1,720,956 research outputs found
Improving the quality of medical records
No full textBACKGROUND: Medical record is an essential tool both in patients’ diagnostic and therapeutic pathways and communication between different care providers. It also has an economic-administrative, medical-legal and epidemiological function. From an economic-administrative point of view, a medical record allows an evaluation and review of services to better manage the corporate health budget. In addition, it allows traceability and complete transparency of the health activities carried out. The study evaluates the formal quality of medical records compiled in an Italian private clinic before and after a training intervention. METHODS: In June 2019, a retrospective study was carried out to assess a private clinic’s quality of medical records. One month later, healthcare providers were trained on the appropriate compilation of medical records, whose pre-printed format was structurally improved. In March 2020, we verified the quality of medical records produced after that training intervention. Statistical analysis (Wilcoxon test) was carried out through Stata. RESULTS: A total of 149 medical records were reviewed. Statistically significant improvements (p < 0,05), between before and after training intervention, were for overall readability (33.3% vs 74.7%), completeness of admission and discharge dates (33.3% vs 74.40%), for completeness of anamnesis (13.6% vs 63.9%), for completeness of therapeutic card (53% vs 85.5%), in the reduction of non-compliance corrections (22.7% vs 4.8%), signature presence of physical examination (34.9% vs 71.1%) and for signature presence in the hospital discharge card (86.4% vs 96.4%). CONCLUSIONS: The results show that simple measures, such as staff training and restructuring of the format, are effective in improving the quality of medical records. KEY MESSAGES: • Healthcare providers should perceive the proper completion of medical records as a common goal. • Well-completed medical records contribute to better health care
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
Gli influssi della Dispositivo Vigilanza nella Supply Chain
No full textNegli ultimi anni, nel settore sanitario, accanto ai classici termini “farmaco” e “medicinale” si è iniziato a parlare di “dispositivo medico”; mentre nel mondo anglosassone già da anni si parlava di “medical devices”, in Italia la diffu- sione è piuttosto recente. La Regione Toscana con la legge n. 40/2005 ha istituito gli “Enti per i servizi tecnico-amministrativi di area vasta” (ESTAV) a supporto delle Aziende sanitarie; in particolare all’art. 101 ne sono state delineate le competenze, tra cui l’approvvigionamento di beni e servizi. Con la delibera della Giunta Regionale n. 1234/2012 sono stati disciplinati i criteri di scelta dei dispositivi medici, a partire dall’analisi qualitativa dei prodotti Health Technology Assessment attualmente generati nei diversi contesti aziendali, così da delineare la metodologia per favorire le collaborazioni interprofessionali puntando sull’efficacia e so- prattutto sull’appropriatezza d’uso delle innovazioni tecnologiche. Nell’Azienda Usl 7 di Siena, in linea con le direttive impartite dalla stessa Regione Toscana, gli obiettivi sono: crea- re momenti di formazione, confronto e supporto periodico con gli operatori sanitari; la diffusione dei percorsi per favori- re la conoscenza e l’adozione degli strumenti per la dispositivo vigilanza, aumentando la sensibilità alla segnalazione e permettendo così alla Regione di dare un importante contributo in merito all’efficienza del sistema sanitario nazionale
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
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