarmone">Andy Carmone</a><script data-card-contents-for-user="45689359" type="text/json">{"id":45689359,"first_name":"Andy","last_name":"Carmone","domain_name":"independent","page_name":"AndyCarmone","display_name":"Andy Carmone","profile_url":"https://independent.academia.edu/AndyCarmone?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_50212765 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="50212765"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 50212765, container: ".js-paper-rank-work_50212765", }); });</script></li><li class="js-percentile-work_50212765 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 50212765; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_50212765"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_50212765 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="50212765"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 50212765; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=50212765]").text(description); $(".js-view-count-work_50212765").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_50212765").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="50212765"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2974" rel="nofollow" href="https://www.academia.edu/Documents/in/Primary_Health_Care">Primary Health Care</a>, <script data-card-contents-for-ri="2974" type="text/json">{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6186" rel="nofollow" href="https://www.academia.edu/Documents/in/Implementation_Science">Implementation Science</a>, <script data-card-contents-for-ri="6186" type="text/json">{"id":6186,"name":"Implementation Science","url":"https://www.academia.edu/Documents/in/Implementation_Science?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="43746" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Systems_Strengthening">Health Systems Strengthening</a><script data-card-contents-for-ri="43746" type="text/json">{"id":43746,"name":"Health Systems Strengthening","url":"https://www.academia.edu/Documents/in/Health_Systems_Strengthening?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=50212765]'), work: {"id":50212765,"title":"Developing a Common Understanding of Networks of Care through a Scoping Study","created_at":"2021-07-24T01:45:03.050-07:00","url":"https://www.academia.edu/50212765/Developing_a_Common_Understanding_of_Networks_of_Care_through_a_Scoping_Study?f_ri=9745","dom_id":"work_50212765","summary":"The phrase \"Networks of Care\" seems familiar but remains poorly defined. A health system that exemplifies effective Networks of Care (NOC) purposefully and effectively interconnects service delivery touch points within a catchment area to fill critical service gaps and create continuity in patient care. To more fully elaborate the concept of Networks of Care, we conducted a multimethod scoping study that included a literature review, stakeholder interviews, and descriptive case studies from five low-and middle-income countries. Our extended definition of a Network of Care features four overlapping and interdependent domains of activity at multiple levels of health systems, characterized by: 1) Agreement and Enabling Environment, 2) Operational Standards, 3) Quality, Efficiency and Responsibility, and 4) Learning and Adaptation. There are a series of key interrelated themes within each domain. Creating a common understanding of what characterizes and fosters an effective Network of Care can drive the evolution and strengthening of national health programs, especially those incorporating universal health coverage and promoting comprehensive care and integrated services. An understanding of the Networks of Care model can help guide efforts to move health service delivery toward goals that can benefit a diversity of stakeholders, including a variety of health system actors, such as health care workers, users of health systems, and the wider community at large. It can also contribute to improving poor health outcomes and reducing waste originating from fragmented services and lack of access.","downloadable_attachments":[{"id":68282955,"asset_id":50212765,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":45689359,"first_name":"Andy","last_name":"Carmone","domain_name":"independent","page_name":"AndyCarmone","display_name":"Andy Carmone","profile_url":"https://independent.academia.edu/AndyCarmone?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care?f_ri=9745","nofollow":true},{"id":6186,"name":"Implementation Science","url":"https://www.academia.edu/Documents/in/Implementation_Science?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":43746,"name":"Health Systems Strengthening","url":"https://www.academia.edu/Documents/in/Health_Systems_Strengthening?f_ri=9745","nofollow":true},{"id":56691,"name":"Rural Health","url":"https://www.academia.edu/Documents/in/Rural_Health?f_ri=9745"},{"id":572008,"name":"Maternal and newborn health","url":"https://www.academia.edu/Documents/in/Maternal_and_newborn_health?f_ri=9745"},{"id":1167909,"name":"Postpartum Hemorrhage","url":"https://www.academia.edu/Documents/in/Postpartum_Hemorrhage?f_ri=9745"},{"id":1178330,"name":"Universal Health Coverage","url":"https://www.academia.edu/Documents/in/Universal_Health_Coverage?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_48667563" data-work_id="48667563" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/48667563/Fracture_clinic_redesign_improving_standards_in_patient_care_and_interprofessional_education">Fracture clinic redesign: improving standards in patient care and interprofessional education</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">INTRODUCTION: Current fracture clinic models, especially with the advent of reductions in junior doctors' hours, may limit outpatient trainee education and patient care. We have designed a new fracture clinic model, involving an initial... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_48667563" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">INTRODUCTION: Current fracture clinic models, especially with the advent of reductions in junior doctors' hours, may limit outpatient trainee education and patient care. We have designed a new fracture clinic model, involving an initial consultant-led case review focused on patient management and trainee education. METHODS: Prospective outcomes for all new patients attending the redesigned fracture clinic over a 3-week period in 2010 (n = 240) were compared with a historical cohort from the same period in 2009 (n = 296). The primary outcome measure was the proportion of patients with direct consultant input. Secondary outcome measures included patient discharge rates, return rates, use of the nurse-led fracture clinic and the incidence of adverse event reporting. Trainees attending each clinic completed a five-point Likert questionnaire assessing the adequacy of education, support, staff morale and standards of patient care, before and after introduction of the clinic redesign. Using a separate Likert questionnaire, emergency room (ER) staff were evaluated to determine the impact of the new style clinic on their education, daily practice and interprofessional relations. Adverse events were gathered from the 'incident record 1' (IR1) reporting system. RESULTS: The percentage of cases given consultant input increased significantly from 33% in 2009 to 84% in 2010 (p <0.0001), while the proportion of patients requiring physical review by a consultant fell by 21% (p <0.0001). Return rates were reduced by 14% (p = 0.013) and use of the nurse-led fracture clinic improved by 10% (p = 0.0028). There was a median improvement in trainee perception of education from 2 (interquartile range 1.25-2.75) to 5 (4.25-5, p = 0.011), senior support from 2 (2-3) to 5 (4-5, p = 0.017) and patient care from 3 (3-4) to 5 (4-5, p = 0.015). ER staff found the new style clinic was educational, practice changing and improved interprofessional relations, but that it did not interfere with ER duties. The incidence of adverse incidents reported fell from 8 per year to 0 per year after the introduction of the new style clinic. CONCLUSIONS: Our model of fracture-clinic redesign has significantly enhanced consultant input into patient care without additional funding. In addition, we have demonstrated increased service efficiency and significant improvements in staff support, morale and education. In the face of current economic and training challenges, we recommend this new model as a tool that will enhance patient and trainee experience.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/48667563" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="42f5da353d226a462860bd2d2b47c5b3" rel="nofollow" data-download="{"attachment_id":67161111,"asset_id":48667563,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/67161111/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="118857575" href="https://independent.academia.edu/Odhr%C3%A1nMurray">Odhrán Murray</a><script data-card-contents-for-user="118857575" type="text/json">{"id":118857575,"first_name":"Odhrán","last_name":"Murray","domain_name":"independent","page_name":"OdhránMurray","display_name":"Odhrán Murray","profile_url":"https://independent.academia.edu/Odhr%C3%A1nMurray?f_ri=9745","photo":"https://0.academia-photos.com/118857575/31549477/28910908/s65_odhr_n.murray.jpg"}</script></span></span></li><li class="js-paper-rank-work_48667563 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="48667563"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 48667563, container: ".js-paper-rank-work_48667563", }); });</script></li><li class="js-percentile-work_48667563 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 48667563; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_48667563"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_48667563 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="48667563"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 48667563; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=48667563]").text(description); $(".js-view-count-work_48667563").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_48667563").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="48667563"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="92243" rel="nofollow" href="https://www.academia.edu/Documents/in/Morale">Morale</a>, <script data-card-contents-for-ri="92243" type="text/json">{"id":92243,"name":"Morale","url":"https://www.academia.edu/Documents/in/Morale?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="113960" rel="nofollow" href="https://www.academia.edu/Documents/in/Orthopedics">Orthopedics</a>, <script data-card-contents-for-ri="113960" type="text/json">{"id":113960,"name":"Orthopedics","url":"https://www.academia.edu/Documents/in/Orthopedics?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=48667563]'), work: {"id":48667563,"title":"Fracture clinic redesign: improving standards in patient care and interprofessional education","created_at":"2021-05-05T03:07:17.330-07:00","url":"https://www.academia.edu/48667563/Fracture_clinic_redesign_improving_standards_in_patient_care_and_interprofessional_education?f_ri=9745","dom_id":"work_48667563","summary":"INTRODUCTION: Current fracture clinic models, especially with the advent of reductions in junior doctors' hours, may limit outpatient trainee education and patient care. We have designed a new fracture clinic model, involving an initial consultant-led case review focused on patient management and trainee education. METHODS: Prospective outcomes for all new patients attending the redesigned fracture clinic over a 3-week period in 2010 (n = 240) were compared with a historical cohort from the same period in 2009 (n = 296). The primary outcome measure was the proportion of patients with direct consultant input. Secondary outcome measures included patient discharge rates, return rates, use of the nurse-led fracture clinic and the incidence of adverse event reporting. Trainees attending each clinic completed a five-point Likert questionnaire assessing the adequacy of education, support, staff morale and standards of patient care, before and after introduction of the clinic redesign. Using a separate Likert questionnaire, emergency room (ER) staff were evaluated to determine the impact of the new style clinic on their education, daily practice and interprofessional relations. Adverse events were gathered from the 'incident record 1' (IR1) reporting system. RESULTS: The percentage of cases given consultant input increased significantly from 33% in 2009 to 84% in 2010 (p \u003c0.0001), while the proportion of patients requiring physical review by a consultant fell by 21% (p \u003c0.0001). Return rates were reduced by 14% (p = 0.013) and use of the nurse-led fracture clinic improved by 10% (p = 0.0028). There was a median improvement in trainee perception of education from 2 (interquartile range 1.25-2.75) to 5 (4.25-5, p = 0.011), senior support from 2 (2-3) to 5 (4-5, p = 0.017) and patient care from 3 (3-4) to 5 (4-5, p = 0.015). ER staff found the new style clinic was educational, practice changing and improved interprofessional relations, but that it did not interfere with ER duties. The incidence of adverse incidents reported fell from 8 per year to 0 per year after the introduction of the new style clinic. CONCLUSIONS: Our model of fracture-clinic redesign has significantly enhanced consultant input into patient care without additional funding. In addition, we have demonstrated increased service efficiency and significant improvements in staff support, morale and education. In the face of current economic and training challenges, we recommend this new model as a tool that will enhance patient and trainee experience.","downloadable_attachments":[{"id":67161111,"asset_id":48667563,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":118857575,"first_name":"Odhrán","last_name":"Murray","domain_name":"independent","page_name":"OdhránMurray","display_name":"Odhrán Murray","profile_url":"https://independent.academia.edu/Odhr%C3%A1nMurray?f_ri=9745","photo":"https://0.academia-photos.com/118857575/31549477/28910908/s65_odhr_n.murray.jpg"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":92243,"name":"Morale","url":"https://www.academia.edu/Documents/in/Morale?f_ri=9745","nofollow":true},{"id":113960,"name":"Orthopedics","url":"https://www.academia.edu/Documents/in/Orthopedics?f_ri=9745","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745","nofollow":true},{"id":458190,"name":"Organizational Innovation","url":"https://www.academia.edu/Documents/in/Organizational_Innovation?f_ri=9745"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies?f_ri=9745"},{"id":704648,"name":"Clinical Competence","url":"https://www.academia.edu/Documents/in/Clinical_Competence?f_ri=9745"},{"id":3022530,"name":"Patient discharge","url":"https://www.academia.edu/Documents/in/Patient_discharge?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_48473858" data-work_id="48473858" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/48473858/Improving_Pediatric_Asthma_Care_and_Outcomes_Across_Multiple_Hospitals">Improving Pediatric Asthma Care and Outcomes Across Multiple Hospitals</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Gaps exist in inpatient asthma care. Our aims were to assess the impact of an evidence-based care process model (EB-CPM) 5 years after implementation at Primary Children&#39;s Hospital (PCH), a tertiary care facility, and after its... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_48473858" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Gaps exist in inpatient asthma care. Our aims were to assess the impact of an evidence-based care process model (EB-CPM) 5 years after implementation at Primary Children&#39;s Hospital (PCH), a tertiary care facility, and after its dissemination to 7 community hospitals. Participants included asthmatics 2 to 17 years admitted at 8 hospitals between 2003 and 2013. The EB-CPM was implemented at PCH between January 2008 and March 2009, then disseminated to 7 community hospitals between January and June 2011. We measured compliance using a composite score (CS) for 8 quality measures. Outcomes were compared between preimplementation and postimplementation periods. Confounding was addressed through multivariable regression analyses. At PCH, the CS increased and remained at &gt;90% for 5 years after implementation. We observed sustained reductions in asthma readmissions (P = .026) and length of stay (P &lt; .001), a trend toward reduced costs (P = .094), and no change in hospital resource ...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/48473858" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="32247f01f522f55adf45024bab4eef2c" rel="nofollow" data-download="{"attachment_id":67066150,"asset_id":48473858,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/67066150/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="5504887" href="https://intermountainhealthcare.academia.edu/LucySavitz">Lucy A Savitz</a><script data-card-contents-for-user="5504887" type="text/json">{"id":5504887,"first_name":"Lucy","last_name":"Savitz","domain_name":"intermountainhealthcare","page_name":"LucySavitz","display_name":"Lucy A Savitz","profile_url":"https://intermountainhealthcare.academia.edu/LucySavitz?f_ri=9745","photo":"https://0.academia-photos.com/5504887/2414545/2809332/s65_lucy.savitz.jpg"}</script></span></span></li><li class="js-paper-rank-work_48473858 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="48473858"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 48473858, container: ".js-paper-rank-work_48473858", }); });</script></li><li class="js-percentile-work_48473858 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 48473858; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_48473858"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_48473858 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="48473858"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 48473858; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=48473858]").text(description); $(".js-view-count-work_48473858").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_48473858").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="48473858"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">13</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="202" rel="nofollow" href="https://www.academia.edu/Documents/in/Program_Evaluation">Program Evaluation</a>, <script data-card-contents-for-ri="202" type="text/json">{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="631" rel="nofollow" href="https://www.academia.edu/Documents/in/Pediatrics">Pediatrics</a>, <script data-card-contents-for-ri="631" type="text/json">{"id":631,"name":"Pediatrics","url":"https://www.academia.edu/Documents/in/Pediatrics?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9968" rel="nofollow" href="https://www.academia.edu/Documents/in/Asthma">Asthma</a><script data-card-contents-for-ri="9968" type="text/json">{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=48473858]'), work: {"id":48473858,"title":"Improving Pediatric Asthma Care and Outcomes Across Multiple Hospitals","created_at":"2021-05-04T19:53:23.268-07:00","url":"https://www.academia.edu/48473858/Improving_Pediatric_Asthma_Care_and_Outcomes_Across_Multiple_Hospitals?f_ri=9745","dom_id":"work_48473858","summary":"Gaps exist in inpatient asthma care. Our aims were to assess the impact of an evidence-based care process model (EB-CPM) 5 years after implementation at Primary Children\u0026#39;s Hospital (PCH), a tertiary care facility, and after its dissemination to 7 community hospitals. Participants included asthmatics 2 to 17 years admitted at 8 hospitals between 2003 and 2013. The EB-CPM was implemented at PCH between January 2008 and March 2009, then disseminated to 7 community hospitals between January and June 2011. We measured compliance using a composite score (CS) for 8 quality measures. Outcomes were compared between preimplementation and postimplementation periods. Confounding was addressed through multivariable regression analyses. At PCH, the CS increased and remained at \u0026gt;90% for 5 years after implementation. We observed sustained reductions in asthma readmissions (P = .026) and length of stay (P \u0026lt; .001), a trend toward reduced costs (P = .094), and no change in hospital resource ...","downloadable_attachments":[{"id":67066150,"asset_id":48473858,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":5504887,"first_name":"Lucy","last_name":"Savitz","domain_name":"intermountainhealthcare","page_name":"LucySavitz","display_name":"Lucy A Savitz","profile_url":"https://intermountainhealthcare.academia.edu/LucySavitz?f_ri=9745","photo":"https://0.academia-photos.com/5504887/2414545/2809332/s65_lucy.savitz.jpg"}],"research_interests":[{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true},{"id":631,"name":"Pediatrics","url":"https://www.academia.edu/Documents/in/Pediatrics?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma?f_ri=9745","nofollow":true},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=9745"},{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies?f_ri=9745"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child?f_ri=9745"},{"id":96213,"name":"Hospitalization","url":"https://www.academia.edu/Documents/in/Hospitalization?f_ri=9745"},{"id":96680,"name":"Hospital costs","url":"https://www.academia.edu/Documents/in/Hospital_costs?f_ri=9745"},{"id":539334,"name":"Utah","url":"https://www.academia.edu/Documents/in/Utah?f_ri=9745"},{"id":2489700,"name":"Child preschool","url":"https://www.academia.edu/Documents/in/Child_preschool?f_ri=9745"},{"id":2922956,"name":"Psychology and Cognitive Sciences","url":"https://www.academia.edu/Documents/in/Psychology_and_Cognitive_Sciences?f_ri=9745"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_1017079" data-work_id="1017079" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/1017079/Treatment_of_domestic_wastewater_by_three_plant_species_in_constructed_wetlands">Treatment of domestic wastewater by three plant species in constructed wetlands</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Three common Appalachian plant species (Juncus effusus L., Scirpus validus L., and Typha latifolia L.) were planted into small-scale constructed wetlands receiving primary treated wastewater. The experimental design included two wetland... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_1017079" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Three common Appalachian plant species (Juncus effusus L., Scirpus validus L., and Typha latifolia L.) were planted into small-scale constructed wetlands receiving primary treated wastewater. The experimental design included two wetland gravel depths (45 and 60 cm) and five planting treatments (each species in monoculture, an equal mixture of the three species, and controls without vegetation), with two replicates per depth × planting combination. Inflow rates (19 L day −1 ) and frequency (3 times day −1 ) were designed to simulate full-scale constructed wetlands as currently used for domestic wastewater treatment in West Virginia. Influent wastewater and the effluent from each wetland were sampled monthly for ten physical, chemical and biological parameters, and plant demographic measurements were made. After passing through these trough wetlands, the average of all treatments showed a 70% reduction in total suspended solids (TSS) and biochemical oxygen demand (BOD), 50 to 60% reduction in nitrogen (TKN), ammonia and phosphate, and a reduction of fecal coliforms by three orders of magnitude. Depth of gravel (45 or 60 cm) had little effect on wetland treatment ability, but did influence Typha and Scirpus growth patterns. Gravel alone provided significant wastewater treatment, but vegetation further improved many treatment efficiencies. Typha significantly out-performed Juncus and Scirpus both in growth and in effluent quality improvement. There was also some evidence that the species mixture out-performed species monocultures. Typha was the superior competitor in mixtures, but a decline in Typha growth with distance from the influent pipe suggested that nutrients became limiting or toxicities may have developed.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/1017079" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0427e6a39bac2abff84b465eb8788c60" rel="nofollow" data-download="{"attachment_id":51132390,"asset_id":1017079,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/51132390/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="174526" href="https://wvu.academia.edu/KeithGarbutt">Keith Garbutt</a><script data-card-contents-for-user="174526" type="text/json">{"id":174526,"first_name":"Keith","last_name":"Garbutt","domain_name":"wvu","page_name":"KeithGarbutt","display_name":"Keith Garbutt","profile_url":"https://wvu.academia.edu/KeithGarbutt?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_1017079 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="1017079"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 1017079, container: ".js-paper-rank-work_1017079", }); });</script></li><li class="js-percentile-work_1017079 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 1017079; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_1017079"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_1017079 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="1017079"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 1017079; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=1017079]").text(description); $(".js-view-count-work_1017079").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_1017079").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="1017079"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9991" rel="nofollow" href="https://www.academia.edu/Documents/in/Wastewater_Treatment">Wastewater Treatment</a>, <script data-card-contents-for-ri="9991" type="text/json">{"id":9991,"name":"Wastewater Treatment","url":"https://www.academia.edu/Documents/in/Wastewater_Treatment?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="21747" rel="nofollow" href="https://www.academia.edu/Documents/in/Experimental_Design">Experimental Design</a>, <script data-card-contents-for-ri="21747" type="text/json">{"id":21747,"name":"Experimental Design","url":"https://www.academia.edu/Documents/in/Experimental_Design?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="28235" rel="nofollow" href="https://www.academia.edu/Documents/in/Multidisciplinary">Multidisciplinary</a><script data-card-contents-for-ri="28235" type="text/json">{"id":28235,"name":"Multidisciplinary","url":"https://www.academia.edu/Documents/in/Multidisciplinary?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=1017079]'), work: {"id":1017079,"title":"Treatment of domestic wastewater by three plant species in constructed wetlands","created_at":"2011-10-16T09:09:18.477-07:00","url":"https://www.academia.edu/1017079/Treatment_of_domestic_wastewater_by_three_plant_species_in_constructed_wetlands?f_ri=9745","dom_id":"work_1017079","summary":"Three common Appalachian plant species (Juncus effusus L., Scirpus validus L., and Typha latifolia L.) were planted into small-scale constructed wetlands receiving primary treated wastewater. The experimental design included two wetland gravel depths (45 and 60 cm) and five planting treatments (each species in monoculture, an equal mixture of the three species, and controls without vegetation), with two replicates per depth × planting combination. Inflow rates (19 L day −1 ) and frequency (3 times day −1 ) were designed to simulate full-scale constructed wetlands as currently used for domestic wastewater treatment in West Virginia. Influent wastewater and the effluent from each wetland were sampled monthly for ten physical, chemical and biological parameters, and plant demographic measurements were made. After passing through these trough wetlands, the average of all treatments showed a 70% reduction in total suspended solids (TSS) and biochemical oxygen demand (BOD), 50 to 60% reduction in nitrogen (TKN), ammonia and phosphate, and a reduction of fecal coliforms by three orders of magnitude. Depth of gravel (45 or 60 cm) had little effect on wetland treatment ability, but did influence Typha and Scirpus growth patterns. Gravel alone provided significant wastewater treatment, but vegetation further improved many treatment efficiencies. Typha significantly out-performed Juncus and Scirpus both in growth and in effluent quality improvement. There was also some evidence that the species mixture out-performed species monocultures. Typha was the superior competitor in mixtures, but a decline in Typha growth with distance from the influent pipe suggested that nutrients became limiting or toxicities may have developed.","downloadable_attachments":[{"id":51132390,"asset_id":1017079,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":174526,"first_name":"Keith","last_name":"Garbutt","domain_name":"wvu","page_name":"KeithGarbutt","display_name":"Keith Garbutt","profile_url":"https://wvu.academia.edu/KeithGarbutt?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":9991,"name":"Wastewater Treatment","url":"https://www.academia.edu/Documents/in/Wastewater_Treatment?f_ri=9745","nofollow":true},{"id":21747,"name":"Experimental Design","url":"https://www.academia.edu/Documents/in/Experimental_Design?f_ri=9745","nofollow":true},{"id":28235,"name":"Multidisciplinary","url":"https://www.academia.edu/Documents/in/Multidisciplinary?f_ri=9745","nofollow":true},{"id":151091,"name":"Nitrogen","url":"https://www.academia.edu/Documents/in/Nitrogen?f_ri=9745"},{"id":355465,"name":"Constructed Wetland","url":"https://www.academia.edu/Documents/in/Constructed_Wetland?f_ri=9745"},{"id":586072,"name":"Plant species","url":"https://www.academia.edu/Documents/in/Plant_species?f_ri=9745"},{"id":658986,"name":"West Virginia","url":"https://www.academia.edu/Documents/in/West_Virginia?f_ri=9745"},{"id":803009,"name":"Domestic Wastewater","url":"https://www.academia.edu/Documents/in/Domestic_Wastewater?f_ri=9745"},{"id":958594,"name":"Fecal Coliform","url":"https://www.academia.edu/Documents/in/Fecal_Coliform?f_ri=9745"},{"id":1293002,"name":"Biochemical Oxygen Demand","url":"https://www.academia.edu/Documents/in/Biochemical_Oxygen_Demand?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_9125114" data-work_id="9125114" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/9125114/Overall_quality_improvement_of_an_IVF_centre_usefulness_of_a_quality_system_in_reproduction">Overall quality improvement of an IVF centre: usefulness of a quality system in reproduction</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The aim of this report is to examine those factors that should be considered in assessing the overall quality of an in vitro fertilization (IVF) center and to evaluate the utility of a Quality System after Clinic Tambre received its... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_9125114" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The aim of this report is to examine those factors that should be considered in assessing the overall quality of an in vitro fertilization (IVF) center and to evaluate the utility of a Quality System after Clinic Tambre received its accreditation certificate (ISO 9001: 2000) on December, 2002, for first time in Spain. Current methods to assess quality are reviewed: (1) Patient satisfaction, (2) Procedures, (3) Laboratory methods, (4) Counseling and information to the patients, (5) Staff training and development, (6) Identify indicators, (7) Problem solving strategy. Results: The accreditation of our Clinic has already brought many positive aspects such as the implementation of a quality system, the creation of an overall quality manual, the preservation of staff competence through regular training (in-house training and external training or further education) and the maintenance of functional laboratories and of reliable equipment. Furthermore, the traceability of all variables affecting the final results is guaranteed. Conclusions: We believe that ISO 9001 serves as an excellent worldwide standard. ISO 9001 is the highest level of specification that requires continual improvement through the use of quality policy, objectives, audit results, analysis of data, corrective and preventive action, and management review. D</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/9125114" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="55dea9197d7e1d18ee7b03f79dc24e87" rel="nofollow" data-download="{"attachment_id":47876768,"asset_id":9125114,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/47876768/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="20778267" href="https://uniquindio.academia.edu/SergioCortes">Sergio Cortes</a><script data-card-contents-for-user="20778267" type="text/json">{"id":20778267,"first_name":"Sergio","last_name":"Cortes","domain_name":"uniquindio","page_name":"SergioCortes","display_name":"Sergio Cortes","profile_url":"https://uniquindio.academia.edu/SergioCortes?f_ri=9745","photo":"https://0.academia-photos.com/20778267/7819273/8762212/s65_sergio.cortes.jpg_oh_194d0023b4b32e58a4741d9aceec1935_oe_5590b674___gda___1435677365_69d5ef532b9b93594c9733c7e145a72d"}</script></span></span></li><li class="js-paper-rank-work_9125114 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="9125114"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 9125114, container: ".js-paper-rank-work_9125114", }); });</script></li><li class="js-percentile-work_9125114 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 9125114; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_9125114"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_9125114 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="9125114"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 9125114; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=9125114]").text(description); $(".js-view-count-work_9125114").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_9125114").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="9125114"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="3023" rel="nofollow" href="https://www.academia.edu/Documents/in/Training_and_Development">Training and Development</a>, <script data-card-contents-for-ri="3023" type="text/json">{"id":3023,"name":"Training and Development","url":"https://www.academia.edu/Documents/in/Training_and_Development?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="13602" rel="nofollow" href="https://www.academia.edu/Documents/in/Continuous_Improvement">Continuous Improvement</a>, <script data-card-contents-for-ri="13602" type="text/json">{"id":13602,"name":"Continuous Improvement","url":"https://www.academia.edu/Documents/in/Continuous_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="49419" rel="nofollow" href="https://www.academia.edu/Documents/in/Problem_Solving">Problem Solving</a><script data-card-contents-for-ri="49419" type="text/json">{"id":49419,"name":"Problem Solving","url":"https://www.academia.edu/Documents/in/Problem_Solving?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=9125114]'), work: {"id":9125114,"title":"Overall quality improvement of an IVF centre: usefulness of a quality system in reproduction","created_at":"2014-11-04T11:39:48.746-08:00","url":"https://www.academia.edu/9125114/Overall_quality_improvement_of_an_IVF_centre_usefulness_of_a_quality_system_in_reproduction?f_ri=9745","dom_id":"work_9125114","summary":"The aim of this report is to examine those factors that should be considered in assessing the overall quality of an in vitro fertilization (IVF) center and to evaluate the utility of a Quality System after Clinic Tambre received its accreditation certificate (ISO 9001: 2000) on December, 2002, for first time in Spain. Current methods to assess quality are reviewed: (1) Patient satisfaction, (2) Procedures, (3) Laboratory methods, (4) Counseling and information to the patients, (5) Staff training and development, (6) Identify indicators, (7) Problem solving strategy. Results: The accreditation of our Clinic has already brought many positive aspects such as the implementation of a quality system, the creation of an overall quality manual, the preservation of staff competence through regular training (in-house training and external training or further education) and the maintenance of functional laboratories and of reliable equipment. Furthermore, the traceability of all variables affecting the final results is guaranteed. Conclusions: We believe that ISO 9001 serves as an excellent worldwide standard. ISO 9001 is the highest level of specification that requires continual improvement through the use of quality policy, objectives, audit results, analysis of data, corrective and preventive action, and management review. D","downloadable_attachments":[{"id":47876768,"asset_id":9125114,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":20778267,"first_name":"Sergio","last_name":"Cortes","domain_name":"uniquindio","page_name":"SergioCortes","display_name":"Sergio Cortes","profile_url":"https://uniquindio.academia.edu/SergioCortes?f_ri=9745","photo":"https://0.academia-photos.com/20778267/7819273/8762212/s65_sergio.cortes.jpg_oh_194d0023b4b32e58a4741d9aceec1935_oe_5590b674___gda___1435677365_69d5ef532b9b93594c9733c7e145a72d"}],"research_interests":[{"id":3023,"name":"Training and Development","url":"https://www.academia.edu/Documents/in/Training_and_Development?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":13602,"name":"Continuous Improvement","url":"https://www.academia.edu/Documents/in/Continuous_Improvement?f_ri=9745","nofollow":true},{"id":49419,"name":"Problem Solving","url":"https://www.academia.edu/Documents/in/Problem_Solving?f_ri=9745","nofollow":true},{"id":105108,"name":"In Vitro Fertilization","url":"https://www.academia.edu/Documents/in/In_Vitro_Fertilization?f_ri=9745"},{"id":144052,"name":"Patient Satisfaction","url":"https://www.academia.edu/Documents/in/Patient_Satisfaction?f_ri=9745"},{"id":881192,"name":"Quality system","url":"https://www.academia.edu/Documents/in/Quality_system?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_17093998" data-work_id="17093998" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/17093998/Inpatient_care_to_community_care_improving_clinical_handover_in_the_private_mental_health_setting">Inpatient care to community care: improving clinical handover in the private mental health setting</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">To develop and test a standardised clinical handover discharge strategy for improving information transfer between private mental health hospitals and community practitioners. A quality improvement intervention using collaborative,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_17093998" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">To develop and test a standardised clinical handover discharge strategy for improving information transfer between private mental health hospitals and community practitioners. A quality improvement intervention using collaborative, iterative methods to develop a standardised discharge and outcome assessment strategy. 150 patient participants were consecutively recruited from two private mental health care hospitals in New South Wales between April and September 2008. Opinions of community practitioners and patients on the discharge process and discharge documentation were solicited by written questionnaires and telephone interviews. Community practitioner satisfaction; patient satisfaction; documentation of discharge date at least 48 hours before discharge; faxing of discharge summaries to community practitioners within 48 hours of discharge; proportion of patients receiving a follow-up telephone call within 7 days or 14 days of discharge. Both community practitioners and patients b...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/17093998" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="7ec1e13fa59174ff49dcdcb380085f9d" rel="nofollow" data-download="{"attachment_id":42324171,"asset_id":17093998,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/42324171/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="31235994" href="https://independent.academia.edu/DavidsonPatricia">Patricia Davidson</a><script data-card-contents-for-user="31235994" type="text/json">{"id":31235994,"first_name":"Patricia","last_name":"Davidson","domain_name":"independent","page_name":"DavidsonPatricia","display_name":"Patricia Davidson","profile_url":"https://independent.academia.edu/DavidsonPatricia?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_17093998 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="17093998"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 17093998, container: ".js-paper-rank-work_17093998", }); 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A quality improvement intervention using collaborative, iterative methods to develop a standardised discharge and outcome assessment strategy. 150 patient participants were consecutively recruited from two private mental health care hospitals in New South Wales between April and September 2008. Opinions of community practitioners and patients on the discharge process and discharge documentation were solicited by written questionnaires and telephone interviews. Community practitioner satisfaction; patient satisfaction; documentation of discharge date at least 48 hours before discharge; faxing of discharge summaries to community practitioners within 48 hours of discharge; proportion of patients receiving a follow-up telephone call within 7 days or 14 days of discharge. Both community practitioners and patients b...","downloadable_attachments":[{"id":42324171,"asset_id":17093998,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":31235994,"first_name":"Patricia","last_name":"Davidson","domain_name":"independent","page_name":"DavidsonPatricia","display_name":"Patricia Davidson","profile_url":"https://independent.academia.edu/DavidsonPatricia?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=9745","nofollow":true},{"id":3138,"name":"Community-Based Mental Health Services","url":"https://www.academia.edu/Documents/in/Community-Based_Mental_Health_Services?f_ri=9745","nofollow":true},{"id":6697,"name":"Australia","url":"https://www.academia.edu/Documents/in/Australia?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745"},{"id":65981,"name":"Needs Assessment","url":"https://www.academia.edu/Documents/in/Needs_Assessment?f_ri=9745"},{"id":118599,"name":"Information Transfer","url":"https://www.academia.edu/Documents/in/Information_Transfer?f_ri=9745"},{"id":144052,"name":"Patient Satisfaction","url":"https://www.academia.edu/Documents/in/Patient_Satisfaction?f_ri=9745"},{"id":145675,"name":"Standardisation","url":"https://www.academia.edu/Documents/in/Standardisation?f_ri=9745"},{"id":184047,"name":"New South Wales","url":"https://www.academia.edu/Documents/in/New_South_Wales?f_ri=9745"},{"id":188911,"name":"Mental Health Care","url":"https://www.academia.edu/Documents/in/Mental_Health_Care?f_ri=9745"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=9745"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=9745"},{"id":589991,"name":"Patient Participation","url":"https://www.academia.edu/Documents/in/Patient_Participation?f_ri=9745"},{"id":784971,"name":"Community Care","url":"https://www.academia.edu/Documents/in/Community_Care?f_ri=9745"},{"id":994452,"name":"Outcome Assessment","url":"https://www.academia.edu/Documents/in/Outcome_Assessment?f_ri=9745"},{"id":1034177,"name":"Continuity of Patient Care","url":"https://www.academia.edu/Documents/in/Continuity_of_Patient_Care?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_81258153" data-work_id="81258153" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" rel="nofollow" href="https://www.academia.edu/81258153/National_Quality_Measures_for_Breast_Centers_NQMBC_A_Robust_Quality_Tool">National Quality Measures for Breast Centers (NQMBC): A Robust Quality Tool</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/81258153" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" 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$(".js-view-count[data-work-id=81258153]").text(description); $(".js-view-count-work_81258153").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_81258153").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="81258153"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="202" rel="nofollow" href="https://www.academia.edu/Documents/in/Program_Evaluation">Program Evaluation</a>, <script data-card-contents-for-ri="202" type="text/json">{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8974" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care">Quality of Mental Health Care</a>, <script data-card-contents-for-ri="8974" type="text/json">{"id":8974,"name":"Quality of Mental Health Care","url":"https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a><script data-card-contents-for-ri="26327" 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Collection","url":"https://www.academia.edu/Documents/in/Data_Collection?f_ri=9745"},{"id":229390,"name":"Real Time","url":"https://www.academia.edu/Documents/in/Real_Time?f_ri=9745"},{"id":230729,"name":"Cancer Care Facilities","url":"https://www.academia.edu/Documents/in/Cancer_Care_Facilities?f_ri=9745"},{"id":2065599,"name":"Quality Measures","url":"https://www.academia.edu/Documents/in/Quality_Measures?f_ri=9745"},{"id":2491318,"name":"Guideline Adherence","url":"https://www.academia.edu/Documents/in/Guideline_Adherence?f_ri=9745"},{"id":2847999,"name":"Breast Neoplasms","url":"https://www.academia.edu/Documents/in/Breast_Neoplasms?f_ri=9745"},{"id":3009044,"name":"quality assurance in health care","url":"https://www.academia.edu/Documents/in/quality_assurance_in_health_care?f_ri=9745"},{"id":3194761,"name":"Quality of health care","url":"https://www.academia.edu/Documents/in/Quality_of_health_care?f_ri=9745"},{"id":3499881,"name":"Outcome assessment (Health care)","url":"https://www.academia.edu/Documents/in/Outcome_assessment_Health_care_?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_69978012" data-work_id="69978012" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/69978012/A_Positive_Deviance_Approach_to_Understanding_Key_Features_to_Improving_Diabetes_Care_in_the_Medical_Home">A Positive Deviance Approach to Understanding Key Features to Improving Diabetes Care in the Medical Home</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">PURPOSE The medical home has gained national attention as a model to reorganize primary care to improve health outcomes. Pennsylvania has undertaken one of the largest state-based, multipayer medical home pilot projects. We used a... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_69978012" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">PURPOSE The medical home has gained national attention as a model to reorganize primary care to improve health outcomes. Pennsylvania has undertaken one of the largest state-based, multipayer medical home pilot projects. We used a positive deviance approach to identify and compare factors driving the care models of practices showing the greatest and least improvement in diabetes care in a sample of 25 primary care practices in southeast Pennsylvania. METHODS We ranked practices into improvement quintiles on the basis of the average absolute percentage point improvement from baseline to 18 months in 3 registry-based measures of performance related to diabetes care: glycated hemoglobin concentration, blood pressure, and low-density lipoprotein cholesterol level. We then conducted surveys and key informant interviews with leaders and staff in the 5 most and least improved practices, and compared their responses. RESULTS The most improved/higher-performing practices tended to have greater structural capabilities (eg, electronic health records) than the least improved/ lower-performing practices at baseline. Interviews revealed striking differences between the groups in terms of leadership styles and shared vision; sense, use, and development of teams; processes for monitoring progress and obtaining feedback; and presence of technologic and fi nancial distractions. CONCLUSIONS Positive deviance analysis suggests that primary care practices' baseline structural capabilities and abilities to buffer the stresses of change may be key facilitators of performance improvement in medical home transformations. Attention to the practices' structural capabilities and factors shaping successful change, especially early in the process, will be necessary to improve the likelihood of successful medical home transformation and better care.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/69978012" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a13e7d94065d73617a8ab6e993156ced" rel="nofollow" data-download="{"attachment_id":79874392,"asset_id":69978012,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/79874392/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="49092262" href="https://chapman.academia.edu/MMillerDay">Michelle Miller-Day</a><script data-card-contents-for-user="49092262" type="text/json">{"id":49092262,"first_name":"Michelle","last_name":"Miller-Day","domain_name":"chapman","page_name":"MMillerDay","display_name":"Michelle Miller-Day","profile_url":"https://chapman.academia.edu/MMillerDay?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_69978012 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="69978012"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 69978012, container: ".js-paper-rank-work_69978012", }); 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$(".js-view-count[data-work-id=69978012]").text(description); $(".js-view-count-work_69978012").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_69978012").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="69978012"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">10</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="586" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Sciences">Health Sciences</a>, <script data-card-contents-for-ri="586" type="text/json">{"id":586,"name":"Health Sciences","url":"https://www.academia.edu/Documents/in/Health_Sciences?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2974" rel="nofollow" href="https://www.academia.edu/Documents/in/Primary_Health_Care">Primary Health Care</a>, <script data-card-contents-for-ri="2974" type="text/json">{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a><script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=69978012]'), work: {"id":69978012,"title":"A Positive Deviance Approach to Understanding Key Features to Improving Diabetes Care in the Medical Home","created_at":"2022-01-29T17:10:15.155-08:00","url":"https://www.academia.edu/69978012/A_Positive_Deviance_Approach_to_Understanding_Key_Features_to_Improving_Diabetes_Care_in_the_Medical_Home?f_ri=9745","dom_id":"work_69978012","summary":"PURPOSE The medical home has gained national attention as a model to reorganize primary care to improve health outcomes. Pennsylvania has undertaken one of the largest state-based, multipayer medical home pilot projects. We used a positive deviance approach to identify and compare factors driving the care models of practices showing the greatest and least improvement in diabetes care in a sample of 25 primary care practices in southeast Pennsylvania. METHODS We ranked practices into improvement quintiles on the basis of the average absolute percentage point improvement from baseline to 18 months in 3 registry-based measures of performance related to diabetes care: glycated hemoglobin concentration, blood pressure, and low-density lipoprotein cholesterol level. We then conducted surveys and key informant interviews with leaders and staff in the 5 most and least improved practices, and compared their responses. RESULTS The most improved/higher-performing practices tended to have greater structural capabilities (eg, electronic health records) than the least improved/ lower-performing practices at baseline. Interviews revealed striking differences between the groups in terms of leadership styles and shared vision; sense, use, and development of teams; processes for monitoring progress and obtaining feedback; and presence of technologic and fi nancial distractions. CONCLUSIONS Positive deviance analysis suggests that primary care practices' baseline structural capabilities and abilities to buffer the stresses of change may be key facilitators of performance improvement in medical home transformations. Attention to the practices' structural capabilities and factors shaping successful change, especially early in the process, will be necessary to improve the likelihood of successful medical home transformation and better care.","downloadable_attachments":[{"id":79874392,"asset_id":69978012,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":49092262,"first_name":"Michelle","last_name":"Miller-Day","domain_name":"chapman","page_name":"MMillerDay","display_name":"Michelle Miller-Day","profile_url":"https://chapman.academia.edu/MMillerDay?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":586,"name":"Health Sciences","url":"https://www.academia.edu/Documents/in/Health_Sciences?f_ri=9745","nofollow":true},{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true},{"id":71511,"name":"Diabetes mellitus","url":"https://www.academia.edu/Documents/in/Diabetes_mellitus?f_ri=9745"},{"id":75000,"name":"Philosophy and Religious Studies","url":"https://www.academia.edu/Documents/in/Philosophy_and_Religious_Studies?f_ri=9745"},{"id":213439,"name":"Pennsylvania","url":"https://www.academia.edu/Documents/in/Pennsylvania?f_ri=9745"},{"id":595926,"name":"Patient Centered Care","url":"https://www.academia.edu/Documents/in/Patient_Centered_Care?f_ri=9745"},{"id":2735826,"name":"Health Care Surveys","url":"https://www.academia.edu/Documents/in/Health_Care_Surveys?f_ri=9745"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_68180000" data-work_id="68180000" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" rel="nofollow" href="https://www.academia.edu/68180000/Developing_and_Running_a_Primary_Care_Practice_Facilitation_Program_A_HowTo_Guide">Developing and Running a Primary Care Practice Facilitation Program A HowTo Guide</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Working with the Agency for Healthcare Research and Quality and LA Net, we developed a manual on creating and implementing successful practice implementation programs. This guide provides information on how to start and run a program to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_68180000" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Working with the Agency for Healthcare Research and Quality and LA Net, we developed a manual on creating and implementing successful practice implementation programs. This guide provides information on how to start and run a program to work with primary care practices on quality improvement, with an emphasis on redesign and transformation. It covers how to develop, design, and administer programs.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/68180000" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="100cba90c363af6992f47a80c3a81ceb" rel="nofollow" data-download="{"attachment_id":78748019,"asset_id":68180000,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/78748019/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="171382635" rel="nofollow" href="https://independent.academia.edu/LyndeeKnox">Lyndee Knox</a><script data-card-contents-for-user="171382635" type="text/json">{"id":171382635,"first_name":"Lyndee","last_name":"Knox","domain_name":"independent","page_name":"LyndeeKnox","display_name":"Lyndee Knox","profile_url":"https://independent.academia.edu/LyndeeKnox?f_ri=9745","photo":"https://0.academia-photos.com/171382635/122598759/111940886/s65_lyndee.knox.jpeg"}</script></span></span></li><li class="js-paper-rank-work_68180000 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="68180000"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 68180000, container: ".js-paper-rank-work_68180000", }); 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This guide provides information on how to start and run a program to work with primary care practices on quality improvement, with an emphasis on redesign and transformation. It covers how to develop, design, and administer programs.","downloadable_attachments":[{"id":78748019,"asset_id":68180000,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":171382635,"first_name":"Lyndee","last_name":"Knox","domain_name":"independent","page_name":"LyndeeKnox","display_name":"Lyndee Knox","profile_url":"https://independent.academia.edu/LyndeeKnox?f_ri=9745","photo":"https://0.academia-photos.com/171382635/122598759/111940886/s65_lyndee.knox.jpeg"}],"research_interests":[{"id":633,"name":"Primary Care","url":"https://www.academia.edu/Documents/in/Primary_Care?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=9745","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_67365178" data-work_id="67365178" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/67365178/Prevention_of_Central_Line_Associated_Bloodstream_Infections_A_Journey_Toward_Eliminating_Preventable_Harm">Prevention of Central Line–Associated Bloodstream Infections: A Journey Toward Eliminating Preventable Harm</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Central line–associated blood stream infections (CLABSI) are among the most common, lethal, and costly health care–associated infections. Recent large collaborative quality improvement efforts have achieved unprecedented and sustained... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_67365178" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Central line–associated blood stream infections (CLABSI) are among the most common, lethal, and costly health care–associated infections. Recent large collaborative quality improvement efforts have achieved unprecedented and sustained reductions in CLABSI rates and demonstrate that these infections are largely preventable, even for exceedingly ill patients. The broad acceptance that zero CLABSI rates are an achievable goal has motivated and stimulated</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/67365178" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="1088ecd8e6268c452ea053e1bd4b65f0" rel="nofollow" data-download="{"attachment_id":78208970,"asset_id":67365178,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/78208970/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="135466913" href="https://humtumonly.academia.edu/MuhammadYaseen">Muhammad Yaseen</a><script data-card-contents-for-user="135466913" type="text/json">{"id":135466913,"first_name":"Muhammad","last_name":"Yaseen","domain_name":"humtumonly","page_name":"MuhammadYaseen","display_name":"Muhammad Yaseen","profile_url":"https://humtumonly.academia.edu/MuhammadYaseen?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_67365178 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="67365178"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 67365178, container: ".js-paper-rank-work_67365178", }); 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Recent large collaborative quality improvement efforts have achieved unprecedented and sustained reductions in CLABSI rates and demonstrate that these infections are largely preventable, even for exceedingly ill patients. The broad acceptance that zero CLABSI rates are an achievable goal has motivated and stimulated","downloadable_attachments":[{"id":78208970,"asset_id":67365178,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":135466913,"first_name":"Muhammad","last_name":"Yaseen","domain_name":"humtumonly","page_name":"MuhammadYaseen","display_name":"Muhammad Yaseen","profile_url":"https://humtumonly.academia.edu/MuhammadYaseen?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":17969,"name":"Health Policy","url":"https://www.academia.edu/Documents/in/Health_Policy?f_ri=9745","nofollow":true},{"id":69637,"name":"Infection Control","url":"https://www.academia.edu/Documents/in/Infection_Control?f_ri=9745","nofollow":true},{"id":70646,"name":"Development policy","url":"https://www.academia.edu/Documents/in/Development_policy?f_ri=9745"},{"id":1895651,"name":"Attribute Reduction","url":"https://www.academia.edu/Documents/in/Attribute_Reduction?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_62556385" data-work_id="62556385" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/62556385/A_pressure_ulcer_audit_and_feedback_project_across_multi_hospital_settings_in_the_Netherlands">A pressure ulcer audit and feedback project across multi-hospital settings in the Netherlands</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objective. To examine whether participating in a pressure ulcer prevalence survey and receiving feedback results in an improvement in quality of care. Design. Cross-sectional studies from 1998 to 2002 were compared over time. Setting.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_62556385" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objective. To examine whether participating in a pressure ulcer prevalence survey and receiving feedback results in an improvement in quality of care. Design. Cross-sectional studies from 1998 to 2002 were compared over time. Setting. Sixty-two acute care hospitals in the Netherlands. Study participants. Patients hospitalized at the moment of the surveys. Interventions. Each hospital was given hospital-specific performance data and national aggregate data, and peer comparisons to improve the quality of care. Main outcome measures. The case-mix-adjusted prevalence of pressure ulcers of grade ≥2, the percentage of high-risk patients receiving adequate prevention, and the total number of enabling conditions present were compared between successive surveys using multi-level analysis, in order to estimate a linear trend model and trend differences for each hospital. Results. The case-mix-adjusted prevalence of pressure ulcers decreased over the 5-year period, while the percentage of patients receiving adequate prevention and the total number of enabling conditions present increased. The total number of enabling conditions had a significant effect on the decrease in case-mix-adjusted prevalence: more enabling conditions led to a lower case-mix-adjusted prevalence (χ 2 = 125; degrees of freedom = 1; P < 0.00). The percentage of patients receiving adequate prevention also had an effect on the change in case-mix-adjusted prevalence, with a higher percentage leading to a lower casemix-adjusted prevalence. This effect, however, was not significant. Conclusions. Monitoring prevalence and giving feedback results in an improvement in quality of care in terms of pressure ulcer prevention. It is very important to continue conducting surveys to avoid attention moving away from this topic, which may in turn lead to a deterioration in the quality of pressure ulcer care. Further research to find the most effective feedback approach is needed.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/62556385" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="1cb5844185d29c8dcdb390fb1b516ef3" rel="nofollow" data-download="{"attachment_id":75277871,"asset_id":62556385,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/75277871/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="36529789" href="https://unimaas.academia.edu/MathJJMCandel">Math J. 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Candel","profile_url":"https://unimaas.academia.edu/MathJJMCandel?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_62556385 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="62556385"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 62556385, container: ".js-paper-rank-work_62556385", }); });</script></li><li class="js-percentile-work_62556385 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 62556385; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_62556385"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_62556385 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="62556385"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 62556385; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=62556385]").text(description); $(".js-view-count-work_62556385").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_62556385").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="62556385"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">16</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="16635" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Services_Research">Health Services Research</a>, <script data-card-contents-for-ri="16635" type="text/json">{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="37772" rel="nofollow" href="https://www.academia.edu/Documents/in/Hospitals">Hospitals</a>, <script data-card-contents-for-ri="37772" type="text/json">{"id":37772,"name":"Hospitals","url":"https://www.academia.edu/Documents/in/Hospitals?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="45038" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_of_Care">Quality of Care</a><script data-card-contents-for-ri="45038" type="text/json">{"id":45038,"name":"Quality of Care","url":"https://www.academia.edu/Documents/in/Quality_of_Care?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=62556385]'), work: {"id":62556385,"title":"A pressure ulcer audit and feedback project across multi-hospital settings in the Netherlands","created_at":"2021-11-27T07:37:15.691-08:00","url":"https://www.academia.edu/62556385/A_pressure_ulcer_audit_and_feedback_project_across_multi_hospital_settings_in_the_Netherlands?f_ri=9745","dom_id":"work_62556385","summary":"Objective. To examine whether participating in a pressure ulcer prevalence survey and receiving feedback results in an improvement in quality of care. Design. Cross-sectional studies from 1998 to 2002 were compared over time. Setting. Sixty-two acute care hospitals in the Netherlands. Study participants. Patients hospitalized at the moment of the surveys. Interventions. Each hospital was given hospital-specific performance data and national aggregate data, and peer comparisons to improve the quality of care. Main outcome measures. The case-mix-adjusted prevalence of pressure ulcers of grade ≥2, the percentage of high-risk patients receiving adequate prevention, and the total number of enabling conditions present were compared between successive surveys using multi-level analysis, in order to estimate a linear trend model and trend differences for each hospital. Results. The case-mix-adjusted prevalence of pressure ulcers decreased over the 5-year period, while the percentage of patients receiving adequate prevention and the total number of enabling conditions present increased. The total number of enabling conditions had a significant effect on the decrease in case-mix-adjusted prevalence: more enabling conditions led to a lower case-mix-adjusted prevalence (χ 2 = 125; degrees of freedom = 1; P \u003c 0.00). The percentage of patients receiving adequate prevention also had an effect on the change in case-mix-adjusted prevalence, with a higher percentage leading to a lower casemix-adjusted prevalence. This effect, however, was not significant. Conclusions. Monitoring prevalence and giving feedback results in an improvement in quality of care in terms of pressure ulcer prevention. It is very important to continue conducting surveys to avoid attention moving away from this topic, which may in turn lead to a deterioration in the quality of pressure ulcer care. Further research to find the most effective feedback approach is needed.","downloadable_attachments":[{"id":75277871,"asset_id":62556385,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":36529789,"first_name":"Math J. J. M.","last_name":"Candel","domain_name":"unimaas","page_name":"MathJJMCandel","display_name":"Math J. J. M. Candel","profile_url":"https://unimaas.academia.edu/MathJJMCandel?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research?f_ri=9745","nofollow":true},{"id":37772,"name":"Hospitals","url":"https://www.academia.edu/Documents/in/Hospitals?f_ri=9745","nofollow":true},{"id":45038,"name":"Quality of Care","url":"https://www.academia.edu/Documents/in/Quality_of_Care?f_ri=9745","nofollow":true},{"id":157892,"name":"Netherlands","url":"https://www.academia.edu/Documents/in/Netherlands?f_ri=9745"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged?f_ri=9745"},{"id":289330,"name":"Prevalence","url":"https://www.academia.edu/Documents/in/Prevalence?f_ri=9745"},{"id":537505,"name":"For","url":"https://www.academia.edu/Documents/in/For?f_ri=9745"},{"id":687277,"name":"Pressure Ulcer","url":"https://www.academia.edu/Documents/in/Pressure_Ulcer?f_ri=9745"},{"id":854662,"name":"Inpatients","url":"https://www.academia.edu/Documents/in/Inpatients?f_ri=9745"},{"id":966020,"name":"Cross sectional Study","url":"https://www.academia.edu/Documents/in/Cross_sectional_Study?f_ri=9745"},{"id":1242198,"name":"Degree of Freedom","url":"https://www.academia.edu/Documents/in/Degree_of_Freedom?f_ri=9745"},{"id":1249098,"name":"Acute Care","url":"https://www.academia.edu/Documents/in/Acute_Care?f_ri=9745"},{"id":2922956,"name":"Psychology and Cognitive Sciences","url":"https://www.academia.edu/Documents/in/Psychology_and_Cognitive_Sciences?f_ri=9745"},{"id":3574523,"name":"High risk","url":"https://www.academia.edu/Documents/in/High_risk?f_ri=9745"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_61133620" data-work_id="61133620" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/61133620/A_lexicon_for_endoscopic_adverse_events_report_of_an_ASGE_workshop">A lexicon for endoscopic adverse events: report of an ASGE workshop</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/61133620" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0ac10b2f38f8777f1f31e449539ebe0f" rel="nofollow" data-download="{"attachment_id":74279593,"asset_id":61133620,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/74279593/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="131013764" href="https://independent.academia.edu/HutterMatthew">Matthew Hutter</a><script data-card-contents-for-user="131013764" type="text/json">{"id":131013764,"first_name":"Matthew","last_name":"Hutter","domain_name":"independent","page_name":"HutterMatthew","display_name":"Matthew Hutter","profile_url":"https://independent.academia.edu/HutterMatthew?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_61133620 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="61133620"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 61133620, container: ".js-paper-rank-work_61133620", }); });</script></li><li class="js-percentile-work_61133620 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 61133620; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_61133620"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_61133620 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="61133620"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 61133620; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=61133620]").text(description); $(".js-view-count-work_61133620").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_61133620").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="61133620"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="192721" rel="nofollow" href="https://www.academia.edu/Documents/in/Risk_factors">Risk factors</a>, <script data-card-contents-for-ri="192721" type="text/json">{"id":192721,"name":"Risk factors","url":"https://www.academia.edu/Documents/in/Risk_factors?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a>, <script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="343756" rel="nofollow" href="https://www.academia.edu/Documents/in/Gastrointestinal_Endoscopy">Gastrointestinal Endoscopy</a><script data-card-contents-for-ri="343756" type="text/json">{"id":343756,"name":"Gastrointestinal Endoscopy","url":"https://www.academia.edu/Documents/in/Gastrointestinal_Endoscopy?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=61133620]'), work: {"id":61133620,"title":"A lexicon for endoscopic adverse events: report of an ASGE workshop","created_at":"2021-11-06T13:24:53.989-07:00","url":"https://www.academia.edu/61133620/A_lexicon_for_endoscopic_adverse_events_report_of_an_ASGE_workshop?f_ri=9745","dom_id":"work_61133620","summary":null,"downloadable_attachments":[{"id":74279593,"asset_id":61133620,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":131013764,"first_name":"Matthew","last_name":"Hutter","domain_name":"independent","page_name":"HutterMatthew","display_name":"Matthew Hutter","profile_url":"https://independent.academia.edu/HutterMatthew?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":192721,"name":"Risk factors","url":"https://www.academia.edu/Documents/in/Risk_factors?f_ri=9745","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=9745","nofollow":true},{"id":343756,"name":"Gastrointestinal Endoscopy","url":"https://www.academia.edu/Documents/in/Gastrointestinal_Endoscopy?f_ri=9745","nofollow":true},{"id":401586,"name":"Gastrointestinal","url":"https://www.academia.edu/Documents/in/Gastrointestinal?f_ri=9745"},{"id":425873,"name":"Adverse Event","url":"https://www.academia.edu/Documents/in/Adverse_Event?f_ri=9745"},{"id":620049,"name":"Risk Factors","url":"https://www.academia.edu/Documents/in/Risk_Factors-1?f_ri=9745"},{"id":637718,"name":"Nervous System","url":"https://www.academia.edu/Documents/in/Nervous_System?f_ri=9745"},{"id":2463621,"name":"Postoperative Complications","url":"https://www.academia.edu/Documents/in/Postoperative_Complications?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_59990740" data-work_id="59990740" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/59990740/The_sustainability_of_a_community_pharmacy_intervention_to_improve_the_quality_use_of_asthma_medication">The sustainability of a community pharmacy intervention to improve the quality use of asthma medication</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">What is known and Objective: A previously published asthma intervention used a software application to data mine pharmacy dispensing records and generate a list of patients with potentially suboptimal management of their asthma; in... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_59990740" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">What is known and Objective: A previously published asthma intervention used a software application to data mine pharmacy dispensing records and generate a list of patients with potentially suboptimal management of their asthma; in particular, a high rate of provision of reliever medication. These patients were sent educational material from their community pharmacists and advised to seek a review of their asthma management from their general practitioner. The intervention resulted in a 3-fold improvement in the ratio of dispensed preventer medication (inhaled corticosteroids) to reliever medication (short-acting beta-2 agonists). This follow-up study aimed to determine the longterm effects of the intervention programme on the preventer-to-reliever (P:R) ratio. Methods: The same data mining software was modified so that it could re-identify patients who were originally targeted for the intervention. Community pharmacists who participated in the previous intervention installed the modified version of the software. The dispensing data were then de-identified, encrypted and transferred via the Internet to a secure server. The follow-up dispensing data for all patients were compared with their pre-and post-intervention data collected originally. Results and Discussion: Of the 1551 patients who were included in the original study, 718 (46AE3%) were eligible to be included in the follow-up study. The improved P:R ratio was sustained for at least 12 months following the intervention (P < 0AE01). The sustained increase in the P:R ratio was attributed to significant decreases in the average daily usage of reliever medication (P < 0AE0001). What is new and Conclusion: The follow-up study demonstrated a sustained improvement in the ratio of dispensed preventer medication to reliever medication for asthma. The intervention has the potential to show long-lasting and widespread improvements in asthma management, improved health outcomes for patients, and ultimately, a reduced burden on the health system.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/59990740" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="19430bdf1997873f0501c8064b54766d" rel="nofollow" data-download="{"attachment_id":73634967,"asset_id":59990740,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/73634967/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33762673" href="https://independent.academia.edu/ShaneJackson">Shane Jackson</a><script data-card-contents-for-user="33762673" type="text/json">{"id":33762673,"first_name":"Shane","last_name":"Jackson","domain_name":"independent","page_name":"ShaneJackson","display_name":"Shane Jackson","profile_url":"https://independent.academia.edu/ShaneJackson?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_59990740 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="59990740"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 59990740, container: ".js-paper-rank-work_59990740", }); 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$(".js-view-count[data-work-id=59990740]").text(description); $(".js-view-count-work_59990740").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_59990740").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="59990740"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">10</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="202" rel="nofollow" href="https://www.academia.edu/Documents/in/Program_Evaluation">Program Evaluation</a>, <script data-card-contents-for-ri="202" type="text/json">{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2009" rel="nofollow" href="https://www.academia.edu/Documents/in/Data_Mining">Data Mining</a>, <script data-card-contents-for-ri="2009" type="text/json">{"id":2009,"name":"Data Mining","url":"https://www.academia.edu/Documents/in/Data_Mining?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9968" rel="nofollow" href="https://www.academia.edu/Documents/in/Asthma">Asthma</a><script data-card-contents-for-ri="9968" type="text/json">{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=59990740]'), work: {"id":59990740,"title":"The sustainability of a community pharmacy intervention to improve the quality use of asthma medication","created_at":"2021-10-25T23:56:22.439-07:00","url":"https://www.academia.edu/59990740/The_sustainability_of_a_community_pharmacy_intervention_to_improve_the_quality_use_of_asthma_medication?f_ri=9745","dom_id":"work_59990740","summary":"What is known and Objective: A previously published asthma intervention used a software application to data mine pharmacy dispensing records and generate a list of patients with potentially suboptimal management of their asthma; in particular, a high rate of provision of reliever medication. These patients were sent educational material from their community pharmacists and advised to seek a review of their asthma management from their general practitioner. The intervention resulted in a 3-fold improvement in the ratio of dispensed preventer medication (inhaled corticosteroids) to reliever medication (short-acting beta-2 agonists). This follow-up study aimed to determine the longterm effects of the intervention programme on the preventer-to-reliever (P:R) ratio. Methods: The same data mining software was modified so that it could re-identify patients who were originally targeted for the intervention. Community pharmacists who participated in the previous intervention installed the modified version of the software. The dispensing data were then de-identified, encrypted and transferred via the Internet to a secure server. The follow-up dispensing data for all patients were compared with their pre-and post-intervention data collected originally. Results and Discussion: Of the 1551 patients who were included in the original study, 718 (46AE3%) were eligible to be included in the follow-up study. The improved P:R ratio was sustained for at least 12 months following the intervention (P \u003c 0AE01). The sustained increase in the P:R ratio was attributed to significant decreases in the average daily usage of reliever medication (P \u003c 0AE0001). What is new and Conclusion: The follow-up study demonstrated a sustained improvement in the ratio of dispensed preventer medication to reliever medication for asthma. The intervention has the potential to show long-lasting and widespread improvements in asthma management, improved health outcomes for patients, and ultimately, a reduced burden on the health system.","downloadable_attachments":[{"id":73634967,"asset_id":59990740,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33762673,"first_name":"Shane","last_name":"Jackson","domain_name":"independent","page_name":"ShaneJackson","display_name":"Shane Jackson","profile_url":"https://independent.academia.edu/ShaneJackson?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true},{"id":2009,"name":"Data Mining","url":"https://www.academia.edu/Documents/in/Data_Mining?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma?f_ri=9745","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=9745"},{"id":53293,"name":"Software","url":"https://www.academia.edu/Documents/in/Software?f_ri=9745"},{"id":137516,"name":"Follow-up studies","url":"https://www.academia.edu/Documents/in/Follow-up_studies?f_ri=9745"},{"id":228828,"name":"Prescription drugs","url":"https://www.academia.edu/Documents/in/Prescription_drugs?f_ri=9745"},{"id":1251978,"name":"Pharmacies","url":"https://www.academia.edu/Documents/in/Pharmacies?f_ri=9745"},{"id":3789884,"name":"Pharmacology and pharmaceutical sciences","url":"https://www.academia.edu/Documents/in/Pharmacology_and_pharmaceutical_sciences?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_56044762" data-work_id="56044762" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" rel="nofollow" href="https://www.academia.edu/56044762/Mejora_de_la_calidad_del_proceso_a_trav%C3%A9s_de_infocas_Un_estudio_de_caso">Mejora de la calidad del proceso a través de infocas: Un estudio de caso</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/56044762" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li 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href="https://usb.academia.edu/AnnaGriman">Anna Griman</a><script data-card-contents-for-user="159315898" type="text/json">{"id":159315898,"first_name":"Anna","last_name":"Griman","domain_name":"usb","page_name":"AnnaGriman","display_name":"Anna Griman","profile_url":"https://usb.academia.edu/AnnaGriman?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_56044762 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="56044762"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 56044762, container: ".js-paper-rank-work_56044762", }); });</script></li><li class="js-percentile-work_56044762 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 56044762; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_56044762"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_56044762 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="56044762"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 56044762; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=56044762]").text(description); $(".js-view-count-work_56044762").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_56044762").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="56044762"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="8129" rel="nofollow" href="https://www.academia.edu/Documents/in/Software_Development">Software Development</a>, <script data-card-contents-for-ri="8129" type="text/json">{"id":8129,"name":"Software Development","url":"https://www.academia.edu/Documents/in/Software_Development?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="57987" rel="nofollow" href="https://www.academia.edu/Documents/in/Software_Quality">Software Quality</a>, <script data-card-contents-for-ri="57987" type="text/json">{"id":57987,"name":"Software Quality","url":"https://www.academia.edu/Documents/in/Software_Quality?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="68851" rel="nofollow" href="https://www.academia.edu/Documents/in/System_Approach">System Approach</a><script data-card-contents-for-ri="68851" type="text/json">{"id":68851,"name":"System Approach","url":"https://www.academia.edu/Documents/in/System_Approach?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=56044762]'), work: {"id":56044762,"title":"Mejora de la calidad del proceso a través de infocas: Un estudio de caso","created_at":"2021-10-06T12:57:21.163-07:00","url":"https://www.academia.edu/56044762/Mejora_de_la_calidad_del_proceso_a_trav%C3%A9s_de_infocas_Un_estudio_de_caso?f_ri=9745","dom_id":"work_56044762","summary":null,"downloadable_attachments":[{"id":71624316,"asset_id":56044762,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":159315898,"first_name":"Anna","last_name":"Griman","domain_name":"usb","page_name":"AnnaGriman","display_name":"Anna Griman","profile_url":"https://usb.academia.edu/AnnaGriman?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":8129,"name":"Software Development","url":"https://www.academia.edu/Documents/in/Software_Development?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":57987,"name":"Software Quality","url":"https://www.academia.edu/Documents/in/Software_Quality?f_ri=9745","nofollow":true},{"id":68851,"name":"System Approach","url":"https://www.academia.edu/Documents/in/System_Approach?f_ri=9745","nofollow":true},{"id":96047,"name":"Case Study","url":"https://www.academia.edu/Documents/in/Case_Study?f_ri=9745"},{"id":202585,"name":"Information Systems Research","url":"https://www.academia.edu/Documents/in/Information_Systems_Research?f_ri=9745"},{"id":329715,"name":"Product Quality","url":"https://www.academia.edu/Documents/in/Product_Quality?f_ri=9745"},{"id":830979,"name":"Quality Model","url":"https://www.academia.edu/Documents/in/Quality_Model?f_ri=9745"},{"id":2626792,"name":"dynamic model","url":"https://www.academia.edu/Documents/in/dynamic_model?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_48611423" data-work_id="48611423" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/48611423/Telenurses_experiences_of_working_with_computerized_decision_support_supporting_inhibiting_and_quality_improving">Telenurses’ experiences of working with computerized decision support: supporting, inhibiting and quality improving</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/48611423" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b54ee984d92abc83d075c9f85c7016bc" rel="nofollow" data-download="{"attachment_id":67133505,"asset_id":48611423,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/67133505/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="40987318" href="https://independent.academia.edu/IngerHolmstr%C3%B6m">Inger Holmström</a><script data-card-contents-for-user="40987318" type="text/json">{"id":40987318,"first_name":"Inger","last_name":"Holmström","domain_name":"independent","page_name":"IngerHolmström","display_name":"Inger Holmström","profile_url":"https://independent.academia.edu/IngerHolmstr%C3%B6m?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_48611423 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="48611423"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 48611423, container: ".js-paper-rank-work_48611423", }); });</script></li><li class="js-percentile-work_48611423 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget 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$(".js-view-count[data-work-id=48611423]").text(description); $(".js-view-count-work_48611423").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_48611423").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="48611423"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="588" rel="nofollow" href="https://www.academia.edu/Documents/in/Nursing">Nursing</a>, <script data-card-contents-for-ri="588" type="text/json">{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1681" rel="nofollow" href="https://www.academia.edu/Documents/in/Decision_Making">Decision Making</a>, <script data-card-contents-for-ri="1681" type="text/json">{"id":1681,"name":"Decision Making","url":"https://www.academia.edu/Documents/in/Decision_Making?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="44814" rel="nofollow" href="https://www.academia.edu/Documents/in/Sweden">Sweden</a><script data-card-contents-for-ri="44814" type="text/json">{"id":44814,"name":"Sweden","url":"https://www.academia.edu/Documents/in/Sweden?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=48611423]'), work: {"id":48611423,"title":"Telenurses’ experiences of working with computerized decision support: supporting, inhibiting and quality improving","created_at":"2021-05-05T00:35:29.920-07:00","url":"https://www.academia.edu/48611423/Telenurses_experiences_of_working_with_computerized_decision_support_supporting_inhibiting_and_quality_improving?f_ri=9745","dom_id":"work_48611423","summary":null,"downloadable_attachments":[{"id":67133505,"asset_id":48611423,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":40987318,"first_name":"Inger","last_name":"Holmström","domain_name":"independent","page_name":"IngerHolmström","display_name":"Inger Holmström","profile_url":"https://independent.academia.edu/IngerHolmstr%C3%B6m?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing?f_ri=9745","nofollow":true},{"id":1681,"name":"Decision Making","url":"https://www.academia.edu/Documents/in/Decision_Making?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":44814,"name":"Sweden","url":"https://www.academia.edu/Documents/in/Sweden?f_ri=9745","nofollow":true},{"id":65970,"name":"Advanced Nursing Practice","url":"https://www.academia.edu/Documents/in/Advanced_Nursing_Practice?f_ri=9745"},{"id":149081,"name":"Decision Support","url":"https://www.academia.edu/Documents/in/Decision_Support?f_ri=9745"},{"id":555965,"name":"Advanced","url":"https://www.academia.edu/Documents/in/Advanced?f_ri=9745"},{"id":704648,"name":"Clinical Competence","url":"https://www.academia.edu/Documents/in/Clinical_Competence?f_ri=9745"},{"id":742754,"name":"Telenursing","url":"https://www.academia.edu/Documents/in/Telenursing?f_ri=9745"},{"id":861863,"name":"Clinical Decision Support Systems","url":"https://www.academia.edu/Documents/in/Clinical_Decision_Support_Systems?f_ri=9745"},{"id":2749012,"name":"Delivery of Health Care","url":"https://www.academia.edu/Documents/in/Delivery_of_Health_Care?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_43731921" data-work_id="43731921" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/43731921/A_Relentless_Commitment_to_Improvement_The_Guelph_General_Hospital_Experience">A Relentless Commitment to Improvement: The Guelph General Hospital Experience</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/43731921" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f6cdfcffc5c6e50edd216a67d0c834e4" rel="nofollow" data-download="{"attachment_id":64041698,"asset_id":43731921,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/64041698/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="44427745" href="https://independent.academia.edu/EstherGreen3">Guinea Pig</a><script data-card-contents-for-user="44427745" type="text/json">{"id":44427745,"first_name":"Guinea","last_name":"Pig","domain_name":"independent","page_name":"EstherGreen3","display_name":"Guinea 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$(".js-percentile-work_43731921"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_43731921 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="43731921"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 43731921; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=43731921]").text(description); $(".js-view-count-work_43731921").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_43731921").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="43731921"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2919" rel="nofollow" href="https://www.academia.edu/Documents/in/Organizational_Culture">Organizational Culture</a>, <script data-card-contents-for-ri="2919" type="text/json">{"id":2919,"name":"Organizational Culture","url":"https://www.academia.edu/Documents/in/Organizational_Culture?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2969" rel="nofollow" href="https://www.academia.edu/Documents/in/Leadership">Leadership</a>, <script data-card-contents-for-ri="2969" type="text/json">{"id":2969,"name":"Leadership","url":"https://www.academia.edu/Documents/in/Leadership?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="16635" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Services_Research">Health Services Research</a><script data-card-contents-for-ri="16635" type="text/json">{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=43731921]'), work: {"id":43731921,"title":"A Relentless Commitment to Improvement: The Guelph General Hospital 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Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research?f_ri=9745","nofollow":true},{"id":84107,"name":"Hospital administration","url":"https://www.academia.edu/Documents/in/Hospital_administration?f_ri=9745"},{"id":192110,"name":"Ontario","url":"https://www.academia.edu/Documents/in/Ontario?f_ri=9745"},{"id":2489706,"name":"Organizational case studies","url":"https://www.academia.edu/Documents/in/Organizational_case_studies?f_ri=9745"},{"id":3009044,"name":"quality assurance in health care","url":"https://www.academia.edu/Documents/in/quality_assurance_in_health_care?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_33651674" data-work_id="33651674" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/33651674/2_2_Continuous_quality_improvement">2.2 Continuous quality improvement</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Continuous quality improvement (CQI) can be envisaged as a circular process of goal-setting, followed by external and internal evaluations resulting in improvements that can serve as goals for a next cycle. The need for CQI is apparent,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_33651674" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Continuous quality improvement (CQI) can be envisaged as a circular process of goal-setting, followed by external and internal evaluations resulting in improvements that can serve as goals for a next cycle. The need for CQI is apparent, because of public accountability, maintaining European standards and the improvement of dental education. Many examples are known where recommendations from both external and internal evaluation are used for the improvement of dental education. Unfortunately, the implementation of the recommendations is inconsistent, rarely systematic and usually not transparent. This section agreed that it is essential to apply CQI in a structured, systematic and transparent way if we are to improve and maintain the quality of dental education. A model is proposed which includes three aspects: a) the process of CQI; b) the subjects to which CQI should be applied; and c) the management tools to govern CQI. It is stressed, that CQI is a process that can be applied in any dental school irrespective of curriculum or educational approach within the relevant context of the country or the region. The approach needs to recognize the complexity and the need to balance a quality improvement with accountability. A CQI system is also constrained in any organization by the attitudes and values of the staff. Inevitably there has to be a wide range in the application of CQI. Nevertheless, an agreed model on CQI might enhance convergence towards higher standards of dental education. The process of CQI can be supported by developments in information and communication technology (ICT): collection of data, identifying the steps in CQI, formats of reports, etc. The section was set, as one of its tasks, to advise on the development of a network based on a number of case studies on the application of CQI in dental education.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/33651674" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="6d29cd339fb81d423d0cd077a021f0a0" rel="nofollow" data-download="{"attachment_id":53661237,"asset_id":33651674,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/53661237/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="65745542" href="https://independent.academia.edu/EdvitarLeibur">Edvitar Leibur</a><script data-card-contents-for-user="65745542" type="text/json">{"id":65745542,"first_name":"Edvitar","last_name":"Leibur","domain_name":"independent","page_name":"EdvitarLeibur","display_name":"Edvitar Leibur","profile_url":"https://independent.academia.edu/EdvitarLeibur?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_33651674 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="33651674"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 33651674, container: ".js-paper-rank-work_33651674", }); });</script></li><li class="js-percentile-work_33651674 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 33651674; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_33651674"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_33651674 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="33651674"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 33651674; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=33651674]").text(description); $(".js-view-count-work_33651674").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_33651674").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="33651674"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="202" rel="nofollow" href="https://www.academia.edu/Documents/in/Program_Evaluation">Program Evaluation</a>, <script data-card-contents-for-ri="202" type="text/json">{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="596" rel="nofollow" href="https://www.academia.edu/Documents/in/Dentistry">Dentistry</a>, <script data-card-contents-for-ri="596" type="text/json">{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4413" rel="nofollow" href="https://www.academia.edu/Documents/in/Educational_Measurement">Educational Measurement</a>, <script data-card-contents-for-ri="4413" type="text/json">{"id":4413,"name":"Educational Measurement","url":"https://www.academia.edu/Documents/in/Educational_Measurement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a><script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=33651674]'), work: {"id":33651674,"title":"2.2 Continuous quality improvement","created_at":"2017-06-25T23:33:35.362-07:00","url":"https://www.academia.edu/33651674/2_2_Continuous_quality_improvement?f_ri=9745","dom_id":"work_33651674","summary":"Continuous quality improvement (CQI) can be envisaged as a circular process of goal-setting, followed by external and internal evaluations resulting in improvements that can serve as goals for a next cycle. The need for CQI is apparent, because of public accountability, maintaining European standards and the improvement of dental education. Many examples are known where recommendations from both external and internal evaluation are used for the improvement of dental education. Unfortunately, the implementation of the recommendations is inconsistent, rarely systematic and usually not transparent. This section agreed that it is essential to apply CQI in a structured, systematic and transparent way if we are to improve and maintain the quality of dental education. A model is proposed which includes three aspects: a) the process of CQI; b) the subjects to which CQI should be applied; and c) the management tools to govern CQI. It is stressed, that CQI is a process that can be applied in any dental school irrespective of curriculum or educational approach within the relevant context of the country or the region. The approach needs to recognize the complexity and the need to balance a quality improvement with accountability. A CQI system is also constrained in any organization by the attitudes and values of the staff. Inevitably there has to be a wide range in the application of CQI. Nevertheless, an agreed model on CQI might enhance convergence towards higher standards of dental education. The process of CQI can be supported by developments in information and communication technology (ICT): collection of data, identifying the steps in CQI, formats of reports, etc. The section was set, as one of its tasks, to advise on the development of a network based on a number of case studies on the application of CQI in dental education.","downloadable_attachments":[{"id":53661237,"asset_id":33651674,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":65745542,"first_name":"Edvitar","last_name":"Leibur","domain_name":"independent","page_name":"EdvitarLeibur","display_name":"Edvitar Leibur","profile_url":"https://independent.academia.edu/EdvitarLeibur?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true},{"id":596,"name":"Dentistry","url":"https://www.academia.edu/Documents/in/Dentistry?f_ri=9745","nofollow":true},{"id":4413,"name":"Educational Measurement","url":"https://www.academia.edu/Documents/in/Educational_Measurement?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":9815,"name":"Developing Countries","url":"https://www.academia.edu/Documents/in/Developing_Countries?f_ri=9745"},{"id":21479,"name":"Cultural Diversity","url":"https://www.academia.edu/Documents/in/Cultural_Diversity?f_ri=9745"},{"id":38239,"name":"Dental Education","url":"https://www.academia.edu/Documents/in/Dental_Education?f_ri=9745"},{"id":59918,"name":"Quality Assurance","url":"https://www.academia.edu/Documents/in/Quality_Assurance?f_ri=9745"},{"id":153168,"name":"Data Collection","url":"https://www.academia.edu/Documents/in/Data_Collection?f_ri=9745"},{"id":154704,"name":"Total Quality Management","url":"https://www.academia.edu/Documents/in/Total_Quality_Management?f_ri=9745"},{"id":232466,"name":"Audit Quality","url":"https://www.academia.edu/Documents/in/Audit_Quality?f_ri=9745"},{"id":254314,"name":"Educational Models","url":"https://www.academia.edu/Documents/in/Educational_Models?f_ri=9745"},{"id":462207,"name":"Continuous Quality Improvement","url":"https://www.academia.edu/Documents/in/Continuous_Quality_Improvement?f_ri=9745"},{"id":466424,"name":"Internationality","url":"https://www.academia.edu/Documents/in/Internationality?f_ri=9745"},{"id":508371,"name":"Curriculum and Pedagogy","url":"https://www.academia.edu/Documents/in/Curriculum_and_Pedagogy?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_31864016" data-work_id="31864016" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/31864016/Involving_Patients_and_Consumers_in_Research_New_Opportunities_for_Meaningful_Engagement_in_Research_and_Quality_Improvement">Involving Patients and Consumers in Research: New Opportunities for Meaningful Engagement in Research and Quality Improvement</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This brief examines the rationale for engaging patients and consumers in health care research, and discusses several opportunities and challenges based on the experiences of several efforts to leverage electronic clinical data (ECD) for... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_31864016" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This brief examines the rationale for engaging patients and consumers in health care research, and discusses several opportunities and challenges based on the experiences of several efforts to leverage electronic clinical data (ECD) for comparative effectiveness research (CER), patient centered outcomes research (PCOR), and quality improvement (QI). It also identifies a number of challenges to meaningful engagement of patients and</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/31864016" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="fc90a95dd2b978c355fa8360de699a1e" rel="nofollow" data-download="{"attachment_id":52153367,"asset_id":31864016,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/52153367/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="61517811" href="https://independent.academia.edu/ErinHolve">Erin Holve</a><script data-card-contents-for-user="61517811" type="text/json">{"id":61517811,"first_name":"Erin","last_name":"Holve","domain_name":"independent","page_name":"ErinHolve","display_name":"Erin Holve","profile_url":"https://independent.academia.edu/ErinHolve?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_31864016 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="31864016"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 31864016, container: ".js-paper-rank-work_31864016", }); });</script></li><li class="js-percentile-work_31864016 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 31864016; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_31864016"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_31864016 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="31864016"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 31864016; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=31864016]").text(description); $(".js-view-count-work_31864016").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_31864016").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="31864016"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="4441" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Care">Health Care</a>, <script data-card-contents-for-ri="4441" type="text/json">{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="16635" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Services_Research">Health Services Research</a>, <script data-card-contents-for-ri="16635" type="text/json">{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="51188" rel="nofollow" href="https://www.academia.edu/Documents/in/Infrastructure_Development">Infrastructure Development</a><script data-card-contents-for-ri="51188" type="text/json">{"id":51188,"name":"Infrastructure Development","url":"https://www.academia.edu/Documents/in/Infrastructure_Development?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=31864016]'), work: {"id":31864016,"title":"Involving Patients and Consumers in Research: New Opportunities for Meaningful Engagement in Research and Quality Improvement","created_at":"2017-03-14T11:15:56.402-07:00","url":"https://www.academia.edu/31864016/Involving_Patients_and_Consumers_in_Research_New_Opportunities_for_Meaningful_Engagement_in_Research_and_Quality_Improvement?f_ri=9745","dom_id":"work_31864016","summary":"This brief examines the rationale for engaging patients and consumers in health care research, and discusses several opportunities and challenges based on the experiences of several efforts to leverage electronic clinical data (ECD) for comparative effectiveness research (CER), patient centered outcomes research (PCOR), and quality improvement (QI). It also identifies a number of challenges to meaningful engagement of patients and","downloadable_attachments":[{"id":52153367,"asset_id":31864016,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":61517811,"first_name":"Erin","last_name":"Holve","domain_name":"independent","page_name":"ErinHolve","display_name":"Erin Holve","profile_url":"https://independent.academia.edu/ErinHolve?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":4441,"name":"Health Care","url":"https://www.academia.edu/Documents/in/Health_Care?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research?f_ri=9745","nofollow":true},{"id":51188,"name":"Infrastructure Development","url":"https://www.academia.edu/Documents/in/Infrastructure_Development?f_ri=9745","nofollow":true},{"id":323006,"name":"Outcomes Research","url":"https://www.academia.edu/Documents/in/Outcomes_Research?f_ri=9745"},{"id":410532,"name":"Clinical Data","url":"https://www.academia.edu/Documents/in/Clinical_Data?f_ri=9745"},{"id":526146,"name":"Comparative Effectiveness Research","url":"https://www.academia.edu/Documents/in/Comparative_Effectiveness_Research?f_ri=9745"},{"id":898743,"name":"Healthcare system","url":"https://www.academia.edu/Documents/in/Healthcare_system?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_8270721" data-work_id="8270721" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/8270721/Effectiveness_of_internal_quality_assurance_programmes_in_improving_clinical_practice_and_reducing_costs">Effectiveness of internal quality assurance programmes in improving clinical practice and reducing costs</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">To assess the effectiveness of internal initiatives to improve quality as compared with external feedback, and as compared with a control group. Method Ten primary health centres were randomly selected from the centres in the Murcia's... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_8270721" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">To assess the effectiveness of internal initiatives to improve quality as compared with external feedback, and as compared with a control group. Method Ten primary health centres were randomly selected from the centres in the Murcia's Region and were randomly assigned into three groups: G1 committed themselves to the improvement; G2 composed by two subgroups: with and without quality improvement (QI) activities -received external feedback; G3 received no intervention. Quality of common cold management was measured in a random sample of 50 patients per centre before and after interventions. Effect was assessed comparing criteria compliance and the cost of treatments for common cold in the three groups. Results G1 and G2 subgroup with internal QI improved significantly in all criteria, and in G1 average treatment cost decreased by 60% (P < 0.01). G3 improved only in one criterion. Estimated yearly savings in treatment costs for common cold, for a centre with internal QI, were €12 193.83 and it would be €1 817 004.65 for the 30 centres in the Region. Conclusions Internally assumed QI activities were significantly more effective than external feedback. Besides, the high cost of deficient quality provides a wide margin to invest with benefits in the promotion of internal QI programmes.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/8270721" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0c9221b07d71f14bfd70de27b6feb854" rel="nofollow" data-download="{"attachment_id":48160433,"asset_id":8270721,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/48160433/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="16388059" href="https://insp.academia.edu/pedrosaturno">pedro saturno</a><script data-card-contents-for-user="16388059" type="text/json">{"id":16388059,"first_name":"pedro","last_name":"saturno","domain_name":"insp","page_name":"pedrosaturno","display_name":"pedro saturno","profile_url":"https://insp.academia.edu/pedrosaturno?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_8270721 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="8270721"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 8270721, container: ".js-paper-rank-work_8270721", }); });</script></li><li class="js-percentile-work_8270721 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 8270721; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_8270721"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_8270721 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="8270721"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 8270721; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=8270721]").text(description); $(".js-view-count-work_8270721").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_8270721").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="8270721"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">11</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="202" rel="nofollow" href="https://www.academia.edu/Documents/in/Program_Evaluation">Program Evaluation</a>, <script data-card-contents-for-ri="202" type="text/json">{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2974" rel="nofollow" href="https://www.academia.edu/Documents/in/Primary_Health_Care">Primary Health Care</a>, <script data-card-contents-for-ri="2974" type="text/json">{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9745" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_Improvement">Quality Improvement</a>, <script data-card-contents-for-ri="9745" type="text/json">{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="52836" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Practice">Clinical Practice</a><script data-card-contents-for-ri="52836" type="text/json">{"id":52836,"name":"Clinical Practice","url":"https://www.academia.edu/Documents/in/Clinical_Practice?f_ri=9745","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=8270721]'), work: {"id":8270721,"title":"Effectiveness of internal quality assurance programmes in improving clinical practice and reducing costs","created_at":"2014-09-10T02:21:37.176-07:00","url":"https://www.academia.edu/8270721/Effectiveness_of_internal_quality_assurance_programmes_in_improving_clinical_practice_and_reducing_costs?f_ri=9745","dom_id":"work_8270721","summary":"To assess the effectiveness of internal initiatives to improve quality as compared with external feedback, and as compared with a control group. Method Ten primary health centres were randomly selected from the centres in the Murcia's Region and were randomly assigned into three groups: G1 committed themselves to the improvement; G2 composed by two subgroups: with and without quality improvement (QI) activities -received external feedback; G3 received no intervention. Quality of common cold management was measured in a random sample of 50 patients per centre before and after interventions. Effect was assessed comparing criteria compliance and the cost of treatments for common cold in the three groups. Results G1 and G2 subgroup with internal QI improved significantly in all criteria, and in G1 average treatment cost decreased by 60% (P \u003c 0.01). G3 improved only in one criterion. Estimated yearly savings in treatment costs for common cold, for a centre with internal QI, were €12 193.83 and it would be €1 817 004.65 for the 30 centres in the Region. Conclusions Internally assumed QI activities were significantly more effective than external feedback. Besides, the high cost of deficient quality provides a wide margin to invest with benefits in the promotion of internal QI programmes.","downloadable_attachments":[{"id":48160433,"asset_id":8270721,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":16388059,"first_name":"pedro","last_name":"saturno","domain_name":"insp","page_name":"pedrosaturno","display_name":"pedro saturno","profile_url":"https://insp.academia.edu/pedrosaturno?f_ri=9745","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=9745","nofollow":true},{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care?f_ri=9745","nofollow":true},{"id":9745,"name":"Quality Improvement","url":"https://www.academia.edu/Documents/in/Quality_Improvement?f_ri=9745","nofollow":true},{"id":52836,"name":"Clinical Practice","url":"https://www.academia.edu/Documents/in/Clinical_Practice?f_ri=9745","nofollow":true},{"id":59918,"name":"Quality Assurance","url":"https://www.academia.edu/Documents/in/Quality_Assurance?f_ri=9745"},{"id":189835,"name":"Common Cold","url":"https://www.academia.edu/Documents/in/Common_Cold?f_ri=9745"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=9745"},{"id":549280,"name":"Reproducibility of Results","url":"https://www.academia.edu/Documents/in/Reproducibility_of_Results?f_ri=9745"},{"id":602889,"name":"Cost Control","url":"https://www.academia.edu/Documents/in/Cost_Control?f_ri=9745"},{"id":906536,"name":"Health Care Costs","url":"https://www.academia.edu/Documents/in/Health_Care_Costs?f_ri=9745"},{"id":988150,"name":"Practice Education/Clinical Evaluation","url":"https://www.academia.edu/Documents/in/Practice_Education_Clinical_Evaluation?f_ri=9745"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_27042925" data-work_id="27042925" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/27042925/Use_of_electronic_mail_for_postoperative_follow_up_after_ambulatory_surgery">Use of electronic mail for postoperative follow-up after ambulatory surgery</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The authors report on a patient who used electronic mail to report satisfactory recovery from ambulatory surgery and anesthesia. The potential benefits and pitfalls of using electronic mail for patient follow-up and communication, as well... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_27042925" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The authors report on a patient who used electronic mail to report satisfactory recovery from ambulatory surgery and anesthesia. The potential benefits and pitfalls of using electronic mail for patient follow-up and communication, as well as research purposes, are reviewed. Potential benefits include cost savings, ease in collecting quality improvement data, and the potential for increased reporting of unpleasant events. Potential pitfalls include lack of universal access (with racial and socioeconomic differentials), privacy and security concerns, and potential slow responses to messages that might require emergent responses or actions.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/27042925" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="db8762778331a9b4f73ef0fab26c7aed" rel="nofollow" data-download="{"attachment_id":47297987,"asset_id":27042925,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/47297987/download_file?st=MTczOTgxMDQ4NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="51082575" href="https://independent.academia.edu/AllanKlock">Allan Klock</a><script data-card-contents-for-user="51082575" type="text/json">{"id":51082575,"first_name":"Allan","last_name":"Klock","domain_name":"independent","page_name":"AllanKlock","display_name":"Allan Klock","profile_url":"https://independent.academia.edu/AllanKlock?f_ri=9745","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_27042925 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="27042925"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 27042925, container: ".js-paper-rank-work_27042925", }); 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