1,720,961 research outputs found
Prevalence of second victims, risk factors and support strategies among young German physicians in internal medicine (SeViD-I survey)
Full text linkBackground: Second victims, defined as healthcare team members being traumatised by an unanticipated clinical event or outcome, are frequent in healthcare. Evidence of this phenomenon in Germany, however, is sparse. Recently, we reported the first construction and validation of a German questionnaire. This study aimed to understand this phenomenon better in a sample of young (<= 35 years) German physicians.
Methods: The electronic questionnaire (SeViD-I survey) was administered for 6 weeks to a sample of young physicians in training for internal medicine or a subspecialty. All physicians were members of the German Society of Internal Medicine. The questionnaire had three domains - general experience, symptoms, and support strategies - comprising 46 items. Binary logistic regression models were applied to study the influence of various independent factors on the risk of becoming a second victim, the magnitude of symptoms and the time to self-perceived recovery.
Results: The response rate was 18% (555/3047). 65% of the participants were female, the mean age was 32 years. 59% experienced second victim incidents in their career so far and 35% during the past 12 months. Events with patient harm and unexpected patient deaths or suicides were the most frequent key incidents. 12% of the participants reported that their self-perceived time to full recovery was more than 1 year or have never recovered. Being female was a risk factor for being a second victim (odds ratio (OR) 2.5) and experiencing a high symptom load (OR 2). Working in acute care was promoting a shorter duration to self-perceived recovery (OR 0.5). Support measures with an exceptionally high approval among second victims were the possibility to discuss emotional and ethical issues, prompt debriefing/crisis intervention after the incident and a safe opportunity to contribute insights to prevent similar events in the future.
Conclusion: The second victim phenomenon is frequent among young German physicians in internal medicine. In general, these traumatic events have a potentially high impact on physician health and the care they deliver. A better understanding of second victim traumatisations in Germany and broad implementation of effective support programs are warranted
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe 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
Full text link“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
Full text linkWe 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
Full text linkWe 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
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe 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
Never events in control centers
No full textZusammenfassung Der vorliegende Beitrag stellt die Relevanz und Herausforderungen von Never Events in den Leitstellen für den Brandschutz, die Hilfeleistung, den Katastrophenschutz und den Rettungsdienst im deutschsprachigen Raum dar. Diese Leitstellen fungieren als zentrale Anlaufstellen für medizinische Notfälle und spielen eine entscheidende Rolle in der Gefahrenabwehr sowie der Daseinsvorsorge. Insbesondere bei zeitkritischen medizinischen Notfällen und Tracerdiagnosen wie dem Herz-Kreislauf-Stillstand sind sie häufig das erste Glied in der Behandlungskette. Obwohl in den Leitstellen systematische Vorsorgemaßnahmen zur Vermeidung von Ausfällen implementiert sind, liegt der Schwerpunkt zumeist auf technischen Aspekten. Interpersonelle Kompetenzen und deren Bedeutung für die Notfallversorgung sind bislang unzureichend berücksichtigt. Der Begriff „ Never Events “ beschreibt schwerwiegende, vermeidbare medizinische Zwischenfälle, deren Verhinderung auch für die Leitstellen von Bedeutung ist. Von den Autorinnen und Autoren wurde als ein für Leitstellen relevantes Never Event das Unterlassen telefonischer Reanimationsanweisungen identifiziert. Um die Eintrittswahrscheinlichkeit von Never Events effektiv zu reduzieren, muss die Implementierung von Qualitäts- und Risikomanagementsystemen in Leitstellen gefordert werden. Dies umfasst die Verbesserung der Kommunikation, die Etablierung von Redundanz, die Einführung standardisierter Verfahren sowie die regelmäßige Schulung des Personals. Zudem wird die Entwicklung eines sektorenübergreifenden Never-Event -Registers angeregt, um systematische Fehler zu identifizieren und zu minimieren. Ein solches Register könnte als wertvolles Instrument zur Verbesserung der Sicherheit in der Notfallversorgung dienen und damit zur Optimierung der Patientenversorgung beitragen.Abstract The present article highlights the relevance and challenges of never events in control centers for fire protection, emergency response, disaster management, and rescue services in German-speaking countries. These control centers function as crucial points of contact for medical emergencies and play a crucial role in hazard prevention and health care. They are often the first link in the treatment chain, particularly in time-critical medical emergencies such as cardiac arrest. Although systematic precautionary measures are implemented in control centers to prevent failures, the focus is mostly on technical aspects. Interpersonal competences and their importance for emergency care have so far been insufficiently considered. The term “ never events ” describes serious, avoidable medical incidents, the prevention of which is also important for control centers. The authors identified the omission of telephone resuscitation instructions as one of the never events relevant to control centers. To effectively reduce the probability of never events occurring, the implementation of quality and risk management systems in control centers must be required. This includes the improvement of communication, the establishment of redundancy, the introduction of standardized procedures, and the regular training of personnel. In addition, the development of an intersectoral never event register is suggested to identify and minimize systematic errors. Such a register could serve as a valuable tool for improving safety in emergency care and, thus, contribute to the optimization of patient care.Zusammenfassung Der vorliegende Beitrag stellt die Relevanz und Herausforderungen von Never Events in den Leitstellen für den Brandschutz, die Hilfeleistung, den Katastrophenschutz und den Rettungsdienst im deutschsprachigen Raum dar. Diese Leitstellen fungieren als zentrale Anlaufstellen für medizinische Notfälle und spielen eine entscheidende Rolle in der Gefahrenabwehr sowie der Daseinsvorsorge. Insbesondere bei zeitkritischen medizinischen Notfällen und Tracerdiagnosen wie dem Herz-Kreislauf-Stillstand sind sie häufig das erste Glied in der Behandlungskette. Obwohl in den Leitstellen systematische Vorsorgemaßnahmen zur Vermeidung von Ausfällen implementiert sind, liegt der Schwerpunkt zumeist auf technischen Aspekten. Interpersonelle Kompetenzen und deren Bedeutung für die Notfallversorgung sind bislang unzureichend berücksichtigt. Der Begriff „ Never Events “ beschreibt schwerwiegende, vermeidbare medizinische Zwischenfälle, deren Verhinderung auch für die Leitstellen von Bedeutung ist. Von den Autorinnen und Autoren wurde als ein für Leitstellen relevantes Never Event das Unterlassen telefonischer Reanimationsanweisungen identifiziert. Um die Eintrittswahrscheinlichkeit von Never Events effektiv zu reduzieren, muss die Implementierung von Qualitäts- und Risikomanagementsystemen in Leitstellen gefordert werden. Dies umfasst die Verbesserung der Kommunikation, die Etablierung von Redundanz, die Einführung standardisierter Verfahren sowie die regelmäßige Schulung des Personals. Zudem wird die Entwicklung eines sektorenübergreifenden Never-Event -Registers angeregt, um systematische Fehler zu identifizieren und zu minimieren. Ein solches Register könnte als wertvolles Instrument zur Verbesserung der Sicherheit in der Notfallversorgung dienen und damit zur Optimierung der Patientenversorgung beitragen.Abstract The present article highlights the relevance and challenges of never events in control centers for fire protection, emergency response, disaster management, and rescue services in German-speaking countries. These control centers function as crucial points of contact for medical emergencies and play a crucial role in hazard prevention and health care. They are often the first link in the treatment chain, particularly in time-critical medical emergencies such as cardiac arrest. Although systematic precautionary measures are implemented in control centers to prevent failures, the focus is mostly on technical aspects. Interpersonal competences and their importance for emergency care have so far been insufficiently considered. The term “ never events ” describes serious, avoidable medical incidents, the prevention of which is also important for control centers. The authors identified the omission of telephone resuscitation instructions as one of the never events relevant to control centers. To effectively reduce the probability of never events occurring, the implementation of quality and risk management systems in control centers must be required. This includes the improvement of communication, the establishment of redundancy, the introduction of standardized procedures, and the regular training of personnel. In addition, the development of an intersectoral never event register is suggested to identify and minimize systematic errors. Such a register could serve as a valuable tool for improving safety in emergency care and, thus, contribute to the optimization of patient care
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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