1,721,036 research outputs found

    EXPLORING REPORTING OF MEDICATION ERRORS AT THE NATIONAL CENTER FOR CANCER CARE AND RESEARCH

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    Objectives: The objectives were to (a) examine the medication error reporting literature and synthesize existing studies to identify key factors affecting reporting practices; (b) quantify the prevalence , nature, and severity of oncology-related medication errors and explore their potential causality using a theoretical framework; and (c) describe the key behavioral determinants (i.e., facilitators and barriers) that influence health professionals' reporting of medication errors, and map these barriers to related behavior change techniques (BCTs). Methods: A search was conducted in CINAHL, Scopus, PubMed, and Embase (up to March 2023) for studies examining factors that influence clinicians' medication error reporting. Two independent reviewers conducted screening, data extraction, and quality assessment. Themes were mapped to the Theoretical domains framework (TDF) using framework synthesis. The study employed a multiphase mixed-methods approach consisting of a retrospective and descriptive qualitative study. A retrospective chart review of medication error reports from 2020 to 2023 at the National Center for Cancer Care and Research (NCCCR) was undertaken. The prevalence of errors relative to all prescribed items was calculated. Errors were classified using the World Health Organization's Anatomical Therapeutic Chemical (ATC) system, and their severity and causality were assessed using Reason's Accident Causation model. The second work package involved semi-structured qualitative interviews with fifteen healthcare professionals working at the NCCCR, including nurses, pharmacists, and physicians. The interviews were guided by the TDF and analyzed using framework analysis to explore behavioral influences on medication error reporting. Results: The review of 14 high-quality studies identified barriers in the TDF domains of beliefs about consequences, emotions, environmental context, and knowledge. It recommends BCTs such as emphasizing the risks of not reporting, supporting emotional well-being, improving reporting system access, and enhancing knowledge through education. For the retrospective study a total of 195 error reports were reviewed. The majority of errors were related to antineoplastic and immunomodulatory agents (41.54%) and were primarily dispensing errors (31.28%). Most errors were classified as near misses (41.03%) and were predominantly reported by nurses (50.26%), reflecting their stronger sense of responsibility for error reporting compared to other healthcare professionals. The primary contributing factor for these errors was active failure, particularly slips (57.95%). In the second work package, the main barriers to medication error reporting were identified within the domains of Environmental Context and Resources, Beliefs about Consequences, and Memory, Attention, and Decision Processes. These barriers were mapped to BCTs to guide the development of targeted interventions. The BCTs focused on improving the usability of the reporting system, highlighting positive outcomes of reporting, providing constructive feedback, creating automated alerts, and assigning designated times for reporting to reduce cognitive load and enhance reporting efficiency. Conclusion: The study identified the frequency and key factors affecting medication error reporting in oncology, emphasizing the need for targeted theory-based interventions to improve reporting practices. The research findings offer actionable recommendations that can inform the development of such interventions leading to enhanced safety practices within oncology care

    Development of portable 10 stages Marx Generator

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    High voltage equipments are often placed in open air and they are often exposed to lightning strike as well as surge voltage. They are sustaining high surge voltage during the lightning phenomena. To achieve better protection of all such power equipments and quality power supply, these voltages should be simulated and test the above said equipments in laboratories, Marx generator is the commonly used. This generator produces lightning impulse voltages of 1.2/50 μs duration. This project describes the development of a cost effective and easily portable compact 10 stages Marx Generator capable of producing lightning impulses voltage up to 25kV. In addition, three different experimental circuits of HV DC supplies have been made. The highest output was 2.5 kV DC which was taken as the main supply for the experimental and simulated Marx generator circuit. This generator can be used by small scale industries and academic institutions to demonstrate impulse voltages and also to perform testing on insulators of lower rating in laboratory. A total of 10 stages of both simulated, experimental Marx impulse generator circuit was designed and the impulse waves were recorded. The simulated recorded impulse waveform was compared with the standard impulse wave with front time of 1.2 μ seconds and tail time of 50 μ seconds. Both of circuits, the efficiency of each stages was calculated and the percentage of error in the front and tail time was also found out as well as the effects of the circuit parameters on the impulse waveform characteristics were also studied. The simulation was done with the help of Pspice Software Simulation. In this work, the comparison in terms of magnitude of the experimental and simulated 10 stages Marx generator circuit has been carried out as well as its illustrative curve has been drawn. These results have confirmed the validity of the proposed method and they were in close agreement

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

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    “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

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    We 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

    Dispelling the Myths Behind First-author Citation Counts

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    We 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

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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