1,720,963 research outputs found
A web-based incident reporting system : a two years’experience in an Italian research and teaching hospital
No full textBackground. A web-based incident reporting system (IRS) is a tool allowing healthcare workers to voluntary
and anonymously report adverse events/near misses. In 2010, this system was introduced in a research and
teaching hospital in metropolitan area in the North part of Italy, in order to detect errors and to learn from
failures in care delivery. The aim of this paper is to assess whether and how IRS has proved to be a valuable
tool to manage clinical risk and improve healthcare quality.
Materials and Methods. Adverse events are reported anonymously by staff members with the use of an
online template form available in the hospital intranet. We retrospectively reviewed the recorded data for
each incident/near miss reported between January 2011 and December 2012.
Results. The number of reported incidents/near misses was 521 in 2011 and 442 in 2012. In the two years
the admissions were 36.974 and 36.107 respectively. We noticed that nursing staff made more use of IRS
and that reported errors were basically related to prescription and administration of medications.
Conclusions. Much international literature reports that adverse events and near misses are 10% of
admissions. Our data are far from that number, thus meaning that a failure in reporting adverse events
exists. This consideration, together with the high number of near misses in comparison with occurred
errors, leads us to speculate that adverse events with serious consequences for patients are marginally
reported. Probably the lack of a strong leadership considering IRS as an instrument for improving quality
and operators’ reluctance to overcome the culture of blame may negatively affect IRS
Resource allocation criteria in a hospital
Get PDFIntroduction. Allocate fixed resources among competing users is a challenge in terms of hospital management in order to obtain the best performance considering strategic objectives. In order to address this need, a system of evaluation in an important research and teaching hospital was designed. This study describes resource allocation criteria in a hospital focusing on the evaluation system and its developed application methodology. Methods. The indicator system allows the strategic management to rapidly detect the priorities in the evaluations of the Strategic, Organizational, Managerial, Economic, Research and Qualitative conditions of each unit. The chosen indicators are expressed with three numerical values, (1 indicating critical status, 2 acceptable conditions and 3 a good operational situation). Results and discussion. The adopted evaluation system considered different thematic areas: Strategic, Organizational, Managerial, Economic, Research and Qualitative. In order to define each area, 3 fields of evaluation have been chosen. The indicators have been structured according to a pyramid system allowing creating a single indicator for each area for each unit. Furthermore, a single indicator has been fixed in order to facilitate a first consideration on whether to carry out or not closer examinations of the most critical units. This manuscript describes an attempt to define objective criteria for the allocation of scarce resources in order to achieve the hospital’s strategic objectives. The indicators identified allow to obtain an overall score for each unit, which allows the management to prioritize the needs
Indagine conoscitiva e confronto dei comportamenti degli utenti adulti e bambini delle piscine
No full textThe swimmers health's protection must be achieved through the implementation of structures that respect safety standards, the best management of the structures and the users'compliance with rules that minimize the potential risks to health, now clearly identified by the World Health Organization in specific guidelines and by the national and regional legislation. An anonymous questionnaire has been used in order to detect the level of knowledge of hygienic risks and the behaviour of costumers (adults and children) of swimming pool. Comparing the answers, statistically significant differences in the behaviours of adults and children were found in order to protect their own and others' health. In particular children do shower and go through footbath before entering the swimming pool more than adults (respectively 89.2% versus 77.4% and 89.2% versus 79.4%). No differences in the behaviours of the two groups were found in the use of dedicated footwear and caps. Children are predisposed to follow the rules because they are more loyal to duty, while adults comply with the rules only when it is clear the advantage to protect their health. This paper underline the importance of health education programs that can help people to understand the importance of adopting certain behaviours in order to prevent risks and promote health for the benefit of all
L'ESPERIENZA DELLE CURE SUB ACUTE PRESSO L'ASL DELLA PROVINCIA DI COMO
No full textIl Piano Socio Sanitario Regionale 2010-2014 ha modificato l'organizzazione del Sistema Sanitario Regionale della Regione Lombardia prevedendo l'attivazione di strutture di cure intermedie tra ospedale per acuti e strutture territoriali idonee alla gestione dei pazienti (pz) affetti da patologie croniche gestiti nel contesto dell'assistenza primaria o dimissibili da un'Unità Operativa per acuti, ma non sufficientemente stabili da consentirne l'assistenza al domicilio. Con la DGR 1479/2011 è stata prevista una dotazione pari a 1.145 posti letto (pl) tecnici
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
ABOUT METHODOLOGICAL TRAINING OF TEACHER-MUSICIANS
No full textThe paper considers the need for reinterpretation of the content and functions of methodological training of teacher-musicians in the higher school; the above problem being raised as the result of the massive penetration of information technologies, intensification of knowledge updates, rejection of narrow specializations, and propagation of the postmodern culture. The author focuses on modernization of methodology training of teachermusicians with the emphasis on general features of the modern musical environment affecting students’ personality. The proper methodology training of the future teacher-musicians, based on the culture-adequate knowledge and accompanied by the actual project activity forms, is capable to counteract the influence of the second-rate common musical tastes and negative world perception. In conclusion, the author highlights the need for intensification of the ontological and personal worldview orientation of methodology training and further development of professional tools. The paper is addressed to the higher school teachers and students, music school teachers, and additional education teachers
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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