WorldWideScience

Sample records for clinical performance indicators

  1. Implementation of renal key performance indicators: promoting improved clinical practice.

    Science.gov (United States)

    Toussaint, Nigel D; McMahon, Lawrence P; Dowling, Gregory; Soding, Jenny; Safe, Maria; Knight, Richard; Fair, Kathleen; Linehan, Leanne; Walker, Rowan G; Power, David A

    2015-03-01

    In the Australian state of Victoria, the Renal Health Clinical Network (RHCN) of the Department of Health Victoria established a Renal Key Performance Indicator (KPI) Working Group in 2011. The group developed four KPIs related to chronic kidney disease and dialysis. A transplant working group of the RHCN developed two additional KPIs. The aim was to develop clinical indicators to measure performance of renal services to drive service improvement. A data collection and benchmarking programme was established, with data provided monthly to the Department using a purpose-designed website portal. The KPI Working Group is responsible for analysing data each quarter and ensuring indicators remain accurate and relevant. Each indicator has clear definitions and targets, and assess (i) patient education, (ii) timely creation of vascular access for haemodialysis, (iii) proportion of patients dialysing at home, (iv) incidence of dialysis-related peritonitis, (v) incidence of pre-emptive renal transplantation, and (vi) timely listing of patients for deceased donor transplantation. Most KPIs have demonstrated improved performance over time with limited gains notably in two: the proportion of patients dialysing at home (KPI 3) and timely listing patients for transplantation (KPI 6). KPI implementation has been established in Victoria for 2 years, providing performance data without additional funding. The six Victorian KPIs are measurable, relevant and modifiable, and implementation relies on enthusiasm and goodwill of physicians and nurses involved in collecting data. The KPIs require further evaluation, but adoption of a similar programme by other jurisdictions could lead to improved national outcomes. © 2014 Asian Pacific Society of Nephrology.

  2. Current status on performance of CT colonography and clinical indications

    Energy Technology Data Exchange (ETDEWEB)

    Laghi, Andrea, E-mail: andrea.laghi@uniroma1.it [Department of Radiological Sciences, Oncology and Pathology Sapienza – Università di Roma, Polo Pontino, I.C.O.T. Hospital, Via Franco Faggiana 43, 04100 Latina (Italy); Rengo, Marco [Department of Radiological Sciences, Oncology and Pathology Sapienza – Università di Roma, Polo Pontino, I.C.O.T. Hospital, Via Franco Faggiana 43, 04100 Latina (Italy); Graser, Anno [InstitutfürKlinische Radiologie, Klinikumder Ludwig-Maximilians-Universität München, Campus Großhadern, Marchioninistr. 15, 81377 München (Germany); Iafrate, Franco [Department of Radiological Sciences, Oncology and Pathology Sapienza – Università di Roma, Policlinico Umberto I, Viale Regina Elena 324, 00161 Rome (Italy)

    2013-08-15

    CT colonography (CTC) is a robust and reliable imaging test of the colon. Accuracy for the detection of colorectal cancer (CRC) is as high as conventional colonoscopy (CC). Identification of polyp is size dependent, with large lesions (≥10 mm) accurately detected and small lesions (6–9 mm) identified with moderate to good sensitivity. Recent studies show good sensitivity for the identification of nonpolypoid (flat) lesions as well. Current CTC indications include the evaluation of patients who had undergone a previous incomplete CC or those who are unfit for CC (elderly and frail individuals, patients with underlying severe clinical conditions, or with contraindication to sedation). CTC can also be efficiently used in the assessment of diverticular disease (excluding patients with acute diverticulitis, where the exam should be postponed), before laparoscopic surgery for CRC (to have an accurate localization of the lesion), in the evaluation of colonic involvement in the case of deep pelvic endometriosis (replacing barium enema). CTC is also a safe procedure in patients with colostomy. For CRC screening, CTC should be considered an opportunistic screening test (not available for population, or mass screening) to be offered to asymptomatic average-risk individuals, of both genders, starting at age 50. The use in individuals with positive family history should be discussed with the patient first. Absolute contraindication is to propose CTC for surveillance of genetic syndromes and chronic inflammatory bowel diseases (in particular, ulcerative colitis). The use of CTC in the follow-up after surgery for CRC is achieving interesting evidences despite the fact that literature data are still relatively weak in terms of numerosity of the studied populations. In patients who underwent previous polypectomy CTC cannot be recommended as first test because debate is still open. It is desirable that in the future CTC would be the first-line and only diagnostic test for

  3. Current status on performance of CT colonography and clinical indications.

    Science.gov (United States)

    Laghi, Andrea; Rengo, Marco; Graser, Anno; Iafrate, Franco

    2013-08-01

    CT colonography (CTC) is a robust and reliable imaging test of the colon. Accuracy for the detection of colorectal cancer (CRC) is as high as conventional colonoscopy (CC). Identification of polyp is size dependent, with large lesions (≥10mm) accurately detected and small lesions (6-9mm) identified with moderate to good sensitivity. Recent studies show good sensitivity for the identification of nonpolypoid (flat) lesions as well. Current CTC indications include the evaluation of patients who had undergone a previous incomplete CC or those who are unfit for CC (elderly and frail individuals, patients with underlying severe clinical conditions, or with contraindication to sedation). CTC can also be efficiently used in the assessment of diverticular disease (excluding patients with acute diverticulitis, where the exam should be postponed), before laparoscopic surgery for CRC (to have an accurate localization of the lesion), in the evaluation of colonic involvement in the case of deep pelvic endometriosis (replacing barium enema). CTC is also a safe procedure in patients with colostomy. For CRC screening, CTC should be considered an opportunistic screening test (not available for population, or mass screening) to be offered to asymptomatic average-risk individuals, of both genders, starting at age 50. The use in individuals with positive family history should be discussed with the patient first. Absolute contraindication is to propose CTC for surveillance of genetic syndromes and chronic inflammatory bowel diseases (in particular, ulcerative colitis). The use of CTC in the follow-up after surgery for CRC is achieving interesting evidences despite the fact that literature data are still relatively weak in terms of numerosity of the studied populations. In patients who underwent previous polypectomy CTC cannot be recommended as first test because debate is still open. It is desirable that in the future CTC would be the first-line and only diagnostic test for colonic

  4. Current status on performance of CT colonography and clinical indications

    International Nuclear Information System (INIS)

    Laghi, Andrea; Rengo, Marco; Graser, Anno; Iafrate, Franco

    2013-01-01

    CT colonography (CTC) is a robust and reliable imaging test of the colon. Accuracy for the detection of colorectal cancer (CRC) is as high as conventional colonoscopy (CC). Identification of polyp is size dependent, with large lesions (≥10 mm) accurately detected and small lesions (6–9 mm) identified with moderate to good sensitivity. Recent studies show good sensitivity for the identification of nonpolypoid (flat) lesions as well. Current CTC indications include the evaluation of patients who had undergone a previous incomplete CC or those who are unfit for CC (elderly and frail individuals, patients with underlying severe clinical conditions, or with contraindication to sedation). CTC can also be efficiently used in the assessment of diverticular disease (excluding patients with acute diverticulitis, where the exam should be postponed), before laparoscopic surgery for CRC (to have an accurate localization of the lesion), in the evaluation of colonic involvement in the case of deep pelvic endometriosis (replacing barium enema). CTC is also a safe procedure in patients with colostomy. For CRC screening, CTC should be considered an opportunistic screening test (not available for population, or mass screening) to be offered to asymptomatic average-risk individuals, of both genders, starting at age 50. The use in individuals with positive family history should be discussed with the patient first. Absolute contraindication is to propose CTC for surveillance of genetic syndromes and chronic inflammatory bowel diseases (in particular, ulcerative colitis). The use of CTC in the follow-up after surgery for CRC is achieving interesting evidences despite the fact that literature data are still relatively weak in terms of numerosity of the studied populations. In patients who underwent previous polypectomy CTC cannot be recommended as first test because debate is still open. It is desirable that in the future CTC would be the first-line and only diagnostic test for

  5. Performance indicators for clinical practice management in primary care in Portugal: consensus from a Delphi study.

    Science.gov (United States)

    Basto-Pereira, Miguel; Furtado, Sara Isabel Félix; Silva, Ricardo Jorge Pereira; Fachado González, Francisco; Vara Fernandes, Tito Manuel; Correia de Sousa, Jaime; Yaphe, John

    2015-03-01

    Performance indicators assessing the quality of medical care and linked to pay for performance may cause disagreement. Portuguese indicators included in recent health care reform are controversial. To obtain consensus from opinion leaders in family medicine regarding the performance indicators for practice management used in the evaluation of Family Health Units in Portugal. Eighty-nine specialists in primary care were invited to answer the following question in an online Delphi study: 'Which performance indicators should be assessed regarding the organization and management of clinical practice in primary care in Portugal?' A Likert scale was used to evaluate validity, reliability, feasibility and sensitivity to change. Twenty-seven experts participated in the second round and achieved a high degree of consensus. Eight categories were created for analysis. The experts suggested the use of existing indicators as well as new indicators. Thirty-nine indicators suggested by the experts are currently in use in Portugal. The assessment of the number of clinical acts performed, the number of administrative acts, and evaluation of the clinical demographic profile achieved a high degree of consensus. The expert panel suggested fifty new indicators. Five categories of these new indicators had a high degree of consensus, and three categories had a low degree of consensus. The expert panel recommended that performance indicators of practice management should first assess the quantity of clinical and administrative activities undertaken. These indicators must take into account the human and financial resources available to the clinic and its demographic context.

  6. Evaluating laboratory key performance using quality indicators in Alexandria University Hospital Clinical Chemistry Laboratories.

    Science.gov (United States)

    Rizk, Mostafa M; Zaki, Adel; Hossam, Nermine; Aboul-Ela, Yasmin

    2014-12-01

    The performance of clinical laboratories plays a fundamental role in the quality and effectiveness of healthcare. To evaluate the laboratory performance in Alexandria University Hospital Clinical Laboratories using key quality indicators and to compare the performance before and after an improvement plan based on ISO 15189 standards. The study was carried out on inpatient samples for a period of 7 months that was divided into three phases: phase I included data collection for evaluation of the existing process before improvement (March-May 2012); an intermediate phase, which included corrective, preventive action, quality initiative and steps for improvement (June 2012); and phase II, which included data collection for evaluation of the process after improvement (July 2012-September 2012). In terms of the preanalytical indicators, incomplete request forms in phase I showed that the total number of received requests were 31 944, with a percentage of defected request of 33.66%; whereas in phase II, there was a significant reduction in all defected request items (Plaboratories.

  7. Development of clinical pharmacy key performance indicators for hospital pharmacists using a modified Delphi approach.

    Science.gov (United States)

    Fernandes, Olavo; Gorman, Sean K; Slavik, Richard S; Semchuk, William M; Shalansky, Steve; Bussières, Jean-François; Doucette, Douglas; Bannerman, Heather; Lo, Jennifer; Shukla, Simone; Chan, Winnie W Y; Benninger, Natalie; MacKinnon, Neil J; Bell, Chaim M; Slobodan, Jeremy; Lyder, Catherine; Zed, Peter J; Toombs, Kent

    2015-06-01

    Key performance indicators (KPIs) are quantifiable measures of quality. There are no published, systematically derived clinical pharmacy KPIs (cpKPIs). A group of hospital pharmacists aimed to develop national cpKPIs to advance clinical pharmacy practice and improve patient care. A cpKPI working group established a cpKPI definition, 8 evidence-derived cpKPI critical activity areas, 26 candidate cpKPIs, and 11 cpKPI ideal attributes in addition to 1 overall consensus criterion. Twenty-six clinical pharmacists and hospital pharmacy leaders participated in an internet-based 3-round modified Delphi survey. Panelists rated 26 candidate cpKPIs using 11 cpKPI ideal attributes and 1 overall consensus criterion on a 9-point Likert scale. A meeting was facilitated between rounds 2 and 3 to debate the merits and wording of candidate cpKPIs. Consensus was reached if 75% or more of panelists assigned a score of 7 to 9 on the consensus criterion during the third Delphi round. All panelists completed the 3 Delphi rounds, and 25/26 (96%) attended the meeting. Eight candidate cpKPIs met the consensus definition: (1) performing admission medication reconciliation (including best-possible medication history), (2) participating in interprofessional patient care rounds, (3) completing pharmaceutical care plans, (4) resolving drug therapy problems, (5) providing in-person disease and medication education to patients, (6) providing discharge patient medication education, (7) performing discharge medication reconciliation, and (8) providing bundled, proactive direct patient care activities. A Delphi panel of hospital pharmacists was successful in determining 8 consensus cpKPIs. Measurement and assessment of these cpKPIs will serve to advance clinical pharmacy practice and improve patient care. © The Author(s) 2015.

  8. Pharmacists' Perceptions of the Barriers and Facilitators to the Implementation of Clinical Pharmacy Key Performance Indicators.

    Science.gov (United States)

    Minard, Laura V; Deal, Heidi; Harrison, Megan E; Toombs, Kent; Neville, Heather; Meade, Andrea

    2016-01-01

    In hospitals around the world, there has been no consensus regarding which clinical activities a pharmacist should focus on until recently. In 2011, a Canadian clinical pharmacy key performance indicator (cpKPI) collaborative was formed. The goal of the collaborative was to advance pharmacy practice in order to improve patient outcomes and enhance the quality of care provided to patients by hospital pharmacists. Following a literature review, which indicated that pharmacists can improve patient outcomes by carrying out specific activities, and an evidence-informed consensus process, a final set of eight cpKPIs were established. Canadian hospitals leading the cpKPI initiative are currently in the early stages of implementing these indicators. To explore pharmacists' perceptions of the barriers and facilitators to the implementation of cpKPIs. Clinical pharmacists employed by the Nova Scotia Health Authority were invited to participate in focus groups. Focus group discussions were audio-recorded and transcribed, and data was analyzed using thematic analysis. Three focus groups, including 26 pharmacists, were conducted in February 2015. Three major themes were identified. Resisting the change was comprised of documentation challenges, increased workload, practice environment constraints, and competing priorities. Embracing cpKPIs was composed of seeing the benefit, demonstrating value, and existing supports. Navigating the unknown was made up of quality versus quantity battle, and insights into the future. Although pharmacists were challenged by documentation and other changes associated with the implementation of cpKPIs, they demonstrated significant support for cpKPIs and were able to see benefits of the implementation. Pharmacists came up with suggestions for overcoming resistance associated with the implementation of cpKPIs and provided insights into the future of pharmacy practice. The identification of barriers and facilitators to cpKPI implementation will be

  9. Pharmacists' Perceptions of the Barriers and Facilitators to the Implementation of Clinical Pharmacy Key Performance Indicators.

    Directory of Open Access Journals (Sweden)

    Laura V Minard

    Full Text Available In hospitals around the world, there has been no consensus regarding which clinical activities a pharmacist should focus on until recently. In 2011, a Canadian clinical pharmacy key performance indicator (cpKPI collaborative was formed. The goal of the collaborative was to advance pharmacy practice in order to improve patient outcomes and enhance the quality of care provided to patients by hospital pharmacists. Following a literature review, which indicated that pharmacists can improve patient outcomes by carrying out specific activities, and an evidence-informed consensus process, a final set of eight cpKPIs were established. Canadian hospitals leading the cpKPI initiative are currently in the early stages of implementing these indicators.To explore pharmacists' perceptions of the barriers and facilitators to the implementation of cpKPIs.Clinical pharmacists employed by the Nova Scotia Health Authority were invited to participate in focus groups. Focus group discussions were audio-recorded and transcribed, and data was analyzed using thematic analysis.Three focus groups, including 26 pharmacists, were conducted in February 2015. Three major themes were identified. Resisting the change was comprised of documentation challenges, increased workload, practice environment constraints, and competing priorities. Embracing cpKPIs was composed of seeing the benefit, demonstrating value, and existing supports. Navigating the unknown was made up of quality versus quantity battle, and insights into the future.Although pharmacists were challenged by documentation and other changes associated with the implementation of cpKPIs, they demonstrated significant support for cpKPIs and were able to see benefits of the implementation. Pharmacists came up with suggestions for overcoming resistance associated with the implementation of cpKPIs and provided insights into the future of pharmacy practice. The identification of barriers and facilitators to cp

  10. Retrospective Analysis of Indication of Bone Scintigraphy Performed in Our Clinic

    Directory of Open Access Journals (Sweden)

    Fusun Aydogan

    2014-03-01

    Full Text Available Aim: Bone scintigraphy is one of the commonly used radionuclide imaging and it is successfully used in the diagnosis and follow-up of many diseases. The aim of this study is to determine the indications and filming protocols of bone scintigraphy which was performed in our clinic. Material and Method: Two hundred and fifty two patients (132 male, 120 female who was performed bone scintigprapy in our clinic between December 2011 and June 2013 included the study. Mean age was 50.1±20.2 years. Scintigraphic protocols were made in two ways as late static whole body imaging and three-phase bone scintigraphy according to the type of the diseases. Indications of scintigraphies and scintigraphic protocols were detected. Results: Bone scintigraphy was performed for diagnosis and monitoring of metastatic bone disease to 102 patients (40,5 %, for orthopedic applications to 57 patients (22,6 %, for diagnosis and monitoring of primary bone tumors to 29 patients (11,5 %, for diagnosis of osteomyelitis to 17 patients (6,7 %, for differential diagnosis of infection and loosening of the prosthesis to 12 patients (4,8 %, investigate the viability of the graft in 14 patients (4,6 %, for rheumatologic diseases to 9 patients (3,6 %, for investigate the pathological vertebral fractures and osteoporosis to 4 patients (1,6 %, for diagnosis the metabolic bone disease to 2 patients (0,8 %, for diagnosis of otitis externa to 5 patients (1,98 % and for for suspicion of malignancy to 1 patient (0,4 %. Late static whole body imaging protocol was applied to 136 patients (54 % and three-phase imaging protocol was applied to 116 patients (46 %. Discussion: The most common use of bone scintigraphy is the diagnosis and follow-up of metastatic bone disease. It is followed by reasons such as orthopedic applications, monitoring and diagnosis of primary bone tumors and diagnosis of osteomyelitis.

  11. Technical and clinical breast cancer screening performance indicators for computed radiography versus direct digital radiography.

    Science.gov (United States)

    Bosmans, Hilde; De Hauwere, An; Lemmens, Kim; Zanca, Federica; Thierens, Hubert; Van Ongeval, Chantal; Van Herck, Koen; Van Steen, Andre; Martens, Patrick; Bleyen, Luc; Vande Putte, Gretel; Kellen, Eliane; Mortier, Griet; Van Limbergen, Erik

    2013-10-01

    To compare technical and clinical screening performance parameters between computed radiography (CR) and direct digital radiography (DR) systems. The number of women screened with CR was 73,008 and with DR 116,945. Technical and patient dose survey data of 25 CR and 37 DR systems were available. Technical performance was expressed by threshold thickness values at the mean glandular dose (MGD) level of routine practice. Clinical indicators included recall rate (RR), cancer detection rate (CDR), percentage of ductal carcinoma in situ (DCIS), percentage of cancers with T-scores smaller than 1 cm and positive predictive value (PPV). Contrast threshold values for the 0.1-mm gold disk were 1.44 μm (SD 0.13 μm) for CR and 1.20 μm (SD 0.13 μm for DR). MGD was 2.16 mGy (SD 0.36 mGy) and 1.35 mGy (SD 0.32 mGy) for CR and DR respectively. We obtained for CR, respectively DR, the following results: RR in the first round of 5.48 % versus 5.61 %; RR in subsequent rounds of 2.52 % versus 2.65 %; CDR of 0.52 % versus 0.53 %; DCIS of 0.08 % versus 0.11 %; a rate of cancers with T-scores smaller than 1 cm of 0.11 % versus 0.11 %; PPV of 18.45 % versus 18.64 %; none of them was significantly different. Our screening indicators are reassuring for the use of CR and DR, with CR operating at 60 % higher MGD. • Breast cancer screening can employ both computed (CR) and direct digital radiography (DR). • Screening performance parameters for CR and DR technology are not significantly different. • Screening parameters are in accordance with European Guidelines. • Radiation doses employed for CR are generally 60 % greater than for DR.

  12. Analysis of Nurse's Clinical Education Performance based on Work Theory and The Indicator of Competence

    Directory of Open Access Journals (Sweden)

    Srinalesti Mahanani

    2016-09-01

    Full Text Available Introduction: Clinical Learning is a process of transformation of the student to become a professional nurse. Clinical Nurse Educator contributes to improve the quality of clinical learning because of variety of roles ranging from planning, implementing and evaluating learning clinical practice. Improving the quality of clinical practice learning, can be reached by improving the performance of Clinical Nurse Educator. The aim of this study was to know the effect of psychological variables and organizational variables to the competence and performance of Clinical Nurse Educators. Sample was Clinical Nurse Educators who work inpatient wards at Kediri Baptist Hospital inpatient wards. Method: This study was conducted in two stages. Phase I measure the competence and performance of Clinical Nurse Educator by Supervisor and students, as well as psychological variables and organizational variables by using questionnaires. Phase II was done by Focused Group Discussion to discuss about the variables that affect Clinical Nurse Educator performance. Data processed using Partial Least Square with α = 0.05, path coefficient = 0.5 and t table = 1.96. Result: The results of this research is showed that Performance Nurse Educator can be improved by increasing Individual Competence with path coefficient= 0.600 and t = 6.741. The individual competence will be increase by improving pscychological aspect nurse educator such as perception, personal aspect, motivation, learning skill and attitude with path coefficient = 0.518 and t = 2.715. Psycological Aspect can be increasing by improving Organization Variable such as Organization Resource, Salary, Organization Structure and Job Description with path coefficient = 0.825 and t = 19.658. Discussion: The conclusion of this result that increase of nurse educator competence and performance can be effort by improving psycological aspect and organizational variable Keywords: competence, performance, clinical nurse

  13. Identifying and classifying indicators affected by performing clinical pathways in hospitals: a scoping review.

    Science.gov (United States)

    Shabaninejad, Hosein; Alidoost, Saeide; Delgoshaei, Bahram

    2018-03-01

    To analyse the evidence regarding indicators affected by clinical pathways (CPW) in hospitals and offer suggestions for conducting comprehensive systematic reviews. We conducted a systematic scoping review and searched the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, Scopus, OVID, Science Direct, ProQuest, EMBASE and PubMed. We also reviewed the reference lists of included studies. The criteria for inclusion of studies included experimental and quasi-experimental studies, implementing CPW in secondary and tertiary hospitals and investigating at least one indicator. Quality of included studies was assessed by two authors independently using the Critical Appraisal Skills Program for clinical trials and cohort studies and the Joanna Briggs Institute Critical Appraisal Tool for Quasi-Experimental Studies. Forty-seven out of 2191 studies met the eligibility and inclusion criteria. The majority of included studies had pretest-posttest quasi-experimental design and had been done in developed countries, especially the United States. The investigation of evidence resulted in identifying 62 indicators which were classified into three categories: input indicators, process and output indicators and outcome indicators. Outcome indicators were more frequent than other indicators. Complication rate, hospital costs and length of hospital stay were dominant in their own category. Indicators such as quality of life and adherence to guidelines have been considered in studies that were done in recent years. Implementing CPW can affect different types of indicators such as input, process, output and outcome indicators, although outcome indicators capture more attention than other indicators. Patient-related indicators were dominant outcome indicators, whereas professional indicators and organizational factors were considered less extensively. WHAT IS KNOWN ABOUT THE TOPIC?: WHAT DOES THIS ARTICLE ADD?

  14. [Development of clinical performance indicators for establishing a connecting system between hospital performance management and quality improvement].

    Science.gov (United States)

    Jang, Keum Seong; Lee, Sam Yong; Kim, Yun Min; Hwang, Sun Young; Kim, Nam Young; Ryu, Se Ang; Park, Soon Joo; Choi, Ja Yun

    2005-12-01

    This study aimed at developing integrated clinical performance indicators(CPIs) through the analysis of quality improvement(QI) activities of a hospital and literature review about performance measures. The CPIs were developed through the following three stages; 1)Identifying preliminary CPIs 2)A staff validity test in preliminary CPIs 3)Developing final CPIs. One hundred twenty-three preliminary CPIs were developed through QI activities of the target hospital for 8 years and literature review. The results of the validity test for the preliminary CPIs supported ninety-one items. Sixty-two CPIs were selected through integration, reclassification and renaming. Then, eighteen items were deleted on account of an imprecise calculation method. Finally, forty-four CPIs were confirmed. They consisted of twenty-six items at the hospital level and eighteen items at the department level. CPIs can be used as criteria to evaluate the performance of healthcare organizations, and to decide the quality of healthcare for customers. This study may contribute to establishing an integrated system between QI activities and performance measurement of healthcare organizations.

  15. CREDIT Performance Indicator Framework

    DEFF Research Database (Denmark)

    Frandsen, Anne Kathrine; Bertelsen, Niels Haldor; Haugbølle, Kim

    2010-01-01

    was a framework of indicators relevant in building and real estate and applicable in the Nordic and Baltic countries as well as a proposal for a set of key indicators. The study resulting in CREDIT Performance Indicator Framework has been based on 28 case studies of evaluation practises in the building and real...... regulations in the countries participating in CREDIT. The Performance Indicator Framework encompassed 187 indicators grouped in 7 main groups of indicators and 42 sub-groups. Based on the CREDIT case studies it was concluded that there neither is link between certain indicators and specific building types...

  16. Key performance indicators

    NARCIS (Netherlands)

    Zwetsloot, G.I.J.M.

    2014-01-01

    This paper addresses how organisations can use OSH performance indicators. This is an important way to mainstream OSH into business management. Key performance indicators (KPIs) should provide objective data on the OSH situation. It is often said that ‘what gets measured gets managed’. Without

  17. Safety performance indicators program

    International Nuclear Information System (INIS)

    Vidal, Patricia G.

    2004-01-01

    In 1997 the Nuclear Regulatory Authority (ARN) initiated a program to define and implement a Safety Performance Indicators System for the two operating nuclear power plants, Atucha I and Embalse. The objective of the program was to incorporate a set of safety performance indicators to be used as a new regulatory tool providing an additional view of the operational performance of the nuclear power plants, improving the ability to detect degradation on safety related areas. A set of twenty-four safety performance indicators was developed and improved throughout pilot implementation initiated in July 1998. This paper summarises the program development, the main criteria applied in each stage and the results obtained. (author)

  18. CREDIT Performance Indicator Framework

    DEFF Research Database (Denmark)

    Frandsen, Anne Kathrine; Bertelsen, Niels Haldor; Haugbølle, Kim

    2010-01-01

    was a framework of indicators relevant in building and real estate and applicable in the Nordic and Baltic countries as well as a proposal for a set of key indicators. The study resulting in CREDIT Performance Indicator Framework has been based on 28 case studies of evaluation practises in the building and real...... estate sector each addressing three interlinked levels: building/ projects level, company or enterprise level and benchmarking system level. Additionally it has been based on dialogue with researchers and professional organisation, international research and standardisation work and national building...... regulations in the countries participating in CREDIT. The Performance Indicator Framework encompassed 187 indicators grouped in 7 main groups of indicators and 42 sub-groups. Based on the CREDIT case studies it was concluded that there neither is link between certain indicators and specific building types...

  19. Fishery Performance Indicators

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Performance indicators for landings, effort, revenue and distribution of revenue are collected for various fisheries nation-wide. The fisheries include catch and...

  20. NRC performance indicator program

    International Nuclear Information System (INIS)

    Singh, R.N.

    1987-01-01

    The performance indicator development work of the US Nuclear Regulatory Commission (NRC) interoffice task group involved several major activities that included selection of candidate indicators for a trial program, data collection and review, validation of the trial indicators, display method development, interactions with the industry, and selection of an optimum set of indicators for the program. After evaluating 27 potential indicators against certain ideal attributes, the task group selected 17 for the trial program. The pertinent data for these indicators were then collected from 50 plants at 30 sites. The validation of the indicators consisted of two primary processes: logical validity and statistical analysis. The six indicators currently in the program are scrams, safety system actuations, significant events, safety system failures, forced outage rate, and equipment forced outages per 100 critical hours. A report containing data on the six performance indicators and some supplemental information is issued on a quarterly basis. The NRC staff is also working on refinements of existing indicators and development of additional indicators as directed by the commission

  1. Resident dashboards: helping your clinical competency committee visualize trainees? key performance indicators

    OpenAIRE

    Friedman, Karen A.; Raimo, John; Spielmann, Kelly; Chaudhry, Saima

    2016-01-01

    Introduction: Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC) through the creation of a resident dashboard.Methods: Program leadership at a large univers...

  2. Further examination of embedded performance validity indicators for the Conners' Continuous Performance Test and Brief Test of Attention in a large outpatient clinical sample.

    Science.gov (United States)

    Sharland, Michael J; Waring, Stephen C; Johnson, Brian P; Taran, Allise M; Rusin, Travis A; Pattock, Andrew M; Palcher, Jeanette A

    2018-01-01

    Assessing test performance validity is a standard clinical practice and although studies have examined the utility of cognitive/memory measures, few have examined attention measures as indicators of performance validity beyond the Reliable Digit Span. The current study further investigates the classification probability of embedded Performance Validity Tests (PVTs) within the Brief Test of Attention (BTA) and the Conners' Continuous Performance Test (CPT-II), in a large clinical sample. This was a retrospective study of 615 patients consecutively referred for comprehensive outpatient neuropsychological evaluation. Non-credible performance was defined two ways: failure on one or more PVTs and failure on two or more PVTs. Classification probability of the BTA and CPT-II into non-credible groups was assessed. Sensitivity, specificity, positive predictive value, and negative predictive value were derived to identify clinically relevant cut-off scores. When using failure on two or more PVTs as the indicator for non-credible responding compared to failure on one or more PVTs, highest classification probability, or area under the curve (AUC), was achieved by the BTA (AUC = .87 vs. .79). CPT-II Omission, Commission, and Total Errors exhibited higher classification probability as well. Overall, these findings corroborate previous findings, extending them to a large clinical sample. BTA and CPT-II are useful embedded performance validity indicators within a clinical battery but should not be used in isolation without other performance validity indicators.

  3. Resident dashboards: helping your clinical competency committee visualize trainees' key performance indicators.

    Science.gov (United States)

    Friedman, Karen A; Raimo, John; Spielmann, Kelly; Chaudhry, Saima

    2016-01-01

    Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC) through the creation of a resident dashboard. Program leadership at a large university-based program developed four new end of rotation evaluations based on the American Board of Internal Medicine (ABIM) and Accreditation Council of Graduated Medical Education's (ACGME) 22 reportable milestones. A resident dashboard was then created to pull together both milestone- and non-milestone-based quantitative data and qualitative data compiled from faculty, nurses, peers, staff, and patients. Dashboards were distributed to the members of the CCC in preparation for the semiannual CCC meeting. CCC members adjudicated quantitative and qualitative data to present their cohort of residents at the CCC meeting. Based on the committee's response, evaluation scores remained the same or were adjusted. Final milestone scores were then entered into the accreditation data system (ADS) on the ACGME website. The process of resident assessment is complex and should comprise both quantitative and qualitative data. The dashboard is a valuable tool for program leadership to use both when evaluating house staff on a semiannual basis at the CCC and to the resident in person.

  4. Resident dashboards: helping your clinical competency committee visualize trainees’ key performance indicators

    Directory of Open Access Journals (Sweden)

    Karen A. Friedman

    2016-03-01

    Full Text Available Introduction: Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC through the creation of a resident dashboard. Methods: Program leadership at a large university-based program developed four new end of rotation evaluations based on the American Board of Internal Medicine (ABIM and Accreditation Council of Graduated Medical Education's (ACGME 22 reportable milestones. A resident dashboard was then created to pull together both milestone- and non-milestone-based quantitative data and qualitative data compiled from faculty, nurses, peers, staff, and patients. Results: Dashboards were distributed to the members of the CCC in preparation for the semiannual CCC meeting. CCC members adjudicated quantitative and qualitative data to present their cohort of residents at the CCC meeting. Based on the committee's response, evaluation scores remained the same or were adjusted. Final milestone scores were then entered into the accreditation data system (ADS on the ACGME website. Conclusions: The process of resident assessment is complex and should comprise both quantitative and qualitative data. The dashboard is a valuable tool for program leadership to use both when evaluating house staff on a semiannual basis at the CCC and to the resident in person.

  5. Performance Indicators in Spine Surgery.

    Science.gov (United States)

    St-Pierre, Godefroy Hardy; Yang, Michael H; Bourget-Murray, Jonathan; Thomas, Ken C; Hurlbert, Robin John; Matthes, Nikolas

    2018-02-15

    Systematic review. To elucidate how performance indicators are currently used in spine surgery. The Patient Protection and Affordable Care Act has given significant traction to the idea that healthcare must provide value to the patient through the introduction of hospital value-based purchasing. The key to implementing this new paradigm is to measure this value notably through performance indicators. MEDLINE, CINAHL Plus, EMBASE, and Google Scholar were searched for studies reporting the use of performance indicators specific to spine surgery. We followed the Prisma-P methodology for a systematic review for entries from January 1980 to July 2016. All full text articles were then reviewed to identify any measure of performance published within the article. This measure was then examined as per the three criteria of established standard, exclusion/risk adjustment, and benchmarking to determine if it constituted a performance indicator. The initial search yielded 85 results among which two relevant studies were identified. The extended search gave a total of 865 citations across databases among which 15 new articles were identified. The grey literature search provided five additional reports which in turn led to six additional articles. A total of 27 full text articles and reports were retrieved and reviewed. We were unable to identify performance indicators. The articles presenting a measure of performance were organized based on how many criteria they lacked. We further examined the next steps to be taken to craft the first performance indicator in spine surgery. The science of performance measurement applied to spine surgery is still in its infancy. Current outcome metrics used in clinical settings require refinement to become performance indicators. Current registry work is providing the necessary foundation, but requires benchmarking to truly measure performance. 1.

  6. Performance indicators for power reactors

    International Nuclear Information System (INIS)

    Gillies, C.; White, M.

    1995-11-01

    A review of Canadian and worldwide performance indicator definitions and data was performed to identify a set of indicators that could be used for comparison of performance among nuclear power plants. The results of this review are to be used as input to an AECB team developing a consistent set of performance indicators for measuring Canadian power reactor safety performance. To support the identification of performance indicators, a set of criteria was developed to assess the effectiveness of each indicator for meaningful comparison of performance information. The project identified a recommended set of performance indicators that could be used by AECB staff to compare the performance of Canadian nuclear power plants among themselves, and with international performance. The basis for selection of the recommended set and exclusion of others is provided. This report provides definitions and calculation methods for each recommended performance indicator. In addition, a spreadsheet has been developed for comparison and trending for the recommended set of indicators. Example trend graphs are included to demonstrate the use of the spreadsheet. (author). 50 refs., 11 tabs., 3 figs

  7. Noncredible cognitive performance at clinical evaluation of adult ADHD: An embedded validity indicator in a visuospatial working memory test.

    Science.gov (United States)

    Fuermaier, Anselm B M; Tucha, Oliver; Koerts, Janneke; Lange, Klaus W; Weisbrod, Matthias; Aschenbrenner, Steffen; Tucha, Lara

    2017-12-01

    The assessment of performance validity is an essential part of the neuropsychological evaluation of adults with attention-deficit/hyperactivity disorder (ADHD). Most available tools, however, are inaccurate regarding the identification of noncredible performance. This study describes the development of a visuospatial working memory test, including a validity indicator for noncredible cognitive performance of adults with ADHD. Visuospatial working memory of adults with ADHD (n = 48) was first compared to the test performance of healthy individuals (n = 48). Furthermore, a simulation design was performed including 252 individuals who were randomly assigned to either a control group (n = 48) or to 1 of 3 simulation groups who were requested to feign ADHD (n = 204). Additional samples of 27 adults with ADHD and 69 instructed simulators were included to cross-validate findings from the first samples. Adults with ADHD showed impaired visuospatial working memory performance of medium size as compared to healthy individuals. Simulation groups committed significantly more errors and had shorter response times as compared to patients with ADHD. Moreover, binary logistic regression analysis was carried out to derive a validity index that optimally differentiates between true and feigned ADHD. ROC analysis demonstrated high classification rates of the validity index, as shown in excellent specificity (95.8%) and adequate sensitivity (60.3%). The visuospatial working memory test as presented in this study therefore appears sensitive in indicating cognitive impairment of adults with ADHD. Furthermore, the embedded validity index revealed promising results concerning the detection of noncredible cognitive performance of adults with ADHD. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  8. Performance indicators of work activity.

    Science.gov (United States)

    Lahoz, Manoela de Assis; Camarotto, João Alberto

    2012-01-01

    The measurement of performance is a current topic in the management of people in companies, used as a parameter of effectiveness of processes and operations of production. The methods and models of the indicators of current use in the production have concentrated in the assessment of people's performance as determinative resource of the organizational success in the search for the competitiveness. Associated with the classic indicators of performance assessment of the production proceeding, other indicators are used in the assessment of risks and hazards, however with methods focused in the tasks, without connection with the real work activity. The present article explores literature on the models of performance measurement in use in companies and a field research to understand how companies interpret and use indicators that relate health and work, to direct future studies on the subject. Regarding the literature review, one can see that health indicators can be basically divided into two major groups: the legal and managerial indicators. When conducting case studies, it can be realized that companies do not have precisely the concept of health indicator, or were unable to define which of the indicators could be considered indicators of health, considering that absenteeism was the indicator mentioned by the four companies.

  9. Performance Indicators of Operating Reactors

    Data.gov (United States)

    Nuclear Regulatory Commission — A list of Performance Indicators (PI) that are reported to the NRC by licensees at the end of each quarter in accordance with Inspection Manual Chapters (IMC) 0608,...

  10. Development of programmatic performance indicators

    Energy Technology Data Exchange (ETDEWEB)

    Olson, J.; Chockie, A.D.; Geisendorfer, C.L.; Vallario, R.W.; Mullen, M.F.

    1988-10-01

    This report summarizes a series of analyses of available plant performance data to determine if the data can be used to construct indicators of performance for several important plant functions. Data concerning the backlog of generic safety issues, operator examination scores, causes of events, and repeat equipment failures are reviewed and analyzed. The analysis indicates that generic safety issue backlog data can be used to assess some aspects of management performance. Operator exam scores do not appear to constitute good summary measures of the quality of training. Licensee Event Reports were found to be codable through the Sequence Coding and Search System into meaningful and useful cause codes for assessing performance in several programmatic areas. Available data on repeat equipment failures were found to be inadequate for establishing a clear measure of maintenance performance. The report concludes that additional data are necessary to assure the valid and reliable assessment of programmatic performance. 13 refs., 12 figs., 39 tabs.

  11. CHALLENGES WHEN DEVELOPING PERFORMANCE INDICATORS

    Directory of Open Access Journals (Sweden)

    Brindusa Maria POPA

    2015-04-01

    Full Text Available Abstract Developing key performance indicators (KPIs represents one step closer to the achievement of objectives and strategic vision of the organization. They are important elements of the pathway towards performance, they evaluate and indicate the level of progress, guide the organizational strategy, they can be considered even the qualitative or quantitative expression of the execution of the strategy. Building reliable and appropriate measurement systems is one of the most difficult stage in the performance evaluation process. Such systems of management will help the executives and the management teams identify and build upon the elements that create competitive advantage and opportunities for better results.

  12. Sustainable Transport and Performance Indicators

    DEFF Research Database (Denmark)

    Gudmundsson, Henrik

    2004-01-01

    Sustainable transport has become a major policy concern in recent years. The term suggests a need to consider transport in a comprehensive perspective including the well-being of both present and future generations, and taking environmental, social and economic issues into account. Indicators...... in forecasting and tracking the performance of transport systems increasingly guide sustainable transport policy making. This review explores the implications of the sustainable transport” concept and how it can be made operational with indicators. A number of indicator systems are reviewed, and some strengths...

  13. Sustainable Transport and Performance Indicators

    DEFF Research Database (Denmark)

    Gudmundsson, H.

    2004-01-01

    ustainable transport has become a major policy concern in recent years. The term suggests a need to consider transport in a comprehensive perspective including the well-being of both present and future generations, and taking environmental, social and economic issues into account. Indicators...... in forecasting and tracking the performance of transport systems increasingly guide sustainable transport policy making. This review explores the implications of the "sustainable transport" concept and how it can be made operational with indicators. A number of indicator systems are reviewed, and some strengths...

  14. Constitutive Effects of Performance Indicators

    DEFF Research Database (Denmark)

    Dahler-Larsen, Peter

    2014-01-01

    that are demonstrably problematic. Based on a distinction between trivial and advanced measure fixation, an argument is made for constitutive effects that are based on less problematic assumptions. Through this conceptual move, the political dimension of performance indicators is appreciated. The conceptual dimensions...... of constitutive effects are carved out, empirical illustrations of their applicability are offered and implications discussed....

  15. Performance indicators for rinderpest surveillance

    International Nuclear Information System (INIS)

    2001-12-01

    In 1986, the Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture initiated a programme of assistance to FAO and IAEA Member States for the development of effective, quality assured veterinary laboratory diagnostic services. This programme introduced the use of standardized and internationally validated ELISA-based systems for the diagnosis and surveillance of the major transboundary diseases that affect livestock. This approach has proved of immense value in the monitoring of national, regional and global animal disease control and eradication programmes. One such programme focuses on the global elimination of rinderpest. Co-ordinated by FAO through the Global Rinderpest Eradication Programme (GREP) the joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture has developed critical diagnostic and epidemiological tools to assist this effort. As the final stages of the global eradication of rinderpest are reached, it is fitting that the Joint Division should again take the lead in providing guidance to Member States on how best to meet the criteria for quality assurance of national disease surveillance programmes - a prerequisite for international acceptance of freedom from a particular disease. This publication is intended to provide countries involved in rinderpest eradication with a detailed protocol for using performance indicators in evaluating their disease surveillance system and making, where necessary, adjustments to meet the criteria for acceptance specified in the OIE Rinderpest Pathway - a pathway that leads to international recognition of freedom from rinderpest. An initial publication (IAEA-TECDOC-1161) described guidelines for the use of performance indicators in rinderpest surveillance programmes. This publication now describes in detail the protocols and the linked indicators which have been developed and field validated through a series of FAO/IAEA meetings and through IAEA expert assignments to countries in Africa

  16. Clinical indications of prolactin radioimmunoassay

    International Nuclear Information System (INIS)

    Lengyel, A.M.J.; Vieira, J.G.H.; Zanella, M.R.; Zampieri, M.; Chacra, A.R.

    1980-01-01

    Is a review is presented of the main clinical uses of prolactin measurements, including the galactorrhea-amenorrhea syndrome, an experiment employing the prolactin radioimmunoassay is related. (Author) [pt

  17. Performance indicators of bioethanol distillation

    International Nuclear Information System (INIS)

    Marriaga, Nilson

    2009-01-01

    The increase of biofuels demand accelerates the construction of new production plants and technological improvements in the process so the development of versatile tools for evaluating alternatives becomes an undeniable challenge. It was established through heuristic rules, thermodynamic analysis and simulation computer the energy consumption and performance indicators that govern, from fermented mash (ethanol 8.5 % v/v), the distillation of various capacities for bioethanol production: 20, 60, 100 and 150 KLD (kiloliters / day) through Aspen PlusTM simulator. It was found that the distillation demand nearly 30% of heat that would be obtained by burning alcohol fuel produced thus it is necessary the use of raw materials that generate enough biomass to produce the steam required. In addition, correlations were found to allow for easy diameters of distillation columns in terms of production capacity.

  18. [STRATEGY OF USE AND MAINTENANCE OF CLINICAL HOSPITAL CENTER RIJEKA IN ACCORDANCE WITH KEY PERFORMANCE INDICATORS FOR STRATEGIC HEALTHCARE FACILITIES MAINTENANCE].

    Science.gov (United States)

    Sjekavica, Mariela; Haller, Herman; Cerić, Anita

    2015-01-01

    Building usage is the phase in the building life cycle that is most time-consuming, most functional, most significant due to building purpose and often systematically ignored. Maintenance is the set of activities that ensure the planned duration of facility exploitation phase in accordance with the requirements for quality maintenance of a large number of important building features as well as other elements immanent to the nature of facilities' life. The aim of the study is to show the analysis of the current state of organized, planned and comprehensive managerial approach in hospital utilization and maintenance in the Republic of Croatia, given on the case study of Clinical hospital center in Rijeka. The methodology used consists of relevant literature section of theory of facility utilization, maintenance and management in general, hospital buildings especially, display of practice on case study, and comparison of key performance indicators values obtained through interview with those that author Igal M. Shohet defined in his study by field surveys and statistical analyses. Despite many positive indicators of Clinical hospital center Rijeka maintenance, an additional research is needed in order to define a more complete national hospital maintenance strategy.

  19. International performance indicators: gas supply

    International Nuclear Information System (INIS)

    1994-12-01

    This study evaluates the performance of Australian's natural gas utilities against world best practice. In particular, it examines whether Australia's traded goods sector is disadvantaged by the performance of domestic infrastructure service industries. It reports on the operating efficiency of the natural gas industry using Data Envelopment Analysis. It concludes that the Australian gas industry as a whole is performing relatively well in term of operating efficiency and that its prices are comparable with prices in North America, once differences in consumption per customer are taken into consideration. Appendixes 1 and 2 provide a summary of the structure and regulation of the gas supply industry in Australia and selected overseas countries, while the Appendix 3 gives an econometric analysis of the relationships between consumption per customer and residential price-cost margins. refs., tabs., figs

  20. Organizational performance and regulatory compliance as measured by clinical pertinence indicators before and after implementation of Anesthesia Information Management System (AIMS).

    Science.gov (United States)

    Choi, Clark K; Saberito, Darlene; Tyagaraj, Changa; Tyagaraj, Kalpana

    2014-01-01

    Previous studies have suggested that electronic medical records (EMR) can lead to a greater reduction of medical errors and better adherence to regulatory compliance than paper medical records (PMR). In order to assess the organizational performance and regulatory compliance, we tracked different clinical pertinence indicators (CPI) in our anesthesia information management system (AIMS) for 5 years. These indicators comprised of the protocols from the Surgical Care Improvement Project (SCIP), elements of performance (EP) from The Joint Commission (TJC), and guidelines from the Centers for Medicare and Medicaid Services (CMS). A comprehensive AIMS was initiated and the CPI were collected from October 5, 2009 to December 31, 2010 (EMR period) and from January 1, 2006 to October 4, 2009 (PMR period). Fourteen CPI were found to be common between the EMR and PMR periods. Based on the statistical analysis of the 14 common CPI, there was a significant increase (p < 0.001) in overall compliance after the introduction of EMR compared to the PMR period. The increase in overall compliance was significantly progressive (p = 0.013) from year to year over 2006 and 2010. Of the 14 CPI, Documentation of a) medication doses, and b) monitoring of postoperative physiological status, mental status, and pain scores showed significant improvement (p < 0.001) during the EMR period compared to the PMR period.

  1. Robust Indicators of Nonproliferation Performance

    Energy Technology Data Exchange (ETDEWEB)

    Cowan, Mara R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Kurzrok, Andrew J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-02-13

    Understanding how the nuclear industry may benefit from self-regulation is closely linked with understanding how to report compliance activities for nonproliferation and export control objectives, as well as how to distinguish high and low compliance performance. Drawing on the corporate sustainability reporting model, nuclear and dual-use commodities industries can frame socially responsible self-regulatory activities to distinguish themselves as good nonproliferators.

  2. Developments in IVF warrant the adoption of new performance indicators for ART clinics, but do not justify the abandonment of patient-centred measures.

    Science.gov (United States)

    Wilkinson, J; Roberts, S A; Vail, A

    2017-06-01

    Recent advances in embryo freezing technology together with growing concerns over multiple births have shifted the paradigm of appropriate IVF. This has led to the adoption of new performance indicators for ART clinics by national reporting schemes, such as those curated by the Society for Assisted Reproductive Technology (SART) and the Human Fertilization and Embryology Authority (HFEA). Using these organizations as case studies, we review several outcome measures from a statistical perspective. We describe several denominators that are used to calculate live birth rates. These include cumulative birth rates calculated from all fresh and frozen transfer procedures arising from a particular egg collection or cycle initiation, and live birth rates calculated per embryo transferred. Using data from both schemes, we argue that all cycles should be included in the denominator, regardless of whether or not egg collection and fertilization were successful. Excluding cancelled cycles reduces the impact of confounding due to patient characteristics but also removes policy and performance differences which we argue represent relevant sources of variation. It may be misleading to present prospective patients with essentially hypothetical measures of performance predicated on parity of ovarian stimulation and transfer policies. Although live birth per embryo has the advantage of encouraging single embryo transfer, we argue that it is prone to misinterpretation. This is because the likelihood of live birth is not proportional to the number of embryos transferred. We conclude that it is not possible to present a single measure that encompasses both effectiveness and safety. Instead, we propose that a set of clear, relevant outcome indicators is necessary to enable subfertile patients to make informed choices regarding whether and where to be treated. © The Author 2017. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology

  3. Standards and Performance Indicators for Surgical Luminaires

    NARCIS (Netherlands)

    Knulst, Arjan J.; Stassen, Laurents P. S.; Grimbergen, Cornelis A.; Dankelman, Jenny

    2009-01-01

    The illumination performance of surgical luminaires is quantified by performance indicators defined in an international standard (IEC 2000). The remaining maximum illuminance in relevant situations, the light-field size, and the spectral characteristics are performance indicators used by hospitals

  4. EPA Monthly Key Performance Indicator Dashboards 2017

    Science.gov (United States)

    Each month, the Web Analytics Program posts updated Key Performance Indicator (KPI) dashboards that correspond to three Web performance goals: content consumption, content discovery, and audience engagement.

  5. Performance Indicators of Indoor Environmental Quality (IEQ ...

    African Journals Online (AJOL)

    Sultan

    buildings. Keywords: Building performance, hospital buildings, indicators, indoor environment quality. ATBU Journal of Environmental Technology 10, 1, June 2017. 139. Page 2. Performance Indicators of Indoor Environmental Quality (IEO) Assessment in Hospital Buildings: .... sustainability strategies into healthcare.

  6. Mortalidade hospitalar como indicador de qualidade: uma revisão Hospital mortality as an indicator of clinical performance: a review

    Directory of Open Access Journals (Sweden)

    Claudia Travassos

    1999-01-01

    Full Text Available Este artigo visa a discutir as principais questões metodológicas relacionadas à mortalidade hospitalar como indicador de qualidade. Variações nos valores deste indicador se devem a inúmeros fatores, associados ao doente e à doença, que devem ser examinados para que possamos utilizá-lo como medida de desempenho. Presença de comorbidades e a gravidade do caso estão associadas à chance de morrer . Aspectos metodológicos, relevantes para a construção deste indicador, incluem a qualidade das fontes de dados, o intervalo de tempo no qual elas são calculadas e os diferentes tipos de agregação. São discutidos diversos modelos, tanto para classificação da gravidade, quanto para o ajuste das taxas de mortalidade entre serviços. São examinados ainda modelos explicativos para a variação de mortalidade. Conclui-se que nas condições em que a morte não é um evento raro, o emprego de taxas de mortalidade hospitalar representa uma ferramenta útil para indicar serviços com eventuais problemas de qualidade.This article discusses the principal methodological problems related to hospital mortality as an indicator of clinical performance. Hospital mortality rates variation are due to various factors associated with patients' characteristics and to the specific diseases they are suffering. Socio-demographic variables, presence of comorbidity and severity may define case-mixes were chances of dying are not associated to technology deployed or quality of care. Relevant methodological aspects for calculating the rates include the quality of the source of data, time period and aggregation criteria. Various models that exist both for classifying severity of cases and for risk adjustment are presented and discussed. Explanatory models for mortality rates variation are also examined. The authors conclude that outcome indicators can be used as tool for health care service evaluation. For those conditions which death is not a rare event hospital

  7. Indicators to monitor NPP operational safety performance

    International Nuclear Information System (INIS)

    Gomez-Cobo, Ana

    2002-01-01

    Since December 1995 the IAEA activities on safety performance indicators focused on the elaboration of a framework for the establishment of an operational safety performance indicator programme. The development of this framework began with the consideration of the concept of NPP operational safety performance and the identification of operational safety attributes. For each operational safety attribute, overall indicators, envisioned as providing an overall evaluation of relevant aspects of safety performance, were established. Associated with each overall indicator is a level of strategic indicators intended to provide a bridge from overall to specific indicators. Finally each strategic indicator was supported by a set of specific indicators, which represent quantifiable measures of performance. The programme development was enhanced by pilot plant studies, conducted over a 15 month period from January 1998 to March 1999. The result of all this work is compiled in the IAEA-TECDOC-1141, to be published shortly. This paper presents a summary of this IAEA TECDOC. It describes the operational safety performance indicator framework proposed and discusses the results of and lessons learned from the pilot studies. Despite the efforts described, it is clear that additional research is still necessary in areas such as plant-specific adaptation of proposed frameworks in order to suit individual data collection systems and plant characteristics, indicator selection, indicator definition, goal setting, action thresholds, analysis of trends, indicator display systems, analysis of overall safety performance (i.e., aggregation or combination of indicators), safety culture indicators, qualitative indicators, and use of additional indicators to address issues such as industrial safety attitude and performance, staff welfare, and environmental compliance. This is the rationale for a new IAEA Coordinated Research Project on 'Development and application of indicators to monitor NPP

  8. Competency Assessment Using Key Performance Indicators

    OpenAIRE

    Elena Alexandra Toader; Laura Brad

    2015-01-01

    The paper proposes a method for computing the scores of the key performance indicators resulted in the competency assessment process. The key performance indicators are estimated considering four performance levels that an IT professional can obtain at the end of the assessment process. We suggest as the best approach for estimating the performance key indicators an online questionnaire filled by 60 employees that work in IT Romanian companies. The results provide evidence that the difference...

  9. Establishing Key Performance Indicators : Case company X

    OpenAIRE

    Singh, Jatinder

    2015-01-01

    The key performance indicators serve as the navigational tools for a business organization to monitor its performance. They enable the management team to take real time decisions to keep organization’s resources aligned to its business strategy to accomplish its strategic objec-tives. This research was conducted to analyse the process of establishing successful key per-formance indicators for a business organization. The research was conducted to recommend key performance indicators developme...

  10. Material management performance indicators for upper management

    International Nuclear Information System (INIS)

    O'Loughlin, R.C.

    1987-01-01

    The purpose of this paper is to develop a case for the use of performance indicators by upper management to monitor the effectiveness of material management operations at nuclear power plants. The paper establishes that the use of performance indicators is not a pro forma matter. There are specific standards and conditions to which the material management operation must conform for the performance measures to be meaningful. The paper concludes with discussion of the application and use of specific performance indicators. Proper use of selected performance indicators can remove the mystery and uncertainty for management about an aspect of nuclear plant operations that has significant budget implications

  11. Key performance indicators score (KPIs-score) based on clinical and laboratorial parameters can establish benchmarks for internal quality control in an ART program.

    Science.gov (United States)

    Franco, José G; Petersen, Claudia G; Mauri, Ana L; Vagnini, Laura D; Renzi, Adriana; Petersen, Bruna; Mattila, M C; Comar, Vanessa A; Ricci, Juliana; Dieamant, Felipe; Oliveira, João Batista A; Baruffi, Ricardo L R

    2017-06-01

    KPIs have been employed for internal quality control (IQC) in ART. However, clinical KPIs (C-KPIs) such as age, AMH and number of oocytes collected are never added to laboratory KPIs (L-KPIs), such as fertilization rate and morphological quality of the embryos for analysis, even though the final endpoint is the evaluation of clinical pregnancy rates. This paper analyzed if a KPIs-score strategy with clinical and laboratorial parameters could be used to establish benchmarks for IQC in ART cycles. In this prospective cohort study, 280 patients (36.4±4.3years) underwent ART. The total KPIs-score was obtained by the analysis of age, AMH (AMH Gen II ELISA/pre-mixing modified, Beckman Coulter Inc.), number of metaphase-II oocytes, fertilization rates and morphological quality of the embryonic lot. The total KPIs-score (C-KPIs+L-KPIs) was correlated with the presence or absence of clinical pregnancy. The relationship between the C-KPIs and L-KPIs scores was analyzed to establish quality standards, to increase the performance of clinical and laboratorial processes in ART. The logistic regression model (LRM), with respect to pregnancy and total KPIs-score (280 patients/102 clinical pregnancies), yielded an odds ratio of 1.24 (95%CI = 1.16-1.32). There was also a significant difference (pperformed to assess quality standards. This total KPIs-score could set up benchmarks for clinical pregnancy. Moreover, IQC can use C-KPIs and L-KPIs scores to detect problems in the clinical-laboratorial interface.

  12. School infrastructure performance indicator system (SIPIS)

    CSIR Research Space (South Africa)

    Gibberd, Jeremy T

    2007-05-01

    Full Text Available This paper describes the School Infrastructure Performance Indicator System (SIPIS) project which explores how an indicator system could be developed for school infrastructure in South Africa. It outlines the key challenges faced by the system...

  13. Performance management in healthcare: performance indicator development, task uncertainty, and types of performance indicators.

    Science.gov (United States)

    van der Geer, Eric; van Tuijl, Harrie F J M; Rutte, Christel G

    2009-11-01

    In healthcare, performance indicators are increasingly used to measure and control quality and efficiency of care-providing teams. This article demonstrates that when controllability is emphasized during indicator development, the level of task uncertainty influences the type of resulting performance indicators. We report findings from a field study in a medical rehabilitation centre in The Netherlands, where four low task uncertain teams ('hand trauma', 'heart failure', 'amputation', 'chronic pain'), and four high task uncertain teams ('children with developmental coordination disorders (DCD)', 'parkinson's disease', 'young children (0-4 years) with developmental disorders', and 'acquired brain injuries') participated in the development of performance indicators using the Productivity Measurement and Enhancement System (ProMES) method. Results show that teams higher on task uncertainty developed relatively more process indicators compared to outcome indicators, whereas the reverse was true for teams lower on task uncertainty. Additionally, process indicators developed by high task uncertain teams were more of a problem solving nature than process indicators developed by low task uncertain teams, which had a more procedural character. The study expands existing knowledge by providing a framework which explicates the task processes to be executed under different levels of task uncertainty, and in line with that appropriate performance indicators for healthcare teams.

  14. Key performance indicators in agile software development

    OpenAIRE

    Mannila, Jukka

    2013-01-01

    The background of the study was an organisation's need to have new ideas to measure a development team performance and the organisation’s performance in work efficiency and quality. The target was to define working and need based agile software development key performance indicators for the organisation. The study was implemented by evaluating agile software development related books and internet sources to identify recommended key performance indicators and select some of them for the or...

  15. Development and integration of programmatic performance indicators

    International Nuclear Information System (INIS)

    Modarres, M.; Wrethall, J.; Appignani, P.L.

    1989-01-01

    This paper describes the results of an evaluation of maintenance-related programmatic performance indicators, and summarizes the direction being taken in a new project to integrate indirect performance indicators for nuclear power plants. Programmatic indicators allow NRC to monitor, at a distance, trends in functional activities before a significant impact appears on safety. Previously presented work described the selection of candidate performance indicators associated with maintenance for continued analysis. This evaluation focused on two aspects of the selected indicators: (1) an evaluation of the state of maintenance programs in the narrative text of SALP reports versus the frequencies of inadvertent ESF actuations from test and maintenance errors; and (2) an evaluation of alternative methods for analyzing the thermal performance of plants as an integral indicator of maintenance program effectiveness. 1 ref., 1 fig

  16. Development of safety performance indicators in Japan

    International Nuclear Information System (INIS)

    Ohashi, H.; Tamao, S.; Tanaka, J.; Sawayama, T.

    2001-01-01

    For the purpose of safety regulations of operating nuclear power stations in Japan, the regulatory authorities utilize two types of regulations. One is the direct regulation, such as periodical inspection to inspect the function and performance of equipment important to safety, and the other is the audit type regulation such as preservation inspection to audit the compliance with the safety preservation rules. As performance indicators are expected to be an effective tool to evaluate the activities by audit type regulations, NUPEC is studying a comprehensive set of operational performance indicators to meet the effective evaluation method for the safety preservation activities in the audit type regulations under the frame of current safety regulation system. The study includes the establishment of comprehensive operational performance indicators applicable in Japan, the effective application of performance indicators to the current Japanese regulation, the clarification of the applicable scope of utilization, the possibility of applying the performance indicators. This report describes the present status of our performance indicator studies. After the completion of these studies the regulatory authorities will evaluate if and how the new set of comprehensive performance indicators could be introduced to Japanese regulatory scheme. (author)

  17. Clinical quality indicators of venous leg ulcers

    DEFF Research Database (Denmark)

    Kjaer, Monica L; Mainz, Jan; Soernsen, Lars T

    2005-01-01

    and reliable evidence-based quality indicators of venous leg ulcer care. A Scandinavian multidisciplinary, cross-sectional panel of wound healing experts developed clinical quality indicators on the basis of scientific evidence from the literature and subsequent group nominal consensus of the panel......; an independent medical doctor tested the feasibility and reliability of these clinical indicators, assessing the quality of medical technical care on 100 consecutive venous leg ulcer patients. Main outcome measures were healing, recurrence, pain, venous disease diagnosis, differential diagnosis and treatment......%) were assessed for venous surgery. Distal arterial pressure was measured following initial examination in 33 of the patients (34%). All patients (100%) were prescribed compression therapy. Of the 98 patients, 11 (11%) had ulcers recur in 3 months and 72 (73%) healed in 12 months, which is in line...

  18. Global positioning system derived performance measures are responsive indicators of physical activity, disease and the success of clinical treatments in domestic dogs.

    Directory of Open Access Journals (Sweden)

    Elizabeth A Bruno

    Full Text Available To assess the use of Global Positioning System receiver (GPS derived performance measures for differentiating between: 1 different outdoor activities in healthy dogs; 2 healthy dogs and those with osteoarthritis; 3 osteoarthritic dogs before and after treatment with non-steroidal anti-inflammatory analgesia.Prospective study.Ten healthy dogs and seven dogs with osteoarthritis of the elbow joint (OA dogs.Healthy dogs were walked on a standard route on-lead, off-lead and subjected to playing activity (chasing a ball whilst wearing a GPS collar. Each dog was walked for five consecutive days. Dogs with OA were subjected to a single off-lead walk whilst wearing a GPS collar, and then administered oral Carprofen analgesia daily for two weeks. OA dogs were then subjected to the same walk, again wearing a GPS collar.GPS derived measures of physical performance could differentiate between on-lead activity, off-lead activity and playing activity in healthy dogs, and between healthy dogs and OA dogs. Variation in the performance measures analysed was greater between individual dogs than for individual dogs on different days. Performance measures could differentiate healthy dogs from OA dogs. OA Dogs treated with Carprofen analgesia showed improvements in their physical performance, which returned to values indistinguishable from those of healthy dogs on nearly all the measures assessed.GPS derived measures of physical performance in dogs are objective, easy to quantify, and can be used to gauge the effects of disease and success of clinical treatments. Specific stimuli can be used to modulate physical performance beyond the self-governed boundaries that dogs will naturally express when allowed to exercise freely without stimulation.

  19. Risk-based plant performance indicators

    International Nuclear Information System (INIS)

    Boccio, J.L.; Azarm, M.A.; Hall, R.E.

    1991-01-01

    Tasked by the 1979 President's Commission on the Accident at Three Mile Island, the U.S. nuclear power industry has put into place a performance indicator program as one means for showing a demonstrable record of achievement. Largely through the efforts of the Institute of Nuclear Power Operations (INPO), plant performance data has, since 1983, been collected and analyzed to aid utility management in measuring their plants' performance progress. The U.S. Nuclear Regulatory Commission (NRC) has also developed a set of performance indicators. This program, conducted by NRC's Office for the Analysis and Evaluation of Operational Data (AEOD), is structured to present information on plant operational performance in a manner that could enhance the staff's ability to recognize changes in the safety performance. Both organizations recognized that performance indicators have limitations and could be subject to misinterpretation and misuse with the potential for an adverse impact on safety. This paper reports on performance indicators presently in use, e.g., unplanned automatic scrams, unplanned safety system actuation, safety system failures, etc., which are logically related to safety. But, a reliability/risk-based method for evaluating either individual indicators or an aggregated set of indicators is not yet available

  20. Performance indicator of a bridge expansion joint

    NARCIS (Netherlands)

    Kalkman, I.M.; Lentzen, S.S.K.; Courage, W.M.G.; Napoles, O.M.; Galanti, F.M.B.

    2011-01-01

    In general the condition of a structure can be assessed in terms of a performance indicator. For example, this can be the strength of a structure. An asset manager is concerned with ensuring that the performance of a structure does not fall below a given minimum level. This can be achieved by

  1. Development of safety performance indicators for HANARO

    International Nuclear Information System (INIS)

    Wu, Jong-Sup; Jung, Hoan-Sung; Ahn, Guk-Hoon; Lee, Kye-Hong; Lim, In-Cheol

    2007-01-01

    The nuclear facilities need an extensive basis for ensuring their safety. An operating organization should conduct its operation and utilization important to the safety in accordance with approved procedures and regulations. The general aims of a management system for nuclear facilities are to improve the safety performance through a planning, control and supervision of safety related activities and to foster a strong safety culture. The effectiveness of a management system can be monitored and measured to confirm the ability of its processes to achieve the intended safety performance by an assessment of the operational performance. The Operational Safety Performance Indicators, also known as SPI, help an organization define and measure a progress with regard to safety activity goals. The elements of a SPI are quantifiable measurements that reflect the critical success factors of an organizational safety. Since 1995, efforts have been directed towards the elaboration of a framework for the establishment of an operational safety performance indicator program in nuclear power plants (NPP). IAEA-TECDOC-1141, 'Operational safety performance indicators for NPP' attempted to provide a frame work for an identification of performance indicators which have a relationship to the desired safety attributes, and therefore, to a safe plant operation. Three key attributes of a smooth operation, an operation with a low risk, and an operation with a positive safety attitude, were recommended, which are associated with a safe operation. Because these attributes cannot be directly measured, an indicator structure is expanded further until a level of easily quantifiable or directly measurable indicators is identified. The intention of this approach is to use quantitative information provided by the specific indicators and to analyze performance trends relative to established goals. The safety activities in HANARO have been continuously conducted to enhance its safe operation. HANARO

  2. Performance indicators for first quarter CY 1994

    International Nuclear Information System (INIS)

    1994-01-01

    The Department of Energy (DOE) has established a Department-Wide Performance Indicator (PI) Program for trending and analysis of operational data as directed by DOE Order 5480.26. The PI Program was established to provide a means for monitoring the environment safety, and health (ES ampersand H) performance of the DOE at the Secretary and other management levels. This is the thirteenth in a series of quarterly reports generated for the Department of Energy Idaho Operations Office (DOE-ID) by EG ampersand G Idaho, Inc., to meet the requirements of the PI Program as directed by the DOE Standard (DOE-STD-1048-92). The report format and content adhere to the guidelines established In DOE Order 5480.26, Trending and Analysis of Operations Information Using Performance Indicators, and DOE-STD-1048-92, DOE Peformance Indicators Guidance Document

  3. Growth performance, serum thiocyanate and haematological indices ...

    African Journals Online (AJOL)

    An experiment was conducted to evaluate the growth performance, serum thiocyanate and haematological indices of pigs fed Whole Cassava Chips (WCC) supplemented with brewer's yeast as substitute to maize in a twelve weeks feeding trial. Forty-eight crossbred growing pigs of Landrace and Hampshire breeds ...

  4. A Specification Language for Organisational Performance Indicators

    NARCIS (Netherlands)

    Popova, V.N.; Treur, J.

    2007-01-01

    A specification language for performance indicators and their relations and requirements is presented and illustrated for a case study in logistics. The language can be used in different forms, varying from informal, semiformal, graphical to formal. A software environment has been developed that

  5. A specification language for organisational performance indicators

    NARCIS (Netherlands)

    Popova, Viara; Treur, Jan

    2007-01-01

    A specification language for performance indicators and their relations and requirements is presented and illustrated for a case study in logistics. The language can be used in different forms, varying from informal, semiformal, graphical to formal. A software environment has been developed that

  6. National quality measurement using clinical indicators: the Danish National Indicator Project

    DEFF Research Database (Denmark)

    Mainz, Jan; Hansen, Anne-Marie; Palshof, Torben

    2009-01-01

    This article describes the Danish National Indicator Project that aims to document and improve the quality of care at national level. Specific clinical indicators, standards, and prognostic factors have been developed for eight diseases (e.g. lung cancer). It has been implemented in all clinical...... departments in Denmark. Participation is mandatory. Results related to lung cancer are presented and discussed. The experiences from 2000 to 2008 indicate that the quality of care related to the eight diseases improve over time and that that performance and outcome measurement will get paid in terms...... of quality improvement....

  7. Improving engineering performance by utilizing process indicators

    International Nuclear Information System (INIS)

    Roberts, T.E.

    1992-01-01

    The purpose of the work discussed in this paper was to develop engineering performance indicators used to facilitate improvement to the technical quality, cost-effectiveness, and delivery of engineering products and service. This work was specifically tailored for engineering support products and service associated with operating Florida Power and Light Company (FP and L) nuclear plants. The engineering process for the development of plant change packages was reviewed to identify critical in-process activities. Because each engineering project usually deals with a specific component or plant system, the different tasks are usually technically unique and of varying magnitudes. Although each engineering product may employ different analytical techniques or industry code requirements, several activities in documenting the engineering design process are generic. The quality of performance in these activities can be monitored analogously to the steps in a manufacturing process. This concept builds quality concepts into the package in lieu of inspecting package quality at the end of the process. The work has resulted in a valuable self-assessment tool that serves as a basis for engineering process improvements. The indicators are published in a semi-yearly performance report for FP and L contractors as well as FP and L in-house engineering work. Contracts have been set up to base fees on meeting targets established for the performance report. The ability to meet performance targets continues to improve

  8. ISI PUBLICATIONS MANAGEMENT THROUGH PERFORMANCE INDICATORS

    Directory of Open Access Journals (Sweden)

    Victor VELTER

    2010-09-01

    Full Text Available The paper proposes to describe the ways in which the research management and administration department from a certain institution can interfere with specific policies in order to increase the visibility of scientific publications. Scientometric analysis is made on ISI publications of “Constantin Brancsi” University from Targu Jiu and wants to reveal performance indicators able to monitor the visibility of the papers indexed in ThomsonReuters ISI base.

  9. Economic performance indicators for nuclear power plants

    International Nuclear Information System (INIS)

    2006-01-01

    From a global perspective, it is clear that there is no single group of key economic and financial measures that are applicable and useful for all countries and regions. The extent to which deregulation and privatization is occurring varies considerably throughout the world, with some countries continuing to foster regulated monopolies or government subsidies for power generation, while in others retail and wholesale electricity is sold in truly open market, competitive situations. Consequently, the requirement for key measures of financial and economic success for the nuclear power industry will continue to be diverse from one region or country to another. This report has been prepared for the benefit of nuclear plant managers and operators. Its primary purpose is to identify and define a number of economic performance measures for use at nuclear power plants operating in deregulated, competitive electricity markets. In addressing the value of economic measures, the report presents and discusses a general definition and classifications of nuclear economic indicators within the context of regulation, competition and the economic requirements for constructing, operating and decommissioning nuclear plants. Categories of economic measures, traditionally used in competitive enterprises, that have potential application in the operation of nuclear plants are also presented. A number of industry observations are discussed and presented as critical factors leading to a series of improvement strategies for the continued development and implementation of economic indicators, beyond those provided in this report, as well as for other related IAEA activities on the implementation and further development of the Nuclear Economic Performance Information System. On the basis of the collective opinions and judgements of the representatives of the participating countries, the report provides a 'preliminary' set of nuclear economic performance indicators, presented in standard Excel

  10. Key performance indicators: Global product development

    DEFF Research Database (Denmark)

    Taylor, Thomas Paul; Ahmed-Kristensen, Saeema

    2014-01-01

    The decision to globalise parts of product development is a consequence of an increasingly competitive world market. The variety of risks and opportunities as a result of the decision make it difficult for management to evaluate if global product development has been successful. This paper...... investigates the use of key performance indicators as an approach for measuring the success of global product development projects. With the conclusions from a survey and workshop together with observations during a global development project, the need for an alternative approach to measurement than...... in conventional product development is highlighted....

  11. Key performance indicators: Global product development

    DEFF Research Database (Denmark)

    Taylor, Thomas Paul; Ahmed-Kristensen, Saeema

    2014-01-01

    investigates the use of key performance indicators as an approach for measuring the success of global product development projects. With the conclusions from a survey and workshop together with observations during a global development project, the need for an alternative approach to measurement than......The decision to globalise parts of product development is a consequence of an increasingly competitive world market. The variety of risks and opportunities as a result of the decision make it difficult for management to evaluate if global product development has been successful. This paper...... in conventional product development is highlighted....

  12. PERFORMANCE MEASUREMENT THROUGH NON-FINANCIAL INDICATORS

    Directory of Open Access Journals (Sweden)

    Tarta (Blaga Eugenia Anisoara

    2012-07-01

    Full Text Available The information about a company’s performance is necessary in order to evaluate the potential modifications of the economic resources that the entity will be able to control in the future, to anticipate the ability to generate treasury fluxes with the available resources, and to establish the efficiency with which it can employ and make use of new resources. In current practice, the information regarding financial performance are mainly given by “the profit and loss account”, respectively “the budgetary execution account”, but things are not so simple as to reduce them to the synthetic data in a certain periodic report form since it would be a pity to ignore the real - time information given by the account itself. In our paper we have tried to resume the most important non-financial indicators, through which the performance of a company is measured.

  13. [Key performance indicators of OR efficiency. Myths and evidence of key performance indicators in OR management].

    Science.gov (United States)

    Schuster, M; Wicha, L L; Fiege, M

    2007-03-01

    A variety of different key performance indicators, both for process and financial performance, are used to evaluate OR efficiency. Certain indicators like OR utilization and turnover times seem to become common standard in many hospitals to evaluate OR process performance. Despite the general use and availability of these indicators in OR management, the scientific evidence behind these data is relatively low. These process indicators are strongly influenced by artefacts and depend on planning process, resource allocation and documentation. Direct financial indicators become more important with increasing autonomy of OR management. Besides budgetary compliance the focus is set on the net results of internal transfer pricing systems. By taking part in an internal transfer pricing system, OR management develops from a mere passive cost center to an active shaper of perioperative processes. However, detailed knowledge of the origin of costs and pitfalls of internal transfer pricing systems is crucial. The increased transparency due to the free accessibility of diagnosis-related-groups (DRG) cost breakdown data can help to develop tools for economic analysis of OR efficiency.

  14. Detailed descriptions of overall performance indicators

    International Nuclear Information System (INIS)

    1988-02-01

    The purpose of the equivalent availability factor indicator is to monitor progress in attaining high unit and industry equivalent availability. It provides an indication of the effectiveness of plant programs and practices in maximizing electrical generation and provides an overall indication of how well a plant is operated and maintained. Experience has shown that units with high equivalent availability factors and low forced outage rates are often well maintained, follow good operating practices, and can be expected to have a higher margin of safety

  15. [Identifying indicators of good practice in clinical and healthcare management].

    Science.gov (United States)

    Bermúdez Tamayo, C; Olry de Labry Lima, A; García Mochón, L

    2018-03-06

    To identify good practices in order to develop and implement indicators of health outcomes for clinical and healthcare management, as well as the characteristics for an indicator to be considered adequate. A scoping review was performed, with the following phases: 1) Search and identification of bibliography. 2) Selection of relevant documents. Including those studies that discussed issues related to good practices for the use of health indicators in the management field. Those published in a language other than English or Spanish or before 2006 were excluded. 3) Analysis and extraction of information. 4) Consultation with stakeholders, using a qualitative methodology through Concept Mapping, with the participation of 40 experts (decision-makers, scientific societies, and health professionals). The data collection process included an inductive and structured procedure, with prioritisation of ideas grouped into clusters, according to feasibility and importance criteria (0-10 scale). Good practices identified 2 levels: 1) macro-management: Define a framework for the evaluation of indicators and establish a benchmark of indicators. 2) meso-management: Establish indicators according to evidence and expert consensus, taking into account priority areas and topics, testing before final use, and communicate results adequately. The characteristics of a suitable indicator are: 1) Approach of an important issue, 2) Scientific validity, 3) Possibility of measurement with reliable data, 4) Meaning of useful and applicable measurement, and 5) Wide scope. The best practices for the use of indicators in clinical and healthcare management can make it easier to monitor performance and accountability, as well as to support the decision-making addressed at the development of initiatives for quality improvement. Copyright © 2018 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  16. Thoracic sympathectomy for hyperhidrosis: from surgical indications to clinical results

    Science.gov (United States)

    Araújo, José Augusto

    2017-01-01

    Sympathectomy and its variations have been performed in thoracic surgery for more than 100 years. However, its indications have undergone profound modifications in this period. Likewise, since then the surgical technique has also evolved dramatically up to the minimally invasive techniques worldwide accessible in present days. Currently, primary hyperhidrosis is, by far, the main indication for thoracic sympathectomy and this procedure is usually carried out thoracoscopically with excellent results. However, until today, hyperhidrosis is a part of thoracic surgery still surrounded by controversy, persisting as an open field over which some confusion still resides regarding its pathophysiology, terms definitions and operative approaches. The aim of this article is to provide a wide but easily comprehensible review of the theme, discussing and clarifying the major concepts with respect to its clinical presentation, all the presently available treatment options and strategies with their potential benefits and risks, the adequate patient selection for sympathectomy, as well as the postoperative clinical results. PMID:28446983

  17. EPA Monthly Key Performance Indicator Dashboards 2018

    Science.gov (United States)

    2018 reports are added each month, which measure how well EPA web content is meeting three performance goals: increases in how much users consume content, are able to find or discover what they need, and their level of engagement.

  18. Sustainable Transportation - Indicators, Frameworks, and Performance Management

    DEFF Research Database (Denmark)

    Gudmundsson, Henrik; Hall, Ralph P.; Marsden, Greg

    This textbook provides an introduction to the concept of sustainability in the context of transportation planning, management, and decision-making. The book is divided into two parts. In the first part, indicators and frameworks for measuring sustainable development in the transportation sector...... are developed. In the second, the authors analyze actual planning and decision-making in transportation agencies in a variety of governance settings. This analysis of real-world case studies demonstrates the benefits and limitations of current approaches to sustainable development in transportation. The book...

  19. Sustainable Transportation - Indicators, Frameworks, and Performance Management

    DEFF Research Database (Denmark)

    Gudmundsson, Henrik; Hall, Ralph P.; Marsden, Greg

    This textbook provides an introduction to the concept of sustainability in the context of transportation planning, management, and decision-making. The book is divided into two parts. In the first part, indicators and frameworks for measuring sustainable development in the transportation sector...... are developed. In the second, the authors analyze actual planning and decision-making in transportation agencies in a variety of governance settings. This analysis of real-world case studies demonstrates the benefits and limitations of current approaches to sustainable development in transportation. The book...... concludes with a discussion on how to make sustainability count in transportation decision-making and practice....

  20. Energy performance indicator report: fluid milk plants

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    In Canada, the dairy sector consumes significant amounts of energy and is looking for new ways of saving energy. The aim of this study, performed by the Competitive Analysis Centre Inc., was to find novel energy savings ideas for fluid milk plants. For this purpose, the energy consumption of 17 fluid milk plants, which accounts for over 50% of total Canadian output, was analyzed; first, at the plant level, and then by 8 categories at the sub-plant level in order to develop benchmarks that could be applied at both these levels. The paper provides background information on Canada's fluid milk sector and outlines the methodology used to develop and apply energy efficiency measures in the sector; the study findings are also presented. This report found that the energy consumption of the Canadian fluid milk sector could be lowered by applying the energy saving proposals developed herein.

  1. Midshipmen Military Performance as an Indicator of Officer Fleet Performance

    National Research Council Canada - National Science Library

    Rogers, Jeff

    2003-01-01

    .... These processes culminate into a performance measure called the Military Performance grade. This research uses detailed literature reviews to support the operationalized model of the Naval Academy's midshipman development process...

  2. appraisal of key performance indicators on road infrastructure

    African Journals Online (AJOL)

    HOD

    relation to transportation values in using performance indicators. A 'Key Performance Indicator' (KPI) or performance. 'measure'/'indicator' according to Wall and Martin. [28], is a type of performance measure used to evaluate success of delivery of services and other endeavours in both public and private organizations.

  3. Measuring individual work performance: identifying and selecting indicators

    NARCIS (Netherlands)

    Koopmans, L.; Bernaards, C.M.; Hildebrandt, V.H.; Vet, H.C de; Beek, A.J. van der

    2014-01-01

    BACKGROUND: Theoretically, individual work performance (IWP) can be divided into four dimensions: task performance, contextual performance, adaptive performance, and counterproductive work behavior. However, there is no consensus on the indicators used to measure these dimensions. OBJECTIVE: This

  4. Development of key performance indicators for prehospital emergency care.

    Science.gov (United States)

    Murphy, Adrian; Wakai, Abel; Walsh, Cathal; Cummins, Fergal; O'Sullivan, Ronan

    2016-04-01

    Key performance indicators (KPIs) are used to monitor and evaluate critical areas of clinical and support functions that influence patient outcome. Traditional prehospital emergency care performance monitoring has focused solely on response time metrics. The landscape of emergency care delivery in Ireland is in the process of significant national reconfiguration. The development of KPIs is therefore considered one of the key priorities in prehospital research. The aim of this study was to develop a suite of KPIs for prehospital emergency care in Ireland. A systematic literature review of prehospital care performance measurement was undertaken followed by a three-round Delphi consensus process facilitated by a broad-based multidisciplinary group of panellists. The consensus process was conducted between June 2012 and October 2013. Each candidate indicator on the Delphi survey questionnaire was rated using a 5-point Likert-type rating scale. Agreement was defined as at least 70% of responders rating an indicator as 'agree' or 'strongly agree' on the rating scale. Data were analysed using descriptive statistics. Sensitivity of the ratings was examined for robustness by bootstrapping the original sample. Of the 78 citations identified by the systematic review, 5 relevant publications were used to select candidate indicators for the Delphi round 1 questionnaire. Response rates in Delphi rounds 1 and 2 were 89% and 83%, respectively. Following the consensus development conference, 101 KPIs reached consensus. Based on the Donabedian framework for quality-of-care indicators, 7 of the KPIs which reached agreement were structure KPIs, 74 were process KPIs and 20 were outcome KPIs. The highest ranked indicator was a process KPI ('Direct transport of ST-elevation myocardial infarction patients to a primary percutaneous intervention (PCI)-capable facility for ECG to PCI time performance measurement using scientifically valid and reliable KPIs. Employing a Delphi panel of key

  5. Clinical indicators of mycobacteraemia in adults admitted to hospital ...

    African Journals Online (AJOL)

    Clinical indicators of mycobacteraemia in adults admitted to hospital in Blantyre. DK Lewis, RPH Peters, MJ Schijffelen, GRF Joaki, AL Walsh, JG Kublin, J Kumwenda, S Kampondeni, ME Molyneux, EE Zijlstra ...

  6. Dashboard and Firms Performance Optimization Using Piloting Indicators

    Directory of Open Access Journals (Sweden)

    Sorinel Capusneanu

    2006-07-01

    Full Text Available Can we analyze the enterprise performances upon the pilot indicators? The answer is completed by analyzing and interpreting the suggested indicators. Finally, these indicators will form the enterprise dashboard, which the management will take the right decisions. The dashboard represents the selection and presentation way of pilot indicators which permit tendencies visualization leaving from enterprise’s followed objectives. Through analyses and interpretation of pilot indicators, it is generating actions which contribute to enterprise’s improvement performances.

  7. Optimizing clinical drug product performance

    DEFF Research Database (Denmark)

    Dickinson, Paul A.; Kesisoglou, Filippos; Flanagan, Talia

    2016-01-01

    The aim of Biopharmaceutics Risk Assessment Roadmap (BioRAM) and the BioRAM Scoring Grid is to facilitate optimization of clinical performance of drug products. BioRAM strategy relies on therapy-driven drug delivery and follows an integrated systems approach for formulating and addressing critical...... questions and decision-making (J Pharm Sci. 2014,103(11): 3777-97). In BioRAM, risk is defined as not achieving the intended in vivo drug product performance, and success is assessed by time to decision-making and action. Emphasis on time to decision-making and time to action highlights the value of well....... Application of the BioRAM Scoring Grid is illustrated using published literature. Organizational considerations for implementing BioRAM strategy, including the interactions, function, and skillsets of the BioRAM group members, are also reviewed. As a creative and innovative systems approach, we believe...

  8. What predicts performance during clinical psychology training?

    Science.gov (United States)

    Scior, Katrina; Bradley, Caroline E; Potts, Henry W W; Woolf, Katherine; de C Williams, Amanda C

    2014-06-01

    While the question of who is likely to be selected for clinical psychology training has been studied, evidence on performance during training is scant. This study explored data from seven consecutive intakes of the UK's largest clinical psychology training course, aiming to identify what factors predict better or poorer outcomes. Longitudinal cross-sectional study using prospective and retrospective data. Characteristics at application were analysed in relation to a range of in-course assessments for 274 trainee clinical psychologists who had completed or were in the final stage of their training. Trainees were diverse in age, pre-training experience, and academic performance at A-level (advanced level certificate required for university admission), but not in gender or ethnicity. Failure rates across the three performance domains (academic, clinical, research) were very low, suggesting that selection was successful in screening out less suitable candidates. Key predictors of good performance on the course were better A-levels and better degree class. Non-white students performed less well on two outcomes. Type and extent of pre-training clinical experience on outcomes had varied effects on outcome. Research supervisor ratings emerged as global indicators and predicted nearly all outcomes, but may have been biased as they were retrospective. Referee ratings predicted only one of the seven outcomes examined, and interview ratings predicted none of the outcomes. Predicting who will do well or poorly in clinical psychology training is complex. Interview and referee ratings may well be successful in screening out unsuitable candidates, but appear to be a poor guide to performance on the course. © 2013 The Authors. British Journal of Clinical Psychology published by John Wiley & Sons Ltd on behalf of the British Psychological Society.

  9. The system of clinical indicators for patients with essential hypertension

    Directory of Open Access Journals (Sweden)

    Posnenkova O.M.

    2016-09-01

    Full Text Available An article reviews the current measures for assessment the quality of treatment in patients with essential hypertension. The system of indicators intended for clinical audit of hypertension diagnosis and treatment process in primary care is presented. For each indicator definition and estimation procedure is given.

  10. Defining Health Trajectories in Older Adults With Five Clinical Indicators.

    Science.gov (United States)

    Santoni, Giola; Marengoni, Alessandra; Calderón-Larrañaga, Amaia; Angleman, Sara; Rizzuto, Debora; Welmer, Anna-Karin; Mangialasche, Francesca; Orsini, Nicola; Fratiglioni, Laura

    2017-08-01

    People age differently, challenging the identification of those more at risk of rapid health deterioration. This study aimed to explore the heterogeneity in the health of older adults by using five clinical indicators to detect age-related variation and individual health trajectories over time. Health of 3,363 people aged 60+ from the Swedish National study on Aging and Care-Kungsholmen (SNAC-K) assessed at baseline and at 3- and 6-year follow-ups. Number of chronic diseases, physical and cognitive performance, personal and instrumental activities of daily living were integrated in a health assessment tool (HAT). Interindividual health differences at baseline and follow-ups were assessed with logistic quantile regression. Intraindividual health trajectories were traced with quantile mixed-effect models. The HAT score ranges from 0 (poor health) to 10 (good health); each score corresponds to a specific clinical profile. HAT was reliable over time and accurately predicted adverse health outcomes (receiver-operating characteristic areas: hospitalization = 0.78; 95% confidence interval = 0.74-0.81; mortality = 0.85; 95% confidence interval = 0.83-0.87; similar areas obtained for gait speed). Before age 85, at least 90% of participants were free of severe disability, and at least 50% were functionally independent despite chronic disorders. Age- and sex-related variation and high heterogeneity in health were detected at baseline and confirmed by intraindividual health trajectories. This study provides a positive picture of the health status of people 60+. Despite the complexity and heterogeneity of health in this age group, we could identify age- and sex-specific health trajectories using an integrated HAT. HAT is potentially useful in clinical practice and public health interventions.

  11. Regulatory supervision of safety indicators; experience with radiation safety indicators in Dukovany nuclear power plant performance

    International Nuclear Information System (INIS)

    Urbancik, L.; Kulich, V.

    2004-01-01

    The State Office for Nuclear Safety uses three sets of indicators describing the following aspects of a favourable nuclear power plant operation: smooth operation in normal circumstances, low risk to the population, and operation with a positive safety attitude. These are three safety-related areas for assessment. Each area has its own set of indicators. Overall operational safety performance indicators were identified for each attribute. From this point, a level of strategic indicators was developed, and finally, a set of specific indicators was set up. While neither the overall indicators nor the strategic indicators are directly measurable, the specific indicators are directly measurable and are targeted during inspection. (author)

  12. Performance Indicators in the Dutch Department of Defence

    NARCIS (Netherlands)

    Mol, Nico P.

    1996-01-01

    This paper focuses on the indicator systems that responsibility accounting may provide for performance evaluation in the public sector. Specifically, two conditions which such indicator systems should satisfy -'relevance' and 'coherence'- are examined. Thereby a value for money auditing model

  13. Amalgamation of performance indicators to support NRC senior management reviews

    International Nuclear Information System (INIS)

    Wreathall, J.; Schurman, D.; Modarres, M.; Mosleh, A.; Anderson, N.; Reason, J.

    1991-01-01

    The purpose of this project is to develop a methodology for amalgamating performance indicators to provide an overall perspective on plant safety, as one input to Nuclear Regulatory Commission's (NRC) senior management reviews of plant safety. These reviews are used to adjust the level of oversight by NRC. Work completed to date includes the development of frameworks for relating indicator measures to safety, a classification scheme for performance indicators, and a mapping process to portray indicators in the frameworks

  14. Indicators of safety culture - selection and utilization of leading safety performance indicators

    International Nuclear Information System (INIS)

    Reiman, Teemu; Pietikaeinen, Elina

    2010-03-01

    Safety indicators play a role in providing information on organizational performance, motivating people to work on safety and increasing organizational potential for safety. The aim of this report is to provide an overview on leading safety indicators in the domain of nuclear safety. The report explains the distinction between lead and lag indicators and proposes a framework of three types of safety performance indicators - feedback, monitor and drive indicators. Finally the report provides guidance for nuclear energy organizations for selecting and interpreting safety indicators. It proposes the use of safety culture as a leading safety performance indicator and offers an example list of potential indicators in all three categories. The report concludes that monitor and drive indicators are so called lead indicators. Drive indicators are chosen priority areas of organizational safety activity. They are based on the underlying safety model and potential safety activities and safety policy derived from it. Drive indicators influence control measures that manage the socio technical system; change, maintain, reinforce, or reduce something. Monitor indicators provide a view on the dynamics of the system in question; the activities taking place, abilities, skills and motivation of the personnel, routines and practices - the organizational potential for safety. They also monitor the efficacy of the control measures that are used to manage the socio technical system. Typically the safety performance indicators that are used are lagging (feedback) indicators that measure the outcomes of the socio technical system. Besides feedback indicators, organizations should also acknowledge the important role of monitor and drive indicators in managing safety. The selection and use of safety performance indicators is always based on an understanding (a model) of the socio technical system and safety. The safety model defines what risks are perceived. It is important that the safety

  15. The impact of removing financial incentives from clinical quality indicators: longitudinal analysis of four Kaiser Permanente indicators.

    NARCIS (Netherlands)

    Lester, H.; Schmittdiel, J.; Selby, J.; Fireman, B.; Campbell, S.M.; Lee, J.; Whippy, A.; Madvig, P.

    2010-01-01

    OBJECTIVE: To evaluate the effect of financial incentives on four clinical quality indicators common to pay for performance plans in the United Kingdom and at Kaiser Permanente in California. DESIGN: Longitudinal analysis. SETTING: 35 medical facilities of Kaiser Permanente Northern California,

  16. Information Security Governanceas as Key Performance Indicator for Financial Institutions

    OpenAIRE

    Krjukovs, D; Strauss, R

    2009-01-01

    Due to their nature financial institutions and their performance are in constant focus of attention from different stakeholder groups. These groups according to their functions and interests are implementing different sets of key performance indicators for financial institution performance assessment. In the proposed paper authors present a hypothesis of information security governance being a financial institution key performance indicator. Authors provide high level overview of ...

  17. Clinical indications for antibiotic use in Danish general practice

    DEFF Research Database (Denmark)

    Aabenhus, Rune; Hansen, Malene Plejdrup; Siersma, Volkert

    2017-01-01

    of antibiotic prescriptions per 1000 inhabitants by age and gender. Logistic regression analysis estimated the association between patient and provider factors and missing clinical indications on antibiotic prescriptions. Results: A total of 2.381.083 systemic antibiotic prescriptions were issued by Danish......Objective: To assess the availability and applicability of clinical indications from electronic prescriptions on antibiotic use in Danish general practice. Design: Retrospective cohort register-based study including the Danish National Prescription Register. Setting: Population-based study...... of routine electronic antibiotic prescriptions from Danish general practice. Subjects: All 975,626 patients who redeemed an antibiotic prescription at outpatient pharmacies during the 1-year study period (July 2012 to June 2013). Main outcome measures: Number of prescriptions per clinical indication. Number...

  18. What predicts performance during clinical psychology training?

    Science.gov (United States)

    Scior, Katrina; Bradley, Caroline E; Potts, Henry W W; Woolf, Katherine; de C Williams, Amanda C

    2014-01-01

    Objectives While the question of who is likely to be selected for clinical psychology training has been studied, evidence on performance during training is scant. This study explored data from seven consecutive intakes of the UK's largest clinical psychology training course, aiming to identify what factors predict better or poorer outcomes. Design Longitudinal cross-sectional study using prospective and retrospective data. Method Characteristics at application were analysed in relation to a range of in-course assessments for 274 trainee clinical psychologists who had completed or were in the final stage of their training. Results Trainees were diverse in age, pre-training experience, and academic performance at A-level (advanced level certificate required for university admission), but not in gender or ethnicity. Failure rates across the three performance domains (academic, clinical, research) were very low, suggesting that selection was successful in screening out less suitable candidates. Key predictors of good performance on the course were better A-levels and better degree class. Non-white students performed less well on two outcomes. Type and extent of pre-training clinical experience on outcomes had varied effects on outcome. Research supervisor ratings emerged as global indicators and predicted nearly all outcomes, but may have been biased as they were retrospective. Referee ratings predicted only one of the seven outcomes examined, and interview ratings predicted none of the outcomes. Conclusions Predicting who will do well or poorly in clinical psychology training is complex. Interview and referee ratings may well be successful in screening out unsuitable candidates, but appear to be a poor guide to performance on the course. Practitioner points While referee and selection interview ratings did not predict performance during training, they may be useful in screening out unsuitable candidates at the application stage High school final academic performance

  19. Performance indicator system with application to NPP management

    International Nuclear Information System (INIS)

    Gomez, J.; Roldan, J.

    2001-01-01

    The objective of the paper is to present the work that is being conducted in the scope of a research project between Cofrentes NPP and the polytechnic university of Valencia aimed to the development and implementation of a performance indicators system to support plant management. In developing this system, attention is being paid to the areas of safety, production and dependability. The first step in the project was the development of the performance indicator system (PIS), in order to help in assessing the effectiveness of the different activities in plant (i.e. maintenance, inspections, tests, etc.). It is suggested establishing the operational indicators set in 3 levels. The lowest level concerns indicators monitoring performance and maintenance characteristics of components. The next one involves a subset of indicators placed at system level with a similar goal. And finally, the highest level summarizes the impact of the global policy in the whole plant from safety and performance point of view. The definition of an indicator should comprise, at least, the following items: indicator's name, performance area, definition and data needed. A strategy should define what, when and how indicators have to be evaluated, analyzed and reported. This article gives an example application of the methodology at the Cofrentes NPP, collective dose as safety indicator, power production as production indicator and the number of work orders as maintenance indicator are considered and their time evolution is given. (A.C.)

  20. Selection and Use of Performance Indicators in Decommissioning

    International Nuclear Information System (INIS)

    2011-01-01

    The success of completing a decommissioning project on schedule and budget is determined by the ability to define a clear endpoint (outcome), to accurately determine intermediate progress, and develop reliable forecasts to complete remaining tasks. Performance indicators are used to examine those aspects that are crucial to this success. This information is required by and periodically reported to various stakeholders. Although the practice of nuclear decommissioning is maturing, it would benefit from optimal use of performance indicators. Performance measurement is the 'heart and soul' of the performance based management process. Flowing from the organizational mission and the strategic planning process, it provides the data that will be collected, analysed, reported and ultimately, used to make sound business decisions. It directs the business function by documenting progress towards established objectives, identifying areas of both strength and weakness, and justifying budgetary expenditures. In this report, practical advice is provided on the effective use of performance indicators to measure and report on the achievement of the goals and plans of a nuclear decommissioning project. The structure of the report takes the reader progressively through all aspects of designing, selecting and using performance indicators. A process for setting up a performance indicator system against basic principles is presented, including a discussion of each step in the process. The report also provides an expanded discussion of the most important influences on the identification and selection of performance indicators. Finally, practical guidance on the use of performance indicators in specific Member States is provided together with field experience.

  1. Benefits and limitations in the use of performance indicators

    International Nuclear Information System (INIS)

    Nobile, M.; Ceccantini, M.

    1990-01-01

    In the paper, some Caorso NPP performance indicators for 1982 through 1986 are shown according to the definition of the Institute of Nuclear Power Operations (INPO). The comparison of the Caorso NPP performance indicators with those of similar American plants stresses an analogous behaviour for all the indicators but two: (Industrial Safety Lost-Time Accident Rate and Diesel Generator Unavailability), for which there is a very significant difference. A subsequent analysis enhances, however, that this difference cannot be attributed to component performance or personnel management politics, but essentially to design choices and/or to peculiar social and economical context; if these factors are taken into consideration, the difference between the performance indicators of the Caorso plant and those of American plants is explained quite satisfactorily. This demonstrates, that even if the usefulness of the performance indicators is confirmed, a careful analysis of all the possible implications is necessary before reaching any final conclusion

  2. Relevance of guideline-based ICD indications to clinical practice

    Directory of Open Access Journals (Sweden)

    Nora Al-Jefairi

    2014-01-01

    Guidelines on ICD indications have been proposed by American and European scientific societies since a number of years, based upon trials and expert opinion. In the context of variable economic and political constraints, it is questionable whether these guidelines may be applied to all settings. This review discusses the guideline-based indications, critically examines their applicability to clinical practice, and discusses alternatives to ICD therapy.

  3. A decision model to priorotise logistics performance indicators

    OpenAIRE

    Kucukaltan, Berk

    2016-01-01

    This thesis was submitted for the degree of Doctor of Philosophy and was awarded by Brunel University London Performance measurement is an important concern that has recently attracted much attention in the logistics area from both practitioners and academics. The performance measurement of logistics companies is based upon diverse performance indicators. However, to date, limited attention has been paid to the performance measurement of logistics companies and, also, performance measureme...

  4. Conceptual Modeling of Performance Indicators of Higher Education Institutions

    OpenAIRE

    Kahveci, Tuba Canvar; Taşkın, Harun; Toklu, Merve Cengiz

    2013-01-01

    Measuring and analyzing any type of organization are carried out by different actors in the organization. The performance indicators of performance management system increase according to products or services of the organization. Also these indicators should be defined for all levels of the organization. Finally, all of these characteristics make the performance evaluation process more complex for organizations. In order to manage this complexity, the process should be modeled at the beginnin...

  5. Physiological basis of clinically used coronary hemodynamic indices

    NARCIS (Netherlands)

    Spaan, Jos A. E.; Piek, Jan J.; Hoffman, Julien I. E.; Siebes, Maria

    2006-01-01

    In deriving clinically used hemodynamic indices such as fractional flow reserve and coronary flow velocity reserve, simplified models of the coronary circulation are used. In particular, myocardial resistance is assumed to be independent of factors such as heart contraction and driving pressure.

  6. Key performance indicators for measuring sustainability in health ...

    African Journals Online (AJOL)

    However, there are limited published studies on the evaluation of sustainability performance for the healthcare sector. This paper aims to formulate a list of key performance indicators (KPI) for the sustainability performance. First, a literature study of KPIs from various industries was carried out. Next, an in-depth meeting was ...

  7. Establishing reliability of performance indicator of sepak takraw ...

    African Journals Online (AJOL)

    The aim of this study is to establish the necessary reliability in the notational analysis of sepak takraw. Two performance analysts were recruited to help in the collection of the data. The performances were analyzed based on the main performance indicators relevant to the demand of the game. Cronbach's alpha and ...

  8. Technical indicators of financial performance in the dairy herd

    DEFF Research Database (Denmark)

    Kristensen, Erling Lundager; Østergaard, Søren; Krogh, Mogens Agerbo

    2008-01-01

    Monte Carlo simulation was used to predict the long-term financial performance related to the technical performance of dairy herds. The indicators addressed were derived from data collected routinely in the herd. They indicated technical performance that can be affected by the farmer or the consu......Monte Carlo simulation was used to predict the long-term financial performance related to the technical performance of dairy herds. The indicators addressed were derived from data collected routinely in the herd. They indicated technical performance that can be affected by the farmer...... or the consultant, and they were derived from expected cause-effect relations between technical performance and financial performance at the herd level. The study included the indicators shape of lactation curve, reproduction efficiency, heifer management, variation between cows in lactation curve persistency......, mortality in cows and calves, dynamics of body condition, and somatic cell counts. Each indicator was defined by 2 or 3 levels, and 2- and 3-factor interactions were included in the simulation experiment, which included 72 scenarios. Each scenario was replicated 200 times, and the resulting gross margin per...

  9. Quality Management and Key Performance Indicators in Oncologic Esophageal Surgery.

    Science.gov (United States)

    Gockel, Ines; Ahlbrand, Constantin Johannes; Arras, Michael; Schreiber, Elke Maria; Lang, Hauke

    2015-12-01

    Ranking systems and comparisons of quality and performance indicators will be of increasing relevance for complex "high-risk" procedures such as esophageal cancer surgery. The identification of evidence-based standards relevant for key performance indicators in esophageal surgery is essential for establishing monitoring systems and furthermore a requirement to enhance treatment quality. In the course of this review, we analyze the key performance indicators case volume, radicality of resection, and postoperative morbidity and mortality, leading to continuous quality improvement. Ranking systems established on this basis will gain increased relevance in highly complex procedures within the national and international comparison and furthermore improve the treatment of patients with esophageal carcinoma.

  10. Process-oriented performance indicators for measuring ecodesign management practices

    DEFF Research Database (Denmark)

    Rodrigues, Vinicius Picanco; Pigosso, Daniela Cristina Antelmi; McAloone, Tim C.

    2016-01-01

    In order to support ecodesign performance measurement from a business perspective, this paper performs an exploration of available process-oriented indicators to be applied to ecodesign management practices. With the Ecodesign Maturity Model as a background framework, a systematic literature review...... coupled with a cross-content analysis was carried out to assign proper indicators to the practices. Results show that the currently available indicators do not fully reflect the characteristics of ecodesign and there is significant room for improving the development of tailor-made indicators....

  11. Process-oriented performance indicators for measuring ecodesign management practices

    DEFF Research Database (Denmark)

    Rodrigues, Vinicius Picanco; Pigosso, Daniela Cristina Antelmi; McAloone, Tim C.

    2016-01-01

    coupled with a cross-content analysis was carried out to assign proper indicators to the practices. Results show that the currently available indicators do not fully reflect the characteristics of ecodesign and there is significant room for improving the development of tailor-made indicators.......In order to support ecodesign performance measurement from a business perspective, this paper performs an exploration of available process-oriented indicators to be applied to ecodesign management practices. With the Ecodesign Maturity Model as a background framework, a systematic literature review...

  12. Continued Evaluation of Gear Condition Indicator Performance on Rotorcraft Fleet

    Science.gov (United States)

    Delgado, Irebert R.; Dempsey, Paula J.; Antolick, Lance J.; Wade, Daniel R.

    2013-01-01

    This paper details analyses of condition indicator performance for the helicopter nose gearbox within the U.S. Army's Condition-Based Maintenance Program. Ten nose gearbox data sets underwent two specific analyses. A mean condition indicator level analysis was performed where condition indicator performance was based on a 'batting average' measured before and after part replacement. Two specific condition indicators, Diagnostic Algorithm 1 and Sideband Index, were found to perform well for the data sets studied. A condition indicator versus gear wear analysis was also performed, where gear wear photographs and descriptions from Army tear-down analyses were categorized based on ANSI/AGMA 1010-E95 standards. Seven nose gearbox data sets were analyzed and correlated with condition indicators Diagnostic Algorithm 1 and Sideband Index. Both were found to be most responsive to gear wear cases of micropitting and spalling. Input pinion nose gear box condition indicators were found to be more responsive to part replacement during overhaul than their corresponding output gear nose gear box condition indicators.

  13. Engineering performance indicators in support of corporate goals and objectives

    International Nuclear Information System (INIS)

    Prawlocki, F.C.; Holland, M.B.

    1992-01-01

    In the late 1980s, a new factor was introduced into the equation of rate making: competition. Prior to this time, most utilities only had to prove to the state public service commission (PSC) that a rate increase was justified. Even this had become more difficult in recent years as PSCs implemented prudency audits as a means of determining the efficiency of utility management. Recently, however, the need for performance improvement has been initiated internally by utility management because of the advent of competition in the utility environment and state PSC inquiries. In 1991, TVA began to realign its traditional program of performance indicators to agree with industry standards and provide more extensive indicators of positive and negative trends in performance. The INPO Guideline 88-016, Guidelines for the Conduct of Design Engineering, was used as the basis for most indicators. In addition, indicators were added to highlight specific corporate objectives, problems, or regulatory commitments. The indicators are being initiated in three phases as efficient sources of performance data are identified. Once the current baseline was established, a review was made of the best utilities in the country based on the US Nuclear Regulatory Commission's systematic assessment of licensee's performance and INPO performance indicators to establish performance goals. As total quality management and cycle time reduction programs are implemented, all of the organization's annual goals and objectives are expected to more closely reflect the best of the industry

  14. Social Performance vs. Financial Performance: CSR Disclosures as an indicator of social performance

    Directory of Open Access Journals (Sweden)

    İlker Yılmaz

    2013-04-01

    Full Text Available In recent decades, it is gaining more and more dominance in both academic and business life that the company exists for and has responsibilities toward a wider group of stakeholders and it must have some objectives other than profitability. To achieve sustainable development and growth, the companies must assume more duties, which is called the term “corporate social responsibility (CSR.” In the literature, it is questioned whether CSR activities benefit the company or not; whether there is any relationship exists between CSR activities and the company’s financial performance and the direction of the relationship. We aimed to explore that whether there is any effect corporate social performance (CSP on financial performance and position and vice versa. We performed content analysis through annual reports and derived a social score composed of the items included in disclosure guidelines and some criteria used in CSR ratings. We also used several financial position and financial performance indicators. In order to explore the relationship between CSP and financial indicators, we run panel data regressions. We found significant results for some of the indicators, where some of the indicators gave insignificant results. The reporting of CSR activities is in very low levels. The conscious toward CSR and sustainability must be promoted and the companies must assume more active roles. The reporting of those activities is also important.

  15. appraisal of key performance indicators on road infrastructure

    African Journals Online (AJOL)

    HOD

    APPRAISAL OF KEY PERFORMANCE INDICATORS ON ROAD INFRASTRUCTURE. FINANCED BY PUBLIC-PRIVATE PARTNERSHIP IN NIGERIA. T. E. Oyigbo1,* and O. O. Ugwu2. 1, CIVIL ENGINEERING DEPARTMENT, UNIVERSITY OF NIGERIA NSUKKA, ENUGU STATE, NIGERIA. 2, DEPARTMENT OF CIVIL ...

  16. Prioritising indicators in improving supply chain performance using fuzzy AHP

    DEFF Research Database (Denmark)

    Govindan, Kannan; Mangla, Sachin Kumar; Luthra, Sunil

    2017-01-01

    In this contribution, we aim to prioritise the indicators to enhance the organisational supply chain’s (SC) effectiveness from an industrial perspective. It will help industries to develop strategies for managing the SC effectively and ensuring improvement in performance continuously. To achieve...... this, this work proposes to use a two-phase research methodology. First, 36 SC performance improvement indicators are recognised from a literature survey and from field and industrial expert’s inputs. Secondly, a structural model is proposed using the fuzzy analytical hierarchy process (AHP...... that collaborations and information exchange dimension indicators obtained the highest priority in improving SC performance. The model proposed is considered very useful for the SC managers/practitioners/decision-makers to understand better and distinguish the essential SC performance improvement indicators...

  17. Construction of corporate social performance indicators for Czech manufacturing industry

    Directory of Open Access Journals (Sweden)

    Marie Dočekalová

    2013-01-01

    Full Text Available This article aims to map out the level of social performance measurement of Czech companies, i.e. what social performance indicators companies monitor and what information they provide to their stakeholders and to construct alternative corporate social performance indicators. Based on an analysis of 24 corporate voluntary reports and results of an empirical research performed among 79 large companies operating in the manufacturing industry, it was found that companies partially monitor their social performance, but from the perspective of international standards (e.g. Global Reporting Initiative, International Federation of Accountants it is still insufficient. Czech companies usually provide only absolute numbers which disguise real trends and do not allow year on year comparison or comparison with other companies. Czech companies should provide a comprehensive picture of their overall performance, they should not focus only on financial indicators based on accounting data, since it is known that the performance measurement based only on financial and economic performance does not lead to long-term success and sustainability of organizations. Companies should monitor more their impact on society within which they operate. Proposed corporate social performance indicators in a measurable and thus manageable way express social issues.

  18. A road safety performance indicator for vehicle fleet compatibility.

    NARCIS (Netherlands)

    Christoph, M. Vis, M.A. Rackliff, L. & Stipdonk, H.

    2013-01-01

    This paper discusses the development and the application of a safety performance indicator which measures the intrinsic safety of a country's vehicle fleet related to fleet composition. The indicator takes into account both the ‘relative severity’ of individual collisions between different vehicle

  19. Important Health and Safety Performance Improvement Indicators for ...

    African Journals Online (AJOL)

    This study sought to identify and validate a comprehensive set of health and safety (H&S) elements and leading indicator metrics, in an industry where there has been an over-reliance of lagging indicators such as accident rates and workers compensation in monitoring H&S performance improvement. The Delphi approach ...

  20. Application of Energy Performance Indicators for Residential Building Stocks

    DEFF Research Database (Denmark)

    Wittchen, Kim Bjarne; Kragh, Jesper; Diefenbach, Nikolaus

    2016-01-01

    Energy performance indicators of residential building stocks can either describe existing empirical data of a building stock or the input and outcome of building stock modelling. In EPISCOPE both types of quantities are clearly separated by distinguishing monitoring indicators and scenario indica...

  1. Sustainable development performance indicators for transmission system operators

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    Sustainable Development is a key issue for Transmission System Operators. The performance in such a wide activity has to be monitored and reported with relevant indicators. WG C3-02 presents in this Technical Brochure the results of its analysis of reports and guidelines and the WG selection of the most important indicators

  2. Performance Indicators for Online Geography in Secondary Education

    NARCIS (Netherlands)

    van Diepen, P.; Bredeweg, B.; Bosse, T.; Bredeweg, B.

    2016-01-01

    There is little consensus about what variables extracted from learner data are the most reliable indicators of learning performance. The aim of this study was to determine those indicators by taking a wide range of variables into consideration concerning overall learning activity and content

  3. Performance indicators for online secondary education: a case study

    NARCIS (Netherlands)

    van Diepen, P.; Bredeweg, B.; Bosse, T.; Bredeweg, B.

    2017-01-01

    There is little consensus about what variables extracted from learner data are the most reliable indicators of learning performance. The aim of this study is to determine such indicators by taking a wide range of variables into consideration concerning overall learning activity and content

  4. Process performance indicators in project pre-design stage

    NARCIS (Netherlands)

    Haponava, T.; Al-Jibouri, Saad H.S.; Reymen, Isabelle; Scheublin, F.; Pronk, A.; Prins, M.; Emmitt, S.; den Otter, A

    2006-01-01

    Traditionally performance in construction is measured based on the "iron-triangle”- time, cost and quality. In recent years indicators have been developed to include the measurements of other aspects of project performance. The main shortcoming of these however is that most of them are lagging

  5. A performance indicators system for urban wastewater treatment plants.

    Science.gov (United States)

    Quadros, Sílvia; João Rosa, Maria; Alegre, Helena; Silva, Catarina

    2010-01-01

    A performance assessment system (PAS) is an important instrument to provide a cost-effective and sustainable management of wastewater treatment plants (WWTPs). Despite the fact that many PASs have been developed in recent years, important aspects of WWTP evaluation have not yet been considered. This paper presents the framework and the overall performance indicators of a PAS developed for urban WWTPs.

  6. Numerical indicators of nuclear power plant safety performance

    International Nuclear Information System (INIS)

    1991-04-01

    The workshop was attended by representatives from twenty-two Member States operating nuclear power plants (NPP). The current status of the development and use of numerical indicators of NPP safety performance was presented. A consensus on the benefits of use of numerical indicators was reached. The Technical Committee Meeting reviewed the progress in the development and use of performance indicators and identified them as the most appropriate ones for international use. The purpose of this document is to summarize the discussions held and conclusions reached in both meetings. Lists of participants and all the papers of both meetings are presented

  7. ROLE AND IMPORTANCE OF KEY PERFORMANCE INDICATORS MEASUREMENT

    Directory of Open Access Journals (Sweden)

    Rade Stanković

    2011-03-01

    Full Text Available Key performance indicators are financial and non financial indicators that organizations use inorder to estimate and fortify how successful they are, aiming previously established long lastinggoals. Appropriate selection of indicators that will be used for measuring is of a greatest importance.Process organization of business is necessary to be constitute in order to realize such effective andefficient system or performance measuring via KPI. Process organization also implies customerorientation and necessary flexibility in nowadays condition of global competition.Explanation of process organization, the way of KPI selection, and practical example of KPImeasuring in Toyota dealerships are presented in this paper.

  8. Corporate performance indicators for agriculture and food processing sector

    Directory of Open Access Journals (Sweden)

    Jiří Hřebíček

    2012-01-01

    Full Text Available The research project: “Construction of Methods for Multi-factorial Assessment of Company Complex Performance in Selected Sectors”, solved by author team, is introduced. Current trends of corporate performance evaluation (i.e. measurement of environmental, social, economic and governance (ESG performance and corporate sustainable reporting are discussed in the paper focused to agriculture and food processing sector. The relationship between environmental and sustainability indicators and corporate sustainability reporting is an important issue; and the development of advanced methods to identify key performance indicators for ESG performance is discussed here along with the possibility of the utilization of information and communication technology and XBRL taxonomy evaluating applications for the creation of business performance.

  9. Libraries and key performance indicators a framework for practitioners

    CERN Document Server

    Appleton, Leo

    2017-01-01

    Libraries and Key Performance Indicators: A Framework for Practitioners explores ways by which libraries across all sectors can demonstrate their value and impact to stakeholders through quality assurance and performance measurement platforms, including library assessment, evaluation methodologies, surveys, and annual reporting. Whilst several different performance measurement tools are considered, the book's main focus is on one tool in particular: Key Performance Indicators (KPIs). KPIs are increasingly being used to measure the performance of library and information services, however, linking KPIs to quality outcomes, such as impact and value can prove very difficult. This book discusses, in detail, the concept of KPIs in the broader context of library assessment and performance measurement. Through reviewing some of the applied theory around using KPIs, along with harvesting examples of current best practices in KPI usage from a variety of different libraries, the book demystifies library KPIs, providing ...

  10. How reliable are geometry-based building indices as thermal performance indicators?

    International Nuclear Information System (INIS)

    Rodrigues, Eugénio; Amaral, Ana Rita; Gaspar, Adélio Rodrigues; Gomes, Álvaro

    2015-01-01

    Highlights: • Geometry-based building indices are tested in different European climate regions. • Building design programs are used to randomly generate sets of simulation models. • Some indices correlate in specific climates and design programs. • Shape-based Relative Compactness presented the best correlation of all indices. • Window-to-Surface Ratio was the window-based index with best correlation. - Abstract: Architects and urban planners have been relying on geometry-based indices to design more energy efficient buildings for years. The advantage of such indices is their ease of use and capability to capture the relation of a few geometric variables with the building’s performance. However, such relation is usually found using only a few simple building models and considering only a few climate regions. This paper presents the analysis of six geometry-based building indices to determine their adequacy in eight different climate regions in Europe. For each location, three residential building design programs were used as building specifications. Two algorithms were employed to randomly generate and assess the thermal performance of three sets of 500 alternative building models. The results show that geometry-based indices only correlate with the buildings’ thermal performance according to specific climate regions and building design programs

  11. A road safety performance indicator for vehicle fleet compatibility.

    Science.gov (United States)

    Christoph, Michiel; Vis, Martijn Alexander; Rackliff, Lucy; Stipdonk, Henk

    2013-11-01

    This paper discusses the development and the application of a safety performance indicator which measures the intrinsic safety of a country's vehicle fleet related to fleet composition. The indicator takes into account both the 'relative severity' of individual collisions between different vehicle types, and the share of those vehicle types within a country's fleet. The relative severity is a measure for the personal damage that can be expected from a collision between two vehicles of any type, relative to that of a collision between passenger cars. It is shown how this number can be calculated using vehicle mass only. A sensitivity analysis is performed to study the dependence of the indicator on parameter values and basic assumptions made. The indicator is easy to apply and satisfies the requirements for appropriate safety performance indicators. It was developed in such a way that it specifically scores the intrinsic safety of a fleet due to its composition, without being influenced by other factors, like helmet wearing. For the sake of simplicity, and since the required data is available throughout Europe, the indicator was applied to the relative share of three of the main vehicle types: passenger cars, heavy goods vehicles and motorcycles. Using the vehicle fleet data from 13EU Member States and Norway, the indicator was used to rank the countries' safety performance. The UK was found to perform best in terms of its fleet composition (value is 1.07), while Greece has the worst performance with the highest indicator value (1.41). Copyright © 2013 Elsevier Ltd. All rights reserved.

  12. Clinical and postextraction evaluation of periodontal disease indicators

    Directory of Open Access Journals (Sweden)

    Rajashri Kolte

    2016-01-01

    Full Text Available Background: Clinical attachment level is the most frequently used and acceptable parameter in monitoring periodontal status in diseased individual and denotes patterns of periodontal destruction. Awareness of root morphology and the condition of the periodontal tissues is essential for reliable periodontal pocket probing and for effective debridement of root surfaces. Clinically, it is challenging to observe exact nature of complex periodontal attachment loss. The aim of the present study was to evaluate patterns of periodontal destruction based on vertical and horizontal attachment loss. Materials and Methods: A total of 200 extracted teeth were obtained from chronic periodontitis patients. Prior to extraction, clinical measurements were recorded and after extraction, the teeth were stained with crystal violet. Root length, vertical and horizontal attachment loss were measured using digital caliper. Results: There was a significant difference between clinical attachment level and vertical attachment loss for both maxillary and mandibular teeth. Mean vertical attachment loss varied between 5.17 mm and 9.17 mm. Interproximal surfaces exhibited statistically significant vertical attachment loss in both maxillary and mandibular dentition. Results indicated that vertical attachment loss was more severe with teeth belonging to the anterior sextant whereas the horizontal attachment loss was more pronounced with posterior teeth. Conclusion: Both vertical and horizontal attachment loss were observed in all periodontally involved teeth. There was a difference in clinical measurements and actual periodontal status denoted by postextraction staining. These findings have an impact on determining the prognosis and appropriate treatment plan for patients.

  13. Clinical and postextraction evaluation of periodontal disease indicators.

    Science.gov (United States)

    Kolte, Rajashri; Kolte, Abhay; Wattamwar, Pooja

    2016-01-01

    Clinical attachment level is the most frequently used and acceptable parameter in monitoring periodontal status in diseased individual and denotes patterns of periodontal destruction. Awareness of root morphology and the condition of the periodontal tissues is essential for reliable periodontal pocket probing and for effective debridement of root surfaces. Clinically, it is challenging to observe exact nature of complex periodontal attachment loss. The aim of the present study was to evaluate patterns of periodontal destruction based on vertical and horizontal attachment loss. A total of 200 extracted teeth were obtained from chronic periodontitis patients. Prior to extraction, clinical measurements were recorded and after extraction, the teeth were stained with crystal violet. Root length, vertical and horizontal attachment loss were measured using digital caliper. There was a significant difference between clinical attachment level and vertical attachment loss for both maxillary and mandibular teeth. Mean vertical attachment loss varied between 5.17 mm and 9.17 mm. Interproximal surfaces exhibited statistically significant vertical attachment loss in both maxillary and mandibular dentition. Results indicated that vertical attachment loss was more severe with teeth belonging to the anterior sextant whereas the horizontal attachment loss was more pronounced with posterior teeth. Both vertical and horizontal attachment loss were observed in all periodontally involved teeth. There was a difference in clinical measurements and actual periodontal status denoted by postextraction staining. These findings have an impact on determining the prognosis and appropriate treatment plan for patients.

  14. Comfort Indicators for the Assessment of Indoor Environmental Building Performance

    DEFF Research Database (Denmark)

    Brohus, Henrik; Bendtsen, A.; Sørensen, M.

    2006-01-01

    Indoor environmental building performance assessment requires efficient indicators of the indoor comfort. In order to be effective and useful the comfort indicators must be able to include the temporal variation of indoor comfort as well as the degree of discomfort perceived by the occupants....... This paper discusses and presents a number of comfort indicators that includes both the temporal variation and the degree of discomfort in the calculations. A test case comprising a ventilated office building is used to show the application of the various comfort indices. It is found that the new comfort...

  15. Clinical indicators associated with successful tracheostomy cuff deflation.

    Science.gov (United States)

    Pryor, Lee N; Ward, Elizabeth C; Cornwell, Petrea L; O'Connor, Stephanie N; Chapman, Marianne J

    2016-08-01

    Tracheostomy cuff deflation is a necessary stage of the decannulation pathway, yet the optimal clinical indicators to guide successful cuff deflation are unknown. The study aims were to identify (1) the proportion of patients tolerating continuous cuff deflation at first attempt; (2) the clinical observations associated with cuff deflation success or failure, including volume of above cuff secretions and (3) the predictive capacity of these observations within a heterogeneous cohort. A retrospective review of 113 acutely tracheostomised patients with a subglottic suction tube in situ was conducted. Ninety-five percent of patients (n=107) achieved continuous cuff deflation on the first attempt. The clinical observations recorded as present in the 24h preceding cuff deflation included: (1) medical stability, (2) respiratory stability, (3) fraction of inspired oxygen ≤0.4, (4) tracheal suction ≤1-2 hourly, (5) sputum thin and easy to suction, (6) sputum clear or white, (7) ≥moderate cough strength, (8) above cuff secretions ≤1ml per hour and (9) alertness≥eyes open to voice. Using the presence of all 9 indicators as predictors of successful cuff deflation tolerance, specificity and positive predictive value were 100%, although sensitivity was only 77% and negative predictive value 19%. Refinement to a set of 3 clinically driven criteria (medical and respiratory stability, above cuff secretions ≤1ml/h) provided high specificity (100%), sensitivity (95%), positive predictive value (100%) and an improved negative predictive value (55%). Key criteria can help guide clinical decision-making on patient readiness for cuff deflation. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  16. Safety performance indicators. Topical issues paper no. 5

    International Nuclear Information System (INIS)

    Dahlgren, K.; Lederman, L.; Szikszai, T.; Palomo, J.

    2001-01-01

    Since its creation the nuclear industry has been struggling with the question of how safe is safe enough. Safety is a common goal to all involved in the design, operation and regulation of a nuclear installation. As a concept safety is not easy to define. However, there is a general understanding of what attributes a nuclear power plant should have in order to operate safely. The challenge lies in measuring the attributes. The new competitive open electricity market, in many countries throughout the world, is increasing the economic pressure on operators to lower operating costs without jeopardizing safety. Challenges are occurring at a rate that is unprecedented in the nuclear industry: competitiveness; downsizing; ageing; policy changes; reorganization; restructuring; mergers; globalization; and takeovers demand increasing attention to the management of safety. There are various means to measure safety performance, some of which are more qualitative in nature and others which through quantitative measures provide the means by which to evaluate performance trends with clear ties to safety. According to their use, indicators are generally considered in two groups: leading or proactive and lagging or reactive indicators. Leading indicators are most useful as a precursor to safety degradation for early management reaction. Lagging indicators are most commonly used to drive plant performance, to monitor and for benchmarking against similar plants. The actual values of the indicators are not intended to be direct measures of safety, although safety performance can be inferred from the results achieved. Each plant needs to determine which indicators best serve its needs. Selected indicators should not be static, but should be adapted to the conditions and performance of the plant, considering the cost-benefit of maintaining each individual indicator. It should be recognized that while indicators provide valuable information in the effective management of plant safety

  17. Performance indices for pumping stations in irrigated rice fields

    Directory of Open Access Journals (Sweden)

    Luciana Marini Köpp

    2016-08-01

    Full Text Available ABSTRACT: Performance indices can be used as indices of energy use in irrigation systems. Pumping stations (PSs are elements that require energy for irrigation of rice fields by conventional flood irrigation. Interplay of physical, hydraulic, and electrical parameters generates indices that determine the performance in the diagnosis of PSs, operation, and projects for new sets. In this study, it was proposed and classified performance indices for PSs in rice fields, focusing on the efficient use of energy. The study was carried out through an investigation of 160 PSs in operation, located at the western border of Rio Grande do Sul, Brazil, which constituted an actual field situation. Next, PSs were optimized in relation to the selection of a piping system, using the lowest total cost, the choice of pump, and motors with better performance for the necessary situation as criteria. Results provided nine indices that classified the performance as "excellent", "very good", "good", "poor", and "very poor", which allowed the assessment of projects and the diagnosis of PSs.

  18. Technical indicators of financial performance in the dairy herd.

    Science.gov (United States)

    Kristensen, E; Ostergaard, S; Krogh, M A; Enevoldsen, C

    2008-02-01

    Monte Carlo simulation was used to predict the long-term financial performance related to the technical performance of dairy herds. The indicators addressed were derived from data collected routinely in the herd. They indicated technical performance that can be affected by the farmer or the consultant, and they were derived from expected cause-effect relations between technical performance and financial performance at the herd level. The study included the indicators shape of lactation curve, reproduction efficiency, heifer management, variation between cows in lactation curve persistency, mortality in cows and calves, dynamics of body condition, and somatic cell counts. Each indicator was defined by 2 or 3 levels, and 2- and 3-factor interactions were included in the simulation experiment, which included 72 scenarios. Each scenario was replicated 200 times, and the resulting gross margin per cow was analyzed as the measure of financial performance. The potential effects of the selected indicators on the gross margin were estimated by means of an ANOVA. The final model allowed estimation of the financial value of specific changes within the key performance indicators. This study indicated that improving the shape of the herd-level lactation curve by 1 quartile was associated with an increase in gross margin of euro 227 per cow year. This represents 53% of the additional available gross margin associated with all the management changes included in the study. The improved herd-level lactation curve increased the gross margin 2.6 times more than improved reproduction efficiency, which again increased the gross margin 2.6 to 5.9 times more than improved management related to heifers, body condition score, mortality, and somatic cell counts. These results were implemented in a simple "metamodel" that used data extracted from ordinary management software to predict herd-specific financial performance related to major management changes. The metamodel was derived from

  19. Operational safety system performance alternative to the WANO's indicator

    International Nuclear Information System (INIS)

    Lyra, Moacir

    2002-01-01

    One of the operational safety performance indicators recommended by the World Association of Nuclear Operators (WANO) and adopted by Electronuclear is the reliability of the safety systems. The parameter selected to represent this indicator is the average unavailability of the trains of the concerned system. This parameter would be universally representative of the reliability for comparison purpose only if all nuclear power plants were designed within the same redundancy criteria. Considering the diversity of design criteria of the power plants in operation and based on a probabilistic approach, this paper proposes new performance indicators which are comparable regardless the redundancy criteria of the system. A case example applied to a system of the Angra 2 nuclear power plant shows that, even though with the plant in the infancy phase, the performance of the system in the period is very good. (author)

  20. Accuracy of clinical indicators of Nursing diagnoses hyperthermia and hypothermia in newborns

    Directory of Open Access Journals (Sweden)

    Fernanda Cavalcante Braga

    2014-12-01

    Full Text Available This study aimed at determining the accuracy of clinical indicators of Nursing diagnoses hyperthermia and hypothermia in newborns. This was a cross-sectional study carried out in 2013 in a reference maternity in Fortaleza, CE, Brazil with 46 newborns. Data collection was performed using an instrument developed based on the clinical indicators of these diagnoses, both from NANDA International. Diagnostician nurses were selected to perform diagnostic inference. Irritability, restlessness, bradycardia, pallor, jaundice, tachycardia, slow capillary refill and peripheral vasoconstriction were specific clinical indicators for hypothermia and body temperature below the normal range was the only sensitive indicator. Tachypnea, vasodilation and apnea were specific to hyperthermia however sensitive indicators were not found. We believed that the findings of this research can contribute to proper and fast inference of hypothermia and hyperthermia in newborns.

  1. Analysis of academic performance management indicators of IFES

    Directory of Open Access Journals (Sweden)

    Fátima de Souza Freire

    2008-07-01

    self interest with their own training, as measured by their success ratio and greater dedication to their under graduate course. In the same direction there has been found a favourable effect of the number of students-workers ratio. Nevertheless, no positive effect of the costs per student ratio has been detected as expected, considering the desirable positive influence of such indicator in the quality of education. Key-words: Performance Indicators, Enade, IFES.

  2. Operational safety performance indicators for nuclear power plants

    International Nuclear Information System (INIS)

    2000-05-01

    Since the late 1980s, the IAEA has been actively sponsoring work in the area of indicators to monitor nuclear power plant (NPP) operational safety performance. The early activities were mainly focused on exchanging ideas and good practices in the development and use of these indicators at nuclear power plants. Since 1995 efforts have been directed towards the elaboration of a framework for the establishment of an operational safety performance indicator programme. The result of this work, compiled in this publication, is intended to assist NPPs in developing and implementing a monitoring programme, without overlooking the critical aspects related to operational safety performance. The framework proposed in this report was presented at two IAEA workshops on operational safety performance indicators held in Ljubljana, Slovenia, in September 1998 and at the Daya Bay NPP, Szenzhen, China, in December 1998. During these two workshops, the participants discussed and brainstormed on the indicator framework presented. These working sessions provided very useful insights and ideas which where used for the enhancement of the framework proposed. The IAEA is acknowledging the support and contribution of all the participants in these two activities. The programme development was enhanced by pilot plant studies. Four plants from different countries with different designs participated in this study with the objective of testing the applicability, usefulness and viability of this approach

  3. Carbon footprint as environmental performance indicator for the manufacturing industry

    DEFF Research Database (Denmark)

    Laurent, Alexis; Olsen, Stig Irving; Hauschild, Michael Zwicky

    2010-01-01

    With the current focus on our climate change impacts, the embodied CO2 emission or "Carbon footprint" is often used as an environmental performance indicator for our products or production activities. The ability of carbon footprint to represent other types of impact like human toxicity, and hence...... the overall environmental impact is investigated based on life cycle assessments of several materials of major relevance to manufacturing industries. The dependence of the carbon footprint on the assumed scenarios for generation of thermal and electrical energy in the life cycle of the materials is analyzed......, and the appropriateness of carbon footprint as an overall indicator of the environmental performance is discussed....

  4. Risk-based safety performance indicators for nuclear power plants

    International Nuclear Information System (INIS)

    Chakraborty, S.; Prohaska, G.; Flodin, Y.; Grint, G.; Habermacher, H.; Hallman, A.; Isasia, R.; Melendez, E.; Verduras, E.; Karsa, Z.; Khatib-Rahbar, M.; Koeberlein, K.; Schwaeger, C.; Matahri, N.; Moravcik, I.; Tkac, M.; Preston, J.

    2003-01-01

    In a Concerted Action (CA), sponsored by the European Commission within its 5th Framework Program, a consortium of eleven partners from eight countries has reviewed and evaluated the application of Safety Performance Indicators (SPIs), which - in combination with other tools - can be used to monitor and improve the safety of nuclear power plants. The project was aimed at identification of methods that can be used in a risk-informed regulatory system and environment, and to exploit PSA techniques for the development and use of meaningful additional/alternative SPIs. The CA included the review of existing indicator systems, and the collection of information on the experience from indicator systems by means of a specific questionnaire. One of the most important and challenging issues for nuclear plant owners and/or regulators is to recognize early signs of deterioration in safety performance, caused by influences from management, organization and safety culture (MOSC), before actual events and/or mishaps take place. Most of the existing SPIs as proposed by various organizations are considered as 'lagging' indicators, that is, they are expected to show an impact only when a downward trend has already started. Furthermore, most of the available indicators are at a relatively high level, such that they will not provide useful information on fundamental weaknesses causing the problem in the first place. Regulators' and utilities' views on the use of a Safety Performance Indicator System have also been a part of the development of the CA. (author)

  5. SYSTEM OF PERFORMANCE INDICATORS FOR THE STUDENT CENTRED EDUCATION

    Directory of Open Access Journals (Sweden)

    Roșca Remus Dorel

    2015-07-01

    Full Text Available The higher education system in Romania is facing a number of challenges coming from its external and internal environment, challenges which threaten even its very own survival. The significant decrease in the number of high school graduates, the increasing disengagement of the new generations towards the idea of study, the marketing myopia that has characterised the university management act are just a few of the challenges that compel the responsible policymakers to adopt a new management philosophy, a philosophy which has as central point the student centred education paradigm (SCE. For operationalizing this philosophy in the current practice of Romanian universities, it is necessary to develop and use a system of performance indicators for the student-centred education (SPISCE. This system would have the purpose: to monitor the performances obtained in time by the higher education institution (HEI, allowing their comparison with those of other competing institutions; to allow the identification of areas where a significant improvement in SCE is needed; to facilitate the establishment of a client oriented marketing strategy within the institution; to create a favourable framework for promoting an organizational culture specific to SCE among teaching staff members and to redesign their rewards system, taking into account their performances in practicing the SCE. We will conceive the SPISCE starting from the process model, resulting three major categories: input-specific performance indicators, process-specific performance indicators and output-specific performance indicators. The academic year pass rate, the retention rate, the number of graduates who continue with master studies, lifetime value are just a few examples of such indicators. Measuring them will help the management team of a university to understand the supremacy of relational marketing compared to the transactional one, the importance of holding on to students and not just

  6. Operational Safety Performance Indicators and Balanced Scorecard in HANARO

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Jong-Sup; Jung, Hoan-Sung; Ahn, Guk-Hoon; Lee, Kye-Hong; Lim, In-Cheol; Kim, Hark-Rho [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2007-07-01

    Research reactors need an extensive basis for ensuring their safety. The importance of a safety management in nuclear facilities and activities has been emphasized. The safety activities in HANARO have been continuously conducted to enhance its safe operation. Last year, HANARO prepared two indicator sets to measure and assess the safety status of the reactor's operation and utilization. One is Safety Performance Indicators (SPI) and the other is Balanced Scorecard (BSC). Through reviewing these indicators, we can obtain the following information; - Plant safety status - Safety parameter trends - Safety information, for example, reactor operation status and radiation safety HANARO will continuously pursue the trends of SPI and BSC.

  7. A performance indicators system for urban wastewater treatment plants

    OpenAIRE

    Quadros, S.; Rosa, M. J.; Alegre, H.; Silva, C.

    2009-01-01

    The use of performance assessment systems (PAS) is an important tool to provide a cost-effective and sustainable management of wastewater treatment plants (WWTP). Despite many PAS have been developed in recent years, important aspects of WWTP evaluation are not yet considered. This paper presents the framework and the overall performance indicators of a PAS developed for urban WWTP. 8 8p DHA/NES 2009 11-13 Março 2009

  8. System of performance indicators for SMEs, metalworking sector

    Directory of Open Access Journals (Sweden)

    Cristina Viteri Sánchez

    2014-03-01

    Full Text Available (Received: 2013/03/05 - Accepted: 2013/03/25This paper focused on the design and proposal of management indicators for small and medium metalworking enterprises (SMEs in Quito. Metalworking number was established for the study. It was met and determined which areas deserve to be constantly monitored, by analyzing the performance of the companies, for this purpose, it was used a SWOT analysis, interviews and meetings with company managers , the results demanded the approach of a generic strategy, which included the formulation of the mission , vision and corporate values. Objectives and goals were established, they were classified according to the four perspectives of the Balanced Scorecard. Then it was possible to identify indicators to measure the proper functioning of the strategy proposed. 10 indicators of management were developed, according to the analysis of the reality of metalworking enterprises. So it was determined 3 financial indicators, 2 indicators focused on customers, 3 indicators for monitor internal business processes and 2 addressed the prospect of learning and growth. The use of these indicators is the key of performance and process control in each metalworking company.

  9. Cognitive performance in both clinical and non-clinical burnout

    NARCIS (Netherlands)

    Oosterholt, B.G.; Maes, J.H.R.; Linden, D. van der; Verbraak, M.J.P.M.; Kompier, M.A.J.

    2014-01-01

    Relatively little is known about cognitive performance in burnout. The aim of the present study was to further our knowledge on this topic by examining, in one study, cognitive performance in both clinical and non-clinical burnout while focusing on three interrelated aspects of cognitive

  10. Summary report on the use of plant safety performance indicators

    International Nuclear Information System (INIS)

    2001-09-01

    In 1998, the OECD/NEA committee on Nuclear Regulatory Activities (CNRA) initiated an activity with the objective of advancing the discussion on how to enhance and measure regulatory effectiveness in relation to nuclear installations. One of the outcome of this activity was to establish a Task group to develop internal (direct) performance indicators which would be used to monitor regulatory efficiency. In parallel, a joint CNRA/CSNI group was launched in December 2000 to exchange information and develop external (indirect) indicators to measure regulatory effectiveness, i.e. impact on licensee's safety performance. These external indicators are, in other words, the traditional plant performance indicators (PI's) and these are the ones that this report deals with. This report presents the work performed by the joint CNRA/CSNI task group mentioned above. It provides a summary of the sets of PI's being used by different regulatory bodies and WANO, it describes the national practices on the use of PI's and proposes a set of PI's that could be used nationally describing regulatory effectiveness and also as a basis for an international system. The task force consisted of regulators, organisations which have a performance indicators system in operation or under testing. The task force met in Paris on February 19-20, 2001. Each participant provided a brief description of the PI System at his organisation and its usage. The group identified a list of PI's that are recommended to be used nationally by regulators. This paper has been elaborated based on the information exchanged and discussions held in the February meeting. The participating countries (Spain, Finland, US, Sweden) and WANO were asked to provide an overview of systems in use. The presently used Performance Indicators were reviewed in a three steps process. 1. First indicators used in at least two agencies were identified. 2. The second step was to identify the most used indicators. 3. The third step was to

  11. Expert opinions and scientific evidence for colonoscopy key performance indicators.

    Science.gov (United States)

    Rees, Colin J; Bevan, Roisin; Zimmermann-Fraedrich, Katharina; Rutter, Matthew D; Rex, Douglas; Dekker, Evelien; Ponchon, Thierry; Bretthauer, Michael; Regula, Jaroslaw; Saunders, Brian; Hassan, Cesare; Bourke, Michael J; Rösch, Thomas

    2016-12-01

    Colonoscopy is a widely performed procedure with procedural volumes increasing annually throughout the world. Many procedures are now performed as part of colorectal cancer screening programmes. Colonoscopy should be of high quality and measures of this quality should be evidence based. New UK key performance indicators and quality assurance standards have been developed by a working group with consensus agreement on each standard reached. This paper reviews the scientific basis for each of the quality measures published in the UK standards. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  12. Energy Performance Indicators in the Swedish Building Procurement Process

    Directory of Open Access Journals (Sweden)

    Ingrid Allard

    2017-10-01

    Full Text Available In Sweden, all new buildings need to comply with the National Board of Housing, Building and Planning’s requirement on specific purchased energy (kWh/m2. Accordingly, this indicator is often used to set design criteria in the building procurement process. However, when energy use is measured in finished buildings, the measurements often deviate significantly from the design calculations. The measured specific purchased energy does not necessarily reflect the responsibility of the building contractor, as it is influenced by the building operation, user behavior and climate. Therefore, Swedish building practitioners may prefer other indicators for setting design criteria in the building procurement process. The aim of this study was twofold: (i to understand the Swedish building practitioners’ perspectives and opinions on seven building energy performance indicators (envelope air leakage, U-values for different building parts, average U-value, specific heat loss, heat loss coefficient, specific net energy, and specific purchased energy; and (ii to understand the consequences for the energy performance of multi-family buildings of using the studied indicators to set criteria in the procurement process. The study involved a Delphi approach and simulations of a multi-family case study building. The studied indicators were discussed in terms of how they may meet the needs of the building practitioners when used to set building energy performance criteria in the procurement process.

  13. Analysis of ESG indicators for measuring enterprise performance

    Directory of Open Access Journals (Sweden)

    Zuzana Chvátalová

    2013-01-01

    Full Text Available In this article authors focus on the analysis of the whole set of environmental, social and corporate governance (ESG indicators for the elimination of double or triple effects within the next construction of methods for measuring corporate performance. They build on their previously published results (in Acta univ. agric. et silvic. Mendel. Brun., 2012. The partial actual selected results of a recently undertaken currently project entitled ‘Construction of Methods for Multifactorial Assessment of Company Complex Performance in Selected Sectors’ were used. This project was solved the research teams of the Faculty of Business and Management of Brno University Technology and Faculty of Business and Economics of Mendel University in Brno since 2011. Further theoretical resources in the environmental, social and corporate governance area, known indicator databases (namely Global Reporting Initiative, comparative analysis, resp. syntheses for identifying possible of common indicator properties were identified to classify indicator subsets to preclude double or even triple effect based on mathematical set theory (Venn diagrams. The indicator analysis in constructed multi-factorial methods contributes to precise decision making in management to improve corporate performance.

  14. Road safety performance indicators for the interurban road network.

    NARCIS (Netherlands)

    Yannis, G. Weijermars, W.A.M. Gitelman, V. Vis, M. Chazirisa, A. Papadimitriou, E. & Lima Azevedo, C.

    2013-01-01

    Various road safety performance indicators (SPIs) have been proposed for different road safety research areas, mainly as regards driver behaviour (e.g. seat belt use, alcohol, drugs, etc.) and vehicles (e.g. passive safety); however, no SPIs for the road network and design have been developed. The

  15. Growth Performance, Haematological Indices and Cost Benefits of ...

    African Journals Online (AJOL)

    Lenovo pc

    Effect of replacing dietary maize with cassava peel meal (CPM) supplemented with Allzyme® SSF (SSF) on the growth performance, haematological indices and cost benefits of growing pigs was investigated. Chemical composition of CPM and diets used were determined using standard procedures. Twenty-four growing ...

  16. Implications of Key Performance Indicator Issues in Ontario Universities Explored

    Science.gov (United States)

    Chan, Vivian

    2015-01-01

    Since 1998, the Ministry of Training, Colleges and Universities in Ontario, Canada, has required that data on specific key performance indicators (KPIs) be made public by its publicly funded universities. The information is intended to be used by universities to demonstrate their achievements, to improve their programmes and services, and to…

  17. How Are You Doing? Key Performance Indicators and Benchmarking

    Science.gov (United States)

    Fahey, John P.

    2011-01-01

    School business officials need to "know and show" that their operations are well managed. To do so, they ask themselves questions, such as "How are they doing? How do they compare with others? Are they making progress fast enough? Are they using the best practices?" Using key performance indicators (KPIs) and benchmarking as regular parts of their…

  18. The Strategic Data Project's Strategic Performance Indicators

    Science.gov (United States)

    Page, Lindsay C.; Fullerton, Jon; Bacher-Hicks, Andrew; Owens, Antoniya; Cohodes, Sarah R.; West, Martin R.; Glover, Sarah

    2013-01-01

    Strategic Performance Indicators (SPIs) are summary measures derived from parallel, descriptive analyses conducted across educational agencies. The SPIs are designed to inform agency management and efforts to improve student outcomes. We developed the SPIs to reveal patterns common across partner agencies, to highlight exceptions to those…

  19. Selecting Environmental Performance Indicators : The Case of Numico

    NARCIS (Netherlands)

    Scherpereel, C.; Koppen, van C.S.A.; Heering, G.B.F.

    2001-01-01

    In order to achieve both efficient and reliable external communication adapted to the company's specific conditions, it is desirable to establish a clear relation between the environmental performance indicators (EPIs) used internally for environmental management and the EPIs used externally for

  20. Performance indicators of Icbe in private higher education and ...

    African Journals Online (AJOL)

    While the broad objective of the study has been to gauge progress in this arena and compare levels and directions of development, the specific objectives of the study was to develop parameters of performance indicators, gauge the on‐going process as perceived by the market participants, derive issues for further fine ...

  1. Development of Performance Indicators for DOTD programs : technical summary.

    Science.gov (United States)

    1998-05-01

    The objective of the research was to evaluate the performance indicators currently in use at DOTD and determine if any deficiencies exist with those that are sent forward as a part of the executive budget. A further objective was to examine the proce...

  2. Research Performance Evaluation: Some Critical Thoughts on Standard Bibliometric Indicators

    Science.gov (United States)

    Anninos, Loukas N.

    2014-01-01

    The bibliometric methodology is an established technique for research evaluation as it offers an objective determination and comparison of research performance. This paper aims to critically assess some standard bibliometric indicators commonly used (based on publication and citation counts) to evaluate academic units, and examine whether there…

  3. Indicators to monitor NPP safety performance. Working material

    International Nuclear Information System (INIS)

    1997-01-01

    Numerical indicators to monitor safety status and overall safety performance of nuclear power plants (NPPs) are used by operators and some regulators worldwide. During the last few years, the IAEA, through Technical Committee Meetings and Consultants' Meetings has worked on this area. This report presents a framework for nuclear power plant safety performance indicators that was developed during two consultant meetings held at the IAEA headquarters in Vienna in December 1995 and November 1996. Annex 2 on risk based indicators was prepared during a consultants' meeting held in Vienna in July 1996. An additional outcome from these activities, was the recommendation that the IAEA conduce pilot exercises at several nuclear power plants that might be interested to participate, in order to test the validity of the concept and its usefulness. 6 figs

  4. Performance indicators: A tool for continuous quality improvement

    Directory of Open Access Journals (Sweden)

    Nidhi M Bhatnagar

    2016-01-01

    Full Text Available Background: Performance monitoring is an important tool which can be used for setting priorities for process improvement. At our centre, we have been monitoring every step in the processes, right from inventory of consumables (both critical and routine to number of donors reactive for TTI. We conducted a study to measure the impact of monitoring Performance Indicators and how it could be used as a tool for Continuous Quality Improvement (CQI. Materials and Methods: The present study was a retrospective study where the performance indicator (PI data of blood bank was analyzed for over four years. For certain parameters, benchmarks or thresholds were set that represented warning limits or action limits. The yearly data were collated from monthly data. "Shifts" or "Trends", if any, were identified and Corrective and Preventive Action (CAPA taken accordingly. At the end, outcomes of the analysis were charted. Results: After the yearly data evaluation, outcomes obtained were used to plan, correct and amend processes and systems in the blood center. It was observed that the workload of the center showed an upward trend. This helped us to plan for the purchase of consumables and management of manpower. The monitoring of usage and discard of blood helped in the efficient management of blood stocks. The need for any new equipment could also be judged by the trends in workload. Conclusion: Performance indicators are indispensible tools which various stakeholders in the Blood Transfusion centres should implement to improve on quality performance.

  5. Performance indicators: A tool for continuous quality improvement.

    Science.gov (United States)

    Bhatnagar, Nidhi M; Soni, Shital; Gajjar, Maitrey; Shah, Mamta; Shah, Sangita; Patel, Vaidehi

    2016-01-01

    Performance monitoring is an important tool which can be used for setting priorities for process improvement. At our centre, we have been monitoring every step in the processes, right from inventory of consumables (both critical and routine) to number of donors reactive for TTI. We conducted a study to measure the impact of monitoring Performance Indicators and how it could be used as a tool for Continuous Quality Improvement (CQI). The present study was a retrospective study where the performance indicator (PI) data of blood bank was analyzed for over four years. For certain parameters, benchmarks or thresholds were set that represented warning limits or action limits. The yearly data were collated from monthly data. Shifts or Trends, if any, were identified and Corrective and Preventive Action (CAPA) taken accordingly. At the end, outcomes of the analysis were charted. After the yearly data evaluation, outcomes obtained were used to plan, correct and amend processes and systems in the blood center. It was observed that the workload of the center showed an upward trend. This helped us to plan for the purchase of consumables and management of manpower. The monitoring of usage and discard of blood helped in the efficient management of blood stocks. The need for any new equipment could also be judged by the trends in workload. Performance indicators are indispensible tools which various stakeholders in the Blood Transfusion centres should implement to improve on quality performance.

  6. Key performance indicators for Australian mental health court liaison services.

    Science.gov (United States)

    Davidson, Fiona; Heffernan, Ed; Greenberg, David; Butler, Tony; Burgess, Philip

    2017-12-01

    The aim of this paper is to describe the development and technical specifications of a framework and national key performance indicators (KPIs) for Australian mental health Court Liaison Services (CLSs) by the National Mental Health Court Liaison Performance Working Group (Working Group). Representatives from each Australian State and Territory were invited to form a Working Group. Through a series of national workshops and meetings, a framework and set of performance indicators were developed using a review of literature and expert opinion. A total of six KPIs for CLSs have been identified and a set of technical specifications have been formed. This paper describes the process and outcomes of a national collaboration to develop a framework and KPIs. The measures have been developed to support future benchmarking activities and to assist services to identify best practice in this area of mental health service delivery.

  7. Using Performance Indicators to Promote Sustainable Transport in Japan

    DEFF Research Database (Denmark)

    Gudmundsson, Henrik; Fukuda, Daisuke; Cornet, Yannick

    literature on performance measurement. The information of Japanese cases is obtained by review of key policy documents, reports and academic papers and through a series of semi-structured interviews with experts and officials in Japan. The paper combines insights from two ongoing research projects supported......The challenges associated with using performance measurement to steer transport policy towards sustainability include general aspects of measuring sustainability of transport systems with indicators as well as specific national and institutional conditions for adopting and responding...... to the information produced by such sustainability indicator systems. Japan is interesting in these regards, since the country has adopted strategies for achieving a more sustainable transport situation, as well as frameworks of policy performance measurement and management. The paper will describe a general...

  8. Game Indicators Determining Sports Performance in the NBA.

    Science.gov (United States)

    Mikołajec, Kazimierz; Maszczyk, Adam; Zając, Tomasz

    2013-01-01

    The main goal of the present study was to identify basketball game performance indicators which best determine sports level in the National Basketball Association (NBA) league. The research material consisted of all NBA game statistics at the turn of eight seasons (2003-11) and included 52 performance variables. Through detailed analysis the variables with high influence on game effectiveness were selected for final procedures. It has been proven that a limited number of factors, mostly offensive, determines sports performance in the NBA. The most critical indicators are: Win%, Offensive EFF, 3rd Quarter PPG, Win% CG, Avg Fauls and Avg Steals. In practical applications these results connected with top teams and elite players may help coaches to design better training programs.

  9. Conceptual framework for holistic dialysis management based on key performance indicators.

    Science.gov (United States)

    Liu, Hu-Chen; Itoh, Kenji

    2013-10-01

    This paper develops a theoretical framework of holistic hospital management based on performance indicators that can be applied to dialysis hospitals, clinics or departments in Japan. Selection of a key indicator set and its validity tests were performed primarily by a questionnaire survey to dialysis experts as well as their statements obtained through interviews. The expert questionnaire asked respondents to rate the degree of "usefulness" for each of 66 indicators on a three-point scale (19 responses collected). Applying the theoretical framework, we selected a minimum set of key performance indicators for dialysis management that can be used in the Japanese context. The indicator set comprised 27 indicators and items that will be collected through three surveys: patient satisfaction, employee satisfaction, and safety culture. The indicators were confirmed by expert judgment from viewpoints of face, content and construct validity as well as their usefulness. This paper established a theoretical framework of performance measurement for holistic dialysis management from primary healthcare stakeholders' perspectives. In this framework, performance indicators were largely divided into healthcare outcomes and performance shaping factors. Indicators of the former type may be applied for the detection of operational problems or weaknesses in a dialysis hospital, clinic or department, while latent causes of each problem can be more effectively addressed by the latter type of indicators in terms of process, structure and culture/climate within the organization. © 2013 The Authors. Therapeutic Apheresis and Dialysis © 2013 International Society for Apheresis.

  10. Suprasellar cysts: clinical presentation, surgical indications, and optimal surgical treatment.

    Science.gov (United States)

    Gui, Song-Bai; Wang, Xin-Sheng; Zong, Xu-Yi; Zhang, Ya-Zhuo; Li, Chu-Zhong

    2011-05-18

    To describe the clinical presentation of suprasellar cysts (SSCs) and surgical indications, and compare the treatment methods of endoscopic ventriculocystostomy (VC) and ventriculocystocisternotomy (VCC). We retrospectively reviewed the records of 73 consecutive patients with SSC who were treated between June 2002 and September 2009. Twenty-two patients were treated with VC and 51 with VCC. Outcome was assessed by clinical examination and magnetic resonance imaging. The patients were divided into five groups based on age at presentation: age less than 1 year (n = 6), 1-5 years (n = 36), 6-10 years (n = 15), 11-20 years (n = 11), and 21-53 years (n = 5). The main clinical presentations were macrocrania (100%), motor deficits (50%), and gaze disturbance (33.3%) in the age less than 1 year group; macrocrania (75%), motor deficits (63.9%), and gaze disturbance (27.8%) in the 1-5 years group; macrocrania (46.7%), symptoms of raised intracranial pressure (ICP) (40.0%), endocrine dysfunction (40%), and seizures (33.3%) in the 6-10 years group; symptoms of raised ICP (54.5%), endocrine dysfunction (54.5%), and reduced visual field or acuity (36.4%) in the 11-20 years group; and symptoms of raised ICP (80.0%) and reduced visual field or acuity (40.0%) in the 21-53 years group. The overall success rate of endoscopic fenestration was 90.4%. A Kaplan-Meier curve for long-term efficacy of the two treatment modalities showed better results for VCC than for VC (p = 0.008). Different age groups with SSCs have different main clinical presentations. VCC appears to be more efficacious than VC.

  11. Suprasellar cysts: clinical presentation, surgical indications, and optimal surgical treatment

    Directory of Open Access Journals (Sweden)

    Zhang Ya-Zhuo

    2011-05-01

    Full Text Available Abstract Background To describe the clinical presentation of suprasellar cysts (SSCs and surgical indications, and compare the treatment methods of endoscopic ventriculocystostomy (VC and ventriculocystocisternotomy (VCC. Methods We retrospectively reviewed the records of 73 consecutive patients with SSC who were treated between June 2002 and September 2009. Twenty-two patients were treated with VC and 51 with VCC. Outcome was assessed by clinical examination and magnetic resonance imaging. Results The patients were divided into five groups based on age at presentation: age less than 1 year (n = 6, 1-5 years (n = 36, 6-10 years (n = 15, 11-20 years (n = 11, and 21-53 years (n = 5. The main clinical presentations were macrocrania (100%, motor deficits (50%, and gaze disturbance (33.3% in the age less than 1 year group; macrocrania (75%, motor deficits (63.9%, and gaze disturbance (27.8% in the 1-5 years group; macrocrania (46.7%, symptoms of raised intracranial pressure (ICP (40.0%, endocrine dysfunction (40%, and seizures (33.3% in the 6-10 years group; symptoms of raised ICP (54.5%, endocrine dysfunction (54.5%, and reduced visual field or acuity (36.4% in the 11-20 years group; and symptoms of raised ICP (80.0% and reduced visual field or acuity (40.0% in the 21-53 years group. The overall success rate of endoscopic fenestration was 90.4%. A Kaplan-Meier curve for long-term efficacy of the two treatment modalities showed better results for VCC than for VC (p = 0.008. Conclusions Different age groups with SSCs have different main clinical presentations. VCC appears to be more efficacious than VC.

  12. Management of Industrial Performance Indicators: Regression Analysis and Simulation

    Directory of Open Access Journals (Sweden)

    Walter Roberto Hernandez Vergara

    2017-11-01

    Full Text Available Stochastic methods can be used in problem solving and explanation of natural phenomena through the application of statistical procedures. The article aims to associate the regression analysis and systems simulation, in order to facilitate the practical understanding of data analysis. The algorithms were developed in Microsoft Office Excel software, using statistical techniques such as regression theory, ANOVA and Cholesky Factorization, which made it possible to create models of single and multiple systems with up to five independent variables. For the analysis of these models, the Monte Carlo simulation and analysis of industrial performance indicators were used, resulting in numerical indices that aim to improve the goals’ management for compliance indicators, by identifying systems’ instability, correlation and anomalies. The analytical models presented in the survey indicated satisfactory results with numerous possibilities for industrial and academic applications, as well as the potential for deployment in new analytical techniques.

  13. Profit indicators in performance systems in the Czech companies

    Directory of Open Access Journals (Sweden)

    Jana Hornungová

    2013-01-01

    Full Text Available The main focus of the paper is the corporate performance measurement. At present, it is necessary to monitor this corporate performance and mostly try to improve it, because it could be very crucial competitive advantage in the market. The article provides an overview of key performance indicators (KPIs in the companies. Based on the theoretical data there are applied statistical methods, which should be achieved of main aim of the paper. The main aim of the paper is to describe which groups of Key Performance Indicators are connected with corporate performance system of measurement in the area of Information and Communication Activities. To support this approach theoretical information from the area of Key Performance Indicators connected with data from primary research were used, focused on the performance evaluation of enterprises.Successful companies are aware of the need for long-term strategic development, which is based on teamwork, respect of external environment and all subjects, which influence the business activities of the company directly or indirectly. It can be more effective to conceptualize relationship complete than limit to only consumer market and customer relations. Marketing moves more and more away from individual transaction orientation and rather focus on value creating relations, where the objective is to provide long- term stakeholder value. Day after day the company gets in touch with different groups of stakeholders, that influence the corporate development and it can not to access to these interest groups individually for reason of corporate limits. It is therefore necessary to define homogenous stakeholders groups, which are differ from each other in terms of their impact on business management. The authors of article put the question, which classification is the most statistical explaining the difference of stakeholders in term of evaluation their impact on business management. It was made cluster analysis for

  14. Developing biodiversity indicators on a stakeholders' opinions basis: the gypsum industry Key Performance Indicators framework.

    Science.gov (United States)

    Pitz, Carline; Mahy, Grégory; Vermeulen, Cédric; Marlet, Christine; Séleck, Maxime

    2016-07-01

    This study aims to establish a common Key Performance Indicators (KPIs) framework for reporting about the gypsum industry biodiversity at the European level. In order to integrate different opinions and to reach a consensus framework, an original participatory process approach has been developed among different stakeholder groups: Eurogypsum, European and regional authorities, university scientists, consulting offices, European and regional associations for the conservation of nature, and the extractive industry. The strategy is developed around four main steps: (1) building of a maximum set of indicators to be submitted to stakeholders based on the literature (Focus Group method); (2) evaluating the consensus about indicators through a policy Delphi survey aiming at the prioritization of indicator classes using the Analytic Hierarchy Process method (AHP) and of individual indicators; (3) testing acceptability and feasibility through analysis of Environmental Impact Assessments (EIAs) and visits to three European quarries; (4) Eurogypsum final decision and communication. The resulting framework contains a set of 11 indicators considered the most suitable for all the stakeholders. Our KPIs respond to European legislation and strategies for biodiversity. The framework aims at improving sustainability in quarries and at helping to manage biodiversity as well as to allow the creation of coherent reporting systems. The final goal is to allow for the definition of the actual biodiversity status of gypsum quarries and allow for enhancing it. The framework is adaptable to the local context of each gypsum quarry.

  15. Evaluation of Gear Condition Indicator Performance on Rotorcraft Fleet

    Science.gov (United States)

    Antolick, Lance J.; Branning, Jeremy S.; Wade, Daniel R.; Dempsey, Paula J.

    2010-01-01

    The U.S. Army is currently expanding its fleet of Health Usage Monitoring Systems (HUMS) equipped aircraft at significant rates, to now include over 1,000 rotorcraft. Two different on-board HUMS, the Honeywell Modern Signal Processing Unit (MSPU) and the Goodrich Integrated Vehicle Health Management System (IVHMS), are collecting vibration health data on aircraft that include the Apache, Blackhawk, Chinook, and Kiowa Warrior. The objective of this paper is to recommend the most effective gear condition indicators for fleet use based on both a theoretical foundation and field data. Gear diagnostics with better performance will be recommended based on both a theoretical foundation and results of in-fleet use. In order to evaluate the gear condition indicator performance on rotorcraft fleets, results of more than five years of health monitoring for gear faults in the entire HUMS equipped Army helicopter fleet will be presented. More than ten examples of gear faults indicated by the gear CI have been compiled and each reviewed for accuracy. False alarms indications will also be discussed. Performance data from test rigs and seeded fault tests will also be presented. The results of the fleet analysis will be discussed, and a performance metric assigned to each of the competing algorithms. Gear fault diagnostic algorithms that are compliant with ADS-79A will be recommended for future use and development. The performance of gear algorithms used in the commercial units and the effectiveness of the gear CI as a fault identifier will be assessed using the criteria outlined in the standards in ADS-79A-HDBK, an Army handbook that outlines the conversion from Reliability Centered Maintenance to the On-Condition status of Condition Based Maintenance.

  16. ALARA tools and performance indicators at Cernavoda NPP

    International Nuclear Information System (INIS)

    Chitu, C.; Popescu, V.; Simionov, V.

    2009-01-01

    Work efficiency is an area of high concern to nuclear power plant operators. Job planning has to be done so that there will be enough time for ALARA actions to be implemented. The control of the activities involving radiological risk is part of ALARA Process. An effective control supposes the implementation of a process to systematically identify the activities performed in radiological areas. Plant Performance Indicators related to ionizing radiation exposure have been established to improve station safe performance. They are assessed and reported periodically to reflect the safe operation objectives. If target values are exceeded 'abnormal condition reports' are generated. Corrective and preventive actions aim at work planning, technical aspects, and human performance. All the staff is informed about these events and corrective actions described through the training program are implemented. (authors)

  17. Is consumer confidence an indicator of JSE performance?

    Directory of Open Access Journals (Sweden)

    Kamini Solanki

    2014-09-01

    Full Text Available While most studies examine the impact of business confidence on market performance, we instead focus on the consumer because consumer spending habits are a natural extension of trading activity on the equity market. This particular study examines investor sentiment as measured by the Consumer Confidence Index in South Africa and its effect on the Johannesburg Stock Exchange (JSE. We employ Granger causality tests to investigate the relationship across time between the Consumer Confidence Index and market performance. The results show weak evidence of a contemporaneous relationship; however, significant evidence of a Granger caused relationship is apparent. Further, changes in investor sentiment Granger-cause changes in the two indices used, generally with a lag of 9 and 12 months, but not vice versa. Thus, we find that Consumer Confidence leads JSE performance during our sample period. Our research provides evidence contradicting the common perception of consumer confidence lagging market performance, particularly in the South African context.

  18. Key Performance Indicators Disclosures Through Internet: towards an integrated scoreboard

    Directory of Open Access Journals (Sweden)

    Ilídio Tomás Lopes

    2014-10-01

    Full Text Available Purpose – Information disclosure is driven by multiple determinants, most of them supported by traditional theories, such as agency theory, contingency theory, and legitemacy theory. This research aims to identify a set of Key Performance Indicators (KPI, disclosed to stakeholders through Internet. It also aims to apply for an integrated performance scorebord, acting it as a dynamic comparative tool, in particular for listed companies which market value is driven by investors expectations and needs.Design/methodology/approach – Based on 47 listed companies from the Portuguese Stock Index regulated market, and through an interpretive content analysis, research was driven towards the identification of KPI that were explicitly reported to stakeholders through structured or unstructured frameworks. This qualitative approach supports the evidences about performance indicators reported by listed companies to stakeholders, in particular to potential stockholders.Findings – Companies disclose a wide variety of key performance indicators, however in most cases included in their periodical management reports. Only a low number of companies disclose those indicators through a visible form in their web sites. Furthermore, KPI disclosed have a generic nature and are usually complemented by theoretical explanations about their evolution and trends. The diversity of indicators disclosed does not permit a comparision between companies and activity sectors. Key performence indicators are still disclosed on a voluntarily basis, remaining, in this scope, multiple agency conflicts and other issues around agency costs. Altough the intensity and categorization in the information disclosure, a standard framework is required in orther to ensure a dynamic comparision between companies or sectors.   Research limitations – The scope of this research is the Portuguese regulated market. Further research can introduce in the sample companies listed in other

  19. Prioritizing public- private partnership models for public hospitals of iran based on performance indicators.

    Science.gov (United States)

    Gholamzadeh Nikjoo, Raana; Jabbari Beyrami, Hossein; Jannati, Ali; Asghari Jaafarabadi, Mohammad

    2012-01-01

    The present study was conducted to scrutinize Public- Private Partnership (PPP) models in public hospitals of different countries based on performance indicators in order to se-lect appropriated models for Iran hospitals. In this mixed (quantitative-qualitative) study, systematic review and expert panel has been done to identify varied models of PPP as well as performance indicators. In the second step we prioritized performance indicator and PPP models based on selected performance indicators by Analytical Hierarchy process (AHP) technique. The data were analyzed by Excel 2007 and Expert Choice11 software's. In quality - effectiveness area, indicators like the rate of hospital infections (100%), hospital accidents prevalence rate (73%), pure rate of hospital mortality (63%), patient satisfaction percentage (53%), in accessibility equity area indicators such as average inpatient waiting time (100%) and average outpatient waiting time (74%), and in financial - efficiency area, indicators including average length of stay (100%), bed occupation ratio (99%), specific income to total cost ratio (97%) have been chosen to be the most key performance indicators. In the pri¬oritization of the PPP models clinical outsourcing, management, privatization, BOO (build, own, operate) and non-clinical outsourcing models, achieved high priority for various performance in¬dicator areas. This study had been provided the most common PPP options in the field of public hospitals and had gathered suitable evidences from experts for choosing appropriate PPP option for public hospitals. Effect of private sector presence in public hospital performance, based on which PPP options undertaken, will be different.

  20. Clinical indications for Thallium-201 myocardial perfusion scanning

    International Nuclear Information System (INIS)

    Dunn, R.J.; Kelly, D.T.

    1982-01-01

    Thallium-201 myocardial perfusion scanning can assess regional myocardial perfusion non-invasively. As it is both time-consuming and expensive its use should be restricted to specific diagnostic problems. The clinical indications in known or suspected coronary artery disease are reviewed. In suspected coronary artery disease thallium scanning is most useful in patients with chest pain when the exercise ECG is uninterpretable, in men with probable angina but a negative exercise ECG, or conversely a positive exercise ECG without typical angina, and in women with probable angina and either a positive or a negative exercise ECG. In known coronary artery disease, thallium scanning may help determine the functional significance of a coronary obstruction found at angiography and may determine the site of myocardial ischaemia when multiple obstructions are present

  1. Chaste tree (Vitex agnus-castus)--pharmacology and clinical indications.

    Science.gov (United States)

    Wuttke, W; Jarry, H; Christoffel, V; Spengler, B; Seidlová-Wuttke, D

    2003-05-01

    Extracts of the fruits of chaste tree (Vitex agnus castus = AC) are widely used to treat premenstrual symptoms. Double-blind placebo-controlled studies indicate that one of the most common premenstrual symptoms, i.e. premenstrual mastodynia (mastalgia) is beneficially influenced by an AC extract. In addition, numerous less rigidly controlled studies indicate that AC extracts have also beneficial effects on other psychic and somatic symptoms of the PMS. Premenstrual mastodynia is most likely due to a latent hyperprolactinemia, i.e. patients release more than physiologic amounts of prolactin in response to stressful situations and during deep sleep phases which appear to stimulate the mammary gland. Premenstrually this unphysiological prolactin release is so high that the serum prolactin levels often approach heights which are misinterpreted as prolactinomas. Since AC extracts were shown to have beneficial effects on premenstrual mastodynia serum prolactin levels in such patients were also studied in one double-blind, placebo-controlled clinical study. Serum prolactin levels were indeed reduced in the patients treated with the extract. The search for the prolactin-suppressive principle(s) yielded a number of compounds with dopaminergic properties: they bound to recombinant DA2-receptor protein and suppressed prolactin release from cultivated lactotrophs as well as in animal experiments. The search for the chemical identity of the dopaminergic compounds resulted in isolation of a number of diterpenes of which some clerodadienols were most important for the prolactin-suppressive effects. They were almost identical in their prolactin-suppressive properties than dopamine itself. Hence, it is concluded that dopaminergic compounds present in Vitex agnus castus are clinically the important compounds which improve premenstrual mastodynia and possibly also other symptoms of the premenstrual syndrome.

  2. UK key performance indicators and quality assurance standards for colonoscopy.

    Science.gov (United States)

    Rees, Colin J; Thomas Gibson, Siwan; Rutter, Matt D; Baragwanath, Phil; Pullan, Rupert; Feeney, Mark; Haslam, Neil

    2016-12-01

    Colonoscopy should be delivered by endoscopists performing high quality procedures. The British Society of Gastroenterology, the UK Joint Advisory Group on GI Endoscopy, and the Association of Coloproctology of Great Britain and Ireland have developed quality assurance measures and key performance indicators for the delivery of colonoscopy within the UK. This document sets minimal standards for delivery of procedures along with aspirational targets that all endoscopists should aim for. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  3. Development of radiological performance indicators for nuclear power plants

    International Nuclear Information System (INIS)

    Lee, B.S.; Jung, K.H.; Lee, S.H.; Jang, S.Y.

    2000-01-01

    The purpose of this work was to improve the regulatory approach to check the licensee's compliance with regulation regarding radiation protection in operating nuclear power plants (NPPs). The current domestic inspection program for NPPs requires inspectors to conduct compliance-inspection for the systems/equipment and the procedures of NPPs. In this work, we have developed a set of draft radiological performance indicators (PIs) to assess radiation safety in NPPs. The development of PIs was based on the concept that the licensees' implementation of the radiation protection program in NPPs should be able to achieve the goal of radiation protection which the International Commission on Radiological Protection (ICRP) has recommended as ICRP 60 (1991). We selected and/or developed the radiological performance indicators considering the radiation exposure network (source-environment-receptor) for NPPs. The PIs intend to be applied only to normal exposure due to normal operations including transient operational conditions, but not to potential exposure due to accidents. Also, we have chosen the receptor as workers who are occupationally exposed to radiation as well as the members of public who are exposed to radiation from radioactive effluents. The PIs intend to track the past performance rather than to expect the future performance. Finally, the individual PIs do not verify the root cause of the trend of performance; however, they provide the basis for deciding whether the procedures and work management have been properly implemented. Currently a set of 21 draft PIs has been developed for the exposure network in NPPs. For the receptor, the PIs are divided into worker individual dose, worker collective dose and public individual dose. For the environment, the PIs are related to the dose rates of controlled areas, radioactive material concentrations in controlled areas, radioactive contamination in controlled areas and at exit points, and radioactive effluent

  4. Logistics Indicators Could Improve Logistics Performance of Hospitals

    OpenAIRE

    Wajong Andre M. R.

    2017-01-01

    Hospitals are institutions in which numerous transactions take place. A significant amount of those transactions happen in the realm of logistics. Logistifics is one of the concern of the hospital’s managing entities. Hospitals must provide a variety of logistics within a limited amount of time. The implementation of hospital logistics indicators were expected to assist the management in improving performance in the logistics units of hospitals in the Province of Jakarta. It was expected that...

  5. The impact of removing financial incentives from clinical quality indicators: longitudinal analysis of four Kaiser Permanente indicators.

    Science.gov (United States)

    Lester, Helen; Schmittdiel, Julie; Selby, Joe; Fireman, Bruce; Campbell, Stephen; Lee, Janelle; Whippy, Alan; Madvig, Philip

    2010-05-11

    To evaluate the effect of financial incentives on four clinical quality indicators common to pay for performance plans in the United Kingdom and at Kaiser Permanente in California. Longitudinal analysis. 35 medical facilities of Kaiser Permanente Northern California, 1997-2007. 2 523 659 adult members of Kaiser Permanente Northern California. Main outcomes measures Yearly assessment of patient level glycaemic control (HbA(1c) financial incentives were attached to screening for diabetic retinopathy (1999-2003), the rate rose from 84.9% to 88.1%. This was followed by four years without incentives when the rate fell year on year to 80.5%. During the two initial years when financial incentives were attached to cervical cancer screening (1999-2000), the screening rate rose slightly, from 77.4% to 78.0%. During the next five years when financial incentives were removed, screening rates fell year on year to 74.3%. Incentives were then reattached for two years (2006-7) and screening rates began to increase. Across the 35 facilities, the removal of incentives was associated with a decrease in performance of about 3% per year on average for screening for diabetic retinopathy and about 1.6% per year for cervical cancer screening. Policy makers and clinicians should be aware that removing facility directed financial incentives from clinical indicators may mean that performance levels decline.

  6. Corporate key performance indicators for environmental management and reporting

    Directory of Open Access Journals (Sweden)

    Jiří Hřebíček

    2011-01-01

    Full Text Available The paper presents main results of the research financed the Ministry of Environment of the Czech Republic in the project No. SP/4i2/26/07. It discuses the corporate key performance indicators for Environmental Management Systems certified by standard ISO 14001:2005 or/and by the Regulation (EC No. 1221/2009, about voluntary participation of organizations in the Community Environmental Management and Audit Scheme (EMAS. These are used in an annual corporate environmental reporting of organizations with Environmental Management System and also in the annual statements of organizations with Environmental Management and Audit Scheme. It introduces key performance indicators and framework of corporate environmental reporting are based on the Methodical Guideline of the Ministry of Environment of the Czech Republic developed in the project No. SP/4i2/26/07. They are enlarged to economic and social area with using Global Reporting Initiative and RICON Group guidelines. The paper also introduces the proposal of further research in the development of corporate environmental, social and governance (ESG performance indicators.

  7. PERFORMANCE INDICATORS APPLIED TO BRAZILIAN PRIVATE EDUCATIONAL INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    Átila de Melo Lira

    2015-06-01

    Full Text Available Initially focused on for-profit companies the Balance Scorecard (BSC has been adopted by many organizations with different objectives, such as higher education institutions (HEIs. However, it is not clear if the adoption of the BSC model is appropriate, or yet is hard to perceive how HEIs have modified and implemented this tool for evaluating educational institutions, public or privates, in Brazil. This study aims to fill the gap existent in the context of using the BSC in organizations. We intend to demonstrate how these organizations use performance indicators to measure their primary activities. A quantitative and exploratory study was developed from the analysis of performance indicators found in the web sites to Brazilian universities. A total of 91 Brazilian private universities evaluation process were reviewed. Even with a considerable amount of private HEIs there are few that have performance indicators guided by numerical and statistical data covering its main activities which is a concern for their managers in terms of managerial control.

  8. KEY PERFORMANCE INDICATORS DISCLOSURES BY THE INTEGRATED REPORTING

    Directory of Open Access Journals (Sweden)

    BOBITAN ROXANA-IOANA

    2016-02-01

    Full Text Available We are in a new era of corporate reporting where the corporate reporting landscape was changed. Institutional and small investors, financial analysts and other key stakeholders are demanding more information about long-term strategies and profitability of companies. Also, the increasing complexity of business models, growing awareness of climate change and resource scarcity and communication are expectations of the role of business in the 21st century and which the key of performance indicators (KPIs is. The companies must change the way these KPIs are being incorporated throughout the annual report and how these are linked to the company’s strategy and business model, their risks and risk mitigation, and their incentive schemes. Regarding this, integrated reporting, continue to gain momentum, the spotlight on the depth, breadth and quality of KPIs being reported will only strengthen. The aim of this discussion paper is to describe which are the most important key performance indicators in sprit of integrating reporting. A good and very known example for the integrated reporting is Philips Electronics, the Dutch healthcare and lighting company, a pioneer that embrace this concept, and the paper make an analysis of the most important key performance indicators.

  9. DOE performance indicators for 2nd quarter CY 1993

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    The Department of Energy (DOE) has established a Department-wide Performance Indicator (PI) Program for trending and analysis of operational data as directed by DOE Order 5480.26. The PI Program was established to provide a means for monitoring the environment, safety, and health (ES&H) performance of the DOE at the Secretary and other management levels. This is the tenth in a series of quarterly reports generated for the Department of Energy Idaho Operations Office (DOE-ID) by EG&G Idaho, Inc. to meet the requirements of the PI Program as directed by the DOE Standard (DOE-STD-1048-92). The information in this tenth quarterly report, while contributing to a historical database for supporting future trending analysis, does not at this time provide a sound basis for developing trend-related conclusions. In the future, it is expected that trending and analysis of operational data will enhance the safety culture in both DOE and contractor organizations by providing an early warning of deteriorating environment, safety, and health conditions. DOE-STD-1048-92 identifies four general areas of PIs. They are: Personnel Safety, Operational Incidents, Environment, and Management. These four areas have been subdivided into 26 performance indicators. Approximately 115 performance indicator control and distribution charts comprise the body of this report. A brief summary of PIs contained in each of these general areas is provided. The four EG&G facilities whose performance is charted herein are as follows: (1) The Advanced Test Reactor (ATR), (2) The Radioactive Waste Management Complex (RWMC), (3) The Waste Experimental Reduction Facility (WERF), and (4) The Test Reactor Area (TRA) Hot Cells.

  10. Plant safety and performance indicators for regulatory use

    International Nuclear Information System (INIS)

    Ferjancic, M.; Nemec, T.; Cimesa, S.

    2004-01-01

    Slovenian Nuclear Safety Administration (SNSA) supervises nuclear and radiological safety of Krsko NPP. This SNSA supervision is performed through inspections, safety evaluations of plant modifications and event analyses as well as with the safety and performance indicators (SPI) which are a valuable data source for plant safety monitoring. In the past SNSA relied on the SPI provided by Krsko NPP and did not have a set of SPI which would be more appropriate for regulatory use. In 2003 SNSA started with preparation of a new set of SPI which would be more suitable for performing the regulatory oversight of the plant. New internal SNSA procedure which is under preparation will define use and evaluation of SPI and will include definitions for the proposed set of SPI. According to the evaluation of SPI values in comparison with the limiting values and/or trending, the procedure will define SNSA response and actions. (author)

  11. Key Sustainability Performance Indicator Analysis for Czech Breweries

    Directory of Open Access Journals (Sweden)

    Edward Kasem

    2015-01-01

    Full Text Available Sustainability performance can be said to be an ability of an organization to remain productive over time and hold on to its potential for maintaining long-term profitability. Since the brewery sector is one of the most important and leading markets in the foodstuff industry of the Czech Republic, this study depicts the Czech breweries’ formal entry into sustainability reporting and performance. The purpose of this paper is to provide an efficiency level evaluation which would represent the level of corporate performance of Czech breweries. For this reason, Data Envelopment Analysis (DEA is introduced. In order to apply it, we utilize a set of key performance indicators (KPIs based on two international standard frameworks: the Global Reporting Initiative (GRI and its GRI 4 guidelines, and the guideline KPIs for ESG 3.0, which was published by the DVFA Society. Four sustainability dimensions (economic, environmental, social and governance are covered, making it thus possible to adequately evaluate sustainability performance in Czech breweries. The main output is not only the efficiency score of the company but also the input weights. These weights are used to determine the contribution of particular criteria to the breweries’ achieved score. According to the achieved efficiency results for Czech breweries, the percentage of women supervising the company does not affect the sustainability performance.

  12. Safety performance evaluation using proactive indicators in a selected industry

    Directory of Open Access Journals (Sweden)

    Abolfazl Barkhordari

    2015-03-01

    Full Text Available Background & Objectives: Quality and effectiveness of safety systems are critical factors in achieving their goals. This study was aimed to represent a method for performance evaluation of safety systems by proactive indicators using different updated models in the field of safety which will be tested in a selected industry. Methods: This study is a cross-sectional study. Proactive indicators used in this study were: Unsafe acts rate, Safety Climate, Accident Proneness, and Near-miss incident rate. The number of in 1473 safety climate questionnaires and 543 Accident Proneness questionnaires was completed. Results: The minimum and maximum safety climate score were 56.88 and 58.2, respectively, and the minimum and maximum scores of Accident Proneness were 98.2 and 140.7, respectively. The maximum number of Near-miss incident rate were 408 and the minimum of that was 196. The maximum number of unsafe acts rate was 43.8 percent and the minimum of that was 27.2 percent. In nine dimensions of Safety climate the eighth dimension (personal perception of risk with the score of 4.07 has the lowest score and the fourth (laws and safety regulations dimension with 8.05 has the highest score. According to expert opinions, the most important indicator in the assessment of safety performance was unsafe acts rate, while near-miss incident rate was the least important one. Conclusion: The results of this survey reveal that using proactive (Prospective indicators could be an appropriate method in organizations safety performance evaluation.

  13. Performance indicators and indices of sludge management in urban wastewater treatment plants.

    Science.gov (United States)

    Silva, C; Saldanha Matos, J; Rosa, M J

    2016-12-15

    Sludge (or biosolids) management is highly complex and has a significant cost associated with the biosolids disposal, as well as with the energy and flocculant consumption in the sludge processing units. The sludge management performance indicators (PIs) and indices (PXs) are thus core measures of the performance assessment system developed for urban wastewater treatment plants (WWTPs). The key PIs proposed cover the sludge unit production and dry solids concentration (DS), disposal/beneficial use, quality compliance for agricultural use and costs, whereas the complementary PIs assess the plant reliability and the chemical reagents' use. A key PI was also developed for assessing the phosphorus reclamation, namely through the beneficial use of the biosolids and the reclaimed water in agriculture. The results of a field study with 17 Portuguese urban WWTPs in a 5-year period were used to derive the PI reference values which are neither inherent to the PI formulation nor literature-based. Clusters by sludge type (primary, activated, trickling filter and mixed sludge) and by digestion and dewatering processes were analysed and the reference values for sludge production and dry solids were proposed for two clusters: activated sludge or biofilter WWTPs with primary sedimentation, sludge anaerobic digestion and centrifuge dewatering; activated sludge WWTPs without primary sedimentation and anaerobic digestion and with centrifuge dewatering. The key PXs are computed for the DS after each processing unit and the complementary PXs for the energy consumption and the operating conditions DS-determining. The PX reference values are treatment specific and literature based. The PI and PX system was applied to a WWTP and the results demonstrate that it diagnosis the situation and indicates opportunities and measures for improving the WWTP performance in sludge management. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Clinical and radiographic indications for aortography in blunt chest trauma.

    Science.gov (United States)

    Kram, H B; Wohlmuth, D A; Appel, P L; Shoemaker, W C

    1987-08-01

    To determine which clinical and radiographic findings are valuable in selecting patients with blunt chest trauma for aortography, we analyzed the medical records and admission chest radiographs of 76 consecutive victims of blunt chest trauma with suspected thoracic aortic rupture during the past 7 years. All patients were evaluated by history, physical examination, chest radiography, and aortography; a total of 70 clinical and radiographic findings were independently assessed in each patient. The following occurred with significantly greater frequency in patients with thoracic aortic rupture than in those without: history of significant hypotension (mean arterial pressure less than 80 mm Hg) (p less than 0.04); the presence of upper extremity hypertension, bilateral lower extremity pulse pulse deficits, or an initial chest tube output greater than 750 ml of blood (p less than 0.05); and greater incidence of myocardial contusions, intra-abdominal injuries, and pelvic fractures compared with patients without thoracic aortic rupture (p less than 0.05). Mediastinal widening (equal to or greater than 8 cm) shown on anteroposterior chest radiography occurred in all patients with thoracic aortic rupture; however, its specificity was only 10.6%. Radiographic signs that were helpful in indicating the presence of thoracic aortic rupture included paratracheal stripe greater than 5 mm, rightward deviation of the nasogastric tube or central venous pressure line, blurring of the aortic knob, and an abnormal or absent paraspinous stripe. Upper rib fractures and mediastinal to thoracic cage width ratios at any level did not increase diagnostic accuracy for thoracic aortic rupture in the present series. Six patients in the series died, two of whom had thoracic aortic rupture.(ABSTRACT TRUNCATED AT 250 WORDS)

  15. Modeling Windows in Energy Plus with Simple Performance Indices

    Energy Technology Data Exchange (ETDEWEB)

    Arasteh, Dariush; Kohler, Christian; Griffith, Brent

    2009-10-12

    The building energy simulation program, Energy Plus (E+), cannot use standard window performance indices (U, SHGC, VT) to model window energy impacts. Rather, E+ uses more accurate methods which require a physical description of the window. E+ needs to be able to accept U and SHGC indices as window descriptors because, often, these are all that is known about a window and because building codes, standards, and voluntary programs are developed using these terms. This paper outlines a procedure, developed for E+, which will allow it to use standard window performance indices to model window energy impacts. In this 'Block' model, a given U, SHGC, VT are mapped to the properties of a fictitious 'layer' in E+. For thermal conductance calculations, the 'Block' functions as a single solid layer. For solar optical calculations, the model begins by defining a solar transmittance (Ts) at normal incidence based on the SHGC. For properties at non-normal incidence angles, the 'Block' takes on the angular properties of multiple glazing layers; the number and type of layers defined by the U and SHGC. While this procedure is specific to E+, parts of it may have applicability to other window/building simulation programs.

  16. Patentometrics As Performance Indicators for Allocating Research Funding to Universities

    DEFF Research Database (Denmark)

    Mortensen, Peter Stendahl

    This paper is part of a preliminary investigation of potential indicators on the performance of universities and other public research institutions to be used for allocating general and other research funding. The paper will describe and discuss potential patentometrics and how they can be used...... in different types of analyses and evaluations in general and relating to universities and other public research institutions. Further, the relevance and possibility of including some patentometrics in the allocation of research funding is discussed. Also, other metrics regarding academic linkages...

  17. Proposed system for measuring project performance using process-based key performance indicators

    NARCIS (Netherlands)

    Haponava, T.; Al-Jibouri, Saad H.S.

    2012-01-01

    Despite some evidence of its usefulness, performance measurement by using Key Performance Indicators (KPIs) in the construction industry also has its critics. Among the shortcomings attributed to existing KPIs is the fact that almost all of them are product oriented. This means that the indicators

  18. Decision making in the electricity sector using performance indicators

    Energy Technology Data Exchange (ETDEWEB)

    Domingues, Nuno [ISEL-ADESPA, Lisbon (Portugal); FCT-UNL, Caparica (Portugal); Neves-Silva, Rui; Melo, Joao Joanaz de [FCT-UNL, Caparica (Portugal)

    2017-02-15

    The studies on the electricity sector are usually focused on the supply side, considering consumers as price-takers, i.e. assuming no demand elasticity. The present paper highlights the role of consumers on the electricity sector, assuming that consumers react to electricity prices and make decisions. Many studies focused on the demand side disaggregate consumers by activities, leading to a highly complex analyse. In the present paper, consumers are divided by three main types. In the present paper, the Government makes decisions on the measures to implement to influence the production and the consumption. To study the impact of the Government decisions, the present paper studies and implements a tool: a decision support system. This tool is based on a conceptual model and assists the task of test and analyse the electricity sector using scenarios to obtain a set of performance indicators that would allow to make quantitative balance and to eliminate unfeasible measures. The performance indicators quantify the technical, environmental, social and economical aspects of the electricity sector and help to understand the effect of consumer practices, production technology and Government measures on the electricity sector. Based on the scenarios produced, it is possible to conclude that the price signal is important for consumers and it is a way to guide their behaviour. It is also possible to conclude that is preferable to apply incentives on supporting energy-efficiency measures implementation than on reduce the price of electricity sold to consumers. (orig.)

  19. Decision making in the electricity sector using performance indicators

    International Nuclear Information System (INIS)

    Domingues, Nuno; Neves-Silva, Rui; Melo, Joao Joanaz de

    2017-01-01

    The studies on the electricity sector are usually focused on the supply side, considering consumers as price-takers, i.e. assuming no demand elasticity. The present paper highlights the role of consumers on the electricity sector, assuming that consumers react to electricity prices and make decisions. Many studies focused on the demand side disaggregate consumers by activities, leading to a highly complex analyse. In the present paper, consumers are divided by three main types. In the present paper, the Government makes decisions on the measures to implement to influence the production and the consumption. To study the impact of the Government decisions, the present paper studies and implements a tool: a decision support system. This tool is based on a conceptual model and assists the task of test and analyse the electricity sector using scenarios to obtain a set of performance indicators that would allow to make quantitative balance and to eliminate unfeasible measures. The performance indicators quantify the technical, environmental, social and economical aspects of the electricity sector and help to understand the effect of consumer practices, production technology and Government measures on the electricity sector. Based on the scenarios produced, it is possible to conclude that the price signal is important for consumers and it is a way to guide their behaviour. It is also possible to conclude that is preferable to apply incentives on supporting energy-efficiency measures implementation than on reduce the price of electricity sold to consumers. (orig.)

  20. New Key Performance Indicators for a Smart Sustainable City

    Directory of Open Access Journals (Sweden)

    Minako Hara

    2016-03-01

    Full Text Available We propose key performance indicators (KPIs based on the Gross Social Feel-Good Index to evaluate a smart sustainable city and report the results of a field trial in a city located almost at the center of the Tokyo Metropolitan Area. We developed KPIs based on the following concepts: (1. The triple bottom line is the basic evaluation criteria; (2. The same unit is used for every evaluation criterion; (3. The KPIs can be used to assess a diverse range of smart sustainable cities with different goals. With the proposed KPIs of smart sustainable cities, indicators are divided into four layers for simplicity: the triple bottom line and “satisfaction” lie in the first layer. Since the notion of “society” is broad, it is further split into “safety”, “health”, and “comfort”, which are positioned in the second layer. The third layer includes indicators such as “information security” and “ubiquitous society” from the perspective of information communication technology (ICT. We conducted a trial evaluation by applying the proposed KPIs to individual ICT solutions of “Internet Protocol announcements”, “Wi-Fi around the station” and “information transmission and control” which have already been installed in a smart sustainable city.

  1. Linking clinical quality indicators to research evidence - a case study in asthma management for children.

    Science.gov (United States)

    Choong, Miew Keen; Tsafnat, Guy; Hibbert, Peter; Runciman, William B; Coiera, Enrico

    2017-07-21

    Clinical quality indicators are used to monitor the performance of healthcare services and should wherever possible be based on research evidence. Little is known however about the extent to which indicators in common use are based on research. The objective of this study is to measure the extent to which clinical quality indicators used in asthma management in children with outcome measurements can be linked to results in randomised controlled clinical trial (RCT) reports. This work is part of a broader research program to trial methods that improve the efficiency and accuracy of indicator development. National-level indicators for asthma management in children were extracted from the National Quality Measures Clearinghouse database and the National Institute for Health and Care Excellence quality standards by two independent appraisers. Outcome measures were extracted from all published English language RCT reports for asthma management in children below the age of 12 published between 2005 and 2014. The two sets were then linked by manually mapping both to a common set of Unified Medical Language System (UMLS) concepts. The analysis identified 39 indicators and 562 full text RCTs dealing with asthma management in children. About 95% (37/39) of the indicators could be linked to RCT outcome measures. It is possible to identify relevant RCT reports for the majority of indicators used to assess the quality of asthma management in childhood. The methods reported here could be automated to more generally support assessment of candidate indicators against the research evidence.

  2. Using templates and linguistic patterns to define process performance indicators

    Science.gov (United States)

    del-Río-Ortega, Adela; Resinas, Manuel; Durán, Amador; Ruiz-Cortés, Antonio

    2016-02-01

    Process performance management (PPM) aims at measuring, monitoring and analysing the performance of business processes (BPs), in order to check the achievement of strategic and operational goals and to support decision-making for their optimisation. PPM is based on process performance indicators (PPIs), so having an appropriate definition of them is crucial. One of the main problems of PPIs definition is to express them in an unambiguous, complete, understandable, traceable and verifiable manner. In practice, PPIs are defined informally - usually in ad hoc, natural language, with its well-known problems - or they are defined from an implementation perspective, hardly understandable to non-technical people. In order to solve this problem, in this article we propose a novel approach to improve the definition of PPIs using templates and linguistic patterns. This approach promotes reuse, reduces both ambiguities and missing information, is understandable to all stakeholders and maintains traceability with the process model. Furthermore, it enables the automated processing of PPI definitions by its straightforward translation into the PPINOT metamodel, allowing the gathering of the required information for their computation as well as the analysis of the relationships between them and with BP elements.

  3. Myers-Briggs Type Indicator and dental school performance.

    Science.gov (United States)

    Jones, A C; Courts, F J; Sandow, P L; Watson, R E

    1997-12-01

    The Myers-Briggs Type Indicator (MBTI) was administered to 256 dental students, representing four classes, at the University of Florida College of Dentistry. The results of this psychological instrument were then correlated with overall dental school performance based on results from the National Dental Board Examinations Part I and II (NB-I, NB-II), yearly class rank, and specific academic difficulties as measured by the Student Performance Evaluation Committee. Introverted students were found to display a significantly increased performance on NB-I (p = .038) and NB-II (p = .044). They were also found, however, to demonstrate a progressively lower class rank over the four-year period than extroverted students and were more likely to experience major academic difficulties as well. Judging and sensing individuals were found to earn a higher class rank over the four-year period than perceiving and intuitive students, respectively. Perceiving students were found to exhibit major difficulties or were placed on probation more often than judging individuals. These results may prove useful in counseling students to recognize potential problems before they commence their dental education or to anticipate and address specific weaknesses during the course of their education.

  4. British Military surgical key performance indicators: time for an update?

    Science.gov (United States)

    Marsden, Max Er; Sharrock, A E; Hansen, C L; Newton, N J; Bowley, D M; Midwinter, M

    2016-10-01

    Key performance indicators (KPIs) are metrics that compare actual care against an ideal structure, process or outcome standard. KPIs designed to assess performance in deployed military surgical facilities have previously been published. This study aimed to review the overall performance of surgical trauma care for casualties treated at Role 3 Camp Bastion, Medical Treatment Facility, Afghanistan, in light of the existing Defence Medical Services (DMS) KPIs. The secondary aims were to assess the utility of the surgical KPIs and make recommendations for future surgical trauma care review. Data on 22 surgical parameters were prospectively collected for 150 injured patients who had primary surgery at Camp Bastion between 1 May 2013 and 20 August 2013. Additional information for these patients was obtained using the Joint Theatre Trauma Register. The authors assessed data recording, applicability and compliance with the KPIs. Median data recording was 100% (IQR 98%-100%), median applicability was 56% (IQR 10%-99%) and median compliance was 78% (IQR 58%-93%). One KPI was not applicable to any patient in our population. Eleven KPIs achieved >80% compliance, five KPIs had 80%-60% compliance and five KPIs had performance of the surgical aspect of military trauma care in 2013. The KPIs highlight areas for improvement in service delivery. Individual KPI development should be driven by evidence and reflect advances in practice and knowledge. A method of stakeholder consultation, and sequential refinement following evidence review, may be the right process to develop the future set of DMS KPIs. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  5. Indicators of suboptimal performance embedded in the Wechsler Memory Scale-Fourth Edition (WMS-IV)

    NARCIS (Netherlands)

    Bouman, Z.; Hendriks, M.P.H.; Schmand, B.A.; Kessels, R.P.C.; Aldenkamp, A.P.

    2016-01-01

    INTRODUCTION: Recognition and visual working memory tasks from the Wechsler Memory Scale-Fourth Edition (WMS-IV) have previously been documented as useful indicators for suboptimal performance. The present study examined the clinical utility of the Dutch version of the WMS-IV (WMS-IV-NL) for the

  6. Indicators of suboptimal performance embedded in the Wechsler Memory Scale : Fourth Edition (WMS-IV)

    NARCIS (Netherlands)

    Bouman, Z.; Hendriks, M.P.H.; Schmand, B.A.; Kessels, R.P.C.; Aldenkamp, A.P.

    2016-01-01

    INTRODUCTION: Recognition and visual working memory tasks from the Wechsler Memory Scale-Fourth Edition (WMS-IV) have previously been documented as useful indicators for suboptimal performance. The present study examined the clinical utility of the Dutch version of the WMS-IV (WMS-IV-NL) for the

  7. Indicators of suboptimal performance embedded in the Wechsler Memory Scale-Fourth Edition (WMS-IV)

    NARCIS (Netherlands)

    Bouman, Z.; Hendriks, M.P.H.; Schmand, B.A.; Kessels, R.P.C.; Aldenkamp, A.P.

    2016-01-01

    Introduction. Recognition and visual working memory tasks from the Wechsler Memory Scale-Fourth Edition (WMS-IV) have previously been documented as useful indicators for suboptimal performance. The present study examined the clinical utility of the Dutch version of the WMS-IV (WMS-IV-NL) for the

  8. Indicators of suboptimal performance embedded in the Wechsler Memory Scale-Fourth Edition (WMS-IV)

    NARCIS (Netherlands)

    Bouman, Zita; Hendriks, Marc P. H.; Schmand, Ben A.; Kessels, Roy P. C.; Aldenkamp, Albert P.

    2016-01-01

    Recognition and visual working memory tasks from the Wechsler Memory Scale-Fourth Edition (WMS-IV) have previously been documented as useful indicators for suboptimal performance. The present study examined the clinical utility of the Dutch version of the WMS-IV (WMS-IV-NL) for the identification of

  9. Co-evolving prisoner's dilemma: Performance indicators and analytic approaches

    Science.gov (United States)

    Zhang, W.; Choi, C. W.; Li, Y. S.; Xu, C.; Hui, P. M.

    2017-02-01

    Understanding the intrinsic relation between the dynamical processes in a co-evolving network and the necessary ingredients in formulating a reliable theory is an important question and a challenging task. Using two slightly different definitions of performance indicator in the context of a co-evolving prisoner's dilemma game, it is shown that very different cooperative levels result and theories of different complexity are required to understand the key features. When the payoff per opponent is used as the indicator (Case A), non-cooperative strategy has an edge and dominates in a large part of the parameter space formed by the cutting-and-rewiring probability and the strategy imitation probability. When the payoff from all opponents is used (Case B), cooperative strategy has an edge and dominates the parameter space. Two distinct phases, one homogeneous and dynamical and another inhomogeneous and static, emerge and the phase boundary in the parameter space is studied in detail. A simple theory assuming an average competing environment for cooperative agents and another for non-cooperative agents is shown to perform well in Case A. The same theory, however, fails badly for Case B. It is necessary to include more spatial correlation into a theory for Case B. We show that the local configuration approximation, which takes into account of the different competing environments for agents with different strategies and degrees, is needed to give reliable results for Case B. The results illustrate that formulating a proper theory requires both a conceptual understanding of the effects of the adaptive processes in the problem and a delicate balance between simplicity and accuracy.

  10. A study on the establishment of a performance-based regulation and performance indicators

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Mee Jeong; Kim, Kil Yoo; Yang, Joon Eon; Ha, Jae Joo [Korea Atomic Energy Research Institute, Taejeon (Korea)

    2002-03-01

    The objectives of this project are to study the systematic method to adopt the performance-Based Regulation in effective, and to develop the performance indicators considering the situations in Korea. In this project, we will provide the option of how to adopt the PBR and the performance indicators and to consider our situations based on the results of the studies in foreign countries. The result of this study leads to the conclusion that we need some time to prepare the basic circumstances to adopt the PBR for a few years. The most urgent action to take PBR in Korea will be supplemental PSA modeling, performance indicator development and data collection system construction. We think that the safety performance indicators proposed by KINS can be used. Also, the additional indicators will be required and the improvement is needed in some part. We proposed that the plant specific indicators such as safety system availability should be added. The following table shows the proposed performance indicators. 23 refs., 4 figs., 8 tabs. (Author)

  11. Clinical and postextraction evaluation of periodontal disease indicators

    OpenAIRE

    Rajashri Kolte; Abhay Kolte; Pooja Wattamwar

    2016-01-01

    Background: Clinical attachment level is the most frequently used and acceptable parameter in monitoring periodontal status in diseased individual and denotes patterns of periodontal destruction. Awareness of root morphology and the condition of the periodontal tissues is essential for reliable periodontal pocket probing and for effective debridement of root surfaces. Clinically, it is challenging to observe exact nature of complex periodontal attachment loss. The aim of the present study was...

  12. Use of key performance indicators in histological dissection.

    Science.gov (United States)

    Griffiths, Matthew; Gillibrand, Rachel

    2017-12-01

    Reports into standards in the National Health Service and quality in pathology have focused on the way we work in pathology and how to provide assurance that this is of a high standard. There are a number of external quality assurance schemes covering pathology and histopathology specifically; however, there is no scheme covering the process of histological surgical dissection. This is an area undergoing development, emerging from the sole preserve of medically qualified pathologists to a field populated by a number of highly trained biomedical scientists, but remains without any formal quality assurance. This work builds on Barnes, taking the guidance of the Royal College of Pathologists (RCPath)and Institute of Biomedical Science (IBMS)to form a series of key performance indicators relating to dissection. These were developed for use as an indicator of individual practice, highlighting areas of variation, weakness or strength. Once identified, a feedback event provided opportunities to address these errors and omissions, or to enable areas of strength to be shared. The data obtained from the checklists demonstrate a large variation in practice at the outset of this study. The use of the checklists alone served to reduce this variation in practice, the addition of the training event showed further reduction in variation. The combination of these two tools was an effective method for enhancing standardisation of practice. The results of this work show that training events serve to reduce variation in practice by, and between, dissectors, driving up standards in dissection-directly addressing the needs of the modern pathology service. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  13. Road safety performance indicators for the interurban road network.

    Science.gov (United States)

    Yannis, George; Weijermars, Wendy; Gitelman, Victoria; Vis, Martijn; Chaziris, Antonis; Papadimitriou, Eleonora; Azevedo, Carlos Lima

    2013-11-01

    Various road safety performance indicators (SPIs) have been proposed for different road safety research areas, mainly as regards driver behaviour (e.g. seat belt use, alcohol, drugs, etc.) and vehicles (e.g. passive safety); however, no SPIs for the road network and design have been developed. The objective of this research is the development of an SPI for the road network, to be used as a benchmark for cross-region comparisons. The developed SPI essentially makes a comparison of the existing road network to the theoretically required one, defined as one which meets some minimum requirements with respect to road safety. This paper presents a theoretical concept for the determination of this SPI as well as a translation of this theory into a practical method. Also, the method is applied in a number of pilot countries namely the Netherlands, Portugal, Greece and Israel. The results show that the SPI could be efficiently calculated in all countries, despite some differences in the data sources. In general, the calculated overall SPI scores were realistic and ranged from 81 to 94%, with the exception of Greece where the SPI was relatively lower (67%). However, the SPI should be considered as a first attempt to determine the safety level of the road network. The proposed method has some limitations and could be further improved. The paper presents directions for further research to further develop the SPI. Copyright © 2012 Elsevier Ltd. All rights reserved.

  14. The performance indicators of model projects. A special evaluation

    International Nuclear Information System (INIS)

    1995-11-01

    As a result of the acknowledgment of the key role of the Model Project concept in the Agency's Technical Co-operation Programme, the present review of the objectives of the model projects which are now in operation, was undertaken, as recommended by the Board of Governors, to determine at an early stage: the extent to which the present objectives have been defined in a measurable way; whether objectively verifiable performance indicators and success criteria had been identified for each project; whether mechanisms to obtain feedback on the achievements had been foreseen. The overall budget for the 23 model projects, as approved from 1994 to 1998, amounts to $32,557,560, of which 45% is funded by Technical Co-operation Fund. This represents an average investment of about $8 million per year, that is over 15% of the annual TC budget. The conceptual importance of the Model Project initiative, as well as the significant funds allocated to them, led the Secretariat to plan the methods to be used to determine their socio-economic impact. 1 tab

  15. Performance indicators related to women’s health

    Directory of Open Access Journals (Sweden)

    Kaimi Pereira Costa

    2009-06-01

    Full Text Available The aim of this study was to determine performance indicators related to women’s health. Data were collected from 457 women living in the State of Parana, Brazil, classified according to age: 20-29 years (N=158, 30-39 years (N=171 and 40-49 years (N=128. The following variables were analyzed: height (m, body weight (kg, BMI, waist-hip ratio, abdominal strength (repetitions, flexibility (cm, and right and left hand grip strength (kgf. Descriptive statistics, one-factor ANOVA and the Tukey post-hoc test were used for statistical analysis (p ≤ 0.05. The results showed a significant difference (p ≤ 0.05 in all categories of the variables analyzed, except for right hand grip strength (good and excellent at age 30-39 years and left hand grip strength at age 40-49 years. There was a higher incidence of inadequate BMI and waist-hip ratio and low abdominal strength among women aged 40-49 years. Low flexibility was more frequent in the 20-29 year group. The differences in right and left hand grip strength between age groups were small.

  16. The Consistency of Performance Management System Based on Attributes of the Performance Indicator: An Empirical Study

    Directory of Open Access Journals (Sweden)

    Jan Zavadsky

    2014-07-01

    Full Text Available Purpose: The performance management system (PMS is a metasystem over all business processes at the strategic and operational level. Effectiveness of the various management systems depends on many factors. One of them is the consistent definition of each system elements. The main purpose of this study is to explore if the performance management systems of the sample companies is consistent and how companies can create such a system. The consistency in this case is based on the homogenous definition of attributes relating to the performance indicator as a basic element of PMS.Methodology: At the beginning, we used an affinity diagram that helped us to clarify and to group various attributes of performance indicators. The main research results we achieved are through empirical study. The empirical study was carried out in a sample of Slovak companies. The criterion for selection was the existence of the certified management systems according to the ISO 9001. Representativeness of the sample companies was confirmed by application of Pearson´s chi-squared test (χ2 - test due to above standards. Findings: Coming from the review of various literature, we defined four groups of attributes relating to the performance indicator: formal attributes, attributes of target value, informational attributes and attributes of evaluation. The whole set contains 21 attributes. The consistency of PMS is based not on maximum or minimum number of attributes, but on the same type of attributes for each performance indicator used in PMS at both the operational and strategic level. The main findings are: companies use various financial and non-financial indicators at strategic or operational level; companies determine various attributes of performance indicator, but most of the performance indicators are otherwise determined; we identified the common attributes for the whole sample of companies. Practical implications: The research results have got an implication for

  17. Army flight medic performance of paramedic level procedures: indicated vs. performed.

    Science.gov (United States)

    Bier, Scott A; Hermstad, Erik; Trollman, Christopher; Holt, Melinda

    2013-05-01

    There is great disparity in the education, experience, and staffing requirements for civilian and Army aeromedical transports (AMT). This study sought to determine if medical skills beyond the standard training for Army flight medics were indicated and being performed on Army AMT missions. As a secondary measure, the percentage of indicated interventions performed by basic Emergency Medical Technician (EMT-B) and paramedic (EMT-P) flight medics were compared. This was a retrospective review of Army AMT charts including patients transported by an EMT-B-staffed unit in Iraq and an EMT-P-staffed unit in Afghanistan from July 2008 to June 2009. Charts were reviewed independently by two Emergency Medicine board-certified Army flight surgeons. Of 984 interventions found to be indicated on the 406 charts that met inclusion criteria, 36% were rated as EMT-P level. Seventeen percent were indicated but not performed. EMT-Bs failed to perform indicated procedures 35% of the time vs. 3% in the EMT-P group (p Army flight medic training being required for Army AMT missions. It seems that when advance interventions are indicated, those trained to the EMT-P level perform them significantly more often than those trained to Army standard. Based on the findings of this study, the authors suggest the Army consider adopting the standards required for civilian AMT. Published by Elsevier Inc.

  18. Dashboard report on performance on select quality indicators to cancer care providers.

    Science.gov (United States)

    Stattin, Pär; Sandin, Fredrik; Sandbäck, Torsten; Damber, Jan-Erik; Franck Lissbrant, Ingela; Robinson, David; Bratt, Ola; Lambe, Mats

    2016-01-01

    Cancer quality registers are attracting increasing attention as important, but still underutilized sources of clinical data. To optimize the use of registers in quality assurance and improvement, data have to be rapidly collected, collated and presented as actionable, at-a-glance information to the reporting departments. This article presents a dashboard performance report on select quality indicators to cancer care providers. Ten quality indicators registered on an individual patient level in the National Prostate Cancer Register of Sweden and recommended by the National Prostate Cancer Guidelines were selected. Data reported to the National Prostate Cancer Register are uploaded within 24 h to the Information Network for Cancer Care platform. Launched in 2014, "What''s Going On, Prostate Cancer" provides rapid, at-a-glance performance feedback to care providers. The indicators include time to report to the National Prostate Cancer Register, waiting times, designated clinical nurse specialist, multidisciplinary conference, adherence to guidelines for diagnostic work-up and treatment, and documentation and outcome of treatment. For each indicator, three performance levels were defined. What's Going On, a dashboard performance report on 10 selected quality indicators to cancer care providers, provides an example of how data in cancer quality registers can be transformed into condensed, at-a-glance information to be used as actionable metrics for quality assurance and improvement.

  19. Setting Organizational Key Performance Indicators in the Precision Machine Industry

    Directory of Open Access Journals (Sweden)

    Mei-Hsiu Hong

    2015-11-01

    Full Text Available The aim of this research is to define (or set organizational key performance indicators (KPIs in the precision machine industry using the concept of core competence and the supply chain operations reference (SCOR model. The research is conducted in three steps. In the first step, a benchmarking study is conducted to collect major items of core competence and to group them into main categories in order to form a foundation for the research. In the second step, a case company questionnaire and interviews are conducted to identify the key factors of core competence in the precision machine industry. The analysis is conducted based on four dimensions and hence several analysis rounds are completed. Questionnaire data is analyzed with grey relational analysis (GRA and resulted in 5–6 key factors in each dimension or sub-dimension. Based on the conducted interviews, 13 of these identified key factors are separated into one organization objective, five key factors of core competence and seven key factors of core ability. In the final step, organizational KPIs are defined (or set for the five identified key factors of core competence. The most competitive core abilities for each of the five key factors are established. After that, organizational KPIs are set based on the core abilities within 3 main categories of KPIs (departmental, office grade and hierarchal for each key factor. The developed KPI system based on organizational objectives, core competences, and core abilities allow enterprises to handle dynamic market demand and business environments, as well as changes in overall corporate objectives.

  20. Key performance indicators to benchmark hospital information systems - a delphi study.

    Science.gov (United States)

    Hübner-Bloder, G; Ammenwerth, E

    2009-01-01

    To identify the key performance indicators for hospital information systems (HIS) that can be used for HIS benchmarking. A Delphi survey with one qualitative and two quantitative rounds. Forty-four HIS experts from health care IT practice and academia participated in all three rounds. Seventy-seven performance indicators were identified and organized into eight categories: technical quality, software quality, architecture and interface quality, IT vendor quality, IT support and IT department quality, workflow support quality, IT outcome quality, and IT costs. The highest ranked indicators are related to clinical workflow support and user satisfaction. Isolated technical indicators or cost indicators were not seen as useful. The experts favored an interdisciplinary group of all the stakeholders, led by hospital management, to conduct the HIS benchmarking. They proposed benchmarking activities both in regular (annual) intervals as well as at defined events (for example after IT introduction). Most of the experts stated that in their institutions no HIS benchmarking activities are being performed at the moment. In the context of IT governance, IT benchmarking is gaining importance in the healthcare area. The found indicators reflect the view of health care IT professionals and researchers. Research is needed to further validate and operationalize key performance indicators, to provide an IT benchmarking framework, and to provide open repositories for a comparison of the HIS benchmarks of different hospitals.

  1. A Map for Clinical Laboratories Management Indicators in the Intelligent Dashboard.

    Science.gov (United States)

    Azadmanjir, Zahra; Torabi, Mashallah; Safdari, Reza; Bayat, Maryam; Golmahi, Fatemeh

    2015-08-01

    management challenges of clinical laboratories are more complicated for educational hospital clinical laboratories. Managers can use tools of business intelligence (BI), such as information dashboards that provide the possibility of intelligent decision-making and problem solving about increasing income, reducing spending, utilization management and even improving quality. Critical phase of dashboard design is setting indicators and modeling causal relations between them. The paper describes the process of creating a map for laboratory dashboard. the study is one part of an action research that begins from 2012 by innovation initiative for implementing laboratory intelligent dashboard. Laboratories management problems were determined in educational hospitals by the brainstorming sessions. Then, with regard to the problems key performance indicators (KPIs) specified. the map of indicators designed in form of three layered. They have a causal relationship so that issues measured in the subsequent layers affect issues measured in the prime layers. the proposed indicator map can be the base of performance monitoring. However, these indicators can be modified to improve during iterations of dashboard designing process.

  2. Applying sport psychology to improve clinical performance.

    Science.gov (United States)

    Church, Helen R; Rumbold, James L; Sandars, John

    2017-12-01

    Preparedness for practice has become an international theme within Medical Education: for healthcare systems to maintain their highest clinical standards, junior doctors must "hit the ground running" on beginning work. Despite demonstrating logical, structured assessment and management plans during their undergraduate examinations, many newly qualified doctors report difficulty in translating this theoretical knowledge into the real clinical environment. "Preparedness" must constitute more than the knowledge and skills acquired during medical school. Complexities of the clinical environment overwhelm some junior doctors, who acknowledge that they lack strategies to manage their anxieties, under-confidence and low self-efficacy. If uncontrolled, such negative emotions and behaviors may impede the delivery of time-critical treatment for acutely unwell patients and compound junior doctors' self-doubt, thus impacting future patient encounters. Medical Education often seeks inspiration from other industries for potential solutions to challenges. To address "preparedness for practice," this AMEE Guide highlights sport psychology: elite sportspeople train both physically and psychologically for their discipline. The latter promotes management of negative emotions, distractions and under-confidence, thus optimizing performance despite immense pressures of career-defining moments. Similar techniques might allow junior doctors to optimize patient care, especially within stressful situations. This AMEE Guide introduces the novel conceptual model, PERFORM, which targets the challenges faced by junior doctors on graduation. The model applies pre-performance routines from sport psychology with the self-regulatory processes of metacognition to the clinical context. This model could potentially equip junior doctors, and other healthcare professionals facing similar challenges, with strategies to optimize clinical care under the most difficult circumstances.

  3. Process-related key performance indicators for measuring sustainability performance of ecodesign implementation into product development

    DEFF Research Database (Denmark)

    Rodrigues, Vinicius Picanco; Pigosso, Daniela Cristina Antelmi; McAloone, Tim C.

    2016-01-01

    Developing products with improved environmental performance is regarded as a crucial component of companies' commitment towards sustainable development. The potential benefits derived from ecodesign are constantly highlighted in the literature, and go beyond the pure environmental dimension......-step systematic literature review, followed by systematization of indicators and a critical analysis. A total of 787 indicators were identified and classified according to the sustainability dimensions, product development phases and units of measurement. The results point to a relevant asymmetry in the number...... of indicators proposed for each sustainability dimension, with large dominance of economic indicators. A critical analysis is presented and discussed in terms of the main organizational functions addressed, emphasizing a potential growth trend towards multi-dimensional indicators in recent years. The paper...

  4. [Clinical characteristics and indicators of care of dialysis patients].

    Science.gov (United States)

    Kolko, A; Hannedouche, T; Couchoud, C

    2013-09-01

    This chapter provides a set of indicators on patients treated by dialysis at December the 31th 2011. Even if ESRD is found in all classes of age, elders account for the great majority of the patients undergoing dialysis (median age: 70.4 years). These patients present a high rate of comorbidity especially diabetes (37% of patients) and cardiovascular comorbidities (59% of patients) that increases with the patient's age. Considering indicators of care, the main dialysis technique was hemodialysis (93.3% of patients). Even if an important inter-region variability remains considering the choices of treatment, more than 50% of the patients are undergoing hemodialysis in a hospital-based in-center unit, and we noticed an increase in hemodialysis in a medical satellite unit with time whereas the rate of self-care hemodialysis decreases. The rate of peritoneal dialysis remains stable. When comparing guidelines to real-life treatments, 77.5% of patients receive adequate dose of treatment (12H/week, KT/V>1.2), the rate of patients with a hemoglobin blood-level lower than 10 g/dl and without erythropoietin treatment is 1.3%, which confirmed a good management of anemia. On the contrary, 34% of patients have a BMI lower than 23 kg/m(2) and only 23% have an albumin blood-level over 40 g/l, which underlines that nutritional management of ESRD patients can be improved. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  5. Relative performance of three stream bed stability indices as indicators of stream health.

    Science.gov (United States)

    Kusnierz, Paul C; Holbrook, Christopher M

    2017-10-16

    Bed stability is an important stream habitat attribute because it affects geomorphology and biotic communities. Natural resource managers desire indices of bed stability that can be used under a wide range of geomorphic conditions, are biologically meaningful, and are easily incorporated into sampling protocols. To eliminate potential bias due to presence of instream wood and increase precision of stability values, we modified a stream bed instability index (ISI) to include measurements of bankfull depth (d bf ) and median particle diameter (D 50 ) only in riffles and increased the pebble count to decrease variability (i.e., increase precision) in D 50 . The new riffle-based instability index (RISI) was compared to two established indices: ISI and the riffle stability index (RSI). RISI and ISI were strongly associated with each other but neither was closely associated with RSI. RISI and ISI were closely associated with both a diatom- and two macrovertebrate-based stream health indices, but RSI was only weakly associated with the macroinvertebrate indices. Unexpectedly, precision of D 50 did not differ between RISI and ISI. Results suggest that RISI is a viable alternative to both ISI and RSI for evaluating bed stability in multiple stream types. With few data requirements and a simple protocol, RISI may also better conform to riffle-based sampling methods used by some water quality practitioners.

  6. Performance Indicators: Sickness and Absence Rates as Indicators of Staff Morale.

    Science.gov (United States)

    Parker, Sandra

    Employee absenteeism is a problem faced by all library and information service managers as it erodes both salary budgets and productivity. It can have an undermining effect on staff morale, and may be an indicator of low staff motivation levels. There are two types of absence, unavoidable and avoidable, which can be measured using lost time and…

  7. Quality indicators and specifications for key processes in clinical laboratories: a preliminary experience.

    Science.gov (United States)

    Kirchner, Maria Jesus Alsina; Funes, Virtudes Alvarez; Adzet, Carme Biosca; Clar, Maria Vicenta Doménech; Escuer, Mercè Ibarz; Girona, Joana Minchinela; Barellas, Rosa Maria Pastor; Alsina, Carmen Perich; Aguilá, Carmen Ricós; Isern, Gloria Trujillo; Navarro, Conrad Vilanova

    2007-01-01

    The aim of this study was to identify process indicators for the three phases of laboratory activity and their corresponding quality specifications in our setting (primary care centers, and second- and third-level hospitals that provide public healthcare services in Catalonia). Every 2 months, working group members met to present data obtained for quality indicators for the current processes in their laboratories. The results collected were for indicators recorded monthly from 2005 and for indicators recorded less frequently from 2004. The medians of the results obtained in all laboratories were calculated and the values obtained were established as the current specifications for the corresponding indicators. The laboratories participating in this working group use 12 indicators for the key processes (three for preanalytical steps, four for analytical steps and five for postanalytical steps). The preanalytical indicators are erroneous request, erroneous sample, and samples not taken, with specifications of 4.1%, 5.0% and 1.7%, respectively. A new indicator for the analytical step is the percentage of external controls exceeding the specification (0.8%); specifications for the other three well-recognized indicators (imprecision, bias and total error) are not the subject of this study. For the postanalytical phase, the indicators (and specifications) include duplicate hard copies of reports sent to centers or clinical units (1.6%), failure in critical value reporting (0.5%), reports exceeding delivery time (0.7%), reports from referred tests that exceed delivery time (8.9%), and incidents related to the data processing network between centers (25 events per year). The process indicators reflect the state-of-the-art of the laboratories comprising our working group. Current performance for the analytical phase is satisfactory because it is entirely in the hands of the laboratory, while the main problems in extra-analytical phases reside in activities performed outside

  8. Examining financial performance indicators for acute care hospitals.

    Science.gov (United States)

    Burkhardt, Jeffrey H; Wheeler, John R C

    2013-01-01

    Measuring financial performance in acute care hospitals is a challenge for those who work daily with financial information. Because of the many ways to measure financial performance, financial managers and researchers must decide which measures are most appropriate. The difficulty is compounded for the non-finance person. The purpose of this article is to clarify key financial concepts and describe the most common measures of financial performance so that researchers and managers alike may understand what is being measured by various financial ratios.

  9. Stakeholder driven indicators for eHealth performance management.

    Science.gov (United States)

    Vedlūga, Tomas; Mikulskienė, Birutė

    2017-08-01

    The goal of the present article is to compile a corpus of indicators of eHealth development evaluation that would essentially reflect stakeholder approaches and complement technical indicators of assessment of an eHealth system. Consequently, the assessment of the development of an eHealth system would reflect stakeholder approaches and become an innovative solution in attempting to improve productivity of IT projects in the field of health care. The compiled minimum set of indicators will be designed to monitor implementation of the national eHealth information system. To ensure reliability of the quality research, the respondents were grouped in accordance to the geographical distribution and diversity of the levels and types of the represented jobs and institutions. The applied analysis implies several managerial insights on the hierarchy of eHealth indicators. These insights may be helpful in recommending priority activities in implementation of an eHealth data system on the national or international level. The research is practically useful as it is the first to deal with the topic in Lithuania and its theoretical and practical aspect are particularly relevant in implementation of an eHealth data system in Lithuania. The eHealth assessment indicators presented in the article may be practically useful in two aspects: (1) as key implementation guidelines facilitating the general course of eHealth system development and (2) as a means to evaluate eHealth outcomes. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Clinical Strategies for Sampling Word Recognition Performance.

    Science.gov (United States)

    Schlauch, Robert S; Carney, Edward

    2018-03-09

    Computer simulation was used to estimate the statistical properties of searches for maximum word recognition ability (PB max). These involve presenting multiple lists and discarding all scores but that of the 1 list that produced the highest score. The simulations, which model limitations inherent in the precision of word recognition scores, were done to inform clinical protocols. A secondary consideration was a derivation of 95% confidence intervals for significant changes in score from phonemic scoring of a 50-word list. The PB max simulations were conducted on a "client" with flat performance intensity functions. The client's performance was assumed to be 60% initially and 40% for a second assessment. Thousands of estimates were obtained to examine the precision of (a) single lists and (b) multiple lists using a PB max procedure. This method permitted summarizing the precision for assessing a 20% drop in performance. A single 25-word list could identify only 58.4% of the cases in which performance fell from 60% to 40%. A single 125-word list identified 99.8% of the declines correctly. Presenting 3 or 5 lists to find PB max produced an undesirable finding: an increase in the word recognition score. A 25-word list produces unacceptably low precision for making clinical decisions. This finding holds in both single and multiple 25-word lists, as in a search for PB max. A table is provided, giving estimates of 95% critical ranges for successive presentations of a 50-word list analyzed by the number of phonemes correctly identified.

  11. Determining key performance indicators for warehouse performance measurement – a case study in construction materials warehouse

    Directory of Open Access Journals (Sweden)

    Kusrini Elisa

    2018-01-01

    Full Text Available Warehouse performance measurement is needed to improve performance of logistics system. In order to improve warehouse performance, it is necessary to identify Key Performance Indicator (KPI. Different warehouses have different KPI, therefore this research aims to identify the most important KPI of warehouse so that warehouse manager can determine corrective actions in their warehouse efficiently and effectively. In this research, 25 KPI of warehouse are identified in five warehouse activities based on Frazelle model. The most important KPI are then determined in each warehouse activity using Analytical Hierarchy Process (AHP. Warehouse performance are measured and final score is determined using SNORM. Improvement steps are proposed base on benchmarking among warehouses. Warehouse performance measurement is conducted in 5 construction’s material warehouses located in Yogyakarta, Indonesia. From this study, it is found that most important KPI for receiving is productivity (receive per man-hour, KPI for put away is cycle time (put away cycle time, KPI for storage is utilization (% location and cube occupied, KPI for order picking is cycle time (order picking cycle time and KPI for shipping is productivity (order prepared for shipment per man-hour. Improving warehouse performance could be done by comparing warehouse performance with the best performance among peer group.

  12. Identifying key performance indicators for nursing and midwifery care using a consensus approach.

    Science.gov (United States)

    McCance, Tanya; Telford, Lorna; Wilson, Julie; Macleod, Olive; Dowd, Audrey

    2012-04-01

    The aim of this study was to gain consensus on key performance indicators that are appropriate and relevant for nursing and midwifery practice in the current policy context. There is continuing demand to demonstrate effectiveness and efficiency in health and social care and to communicate this at boardroom level. Whilst there is substantial literature on the use of clinical indicators and nursing metrics, there is less evidence relating to indicators that reflect the patient experience. A consensus approach was used to identify relevant key performance indicators. A nominal group technique was used comprising two stages: a workshop involving all grades of nursing and midwifery staff in two HSC trusts in Northern Ireland (n = 50); followed by a regional Consensus Conference (n = 80). During the workshop, potential key performance indicators were identified. This was used as the basis for the Consensus Conference, which involved two rounds of consensus. Analysis was based on aggregated scores that were then ranked. Stage one identified 38 potential indicators and stage two prioritised the eight top-ranked indicators as a core set for nursing and midwifery. The relevance and appropriateness of these indicators were confirmed with nurses and midwives working in a range of settings and from the perspective of service users. The eight indicators identified do not conform to the majority of other nursing metrics generally reported in the literature. Furthermore, they are strategically aligned to work on the patient experience and are reflective of the fundamentals of nursing and midwifery practice, with the focus on person-centred care. Nurses and midwives have a significant contribution to make in determining the extent to which these indicators are achieved in practice. Furthermore, measurement of such indicators provides an opportunity to evidence of the unique impact of nursing/midwifery care on the patient experience. © 2011 Blackwell Publishing Ltd.

  13. Performance Indicators to Support Evaluation of Road Investments

    Directory of Open Access Journals (Sweden)

    Kati Kõrbe Kaare

    2013-01-01

    Full Text Available Transportation planning recognizes the critical links between mobility and other goals of society. Strategies supporting infrastructure investments lead to substantial public interest because they relate to public expenditures. Decision processes related to transport projects involve considerations on environmental, economic, technical and safety issues, and are characterized by many actors and multiple objectives in feasibility studies. This paper compares performance measurement approach in road management and compares them with current practice in Estonia emphasizing the importance of feedback from previous projects. The need to compare predicted inputs, outputs, costs and benefits with actual performance is brought up. Lifecycle approach performance measures are presented that allow government and transportation agencies to consider road construction and rehabilitation strategies more effectively

  14. Performance indicators and decision making for outsourcing public health laboratory services.

    Science.gov (United States)

    Santos, Maria Angelica Borges dos; Moraes, Ricardo Montes de; Passos, Sonia Regina Lambert

    2012-06-01

    To develop performance indicators for outsourcing clinical laboratory services, based on information systems and public administrative records. In the municipality of Rio de Janeiro, Southern Brazil, the public health laboratory network comprised 33 laboratories with automated equipment (but no integrated information system), 90 primary care units (where sample collection was performed) and 983 employees. Information records were obtained from the administrative records of the Budget Information System for Public Health and the Outpatient and Hospital Information System of the Unified Health System. Performance indicators (production, productivity, usage and costs) were generated from data collected routinely from 2006 to 2008. The variations in production, costs and unit prices for tests were analyzed by Laspeyres and Paasche indices, which specifically measure laboratory activity, and by the Consumer Price Index from the Brazilian Institute of Geography and Statistics. A total of 10,359,111 tests were performed in 2008 (10.6% increase over 2006), and the test/employee ratio grew by 8.6%. The costs of supplies, wages and providers increased by 2.3%, 45.4% and 18.3%, respectively. The laboratory tests per visit and hospitalizations increased by 10% and 20%, respectively. The direct costs totaled R$ 63.2 million in 2008, representing an increase of 22.2% in current values during the period analyzed. The direct costs deflated by the Brazilian National Consumer Price Index (9.5% for the period) showed an 11.6% increase in production volumes. The activity-specific volume index, which considers changes in the mix of tests, showed increases of 18.5% in the test price and 3.1% in the production volume. The performance indicators, particularly the specific indices for volume and price of activity, constitute a baseline of performance potential for monitoring private laboratories and contractors. The economic performance indicators demonstrated the need for network

  15. Energy key performance indicators : a european benchmark and assessment of meaningful indicators for the use of energy in large corporations

    OpenAIRE

    Friedrichs, Katja

    2013-01-01

    This study aims to identify and analyze energy key performance indicators among large European companies. Energy usage has become a very meaningful topic for both internal management as well as external stakeholders of a company. A review of current literature suggests that while environmental indicators in general have found broad attention and plenty of theories concerning good and meaningful indicators are published, no study investigating actually applied energy indicators ...

  16. Performance and haematological indices of broiler chickens fed ...

    African Journals Online (AJOL)

    The effects of Azadirachta indica (neem), Spondias mombin and Chromolaena odorata leaf meals as natural feed supplements on performance and haematology of broilers were evaluated. Two hundred and sixty-four 1 day-old Arbor acre chicks were divided randomly into six treatments and four replicates. Treatment 1 ...

  17. Impact of Management Style on Performance Indicators of Academic Staff

    Science.gov (United States)

    Irtwange, S. V.; Orsaah, S.

    2009-01-01

    The objective of this study is to assess the impact of management style on academic staff performance with University of Agriculture, Makurdi as a case study. The management style of the vice chancellor of the University of Agriculture, Makurdi between the periods, September 3, 1996 to September 3, 2001 was determined using the Ohio State…

  18. Performance Indicators For Quality In Surgical And Laboratory ...

    African Journals Online (AJOL)

    Methodology: Hospital records were reviewed and information recorded for planned and postponed operations, laboratory equipment, reagents, laboratory tests and quality assurance programmes. Results: In the year 2001 a total of 4332 non-emergency operations were planned, 3313 operations were performed and 1019 ...

  19. A multidisciplinary three-phase approach to improve the clinical utility of patient safety indicators.

    Science.gov (United States)

    Najjar, Peter; Kachalia, Allen; Sutherland, Tori; Beloff, Jennifer; David-Kasdan, Jo Ann; Bates, David W; Urman, Richard D

    2015-01-01

    The AHRQ Patient Safety Indicators (PSIs) are used for calculation of risk-adjusted postoperative rates for adverse events. The payers and quality consortiums are increasingly requiring public reporting of hospital performance on these metrics. We discuss processes designed to improve the accuracy and clinical utility of PSI reporting in practice. The study was conducted at a 793-bed tertiary care academic medical center where PSI processes have been aggressively implemented to track patient safety events at discharge. A three-phased approach to improving administrative data quality was implemented. The initiative consisted of clinical review of all PSIs, documentation improvement, and provider outreach including active querying for patient safety events. This multidisciplinary effort to develop a streamlined process for PSI calculation reduced the reporting of miscoded PSIs and increased the clinical utility of PSI monitoring. Over 4 quarters, 4 of 41 (10%) PSI-11 and 9 of 138 (7%) PSI-15 errors were identified on review of clinical documentation and appropriate adjustments were made. A multidisciplinary, phased approach leveraging existing billing infrastructure for robust metric coding, ongoing clinical review, and frontline provider outreach is a novel and effective way to reduce the reporting of false-positive outcomes and improve the clinical utility of PSIs.

  20. Evaluation of the Performance of Multiple Drought Indices for Tunisia

    Science.gov (United States)

    Geli, H. M. E.; Jedd, T.; Svoboda, M.; Wardlow, B.; Hayes, M. J.; Neale, C. M. U.; Hain, C.; Anderson, M. C.

    2016-12-01

    The recent and frequent drought events in the Middle East and Northern Africa (MENA) create an urgent need for scientists, stakeholders, and decision makers to improve the understanding of drought in order to mitigate its effects. It is well documented that drought is not caused by meteorological or hydrological conditions alone; social, economic, and political governance factors play a large part in whether the components in a water supply system are balanced. In the MENA region, for example, agricultural production can place a significant burden on water supply systems. Understanding the connection between drought and agricultural production is an important first step in developing a sound drought monitoring and mitigation system that links physical indicators with on-the-ground impacts. Drought affect crop yield, livestock health, and water resources availability, among others. A clear depiction of drought onset, duration and severity is essential to provide valuable information to adapt and mitigate drought impact. Therefore, it is important that to be able to connect and evaluate scientific drought data and informational products with societal impact data to more effectively initiate mitigation actions. This approach will further the development of drought maps that are tailored and responsive to immediate and specific societal needs for a region or country. Within the context of developing and evaluating drought impacts maps for the MENA region, this analysis investigates the use of different drought indices and indicators including the Standardized Precipitation Index (SPI), Normalized Difference Vegetation Index (NDVI) anomaly, land surface temperature (LST), and Evaporative Stress Index (ESI) for their ability to characterize historic drought events in Tunisia. Evaluation of a "drought map" product is conducted using data at the county level including crop yield, precipitation, in-country interviews with drought monitoring experts and agricultural

  1. Measuring business performance using indicators of ecologically sustainable organizations

    Science.gov (United States)

    Snow, Charles G., Jr.; Snow, Charles C.

    2001-02-01

    The purpose of this paper is to explore the use of ecology-based performance measures as a way of augmenting the Balanced Scorecard approach to organizational performance measurement. The Balanced Scorecard, as proposed by Kaplan and Norton, focuses on four primary dimensions; financial, internal-business-process, customer, and learning and growth perspectives. Recently, many 'green' organizational theorists have developed the concept of "Ecologically Sustainable Organizations" or ESOs, a concept rooted in open systems theory. The ESO is called upon to consider resource use and conservation as a strategy for long-term viability. This paper asserts that in order to achieve ESO status, an organization must not only measure but also reward resource conservation measures. Only by adding a fifth perspective for ecological dimensions will the entity be truly motivated toward ESO status.

  2. Is consumer confidence an indicator of JSE performance?

    OpenAIRE

    Kamini Solanki; Yudhvir Seetharam

    2014-01-01

    While most studies examine the impact of business confidence on market performance, we instead focus on the consumer because consumer spending habits are a natural extension of trading activity on the equity market. This particular study examines investor sentiment as measured by the Consumer Confidence Index in South Africa and its effect on the Johannesburg Stock Exchange (JSE). We employ Granger causality tests to investigate the relationship across time between the Consumer Confidence Ind...

  3. Technical indicators of economic performance in dairy sheep farming.

    Science.gov (United States)

    Theodoridis, A; Ragkos, A; Roustemis, D; Arsenos, G; Abas, Z; Sinapis, E

    2014-01-01

    In this study, the level of technical efficiency of 58 sheep farms rearing the Chios breed in Greece was measured through the application of the stochastic frontier analysis method. A Translog stochastic frontier production function was estimated using farm accounting data of Chios sheep farms and the impact of various socio-demographic and biophysical factors on the estimated efficiency of the farms was evaluated. The farms were classified into efficiency groups on the basis of the estimated level of efficiency and a technical and economic descriptive analysis was applied in order to illustrate an indicative picture of their structure and productivity. The results of the stochastic frontier model indicate that there are substantial production inefficiencies among the Chios sheep farms and that these farms could increase their production through the improvement of technical efficiency, whereas the results of the inefficiency effects model reveal that the farm-specific explanatory factors can partly explain the observed efficiency differentials. The measurement of technical inefficiency and the detection of its determinants can be used to form the basis of policy recommendations that could contribute to the development of the sector.

  4. Performability indicators for the traffic analysis of wide area networks

    International Nuclear Information System (INIS)

    Tsopelas, Panagiotis; Platis, Agapios

    2003-01-01

    In connecting computing networks, reliability term is strongly related to the availability of connections of Wide Area networks (WANs) or Local Area networks (LANs). In this paper we will examine the network connections activity of a Greek University in order to provide two sources of information: The Quantity of Information Not Delivered (QIND) and the Information Flow Interruption (IFI). These indicators will provide us with the inference of information from observable characteristics of data flow(s), even when the data is encrypted or otherwise not directly available (traffic), which is lost due to failures or upgrades inside this network. The reliability analysis is obtained by collecting the network failures data (duration and frequency) and traffic (total and average) for a specified period of 1 year. It is assumed that the numerical analysis is based on the fact that the lifetime follows and exponential distribution (here as we are working on discrete time the distribution must be the geometric distribution). Hence a Markov chain model seems suitable for modelling the functioning of this system. An algorithm concentrates the results in a transition probability matrix and calculates the reward functions for the QIND/IFI indicators with the use of the power method. Finally, the application part provides an example of how final results can be used to evaluate the observed network

  5. Strategic performance management: development of a performance measurement system at the Mayo Clinic.

    Science.gov (United States)

    Curtright, J W; Stolp-Smith, S C; Edell, E S

    2000-01-01

    Managing and measuring performance become exceedingly complex as healthcare institutions evolve into integrated health systems comprised of hospitals, outpatient clinics and surgery centers, nursing homes, and home health services. Leaders of integrated health systems need to develop a methodology and system that align organizational strategies with performance measurement and management. To meet this end, multiple healthcare organizations embrace the performance-indicators reporting system known as a "balanced scorecard" or a "dashboard report." This discrete set of macrolevel indicators gives senior management a fast but comprehensive glimpse of the organization's performance in meeting its quality, operational, and financial goals. The leadership of outpatient operations for Mayo Clinic in Rochester, Minnesota built on this concept by creating a performance management and measurement system that monitors and reports how well the organization achieves its performance goals. Internal stakeholders identified metrics to measure performance in each key category. Through these metrics, the organization links Mayo Clinic's vision, primary value, core principles, and day-to-day operations by monitoring key performance indicators on a weekly, monthly, or quarterly basis.

  6. Aerobic exercise: bioenergetics, physiological adjustments, fatigue and performance indices

    Directory of Open Access Journals (Sweden)

    Fabrizio Caputo

    2009-01-01

    Full Text Available The objective of this study was to present relevant updated information regarding the physiological determinants of aerobic training and performance. In contrast to common concepts, the aerobic metabolism rapidly responds to energy requirements,with the anaerobic and aerobic energy systems equally contributing to total energy production during maximal exercise lasting about 75 s. However, in the case of longer exercise duration the possible mechanisms of fatigue related to anaerobic metabolism are still the main determinants of exercise tolerance. Prolonged exercise (more than one hour can be limited by several factors such as substrate depletion, water and electrolyte disturbance, or problems related to thermoregulation leading to an increase in body temperature. The most important variables of endurance performance have been organizedinto a model that integrates factors such as maximum oxygen uptake (VO2max, blood lactate thresholds, and muscle efficiency. For highly trained athletes, in addition to a high VO2max, success in endurance events also requires the ability to exercise forprolonged periods at a high percentage of VO2max, as well as to efficiently convert the energy produced into muscle work. Depending on the duration of the aerobic event, the training sessions should be aimed at improving VO2max, anaerobic lactate capacity andacidosis tolerance in the case of short-lasting events and aerobic capacity for events of intermediate duration, and at increasing muscle glycogen content and fat utilization in the case of long-lasting events.

  7. Cross training: indices of training stress and performance.

    Science.gov (United States)

    Flynn, M G; Carroll, K K; Hall, H L; Bushman, B A; Brolinson, P G; Weideman, C A

    1998-02-01

    Twenty well-trained runners (VO2max 4.6+/-0.5 L x min[-1]) were age and ability matched and assigned to either a cross training (CT) or run only group (RT). All subjects maintained normal running distance and intensity for 6 wk and reported for three additional training sessions per week. These workouts were performed outdoors on a 400-m track or measured road course (RT) or on a bicycle ergometer (CT). The sessions were as follows: (work x rest(-1) ratio = 1): 5 x 5 min at >95% VO2max/peak (Monday), 50-60 min at 70% VO2max/peak (Wednesday), and 3 x 2.5 min at >105% VO2max/peak, plus 6 x 1.25 min at >115% VO2max/peak (Friday). Subjects were tested before (PRE), after 3 wk (MID), and after 6 wk (POST) of intensified training. Blood samples were obtained from RT, CT, and ten controls (CON) at each time point (0600 h). Runners also completed a 10-min submaximal run at the same absolute intensity (velocity to elicit 75% of initial V02max) during which heart rate, RPE, and VO2 were measured. Each runner then completed a simulated 5-km race (time trial) on a treadmill. Total testosterone (TT), free testosterone (FT), cortisol (C), and creatine kinase activity (CK) were determined. Running economy was similar between RT and CT; however, RPE decreased significantly at MID and POST compared with that at PRE (P < 0.05; time effect). There were no significant differences among groups for TT, FT, or CK, but C was significantly lower in CON than in RT and CT. Performance was significantly faster (P < 0.05; time effect) in the 5-km race at MID (1076.1+/-81.4 s) and POST (1068.6+/-83.9) compared with PRE (1096.6+/-79.5) but was not different between CT and RT. In conclusion, RT and CT responded similarly to 6 wk of increased training, and both groups improved 5-km performance to a similar extent.

  8. Why was this transfusion given? Identifying clinical indications for blood transfusion in health care data

    Directory of Open Access Journals (Sweden)

    van Hoeven LR

    2018-03-01

    Full Text Available Loan R van Hoeven,1,2 Aukje L Kreuger,3,4 Kit CB Roes,1 Peter F Kemper,2,4 Hendrik Koffijberg,5 Floris J Kranenburg,3,4,6 Jan MM Rondeel,7 Mart P Janssen1,2 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands; 2Transfusion Technology Assessment Department, Sanquin Research, Amsterdam, the Netherlands; 3Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands; 4Center for Clinical Transfusion Research, Sanquin Research, Leiden, the Netherlands; 5Department of Health Technology & Services Research, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, the Netherlands; 6Department of Intensive Care, Leiden University Medical Center, Leiden, the Netherlands; 7Department of Clinical Chemistry, Isala, Zwolle, the Netherlands Background: To enhance the utility of transfusion data for research, ideally every transfusion should be linked to a primary clinical indication. In electronic patient records, many diagnostic and procedural codes are registered, but unfortunately, it is usually not specified which one is the reason for transfusion. Therefore, a method is needed to determine the most likely indication for transfusion in an automated way.Study design and methods: An algorithm to identify the most likely transfusion indication was developed and evaluated against a gold standard based on the review of medical records for 234 cases by 2 experts. In a second step, information on misclassification was used to fine-tune the initial algorithm. The adapted algorithm predicts, out of all data available, the most likely indication for transfusion using information on medical specialism, surgical procedures, and diagnosis and procedure dates relative to the transfusion date.Results: The adapted algorithm was able to predict 74.4% of indications in the sample correctly (extrapolated to the full data set 75.5%. A kappa

  9. Indicators of suboptimal performance embedded in the Wechsler Memory Scale-Fourth Edition (WMS-IV).

    Science.gov (United States)

    Bouman, Zita; Hendriks, Marc P H; Schmand, Ben A; Kessels, Roy P C; Aldenkamp, Albert P

    2016-01-01

    Recognition and visual working memory tasks from the Wechsler Memory Scale-Fourth Edition (WMS-IV) have previously been documented as useful indicators for suboptimal performance. The present study examined the clinical utility of the Dutch version of the WMS-IV (WMS-IV-NL) for the identification of suboptimal performance using an analogue study design. The patient group consisted of 59 mixed-etiology patients; the experimental malingerers were 50 healthy individuals who were asked to simulate cognitive impairment as a result of a traumatic brain injury; the last group consisted of 50 healthy controls who were instructed to put forth full effort. Experimental malingerers performed significantly lower on all WMS-IV-NL tasks than did the patients and healthy controls. A binary logistic regression analysis was performed on the experimental malingerers and the patients. The first model contained the visual working memory subtests (Spatial Addition and Symbol Span) and the recognition tasks of the following subtests: Logical Memory, Verbal Paired Associates, Designs, Visual Reproduction. The results showed an overall classification rate of 78.4%, and only Spatial Addition explained a significant amount of variation (p < .001). Subsequent logistic regression analysis and receiver operating characteristic (ROC) analysis supported the discriminatory power of the subtest Spatial Addition. A scaled score cutoff of <4 produced 93% specificity and 52% sensitivity for detection of suboptimal performance. The WMS-IV-NL Spatial Addition subtest may provide clinically useful information for the detection of suboptimal performance.

  10. Participation rate or informed choice? Rethinking the European key performance indicators for mammography screening.

    Science.gov (United States)

    Strech, Daniel

    2014-03-01

    Despite the intensive controversies about the likelihood of benefits and harms of mammography screening almost all experts conclude that the choice to screen or not to screen needs to be made by the individual patient who is adequately informed. However, the "European guideline for quality assurance in breast cancer screening and diagnosis" specifies a participation rate of 70% as the key performance indicator for mammography screening. This paper argues that neither the existing evidence on benefits and harms, nor survey research with women, nor compliance rates in clinical trials, nor cost-effectiveness ratios justify participation rates as a reasonable performance indicator for preference-sensitive condition such as mammography screening. In contrast, an informed choice rate would be more reasonable. Further research needs to address the practical challenges in assessing informed choice rates. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  11. Key Performance Indicators in the Evaluation of the Quality of Radiation Safety Programs.

    Science.gov (United States)

    Schultz, Cheryl Culver; Shaffer, Sheila; Fink-Bennett, Darlene; Winokur, Kay

    2016-08-01

    Beaumont is a multiple hospital health care system with a centralized radiation safety department. The health system operates under a broad scope Nuclear Regulatory Commission license but also maintains several other limited use NRC licenses in off-site facilities and clinics. The hospital-based program is expansive including diagnostic radiology and nuclear medicine (molecular imaging), interventional radiology, a comprehensive cardiovascular program, multiple forms of radiation therapy (low dose rate brachytherapy, high dose rate brachytherapy, external beam radiotherapy, and gamma knife), and the Research Institute (including basic bench top, human and animal). Each year, in the annual report, data is analyzed and then tracked and trended. While any summary report will, by nature, include items such as the number of pieces of equipment, inspections performed, staff monitored and educated and other similar parameters, not all include an objective review of the quality and effectiveness of the program. Through objective numerical data Beaumont adopted seven key performance indicators. The assertion made is that key performance indicators can be used to establish benchmarks for evaluation and comparison of the effectiveness and quality of radiation safety programs. Based on over a decade of data collection, and adoption of key performance indicators, this paper demonstrates one way to establish objective benchmarking for radiation safety programs in the health care environment.

  12. Clinical simulation training improves the clinical performance of Chinese medical students

    Directory of Open Access Journals (Sweden)

    Ming-ya Zhang

    2015-10-01

    Full Text Available Background: Modern medical education promotes medical students’ clinical operating capacity rather than the mastery of theoretical knowledge. To accomplish this objective, clinical skill training using various simulations was introduced into medical education to cultivate creativity and develop the practical ability of students. However, quantitative analysis of the efficiency of clinical skill training with simulations is lacking. Methods: In the present study, we compared the mean scores of medical students (Jinan University who graduated in 2013 and 2014 on 16 stations between traditional training (control and simulative training groups. In addition, in a clinical skill competition, the objective structured clinical examination (OSCE scores of participating medical students trained using traditional and simulative training were compared. The data were statistically analyzed and qualitatively described. Results: The results revealed that simulative training could significantly enhance the graduate score of medical students compared with the control. The OSCE scores of participating medical students in the clinical skill competition, trained using simulations, were dramatically higher than those of students trained through traditional methods, and we also observed that the OSCE marks were significantly increased for the same participant after simulative training for the clinical skill competition. Conclusions: Taken together, these data indicate that clinical skill training with a variety of simulations could substantially promote the clinical performance of medical students and optimize the resources used for medical education, although a precise analysis of each specialization is needed in the future.

  13. Performance indicators and combining assessments to evaluate the safety performance of licensees

    International Nuclear Information System (INIS)

    Aubrey, Richard; Van Binnebeek, J.J.; Warren, T.F.H.

    1998-01-01

    The CNRA believes that safety inspections are a major element in the regulatory authority's efforts to ensure the safe operation of nuclear facilities. Considering the importance of these issues, the Committee has established a special Working Group on Inspection Practices (WGIP). The purpose of WGIP, is to facilitate the exchange of information and experience related to regulatory safety inspections between CNRA Member countries. As a follow-up to the 1995 document on Compilation of Responses to a Questionnaire on the Evaluation of the Safety Performance of Licensees, WGIP members identified several issues where additional information would be useful in future meetings and discussions. The consensus of the Group was that performance indicators (PIs) and how assessments are combined were the two issues that should be addressed first. It was noted also that in addition to information in obtained through the questionnaire, results from the workshop in May 1996 may provide valuable input to the endeavour. This report summarises a review conducted of the PI-related information provided by the questionnaire, the workshop, and responses from WGIP members to a request for specific information not addressed previously

  14. A decision support model for identification and prioritization of key performance indicators in the logistics industry

    OpenAIRE

    Kucukaltan, Berk; Irani, Zahir; Aktas, Emel

    2016-01-01

    Performance measurement of logistics companies is based upon various performance indicators. Yet, in the logistics industry, there are several vaguenesses, such as deciding on key indicators and determining interrelationships between performance indicators. In order to resolve these vaguenesses, this paper first presents the stakeholder-informed Balanced Scorecard (BSC) model, by incorporating financial (e.g. cost) and non-financial (e.g. social media) performance indicators, with a comprehen...

  15. The development and evaluation of programmatic performance indicators associated with maintenance at nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Wreathall, J.; Fragola, J.; Appignani, P.; Burlile, G.; Shen, Y. (Science Applications International Corp., Columbus, OH (USA))

    1990-05-01

    This report summarizes the development and evaluation of programmatic performance indicators of maintenance. These indicators were selected by: (1) creating a formal framework of plant processes; (2) identifying features of plant behavior considered important to safety; (3) evaluating existing indicators against these features; and (4) performing statistical analyses for the selected indicators. The report recommends additional testing. 32 refs., 29 figs., 11 tabs.

  16. The development and evaluation of programmatic performance indicators associated with maintenance at nuclear power plants

    International Nuclear Information System (INIS)

    Wreathall, J.; Fragola, J.; Appignani, P.; Burlile, G.; Shen, Y.

    1990-05-01

    This report summarizes the development and evaluation of programmatic performance indicators of maintenance. These indicators were selected by: (1) creating a formal framework of plant processes; (2) identifying features of plant behavior considered important to safety; (3) evaluating existing indicators against these features; and (4) performing statistical analyses for the selected indicators. The report recommends additional testing. 32 refs., 29 figs., 11 tabs

  17. Safety assessment, safety performance indicators at the Paks Nuclear Power Plant

    International Nuclear Information System (INIS)

    Baji, C.; Vamos, G.; Toth, J.

    2001-01-01

    The Paks Nuclear Power Plant has been using different methods of safety assessment (event analysis, self-assessment, probabilistic safety analysis), including performance indicators characterizing both operational and safety performance since the early years of operation of the plant. Regarding the safety performance, the indicators include safety system performance, number of scrams, release of radioactive materials, number of safety significant events, industrial safety indicator, etc. The Paks NPP also reports a set of ten indicators to WANO Performance Indicator Programme which, among others, include safety related indicators as well. However, a more systematic approach to structuring and trending safety indicators is needed so that they can contribute to the enhancement of the operational safety. A more comprehensive set of indicators and a systematic evaluation process was introduced in 1996. The performance indicators framework proposed by the IAEA was adapted to Paks in this year to further improve the process. Safety culture assessment and characterizing safety culture is part of the assessment process. (author)

  18. Nicotine dependence in the mental disorders, relationship with clinical indicators, and the meaning for the user

    Directory of Open Access Journals (Sweden)

    Renata Marques de Oliveira

    2014-08-01

    Full Text Available OBJECTIVE: to identify the degree of nicotine dependence among patients with schizophrenia and other mental disorders hospitalized in a general hospital, correlating these indices with clinical indicators and the meaning for the user.METHOD: the study was performed in the psychiatric unit of a general hospital, interviewing 270 patients with mental disorders using a questionnaire and the application of the Fagerstrom test. A descriptive statistical analysis of the data and thematic analysis of the content were performed.RESULTS: among the 270 patients with mental disorders, 35.6% were smokers; of whom, 53.2% presented high or very high nicotine dependence. Of the 96 smokers, 32 (33.3% were schizophrenic, among whom, 59.4% presented high or very high dependence. Higher levels of dependence were also found among the 59 elderly people (61.5% and 60 subjects with somatic comorbidities (62.5%. Meanings of smoking for the subjects: helps to forget problems and face daily conflicts; alleviates side effects of the medications; self-control; distraction; part of life.CONCLUSION: more intense tobacco dependence among schizophrenic patients is justified due to it helping them to cope with the difficulties of the disease. Nurses occupy a strategic position in the care.

  19. Peripherally inserted central catheters in infants and children - indications, techniques, complications and clinical recommendations

    DEFF Research Database (Denmark)

    Westergaard, B; Classen, V; Walther-Larsen, S

    2013-01-01

    Venous access required both for blood sampling and for the delivery of medicines and nutrition is an integral element in the care of sick infants and children. Peripherally inserted central catheters (PICCs) have been shown to be a valuable alternative to traditional central venous devices...... in adults and neonates. However, the evidence may not extrapolate directly to older paediatric patients. In this study, we therefore review the indications, methods of insertion and complications of PICC lines for children beyond the neonatal age to provide clinical recommendations based on a search...... of the current literature. Although the literature is heterogeneous with few randomised studies, PICCs emerge as a safe and valuable option for intermediate- to long-term central venous access in children both in and out of hospital. Insertion can often be performed in light or no sedation, with little risk...

  20. Integrated Environmental, Safety and Health Management System Performance Objectives, Measures and Indicators Process; TOPICAL

    International Nuclear Information System (INIS)

    D. E. Gergely

    2001-01-01

    This document describes Bechtel Hanford, Inc.'s approach for developing performance objectives, measures, and indicators designed to reflect company performance against U. S. Department of Energy performance objective/measure 1

  1. Performance Indicators: A Management Tool for Active Labour Programmes in Hungary and Poland.

    Science.gov (United States)

    O'Leary, Christopher J.

    1995-01-01

    Performance indicators allow a standardized assessment of the performance of labor education programs. Adjusting performance for the reemployment rate of nonparticipants helps determine which programs to support and fund. (SK)

  2. Constructing core competency indicators for clinical teachers in Taiwan: a qualitative analysis and an analytic hierarchy process.

    Science.gov (United States)

    Li, Ai-Tzu; Lin, Jou-Wei

    2014-04-11

    The objective of this study was to construct a framework of core competency indicators of medical doctors who teach in the clinical setting in Taiwan and to evaluate the relative importance of the indicators among these clinical teachers. The preliminary framework of the indicators was developed from an in-depth interview conducted with 12 clinical teachers who had previously been recognized and awarded for their teaching excellence in university hospitals. The framework was categorized into 4 dimensions: 1) Expertise (i.e., professional knowledge and skill); 2) Teaching Ability; 3) Attitudes and Traits; and 4) Beliefs and Values. These areas were further divided into 11 sub-dimensions and 40 indicators. Subsequently, a questionnaire built upon this qualitative analysis was distributed to another group of 17 clinical teachers. Saaty's eigenvector approach, or the so-called analytic hierarchy process (AHP), was applied to perform the pairwise comparisons between indicators and to determine the ranking and relative importance of the indicators. Fourteen questionnaires were deemed valid for AHP assessment due to completeness of data input. The relative contribution of the four main dimensions was 31% for Attitudes and Traits, 30% for Beliefs and Values, 22% for Expertise, and 17% for Teaching Ability. Specifically, 9 out of the 10 top-ranked indicators belonged to the "Attitudes and Traits" or "Beliefs and Values" dimensions, indicating that inner characteristics (i.e., attitudes, traits, beliefs, and values) were perceived as more important than surface ones (i.e., professional knowledge, skills, and teaching competency). We performed a qualitative analysis and developed a questionnaire based upon an interview with experienced clinical teachers in Taiwan, and used this tool to construct the key features for the role model. The application has also demonstrated the relative importance in the dimensions of the core competencies for clinical teachers in Taiwan.

  3. Application of balanced score card in the development of performance indicator system in nuclear power plant

    International Nuclear Information System (INIS)

    Shen Shuguang; Huang Fang; Fang Zhaoxia

    2013-01-01

    Performance indicator, which is one of ten performance monitoring tools recommended by WANO performance improvement model, has become an effective tool for performance improvement of nuclear power plant. At present, performance indicator system has been built in nuclear power plant. However, how to establish the performance indicator system that is reasonable and applicable for plant is still a question to be discussed. Performance indictor is closely tied to the strategic direction of a corporation by a balanced score card, and the performance indicator system is established from the point of performance management and strategic development. The performance indicator system of nuclear power plant is developed by introducing the balanced score card, and can be as a reference for other domestic nuclear power plants. (authors)

  4. Can performance indicators be used for pedagogic purposes in disaster medicine training?

    Science.gov (United States)

    Wakasugi, Masahiro; Nilsson, Heléne; Hornwall, Johan; Vikström, Tore; Rüter, Anders

    2009-03-17

    Although disaster simulation trainings were widely used to test hospital disaster plans and train medical staff, the teaching performance of the instructors in disaster medicine training has never been evaluated. The aim of this study was to determine whether the performance indicators for measuring educational skill in disaster medicine training could indicate issues that needed improvement. The educational skills of 15 groups attending disaster medicine instructor courses were evaluated using 13 measurable performance indicators. The results of each indicator were scored at 0, 1 or 2 according to the teaching performance. The total summed scores ranged from 17 to 26 with a mean of 22.67. Three indicators: 'Design', 'Goal' and 'Target group' received the maximum scores. Indicators concerning running exercises had significantly lower scores as compared to others. Performance indicators could point out the weakness area of instructors' educational skills. Performance indicators can be used effectively for pedagogic purposes.

  5. Performance Measures in Neurosurgical Patient Care: Differing Applications of Patient Safety Indicators.

    Science.gov (United States)

    Moghavem, Nuriel; McDonald, Kathryn; Ratliff, John K; Hernandez-Boussard, Tina

    2016-04-01

    Patient Safety Indicators (PSIs) are administratively coded identifiers of potentially preventable adverse events. These indicators are used for multiple purposes, including benchmarking and quality improvement efforts. Baseline PSI evaluation in high-risk surgeries is fundamental to both purposes. Determine PSI rates and their impact on other outcomes in patients undergoing cranial neurosurgery compared with other surgeries. The Agency for Healthcare Research and Quality (AHRQ) PSI software was used to flag adverse events and determine risk-adjusted rates (RAR). Regression models were built to assess the association between PSIs and important patient outcomes. We identified cranial neurosurgeries based on International Classification of Diseases, Ninth Revision, Clinical Modification codes in California, Florida, New York, Arkansas, and Mississippi State Inpatient Databases, AHRQ, 2010-2011. PSI development, 30-day all-cause readmission, length of stay, hospital costs, and inpatient mortality. A total of 48,424 neurosurgical patients were identified. Procedure indication was strongly associated with PSI development. The neurosurgical population had significantly higher RAR of most PSIs evaluated compared with other surgical patients. Development of a PSI was strongly associated with increased length of stay and hospital cost and, in certain PSIs, increased inpatient mortality and 30-day readmission. In this population-based study, certain accountability measures proposed for use as value-based payment modifiers show higher RAR in neurosurgery patients compared with other surgical patients and were subsequently associated with poor outcomes. Our results indicate that for quality improvement efforts, the current AHRQ risk-adjustment models should be viewed in clinically meaningful stratified subgroups: for profiling and pay-for-performance applications, additional factors should be included in the risk-adjustment models. Further evaluation of PSIs in additional high

  6. [The balanced scorecard used as a management tool in a clinical laboratory: internal business processes indicators].

    Science.gov (United States)

    Salinas La Casta, Maria; Flores Pardo, Emilio; Uris Selles, Joaquín

    2009-01-01

    to propose a set of indicators as a management tool for a clinical laboratory, by using the balanced scorecard internal business processes perspective. indicators proposed are obtained from different sources; external proficiency testing of the Valencia Community Government, by means of internal surveys and laboratory information system registers. One year testing process proportion indicators results are showed. internal management indicators are proposed (process, appropriateness and proficiency testing). The process indicators results show gradual improvement since its establishment. after one years of using a conceptually solid Balanced Scorecard Internal business processes perspective indicators, the obtained results validate the usefulness as a laboratory management tool.

  7. [Bibliometrics study on indications of acupuncture therapy based on foreign acupuncture clinical trials].

    Science.gov (United States)

    He, Wei; Tong, Yuan-Yuan; Zhao, Ying-Kai; Rong, Pei-Jing; Wang, Hong-Cai

    2012-10-01

    In the present paper, the authors make a bibliometrics study on clinical indications of acupuncture therapy based on the published foreign articles about acupuncture clinical trials collected from PubMed database and Excerpta Medica database (EMbase). In 1996, 64 acupuncture indications were declared by WHO in Milan conference. But in recent 15 years, clinical trials have been conducted extensively in the foreign countries. Till now, 77 new indications for acupuncture therapy have been found in the foreign journals. The authors recommended that 29 indications (knee osteoarthritis, critique age problems, muscular fasciae ache, anxiety, etc.) should be added to the first class, 4 indications (irritable bowel syndrome, malposition, backache, simple obesity) should be upgraded from the second class to the first class, and the other 3 indications (childbirth pain, male and female barren) should be upgraded from the third class to the first class due to their application frequency in clinical trials. Increase of clinical indications reflects extensive application of acupuncture therapy and may help providing a better service for people's health.

  8. Technical performance of colonoscopy: the key role of sedation/analgesia and other quality indicators.

    Science.gov (United States)

    Radaelli, Franco; Meucci, Gianmichele; Sgroi, Giusy; Minoli, Giorgio

    2008-05-01

    It is essential to identify the factors in clinical practice that influence the technical performance of colonoscopy as a basis for quality improvement programs. To assess the factors linked to two key indicators of colonoscopy performance, i.e., cecal intubation and polyp diagnosis. Consecutives colonoscopies performed over a 2-wk period in 278 unselected practice sites throughout Italy were prospectively evaluated. A multivariate model was developed to identify determinants of the performance indicators of colonoscopy. In total, 12,835 patients (mean age 60.5 yr, standard deviation [SD] 15.1, 53% men) were studied. Sedation and/or analgesia was administered in 55.3% of procedures: 28.8% of patients received intravenous (IV) benzodiazepines, 15.4% received benzodiazepines in combination with narcotics, 3.1% received propofol, and 7.5% received other sedation regimens. Overall, cecal intubation was achieved in 80.7% of procedures, and the polyp detection rate was 27.3%. Multivariate analysis showed that the strongest predictors of cecal intubation were the quality of bowel preparation (inadequate vs excellent: odds ratio [OR] 0.013, 95% confidence interval [CI] 0.009-0.018; fair vs excellent: OR 0.246, 95% CI 0.209-0.290; and good vs excellent: OR 0.586, 95% CI 0.514-0.667) and the use of sedation (IV benzodiazepines vs no sedation: OR 1.460, 95% CI 1.282-1.663; IV benzodiazepines and narcotics vs no sedation: OR 2.128, 95% CI 1.776-2.565; and propofol vs no sedation: OR 2.355, 95% CI 1.590-3.488). The colonoscopy setting (workload and organizational complexity of the center) and the endoscopist colonoscopy volume were other factors independently correlated with completion of the procedure. Detection of polyps partially depended on the quality of bowel cleansing (inadequate vs excellent: OR 0.511, 95% CI 0.404-0.647) and use of sedation (OR 1.172, 95% CI 1.074-1.286). In usual clinical practice, the use of sedation/analgesia, the colon-cleansing quality, the

  9. The Relation between Diverse Phenotypes of PCOS with Clinical Manifestations, Anthropometric Indices and Metabolic Characteristics.

    Science.gov (United States)

    Shahrami, Seyedeh Hajar; Abbasi Ranjbar, Zahra; Milani, Forozan; Kezem-Nejad, Ehsan; Hassanzadeh Rad, Afagh; Dalil Heirat, Seyedeh Fatemeh

    2016-02-01

    Critical issue regarding to variation of findings based on different phenotypes led investigators to define whether they are distinct features or overlapping ones. Therefore, we aimed to investigate the association between diverse phenotypes of PCOS (Poly Cystic Ovary Syndrome) with clinical manifestations, anthropometric indices, and metabolic characteristics. This was a descriptive cross-sectional study conducted in 15-39 years old women with PCOS referred to infertility clinics in the north part of Iran, Rasht during 2010-2011. Data were gathered through an interview by a form consisted of demographic characteristics, laboratory findings, ovarian volume and anthropometric indices. A total of 214 patients consisted of 161 PCOS (cases) and 53 normal women (controls) participated in this study. The most prevalent phenotype in PCOS population was IM/PCO/HA (54%), followed by IM/HA (28%) and IM/PCO (13%). PCO/HA was present only in 6 PCOS patients (5%). PCOS patients were significantly younger than controls (P=0.07). Results showed that increased ovarian volume were higher in PCOS group in comparison with controls and IM/PCO/HA, and IM/PCO had respectively the largest ovarian volumes. Also, a significant relation was observed based on Cholesterol, 17OHP, LH, TG, 2hpp, and LH/FSH between patients with PCOS and control groups. There were significant differences in demographic, anthropometric, hormonal and ultrasound findings between PCOS and controls. Therefore, it seems that classification of the characteristics of each phenotype could offer an appropriate guide for screening risks of PCOS and may facilitate performing most favorable treatment for these complications.

  10. Nuclear medicine in the acute clinical setting: indications, imaging findings, and potential pitfalls.

    Science.gov (United States)

    Uliel, Livnat; Mellnick, Vincent M; Menias, Christine O; Holz, Andrew L; McConathy, Jonathan

    2013-01-01

    Nuclear medicine imaging provides valuable functional information that complements information obtained with anatomic imaging techniques in the evaluation of patients with specific acute clinical manifestations. Nuclear medicine studies are most often used in conjunction with other imaging modalities and as a problem-solving tool. Under certain circumstances a nuclear medicine study may be indicated as the first-line imaging modality, as in the case of renal scintigraphy for transplant dysfunction in the early postoperative period. Nuclear imaging may be preferred when a conventional first-line study is contraindicated or when it is important to minimize radiation exposure. The portability of nuclear imaging offers particular advantages for the evaluation of critically ill patients whose clinical condition is unstable and who cannot be safely transported out of the intensive care unit. The ability to visualize physiologic and pathophysiologic processes over relatively long time periods without adding to the patient's radiation exposure contributes to the high diagnostic sensitivity of several types of nuclear medicine studies. Viewing the acquired images in the cine mode adds to the value of these studies for diagnosing and characterizing dynamic abnormalities such as intermittent internal bleeding and bile or urine leakage. In this pictorial review, the spectrum of nuclear medicine studies commonly performed in the acute care setting is reviewed according to body systems and organs, with detailed descriptions of the indications, technical considerations, findings, and potential pitfalls of each type of study. Supplemental material available at http://radiographics.rsna.org/lookup/suppl/doi:10.1148/rg.332125098/-/DC1.

  11. Key team physical and technical performance indicators indicative of team quality in the soccer Chinese super league.

    Science.gov (United States)

    Yang, Gai; Leicht, Anthony S; Lago, Carlos; Gómez, Miguel-Ángel

    2018-01-01

    The aim of this study was to identify the key physical and technical performance variables related to team quality in the Chinese Super League (CSL). Teams' performance variables were collected from 240 matches and analysed via analysis of variance between end-of-season-ranked groups and multinomial logistic regression. Significant physical performance differences between groups were identified for sprinting (top-ranked group vs. upper-middle-ranked group) and total distance covered without possession (upper and upper-middle-ranked groups and lower-ranked group). For technical performance, teams in the top-ranked group exhibited a significantly greater amount of possession in opponent's half, number of entry passes in the final 1/3 of the field and the Penalty Area, and 50-50 challenges than lower-ranked teams. Finally, time of possession increased the probability of a win compared with a draw. The current study identified key performance indicators that differentiated end-season team quality within the CSL.

  12. Analysis of international approaches which are used at development of theoperational safety performance indicators

    International Nuclear Information System (INIS)

    Lyigots'kij, O.Yi.; Nosovs'kij, A.V.; Chemeris, Yi.O.

    2009-01-01

    Description of international approaches and experience of the use of theoperational safety performance indicators system is provided for estimationof current status and making a decision on corrections in the operationpractice. The state of development of the operational safety performanceindicators system by the operating organization is overviewed. Thepossibility of application of international approaches during development ofthe integral safety performance indicators system is analyzed. Aims and tasksof future researches are formulated in relation to development of theintegral safety performance indicators system.

  13. Clinical indicators associated with HIV acquisition in the United States Air Force

    Science.gov (United States)

    2016-12-09

    indicators and HIV infection was assessed in univariate analyses using conditional logistic regression. Cases missing a factor were excluded from...59 MDW/SGYU SUBJECT: Profess ional Presentation Approval 30 NOV 20 16 I. Your journal, entitled Clinica l indicators associated w ith HIV...Service Members, 1996-20 11 6. TITLE OF MATERIAL TO BE PUBLISHED OR PRESENTED: Clinical indicators associated with HIV acquisition in the United States

  14. The Vienna consensus: report of an expert meeting on the development of ART laboratory performance indicators.

    Science.gov (United States)

    2017-11-01

    This proceedings report presents the outcomes from an international workshop supported by the European Society of Human Reproduction and Embryology (ESHRE) and Alpha Scientists in Reproductive Medicine, designed to establish consensus on definitions and recommended values for Indicators for the assisted reproductive technology (ART) laboratory. Minimum performance-level values ('competency') and aspirational ('benchmark') values were recommended for a total of 19 Indicators, including 12 Key Performance Indicators (KPIs), five Performance Indicators (PIs), and two Reference Indicators (RIs). Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  15. Development of multiple performance indices and system parameter study for the design of a MEMS accelerometer

    International Nuclear Information System (INIS)

    Kim, Yong Il; Choi, Chan Kyu; Yoo, Hong Hee

    2012-01-01

    For the design of a MEMS accelerometer, proper performance indices should be defined and employed. Performance indices are obtained using either an experimental method or a numerical method. In the present study, a vibration analysis model of a MEMS accelerometer is introduced to calculate three performance indices: sensitivity, measurable acceleration range, and measurable frequency range. The accuracy of the vibration analysis model is first validated by comparing its modal and transient results with those of a commercial finite element code. Measurable acceleration and frequency ranges versus allowable errors for electrical and mechanical sensitivities are obtained and the effects of system parameter variations on the three performance indices are investigated

  16. Key performance indicators for government and non profit agencies: implementing winning KPIs

    National Research Council Canada - National Science Library

    Parmenter, David

    2012-01-01

    "Winning techniques and strategies for nonprofits and government agencies in creating successful and critical key performance indicatorsBy exploring measures that have transformed businesses, David...

  17. 20 CFR 666.300 - What performance indicators apply to local areas?

    Science.gov (United States)

    2010-04-01

    ... LABOR PERFORMANCE ACCOUNTABILITY UNDER TITLE I OF THE WORKFORCE INVESTMENT ACT Local Measures of... area in a State is subject to the same core indicators of performance and the customer satisfaction...

  18. Association Between Undergraduate Performance Predictors and Academic and Clinical Performance of Osteopathic Medical Students.

    Science.gov (United States)

    Agahi, Farshad; Speicher, Mark R; Cisek, Grace

    2018-02-01

    Medical schools use a variety of preadmission indices to select potential students. These indices generally include undergraduate grade point average (GPA), Medical College Admission Test (MCAT) scores, and preadmission interviews. To investigate whether the admission indices used by Midwestern University Arizona College of Osteopathic Medicine are associated with the academic and clinical performance of their students. Associations between the prematriculation variables of undergraduate science GPA, undergraduate total GPA, MCAT component scores, and interview scores and the academic and clinical variables of the first- and second-year medical school GPA, Comprehensive Osteopathic Medical Licensing Examination-USA (COMLEX-USA) Level 1 and Level 2-Cognitive Evaluation (CE) total and discipline scores, scores in clinical rotations for osteopathic competencies, COMLEX-USA Level 2-Performance Evaluation passage, and match status were evaluated. Two-tailed Pearson product-moment correlations with a Bonferroni adjustment were used to examine these relationships. The traditional predictors of science and total undergraduate GPA as well as total and component MCAT scores had small to moderate associations with first- and second-year GPA, as well as COMLEX-USA Level 1 and Level 2-CE total scores. Of all predictors, only the MCAT biological sciences score had a statistically significant correlation with failure of the COMLEX-USA Level 2-Performance Evaluation examination (P=.009). Average interview scores were associated only with the osteopathic competency of medical knowledge (r=0.233; n=209; P=.001), as assessed by clerkship preceptors. No predictors were associated with scores in objective structured clinical encounters or with failing to match to a residency position. The data indicate that traditional predictors of academic performance (undergraduate GPA, undergraduate science GPA, and MCAT scores) have small to moderate association with medical school grades and

  19. Using Performance-Based Risk-Sharing Arrangements to Address Uncertainty in Indication-Based Pricing.

    Science.gov (United States)

    Yeung, Kai; Li, Meng; Carlson, Josh J

    2017-10-01

    The rise in pharmaceutical expenditures in recent years has increased health care payer interest in ensuring good value for the money. Indication-based pricing (IBP) sets separate, indication-specific prices paid to the manufacturer according to the expected efficacy of a drug in each of its indications. IBP allows payers to consistently pay for value across indications. While promising, a limitation of IBP as originally conceived is that efficacy estimates are typically based on clinical trial data, which may differ from real-world effectiveness. An outcomes guarantee is a type of performance-based risk-sharing arrangement that adjusts payments according to prospectively tracked outcomes. We suggest that an outcomes guarantee contract, which has been used by some payers, may be adapted to achieve indication-based prices supported by real-world effectiveness. To illustrate the potential of an outcomes guarantee to achieve indication-based prices aligned with real-world value, using a case study of trastuzumab for the treatment of metastatic breast and advanced gastric cancers. We estimated costs and outcomes under traditional IBP (i.e., expected value IBP) and outcomes guarantee frameworks and calculated incremental cost-effectiveness ratios (ICERs) comparing treatment with and without trastuzumab. Efficacy data came from pivotal trials, whereas effectiveness data came from observational studies. We adjusted trastuzumab prices in order to achieve target ICERs of $150,000 per quality-adjusted life-year under each framework and for each indication. To achieve the ICER target under traditional IBP, the unit price of trastuzumab using efficacy evidence was adjusted for metastatic breast and advanced gastric cancers from an average sales price of $9.17 per mg to $3.50 per mg and $0.93 per mg, respectively. Under an outcomes guarantee, the unit price of trastuzumab using effectiveness evidence was adjusted for metastatic breast cancer and advanced gastric cancer to $8

  20. THE RELEVANCE OF THE PERFORMANCE INDICATORS IN ECONOMIC AND FINANCIAL DIAGNOSIS

    Directory of Open Access Journals (Sweden)

    MIRELA MONEA

    2011-01-01

    Full Text Available Each company must achieve the objectives to reach performance in order to survive on the market. The paper aims to present the concept of performance as is seen in economic literature, to discuss the relevance of the main performances indicators on economic and financial diagnosis, to answer the question what are the main indicators which reflect economic or financial performances: profit, profitability ratios, economic added value, investments return, liquidity, cash-flows, resources efficiency, productivity, others.

  1. Performance Evaluation of a Clinical PACS Module

    Science.gov (United States)

    Taira, Ricky K.; Cho, Paul S.; Huang, H. K.; Mankovich, Nicholas J.; Boechat, Maria I.

    1989-05-01

    Picture archiving and communication systems (PACS) are now clinically available in limited radiologic applications. The benefits, acceptability, and reliablity of these systems have thus far been mainly speculative and anecdotal. This paper discusses the evaluation of a PACS module implemented in the pediatric radiology section of a 700-bed teaching hospital. The PACS manages all pediatric inpatient images including conventional x-rays and contrast studies (obtained with a computed radiography system), magnetic resonance images, and relevant ultrasound images. A six-monitor workstation is available for image review.

  2. Analysis of architect’s performance indicators in project delivery process

    Science.gov (United States)

    Marisa, A.

    2018-03-01

    Architect as a professional in the construction industry should possess a good performance in project delivery process. As a design professional, architect has an important role to ensure that the process is well-conducted by delivering a high-quality product for the clients. Thus, analyzing architect’s performance indicators is crucial in the project delivery process. This study aims to analyze the relative importance of architect performance indicators in project delivery process among registered architects in North Sumatera, Indonesia. A total of five indicators that measure architect performance in project delivery process were identified and 110 completed questionnaires were obtained and used for data analysis. A relative importance index is used to rank the relative importance of architect performance indicators. Results indicate that focus on the clients is the most important indicator of architect performance in project delivery process. This study demonstrates project communication as one of crucial indicators perceived by the architects for measuring their performance, and fills a knowledge gap on the importance of identifying the most important indicator for measuring architect performance from their own perspectives which previous studies have overlooked to improve performance assessment in project delivery process.

  3. Using performance indicators to reduce cost uncertainty of China's CO2 mitigation goals

    International Nuclear Information System (INIS)

    Xu, Yuan

    2013-01-01

    Goals on absolute emissions and intensity play key roles in CO 2 mitigation. However, like cap-and-trade policies with price uncertainty, they suffer from significant uncertainty in abatement costs. This article examines whether an indicator could be established to complement CO 2 mitigation goals and help reduce cost uncertainty with a particular focus on China. Performance indicators on CO 2 emissions per unit of energy consumption could satisfy three criteria: compared with the mitigation goals, (i) they are more closely associated with active mitigation efforts and (ii) their baselines have more stable projections from historical trajectories. (iii) Their abatement costs are generally higher than other mitigation methods, particularly energy efficiency and conservation. Performance indicators could be used in the following way: if a CO 2 goal on absolute emissions or intensity is attained, the performance indicator should still reach a lower threshold as a cost floor. If the goal cannot be attained, an upper performance threshold should be achieved as a cost ceiling. The narrower cost uncertainty may encourage wider and greater mitigation efforts. - Highlights: ► CO 2 emissions per unit of energy consumption could act as performance indicators. ► Performance indicators are more closely related to active mitigation activities. ► Performance indicators have more stable historical trajectories. ► Abatement costs are higher for performance indicators than for other activities. ► Performance thresholds could reduce the cost uncertainty of CO 2 mitigation goals.

  4. Clinical indicators for success of misoprostol treatment after early pregnancy failure.

    Science.gov (United States)

    Robledo, C; Zhang, J; Troendle, J; Barnhart, K; Creinin, M D; Westhoff, C; Huang, X; Frederick, M

    2007-10-01

    To identify clinical indicators for success of misoprostol treatment after early pregnancy failure. A total of 473 women with early pregnancy failure received 800 microg of vaginal misoprostol on treatment day 1. At the follow-up visit on day 3, a second dose was given if expulsion was incomplete. On day 8, vacuum aspiration was offered if expulsion had not occurred. Ultrasonography was used as gold standard for success. A Classification and Regression Tree analysis was undertaken to derive two decision trees for the success of misoprostol treatment on study days 3 and 8. Heavy bleeding after the first dose and an open cervical os were identified as clinical indicators of treatment success on day 3. Treatment success occurred in 84% of women with either or both indicators. Reporting passage of tissue after a second misoprostol dose and old blood in the vagina were potential indicators of treatment success or failure on day 8. A woman with either of these indicators has a 65% chance of treatment success after the second dose. Conversely, a woman with neither indicator on day 8 has a 94% chance of treatment failure. Standard clinical findings may be useful as indicators for success or failure of medical management of early pregnancy failure in settings with limited or no access to ultrasonography. More research to identify even better indicators is warranted.

  5. Publication trends of clinical trials performed in South Africa ...

    African Journals Online (AJOL)

    Background. Investigators and sponsors of clinical trials have an ethical obligation to disseminate clinical trial results, whether positive or negative, in a timely manner. Objectives. To determine the publication rate and average time to reporting for clinical trials carried out in South Africa (SA) and to explore factors indicating ...

  6. Business process performance measurement: a structured literature review of indicators, measures and metrics.

    Science.gov (United States)

    Van Looy, Amy; Shafagatova, Aygun

    2016-01-01

    Measuring the performance of business processes has become a central issue in both academia and business, since organizations are challenged to achieve effective and efficient results. Applying performance measurement models to this purpose ensures alignment with a business strategy, which implies that the choice of performance indicators is organization-dependent. Nonetheless, such measurement models generally suffer from a lack of guidance regarding the performance indicators that exist and how they can be concretized in practice. To fill this gap, we conducted a structured literature review to find patterns or trends in the research on business process performance measurement. The study also documents an extended list of 140 process-related performance indicators in a systematic manner by further categorizing them into 11 performance perspectives in order to gain a holistic view. Managers and scholars can consult the provided list to choose the indicators that are of interest to them, considering each perspective. The structured literature review concludes with avenues for further research.

  7. Indications for and clinical procedures resulting from magnetic resonance imaging of the knee in older patients

    Science.gov (United States)

    Parent, Marc-Etienne; Vézina, François; Carrier, Nathalie; Masetto, Ariel

    2018-01-01

    Abstract Objective To analyze the indications for and clinical procedures resulting from knee magnetic resonance imaging (MRI) in older patients. Design We retrospectively analyzed 215 medical records of patients 50 years of age and older who had undergone a unilateral knee MRI in 2009. Setting Centre hospitalier universitaire de Sherbrooke in Quebec. Participants Patients 50 years of age and older who underwent a knee MRI in 2009. Main outcome measures The main outcome measure was an invasive procedure in the same knee that underwent an MRI. Medical charts were reviewed up to 2014 for patient characteristics, MRI indication, ordering physician specialty, radiography before MRI, MRI findings, and clinical procedures resulting from the MRI. Results The patients’ mean (SD) age was 60.6 (7.5) years. The main MRI indications were meniscopathy (148 [68.8%]) and chronic pain (92 [42.8%]). The main MRI findings were osteoarthritis (OA) (185 [86.0%]) and meniscal lesions (170 [79.1%]). Only 82 (38.1%) patients had a plain radiograph in the 24 months preceding the MRI, usually without a standing anteroposterior view. Findings on pre-MRI radiography (n = 201) demonstrated OA in 144 (71.6%) patients. Overall, 87 (40.5%) patients were seen by an orthopedic surgeon and 27 (31.0%) of these patients underwent an invasive intervention. Among the 81 patients with moderate to severe OA on MRI, 36 (44.4%) had radiographic evidence of moderate to severe OA and only 3 (3.7%) underwent arthroscopic meniscectomy. Conclusion Our study reproduces the known association between OA and degenerative meniscal changes in older patients. We have found a surprising underuse of the standing anteroposterior view on radiography. Most patients in our cohort could have been appropriately diagnosed and treated based on such radiographic information, as demonstrated by pre-MRI findings, thus avoiding the MRI and subsequent evaluation by an orthopedic surgeon. Meniscectomy was rarely performed

  8. POETenceph - Automatic identification of clinical notes indicating encephalopathy using a realist ontology.

    Science.gov (United States)

    Doing-Harris, Kristina M; Weir, Charlene R; Igo, Sean; Shi, Jianlin; Shao, Yijun; Hurdle, John F

    2015-01-01

    Identifying inpatients with encephalopathy is important. The disorder is prevalent, often missed, and puts patients at risk. We describe POETenceph, natural language processing pipeline, which ranks clinical notes on the extent to which they indicate the patient had encephalopathy. We use a realist ontology of the entities and relationships indicative of encephalopathy in clinical notes. POETenceph includes a passage rank algorithm, which takes identified disorders; matches them to the ontology; calculates the diffuseness, centrality, and length of the matched entry; adds the scores; and returns the ranked documents. We evaluate it against a corpus of clinical documents annotated for evidence of delirium. Higher POETenceph are associated with increasing numbers of reviewer annotations. Detailed examination found that 65% of the bottom scoring documents contained little or no evidence and 70% of the top contained good evidence. POETenceph can effectively rank clinical documents for their evidence of encephalopathy as characterized by delirium.

  9. Safe, Healthy and Ready to Succeed: Arizona School Readiness Key Performance Indicators

    Science.gov (United States)

    Migliore, Donna E.

    2006-01-01

    "Safe, Healthy and Ready to Succeed: Arizona School Readiness Key Performance Indicators" presents a set of baseline measurements that gauge how well a statewide system of school readiness supports is addressing issues that affect Arizona children's readiness for school. The Key Performance Indicators (KPIs) measure the system, rather…

  10. Opinions among Danish knee surgeons about indications to perform total knee replacement showed considerable variation

    DEFF Research Database (Denmark)

    Troelsen, Anders; Schrøder, Henrik; Husted, Henrik

    2012-01-01

    During the past decade, the incidence of primary total knee replacement (TKA) surgery in Denmark has approximately doubled. This increase could be due to weakened indications to perform TKA surgery. We aimed to investigate variation in opinions about indications to perform TKA among Danish knee...

  11. Longitudinal Trend Analysis of Performance Indicators for South Carolina's Technical Colleges

    Science.gov (United States)

    Hossain, Mohammad Nurul

    2010-01-01

    This study included an analysis of the trend of performance indicators for the technical college sector of higher education in South Carolina. In response to demands for accountability and transparency in higher education, the state of South Carolina developed sector specific performance indicators to measure various educational outcomes for each…

  12. Comparison of Turkey and United States in terms of teacher performance indicators

    Directory of Open Access Journals (Sweden)

    Zühal Çubukçu

    2017-12-01

    Full Text Available Developing objective standards and indicators, and establishing the transparency of the evaluation process have significant importance in reducing negative teacher opinions and ensuring healthy functioning of the performance evaluation system. The purpose of this study is to compare teacher performance indicators in Turkey and United States. This study was conducted using document review, which is one of the qualitative research methods. In the study, document review was used as the data collection method. In the first stage, the official documents of the two countries were accessed via websites. The authenticity of the obtained documents was checked. Finally, the analysis was done with the classification form developed by the researchers. In the study, the analysis of the documents was done by descriptive analysis technique. General Proficiencies of Teaching Profession consist of 233 performance indicator and Core Teaching Standards consist of 74 performance indicators. The findings of the study were examined under five themes determined by considering the General Proficiencies of Teaching Profession and Core Teaching Standards: Student and learning, content knowledge, instructional practice, assessment and professional development. General Proficiencies of Teaching Profession lists the knowledge, skills, and behaviors expected from teachers as performance indicators. In Core Teaching Standards, the performance indicators provide suggestions and explanations for the development of teaching in accordance with the requirements of today's world. the preparation of performance indicators to provide teachers' development and the realistic use of these indicators in evaluating will help improve the quality of teacher performance evaluation.

  13. Validity of performance indicators for assessing prescribing quality : the case of asthma

    NARCIS (Netherlands)

    Pont, LG; Denig, P; van der Molen, T; van der Veen, WJ; Haaijer-Ruskamp, FM

    Objectives. The aim of this study was to assess the concurrent validity between the identification of sub-optimal treatment based on clinical information and computer generated indicators. Indicators that are associated with sub-optimal treatment in one of the four steps of asthma management were

  14. Peer groups and operational cycle enhancements to the performance indicator report

    International Nuclear Information System (INIS)

    Stromberg, H.M.; DeHaan, M.S.; Gentillon, C.D.; Wilson, G.E.; Vanden Heuvel, L.N.

    1992-01-01

    Accurate performance evaluation and plant trending by the performance indicator program are integral parts of monitoring the operation of commercial nuclear power plants. The presentations of the NRC/AEOD performance indicator program have undergone a number of enhancements. The diversity of the commercial nuclear plants, coupled with continued improvements in the performance indicator program, has resulted in the evaluation of plants in logical peer groups and highlighted the need to evaluate the impact of plant operational conditions on the performance indicators. These enhancements allow a more-meaningful evaluation of operating commercial nuclear power plant performance. This report proposes methods to enhance the presentation of the performance indicator data by analyzing the data in logical peer groups and displaying the performance indicator data based on the operational status of the plants. Previously, preliminary development of the operational cycle displays of the performance indicator data was documented. This report extends the earlier findings and presents the continued development of the peer groups and operational cycle trend and deviation data and displays. This report describes the peer groups and enhanced PI data presentations by considering the operational cycle phase breakdowns, calculation methods, and presentation methods

  15. Peer groups and operational cycle enhancements to the performance indicator report

    Energy Technology Data Exchange (ETDEWEB)

    Stromberg, H.M.; DeHaan, M.S.; Gentillon, C.D.; Wilson, G.E. (EG and G Idaho, Inc., Idaho Falls, ID (United States)); Vanden Heuvel, L.N. (Oak Ridge National Lab., TN (United States))

    1992-12-01

    Accurate performance evaluation and plant trending by the performance indicator program are integral parts of monitoring the operation of commercial nuclear power plants. The presentations of the NRC/AEOD performance indicator program have undergone a number of enhancements. The diversity of the commercial nuclear plants, coupled with continued improvements in the performance indicator program, has resulted in the evaluation of plants in logical peer groups and highlighted the need to evaluate the impact of plant operational conditions on the performance indicators. These enhancements allow a more-meaningful evaluation of operating commercial nuclear power plant performance. This report proposes methods to enhance the presentation of the performance indicator data by analyzing the data in logical peer groups and displaying the performance indicator data based on the operational status of the plants. Previously, preliminary development of the operational cycle displays of the performance indicator data was documented. This report extends the earlier findings and presents the continued development of the peer groups and operational cycle trend and deviation data and displays. This report describes the peer groups and enhanced PI data presentations by considering the operational cycle phase breakdowns, calculation methods, and presentation methods.

  16. Health services research related to performance indicators and benchmarking in Europe.

    Science.gov (United States)

    Klazinga, Niek; Fischer, Claudia; ten Asbroek, Augustinus

    2011-07-01

    Measuring quality of care through performance indicators and subsequently using these to compare, learn, and improve (benchmarking) has become a central component of health care policy. This paper aims to identify the main themes of health services research in this area and focuses on opportunities for improving the evidence underpinning performance indicators. A literature survey was carried out to identify research activities and main research themes in Europe in the years 2000-09. Identified literature was categorized into sub-topics and for each topic the main methodological issues were identified and discussed. Experts validated the findings and explored the potential for related further European research. The distribution of research on performance and benchmarking across EU member states varies in time, scope and settings with a large amount of studies focusing on hospitals. Eight specific fields of research were identified (research on concepts and performance frameworks; performance indicators and benchmarking using mortality data; performance indicators and benchmarking related to cancer care; performance indicators and benchmarking on care delivered in hospitals; patient safety indicators; performance indicators in primary care; patient experience; research on the practice of benchmarking and performance improvement). Expert discussions confirmed that research on performance indicators and benchmarking should focus on the development of indicators, as well as their use. The research should involve the potential users and incorporate scientific approaches from biomedicine and epidemiology as well as the social sciences. Further progress is hampered by data availability. Issues which need to be addressed include the use of unique patient identifiers (UPIs) to facilitate linkages between separate databases; standardized measurement of the experiences of patients and others; and deepening collaboration between Eurostat, the World Health Organization (WHO

  17. Leading product-related environmental performance indicators: a selection guide and database

    DEFF Research Database (Denmark)

    Issa, Isabela I.; Pigosso, Daniela Cristina Antelmi; McAloone, Tim C.

    2015-01-01

    Ecodesign is a proactive environmental management and improvement approach employed in the product development process, which aims to minimize the environmental impacts caused during a product's life cycle and thus improve its environmental performance. The establishment of measurable environmental...... a guide to support the selection of these indicators by manufacturing companies. From the review, 261 environmental performance indicators were identified and systematized in a digital database. The database supports the application of the environmental performance indicators guide, which proposes a five...... supported the studied companies in the selection of environmental performance indicators in the context of ecodesign implementation. This paper presents the results of the literature review, the systematization of environmental performance indicators and the support guide. © 2015 Elsevier Ltd. All rights...

  18. Prioritizing of performance indicators of quality - effectiveness areas of general hospitals using Analytic Hierarchy Process (AHP

    Directory of Open Access Journals (Sweden)

    hosein Jabbari Beyrami

    2014-06-01

    Full Text Available Background: Quality of health care includes some degree of services provided to individuals and communities to increase the likelihood of desired results and are updated in accordance with professional knowledge. To assess the quality of services provided in hospitals, indicators and performance standards are needed to be identified, because these indicators are the structure of the hospital evaluation. This study aimed to determine the performance indicators in general- public hospitals in area of quality and effectiveness and prioritization of these indicators. Materials and Methods: This descriptive-qualitative and practical research was done through a systematic review of literature and data were obtained from the hospital authorities. In order to prioritize public hospital performance indicators, Analytic Hierarchy Process (AHP was used and the results were analyzed by the Expert Choice software. Results: In the field of quality and effectiveness, 73 performance indicators were considering at various texts. Indicators such as the rate of hospital infections (100%, the incidence of hospital events (72%, Net hospital mortality(63%, Percentage of patients' satisfaction(53% selected as key performance indicators. Conclusion: Performance indicators in the field of quality and effectiveness has important place in health system and hospital organization. By evaluating the quality of services in health centers, the problems and shortcomings can be seen, and consequently analyzing information can lead to a try to reduce them.

  19. Which priority indicators to use to evaluate nursing care performance? A discussion paper.

    Science.gov (United States)

    Dubois, Carl-Ardy; D'amour, Danielle; Brault, Isabelle; Dallaire, Clémence; Déry, Johanne; Duhoux, Arnaud; Lavoie-Tremblay, Mélanie; Mathieu, Luc; Karemere, Hermès; Zufferey, Arnaud

    2017-12-01

    A discussion of an optimal set of indicators that can be used on a priority basis to assess the performance of nursing care. Recent advances in conceptualization of nursing care performance, exemplified by the Nursing Care Performance Framework, have revealed a broad universe of potentially nursing-sensitive indicators. Organizations now face the challenge of selecting, from this universe, a realistic subset of indicators that can form a balanced and common scorecard. Discussion paper drawing on a systematic assessment of selected performance indicators. Previous works, based on systematic reviews of the literature published between 1990 - 2014, have contributed to the development of the Nursing Care Performance Framework. These works confirmed a robust set of indicators that capture the universe of content currently supported by the scientific literature and cover all major areas of nursing care performance. Building on these previous works, this study consisted in gathering the specific evidence supporting 25 selected indicators, focusing on systematic syntheses, meta-analyses and integrative reviews. This study has identified a set of 12 indicators that have sufficient breadth and depth to capture the whole spectrum of nursing care and that could be implemented on a priority basis. This study sets the stage for new initiatives aiming at filling current gaps in operationalization of nursing care performance. The next milestone is to set up the infrastructure required to collect data on these indicators and make effective use of them. © 2017 John Wiley & Sons Ltd.

  20. Clinical Performance of Emergency Surgical Officers in Southern Ethiopia.

    Science.gov (United States)

    Gobeze, Abera A; Kebede, Zelalem; Berhan, Yifru; Ghosh, Biku

    2016-09-01

    Serious shortage of gynecologists and surgeons for several decades leading to a three-year masters level training was initiated in 2009. However, systematic analysis was not done to assess the graduates' performance. The purpose of this study was to assess improvement in access to emergency surgical and obstetrical care services. Both quantitative and qualitative methods were employed to assess the competence of emergency surgical officers (ESOs) in their decision making and surgical skills in eight hospitals between 2012 and 2014. Anesthesia time, post-operative hospital stay and change in hemoglobin level were, among others, used as proxy indicators of their surgical skills. A total of 4075 obstetric and surgical operations was performed in the study hospitals. Of which, 93% were done on emergency base. Of the total emergency procedures, 3570(94%) were done by ESOs. Nearly two-thirds (63%) of all the emergency operations were cesarean sections, which were done by ESOs. Out of 239 uterine ruptures, hysterectomy was done for 58%. The proportion of cesarean and instrumental deliveries over the total deliveries were 13% and 0.7%, respectively. Explorative laparotomies and appendectomies were the majority of the non-obstetric emergency operations. Interviewed staff in the respective hospitals stated that ESOs' clinical decision making, surgical skill and commitment to discharge their responsibilities were in the best possible. The study showed that deployment of ESOs made the emergency surgery services accessible to the majority, and their clinical decision making and surgical skills were remarkable.

  1. Identifying Key Performance Indicators for Holistic Hospital Management with a Modified DEMATEL Approach.

    Science.gov (United States)

    Si, Sheng-Li; You, Xiao-Yue; Liu, Hu-Chen; Huang, Jia

    2017-08-19

    Performance analysis is an important way for hospitals to achieve higher efficiency and effectiveness in providing services to their customers. The performance of the healthcare system can be measured by many indicators, but it is difficult to improve them simultaneously due to the limited resources. A feasible way is to identify the central and influential indicators to improve healthcare performance in a stepwise manner. In this paper, we propose a hybrid multiple criteria decision making (MCDM) approach to identify key performance indicators (KPIs) for holistic hospital management. First, through integrating evidential reasoning approach and interval 2-tuple linguistic variables, various assessments of performance indicators provided by healthcare experts are modeled. Then, the decision making trial and evaluation laboratory (DEMATEL) technique is adopted to build an interactive network and visualize the causal relationships between the performance indicators. Finally, an empirical case study is provided to demonstrate the proposed approach for improving the efficiency of healthcare management. The results show that "accidents/adverse events", "nosocomial infection", ''incidents/errors", "number of operations/procedures" are significant influential indicators. Also, the indicators of "length of stay", "bed occupancy" and "financial measures" play important roles in performance evaluation of the healthcare organization. The proposed decision making approach could be considered as a reference for healthcare administrators to enhance the performance of their healthcare institutions.

  2. The Nordic maintenance care program: the clinical use of identified indications for preventive care

    OpenAIRE

    Ax?n, Iben; Bodin, Lennart

    2013-01-01

    Background Low back pain (LBP) is a prevalent condition and has been found to be recurrent and persistent in a majority of cases. Chiropractors have a preventive strategy, maintenance care (MC), aimed towards minimizing recurrence and progression of such conditions. The indications for recommending MC have been identified in the Nordic countries from hypothetical cases. This study aims to investigate whether these indications are indeed used in the clinical encounter. Methods Data were collec...

  3. Attachment styles and clinical communication performance in trainee doctors.

    Science.gov (United States)

    Fletcher, Ian; McCallum, Rachel; Peters, Sarah

    2016-11-01

    To investigate the relationship between trainee doctors' attachment style and their performance in qualifying clinical and communication skills assessments. Participants were 190 undergraduate medical students whose performance was assessed by examiners across two areas (communication and clinical skills) during their qualifying Objective Structured Clinical Examination (OSCE). Simulated patients also rated communication skills. Participants' attachment style was rated across two dimensions, avoidance and anxiety, using the Relationship Questionnaire (RQ). Lower levels of attachment avoidance and anxiety significantly predicted higher performance in both communication and clinical skills. Trainee doctors' attachment styles are associated with patient communication and clinical performance. Further research is needed to investigate the impact of attachment on consultations between doctors and patients within clinical settings. Attachment theory can inform our understanding why, for some student doctors, interacting with patients may be particularly challenging and require additional support by medical educators. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  4. [Implementation of nine quality indicators in a hospital emergency clinical laboratory].

    Science.gov (United States)

    Guzmán D, Ana María; Sánchez P, Tomás; DE LA Barra D, Ricardo; Madrid Q, Angélica; Quiroga G, Teresa

    2011-02-01

    Quality indicators are tools used to monitor specific activities within a process and improve it. In the area of clinical laboratories, the National Accreditation Standards for Providers of Health and the ISO 15189 standard recommend the implementation of indicators that monitor the test cycle with emphasis on those that contribute to a safer health care. To describe the implementation of nine indicators in a hospital clinical laboratory and their measurement during one year. The indicators implemented and measured were four of the pre-analytical phase (number of rejected samples, times of transport, blood culture contamination and blood cultures inoculated with adequate blood volumes), two of the analytical phase (coherence of Gram stains of blood culture with microorganism cultured and correct results in external quality control surveys) and three of the post-analytical phase (compliance with order to report lapse goals, corrected reports and alert values report). Two indicators of pre-analytical phase did not meet the per determined targets: number of rejected samples and blood cultures inoculated with adequate blood volume. All indicators of the analytical and post analytical phases were within the pre-determined targets. Coordinated work should be initiated especially with the nursing service to correct the two indicators that did not meet the target. The incorporation of quality indicators to monitor critical processes within the laboratory was undoubtedly an opportunity to identify areas for improvement.

  5. Quality pharmacy services and key performance indicators in Polish NICUs: a Delphi approach.

    Science.gov (United States)

    Krzyżaniak, Natalia; Pawłowska, Iga; Bajorek, Beata

    2018-03-31

    Background Currently, there is no literature describing what a quality level of practice entails in Polish neonatal intensive care units (NICUs), nor are there any means of currently measuring the quality of pharmaceutical care provided to NICU patients. Objective To identify a set of essential pharmacist roles and pharmacy-relevant key performance indicators (KPI's) suitable for Polish neonatal intensive units (NICUs). Setting Polish hospital pharmacies and NICUs. Method Using a modified Delphi technique, potential KPI's structured along Donabedian's domains as well as pharmacy services were presented to an expert panel of stakeholders. Two online, consecutive Delphi rounds, were completed by panellists between August and September 2017. Main outcome measure To identify the minimum level of pharmacy services that should be consistently provided to NICU patients. Results A total of 16 panellists contributed to the expert panel. Overall, consensus of 75% was reached for 23 indicators and for 28 roles. When considering pharmacy services for the NICU, the experts were found to highly value traditional pharmacy roles, such as dispensing and extemporaneous compounding, however, they were still eager for roles in the other domains, such as educational and clinical services, to be listed as essential for NICU practice. Panellists were found to positively value the list of indicators presented, and excluded only 9 out of the total list. Conclusion There is a need for future research to establish a minimum standard of practice for Polish pharmacists to encourage the progression and standardisation of hospital pharmacy services to meet the level of practice seen in NICUs worldwide.

  6. Food safety performance indicators to benchmark food safety output of food safety management systems

    NARCIS (Netherlands)

    Jacxsens, L.; Uyttendaele, M.; Devlieghere, F.; Rovira, J.; Oses Gomez, S.; Luning, P.A.

    2010-01-01

    There is a need to measure the food safety performance in the agri-food chain without performing actual microbiological analysis. A food safety performance diagnosis, based on seven indicators and corresponding assessment grids have been developed and validated in nine European food businesses.

  7. Investigations of portable cadmium telluride (CdTe(Cl)) detectors for clinical studies with radioactive indicators

    International Nuclear Information System (INIS)

    Bojsen, J.

    1985-01-01

    The combination of small, portable γ-radiation-sensitive Cadmium Telluride (CdTE(Cl)) crystal detectors and portable solid state data storage memories makes it feasible to extend the measuring period in a number of clinical investigations based on the use of various radioisotopes and external detection. Blood sampling can be avoided in some cases. Continuous ambulatory monitoring of relevant physiological parameters is practicable, e.g. kidney function (GFR), left ventricular ejection fraction, subcutaneous blood flow, muscle blood flow and insulin absorption in diabetic patients. In the present methodological study the applicability of the 133-Xe washout technique to subcutaneous (s.c.) adipose tissue blood flow (SBF) has been investigated and adapted to the use of CdTe(Cl) detectors attached to the skin surface for the measurement of local 133-Xe-disappearance rate constants (k). Physical characterization of CdTe(Cl) detectors as γ-sensitive devices has been performed, and adequate counting sensitivities were found without detector energy-resolution properties. The CdTe(Cl) detectors are therefore suitable for single indicator studies. The measuring geometry of CdTe(Cl) detectors was studied and compared with that of stationary Sodium Iodide (NaI(Tl)) detectors in both phantom and in vivo investigations. The spatial properties of CdTe(Cl) detectors could to some extent be adjusted by pulse height discrimination and lead collimation. When long-term measurements were complicated by for instance physical activity of the patients, the small CdTe(Cl) detectors in general showed equal or better performance than the heavy and voluminous NaI(Tl) detectors. The free movement of the ambulatory patient and the avoidance of cable connections to stationary data-collecting systems gave improved possibilities for measurements of the relevant parameters. From this point of view, portable CdTe(Cl) detectors must be considered an important advance for radioactivity studies in

  8. Impacto da implantação de clínica de avaliação pré-operatória em indicadores de desempenho Impacto de la implantación de clínica de evaluación pre-operatoria en indicadores de desempeño Impact of preoperative outpatient evaluation clinic on performance indicators

    Directory of Open Access Journals (Sweden)

    Florentino Fernandes Mendes

    2005-04-01

    : This study aimed at evaluating the effects of implementing a Preoperative Outpatient Evaluation Clinic (POEC based on operating center performance indicators. METHODS: The following data were prospectively followed for five years: total POEC evaluations and surgeries performed; total and reasons for surgeries cancellation; inpatient or outpatient surgeries performed; procedures cancellation rate and mean hospital stay of admitted patients. Reasons for procedure cancellations were divided in medical and administrative reasons. Cancellation rate is presented in percentage. Mean hospital stay is presented in days. Other indicators are presented in total figures. The study was divided in five periods: Pre-POEC, POEC 1, 2, 3 and 4, corresponding, respectively, to the years of 1998, 1999, 2000, 2001 and 2002. For each year, indicators percentage was compared to previous year and to the year Pre-POEC. Reasons were defined to check interactions among indicators. RESULTS: Except for total performed procedures, POEC has improved all tracked indicators. This improvement was low at the beginning and more significant in the year POEC 4. There has been decrease in the total number of cancelled procedures due to administrative reasons. There was also a decrease in procedures cancellation rate and mean hospital stay. These decreases were progressive and more marked in POEC 4. There is correlation (r = 0.977 between procedures cancellation rate and mean stay of admitted patients. CONCLUSIONS: There are significant changes in indicators. Improvement is gradual and progressive as years go by with regard to POEC development, and positively affects indicators improvement.

  9. "Transfusion indication RBC (PBM-02)": gap analysis of a Joint Commission Patient Blood Management Performance Measure at a community hospital.

    Science.gov (United States)

    De Leon, Essel Marie Bagang; Szallasi, Arpad

    2014-01-01

    The Joint Commission accredits health care organisations in the USA as a prerequisite for licensure. In 2011, TJC published seven Patient Blood Management Performance Measures to improve the safety and quality of care. These Measures will provide hospital-specific information about clinical performance. Of the seven TJC PBM Performance Measures, we decided to evaluate PBM-02, "Transfusion indication RBC", at our hospital. Blood transfusion orders were collected from May 2 to August 2, 2011 and the data analysed. Of the 724 consecutive red blood cell transfusion orders, 694 (96%) documented both clinical indication and pre-transfusion haemoglobin/haematocrit results. The leading transfusion indication (47% of total) was "high risk patients with pre-transfusion Hb of change by introducing the single-unit transfusion policy. The majority (96%) of the transfusion orders met The Joint Commission criteria by providing both transfusion indication and pre-transfusion Hb and/or Hct values. Our transfusion guidelines recommend single-unit red blood cell transfusions with reassessment of the patient after each transfusion for need to receive more blood. Although most (72%) initial orders followed our transfusion guidelines, 70% of patients who received a single unit initially went on to receive more blood (some in excess of 10 units). Our objective data may be helpful in evaluating blood ordering practices at our hospital and in identifying specific clinical services for review.

  10. Computation of a Suburban Night Train Timetable Based on Key Performance Indicators

    DEFF Research Database (Denmark)

    Schittenhelm, Bernd; Landex, Alex

    2010-01-01

    and travel time. A short description and specific calculation method is given for each of these. The article recommends three different approaches for dividing the railway network into sections of analysis in regards to the key performance indicators. Three timetable variants for suburban night trains......Timetable evaluation can be based on a set of key performance indicators. This article presents six essential key performance indicators: Fixed interval service frequency, direct connections, transfer waiting time, use of dedicated rolling stock, dedicated train personnel, dedicated tracks......, but a clear picture of which timetable variant is best is not achieved. To get a clearer picture the introduction of weights is recommended both for the indicators as a whole and in the specific calculation methods. A prioritization of the selected key performance indicators is essential and weights in form...

  11. Soy Protein Supplementation Reduces Clinical Indices in Type 2 Diabetes and Metabolic Syndrome.

    Science.gov (United States)

    Zhang, Xi-Mei; Zhang, Yun-Bo; Chi, Mei-Hua

    2016-05-01

    Clinical trials have studied the use of soy protein for treating type 2 diabetes (T2D) and metabolic syndrome (MS). The purpose of this study was to outline evidence on the effects of soy protein supplementation on clinical indices in T2D and MS subjects by performing a meta-analysis of randomized controlled trials (RCTs). We searched PubMed, EMBASE, and Cochrane databases up to March 2015 for RCTs. Pooled estimates and 95% confidence intervals (CIs) were calculated by the fixed-and-random-effects model. A total of eleven studies with eleven clinical variables met the inclusion criteria. The meta-analysis showed that fasting plasma glucose (FPG) [weighted mean difference (WMD), -0.207; 95% CI, -0.374 to -0.040; p=0.015], fasting serum insulin (FSI) (WMD, -0.292; 95% CI, -0.496 to -0.088; p=0.005), homeostasis model of assessment for insulin resistance index (HOMA-IR) (WMD, -0.346; 95% CI, -0.570 to -0.123; p=0.002), diastolic blood pressure (DBP) (WMD, -0.230; 95% CI, -0.441 to -0.019; p=0.033), low-density lipoprotein cholesterol (LDL-C) (WMD, -0.304; 95% CI, -0.461 to -0.148; p=0.000), total cholesterol (TC) (WMD, -0.386; 95% CI, -0.548 to -0.225; p=0.000), and C-reactive protein (CRP) (WMD, -0.510; 95% CI, -0.722 to -0.299; p=0.000) are significant reduced with soy protein supplementation, compared with a placebo control group, in T2D and MS patients. Furthermore, soy protein supplementation for longer duration (≥6 mo) significantly reduced FPG, LDL-C, and CRP, while that for a shorter duration (protein supplementation could be beneficial for FPG, FSI, HOMA-IR, DBP, LDL-C, TC, and CRP control in plasma.

  12. Health system frameworks and performance indicators in eight countries: A comparative international analysis

    Directory of Open Access Journals (Sweden)

    Jeffrey Braithwaite

    2017-01-01

    Full Text Available Objectives: Performance indicators are a popular mechanism for measuring the quality of healthcare to facilitate both quality improvement and systems management. Few studies make comparative assessments of different countries’ performance indicator frameworks. This study identifies and compares frameworks and performance indicators used in selected Organisation for Economic Co-operation and Development health systems to measure and report on the performance of healthcare organisations and local health systems. Countries involved are Australia, Canada, Denmark, England, the Netherlands, New Zealand, Scotland and the United States. Methods: Identification of comparable international indicators and analyses of their characteristics and of their broader national frameworks and contexts were undertaken. Two dimensions of indicators – that they are nationally consistent (used across the country rather than just regionally and locally relevant (measured and reported publicly at a local level, for example, a health service – were deemed important. Results: The most commonly used domains in performance frameworks were safety, effectiveness and access. The search found 401 indicators that fulfilled the ‘nationally consistent and locally relevant’ criteria. Of these, 45 indicators are reported in more than one country. Cardiovascular, surgery and mental health were the most frequently reported disease groups. Conclusion: These comparative data inform researchers and policymakers internationally when designing health performance frameworks and indicator sets.

  13. Environmental performance policy indicators for the public sector: the case of the defence sector.

    Science.gov (United States)

    Ramos, Tomás B; Alves, Inês; Subtil, Rui; Joanaz de Melo, João

    2007-03-01

    The development of environmental performance policy indicators for public services, and in particular for the defence sector, is an emerging issue. Despite a number of recent initiatives there has been little work done in this area, since the other sectors usually focused on are agriculture, transport, industry, tourism and energy. This type of tool can be an important component for environmental performance evaluation at policy level, when integrated in the general performance assessment system of public missions and activities. The main objective of this research was to develop environmental performance policy indicators for the public sector, specifically applied to the defence sector. Previous research included an assessment of the environmental profile, through the evaluation of how environmental management practices have been adopted in this sector and an assessment of environmental aspects and impacts. This paper builds upon that previous research, developing an indicator framework--SEPI--supported by the selection and construction of environmental performance indicators. Another aim is to discuss how the current environmental indicator framework can be integrated into overall performance management. The Portuguese defence sector is presented and the usefulness of this methodology demonstrated. Feasibility and relevancy criteria are applied to evaluate the set of indicators proposed, allowing indicators to be scored and indicators for the policy level to be obtained.

  14. Joint impact of ERP systems and non financial performance indicators on corporate financial performance: Evidence from French listed companies

    Directory of Open Access Journals (Sweden)

    Ahmed Kouki

    2015-01-01

    Full Text Available This paper aims to examine the joint impact of Enterprise Resource Planning systems (ERP systems and Non Financial Performance Indicators (NFPI on corporate financial performance. Our study is based on a comparative analysis between firms that adopt ERP only, firms that use NFPI only and firms that combining both strategies (ERP and NFPI during the period from 2001 to 2006.The implementation process remains highly uncertain. In fact, the use of Non Financial performance indicators is an important determinant of corporate financial performance. At the operational level, combining ERP systems with NFPI reflects a long-term business strategy to improve business process. In summary, the ERP and NFPI literatures demonstrate the vital importance of aligning business process, information technologies and key performance indicators with the strategic objectives of the firm. Results support the hypothesis in which firms that combining ERP and NFPI have significantly higher ROA than either ERP-only or NFPI-only firms.

  15. Computation of a Suburban Night Train Timetable Based on Key Performance Indicators

    DEFF Research Database (Denmark)

    Schittenhelm, Bernd; Landex, Alex

    2010-01-01

    Timetable evaluation can be based on a set of key performance indicators. This article presents six essential key performance indicators: Fixed interval service frequency, direct connections, transfer waiting time, use of dedicated rolling stock, dedicated train personnel, dedicated tracks...... and travel time. A short description and specific calculation method is given for each of these. The article recommends three different approaches for dividing the railway network into sections of analysis in regards to the key performance indicators. Three timetable variants for suburban night trains...... in Copenhagen are evaluated. Each timetable variant was created with a different performance focus. Values for each of the six key performance indicators are calculated and an average value is found for all timetable variants. It can be concluded that the actual implemented timetable receives the highest scores...

  16. Five patellar proximodistal positioning indices compared in clinically normal Greenland sled dogs

    DEFF Research Database (Denmark)

    Miles, James E; Dickow, Marlene; Nielsen, Dorte H

    2012-01-01

    Patellar luxation in large-breed dogs is associated with abnormal proximodistal patellar positioning. Using a clinically normal population of Greenland sled dogs, measurement reliability and the effect of limb position were compared for five patellar proximodistal positioning indices based...... on the Insall-Salvati (IS), modified Insall-Salvati (mIS), de Carvalho (dC), patellotrochlear (PT) and Blackburne-Peel (BP) indices. Indices were measured at one knee angle in 44 dogs and two knee angles in 10 dogs. Index susceptibility to error was modelled for different errors in knee angle estimation. Two...

  17. Performance indices and evaluation of algorithms in building energy efficient design optimization

    International Nuclear Information System (INIS)

    Si, Binghui; Tian, Zhichao; Jin, Xing; Zhou, Xin; Tang, Peng; Shi, Xing

    2016-01-01

    Building energy efficient design optimization is an emerging technique that is increasingly being used to design buildings with better overall performance and a particular emphasis on energy efficiency. To achieve building energy efficient design optimization, algorithms are vital to generate new designs and thus drive the design optimization process. Therefore, the performance of algorithms is crucial to achieving effective energy efficient design techniques. This study evaluates algorithms used for building energy efficient design optimization. A set of performance indices, namely, stability, robustness, validity, speed, coverage, and locality, is proposed to evaluate the overall performance of algorithms. A benchmark building and a design optimization problem are also developed. Hooke–Jeeves algorithm, Multi-Objective Genetic Algorithm II, and Multi-Objective Particle Swarm Optimization algorithm are evaluated by using the proposed performance indices and benchmark design problem. Results indicate that no algorithm performs best in all six areas. Therefore, when facing an energy efficient design problem, the algorithm must be carefully selected based on the nature of the problem and the performance indices that matter the most. - Highlights: • Six indices of algorithm performance in building energy optimization are developed. • For each index, its concept is defined and the calculation formulas are proposed. • A benchmark building and benchmark energy efficient design problem are proposed. • The performance of three selected algorithms are evaluated.

  18. Interventions performed by the clinical pharmacist in the emergency department

    Directory of Open Access Journals (Sweden)

    Talita Muniz Maloni Miranda

    2012-03-01

    Full Text Available Objective: To demonstrate the role and importance of the clinicalpharmacist in the Emergency Department by means of identification,classification, and assessment of the number of interventionsperformed by this professional. Methods: This was a retrospectivestudy conducted during the period of January 1st, 2010 to December31st, 2010, at the Morumbi Emergency Department of Hospital Israelita Albert Einstein. The interventions were performed by the clinical pharmacists by means of his/her role along with the interdisciplinary team and active search in clinical charts, with daily analysis of medical prescriptions during the period of eight hours (10:00 to 19:00 from Monday to Friday. Results: A total of 3,542 medical prescriptions were written and there were 1,238 interventions. Classifications and quantities of interventions were as follows: administration route: 105 (8.48%; frequency: 73 (5.89%; dosage: 431 (35%; renal function: 14 (1.13%; compatibility: 50 (4%; dilution: 121 (9.77%; legibility: 39 (3.15%; pharmacovigilance: 7 (0.56%; adverse reaction to medications: 7 (0.56%; allergy: 35 (2.82%; infusion time: 76 (6.13%; indication: 52 (4.20%; medication reconciliation: 2 (0.16%; enteral medication administration: 38 (3%; scheduling: 7 (0.56%; specific anticoagulant protocol: 44 (3.55%; specific hypoglycemic agent protocol: 42 (3.99%. Conclusion: The study allowed the demonstration of the importance of the clinical pharmacist active in the Emergency Department. By the classification and by the number of interventions carried out, it was possible to observe that the Clinical Pharmacy Service had a great impact on the increased safety for the patient and prevention of adverse events.

  19. Relationship between oral clinical conditions and daily performances

    Directory of Open Access Journals (Sweden)

    Andréa Silveira Gomes

    2009-03-01

    Full Text Available The aim of this study was to assess the impact of oral status on the daily performances of civil servants from the Public Works and Waste Management Department of the city of Porto Alegre, located in Southern Brazil. A cross-sectional study was conducted on a representative sample composed of 276 civil servants with ages ranging from 35 to 44 years. The Oral Impacts on Daily Performances index developed was employed to measure impacts caused by oral clinical conditions. Oral examinations were performed after the interviews. Multinomial Logistic Regression Analysis was used. After adjusting for sex and educational level, the results showed that the subjects with high DMFT scores were 5.8 times (95% CI = 2.1-16.1 more likely to have high impacts on their everyday life than those with low DMFT scores. Subjects that presented some coronal caries were 4.3 times (95% CI = 1.9-9.8 more likely to have high impacts on their everyday life than those with no coronal caries. Dental status assessed through the DMFT index and coronal caries are important indicators of impacts on the everyday life of the studied population.

  20. Lean Information Management: Criteria For Selecting Key Performance Indicators At Shop Floor

    Science.gov (United States)

    Iuga, Maria Virginia; Kifor, Claudiu Vasile; Rosca, Liviu-Ion

    2015-07-01

    Most successful organizations worldwide use key performance indicators as an important part of their corporate strategy in order to forecast, measure and plan their businesses. Performance metrics vary in their purpose, definition and content. Therefore, the way organizations select what they think are the optimal indicators for their businesses varies from company to company, sometimes even from department to department. This study aims to answer the question of what is the most suitable way to define and select key performance indicators. More than that, it identifies the right criteria to select key performance indicators at shop floor level. This paper contributes to prior research by analysing and comparing previously researched selection criteria and proposes an original six-criteria-model, which caters towards choosing the most adequate KPIs. Furthermore, the authors take the research a step further by further steps to closed research gaps within this field of study.

  1. Laboratory infrastructure driven key performance indicator development using the smart grid architecture model

    DEFF Research Database (Denmark)

    Syed, Mazheruddin H.; Guillo-Sansano, Efren; Blair, Steven M.

    2017-01-01

    This study presents a methodology for collaboratively designing laboratory experiments and developing key performance indicators for the testing and validation of novel power system control architectures in multiple laboratory environments. The contribution makes use of the smart grid architecture...

  2. Development and utilization of indicators to summarize and represent performance of nuclear power plants

    International Nuclear Information System (INIS)

    Kawaguchi, Hiroshi; Kakubari, Yukihiro; Kikkawa, Shigeru

    1996-01-01

    We have developed eight performance indicators (PIs) that enable quantitative and overall comprehension of operating performance. Among these eight indicators there are 'capability factor' 'incidents and failures' and 'radiation exposure and radioactive wastes', all used to represent the safety and reliability of a nuclear power plant. Results of analysis and evaluation by means of these PIs are distributed to the regulatory agency and other organizations every year, for the benefit of all involved. We have also been examining a technique that may allow synthesis of these PIs into a single, simpler comprehensive indicator that covers all aspects of plant performance. In this report, we present analysis and evaluation of the PIs, the technique to provide a comprehensive performance indicators and actual application. (author)

  3. PERFORMANCE INDICATORS: A COMPARATIVE ANALYSIS BETWEEN PUBLIC AND PRIVATE COLLEGES IN BRAZIL

    Directory of Open Access Journals (Sweden)

    Átila de Melo Lira

    2015-06-01

    Full Text Available A comparative analysis between the use of performance indicators to public and private organizations have always been required to examine the scenario related to both. This study seeks to analyze the use of Balanced Scorecard (BSC to identify and understand the main differences and similarities in public and private higher education institutions (HEIs in Brazil in relation to the use of other organizations performance indicators. A quantitative and exploratory approach was adopted using institutional documents analysis. Data was searched on the websites of Brazilian higher education public and private organizations in order to accomplish this analysis comparative. The results showed that even reviewing few public institutions the use of performance indicators appears to be more efficient than those applied to the private ones. Private universities should observe and improve their processes and performance indicators based on those used in Brazilian public universities. This initial research still opens a horizon so that other studies be developed within this thought stream.

  4. Quality indicators for screening colonoscopies and colonoscopist performance and the subsequent risk of interval bowel cancer

    DEFF Research Database (Denmark)

    Lund, Martin; Trads, Mette; Erichsen, Rune

    2017-01-01

    REVIEW QUESTION/OBJECTIVE:: The objective of this systematic review is to assess the association between quality indicators related to the individual colonoscopist's performance and subsequent interval cancers in patients participating in bowel cancer screening programs, following the JBI approach...

  5. Assessing research impact in academic clinical medicine: a study using Research Excellence Framework pilot impact indicators

    Directory of Open Access Journals (Sweden)

    Ovseiko Pavel V

    2012-12-01

    Full Text Available Abstract Background Funders of medical research the world over are increasingly seeking, in research assessment, to complement traditional output measures of scientific publications with more outcome-based indicators of societal and economic impact. In the United Kingdom, the Higher Education Funding Council for England (HEFCE developed proposals for the Research Excellence Framework (REF to allocate public research funding to higher education institutions, inter alia, on the basis of the social and economic impact of their research. In 2010, it conducted a pilot exercise to test these proposals and refine impact indicators and criteria. Methods The impact indicators proposed in the 2010 REF impact pilot exercise are critically reviewed and appraised using insights from the relevant literature and empirical data collected for the University of Oxford’s REF pilot submission in clinical medicine. The empirical data were gathered from existing administrative sources and an online administrative survey carried out by the university’s Medical Sciences Division among 289 clinical medicine faculty members (48.1% response rate. Results The feasibility and scope of measuring research impact in clinical medicine in a given university are assessed. Twenty impact indicators from seven categories proposed by HEFCE are presented; their strengths and limitations are discussed using insights from the relevant biomedical and research policy literature. Conclusions While the 2010 pilot exercise has confirmed that the majority of the proposed indicators have some validity, there are significant challenges in operationalising and measuring these indicators reliably, as well as in comparing evidence of research impact across different cases in a standardised manner. It is suggested that the public funding agencies, medical research charities, universities, and the wider medical research community work together to develop more robust methodologies for capturing

  6. Assessing research impact in academic clinical medicine: a study using Research Excellence Framework pilot impact indicators.

    Science.gov (United States)

    Ovseiko, Pavel V; Oancea, Alis; Buchan, Alastair M

    2012-12-23

    Funders of medical research the world over are increasingly seeking, in research assessment, to complement traditional output measures of scientific publications with more outcome-based indicators of societal and economic impact. In the United Kingdom, the Higher Education Funding Council for England (HEFCE) developed proposals for the Research Excellence Framework (REF) to allocate public research funding to higher education institutions, inter alia, on the basis of the social and economic impact of their research. In 2010, it conducted a pilot exercise to test these proposals and refine impact indicators and criteria. The impact indicators proposed in the 2010 REF impact pilot exercise are critically reviewed and appraised using insights from the relevant literature and empirical data collected for the University of Oxford's REF pilot submission in clinical medicine. The empirical data were gathered from existing administrative sources and an online administrative survey carried out by the university's Medical Sciences Division among 289 clinical medicine faculty members (48.1% response rate). The feasibility and scope of measuring research impact in clinical medicine in a given university are assessed. Twenty impact indicators from seven categories proposed by HEFCE are presented; their strengths and limitations are discussed using insights from the relevant biomedical and research policy literature. While the 2010 pilot exercise has confirmed that the majority of the proposed indicators have some validity, there are significant challenges in operationalising and measuring these indicators reliably, as well as in comparing evidence of research impact across different cases in a standardised manner. It is suggested that the public funding agencies, medical research charities, universities, and the wider medical research community work together to develop more robust methodologies for capturing and describing impact, including more valid and reliable impact

  7. KEY PERFORMANCE INDICATORS FOR HEALTHCARE RESEARCH ORGANIZATIONS BETWEEN 2011 AND 2015

    OpenAIRE

    ANISKEVICH A.S.; HALFIN R.A.

    2017-01-01

    In this work we identify 16 key indicators to evaluate the performance of healthcare research organizations. These indicators comprehensively characterize such aspects of performance as research output and relevance, human resource development, integration into the international scientific community, distribution of scientific knowledge, promotion of the prestige of science, and resource provision. Below, we review the existing classification of medical research institutions and their key fea...

  8. Use of social media in health promotion: purposes, key performance indicators, and evaluation metrics.

    Science.gov (United States)

    Neiger, Brad L; Thackeray, Rosemary; Van Wagenen, Sarah A; Hanson, Carl L; West, Joshua H; Barnes, Michael D; Fagen, Michael C

    2012-03-01

    Despite the expanding use of social media, little has been published about its appropriate role in health promotion, and even less has been written about evaluation. The purpose of this article is threefold: (a) outline purposes for social media in health promotion, (b) identify potential key performance indicators associated with these purposes, and (c) propose evaluation metrics for social media related to the key performance indicators. Process evaluation is presented in this article as an overarching evaluation strategy for social media.

  9. Does medical students' clinical performance affect their actual performance during medical internship?

    Science.gov (United States)

    Han, Eui-Ryoung; Chung, Eun-Kyung

    2016-02-01

    This study examines the relationship between the clinical performance of medical students and their performance as doctors during their internships. This retrospective study involved 63 applicants to a residency programme conducted at the Chonnam National University Hospital, South Korea, in November 2012. We compared the performance of the applicants during their internship with the clinical performance of the applicants during their fourth year of medical school. The performance of the applicants as interns was periodically evaluated by the faculty of each department, while the clinical performance of the applicants as fourth year medical students was assessed using the Clinical Performance Examination (CPX) and the Objective Structured Clinical Examination (OSCE). The performance of the applicants as interns was positively correlated with their clinical performance as fourth year medical students, as measured by CPX and OSCE. The performance of the applicants as interns was moderately correlated with the patient-physician interactions items addressing communication and interpersonal skills in the CPX. The clinical performance of medical students during their fourth year in medical school was related to their performance as medical interns. Medical students should be trained to develop good clinical skills, through actual encounters with patients or simulated encounters using manikins, so that they are able to become competent doctors. Copyright © Singapore Medical Association.

  10. Does medical students’ clinical performance affect their actual performance during medical internship?

    Science.gov (United States)

    Han, Eui-Ryoung; Chung, Eun-Kyung

    2016-01-01

    INTRODUCTION This study examines the relationship between the clinical performance of medical students and their performance as doctors during their internships. METHODS This retrospective study involved 63 applicants of a residency programme conducted at Chonnam National University Hospital, South Korea, in November 2012. We compared the performance of the applicants during their internship with their clinical performance during their fourth year of medical school. The performance of the applicants as interns was periodically evaluated by the faculty of each department, while their clinical performance as fourth-year medical students was assessed using the Clinical Performance Examination (CPX) and the Objective Structured Clinical Examination (OSCE). RESULTS The performance of the applicants as interns was positively correlated with their clinical performance as fourth-year medical students, as measured by the CPX and OSCE. The performance of the applicants as interns was moderately correlated with the patient-physician interaction items addressing communication and interpersonal skills in the CPX. CONCLUSION The clinical performance of medical students during their fourth year in medical school was related to their performance as medical interns. Medical students should be trained to develop good clinical skills through actual encounters with patients or simulated encounters using manikins, to enable them to become more competent doctors. PMID:26768172

  11. USE OF FINANCIAL AND NON-FINANCIAL INDICATORS IN EVALUATION OF COMPANY’S PERFORMANCE

    OpenAIRE

    Inta Kotane

    2015-01-01

    Dimensions for the measurement of the company’s performance include financial and non-financial indicators. Many authors have carried out researches on financial and non-financial indicators, though the problems of their practical application exist, since there is no single united approach for measurement and assessment of both financial and non-financial indicators. This research is based on the former theoretical and practical researches by the author on the application of the financial and...

  12. Performance indicators for water injections projects; Indicadores de desempenho para projetos de injecao de agua

    Energy Technology Data Exchange (ETDEWEB)

    Hastenreiter, Livia; Correa, Antonio C. de F.; Mendes, Roberta A. [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil)

    2008-07-01

    Currently, the water injection process into oil reservoirs is the method of secondary recovery more important to increase the recovery factor. Thus, it is necessary an efficient project management, with constant data acquisitions and interpretation. This paper aims to present some indicators to evaluate the performance of water injection projects. Each indicator is presented based on a methodology that transforms the data collected in information. The results are expressed in graphical form for better viewing of the indicators measurement. (author)

  13. Development of safety performance indicators of regulatory interest (SAFPER) in Pakistan

    International Nuclear Information System (INIS)

    Khatoon, Abida

    2002-01-01

    Safety performance indicators provide a very useful tool for monitoring operational safety of a nuclear power plant. Utilities in many countries have developed plant specific indicators for the assessment of their performance and safety. Regulators can make use of some of these indicators for their regulatory assessment. In addition to these regulatory bodies in some countries have also developed programs for the formulation of safety performance indicators which are used in monitoring operational safety and regulatory decision making. Realizing its usefulness Directorate of Nuclear Safety and Radiation Protection (DNSRP-the regulatory body in Pakistan) has also initiated a country specific program for the development of Safety Performance Indicators (SAFPER) based on data provided by the utility and that collected during the course of regulatory inspections. Selected areas of NPP operation to be monitored are: - Significant events; - Safety systems performance; - Barriers integrity; - Environment protection; - Workers radiation safety; and - Emergency Preparedness. One of the objectives of this program is also to monitor the effectiveness of DNSRP regulatory activities. IAEA framework is taken as one of the bases for our program. Safety performance will be assessed on the basis of Performance Indicators and inspection findings. DNSRP program as shown in Appendix includes the indicators in use and under development. It is felt that the term Safety Performance Indicators may be termed as 'SAFPER Indicators' to be used by the Regulators, as it is clear from this presentation that utility safety performance indicators together with the regulatory effectiveness indicators constitute the measure for the adequate safety to the public and the environment. Additional research is still necessary for: - indicator definition for the proposed and under developed indicators; - data collection systems; - thresholds; - trend analysis; - goal setting (benefit from the trend can be

  14. Clinical indications and radiation doses to the conceptus associated with CT imaging in pregnancy: a retrospective study

    Energy Technology Data Exchange (ETDEWEB)

    Woussen, S.; Vanbeckevoort, D.; Bosmans, H.; Oyen, R. [University Hospitals Leuven, Department of Radiology, Leuven (Belgium); Lopez-Rendon, X.; Zanca, F. [University Hospitals Leuven, Department of Imaging and Pathology, Leuven (Belgium)

    2016-04-15

    To perform an internal audit at a university hospital with the aim of evaluating the number, clinical indication and operating procedure of computed tomography (CT) performed on pregnant patients and of estimating the radiation doses to the conceptus. A retrospective review was conducted of all CT examinations performed in a single centre on pregnant patients between January 2008 and July 2013. The radiation doses to the conceptus were estimated. The results were compared with published data. The number of CT examinations during pregnancy increased from 3-4 per year in 2008-2011 to 11 per year in 2012. The mean estimated conceptus radiation dose was considered negligible for CT of the head and cervical spine, being less than 0.01 mGy, and for CT of the chest, less than 0.1 mGy. The estimated conceptus radiation dose from abdominopelvic CT was on average 28.7 mGy (range 6.7-60.5 mGy). The number of CT scans of pregnant patients increased threefold during the last few years. Most clinical indications and doses were in line with good clinical practice and literature; only in two cases the dose to the conceptus was higher than 50 mGy. (orig.)

  15. Multidimensional indices of clinical oral conditions from a population perspective: a systematic review.

    Science.gov (United States)

    Figueiredo, Daniela de Rossi; Bastos, João Luiz; Silva, Luciana; Peres, Karen Glazer

    2016-04-01

    To conduct a systematic review of the literature on indices that assess different clinical oral conditions simultaneously from a population perspective. A search of the literature was carried out considering articles indexed in PubMed/MEDLINE, Web of Science, Scopus, SciELO, and LILACS, using search queries containing free and controlled vocabulary. The search included validity and reproducibility studies on the development of indices that assessed, simultaneously, at least two of the following oral morbidities: dental caries, periodontal status, and occlusal conditions, regardless of their indication for specific age or age groups. Of the 2240 studies identified, 21 were considered eligible to be included in this study. Most studies (70% n = 14) were published between the 1960s and the 1990s. Eight indices were identified and half of these originated from the United States. For most indices, the minimum age indicated was 19 years and above. All the indices evaluated dental caries, and more than 2/3 evaluated periodontal status. None evaluated need for prosthesis and one included need for treatment. Interobserver and intra-observer reliability values were 0.7 or above. Most studies only presented content validity. Although few normative oral health indices and validation studies were developed after the 1990s, the reliability values of all the reviewed studies were satisfactory; however, they did not present a refinement in terms of validity. This evidence suggests that further studies are needed to demonstrate the validity and/or reproducibility of multidimensional measures of clinical oral conditions. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  16. Transforming unstructured natural language descriptions into measurable process performance indicators using Hidden Markov Models

    NARCIS (Netherlands)

    van der Aa, Han; Leopold, Henrik; del-Río-Ortega, Adela; Resinas, Manuel; Reijers, Hajo A.

    2017-01-01

    Monitoring process performance is an important means for organizations to identify opportunities to improve their operations. The definition of suitable Process Performance Indicators (PPIs) is a crucial task in this regard. Because PPIs need to be in line with strategic business objectives, the

  17. A critical cluster analysis of 44 indicators of author-level performance

    DEFF Research Database (Denmark)

    Wildgaard, Lorna Elizabeth

    2015-01-01

    . Publication and citation data for 741 researchers across Astronomy, Environmental Science, Philosophy and Public Health was collected in Web of Science (WoS). Forty-four indicators of individual performance were computed using the data. A two-step cluster analysis using IBM SPSS version 22 was performed...

  18. Performance Indicators as a Foundation of Institutional Autonomy: Implications for Higher Education Institutions in Europe

    Science.gov (United States)

    Lewis, Darrell R.; Hendel, Darwin D.; Kallsen, Lincoln

    2007-01-01

    There has developed moderate discussion in European higher education about the use of performance indicators for both accountability and evaluation purposes. This paper begins by summarizing governmental expectations, institutional objections, and several of the controversies surrounding performance measures. We then report on using performance…

  19. Application of Data Envelopment Analysis on the Indicators Contributing to Learning and Teaching Performance

    Science.gov (United States)

    Montoneri, Bernard; Lin, Tyrone T.; Lee, Chia-Chi; Huang, Shio-Ling

    2012-01-01

    This paper applies data envelopment analysis (DEA) to explore the quantitative relative efficiency of 18 classes of freshmen students studying a course of English conversation in a university of Taiwan from the academic year 2004-2006. A diagram of teaching performance improvement mechanism is designed to identify key performance indicators for…

  20. Assessing emergency obstetric and newborn care : Can performance indicators capture health system weaknesses?

    NARCIS (Netherlands)

    Miltenburg, Andrea Solnes; Kiritta, Richard Forget; Bishanga, Thabea Benedicto; van Roosmalen, Jos; Stekelenburg, Jelle

    2017-01-01

    Background: Regular monitoring and assessment of performance indicators for emergency obstetric and newborn care can help to identify priorities to improve health services for women and newborns. The aim of this study was to perform a district wide assessment of emergency obstetric and newborn care

  1. Virtual Reality Simulation as a Tool to Monitor Surgical Performance Indicators: VIRESI Observational Study.

    Science.gov (United States)

    Muralha, Nuno; Oliveira, Manuel; Ferreira, Maria Amélia; Costa-Maia, José

    2017-05-31

    Virtual reality simulation is a topic of discussion as a complementary tool to traditional laparoscopic surgical training in the operating room. However, it is unclear whether virtual reality training can have an impact on the surgical performance of advanced laparoscopic procedures. Our objective was to assess the ability of the virtual reality simulator LAP Mentor to identify and quantify changes in surgical performance indicators, after LAP Mentor training for digestive anastomosis. Twelve surgeons from Centro Hospitalar de São João in Porto (Portugal) performed two sessions of advanced task 5: anastomosis in LAP Mentor, before and after completing the tutorial, and were evaluated on 34 surgical performance indicators. The results show that six surgical performance indicators significantly changed after LAP Mentor training. The surgeons performed the task significantly faster as the median 'total time' significantly reduced (p virtual reality training simulation as a benchmark tool to assess the surgical performance of Portuguese surgeons. LAP Mentor is able to identify variations in surgical performance indicators of digestive anastomosis.

  2. Platelet indices as markers of platelet turnover and aggregation: pathophysiological interpretation, clinical impact, perspectives in research

    Directory of Open Access Journals (Sweden)

    Malinova L.I.

    2017-12-01

    Full Text Available The purpose of the review is to characterize existing in open access bibliographical databases such as eLibrary and PubMed evidence on clinical impact of morphometric platelet indices as markers of platelet aggregation ability and turnover as a methodology and theoretical framework of further investigation. Studies results were pooled from open access bibliographic databases (eLibrary, and PubMed according to modified PRISMA algorithm. Relevant studies were identified by systematic searches of the original studies published during the last 10 years in the Russian and English languages. Results of 96 original studies in accordance with inclusion criteria were published during the last 10 years in scientific journals indexed in eLibrary, and PubMed. The majority of publications (64.58% consist of evidence pro diagnostic and prognostic significance of platelet indices. Studies demonstrating the significance of platelet indices as possible risk markers of thrombotic events in cardiovascular patients were predominating among "pro" publications. In 15.63% published results contradict concept of platelet indices usefulness as diagnostic and prognostic markers in clinical practice. Morphometric platelet indices can be considered as useful diagnostic and prognostic markers of thrombotic events in cardiovascular patients. Existing gaps in evidence suggest the need of further investigations.

  3. Changing indications for paediatric tracheostomy and the role of a multidisciplinary tracheostomy clinic.

    Science.gov (United States)

    Yaneza, M M C; James, H L; James, H P; Davies, P; Harrison, S; McAlorum, L; Clement, W A; Kubba, H

    2015-09-01

    This paper presents our experience of managing children with a tracheostomy in a multidisciplinary team clinic consisting of an ENT consultant, paediatric respiratory consultant, a nurse specialist, and speech and language therapist. A retrospective case note review was conducted of all children seen in the multidisciplinary team tracheostomy clinic (at a tertiary paediatric hospital) between February 2009 and September 2014. Ninety-seven patients were examined. The most common indications for tracheostomy were: lower airway and respiratory problems (66 per cent), upper airway obstruction (64 per cent), and neurodevelopmental problems (60.8 per cent). Children with a tracheostomy are a diverse group of patients. The most common indications for paediatric tracheostomy have changed from infective causes to airway obstruction and anomalies, long-term ventilation requirement, and underlying neuromuscular or respiratory problems. Our unified approach empowers the carers and patient, as a home management plan, long-term plan and goals are generated at the end of each appointment.

  4. Clinical indications and perspectives for intraoperative cone-beam computed tomography in oral and maxillofacial surgery.

    Science.gov (United States)

    Pohlenz, Philipp; Blessmann, Marco; Blake, Felix; Heinrich, Sven; Schmelzle, Rainer; Heiland, Max

    2007-03-01

    Intraoperative cone-beam computerized tomography (CBCT) imaging has been introduced in oral and maxillofacial surgery. Using midfacial fractures as the pioneer model, this study describes the spectrum of further promising clinical indications for intraoperative CBCT and a clinical combination with intraoperative navigation. One hundred seventy-nine patients admitted for surgical treatment of the facial skeleton were included in the study. Intraoperatively, 3-dimensional images were generated with the mobile CBCT scanner Arcadis Orbic 3D, obtained from Siemens Medical Solutions, in a variety of indications. The acquisition of the data sets was uncomplicated, and image quality was sufficient to assess the postoperative result in all cases. In the example of a facial gunshot injury, a navigation system for intraoperative localization of the metal foreign bodies was used.

  5. Comparative assessment of the clinical performance of chloroquine ...

    African Journals Online (AJOL)

    Comparative assessment of the clinical performance of chloroquine and sulphadoxine/pyrimethamine in the treatment of Plasmodium falciparum infection in Plateau State: an open randomised study of 109 children with acute uncomplicated malaria.

  6. Artificial neural network model for prediction of safety performance indicators goals in nuclear plants

    International Nuclear Information System (INIS)

    Souto, Kelling C.; Nunes, Wallace W.; Machado, Marcelo D.

    2011-01-01

    Safety performance indicators have been developed to provide a quantitative indication of the performance and safety in various industry sectors. These indexes can provide assess to aspects ranging from production, design, and human performance up to management issues in accordance with policy, objectives and goals of the company. The use of safety performance indicators in nuclear power plants around the world is a reality. However, it is necessary to periodically set goal values. Such goals are targets relating to each of the indicators to be achieved by the plant over a predetermined period of operation. The current process of defining these goals is carried out by experts in a subjective way, based on actual data from the plant, and comparison with global indices. Artificial neural networks are computational techniques that present a mathematical model inspired by the neural structure of intelligent organisms that acquire knowledge through experience. This paper proposes an artificial neural network model aimed at predicting values of goals to be used in the evaluation of safety performance indicators for nuclear power plants. (author)

  7. Clinical and Paraclinical Indicators of Motor System Impairment in Hereditary Spastic Paraplegia: A Pilot Study.

    Directory of Open Access Journals (Sweden)

    Andrea Martinuzzi

    Full Text Available Hereditary spastic paraplegias (HSP are a composite and genetically heterogeneous group of conditions mainly expressed by the impairment of the central motor system ("pure" forms. The involvement of other components of the central nervous system or of other systems is described in the "complicate" forms. The definition of an investigation protocol capable, by assembling clinical and paraclinical indicators to fully represent the extent of the motor system impairment, would help both the clinical handling of these conditions and contribute to our understanding of their pathogenesis.We applied a clinical and paraclinical protocol which included tools exploring motor and non motor functioning, neurophysiology and MRI to a composite cohort of 70 molecularly defined HSP patients aged 3 to 65, to define for each indicator its significance in detailing the presence and the severity of the pathology.Clinically increased deep tendon reflexes and lower limb (LL weakness are constant findings in all patients. The "complicated" forms are characterized by peripheral motor impairment, cognitive and cerebellar involvement. The Spastic Paraplegia Rating Scale efficiently reflects the severity of functional problems and correlates with disease duration. Neurophysiology consistently documents the impairment of the central motor pathway to the LLs. Nevertheless, the upper extremities and sensory system involvement is a frequent finding. MRI diffusion tensor imaging (DTI highlighted a significant alteration of FA and MD. Combining the sampling of the various portion of the cortico-spinal tract (CST DTI consistently discriminated patients from controls.We propose a graded clinical and paraclinical protocol for HSP phenotype definition, indicating for each tool the discriminative and descriptive capacity. Our protocol applied to 9 different forms of HSP showed that the functional impairment often extends beyond the CST. The novel DTI approach may add significant

  8. Clinical and Paraclinical Indicators of Motor System Impairment in Hereditary Spastic Paraplegia: A Pilot Study.

    Science.gov (United States)

    Martinuzzi, Andrea; Montanaro, Domenico; Vavla, Marinela; Paparella, Gabriella; Bonanni, Paolo; Musumeci, Olimpia; Brighina, Erika; Hlavata, Hana; Rossi, Giuseppe; Aghakhanyan, Gayane; Martino, Nicola; Baratto, Alessandra; D'Angelo, Maria Grazia; Peruch, Francesca; Fantin, Marianna; Arnoldi, Alessia; Citterio, Andrea; Vantaggiato, Chiara; Rizzo, Vincenzo; Toscano, Antonio; Bresolin, Nereo; Bassi, Maria Teresa

    2016-01-01

    Hereditary spastic paraplegias (HSP) are a composite and genetically heterogeneous group of conditions mainly expressed by the impairment of the central motor system ("pure" forms). The involvement of other components of the central nervous system or of other systems is described in the "complicate" forms. The definition of an investigation protocol capable, by assembling clinical and paraclinical indicators to fully represent the extent of the motor system impairment, would help both the clinical handling of these conditions and contribute to our understanding of their pathogenesis. We applied a clinical and paraclinical protocol which included tools exploring motor and non motor functioning, neurophysiology and MRI to a composite cohort of 70 molecularly defined HSP patients aged 3 to 65, to define for each indicator its significance in detailing the presence and the severity of the pathology. Clinically increased deep tendon reflexes and lower limb (LL) weakness are constant findings in all patients. The "complicated" forms are characterized by peripheral motor impairment, cognitive and cerebellar involvement. The Spastic Paraplegia Rating Scale efficiently reflects the severity of functional problems and correlates with disease duration. Neurophysiology consistently documents the impairment of the central motor pathway to the LLs. Nevertheless, the upper extremities and sensory system involvement is a frequent finding. MRI diffusion tensor imaging (DTI) highlighted a significant alteration of FA and MD. Combining the sampling of the various portion of the cortico-spinal tract (CST) DTI consistently discriminated patients from controls. We propose a graded clinical and paraclinical protocol for HSP phenotype definition, indicating for each tool the discriminative and descriptive capacity. Our protocol applied to 9 different forms of HSP showed that the functional impairment often extends beyond the CST. The novel DTI approach may add significant elements in

  9. Validation of the Lupus Nephritis Clinical Indices in Childhood-Onset Systemic Lupus Erythematosus.

    Science.gov (United States)

    Mina, Rina; Abulaban, Khalid; Klein-Gitelman, Marisa S; Eberhard, Barbara A; Ardoin, Stacy P; Singer, Nora; Onel, Karen; Tucker, Lori; O'neil, Kathleen; Wright, Tracey; Brooks, Elizabeth; Rouster-Stevens, Kelly; Jung, Lawrence; Imundo, Lisa; Rovin, Brad; Witte, David; Ying, Jun; Brunner, Hermine I

    2016-02-01

    To validate clinical indices of lupus nephritis activity and damage when used in children against the criterion standard of kidney biopsy findings. In 83 children requiring kidney biopsy, the Systemic Lupus Erythematosus Disease Activity Index renal domain (SLEDAI-R), British Isles Lupus Assessment Group index renal domain (BILAG-R), Systemic Lupus International Collaborating Clinics (SLICC) renal activity score (SLICC-RAS), and SLICC Damage Index renal domain (SDI-R) were measured. Fixed effects and logistic models were calculated to predict International Society of Nephrology/Renal Pathology Society (ISN/RPS) class; low-to-moderate versus high lupus nephritis activity (National Institutes of Health [NIH] activity index [AI]) score: ≤10 versus >10; tubulointerstitial activity index (TIAI) score: ≤5 versus >5; or the absence versus presence of lupus nephritis chronicity (NIH chronicity index) score: 0 versus ≥1. There were 10, 50, and 23 patients with ISN/RPS class I/II, III/IV, and V, respectively. Scores of the clinical indices did not differentiate among patients by ISN/RPS class. The SLEDAI-R and SLICC-RAS but not the BILAG-R differed with lupus nephritis activity status defined by NIH-AI scores, while only the SLEDAI-R scores differed between lupus nephritis activity status based on TIAI scores. The sensitivity and specificity of the SDI-R to capture lupus nephritis chronicity was 23.5% and 91.7%, respectively. Despite being designed to measure lupus nephritis activity, SLICC-RAS and SLEDAI-R scores significantly differed with lupus nephritis chronicity status. Current clinical indices of lupus nephritis fail to discriminate ISN/RPS class in children. Despite its shortcomings, the SLEDAI-R appears best for measuring lupus nephritis activity in a clinical setting. The SDI-R is a poor correlate of lupus nephritis chronicity. © 2016, American College of Rheumatology.

  10. Clinical efficacy of two manual toothbrushes on plaque and bleeding indices

    OpenAIRE

    Sasan Salahi; Fereshteh Moosaali; Mohammad Moradian-Mohammadieh

    2016-01-01

    BACKGROUND AND AIM: The mechanical removal of plaque by tooth brushing is the most effective way for prevention of caries and periodontal diseases. Some studies indicate that the design and shape of toothbrush could be the effective for this point. The aim of this study was to compare the efficacy of a Classic toothbrush with a Superbrush toothbrush in controlling plaque and gingival bleeding over a 2-week period of brushing. METHODS: This study was a crossover clinical trial, inv...

  11. Feedback-giving behaviour in performance evaluations during clinical clerkships

    NARCIS (Netherlands)

    Bok, Harold G. J.; Jaarsma, Debbie A. D. C.; Spruijt, Annemarie; Van Beukelen, Peter; Van der Vleuten, Cees P. M.; Teunissen, Pim W.

    2016-01-01

    CONTEXT: Narrative feedback documented in performance evaluations by the teacher, i.e. the clinical supervisor, is generally accepted to be essential for workplace learning. Many studies have examined factors of influence on the usage of mini-clinical evaluation exercise (mini-CEX) instruments and

  12. Introducing a performance-based objective clinical examination into ...

    African Journals Online (AJOL)

    Purpose: To describe how a formative Objective Structured Clinical Examination was applied to fourth year pharmacy students at a university in Northern Cyprus. Methods: A blueprint-guided performance-based objective clinical examination was implemented. Group-prepared case scenarios based on course objectives ...

  13. Quantifying and visualizing site performance in clinical trials

    Directory of Open Access Journals (Sweden)

    Eric Yang

    2018-03-01

    Conclusions: The use of operational data from Covance Central Laboratories provides a unique perspective into the performance of clinical sites with respect to many important metrics such as patient enrollment and retention. These metrics can, in turn, be used to guide operational planning and site selection for new clinical trials, thereby accelerating recruitment, improving quality, and reducing cost.

  14. Learning strategies during clerkships and their effects on clinical performance.

    Science.gov (United States)

    van Lohuizen, M T; Kuks, J B M; van Hell, E A; Raat, A N; Cohen-Schotanus, J

    2009-11-01

    Previous research revealed relationships between learning strategies and knowledge acquisition. During clerkships, however, students' focus widens beyond mere knowledge acquisition as they further develop overall competence. This shift in focus can influence learning strategy use. We explored which learning strategies were used during clerkships and their relationship to clinical performance. Participants were 113 (78%) clerks at the university hospital or one of six affiliated hospitals. Learning strategies were assessed using the 'Approaches to Learning at Work Questionnaire' (deep, surface-rational and surface-disorganised learning). Clinical performance was calculated by taking the mean of clinical assessment marks. The relationship between learning strategies and clinical performance was explored using regression analysis. Most students (89%) did not clearly prefer a single learning strategy. No relationship was found between learning strategies and clinical performance. Since overall competence comprises integration of knowledge, skills and professional behaviour, we assume that students without a clear preference use more than one learning strategy. Finding no relationship between learning strategies and clinical performance reflects the complexity of clinical learning. Depending on circumstances it may be important to obtain relevant information quickly (surface-rational) or understand material thoroughly (deep). In future research we will examine when and why students use different learning strategies.

  15. Disclosure of investigators' recruitment performance in multicenter clinical trials

    DEFF Research Database (Denmark)

    Dal-Ré, Rafael; Moher, David; Gluud, Christian

    2011-01-01

    Rafael Dal-Ré and colleagues argue that the recruitment targets and performance of all site investigators in multi-centre clinical trials should be disclosed in trial registration sites before a trial starts, and when it ends.......Rafael Dal-Ré and colleagues argue that the recruitment targets and performance of all site investigators in multi-centre clinical trials should be disclosed in trial registration sites before a trial starts, and when it ends....

  16. Indicators of postoperative pain in cats and correlation with clinical criteria.

    Science.gov (United States)

    Smith, J D; Allen, S W; Quandt, J E; Tackett, R L

    1996-11-01

    To identify clinical indicators that may help identity postoperative pain in cats after ovariohysterectomy. Healthy, laboratory animal source cats. Clinical indicators of pain were identified, and relief from pain in response to butorphanol was studied in 5 groups of cats. 10 cats had 1 hour of general anesthesia only, followed by recovery without additional medication. 10 cats had general anesthesia and ovariohysterectomy, followed by recovery without additional medication. 10 cats had general anesthesia, ovariohysterectomy, and postoperative administration of 0.1 mg of butorphanol/kg of body weight. Another 10 cats had general anesthesia, ovariohysterectomy, and postoperative administration of 0.3 mg butorphanol/kg. 10 cats received 0.1 mg of butorphanol/kg, IM, only. Samples and recorded data were obtained before, during, and after the anesthesia period. Clinical variables measured included heart rate, blood pressure, respiratory rate, rectal temperature, PCV, and blood glucose concentration. Results were compared with changes in norepinephrine, epinephrine, and cortisol concentrations. Cats that did not receive analgesics had higher cortisol concentration than did cats without surgery and cats that received butorphanol after surgery. Systolic blood pressure measured by ultrasonic Doppler was found to be predictive of cortisol concentration, using a multiple linear regression model. Cortisol concentration increased in response to surgical stress and pain, and this increase was diminished by use of butorphanol. Systolic blood pressure was the best clinical predictor of postoperative pain.

  17. Which radionuclide, carrier molecule and clinical indication for alpha-immunotherapy?

    Science.gov (United States)

    Guerard, F; Barbet, J; Chatal, J F; Kraeber-Bodere, F; Cherel, M; Haddad, F

    2015-06-01

    Beta-emitting radionuclides are not able to kill isolated tumor cells disseminated in the body, even if a high density of radiolabeled molecules can be targeted at the surface of these cells because the vast majority of emitted electrons deliver their energy outside the targeted cells. Alpha-particle emitting radionuclides may overcome this limitation. It is thus of primary importance to test and validate the radionuclide of choice, the most appropriate carrier molecule and the most promising clinical indication. Four α-particle emitting radionuclides have been or are clinically tested in phase I studies namely 213Bi, 225Ac, 212Pb and 211At. Clinical safety has been documented and encouraging efficacy has been shown for some of them (213Bi and 211At). 211At has been the most studied and could be the most promising radionuclide but 225Ac and 212Pb are also of potential great interest. Any carrier molecule that has been labeled with β-emitting radionuclides could be labeled with alpha particle-emitting radionuclide using, for some of them, the same chelating agents. However, the physical half-life of the radionuclide should match the biological half-life of the radioconjugate or its catabolites. Finally everybody agrees, based on the quite short range of alpha particles, on the fact that the clinical indications for alpha-immunotherapy should be limited to the situation of disseminated minimal residual diseases made of small clusters of malignant cells or isolated tumor cells.

  18. A study on regional comprehensive performance evaluation indicator system of rational use of drugs

    Directory of Open Access Journals (Sweden)

    Sun Tongda

    2017-01-01

    Full Text Available The current research presents the design of a 4-degree-3-level performance evaluation indicator system of rational use of drugs for health care institutions accord with the Balanced Score Card (BSC method. Financial index, patient index, professional process index, and development and blazing new trials index are adopted in the light of scientific, guiding, operable and generalizable principles. The index weight is based on the analytic hierarchy process, and comprehensive performance evaluation indicators are calculated by a linear integrated weighting method. Its practical application in 21 state-run health care institutions in Ningbo, from 2008 to 2012, has arrived at the finding that the comprehensive performance evaluation indicator system offers a scientific, practical and effective performance management quantification and is thus worth popularizing.

  19. A critical cluster analysis of 44 indicators of author-level performance

    DEFF Research Database (Denmark)

    Wildgaard, Lorna Elizabeth

    2016-01-01

    -four indicators of individual researcher performance were computed using the data. The clustering solution was supported by continued reference to the researcher’s curriculum vitae, an effect analysis and a risk analysis. Disciplinary appropriate indicators were identified and used to divide the researchers...... into four groups; low, middle, high and extremely high performers. Seniority-specific indicators were not identified. The practical importance of the recommended disciplinary appropriate indicators is concerning. Our study revealed several critical concerns that should be investigated in the application....... It is important to do studies that investigate the usefulness of statistical evaluation methodologies to help us as a community learn more about the appropriateness of particular bibliometric indicators in the analysis of different researcher profiles....

  20. Performance of combined clinical mammography and needle biopsy: a nationwide study from Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Rank, Fritz; Dyreborg, Uffe

    2006-01-01

    Clinical mammography and needle biopsy are key tools for non-operative assessment of breast lesions. We evaluated the performance of all combined tests undertaken in Denmark in 2000. Clinical mammography and needle biopsy data were collected and linked to final cancer outcome, to determine...... sensitivity, specificity, and predictive values of clinical mammography, needle biopsy, and combined test. In 2000, 6709 combined tests were performed in 36 mammography clinics in Denmark. The combined test was consistently more sensitive than any single test, increasing the proportion of women correctly...... with a suspicious or malignant result indicated a high risk of cancer, and excisional diagnostic biopsy therefore still has an important role to play....

  1. Determination of Economic Indicators in the Context of Corporate Sustainability Performance

    Directory of Open Access Journals (Sweden)

    Marie Pavláková Dočekalová

    2015-03-01

    Full Text Available This article is focused on determination of the most significant economic indicators influencing corporate sustainability performance. Corporate sustainability performance is a multidimensional concept based on the original idea of sustainable development, replacing the traditional understanding of corporate performance only as capital appreciation for owners (shareholders. Compared to the original concept of sustainable development which consists of environmental, social and economic performance, the so-called triple-bottom-line, it is broaden to the responsibilities and the impact of Corporate Governance on the corporate performance. The basic set of economic indicators has been constructed from a synthesis of resources developed by international organizations (Global Reporting Initiative, International Federation of Accountants and research among manufacturing companies in the Czech Republic. The basic set of twenty-five key indicators is divided into seven groups: Costs, Investments, Economic Results, Asset & financial resources utilization, Suppliers reliability, Penalties and R&D expenses. Basic set of indicators was presented to 23 top-managers who quantified the potential effect of each indicator to the success and sustainability of their companies. Through the methods of descriptive statistics knowledge of the particularities of each indicator was obtained. Correlation analysis and factor analysis were applied in order to eliminate information duplicity and dimensionality reduction. The result is a reduction in the number of economic indicators, so that the loss of information on the influence of the original indicators on the corporate sustainability is minimized. Corporate sustainability indicators are a tool for measuring and managing progress towards sustainability goals and environmental, social and economic impacts.

  2. Using DEMATEL approach to develop relationships of performance indicators on sustainable service only supply chain performance measurement

    Science.gov (United States)

    Leksono, EB; Suparno; Vanany, I.

    2018-04-01

    Service only supply chain (SOSC) concept is service supply chain (SSC) implementation on pure services. The globalization and stakeholder pressure makes operation of SSC should give the attention to the environment effect, community, economic and intangibility assets. SOSC performance measurement (SOSCPM) may be developed for measuring of performance for sustainability aspects and intangibility assets to meet customer satisfaction. This article discusses sustainable SOSCPM based on balanced scorecard (BSC), include sustainability aspects, intangibility and relations between perspectives and indicators. From literature review, it is found 34 performance indicators that must be confirm to expert and SC actors by survey. From survey validation using weighted average and level of consensus, it is found 29 valid indicators for processed by DEMATEL. From DEMATEL, it is found 26 indicators can be used on sustainable SOSCPM. Furthermore, innovation and growth perspective most influence to other, and customer perspective most important. Intangibility indicators incorporated on innovation and growth perspective very related with human resources. Finally, relations between perspectives and indicator used to design of BSC strategy maps.

  3. STATUS BERKELANJUTAN KOTA TANGERANG SELATAN-BANTEN DENGAN MENGGUNAKAN KEY PERFORMANCE INDICATORS (Sustainable Status of South Tangerang City-Banten Using Key Performance Indicators

    Directory of Open Access Journals (Sweden)

    Heri Apriyanto

    2015-07-01

    Full Text Available ABSTRAK Pembangunan kota yang tidak terkendali akan mengakibatkan tekanan terhadap lingkungan dan beban masyarakat meningkat, sebaliknya degradasi lingkungan akan mengakibatkan pembatasan pengembangan ekonomi dan penurunan kualitas hidup. Guna mencegah terjadinya dampak-dampak negatif, maka diperlukan prinsip-prinsip pembangunan kota yang berkelanjutan. Evaluasi terhadap pelaksanan pembangunan kota yang berkelanjutan perlu dilakukan untuk mengetahui apakah pembangunan suatu kota sudah atau belum/tidak berkelanjutan. Penelitian ini bertujuan untuk menyusun Key Performance Indicators (KPI guna menilai status pembangunan kota berkelanjutan. Perumusan KPI ini dilakukan dengan pendekatan Analytic Hierarchy Process (AHP. KPI yang dihasilkan terdiri dari 21 indikator dan 9 elemen dari 3 pilar pembangunan berkelanjutan (ekonomi, sosial, dan lingkungan. Implementasi KPI dilakukan untuk pengukuran status keberlanjutan Kota Tangerang Selatan. Hasil pengukuran menunjukkan bahwa kota ini termasuk dalam tahap awal pembangunan berkelanjutan. Secara umum perkembangan ekonomi dan sosial relatif cukup baik, namun tidak demikian dengan kondisi lingkungannya. ABSTRACT Uncontrolled urban development will result in pressure on the environment and the burden of the people. On the contrary, environmental degradation will lead to restricted economic development and decreased quality of life. In order to prevent negative impacts, it is necessary to implement the principles of sustainable city development. Evaluation of the implementation of sustainable city development is needed to determine whether the development of a city is sustainable or not. This study aimed to develop Key Performance Indicators (KPI to assess the status of sustainable city development. The formulation of KPI is done with Analytic Hierarchy Process (AHP. KPI generated consists of 21 indicators and 9 elements of the 3 pillars of sustainable development (economic, social, and environmental

  4. Breast MRI BI-RADS Assessments and Abnormal Interpretation Rates by Clinical Indication in U.S. Community Practices

    Science.gov (United States)

    Ichikawa, Laura; Rochelle, Michele C.; Kerlikowske, Karla; Miglioretti, Diana L.; Sprague, Brian L.; DeMartini, Wendy B.; Wernli, Karen J.; Joe, Bonnie N.; Yankaskas, Bonnie C.; Lehman, Constance D.

    2014-01-01

    Rationale and Objectives As breast MRI use grows, benchmark performance parameters are needed for auditing and quality assurance purposes. We describe the variation in breast MRI abnormal interpretation rates (AIRs) by clinical indication among a large sample of U.S. community practices. Materials and Methods We analyzed data from 41 facilities across five Breast Cancer Surveillance Consortium imaging registries. Each registry obtained IRB approval for this HIPAA compliant analysis. We included 11,654 breast MRI exams conducted in 2005–2010 among women aged 18–79 years. We categorized clinical indications as: 1) screening; 2) extent of disease; 3) diagnostic (e.g., breast symptoms); and 4) other (e.g., short-interval follow-up). We characterized assessments as positive (i.e., BI-RADS 0, 4, and 5) or negative (i.e., BI-RADS 1, 2, 6), and provide results with BI-RADS 3 categorized as positive and as negative. We tested for differences in AIRs across clinical indications both unadjusted and adjusted for patient characteristics and registry, and assessed for changes in AIRs by indication over time. Results When categorizing BI-RADS 3 as positive, AIRs were 21.0% (95% CI: 19.8, 22.3) for screening, 31.7% (95% CI: 29.6, 33.8) for extent of disease, 29.7% (95% CI: 28.3, 31.1) for diagnostic, and 27.4% (95% CI: 25.0, 29.8) for other indications (pBI-RADS 3 as negative, AIRs were 10.5% (95% CI: 9.5, 11.4) for screening, 21.8% (95% CI: 19.9, 23.6) for extent of disease, 17.7% (95% CI: 16.5, 18.8) for diagnostic, and 13.3% (95% CI: 11.6, 15.2) for other indications (p<0.0001). The significant differences in AIRs by indication persisted even after adjusting for patient characteristics and registry (p<0.0001). In addition, for most indications, there were no significant changes in AIRs over time. Conclusion Breast MRI AIRs differ significantly by clinical indication. Practices should stratify breast MRI exams by indication for quality assurance and auditing purposes. PMID

  5. Interpretive Structural Model of Key Performance Indicators for Sustainable Maintenance Evaluatian in Rubber Industry

    Science.gov (United States)

    Amrina, E.; Yulianto, A.

    2018-03-01

    Sustainable maintenance is a new challenge for manufacturing companies to realize sustainable development. In this paper, an interpretive structural model is developed to evaluate sustainable maintenance in the rubber industry. The initial key performance indicators (KPIs) is identified and derived from literature and then validated by academic and industry experts. As a result, three factors of economic, social, and environmental dividing into a total of thirteen indicators are proposed as the KPIs for sustainable maintenance evaluation in rubber industry. Interpretive structural modeling (ISM) methodology is applied to develop a network structure model of the KPIs consisting of three levels. The results show the economic factor is regarded as the basic factor, the social factor as the intermediate factor, while the environmental factor indicated to be the leading factor. Two indicators of social factor i.e. labor relationship, and training and education have both high driver and dependence power, thus categorized as the unstable indicators which need further attention. All the indicators of environmental factor and one indicator of social factor are indicated as the most influencing indicator. The interpretive structural model hoped can aid the rubber companies in evaluating sustainable maintenance performance.

  6. Key performance indicators in plant asset management: hype, burden or real help?

    International Nuclear Information System (INIS)

    Jovanovic, A.; Bareiss, J.M.

    2010-01-01

    The paper tackles the increasing role and use of indicators (e.g. the key performance indicators, KPIs) in asset management in power and process plants, in particular for risk and safety management (safety performance indicators, SPIs), inspection, maintenance, emerging risks analysis and aging management. The two main aspects of the use of indicators are monitoring of performance (e.g. of a single unit) and benchmarking (e.g. among different units). The basis for the considerations presented in the paper are several international projects in the field, showing that the main issue in the field is not and cannot be just the introduction of new indicators as such. They deal with the principles of establishing indicators, establishing generally accepted indicators (goal 'globally accepted' indicators), creating of 'repositories' of indicators in industry and respective tools. The repository/tool developed in the EU project iNTeg-Risk is presented in more detail. The main proposed criteria for successful introduction are the acceptance, transparency and clear added value, e.g. when the indicators help in finding solutions for the issues where the conventional analysis, e.g. the one based on engineering models and analysis is too expensive, complex or simply unavailable. Three practical cases are briefly shown in the paper: one for the improved asset management in a refinery, one for the identification of indicators helping to deal with emerging risks (how to identify them and how to assess risks of a new technology) and one for the implementation of a complex aging management program for industrial plants. (orig.)

  7. Associations between HIV-RNA-based indicators and virological and clinical outcomes

    DEFF Research Database (Denmark)

    Laut, Kamilla G; Shepherd, Leah C; Pedersen, Court

    2016-01-01

    OBJECTIVES: To evaluate and compare the performance of six HIV-RNA-based quality of care indicators for predicting short-term and long-term outcomes. DESIGN: Multinational cohort study. METHODS: We included EuroSIDA patients on antiretroviral therapy (ART) with at least three viral load measureme...

  8. The Nordic maintenance care program: the clinical use of identified indications for preventive care.

    Science.gov (United States)

    Axén, Iben; Bodin, Lennart

    2013-03-06

    Low back pain (LBP) is a prevalent condition and has been found to be recurrent and persistent in a majority of cases. Chiropractors have a preventive strategy, maintenance care (MC), aimed towards minimizing recurrence and progression of such conditions. The indications for recommending MC have been identified in the Nordic countries from hypothetical cases. This study aims to investigate whether these indications are indeed used in the clinical encounter. Data were collected in a multi-center observational study in which patients consulted a chiropractor for their non-specific LBP. Patient baseline information was a) previous duration of the LBP, b) the presence of previous episodes of LBP and c) early improvement with treatment. The chiropractors were asked if they deemed each individual patient an MC candidate. Logistic regression analyses (uni- and multi-level) were used to investigate the association of the patient variables with the chiropractor's decision. The results showed that "previous episodes" with LBP was the strongest predictor for recommending MC, and that the presence of all predictors strengthens the frequency of this recommendation. However, there was considerable heterogeneity among the participating chiropractors concerning the recommendation of MC. The study largely confirms the clinical use of the previously identified indications for recommending MC for recurrent and persistent LBP. Previous episodes of LBP was the strongest indicator.

  9. Academic performance and correspondences with indicators of physical and psychological health

    Directory of Open Access Journals (Sweden)

    Alberto Portoles Ariño

    2015-05-01

    Full Text Available Academic performance of the teenagers is influenced and determined by numerous factors. Life style and the conducts of health adopted in this period relate to the academic performance of direct form, in such a way that the teenagers with ways of life and more healthy conducts, can present a more adapted academic performance. Equally, to support correct indicators of psychological health relates to the academic adapted performance. The results obtained with a sample of 1210 teenagers of the Region of Murcia, with a normal age of 15.13 years it allows to value the importance of the indicators of health as determinants of the academic performance, for what they should develop programs directed to supporting positive levels of said

  10. Public perceptions of key performance indicators of healthcare in Alberta, Canada.

    Science.gov (United States)

    Northcott, Herbert C; Harvey, Michael D

    2012-06-01

    To examine the relationship between public perceptions of key performance indicators assessing various aspects of the health-care system. Cross-sequential survey research. Annual telephone surveys of random samples of adult Albertans selected by random digit dialing and stratified according to age, sex and region (n = 4000 for each survey year). The survey questionnaires included single-item measures of key performance indicators to assess public perceptions of availability, accessibility, quality, outcome and satisfaction with healthcare. Cronbach's α and factor analysis were used to assess the relationship between key performance indicators focusing on the health-care system overall and on a recent interaction with the health-care system. The province of Alberta, Canada during the years 1996-2004. Four thousand adults randomly selected each survey year. Survey questions measuring public perceptions of healthcare availability, accessibility, quality, outcome and satisfaction with healthcare. Factor analysis identified two principal components with key performance indicators focusing on the health system overall loading most strongly on the first component and key performance indicators focusing on the most recent health-care encounter loading most strongly on the second component. Assessments of the quality of care most recently received, accessibility of that care and perceived outcome of care tended to be higher than the more general assessments of overall health system quality and accessibility. Assessments of specific health-care encounters and more general assessments of the overall health-care system, while related, nevertheless comprise separate dimensions for health-care evaluation.

  11. Sustainability of the Tourism Industry, Based on Financial Key Performance Indicators

    Directory of Open Access Journals (Sweden)

    Adriana Dutescu

    2014-11-01

    Full Text Available Even if there is a real need of a set of key performance indicators for small and medium sized enterprises, this is not yet considered to be satisfied. Our research is focused on two main aspects, each of them individually important for the users of accounting information: the basic indicators specific for analysing operational performance and for decision making and the trend of the key performance indicators in the context of the economic crisis. The starting point of the study is a questionnaire addressed to small and medium sized enterprises activating in the tourism area, especially in the hotel industry. The respondents answered the questions in perfect anonymity by choosing one of the multiple choices for some of them and offering open answers to the others. Our analysis reveals a fair view of the dynamic of the most used key performance indicators in Romanian hotel industry, the limits of their interpretation and usage and the evolution of the financial and economic performance. The declared purpose of the research is to set the bases of a starting point in order to provide solutions for improving the relevance and the usage of these indicators in this domain, in the context of a sustainable business, taking into account the nowadays status of the economy in general and in particular the hotel industry.

  12. Team Performance Indicators Explain Outcome during Women’s Basketball Matches at the Olympic Games

    Directory of Open Access Journals (Sweden)

    Anthony S. Leicht

    2017-12-01

    Full Text Available The Olympic Games is the pinnacle international sporting competition with team sport coaches interested in key performance indicators to assist the development of match strategies for success. This study examined the relationship between team performance indicators and match outcome during the women’s basketball tournament at the Olympic Games. Team performance indicators were collated from all women’s basketball matches during the 2004–2016 Olympic Games (n = 156 and analyzed via linear (binary logistic regression and non-linear (conditional interference (CI classification tree statistical techniques. The most parsimonious linear model retained “defensive rebounds”, “field-goal percentage”, “offensive rebounds”, “fouls”, “steals”, and “turnovers” with a classification accuracy of 85.6%. The CI classification tree retained four performance indicators with a classification accuracy of 86.2%. The combination of “field-goal percentage”, “defensive rebounds”, “steals”, and “turnovers” provided the greatest probability of winning (91.1%, while a combination of “field-goal percentage”, “steals”, and “turnovers” provided the greatest probability of losing (96.7%. Shooting proficiency and defensive actions were identified as key team performance indicators for Olympic female basketball success. The development of key defensive strategies and/or the selection of athletes highly proficient in defensive actions may strengthen Olympic match success. Incorporation of non-linear analyses may provide teams with superior/practical approaches for elite sporting success.

  13. Development of a performance-based industrial energy efficiency indicator for corn refining plants.

    Energy Technology Data Exchange (ETDEWEB)

    Boyd, G. A.; Decision and Information Sciences; USEPA

    2006-07-31

    Organizations that implement strategic energy management programs have the potential to achieve sustained energy savings if the programs are carried out properly. A key opportunity for achieving energy savings that plant managers can take is to determine an appropriate level of energy performance by comparing their plant's performance with that of similar plants in the same industry. Manufacturing facilities can set energy efficiency targets by using performance-based indicators. The U.S. Environmental Protection Agency (EPA), through its ENERGY STAR{reg_sign} program, has been developing plant energy performance indicators (EPIs) to encourage a variety of U.S. industries to use energy more efficiently. This report describes work with the corn refining industry to provide a plant-level indicator of energy efficiency for facilities that produce a variety of products--including corn starch, corn oil, animal feed, corn sweeteners, and ethanol--for the paper, food, beverage, and other industries in the United States. Consideration is given to the role that performance-based indicators play in motivating change; the steps needed to develop indicators, including interacting with an industry to secure adequate data for an indicator; and the actual application and use of an indicator when complete. How indicators are employed in the EPA's efforts to encourage industries to voluntarily improve their use of energy is discussed as well. The report describes the data and statistical methods used to construct the EPI for corn refining plants. Individual equations are presented, as are the instructions for using them in an associated Excel spreadsheet.

  14. Performance of clinical mammography: a nationwide study from Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Vejborg, Ilse; Severinsen, Niels

    2006-01-01

    in Denmark in the year 2000 were collected and linked to cancer outcome. Use of the National Institute of Radiation Hygiene register for identification of radiology clinics ensured comprehensive nationwide registration. We used the final mammographic assessment at the end of the imaging work-up to determine...... sensitivity, specificity and accuracy, the latter using a receiver-operating characteristics (ROC) analysis. In 96,534 clinical mammography examinations, sensitivity was 75% and specificity 99%. The presence of at least one high volume-reading radiologist in the clinic increased accuracy (AUC = 0.91 for ... that clinical mammography worked best in patient populations of purely symptomatic women. Our data indicate that to increase the accuracy of clinical mammography at the community level, the presence of an experienced radiologist should be prioritized ahead of raising the clinic size....

  15. Anthropometric profile and indicators of playing performance in Brazilian women´s olympic basketball teams

    Directory of Open Access Journals (Sweden)

    João Antonio Nunes

    2009-01-01

    Full Text Available http://dx.doi.org/10.5007/1980-0037.2009v11n1p67   The aim of the present study was to investigate the correlation between anthropometric parameters (weight, height, body fat, BMI and performance indicators (playing time, points, rebounds, errors, steals in female national basketball players. The study was conducted during the 2000 and 2004 Olympic Games. Data were analyzed by ANOVA with random effects. Pearson’s simple correlation coefficients were also determined. No difference in anthropometric profile or performance indicators was observed between the two national teams (2000 and 2004. There was a significant correlation (r = 0.61, p<0.05 between height and number of rebounds. Free fat mass was also correlated with the number of rebounds performed (r = 0.45, p<0.05. BMI showed moderate correlations with playing time (r = -0.51, p<0.05, points scored (r = -0.50, p<0.05, number of errors (r = 0.53, p<0.05, and number of steals (r = -0.43, p<0.05. A similar pattern of correlation was observed between relative fat mass (% and performance indicators (playing time: -0.51, points scored: -0.44, errors: 0.50, and steals: 0.51 (p<0.05. The present results indicate a relationship between anthropometric profile and performance indicators. The results also suggest that height and free fat mass influence rebound performance. In addition, it is reasonable to assume that body fat interferes with most of the performance indicators analyzed.

  16. Identifying individual changes in performance with composite quality indicators while accounting for regression to the mean.

    Science.gov (United States)

    Gajewski, Byron J; Dunton, Nancy

    2013-04-01

    Almost a decade ago Morton and Torgerson indicated that perceived medical benefits could be due to "regression to the mean." Despite this caution, the regression to the mean "effects on the identification of changes in institutional performance do not seem to have been considered previously in any depth" (Jones and Spiegelhalter). As a response, Jones and Spiegelhalter provide a methodology to adjust for regression to the mean when modeling recent changes in institutional performance for one-variable quality indicators. Therefore, in our view, Jones and Spiegelhalter provide a breakthrough methodology for performance measures. At the same time, in the interests of parsimony, it is useful to aggregate individual quality indicators into a composite score. Our question is, can we develop and demonstrate a methodology that extends the "regression to the mean" literature to allow for composite quality indicators? Using a latent variable modeling approach, we extend the methodology to the composite indicator case. We demonstrate the approach on 4 indicators collected by the National Database of Nursing Quality Indicators. A simulation study further demonstrates its "proof of concept."

  17. Developing a Performance Assessment Framework and Indicators for Communicable Disease Management in Natural Disasters.

    Science.gov (United States)

    Babaie, Javad; Ardalan, Ali; Vatandoost, Hasan; Goya, Mohammad Mehdi; Akbarisari, Ali

    2016-02-01

    Communicable disease management (CDM) is an important component of disaster public health response operations. However, there is a lack of any performance assessment (PA) framework and related indicators for the PA. This study aimed to develop a PA framework and indicators in CDM in disasters. In this study, a series of methods were used. First, a systematic literature review (SLR) was performed in order to extract the existing PA frameworks and indicators. Then, using a qualitative approach, some interviews with purposively selected experts were conducted and used in developing the PA framework and indicators. Finally, the analytical hierarchy process (AHP) was used for weighting of the developed indicators. The input, process, products, and outcomes (IPPO) framework was found to be an appropriate framework for CDM PA. Seven main functions were revealed to CDM during disasters. Forty PA indicators were developed for the four categories. There is a lack of any existing PA framework in CDM in disasters. Thus, in this study, a PA framework (IPPO framework) was developed for the PA of CDM in disasters through a series of methods. It can be an appropriate framework and its indicators could measure the performance of CDM in disasters.

  18. Insomnia severity is an indicator of suicidal ideation during a depression clinical trial.

    Science.gov (United States)

    McCall, W Vaughn; Blocker, Jill N; D'Agostino, Ralph; Kimball, James; Boggs, Niki; Lasater, Barbara; Rosenquist, Peter B

    2010-10-01

    Insomnia has been linked to suicidal ideas and suicide death in cross-sectional and longitudinal population-based studies. A link between insomnia and suicide has not been previously examined in the setting of a clinical trial. Herein we describe the relationship between insomnia and suicidal thinking during the course of a clinical trial for depression with insomnia. Sixty patients aged 41.5±12.5 years (2/3 women) with major depressive episode and symptoms of insomnia received open-label fluoxetine for 9 weeks and also received blinded, randomized eszopiclone 3mg or placebo at bedtime after the first week of fluoxetine. Insomnia symptoms were assessed with the Insomnia Severity Index (ISI), and suicidal ideation was assessed with The Scale for Suicide Ideation (SSI). Depression symptoms were assessed with the depressed mood item and the anhedonia item from the Hamilton Rating Scale for Depression-24 (HRSD24), as well as a sum score for all non-sleep and non-suicide items from the HRSD (HRSD20). Measurements were taken at baseline and weeks 1, 2, 4, 6, and 8. SSI was examined by generalized linear mixed models for repeated measures as the outcome of interest for all 60 participants with ISI and various mood symptoms as independent variables, with adjustment for age, gender, treatment assignment, and baseline SSI. Higher levels of insomnia corresponded to significantly greater intensity of suicidal thinking (pmodel, the ISI remained an independent predictor of suicidal thinking. The results support the concept that insomnia may be a useful indicator for suicidal ideation and now extend this idea into clinical trials. Insomnia remains an independent indicator of suicidal ideation, even taking into account the core symptoms of depression such as depressed mood and anhedonia. The complaint of insomnia during a depression clinical trial might indicate that more direct questioning about suicide is warranted.

  19. Constructing a strategy map for banking institutions with key performance indicators of the balanced scorecard.

    Science.gov (United States)

    Wu, Hung-Yi

    2012-08-01

    This study presents a structural evaluation methodology to link key performance indicators (KPIs) into a strategy map of the balanced scorecard (BSC) for banking institutions. Corresponding with the four BSC perspectives (finance, customer, internal business process, and learning and growth), the most important evaluation indicators of banking performance are synthesized from the relevant literature and screened by a committee of experts. The Decision Making Trial and Evaluation Laboratory (DEMATEL) method, a multiple criteria analysis tool, is then employed to determine the causal relationships between the KPIs, to identify the critical central and influential factors, and to establish a visualized strategy map with logical links to improve banking performance. An empirical application is provided as an example. According to the expert evaluations, the three most essential KPIs for banking performance are customer satisfaction, sales performance, and customer retention rate. The DEMATEL results demonstrate a clear road map to assist management in prioritizing the performance indicators and in focusing attention on the strategy-related activities of the crucial indicators. According to the constructed strategy map, management could better invest limited resources in the areas that need improvement most. Although these strategy maps of the BSC are not universal, the research results show that the presented approach is an objective and feasible way to construct strategy maps more justifiably. The proposed framework can be applicable to institutions in other industries as well. Copyright © 2011 Elsevier Ltd. All rights reserved.

  20. Indicators and Performance Measures for Transportation, Environment and Sustainability in North America

    DEFF Research Database (Denmark)

    Gudmundsson, H.

    A study trip to USA and Canada was undertaken in October 2000 with support from the German Marshall Fund. The purpose of the trip was to learn about performance planning and performance indicators in the area of transportation and environment. The report describe findings from the trip...... in the following areas: how performance planning for transportation and environment is conducted in the US and Canada at federal, state and municipal level, to what extent performance planning serve as an instrument to integrate environmental and sustainability goals in transportation policy which specific...

  1. Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.

    Science.gov (United States)

    Roriz, Anna Karla Carneiro; Passos, Luiz Carlos Santana; de Oliveira, Carolina Cunha; Eickemberg, Michaela; Moreira, Pricilla de Almeida; Sampaio, Lílian Ramos

    2014-01-01

    Visceral obesity is associated with higher occurrence of cardiovascular events. There are few studies about the accuracy of anthropometric clinical indicators, using Computed Tomography (CT) as the gold standard. We aimed to determine the accuracy of anthropometric clinical indicators for discrimination of visceral obesity. Cross-sectional study with 191 adults and elderly of both sexes. Variables: area of visceral adipose tissue (VAT) identified by CT, Waist-to-Height Ratio (WHtR), Conicity index (C index), Lipid Accumulation Product (LAP) and Visceral Adiposity Index (VAI). ROC analyzes. There were a strong correlation between adiposity indicators and VAT area. Higher accuracy of C index and WHtR (AUC≥0.81) than the LAP and the VAI was observed. The higher AUC of LAP and VAI were observed among elderly with areas of 0.88 (CI: 0.766-0.944) and 0.83 (CI: 0.705-0.955) in men and 0.80 (CI: 0.672-0.930) and 0.71 (CI: 0.566-0.856) in women, respectively. The cutoffs of C index were 1.30 in elderly, in both sexes, with sensitivity ≥92%, the LAP ranged from 26.4 to 37.4 in men and from 40.6 to 44.0 in women and the VAI was 1.24 to 1.45 (sens≥76.9%) in men and 1.46 to 1.84 in women. Both the anthropometric indicators, C Index and WHtR, as well as LAP and VAI had high accuracy in visceral obesity discrimination. So, they are effective in cardiovascular risk assessment and in the follow-up for individual and collective clinical practice.

  2. Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.

    Directory of Open Access Journals (Sweden)

    Anna Karla Carneiro Roriz

    Full Text Available Visceral obesity is associated with higher occurrence of cardiovascular events. There are few studies about the accuracy of anthropometric clinical indicators, using Computed Tomography (CT as the gold standard. We aimed to determine the accuracy of anthropometric clinical indicators for discrimination of visceral obesity.Cross-sectional study with 191 adults and elderly of both sexes. Variables: area of visceral adipose tissue (VAT identified by CT, Waist-to-Height Ratio (WHtR, Conicity index (C index, Lipid Accumulation Product (LAP and Visceral Adiposity Index (VAI. ROC analyzes.There were a strong correlation between adiposity indicators and VAT area. Higher accuracy of C index and WHtR (AUC≥0.81 than the LAP and the VAI was observed. The higher AUC of LAP and VAI were observed among elderly with areas of 0.88 (CI: 0.766-0.944 and 0.83 (CI: 0.705-0.955 in men and 0.80 (CI: 0.672-0.930 and 0.71 (CI: 0.566-0.856 in women, respectively. The cutoffs of C index were 1.30 in elderly, in both sexes, with sensitivity ≥92%, the LAP ranged from 26.4 to 37.4 in men and from 40.6 to 44.0 in women and the VAI was 1.24 to 1.45 (sens≥76.9% in men and 1.46 to 1.84 in women.Both the anthropometric indicators, C Index and WHtR, as well as LAP and VAI had high accuracy in visceral obesity discrimination. So, they are effective in cardiovascular risk assessment and in the follow-up for individual and collective clinical practice.

  3. Workplace Correlates and Scholarly Performance of Clinical Pharmacy Faculty.

    Science.gov (United States)

    Jungnickel, Paul W.; Creswell, John W.

    1994-01-01

    This study sought to develop a correlate model of 3-year scholarly performance of 296 clinical pharmacy faculty. Participants were surveyed concerning refereed research, grants/books research, and nonresearch scholarship. Eight correlates, including two related to the departmental workplace, emerged as significant factors in scholarly performance.…

  4. Controlling Rater Stringency Error in Clinical Performance Rating: Further Validation of a Performance Rating Theory.

    Science.gov (United States)

    Cason, Gerald J.; And Others

    Prior research in a single clinical training setting has shown Cason and Cason's (1981) simplified model of their performance rating theory can improve rating reliability and validity through statistical control of rater stringency error. Here, the model was applied to clinical performance ratings of 14 cohorts (about 250 students and 200 raters)…

  5. Influence of a performance indicator on Danish research production and citation impact 2000-12

    DEFF Research Database (Denmark)

    Ingwersen, Peter; Larsen, Birger

    2014-01-01

    (37 %) after the start of the performance indicator and the citation impact progresses linearly over the entire period, regardless the introduction of the performance indicator. Academic staff progression is only 24 % during the same time period. The collaboration ratio between purely Danish......This paper analyses the patterns of Danish research productivity, citation impact and (inter)national collaboration across document types 2000-2012, prior to and after the introduction of the Norwegian publication point-based performance indicator in 2008. Document types analysed are: research......; also their productivity declines slightly from 2009 according to Research Agency statistics. Since 2006 the WoS indexing of proceedings papers is fast declining; as a consequence the ratio between Danish proceedings papers and research articles declines in WoS. According to Research Agency statistics...

  6. Analytic network process model for sustainable lean and green manufacturing performance indicator

    Science.gov (United States)

    Aminuddin, Adam Shariff Adli; Nawawi, Mohd Kamal Mohd; Mohamed, Nik Mohd Zuki Nik

    2014-09-01

    Sustainable manufacturing is regarded as the most complex manufacturing paradigm to date as it holds the widest scope of requirements. In addition, its three major pillars of economic, environment and society though distinct, have some overlapping among each of its elements. Even though the concept of sustainability is not new, the development of the performance indicator still needs a lot of improvement due to its multifaceted nature, which requires integrated approach to solve the problem. This paper proposed the best combination of criteria en route a robust sustainable manufacturing performance indicator formation via Analytic Network Process (ANP). The integrated lean, green and sustainable ANP model can be used to comprehend the complex decision system of the sustainability assessment. The finding shows that green manufacturing is more sustainable than lean manufacturing. It also illustrates that procurement practice is the most important criteria in the sustainable manufacturing performance indicator.

  7. Some remarks concerning the indicators for appreciation the performance and the value created by the enterprise

    Directory of Open Access Journals (Sweden)

    Doina Pacurari

    2010-12-01

    Full Text Available The appreciation of the performances of the enterprise are made, as a rule, by ways of indicators which are of accounting type, the result of financial exercise, profit or loss, being mostly used. This result can be determined differently, according to approaches of patrimonial, economic or financial nature. Due to the handling potential of this indicator, the attention of the analysts focused in time also on other computing patterns, uninfluenced by the accounting methods and techniques used by the enterprise. The investors’ need of information determined the conception of some performance computing models based on the concept of creating value for the shareholders. Among these, those which express the ability of the enterprise to create value on long term, based on discounted cash flow, are the most appreciated. Nevertheless, within the Romanian economic context, the most used performance indicators are still of accounting nature for being accessible and understandable.

  8. Scientific output in Chile: limitations in the use of performance indicators to evaluate public universities

    Directory of Open Access Journals (Sweden)

    Álvaro Quezada-Hofflinger

    2018-02-01

    Full Text Available In 2015, the 25 universities that are members of the association of public universities (CRUCH received $15.3 million as a reward for performance. The money that each university received depended on its position in the ranking of performance indicators. The performance indicator with the highest weight is the index of productivity (35%, which represents the ratio between the number of indexed publications divided by the number of academics at each university. This index does not distinguish publications by areas of knowledge, by quality or by intellectual author. Because of this, the index has been criticized as an unfair way to rank universities. To study this, we analyze10.377 papers indexed in the Web of Science by CRUCH universities in 2015. Our objective is to study the unintended consequences of the use of indexed publications as an indicator of productivity and estimate its impact on finance equity among universities and topics.

  9. Field validation of the ΔRIX performance indicator for flow in complex terrain

    DEFF Research Database (Denmark)

    Mortensen, Niels Gylling; Tindal, Andrew; Landberg, Lars

    Reanalyses of a case study using field measurements taken over 3½ years over rugged terrain in northern Portugal have been carried out using contemporary calculation procedures and topographical input data. The significance of the site ruggedness index (RIX) and the associated performance indicator...... (ΔRIX) are confirmed and the consequences of applying WAsP outside its operating envelope are quantified. A log-linear relation between WAsP prediction errors and the performance indicator ΔRIX is found to describe the field measurements and modelling results well. The largest coefficient...... the case study in northern Portugal, employing five meteorological stations with ruggedness indices between 10 and 33%, indicate an average improvement of WAsP power production predictions of 69%. Cross-predictions between sites with ΔRIX values larger than 5% are improved by more than 90% on average...

  10. Emotional intelligence, performance, and retention in clinical staff nurses.

    Science.gov (United States)

    Codier, Estelle; Kamikawa, Cindy; Kooker, Barbara M; Shoultz, Jan

    2009-01-01

    Emotional intelligence has been correlated with performance, retention, and organizational commitment in professions other than nursing. A 2006 pilot study provided the first evidence of a correlation between emotional intelligence and performance in clinical staff nurses. A follow-up study was completed, the purpose of which was to explore emotional intelligence, performance level, organizational commitment, and retention. A convenience sample of 350 nurses in a large medical center in urban Hawaii participated in this study. This article reports the findings pertaining to the subset of 193 clinical staff nurses who responded. The Mayer-Salovey-Caruso Emotional Intelligence Test instrument was used to measure emotional intelligence abilities. Performance was defined as ranking on a clinical ladder. Commitment was scored on a Likert scale. The following variables measured retention: total years in nursing, years in current job, total years anticipated in current job, and total anticipated career length. Emotional intelligence scores in clinical staff nurses correlated positively with both performance level and retention variables. Clinical staff nurses with higher emotional intelligence scores demonstrated higher performance, had longer careers, and greater job retention.

  11. Paediatric International Nursing Study: using person-centred key performance indicators to benchmark children's services.

    Science.gov (United States)

    McCance, Tanya; Wilson, Val; Kornman, Kelly

    2016-07-01

    The aim of the Paediatric International Nursing Study was to explore the utility of key performance indicators in developing person-centred practice across a range of services provided to sick children. The objective addressed in this paper was evaluating the use of these indicators to benchmark services internationally. This study builds on primary research, which produced indicators that were considered novel both in terms of their positive orientation and use in generating data that privileges the patient voice. This study extends this research through wider testing on an international platform within paediatrics. The overall methodological approach was a realistic evaluation used to evaluate the implementation of the key performance indicators, which combined an integrated development and evaluation methodology. The study involved children's wards/hospitals in Australia (six sites across three states) and Europe (seven sites across four countries). Qualitative and quantitative methods were used during the implementation process, however, this paper reports the quantitative data only, which used survey, observations and documentary review. The findings demonstrate the quality of care being delivered to children and their families across different international sites. The benchmarking does, however, highlight some differences between paediatric and general hospitals, and between the different key performance indicators across all the sites. The findings support the use of the key performance indicators as a novel method to benchmark services internationally. Whilst the data collected across 20 paediatric sites suggest services are more similar than different, benchmarking illuminates variations that encourage a critical dialogue about what works and why. The transferability of the key performance indicators and measurement framework across different settings has significant implications for practice. The findings offer an approach to benchmarking and celebrating

  12. Best Practices in Stability Indicating Method Development and Validation for Non-clinical Dose Formulations.

    Science.gov (United States)

    Henry, Teresa R; Penn, Lara D; Conerty, Jason R; Wright, Francesca E; Gorman, Gregory; Pack, Brian W

    2016-11-01

    Non-clinical dose formulations (also known as pre-clinical or GLP formulations) play a key role in early drug development. These formulations are used to introduce active pharmaceutical ingredients (APIs) into test organisms for both pharmacokinetic and toxicological studies. Since these studies are ultimately used to support dose and safety ranges in human studies, it is important to understand not only the concentration and PK/PD of the active ingredient but also to generate safety data for likely process impurities and degradation products of the active ingredient. As such, many in the industry have chosen to develop and validate methods which can accurately detect and quantify the active ingredient along with impurities and degradation products. Such methods often provide trendable results which are predictive of stability, thus leading to the name; stability indicating methods. This document provides an overview of best practices for those choosing to include development and validation of such methods as part of their non-clinical drug development program. This document is intended to support teams who are either new to stability indicating method development and validation or who are less familiar with the requirements of validation due to their position within the product development life cycle.

  13. Performance Evaluation of Spectral Clustering Algorithm using Various Clustering Validity Indices

    OpenAIRE

    M. T. Somashekara; D. Manjunatha

    2014-01-01

    In spite of the popularity of spectral clustering algorithm, the evaluation procedures are still in developmental stage. In this article, we have taken benchmarking IRIS dataset for performing comparative study of twelve indices for evaluating spectral clustering algorithm. The results of the spectral clustering technique were also compared with k-mean algorithm. The validity of the indices was also verified with accuracy and (Normalized Mutual Information) NMI score. Spectral clustering algo...

  14. Meeting measles elimination indicators: surveillance performance in a regional area of Australia

    Directory of Open Access Journals (Sweden)

    David N Durrheim

    2011-08-01

    Full Text Available The World Health Organization (WHO Western Pacific Region has established specific measles elimination surveillance indicators. There has been concern in Australia that these indicators may be too stringent and that measles elimination can occur without all surveillance prerequisites being met, in particular the minimum fever and rash clinician-suspected measles reporting rate with subsequent laboratory exclusion of measles. A regional public health unit in northern New South Wales, Australia, prompted local general practitioners to report fever and rash presentations that met the measles case definition or that they considered to be clinical measles. These notifications from July 2006 to June 2008 were reviewed to determine whether measles indicators for monitoring progress towards measles elimination could be achieved in Australia. Results confirmed that the surveillance indicators of “>2 reported suspected measles cases per 100 000 population,” “at least 80% of suspected cases adequately investigated within 48 hours” and “greater than 80% of cases had adequate blood samples collected” could be met. Only half the cases had virology that would allow genotyping of measles virus. Special efforts to engage and convince Australian medical doctors about the public health value of reporting clinically suggestive measles cases and collecting confirmatory blood tests, resulted in the current WHO Western Pacific Region indicators for progress towards measles elimination being met in a regional area of Australia.

  15. Evaluation of two dairy herd reproductive performance indicators that are adjusted for voluntary waiting period

    Science.gov (United States)

    2012-01-01

    Background Overall reproductive performance of dairy herds is monitored by various indicators. Most of them do not consider all eligible animals and do not consider different management strategies at farm level. This problem can be alleviated by measuring the proportion of pregnant cows by specific intervals after their calving date or after a fixed time period, such as the voluntary waiting period. The aim of this study was to evaluate two reproductive performance indicators that consider the voluntary waiting period at the herd. The two indicators were: percentage of pregnant cows in the herd after the voluntary waiting period plus 30 days (PV30) and percentage of inseminated cows in the herd after the voluntary waiting period plus 30 days (IV30). We wanted to assess how PV30 and IV30 perform in a simulation of herds with different reproductive management and physiology and to compare them to indicators of reproductive performance that do not consider the herd voluntary waiting period. Methods To evaluate the reproductive indicators we used the SimHerd-program, a stochastic simulation model, and 18 scenarios were simulated. The scenarios were designed by altering the reproductive management efficiency and the status of reproductive physiology of the herd. Logistic regression models, together with receiver operating characteristics (ROC), were used to examine how well the reproductive performance indicators could discriminate between herds of different levels of reproductive management efficiency or reproductive physiology. Results The logistic regression models with the ROC analysis showed that IV30 was the indicator that best discriminated between different levels of management efficiency followed by PV30, calving interval, 200-days not-in calf-rate (NotIC200), in calf rate at100-days (IC100) and a fertility index. For reproductive physiology the ROC analysis showed that the fertility index was the indicator that best discriminated between different levels

  16. Performance indicators for initial regional medical response to major incidents: a possible quality control tool

    Directory of Open Access Journals (Sweden)

    Nilsson Heléne

    2012-12-01

    Full Text Available Abstract Background Timely decisions concerning mobilization and allocation of resources and distribution of casualties are crucial in medical management of major incidents. The aim of this study was to evaluate documented initial regional medical responses to major incidents by applying a set of 11 measurable performance indicators for regional medical command and control and test the feasibility of the indicators. Methods Retrospective data were collected from documentation from regional medical command and control at major incidents that occurred in two Swedish County Councils. Each incident was assigned to one of nine different categories and 11 measurable performance indicators for initial regional medical command and control were systematically applied. Two-way analysis of variance with one observation per cell was used for statistical analysis and the post hoc Tukey test was used for pairwise comparisons. Results The set of indicators for regional medical command and control could be applied in 102 of the130 major incidents (78%, but 36 incidents had to be excluded due to incomplete documentation. The indicators were not applicable as a set for 28 incidents (21.5% due to different characteristics and time frames. Based on the indicators studied in 66 major incidents, the results demonstrate that the regional medical management performed according to the standard in the early phases (1–10 min after alert, but there were weaknesses in the secondary phase (10–30 min after alert. The significantly lowest scores were found for Indicator 8 (formulate general guidelines for response and Indicator 10 (decide whether or not resources in own organization are adequate. Conclusions Measurable performance indicators for regional medical command and control can be applied to incidents that directly or indirectly involve casualties provided there is sufficient documentation available. Measurable performance indicators can enhance follow- up and be

  17. CT urography: definition, indications and techniques. A guideline for clinical practice

    Energy Technology Data Exchange (ETDEWEB)

    Molen, Aart J.V. der [Leiden University Medical Center, Department of Radiology C-2S, Leiden (Netherlands); Cowan, Nigel C. [The Churchill Hospital, Department of Radiology, Oxford (United Kingdom); Mueller-Lisse, Ullrich G. [University of Munich Hospitals - Innenstadt, Department of Clinical Radiology, Munich (Germany); Nolte-Ernsting, Claus C.A. [University Hospital Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology, Hamburg (Germany); Takahashi, Satoru [Radboud University Medical Center, Department of Radiology HP 212, Nijmegen (Netherlands); Cohan, Richard H. [University of Michigan Health System, Department of Radiology, Ann Arbor, MI (United States)

    2008-01-15

    The aim was to develop clinical guidelines for multidetector computed tomography urography (CTU) by a group of experts from the European Society of Urogenital Radiology (ESUR). Peer-reviewed papers and reviews were systematically scrutinized. A summary document was produced and discussed at the ESUR 2006 and ECR 2007 meetings with the goal to reach consensus. True evidence-based guidelines could not be formulated, but expert guidelines on indications and CTU examination technique were produced. CTU is justified as a first-line test for patients with macroscopic haematuria, at high-risk for urothelial cancer. Otherwise, CTU may be used as a problem-solving examination. A differential approach using a one-, two- or three-phase protocol is proposed, whereby the clinical indication and the patient population will determine which CTU protocol is employed. Either a combined nephrographic-excretory phase following a split-bolus intravenous injection of contrast medium, or separate nephrographic and excretory phases following a single-bolus injection can be used. Lower dose (CTDIvol 5-6 mGy) is used for benign conditions and normal dose (CTDIvol 9-12 mGy) for potential malignant disease. A low-dose (CTDIvol 2-3 mGy) unenhanced series can be added on indication. The expert-based CTU guidelines provide recommendations to optimize techniques and to unify the radiologist's approach to CTU. (orig.)

  18. Review of recycling performance indicators: A study on collection rate in Taiwan

    International Nuclear Information System (INIS)

    Wen Lihchyi; Lin Chunhsu; Lee, Soo-cheol

    2009-01-01

    The Taiwan Environmental Protection Administration (Taiwan EPA) launched a national Extended Producer Responsibility (EPR) system after integrating eight private recycling organizations in 1998. After that, the environmental performance of the EPR system brought a lot of attention to policy makers. Many studies show positive environmental effects of the EPR system in Taiwan. However, there are controversial questions remained, such as whether the performance indicators used are the right choice to estimate the environmental effects of the recycling policy? Can those estimated results really reflect the performance of the system? This paper would therefore like to more accurately evaluate the performance indicators of the EPR system based on data observed over the past decade in Taiwan. In the process of evaluating the performance indicators, we have found that the collection rates for durable goods are often ignored in countries that pursue a zero waste policy. This may affect the actual recycling outcome and resource direction targeted by producers. However, in order for the collection rate to be adopted as a policy indicator, how to estimate the amounts of retired or waste products during a period is critical. In this paper, we estimate the collection rate for electrical and electronic waste by using the survival analysis and ownership data analysis approaches. We also provide a comparison of both approaches and put forward suggestions for directions in the future in solid waste management.

  19. Idaho National Engineering Laboratory Radiological Control performance indicator report: First quarter, calendar year 1995

    International Nuclear Information System (INIS)

    Aitken, S.B.

    1995-07-01

    The INEL Radiological Control Performance Indicator Report is provided quarterly, inaccordance with Article 133 of the INEL Radiological Control Manual. Indicators are used as a measure of performance of the Radiological Control Program and as a motivation for improvement, not as a goal in themselves. These indicators should be used by management to assist in focusing priorities and attention and adherence to As-Low-As-Reasonably-Achievable (ALARA) practices. The ALARA Committees establish ALARA goals for the INEL based on forecasts and goals provided by each facility organizational manager or supervisor.Performance goals are realistic and measurable. Stringent goals are set at least annually to reflect expected workloads and improvement of radiological performance. Goals higher than previous goals may occasionally be set due to changes in work scope or mission. The INEL Radiological Control Performance Indicators consist of: Collective dose in person-rem; average worker dose, maximum dose to a worker, and maximum neutron dose to a worker;the number of skin and clothing contaminations, including the number of contaminated wounds and facial contaminations; the number of radioactive material intakes; the area of Contamination, High Contamination, and Airborne Radioactivity Areas in square feet; and airborne radioactivity events and spills

  20. Review of recycling performance indicators: a study on collection rate in Taiwan.

    Science.gov (United States)

    Wen, Lihchyi; Lin, Chun-Hsu; Lee, Soo-Cheol

    2009-08-01

    The Taiwan Environmental Protection Administration (Taiwan EPA) launched a national Extended Producer Responsibility (EPR) system after integrating eight private recycling organizations in 1998. After that, the environmental performance of the EPR system brought a lot of attention to policy makers. Many studies show positive environmental effects of the EPR system in Taiwan. However, there are controversial questions remained, such as whether the performance indicators used are the right choice to estimate the environmental effects of the recycling policy? Can those estimated results really reflect the performance of the system? This paper would therefore like to more accurately evaluate the performance indicators of the EPR system based on data observed over the past decade in Taiwan. In the process of evaluating the performance indicators, we have found that the collection rates for durable goods are often ignored in countries that pursue a zero waste policy. This may affect the actual recycling outcome and resource direction targeted by producers. However, in order for the collection rate to be adopted as a policy indicator, how to estimate the amounts of retired or waste products during a period is critical. In this paper, we estimate the collection rate for electrical and electronic waste by using the survival analysis and ownership data analysis approaches. We also provide a comparison of both approaches and put forward suggestions for directions in the future in solid waste management.

  1. Do coursework summative assessments predict clinical performance? A systematic review.

    Science.gov (United States)

    Terry, Rebecca; Hing, Wayne; Orr, Robin; Milne, Nikki

    2017-02-16

    Two goals of summative assessment in health profession education programs are to ensure the robustness of high stakes decisions such as progression and licensing, and predict future performance. This systematic and critical review aims to investigate the ability of specific modes of summative assessment to predict the clinical performance of health profession education students. PubMed, CINAHL, SPORTDiscus, ERIC and EMBASE databases were searched using key terms with articles collected subjected to dedicated inclusion criteria. Rigorous exclusion criteria were applied to ensure a consistent interpretation of 'summative assessment' and 'clinical performance'. Data were extracted using a pre-determined format and papers were critically appraised by two independent reviewers using a modified Downs and Black checklist with level of agreement between reviewers determined through a Kappa analysis. Of the 4783 studies retrieved from the search strategy, 18 studies were included in the final review. Twelve were from the medical profession and there was one from each of physiotherapy, pharmacy, dietetics, speech pathology, dentistry and dental hygiene. Objective Structured Clinical Examinations featured in 15 papers, written assessments in four and problem based learning evaluations, case based learning evaluations and student portfolios each featured in one paper. Sixteen different measures of clinical performance were used. Two papers were identified as 'poor' quality and the remainder categorised as 'fair' with an almost perfect (k = 0.852) level of agreement between raters. Objective Structured Clinical Examination scores accounted for 1.4-39.7% of the variance in student performance; multiple choice/extended matching questions and short answer written examinations accounted for 3.2-29.2%; problem based or case based learning evaluations accounted for 4.4-16.6%; and student portfolios accounted for 12.1%. Objective structured clinical examinations and written

  2. Identification of Occupational Health, Safety, Security (OHSS) and Environmental Performance Indicators in port areas

    OpenAIRE

    Antao, Pedro; Calderón, Marlene; Puig Duran, Martí; Michail, Antonis; Wooldridge, Chris; Darbra Roman, Rosa Maria

    2016-01-01

    This paper aims at defining a set of indicators to be applied in port areas on the topics of Occupational Health, Safety, Security (OHSS) and Environment. The techniques used to identify and select the OHSS indicators involved two different approaches: (i) a bottom-up method, where an extended and in-depth analysis was performed in order to assess the current indicators applied by ports and, (ii) a top-down approach, mainly based on legislation and regulations as well as the feedback from sta...

  3. Approach for assessing the effectiveness of regulatory control in Peru using performance indicators

    International Nuclear Information System (INIS)

    Ramirez Quijada, R.

    1998-01-01

    The paper is intended to make an approach for assessing the effectiveness of regulatory activities in Peru by using of performance indicators for each of the activities developed pursuant their responsibilities. So inspections, authorizations, enforcement and regulation activities are qualified by levels of attainments and then assessed independently to rise specific issues. The general conclusion is that regulatory activities seems to be acceptable but some improvements are needed in order to reach a good level of performance. (author)

  4. Environmental performance policy indicators for the public sector: The case of the defence sector

    OpenAIRE

    Ramos, Tomás B.; Alves, Inês; Subtil, Rui; Melo, João Joanaz de

    2007-01-01

    Journal of Environmental Management, nº 82 p. 410–432 The development of environmental performance policy indicators for public services, and in particular for the defence sector, is an emerging issue. Despite a number of recent initiatives there has been little work done in this area, since the other sectors usually focused on are agriculture, transport, industry, tourism and energy. This type of tool can be an important component for environmental performance evaluation at polic...

  5. Partial Pulpotomy in Mature Permanent Teeth with Clinical Signs Indicative of Irreversible Pulpitis: A Randomized Clinical Trial.

    Science.gov (United States)

    Taha, Nessrin A; Khazali, Mohammad A

    2017-09-01

    This study aimed to assess the outcome of partial pulpotomy using mineral trioxide aggregate (MTA) compared with calcium hydroxide (CH) in mature cariously exposed permanent molars. Fifty permanent molar teeth with carious exposures in 50 patients >20 years old were included. Preoperative pulpal and periapical diagnosis was established based on a history of presenting pain, results of cold testing, and radiographic findings. After informed consent, the tooth was anesthetized, isolated via a dental dam, and disinfected with 5% sodium hypochlorite before caries excavation. Partial pulpotomy was performed by amputating 2 mm of the exposed pulp, hemostasis was achieved, and the tooth was randomly assigned for the placement of either white MTA (White ProRoot; Dentsply, Tulsa, OK) or CH (Dycal; Dentsply Caulk, Milford, DE) as the pulpotomy agent. Postoperative periapical radiographs were taken after placement of the permanent restoration. Clinical and radiographic evaluation was completed after 6 months and 1 and 2 years postoperatively. Statistical analysis was performed using the Fisher exact test. Clinical signs and symptoms suggestive of irreversible pulpitis were established in all teeth. Immediate failure occurred in 4 teeth. At 1 year, MTA showed a higher tendency toward success compared with the CH group, and the difference was statistically significant after 2 years (83% vs 55%, P = .052 at 1 year; 85% vs 43%, P = .006 at 2 years). Sex did not have a statistically significant effect on the outcome. MTA partial pulpotomy sustained a good success rate over the 2-year follow-up in mature permanent teeth clinically diagnosed with irreversible pulpitis. More than half of the CH cases failed within 2 years. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  6. Prediction of dengue disease severity among pediatric Thai patients using early clinical laboratory indicators.

    Directory of Open Access Journals (Sweden)

    James A Potts

    2010-08-01

    Full Text Available Dengue virus is endemic in tropical and sub-tropical resource-poor countries. Dengue illness can range from a nonspecific febrile illness to a severe disease, Dengue Shock Syndrome (DSS, in which patients develop circulatory failure. Earlier diagnosis of severe dengue illnesses would have a substantial impact on the allocation of health resources in endemic countries.We compared clinical laboratory findings collected within 72 hours of fever onset from a prospective cohort children presenting to one of two hospitals (one urban and one rural in Thailand. Classification and regression tree analysis was used to develop diagnostic algorithms using different categories of dengue disease severity to distinguish between patients at elevated risk of developing a severe dengue illness and those at low risk. A diagnostic algorithm using WBC count, percent monocytes, platelet count, and hematocrit achieved 97% sensitivity to identify patients who went on to develop DSS while correctly excluding 48% of non-severe cases. Addition of an indicator of severe plasma leakage to the WHO definition led to 99% sensitivity using WBC count, percent neutrophils, AST, platelet count, and age.This study identified two easily applicable diagnostic algorithms using early clinical indicators obtained within the first 72 hours of illness onset. The algorithms have high sensitivity to distinguish patients at elevated risk of developing severe dengue illness from patients at low risk, which included patients with mild dengue and other non-dengue febrile illnesses. Although these algorithms need to be validated in other populations, this study highlights the potential usefulness of specific clinical indicators early in illness.

  7. Anesthesia clinical performance outcomes: does teaching method make a difference?

    Science.gov (United States)

    McLain, Nina E; Biddle, Chuck; Cotter, J James

    2012-08-01

    The purpose of this study was to compare traditional methods of instruction to the use of audiovisual patient safety vignettes in terms of their impact on student registered nurse anesthetists' recall and subsequent clinical performance. These vignettes used simulated, crisis-oriented anesthetic events known to be associated with catastrophic patient outcomes. Using a randomized controlled crossover trial, 24 student registered nurse anesthetists encountered either a malfunctioning suction device vignette or a stuck expiratory unidirectional valve vignette. Recall and clinical performances were measured after exposure to a lecture and written case studies or to lecture and patient safety vignettes. Of the 24 students, 23 were able to recognize the malfunctioning components and take corrective action. In this research study, memory and clinical performance were significantly affected when the anesthesia provider incorporated the correct anesthesia apparatus checkout process and crisis management skills into practice. This research demonstrated that under the conditions of this study, teaching methods had an impact on some areas of clinical performance. In this study, crisis-oriented, anesthesia patient safety vignettes had the potential to affect recall and clinical performance in a simulated environment.

  8. A new set of performance indicators for improving the capitalization process of Intellectual Property

    Directory of Open Access Journals (Sweden)

    Hadăr Alexandra

    2017-07-01

    Full Text Available Performance indicators of technology transfer/knowledge activity, of intellectual property capitalization in a technical university as well as those referring to the monitoring of academic entrepreneurship are closely correlated, in terms of objectives and strategies adopted at European level, in the context of the third mission undertaken by universities of the XXI century. So far, a systematic research on the development about the capitalization process of intellectual propertytechnical universities in Romania was not conducted. In this context, the analysis and adoption of a new set of indicators for monitoring and evaluating institutional performance, appropriate to an optimization model applicable in academic environment, is required to support the growth of its competitiveness. The present analysis involved the achievement of a research in two stages, one quantitative and the other qualitative, defining, in a rational manner, the set of indicators for monitoring and evaluating the institutional performance. Analysis began with a quantitative research, where the number of indicators, originally envisaged, was limited. Following this research there were retained only the indicators having a weight of over 50%. For a better formulation of the problem investigated and for some conceptual clarification it was achieved a qualitative research, conducted through a focus group, two authors scrolling two such research. Following qualitative research, carried out in order to classify indicators for monitoring and evaluation the performance analysis of technology transfer / knowledge within a public research organizations, i.e. a technical university, we decided the importance ranking of the first three indicators: a the number of direct contracts with the socio - economic environment; b the number of contracts and research projects financed through competitive mechanisms, in collaboration with partners from outside the academic environment and c the

  9. Clinical indicators for bacterial co-infection in Ghanaian children with P. falciparum infection.

    Directory of Open Access Journals (Sweden)

    Maja Verena Nielsen

    Full Text Available Differentiation of infectious causes in severely ill children is essential but challenging in sub- Saharan Africa. The aim of the study was to determine clinical indicators that are able to identify bacterial co-infections in P. falciparum infected children in rural Ghana. In total, 1,915 severely ill children below the age of 15 years were recruited at Agogo Presbyterian Hospital in Ghana between May 2007 and February 2011. In 771 (40% of the children malaria parasites were detected. This group was analyzed for indicators of bacterial co-infections using bivariate and multivariate regression analyses with 24 socio-economic variables, 16 terms describing medical history and anthropometrical information and 68 variables describing clinical symptoms. The variables were tested for sensitivity, specificity, positive predictive value and negative predictive value. In 46 (6.0% of the children with malaria infection, bacterial co-infection was detected. The most frequent pathogens were non-typhoid salmonellae (45.7%, followed by Streptococcus spp. (13.0%. Coughing, dehydration, splenomegaly, severe anemia and leukocytosis were positively associated with bacteremia. Domestic hygiene and exclusive breastfeeding is negatively associated with bacteremia. In cases of high parasitemia (>10,000/μl, a significant association with bacteremia was found for splenomegaly (OR 8.8; CI 1.6-48.9, dehydration (OR 18.2; CI 2.0-166.0 and coughing (OR 9.0; CI 0.7-118.6. In children with low parasitemia, associations with bacteremia were found for vomiting (OR 4.7; CI 1.4-15.8, severe anemia (OR 3.3; CI 1.0-11.1 and leukocytosis (OR 6.8 CI 1.9-24.2. Clinical signs of impaired microcirculation were negatively associated with bacteremia. Ceftriaxone achieved best coverage of isolated pathogens. The results demonstrate the limitation of clinical symptoms to determine bacterial co-infections in P. falciparum infected children. Best clinical indicators are dependent on the

  10. Prevalence of Invalid Performance on Baseline Testing for Sport-Related Concussion by Age and Validity Indicator.

    Science.gov (United States)

    Abeare, Christopher A; Messa, Isabelle; Zuccato, Brandon G; Merker, Bradley; Erdodi, Laszlo

    2018-03-12

    Estimated base rates of invalid performance on baseline testing (base rates of failure) for the management of sport-related concussion range from 6.1% to 40.0%, depending on the validity indicator used. The instability of this key measure represents a challenge in the clinical interpretation of test results that could undermine the utility of baseline testing. To determine the prevalence of invalid performance on baseline testing and to assess whether the prevalence varies as a function of age and validity indicator. This retrospective, cross-sectional study included data collected between January 1, 2012, and December 31, 2016, from a clinical referral center in the Midwestern United States. Participants included 7897 consecutively tested, equivalently proportioned male and female athletes aged 10 to 21 years, who completed baseline neurocognitive testing for the purpose of concussion management. Baseline assessment was conducted with the Immediate Postconcussion Assessment and Cognitive Testing (ImPACT), a computerized neurocognitive test designed for assessment of concussion. Base rates of failure on published ImPACT validity indicators were compared within and across age groups. Hypotheses were developed after data collection but prior to analyses. Of the 7897 study participants, 4086 (51.7%) were male, mean (SD) age was 14.71 (1.78) years, 7820 (99.0%) were primarily English speaking, and the mean (SD) educational level was 8.79 (1.68) years. The base rate of failure ranged from 6.4% to 47.6% across individual indicators. Most of the sample (55.7%) failed at least 1 of 4 validity indicators. The base rate of failure varied considerably across age groups (117 of 140 [83.6%] for those aged 10 years to 14 of 48 [29.2%] for those aged 21 years), representing a risk ratio of 2.86 (95% CI, 2.60-3.16; P validity indicator and the age of the examinee. The strong age association, with 3 of 4 participants aged 10 to 12 years failing validity indicators, suggests that

  11. The bioelectrical impedance phase angle as an indicator of undernutrition and adverse clinical outcome in cardiac surgical patients

    NARCIS (Netherlands)

    Visser, Marlieke; van Venrooij, Lenny M. W.; Wanders, Dominique C. M.; de Vos, Rien; Wisselink, Willem; van Leeuwen, Paul A. M.; de Mol, Bas A. J. M.

    2012-01-01

    Background & aims: In cardiac surgical patients, undernutrition increases the risk of adverse clinical outcome. We investigated whether the bioelectrical impedance phase angle is an indicator of undernutrition and clinical outcome in cardiac surgery. Methods: In 325 cardiac surgical patients, we

  12. Study of correlation between bone mineral density and clinical and laboratory indices of rheumatoid arthritis activity

    Directory of Open Access Journals (Sweden)

    D. A. Gukasyan

    2005-01-01

    Full Text Available Objective. To study association between bone mineral density (BMD and clinical and laboratory indices of rheumatoid arthritis (RA activity Material and methods. 60 women with RA who had not received glucocorticoid and anti-osteoporotic therapy were included. 30 had unchanged menstrual cycle and 30 were postmenopausal. Lumbar spine BMD and proximal femur was studied with double radiological absorptiometry (QDR 1000 Hologic apparatus. W.Wilke indices were used to characterize activity and severity of RA. CRP level was evaluated with quantitative immunoenzyme method. Results. Significant negative association was revealed between spine and femoral neck BMD and RA severity so as between femoral neck BMD and CRP level in pts with unchanged menstrual cycle and in postmenopausal pts.

  13. Non-fusion surgery for degenerative spondylolisthesis using artificial ligament stabilization: surgical indication and clinical results.

    Science.gov (United States)

    Kanayama, Masahiro; Hashimoto, Tomoyuki; Shigenobu, Keiichi; Oha, Fumihiro; Ishida, Takashi; Yamane, Shigeru

    2005-03-01

    A retrospective study. To report midterm clinical and radiographic results of Graf artificial ligament stabilization in the treatment of degenerative spondylolisthesis and to evaluate the role of this procedure and its surgical indications for surgical success. Nonfusion surgeries including artificial disc replacement and ligamentoplasty are increasingly gaining interest to avoid adverse effects of spinal fusion. Sixty-four consecutive patients with degenerative spondylolisthesis underwent artificial ligament stabilization. Surgical indication was symptomatic degenerative spondylolisthesis with adjacent segment pathologies (6.3%). One patient (1.6%) underwent consequent spinal arthrodesis at the ligamentoplasty level. Artificial ligament stabilization did not improve the vertebral slip but maintained lordosis and preserved segmental motion in 80% of patients. This procedure is an effective alternative to spinal arthrodesis in the treatment of symptomatic degenerative spondylolisthesis (Grade I) with minimal disc space narrowing and coronal facet tropism.

  14. Decision making concept of risk control: integration of decision criteria, top level risk indices and plant performance indices

    International Nuclear Information System (INIS)

    Vojnovic, D.; Mavko, B.; Kozuh, M.

    1993-01-01

    A support system for risk monitoring and control is suggested. The following concepts of system elements are briefly discussed: risk curve partitioning, the reliability cost function, the multi-objective optimization model, preference assessment, safety/risk indicators, and knowledge based systems. (Z.S.) 2 figs

  15. Health services research related to performance indicators and benchmarking in Europe

    NARCIS (Netherlands)

    Klazinga, Niek; Fischer, Claudia; ten Asbroek, Augustinus

    2011-01-01

    Measuring quality of care through performance indicators and subsequently using these to compare, learn, and improve (benchmarking) has become a central component of health care policy. This paper aims to identify the main themes of health services research in this area and focuses on opportunities

  16. A Prediction Model for Community Colleges Using Graduation Rate as the Performance Indicator

    Science.gov (United States)

    Moosai, Susan

    2010-01-01

    In this thesis a prediction model using graduation rate as the performance indicator is obtained for community colleges for three cohort years, 2003, 2004, and 2005 in the states of California, Florida, and Michigan. Multiple Regression analysis, using an aggregate of seven predictor variables, was employed in determining this prediction model.…

  17. Financial Indicators of Reduced Impact Logging Performance in Brazil: Case Study Comparisons

    Science.gov (United States)

    Thomas P. Holmes; Frederick Boltz; Douglas R. Carter

    2001-01-01

    Indicators of financial performance are compared for three case studies in the Brazilian Amazon. Each case study presents parameters obtained from monitoring initial harvest entries into primary forests for reduced impact logging (RIL) and conventional logging (CL) operations. Differences in cost definitions and data collection protocols complicate the analysis, and...

  18. Evaluation of energy performance indicators and financial aspects of energy saving techniques in residential real estate

    NARCIS (Netherlands)

    Entrop, Alexis Gerardus; Brouwers, Jos; Reinders, Angelina H.M.E.

    2010-01-01

    The energy consumption in the existing residential building stock accounts for about 40% of the total energy consumption in the built environment. Different types of energy performance indicators to assess the energy consumption of buildings were and still are internationally under development. In

  19. The effects of quercetin supplementation on body composition, exercise performance and muscle damage indices in athletes

    Directory of Open Access Journals (Sweden)

    Gholamreza Askari

    2013-01-01

    Results: Lean body mass, total body water, basal metabolic rate, and total energy expenditure increased significantly in the quercetin group after intervention. On the other hand, VO 2max increased in the "quercetin" and "quercetin + vitamin C" groups following the intervention, non-significantly. Conclusion: Our findings suggest that supplementation with quercetin in athletes may improve some indices of performance.

  20. Key Performance Indicators of Public Universities Based on Quality Assessment Criteria in Thailand

    Science.gov (United States)

    Sukboonyasatit, Kritsana; Thanapaisarn, Chaiwit; Manmar, Lampang

    2011-01-01

    The research objective was to develop public universities' key performance indicators. Qualitative research and interviews were employed with each public university's senior executive and quality assessors. The sample group was selected by the office of the public sector development commission and Thailand's public universities can be separated…

  1. Key Performance Indicators: From Promise to Payoff. The Productivity for Results Series No. 2

    Science.gov (United States)

    Casserly, Michael; Eugene, Michael

    2014-01-01

    This paper draws upon the expertise of two leading educators, Michael Casserly, director of the Council of the Great City Schools, and Michael Eugene, chief operating officer of the Orange County Public Schools in Florida. They outline a set of key performance indicators that some urban districts use to benchmark the results of their operating…

  2. The Efficacy of Key Performance Indicators in Ontario Universities as Perceived by Key Informants

    Science.gov (United States)

    Chan, Vivian

    2015-01-01

    The Ontario Ministry of Education and Training's Task Force on University Accountability first proposed key performance indicators (KPIs) for colleges and universities in Ontario in the early 1990s. The three main KPIs for Ontario universities are the rates of (1) graduation, (2) employment, and (3) Ontario Student Assistance Program loan default.…

  3. New indicator for comparing the energy performance of CO2 utilization concepts

    NARCIS (Netherlands)

    Schakel, Wouter; Fernández-Dacosta, Cora; Van Der Spek, Mijndert; Ramírez, Andrea

    2017-01-01

    CO2 utilization is increasingly considered a greenhouse gas abatement strategy alternatively to CO2 storage. Existing indicators that assess the performance of CO2 utilization options often provide an incomplete perspective and are unsuitable to compare different utilization options with different

  4. Sonar performance indicator CSCI - development of a tactical decision aid. (abstract)

    NARCIS (Netherlands)

    Lentze, S.G.; Benders, F.P.A.; Dekker, J.J.M.

    1999-01-01

    The sonar performance indicator (SPI) will be an integral part of the modernised command and control system of the RNIN Alkmaar class minehunters. The SPI will act as a tactical decision aid, supporting both the detection sonar operator as well as the commanding officer, for the hull mounted sonar

  5. Perceived Relevance of Special Education Performance Indicators: Teacher Excellence and Support System

    Science.gov (United States)

    Mrla, Tiffany

    2016-01-01

    A study was conducted to investigate the perceived relevance of using a teacher evaluation rubric with performance indicators specific to special education services in place of the standard rubric for teachers used in the State of Arkansas Teacher Excellence Support System (TESS). Through a multi-method approach, the perceptions of special…

  6. Developing a national performance indicator framework for the Dutch health system

    NARCIS (Netherlands)

    ten Asbroek, A. H. A.; Arah, O. A.; Geelhoed, J.; Custers, T.; Delnoij, D. M.; Klazinga, N. S.

    2004-01-01

    Objective. To report on the first phase of the development of a national performance indicator framework for the Dutch health system. Methods. In January 2002, we initiated an informed interactive process with the intended users-policymakers at the Ministry of Health, Welfare and Sport-and academics

  7. Developing a national performance indicator framework for the Dutch health system.

    NARCIS (Netherlands)

    Asbroek, A.H.A. ten; Arah, O.A.; Geelhoed, J.; Custers, J.; Delnoij, D.M.; Klazinga, N.S.

    2004-01-01

    Objective. To report on the first phase of the development of a national performance indicator framework for the Dutch health system. Methods. In January 2002, we initiated an informed interactive process with the intended users-policymakers at the Ministry of Health, Welfare and Sport—and academics

  8. Exposure data and risk indicators for safety performance assessment in Europe.

    NARCIS (Netherlands)

    Papadimitriou, E. Yannis, G. Bijleveld, F.D. & Cardoso, J.L.

    2013-01-01

    The objective of this paper is the analysis of the state-of-the-art in risk indicators and exposure data for safety performance assessment in Europe, in terms of data availability, collection methodologies and use. More specifically, the concepts of exposure and risk are explored, as well as the

  9. Toward a Set of Internationally Applicable Indicators for Measuring University Internationalization Performance

    Science.gov (United States)

    Gao, Yuan

    2015-01-01

    This article emphasizes the urgent demand for measurements of university internationalization and proposes a new approach to develop a set of internationally applicable indicators for measuring university internationalization performance. The article looks into existing instruments developed for assessing university internationalization,…

  10. Is cumulative fossil energy demand a useful indicator for the environmental performance of products?

    NARCIS (Netherlands)

    Huijbregts, Mark A J; Rombouts, Linda J A; Hellweg, Stefanie; Frischknecht, Rolf; Hendriks, A Jan; Meent, Dik van de; Ragas, Ad M J; Reijnders, Lucas; Struijs, Jaap

    2006-01-01

    The appropriateness of the fossil Cumulative Energy Demand (CED) as an indicator for the environmental performance of products and processes is explored with a regression analysis between the environmental life-cycle impacts and fossil CEDs of 1218 products, divided into the product categories

  11. The Negotiation and Construction of Performance Indicators: Some Principles, Proposals and Problems.

    Science.gov (United States)

    Gray, John; Jesson, David

    1990-01-01

    More elaborate systems for managing and evaluating the performance of schools are needed than have prevailed to date in the United Kingdom. Experiences in working with schools and local education authorities indicate the necessity for radical breaks with past practices and procedures. (SLD)

  12. Towards standards for the publication of performance indicators in the public sector: the case of schools

    NARCIS (Netherlands)

    Karsten, S.; Visscher, A.J.; Dijkstra, A.B.; Veenstra, R.

    2010-01-01

    Since the 1990s, the media and public authorities in many developed countries have published data on the quality of public services such as schools, hospitals and police. In the education sector the publication of performance indicators and league tables generated considerable debate. In this

  13. The Association of Health-Related Fitness with Indicators of Academic Performance in Texas Schools

    Science.gov (United States)

    Welk, Gregory J.; Jackson, Allen W.; Morrow, James R., Jr.; Haskell, William H.; Meredith, Marilu D.; Cooper, Kenneth H.

    2010-01-01

    This study examined the associations between indicators of health-related physical fitness (cardiovascular fitness and body mass index) and academic performance (Texas Assessment of Knowledge and Skills). Partial correlations were generally stronger for cardiovascular fitness than body mass index and consistently stronger in the middle school…

  14. Use of performance indicators to assess the solid waste management of health services.

    Science.gov (United States)

    Assis, Mayara C; Gomes, Vanielle A P; Balista, Wagner C; Freitas, Rodrigo R DE

    2017-01-01

    Modern society faces serious challenges, among them, the complexity of environmental problems. Thus, there are several possible sources of environmental degradation, however, the waste produced by health services have an important peculiarity due to its toxic or pathogenic characteristics, since when managed improperly provide also health risk public. The involvement of solid waste from healthcare services environmental impact integrates matters a little more complex, because in addition to environmental health, they also interfere with the healthiness of environments that generate, with the consequences of nosocomial infections, occupational health and public. Thus, the management has become an urgent need, especially when we see no use of performance indicators management in healthcare environments in the city of São Mateus, ES. For this, we used the Analytic Hierarchy Process Method to prioritize such indicators as the potential improvement in health services waste management process - WHS and thus environmental analysis was performed with the use of a template for SWOT analysis. The results showed that the performance indicator training strategies developed with employees has the greatest potential to assist in improvements in WHS (Health Services Waste) management process followed indicator knowledge of the regulations associated with procedures performed by employees and importance of biosafety regulations.

  15. Constructing core competency indicators for clinical teachers in Taiwan: a qualitative analysis and an analytic hierarchy process

    OpenAIRE

    Li, Ai-Tzu; Lin, Jou-Wei

    2014-01-01

    Background The objective of this study was to construct a framework of core competency indicators of medical doctors who teach in the clinical setting in Taiwan and to evaluate the relative importance of the indicators among these clinical teachers. Methods The preliminary framework of the indicators was developed from an in-depth interview conducted with 12 clinical teachers who had previously been recognized and awarded for their teaching excellence in university hospitals. The framework wa...

  16. Food safety performance indicators to benchmark food safety output of food safety management systems.

    Science.gov (United States)

    Jacxsens, L; Uyttendaele, M; Devlieghere, F; Rovira, J; Gomez, S Oses; Luning, P A

    2010-07-31

    There is a need to measure the food safety performance in the agri-food chain without performing actual microbiological analysis. A food safety performance diagnosis, based on seven indicators and corresponding assessment grids have been developed and validated in nine European food businesses. Validation was conducted on the basis of an extensive microbiological assessment scheme (MAS). The assumption behind the food safety performance diagnosis is that food businesses which evaluate the performance of their food safety management system in a more structured way and according to very strict and specific criteria will have a better insight in their actual microbiological food safety performance, because food safety problems will be more systematically detected. The diagnosis can be a useful tool to have a first indication about the microbiological performance of a food safety management system present in a food business. Moreover, the diagnosis can be used in quantitative studies to get insight in the effect of interventions on sector or governmental level. Copyright 2010 Elsevier B.V. All rights reserved.

  17. Developing Emergency Room Key Performance Indicators: What to Measure and Why Should We Measure It?

    Science.gov (United States)

    Khalifa, Mohamed; Zabani, Ibrahim

    2016-01-01

    Emergency Room (ER) performance has been a timely topic for both healthcare practitioners and researchers. King Faisal Specialist Hospital and Research Center, Saudi Arabia worked on developing a comprehensive set of KPIs to monitor, evaluate and improve the performance of the ER. A combined approach using quantitative and qualitative methods was used to collect and analyze the data. 34 KPIs were developed and sorted into the three components of the ER patient flow model; input, throughput and output. Input indicators included number and acuity of ER patients, patients leaving without being seen and revisit rates. Throughput indicators included number of active ER beds, ratio of ER patients to ER staff and the length of stay including waiting time and treatment time. The turnaround time of supportive services, such as lab, radiology and medications, were also included. Output indicators include boarding time and available hospital beds, ICU beds and patients waiting for admission.

  18. The association of health-related fitness with indicators of academic performance in Texas schools.

    Science.gov (United States)

    Welk, Gregory J; Jackson, Allen W; Morrow, James R; Haskell, William H; Meredith, Marilu D; Cooper, Kenneth H

    2010-09-01

    This study examined the associations between indicators of health-related physical fitness (cardiovascular fitness and body mass index) and academic performance (Texas Assessment of Knowledge and Skills). Partial correlations were generally stronger for cardiovascular fitness than body mass index and consistently stronger in the middle school grades. Mixed-model regression analyses revealed modest associations between fitness and academic achievement after controlling for potentially confounding variables. The effects of fitness on academic achievement were positive but small. A separate logistic regression analysis indicated that higher fitness rates increased the odds of schools achieving exemplary/recognized school status within the state. School fitness attainment is an indicator of higher performing schools. Direction of causality cannot be inferred due to the cross-sectional nature of the data.

  19. Comparative Analysis of Safety Performance Indicators Based on Inductive Loop Detector Data

    Directory of Open Access Journals (Sweden)

    Amir Reza Mamdoohi

    2014-04-01

    Full Text Available Conflicts in traffic stream have been detected by different safety performance indicators. This study aims to empirically investigate the differences between different indicators in detecting rear-end conflicts and assessing the risk in an uninterrupted flow. Micro-level data of a 24-hr traffic stream (including 6,657 vehicles were captured using inductive loop detectors installed on a rural freeway section. Different indicators (Time Headway (H, Time to Collision (TTC, Proportion of Stopping Distance (PSD, Deceleration Rate to Avoid Collision (DRAC and Stopping Distance Index (SDI were used to measure each car following event in a bivalent state (safe/unsafe. Unsafe events associated with each indicator were detected and common unsafe events characterized by different indicators were identified. Temporal distributions of rear-end collision risks associated with each indicator at 15-min intervals were also compared. Finally, the 15-min risk values based on different indicators were categorized and compared across three levels (Low, Medium and High. Data mining and statistical techniques showed that while SDI is the single most conservative indicator, DRAC and TTC detect a few risky events but very equal ones. In almost all conflicts associated with TTC, headway is still lower than the critical threshold. However, there exist considerable risky events based on headway which are still safe according to TTC. Comparison of PSD and TTC also declares that almost all conflicts associated with TTC are also risky according to PSD.

  20. A Critical Assessment of the Performance of Magnetic and Electronic Indices of Aromaticity

    Directory of Open Access Journals (Sweden)

    Miquel Solà

    2010-06-01

    Full Text Available The lack of reference aromatic systems in the realm of inorganic aromatic compounds makes the evaluation of aromaticity in all-metal and semimetal clusters a difficult task. To date, calculation of nucleus-independent chemical shifts (NICS has been the most widely used method to discuss aromaticity in these systems. In the first part of this work, we briefly review our previous studies, showing some pitfalls of the NICS indicator of aromaticity in organic molecules. Then, we refer to our study on the performance of some aromaticity indices in a series of 15 aromaticity tests, which can be used to analyze the advantages and drawbacks of aromaticity descriptors. It is shown that indices based on the study of electron delocalization are the most accurate among those analyzed in the series of proposed tests, while NICS(1zz and NICS(0πzz present the best behavior among NICS indices. In the second part, we discuss the use of NICS and electronic multicenter indices (MCI in inorganic clusters. In particular, we evaluate the aromaticity of two series of all-metal and semimetal clusters with predictable aromaticity trends by means of NICS and MCI. Results show that the expected trends are generally better reproduced by MCI than NICS. It is concluded that NICS(0π and NICS(0πzz are the kind of NICS that perform the best among the different NICS indices analyzed for the studied series of inorganic compounds.

  1. Emotional intelligence and clinical performance/retention of nursing students

    Directory of Open Access Journals (Sweden)

    Chelsea Marvos

    2015-01-01

    Full Text Available Objective: This exploratory, quantitative, descriptive study was undertaken to explore the relationship between clinical performance and anticipated retention in nursing students. Methods: After approval by the university′s Human Subjects Committee, a sample of 104 nursing students were recruited for this study, which involved testing with a valid and reliable emotional intelligence (EI instrument and a self-report survey of clinical competencies. Results: Statistical analysis revealed that although the group average for total EI score and the 6 score subsets were in the average range, approximately 30% of the individual total EI scores and 30% of two branch scores, identifying emotions correctly and understanding emotions, fell in the less than average range. This data, as well as the analysis of correlation with clinical self-report scores, suggest recommendations applicable to educators of clinical nursing students. Conclusions: Registered nurses make-up the largest segment of the ever-growing healthcare workforce. Yet, retention of new graduates has historically been a challenge for the profession. Given the projected employment growth in nursing, it is important to identify factors which correlate with high levels of performance and job retention among nurses. There is preliminary evidence that EI "a nontraditional intelligence measure" relates positively not only with retention of clinical staff nurses, but with overall clinical performance as well.

  2. Emotional intelligence and clinical performance/retention of nursing students.

    Science.gov (United States)

    Marvos, Chelsea; Hale, Frankie B

    2015-01-01

    This exploratory, quantitative, descriptive study was undertaken to explore the relationship between clinical performance and anticipated retention in nursing students. After approval by the university's Human Subjects Committee, a sample of 104 nursing students were recruited for this study, which involved testing with a valid and reliable emotional intelligence (EI) instrument and a self-report survey of clinical competencies. Statistical analysis revealed that although the group average for total EI score and the 6 score subsets were in the average range, approximately 30% of the individual total EI scores and 30% of two branch scores, identifying emotions correctly and understanding emotions, fell in the less than average range. This data, as well as the analysis of correlation with clinical self-report scores, suggest recommendations applicable to educators of clinical nursing students. Registered nurses make-up the largest segment of the ever-growing healthcare workforce. Yet, retention of new graduates has historically been a challenge for the profession. Given the projected employment growth in nursing, it is important to identify factors which correlate with high levels of performance and job retention among nurses. There is preliminary evidence that EI a nontraditional intelligence measure relates positively not only with retention of clinical staff nurses, but with overall clinical performance as well.

  3. Emotional intelligence and clinical performance/retention of nursing students

    Science.gov (United States)

    Marvos, Chelsea; Hale, Frankie B.

    2015-01-01

    Objective: This exploratory, quantitative, descriptive study was undertaken to explore the relationship between clinical performance and anticipated retention in nursing students. Methods: After approval by the university's Human Subjects Committee, a sample of 104 nursing students were recruited for this study, which involved testing with a valid and reliable emotional intelligence (EI) instrument and a self-report survey of clinical competencies. Results: Statistical analysis revealed that although the group average for total EI score and the 6 score subsets were in the average range, approximately 30% of the individual total EI scores and 30% of two branch scores, identifying emotions correctly and understanding emotions, fell in the less than average range. This data, as well as the analysis of correlation with clinical self-report scores, suggest recommendations applicable to educators of clinical nursing students. Conclusions: Registered nurses make-up the largest segment of the ever-growing healthcare workforce. Yet, retention of new graduates has historically been a challenge for the profession. Given the projected employment growth in nursing, it is important to identify factors which correlate with high levels of performance and job retention among nurses. There is preliminary evidence that EI a nontraditional intelligence measure relates positively not only with retention of clinical staff nurses, but with overall clinical performance as well. PMID:27981096

  4. Cernavoda NPP Unit 1: Operating experience program and plant specific performance indicators (level 2)

    International Nuclear Information System (INIS)

    Teodor, Vasile; Popa, Viorel

    1998-01-01

    The basis for the Operating Experience Program was set in place since early stages of the commissioning phase (1993), when a system based on the Canadian approach was implemented for reporting, reviewing, assessing and establishing of the necessary corrective action for unplanned events. This system provided excellent opportunity to train staff in unplanned event assessment methodology, and prepare the station for the formal reporting process following criticality in accordance with the licensing requirements. The formal process, set in place after criticality is described in Station Instruction Procedure SI-01365-P13 'Unplanned Event Report' and was developed under the supervision of Safety and Compliance Department. In parallel, a program for information exchange and trending of performance indicators was developed by Technical Services Department. The WANO recommendations following August 1997 Peer Review provided the opportunity for a better understanding and reconsideration of the Operating Experience Program. As a result, all the activities related to this topic were assigned to a new structure, within Safety and Compliance Department. As such an Operating Experience Group was created and a new program is now being developed in an integrated and centralized manner. The content of the paper is the following: - Overview; - Operating Experience Program; - Event Analysis (Unplanned Events Assessment System - UEIR Process- and Systematic Analysis of Operational Events - ACR Process); - Information Exchange Program; - Monitoring of Operating Experience - Plant Specific Performance Indicators; - Purpose; - Level 2 Performance Indicators. Four appendices are added containing: - A. Station performance indicators/targets (Level 2); - B. SPI (Station Performance Indicators - Level 2) - Graphics; - C. UEIR, LRS (Safety and Licensing Review Sheet), UEFR (Unplanned Event Follow-up Report), ACR and OPEX forms. (authors)

  5. INDICATORS OF THE ECONOMIC AND FINANCIAL PERFORMANCE FOR THE PUBLIC UNIVERSITIES IN ROMANIA

    Directory of Open Access Journals (Sweden)

    Cristina-Petrina Trincu-Dragusin

    2016-12-01

    Full Text Available Quantifying the economic and financial performance in public universities represents a current, very interesting and quite a controversial matter of debate given that the accounting information realm is not sufficient explored through the financial analysis. The paper focuses on the ways of measuring the economic and financial performance in public universities in Romania, having as main purpose to provide a set of assessing indicators, by adapting the financial analysis paradigm existing for the private sector, to the public sector particularities. The specific objectives refer to the rentability, self-financing capacity, efficiency of the university expenditures and risk analysis, and the research approach is developed in the context in which either the national law or the international one do not regulate specific indicators for the economic and financial performance analysis within the public sector institutions

  6. Clinical nursing leaders' perceptions of nutrition quality indicators in Swedish stroke wards: a national survey.

    Science.gov (United States)

    Persenius, Mona; Hall-Lord, Marie-Louise; Wilde-Larsson, Bodil; Carlsson, Eva

    2015-09-01

    To describe nursing leaders' perceptions of nutrition quality in Swedish stroke wards. A high risk of undernutrition places great demand on nutritional care in stroke wards. Evidence-based guidelines exist, but healthcare professionals have reported low interest in nutritional care. The Donabedian framework of structure, process and outcome is recommended to monitor and improve nutrition quality. Using a descriptive cross-sectional design, a web-based questionnaire regarding nutritional care quality was delivered to eligible participants. Most clinical nursing leaders reported structure indicators, e.g. access to dieticians. Among process indicators, regular assessment of patients' swallowing was most frequently reported in comprehensive stroke wards compared with other stroke wards. Use of outcomes to monitor nutrition quality was not routine. Wards using standard care plans showed significantly better results. Using the structure, process and outcome framework to examine nutrition quality, quality-improvement needs became visible. To provide high-quality nutrition, all three structure, process and outcome components must be addressed. The use of care pathways, standard care plans, the Senior Alert registry, as well as systematic use of outcome measures could improve nutrition quality. To assist clinical nursing leaders in managing all aspects of quality, structure, process and outcome can be a valuable framework. © 2013 John Wiley & Sons Ltd.

  7. Development of key performance indicators for emergency departments in Ireland using an electronic modified-Delphi consensus approach.

    Science.gov (United States)

    Wakai, Abel; O'Sullivan, Ronan; Staunton, Paul; Walsh, Cathal; Hickey, Fergal; Plunkett, Patrick K

    2013-04-01

    The objective of this study was to develop a consensus among emergency medicine (EM) specialists working in Ireland for emergency department (ED) key performance indicators (KPIs). The method employed was a three-round electronic modified-Delphi process. An online questionnaire with 54 potential KPIs was set up for round 1 of the Delphi process. The Delphi panel consisted of all registered EM specialists in Ireland. Each indicator on the questionnaire was rated using a five-point Likert-type rating scale. Agreement was defined as at least 70% of the responders rating an indicator as 'agree' or 'strongly agree' on the rating scale. Data were analysed using standard descriptive statistics. Data were also analysed as the mean of the Likert rating with 95% confidence intervals (95% CIs). Sensitivity of the ratings was examined for robustness by bootstrapping the original sample. Statistical analyses were carried out using SPSS version 16.0. The response rates in rounds 1, 2 and 3 were 86, 88 and 88%, respectively. Ninety-seven potential indicators reached agreement after the three rounds. In the context of the Donabedian structure-process-outcome framework of performance indicators, 41 (42%) of the agreed indicators were structure indicators, 52 (54%) were process indicators and four (4%) were outcome indicators. Overall, the top-three highest rated indicators were: presence of a dedicated ED clinical information system (4.7; 95% CI 4.6-4.9), ED compliance with minimum design standards (4.7; 95% CI 4.5-4.8) and time from ED arrival to first ECG in suspected cardiac chest pain (4.7; 95% CI 4.5-4.9). The top-three highest rated indicators specific to clinical care of children in EDs were: time to administration of antibiotics in children with suspected bacterial meningitis (4.6; 95% CI 4.5-4.8), separate area available within EDs (seeing both adults and children) to assess children (4.4; 95% CI 4.2-4.6) and time to administration of analgesia in children with forearm

  8. Development of key performance indicators for emergency departments in Ireland using an electronic modified-Delphi consensus approach.

    LENUS (Irish Health Repository)

    Wakai, Abel

    2012-02-29

    OBJECTIVE: The objective of this study was to develop a consensus among emergency medicine (EM) specialists working in Ireland for emergency department (ED) key performance indicators (KPIs). METHODS: The method employed was a three-round electronic modified-Delphi process. An online questionnaire with 54 potential KPIs was set up for round 1 of the Delphi process. The Delphi panel consisted of all registered EM specialists in Ireland. Each indicator on the questionnaire was rated using a five-point Likert-type rating scale. Agreement was defined as at least 70% of the responders rating an indicator as \\'agree\\' or \\'strongly agree\\' on the rating scale. Data were analysed using standard descriptive statistics. Data were also analysed as the mean of the Likert rating with 95% confidence intervals (95% CIs). Sensitivity of the ratings was examined for robustness by bootstrapping the original sample. Statistical analyses were carried out using SPSS version 16.0. RESULTS: The response rates in rounds 1, 2 and 3 were 86, 88 and 88%, respectively. Ninety-seven potential indicators reached agreement after the three rounds. In the context of the Donabedian structure-process-outcome framework of performance indicators, 41 (42%) of the agreed indicators were structure indicators, 52 (54%) were process indicators and four (4%) were outcome indicators. Overall, the top-three highest rated indicators were: presence of a dedicated ED clinical information system (4.7; 95% CI 4.6-4.9), ED compliance with minimum design standards (4.7; 95% CI 4.5-4.8) and time from ED arrival to first ECG in suspected cardiac chest pain (4.7; 95% CI 4.5-4.9). The top-three highest rated indicators specific to clinical care of children in EDs were: time to administration of antibiotics in children with suspected bacterial meningitis (4.6; 95% CI 4.5-4.8), separate area available within EDs (seeing both adults and children) to assess children (4.4; 95% CI 4.2-4.6) and time to administration of

  9. A new composite measure of colonoscopy: the Performance Indicator of Colonic Intubation (PICI).

    Science.gov (United States)

    Valori, Roland M; Damery, Sarah; Gavin, Daniel R; Anderson, John T; Donnelly, Mark T; Williams, J Graham; Swarbrick, Edwin T

    2018-01-01

     Cecal intubation rate (CIR) is an established performance indicator of colonoscopy. In some patients, cecal intubation with acceptable tolerance is only achieved with additional sedation. This study proposes a composite Performance Indicator of Colonic Intubation (PICI), which combines CIR, comfort, and sedation. METHODS : Data from 20 085 colonoscopies reported in the 2011 UK national audit were analyzed. PICI was defined as the percentage of procedures achieving cecal intubation with median dose (2 mg) of midazolam or less, and nurse-assessed comfort score of 1 - 3/5. Multivariate logistic regression analysis evaluated possible associations between PICI and patient, unit, colonoscopist, and diagnostic factors. RESULTS : PICI was achieved in 54.1 % of procedures. PICI identified factors affecting performance more frequently than single measures such as CIR and polyp detection, or CIR + comfort alone. Older age, male sex, adequate bowel preparation, and a positive fecal occult blood test as indication were associated with a higher PICI. Unit accreditation, the presence of magnetic imagers in the unit, greater annual volume, fewer years' experience, and higher training/trainer status were associated with higher PICI rates. Procedures in which PICI was achieved were associated with significantly higher polyp detection rates than when PICI was not achieved. CONCLUSIONS : PICI provides a simpler picture of performance of colonoscopic intubation than separate measures of CIR, comfort, and sedation. It is associated with more factors that are amenable to change that might improve performance and with higher likelihood of polyp detection. It is proposed that PICI becomes the key performance indicator for intubation of the colon in colonoscopy quality improvement initiatives. © Georg Thieme Verlag KG Stuttgart · New York.

  10. Antigen Concentrations as an Indicator of Clinical Remission and Disease Relapse in Cats with Histoplasmosis.

    Science.gov (United States)

    Hanzlicek, A S; Meinkoth, J H; Renschler, J S; Goad, C; Wheat, L J

    2016-07-01

    Treatment monitoring is subjective and disease relapse is common in cats with histoplasmosis. The Histoplasma antigen enzyme immunoassay (EIA) is a noninvasive test used for determining disease remission and detecting disease relapse in humans with histoplasmosis. The utility of the antigen EIA for these purposes in cats remains unknown. Those Histoplasma antigen concentrations in urine and serum would decline with antifungal treatment and that antigen elimination would be an indicator of clinical remission in cats with histoplasmosis treated with antifungal treatment. Fifteen client-owned cats with histoplasmosis. Masked observational study. Cats were monitored monthly during antifungal treatment. Time of clinical remission and serum and urine antigen elimination were determined for each cat. Twelve of 15 cats achieved clinical remission. At the time of diagnosis, antigen was detectable in urine in 14/15 (93%) cats and in serum in 11/15 (73%) cats. Both serum (P histoplasmosis. Further research is needed to investigate the importance of low-level antigenemia and antigenuria. Copyright © 2016 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

  11. Chronological analysis of architectural and acoustical indices in music performance halls.

    Science.gov (United States)

    Kwon, Youngmin; Siebein, Gary W

    2007-05-01

    This study aims to identify the changes in architectural and acoustical indices in halls for music performance built in the 18th through the 20th Centuries. Seventy-one halls are classified in five specific periods from the Classical Period (1751-1820) to the Contemporary Period (1981-2000) based on chronology in music and architectural acoustics. Architectural indices such as room shape, seating capacity, room volume, balcony configuration, and the like as well as acoustical indices such as RT, EDT, G, C80, IACC, and the like for the halls found in the literature are chronologically tabulated and statistically analyzed to identify trends and relationships in architectural and acoustical design for each of the historical periods identified. Some indices appear correlated with each other.

  12. Electronically implemented clinical indicators based on a data warehouse in a tertiary hospital: its clinical benefit and effectiveness.

    Science.gov (United States)

    Yoo, Sooyoung; Kim, Seok; Lee, Kee-Hyuck; Jeong, Chang Wook; Youn, Sang Woong; Park, Kyoung Un; Moon, So Young; Hwang, Hee

    2014-07-01

    Assessing and monitoring care and service using clinical indicators (CIs) can allow the measurement of and lead to improvements in the quality of care. However, the management and maintenance of CI data has been shown to be difficult because the data are usually collected and provided manually. In this study, for the purpose of efficient managing quality indicators, a data warehouse (DW)-based CI monitoring system was developed. The clinical effectiveness and efficiency of a DW-based CI monitoring was investigated through several case studies of the system's operation at a tertiary hospital. This study analyzed the CIs that have been developed over the past 8 years at a 1340-bed tertiary general university hospital in South Korea to improve and monitor the quality of care and patient safety. The hospital was opened as a fully digital hospital in 2003, and the CIs were computerized in 2005 by implementing a DW-based CI monitoring system. We classified the computerized CIs and evaluated the monitoring results for several representative CIs, such as the optimal prescribing of preventive antibiotics, the average length of stay, the mortality rate, and the rehospitalization rate. During the development of the system in 2005, 12 of 19 CIs were computerized, and this number gradually increased until 299 of 335 CIs were computerized by 2012. In addition, among the CIs built computationally through the CI task force team, focal CIs subject to monitoring were selected annually, and the results of this monitoring were shared with all of the staff or the related department and its staff. By providing some examples of our CI monitoring results, we showed the feasibility of improving the quality of care, and maintaining the optimum level of patient care with less labor. The results of this study provide evidence regarding the clinical effectiveness and efficiency as well as the systems operation experience of a DW-based CI monitoring system. These findings may aid medical

  13. Digital breast tomosynthesis versus digital mammography: a clinical performance study

    Energy Technology Data Exchange (ETDEWEB)

    Gennaro, Gisella; Baldan, Enrica; Bezzon, Elisabetta; Polico, Ilaria; Proietti, Alessandro; Toffoli, Aida [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Toledano, Alicia [Statistics Collaborative Inc., Washington, DC (United States); Di Maggio, Cosimo [Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); La Grassa, Manuela [Aviano Oncological Reference Center (CRO), IRCCS, Department of Radiology, Aviano (Pordenone) (Italy); Pescarini, Luigi [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); Muzzio, Pier Carlo [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Medical Diagnostic Sciences, Padua (Italy)

    2010-07-15

    To compare the clinical performance of digital breast tomosynthesis (DBT) with that of full-field digital mammography (FFDM) in a diagnostic population. The study enrolled 200 consenting women who had at least one breast lesion discovered by mammography and/or ultrasound classified as doubtful or suspicious or probably malignant. They underwent tomosynthesis in one view [mediolateral oblique (MLO)] of both breasts at a dose comparable to that of standard screen-film mammography in two views [craniocaudal (CC) and MLO]. Images were rated by six breast radiologists using the BIRADS score. Ratings were compared with the truth established according to the standard of care and a multiple-reader multiple-case (MRMC) receiver-operating characteristic (ROC) analysis was performed. Clinical performance of DBT compared with that of FFDM was evaluated in terms of the difference between areas under ROC curves (AUCs) for BIRADS scores. Overall clinical performance with DBT and FFDM for malignant versus all other cases was not significantly different (AUCs 0.851 vs 0.836, p = 0.645). The lower limit of the 95% CI or the difference between DBT and FFDM AUCs was -4.9%. Clinical performance of tomosynthesis in one view at the same total dose as standard screen-film mammography is not inferior to digital mammography in two views. (orig.)

  14. Performance indicators for maternity care in a circumpolar context: a scoping review

    Science.gov (United States)

    Rich, Rebecca; D'Hont, Thomsen; Linton, Janice; Murphy, Kellie E.; Veillard, Jeremy; Chatwood, Susan

    2016-01-01

    Background In circumpolar regions, harsh climates and scattered populations have prompted the centralization of care and reduction of local maternity services. The resulting practice of routine evacuation for birth from smaller towns to larger urban centres points to a potential conflict between the necessity to ensure patient safety and the importance of delivering services that are responsive to the health needs and values of populations served. Objective To identify recommended performance/quality indicators for use in circumpolar maternity care systems. Methods We searched Scopus, Ebscohost databases (including Academic Search Complete and CINAHL), the Global Health Database, High North Research Documents, and online grey literature. Articles were included if they focused on maternal health indicators in the population of interest (Indigenous women, women receiving care in circumpolar or remote regions). Articles were excluded if they were not related to pregnancy, birth or the immediate post-partum or neonatal periods. Two reviewers independently reviewed articles for inclusion and extracted relevant data. Results Twenty-six documents were included. Twelve were government documents, seven were review articles or indicator compilations, four were indicator sets recommended by academics or non-governmental organizations and three were research papers. We extracted and categorized 81 unique health indicators. The majority of indicators reflected health systems processes and outcomes during the antenatal and intra-partum periods. Only two governmental indicator sets explicitly considered the needs of Indigenous peoples. Conclusions This review demonstrates that, although most circumpolar health systems engage in performance reporting for maternity care, efforts to capture local priorities and values are limited in most regions. Future work in this area should involve northern stakeholders in the process of indicator selection and development. PMID:27938636

  15. Performance indicators for maternity care in a circumpolar context: a scoping review

    Directory of Open Access Journals (Sweden)

    Rebecca Rich

    2016-12-01

    Full Text Available Background: In circumpolar regions, harsh climates and scattered populations have prompted the centralization of care and reduction of local maternity services. The resulting practice of routine evacuation for birth from smaller towns to larger urban centres points to a potential conflict between the necessity to ensure patient safety and the importance of delivering services that are responsive to the health needs and values of populations served. Objective: To identify recommended performance/quality indicators for use in circumpolar maternity care systems. Methods: We searched Scopus, Ebscohost databases (including Academic Search Complete and CINAHL, the Global Health Database, High North Research Documents, and online grey literature. Articles were included if they focused on maternal health indicators in the population of interest (Indigenous women, women receiving care in circumpolar or remote regions. Articles were excluded if they were not related to pregnancy, birth or the immediate post-partum or neonatal periods. Two reviewers independently reviewed articles for inclusion and extracted relevant data. Results: Twenty-six documents were included. Twelve were government documents, seven were review articles or indicator compilations, four were indicator sets recommended by academics or non-governmental organizations and three were research papers. We extracted and categorized 81 unique health indicators. The majority of indicators reflected health systems processes and outcomes during the antenatal and intra-partum periods. Only two governmental indicator sets explicitly considered the needs of Indigenous peoples. Conclusions: This review demonstrates that, although most circumpolar health systems engage in performance reporting for maternity care, efforts to capture local priorities and values are limited in most regions. Future work in this area should involve northern stakeholders in the process of indicator selection and development.

  16. Clinical indications for cesarean delivery among women living with female genital mutilation.

    Science.gov (United States)

    Rodriguez, Maria I; Say, Lale; Abdulcadir, Jasmine; Hindin, Michelle J

    2017-10-01

    To compare primary indications for cesarean delivery among patients with different female genital mutilation (FGM) status. The present secondary analysis included data from women who underwent trial of labor resulting in cesarean delivery at 28 obstetric centers in six African countries between November 1, 2001, and March 31, 2003. Associations between cesarean delivery indications and FGM status were assessed using descriptive statistics and multivariable multinomial logistic regression. Data from 1659 women (480 patients with no type of FGM and 1179 patients with FGM [any type]) were included; cesarean delivery indications were collapsed into five categories (fetal indications, maternal factors, stage 1 arrest, stage 2 arrest, and other). The incidence of a clear medical indication for cesarean delivery did not differ between the groups (P=0.320). Among patients without a clear indication for cesarean delivery, women with FGM were more likely to have undergone cesarean delivery for maternal factors (adjusted relative risk ratio [aRRR] 3.92, 95% confidence interval [CI] 1.3-11.71), stage 1 arrest (aRRR 7.74, 95% CI 1.33-45.07), stage 2 arrest (aRRR 6.63, 95% CI 3.74-11.73), or other factors (aRRR 2.41, 95% CI 1.04-5.60) rather than fetal factors compared with women who had no type of FGM. Among women with unclear medical indications, FGM was associated with cesarean delivery being performed for maternal factors or arrest disorders. © 2017 World Health Organization; licensed by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.

  17. Relationship between physiological indices and aerobic performance tests in short and medium term of elite cyclists

    Directory of Open Access Journals (Sweden)

    Eduardo Bernardo Sangali

    2013-05-01

    Full Text Available Few studies allow usto verify which physiological responses are associated with performance in anational elite cycling group. Therefore, this study aimed to determine and correlate various physiological and aerobic indices with performance in 4 and 20 km time trials in high-level cyclists. The sample consisted of 14 male professional cyclists of the national elite group (28.5 ± 4.7 years old, 73.47 ± 8.29 kg, 176 ± 6.76cm, who performed a progressive test in laboratory to determine maximal oxygen consumption (VO2max: 62.23 ± 8.28 ml•kg-1•min-1, intensity relative to VO2max(iVO2max: 500.83 ± 58.65w, movement economy (EM: 0.1166 ± 0.0362 ml•kg•min•w-1, and the first and second ventilatory threshold (LV1: 348.21 ±43.26 w; LV2: 417.86 ± 60.79 w, respectively. They also performed two time trial performance tests of 4 and 20km. For the correlation between physiological indices and trial performance, Pearson correlation coefficient(p< 0.05 was used. No correlation was found between the physiological indices (VO2max absolute and relative, iVO2max, EM, LV1 and LV2 andperformance in 4 km (r= 0.38; 0.16; -0.33; 0.20; -0.50; -0.20, respectivelyand 20 km (r= 0.24; 0.01; -0.13; -0.12; -0.48; -0.19, respectively time trialin high level athletes. These results suggest that these variables are not able to explain the performance in time trials in the respective lengths, probably due to the subjects’ homogeneity.

  18. Classifying risk status of non-clinical adolescents using psychometric indicators for psychosis spectrum disorders.

    Science.gov (United States)

    Fonseca-Pedrero, Eduardo; Gooding, Diane C; Ortuño-Sierra, Javier; Pflum, Madeline; Paino, Mercedes; Muñiz, José

    2016-09-30

    This study is an attempt to evaluate extant psychometric indicators using latent profile analysis for classifying community-derived individuals based on a set of clinical, behavioural, and personality traits considered risk markers for psychosis spectrum disorders. The present investigation included four hundred and forty-nine high-school students between the ages of 12 and 19. We used the following to assess risk: the Prodromal Questionnaire-Brief (PQ-B), Oviedo Schizotypy Assessment Questionnaire (ESQUIZO-Q), Anticipatory and Consummatory Interpersonal Pleasure Scale-Adolescent version (ACIPS-A), and General Health Questionnaire 12 (GHQ-12). Using Latent profile analysis six latent classes (LC) were identified: participants in class 1 (LC1) displayed little or no symptoms and accounted for 38.53% of the sample; class 2 (LC2), who accounted for 28.06%, also produced low mean scores across most measures though they expressed somewhat higher levels of subjective distress; LC3, a positive schizotypy group (10.24%); LC4 (13.36%), a psychosis high-risk group; LC5, a high positive and negative schizotypy group (4.45%); and LC6, a very high distress, severe clinical high-risk group, comprised 5.34% of the sample. The current research indicates that different latent classes of early individuals at risk can be empirically defined in adolescent community samples using psychometric indicators for psychosis spectrum disorders. These findings may have implications for early detection and prevention strategies in psychosis spectrum disorders. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. Key Performance Indicators in Irish Hospital Libraries: Developing Outcome-Based Metrics

    Directory of Open Access Journals (Sweden)

    Michelle Dalton

    2012-12-01

    Full Text Available Objective – To develop a set of generic outcome-based performance measures for Irishhospital libraries.Methods – Various models and frameworks of performance measurement were used as atheoretical paradigm to link the impact of library services directly with measurablehealthcare objectives and outcomes. Strategic objectives were identified, mapped toperformance indicators, and finally translated into response choices to a single-questiononline survey for distribution via email.Results – The set of performance indicators represents an impact assessment tool whichis easy to administer across a variety of healthcare settings. In using a model directlyaligned with the mission and goals of the organization, and linked to core activities andoperations in an accountable way, the indicators can also be used as a channel throughwhich to implement action, change, and improvement.Conclusion – The indicators can be adopted at a local and potentially a national level, asboth a tool for advocacy and to assess and improve service delivery at a macro level. Toovercome the constraints posed by necessary simplifications, substantial further research is needed by hospital libraries to develop more sophisticated and meaningful measures of impact to further aid decision making at a micro level.

  20. Evaluating the use of key performance indicators to evidence the patient experience.

    Science.gov (United States)

    McCance, Tanya; Hastings, Jack; Dowler, Hilda

    2015-11-01

    To test eight person-centred key performance indicators and the feasibility of an appropriate measurement framework as an approach to evidencing the patient experience. The value of measuring the quality of patient care is undisputed in the international literature, however, the type of measures that can be used to generate data that is meaningful for practice continues to be debated. This paper offers a different perspective to the 'measurement' of the nursing and midwifery contribution to the patient experience. Fourth generation evaluation was the methodological approach used to evaluate the implementation of the key performance indicators and measurement framework across three participating organisations involving nine practice settings. Data were collected by repeated use of claims, concerns and issues with staff working across nine participating sites (n = 18) and the senior executives from the three partner organisations (n = 12). Data were collected during the facilitated sessions with stakeholders and analysed in conjunction with the data generated from the measurement framework. The data reveal the inherent value placed on the evidence generated from the implementation of the key performance indicators as reflected in the following themes: measuring what matters; evidencing the patient experience; engaging staff; a focus for improving practice; and articulating and demonstrating the positive contribution of nursing and midwifery. The implementation of the key performance indicators and the measurement framework has been effective in generating evidence that demonstrates the patient experience. The nature of the data generated not only privileges the patient voice but also offers feedback to nurses and midwives that can inform the development of person-centred cultures. The use of these indicators will produce evidence of patient experience that can be used by nurse and midwives to celebrate and further inform person-centred practice. © 2015 John

  1. The efficiency and quality dilemma: What drives South African call centre management performance indicators?

    Directory of Open Access Journals (Sweden)

    Diane Banks

    2011-03-01

    Research purpose: This study explored the key performance indicators that drive management practices in the South African call centre industry in the context of the dilemma between efficiency and quality. Motivation for the study: The South African government has identified call centres as a method of creating jobs and foreign investment. Management practices affect centres’ performance. Understanding these practices will help to achieve these aims. Research design: The researchers used a web-based questionnaire in a survey with South African call centre managers in more than 44 different organisations that represented nine industry sectors. Main findings: This study indicated that the dilemma between efficiency and quality is prevalent in South African call centres and that efficiency key performance indicators drive management practices. Practical/managerial implications: The inconsistencies the study reported mean that South African organisations should assess the alignment between their organisational visions, the strategic intentions of their call centres and the performance measures they use to assess their call centre managers. Contribution/value-add: This study adds to the relatively small amount of empirical research available on the call centre industry in South Africa. It contributes to the industry’s attempt to position itself favourably for local and international outsourcing opportunities.

  2. Energy management in production: A novel method to develop key performance indicators for improving energy efficiency

    International Nuclear Information System (INIS)

    May, Gökan; Barletta, Ilaria; Stahl, Bojan; Taisch, Marco

    2015-01-01

    Highlights: • We propose a 7-step methodology to develop firm-tailored energy-related KPIs (e-KPIs). • We provide a practical guide for companies to identify their most important e-KPIs. • e-KPIs support identification of energy efficiency improvement areas in production. • The method employs an action plan for achieving energy saving targets. • The paper strengthens theoretical base for energy-based decision making in manufacturing. - Abstract: Measuring energy efficiency performance of equipments, processes and factories is the first step to effective energy management in production. Thus, enabled energy-related information allows the assessment of the progress of manufacturing companies toward their energy efficiency goals. In that respect, the study addresses this challenge where current industrial approaches lack the means and appropriate performance indicators to compare energy-use profiles of machines and processes, and for the comparison of their energy efficiency performance to that of competitors’. Focusing on this challenge, the main objective of the paper is to present a method which supports manufacturing companies in the development of energy-based performance indicators. For this purpose, we provide a 7-step method to develop production-tailored and energy-related key performance indicators (e-KPIs). These indicators allow the interpretation of cause-effect relationships and therefore support companies in their operative decision-making process. Consequently, the proposed method supports the identification of weaknesses and areas for energy efficiency improvements related to the management of production and operations. The study therefore aims to strengthen the theoretical base necessary to support energy-based decision making in manufacturing industries

  3. Indications of a new antibiotic in clinical practice: results of the tigecycline initial use registry

    Directory of Open Access Journals (Sweden)

    Daniel Curcio

    Full Text Available Tigecycline is the first of a new class of antibiotics named glycylcyclines and it was approved for the treatment of complicated intra-abdominal infections and complicated skin and skin structure infections. Notwithstanding this, tigecycline's pharmacological and microbiological profile which includes multidrug-resistant pathogens encourages physicians' use of the drug in other infections. We analyzed, during the first months after its launch, the tigecycline prescriptions for 113 patients in 12 institutions. Twenty-five patients (22% received tigecycline for approved indications, and 88 (78% for "off label" indications (56% with scientific support and 22% with limited or without any scientific support. The most frequent "off label" use was ventilator associated pneumonia (VAP (63 patients. The etiology of infections was established in 105 patients (93%. MDR-Acinetobacter spp. was the microorganism most frequently isolated (50% of the cases. Overall, attending physicians reported clinical success in 86 of the 113 patients (76%. Our study shows that the "off label" use of tigecycline is frequent, especially in VAP. due to MDR-Acinetobacter spp., where the therapeutic options are limited (eg: colistin. Physicians must evaluate the benefits/risks of using this antibiotic for indications that lack rigorous scientific support.

  4. Oral Hairy Leukoplakia: Clinical Indicator of an Immunusuppressive Condition and Challenges in Patient Management

    Directory of Open Access Journals (Sweden)

    Yohana Alfa Agustina

    2016-09-01

    Full Text Available Oral hairy leukoplakia is defined as an asymptomatic white patch with vertical corrugation pattern on the lateral borders of the tongue, that is associated with Epstein-Barr Virus (EBV infection. Generally, it is related to immunosuppressive condition found in HIV-positive patients and patients undergoing immunosuppressive therapy. Sometimes, its clinical appearances could mimic other white lesions. Although most OHL cases are found in HIV seropositive individuals, finding in the immunocompetent individuals has also been reported. Appropriate clinical evaluations and laboratory investigations are important for patient’s comprehensive management. Objective: To report a finding of oral hairy leukoplakia as a clinical indicator of an immunosuppressive condition in otherwise a clinically healthy-looking individual and to discuss the challenges on patient management. Case Report: A 40 year-old man presented with asymptomatic, bilateral and homogenous white hyperkeratotic plaques with a hairy appearance located on the dorsal of the tongue, extended to the lateral tongue mucosa. The patient failed to remember the lesion’s first appearance, until three weeks before a visit. Working diagnosis of oral hairy leukoplakia was made with differential diagnoses including white sponge nevus, leukoplakia and oral lichen planus. Histopathological assessment was consistent with oral hairy leukoplakia, without the presence of epithelial dysplastic changes. Challenges on patient management include identifying possible risk factors and assuring patient for HIV testing.  Conclusion: This case reported findings of OHL as the first clinical indicator of immunosuppressive condition that might be related to HIV-infection. The

  5. Performance indicators for evaluation of North Sea oil and gas platforms

    DEFF Research Database (Denmark)

    Voldsund, Mari; Nguyen, Tuong-Van; Elmegaard, Brian

    2013-01-01

    Well-defined performance indicators can motivate optimal operation of offshore oil and gas platforms. This paper aims to develop such parameters, indicating possibilities for reducing power consumption and emissions of pollutants. Different platforms have different oilfield conditions and process...... to produce the exported petroleum. The best-available-technology efficiency compares the current energy use with the energy use if state-of-the-art components replace current compressors and pumps. Exergetic efficiency compares the actual resources spent in the current process with the minimum resources...

  6. Leading safety performance indicators for resilience assessment of radiopharmaceuticals production process

    International Nuclear Information System (INIS)

    Grecco, Claudio H.S.; Santos, Isaac J.A.L.; Carvalho, Paulo V.R.

    2011-01-01

    Radiopharmaceuticals are radiation-emitting substances used in medicine for radiotherapy and imaging diagnosis. A Research Institute, located in Rio de Janeiro, produces three radiopharmaceuticals: the sodium iodate is used in the diagnosis of thyroid dysfunctions, the meta-iodo-benzyl guanidine is used in the diagnosis of cardiac diseases, and the fluorodeoxyglucose is used in diagnosis in cardiology, oncology, neurology and neuro psychiatry. This paper presents a leading safety performance indicators framework to assess the resilience of radiopharmaceuticals production processes. The organizations that use resilience indicators will be able to pro actively evaluate and manage safety. (author)

  7. Analysis of Malaysian Nuclear Agency Key Performance Indicator (KPI) 2005-2013

    International Nuclear Information System (INIS)

    Aisya Raihan Abdul Kadir; Hazmimi Kasim; Azlinda Aziz; Noriah Jamal

    2014-01-01

    Malaysia Nuclear Agency (Nuclear Malaysia) was established on 19 September 1972. Since its inception, Nuclear Malaysia has been entrusted with the responsibility to introduce and promote nuclear science and technology for national development. After more than 40 years of operation, Nuclear Malaysia remains significant as an excellent organization of science, technology and innovation. An analysis of the key performance indicator (KPI) achievements in 2005-2013 as indicator to the role of Nuclear Malaysia as a national research institution. It was established to promote, develop and encourage the application of nuclear technology. (author)

  8. Leading safety performance indicators for resilience assessment of radiopharmaceuticals production process

    Energy Technology Data Exchange (ETDEWEB)

    Grecco, Claudio H.S.; Santos, Isaac J.A.L.; Carvalho, Paulo V.R., E-mail: grecco@ien.gov.b, E-mail: luquetti@ien.gov.b, E-mail: paulov@ien.gov.b [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil). Div. de Instrumentacao e Confiabilidade Humana; Vidal, Mario C.R., E-mail: mvidal@ergonomia.ufrj.b [Coordenacao dos Programas de Pos-Graduacao de Engenharia (PEP/COPPE/UFRJ), Rio de Janeiro, RJ (Brazil). Programa de Engenharia de Producao. Grupo de Ergonomia e Novas Tecnologias (GENTE)

    2011-07-01

    Radiopharmaceuticals are radiation-emitting substances used in medicine for radiotherapy and imaging diagnosis. A Research Institute, located in Rio de Janeiro, produces three radiopharmaceuticals: the sodium iodate is used in the diagnosis of thyroid dysfunctions, the meta-iodo-benzyl guanidine is used in the diagnosis of cardiac diseases, and the fluorodeoxyglucose is used in diagnosis in cardiology, oncology, neurology and neuro psychiatry. This paper presents a leading safety performance indicators framework to assess the resilience of radiopharmaceuticals production processes. The organizations that use resilience indicators will be able to pro actively evaluate and manage safety. (author)

  9. THE ASSESSMENT OF FINANCIAL AND NON-FINANCIAL INDICATORS IN EVALUATING THE PERFORMANCE OF A COMPANY

    OpenAIRE

    Kotāne, Inta

    2013-01-01

    In this article the findings of a survey of entrepreneurs’ viewpoint are collected. It is carried out with an aim of clarifying the importance of financial and non-financial indicators in evaluating the performance of a company as well as the factors that influence the impartiality of financial and non-financial indicators and the factors that interfere with financial and non-financial analysis of a company. The topicality of this research is based on the reason that many authors have carried...

  10. Performance of the Immediate Post-Concussion Assessment and Cognitive Testing Protocol Validity Indices.

    Science.gov (United States)

    Manderino, L M; Gunstad, J

    2017-10-27

    Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery. Athletes provide preseason baseline ImPACT scores to which post-injury scores can be compared to aid concussion diagnosis. However, if baseline scores are not accurately representative of abilities, the utility of post-injury score comparison is diminished. For this reason, ImPACT includes low score thresholds on five validity indices to identify insufficient effort at baseline, though evidence of these indices' performance is limited. The present study examines the classification accuracy and concurrent validity of the existing ImPACT validity indices and three proposed indices (Word Memory Correct Distractors, Design Memory Correct Distractors, Total Symptom Score). The ImPACT, Word Memory Test (WMT) and Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) were administered to 242 undergraduate students. Participants were instructed to either give full effort on testing or to simulate SRC. Sensitivity of the existing ImPACT validity indices was marginally improved with adjusted score thresholds while maintaining acceptable specificity (0.90). Alternative score thresholds and novel validity indices demonstrated adequate specificity while improving sensitivity overall. Positive and negative predictive powers are provided to inform use of protocol validity indices across diverse treatment settings. The existing ImPACT indices' high specificity at the expense of lower sensitivity compared to external validity measures may under-identify poor effort, resulting in premature return-to-play decisions for athletes with concussion. Improvements or additions to the existing indices may raise sensitivity while maintaining acceptable specificity, aiding in the protection of athletes and safe athletic participation. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. From clinical data records to research: a database system for the study of clinical and functional indicators of chronic heart failure.

    Science.gov (United States)

    Pinna, G D; Opasich, C; Massimo, S; Perinati, L; Cobelli, F; Tavazzi, L

    1997-01-01

    The identification of reliable clinical and functional indicators of Chronic Heart Failure (CHF) is currently a major research challenge for physicians dealing with this pathology. With the aim of providing an adequate infrastructure for this research, we have developed a Database System where all relevant information concerning CHF patients during follow-up can be efficiently recorded, monitored, extracted and easily transferred to commercial packages for data processing and statistical analysis. Patient clinical status is recorded every 6 months, whereas data from several laboratory investigations are recorded every 12 months. All complications or events between two successive controls are recorded too. Patients needing cardiac transplantation are entered in a transplantation waiting list. The Database is fully integrated into the Hospital Information System and meets the standards of the national database of CHF patients. It grows with the concurrent activity of several independent teams, all of which have access to complete and structured information for research purposes. A user-friendly procedure allows the export in a standard format (Microsoft Excel) of all patients' data pertaining to a selected set of controls and variables of interest. These data are used directly for analysis or sub-selections are performed by the investigator through a simple query language. Depending on the objectives and complexity of the research, different commercial statistical analysis packages are available, which are used by clinical investigators autonomously or with the aid of a statistician. This overall approach allows great autonomy of each user in extracting, manipulating and statistically analyzing data. The Database has been in use at the Heart Failure Unit of our Rehabilitation Center since October 1992 and 595 patients have been enrolled since then. Several studies based on these data have been performed and more than 120 scientific communications and 30 articles in

  12. Identifying the most significant indicators of the total road safety performance index.

    Science.gov (United States)

    Tešić, Milan; Hermans, Elke; Lipovac, Krsto; Pešić, Dalibor

    2018-04-01

    The review of the national and international literature dealing with the assessment of the road safety level has shown great efforts of the authors who tried to define the methodology for calculating the composite road safety index on a territory (region, state, etc.). The procedure for obtaining a road safety composite index of an area has been largely harmonized. The question that has not been fully resolved yet concerns the selection of indicators. There is a wide range of road safety indicators used to show a road safety situation on a territory. Road safety performance index (RSPI) obtained on the basis of a larger number of safety performance indicators (SPIs) enable decision makers to more precisely define the earlier goal- oriented actions. However, recording a broader comprehensive set of SPIs helps identify the strengths and weaknesses of a country's road safety system. Providing high quality national and international databases that would include comparable SPIs seems to be difficult since a larger number of countries dispose of a small number of identical indicators available for use. Therefore, there is a need for calculating a road safety performance index with a limited number of indicators (RSPI ln n ) which will provide a comparison of a sufficient quality, of as many countries as possible. The application of the Data Envelopment Analysis (DEA) method and correlative analysis has helped to check if the RSPI ln n is likely to be of sufficient quality. A strong correlation between the RSPI ln n and the RSPI has been identified using the proposed methodology. Based on this, the most contributing indicators and methodologies for gradual monitoring of SPIs, have been defined for each country analyzed. The indicator monitoring phases in the analyzed countries have been defined in the following way: Phase 1- the indicators relating to alcohol, speed and protective systems; Phase 2- the indicators relating to roads and Phase 3- the indicators relating to

  13. The Importance of Strength and Power on Key Performance Indicators in Elite Youth Soccer.

    Science.gov (United States)

    Wing, Christopher E; Turner, Anthony N; Bishop, Chris J

    2018-01-24

    The purpose of this investigation was to examine the importance of strength and power in relation to key performance indicators (KPI's) within competitive soccer match play. This was achieved through using an experimental approach where fifteen subjects were recruited from a professional soccer club's scholarship squad during the 2013/14 season. Following anthropometric measures, power and strength were assessed across a range of tests which included the squat jump (SJ), countermovement jump (CMJ), 20 metre (m) sprint and arrowhead change of direction test. A predicted 1-repetition maximum (RM) was also obtained for strength by performing a 3RM test for both the back squat and bench press and a total score of athleticism (TSA) was provided by summing z-scores for all fitness tests together, providing one complete score for athleticism. Performance analysis data was collected during 16 matches for the following KPIs: passing, shooting, dribbling, tackling and heading. Alongside this, data concerning player ball involvements (touches) was recorded. Results showed that there was a significant correlation (p performance, particularly when players are required to win duels of a physical nature. There were no other relationships found between the fitness data and the KPI's recorded during match play which may indicate that other aspects of player's development such as technical skill, cognitive function and sensory awareness are more important for soccer-specific performance.

  14. Mineral trioxide aggregate pulpotomy for permanent molars with clinical signs indicative of irreversible pulpitis: a preliminary study.

    Science.gov (United States)

    Qudeimat, M A; Alyahya, A; Hasan, A A

    2017-02-01

    To prospectively investigate the clinical and radiographic success rates of pulpotomy in permanent molars with clinical signs and symptoms suggestive of irreversible pulpitis using mineral trioxide aggregate (MTA) as a pulp dressing agent. Sixteen patients with 23 restorable permanent molars exhibiting signs and symptoms indicative of irreversible pulpitis were enrolled. A standardized operative procedure was followed for all participants. All teeth were isolated with a dental dam and caries was removed, and then, pulpotomy performed with a sterile round and/or flame shape diamond burs. Haemostasis was achieved with 5% sodium hypochlorite (NaOCl). A mixture of MTA was placed against the wound, and a moistened cotton pellet was placed over the MTA. Teeth were temporized with a glass-ionomer restoration. Three to ten days later, the interim restoration was removed and setting of MTA was evaluated. Teeth were restored with stainless steel crowns. Follow-up evaluations were scheduled at 3, 6, 12 months and annually thereafter. Descriptive statistics were used to assess outcomes. The age of patients at time of pulpotomy ranged between 7.6 and 13.6 years (mean = 10.7± 1.7 yrs). The majority of teeth (91%) had clinical signs and symptoms consistent with a diagnosis of symptomatic irreversible pulpitis and symptomatic apical periodontitis (78%). The follow-up examination period ranged from 18.9 to 73.6 months. Clinically and radiographically, all pulpotomies were considered successful at the end of the follow-up period. Radiographically, a hard tissue barrier was noticed in 13 (57%) teeth. In children, MTA was associated with high clinical and radiographic success as a pulpotomy agent in permanent teeth with clinical signs and symptoms suggestive of irreversible pulpitis. © 2016 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  15. Impact of an educational intervention and clinical performance ...

    African Journals Online (AJOL)

    Background. Blood cultures are the most direct method of detecting bacteraemia. Reducing contamination rates improves the specificity and positive predictive value of the blood culture. Clinical performance dashboards have been shown to be powerful tools in improving patient care and outcomes. Objectives.

  16. Comparative Analysis of Stock Exchange Performance with Macroeconomic Indicators Between Indonesia and Malaysia

    OpenAIRE

    Pandowo, Merinda; Pangemanan, Sifrid S.; Nangka, Michelle Inri Fifalia

    2013-01-01

    Growth of economy on the country shows the growth of the country. It can be seen from several elements. Stock market is one of the elements that play the vital role of economic. Stock market has purpose to play the important thing of economic and industry growth of the country and also as a measurement that the sector industry growth well as the growth of economy with their performance. There are several macroeconomic indicators used to compare the stock exchange performance between two count...

  17. Comorbidity indices for clinical trials: adaptation of two existing indices for use with the FREEDOM trial in women with postmenopausal osteoporosis.

    Science.gov (United States)

    Silverman, S L; Wang, A; Cheng, L; Yang, Y; Libanati, C; Geller, M; Grauer, A; Nevitt, M; Revicki, D; Viswanathan, H N

    2016-01-01

    Two comorbidity indices were adapted for use in the FREEDOM trial and significantly correlated with the number of medications and impaired health status at baseline. The indices have applications for the analysis of clinical trial data and would allow for the appropriate adjustment of comorbidities when evaluating clinical trial outcomes. The purpose of this study is to adapt two published comorbidity indices for use with the FREEDOM clinical trial evaluating postmenopausal women with osteoporosis. FREEDOM enrolled women aged 60-90 years with a bone mineral density T-score <-2.5 at the lumbar spine or total hip and ≥-4.0 at both sites. Comorbidity indices were calculated using methods described by Sangha (Arthritis Rheum 49:156-163, 2003) and Wolfe (J Rheumatol 37:305-315, 2010) following modification. The adapted Sangha index included 12 conditions with a summary score of 0-12; the adapted Wolfe index included 7 conditions with a weighted summary score of 0-8. Higher scores indicated greater comorbidity. A panel of clinicians independently reviewed subjects' medical histories using a systematic process based on Medical Dictionary for Regulatory Activities (MedDRA) preferred terms to map specified comorbid conditions. Spearman correlations between the adapted indices and baseline subject characteristics expected to be associated with comorbidities were examined. Of the 7808 subjects in this study, 74 % had ≥1 comorbidities based on the adapted Sangha or Wolfe comorbidity indices. The mean (SD) adapted Sangha and Wolfe comorbidity indices were 1.4 (1.2) and 1.4 (1.3), respectively. Both indices correlated positively with age, body mass index, and the number of medications (r = 0.54 to 0.55) at baseline and inversely correlated with health-related quality of life (r = -0.22 to -0.30) (all P < 0.0001). Further, when either the adapted Sangha or Wolfe index was included as a covariate for assessing mortality over 36 months in the FREEDOM population, the

  18. The Power of Performance Indices in the Global Politics of Anti-corruption

    DEFF Research Database (Denmark)

    Krause Hansen, Hans

    2012-01-01

    . Drawing on studies of organisation, surveillance and governmentality, this article examines the capacity of performance indices to construct comparable and governable subjects in international efforts to combat corruption. It conceptualises performance indices in terms of technologies of distance...... corruption, pointing to their importance for the determination of what constitutes legitimate social practice. More generally, the paper contributes to the study of global governance literatures by highlighting how practices of calculation, measurement and comparison can play a distinctive role......While scholars have focused on the macro-structural, institutional and legal dimensions at work in international anti-corruption, they have paid little attention to role of the more specific technologies through which social forces become entangled in efforts at combating corruption internationally...

  19. Frying performance of two virgin oils from Cornicabra olives with different ripeness indices

    International Nuclear Information System (INIS)

    Olivero-David, R.; Mena, C.; Sánchez-Muniz, F.J.; Pérez-Jiménez, M.A.; Holgado, F.; Bastida, S.; Velasco, J.

    2017-01-01

    The frying performance of two virgin olive oils (VOO) from Cornicabra olives of different ripeness indices, 2.08 for VOO1 and 4.13 for VOO2, was evaluated. Thermal, oxidative and hydrolytic alterations were determined throughout 40 frying operations with potatoes. The initial oils showed similar fatty acid compositions and oxidative stability indices as determined by Rancimat, but VOO1 presented higher amounts of total polyphenols and tocopherols. The oils showed high and similar frying performance. No significant differences in the levels of polar compounds (PC) were found between the two oils during frying. Therefore, the frying stability of Cornicabra VOOs appears to be unconnected with olive fruit ripeness. The limit of degradation at 25% PC as established in different countries was calculated to occur at 55 frying operations in the two oils. As oil toxicity is related to the levels of compounds formed, the use of Cornicabra VOOs for frying is highly recommended. [es

  20. STUDY REGARDING COMPANIES PERFORMANCE MEASUREMENT THROUGH NON-FINANCIAL INDICATORS – THE CASE OF AIRLINE INDUSTRY

    Directory of Open Access Journals (Sweden)

    Radu-Dan TURCU

    2015-12-01

    Full Text Available The fact that financial information alone is insufficient in assessing a company’s performance is more and more debated. . The present paper aims to analyze the relation between the changes in companies’ market value and selected financial and non-financial indicators for the airline industry. The main aim of this study is to analyze the value relevance of non-financial information in assessing a company’s performance by reference to the airline industry. The results reveal that non-financial indicators “load factor”, “available seat kilometers” and the financial measures “pretax return on assets”,“curent ratio”, ”debt-to-equity ratio” and ”sales growth” are valuable in explaining the stock price evolution.

  1. Disease activity indices in coeliac disease: systematic review and recommendations for clinical trials.

    Science.gov (United States)

    Hindryckx, Pieter; Levesque, Barrett G; Holvoet, Tom; Durand, Serina; Tang, Ceen-Ming; Parker, Claire; Khanna, Reena; Shackelton, Lisa M; D'Haens, Geert; Sandborn, William J; Feagan, Brian G; Lebwohl, Benjamin; Leffler, Daniel A; Jairath, Vipul

    2018-01-01

    Although several pharmacological agents have emerged as potential adjunctive therapies to a gluten-free diet for coeliac disease, there is currently no widely accepted measure of disease activity used in clinical trials. We conducted a systematic review of coeliac disease activity indices to evaluate their operating properties and potential as outcome measures in registration trials. MEDLINE, EMBASE and the Cochrane central library were searched from 1966 to 2015 for eligible studies in adult and/or paediatric patients with coeliac disease that included coeliac disease activity markers in their outcome measures. The operating characteristics of histological indices, patient-reported outcomes (PROs) and endoscopic indices were evaluated for content and construct validity, reliability, responsiveness and feasibility using guidelines proposed by the US Food and Drug Administration (FDA). Of 19 123 citations, 286 studies were eligible, including 24 randomised-controlled trials. Three of five PROs identified met most key evaluative criteria but only the Celiac Disease Symptom Diary (CDSD) and the Celiac Disease Patient-Reported Outcome (CeD PRO) have been approved by the FDA. All histological and endoscopic scores identified lacked content validity. Quantitative morphometric histological analysis had better reliability and responsiveness compared with qualitative scales. Endoscopic indices were infrequently used, and only one index demonstrated responsiveness to effective therapy. Current best evidence suggests that the CDSD and the CeD PRO are appropriate for use in the definition of primary end points in coeliac disease registration trials. Morphometric histology should be included as a key secondary or co-primary end point. Further work is needed to optimise end point configuration to inform efficient drug development. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  2. Construction and Research of Evaluation Indicator System for Technological Innovation Performance

    OpenAIRE

    Li, Xiaolang; Liang, Ying; Lu, Boli

    2013-01-01

    In view of sci-tech innovation and innovation-driving requirements of Chinese President Xi Jinping, it is necessary to establish a complete evaluation indicator system for technological innovation performance in Guizhou Province, to accurately evaluate development situation of technological innovation in Guizhou Province, promote close connection of science and technology with economy, and boost rapid development of national economy. In Guizhou Province, there is still no complete evaluation ...

  3. KEY PERFORMANCE INDICATORS. A CASE STUDY ON THE INTEGRATED REPORTS OF AN IT COMPANY

    OpenAIRE

    GORGAN CATALINA; DUMITRU VALENTIN FLORENTIN; GORGAN VASILE

    2014-01-01

    Our analysis relies on the 2011 integrated report published by SAP, a European IT company included in the International Integrated Reporting Committee (IIRC) Pilot Programme Business Network. The research methodology used is the analysis of the content as we search for a number of selected characteristics in the report and also for a set of key performance indicators (KPI). We use as references the guide provided by DVFA (Society of Investment Professionals in Germany) and EFF...

  4. Applying the Goal-Question-Indicator-Metric (GQIM) Method to Perform Military Situational Analysis

    Science.gov (United States)

    2016-05-11

    MAXIMUM 200 WORDS ) When developing situational awareness in support of military operations, the U.S. armed forces use a mnemonic, or memory aide, to...REV-03.18.2016.0 Applying the Goal- Question -Indicator- Metric (GQIM) Method to Perform Military Situational Analysis Douglas Gray May 2016...Acknowledgments The subject matter covered in this technical note evolved from an excellent question from Capt. Tomomi Ogasawara, Japan Ground Self

  5. Using Key Performance Indicators to Do More with Less in Your Practice

    OpenAIRE

    Taylor, Brian

    2016-01-01

    Key performance indicators (KPIs) are important to managing any sustainable business. This tutorial provides audiologists, especially those with little formal business education, with a working definition of KPIs. A major theme of this article is that a relatively small group of about a dozen KPIs are an essential part of managing a successful audiology practice. The most useful KPIs for managing retail-oriented and medically oriented practices will be provided. Best practice benchmarks and h...

  6. Indicators to assess the environmental performances of an innovative subway station : example of Noisy-Champs

    Science.gov (United States)

    Schertzer, D. J. M.; Charbonnier, L.; Versini, P. A.; Tchiguirinskaia, I.

    2017-12-01

    Noisy-Champs is a train station located in Noisy-le-Grand and Champs-sur-Marne, in the Paris urban area (France). Integrated into the Grand Paris Express project (huge development project to modernise the transport network around Paris), this station is going to be radically transformed and become a major hub. Designed by the architectural office Duthilleul, the new Noisy-Champs station aspires to be an example of an innovative and sustainable infrastructure. Its architectural precepts are indeed meant to improve its environmental performances, especially those related to storm water management, water consumption and users' thermal and hygrometric comfort. In order to assess and monitor these performances, objectives and associated indicators have been developed. They aim to be adapted for a specific infrastructure such as a public transport station. Analyses of pre-existing comfort simulations, blueprints and regulatory documents have led to identify the main issues for the Noisy-Champs station, focusing on its resilience to extreme events like droughts, heatwaves and heaxvy rainfalls. Both objectives and indicators have been proposed by studying the space-time variabilities of physical fluxes (heat, pollutants, radiation, wind and water) and passenger flows, and their interactions. Each indicator is linked to an environmental performance and has been determined after consultation of the different stakeholders involved in the rebuilding of the station. It results a monitoring program to assess the environmental performances of the station composed by both the indicators grid and their related objectives, and a measurement program detailing the nature and location of sensors, and the frequency of measurements.

  7. The Impact of IFRS 16 on the Companies’ Key Performance Indicators: Limits, Advantages and Drawbacks

    Directory of Open Access Journals (Sweden)

    Alin Eliodor Tanase

    2018-03-01

    Full Text Available t This article focuses on the impact of the new standard IFRS 16 Leases on the companies’ key performance indicators. The magnitude of this impact could be said to change depending on the usage density of the lease in the companies and also depending on the sector they are in. The results show that future transactions may be influenced by IFRS 16 such as sale and leaseback, acquisitions and mergers, and lease vs. buying.

  8. RESEARCH CONCERNING THE IDENTIFICATION OF PERFORMANCE INDICATORS FOR TOURIST DESTINATIONS ON THE INTERNET

    OpenAIRE

    DRAGEANU Calin; BACALI Laura; BODI Stefan

    2015-01-01

    The development of ICT technologies can also, be found in tourist services, whose competitivity becomes more and more dependent on their presence on the internet and on the usage of virtual techniques in promoting, distributing and measuring customer satisfaction. The work proposes an exploratory research to identify some indicators for the evaluation of virtual tools performance, websites, on the internet for a tourist destination, in this case, a religious tourist de...

  9. Percutaneous treatment of lumbar disc herniation by oxygen-ozone injection -clinical study with indication

    International Nuclear Information System (INIS)

    Wang Zhuying; Jiang Caimei; Wang Zhimin

    2006-01-01

    Objective: To study the clinical effect and the range of indications of oxygen-ozone treatment for lumber disc herniation. Methods: 6-15 ml of oxygen-ozone (35-45 μg/ml) were injected percutaneously into lumbar disc. In case of multiple disc herniations, the procedure could be taken with two discs for once. Results: 323 patients with 433 discs were treated by oxygen-ozone injection procedure. Total effective rate was 77.7%. Conclusions: The treatment of lumber disc herniation by oxygen-ozone injection is simple, safe and effective with mild trauma. Oxygen-ozone not only can oxidize the proteoglycan in the nucleus leading to the contraction of nucleus, but also provide anti-inflammation effect with pain relief and without complication yet. (authors)

  10. Economic performance indicators of wind energy based on wind speed stochastic modeling

    International Nuclear Information System (INIS)

    D’Amico, Guglielmo; Petroni, Filippo; Prattico, Flavio

    2015-01-01

    Highlights: • We propose a new and different wind energy production indicator. • We compute financial profitability of potential wind power sites. • The wind speed process is modeled as an indexed semi-Markov chain. • We check if the wind energy is a good investment with and without incentives. - Abstract: We propose the computation of different wind energy production indicators and financial profitability of potential wind power sites. The computation is performed by modeling the wind speed process as an indexed semi-Markov chain to predict and simulate the wind speed dynamics. We demonstrate that the indexed semi-Markov chain approach enables reproducing the indicators calculated on real data. Two different time horizons of 15 and 30 years are analyzed. In the first case we consider the government incentives on the energy price now present in Italy, while in the second case the incentives have not been taken into account

  11. A Panel Data Analysis of the Impact of Macroeconomic Indicators on Firms’ Shares Performance in Nigeria

    Directory of Open Access Journals (Sweden)

    Michael S. Ogunmuyiwa

    2016-11-01

    Full Text Available This paper contributes to the ongoing debate on whether the impact of macroeconomic indicators on the stock market is positive or negative or of no effect by analyzing the relationship between macroeconomic fundamentals and performance of quoted firms on the Nigeria Stock Exchange market. A sample of fifty (50 quoted firms across eight (8 major sectors of the market was selected for the study. The static panel regression technique was employed on monthly data sourced from the Nigeria Stock Exchange (NSE and the Central Bank of Nigeria (CBN between 2007:1 and 2013:12. Results from empirical findings reveal that varying impacts exist between the macroeconomic indicators and firm share returns in Nigeria. It goes further to affirm that inflation rate, interest rate and exchange rate are the major significant macroeconomic indicators driving firm share returns in Nigeria.

  12. On the performance of some aromaticity indices: a critical assessment using a test set.

    Science.gov (United States)

    Feixas, Ferran; Matito, Eduard; Poater, Jordi; Solà, Miquel

    2008-07-30

    Aromaticity is a central chemical concept widely used in modern chemistry for the interpretation of molecular structure, stability, reactivity, and magnetic properties of many compounds. As such, its reliable prediction is an important task of computational chemistry. In recent years, many methods to quantify aromaticity based on different physicochemical properties of molecules have been proposed. However, the nonobservable nature of aromaticity makes difficult to assess the performance of the numerous existing indices. In the present work, we introduce a series of fifteen aromaticity tests that can be used to analyze the advantages and drawbacks of a group of aromaticity descriptors. On the basis of the results obtained for a set of ten indicators of aromaticity, we conclude that indices based on the study of electron delocalization in aromatic species are the most accurate among those examined in this work. (c) 2008 Wiley Periodicals, Inc. J Comput Chem, 2008.

  13. Improving the performance of high-energy physics analysis through bitmap indices

    CERN Document Server

    Stockinger, K; Hoschek, W; Schikuta, E

    2000-01-01

    Bitmap indices are popular multi-dimensional data structures for accessing read-mostly data such as data warehouse (DW) applications, decision support systems (DSS) and online analytical processing (OLAP). One of their main strengths is that they provide good performance characteristics for complex adhoc queries and an efficient combination of multiple index dimensions in one query. Considerable research work has been done in the area of finite (and low) attribute cardinalities. However, additional complexity is imposed on the design of bitmap indices for high cardinality or even non-discrete attributes, where different optimisation techniques than the ones proposed so far have to be applied. We discuss the design and implementation of bitmap indices for high-energy physics (HEP) analysis, where the potential search space consists of hundreds of independent dimensions. A single HEP query typically covers 10 to 100 dimensions out of the whole search space. In this context we evaluated two different bitmap enco...

  14. Energy and water uses and their performance explanatory indicators in hotels in Hong Kong

    International Nuclear Information System (INIS)

    Deng, S.

    2003-01-01

    This paper firstly presents a case study on analyzing the electrical load profiles recorded in a Hong Kong hotel over a period of 12 months to examine the potential energy saving opportunities (ESOs) in its building services installations. The case study is followed by a report of the survey results of energy and water use in 36 quality hotels in Hong Kong. Finally, a regression analysis where the surveyed energy and water use data were correlated to a number of hotel background or operational parameters to search for suitable energy and water use performance explanatory indicators is presented. The survey results depict a diversified energy and water use situation in Hong Kong's hotels, but the regression analysis indicates that, while some of the correlations obtained are weak, there do exist a few strong energy and water explanatory indicators. (author)

  15. Translating removal efficiencies into operational performance indices of wastewater treatment plants.

    Science.gov (United States)

    Silva, Catarina; Quadros, Sílvia; Ramalho, Pedro; Alegre, Helena; Rosa, Maria João

    2014-06-15

    Removal efficiencies are often used to assess the performance of a single or a group of unit operations/processes (UOPs) of a wastewater treatment plant (WWTP). However, depending on the influent concentration (Cin), the same efficiency of removal (Er) may be insufficient or excessive to achieve the UOP or WWTP effluent quality requirements, expressed by concentration limit values (LVs). This paper proposes performance indices (PXs), Er-based, as new metrics for benchmarking, i.e. for assessing and improving the performance of each UOP or treatment step and ultimately of the WWTP as a multi-barrier system, and comprehensively describes the stepwise method of translating Ers into PXs. PXs are dimensionless and vary between 0 and 300 to define three performance levels: unsatisfactory (0-100), acceptable (100-200) and good (200-300) performance. The method developed takes into consideration Cin and LV, and the reference values for judging the performance are given from Er-Cin typical ranges and Er vs. Cin model curves, LV based and field data based. The general equations of the Er model curves are derived. A set of six curves is calibrated for TSS (Total Suspended Solids) and COD (Chemical Oxygen Demand) removal by primary sedimentation and activated sludge systems (carbon or combined carbon and nutrients removal), using 5-year (2006-2010) field data from five Portuguese WWTPs. A statistical analysis of the PX results is additionally proposed to assess treatment reliability. The new method is applied in two WWTPs and the PX results are compared with those of conventional measures - Er and performance indicators (PIs). The results demonstrate that, whereas a simplistic Er-driven or PI-driven management of the WWTPs shows limitations, the developed PXs are adequate measures for benchmarking removal efficiencies towards WWTP reliability and sustainability. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. Relationship between OSCE scores and other typical medical school performance indicators: a 5-year cohort study.

    Science.gov (United States)

    Dong, Ting; Saguil, Aaron; Artino, Anthony R; Gilliland, William R; Waechter, Donna M; Lopreaito, Joseph; Flanagan, Amy; Durning, Steven J

    2012-09-01

    Objective Structured Clinical Examinations (OSCEs) are used at the majority of U.S. medical schools. Given the high resource demands with constructing and administering OSCEs, understanding how OSCEs relate to typical performance measures in medical school could help educators more effectively design curricula and evaluation to optimize student instruction and assessment. To investigate the correlation between second-year and third-year OSCE scores, as well as the associations between OSCE scores and several other typical measures of students' medical school performance. We tracked the performance of a 5-year cohort (classes of 2007-2011). We studied the univariate correlations among OSCE scores, U.S. Medical Licensing Examination (USMLE) scores, and medical school grade point average. We also examined whether OSCE scores explained additional variance in the USMLE Step 2 Clinical Knowledge score beyond that explained by the Step 1 score. The second- and third-year OSCE scores were weakly correlated. Neither second- nor third-year OSCE score was strongly correlated with USMLE scores or medical school grade point average. Our findings suggest that OSCEs capture a viewpoint that is different from typical assessment measures that largely reflect multiple choice questions; these results also support tenets of situated cognition theory.

  17. Diagnostic accuracy of behavioral, activity, ferritin, and clinical indicators of restless legs syndrome.

    Science.gov (United States)

    Richards, Kathy C; Bost, James E; Rogers, Valerie E; Hutchison, Lisa C; Beck, Cornelia K; Bliwise, Donald L; Kovach, Christine R; Cuellar, Norma; Allen, Richard P

    2015-03-01

    Lack of a valid diagnostic measure of restless legs syndrome (RLS) for persons with dementia, who do not have the cognitive ability to report complex symptoms, impedes RLS treatment and research in this population. The aim of this study was to determine the sensitivity and specificity of a combination of indicators for identifying RLS that could eventually be used to diagnose RLS in persons with dementia. 3-day, prospective instrument validation. Sleep laboratory. Cognitively intact, 107 with RLS, 105 without RLS. N/A. Serial 20-min observations with a new measure, the Behavioral Indicators Test-Restless Legs (BIT-RL); leg movements with 3 nights of the Periodic Activity Monitor-Restless Legs (PAM-RL); ferritin; sleep history; clinical data; polysomnography; Hopkins Telephone Diagnostic Interview of RLS Symptoms. The best-fitting diagnostic model for identifying RLS included previous history of iron deficiency (odds ratio [OR] 7.30), leg discomfort (OR 6.47), daytime fatigue (OR 6.15), difficulty falling asleep (OR 3.25), RLS family history (OR 2.60), BIT-RL (OR 1.49), and absence of diabetes (OR 0.27), with sensitivity 78%, specificity 79%, and 77% correctly classified. This model retained its predictive accuracy even with co-morbid sleep apnea. When compared to those without RLS, persons with RLS have observable behaviors, such as rubbing the legs, that differentiate them, but the behaviors have no circadian and activity-related variability. The final model of clinical and sleep historical data and observation for RLS behaviors using the BIT-RL had good diagnostic accuracy. © 2015 Associated Professional Sleep Societies, LLC.

  18. Influence of clinical and socioeconomic indicators on dental trauma in preschool children

    Directory of Open Access Journals (Sweden)

    Patrícia CORRÊA-FARIA

    2015-01-01

    Full Text Available The aim of the present study was to determine the prevalence of traumatic dental injury (TDI in the primary dentition and investigate associations with clinical and socioeconomic indicators. A population-based, cross-sectional study was carried out with a randomly selected sample of 301 children aged one to five years. Data were collected through clinical oral examinations and interviews with parents/guardians during immunization campaigns. Statistical analysis involved Pearson’s Chi-squared test and Poisson regression with robust variance. The prevalence of TDI was 33.9%. TDI was more prevalent in children with overjet > 3 mm (p < 0.001 and those with inadequate lip coverage (p < 0.001. A statistically significant association was also found between TDI and household income (p = 0.024. According to the adjusted Poisson regression model, greater prevalence rates of TDI were found for children from families with a monthly income ≥ twice the Brazilian minimum monthly wage (PR: 1.52; 95%CI: 1.10-2.12, those with accentuated overjet (PR: 1.53; 95%CI: 1.05-2.22 and those with inadequate lip coverage (PR: 2.00; 95%CI: 1.41-2.84. The prevalence of TDI was high in the present study and was associated with a higher family income, accentuated overjet and inadequate lip coverage.

  19. The Intracranial Volume Pressure Response in Increased Intracranial Pressure Patients: Clinical Significance of the Volume Pressure Indicator.

    Science.gov (United States)

    Lai, Hung-Yi; Lee, Ching-Hsin; Lee, Ching-Yi

    2016-01-01

    For patients suffering from primary brain injury, monitoring intracranial pressure alone is not enough to reflect the dynamic intracranial condition. In our previous study, a segment of the pressure-volume curve can be expressed by the parabolic regression model with single indicator "a". The aim of this study is to evaluate if the indicator "a" can reflect intracranial conditions. Patients with traumatic brain injury, spontaneous intracranial hemorrhage, and/or hydrocephalus who had external ventricular drainage from January 2009 to February 2010 were included. The successive volume pressure response values were obtained by successive drainage of cerebral spinal fluid from intracranial pressure 20-25 mm Hg to 10 mm Hg. The relationship between withdrawn cerebral spinal fluid volume and intracranial pressure was analyzed by the parabolic regression model with single parameter "a". The overall mean for indicator "a" was 0.422 ± 0.046. The mean of "a" in hydrocephalus was 0.173 ± 0.024 and in severe intracranial mass with slender ventricle, it was 0.663 ± 0.062. The two extreme intracranial conditions had a statistical significant difference (ppressure-volume curve can reflect the dynamic intracranial condition and is comparable in different situations. A significantly larger indicator "a" with increased intracranial pressure is always observed in severe intracranial mass lesions with cerebral edema. A significantly smaller indicator "a" with increased intracranial pressure is observed in hydrocephalus. Brain computed tomography should be performed early if a rapid elevation of indicator "a" is detected, as it can reveal some ongoing intracranial pathology prior to clinical deterioration. Increased intracranial pressure was frequently observed in patients with intracranial pathology. The progression can be differentiated using the pattern of the volume pressure indicator.

  20. CLINICAL AND ELECTROCARDIOGRAPHIC SYNDROMES ASSOCIATED WITH THE RISKOF SUDDENCARDIAC DEATH: PATHOGENESIS, CLINICAL MANIFESTATIONS, DIAGNOSTIC CRITERIA, INDICATIONS FORGENETIC RESEARCHAND TREATMENT

    Directory of Open Access Journals (Sweden)

    V. V. Rezvan

    2013-01-01

    Full Text Available PURPOSE. The problem of sudden cardiac death (SCD is the most relevant in the modern cardiology , and if organic heart diseases exist, treatment strategy and prevention of SCD is developed , this problem is not solved in the patients without organic changes. Currently, a group of diseases, clinical and electrocardiographic syndromes, has emerged, that are closely associated with the formation of fatal arrhythmias. Special hazard of the course of these pathological conditions is due to the high risk of SCD, especially in young people. These diseases are not accompanied by structural changes in the myocardium and manifest themselves mainly by electrophysiological abnormalities in cardiomyocytes. Mutations in genes encoding ion channel proteins expressed in the myocardium, and their modulators, is the basis of these diseases. This fact is accounted for the unification of these diseases in the group of «channelopathies». The article presents the current diagnostic criteria for these diseases and treatments. In 2011 Guidelines of the European Society of Cardiology for genetic research in channelopathies and cardiomyopathies that have defined the indications for genetic research in this pathology, were issued.