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Sample records for quality indicator system

  1. The advanced flame quality indicator system

    Energy Technology Data Exchange (ETDEWEB)

    Oman, R.; Rossi, M.J.; Calia, V.S.; Davis, F.L.; Rudin, A. [Insight Technologies, Inc., Bohemia, NY (United States)

    1997-09-01

    By combining oil tank monitoring, systems diagnostics and flame quality monitoring in an affordable system that communicates directly with dealers by telephone modem, Insight Technologies offers new revenue opportunities and the capability for a new order of customer relations to oil dealers. With co-sponsorship from New York State Energy Research and Development Authority, we have incorporated several valuable functions to a new product based on the original Flame Quality Indicator concept licensed from the US DOE`s Brookhaven National Laboratory. The new system is the Advanced Flame Quality Indicator, or AFQI. As before, the AFQI monitors and reports the intensity of the burner flame relative to a calibration established when the burner is set up at AFQI installation. Repairs or adjustments are summoned by late-night outgoing telephone calls when limits are exceeded in either direction, indicating an impending contamination or other malfunction. A independently, a pressure transducer for monitoring oil tank level and filter condition, safety lockout alarms and a temperature monitor; all reporting automatically at instructed intervals via an on-board modem to a central station PC computer (CSC). Firmware on each AFQI unit and Insight-supplied software on the CSC automatically interact to maintain a customer database for an oil dealer, an OEM, or a regional service contractor. In addition to ensuring continuously clean and efficient operation, the AFQI offers the oil industry a new set of immediate payoffs, among which are reduced outages and emergency service calls, shorter service calls from cleaner operation, larger oil delivery drops, the opportunity to stretch service intervals to as along as three years in some cases, new selling features to keep and attract customers, and greatly enhanced customer contact, quality and reliability.

  2. Quality indicators

    DEFF Research Database (Denmark)

    Hjorth-Andersen, Christian

    1991-01-01

    In recent literature it has been suggested that consumers need have no knowledge of product quality as a number of quality indicators (or signals) may be used as substitutes. Very little attention has been paid to the empirical verification of these studies. The present paper is devoted...... to the issue of how well these indicators perform, using market data provided by consumer magazines from 3 countries. The results strongly indicate that price is a poor quality indicator. The paper also presents some evidence which suggests that seller reputation and easily observable characteristics are also...

  3. Quality indicators from laboratory and radiology information systems.

    Science.gov (United States)

    Schuers, Matthieu; Joulakian, Mehr B; Griffon, Nicolas; Pachéco, Joanne; Périgard, Carine; Lepage, Eric; Watbled, Ludivine; Massari, Philippe; Darmoni, Stéfan J

    2015-01-01

    Consequences of the computerization of laboratory and radiology information system (LIS and RIS) are not well documented. The aim of this study was to evaluate the impact of computerization of LIS and RIS of four hospitals on performance and quality of care. The study was divided into three phases. First, the subprocesses and information flows of LIS and RIS were described. Then, a literature review was performed in order to identify the indicators used to assess the impact of computerization. Finally, comparisons were made between 2 hospitals. Using the initial framework, each partner described its process mapping concerning LIS and RIS. The review identified a wide panel of indicators. Only 41 were useful to assess the impact of information systems. For each two by two comparison, lists of relevant indicators have been selected from the identified indicators and according to the process mapping comparison. Two by two comparisons have to be completed. Eventually, these indicators may be integrated in the quality process of hospital information systems.

  4. Rationale for indicator quality of integrated information security system

    Directory of Open Access Journals (Sweden)

    Z. P. Stashevskiy

    2014-04-01

    Full Text Available The justification of index of functional quality of the system of informational security in structural departments of Government service of emergency situations of Ukraine is carried out. Basic parameters which can influence on qualitative work of SSI are determined. These parameters assess the cost of its projecting and allow making such its variant of realization which will better for constant functioning of is of rescue service.

  5. Data Quality and Indicators

    Directory of Open Access Journals (Sweden)

    Jorge Matute

    2007-01-01

    Full Text Available This study highlights the importance of collecting good quality data from multidisciplinary studies. Bias in data may be the result of instrument inaccuracies, imprecise data recording techniques, inaccurate data entry to computers or inappropriate statistical analysis and presentation. Recommendations for good data quality control are given. Different types of data are discussed: raw data, simple indicators and complex indicators. It is shown how measurements from the components of multidisciplinary systems can be combined to form complex indicators and a specific example is given using Z-scores and dot charts. Finally the accumulated effect of bias in the individual component measurements upon the combined indicator is shown.

  6. Rheumatologists' perception of systemic lupus erythematosus quality indicators: significant interest and perceived barriers.

    Science.gov (United States)

    Casey, Carolyn; Chung, Cecilia P; Crofford, Leslie J; Barnado, April

    2017-01-01

    Differences in quality of care may contribute to health disparities in systemic lupus erythematosus (SLE). Studies show low physician adherence rates to the SLE quality indicators but do not assess physician perception of SLE quality indicators or quality improvement. Using a cross-sectional survey of rheumatologists in the southeastern USA, we assessed the perception and involvement of rheumatologists in quality improvement and the SLE quality indicators. Using electronic mail, an online survey of 32 questions was delivered to 568 rheumatologists. With a response rate of 19% (n = 106), the majority of participants were male, Caucasian, with over 20 years of experience, and seeing adult patients in an academic setting. Participants had a positive perception toward quality improvement (81%) with a majority responding that the SLE quality indicators would significantly impact quality of care (54%). While 66% of respondents were familiar with the SLE quality indicators, only 18% of respondents reported using them in everyday practice. The most commonly reported barrier to involvement in quality improvement and the SLE quality indicators was time. Rheumatologists had a positive perception of the SLE quality indicators and agreed that use of the quality indicators could improve quality of care in SLE; however, they identified time as a barrier to implementation. Future studies should investigate methods to increase use of the SLE quality indicators.

  7. Reliability and validity of an indicator system for assessing the quality of ophthalmic nursing

    Directory of Open Access Journals (Sweden)

    Jing-Hua Shi

    2016-12-01

    Conclusions: The indicator system for evaluating the quality of ophthalmic nursing has favorable reliability and validity, which means that it is a suitable clinical tool for assessing the quality of ophthalmic nursing.

  8. Biological indicators for monitoring water quality of MTF canals system

    Science.gov (United States)

    Sethi, S. L.

    1975-01-01

    Biological models, diversity indexes, were developed to predict environmental effects of NASA's Mississippi test facility (MTF) chemical operations on canal systems in the area. To predict the effects on local streams, a physical model of unpolluted streams was established. The model is fed by artesian well water free of background levels of pollutants. The species diversity and biota composition of unpolluted MTF stream was determined; resulting information will be used to form baseline data for future comparisons. Biological modeling was accomplished by adding controlled quantities or kinds of chemical pollutants and evaluating the effects of these chemicals on the biological life of the stream.

  9. Disease-specific quality indicators, guidelines, and outcome measures in systemic lupus erythematosus (SLE).

    Science.gov (United States)

    Mosca, M; Bombardieri, S

    2007-01-01

    The assessment of quality of care is becoming increasingly important, but as yet no standard set of measures to assess quality has been developed. The ACR Quality Measures Committee has selected the following areas of study to develop quality indicators: diagnostic/classification criteria, outcome measures/response criteria, treatment guidelines/management recommendations, definition of quality indicators, and definition of data collection systems. The aim of the present review is to evaluate existing guidelines and outcome measures concerning disease/activity monitoring, autoantibody and laboratory assessment, outcomes, and therapy in systemic lupus erythematosus (SLE) that could be used to define disease-specific quality indicators. Much data is available in the literature that could serve to define a starter set of quality indicators for SLE. Monitoring issues are discussed in the ACR and EULAR recommendations. As far as therapy is concerned, the ACR has provided indicators for rheumatoid arthritis that could also be applied to SLE, as well as indications for anti-malarial monitoring. The outcomes measures most frequently used in SLE are damage and death, but organ-specific definitions of outcome and response are being evaluated. The development of quality measures for SLE is just beginning; existing information could serve to construct a starter set of indicators such as the one proposed here. Certainly much progress will be made in the near future. A practical, user-friendly tool for physicians that will help them deliver high quality care to populations is also needed.

  10. Evaluation of quality indicators and disease damage in childhood-onset systemic lupus erythematosus patients.

    Science.gov (United States)

    Harris, Julia G; Maletta, Kristyn I; Kuhn, Evelyn M; Olson, Judyann C

    2017-02-01

    The aim of this study was to describe compliance with select quality indicators and assess organ-specific dysfunction in a childhood-onset systemic lupus erythematosus population by using a validated damage index and to evaluate associations between compliance with quality indicators and disease damage. A retrospective chart review was performed on patients diagnosed with systemic lupus erythematosus prior to age 18 followed at a single center in the USA from 1999 to 2012 (n = 75). Data regarding quality indicators and outcome variables, including the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index, were collected. The median disease duration was 3.8 years. The proportion of patients or patient-years in which care complied with the proposed quality measures was 94.4% for hydroxychloroquine use, 84.3% for vitamin D recommendation,75.8% for influenza vaccination (patient-years), 67.2% for meningococcal vaccination, 49.0% for ophthalmologic examination (patient-years), 31.7% for pneumococcal vaccination, and 28.6% for bone mineral density evaluation. Disease damage was present in 41.3% of patients at last follow-up, with an average damage index score of 0.81. Disease damage at last follow-up was associated with minority race/ethnicity (p = 0.008), bone mineral density evaluation (p = 0.035), and vitamin D recommendation (p = 0.018). Adherence to quality indicators in a childhood-onset systemic lupus erythematosus population is varied, and disease damage is prevalent. This study highlights the importance of quality improvement initiatives aimed at optimizing care delivery to reduce disease damage in pediatric lupus patients.

  11. Power Quality Indices Estimation Platform

    Directory of Open Access Journals (Sweden)

    Eliana I. Arango-Zuluaga

    2013-11-01

    Full Text Available An interactive platform for estimating the quality indices in single phase electric power systems is presented. It meets the IEEE 1459-2010 standard recommendations. The platform was developed in order to support teaching and research activities in electric power quality. The platform estimates the power quality indices from voltage and current signals using three different algorithms based on fast Fourier transform (FFT, wavelet packet transform (WPT and least squares method. The results show that the algorithms implemented are efficient for estimating the quality indices of the power and the platform can be used according to the objectives established. 

  12. Study on Quality Indicator System of Rhythmic Gymnasts in Analytic Hierarchy Process

    Science.gov (United States)

    Luo, Lin

    2017-08-01

    The rhythmic gymnastics (RG) is a sport item with the direct aim of winning as well as a good ornamental value. The scientific selection by the rhythmic gymnasts is necessary for the success, and also the beginning for the scientific training of the gymnasts in their special training stage. According to RG characteristics and the physical characteristics of the gymnasts, also in combination with the investigations & interviews to the coaches who have years of training experience in RG, the experts & scholars on RG study & teaching in universities, and by referring to relevant documents, this paper established the quality indicator system in analytic hierarchy process (AHP). We summarized and selected several indicators obviously influencing the RG training and divided them into the three types of factors: physical factors, flexibility & strength factors, and speed & dexterity factors, according to which 12 specific indicators, their weights and comprehensive evaluation coefficients. Based on these indicators, we established the quality indicator system of the gymnasts, and developed corresponding software system, providing scientific theoretical basis & practical application basis for the selection & evaluation of the gymnasts.

  13. An effective system to measure and report quality indicators in acute medical units.

    Science.gov (United States)

    Atkinson, J; Barton, L; Harrison, A; Roper, N

    2012-01-01

    The Society for Acute Medicine has developed a number of clinical quality indicators by which all UK Acute Medicine Units can bench mark their activity. These will help to ensure high quality care for patients, inform the continuing development of acute medical services and demonstrate the positive impact of this new specialty. Prospective collection of these data may be a challenge for many busy units. This paper describes a local solution developed in house in a North East hospital. It demonstrates how the data collected can be analysed to assess the effect of changes in consultant presence on the unit and also time taken for patients to be seen by a doctor. The limitations of the system and potential for future development are considered.

  14. Correlation of basic oil quality indices and electrical properties of model vegetable oil systems.

    Science.gov (United States)

    Prevc, Tjaša; Cigić, Blaž; Vidrih, Rajko; Poklar Ulrih, Nataša; Šegatin, Nataša

    2013-11-27

    Model vegetable oil mixtures with significantly different basic oil quality indices (free fatty acid, iodine, and Totox values) were prepared by adding oleic acids, synthetic saturated triglycerides, or oxidized safflower oil ( Carthamus tinctorius ) to the oleic type of sunflower oil. Dielectric constants, dielectric loss factors, quality factors, and electrical conductivities of model lipids were determined at frequencies from 50 Hz to 2 MHz and at temperatures from 293.15 to 323.15 K. The dependence of these dielectric parameters on basic oil quality indices was investigated. Adding oleic acids to sunflower oil resulted in lower dielectric constants and conductivities and higher quality factors. Reduced iodine values resulted in increased dielectric constants and quality factors and decreased conductivities. Higher Totox values resulted in higher dielectric constants and conductivities at high frequencies and lower quality factors. Dielectric constants decreased linearly with temperature, whereas conductivities followed the Arrhenius law.

  15. Formal indicators to assess the quality of radio systems perimeter security facilities

    Directory of Open Access Journals (Sweden)

    Kolesnik K. V.

    2012-08-01

    Full Text Available Quality estimation method based on the use of formal parameters, which greatly simplifies the process of creating effective radio systems for perimeter security of distributed objects in the design phase is proposed.

  16. Indicators of soil quality in the implantation of no-till system with winter crops

    Directory of Open Access Journals (Sweden)

    Marco Antonio Nogueira

    Full Text Available We assessed the effect of different winter crops on indicators of soil quality related to C and N cycling and C fractions in a Rhodic Kandiudult under no-till system at implantation, during two growing seasons, in Londrina PR Brazil. The experimental design was randomized blocks with split-plot in time arrangement, with four replications. The parcels were the winter crops: multicropping of cover crops with black oat (Avena strigosa, hairy vetch (Vicia villosa and fodder radish (Raphanus sativus; sunflower (Heliantus annuus intercropped with Urochloa ruziziensis; corn (Zea mays intercropped with Urochloa; and corn; fodder radish; or wheat (Triticum aestivum as sole crops. The subplots were the years: 2008 and 2009. Determinations consisted of total organic C, labile and resistant C, total N, microbial biomass C and N, the C/N ratio of soil organic matter, and the microbial quotient (qMic, besides microbiological and biochemical attributes, assessed only in 2009. The attributes significantly changed with the winter crops, especially the multicropping of cover crops and fodder radish, as well as effect of years. Despite stimulating the microbiological/biochemical activity, fodder radish cropping decreased the soil C in the second year, likewise the wheat cropping. The multicropping of cover crops in winter is an option for management in the establishment of no-till system, which contributes to increase the concentrations of C and stimulate the soil microbiological/biochemical activity.

  17. Quality Indicators for Learning Analytics

    Science.gov (United States)

    Scheffel, Maren; Drachsler, Hendrik; Stoyanov, Slavi; Specht, Marcus

    2014-01-01

    This article proposes a framework of quality indicators for learning analytics that aims to standardise the evaluation of learning analytics tools and to provide a mean to capture evidence for the impact of learning analytics on educational practices in a standardised manner. The criteria of the framework and its quality indicators are based on…

  18. Quality Indicators in Radiation Oncology

    Energy Technology Data Exchange (ETDEWEB)

    Albert, Jeffrey M. [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States); Das, Prajnan, E-mail: prajdas@mdanderson.org [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas (United States)

    2013-03-15

    Oncologic specialty societies and multidisciplinary collaborative groups have dedicated considerable effort to developing evidence-based quality indicators (QIs) to facilitate quality improvement, accreditation, benchmarking, reimbursement, maintenance of certification, and regulatory reporting. In particular, the field of radiation oncology has a long history of organized quality assessment efforts and continues to work toward developing consensus quality standards in the face of continually evolving technologies and standards of care. This report provides a comprehensive review of the current state of quality assessment in radiation oncology. Specifically, this report highlights implications of the healthcare quality movement for radiation oncology and reviews existing efforts to define and measure quality in the field, with focus on dimensions of quality specific to radiation oncology within the “big picture” of oncologic quality assessment efforts.

  19. Is Health Related Quality of Life (HRQoL) a valid indicator for health systems evaluation?

    Science.gov (United States)

    Romero, Martin; Vivas-Consuelo, David; Alvis-Guzman, Nelson

    2013-12-11

    The purpose of this review is to do a discussion about the use of the HRQoL as a health measure of the populations that enable to analyze its potential use as a measure of development and efficiency of health systems. The principal use of the HRQoL is in health technologies economics evaluation; however this measure can be use in public health when need to know the health state of population. The WHO recognizes its potential use but its necessary to do a discussion about your difficulties for its application and restrictions for its use as a performance indicator for the health systems. The review show the different aspects about the use of HRQoL how a measure of efficiency ot the health system, each aspect identified in the literature is analyzed and discussed, developing the pros and cons of their possible use, especially when it comes as a cardinal measure. The analysis allows recognize that measuring HRQoL in countries could serve as a useful indicator, especially when it seeks to measure the level of health and disease, as do most of the indicators of current use. However, the methodological constraints that do not allow comparability between countries especially when you have large socioeconomic differences have yet to be resolved to allow comparison between different regions.

  20. 质量监控指标体系构建研究%Establishment of Quality Control Indicator System

    Institute of Scientific and Technical Information of China (English)

    郎婧婧; 赵颖旭; 张智国; 于丽华; 江芹

    2011-01-01

    From the perspective of monitoring quality from local government to health institutes, the paper discussed the approaches of a set of quality indicator system. With the analysis of the case of NQB, it is suggested that producing a scientific and complete quality system should across three dimensions including effectiveness, patient experience and safety. The paper considered that the selected quality indicators should have been related with the distilled quality standards including their clinical and e-conomical evidences, which provided by clinical guidelines. It also discussed the reasonable methods to estimate the individual data result of every quality indicator.%通过分析英国国家质量平台,提出从有效性、满意度和安全性3个纬度出发建立质量指标体系.认为质量指标的选取与临床指南提供的质量标准以及对应的临床证据和经济证据直接相关,并进一步探讨了质量指标转化为数据结果的合理方式,为构建医疗机构质量指标体系提供了新的方法和思路.

  1. Influence of organic amendments on soil quality potential indicators in an urban horticultural system.

    Science.gov (United States)

    González, Mirta; Gomez, Elena; Comese, Romina; Quesada, Mariano; Conti, Marta

    2010-11-01

    The short-term response of some soil physical, chemical and biological properties, and the growth of beet, to the application of vermicompost-compost mix and/or bone meal at different doses in an organic system was evaluated in the present work. Fractions of soil organic matter after amendment application were also evaluated. Though no differences were found in oxidizable carbon, the particulate organic carbon was incremented in treatments with the application of vermicompost-compost mix (VC) and the combination of compost and bone meal (VC-BM). When analyzing the fulvic, humic and humin fractions, the highest fulvic acids were found in vermi-compost and bone meal mix, at the higher dose (VC2-BM2). In general, the addition of compost and/or bone meal stimulated microbial respiration. The treatments produced a slight but significant increase in electrical conductivity, thought it was still far from limits that involve risk of salinization. An increment in extractable P was found in all the treatments with amendment application with the exception of bone meal applied at the lower dose (1kgm(-2)). The cation exchange capacity showed a significant increment in VC2-BM2. A single application of VC at dose of 2kgm(-2) was enough to significantly reduce bulk density. An increment in kg dry matter m(-2) of beet was observed in all the treatments, but it only was significant in VC2-BM2. However, the highest N and P concentration was found in beet aerial tissues from the treatments with the higher dose of the compost-vermicompost mix (VC2 and VC2-BM2). Particulate organic carbon, fulvic acid fraction, C from respiration, and bulk density were the soil properties that showed a positive change after amendment application. Treatment combining vermicompost-compost and bone meal (VC2-BM2) seemed to be the best option to achieve an improvement both in soil and crop production and quality.

  2. Soil quality indicators of a mature alley-cropping agroforestry system in temperate North America

    Science.gov (United States)

    Although agroforestry practices are believed to improve soil quality, reports on long-term effects of alley cropping on soils within agroforestry in the temperate zone are limited. The objective of this study was to examine effects of management, landscape, and soil depth of an established agrofores...

  3. [Indicators of quality in the critical patient].

    Science.gov (United States)

    Martín, M C; Cabré, Ll; Ruiz, J; Blanch, Ll; Blanco, J; Castillo, F; Galdós, P; Roca, J; Saura, R M

    2008-01-01

    The utility of using quality indicators as a tool to measure the common practice and evaluate efficacy of measures established to improve quality has been demonstrated, making it possible to identify and make known the improvements carried out. The project "Quality indicators in the critical patient" has been conducted by the Spanish Society of Intensive and Critical Medicine (SEMICYUC) under the methodological management of the Foundation Avedis Donabedian (FAD) of Barcelona. Its objective was to develop key indicators in the care of the critical patient, considering the following as added values: reaching an agreement on the quality criteria in these patients and providing the professionals with a potent and reliable instrument for clinical evaluation and management, introducing common evaluation methods that make it possible to unify the measure, making a comparative evaluation (benchmarking), having information that makes it possible to develop quality plans (quantitative, objective, reliable and valid data) and having a system that assures total quality of care to the critical patient.

  4. Field study of the composition of greywater and comparison of microbiological indicators of water quality in on-site systems.

    Science.gov (United States)

    Leonard, Margaret; Gilpin, Brent; Robson, Beth; Wall, Katrina

    2016-08-01

    Thirty on-site greywater systems were sampled to determine greywater characteristics and practices in the field. Kitchen greywater was present at eight sites and urine was included at seven sites. These non-traditional sources resulted in significantly higher concentrations of enterococci and 5-day biochemical oxygen demand (BOD5) in greywater. Even with the removal of these sources, the concentrations of microbial indicators indicated high levels of contamination could occur across all greywater sources, including "light" greywater. Using multiple microbial indicators showed that all samples had the potential for faecal contamination. Bacteroidales markers were confirmed in treated greywater and in each greywater source, highlighting the potential for human faecal contamination. Although Escherichia coli was absent in treated greywater recycled to the house, other microbial indicators were present; hence, caution is required in using E. coli concentrations as the sole indicator of microbiological water quality. High BOD5 or total suspended solid concentrations exceeded the levels recommended for effective disinfection. Subsurface irrigation, which is assumed to provide a five-log reduction in exposure, is a suitable reuse option for non-disinfected greywater. Only half the occupants had a good understanding of their greywater systems and 25 % of systems were poorly maintained. Elevated microbial indicator contamination of greywater sludge is a potential hazard during maintenance.

  5. Cover Crop and Liquid Manure Effects on Soil Quality Indicators in a Corn Silage System.

    Science.gov (United States)

    Due to a lack of surface residue and organic matter inputs, continuous corn (Zea mays L.) silage production is one of the most demanding cropping systems imposed on our soil resources. In this study, our objective was to determine if using cover/companion crops and/or applying low-solids liquid dair...

  6. Water quality indicators: bacteria, coliphages, enteric viruses.

    Science.gov (United States)

    Lin, Johnson; Ganesh, Atheesha

    2013-12-01

    Water quality through the presence of pathogenic enteric microorganisms may affect human health. Coliform bacteria, Escherichia coli and coliphages are normally used as indicators of water quality. However, the presence of above-mentioned indicators do not always suggest the presence of human enteric viruses. It is important to study human enteric viruses in water. Human enteric viruses can tolerate fluctuating environmental conditions and survive in the environment for long periods of time becoming causal agents of diarrhoeal diseases. Therefore, the potential of human pathogenic viruses as significant indicators of water quality is emerging. Human Adenoviruses and other viruses have been proposed as suitable indices for the effective identification of such organisms of human origin contaminating water systems. This article reports on the recent developments in the management of water quality specifically focusing on human enteric viruses as indicators.

  7. Quality control of CT systems by automated monitoring of key performance indicators: a two-year study.

    Science.gov (United States)

    Nowik, Patrik; Bujila, Robert; Poludniowski, Gavin; Fransson, Annette

    2015-07-08

    The purpose of this study was to develop a method of performing routine periodical quality controls (QC) of CT systems by automatically analyzing key performance indicators (KPIs), obtainable from images of manufacturers' quality assurance (QA) phantoms. A KPI pertains to a measurable or determinable QC parameter that is influenced by other underlying fundamental QC parameters. The established KPIs are based on relationships between existing QC parameters used in the annual testing program of CT scanners at the Karolinska University Hospital in Stockholm, Sweden. The KPIs include positioning, image noise, uniformity, homogeneity, the CT number of water, and the CT number of air. An application (MonitorCT) was developed to automatically evaluate phantom images in terms of the established KPIs. The developed methodology has been used for two years in clinical routine, where CT technologists perform daily scans of the manufacturer's QA phantom and automatically send the images to MonitorCT for KPI evaluation. In the cases where results were out of tolerance, actions could be initiated in less than 10 min. 900 QC scans from two CT scanners have been collected and analyzed over the two-year period that MonitorCT has been active. Two types of errors have been registered in this period: a ring artifact was discovered with the image noise test, and a calibration error was detected multiple times with the CT number test. In both cases, results were outside the tolerances defined for MonitorCT, as well as by the vendor. Automated monitoring of KPIs is a powerful tool that can be used to supplement established QC methodologies. Medical physicists and other professionals concerned with the performance of a CT system will, using such methods, have access to comprehensive data on the current and historical (trend) status of the system such that swift actions can be taken in order to ensure the quality of the CT examinations, patient safety, and minimal disruption of service.

  8. Quality indicators in the mobile industry rankings based on indicators of customer satisfaction with the hybrid approach DEMATEL and ANP appropriate strategy based on gray system

    Directory of Open Access Journals (Sweden)

    Ashouri Fatemeh

    2016-01-01

    Full Text Available The quality of services as a vital element in the strategic competitiveness and commercial success are various methods have been developed to evaluate it. Prioritizing qualitative indicators based on the quality of mobile phone services enables the company gives top priority due to the higher percentage of satisfied customers provide. This study tries to customer satisfaction according to criteria to prioritize mobile operators pay qualitative characteristics. A sample consisted of 450 individuals (46% women, 54% men from IRANCELL operator (Iran in 2015 which selected randomly. Results shows between four considered strategies maximum priorities belong to S1 which is denote to more services beyond customer expectations.

  9. Price as indicator for quality?

    DEFF Research Database (Denmark)

    Nielsen, Jørgen Ulff-Møller; Hansen, Jørgen Drud

    This paper examines the relation between price differences and quality differences in an oligopoly model with intra-industry trade, where goods are horizontally as well as vertically differentiated. The analysis demonstrates that the ratio of prices is not linked to the ratio of qualities in any ...

  10. Proposal for a system of indicators to assess the visual quality of the urban landscape in informal settlements

    Directory of Open Access Journals (Sweden)

    Johana Andrea Mesa-Carranza

    2016-04-01

    Full Text Available Propuesta de un sistema de indicadores para evaluar la calidad visual del paisaje urbano en asentamientos informalesResumenLos asentamientos informales son producto de procesos espontáneos de urbanización y se conforman sin ninguna planificación oficial, generando exclusión social y marginalidad, las cuales repercuten negativamente en el aspecto físico del entorno urbano y en la calidad de vida de los habitantes. Este texto se enfoca en la construcción de los lineamientos de confort ambiental orientados a la calidad visual del paisaje urbano; a partir de una revisión bibliográfica descriptiva se presentan los diferentes autores y conceptos que definen al paisaje urbano; se identifican los principales componentes que lo conforman y, a partir de estos, se propone un sistema de indicadores para valorar su calidad visual, bajo la integración de factores inherentes a las dimensiones ecológica, estética y cultural, los cuales contribuyen a definir el diagnóstico de cada componente propuesto, además de establecer un sistema de evaluación que favorezca el mejoramiento de la calidad visual del paisaje urbano informal, proporcionando resultados que ayuden al proceso de diseño y a la preservación o el mejoramiento del mismo.Palabras clave: diseño del paisaje, diseño urbano, paisaje cultural, paisaje natural, protección del paisaje. Proposal for a system of indicators to assess the visual quality of the urban landscape in informal settlementsAbstractInformal settlements are the result of spontaneous processes of urbanization and are formed without any official planning, generating social exclusion and marginalization, which adversely affect the physical appearance of the urban environment and quality of life of the inhabitants. This text focuses on building environmental guidelines comfort-oriented visual quality of the urban landscape; from a descriptive literature review, there is a presentation of different authors and concepts that

  11. Price as indicator for quality?

    DEFF Research Database (Denmark)

    Nielsen, Jørgen Ulff-Møller; Hansen, Jørgen Drud

    This paper examines the relation between price differences and quality differences in an oligopoly model with intra-industry trade, where goods are horizontally as well as vertically differentiated. The analysis demonstrates that the ratio of prices is not linked to the ratio of qualities in any...... simple way. The paper therefore questions the procedure of using unit value differences between exported and imported goods as criteria for disentangling intra-industry trade in a vertical and a horizontal part....

  12. Performance indicators of Indoor Environmental Quality (IEQ ...

    African Journals Online (AJOL)

    Performance indicators of Indoor Environmental Quality (IEQ) assessment in hospital buildings: a ... Four-factor parameters of IEQ were assessed; such as thermal quality, acoustic quality, ... EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT

  13. Quality indicators for breast cancer

    DEFF Research Database (Denmark)

    Poortmans, Philip; Aznar, Marianne; Bartelink, Harry

    2012-01-01

    Radiation therapy for breast cancer has considerably changed over the years, from simple simulator-based 2-dimensional techniques to sophisticated image-guided individualized treatments, with maximally protected normal structures. This has led to a substantial improvement in the outcome of breast...... cancer patients in terms of disease control, survival, and quality of life. This progress is based on clinical research and paralleled by progress in delivering sophisticated radiation treatment. Clinical trials resulted in identifying patients groups who will benefit from radiation treatment. They also...

  14. Quality Indicators and Outcomes of Emergency Caesarean ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    Abstract. The objective of this research study is to identify quality indicators of cesarean deliveries and determine their ... Quality of Cesarean Deliveries at a District-level Maternity Hospital .... complex surgical management i.e. uterine rupture.

  15. Towards actionable international comparisons of health system performance: expert revision of the OECD framework and quality indicators.

    Science.gov (United States)

    Carinci, F; Van Gool, K; Mainz, J; Veillard, J; Pichora, E C; Januel, J M; Arispe, I; Kim, S M; Klazinga, N S

    2015-04-01

    To review and update the conceptual framework, indicator content and research priorities of the Organisation for Economic Cooperation and Development's (OECD) Health Care Quality Indicators (HCQI) project, after a decade of collaborative work. A structured assessment was carried out using a modified Delphi approach, followed by a consensus meeting, to assess the suite of HCQI for international comparisons, agree on revisions to the original framework and set priorities for research and development. International group of countries participating to OECD projects. Members of the OECD HCQI expert group. A reference matrix, based on a revised performance framework, was used to map and assess all seventy HCQI routinely calculated by the OECD expert group. A total of 21 indicators were agreed to be excluded, due to the following concerns: (i) relevance, (ii) international comparability, particularly where heterogeneous coding practices might induce bias, (iii) feasibility, when the number of countries able to report was limited and the added value did not justify sustained effort and (iv) actionability, for indicators that were unlikely to improve on the basis of targeted policy interventions. The revised OECD framework for HCQI represents a new milestone of a long-standing international collaboration among a group of countries committed to building common ground for performance measurement. The expert group believes that the continuation of this work is paramount to provide decision makers with a validated toolbox to directly act on quality improvement strategies. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  16. Microbiological parameters as indicators of soil quality under various soil management and crop rotation systems in southern Brazil

    OpenAIRE

    FRANCHINI, J. C.; Crispino, C.C.; de Souza, R. A.; Torres, E; HUNGRIA, M.

    2007-01-01

    Metadata only record This article attempts to recognize soil parameters that can be used to monitor soil quality under different crop and soil management systems. The rates of CO2 emissions (soil respiration) were affected by variations in the sampling period, as well as in soil management and crop rotation. Considering all samples, CO2 emissions were 21% greater in conventional tillage. Soil microbial biomass was also influenced by sampling period and soil management, but not by crop rota...

  17. [Hospital readmissions: A reliable quality indicator?].

    Science.gov (United States)

    van Galen, Louise S; Nanayakkara, Prabath W B

    2016-01-01

    The percentage of readmissions within 30 days after discharge is an official quality indicator for Dutch hospitals in 2016. In this commentary the authors argue why readmissions cannot be regarded as a reliable way of assessing quality of healthcare in a hospital. To date, policy makers have been struggling with its precise definition and the indicator has not been properly formulated yet. It does not distinguish between planned and unplanned readmissions and does not take into account the 'preventability'. Therefore the authors believe that the indicator in its current form might falsely interpret the quality of care of a hospital and it is questionable to use readmissions as a quality indicator.

  18. Influence of production system in local and conventional pig breeds on stress indicators at slaughter, muscle and meat traits and pork eating quality.

    Science.gov (United States)

    Lebret, B; Ecolan, P; Bonhomme, N; Méteau, K; Prunier, A

    2015-08-01

    Sensory quality of pork is a complex phenotype determined by interactions between genetic and environmental factors. This study aimed at describing the respective influences of breed and production system on the development of pork quality. Plasma stress indicators and Longissimus muscle (LM) composition, physicochemical and sensory quality traits were determined in two contrasted breeds - the conventional Large White (LW, n=40) and the French local Basque (B, n=60). Pigs were reared in either a conventional (C; n=20 per breed), alternative (A; sawdust bedding and outdoor area, n=20 per breed) or extensive system (E; free-range, n=20 B). All the pigs from A and C systems were slaughtered at the same slaughterhouse, whereas B pigs from the E system were slaughtered at a local commercial abattoir. Major breed differences were found for almost all traits under study. LM from B pigs exhibited higher lipid, lower water and collagen concentrations, as well as lower collagen thermal solubility (P0.05) influence plasma stress indicators, LM chemical composition and physicochemical or sensory traits of pork. In contrast, within the B pigs, the E system affected the meat quality more. Lower plasma cortisol levels (Pskin lesions (Pimpact the eating quality of pork. Altogether, this study demonstrates that differences in meat quality between B and LW breeds can be modulated by extensive pig production system.

  19. Improvement of quality service based on common benchmarks and indicators

    Directory of Open Access Journals (Sweden)

    Pohaydak, Olha Bohdanivna

    2011-11-01

    Full Text Available Consider ways to improve the quality management system based on common criteria and indicators for evaluating the quality of products, works and services in housing and domestic service.

  20. Bibliometric indicators: quality measurements of scientific publication.

    Science.gov (United States)

    Durieux, Valérie; Gevenois, Pierre Alain

    2010-05-01

    Bibliometrics is a set of mathematical and statistical methods used to analyze and measure the quantity and quality of books, articles, and other forms of publications. There are three types of bibliometric indicators: quantity indicators, which measure the productivity of a particular researcher; quality indicators, which measure the quality (or "performance") of a researcher's output; and structural indicators, which measure connections between publications, authors, and areas of research. Bibliometric indicators are especially important for researchers and organizations, as these measurements are often used in funding decisions, appointments, and promotions of researchers. As more and more scientific discoveries occur and published research results are read and then quoted by other researchers, bibliometric indicators are becoming increasingly important. This article provides an overview of the currently used bibliometric indicators and summarizes the critical elements and characteristics one should be aware of when evaluating the quantity and quality of scientific output.

  1. Comparative study of enteric viruses, coliphages and indicator bacteria for evaluating water quality in a tropical high-altitude system

    Directory of Open Access Journals (Sweden)

    Mazari-Hiriart Marisa

    2009-10-01

    Full Text Available Abstract Background Bacteria used as indicators for pathogenic microorganisms in water are not considered adequate as enteric virus indicators. Surface water from a tropical high-altitude system located in Mexico City that receives rainwater, treated and non-treated wastewater used for irrigation, and groundwater used for drinking, was studied. Methods The presence of enterovirus, rotavirus, astrovirus, coliphage, coliform bacteria, and enterococci was determined during annual cycles in 2001 and 2002. Enteric viruses in concentrated water samples were detected by reverse transcriptase-polymerase chain reaction (RT-PCR. Coliphages were detected using the double agar layer method. Bacteria analyses of the water samples were carried out by membrane filtration. Results The presence of viruses and bacteria in the water used for irrigation showed no relationship between current bacterial indicator detection and viral presence. Coliphages showed strong association with indicator bacteria and enterovirus, but weak association with other enteric viruses. Enterovirus and rotavirus showed significant seasonal differences in water used for irrigation, although this was not clear for astrovirus. Conclusion Coliphages proved to be adequate faecal pollution indicators for the irrigation water studied. Viral presence in this tropical high-altitude system showed a similar trend to data previously reported for temperate zones.

  2. The Quality System

    DEFF Research Database (Denmark)

    Brogaard Buus, Daniel; Eland, Morten Vestergaard; Lystlund, Rasmus

    2015-01-01

    In this article, we present our efforts to try to increase cohesiveness and connectivity between quests generated by a recreation of an existing procedural quest generation system, with an addition of a progressive tier system called Quality System. A study gave strong indications that the Quality...

  3. FIELD TEST OF THE FLAME QUALITY INDICATOR

    Energy Technology Data Exchange (ETDEWEB)

    Rudin, Andrew M; Butcher, Thomas; Troost, Henry

    2003-02-04

    The flame quality indicator concept was developed at BNL specifically to monitor the brightness of the flame in a small oil burner and to provide a ''call for service'' notification when the brightness has changed from its setpoint, either high or low. In prior development work BNL has explored the response of this system to operational upsets such as excess air changes, fouled atomizer nozzles, poor fuel quality, etc. Insight Technologies, Inc. and Honeywell, Inc. have licensed this technology from the U.S. Department of Energy and have been cooperating to develop product offerings which meet industry needs with an optimal combination of function and price. Honeywell has recently completed the development of the Flame Quality Monitor (FQM or Honeywell QS7100F). This is a small module which connects via a serial cable to the burners primary operating control. Primary advantages of this approach are simplicity, cost, and ease of installation. Call-for-service conditions are output in the form of front panel indicator lights and contact closure which can trigger a range of external communication options. Under this project a field test was conducted of the FQM in cooperation with service organizations in Virginia, Pennsylvania, New Jersey, New York, and Connecticut. At total of 83 field sites were included. At each site the FQM was installed in parallel with another embodiment of this concept--the Insight AFQI. The AFQI incorporates a modem and provides the ability to provide detailed information on the trends in the flame quality over the course of the two year test period. The test site population was comprised of 79.5% boilers, 13.7% warm air furnaces, and 6.8% water heaters. Nearly all were of residential size--with firing rates ranging from 0.6 gallons of oil per hour to 1.25. During the course of the test program the monitoring equipment successfully identified problems including: plugged fuel lines, fouled nozzles, collapsed combustion

  4. Quality indicators for physiotherapy in Parkinson's disease.

    NARCIS (Netherlands)

    Nijkrake, M.J.; Keus, S.H.J.; Ewalds, H.; Overeem, S.; Braspenning, J.C.C.; Oostendorp, R.A.B.; Hendriks, E.J.; Bloem, B.R.; Munneke, M.

    2009-01-01

    AIM: The aim of this study was to develop quality indicators for physiotherapy in Parkinson's disease (PD) according to international criteria. METHODS: Indicators were based on an evidence-based guideline for physiotherapy in PD. Guideline recommendations were transformed into indicators and rated

  5. Image Quality Indicator for Infrared Inspections

    Science.gov (United States)

    Burke, Eric

    2011-01-01

    The quality of images generated during an infrared thermal inspection depends on many system variables, settings, and parameters to include the focal length setting of the IR camera lens. If any relevant parameter is incorrect or sub-optimal, the resulting IR images will usually exhibit inherent unsharpness and lack of resolution. Traditional reference standards and image quality indicators (IQIs) are made of representative hardware samples and contain representative flaws of concern. These standards are used to verify that representative flaws can be detected with the current IR system settings. However, these traditional standards do not enable the operator to quantify the quality limitations of the resulting images, i.e. determine the inherent maximum image sensitivity and image resolution. As a result, the operator does not have the ability to optimize the IR inspection system prior to data acquisition. The innovative IQI described here eliminates this limitation and enables the operator to objectively quantify and optimize the relevant variables of the IR inspection system, resulting in enhanced image quality with consistency and repeatability in the inspection application. The IR IQI consists of various copper foil features of known sizes that are printed on a dielectric non-conductive board. The significant difference in thermal conductivity between the two materials ensures that each appears with a distinct grayscale or brightness in the resulting IR image. Therefore, the IR image of the IQI exhibits high contrast between the copper features and the underlying dielectric board, which is required to detect the edges of the various copper features. The copper features consist of individual elements of various shapes and sizes, or of element-pairs of known shapes and sizes and with known spacing between the elements creating the pair. For example, filled copper circles with various diameters can be used as individual elements to quantify the image sensitivity

  6. Quality indicators for acute myocardial infarction

    DEFF Research Database (Denmark)

    Schiele, Francois; Gale, Chris P; Bonnefoy, Eric

    2016-01-01

    infarction (AMI), but no such indicators exist in Europe. In this context, the European Society of Cardiology (ESC) Acute Cardiovascular Care Association (ACCA) has reflected on the measurement of quality of care in the context of AMI (ST segment elevation myocardial infarction (STEMI) and non-ST segment...... be estimated solely on the basis of patients' clinical outcomes. Thus, measuring the process of care through quality indicators (QIs) has become a widely used practice in this context. Other professional societies have published QIs for the evaluation of quality of care in the context of acute myocardial...... elevation myocardial infarction (NSTEMI)) and created a set of QIs, with a view to developing programmes to improve quality of care for the management of AMI across Europe. We present here the list of QIs defined by the ACCA, with explanations of the methodology used, scientific justification and reasons...

  7. Clinical quality indicators of venous leg ulcers

    DEFF Research Database (Denmark)

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

    2005-01-01

    In the clinical setting, diagnosis and treatment of venous leg ulcers can vary considerably from patient to patient. The first step to reducing this variation is to document venous leg ulcer care through use of quantitative scientific documentation principles. This requires the development of valid...... 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...

  8. Evaluation of headache service quality indicators

    DEFF Research Database (Denmark)

    Katsarava, Zaza; Gouveia, Raquel Gil; Jensen, Rigmor

    2015-01-01

    -Essen in Essen, Germany, and the Hospital da Luz in Lisbon, Portugal. Using seven previously-developed enquiry instruments, we interrogated health-care providers (HCPs), including doctors, nurses, psychologists and physiotherapists, as well as consecutive patients and their medical records. RESULTS......BACKGROUND: Evaluating quality of health care is increasingly recognized as an important contributor to the advancement of health-care delivery. We recently developed a set of quality indicators for headache care, intended to be applicable across countries, cultures and settings so...... that deficiencies in headache care worldwide might be recognized and rectified. These indicators themselves require evaluation and proof of fitness for purpose. This pilot study begins this process. METHODS: We tested the quality indicators in the tertiary headache centres of the University of Duisburg...

  9. 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......%) 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......; 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...

  10. Soil Quality Indicator: a new concept

    Science.gov (United States)

    Barão, Lúcia; Basch, Gottlieb

    2017-04-01

    During the last century, cultivated soils have been intensively exploited for food and feed production. This exploitation has compromised the soils' natural functions and many of the soil-mediated ecosystems services, including its production potential for agriculture. Also, soils became increasingly vulnerable and less resilient to a wide range of threats. To overcome this situation, new and better management practices are needed to prevent soil from degradation. However, to adopt the best management practices in a specific location, it is necessary to evaluate the soil quality status first. Different soil quality indicators have been suggested over the last decades in order to evaluate the soil status, and those are often based on the performance of soil chemical, physical and biological properties. However, the direct link between these properties and the associated soil functions or soil vulnerability to threats appears more difficult to be established. This present work is part of the iSQAPER project- Interactive Soil Quality Assessment in Europe and China for Agricultural Productivity and Environmental Resilience, where new soil quality concepts are explored to provide better information regarding the effects of the most promising agricultural management practices on soil quality. We have developed a new conceptual soil quality indicator which determines the soil quality status, regarding its vulnerability towards different threats. First, different indicators were specifically developed for each of the eight threats considered - Erosion, SOM decline, Poor Structure, Poor water holding capacity, Compaction, N-Leaching, Soil-borne pests and diseases and Salinization. As an example for the case of Erosion, the RUSLE equation for the estimate of the soil annual loss was used. Secondly, a reference classification was established for each indicator to integrate all possible results into a Good, Intermediate or Bad classification. Finally, all indicators were

  11. 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.

  12. VNIR Spectroscopy Estimation of Soil Quality Indicators

    Science.gov (United States)

    Knowledge of within-field spatial variability in soil quality indicators is important to assess the impact of site-specific management on the soil. Standard methods for measuring these properties require considerable time and expense, so sensor-based approaches would be useful. The purposes of this ...

  13. Indicators System for Poverty Measurement

    Directory of Open Access Journals (Sweden)

    Constantin Mitrut

    2006-10-01

    Full Text Available Poverty represents a life aspect which is focusing the attention of both the macroeconomic analysis and the international comparisons. In order to measure the level being recorded by this phenomenon, there is a system of indicators which are used in order to underline, in a correlated manner, a number of aspects which are characterizing, quality and quantity wise, the evolution of the poverty in a specific country or, to a larger extent, through comparative surveys, at international level. Despite the fact that they are not the only instrument being used within the process of comparison of the stages of social and economic development at the international level, however the poverty indicators are providing a clear significance to the worked out surveys. In fact, the very purpose of the economic activity consists of increasing welfare and, as much as possible, at least reducing, if not eradicating, the poverty. The present work is broadly presenting the methodology as well as, both theoretical and practical, the way of computing the poverty, making a synthesis of the specific used indicators.

  14. Physician wellness: a missing quality indicator.

    Science.gov (United States)

    Wallace, Jean E; Lemaire, Jane B; Ghali, William A

    2009-11-14

    When physicians are unwell, the performance of health-care systems can be suboptimum. Physician wellness might not only benefit the individual physician, it could also be vital to the delivery of high-quality health care. We review the work stresses faced by physicians, the barriers to attending to wellness, and the consequences of unwell physicians to the individual and to health-care systems. We show that health systems should routinely measure physician wellness, and discuss the challenges associated with implementation.

  15. The development of quality indicators for community pharmacy care.

    NARCIS (Netherlands)

    Bie, J. de; Kijlstra, N.B.; Daemen, B.J.G.; Bouvy, M.L.

    2011-01-01

    Aims: To develop a national system of quality indicators for community pharmacy care, reported by community pharmacies. Methods: After preliminary validation, an online consensus study was conducted. Pharmacy practice experts (round 1) and practising pharmacists (round 2) were approached.

  16. Indicators of quality in primary healthcare.

    NARCIS (Netherlands)

    Berg, M.J. van den; Bakker, D.H. de

    2004-01-01

    Background: GPs play a pivotal role in the Dutch healthcare system. Since GPs have a so-called gatekeeper-function, the overwhelming majority of medical problems is served by GPs. The Inspectorate of Health Care (IHC) is charged with the supervision of public health, including the quality of care pr

  17. Quality management system

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Mu Sung

    2009-08-15

    This book deals with ISO9001 quality management system which includes summary of this system such as classification of quality, principle of quality management, and definition, requirement and procedure of quality management system, introduction of ISO9001 system like model of ISO9001 quality management system, ISO certificate system, structure of ISO9001 standard, requirement of ISO9001 quality management system, process approach and documentation of system, propel cases of ISO9001 quality management system.

  18. The correlation of Acanthamoeba from the ventilation system with other environmental parameters in commercial buildings as possible indicator for indoor air quality

    Science.gov (United States)

    OOI, Soo Shen; MAK, Joon Wah; CHEN, Donald K.F.; AMBU, Stephen

    2016-01-01

    The free-living protozoan Acanthamoeba is an opportunistic pathogen that is ubiquitous in our environment. However, its role in affecting indoor air quality and ill-health of indoor occupants is relatively unknown. The present study investigated the presence of Acanthamoeba from the ventilation system and its correlation with other indoor air quality parameters, used in the industry code of practice and its potential as an indicator for indoor air quality. Indoor air quality assessments were carried out in nine commercial buildings with approval from the building management, and the parameters assessed were as recommended by the Department of Occupational Safety and Health. The presence of Acanthamoeba was determined through dust swabs from the ventilation system and indoor furniture. Logistic regression was performed to study the correlation between assessed parameters and occupants’ complaints. A total of 107 sampling points were assessed and 40.2% of the supplying air diffuser and blowing fan and 15% of the furniture were positive for cysts. There was a significant correlation between Acanthamoeba detected from the ventilation system with ambient total fungus count (r=0.327; p=0.01) and respirable particulates (r=0.276; p=0.01). Occupants’ sick building syndrome experience also correlated with the presence of Acanthamoeba in the ventilation system (r=0.361; p=0.01) and those detected on the furniture (r=0.290; p=0.01). Logistic regression showed that there was a five-fold probability of sick building syndrome among occupants when Acanthamoeba was detected in the ventilation system. PMID:27476379

  19. Soil quality indicators in Urban watersheds.

    Science.gov (United States)

    Damame, D. B.; Longo, R. M.; Nardi, L. A. A.; Fengler, F. H.

    2015-12-01

    Soil quality can be defined as the ability of this function within the boundaries of an ecosystem can be assessed three different aspects: physical, biological and chemical. As no indicator alone able to quantify the quality of the soil and should relate various attributes. In this context, this study aimed to characterize soil quality in urban sub basins to the northwest of the city of Campinas / SP-Brazil. These are characterized by strong urbanization, with the presence of rural areas and fragmented native vegetation. Disturbed soil samples were collected along the area in which the parameters were analyzed: potential acidity, pH, organic matter, potassium (K) and calcium (Ca) base saturation (SB) and cation exchange capacity (CTC). Data were discussed by cluster analysis using Ward clustering strategy and using as the similarity coefficient between pairs Euclidean distance. Thus, one can divide the points collected from three different groups: Group 1 consists of 91% of the points belonging to the urban and rural use; group 2 showed about 73% of the points belonging to vegetated areas; Group 3 had 82% of points distributed between rural and vegetated areas. In terms of soil quality, it follows that on average the group 1 had the worst scores. Group 2 presented the best characteristics, except for K, higher in group 3, which can be attributed to chemical fertilizer used in agricultural areas. Knowing also that the acceptable limits for pH, in tropical soils vary between 5.5 and 6.8 is observed that the groups 2 and 3 were within this range, only the group 1 presented below this standard. In terms of soil quality indicators, group 2 stood out positively, with good quality, group 3 was between the two groups, with median values of quality, while the group 1 showed the most deterioration of the research group, It can be attributed to the fact that 54.5% of the points in this group have urban wear, indicating the need for recovery.

  20. Feasibility of Continuous Frying System to Improve the Quality Indices of Palm Olein for the Production of Extruded Product.

    Science.gov (United States)

    Ahmad Tarmizi, Azmil Haizam; Ahmad, Karimah

    2015-01-01

    Comparative frying studies on the processing of extruded product were conducted under intermittent and continuous frying conditions using two separate frying systems, i.e batch and pilot scale continuous fryers, respectively. Thermal resistance of palm olein were assessed for a total of 5 days of frying operation at 155°C - the unconventional frying temperature gave the product moisture content of 3% after intermittent and continuous frying for 2.5 min and 2 min, respectively. The formation of free fatty acid in palm olein in the case of intermittent frying was more than 2-fold higher compared to its counterpart (0.66%). Smoke point inversely evolved with oil acidity: the value dropped progressively from 215 to 177°C and from 219 to 188°C when extruded product was intermittently and continuously fried, respectively. In the light of induction period, repeated frying exhibited a gradual decrease in the value after 5 days of frying (12.2 h). Interestingly, continuous frying gave somewhat similar induction period, as demonstrated by fresh palm olein, across frying time. Frying at lower temperature, to some extent, provides opportunity for palm olein to retain 74% of its initial vitamin E during continuous frying. This benefit, however, is somehow denied when extruded product was processed under intermittent frying conditions--only 27% of vitamin E was remained at the end of frying session. Regardless of frying protocols, transient in polar compounds was minimal and hence comparable. The colour in the case of continuous frying appeared to be darker due to higher degree of oil utilisation for frying. The data obtained will provide useful information for food processors on how palm olein behaves when frying is undertaken under different frying protocols.

  1. Changes in physical and biological soil quality indicators in a tropical crop system (Havana, Cuba) in response to different agroecological management practices.

    Science.gov (United States)

    Izquierdo, I; Caravaca, F; Alguacil, M M; Roldán, A

    2003-11-01

    The objective of our study was to assess the response of physical (aggregate stability and bulk density) and biological (enzyme activities and microbial biomass) soil quality indicators to the adoption of agroecological management practices, such as the planting of forage species (forage area) and the rotation of local crops (polycrop area), carried out in a representative tropical pasture on an integrated livestock-crop farm. The pasture system was used as control (pasture area). In all three areas, the values of water-soluble C were higher in the rainy season compared to the dry season. Pasture and forage areas had the highest percentage of stable aggregates in the rainy season, while polycrops developed soils with less stable aggregates. Soil bulk density was lower in the pasture and forage areas than in the polycrop area. In the pasture area, the microbial biomass C values, dehydrogenase, urease, protease-BAA, acid phosphatase, and beta-glucosidase activities were higher than in the forage and polycrop areas, particularly in the dry season. The highest increase in the microbial biomass C in the rainy season, with respect to the dry season, was recorded in the pasture area (about 1.2-fold). In conclusion, the planting of forage species can be considered an effective practice for carrying out sustainable, integrated livestock-crop systems, due to its general maintenance of soil quality, while the adoption of polycrop rotations appears to be less favorable because it decreases soil quality.

  2. Quality indicators for woodwind reed material

    Energy Technology Data Exchange (ETDEWEB)

    Glave, Stefan; Pallon, Jan E-mail: jan.pallon@pixe.lth.se; Bornman, Chris; Bjoern, Lars Olof; Wallen, Rita; Raastam, Jacob; Kristiansson, Per; Elfman, Mikael; Malmqvist, Klas

    1999-04-02

    For the generation of sound, some woodwind musical instruments, e.g. oboe, bassoon, clarinet and saxophone, are provided with mouthpieces made from reeds. These reeds are the culms of Arundo donax, a tall, cane-like perennial grass. A general problem is that the material is of varying quality, yet externally differences cannot be observed. Hence, large proportions of the prepared reeds are unusable. One hypothesis is that the changes in quality are correlated with differences in the chemical and anatomical structure of the tissue. Therefore, a comparison of superior and inferior mouthpieces, used by professional musicians, was undertaken to determinate potential indicators of quality. Nuclear microprobe analysis of reeds was carried out and complemented by scanning electron and light microscopy. The elemental levels of Si, P, S, Cl, K and Ca were compared between good and poor mouthpieces using appropriate statistical tests. No statistically significant differences could be identified. Microscopical observations showed that partial occlusion of vessels by tylose formation was associated with material deemed unusable.

  3. Quality indicators for woodwind reed material

    Science.gov (United States)

    Glave, Stefan; Pallon, Jan; Bornman, Chris; Björn, Lars Olof; Wallén, Rita; Råstam, Jacob; Kristiansson, Per; Elfman, Mikael; Malmqvist, Klas

    1999-04-01

    For the generation of sound, some woodwind musical instruments, e.g. oboe, bassoon, clarinet and saxophone, are provided with mouthpieces made from reeds. These reeds are the culms of Arundo donax, a tall, cane-like perennial grass. A general problem is that the material is of varying quality, yet externally differences cannot be observed. Hence, large proportions of the prepared reeds are unusable. One hypothesis is that the changes in quality are correlated with differences in the chemical and anatomical structure of the tissue. Therefore, a comparison of superior and inferior mouthpieces, used by professional musicians, was undertaken to determinate potential indicators of quality. Nuclear microprobe analysis of reeds was carried out and complemented by scanning electron and light microscopy. The elemental levels of Si, P, S, Cl, K and Ca were compared between good and poor mouthpieces using appropriate statistical tests. No statistically significant differences could be identified. Microscopical observations showed that partial occlusion of vessels by tylose formation was associated with material deemed unusable.

  4. Analytical quality, performance indices and laboratory service

    DEFF Research Database (Denmark)

    Hilden, Jørgen; Magid, Erik

    1999-01-01

    analytical error, bias, cost effectiveness, decision-making, laboratory techniques and procedures, mass screening, models, statistical, quality control......analytical error, bias, cost effectiveness, decision-making, laboratory techniques and procedures, mass screening, models, statistical, quality control...

  5. Quality-control: from record keeping to key performance indicators: manging quality in compounding pharmacies.

    Science.gov (United States)

    Braga, Glaucia Karime; Fonseca, Maria Jose Viera

    2010-01-01

    Record keeping is fundamental in any quality-management system. Compounding pharmacies use a quality-management system that is based on the Good Compounding Practices, which emphasizes the necessity and therefore the importance of maintaining records. However, the activity of recording without conducting further data analysis does not assure continuous improvement of the preparations, services, and of the system itself. The purpose of this article is to suggest some nonfinancial key performance indicators that can be easily implemented by compounding pharmacies to assist in the development of an organizational procedure for measuring the quality of products and services. This is a new paradigm for managing quality in compounding pharmacies.

  6. Assessment of quality indicators in spanish higher military education

    Directory of Open Access Journals (Sweden)

    Olmos Gómez Maria del Carmen

    2016-01-01

    Full Text Available The quality assessment is subject to multiple interpretations of its content and purpose, and also regarding to methods and techniques used to develop it. Although purposes of assessment are varied, usually pursuit three goals: Improvement, accountability and information. Currently, the concept of quality evaluation has been replaced by the management of educational quality, as Matthew [6] point “the new culture of evaluation is no longer oriented to penalty, ranking or selection of people, as provide a reasoned and reasonable information to guide the management of educational improvement”. Military Training Centres are externally evaluated by an experts External Evaluation Unit to identify strengths and weaknesses on their self-evaluation system and focus on important aspects related to the organization of the Centre, development of work plans, teacher’s style and students learning strategies, system of evaluation and qualification and accurate recommendations to improve all that. This research focuses on the evaluation of quality indicators for the external evaluation of higher education at Military Education Centres in Spain and it is funded by a joint project between University of Granada and MADOC. The technique used for collecting and analysing information was a content description of several documents provided by these military educational authorities, arising the identification and extraction of relevant indicators on the evaluation of higher education. This analysis was primarily based on standards and indicators systems by ANECA (National Agency for Quality Assessment and Accreditation adapted to the Military Higher Education, but also it was consider other standards by international agencies and evaluative institutions, such as University of Chile, University of Paraguay, Canarias Agency for Quality Assessment and Accreditation and Agency for Quality Education System University of Castilla y León. The analysis realize a usual

  7. Quality Indicators for Hospital Care : Reliability and validity

    NARCIS (Netherlands)

    C. Fischer (Claudia)

    2015-01-01

    markdownabstractAbstract Hospital quality indicators are widely implemented for purposes such as accountability, transparency and the overarching aim of quality improvement. However, it is not clear whether currently used hospital quality indicators actually reflect quality of care. The aim of

  8. Irrigation water quality as indicator of sustainable rural development

    Directory of Open Access Journals (Sweden)

    Trajković Slaviša

    2004-01-01

    Full Text Available The sustainable rural development more and more depends on the efficient usage of water resources. Most often, at least in one part of the year, the rain is not sufficient for plant growth and rain plant production significantly depends on the yearly precipitation variation. The increase and stability of the agricultural production is possible in the irrigation conditions. The most part (around 70% of the global water resources is used for food production. Irrigation water quality indicator is used to show if the available water resources have the required quality for application in agriculture. Irrigation is characterised by the complex water-plant-soil relationship, and in that eco-system the man as the end user of the irrigated fields occupies a very important place. That explains the difficulties in producing one universal classification of irrigation water quality. The paper analyses numerous water quality classifications from the aspect of the applicability on the quantifying of this indicator. The adopted classification should possess understandable, qualified and internationally comparable indicator. Thus, local classifications (Neigebauer, Miljkovic cannot be used for this indicator. United Nation Food and Agricultural Organization (FAO and US Salinity Laboratory (USSL classifications are used for the evaluation of the irrigation water quality throughout the world. FAO classification gives the complex picture of the usability of the irrigation water from the point of its influence on the soil and the plants. However, the scope of the analyses is not often suited to the needs of that classification, which makes it difficult to apply. The conclusion is that the USSL (US Salinity Laboratory classification is best suited to this range of chemical water analyses. The evaluation of the irrigation water quality indicator in the Juzna Morava river basin, upstream from the Toplica river estuary is given in this paper. Based on the obtained

  9. Assessing quality in European educational research indicators and approaches

    CERN Document Server

    Åström, Fredrik; Hansen, Antje

    2014-01-01

    Competition-based models for research policy and management have an increasing influence throughout the research process, from attracting funding to publishing results. The introduction of quality control methods utilizing various forms of performance indicators is part of this development. The authors presented in this volume deal with the following questions: What counts as ‘quality’ and how can this be assessed? What are the possible side effects of current quality control systems on research conducted in the European Research Area, especially in the social sciences and the humanities?

  10. Sterols indicate water quality and wastewater treatment efficiency.

    Science.gov (United States)

    Reichwaldt, Elke S; Ho, Wei Y; Zhou, Wenxu; Ghadouani, Anas

    2017-01-01

    As the world's population continues to grow, water pollution is presenting one of the biggest challenges worldwide. More wastewater is being generated and the demand for clean water is increasing. To ensure the safety and health of humans and the environment, highly efficient wastewater treatment systems, and a reliable assessment of water quality and pollutants are required. The advance of holistic approaches to water quality management and the increasing use of ecological water treatment technologies, such as constructed wetlands and waste stabilisation ponds (WSPs), challenge the appropriateness of commonly used water quality indicators. Instead, additional indicators, which are direct measures of the processes involved in the stabilisation of human waste, have to be established to provide an in-depth understanding of system performance. In this study we identified the sterol composition of wastewater treated in WSPs and assessed the suitability of human sterol levels as a bioindicator of treatment efficiency of wastewater in WSPs. As treatment progressed in WSPs, the relative abundance of human faecal sterols, such as coprostanol, epicoprostanol, 24-ethylcoprostanol, and sitostanol decreased significantly and the sterol composition in wastewater changed significantly. Furthermore, sterol levels were found to be correlated with commonly used wastewater quality indicators, such as BOD, TSS and E. coli. Three of the seven sterol ratios that have previously been used to track sewage pollution in the environment, detected a faecal signal in the effluent of WSPs, however, the others were influenced by high prevalence of sterols originating from algal and fungal activities. This finding poses a concern for environmental assessment studies, because environmental pollution from waste stabilisation ponds can go unnoticed. In conclusion, faecal sterols and their ratios can be used as reliable indicators of treatment efficiency and water quality during wastewater

  11. The choice of indicators to assess the quality of educational services of the institution

    Directory of Open Access Journals (Sweden)

    Елена Егоровна Кулик

    2015-07-01

    Full Text Available On the basis of well-known international and national systems of indicators that make it possible to assess the development of the education system, educational system identified indicators to assess the quality of educational services to secondary schools. In the article the author formulated the original definition of concepts such as quality, quality of education, educational service, quality of education services and indicators of education.

  12. Evaluation of Soil Quality: Application of Fuzzy Indicators

    Science.gov (United States)

    The problem of assessing soil quality is considered as the fuzzy modeling task. Fuzzy indicator concept (FIC) is used as a general platform for the assessment of soil quality as a "degree or grade of perfection”. The FIC can be realized through the utilization of fuzzy soil quality indicators (FSQI)...

  13. Using breast cancer quality indicators in a vulnerable population.

    NARCIS (Netherlands)

    Chen, F.; Puig, M.; Yermilov, I.; Malin, J.; Schneider, E.C.; Epstein, A.M.; Kahn, K.L.; Ganz, P.A.; Gibbons, M.M.

    2011-01-01

    BACKGROUND: Adherence to quality indicators may be especially important to disease-specific outcomes for uninsured, vulnerable patients. The objective of this study was to measure adherence to National Initiative for Cancer Care Quality (NICCQ) breast cancer quality indicators in a public hospital

  14. Prescribing quality indicators of type 2 diabetes mellitus ambulatory care

    NARCIS (Netherlands)

    Martirosyan, L.; Braspenning, J.; Denig, P.; de Grauw, W. J. C.; Bouma, M.; Storms, F.; Haaijer-Ruskamp, F. M.

    2008-01-01

    Background: Existing performance indicators for assessing quality of care in type 2 diabetes mellitus (T2DM) focus mostly on registration of measurements and clinical outcomes, and not on quality of prescribing. Objective: To develop a set of valid prescribing quality indicators (PQI) for internal u

  15. Water-Quality Effects and Characterization of Indicators of Onsite Wastewater Disposal Systems in the East-Central Black Hills Area, South Dakota, 2006-08

    Science.gov (United States)

    Putnam, Larry D.; Hoogestraat, Galen K.; Sawyer, J. Foster

    2008-01-01

    Onsite wastewater disposal systems (OWDS) are used extensively in the Black Hills of South Dakota where many of the watersheds and aquifers are characterized by fractured or solution-enhanced bedrock with thin soil cover. A study was conducted during 2006-08 to characterize water-quality effects and indicators of OWDS. Water samples were collected and analyzed for potential indicators of OWDS, including chloride, bromide, boron, nitrite plus nitrate (NO2+NO3), ammonia, major ions, nutrients, selected trace elements, isotopes of nitrate, microbiological indicators, and organic wastewater compounds (OWCs). The microbiological indicators were fecal coliforms, Escherichia coli (E. coli), enterococci, Clostridium perfringens (C. perfringens), and coliphages. Sixty ground-water sampling sites were located either downgradient from areas of dense OWDS or in background areas and included 25 monitoring wells, 34 private wells, and 1 spring. Nine surface-water sampling sites were located on selected streams and tributaries either downstream or upstream from residential development within the Precambrian setting. Sampling results were grouped by their hydrogeologic setting: alluvial, Spearfish, Minnekahta, and Precambrian. Mean downgradient dissolved NO2+NO3 concentrations in ground water for the alluvial, Spearfish, Minnekahta, and Precambrian settings were 0.734, 7.90, 8.62, and 2.25 milligrams per liter (mg/L), respectively. Mean downgradient dissolved chloride concentrations in ground water for these settings were 324, 89.6, 498, and 33.2 mg/L, respectively. Mean downgradient dissolved boron concentrations in ground water for these settings were 736, 53, 64, and 43 micrograms per liter (ug/L), respectively. Mean dissolved surface-water concentrations for NO2+NO3, chloride, and boron for downstream sites were 0.222 mg/L, 32.1 mg/L, and 28 ug/L, respectively. Mean values of delta-15N and delta-18O (isotope ratios of 14N to 15N and 18O to 16O relative to standard ratios) for

  16. COSIS: COre State Indication System

    Energy Technology Data Exchange (ETDEWEB)

    Cho, J. Y.; Lee, K. B.; Koo, B. S.; Lee, W. K.; Lee, C. C; Zee, S. Q

    2006-02-15

    COSIS (COre State Indication System) which implemented in the SMART research reactor plays a role to supply the core state parameters or graphs for the operator to recognize the core state effectively. The followings are the main functions of COSIS. (1) Validity Check for the Process Signals and Determination of the COSIS Inputs (SIGVAL) (2) Coolant Flow Rate Calculation (FLOW) (3) Core Thermal Power Calculation (COREPOW) (4) In-core 3-Dimensional Power Distribution Calculation and Peaking Parameters Generation (POWER3D) (5) Azimuthal Tilt Calculation (AZITILT). This report describes the methodology of COSIS which produces the core state parameters using the process and detector signals. In the SIGVAL module, COSIS checks most signals except for the CEA position and determines the input signals. In the FLOW module, the corelation coefficient between the RPM signal and coolant flow is updated from the energy balance at the steam generator, and the coolant flow rate is calculated using the RPM signal. In the COREPOW module, the secondary calorimetric power, the primary {delta}T power and the ex-core power are calculated, and the final core thermal power and biased core power are determined. In the POWER3D module, the 3-dimensional power distribution is calculated using the in-core detector signal, and the 3-D peaking factor, 2-D radial peaking factor, axial offset, maximum linear power density are produced. In the AZITILT module, the arithmetic averaged and vector averaged azimuthal tilts are calculated, and the final tilt is determined. The COSIS performance test of the COSIS is performed for the temperature compensation method, the COREPOW and the POWER3D modules. The test for the temperature compensation method is performed for the temperature variations of the linear, parabolic, exponential, sine function. The test shows that the implemented temperature compensation method works soundly. The COREPOW test is performed by varying the core power from the initial

  17. Global quality indicators for primary care Electronic Patient Records.

    Science.gov (United States)

    De Clercq, Etienne; Moreels, Sarah; Van Casteren, Viviane; Bossuyt, Nathalie; Goderis, Geert

    2013-01-01

    Electronic Patient Records can be interfaced with medical decision support systems and quality of care assessment tools. An easy way of measuring the quality of EPR data is therefore essential. This study identified a number of global quality indicators (tracers) that could be easily calculated and validated them by correlating them with the Sensitivity and Positive Predictive Value (PPV) of data extracted from the EPR. Sensitivity and PPV of automatically extracted data were calculated using a gold standard constructed using answers to questions GPs were asked at the end of each contact with a patient. These properties were measured for extracted diagnoses, drug prescriptions, and certain parameters. Tracers were defined as drug-disease pairs (e.g. insulin-diabetes) with the assumption that if the patient is taking the drug, then the patient is suffering from the disease. Four tracers were identified that could be used for the ResoPrim primary care research database, which includes data from 43 practices, 10,307 patients, and 13,372 contacts. Moderately positive correlations were found between the 4 tracers and between the tracers and the sensitivity of automatically extracted diagnoses. For some purposes, these results may support the potential use of tracers for monitoring the quality of information systems such as EPRs.

  18. Quality management systems in radiology

    Directory of Open Access Journals (Sweden)

    Geoffrey K. Korir

    2013-08-01

    Full Text Available Background: The use of X-ray imaging is ever increasing in proportion to the need for radiological services and technological capabilities. Quality management that includes patient radiation dose monitoring is fundamental to safety and quality improvement of radiological services.Objective: To assess the level of quality management systems in X-ray medical facilities in Kenya.Methods: Quality management inspection, quality control performance tests and patient radiation exposure were assessed in 54 representative X-ray medical facilities. Additionally, a survey of X-ray examination frequency was conducted in 140 hospitals across the country.Results: The overall findings placed the country’s X-ray imaging quality management systems at 61±3% out of a possible 100%. The most and the least quality assurance performance indicators were general radiography X-ray equipment quality control tests at 88±4%, and the interventional cardiology adult examinations below diagnostic reference level at 25±1%, respectively.Conclusions: The study used a systematic evidence-based approach for the assessment of national quality management systems in radiological practice in clinical application, technical conduct of the procedure, image quality criteria, and patient characteristics as part of the quality management programme.

  19. Identifying unintended consequences of quality indicators: a qualitative study

    NARCIS (Netherlands)

    Lester, H.E.; Hannon, K.L.; Campbell, S.M.

    2011-01-01

    Background For the first 5 years of the UK primary care pay for performance scheme, the Quality and Outcomes Framework (QOF), quality indicators were introduced without piloting. However, in 2009, potential new indicators were piloted in a nationally representative sample of practices. This paper de

  20. Identifying Quality Indicators of SAE and FFA: A Delphi Approach

    Science.gov (United States)

    Jenkins, Charles Cordell, III; Kitchel, Tracy

    2009-01-01

    The purpose of this study was to determine quality indicators for SAE and FFA according to 36 experts across the United States. This is a part of a larger study looking at all components of the traditional three-circle model. The study utilized the Delphi technique to garner expert opinion about quality indicators in Agricultural Education. For…

  1. Identifying unintended consequences of quality indicators: a qualitative study

    NARCIS (Netherlands)

    Lester, H.E.; Hannon, K.L.; Campbell, S.M.

    2011-01-01

    Background For the first 5 years of the UK primary care pay for performance scheme, the Quality and Outcomes Framework (QOF), quality indicators were introduced without piloting. However, in 2009, potential new indicators were piloted in a nationally representative sample of practices. This paper

  2. A set of care quality indicators for stroke management.

    Science.gov (United States)

    Navarro Soler, I M; Ignacio García, E; Masjuan Vallejo, J; Gállego Culleré, J; Mira Solves, J J

    2017-06-22

    This study proposes a set of quality indicators for care outcomes in patients with acute cerebral infarction. These indicators are understandable and relevant from a clinical viewpoint, as well as being acceptable and feasible in terms of time required, ease of data capture, and interpretability. The method consisted of reaching consensus among doctors after having reviewed the literature on quality indicators in stroke. We then designed and conducted a field study to assess the understandability and feasibility of the set of indicators. Consensus yielded 8 structural indicators, 5 process indicators, and 12 result indicators. Additionally, standards of reference were established for each indicator. This set of indicators can be used to monitor the quality care for stroke patients, identify strengths, and potentially to identify areas needing improvement. Copyright © 2017 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  3. MEASURES AND INDICATORS OF VGI QUALITY: AN OVERVIEW

    Directory of Open Access Journals (Sweden)

    V. Antoniou

    2015-08-01

    Full Text Available The evaluation of VGI quality has been a very interesting and popular issue amongst academics and researchers. Various metrics and indicators have been proposed for evaluating VGI quality elements. Various efforts have focused on the use of well-established methodologies for the evaluation of VGI quality elements against authoritative data. In this paper, a number of research papers have been reviewed and summarized in a detailed report on measures for each spatial data quality element. Emphasis is given on the methodology followed and the data used in order to assess and evaluate the quality of the VGI datasets. However, as the use of authoritative data is not always possible many researchers have turned their focus on the analysis of new quality indicators that can function as proxies for the understanding of VGI quality. In this paper, the difficulties in using authoritative datasets are briefly presented and new proposed quality indicators are discussed, as recorded through the literature review. We classify theses new indicators in four main categories that relate with: i data, ii demographics, iii socio-economic situation and iv contributors. This paper presents a dense, yet comprehensive overview of the research on this field and provides the basis for the ongoing academic effort to create a practical quality evaluation method through the use of appropriate quality indicators.

  4. Assessing groundwater quality for irrigation using indicator kriging method

    Science.gov (United States)

    Delbari, Masoomeh; Amiri, Meysam; Motlagh, Masoud Bahraini

    2016-11-01

    One of the key parameters influencing sprinkler irrigation performance is water quality. In this study, the spatial variability of groundwater quality parameters (EC, SAR, Na+, Cl-, HCO3 - and pH) was investigated by geostatistical methods and the most suitable areas for implementation of sprinkler irrigation systems in terms of water quality are determined. The study was performed in Fasa county of Fars province using 91 water samples. Results indicated that all parameters are moderately to strongly spatially correlated over the study area. The spatial distribution of pH and HCO3 - was mapped using ordinary kriging. The probability of concentrations of EC, SAR, Na+ and Cl- exceeding a threshold limit in groundwater was obtained using indicator kriging (IK). The experimental indicator semivariograms were often fitted well by a spherical model for SAR, EC, Na+ and Cl-. For HCO3 - and pH, an exponential model was fitted to the experimental semivariograms. Probability maps showed that the risk of EC, SAR, Na+ and Cl- exceeding the given critical threshold is higher in lower half of the study area. The most proper agricultural lands for sprinkler irrigation implementation were identified by evaluating all probability maps. The suitable areas for sprinkler irrigation design were determined to be 25,240 hectares, which is about 34 percent of total agricultural lands and are located in northern and eastern parts. Overall the results of this study showed that IK is an appropriate approach for risk assessment of groundwater pollution, which is useful for a proper groundwater resources management.

  5. Bibliometric indicators for evaluating the quality of scientifc publications.

    Science.gov (United States)

    Joshi, Medha A

    2014-03-01

    Evaluation of quality and quantity of publications can be done using a set of statistical and mathematical indices called bibliometric indicators. Two major categories of indicators are (1) quantitative indicators that measure the research productivity of a researcher and (2) performance indicators that evaluate the quality of publications. Bibliometric indicators are important for both the individual researcher and organizations. They are widely used to compare the performance of the individual researchers, journals and universities. Many of the appointments, promotions and allocation of research funds are based on these indicators. This review article describes some of the currently used bibliometric indicators such as journal impact factor, crown indicator, h-index and it's variants. It is suggested that for comparison of scientific impact and scientific output of researchers due consideration should be given to various factors affecting theses indicators.

  6. A Quality System Database

    Science.gov (United States)

    Snell, William H.; Turner, Anne M.; Gifford, Luther; Stites, William

    2010-01-01

    A quality system database (QSD), and software to administer the database, were developed to support recording of administrative nonconformance activities that involve requirements for documentation of corrective and/or preventive actions, which can include ISO 9000 internal quality audits and customer complaints.

  7. Air Quality System (AQS)

    Science.gov (United States)

    The Air Quality System (AQS) database contains measurements of air pollutant concentrations from throughout the United States and its territories. The measurements include both criteria air pollutants and hazardous air pollutants.

  8. Air Quality System (AQS)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Air Quality System (AQS) database contains measurements of air pollutant concentrations from throughout the United States and its territories. The measurements...

  9. Quality indicators and performance measures in diabetes care.

    Science.gov (United States)

    Aron, David C

    2014-03-01

    The operations of any portion of the healthcare delivery system, eg, ambulatory care, the consultation and referral process, or hospital care, are critically dependent upon their control systems. The quality of health care produced by the system and its components is also subject to "control." One of the regulatory mechanisms involves performance measures. The development of good measures of quality is a complex and dynamic process. Within endocrinology, most measures have addressed diabetes care and most quality measurement in diabetes has focused on the ambulatory setting and mainly includes measures of process and intermediate outcomes. This review addresses quality and performance measures for diabetes, their development, characteristics, use, misuse, and future prospects.

  10. Indicators to support environmental sustainability of bioenergy systems

    Energy Technology Data Exchange (ETDEWEB)

    McBride, Allen [ORNL; Dale, Virginia H [ORNL; Baskaran, Latha Malar [ORNL; Downing, Mark [ORNL; Eaton, Laurence M [ORNL; Efroymson, Rebecca Ann [ORNL; Garten Jr, Charles T [ORNL; Kline, Keith L [ORNL; Jager, Yetta [ORNL; Mulholland, Patrick J [ORNL; Parish, Esther S [ORNL; Schweizer, Peter E [ORNL; Storey, John Morse [ORNL

    2011-01-01

    Indicators are needed to assess environmental sustainability of bioenergy systems. Effective indicators will help in the quantification of benefits and costs of bioenergy options and resource uses. We identify 19 measurable indicators for soil quality, water quality and quantity, greenhouse gases, biodiversity, air quality, and productivity, building on existing knowledge and on national and international programs that are seeking ways to assess sustainable bioenergy. Together, this suite of indicators is hypothesized to reflect major environmental effects of diverse feedstocks, management practices, and post-production processes. The importance of each indicator is identified. Future research relating to this indicator suite is discussed, including field testing, target establishment, and application to particular bioenergy systems. Coupled with such efforts, we envision that this indicator suite can serve as a basis for the practical evaluation of environmental sustainability in a variety of bioenergy systems.

  11. Impact of hospital accreditation on patients' safety and quality indicators

    OpenAIRE

    Al-Awa, Bahjat

    2011-01-01

    Ecole de Santé Publique Université Libre de Bruxelles Academic Year 2010-2011 Al-Awa, Bahjat Impact of Hospital Accreditation on Patients' Safety and Quality Indicators Dissertation Summary I. Introduction: There is increased interest around the world in the evaluation of healthcare, coming not only from governments, but also from providers and consumers [1]. Therefore initiatives to address quality of health care have become worldwide phenomena [2]. As quality is crucial fa...

  12. Price as an Indicator for Quality in International Trade?

    DEFF Research Database (Denmark)

    Hansen, Jørgen Drud; Nielsen, Jørgen Ulff-Møller

    This paper examines the relation between price differences and quality differences in an oligopoly model with intra-industry trade, where goods are horizontally as well as vertically differentiated. The analysis demonstrates that the ratio of prices is not linked to the ratio of qualities in any...... simple way. The paper therefore questions empirical trade studies using unit values as an indicator for the quality of the traded goods....

  13. Performance indicators: A tool for continuous quality improvement

    National Research Council Canada - National Science Library

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

    2016-01-01

    ... (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...

  14. Design Quality Indicator for Schools in the United Kingdom

    Science.gov (United States)

    PEB Exchange, 2006

    2006-01-01

    In December 2005, the United Kingdom launched a process for evaluating the design quality of primary and secondary school buildings. The Design Quality Indicator (DQI) for Schools is a tool that can assist stakeholders--teachers, parents, school governors, students, community members, local authority clients and building professionals--to achieve…

  15. Elements and indicators for identification of quality of primary education

    Directory of Open Access Journals (Sweden)

    Sučević Vlasta M.

    2015-01-01

    Full Text Available Education is one of the main pillars of the quality of knowledge, and, in turn, social progress in general. There are numerous positions concerning quality of education, some more, and some less detailed. In order to determine the quality of a primary school, for example as 'poor', 'mediocre' or 'excellent', we use, more or less precisely, a certain idea about the value, and thus identify, again with a certain extent of accuracy, the position of the school in question in relation to other schools. In terms of the quality of education, it is necessary to analyze all segments of educational process. This includes the analysis of objectives of educational process, products of quality education as well as adequate and accessible technical-instrumental, that is, operational-procedural level of quality of educational process. Most authors connect the quality of primary education to results, that is, outcomes of education. In order to achieve quality of education, we need to achieve quality of particular components or elements of the whole of education. This paper deals with theoretical review of elements and indicators of quality of basic education, and provides a review of pedagogical strategies and their effect on certain components of quality with the aim to improve the effects on pedagogical and didactical resources of the quality of education.

  16. Price as an indicator for quality in international trade?

    DEFF Research Database (Denmark)

    Hansen, Jørgen Drud; Nielsen, Jørgen Ulff-Møller

    2011-01-01

    This paper examines the relation between price differences and quality differences in an oligopoly model with intra-industry trade, where goods are horizontally as well as vertically differentiated. The analysis demonstrates that the ratio of prices is not linked to the ratio of qualities in any ...... simple way. The paper therefore questions empirical trade studies using unit values as an indicator for the quality of the traded goods. However, we also show that the ratio of prices is a reasonable proxy for the ratio of qualities if sunk cost is dominating in the cost structure....

  17. A fuzzy-logic based decision-making approach for identification of groundwater quality based on groundwater quality indices.

    Science.gov (United States)

    Vadiati, M; Asghari-Moghaddam, A; Nakhaei, M; Adamowski, J; Akbarzadeh, A H

    2016-12-15

    Due to inherent uncertainties in measurement and analysis, groundwater quality assessment is a difficult task. Artificial intelligence techniques, specifically fuzzy inference systems, have proven useful in evaluating groundwater quality in uncertain and complex hydrogeological systems. In the present study, a Mamdani fuzzy-logic-based decision-making approach was developed to assess groundwater quality based on relevant indices. In an effort to develop a set of new hybrid fuzzy indices for groundwater quality assessment, a Mamdani fuzzy inference model was developed with widely-accepted groundwater quality indices: the Groundwater Quality Index (GQI), the Water Quality Index (WQI), and the Ground Water Quality Index (GWQI). In an effort to present generalized hybrid fuzzy indices a significant effort was made to employ well-known groundwater quality index acceptability ranges as fuzzy model output ranges rather than employing expert knowledge in the fuzzification of output parameters. The proposed approach was evaluated for its ability to assess the drinking water quality of 49 samples collected seasonally from groundwater resources in Iran's Sarab Plain during 2013-2014. Input membership functions were defined as "desirable", "acceptable" and "unacceptable" based on expert knowledge and the standard and permissible limits prescribed by the World Health Organization. Output data were categorized into multiple categories based on the GQI (5 categories), WQI (5 categories), and GWQI (3 categories). Given the potential of fuzzy models to minimize uncertainties, hybrid fuzzy-based indices produce significantly more accurate assessments of groundwater quality than traditional indices. The developed models' accuracy was assessed and a comparison of the performance indices demonstrated the Fuzzy Groundwater Quality Index model to be more accurate than both the Fuzzy Water Quality Index and Fuzzy Ground Water Quality Index models. This suggests that the new hybrid fuzzy

  18. Air quality as respiratory health indicator: a critical review.

    Science.gov (United States)

    Moshammer, Hanns; Wallner, Peter

    2011-09-01

    As part of the European Public Health project IMCA II validity and practicability of "air pollution" as a respiratory health indicator were analyzed. The definitions of air quality as an indicator proposed by the WHO project ECOEHIS and by IMCA I were compared. The public availability of the necessary data was checked through access to web-based data-bases. Practicability and interpretation of the indicator were discussed with project partners and external experts. Air quality serves as a kind of benchmark for the good health-related environmental policy. In this sense, it is a relevant health indicator. Although air quality is not directly in the responsibility of health policy, its vital importance for the population's health should not be neglected. In principle, data is available to calculate this IMCA indicator for any chosen area in Europe. The indicator is relevant and informative, but calculation and interpretation need input from local expert knowledge. The European health policy is well advised to take air quality into account. To that end, an interdisciplinary approach is warranted. The proposed definition of air quality as a (respiratory) health indicator is workable, but correct interpretation depends on expert and local knowledge.

  19. The Impact of Quality indicators on Quality of Primary Education in Khyber Pakhtunkhwa

    Directory of Open Access Journals (Sweden)

    Sayyed Farooq Shah

    2015-03-01

    Full Text Available Education plays a major role in the development of a state. It is extensively accredited that quality of primary education is the solo most important tool in strengthening human capabilities and achieving the desired goals. The major purpose of the study was to know how the quality indicators  impact the quality education in government boys and girls primary schools of the selected five southern districts of Khyber Pakhtunkhwa, Pakistan. All the head teachers and teachers of government primary schools of southern districts of Khyber Pakhtunkhwa constituted the population of the study. The sample of the study was consisted of 100 head teachers (50 male and 50 female and 300 teachers (one hundred & fifty male and one hundred & fifty female. The study was a survey type in nature. To collect the relevant information on the selected quality indicators (quality of learning environment, quality of contents, quality of process, and quality of outcomes a self-developed questionnaire was used. Statistical tools chi square test of goodness of equal probability and chi square test of independence were used to analyze the data. In the light of conclusions it is recommended that separate staffrooms should be constructed for teachers, sufficient books for learners and supplementary/allied reading materials for teachers should be provided well in time, students should be encouraged to ask relevant questions during the teaching.  Furthermore, examination and assessment systems should be impartial and transparent. Therefore examinations conducting bodies/ authorities should be appointed on merit basis, papers or assessment work may be done by expert teachers, supervisory staff may necessarily be nominated on best performance basis, and evaluation process might to be administered by skilled personals.

  20. A primer on quality indicators of distance education.

    Science.gov (United States)

    Chaney, Beth H; Eddy, James M; Dorman, Steve M; Glessner, Linda L; Green, B Lee; Lara-Alecio, Rafael

    2009-04-01

    In the past decade, there has been an enormous growth of distance education courses and programs in higher education. The growth of distance education is particularly evident in the field of health education. However, the enormous potential of distance education is tempered by one overriding question: How does one ensure that distance education coursework and degrees are of high quality? To this end, the purpose of this study is twofold: to identify quality indicators of distance education and to provide implications of the identified quality indicators for health education researchers and practitioners. The results of the study reveal common benchmarks and quality indicators that all parties deem important in designing, implementing, and evaluating distance education courses and programs.

  1. Community healthcare in Israel: quality indicators 2007-2009

    Directory of Open Access Journals (Sweden)

    Jaffe Dena H

    2012-01-01

    Full Text Available Abstract Background The National Program for Quality Indicators in Community Healthcare in Israel (QICH was developed to provide policy makers and consumers with information on the quality of community healthcare in Israel. In what follows we present the most recent results of the QICH indicator set for 2009 and an examination of changes that have occurred since 2007. Methods Data for 28 quality indicators were collected from all four health plans in Israel for the years 2007-2009. The QICH indicator set examined six areas of healthcare: asthma, cancer screening, cardiovascular health, child health, diabetes and immunizations for older adults. Results Dramatic increases in the documentation of anthropometric measures were observed over the measurement period. Documentation of BMI for adolescents and adults increased by 30 percentage points, reaching rates of 61% and 70%, respectively, in 2009. Modest increases (3%-7% over time were observed for other primary prevention quality measures including immunizations for older adults, cancer screening, anemia screening for young children, and documentation of cardiovascular risks. Overall, rates of recommended care for chronic diseases (asthma, cardiovascular disease and diabetes increased over time. Changes in rates of quality care for diabetes were varied over the measurement period. Conclusions The overall quality of community healthcare in Israel has improved over the past three years. Future research should focus on the adherence to quality indicators in population subgroups and compare the QICH data with those in other countries. In addition, one of the next steps in assessing and further improving healthcare quality in Israel is to relate these process and performance indicators to health outcomes.

  2. 德国双元制职业教育质量保障指标体系构建%Construction of the Quality Assurance Indicator for Dual System Vocational Educational in Germany

    Institute of Scientific and Technical Information of China (English)

    杨严严; 李妙迪

    2016-01-01

    Vocational education quality indicator system is an important reference standard and operating basis for monitoring the performance situation of vocational education and evaluating its quality. In response to the enterprise development under the background of globalization for the demand of the high-quality workforce, Germany set up the quality assurance index system for dual system vocational education characterized by students’vocational ability training, enterprise cooperation and vocational school education. as well as an effective means for the scientific management of vocational education. German vocational education quality indicator system is a standard system, which is based on a comprehensive, process-oriented and people-centered educational quality view, and composed of macro, meso and micro levels and and four nodes including input, process, output and outcome quality. With this system,the quality of vocational education can be controlled comprehensively and improved from multi-perspective, the development of students’ competence can be effectively promoted.%职业教育质量指标体系是监测职业教育运行状况和评价教育质量的重要参照标准和操作依据,是对职业教育进行科学管理的有效手段。为应对全球化背景下企业发展对高素质劳动者的需求,德国建立了以保证学生职业能力培养、培训企业和职业学校合作育人为特点的双元制职业教育质量保障指标体系。德国职业教育质量指标体系是依据全面的、过程性和以人为本的教育质量观,由宏观、中观及微观三个层级,输入、过程、输出与长效质量四个环节构成的标准体系。借助该体系能够全方位、多角度地控制和改进职业教育质量,有效促进学生能力发展。

  3. Baby-MONITOR: A Composite Indicator of NICU Quality

    Science.gov (United States)

    Kowalkowski, Marc A.; Zupancic, John A. F.; Pietz, Kenneth; Richardson, Peter; Draper, David; Hysong, Sylvia J.; Thomas, Eric J.; Petersen, Laura A.; Gould, Jeffrey B.

    2014-01-01

    BACKGROUND AND OBJECTIVES: NICUs vary in the quality of care delivered to very low birth weight (VLBW) infants. NICU performance on 1 measure of quality only modestly predicts performance on others. Composite measurement of quality of care delivery may provide a more comprehensive assessment of quality. The objective of our study was to develop a robust composite indicator of quality of NICU care provided to VLBW infants that accurately discriminates performance among NICUs. METHODS: We developed a composite indicator, Baby-MONITOR, based on 9 measures of quality chosen by a panel of experts. Measures were standardized, equally weighted, and averaged. We used the California Perinatal Quality Care Collaborative database to perform across-sectional analysis of care given to VLBW infants between 2004 and 2010. Performance on the Baby-MONITOR is not an absolute marker of quality but indicates overall performance relative to that of the other NICUs. We used sensitivity analyses to assess the robustness of the composite indicator, by varying assumptions and methods. RESULTS: Our sample included 9023 VLBW infants in 22 California regional NICUs. We found significant variations within and between NICUs on measured components of the Baby-MONITOR. Risk-adjusted composite scores discriminated performance among this sample of NICUs. Sensitivity analysis that included different approaches to normalization, weighting, and aggregation of individual measures showed the Baby-MONITOR to be robust (r = 0.89–0.99). CONCLUSIONS: The Baby-MONITOR may be a useful tool to comprehensively assess the quality of care delivered by NICUs. PMID:24918221

  4. Quality indicators in digestive endoscopy: introduction to structure, process, and outcome common indicators.

    Science.gov (United States)

    López-Picazo, Julio; Alberca de Las Parras, Fernando; Sánchez Del Río, Antonio; Pérez Romero, Shirley; León Molina, Joaquín; Júdez, Francisco Javier

    2017-06-01

    The general goal of the project wherein this paper is framed is the proposal of useful quality and safety procedures and indicators to facilitate quality improvement in digestive endoscopy units. This initial offspring sets forth procedures and indicators common to all digestive endoscopy procedures. First, a diagram of pre- and post-digestive endoscopy steps was developed. A group of health care quality and/or endoscopy experts under the auspices of the Sociedad Española de Patología Digestiva (Spanish Society of Digestive Diseases) carried out a qualitative review of the literature regarding the search for quality indicators in endoscopic procedures. Then, a paired analysis was used for the selection of literature references and their subsequent review. Twenty indicators were identified, including seven for structure, eleven for process (five pre-procedure, three intra-procedure, three post-procedure), and two for outcome. Quality of evidence was analyzed for each indicator using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) classification.

  5. [Assessment indicators of soil quality in hilly Loess plateau].

    Science.gov (United States)

    Xu, Mingxiang; Liu, Guobin; Zhao, Yunge

    2005-10-01

    By the methods of sensitivity analysis, main component analsis and discriminant analysis, this paper screened the sensitive indicators from 32 soil attributes to assess the productivity and erosion-resistance ability of the soils in hilly Loess Plateau. The results showed that soil available phosphorus content, anti-scouring ability, infiltration coefficient, labile organic carbon content, organic matter content and urease activity were the most sensitive indicators for soil quality assessment and the main targets for soil quality management and improvement, while soil biological indicators were with high and medium sensitivity. Five soil quality factors were summed up from 29 soil chemical, physical and biological attributes, i. e., organic matter, texture, phosphorus, porosity and microstructure. Except the factor porosity, the other four factors were significantly different between different land use types. Eight indicators including soil organic matter content, infiltration coefficient, anti-scouring ability, CEC, invertase activity, mean weight diameter (MWD) of aggregates, available phosphorus, and MWD of microaggregate were identified as the assessment indicators of the soil quality in hilly Loess Plateau, with the organic matter content, infiltration coefficient and anti-scouring ability as the key indicators.

  6. Quality indicators for colonoscopy: Current insights and caveats

    Institute of Scientific and Technical Information of China (English)

    Hendrikus; JM; Pullens; Peter; D; Siersema

    2014-01-01

    Colonoscopy is the diagnostic modality of choice for investigation of symptoms suspected to be related to the colon and for the detection of polyps and colorectal cancer(CRC). Colonoscopy with removal of detected polyps has been shown to reduce the incidence and mortality of subsequent CRC. In many countries, population screening programs for CRC have been initiated, either by selection of patients for colonoscopy with fecal occult blood testing or by offering colonoscopy directly to average-risk individuals. Several endoscopy societies have formulated quality indicators for colonoscopy. These quality indicators are almost always incorporated as process indicators, rather than outcome measures. This review focuses on the quality indicators bowel preparation, cecal intubation rate, withdrawal time, adenoma detection rate, patient comfort, sedation and complication rate, and discusses the scientific evidence supporting them,as well as their potential shortcomings and issues that need to be addressed. For instance, there is still no clear and generally accepted definition of adequatebowel preparation, no robust scientific evidence is available supporting a cecal intubation rate ≥ 90% and the association between withdrawal time and occurrence of interval cancers has not been clarified. Adenoma detection rate is currently the only quality indicator that has been shown to be associated with interval colorectal cancer, but as an indicator it does not differentiate between subjects with one or more adenoma detected.

  7. Framework and indicator testing protocol for developing and piloting quality indicators for the UK quality and outcomes framework

    Directory of Open Access Journals (Sweden)

    Burke Martyn

    2011-08-01

    Full Text Available Abstract Background Quality measures should be subjected to a testing protocol before being used in practice using key attributes such as acceptability, feasibility and reliability, as well as identifying issues derived from actual implementation and unintended consequences. We describe the methodologies and results of an indicator testing protocol (ITP using data from proposed quality indicators for the United Kingdom Quality and Outcomes Framework (QOF. Methods The indicator testing protocol involved a multi-step and methodological process: 1 The RAND/UCLA Appropriateness Method, to test clarity and necessity, 2 data extraction from patients' medical records, to test technical feasibility and reliability, 3 diaries, to test workload, 4 cost-effectiveness modelling, and 5 semi-structured interviews, to test acceptability, implementation issues and unintended consequences. Testing was conducted in a sample of representative family practices in England. These methods were combined into an overall recommendation for each tested indicator. Results Using an indicator testing protocol as part of piloting was seen as a valuable way of testing potential indicators in 'real world' settings. Pilot 1 (October 2009-March 2010 involved thirteen indicators across six clinical domains and twelve indicators passed the indicator testing protocol. However, the indicator testing protocol identified a number of implementation issues and unintended consequences that can be rectified or removed prior to national roll out. A palliative care indicator is used as an exemplar of the value of piloting using a multiple attribute indicator testing protocol - while technically feasible and reliable, it was unacceptable to practice staff and raised concerns about potentially causing actual patient harm. Conclusions This indicator testing protocol is one example of a protocol that may be useful in assessing potential quality indicators when adapted to specific country health

  8. Tracking of Power Quality Indicators during Wind Farm Islanding Experiment

    DEFF Research Database (Denmark)

    Terzija, V.; Crossley, P.A.; Stanojevic, V.

    2007-01-01

    The application of the two-stage Newton Type Algorithm for the tracking of the power quality indicators (in accordance with IEEE Standard 1459-2000) is presented in the paper. To estimate their spectra and fundamental frequency, the current and voltage signals are first processed and then the power...... quality indicators calculated. The algorithm considers frequency as an unknown parameter and estimates it whilst determining the input signal spectrum; this ensures the algorithm is insensitive to frequency changes. The proposed algorithm was evaluated using signals acquired during a wind farm islanding...

  9. Soil organic matter stratification as an indicator of soil quality

    OpenAIRE

    Franzluebbers, A.J.

    2002-01-01

    Metadata only record This paper explores the potential for using a ration of the stratification of soil organic C and N pools by depth as an indicator of soil quality. Stratification ratios offer a more universal indicator of soil quality, allowing comparison of soils across different soil types and climates. The ratios calculated for Georgia, Texas, and Alberta/British Colombia were, respectively, 1.1, 1.2, and 1.9 under conventional tillage, and 3.0, 2.0, and 2.1 under no tillage. High s...

  10. Headache service quality: evaluation of quality indicators in 14 specialist-care centres.

    Science.gov (United States)

    Schramm, Sara; Uluduz, Derya; Gouveia, Raquel Gil; Jensen, Rigmor; Siva, Aksel; Uygunoglu, Ugur; Gvantsa, Giorgadze; Mania, Maka; Braschinsky, Mark; Filatova, Elena; Latysheva, Nina; Osipova, Vera; Skorobogatykh, Kirill; Azimova, Julia; Straube, Andreas; Eren, Ozan Emre; Martelletti, Paolo; De Angelis, Valerio; Negro, Andrea; Linde, Mattias; Hagen, Knut; Radojicic, Aleksandra; Zidverc-Trajkovic, Jasna; Podgorac, Ana; Paemeleire, Koen; De Pue, Annelien; Lampl, Christian; Steiner, Timothy J; Katsarava, Zaza

    2016-12-01

    The study was a collaboration between Lifting The Burden (LTB) and the European Headache Federation (EHF). Its aim was to evaluate the implementation of quality indicators for headache care Europe-wide in specialist headache centres (level-3 according to the EHF/LTB standard). Employing previously-developed instruments in 14 such centres, we made enquiries, in each, of health-care providers (doctors, nurses, psychologists, physiotherapists) and 50 patients, and analysed the medical records of 50 other patients. Enquiries were in 9 domains: diagnostic accuracy, individualized management, referral pathways, patient's education and reassurance, convenience and comfort, patient's satisfaction, equity and efficiency of the headache care, outcome assessment and safety. Our study showed that highly experienced headache centres treated their patients in general very well. The centres were content with their work and their patients were content with their treatment. Including disability and quality-of-life evaluations in clinical assessments, and protocols regarding safety, proved problematic: better standards for these are needed. Some centres had problems with follow-up: many specialised centres operated in one-touch systems, without possibility of controlling long-term management or the success of treatments dependent on this. This first Europe-wide quality study showed that the quality indicators were workable in specialist care. They demonstrated common trends, producing evidence of what is majority practice. They also uncovered deficits that might be remedied in order to improve quality. They offer the means of setting benchmarks against which service quality may be judged. The next step is to take the evaluation process into non-specialist care (EHF/LTB levels 1 and 2).

  11. CHEMICAL AND BIOLOGICAL AIR POLLUTANTS, AS PARAMETERS OF COMPLEX AIR QUALITY INDICES

    Directory of Open Access Journals (Sweden)

    TEKLA EÖTVÖS

    2007-12-01

    Full Text Available Human health is essentially influenced by air quality. Atmospheric air in residential areas contains many pollutants. The monitoring and the plain publishing of the measured values are important both for the authorities and the public. Air quality is often characterized by constructing air quality indices, and these indices are used to inform the public. The construction of an advanced air quality index is usually done by averaging the measured data usually in time and space; hereby important aspects of the data can be lost. All known indices contain only chemical pollutants, while certain biological pollutants can enhance the effects of the chemical pollutants and vice versa. In this paper we discuss the importance of integrating biological pollutants into air quality indices. In order to increase efficacy of these indices to the civil society we aim to introduce geographic information system (GIS methods into publishing air quality information.

  12. [Evaluation of the quality of performance of general practitioners. What is the problem with primary care quality indicators in Hungary?].

    Science.gov (United States)

    Kolozsvári, László Róbert; Rurik, Imre

    2016-02-28

    The Hungarian primary care quality indicator system has been introduced in 2009, and has been continuously developed since then. The system offers extra financing for family physicians who are achieving the expected levels of indicators. There are currently 16 indicators for adult and mixed practices and 8 indicators are used in paediatric care. Authors analysed the influencing factors of the indicators other than those related to the performance of family physicians. Expectations and compliance of patients, quality of outpatient (ambulatory) care services, insufficient flow of information, inadequate primary care softwares which need to be updated could be considered as the most important factors. The level of financial motivations should also be significantly increased besides changes in the reporting system. It is recommended, that decision makers in health policy and financing have to declare clearly their expectations, and professional bodies should find the proper solution. These indicators could contribute properly to the improvement of the quality of primary care services in Hungary.

  13. Indicating anthropogenic effectson urban water system - indicators and extension

    Science.gov (United States)

    Strauch, G.; Ufz-Team

    2003-04-01

    Urban water systems are polluted by diffusive and direct contribution of anthropogenic activities. Besides industrial contaminants like aromatic and chlorinated HC and other persistent organic compounds, the urban aquatic environment is increasingly polluted by low concentrated but high eco-toxic compounds as pharmaceuticals, fragrances, plasticizers which most have disrupt endocrine functions, and trace elements carried in by surface and sub-surface waste water and seeping processes. This contamination could have a longtime impact on the urban ecosystem and on the human health. The interdisciplinary project on risk assessment of water pollution was initiated to explore new methodologies for assessing human activities on the urban water system and processes among urban watersheds. In a first assumption we used a flow model concept with in- and output and surface water transport represented by the city of Halle, Germany, and the river Saale. The river Saale acts as surface water system collecting waste water inputs along the city traverse. We investigated the anthropogenic effect on the urban water system using the indicators hydrological parameters, compound specific pattern of complex organic substances and trace elements, isotopic signatures of water (H, O) and dissolved substances (sulfate, DIC, nitrate), pathogens, and microbiota. A first balance modeling showed that main ions are not very sensitive concerning the direct urban input into the river. Depending on the discharge of the river in high and low flood stages the load of dissolved matter has no specific urban effect. However, the concentration pattern of fragrances (tonalid, galaxolid) and endocrine disrupters (t-nonylphenol) point to a different pollution along the city traverse: downstream of the sewage plant a higher load was observed in comparison to the upstream passage. Furthermore, a degradation ability of fungi and bacteria occurred in the bank sediments could be detected in lab experiments

  14. Iowa Child Care Quality Rating System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Iowa's Child Care Quality Rating System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile is divided into the following categories: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for Family Child Care Programs;…

  15. Condition Indicators for Gearbox Condition Monitoring Systems

    OpenAIRE

    P. Večeř; M. Kreidl; R. Šmíd

    2005-01-01

    Condition monitoring systems for manual transmissions based on vibration diagnostics are widely applied in industry. The systems deal with various condition indicators, most of which are focused on a specific type of gearbox fault. Frequently used condition indicators (CIs) are described in this paper. The ability of a selected condition indicator to describe the degree of gearing wear was tested using vibration signals acquired during durability testing of manual transmission with helical ge...

  16. Condition Indicators for Gearbox Condition Monitoring Systems

    Directory of Open Access Journals (Sweden)

    P. Večeř

    2005-01-01

    Full Text Available Condition monitoring systems for manual transmissions based on vibration diagnostics are widely applied in industry. The systems deal with various condition indicators, most of which are focused on a specific type of gearbox fault. Frequently used condition indicators (CIs are described in this paper. The ability of a selected condition indicator to describe the degree of gearing wear was tested using vibration signals acquired during durability testing of manual transmission with helical gears. 

  17. Quality indicators to measure appropriate antibiotic use in hospitalized adults

    NARCIS (Netherlands)

    Bosch, C.M.A. van den; Geerlings, S.E.; Natsch, S.S.; Prins, J.M.; Hulscher, M.

    2015-01-01

    BACKGROUND: An important requirement for an effective antibiotic stewardship program is the ability to measure appropriateness of antibiotic use. The aim of this study was to develop quality indicators (QIs) that can be used to measure appropriateness of antibiotic use in the treatment of all

  18. A Framework of Quality Indicators for Learning Analytics

    NARCIS (Netherlands)

    Scheffel, Maren

    2017-01-01

    The LACE project has established a first version of a framework of quality indicators for learning analytics, based on a group concept mapping study with experts. The group concept mapping approach is explained, and steps in the framework creation process described, as well as the framework itself.

  19. Developing an Evaluation Framework of Quality Indicators for Learning Analytics

    NARCIS (Netherlands)

    Scheffel, Maren; Drachsler, Hendrik; Specht, Marcus

    2017-01-01

    This paper presents results from the continuous process of developing an evaluation framework of quality indicators for learning analytics (LA). Building on a previous study, a group concept mapping approach that uses multidimensional scaling and hierarchical clustering, the study presented here

  20. Developing an Evaluation Framework of Quality Indicators for Learning Analytics

    NARCIS (Netherlands)

    Scheffel, Maren; Drachsler, Hendrik; Specht, Marcus

    2017-01-01

    This paper presents results from the continuous process of developing an evaluation framework of quality indicators for learning analytics (LA). Building on a previous study, a group concept mapping approach that uses multidimensional scaling and hierarchical clustering, the study presented here app

  1. River Quality Investigations, Part 1: Some Diversity and Biotic Indices.

    Science.gov (United States)

    Hewitt, G.

    1991-01-01

    The following indices for assessing river water quality are described: Shannon-Weiner Diversity Index, Sorenson Quotient of Similarity, Czekanowski's Index of Similarity, Trent Biotic Index, Chandler Score, and Biological Monitoring Working Party Score. Their advantages and disadvantages are outlined. (Author)

  2. Finding the right indicators for assessing quality midwifery care

    NARCIS (Netherlands)

    Bruin-Kooistra, M. de; Amelink-Verburg, M.P.; Buitendijk, S.E.; Westert, G.P.

    2012-01-01

    OBJECTIVE: To identify a set of indicators for monitoring the quality of maternity care for low-risk women provided by primary care midwives and general practitioners (GPs) in the Netherlands. DESIGN: A Project Group (midwives, GPs, policymakers and researchers) defined a long list of potential

  3. Indicators for quality of hospital care : Beyond the numbers

    NARCIS (Netherlands)

    A.M. van Dishoeck (Anne-Margreet)

    2015-01-01

    markdownabstractAbstract This thesis addresses two major topics in measuring, comparing and improving quality of care. We found considerable influence of random variation and case-mix in comparing hospitals using performance indicators. Although we found a significant relation between outcome

  4. Biological Indicator Systems in Floodplains - a Review

    Science.gov (United States)

    Dziock, Frank; Henle, Klaus; Foeckler, Francis; Follner, Klaus; Scholz, Mathias

    2006-08-01

    Based on a literature review, the different approaches to biological indicator systems in floodplains are summarised. Four general categories of bioindication are defined and proposed here: 1. Classification indicators, 2.1 Environmental indicators, 2.2 Biodiversity indicators, 3. Valuation indicators. Furthermore, existing approaches in floodplains are classified according to the four categories. Relevant and widely used approaches in floodplains are explained in more detail. The results of the RIVA project are put into the context of these indication approaches. It is concluded that especially functional assessment approaches using biological traits of the species can be seen as very promising and deserve more attention by conservation biologists and floodplain ecologists.

  5. Evaluation of the Quality of Occupational Health and Safety Management Systems Based on Key Performance Indicators in Certified Organizations

    Directory of Open Access Journals (Sweden)

    Iraj Mohammadfam

    2017-06-01

    Conclusion: Occupational Health and Safety Assessment Series 18001-certified companies have a better level of occupational health and safety; this supports the argument that Occupational Health and Safety Management Systems play an important strategic role in health and safety in the workplace.

  6. Using Cl/Br ratios and other indicators to assess potential impacts on groundwater quality from septic systems: A review and examples from principal aquifers in the United States

    Science.gov (United States)

    Katz, B.G.; Eberts, S.M.; Kauffman, L.J.

    2011-01-01

    A detailed review was made of chemical indicators used to identify impacts from septic tanks on groundwater quality. Potential impacts from septic tank leachate on groundwater quality were assessed using the mass ratio of chloride-bromide (Cl/Br), concentrations of selected chemical constituents, and ancillary information (land use, census data, well depth, soil characteristics) for wells in principal aquifers of the United States. Chemical data were evaluated from 1848 domestic wells in 19 aquifers, 121 public-supply wells in 6 aquifers, and associated monitoring wells in four aquifers and their overlying hydrogeologic units. Based on previously reported Cl/Br ratios, statistical comparisons between targeted wells (where Cl/Br ratios range from 400 to 1100 and Cl concentrations range from 20 to 100 mg/L) and non-targeted wells indicated that shallow targeted monitoring and domestic wells (0.5. mg/L) shallow groundwater from target domestic wells, relative to non-target wells (1.5. mg/L), corresponded to significantly higher potassium, boron, chloride, dissolved organic carbon, and sulfate concentrations, which may also indicate the influence of septic-tank effluent. Impacts on groundwater quality from septic systems were most evident for the Eastern Glacial Deposits aquifer and the Northern High Plains aquifer that were associated with the number of housing units using septic tanks, high permeability of overlying sediments, mostly oxic conditions, and shallow wells. Overall, little or no influence from septic systems were found for water samples from the deeper public-supply wells.The Cl/Br ratio is a useful first-level screening tool for assessing possible septic tank influence in water from shallow wells (indicators). ?? 2010.

  7. Quality indicators for all dimensions of infertility care quality: consensus between professionals and patients

    NARCIS (Netherlands)

    Dancet, E.A.; D'Hooghe, T.M.; Spiessens, C.; Sermeus, W.; Neubourg, D. De; Karel, N.; Kremer, J.A.M.; Nelen, W.L.D.M.

    2013-01-01

    STUDY QUESTION: What is the relative importance of the six dimensions of quality of care according to different stakeholders and can a quality indicator set address all six quality dimensions and incorporate the views from professionals working in different disciplines and from patients? SUMMARY ANS

  8. FABRIC QUALITY CONTROL SYSTEMS

    Directory of Open Access Journals (Sweden)

    Özlem KISAOĞLU

    2006-02-01

    Full Text Available Woven fabric quality depends on yarn properties at first, then weaving preparation and weaving processes. Defect control of grey and finished fabric is done manually on the lighted tables or automatically. Fabrics can be controlled by the help of the image analysis method. In image system the image of fabrics can be digitized by video camera and after storing controlled by the various processing. Recently neural networks, fuzzy logic, best wavelet packet model on automatic fabric inspection are developed. In this study the advantages and disadvantages of manual and automatic, on-line fabric inspection systems are given comparatively.

  9. Quality indicators for technologies applied to the hospital pharmacy.

    Science.gov (United States)

    Negro Vega, Eva; Álvarez Díaz, Ana María; Queralt Gorgas, María; Encinas Barrios, Carmen; De la Rubia Nieto, Amelia

    2017-07-01

    The TECNO group of the Sociedad Española de Farmacia Hospitalaria (Spanish Society of Hospital Pharmacy) has addressed the definition of a catalogue of indicators for performance, quality and safety in the use of technologies applied to the logistic activity of Hospital Pharmacy Units.The project was developed with a methodology of qualitative techniques by consensus, with the members of the TECNO Group participating as experts. Once indicators had been defined, a validation phase was conducted, and standards were established based on the result of the sampling carried out in the hospitals of the group members.A total of 28 indicators were obtained, with their corresponding quality standards applied to the use of technologies in the processed for medication storage, dispensing and preparation.The definition of quality indicators and their standards for measuring technologies in the use of medication represents a step forward in the improvement of their safety. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  10. Biological and biochemical soil quality indicators for agricultural management

    Science.gov (United States)

    Bongiorno, Giulia

    2017-04-01

    Soil quality is defined as the capacity of a soil to perform multiple functions. Agricultural soils can, in principle, sustain a wide range of functions. However, negative pressure exerted by natural and anthropogenic soil threats such as soil erosion, soil organic matter losses and soil compaction have the potential to permanently damage soil quality. Soil chemical, physical and biological parameters can be used as indicators of soil quality. The specific objective of this study is to assess the suitability of novel soil parameters as soil quality indicators. We focus on biological/biochemical parameters, due to the unique role of soil biota in soil functions and to their high sensitivity to disturbances. The novel indicators are assessed in ten European long-term field experiments (LTEs) with different agricultural land use (arable and permanent crops), management regimes and pedo-climatic characteristics. The contrasts in agricultural management are represented by conventional/reduced tillage, organic/mineral fertilization and organic matter addition/no organic matter addition. We measured two different pools of labile organic carbon (dissolved organic carbon (DOC), and permanganate oxidizable carbon (POXC)), and determined DOC quality through its fractionation in hydrophobic and hydrophilic compounds. In addition, total nematode abundance has been assessed with qPCR. These parameters will be related to soil functions which have been measured with a minimum data set of indicators for soil quality (including TOC, macronutrients, and soil respiration). As a preliminary analysis, the Sensitivity Index (SI) for a given LTE was calculated for DOC and POXC according to Bolinder et al., 1999 as the ratio of the soil attribute under modified practices (e.g. reduced tillage) compared to the conventional practices (e.g. conventional tillage). The overall effect of the sustainable management on the indicators has been derived by calculating an average SI for those LTEs

  11. Health indicators associated with poor sleep quality among university students

    Directory of Open Access Journals (Sweden)

    Márcio Flávio Moura de Araújo

    2014-12-01

    Full Text Available Objective To associate the sleep quality of Brazilian undergraduate students with health indicators. Method A cross-sectional study was developed with a random sample of 662 undergraduate students from Fortaleza, Brazil. The demographic data, Pittsburgh Sleep Quality Index and health data indicators (smoking, alcoholism, sedentary lifestyle, nutritional condition and serum cholesterol were collected through a self-administered questionnaire. Blood was collected at a clinical laboratory. In order to estimate the size of the associations, a Poisson Regression was used. Results For students who are daily smokers, the occurrence of poor sleep was higher than in non-smokers (p<0.001. Prevalence rate values were nevertheless close to 1. Conclusion The likelihood of poor sleep is almost the same in smokers and in alcoholics.

  12. Air Quality Indicators at Lake Merritt, Oakland, California

    Science.gov (United States)

    Bulatov, D.; Collins, B.; Hsiao, J.; Majors, A.; Liang, J.

    2007-12-01

    Lake Merritt is significant in its role as both a recreational center for humans, as well as a refuge for migratory wild birds. It is, however, closely surrounded by streets and highways, and even sees a large amount of water traffic by motor-driven boats and pontoons. These two factors contribute to what we suspect is a generally high level of emissions in the atmosphere surrounding the lake. While the harmful components of these emissions can be measured directly using specialized and generally expensive tools, the goal of our research is to explore the use of tree leaves as indicators of air quality. Properties of atmospheric air directly affect the quality of leaves because of plants' reliance on photosynthesis. In brief, photosynthesis requires the input of sunlight, water, and carbon dioxide to produce oxygen and glucose. The gateways through which many of these inputs and outputs pass are essential to every leaf's survival and are called stomata. However, water is an exception; since its entry into the plant's vascular system is through the roots, water generally diffuses outward at stomatal openings rather than inward. Therefore, plants must strike a balance between gaining carbon dioxide and losing water, as well as risk exposure to toxic compounds in the air itself. Primarily, guard cells fulfill this purpose by closing over stomatal openings to conserve water. However, we also believe that over generations of leaves, the absolute number of stomata itself can change to reflect the surrounding environment. That is, increases in carbon dioxide must coincide with higher levels of toxic compounds, which force the number of stomata to decrease over time. Our research examined the relationship between quantitative presence of stomata for several species of trees and the levels of carbon dioxide, oxygen, and wind-speed for ten sites around Lake Merritt. Wind-speed is one of our primary measures because increasing wind velocity leads to water diffusing out of the

  13. Faculty Perceptions of Online Teaching Effectiveness and Indicators of Quality

    Science.gov (United States)

    Sullivan, Debra Henline; Weatherspoon, Deborah; Hussey, Leslie

    2017-01-01

    Online education programs in nursing are increasing rapidly. Faculty need to be competent in their role and possess the skills necessary to positively impact student outcomes. Existing research offers effective teaching strategies for online education; however, there may be some disconnect in the application of these strategies and faculty perceptions of associated outcomes. Focus groups were formed to uncover how nursing faculty in an online program define and describe teaching effectiveness and quality indicators in an asynchronous online environment. A semistructured interview format guided group discussion. Participants (n = 11) included nurse educators from an online university with an average of 15 years of experience teaching in nursing academia and 6 years in an online environment. Teaching effectiveness, indicators of quality, and student success were three categories that emerged from the analysis of data. What materialized from the analysis was an overarching concept of a “dance” that occurs in the online environment. Effective online teachers facilitate, connect, lead, and work in synchrony with students to obtain indicators of quality such as student success, student improvement over time, and student application of knowledge to the professional role.

  14. Faculty Perceptions of Online Teaching Effectiveness and Indicators of Quality

    Directory of Open Access Journals (Sweden)

    Christine Frazer

    2017-01-01

    Full Text Available Online education programs in nursing are increasing rapidly. Faculty need to be competent in their role and possess the skills necessary to positively impact student outcomes. Existing research offers effective teaching strategies for online education; however, there may be some disconnect in the application of these strategies and faculty perceptions of associated outcomes. Focus groups were formed to uncover how nursing faculty in an online program define and describe teaching effectiveness and quality indicators in an asynchronous online environment. A semistructured interview format guided group discussion. Participants (n=11 included nurse educators from an online university with an average of 15 years of experience teaching in nursing academia and 6 years in an online environment. Teaching effectiveness, indicators of quality, and student success were three categories that emerged from the analysis of data. What materialized from the analysis was an overarching concept of a “dance” that occurs in the online environment. Effective online teachers facilitate, connect, lead, and work in synchrony with students to obtain indicators of quality such as student success, student improvement over time, and student application of knowledge to the professional role.

  15. Amino acid quality indices of the leaves of Clerodendrum volubile

    Directory of Open Access Journals (Sweden)

    Ochuko Lucky Erukainure

    2016-04-01

    Full Text Available Objective: To evaluate the amino acid profile and quality indices of Clerodendrum volubile (C. volubile leaves. Methods: Dried leaves of C. volubile were blended, defatted and subjected to amino acid analysis using the technicon sequential multi-sample amino acid analyzer. The amino acid quality indices which covers for chemical score, essential amino acid index, nutritional index, true digestibility, protein digestibility corrected amino acid score, and digestible indispensable amino acid score were evaluated using standard formulas. Results: Amino acid analysis revealed glutamic acid to have the highest concentration, with cysteine having the least. Aspartic acid had the highest chemical score, this was followed by glycine, histidine and arginine, respectively. The least scores were observed in serine and methionine. Glutamic acid had the highest value for true digestibility and protein digestibility corrected amino acid score, with the least observed in cysteine. Digestible indispensable amino acid score evaluation showed histidine to have the highest value for infants (birth to 6 months, threonine for children (6 months to 3 years, while isoleucine was observed to have the highest value for older children, adolescents and adults. The essential amino acid index value was less than 4, while nutritional index value was less than 0.5. Conclusions: These results indicated the leaves of C. volubile as a potential source of amino acids in the human diet as portrayed by its amino acids profile and qualities.

  16. A Comprehensive Real-Time Indoor Air-Quality Level Indicator

    Directory of Open Access Journals (Sweden)

    Jungho Kang

    2016-09-01

    Full Text Available The growing concern about Indoor Air-Quality has accelerated the development of small, low-cost air-quality monitoring systems. These systems are capable of monitoring various indoor air pollutants in real time, notifying users about the current air-quality status and gathering the information to the central server. However, most Internet of Things (IoT-based air-quality monitoring systems numerically present the sensed value per pollutant, making it difficult for general users to identify how polluted the air is. Therefore, in this paper, we first introduce a tiny air-quality monitoring system that we developed and, based on the system, we also test the applicability of the comprehensive Air-Quality Index (AQI, which is widely used all over the world, in terms of its capacity for a comprehensive indoor air-quality indication. We also develop design considerations for an IoT-based air-quality monitoring system and propose a real-time comprehensive indoor air-quality level indication method, which effectively copes with dynamic changes and is efficient in terms of processing and memory overhead.

  17. Energy Innovation Systems Indicator Report 2016

    DEFF Research Database (Denmark)

    Borup, Mads; Klitkou, Antje; Iversen, Eric

    This report collates a set of indicators, figures and tables for the energy innovation system in Denmark. Emphasis is on renewable energy and other technologies for moving towards sustainability. The purpose is to provide an overview of indicators available for illuminating dynamics...... and characteristics of energy innovation systems and to the extent possible offer figures of the developments in the individual indicators. The report is an update of a report published in 2012. Graphs and numbers are updated with the most recent data available. The text is updated where needed in connection...... to the individual indicators as well as in the general remarks and conclusions. A limited number of new indicators and measurements are included. In addition, the accounts are in a few cases changed due to changes in data availability or in measurement methods. The report is produced as part of the activities...

  18. Teaching Quality Management Model for the Training of Innovation Ability and the Multilevel Decomposition Indicators

    Science.gov (United States)

    Lu, Xingjiang; Yao, Chen; Zheng, Jianmin

    2013-01-01

    This paper focuses on the training of undergraduate students' innovation ability. On top of the theoretical framework of the Quality Function Deployment (QFD), we propose a teaching quality management model. Based on this model, we establish a multilevel decomposition indicator system, which integrates innovation ability characterized by four…

  19. [Requirements for quality indicators. The relevance of current developments in outcomes research for quality management].

    Science.gov (United States)

    Schmitt, Jochen; Petzold, Thomas; Eberlein-Gonska, Maria; Neugebauer, Edmund A M

    2013-01-01

    The assessment of the health state in patients and changes in their health state for the purpose of diagnosis, prognosis and monitoring of treatment response plays a central role in clinical practice. Quality criteria for measurements in medicine include validity, reliability, responsiveness, interpretability, and feasibility. High-quality measurement instruments are a prerequisite for evidence-based medicine. Therefore, international outcomes research groups have developed methods for quality assurance and for the standardisation of measurement instruments. Quality indicators are instruments to measure the quality of care. Due to the increasing relevance of quality assessment for all stakeholders in healthcare and due to the political intention to draw relevant conclusions from the assessment of the quality of care, quality indicators must at least meet the same high standards that are required for clinical trial end points. However, independent researchers and clinicians do not engage in the validation and standardisation of quality indicators in Germany; currently, only the AQUA institute (as assigned by the German GBA) deals with this important issue. Current activities concerning the validation of quality indicators do not meet the requirements of evidence-based healthcare. This is a critical barrier to achieving the political goals of quality medicine. Therefore, the authors propose a multi-step, multi-professional, evidence-driven and evidence-generating consensus process on the basis of established methods of outcomes research for the advancement of quality assessment with quality indicators in Germany. All relevant stakeholders should participate in this process. Copyright © 2013. Published by Elsevier GmbH.

  20. Using Cl/Br ratios and other indicators to assess potential impacts on groundwater quality from septic systems: A review and examples from principal aquifers in the United States

    Science.gov (United States)

    Katz, Brian G.; Eberts, Sandra M.; Kauffman, Leon J.

    2011-02-01

    SummaryA detailed review was made of chemical indicators used to identify impacts from septic tanks on groundwater quality. Potential impacts from septic tank leachate on groundwater quality were assessed using the mass ratio of chloride-bromide (Cl/Br), concentrations of selected chemical constituents, and ancillary information (land use, census data, well depth, soil characteristics) for wells in principal aquifers of the United States. Chemical data were evaluated from 1848 domestic wells in 19 aquifers, 121 public-supply wells in 6 aquifers, and associated monitoring wells in four aquifers and their overlying hydrogeologic units. Based on previously reported Cl/Br ratios, statistical comparisons between targeted wells (where Cl/Br ratios range from 400 to 1100 and Cl concentrations range from 20 to 100 mg/L) and non-targeted wells indicated that shallow targeted monitoring and domestic wells (0.5 mg/L) shallow groundwater from target domestic wells, relative to non-target wells (1.5 mg/L), corresponded to significantly higher potassium, boron, chloride, dissolved organic carbon, and sulfate concentrations, which may also indicate the influence of septic-tank effluent. Impacts on groundwater quality from septic systems were most evident for the Eastern Glacial Deposits aquifer and the Northern High Plains aquifer that were associated with the number of housing units using septic tanks, high permeability of overlying sediments, mostly oxic conditions, and shallow wells. Overall, little or no influence from septic systems were found for water samples from the deeper public-supply wells. The Cl/Br ratio is a useful first-level screening tool for assessing possible septic tank influence in water from shallow wells (<20 m) with the range of 400-1100. The use of this ratio would be enhanced with information on other chloride sources, temporal variability of chloride and bromide concentrations in shallow groundwater, knowledge of septic-system age and maintenance, and

  1. A Research on Environmental Performance Audit Indicator System by Government Based on Regional Development Quality%基于区域发展质量的政府环境绩效审计指标体系研究

    Institute of Scientific and Technical Information of China (English)

    秦德智; 卜臣

    2015-01-01

    The environment is the foundation of human survival and development. Environmental performance audit in the re-lationship between coordinated development and environmental protection is of great significance. Standing on the ground of government audit to guide regional development from macro level, analyzing the influence of purposes and contents of audit on the construction of audit indicator system, this paper finds out that the audit indicator system is divided into three dimensions:environmental quality indicators, interaction between environment and development indicators and decision-making and action indicators. The three mutually driven dimensions work together to reach a sustainable development. Through breaking down each dimension respectively according to the environmental elements,direction of interaction between environment and develop-ment and governmental responsibilities step by step, a feasible environmental performance audit indicator system is built up, which plays a guiding role on improving the quality of regional development.%环境是人类赖以生存和发展的基础,政府环境绩效审计在协调发展与环境的相互关系中具有重要的意义。站在政府审计指导区域宏观发展的立场,分析审计目的和审计内容对审计指标体系构建的影响,将政府环境绩效审计指标体系划分为环境质量指标、发展与环境相互作用指标和决策与行动指标三个相互驱动的维度共同展现可持续发展目标,三个维度分别按环境要素、发展与环境相互作用方向、政府职责层层分解,构建切实可行的政府环境绩效审计指标体系,充分发挥政府环境绩效审计对提高区域发展质量的指导作用。

  2. Active and Intelligent Packaging: The Indication of Quality and Safety.

    Science.gov (United States)

    Janjarasskul, Theeranun; Suppakul, Panuwat

    2016-09-19

    The food industry has been under growing pressure to feed an exponentially increasing world population and challenged to meet rigorous food safety law and regulation. The plethora of media consumption has provoked consumer demand for safe, sustainable, organic, and wholesome products with "clean" labels. The application of active and intelligent packaging has been commercially adopted by food and pharmaceutical industries as a solution for the future for extending shelf life and simplifying production processes; facilitating complex distribution logistics; reducing, if not eliminating the need for preservatives in food formulations; enabling restricted food packaging applications; providing convenience, improving quality, variety and marketing features; as well as providing essential information to ensure consumer safety. This chapter reviews innovations of active and intelligent packaging which advance packaging technology through both scavenging and releasing systems for shelf life extension, and through diagnostic and identification systems for communicating quality, tracking and brand protection.

  3. Water quality evaluation of Al-Gharraf river by two water quality indices

    Science.gov (United States)

    Ewaid, Salam Hussein

    2016-12-01

    Water quality of Al-Gharraf river, the largest branch of Tigris River south of Iraq, was evaluated by the National Sanitation Foundation Water Quality Index (NFS WQI) and the Heavy Metal Pollution Index (HPI) depending on 13 physical, chemical, and biological parameters of water quality measured monthly at ten stations on the river during 2015. The NSF-WQI range obtained for the sampling sites was 61-70 indicating a medium water quality. The HPI value was 98.6 slightly below the critical value for drinking water of 100, and the water quality in the upstream stations is better than downstream due to decrease in water and the accumulation of contaminants along the river. This study explains the significance of applying the water quality indices that show the aggregate impact of ecological factors in charge of water pollution of surface water and which permits translation of the monitoring data to assist the decision makers.

  4. Calibration of a universal indicated turbulence system

    Science.gov (United States)

    Chapin, W. G.

    1977-01-01

    Theoretical and experimental work on a Universal Indicated Turbulence Meter is described. A mathematical transfer function from turbulence input to output indication was developed. A random ergodic process and a Gaussian turbulence distribution were assumed. A calibration technique based on this transfer function was developed. The computer contains a variable gain amplifier to make the system output independent of average velocity. The range over which this independence holds was determined. An optimum dynamic response was obtained for the tubulation between the system pitot tube and pressure transducer by making dynamic response measurements for orifices of various lengths and diameters at the source end.

  5. South Africa's School Infrastructure Performance Indicator System

    Science.gov (United States)

    Gibberd, Jeremy

    2007-01-01

    While some South African schools have excellent infrastructure, others lack basic services such as water and sanitation. This article describes the school infrastructure performance indicator system (SIPIS) in South Africa. The project offers an approach that can address both the urgent provision of basic services as well as support the…

  6. Features Performance Indicators and Quality Engineering and Maintenance and Cold Storage Complex

    Directory of Open Access Journals (Sweden)

    Dyakova Yu. A.

    2013-01-01

    Full Text Available The article discusses the features of efficiency and quality indicators of engineering and technical maintenance of storage and refrigeration facilities. The concept of engineering and maintenance of such systems is explained; it includes design, installation and commissioning of refrigeration, ventilation and air-conditioning, as well as warranty, post-warranty, preventative and advisory services. General definition of the quality index applied to the quality of the service process and definition of the complex index of the quality of services are clarified. Individual indicators of quality engineering and technical services are described. The article defines the dependence of integral complex index of quality, efficiency, maintenance costs on specific parties to a contract for the provision of engineering and technical services. The concept of weighting factors of such costs are introduced.

  7. Evaluating the Effect of Software Quality Characteristics on Health Care Quality Indicators

    Directory of Open Access Journals (Sweden)

    Sakineh Aghazadeh

    2015-07-01

    Full Text Available Introduction: Various types of software are used in health care organizations to manage information and care processes. The quality of software has been an important concern for both health authorities and designers of Health Information Technology. Thus, assessing the effect of software quality on the performance quality of healthcare institutions is essential. Method: The most important health care quality indicators in relation to software quality characteristics are provided via an already performed literature review. ISO 9126 standard model is used for definition and integration of various characteristics of software quality. The effects of software quality characteristics and sub-characteristics on the healthcare indicators are evaluated through expert opinion analyses. A questionnaire comprising of 126 questions of 10-point Likert scale was used to gather opinions of experts in the field of Medical/Health Informatics. The data was analyzed using Structural Equation Modeling. Results: Our findings showed that software Maintainability was rated as the most effective factor on user satisfaction (R2 =0.89 and Functionality as the most important and independent variable affecting patient care quality (R2 =0.98. Efficiency was considered as the most effective factor on workflow (R2 =0.97, and Maintainability as the most important factor that affects healthcare communication (R2 =0.95. Usability and Efficiency were rated as the most effectual factor affecting patient satisfaction (R2 =0.80, 0.81. Reliability, Maintainability, and Efficiency were considered as the main factors affecting care costs (R2 =0.87, 0.74, 0.87. Conclusion: We presented a new model based on ISO standards. The model demonstrates and weighs the relations between software quality characteristics and healthcare quality indicators. The clear relationships between variables and the type of the metrics and measurement methods used in the model make it a reliable method to assess

  8. [Patient satisfaction as a quality indicator in mental health].

    Science.gov (United States)

    Fernández-Martín, L C; Iglesias-de-Sena, H; Fombellida-Velasco, C; Vicente-Torres, I; Alonso-Sardón, M; Mirón Canelo, J A

    2016-01-01

    To improve the quality of care in a Mental Health Hospital and identify the level of patient satisfaction. A descriptive, longitudinal, and retrospective study was conducted on 666 patients who completed treatment in the Mental Health Day Hospital of Salamanca, during the period 1994-2012, using the Hospital Management Annual Reports. A questionnaire designed for this purpose was used as the measurement tool. Most of the patients satisfactorily valued aspects, such as the general impression of the treatment (90% said «good/fairly good») and perception of being helped (94% perceived «very/fairly helped»); with 83% believing that the hospital is accessible. As regards empathy-understanding, it was noted that 14% feel discontent. While 18% of patients expected to be completely cured, the 83% of patients that finished their treatment have said that, in their opinion, the symptoms have subsided «very or somewhat». As regards the knowledge that they have about their disease, 30% believe it has advanced «a lot.» Based on the perceptions reported by patients, it may be said that in general, the level of user satisfaction in the Mental Health Day Hospital is high. Assessing quality through the user opinions helps control the quality, considering that patient satisfaction is a good indicator of result of the care received during their hospitalisation. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Toward the Next Generation of Air Quality Monitoring Indicators

    Science.gov (United States)

    Hsu, Angel; Reuben, Aaron; Shindell, Drew; deSherbinin, Alex; Levy, Marc

    2013-01-01

    This paper introduces an initiative to bridge the state of scientific knowledge on air pollution with the needs of policymakers and stakeholders to design the "next generation" of air quality indicators. As a first step this initiative assesses current monitoring and modeling associated with a number of important pollutants with an eye toward identifying knowledge gaps and scientific needs that are a barrier to reducing air pollution impacts on human and ecosystem health across the globe. Four outdoor air pollutants were considered e particulate matter, ozone, mercury, and Persistent Organic Pollutants (POPs) e because of their clear adverse impacts on human and ecosystem health and because of the availability of baseline data for assessment for each. While other papers appearing in this issue will address each pollutant separately, this paper serves as a summary of the initiative and presents recommendations for needed investments to provide improved measurement, monitoring, and modeling data for policyrelevant indicators. The ultimate goal of this effort is to enable enhanced public policy responses to air pollution by linking improved data and measurement methods to decision-making through the development of indicators that can allow policymakers to better understand the impacts of air pollution and, along with source attribution based on modeling and measurements, facilitate improved policies to solve it. The development of indicators represents a crucial next step in this process.

  10. Practice-based collection of quality indicator data for a comprehensive quality assessment programme in Canadian family practices.

    Science.gov (United States)

    Price, David; Howard, Michelle; Dolovich, Lisa; Laryea, Stephanie; Hilts, Linda; Barbara, Angela

    2010-12-01

    Quality improvement in primary care can be facilitated by the ability to measure indicators in practice. This paper reports on the process and impacts of data collection on indicators of a quality assessment tool in seven interprofessional group family practices in Ontario, Canada. The programme addressed indicators and collected data across multiple domains of practice including clinical quality, physical factors, and patient and staff perceptions. A system audit of the practice, a patient survey, a staff satisfaction survey and chart audits (on hypothyroidism and hyperlipidaemia) were designed to measure selected indicators across the domains. Practices were trained and collected their own data. Practices provided feedback on the process and impacts during a postprogramme workshop and on a survey 1 year later. Four-hundred charts audits were completed for each of hyperlipidaemia and hypothyroidism, 319 patient satisfaction surveys were administered in four practices, and the staff satisfaction survey was completed by 77 staff in six practices. Most practices demonstrated indicators of privacy, access and safety. There was more variability in indicators relating to staff professional development and team involvement in meetings. Patient satisfaction with providers was rated highly, whereas some aspects of practice access were rated lower. Practices approached the challenge of participation by engaging multidisciplinary team members and dividing tasks. Most practices reported continued participation in various quality improvement initiatives 1 year later. Using a set of indicators, structured processes and training, family practices find the process of gathering and reviewing their data useful for quality improvement.

  11. Hospital quality reports in Germany: patient and physician opinion of the reported quality indicators

    Directory of Open Access Journals (Sweden)

    Molzahn Tanja

    2007-09-01

    Full Text Available Abstract Background Starting in 2005, Germany's health law required hospital quality reports to be published every two years by all acute care hospitals. The reports were intended to help patients and physicians make informed choices of hospitals. However, while establishing the quality indicators that form the content of the reports, the information needs of the target groups were not explicitly taken into account. Therefore, the aim of our study was to determine patient and physician opinion of the relevance of the reported quality indicators for choosing or referring to a hospital. Methods Convenience samples of 50 patients and 50 physicians were asked to rate the understandability (patients, suitability (physicians and relevance (both groups of a set of 29 quality indicators. The set was drawn from the reports (24 indicators and supplemented by five indicators commonly used in hospital quality reports. We analysed the differences in patient and physician ratings of relevance of all indicators by applying descriptive statistics, t-tests and Wilcoxon tests. Results Only three indicators were considered not understandable by the interviewed patients and unsuitable by the interviewed physicians. The patients rated 19 indicators as highly or very relevant, whereas the physicians chose 15 indicators. The most relevant indicator for the patients was "qualification of doctors", and for the physicians "volume of specified surgical procedures". Patient and physician rankings of individual indicators differed for 25 indicators. However, three groups of indicators could be differentiated, in which the relevance ratings of patients and physicians differed only within the groups. Four of the five indicators that were added to the existing set of reported indicators ranked in the first or second group ("kindness of staff", "patient satisfaction", "recommendation", and "distance to place of living". Conclusion Most of the content of Germany's hospital

  12. SOME INDICATORS OF WATER QUALITY OF THE TAMIŠ RIVER

    Directory of Open Access Journals (Sweden)

    DRAGAN MARKOVIĆ

    2011-03-01

    Full Text Available This paper shows the results obtained in field analysis performed at the Tamiš River, starting from the settlement Jaša Tomić (the border between Serbia and Romania to Pančevo (the confluence of Tamiš into the Danube. The Tamiš is a 359 km long river rising in the southern Carpathian Mountains. It flows through the Banat region and flows into the Danube near Pančevo. Over the years, the water quality of the river has severely deteriorated and badly affected the environment and the river ecosystem. In situ measurements enabled determination of physico-chemical parameters of water quality of the Tamiš River at every 400 m of the watercourse, such as: water temperature, pH value, electrical conductivity, contents of dissolved oxygen and oxygen saturation. The main reason of higher pollution of Tamiš is seen in connection to DTD hydro system. Sampling was performed at 7 points with regard to color, turbidity, total hardness, alkalinity, concentration of ammonium nitrogen, nitrite nitrogen, nitrate nitrogen, iron, chlorides and sulphates in samples. The aim of the present work was to evaluate water quality in the Tamiš River taking into account significant pollution, which originates from settlements, industry and agriculture, and to suggest appropriate preventive measures to further decrease the pollution of the river's water.

  13. Towards a standardized method of developing quality indicators for palliative care: protocol of the Quality indicators for Palliative Care (Q-PAC) study

    National Research Council Canada - National Science Library

    Leemans, Kathleen; Cohen, Joachim; Francke, Anneke L; Vander Stichele, Robert; Claessen, Susanne Jj; Van den Block, Lieve; Deliens, Luc

    2013-01-01

    .... In this Quality Indicators for Palliative Care study (Q-PAC study) we have applied a scientifically rigorous method to develop a comprehensive and valid quality indicator set which can contribute to a standardized method for use in other countries...

  14. The Danish National Database for Asthma: establishing clinical quality indicators

    Directory of Open Access Journals (Sweden)

    Susanne Hansen

    2016-11-01

    Full Text Available Asthma is one of the most common chronic diseases worldwide affecting more than 300 million people. Symptoms are often non-specific and include coughing, wheezing, chest tightness, and shortness of breath. Asthma may be highly variable within the same individual over time. Although asthma results in death only in extreme cases, the disease is associated with significant morbidity, reduced quality of life, increased absenteeism, and large costs for society. Asthma can be diagnosed based on report of characteristic symptoms and/or the use of several different diagnostic tests. However, there is currently no gold standard for making a diagnosis, and some degree of misclassification and inter-observer variation can be expected. This may lead to local and regional differences in the treatment, monitoring, and follow-up of the patients. The Danish National Database for Asthma (DNDA is slated to be established with the overall aim of collecting data on all patients treated for asthma in Denmark and systematically monitoring the treatment quality and disease management in both primary and secondary care facilities across the country. The DNDA links information from population-based disease registers in Denmark, including the National Patient Register, the National Prescription Registry, and the National Health Insurance Services register, and potentially includes all asthma patients in Denmark. The following quality indicators have been selected to monitor trends: first, conduction of annual asthma control visits, appropriate pharmacological treatment, measurement of lung function, and asthma challenge testing; second, tools used for diagnosis in new cases; and third, annual assessment of smoking status, height, and weight measurements, and the proportion of patients with acute hospital treatment. The DNDA will be launched in 2016 and will initially include patients treated in secondary care facilities in Denmark. In the nearby future, the database aims

  15. [Application of subjective quality indicators in intensive care].

    Science.gov (United States)

    de Souza, Sônia Regina Oliveira e Silva; da Silva, Cláudia Aparecida; de Mello, Ursula Magliano; Ferreira, Carolina Neris

    2006-01-01

    Our aim is to describe the clients'perception related to to the admission in the Intensive Care. We have developed a descriptive study based on a qualitative approach in the intensive care in a university hospital in RJ, from May, 2003 to May, 2004. Thirty-two clients participated in this study just after hospital discharge. Data collection was possible through a questionaire. We consider that the clients showed some kind of satisfaction related to nursing intensive care, and the problem that really annoys them is the physical and ambiental stressors. The study shows questions that need a continuous discussion considering the stress, once it is a part of the activities and the atmosphere of intensive care and it also detaches the relavence of a work using indicatives of subjective quality in the intensive care.

  16. Are geographical indications a worthy quality label? A framework with endogenous quality choice

    OpenAIRE

    Desquilbet, Marion; Monier-Dilhan, Sylvette

    2011-01-01

    We analyze the effects of Geographical Indication (GI) labeling on quality choices and welfare with two vertically differentiated goods, one labelable, the other not. We consider two attributes of these goods: gustatory quality and geographical origin. We investigate two extreme cases of the Protected Designation of Origin (PDO) label: a denomination standard, which guarantees only the origin of the product, without any requirement on production specifications; and a minimum qu...

  17. Information System Quality Assessment Methods

    OpenAIRE

    Korn, Alexandra

    2014-01-01

    This thesis explores challenging topic of information system quality assessment and mainly process assessment. In this work the term Information System Quality is defined as well as different approaches in a quality definition for different domains of information systems are outlined. Main methods of process assessment are overviewed and their relationships are described. Process assessment methods are divided into two categories: ISO standards and best practices. The main objective of this w...

  18. Information System Quality Assessment Methods

    OpenAIRE

    2014-01-01

    This thesis explores challenging topic of information system quality assessment and mainly process assessment. In this work the term Information System Quality is defined as well as different approaches in a quality definition for different domains of information systems are outlined. Main methods of process assessment are overviewed and their relationships are described. Process assessment methods are divided into two categories: ISO standards and best practices. The main objective of this w...

  19. Technical and Ethical Issues in Indicator Systems

    Directory of Open Access Journals (Sweden)

    Carol Taylor Fitz-Gibbon

    2002-01-01

    Full Text Available Most indicator systems are top-down, published, management systems, addressing primarily the issue of public accountability. In contrast we describe here a university-based suite of "grass-roots," research-oriented indicator systems that are now subscribed to, voluntarily, by about 1 in 3 secondary schools and over 4,000 primary schools in England. The systems are also being used by groups in New Zealand, Australia and Hong Kong, and with international schools in 30 countries. These systems would not have grown had they not been cost-effective for schools. This demanded the technical excellence that makes possible the provision of one hundred percent accurate data in a very timely fashion. An infrastructure of powerful hardware and ever-improving software is needed, along with extensive programming to provide carefully chosen graphical and tabular presentations of data, giving at-a-glance comparative information. Highly skilled staff, always learning new techniques, have been essential, especially as we move into computer-based data collection. It has been important to adopt transparent, readily understood methods of data analysis where we are satisfied that these are accurate, and to model the processes that produce the data. This can mean, for example, modelling separate regression lines for 85 different examination syllabuses for one age group, because any aggregation can be shown to represent unfair comparisons. Ethical issues are surprisingly often lurking in technical decisions. For example, reporting outcomes from a continuous measure in terms of the percent of students who surpassed a certain level, produces unethical behavior: a concentration of teaching on borderline students. Distortion of behavior and data corruption are ever-present concerns in indicator systems. The systems we describe would have probably failed to thrive had they not addressed schools' on-going concerns about education. Moreover, data interpretation can only be

  20. Aggregate Indices Method in Soil Quality Evaluation Using the Relative Soil Quality Index

    Directory of Open Access Journals (Sweden)

    Ho Ngoc Pham

    2015-01-01

    Full Text Available This paper presents a new approach to assess the soil quality by aggregate indices using the Relative Soil Quality Index (RSQI proposed by Ho Ngoc Pham. RSQI is integrated from the individual indices into a simple formula for overall assessment of the soil quality. RSQI is different from other approaches. Particularly, the individual indices and the weighting factors of Pham are calculated from the analytical laboratory data and the environmental standards, respectively, and not self-regulated as in methods of some other authors. In this paper, the authors applied the RSQI to assess the Soil Environmental Quality of rice intensive cultivation areas through a case study in Haiduong province in 2013. The RSQI is calculated for sampling points in 12 districts and simulated the Soil Environmental Quality on GIS map. The results show that the Soil Environmental Quality of rice intensive cultivation areas in Haiduong is predominantly divided into three levels: good, moderate, and poor. According to the report of General Statistics Office for Haiduong province, rice intensive cultivation areas in 2013 achieved a relatively high average rice yield of 5.90 tonnes per hectare; it means actual soil properties are in line with results of the research.

  1. Competition and quality indicators in the health care sector: empirical evidence from the Dutch hospital sector.

    Science.gov (United States)

    Croes, R R; Krabbe-Alkemade, Y J F M; Mikkers, M C

    2017-01-03

    There is much debate about the effect of competition in healthcare and especially the effect of competition on the quality of healthcare, although empirical evidence on this subject is mixed. The Netherlands provides an interesting case in this debate. The Dutch system could be characterized as a system involving managed competition and mandatory healthcare insurance. Information about the quality of care provided by hospitals has been publicly available since 2008. In this paper, we evaluate the relationship between quality scores for three diagnosis groups and the market power indicators of hospitals. We estimate the impact of competition on quality in an environment of liberalized pricing. For this research, we used unique price and production data relating to three diagnosis groups (cataract, adenoid and tonsils, bladder tumor) produced by Dutch hospitals in the period 2008-2011. We also used the quality indicators relating to these diagnosis groups. We reveal a negative relationship between market share and quality score for two of the three diagnosis groups studied, meaning that hospitals in competitive markets have better quality scores than those in concentrated markets. We therefore conclude that more competition is associated with higher quality scores.

  2. Physician Quality Reporting System

    Data.gov (United States)

    U.S. Department of Health & Human Services — PQRS is a reporting program that uses a combination of incentive payments and negative payment adjustments to promote reporting of quality information by eligible...

  3. [Quality management in a clinical research facility: Evaluation of changes in quality in-house figures and the appraisal of in-house quality indicators].

    Science.gov (United States)

    Aden, Bile; Allekotte, Silke; Mösges, Ralph

    2016-12-01

    For long-term maintenance and improvement of quality within a clinical research institute, the implementation and certification of a quality management system is suitable. Due to the implemented quality management system according to the still valid DIN EN ISO 9001:2008 desired quality objectives are achieved effectively. The evaluation of quality scores and the appraisal of in-house quality indicators make an important contribution in this regard. In order to achieve this and draw quality assurance conclusions, quality indicators as sensible and sensitive as possible are developed. For this, own key objectives, the retrospective evaluation of quality scores, a prospective follow-up and also discussions establish the basis. In the in-house clinical research institute the measures introduced by the quality management led to higher efficiency in work processes, improved staff skills, higher customer satisfaction and overall to more successful outcomes in relation to the self-defined key objectives. Copyright © 2016. Published by Elsevier GmbH.

  4. Systems Engineering, Quality and Testing

    Science.gov (United States)

    Shepherd, Christena C.

    2015-01-01

    AS9100 has little to say about how to apply a Quality Management System (QMS) to aerospace test programs. There is little in the quality engineering Body of Knowledge that applies to testing, unless it is nondestructive examination or some type of lab or bench testing. If one examines how the systems engineering processes are implemented throughout a test program; and how these processes can be mapped to AS9100, a number of areas for involvement of the quality professional are revealed.

  5. Enzyme activities by indicator of quality in organic soil

    Science.gov (United States)

    Raigon Jiménez, Mo; Fita, Ana Delores; Rodriguez Burruezo, Adrián

    2016-04-01

    The analytical determination of biochemical parameters, as soil enzyme activities and those related to the microbial biomass is growing importance by biological indicator in soil science studies. The metabolic activity in soil is responsible of important processes such as mineralization and humification of organic matter. These biological reactions will affect other key processes involved with elements like carbon, nitrogen and phosphorus , and all transformations related in soil microbial biomass. The determination of biochemical parameters is useful in studies carried out on organic soil where microbial processes that are key to their conservation can be analyzed through parameters of the metabolic activity of these soils. The main objective of this work is to apply analytical methodologies of enzyme activities in soil collections of different physicochemical characteristics. There have been selective sampling of natural soils, organic farming soils, conventional farming soils and urban soils. The soils have been properly identified conserved at 4 ° C until analysis. The enzyme activities determinations have been: catalase, urease, cellulase, dehydrogenase and alkaline phosphatase, which bring together a representative group of biological transformations that occur in the soil environment. The results indicate that for natural and agronomic soil collections, the values of the enzymatic activities are within the ranges established for forestry and agricultural soils. Organic soils are generally higher level of enzymatic, regardless activity of the enzyme involved. Soil near an urban area, levels of activities have been significantly reduced. The vegetation cover applied to organic soils, results in greater enzymatic activity. So the quality of these soils, defined as the ability to maintain their biological productivity is increased with the use of cover crops, whether or spontaneous species. The practice of cover based on legumes could be used as an ideal choice

  6. Assessing Quality of Care of Elderly Patients Using the ACOVE Quality Indicator Set: A Systematic Review

    NARCIS (Netherlands)

    Askari, M.; Wierenga, P.C.; Eslami, S.; Medlock, S.; de Rooij, S.E.; Abu-Hanna, A.

    2011-01-01

    Background: Care of the elderly is recognized as an increasingly important segment of health care. The Assessing Care Of Vulnerable Elderly (ACOVE) quality indicators (QIs) were developed to assess and improve the care of elderly patients. Objectives: The purpose of this review is to summarize studi

  7. Pursuing Quality Evidence: Applying Single-Subject Quality Indicators to Non-Experimental Qualitative Educational Research

    Science.gov (United States)

    Stodden, Robert A.; Yamamoto, Kathryn K.; Folk, Eric; Kong, Eran; Otsuji, Derek N.

    2013-01-01

    The need for quality evidence in support of strategies used while working with persons with autism and intellectual disability (ID) has been long been recognized by researchers and practitioners. The authors reviewed and applied a number of evidence-based indicators, developed through the "What Works Clearinghouse" (WWC), to the conduct…

  8. [A measure of the efficiency of primary care in Barcelona (Spain) incorporating quality indicators].

    Science.gov (United States)

    Romano, José; Choi, Álvaro

    2016-01-01

    To demonstrate the impact of the incorporation of quality indicators in assessing the technical efficiency of primary healthcare teams. The processes through which primary healthcare resources have been allocated since the onset of the financial crisis in 2008 have focussed on quantitative rather than qualitative indicators. This study applies data envelopment analysis (DEA) techniques to 58 primary healthcare teams from three different primary healthcare services from the province of Barcelona (Spain). We combine publicly available information from the regional government of Catalonia with data requested from the Catalan Health System Observatory. The analysis compares the results of three models, thereby allowing shifts in the efficiency of primary healthcare teams to be identified in terms of the (lack of) consideration for healthcare quality indicators. Only 16% of the primary healthcare teams were found to be efficient according to the baseline models, which only incorporated input and output quantity indicators. However, once proxies for healthcare quality are included in the analysis, this percentage increases to 58.6%. No meaningful differences in primary healthcare team efficiency were found between public and privately owned centres, between regional primary care services and organisational models, or between rural and urban teams. The results suggest the need to incorporate healthcare quality indicators as outputs when considering criteria for the streamlining of primary healthcare services. Failure to incorporate quality indicators is associated with various primary healthcare concepts. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. [Job Satisfaction: a quality indicator in nursing human resource management].

    Science.gov (United States)

    Siqueira, Vera Thânia Alves; Kurcgant, Paulina

    2012-02-01

    This descriptive study addresses the job satisfaction of nurse managers and clinical nurses working at the Hematology and Hemotherapy Services of a public hospital in São Paulo. The study objectives were to identify the factors that caused job satisfaction among nurse managers and clinical nurses, and support the results in the development of indicators to evaluate the quality of nursing human resource management. The components of the study were: autonomy, interaction, professional status, job requirements, organizational norms and remuneration. Participants were 44 nurses. Data were collected using a Job Satisfaction Index (JSI) questionnaire. In conclusion, this study permitted the identification of the clinical nurse group, which was the most satisfied, with a JSI of 10.5; the managerial group scored 10.0. Regarding the satisfaction levels in regards to the current activity, 88.9% of the nurse managers reported feeling satisfied, as did 90.9% of clinical nurses. For both groups, autonomy was the component with the highest level of professional satisfaction.

  10. Assessing quality of care of elderly patients using the ACOVE quality indicator set: a systematic review.

    Directory of Open Access Journals (Sweden)

    Marjan Askari

    Full Text Available BACKGROUND: Care of the elderly is recognized as an increasingly important segment of health care. The Assessing Care Of Vulnerable Elderly (ACOVE quality indicators (QIs were developed to assess and improve the care of elderly patients. OBJECTIVES: The purpose of this review is to summarize studies that assess the quality of care using QIs from or based on ACOVE, in order to evaluate the state of quality of care for the reported conditions. METHODS: We systematically searched MEDLINE, EMBASE and CINAHL for English-language studies indexed by February 2010. Articles were included if they used any ACOVE QIs, or adaptations thereof, for assessing the quality of care. Included studies were analyzed and relevant information was extracted. We summarized the results of these studies, and when possible generated an overall conclusion about the quality of care as measured by ACOVE for each condition, in various settings, and for each QI. RESULTS: Seventeen studies were included with 278 QIs (original, adapted or newly developed. The quality scores showed large variation between and within conditions. Only a few conditions showed a stable pass rate range over multiple studies. Overall, pass rates for dementia (interquartile range (IQR: 11%-35%, depression (IQR: 27%-41%, osteoporosis (IQR: 34%-43% and osteoarthritis (IQR: 29-41% were notably low. Medication management and use (range: 81%-90%, hearing loss (77%-79% and continuity of care (76%-80% scored higher than other conditions. Out of the 278 QIs, 141 (50% had mean pass rates below 50% and 121 QIs (44% had pass rates above 50%. Twenty-three percent of the QIs scored above 75%, and 16% scored below 25%. CONCLUSIONS: Quality of care per condition varies markedly across studies. Although there has been much effort in improving the care for elderly patients in the last years, the reported quality of care according to the ACOVE indicators is still relatively low.

  11. [A set of quality and safety indicators for hospitals of the "Agencia Valenciana de Salud"].

    Science.gov (United States)

    Nebot-Marzal, C M; Mira-Solves, J J; Guilabert-Mora, M; Pérez-Jover, V; Pablo-Comeche, D; Quirós-Morató, T; Cuesta Peredo, D

    2014-01-01

    To prepare a set of quality and safety indicators for Hospitals of the «Agencia Valenciana de Salud». The qualitative technique Metaplan® was applied in order to gather proposals on sustainability and nursing. The catalogue of the «Spanish Society of Quality in Healthcare» was adopted as a starting point for clinical indicators. Using the Delphi technique, 207 professionals were invited to participate in the selecting the most reliable and feasible indicators. Lastly, the resulting proposal was validated with the managers of 12 hospitals, taking into account the variability, objectivity, feasibility, reliability and sensitivity, of the indicators. Participation rates varied between 66.67% and 80.71%. Of the 159 initial indicators, 68 were prioritized and selected (21 economic or management indicators, 22 nursing indicators, and 25 clinical or hospital indicators). Three of them were common to all three categories and two did not match the specified criteria during the validation phase, thus obtaining a final catalogue of 63 indicators. A set of quality and safety indicators for Hospitals was prepared. They are currently being monitored using the hospital information systems. Copyright © 2013 SECA. Published by Elsevier Espana. All rights reserved.

  12. A Cognitive Modeling Method of the Life Quality Indicators in Terms of External Factors

    Directory of Open Access Journals (Sweden)

    L. V. Massel

    2016-01-01

    Full Text Available The article discusses a potential use of the methods of cognitive modeling in the field of quality of life. The quality of life, as a universal indicator of human self-perception to feel his sense of satisfaction from various parts of his life, is difficult to assess by strictly mathematical methods, so the authors suggest using the cognitive modeling. The quality of life in his estimation for the convenience of research activity is divided into components - indicators of the quality of life. The widespread indicator "quality of life" and the complexity of the development of its assessment methods lead to high relevance of the authors-proposed method.The introduction provides an overview of current approaches to assessing the quality of life. Among all these approaches the most advantageous is an objectively subjective one. The paper gives a brief assessment of cognitive modeling methods, which are, essentially, a way of graphic and structural elements of reflection and relationships in complex systems. As a result of the analysis of existing research in this area, was found the potential for creating cognitive models of the quality of life and its indicators and was defined the place of the proposed method, among others. The paper presents the method itself, as a series of steps, and focuses on the promising opportunities for researchers of the quality of life from its using.Among the possible lines to use cognitive modeling of the life quality indicators can be three main ones: implementation of new methods to assess the quality of life; choice of the most appropriate technique for a particular study among available methods; realization of the cognitive model and numerical experiment, which allows seeing the effect of external factors on the individual indicators of the quality of life. Thus, due to the high relevance and significant benefits from the use of the proposed method, the article is of interest to researchers of the quality of life

  13. Indicadores biológicos da qualidade do solo em sistema agrossilvopastoril no noroeste do estado de Minas Gerais Biological indicators of soil quality in agricultural-forestry-pasture system in northwest region of Minas Gerais state, Brazil

    Directory of Open Access Journals (Sweden)

    Cláudia Milene Nascente Neves

    2009-02-01

    nativo, em função da ação antrópica. Com o progresso do sistema agrossilvopastoril houve uma recuperação do carbono da biomassa microbiana. Não foi observada diferença significativa entre os sistemas de manejo e o cerrado nativo quanto ao quociente metabólico e à respiração basal.Soil quality studies are important for understanding its interaction with the ecosystem as a whole. In this context, the soil microorganisms play a fundamental role for the maintenance and productivity of various agricultural ecosystems. This work had the objective to evaluate the biological attributes (microbial biomass carbon, basal respiration, and microbial quotient, as well as the organic matter content, possible indicators of alterations in soil quality imposed by different management systems, in relation to native cerrado, in agricultural - forestry - pasture system, in northwest of Minas Gerais state, Brazil. Samples were collected at 0-5, 5-20, and 20-40 cm depths, from a typical Dystrophic Red Latosol (Oxisol, between Vazante and Paracatu counties. The systems were selected according to the history of use, as follows: (1 CN - native cerrado (reference; (2 EA - eucalyptus + rice (year zero of agricultural - forestry - pasture system, planted after removal of cerrado native vegetation; (3 EP - eucalyptus + soybeans (year one of system, soybeans sowing substituting rice; (4 - EP - ES - eucalyptus + pasture (year two of system, using Brachiaria Brizantha Stapf. for cattle raising; (5 - EPG - eucalyptus + pasture + cattle (year three of system, with introduction of cattle; (6 PP - pasture cultivated with Brachiaria Brizantha Stapf.; and (7 EC - eucalyptus under conventional system in 2x3m spacing. The organic carbon and the microbial biomass carbon presented higher values in the superficial layer (0 - 5 cm, in relation to the other depths, in all systems. The organic carbon showed substantial alteration in relation to the studied systems and depths assessed, revealing its

  14. A 2-1-1 research collaboration: participant accrual and service quality indicators.

    Science.gov (United States)

    Eddens, Katherine S; Alcaraz, Kassandra I; Kreuter, Matthew W; Rath, Suchitra; Greer, Regina

    2012-12-01

    In times of crises, 2-1-1 serves as a lifeline in many ways. These crises often cause a spike in call volume that can challenge 2-1-1's ability to meet its service quality standards. For researchers gathering data through 2-1-1s, a sudden increase in call volume might reduce accrual as 2-1-1 has less time to administer study protocols. Research activities imbedded in 2-1-1 systems may affect directly 2-1-1 service quality indicators. Using data from a 2-1-1 research collaboration, this paper examines the impact of crises on call volume to 2-1-1, how call volume affects research participant accrual through 2-1-1, and how research recruitment efforts affect 2-1-1 service quality indicators. t-tests were used to examine the effect of call volume on research participant accrual. Linear and logistic regressions were used to examine the effect of research participant accrual on 2-1-1 service quality indicators. Data were collected June 2010-December 2011; data were analyzed in 2012. Findings from this collaboration suggest that crises causing spikes in call volume adversely affect 2-1-1 service quality indicators as well as accrual of research participants. Administering a brief (2-3 minute) health risk assessment did not affect service quality negatively, but administering a longer (15-18 minute) survey had a modest adverse effect on these indicators. In 2-1-1 research collaborations, both partners need to understand the dynamic relationship among call volume, research accrual, and service quality and adjust expectations accordingly. If research goals include administering a longer survey, increased staffing of 2-1-1 call centers may be needed to avoid compromising service quality. Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  15. Effects of Prairie Restoration on Soil Quality Indicators

    Science.gov (United States)

    Characterization of soil ecosystem functioning based on soil quality assessments of native prairie may provide a reference for evaluating improvement in soil quality of cultivated agroecosystems converted to perennial vegetation during prairie restoration. Our objective was to determine the effect o...

  16. Quality indicators for international benchmarking of mental health care

    DEFF Research Database (Denmark)

    Hermann, Richard C; Mattke, Soeren; Somekh, David

    2006-01-01

    To identify quality measures for international benchmarking of mental health care that assess important processes and outcomes of care, are scientifically sound, and are feasible to construct from preexisting data.......To identify quality measures for international benchmarking of mental health care that assess important processes and outcomes of care, are scientifically sound, and are feasible to construct from preexisting data....

  17. School infrastructure performance indicator system (SIPIS)

    CSIR Research Space (South Africa)

    Gibberd, Jeremy T

    2007-05-01

    Full Text Available and describes how these could be addressed. The paper describes how the project identified the critical aspects of school infrastructure required to support efficient, equitable and highly quality education and showed how findings informed the development...

  18. Indicadores biológicos de qualidade do solo em diferentes sistemas de uso no brejo paraibano Biological indicators of soil quality in different land use systems in paraiban swamp region, Brazil

    Directory of Open Access Journals (Sweden)

    Mônica Lima Pôrto

    2009-08-01

    systems in Areia, Paraíba, Brazil. Soil samples were taken form the plow layer (0-20 cm at six sites: native vegetation (moist Atlantic forest, fruit culture (cashew crop, sugarcane, crop succession (sorghum/common bean/castor bean, pasture (Brachiaria decumbens, and a combined cropping system (castor bean + sorghum. Total organic carbon (TOC, microbial biomass carbon (MBC, microbial quotient (qMic, basal respiration (BR and metabolic quotient (qCO2 were evaluated. The results indicated that treatments under grasses, such as sugarcane and pasture, showed a tendency to maintain the TOC contents with lower reductions in MBC. However, higher qCO2 values were found under these treatments, which may indicate the occurrence of degradation processes. Slight reductions in TOC and MBC values and low qCO2 values were verified in the cashew crop, suggesting that the soil under this system could be adjusting to a new equilibrium state. Crop succession and combined cropping system treatments had the largest reductions in TOC and MBC with the highest qCO2 values, which suggests a stage of advanced degradation. It can be concluded that all the agroecosystems evaluated in this study resulted in loss of soil quality, which was pronounced in the most intensively managed treatments. The MBC and qCO2 were highly sensitive to land use changes and show great potential for soil quality evaluations.

  19. Quality Management for School System

    OpenAIRE

    2006-01-01

    This paper presents the two most important factors that influence the development of quality management in education: the globalization and the sustainable development. The four well known quality management principles (Deming) can be adapted and implemented in the education system case, too.

  20. Water quality management system; Suishitsu kanri system

    Energy Technology Data Exchange (ETDEWEB)

    Tsugura, H.; Hanawa, T.; Hatano, K.; Fujiu, M. [Meidensha Corp., Tokyo (Japan)

    1997-12-19

    Water quality management system designed in consideration of compliance with the environmental ISO is outlined. The water quality management system is positioned at the center, connected to water quality monitors that are deployed at various parts of the water supply facility, and performs the real-time display of information about water quality and the operating status of the water quality monitors for every one of the monitoring locations. The communication software run on this system supports 30 water quality monitors and performs uninterrupted surveillance using dedicated lines. It can also use public lines for periodic surveillance. Errors in communication if any are remedied automatically. A pipeline diagnosing/estimating function is provided, which utilizes water quality signals from received water quality monitors for estimating the degree of corrosion of pipelines in the pipeline network. Another function is provided of estimating water quality distribution throughout the pipeline network, which determines the residual chlorine concentration, conductivity, pH level, water temperature, etc., for every node in the pipeline network. A third function estimates water quality indexes, evaluating the trihalomethane forming power through measuring the amounts of low-concentration organic matters and utilizing signals from low-concentration UV meters in the water purification process. 3 refs., 7 figs.

  1. Quality management: where is the evidence? Developing an indicator-based approach in Kenya.

    Science.gov (United States)

    Prytherch, Helen; Nafula, Maureen; Kandie, Charles; Brodowski, Marc; Marx, Irmgard; Kubaj, Sandy; Omogi, Irene; Zurkuhlen, Alexia; Herrler, Claudia; Goetz, Katja; Szecsenyi, Joachim; Marx, Michael

    2017-02-01

    The 2030 Sustainable Development Agenda emphasizes the importance of quality of care in the drive to achieve universal health coverage. Despite recent progress, challenges in service delivery, efficiency and resource utilization in the health sector remain. The Ministry of Health Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end, the European Practice Assessment (EPA) was adapted to the area of Reproductive and Maternal and Neonatal Health. The adaptation process made use of a ten step-modified RAND Corporation/University of California Los Angeles (UCLA) Appropriateness Method. The steps included a scoping workshop, definition of five critical domains of quality in the Kenyan context ('People, Management, Clinical Care, Quality & Safety, Interface between inpatients and outpatients care'), a review of policy documents, management and clinical guidelines, grey and scientific literature to identify indicators in use in the Kenyan health system and an expert panel process to rate their feasibility and validity. The resulting 278 indicators, clustered across the five domains, were broken-down into 29 dimensions and assigned measure specifications. A set of data collection tools were developed to furnish the indicators and piloted at two health facilities. They were subsequently finalized for use in 30 health facilities in 3 counties. The integrative and indicator-based aspects of the EPA process could be readily adapted to facilitate the operationalization of a practical quality assurance approach in Kenya.

  2. Canonical Correlation between the Leaf Quality Indicators of "Moderate Aroma" Flue-cured Tobacco

    Institute of Scientific and Technical Information of China (English)

    Lin; MENG; Yuangang; DAI; Chengdong; WANG; Shusheng; WANG; Wenjing; SONG; Yuanhua; WU; Yimin; XU

    2015-01-01

    In order to find out the correlation between tobacco quality evaluation indicators in China’s traditional " moderate aroma" tobaccoproducing areas and simplify the tobacco quality evaluation indicators,we evaluate the appearance quality and smoking quality of 143 flue-cured tobacco leaf samples in China’s " moderate aroma" tobacco-producing areas,test the physical traits and chemical component,and analyze the canonical correlation between four quality evaluation indicators. The results show that there is significant or extremely significant canonical correlation between four evaluation indicators( tobacco smoking quality,chemical component,appearance quality and physical trait quality); the cumulative variance contribution rate of evaluation indicators is in the order of chemical component( 69. 17%) > appearance quality( 68. 76%) > physical traits( 64. 13%); appearance quality is most closely related to physical traits( 93. 84%). The individual indicators for tobacco quality evaluation make different contribution to the correlation between quality evaluation indicators. The chemical component evaluation indicators mainly include total sugar and ratio of total sugar to betaine; sensory taste indicators mainly include aroma volume,smoke concentration,irritation and softness degree; physical trait evaluation indicators mainly include leaf weight,leaf length and leaf density; appearance quality indicators mainly include leaf organizational structure,color,maturity and identity. Studies have shown that in the large-scale ecoregion,using canonical correlation analysis to simplify tobacco quality evaluation indicators is feasible.

  3. Complement analysis 2016: Clinical indications, laboratory diagnostics and quality control.

    Science.gov (United States)

    Prohászka, Zoltán; Nilsson, Bo; Frazer-Abel, Ashley; Kirschfink, Michael

    2016-11-01

    In recent years, complement analysis of body fluids and biopsies, going far beyond C3 and C4, has significantly enhanced our understanding of the disease process. Such expanded complement analysis allows for a more precise differential diagnosis and for critical monitoring of complement-targeted therapy. These changes are a result of the growing understanding of the involvement of complement in a diverse set of disorders. To appreciate the importance of proper complement analysis, it is important to understand the role it plays in disease. Historically, it was the absence of complement as manifested in severe infection that was noted. Since then complement has been connected to a variety of inflammatory disorders, such as autoimmune diseases and hereditary angioedema. While the role of complement in the rejection of renal grafts has been known longer, the significant impact of complement. In certain nephropathies has now led to the reclassification of some rare kidney diseases and an increased role for complement analysis in diagnosis. Even more unexpected is that complement has also been implicated in neural, ophtalmological and dermatological disorders. With this level of involvement in some varied and impactful health issues proper complement testing is clearly important; however, analysis of the complement system varies widely among laboratories. Except for a few proteins, such as C3 and C4, there are neither well-characterized standard preparations nor calibrated assays available. This is especially true for the inter-laboratory variation of tests which assess classical, alternative, or lectin pathway function. In addition, there is a need for the standardization of the measurement of complement activation products that are so critical in determining whether clinically relevant complement activation has occurred in vivo. Finally, autoantibodies to complement proteins (e.g. anti-C1q), C3 and C4 convertases (C3 and C4 nephritic factor) or to regulatory proteins

  4. Measuring quality of life in Macedonia - using human development indicators

    Directory of Open Access Journals (Sweden)

    Dimitar Eftimoski

    2006-12-01

    Full Text Available By the end of the 1980s, the central issue of development was focused on the growth of income and not on the growth of quality of life. Therefore, the development strategies were oriented towards production and left no significant space for improving the welfare of individuals.In the beginning of the 1990s, the human development concept emerged, stressing that economic development ultimately should result in growth of quality of life of individuals, while the goal of the development process was to expand the capabilities of individuals by placing them in the focus of the efforts for development.This paper if focused on the quality of life of the individuals. Moreover, in addition to the previous practice in Macedonia of calculating the human development index (HDI - as a measure of quality of life, an attempt will be made to calculate the humanpoverty index (HPI-2 - as a measure of non-income poverty, gender development index (GDI - as a measure of inequality between men and women, as well as the human development index at the level of aggregated urban and rural municipalities.We hope that it will contribute to the improvement of the quality of decisions made by the state and local authorities in Macedonia when it comes to issues concerning the human development.

  5. Display System Image Quality

    Science.gov (United States)

    1988-04-01

    windecreen movement table and an optical angular deviation measurement device (Task, Genco , Smith, and Dabbs, 1983). For most HUDs, the spectral...ASD(ENA)-TR-83-5019, Dec 1983, pp 11-19. Task, H.L., Genco , L.V., Smith, K., and Dabbs, G., "System for measuring angular deviation in a tranparency

  6. 30-Day Survival Probabilities as a Quality Indicator for Norwegian Hospitals: Data Management and Analysis.

    Directory of Open Access Journals (Sweden)

    Sahar Hassani

    Full Text Available The Norwegian Knowledge Centre for the Health Services (NOKC reports 30-day survival as a quality indicator for Norwegian hospitals. The indicators have been published annually since 2011 on the website of the Norwegian Directorate of Health (www.helsenorge.no, as part of the Norwegian Quality Indicator System authorized by the Ministry of Health. Openness regarding calculation of quality indicators is important, as it provides the opportunity to critically review and discuss the method. The purpose of this article is to describe the data collection, data pre-processing, and data analyses, as carried out by NOKC, for the calculation of 30-day risk-adjusted survival probability as a quality indicator.Three diagnosis-specific 30-day survival indicators (first time acute myocardial infarction (AMI, stroke and hip fracture are estimated based on all-cause deaths, occurring in-hospital or out-of-hospital, within 30 days counting from the first day of hospitalization. Furthermore, a hospital-wide (i.e. overall 30-day survival indicator is calculated. Patient administrative data from all Norwegian hospitals and information from the Norwegian Population Register are retrieved annually, and linked to datasets for previous years. The outcome (alive/death within 30 days is attributed to every hospital by the fraction of time spent in each hospital. A logistic regression followed by a hierarchical Bayesian analysis is used for the estimation of risk-adjusted survival probabilities. A multiple testing procedure with a false discovery rate of 5% is used to identify hospitals, hospital trusts and regional health authorities with significantly higher/lower survival than the reference. In addition, estimated risk-adjusted survival probabilities are published per hospital, hospital trust and regional health authority. The variation in risk-adjusted survival probabilities across hospitals for AMI shows a decreasing trend over time: estimated survival probabilities

  7. 30-Day Survival Probabilities as a Quality Indicator for Norwegian Hospitals: Data Management and Analysis.

    Science.gov (United States)

    Hassani, Sahar; Lindman, Anja Schou; Kristoffersen, Doris Tove; Tomic, Oliver; Helgeland, Jon

    2015-01-01

    The Norwegian Knowledge Centre for the Health Services (NOKC) reports 30-day survival as a quality indicator for Norwegian hospitals. The indicators have been published annually since 2011 on the website of the Norwegian Directorate of Health (www.helsenorge.no), as part of the Norwegian Quality Indicator System authorized by the Ministry of Health. Openness regarding calculation of quality indicators is important, as it provides the opportunity to critically review and discuss the method. The purpose of this article is to describe the data collection, data pre-processing, and data analyses, as carried out by NOKC, for the calculation of 30-day risk-adjusted survival probability as a quality indicator. Three diagnosis-specific 30-day survival indicators (first time acute myocardial infarction (AMI), stroke and hip fracture) are estimated based on all-cause deaths, occurring in-hospital or out-of-hospital, within 30 days counting from the first day of hospitalization. Furthermore, a hospital-wide (i.e. overall) 30-day survival indicator is calculated. Patient administrative data from all Norwegian hospitals and information from the Norwegian Population Register are retrieved annually, and linked to datasets for previous years. The outcome (alive/death within 30 days) is attributed to every hospital by the fraction of time spent in each hospital. A logistic regression followed by a hierarchical Bayesian analysis is used for the estimation of risk-adjusted survival probabilities. A multiple testing procedure with a false discovery rate of 5% is used to identify hospitals, hospital trusts and regional health authorities with significantly higher/lower survival than the reference. In addition, estimated risk-adjusted survival probabilities are published per hospital, hospital trust and regional health authority. The variation in risk-adjusted survival probabilities across hospitals for AMI shows a decreasing trend over time: estimated survival probabilities for AMI in

  8. Towards a standardized method of developing quality indicators for palliative care: protocol of the Quality indicators for Palliative Care (Q-PAC) study.

    NARCIS (Netherlands)

    Leemans, K.; Cohen, J.; Francke, A.L.; Stichele, R. Vander; Claessen, S.J.J.; Block, L. van den; Deliens, L.

    2013-01-01

    Background: In recent years, there have been several studies, using a wide variety of methods, aimed at developing quality indicators for palliative care. In this Quality Indicators for Palliative Care study (Q-PAC study) we have applied a scientifically rigorous method to develop a comprehensive an

  9. Towards a standardized method of developing quality indicators for palliative care: protocol of the Quality indicators for Palliative Care (Q-PAC) study.

    NARCIS (Netherlands)

    Leemans, K.; Cohen, J.; Francke, A.L.; Stichele, R. Vander; Claessen, S.J.J.; Block, L. van den; Deliens, L.

    2013-01-01

    Background: In recent years, there have been several studies, using a wide variety of methods, aimed at developing quality indicators for palliative care. In this Quality Indicators for Palliative Care study (Q-PAC study) we have applied a scientifically rigorous method to develop a comprehensive

  10. Estimating soil quality indicators with diffuse reflectance spectroscopy

    Science.gov (United States)

    Rapid estimation of soil quality is needed for determining and mapping soil variability in site-specific management. One technology that can fulfill this need is diffuse reflectance spectroscopy, which measures light reflected from the soil in the visible and near infrared wavelength bands. Reflecta...

  11. Ranking national research systems by citation indicators

    DEFF Research Database (Denmark)

    Aksnes, Dag W.; Schneider, Jesper Wiborg; Gunnarsson, Magnus

    2012-01-01

    This paper presents an empirical analysis of two different methodologies for calculating national citation indicators: whole counts and fractionalised counts. The aim of our study is to investigate the effect on relative citation indicators when citations to documents are fractionalised among...... the authoring countries. We have performed two analyses: a time series analysis of one country and a cross-sectional analysis of 23 countries. The results show that all countries’ relative citation indicators are lower when fractionalised counting is used. Further, the difference between whole...

  12. Composite indicator to evaluate quality of municipal management of primary health care.

    Science.gov (United States)

    Scaratti, Dirceu; Calvo, Maria Cristina Marino

    2012-06-01

    To develop a composite indicator to evaluate the quality of municipal management of primary health care. The evaluation model focuses on aspects of health system management. Fifty-five performance indicators were used and classified according to the criteria of relevance, effectiveness, efficacy and efficiency. The measures were aggregated through an additive data envelopment analysis model for measures of value, merit and quality. Data was utilized from 36 municipalities in Santa Catarina State (Southern Brazil), with populations between 10 thousand and 50 thousand residents in 2006. The results are presented as monotonic measures over the interval [0, 1] (score = 1: efficient; other values: inefficient). Five municipalities had a score of 1 in the quality of management for actions promoting access, while eight municipalities received a score of 1 in the quality of management of actions for service provision; the other municipalities were classified as inefficient (score management in primary health care can be evaluated with a composite indicator, constructed through linear programming techniques, which simultaneously considers the criteria of relevance, effectiveness, efficacy and efficiency and expresses them as measures of value, merit and quality.

  13. Measuring Quality: Education Indicators--United Kingdom and International Perspectives.

    Science.gov (United States)

    Riley, Kathryn A., Ed.; Nuttall, Desmond L., Ed.

    Nationally set indicators of performance have increasingly become a medium for exercising choice and decision making in the new education market place. Contributors to this book suggest that such a framework is not unproblematic. This book offers some insights into the general debate about performance indicators in education. It explores the…

  14. CRITERIA AND QUALITY INDICATORS OF INFORMATION AND COMMUNICATION TECHNOLOGIES OF LEARNING

    Directory of Open Access Journals (Sweden)

    Oleg M. Spirin

    2013-03-01

    Full Text Available In the article the concept of information and communication technology and information and communication technology of learning is specified. It is grounded an external and internal criteria of information and communication technologies of learning quality assessment based on experience of information and communication technology quality assessment of the methodical system of informatics teachers vocational training. There are considered the external indexes – design, structural, organizational, communicative and gnostic criteria, and internal – differentiation, individualization, intensification of teaching process and effectiveness of educational activity. There are presented the approaches to assess the indicators for determination of criteria demonstration degree.

  15. Development and validation of prescribing quality indicators for patients with type 2 diabetes

    NARCIS (Netherlands)

    Smits, Kirsten P. J.; Sidorenkov, Grigory; Kleefstra, Nanno; Bouma, Margriet; Meulepas, Marianne; Voorham, Jaco; Navis, Gerjan; Bilo, Henk J. G.; Denig, Petra

    2017-01-01

    Aim: Quality indicators are used to measure whether healthcare professionals act according to guidelines, but few indicators focus on the quality of pharmacotherapy for diabetes. The aim of this study was to develop and validate a set of prescribing quality indicators (PQIs) for type 2 diabetes in p

  16. Development and validation of prescribing quality indicators for patients with type 2 diabetes

    NARCIS (Netherlands)

    Smits, Kirsten P J; Sidorenkov, Grigory; Kleefstra, Nanno; Bouma, Margriet; Meulepas, Marianne; Voorham, Jaco; Navis, Gerjan; Bilo, Henk J G; Denig, Petra

    2017-01-01

    AIM: Quality indicators are used to measure whether healthcare professionals act according to guidelines, but few indicators focus on the quality of pharmacotherapy for diabetes. The aim of this study was to develop and validate a set of prescribing quality indicators (PQIs) for type 2 diabetes in p

  17. Development and validation of prescribing quality indicators for patients with type 2 diabetes

    NARCIS (Netherlands)

    Smits, Kirsten P. J.; Sidorenkov, Grigory; Kleefstra, Nanno; Bouma, Margriet; Meulepas, Marianne; Voorham, Jaco; Navis, Gerjan; Bilo, Henk J. G.; Denig, Petra

    2017-01-01

    Aim: Quality indicators are used to measure whether healthcare professionals act according to guidelines, but few indicators focus on the quality of pharmacotherapy for diabetes. The aim of this study was to develop and validate a set of prescribing quality indicators (PQIs) for type 2 diabetes in p

  18. Quality of Care Indicators in the AMEDD (Army Medical Department)

    Science.gov (United States)

    1983-09-01

    Evaluation, Indicators 6 7rACT (Ceate - re,,vee sfr ,f d ideif y bio\\onb,) Ihis study looked at the feasibility of thev(MEDD)constructing a list of...affect the final list chosen. 7. The list of indicators should not be limited to " failures " or "errors" in medical practice. 6.p, 8. The list of...PATIENTS TRANSFUSED . TH WEIGHT RECORDED 100 1 PIN RNU3 1ED WITH ELECTROLYTE DETERMINATION 00 1 1 WITH INDICATION FOR TRANSFLS ON 100 I 2 2 WiTH ANEMIA EX

  19. QUEST: Quality of Expert Systems

    NARCIS (Netherlands)

    Perre, M.

    1991-01-01

    TNO Physics and Electronics laboratory, in collaboration with the University of Limburg and the Research Institute for Knowledge Systems, worked on a technology project named 'QUEST: Quality of Expert Systems' [FEL90]. QUEST was carried out under commision of the Dutch Ministry of Defence. A strong

  20. QUEST: Quality of Expert Systems

    NARCIS (Netherlands)

    Perre, M.

    1991-01-01

    TNO Physics and Electronics laboratory, in collaboration with the University of Limburg and the Research Institute for Knowledge Systems, worked on a technology project named 'QUEST: Quality of Expert Systems' [FEL90]. QUEST was carried out under commision of the Dutch Ministry of Defence. A strong

  1. Ranking national research systems by citation indicators

    DEFF Research Database (Denmark)

    Aksnes, Dag W.; Schneider, Jesper Wiborg; Gunnarsson, Magnus

    2012-01-01

    This paper presents an empirical analysis of two different methodologies for calculating national citation indicators: whole counts and fractionalised counts. The aim of our study is to investigate the effect on relative citation indicators when citations to documents are fractionalised among...... the authoring countries. We have performed two analyses: a time series analysis of one country and a cross-sectional analysis of 23 countries. The results show that all countries’ relative citation indicators are lower when fractionalised counting is used. Further, the difference between whole...... and fractionalised counts is generally greatest for the countries with the highest proportion of internationally co-authored articles. In our view there are strong arguments in favour of using fractionalised counts to calculate relative citation indexes at the national level, rather than using whole counts, which...

  2. Comparing phosphorus indices and process models with water quality data

    Science.gov (United States)

    Phosphorus (P) indices in the southern United States frequently produce different recommendations for similar conditions. After assembling data from benchmark southern sites (Arkansas, Georgia, Mississippi, North Carolina, Oklahoma, and Texas), land treatment information was used in the 12 southern...

  3. Energy Innovation Systems Indicator Report 2012

    DEFF Research Database (Denmark)

    Klitkou, Antje; Borup, Mads; Iversen, Eric

    statistics and reports. Among these are the pilot report for a Nordic Energy Technology Scoreboard (Klitkou et al., 2010) and parts of the results of the eNERGIA project (Klitkou et al., 2008b). For this report the indicator based tables and figures have been updated and new developments in the discussion...

  4. ISO 9001 quality management systems

    CERN Document Server

    Natarajan, Dhanasekharan

    2017-01-01

    This book explains the requirements of ISO 9001 for establishing quality management system (QMS) for an organization. The requirements are illustrated with examples from industries for understanding the requirements and preparing the documents of QMS with high clarity. Methods of integrating ISO 9001 requirements with enterprise resource planning (ERP) software are presented. The software integrated approach enables process owners to focus on their core tasks of achieving the planned outputs of processes and the software generates quality records automatically.

  5. Quality System Requirements QS-9000

    CERN Document Server

    The Automotive Industry Action Group. Detroit

    QS-9000 is the shorthand name for "Quality System Requirements QS-9000." It is the common supplier quality standard for DaimlerChrysler Corporation, Ford Motor Company, and General Motors Corporation. QS-9000 is based on the 1994 edition of ISO 9001, requirements that are particular to the automotive industry. These additions are considered automotive "interpretations" by the ISO community of accreditation bodies and registrars.

  6. 14 CFR 25.1326 - Pitot heat indication systems.

    Science.gov (United States)

    2010-01-01

    ....1326 Pitot heat indication systems. If a flight instrument pitot heating system is installed, an indication system must be provided to indicate to the flight crew when that pitot heating system is not... pitot heating system is switched “off”. (2) The pitot heating system is switched “on” and any pitot...

  7. Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes.

    Science.gov (United States)

    Timpka, Toomas; Nordqvist, Cecilia; Festin, Karin; Lindqvist, Kent

    2012-01-01

    The theoretical underpinnings of safety promotion have not yet been integrated with implementation practice to ascertain between-community programme quality. This study sets out to develop a framework for verifying of the quality of community-based safety-promotion programmes in the global context. We analysed the certification indicators deployed in the international Safe Community movement in light of systems theory. Data were collected from focus group interviews with representatives from 10 certified Swedish communities and then analysed by qualitative methods. The community representatives were found to have used the present indicators mainly for marketing the safety-promotion concept to stakeholders rather than as benchmarks for safety practice. When appraised in regard to systems theory, it was found that the indicators did not cover important aspects of health-services implementation. Attainment of outcomes at the population level was not included. Consequently, that information about programme effects in high-risk groups and in risk environments could be neglected. We conclude that programme processes and outcomes at both organisational and population levels must be assessed when the quality of safety-promotion programmes is being certified. A revised set of indicators for certification of safety-promotion programmes fulfilling these criteria is presented.

  8. Developing the Use of Quality Indicators in Sterilization Practices

    Directory of Open Access Journals (Sweden)

    E Mehrabi

    2012-07-01

    Full Text Available Background: Health-care-associated infections are a major threat to the safety of patient care. Control of such problem is a major criterion for hospital accreditation. This study was aimed to determine the developing use of chemical (class 6 products and biological indicators in Tabriz district hospitals since 1997 to 2011.Methods: We conducted this time-trend interventional study with all of the public and private hospitals, which counted to 21 in Tabriz district as a sample. The situations of indicator use were presented for each time in the base of indicator groups. Furthermore, the results were showed in the base of hospital groups.Results: All of district hospital (n=21 with 74 autoclave machine and 22 central sterilization room were studied. The result of second time study in 2008 showed a markedly improvement in the control of sterilization processes. Furthermore, we continued our intervention results 6 month later in 2009 and 2 years later in 2011. The most striking result were use of chemical indicator in 100% of hospitals. However, there are defects in the use of biological indicators (63.65%.Conclusion: The most obvious finding was significant improvement in sterilization control especially in development the use of chemical indicators. The finding of this study has a number of important implications for hospital managers and infection control practitioners such as continuous practical training of CSSD personnel in hospitals and mandating of indicator using in all sterilization process with controlling of this subject in evaluation and accreditation of hospital programs.

  9. [Quality of life and mortality of patients in intensive care. Indices of quality of life].

    Science.gov (United States)

    Ortiz, D; Galguera, F; Jam, M R; Vilar, S; Castella, X; Artigas, A

    1998-01-01

    At present there is no single practical standardized scale for measuring quality of life (QL). Any proposal should include the patient's physical impairment, level of independence, and subjective perception of happiness. We combined three previously published scales to define a quality of life index (QLI) that we propose as a standard quantitative instrument. The applicability and usefulness of QLI for the measurement of the level of deterioration of patients after admission to an intensive care unit (ICU) was examined. We prospectively evaluated QL before patient admission to determine if it influences mortality, as well as long-term changes in the QL and the factors conditioning te deterioration of patients released from the UCI as evaluated by QL indicators. To calculate QLI, we combined the Karnofsky scale, daily life activities index, and the perception of quality of life scale. The resulting percentage (QLI) was used to evaluate 536 patients after admission to the ICU and 6 and 12 months after release. QLI was compared with the severity of disease (Apache II), probability of death (MPM), diagnostic group, and socioeconomic variables. Using multivariate methods, four significant variables related with mortality were identified: Apache II--MPM, duration of the stay in the unit, age, and QLI. Our analysis of long-term deterioration showed that advanced age, high QLI before admission, and the patient's diagnostic group explained the degree of deterioration. QLI was a useful instrument for obtaining a quantitative estimate of the QL of critically ill patients.

  10. Gluten-Free Diet Indications, Safety, Quality, Labels, and Challenges.

    Science.gov (United States)

    Rostami, Kamran; Bold, Justine; Parr, Alison; Johnson, Matt W

    2017-08-08

    A gluten-free diet (GFD) is the safest treatment modality in patient with coeliac disease (CD) and other gluten-related disorders. Contamination and diet compliance are important factors behind persistent symptoms in patients with gluten related-disorders, in particular CD. How much gluten can be tolerated, how safe are the current gluten-free (GF) products, what are the benefits and side effects of GFD? Recent studies published in Nutrients on gluten-free products' quality, availability, safety, as well as challenges related to a GFD are discussed.

  11. Weld Metal Cooling Rate Indicator System.

    Science.gov (United States)

    rate of change of weld temperature at the predetermined weld temperature. A range of...provided so that the rate of change of weld temperatures at the predetermined weld temperature can be compared with this range. A device is then provided...which is responsive to the comparing information for indicating whether the rate of change of weld temperature is within, above, or below the range

  12. [Study on the optimization of monitoring indicators of drinking water quality during health supervision].

    Science.gov (United States)

    Ye, Bixiong; E, Xueli; Zhang, Lan

    2015-01-01

    To optimize non-regular drinking water quality indices (except Giardia and Cryptosporidium) of urban drinking water. Several methods including drinking water quality exceed the standard, the risk of exceeding standard, the frequency of detecting concentrations below the detection limit, water quality comprehensive index evaluation method, and attribute reduction algorithm of rough set theory were applied, redundancy factor of water quality indicators were eliminated, control factors that play a leading role in drinking water safety were found. Optimization results showed in 62 unconventional water quality monitoring indicators of urban drinking water, 42 water quality indicators could be optimized reduction by comprehensively evaluation combined with attribute reduction of rough set. Optimization of the water quality monitoring indicators and reduction of monitoring indicators and monitoring frequency could ensure the safety of drinking water quality while lowering monitoring costs and reducing monitoring pressure of the sanitation supervision departments.

  13. Using Insects as Bio-Indicators to Assess Water Quality of Albanian Rivers

    OpenAIRE

    , Anila Paparisto; , Elton Halimi; , Erjola Keçi; , Etleva Hamzaraj; , Odeta Laknori

    2016-01-01

    The communities of aquatic insects are affected by several factors related to water quality, stream morphology, food availability and quality. Among aquatic insects, Ephemeroptera, Plecoptera and Trichoptera CEPT) are very important in assessing water quality. As well as chemical indicators, bio-indicators are used in to deŞne the water quality. EPT (Ephemeroptera, Plecoptera and Trichoptera) richness biotic index and TV are used to classify the water quality level of three Albanian rivers (V...

  14. Field Scale Studies on the Spatial Variability of Soil Quality Indicators in Washington State, USA

    Directory of Open Access Journals (Sweden)

    Jeffrey L. Smith

    2011-01-01

    Full Text Available Arable lands are needed for sustainable agricultural systems to support an ever-growing human population. Soil quality needs to be defined to assure that new land brought into crop production is sustainable. To evaluate soil quality, a number of soil attributes will need to be measured, evaluated, and integrated into a soil-quality index using the multivariable indicator kriging (MVIK procedure. This study was conducted to determine the spatial variability and correlation of indicator parameters on a field scale with respect to soil quality and suitability for use with MVIK. The variability of the biological parameters decreased in the order of respiration > enzyme assays and qCO2 > microbial biomass C. The distribution frequency of all parameters except respiration were normal although the spatial distribution across the landscape was highly variable. The biological parameters showed little correlation with each other when all data points were considered; however, when grouped in smaller sections, the correlations were more consistent with observed patterns across the field. To accurately assess soil quality, and arable land use, consideration of spatial and temporal variability, soil conditions, and other controlling factors must be taken into account.

  15. [Drinking water quality indices in the Orenburg Region].

    Science.gov (United States)

    Golubkina, N A; Burtseva, T I; Gatsenko, A Iu

    2011-01-01

    The quality of underground waters from 22 areas of the Orenburg Region was studied from the values of mineralization and pH and the amounts of the ions of Se, Cl, Pb, Cd, F, and phenols. High fluorine ion concentrations (5-12 mg/l), high mineralization (> 1 g/l), and alkalinity (pH > 8.0) were shown to be human risk factors in a considerable number of areas. Districts with cadmium, lead, and phenol ion-polluted underground waters were identified. The amount of selenium in the drinking water (18-319 ng/l) and in the sera of donors in Orenburg, Buzuluk, and Orsk (86-97 microg/l) fails to support the data available in the literature on environmental selenium pollution and is comparable with the relevant data for the Moscow Region.

  16. Measuring patient safety: the Agency for Healthcare Research and Qualityís patient safety indicators

    Directory of Open Access Journals (Sweden)

    Edward Kelley

    2005-12-01

    Full Text Available

    There is a lot of interest in patient safety, but there is still little useable national level information on the actual magnitude of patient safety problems that can be used by providers and policy makers to judge performance.

    The AHRQ Patient Safety Indicators (PSIs are a set of measures that can be used with hospital inpatient administrative (discharge data to provide a perspective on patient safety. They screen for problems that patients experience as a result of exposure to the healthcare system and that are likely amenable to prevention by changes at the system or provider level. There is a growing interest in the possible use of the AHRQ PSIs in international settings.

    The Organization for Economic Cooperation and Development (OECD maintains an ongoing project on Health Care Quality Indicators (HCQI and whose goal is to develop a set of quality indicators that can be used to reliably assess quality of care across countries and raise questions about differences in quality of care internationally. Work is ongoing though a partnership between AHRQ and the Italian National Observatory on Health in the Italian Regions to test the AHRQ QIs with the Italian national hospital discharge data set. Preliminary results indicate that many of the operational issues associated with differences in coding schemes and data set structure are surmountable. With additional refinements on their clinical specificity, increased stability in their definitions over time to permit long-term monitoring and country interest within organizations such as the OECD to build on the existing scientific work of these indicators, their to help answer questions about patient safety worldwide will be significantly enhanced.

  17. CHEMICAL WATER QUALITY INDICATORS IN BASIN FOREST PARCZEW

    Directory of Open Access Journals (Sweden)

    Antoni Grzywna

    2014-10-01

    Full Text Available This paper presents the characteristics of the chemistry of surface and ground water in the bottom of the river valley reclaimed Ochoza. Drained grassland accounts for 20% of the total catchment area and are located on organic soils in the valley Tyśmienica classified to the Natura 2000 sites. Analysis of physico-chemical properties of water are to assess the effects of anthropogenic transformation and identify factors that influence water quality in the study area. Water samples were collected in the years 2011–2012 in several points. The walls were characterized by surface water stagnant in the trenches, in July, blueberry plantation. Characterized by the highest quality of surface water runoff river with the test object. Occurring here throughout the growing season water flow reed growing on the bed and temporary impoundment of water contribute to the self-cleaning effect of water. Conducted at different times of the growing season (winter, spring, summer, autumn of water chemistry analysis allows to assess the impact of vegetation on the process of self-purification of water. Based on the survey it was found that the river is reduced by 26% BOD 5, COD by 37%, 12% phosphate and potassium by 13%. Concurrently, an increase in the content of nitrogen compounds – ammonia at 27% and 15% nitrate. The increase in the content of nitrogen compounds is particularly evident in the bottom of the object, which is probably associated with the deep trench causing excessive drying of the soil. The highest values of pollutants were recorded mostly in the spring probably due to the outflow of water from the drans.

  18. Supply Chain Quality Management in Agribusiness: An Approach of Quality Management Systems in Food Supply Chains

    OpenAIRE

    Mendes dos Reis, João,; Machado, Sivanilza,; Costa Neto, Pedro,; Monteiro, Rogério; Sacomano, José,

    2014-01-01

    Part 2: Case Studies; International audience; It is widely accepted that Quality Management Systems approach is indicated to ensure quality of products and services. Furthermore, Total Quality Management, Six Sigma, ISO Standards and Hoshin Kanri have established as important management systems for quality guarantee in many production processes. Unfortunately, these systems are not familiar to agribusiness companies. The aim of this study is to analyze the benefits of application of tradition...

  19. Quality system for Medical laboratories

    Directory of Open Access Journals (Sweden)

    Shiva Raj K.C.

    2015-03-01

    Full Text Available According to William Edwards Deming “Good quality does not necessarily mean high quality. Instead it means a predicable degree of uniformity and dependability at low cost with a quality suited to the market.” Whereas according to famous engineer and management consultant Joseph M. Juran quality is “fitness for purpose”. It should meet the customers’ expectations and requirements, should be cost effective.ISO began in 1926 as the International Federation of the National Standardizing Associations (ISA. The name, "ISO" was derived from the Greek word "isos" meaning "equal". (The relation to standards is that if two objects meet the same standard, they should be equal. This name eliminates any confusion that could result from the translation of "International Organization for Standardization" into different languages which would lead to different acronyms.In health sector, quality plays pivotal role, as it is directly related to patient’s care. Earlier time, health service was simple, quite safe but ineffective. Now health care system is an organizational system with more complex processes to deliver care. Medical laboratory service is an integral part in patient’s management system. So, for everyone involved in the treatment of the patient, the accuracy, reliability and safety of those services must be the primary concerns. Accreditation is a significant enabler of quality, thereby delivering confidence to healthcare providers, clinicians, the medical laboratories and the patients themselves.ISO announced meeting in Philadelphia to form a technical committee to develop a new standard for medical laboratory quality. It took 7 years for the creation of a new Quality standard for medical laboratories. It was named as “ISO 15189” and was first published in 2003. The ISO has released three versions of the standard. The first two were released in 2003 and 2007. In 2012, a revised and updated version of the standard, ISO 15189

  20. Are Front of Pack Claims Indicators of Nutrition Quality? Evidence from 2 Product Categories.

    Science.gov (United States)

    Schaefer, Debra; Hooker, Neal H; Stanton, John L

    2016-01-01

    American grocery shoppers face an array of front of pack (FOP) nutrition and health claims when making food selections. Such systems have been categorized as summary or nutrient specific. Either type should help consumers make judgments about the nutrition quality of a product. This research tests if the type or quantity of FOP claims are indeed good indicators of objective nutrition quality. Claim and nutrition information from more than 2200 breakfast cereals and prepared meals launched between 2006 and 2010 were analyzed using binary and multinomial logistic regression models. Results suggest that no type or number of front of pack claims could distinguish "healthy" foods. However, some types and frequencies of FOP claims were significant predictors of higher or lower levels of certain key nutrients. Given the complex and crowded label environment in which these FOP claims reside, one may be concerned that such cues are not closely related to objective measures of nutrition quality. © 2015 Institute of Food Technologists®

  1. Qualidade do solo em sistemas de manejo avaliada pela dinâmica da matéria orgânica e atributos relacionados Soil organic matter and other attributes as indicators to evaluate soil quality in conservation systems

    Directory of Open Access Journals (Sweden)

    Paulo Cesar Conceição

    2005-10-01

    camada de 0-5 cm, mostraram-se eficientes em discriminarem o impacto de sistemas de manejo sobre a QS, reproduzindo, em ambas as áreas, a ordenação proposta. Dentre as frações avaliadas, a > 53 µm foi a mais sensível em detectar os impactos dos sistemas de manejo.Researchers have suggested soil organic matter (SOM as a key indicator of soil quality (SQ, due to its positive influence in other important soil attributes. With the objective to evaluate the potential use of SOM as an indicator to select soil management systems, two long-term experiments carried out on Paleudults in southern Brazil were used. In the first ten-year experiment located in Santa Maria (Rio Grande do Sul State, Brazil at the Federal University of Santa Maria, five treatments composed of three crop systems (winter fallow/corn, rye+vetch/corn and velvet bean/corn under no-tillage, bare soil and native vegetation were selected. In the second experiment that was 15-years-old, in Eldorado do Sul (Rio Grande do Sul State, Brazil at the Federal University of Rio Grande do Sul, the following treatments were selected: black oat/corn under conventional tillage without nitrogen fertilization and four other treatments consisting of soil tillage systems (conventional, reduced and no-tillage with black oat/corn, and black oat + vetch/corn + cowpea under no-tillage. The last four latter treatments received N fertilization at an average rate of 144 kg ha-1, applied to corn. In this experiment native vegetation (undisturbed and pigeon pea/corn under no tillage with N fertilization of 144 kg ha-1 applied to corn were used as reference treatments. In both experiments the treatments were ranked based on expected SQ. Total Organic Carbon (TOC and Total Nitrogen (TN, TOC and TN in soil fractions above and below 53 µm, potential of carbon and nitrogen mineralization and microbial biomass were evaluated. Only the 0-5 and 0-20 cm deep layers were considered. Soil management impacted SQ in both experimental areas

  2. Water quality indicators in the Mantiqueira Range region, Minas Gerais state

    Directory of Open Access Journals (Sweden)

    Leandro Campos Pinto

    2013-12-01

    Full Text Available Maintaining the quality of water resources is of great importance for environmental preservation and the quality of life of consumers, and is one of the greatest challenges facing humanity today. Land-use for agriculture and animal farming significantly changes the biological, physical and chemical characteristics of natural systems. This study comprised monitoring of two subbasins located in the Mantiqueira Range region, from which water samples were collected on a monthly basis between June 2010 and May 2011 for analysis. Each subbasin has a distinct vegetation cover, one being predominantly covered by pastureland and the other being entirely covered by Atlantic Forest. The following water quality indicators were analyzed: turbidity, pH, electrical conductivity, total dissolved solids, dissolved oxygen, temperature, nitrate, phosphate, BOD,COD, total and fecal coliforms, and respective discharge measurement. The results showed that water quality degradation in both environments coincided with the local rainy season and was influenced by transport of organic material to watercourses by direct surface runoff. The high concentrations of fecal coliforms found affected the water quality, particularly in the rainy season, and are associated with agriculture and animal farming, the main economic activities in the region. The Atlantic Forest environment, however, had statistically better water quality over time in relation to the pastureland environment, due to the buffering it provides to direct surface runoff.

  3. Quality in cytopathology: an analysis of the internal quality monitoring indicators of the Instituto Nacional de Câncer

    Directory of Open Access Journals (Sweden)

    Mario Lucio C. Araujo Jr

    2015-04-01

    Full Text Available Introduction: Quality control programs are required to ensure the effectiveness of Pap smear, which still remain a key strategy for control of cervical cancer worldwide. Objective: This study was based on the retrospective and quantitative analysis of the post-analytical phase indicators from the internal quality monitoring (IQM program for cytopathology laboratories, such as: positivity rate, atypical squamous cell (ASC/satisfactory exams ratio, ASC/abnormal test results ratio, ASC/squamous intraepithelial lesions (SIL ratio, percentage of tests compatible with high-grade squamous intraepithelial lesion (HSIL, and total of false negative. Materials and methods: The information was extracted from the computerized system of the Section for Integrated Technology in Cytopathology (Seção Integrada de Tecnologia em Citopatologia [SITEC], a reference institution for cancer cytopathology, from July 2013 to June 2014. From a total of 156,888 Pap smears, 157,454 were considered satisfactory for indicator analysis and 566 were excluded because they were considered unsatisfactory and/or rejected for analysis. The data was organized in tables using Microsoft Excel 2010 software, and categorized as indicators. Results: The averages for the indicators were: 7.2% for positivity rate, 56.9 for ASC/abnormal test ratio, 4.1 for ASC/satisfactory tests ratio, 1.4 for ASC/SIL ratio, 0.6% percentage for tests compatible with HSIL, and 2.1% for false-negative rate. Conclusion: The results show that an Internal Quality Monitoring Program is essencial to ensure quality for cytopathology laboratories, and a randomized review of at least 10% of the negative exams, as recommended by the Brazilian Ministry of Health/Instituto Nacional de Câncer (INCA, since is an effective method, especially for large laboratories.

  4. Microbial Activity Indices: Sensitive Soil Quality Indicators for Trace Metal Stress

    Institute of Scientific and Technical Information of China (English)

    LI Yong-Tao; T.BECQUER; C.QUANTIN; M.BENEDETTI; P.LAVELLE; DAI Jun

    2005-01-01

    Physicochemical properties, total and DTPA (diethylenetriaminepentaacetic acid)-extractable Cu, Zn, Pb and Cd contents, microbial biomass carbon (C) content and the organic C mineralization rate of the soils in a long-term trace metal-contaminated paddy region of Guangdong, China were determined to assess the sensitivity of microbial indices to moderately metal-contaminated paddy soils. The mean contents of total Cu, Zn, Pb and Cd were 251,250, 171, and 2.4mg kg-1 respectively. DTPA-extractable metals were correlated positively and significantly with total metals, CEC, and organic C (except for DTPA-extractable Cd), while they were negatively and highly significantly correlated with pH, total Fe and Mn. Metal stress resulted in relatively low ratios of microbial biomass C to organic C and in remarkable inhibition of the microbial metabolic quotient and C mineralization rate, which eventually led to increases in soil organic C and C/N. Moreover, microbial respiratory activity showed a stronger correlation to DTPA-extractable metals than to total metal content. Likewise, in the acid paddy soils some "linked" microbial activity indices, such as metabolic quotient and ratios of basal respiration to organic C, especially during initial incubation, were found to be more sensitive indicators of soil trace metal contamination than microbial biomass C or basal respiration alone.

  5. Is School Value Added Indicative of Principal Quality?

    Science.gov (United States)

    Chiang, Hanley; Lipscomb, Stephen; Gill, Brian

    2016-01-01

    States across the country are developing systems for evaluating school principals on the basis of student achievement growth. A common approach is to hold principals accountable for the value added of their schools--that is, schools' contributions to student achievement growth. In theory, school value added can reflect not only principals'…

  6. Aggregating Indices of Governance Quality: An Exploratory Factor Analysis

    Science.gov (United States)

    2011-03-01

    AF) pour examiner 24 indices de gouvernance de source générale qui visent à mesurer les niveaux de démocratie, de développement économique et de...conforme aux définitions déjà établies de la bonne gouvernance . Nous avons mis à profit les travaux antérieurs en effectuant une analyse plus...et formulant des conseils supplémentaires pour l’usage de ces mesures dans l’évaluation de la gouvernance étatique. DRDC Toronto TR 2011-022

  7. The Data Quality Management System

    Energy Technology Data Exchange (ETDEWEB)

    Augustyn, J.R.; Nelson, E. [Augustyn + Co. Consulting Engineers, Albany, CA (United States); Maxwell, E. [National Renewable Energy Lab., Golden, CO (United States)

    1995-11-01

    The Data Quality Management System (DQMS) is software which provides a systematic and comprehensive means to assess and control the quality of time sequence data collected in measurement and monitoring programs. It was designed to support single and multi-site solar resource measurement and energy and environmental monitoring projects, where end-use data quality is a strong concern, and growth and changes in the monitoring network must be accommodated. DQMS also provides features to assist the network operator in day to day management of monitoring network operation. DQMS was initially developed internally at Augustyn + Company as the Data Verification System by Augustyn and Nelson (1993), and later enhanced under contract to the US National Renewable Energy Laboratory (NREL) for use in several internal research and development programs.

  8. Water quality of hydrologic bench marks; an indicator of water quality in the natural environment

    Science.gov (United States)

    Biesecker, James E.; Leifeste, Donald K.

    1974-01-01

    Water-quality data, collected at 57 hydrologic bench-mark stations in 37 States, allow the definition of water quality in the 'natural' environment and the comparison of 'natural' water quality with water quality of major streams draining similar water-resources regions. Results indicate that water quality in the 'natural' environment is generally very good. Streams draining hydrologic bench-mark basins generally contain low concentrations of dissolved constituents. Water collected at the hydrologic bench-mark stations was analyzed for the following minor metals: arsenic, barium, cadmium, hexavalent chromium, cobalt, copper, lead, mercury, selenium, silver, and zinc. Of 642 analyses, about 65 percent of the observed concentrations were zero. Only three samples contained metals in excess of U.S. Public Health Service recommended drinking-water standards--two selenium concentrations and one cadmium concentration. A total of 213 samples were analyzed for 11 pesticidal compounds. Widespread but very low-level occurrence of pesticide residues in the 'natural' environment was found--about 30 percent of all samples contained low-level concentrations of pesticidal compounds. The DDT family of pesticides occurred most commonly, accounting for 75 percent of the detected occurrences. The highest observed concentration of DDT was 0.06 microgram per litre, well below the recommended maximum permissible in drinking water. Nitrate concentrations in the 'natural' environment generally varied from 0.2 to 0.5 milligram per litre. The average concentration of nitrate in many major streams is as much as 10 times greater. The relationship between dissolved-solids concentration and discharge per unit area in the 'natural' environment for the various physical divisions in the United States has been shown to be an applicable tool for approximating 'natural' water quality. The relationship between dissolved-solids concentration and discharge per unit area is applicable in all the physical

  9. Development and initial validation of prescribing quality indicators for patients with chronic kidney disease

    NARCIS (Netherlands)

    Smits, Kirsten P J; Sidorenkov, Grigory; Bilo, Henk J G; Bouma, Margriet; van Ittersum, Frans J; Voorham, Jaco; Navis, Gerjan; Denig, Petra

    2016-01-01

    BACKGROUND: Quality assessment is a key element for improving the quality of care. Currently, a comprehensive indicator set for measuring the quality of medication treatment in patients with chronic kidney disease (CKD) is lacking. Our aim was to develop and validate a set of prescribing quality ind

  10. Development and initial validation of prescribing quality indicators for patients with chronic kidney disease

    NARCIS (Netherlands)

    Smits, Kirsten P J; Sidorenkov, Grigory; Bilo, Henk J G; Bouma, Margriet; van Ittersum, Frans J; Voorham, Jaco; Navis, Gerjan; Denig, Petra

    2016-01-01

    BACKGROUND: Quality assessment is a key element for improving the quality of care. Currently, a comprehensive indicator set for measuring the quality of medication treatment in patients with chronic kidney disease (CKD) is lacking. Our aim was to develop and validate a set of prescribing quality ind

  11. Physician group cultural dimensions and quality performance indicators: not all is equal.

    Science.gov (United States)

    Smalarz, Amy

    2006-01-01

    A group practice culture survey measured the cultural dimensions of physician groups, and their relationship to group quality performance was explored. Cultural dimensions were statistically significant in explaining variance of quality performance among the physician groups studied. However, different cultural dimensions contributed to each of the quality performance indicators measured. Thus, cultural dimensions are important factors influencing physician groups' quality performance.

  12. The future of quality and quality management systems

    Directory of Open Access Journals (Sweden)

    Yuri P. Adler

    2017-06-01

    Full Text Available Objective Discussing the gap between the ISO 9001 requirements and the trend of modern management development. Methods abstractlogical correlation analysis. nbsp Results the authors analyzed the practice of quality management systems certification according to the requirements of the ISO 9001. The analysis has shown that this standard is not consistent with the trends of management in the 21 century because it lacks orientation to person systemic approach and understanding of variability. In addition one of the key problems of the ISO 9001 is a considerable bureaucracy in the quality management systems certification. To substantiate the inconsistency of the standard to contemporary reality the authors make an attempt to evaluate the impact of certification on the development indicators of countries and to determine the need for such certification. To conduct the assessment we analyze the dynamics of the number of the issued certificates in terms of countries and industries. Basing on the analysis we come to the conclusion about the permanent reduction in the growth rate of the number of certificates. Then we make the correlation analysis between the number of the issued certificates and the number of indicators of socioeconomic development in the same countries such as GDP education level index corruption perception index etc. The result was the conclusion about the absence of a significant relationship between these indicators thus we consider it inappropriate to continue the certification of quality management systems to comply with the ISO 9001 requirements. In conclusion we set out proposals for the way out of the situation. Scientific novelty the use of economicmathematical methods to justify the rejection of further certification according to ISO 9001. Practical significance the conclusions formulated by the authors can be used in practical activities of organizations when deciding about the need for certification in accordance with ISO

  13. Development of on package indicator sensor for real-time monitoring of meat quality

    Directory of Open Access Journals (Sweden)

    Vivek Shukla

    2015-03-01

    Full Text Available Aim: The aim was to develop an indicator sensor for real-time monitoring of meat quality and to compare the response of indicator sensor with meat quality parameters at ambient temperature. Materials and Methods: Indicator sensor was prepared using bromophenol blue (1% w/v as indicator solution and filter paper as indicator carrier. Indicator sensor was fabricated by coating indicator solution onto carrier by centrifugation. To observe the response of indicator sensor buffalo meat was packed in polystyrene foam trays covered with PVC film and indicator sensor was attached to the inner side of packaging film. The pattern of color change in indicator sensor was monitored and compared with meat quality parameters viz. total volatile basic nitrogen, D-glucose, standard plate count and tyrosine value to correlate ability of indicator sensor for its suitability to predict the meat quality and storage life. Results: The indicator sensor changed its color from yellow to blue starting from margins during the storage period of 24 h at ambient temperature and this correlated well with changes in meat quality parameters. Conclusions: The indicator sensor can be used for real-time monitoring of meat quality as the color of indicator sensor changed from yellow to blue starting from margins when meat deteriorates with advancement of the storage period. Thus by observing the color of indicator sensor quality of meat and shelf life can be predicted.

  14. 14 CFR 23.1326 - Pitot heat indication systems.

    Science.gov (United States)

    2010-01-01

    ... Instruments: Installation § 23.1326 Pitot heat indication systems. If a flight instrument pitot heating system... provided to indicate to the flight crew when that pitot heating system is not operating. The indication... alert the flight crew if either of the following conditions exist: (1) The pitot heating system...

  15. 21 CFR 820.5 - Quality system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Quality system. 820.5 Section 820.5 Food and Drugs... QUALITY SYSTEM REGULATION General Provisions § 820.5 Quality system. Each manufacturer shall establish and maintain a quality system that is appropriate for the specific medical device(s) designed or...

  16. Development of disease-specific quality indicators for danish chiropractic patients with low back pain

    DEFF Research Database (Denmark)

    Sorensen, Line P; Krog, Birgitte R; Kongsted, Alice;

    2011-01-01

    The purpose of this study is to develop disease-specific quality indicators for Danish chiropractic patients with low back pain (LBP) as an initial effort to include chiropractors in the Danish Health Care Quality Programme.......The purpose of this study is to develop disease-specific quality indicators for Danish chiropractic patients with low back pain (LBP) as an initial effort to include chiropractors in the Danish Health Care Quality Programme....

  17. Defining Quality Indicators for Best-Practice Management of Inflammatory Bowel Disease in Canada

    Directory of Open Access Journals (Sweden)

    Geoffrey C Nguyen

    2014-01-01

    Full Text Available BACKGROUND: There is a paucity of published data regarding the quality of care of inflammatory bowel disease (IBD in Canada. Clinical quality indicators are quantitative end points used to guide, monitor and improve the quality of patient care. In Canada, where universal health care can vary significantly among provinces, quality indicators can be used to identify potential gaps in the delivery of IBD care and standardize the approach to interprovincial management.

  18. Quality indicators in intensive care medicine for Germany – third edition 2017

    Directory of Open Access Journals (Sweden)

    Kumpf, Oliver

    2017-08-01

    Full Text Available Quality improvement in medicine is depending on measurement of relevant quality indicators. The quality indicators for intensive care medicine of the German Interdisciplinary Society of Intensive Care Medicine (DIVI from the year 2013 underwent a scheduled evaluation after three years. There were major changes in several indicators but also some indicators were changed only minimally. The focus on treatment processes like , , and , as well as the number of 10 indicators were not changed. Most topics remained except for which was introduced instead of . was added as an outcome indicator. These quality indicators are used in the peer review in intensive care, a method endorsed by the DIVI. A validity period of three years is planned for the quality indicators.

  19. Quality indicators for diagnosis and treatment of respiratory tract infections in general practice:

    DEFF Research Database (Denmark)

    Plejdrup, Malene; Bjerrum, Lars; Gahrn-Hansen, Bente

    indicators were considered. The experts were asked to rate the relevance of 59 quality indicators with regard to reducing antimicrobial resistance and improving patient health. Consensus for a quality indicator was reached if ≥ 75 % of experts scored the item ≥ 5 on a 7-point Likert scale, ranging from 1...

  20. Quality of Life Indicators for Individuals with Intellectual Disabilities: Extending Current Practice

    Science.gov (United States)

    Brown, Ivan; Hatton, Chris; Emerson, Eric

    2013-01-01

    Quality of life is a social construct that is measured by what are considered to be its most appropriate indicators. Quality of life measurement in intellectual disability reflects a variety of indicators, often grouped under life domains. Subjective and objective methods of measuring indicators each have strengths and drawbacks, but it is…

  1. 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, 1997

  2. Do daily ward interviews improve measurement of hospital quality and safety indicators? A prospective observational study.

    Science.gov (United States)

    Sarkies, Mitchell N; Bowles, Kelly-Ann; Skinner, Elizabeth H; Haas, Romi; Mitchell, Deb; O'Brien, Lisa; May, Kerry; Ghaly, Marcelle; Ho, Melissa; Haines, Terry P

    2016-10-01

    The aim of this study was to determine if the addition of daily ward interview data improves the capture of hospital quality and safety indicators compared with incident reporting systems alone. An additional aim was to determine the potential characteristics influencing under-reporting of hospital quality and safety indicators in incident reporting systems. A prospective, observational study was performed at two tertiary metropolitan public hospitals. Research assistants from allied health backgrounds met daily with the nurse in charge of the ward and discussed the occurrence of any falls, pressure injuries and rapid response medical team calls. Data were collected from four general medical wards, four surgical wards, an orthopaedic, neurosciences, plastics, respiratory, renal, sub-acute and acute medical assessment unit. An estimated total of 303 falls, 221 pressure injuries and 884 rapid response medical team calls occurred between 15 wards across two hospitals, over a period of 6 months. Hospital incident reporting systems underestimated falls by 30.0%, pressure injuries by 59.3% and rapid response medical team calls by 17.0%. The use of ward interview data collection in addition to hospital incident reporting systems improved data capture of falls by 23.8% (n = 72), pressure injuries by 21.7% (n = 48) and rapid response medical team calls by 12.7% (n = 112). Falls events were significantly less likely to be reported if they occurred on a Monday (P = 0.04) and pressure injuries significantly more likely to be reported if they occurred on a Wednesday (P = 0.01). Hospital quality and safety indicators (falls, pressure injuries and rapid response medical team calls) were under-reported in incident reporting systems, with variability in under-reporting between wards and the day of event occurrence. The use of ward interview data collection in addition to hospital incident reporting systems improved reporting of hospital quality and safety

  3. Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators.

    Science.gov (United States)

    Stalpers, Dewi; Kieft, Renate A M M; van der Linden, Dimitri; Kaljouw, Marian J; Schuurmans, Marieke J

    2016-04-06

    Nurse-sensitive indicators and nurses' satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-sensitive screening indicators and nurse-perceived quality of care. To calculate a composite performance score for each of six Dutch non-university teaching hospitals, the percentage scores of the publicly reported nurse-sensitive indicators: screening of delirium, screening of malnutrition, and pain assessments, were averaged (2011). Nurse-perceived quality ratings were obtained from staff nurses working in the same hospitals by the Dutch Essentials of Magnetism II survey (2010). Concordance between the quality measures was analyzed using Spearman's rank correlation. The mean screening performances ranged from 63% to 93% across the six hospitals. Nurse-perceived quality of care differed significantly between the hospitals, also after adjusting for nursing experience, educational level, and regularity of shifts. The hospitals with high-levels of nurse-perceived quality were also high-performing hospitals according to nurse-sensitive indicators. The relationship was true for high-performing as well as lower-performing hospitals, with strong correlations between the two quality measures (rS = 0.943, p = 0.005). Our findings showed that there is a significant positive association between objectively measured nurse-sensitive screening indicators and subjectively measured perception of quality. Moreover, the two indicators of quality of nursing care provide corresponding quality rankings. This implies that improving factors that are associated with nurses' perception of what they believe to be quality of care may also lead to better screening processes. Although convergent validity seems to be established, we emphasize that different kinds of quality measures could be used to complement each other

  4. Application of Water Quality and Ecology Indices of Benthic Macroinvertebrate to Evaluate Water Quality of Tertiary Irrigation in Malang District

    Directory of Open Access Journals (Sweden)

    Desi Kartikasari

    2013-12-01

    Full Text Available This research aims to determine the water quality of tertiary irrigation in several subdistricts in Malang, namely Kepanjen, Karangploso, and Tumpang. The water quality depends on the water quality indices (National Sanitation Foundation’s-NSF Indices and O’Connor’s Indices based on variables TSS, TDS, pH, DO, and Nitrate concentrate and ecological indices of benthic macroinvertebrate (Diversity Indices Shannon-Wiener, Hilsenhof Biotic Indices-HBI, Average Score per Taxon-ASPT which is calculated by Biological Monitoring Working Party-BMWP, Ephemeroptera Indices, Plecoptera, Trichoptera-EPT. Observation of the physico-chemical water quality and benthic macroinvertebrate on May 2012 to April 2013. The sampling in each subdistrict was done at two selected stations in tertiary irrigation channel with three plot at each station. The data of physico-chemical quality of water were used to calculate the water quality indices, while the benthic macroinvertebrate data were used to calculate the ecological indices. The research findings showed that 27 taxa of benthic macroinvertebrates belong 10 classes were found in the three subdistrict. The pH, DO, Nitrate, TSS and TDS in six tertiary irrigation channels in Malang still met the water quality standards based on Government Regulation No. 82 of 2001 on Management of Water Quality and Water Pollution Control Class III. Based on NSF-WQI indices and O'Connor's Indices, water qualities in these irrigation channels were categorized into medium or moderate (yellow to good (green category. However, based on benthic macroinvertebrate communities which was used to determine the HBI, the water quality in the irrigation channels were categorized into the fair category (fairly significant organic pollution to fairly poor (significant organic pollution, while based on the value of ASPT, the water were categorized into probable moderate pollution to probable severe pollution. The irrigation water which was

  5. Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators

    OpenAIRE

    Stalpers, Dewi; Kieft, Renate A. M. M.; Linden, Dimitri; Kaljouw, Marian J.; Schuurmans, Marieke

    2016-01-01

    textabstractBackground: Nurse-sensitive indicators and nurses' satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-sensitive screening indicators and nurse-perceived quality of care. Methods: To calculate a composite performance score for each of six Dutch non-university teaching hospitals, the percentage scores...

  6. The Data Quality Management System

    Energy Technology Data Exchange (ETDEWEB)

    Augustyn, J.R.; Nelson, R.J. [Augustyn + Co. Consulting Engineers, Albany, CA (United States); Maxwell, E. [National Renewable Energy Lab., Golden, CO (United States)

    1995-10-01

    The Data Quality Management System (DQMS) is software which provides a systematic and comprehensive means to assess and control the quality of time sequence data collected in measurement and monitoring programs. It was designed to support single and multi-site solar resource measurement and energy and environmental monitoring projects, where end-use data quality is a strong concern, and growth and changes in the monitoring network must be accommodated. It contains features for importing, exporting, testing, modifying, archiving, summarizing, and condensing collected data. It assigns and manages a two component data quality flag associated with each data value, and maintains complete traceability of all changes made to data values after initial collection. DQMS also provides features to assist the network operator in day to day management of monitoring network operation. DQMS was initially developed internally at Augustyn + Company as the Data Verification System by Augustyn and Nelson (1993), and later enhanced under contract to the US National Renewable Energy Laboratory (NREL) for use in several internal research and development programs.

  7. [Pressure ulcer care quality indicator: analysis of medical records and incident report].

    Science.gov (United States)

    dos Santos, Cássia Teixeira; Oliveira, Magáli Costa; Pereira, Ana Gabriela da Silva; Suzuki, Lyliam Midori; Lucena, Amália de Fátima

    2013-03-01

    Cross-sectional study that aimed to compare the data reported in a system for the indication of pressure ulcer (PU) care quality, with the nursing evolution data available in the patients' medical records, and to describe the clinical profile and nursing diagnosis of those who developed PU grade 2 or higher Sample consisted of 188 patients at risk for PU in clinical and surgical units. Data were collected retrospectively from medical records and a computerized system of care indicators and statistically analyzed. Of the 188 patients, 6 (3%) were reported for pressure ulcers grade 2 or higher; however, only 19 (10%) were recorded in the nursing evolution records, thus revealing the underreporting of data. Most patients were women, older adults and patients with cerebrovascular diseases. The most frequent nursing diagnosis was risk of infection. The use of two or more research methodologies such as incident reporting data and retrospective review of patients' records makes the results trustworthy.

  8. 14 CFR 135.158 - Pitot heat indication systems.

    Science.gov (United States)

    2010-01-01

    ... instrument pitot heating system unless the airplane is also equipped with an operable pitot heat indication... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Pitot heat indication systems. 135.158... Equipment § 135.158 Pitot heat indication systems. (a) Except as provided in paragraph (b) of this...

  9. ISO 9000 Quality Management System

    Science.gov (United States)

    Hadjicostas, Evsevios

    The ISO 9000 series describes a quality management system applicable to any organization. In this chapter we present the requirements of the standard in a way that is as close as possible to the needs of analytical laboratories. The sequence of the requirements follows that in the ISO 9001:2008 standard. In addition, the guidelines for performance improvement set out in the ISO 9004 are reviewed. Both standards should be used as a reference as well as the basis for further elaboration.

  10. 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.

  11. SYNTHETIC ANALYSIS OF INDICATORS USED IN THE ANALYSIS OF PRODUCT QUALITY DIFFERENTIATED AND NON-DIFFERENTIATED ON QUALITY CLASSES

    Directory of Open Access Journals (Sweden)

    ECOBICI MIHAELA LOREDANA

    2016-12-01

    Full Text Available Product quality has been and will remain one of the most important indicators of increasing economic and financial performance of a company. Quality is that which ensures the greatest part of the competitiveness of a product or service, this being the result of some important aspects such as: products and services of quality to meet consumers requirements, low costs without affecting the quality level, the performance of contractual obligations, customer satisfaction and last but not least obtaining profit. Research and results concerning this issue will result in the prerequisites in the process for quality assurance that can develop both internally and externally. The purpose of this article lies in the approach and illustration of the aspects of products differentiated and non-differentiated in quality classes. In launching this research I will try to highlight some aspects that most efficiently the indicators mentioned above, indicators that read to what extent a certain product meets the characteristics specified to its destination.

  12. Virginia Star Quality Initiative: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Virginia's Star Quality Initiative prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators…

  13. Can Examination of WWW Usage Statistics and other Indirect Quality Indicators Help to Distinguish the Relative Quality of Medical websites?

    Science.gov (United States)

    Macías-Cervi, Pablo; Gaspar-Guardado, María Asunción; DeArcaya, María Luisa Torres-Álvarez; Ruiz-Rabaza, Ana; Jiménez-Sosa, Alejandro

    1999-01-01

    Background The Internet offers a great amount of health related websites, but concern has been raised about their reliability. Several subjective evaluation criteria and websites rating systems have been proposed as a help for the Internet users to distinguish among web resources with different quality, but their efficacy has not been proven. Objective To evaluate the agreement of a subset of Internet rating systems editorial boards regarding their evaluations of a sample of pediatric websites. To evaluate certain websites characteristics as possible quality indicators for pediatric websites. Methods Comparative survey of the results of systematic evaluations of the contents and formal aspects of a sample of pediatric websites, with the number of daily visits to those websites, the time since their last update, the impact factor of their authors or editors, and the number of websites linked to them. Results 363 websites were compiled from eight rating systems. Only 25 were indexed and evaluated by at least two rating systems. This subset included more updated and more linked websites. There was no correlation among the results of the evaluation of these 25 websites by the rating systems. The number of inbound links to the websites significantly correlated with their updating frequency (p<.001), with the number of daily visits (p=.005), and with the results of their evaluation by the largest rating system, HealthAtoZ (p<.001). The websites updating frequency also significantly correlated with the results of the websites evaluation by HealthAtoZ, both about their contents (p=.001) and their total values (p<.05). The number of daily visits significantly correlated (p<.05) with the results of the evaluations by Medical Matrix. Conclusions Some websites characteristics as the number of daily visits, their updating frequency and, overall, the number of websites linked to them, correlate with their evaluation by some of the largest rating systems on the Internet, what

  14. Health-related quality of life and functional status quality indicators for older persons with multiple chronic conditions.

    Science.gov (United States)

    Dy, Sydney M; Pfoh, Elizabeth R; Salive, Marcel E; Boyd, Cynthia M

    2013-12-01

    To explore central challenges with translating self-reported measurement tools for functional status and health-related quality of life (HRQOL) into ambulatory quality indicators for older people with multiple chronic conditions (MCCs). Review. Sources including the National Quality Measures Clearinghouse and National Quality Forum were reviewed for existing ambulatory quality indicators relevant to functional status, HRQOL, and people with MCCs. Seven informants with expertise in indicators using functional status and HRQOL. Informant interviews were conducted to explore knowledge about these types of indicators, particularly usability and feasibility. Nine important existing indicators were identified in the review. For process, identified indicators addressed whether providers assessed functional status; outcome indicators addressed quality of life. In interviews, informants agreed that indicators using self-reported data were important in this population. Challenges identified included concerns about usability due to inability to discriminate quality of care adequately between organizations and feasibility concerns regarding high data collection burden, with a correspondingly low response rate. Validity was also a concern because evidence is mixed that healthcare interventions can improve HRQOL or functional status for this population. As a possible first step, a structural standard could be systematic collection of these measures in a specific setting. Although functional status and HRQOL are important outcomes for older people with MCCs, few relevant ambulatory quality indicators exist, and there are concerns with usability, feasibility, and validity. Further research is needed on how best to incorporate these outcomes into quality indicators for people with MCCs. © Published 2013. This article is a U.S. Government work and is in the public domain in the U.S.A.

  15. EPHT air quality (county PM2.5 and Ozone) indicators, 2001-2006

    Data.gov (United States)

    California Environmental Health Tracking Program — The EPHT air quality indicator files are from a SAS program which calculates the air indicators as developed by CDC's Environmental Public Health Tracking (EPHT) Air...

  16. A computerized system to monitor resilience indicators in organizations.

    Science.gov (United States)

    de Carvalho, Paulo Victor Rodrigues; de Souza, Alan Pinheiro; Gomes, Jose Orlando

    2012-01-01

    The concepts developed by resilience engineering allow the understanding and monitoring the functioning of organizations and, particularly, to map the role of human activities, in success or in failure, enabling a better comprehension about how people make decisions in unexpected situations. The capture of information about human activities in the various organization levels gives managers a deeper real-time understanding of what is influencing the people performance, providing awareness of the factors that influence positively or negatively the organizational goals initially projected. The monitoring is important because the correct functioning of complex systems depends on the knowledge that people have to perform their activities and how the system environment provides tools that actually support the human performance. Therefore, organizations should look forward through precursors in operating signals to identify possible problems or solutions in the structure of tasks and activities, safety, quality, schedule, rework, and maintenance. We apply the concepts of resilience engineering to understand the organization by the analysis of cognitive tasks and activities. The aim is the development of a computerized system to monitor human activities to produce indicators to access system resilience. The validation of the approach was made in a real organization and the results show the successful applicability of the system. Based on findings obtained after the experiment of the system in a real organization, and managers and workers opinions, it was possible to show that the use of system provided an anticipated (real-time) perception about how activities are effectively being performed, allowing managers and workers to make decisions more consistent with daily problems, and also to anticipate solutions to cope with unexpected situations.

  17. Developing quality indicators for family support services in community team-based mental health care.

    Science.gov (United States)

    Serene Olin, S; Kutash, Krista; Pollock, Michele; Burns, Barbara J; Kuppinger, Anne; Craig, Nancy; Purdy, Frances; Armusewicz, Kelsey; Wisdom, Jennifer; Hoagwood, Kimberly E

    2014-01-01

    Quality indicators for programs integrating parent-delivered family support services for children's mental health have not been systematically developed. Increasing emphasis on accountability under the Affordable Care Act highlights the importance of quality-benchmarking efforts. Using a modified Delphi approach, quality indicators were developed for both program level and family support specialist level practices. These indicators were pilot tested with 21 community-based mental health programs. Psychometric properties of these indicators are reported; variations in program and family support specialist performance suggest the utility of these indicators as tools to guide policies and practices in organizations that integrate parent-delivered family support service components.

  18. HON label and DISCERN as content quality indicators of health-related websites.

    Science.gov (United States)

    Khazaal, Yasser; Chatton, Anne; Zullino, Daniele; Khan, Riaz

    2012-03-01

    Content quality indicators are warranted in order to help patients and consumers to judge the content quality of health-related on-line information. The aim of the present study is to evaluate web-based information on health topics and to assess particular content quality indicators like HON (Health on the Net) and DISCERN. The present study is based on the analysis of data issued from six previous studies which assessed with a standardized tool the general and content quality (evidence-based health information) of health-related websites. Keywords related to Social phobia, bipolar disorders, pathological gambling as well as cannabis, alcohol and cocaine addiction were entered into popular World Wide Web search engines. Websites were assessed with a standardized proforma designed to rate sites on the basis of accountability, presentation, interactivity, readability and content quality (evidence-based information). "Health on the Net" (HON) quality label, and DISCERN scale scores were used to verify their efficiency as quality indicators. Of 874 websites identified, 388 were included. Despite an observed association with higher content quality scores, the HON label fails to predict good content quality websites when used in a multiple regression. Sensibility and specificity of a DISCERN score >40 in the detection of good content quality websites were, respectively, 0.45 and 0.96. The DISCERN is a potential quality indicator with a relatively high specificity. Further developments in this domain are warranted in order to facilitate the identification of high-quality information on the web by patients.

  19. 78 FR 13365 - Prospective Grant of Exclusive License: Food Quality Indicators

    Science.gov (United States)

    2013-02-27

    ... HUMAN SERVICES National Institutes of Health Prospective Grant of Exclusive License: Food Quality... thereto) intended for licensure describe and claim indicator strips for monitoring food quality and... color. Thus a rapid and informed decision can be made about quality of food and its shelf life under...

  20. Quality management indicators for tissue banks: an operative model from the period of 2002-2007.

    Science.gov (United States)

    Saldías, M; Alvarez, I; Pérez Campos, H; Sánchez, G; Acosta, M

    2009-10-01

    The purpose of this study was to determine a specific indicator model to evaluate the Quality Management System (QMS) in Tissue Banks (TB) for deceased and/or live donors. Quantitative Indicators for Quality Management are considered for deceased donors as the origin of therapeutic tissues. A glossary of definitions was established (also applicable for tissues from live donors): Deceased Therapeutic Real Donors (DTRD), donors that were processed and at least 1 tissue was harvested for a therapeutic purpose; Deceased Effective Donors (DED), DTRD in which 1 or more tissues were validated, stored, and/or grafted; Processed Tissues (PT), number of tissues harvested from a DTRD, which were processed and counted as final product units; Validated Tissues (VT), number of tissues as final product units, which fulfilled quality criteria to be grafted; Grafted Tissues (GT), number of transplanted tissues for therapeutic purposes; and Grafted Patients (GP), number of patients who were grafted with validated tissues. MANAGEMENT QUANTITATIVE INDICATORS: Deceased donors were considered from 2002 to 2007. The total number of tissues was 15,363: Productivity Index (PI), PI = DED/DTRD; Processing Quality Rate (PQR), PQR = VT/PT%; Productivity Efficiency per Donor (PED), PED = VT/DED; Grafted Tissues Coefficient (GTC), GTC = GT/VT; and Grafted Patients Index per Donor (GID), GID = GP/DED. Results were as follows: PI = 0.80; PQR = 76%; PED = 30.99; GTC = 0.93; and GID = 4. In our study, 80% of DTRD produced VT (PI = 0.80), which represented 76% of PT (average, 31 final products per donor). Also, 93% of the VT were grafted with 5 patients grafted per donor. Defined variables resulted in useful tools to evaluate QMS in a TB.

  1. Motivational Gaps and Perceptual Bias of Initial Motivation Additional Indicators of Quality for e-Learning Courses

    National Research Council Canada - National Science Library

    Rosário Cação

    2017-01-01

    ...s: attitudes, courses, expectations, e-learning, gaps, motivational gap, motivation, motivation to learn, perception bias, quality, quality indicators, quality of e-learning, satisfaction, service...

  2. Proposal for Indicators to Evaluate the Quality of a Postgraduate Program in Education

    Directory of Open Access Journals (Sweden)

    Edgar Oliver Cardoso Espinosa

    2011-11-01

    Full Text Available It is now imperative for those postgraduate programs oriented toward Education to meet the quality standards set by the National Postgraduate-Quality Program (PNPC, since this constitutes the Federal Government's main guideline for allocating resources. The present study aims to propose indicators that would allow assessment of postgraduate-program quality in Education by using the following criteria as a basis for analysis: efficacy, efficiency, importance, equity and relevance. It also indicates the status of these programs to the CONACYT, a minimal involvement, demonstrating the need to establish indicators that would serve as a guide for cataloguing programs according to their quality.

  3. Relation Between Quality-of-Care Indicators for Diabetes and Patient Outcomes : A Systematic Literature Review

    NARCIS (Netherlands)

    Sidorenkov, Grigory; Haaijer-Ruskamp, Flora M.; de Zeeuw, Dick; Bilo, Henk; Denig, Petra

    The authors conducted a systematic literature review to assess whether quality indicators for diabetes care are related to patient outcomes. Twenty-four studies were included that formally tested this relationship. Quality indicators focusing on structure or processes of care were included.

  4. Relation Between Quality-of-Care Indicators for Diabetes and Patient Outcomes : A Systematic Literature Review

    NARCIS (Netherlands)

    Sidorenkov, Grigory; Haaijer-Ruskamp, Flora M.; de Zeeuw, Dick; Bilo, Henk; Denig, Petra

    2011-01-01

    The authors conducted a systematic literature review to assess whether quality indicators for diabetes care are related to patient outcomes. Twenty-four studies were included that formally tested this relationship. Quality indicators focusing on structure or processes of care were included. Descript

  5. Biological indicators of soil quality and soil organic matter characteristics in an agricultural management continuum

    Science.gov (United States)

    Relationships among biological indicators of soil quality and soil organic matter characteristics in a claypan soil were evaluated across a continuum of long-term agricultural practices in Missouri, USA. In addition to chemical and physical soil quality indicators, dehydrogenase and phenol oxidase a...

  6. Annotated Bibliography of Publications Dealing with Qualitative and Quantitative Indicators of the Quality of Science.

    Science.gov (United States)

    Stowe, Robert C.

    Designed to assist in the study of techniques for and approaches to the evaluation of scientific research, this annotated bibliography of publications deals with qualitative and quantitative indicators of the quality of science. Entries are provided in the following categories: (1) bibliometric indicators of the quality of scientific research; (2)…

  7. Applying Quality Indicators to Single-Case Research Designs Used in Special Education: A Systematic Review

    Science.gov (United States)

    Moeller, Jeremy D.; Dattilo, John; Rusch, Frank

    2015-01-01

    This study examined how specific guidelines and heuristics have been used to identify methodological rigor associated with single-case research designs based on quality indicators developed by Horner et al. Specifically, this article describes how literature reviews have applied Horner et al.'s quality indicators and evidence-based criteria.…

  8. Applying Quality Indicators to Single-Case Research Designs Used in Special Education: A Systematic Review

    Science.gov (United States)

    Moeller, Jeremy D.; Dattilo, John; Rusch, Frank

    2015-01-01

    This study examined how specific guidelines and heuristics have been used to identify methodological rigor associated with single-case research designs based on quality indicators developed by Horner et al. Specifically, this article describes how literature reviews have applied Horner et al.'s quality indicators and evidence-based criteria.…

  9. European Surveillance of antimicrobial consumption (ESAC) : quality indicators for outpatient antibiotic use in Europe

    NARCIS (Netherlands)

    Coenen, Samuel; Ferech, Matus; Haaijer-Ruskamp, Flora M.; Butler, Chris C.; Stichele, Robert H. Vander; Verheij, Theo J. M.; Monnet, Dominique L.; Goossens, Paul Little Herman

    2007-01-01

    Background and objective: Indicators to measure the quality of healthcare are increasingly used by healthcare professionals and policy makers. In the context of increasing antimicrobial resistance, this study aimed to develop valid drug- specific quality indicators for outpatient antibiotic use in E

  10. Assessing and monitoring soil quality at agricultural waste disposal areas-Soil Indicators

    Science.gov (United States)

    Doula, Maria; Kavvadias, Victor; Sarris, Apostolos; Lolos, Polykarpos; Liakopoulou, Nektaria; Hliaoutakis, Aggelos; Kydonakis, Aris

    2014-05-01

    The necessity of elaborating indicators is one of the priorities identified by the United Nations Convention to Combat Desertification (UNCCD). The establishment of an indicator monitoring system for environmental purposes is dependent on the geographical scale. Some indicators such as rain seasonality or drainage density are useful over large areas, but others such as soil depth, vegetation cover type, and land ownership are only applicable locally. In order to practically enhance the sustainability of land management, research on using indicators for assessing land degradation risk must initially focus at local level because management decisions by individual land users are taken at this level. Soils that accept wastes disposal, apart from progressive degradation, may cause serious problems to the surrounding environment (humans, animals, plants, water systems, etc.), and thus, soil quality should be necessarily monitored. Therefore, quality indicators, representative of the specific waste type, should be established and monitored periodically. Since waste composition is dependent on their origin, specific indicators for each waste type should be established. Considering agricultural wastes, such a specification, however, could be difficult, since almost all agricultural wastes are characterized by increased concentrations of the same elements, namely, phosphorous, nitrogen, potassium, sulfur, etc.; contain large amounts of organic matter; and have very high values of chemical oxygen demand (COD), biochemical oxygen demand (BOD), and electrical conductivity. Two LIFE projects, namely AgroStrat and PROSODOL are focused on the identification of soil indicators for the assessment of soil quality at areas where pistachio wastes and olive mill wastes are disposed, respectively. Many soil samples were collected periodically for 2 years during PROSODOL and one year during AgroStrat (this project is in progress) from waste disposal areas and analyzed for 23 parameters

  11. Comparison of the Revised Air Quality Index with the PSI and AQI indices

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, Wan-Li; Chen, Yu-Song; Chang, Shiang-Hung [Dept of Environmental Science and Engineering, Tunghai University, Taichung 407 (China); Zhang, Junfeng [Division of Environmental and Occupational Health, University of Medicine and Dentistry of New Jersey, NJ 08854 (United States); Lyons, T.J. [Environmental Science, Murdoch University, Murdoch, WA 6150 (Australia); Pai, Joy-Lynn [Sunway Environmental Technology Co., Ltd., Taipei 104 (China)

    2007-09-01

    Air pollution indices are commonly used to indicate the level of severity of air pollution to the public. The Pollution Standards Index (PSI) was initially established in response to a dramatic increase in the number of people suffering respiratory irritation due to the deteriorating air quality. The PSI was subsequently revised and implemented by the USEPA in 1999, and became known as the Air Quality Index (AQI) that includes data relating to particle suspension, PM{sub 2.5}, and a selective options of either 8-hour or 1-hour ozone concentration during increased O{sub 3} periods. Yet, the costs of launching a network of PM{sub 2.5} monitoring stations are prohibitively high for many countries to implement the AQI from the PSI system in the foreseeable future. Therefore, the purpose of this research is to discuss the optimal method of assessing air quality using the latest developed Revised AQI (RAQI), a system that serves as an alternative to the PSI and AQI systems. The feasibility, effectiveness, and the differences between RAQI, AQI, and PSI in their applications to several air pollution conditions are also studied in this research. The results show that southern Taiwan's suspended particulates have significantly greater impact on PM{sub 2.5}/PM{sub 10} ratios than in central and northern metropolitan areas, and that the ratios are higher in Taiwan as a whole compared to many other countries. We also found that the RAQI shows more significant results compared to the PSI and AQI as it has a wider coverage of the range of pollutant concentration levels. (author)

  12. QUALITY POLICY IN THE INTELLIGENT QUALITY MANAGEMENT SYSTEM

    Directory of Open Access Journals (Sweden)

    Michał MOLENDA

    2015-10-01

    Full Text Available The article describes the problems of one of the key elements of a quality management system which is the quality policy (QP. The quality policy is an element that determines how the quality management is managed in the organization. The phrase, present documents and the implementation of quality policy is the responsibility of top-level managers, resulting directly from the ISO 9000 standards. In the first part of the article the essence and the importance of quality policy for effective quality management is described. In the second part of the article there is a thorough description of a specially developed procedure for the establishment, implementation and monitoring of quality policy. The following procedure is based on years of experience of the author supported by the results of research, which aim was to create practices in the implementation and monitoring of quality policy in several business organizations. The approach presented in this article procedure is designed to assist managers in the development, implementation and monitoring of policy quality. The approach described as proper to the issue of the quality policy management staff will help in creating intelligent quality management system (IQMS. System, which will focus on permanent improvement based on the knowledge generated in the process of monitoring the implementation of quality policy.

  13. Quality indicators for pharmaceutical care: a comprehensive set with national scores for Dutch community pharmacies.

    Science.gov (United States)

    Teichert, Martina; Schoenmakers, Tim; Kylstra, Nico; Mosk, Berend; Bouvy, Marcel L; van de Vaart, Frans; De Smet, Peter A G M; Wensing, Michel

    2016-08-01

    Background The quality of pharmaceutical care in community pharmacies in the Netherlands has been assessed annually since 2008. The initial set has been further developed with pharmacists and patient organizations, the healthcare inspectorate, the government and health insurance companies. The set over 2012 was the first set of quality indicators for community pharmacies which was validated and supported by all major stakeholders. The aims of this study were to describe the validated set of quality indicators for community pharmacies and to report their scores over 2012. In subanalyses the score development over 5 years was described for those indicators, that have been surveyed before and remained unchanged. Methods Community pharmacists in the Netherlands were invited in 2013 to provide information for the set of 2012. Quality indicators were mapped by categories relevant for pharmaceutical care and defined for structures, processes and dispensing outcomes. Scores for categorically-measured quality indicators were presented as the percentage of pharmacies reporting the presence of a quality aspect. For numerical quality indicators, the mean of all reported scores was expressed. In subanalyses for those indicators that had been questioned previously, scores were collected from earlier measurements for pharmacies providing their scores in 2012. Multilevel analysis was used to assess the consistency of scores within one pharmacy over time by the intra-class correlation coefficient (ICC). Results For the set in 2012, 1739 Dutch community pharmacies (88 % of the total) provided information for 66 quality indicators in 10 categories. Indicator scores on the presence of quality structures showed relatively high quality levels. Scores for processes and dispensing outcomes were lower. Subanalyses showed that overall indicators scores improved within pharmacies, but this development differed between pharmacies. Conclusions A set of validated quality indicators provided

  14. Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators

    NARCIS (Netherlands)

    Stalpers, Dewi; Kieft, Renate A M M; Van Der Linden, Dimitri; Kaljouw, Marian J.; Schuurmans, Marieke J.

    2016-01-01

    Background: Nurse-sensitive indicators and nurses' satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-sensitive

  15. Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators

    NARCIS (Netherlands)

    Dimitri van der Linden; Prof. Dr. Marieke J. Schuurmans; Dewi Stalpers; Marian J. Kaljouw; Renate A.M.M. Kieft

    2016-01-01

    Background: Nurse-sensitive indicators and nurses’ satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-sensitive

  16. Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators

    NARCIS (Netherlands)

    D. Stalpers (Dewi); R.A.M.M. Kieft (Renate A. M. M.); D. van der Linden (Dimitri); M.J. Kaljouw (Marian J.); M.J. Schuurmans (Marieke )

    2016-01-01

    textabstractBackground: Nurse-sensitive indicators and nurses' satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between

  17. Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators

    NARCIS (Netherlands)

    D. Stalpers (Dewi); R.A.M.M. Kieft (Renate A. M. M.); D. van der Linden (Dimitri); M.J. Kaljouw (Marian J.); M.J. Schuurmans (Marieke )

    2016-01-01

    textabstractBackground: Nurse-sensitive indicators and nurses' satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-s

  18. Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators

    NARCIS (Netherlands)

    D. Stalpers (Dewi); R.A.M.M. Kieft (Renate A. M. M.); D. van der Linden (Dimitri); M.J. Kaljouw (Marian J.); M.J. Schuurmans (Marieke )

    2016-01-01

    textabstractBackground: Nurse-sensitive indicators and nurses' satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-s

  19. Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators

    NARCIS (Netherlands)

    Stalpers, Dewi; Kieft, Renate A M M; Van Der Linden, Dimitri; Kaljouw, Marian J.; Schuurmans, Marieke J.

    2016-01-01

    Background: Nurse-sensitive indicators and nurses' satisfaction with the quality of care are two commonly used ways to measure quality of nursing care. However, little is known about the relationship between these kinds of measures. This study aimed to examine concordance between nurse-sensitive scr

  20. 14 CFR 121.342 - Pitot heat indication systems.

    Science.gov (United States)

    2010-01-01

    ... a flight instrument pitot heating system unless the airplane is also equipped with an operable pitot... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Pitot heat indication systems. 121.342... heat indication systems. No person may operate a transport category airplane or, after December...

  1. 14 CFR 125.206 - Pitot heat indication systems.

    Science.gov (United States)

    2010-01-01

    ... flight instrument pitot heating system unless the airplane is equipped with an operable pitot heat... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Pitot heat indication systems. 125.206... Equipment Requirements § 125.206 Pitot heat indication systems. (a) Except as provided in paragraph (b)...

  2. [Certified quality management according to DIN ISO 9001 in a radiology department at a university hospital: measurable changes in academic quality indicators?].

    Science.gov (United States)

    Lorenzen, J; Habermann, C; Utler, C; Grzyska, U; Weber, C; Adam, G; Koops, A

    2009-10-01

    To evaluate the changes in academic quality indicators after implementation of a quality management system according to DIN ISO 9001:2000. After implementation and certification of a quality management system, the actual state based on quality indicators from the fields of student teaching, research, continuing education and the satisfaction of referring physician was determined. After implementation of an action plan for the individual areas, the temporal changes in the ratios were documented in the follow-up. The evaluation of teaching performance obtained by questionnaire among the students of the radiology course showed a steady increase in satisfaction (mean value 2003: 2.7; 2007: 3.9). In the field of research an increase in scientific output was achieved based on the number of an internal publication score (2002: 99 points; 2006: 509). Repeated opinion surveys among our referring physicians found improvements in indicators for the appointment of investigations, consulting service and waiting times for the investigation, while the waiting times for internal transport service did not improve. Exemplary measurements of the success of the advanced training of the staff demonstrated the need for continuing education for quality improvement. The evaluation of quality indicators showed over time a measurable positive impact on processes of a radiological University Hospital after implementation of a QM system according to DIN ISO 9001:2000. Georg Thieme Verlag KG Stuttgart-New York.

  3. [Practice report: the process-based indicator dashboard. Visualising quality assurance results in standardised processes].

    Science.gov (United States)

    Petzold, Thomas; Hertzschuch, Diana; Elchlep, Frank; Eberlein-Gonska, Maria

    2014-01-01

    Process management (PM) is a valuable method for the systematic analysis and structural optimisation of the quality and safety of clinical treatment. PM requires a high motivation and willingness to implement changes of both employees and management. Definition of quality indicators is required to systematically measure the quality of the specified processes. One way to represent comparable quality results is the use of quality indicators of the external quality assurance in accordance with Sect. 137 SGB V—a method which the Federal Joint Committee (GBA) and the institutions commissioned by the GBA have employed and consistently enhanced for more than ten years. Information on the quality of inpatient treatment is available for 30 defined subjects throughout Germany. The combination of specified processes with quality indicators is beneficial for the information of employees. A process-based indicator dashboard provides essential information about the treatment process. These can be used for process analysis. In a continuous consideration of these indicator results values can be determined and errors will be remedied quickly. If due consideration is given to these indicators, they can be used for benchmarking to identify potential process improvements.

  4. Potential palliative care quality indicators in heart disease patients: A review of the literature.

    Science.gov (United States)

    Mizuno, Atsushi; Miyashita, Mitsunori; Hayashi, Akitoshi; Kawai, Fujimi; Niwa, Koichiro; Utsunomiya, Akemi; Kohsaka, Shun; Kohno, Takashi; Yamamoto, Takeshi; Takayama, Morimasa; Anzai, Toshihisa

    2017-10-01

    In spite of the increasing interest in palliative care for heart disease, data on the detailed methods of palliative care and its efficacy specifically in heart disease are still lacking. A structured PubMed literature review revealed no quality indicators of palliative care in heart disease. Therefore, we performed a narrative overview of the potential quality indicators in heart disease by reviewing previous literature concerning quality indicators in cancer patients. We summarize seven potential categories of quality indicators in heart disease: (1) presence and availability of a palliative care unit, palliative care team, and outpatient palliative care; (2) human resources such as number of skilled staff; (3) infrastructure; (4) presence and frequency of documentation or family survey; (5) patient-reported outcome measure (PROM) data and disease-specific patient quality of life such as The Kansas City Cardiomyopathy Questionnaire (KCCQ); (6) questionnaires and interviews about the quality of palliative care after death, including bereaved family surveys; and (7) admission-related outcomes such as place of death and intensive care unit length of stay. Although detailed measurements of palliative care quality have not been validated in heart disease, many indicators developed in cancer patients might also be applicable to heart disease. This new categorization might be useful to determine quality indicators in heart disease patients. Copyright © 2017 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

  5. [Deep frozen fresh plasma in blood component therapy: preparation--quality control--indications].

    Science.gov (United States)

    Koerner, K; Stampe, D; Kubanek, B

    1981-10-01

    Fresh frozen plasma is prepared within 6 hrs after collection in a double bag system. A second centrifugation at 4600 x g is necessary to obtain a platelet poor plasma. A special bag freezing system fitted to a conventional cryostat and cooled with ethanol to -50 degrees C was developed to reach the required cooling rate. It is possible to freeze 25 plasma bags simultaneously within 30 min in this new apparatus. Fresh frozen plasma prepared in this manner contains all coagulation factors and inhibitors with almost normal activities. Freezing at -40 degrees C in the air, prolonged storage of the starting material, or insufficient cooling of the frozen product deteriorate its quality. The influence of these variables with the discussed in detail. Indications of fresh frozen plasma, especially for dilution- and posttraumatic consumption coagulopathy as well as liver disease, are presented.

  6. Canadian Association of Gastroenterology Consensus Guidelines on Safety and Quality Indicators in Endoscopy

    Directory of Open Access Journals (Sweden)

    David Armstrong

    2012-01-01

    Full Text Available Several organizations worldwide have developed procedure-based guidelines and/or position statements regarding various aspects of quality and safety indicators, and credentialing for endoscopy. Although important, they do not specifically address patient needs or provide a framework for their adoption in the context of endoscopy services. The consensus guidelines reported in this article, however, aimed to identify processes and indicators relevant to the provision of high-quality endoscopy services that will support ongoing quality improvement across many jurisdictions, specifically in the areas of ethics, facility standards and policies, quality assurance, training and education, reporting standards and patient perceptions.

  7. Quality indicators for family support services and their relationship to organizational social context.

    Science.gov (United States)

    Olin, S Serene; Williams, Nate; Pollock, Michele; Armusewicz, Kelsey; Kutash, Krista; Glisson, Charles; Hoagwood, Kimberly E

    2014-01-01

    Quality measurement is an important component of healthcare reform. The relationship of quality indicators (QIs) for parent-delivered family support services to organizational social contexts known to improve quality is unexamined. This study employs data collected from 21 child mental health programs that deliver team-based family support services. Performance on two levels of QIs-those targeting the program and staff-were significantly associated with organizational social context profiles and dimensions. High quality program policies are associated with positive organizational cultures and engaging climates. Inappropriate staff practices are associated with resistant cultures. Implications for organizational strategies to improve service quality are discussed.

  8. CUSTOMER SATISFACTION AS AN INDICATOR OF SERVICE QUALITY IN TOURISM AND HOSPITALITY

    Directory of Open Access Journals (Sweden)

    Ana Stranjancevic

    2015-12-01

    Full Text Available One of the greatest challenges for stakeholders is to ensure customer satisfaction, especially in service industries such as tourism and hospitality. The aim of this paper is to show that restaurant guest satisfaction depends on numerous factors as well as to show the connection between satisfaction and loyalty. Customer satisfaction and loyalty are excellent indicators of service quality. For the purpose of this paper, empirical survey was conducted and the results of the research were analyzed by statistical method. Factors which affect customer satisfaction are: kind staff, professionalism, speed of service, food quality, ambience and comfort. This implicates a special need for the introduction of strong Human Resource Management, food safety standards (e.g. HACCP and effective space planning. The study implies that the care for quality of products and services is necessary at all levels and that it is impossible to ensure the customer satisfaction or create customer loyalty without strong management system (including space projecting and without controlling it.

  9. Using Caffeine as a Water Quality Indicator in the Ambient Monitoring Program for Third Fork Creek Watershed, Durham, North Carolina

    OpenAIRE

    2015-01-01

    Caffeine has been suggested as a chemical indicator for domestic wastewater in freshwater systems, although it is not included in water quality monitoring programs. The Third Fork Creek watershed in Durham, NC, is highly urbanized, with a history of receiving untreated wastewater from leaking and overflowing sanitary sewers. The poor water quality originating in the Third Fork Creek watershed threatens its intended uses and jeopardizes drinking water, aquatic life, and recreational activities...

  10. WATER QUALITY ANALYSIS OF LOTIC ECOSYSTEMS FROM UPPER MUREŞ RIVER CATCHMENT AREA USING DIFFERENT BIOTIC INDICES

    Directory of Open Access Journals (Sweden)

    Milca PETROVICI

    2012-01-01

    Full Text Available Present paper approach the issue of assessing the water quality of tributaries located in the upper basin of the river Mureş, taking into account changes in the value of biotic indices. In this sense, have been selected the next five biotic indices: Ephemeroptera Plecoptera Trichoptera index (EPT, Total Invertebrates index (T, Chironomidae index (Ch, EPT / Total invertebrates index (EPT / T, EPT / Chironomidae index (EPT / Ch and % Chironomidae index (% Chironomidae. Considering all these indices, it was found existence of a medium to best quality water in Mureş tributaries from Harghita Mountains and a good quality water which comes from the Maramureş Mountains and Transylvania Plateau.

  11. Estimation of Power Quality Indicators During a Real Wind Farm Islanding Experiment

    DEFF Research Database (Denmark)

    Terzija, Vladimir; Stanojević, V.; Štrbac, G.

    2008-01-01

    of voltages and currents are estimated. Frequency and its rate of change are directly estimated from voltage input signals. In the second algorithm stage the power quality indicators are calculated. The algorithm considers frequency as an unknown model parameter simultaneously estimated with the voltage......The two-stage Newton Type Algorithm for the tracking of the power quality indicators, frequency and rate of frequency changes is presented in the paper. By this definitions for power quality indicators according to the IEEE Standard 1459-2000 were used. In the first algorithm stage the spectra...

  12. Social Indicators Research and Health-Related Quality of Life Research.

    Science.gov (United States)

    Michalos, Alex C.

    2004-01-01

    The aim of this essay is to build a bridge between two intersecting areas of research, social indicators research on the one hand and health-related quality of life research on the other. The first substantive section of the paper introduces key concepts and definitions in the social indicators research tradition, e.g., social indicators,…

  13. Human Capital Questionnaire: Assessment of European nurses' perceptions as indicators of human capital quality.

    Science.gov (United States)

    Yepes-Baldó, Montserrat; Romeo, Marina; Berger, Rita

    2013-06-01

    Healthcare accreditation models generally include indicators related to healthcare employees' perceptions (e.g. satisfaction, career development, and health safety). During the accreditation process, organizations are asked to demonstrate the methods with which assessments are made. However, none of the models provide standardized systems for the assessment of employees. In this study, we analyzed the psychometric properties of an instrument for the assessment of nurses' perceptions as indicators of human capital quality in healthcare organizations. The Human Capital Questionnaire was applied to a sample of 902 nurses in four European countries (Spain, Portugal, Poland, and the UK). Exploratory factor analysis identified six factors: satisfaction with leadership, identification and commitment, satisfaction with participation, staff well-being, career development opportunities, and motivation. The results showed the validity and reliability of the questionnaire, which when applied to healthcare organizations, provide a better understanding of nurses' perceptions, and is a parsimonious instrument for assessment and organizational accreditation. From a practical point of view, improving the quality of human capital, by analyzing nurses and other healthcare employees' perceptions, is related to workforce empowerment.

  14. Macro Invertebrates As Bio Indicators Of Water Quality In Nzovwe Stream In Mbeya Tanzania

    Directory of Open Access Journals (Sweden)

    Fredrick Ojija

    2015-08-01

    Full Text Available This study was carried out to assess the water quality of Nzovwe stream using macroinvertebrates as bioindicators. Biological monitoring working party BMWP scoring system was the index used to assess the ecosystem health of Nzovwe stream. A total of 584 aquatic macroinvertebrates were identified from Nzovwe stream. They belonged to 22 families. The most abundant taxa were Odonata 35.959 Hemiptera 25.514 Coleoptera 18.493 and Diptera 12.842. Whereas the least abundant taxa were Ephemeroptera and Gastropoda each constituting 1.028 of all macroinvertebrates. The most abundant macroinvertebrates were Dragonflies 27.226 Water striders 13.185 and Creeping water bugs 10.274 whereas the least abundant were Giant water bugs 0.514 and Backswimmers 0.514. The BMWP score of Nzovwe stream was 115. Based on this score the water of Nzovwe stream is neither very clean nor significantly altered aquatic environment. Hence the Nzovwe stream is moderately polluted due to non-point source pollution from several sources. Moreover it was found that agricultural activities washing and bathing could alter physico-chemical parameters of the stream and hence changing the abundance of macroinvertebrates as well as the quality of water. This study therefore recommends that the source of pollutants should be controlled and the stream regularly monitored by the relevant authorities. Additionally biological indicators and their indices are suggested to be used in assessing the condition of a stream ecosystem.

  15. Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings: Study Protocol

    Directory of Open Access Journals (Sweden)

    Travers Catherine M

    2011-10-01

    Full Text Available Abstract Background Frail older people admitted to acute care hospitals are at risk of a range of adverse outcomes, including geriatric syndromes, although targeted care strategies can improve health outcomes for these patients. It is therefore important to assess inter-hospital variation in performance in order to plan and resource improvement programs. Clinical quality outcome indicators provide a mechanism for identifying variation in performance over time and between hospitals, however to date there has been no routine use of such indicators in acute care settings. A barrier to using quality indicators is lack of access to routinely collected clinical data. The interRAI Acute Care (AC assessment system supports comprehensive geriatric assessment of older people within routine daily practice in hospital and includes process and outcome data pertaining to geriatric syndromes. This paper reports the study protocol for the development of aged care quality indicators for acute care hospitals. Methods/Design The study will be conducted in three phases: 1. Development of a preliminary inclusive set of quality indicators set based on a literature review and expert panel consultation, 2. A prospective field study including recruitment of 480 patients aged 70 years or older across 9 Australian hospitals. Each patient will be assessed on admission and discharge using the interRAI AC, and will undergo daily monitoring to observe outcomes. Medical records will be independently audited, and 3. Analysis and compilation of a definitive quality indicator set, including two anonymous voting rounds for quality indicator inclusion by the expert panel. Discussion The approach to quality indicators proposed in this protocol has four distinct advantages over previous efforts: the quality indicators focus on outcomes; they can be collected as part of a routinely applied clinical information and decision support system; the clinical data will be robust and will

  16. Serengeti real estate: density vs. fitness-based indicators of lion habitat quality.

    Science.gov (United States)

    Mosser, Anna; Fryxell, John M; Eberly, Lynn; Packer, Craig

    2009-10-01

    Habitat quality is typically inferred by assuming a direct relationship between consumer density and resource abundance, although it has been suggested that consumer fitness may be a more accurate measure of habitat quality. We examined density vs. fitness-based measures of habitat quality for lions in the Serengeti National Park, Tanzania. A 40-year average of female reproductive success (yearling cubs per female) was best explained by proximity to river confluences, whereas patterns of productivity (yearling cubs per km(2)) and adult female density (individuals per km(2)) were associated with more general measures of habitat quality and areas of shelter in poor habitat. This suggests that density may not accurately distinguish between high-quality 'source' areas and low-quality sites that merely provide refuges for effectively non-reproductive individuals. Our results indicate that density may be a misleading indicator of real estate value, particularly for populations that do not conform to an ideal free distribution.

  17. EVALUATION OF QUALITY INDICATORS RELATED TO QUALITY BREAD WHEAT PROMISING LINES

    Directory of Open Access Journals (Sweden)

    Watson Munyanyi

    2014-01-01

    Full Text Available The bread waste is one of the important socio-economic's issues country now, the urgent need is feeling to improve the wheat quality. Therefore, using the methods of farming and breeding is necessary to improve the quality of this strategic product. As a result, tests of quality's traits in wheat promising lines in Isfahan climate took place. In this study, the choice 17 advanced lines of compare the performances,s experiments, an experiment was conducted for two consecutive cropping (2011-2012 at cultural experiment and research centre in Isfahan located in Kabutar Abad region. Randomized complete block designs with 3 replications were compared with Spring variety (for control. Traits including: 1000 grain weight, hectolitre weight, protein content, Zeleny sedimentation rate, bread volume, grain moisture content, grain hardness, water absorption, falling number, percentage of dry gluten, gluten index, sedimentation rates were SDS.The results of the combined analysis of variance qualitative characteristics,s for two consecutive cropping showed that treatments with compare together and control variety had significant influence in 1% probability.Correlation coefficients of two years showed that the compound test significant positive correlation within grain hardness index and protein content, wet gluten and dry deposition rates of SDS. Also, significant positive correlation with the percentage of protein content of dry gluten. In view of the high correlation with protein content of dry gluten (quantity. However, grain hardness and relatively high correlation with SDS sedimentation as an important measure of protein quality. Therefore, the test results of dry gluten grains can be tough to choose in order to improve the quality of wheat bread may be used.

  18. Quality indicators for treatment of respiratory tract infections? An assessment by Danish general practitioners

    DEFF Research Database (Denmark)

    Hansen, Malene Plejdrup; Bjerrum, Lars; Gahrn-Hansen, Bente

    2013-01-01

    Background: In 2008, a set of 41 quality indicators for antibiotic treatment of respiratory tract infections (RTIs) in general practice were developed in an international setting as part of the European project HAPPY AUDIT. Objectives: To investigate Danish general practitioners' (GPs') assessment...... of a set of internationally developed quality indicators and to explore if there is an association between the GPs' assessment of the indicators and their practice characteristics as well as their antibiotic prescription pattern. Methods: A total of 102 Danish GPs were invited to assess the 41 quality...... indicators. The GPs were categorized into two groups according to their assessment of indicators. Data concerning practice characteristics and antibiotic treatment were obtained during a three-week registration of patients with RTIs and were linked to the GPs' assessments of the indicators. Results: A total...

  19. Indices of water quality and metal pollution of Nile River, Egypt

    OpenAIRE

    Abdel-Satar, Amaal M.; Ali, Mohamed H.; Mohamed E. Goher

    2017-01-01

    Nile River is the valued natural and exclusive source of fresh water in Egypt, where the drinking water supply is limited to the river. The water quality of 24 sites between Aswan and Cairo along the Nile was investigated. To evaluate the suitability of water for aquatic life and drinking purposes, the indices of water quality (WQI), heavy metal pollution (HPI) and contamination (Cd) were computed. The water quality variations were mainly related to inorganic nutrients and heavy metals, where...

  20. Assessing different agricultural managements with the use of soil quality indices in a Mediteranean calcareous soil

    Science.gov (United States)

    Morugán-Coronado, Alicia; García-Orenes, Fuensanta; Mataix-Solera, Jorge; Arcenegui, Vicky; Cerdà, Artemi

    2013-04-01

    Soil erosion is a major problem in the Mediterranean region due to the arid conditions and torrential rainfalls, which contribute to the degradation of agricultural land. New strategies must be developed to reduce soil losses and recover or maintain soil functionality in order to achieve a sustainable agriculture. An experiment was designed to evaluate the effect of different agricultural management on soil properties and soil quality. Ten different treatments (contact herbicide, systemic herbicide, ploughing, Oat mulch non-plough, Oats mulch plough, leguminous plant, straw rice mulch, chipped pruned branches, residual-herbicide and agro geo-textile, and three control plots including no tillage or control and long agricultural abandonment (shrub on marls and shrub on limestone) were established in 'El Teularet experimental station' located in the Sierra de Enguera (Valencia, Spain). The soil is a Typic Xerorthent developed over Cretaceous marls in an old agricultural terrace. The agricultural management can modify the soil equilibrium and affect its quality. In this work two soil quality indices (models) developed by Zornoza et al. (2007) are used to evaluate the effects of the different agricultural management along 4 years. The models were developed studying different soil properties in undisturbed forest soils in SE Spain, and the relationships between soil parameters were established using multiple linear regressions. Model 1, that explained 92% of the variance in soil organic carbon (SOC) showed that the SOC can be calculated by the linear combination of 6 physical, chemical and biochemical properties (acid phosphatase, water holding capacity (WHC), electrical conductivity (EC), available phosphorus (P), cation exchange capacity (CEC) and aggregate stability (AS). Model 2 explains 89% of the SOC variance, which can be calculated by means of 7 chemical and biochemical properties (urease, phosphatase, and ß-glucosidase activities, pH, EC, P and CEC). We use the

  1. DESIGN OF INFORMATION SYSTEM FOR QUALITY MANAGEMENT

    OpenAIRE

    2002-01-01

    A quality management recently has been the concepts that using a great mass of information flow. The unique function of information in quality management has become the driver of this study. There is a need of building the model for quality management information system before designing the information system. This paper will show two points that important for the information system. The points, database model and expert system, will be explained as the part of the information system for qual...

  2. The 4-hour standard is a meaningful quality indicator: correlation of performance with emergency department crowding.

    Science.gov (United States)

    Higginson, Ian; Kehoe, Anthony; Whyatt, Justin; Smith, Jason E

    2017-02-01

    The 4-h standard performance is a controversial quality indicator. Crowding in emergency departments (EDs) causes increased patient morbidity and mortality. The aim of this study was to investigate the relationship between 4-h standard performance and ED crowding as measured by occupancy. A retrospective observational study was carried out using the computerized Emergency Department Information System. Daily occupancy was considered in three ways: as minutes per day spent at occupancy thresholds of 70, 80, 90 and 100%; as the peak occupancy of resuscitation and majors beds at any point in the day; and as a percentage of the total potential ED bed minutes used during the day. An inverse relationship was observed between occupancy and 4-h standard performance using each method. Performance could be sustained at 70% occupancy, but deteriorated in a linear manner at a progressively increasing rate at 80, 90 and 100% occupancy (all Poccupancy (Poccupancy (Poccupancy may play a role in improving the quality of care delivered within the urgent care system.

  3. [Analysis and evaluation of the QUALIFY tool for assessing quality indicators with structured group interviews].

    Science.gov (United States)

    Lüngen, Markus; Rath, Thomas

    2011-01-01

    Quality indicators are used world-wide to monitor the quality of health care. For these indicators to be effective they also have to meet certain quality criteria. The QUALIFY tool is used for assessing the quality criteria themselves against a scientific background. The present paper evaluates the QUALIFY tool and provides an indication of its further development. The evaluation of the QUALIFY tool was carried out using structured group interviews. Participants of the first focus group were involved in both the development of the tool and in its implementation. The second focus group exclusively consisted of QUALIFY users. There was no essential difference in the rating between the two focus groups. Up till now, QUALIFY has been used for the designation of quality indicators for the German Quality Record for Hospitals, for a pre-selection of indicators for the National Disease Management Guidelines, and for a pharmaceutical drug safety project of the Coalition for Patient Safety. Its wider distribution is hampered by the fact that the actual QUALIFY tool is far too complex and requires a lot of resources. Nevertheless, its cost-effectiveness was rated 'adequate' because the application of inappropriate quality indicators can be very expensive. Our ambition should be to define QUALIFY subsystems of various complexity for different purposes and to enforce anchoring of the tool at an international level. QUALIFY, and thus the assessment of quality indicators, has entered virgin territory. Since quality assessment will be gaining relevance the further evaluation and development of these tools is warranted. In this context group interviews could provide an applicable approach to evaluating acceptance and implementation problems.

  4. Audit of cases with uterine rupture: a process indicator of quality of ...

    African Journals Online (AJOL)

    Roland

    Audit of uterine rupture (UR) used as a process indicator, can identify factors considered avoidable to improve future quality of ... (MAN), the maternity hospital with the high- ... stances, such as progress and management of lab- our, use of ...

  5. Process quality indicators for chronic kidney disease risk management : a systematic literature review

    NARCIS (Netherlands)

    Smits, Kirsten P J; Sidorenkov, Grigory; Bilo, Henk J G; Bouma, Margriet; Navis, Gerjan J; Denig, Petra

    2016-01-01

    BACKGROUND AND OBJECTIVES: Quality indicators (QIs) can be used for measuring the quality of actions of healthcare providers. This systematic review gives an overview of such QIs measuring processes of care for chronic kidney disease (CKD), and identifies the QIs that have content, face, operational

  6. Process quality indicators for chronic kidney disease risk management : a systematic literature review

    NARCIS (Netherlands)

    Smits, Kirsten P. J.; Sidorenkov, Grigory; Bilo, Henk J. G.; Bouma, Margriet; Navis, Gerjan J.; Denig, Petra

    2016-01-01

    Background and objectivesQuality indicators (QIs) can be used for measuring the quality of actions of healthcare providers. This systematic review gives an overview of such QIs measuring processes of care for chronic kidney disease (CKD), and identifies the QIs that have content, face, operational a

  7. Soil quality indicator responses to row crop, grazed pasture, and agroforestry buffer management

    Science.gov (United States)

    Incorporation of trees and establishment of grass buffers within agroecosystems are management practices shown to enhance soil quality. Soil enzyme activities and water stable aggregates (WSA) have been identified as sensitive soil quality indicators to evaluate early responses to soil management. ...

  8. To what extent do structural quality indicators of (nutritional) care influence malnutrition prevalence in nursing homes?

    NARCIS (Netherlands)

    van Nie-Visser, Noemi C.; Meijers, Judith M.; Schols, J.M.G.A.; Lohrmann, Christa; Spreeuwenberg, Marieke; Halfens, Ruud J.

    2015-01-01

    Background & aims Many residents in European healthcare institutions are malnourished, with reported malnutrition prevalence rates of up to 60%. Due to the negative effects of malnutrition it is important to optimize the quality of nutritional care. If structural quality indicators of nutritional

  9. Conductivity as an indicator of surface water quality in the proximity ...

    African Journals Online (AJOL)

    2015-10-05

    Oct 5, 2015 ... Conductivity as an indicator of surface water quality in the ... FeCr smelting did not significantly impact surface water quality, but that surface run-off and/or ..... farming-management/soil-water/salinity/measuring-the-salinity-.

  10. Performance indicators used to assess the quality of primary dental care.

    NARCIS (Netherlands)

    Gonzalez, G.Z.; Klazinga, N.; Asbroek, G. ten; Delnoij, D.M.

    2006-01-01

    An appropriate quality of medical care including dental care should be an objective of every government that aims to improve the oral health of its population. OBJECTIVES: To determine performance indicators that could be used to assess the quality of primary dental care at different levels of a hea

  11. Assessment of Ganga river ecosystem at Haridwar, Uttarakhand, India with reference to water quality indices

    Science.gov (United States)

    Bhutiani, R.; Khanna, D. R.; Kulkarni, Dipali Bhaskar; Ruhela, Mukesh

    2016-06-01

    The river Ganges is regarded as one of the most holy and sacred rivers of the world from time immemorial. The evaluation of river water quality is a critical element in the assessment of water resources. The quality/potability of water that is consumed defines the base line of protection against many diseases and infections. The present study aimed to calculate Water Quality Index (WQI) by the analysis of sixteen physico-chemical parameters on the basis of River Ganga index of Ved Prakash, weighted arithmetic index and WQI by National sanitation foundation (NSF) to assess the suitability of water for drinking, irrigation purposes and other human uses. These three water quality indices have been used to assess variation in the quality of the River Ganga at monitored locations over an 11-year period. Application of three different indexes to assess the water quality over a period of 11 years shows minor variations in water quality. Index values as per River Ganga Index by Ved Prakash et al. from 2000 to 2010 ranged between medium to good, Index values as per NSF Index for years 2000-2010 indicate good water quality, while Index values as per the weighted arithmetic index method for the study period indicate poor water quality.

  12. QUALITY MANAGEMENT IN BANKING SYSTEM

    OpenAIRE

    2009-01-01

    Quality management banking perspective is extremely interesting, from the point of view of the activities specific, and of the permanent area competition improvement. Banks being aware of the quality problems also lead to the appearance and requirement of

  13. Quality indicators as a tool in improving the introduction of new medicines.

    Science.gov (United States)

    Campbell, Stephen M; Godman, Brian; Diogene, Eduardo; Fürst, Jurij; Gustafsson, Lars L; MacBride-Stewart, Sean; Malmström, Rickard E; Pedersen, Hanne; Selke, Gisbert; Vlahović-Palčevski, Vera; van Woerkom, Menno; Wong-Rieger, Durhane; Wettermark, Björn

    2015-02-01

    Quality indicators are increasingly used as a tool to achieve safe and quality clinical care, cost-effective therapy, for professional learning, remuneration, accreditation and financial incentives. A substantial number focus on drug therapy but few address the introduction of new medicines even though this is a burning issue. The objective was to describe the issues and challenges in designing and implementing a transparent indicator framework and evaluation protocol for the introduction of new medicines and to provide guidance on how to apply quality indicators in the managed entry of new medicines. Quality indicators need to be developed early to assess whether new medicines are introduced appropriately. A number of key factors need to be addressed when developing, applying and evaluating indicators including dimensions of quality, suggested testing protocols, potential data sources, key implementation factors such as intended and unintended consequences, budget impact and cost-effectiveness, assuring the involvement of the medical professions, patients and the public, and reliable and easy-to-use computerized tools for data collection and management. Transparent approaches include the need for any quality indicators developed to handle conflict of interests to enhance their validity and acceptance. The suggested framework and indicator testing protocol may be useful in assessing the applicability of indicators for new medicines and may be adapted to healthcare settings worldwide. The suggestions build on existing literature to create a field testing methodology that can be used to produce country-specific quality indicators for new medicines as well as a cross international approach to facilitate access to new medicines.

  14. Air quality indicators from the Environmental Performance Index: potential use and limitations in South Africa

    Directory of Open Access Journals (Sweden)

    Rebecca M. Garland

    2017-06-01

    Full Text Available In responding to deteriorating air quality, many countries, including South Africa, have implemented national programmes that aim to manage and regulate ambient air quality, and the emissions of air pollutants. One aspect within these management strategies is effective communication to stakeholders, including the general public, with regard to the state and trend of ambient air quality in South Africa. Currently, information on ambient air quality is communicated through ambient mass concentration values, as well as number of exceedances of South African National Ambient Standards. However, these do not directly communicate the potential impact on human health and the ecosystem. To this end, the use of air quality indicators is seen as a potential way to achieve communication to stakeholders in a simplified, yet scientifically defensible manner. Air quality indicators and their source data from the Environmental Performance Index (EPI were interrogated to understand their potential use in South Africa. An assessment of four air quality indicators, together with their source data, showed improvements in air quality over the time period studied, though the input data do have uncertainties. The source data for the PM indicators, which came from a global dataset, underestimated the annual PM2.5 concentrations in the Highveld Priority Area and Vaal Triangle Airshed Priority Area over the time period studied (2009-2014 by ~3.7 times. This highlights a key limitation of national-scale indicators and input data, that while the data used by the EPI are a well-thought out estimate of a country’s air quality profile, they remain a generalised estimate. The assumptions and uncertainty inherent in such an ambitious global-wide attempt make the estimates inaccurate for countries without proper emissions tracking and accounting and few monitoring stations, such as South Africa. Thus, the inputs and resultant indicators should be used with caution until such

  15. Quality assessment of diagnosis and antibiotic treatment of infectious diseases in primary care: a systematic review of quality indicators

    OpenAIRE

    Saust, Laura Trolle; Monrad, Rikke Nygaard; Hansen, Malene Plejdrup; Arpi, Magnus; Bjerrum, Lars

    2016-01-01

    Objective To identify existing quality indicators (QIs) for diagnosis and antibiotic treatment of patients with infectious diseases in primary care. Design A systematic literature search was performed in PubMed and EMBASE. We included studies with a description of the development of QIs for diagnosis and antibiotic use in patients with infectious diseases in primary care. We extracted information about (1) type of infection; (2) target for quality assessment; (3) methodology used for developi...

  16. Quality in cytopathology: an analysis of the internal quality monitoring indicators of the Instituto Nacional de Câncer

    OpenAIRE

    Araujo Jr,Mario Lucio C.; Daniela A. Santana; Lívia B. Almeida; Quintana,Shirley B. S.; Gloria Regina F. Silva; Fonseca,Rachel C. S. P.

    2015-01-01

    Introduction: Quality control programs are required to ensure the effectiveness of Pap smear, which still remain a key strategy for control of cervical cancer worldwide. Objective: This study was based on the retrospective and quantitative analysis of the post-analytical phase indicators from the internal quality monitoring (IQM) program for cytopathology laboratories, such as: positivity rate, atypical squamous cell (ASC)/satisfactory exams ratio, ASC/abnormal test results ratio, ASC/squamou...

  17. Development of a Sound Quality Evaluation System

    DEFF Research Database (Denmark)

    Kvist, Preben; Thomsen, Carsten; Lee, Sanjil

    2004-01-01

    This paper describes the development of the first version of the Sound Quality Evaluation System. The purpose of the system is to predict the subjective sound quality of home theater systems from objective measurements. 16 home theater systems were measured in an anechoic room. Several metrics...... expected to correlate w ith the subjective quality were proposed and tested. A model for the sound quality was created by mapping the subjective evaluations of the Home Theater System s with the metrics calculated for each system. Correlation between subjective listening test and the prediction is presente...

  18. Quality indicators for the acute and long-term management of anaphylaxis

    DEFF Research Database (Denmark)

    Dhami, Sangeeta; Sheikh, Aadam; Muraro, Antonella

    2017-01-01

    is challenging. Quality indicators have the potential to support guideline implementation efforts. OBJECTIVE: To identify quality indicators to support the acute and long-term management of anaphylaxis. METHODS: We conducted a systematic review of the literature that involved searching Medline, EMBASE and CINAHL......) and long-term (n = 27) management of anaphylaxis. The majority of indicators were developed through expert consensus with relatively few of these having been formally piloted or tested to demonstrate that they could discriminate between variations in practice and/or that they were sensitive to change....... CONCLUSIONS: There is a need for a comprehensive set of quality indicators for anaphylaxis management. We have however identified some indicators for the acute and long-term management of anaphylaxis that could with relatively little additional work support efforts to translate guideline recommendations...

  19. Validation of quality indicators for end-of-life communication: results of a multicentre survey.

    Science.gov (United States)

    Heyland, Daren K; Dodek, Peter; You, John J; Sinuff, Tasnim; Hiebert, Tim; Tayler, Carolyn; Jiang, Xuran; Simon, Jessica; Downar, James

    2017-07-31

    The lack of validated quality indicators is a major barrier to improving end-of-life communication and decision-making. We sought to show the feasibility of and provide initial validation for a set of quality indicators related to end-of-life communication and decision-making. We administered a questionnaire to patients and their family members in 12 hospitals and asked them about advance care planning and goals-of-care discussions. Responses were used to calculate a quality indicator score. To validate this score, we determined its correlation with the concordance between the patients' expressed wishes and the medical order for life-sustaining treatments recorded in the hospital chart. We compared the correlation with concordance for the advance care planning component score with that for the goal-of-care discussion scores. We enrolled 297 patients and 209 family members. At all sites, both overall quality indicators and individual domain scores were low and there was wide variability around the point estimates. The highest-ranking institution had an overall quality indicator score (95% confidence interval) of 40% (36%-44%) and the lowest had a score of 18% (11%-25%). There was a strong correlation between the overall quality indicator score and the concordance measure (r = 0.72, p = 0.008); the estimated correlation between the advance care planning score and the concordance measure (r = 0.35) was weaker than that between the goal-of-care discussion scores and the concordance measure (r = 0.53). Quality of end-of-life communication and decision-making appears low overall, with considerable variability across hospitals. The proposed quality indicator measure shows feasibility and partial validity. Study registration: ClinicalTrials.gov, no. NCT01362855. © 2017 Canadian Medical Association or its licensors.

  20. Using and reporting the Delphi method for selecting healthcare quality indicators: a systematic review.

    Directory of Open Access Journals (Sweden)

    Rym Boulkedid

    Full Text Available OBJECTIVE: Delphi technique is a structured process commonly used to developed healthcare quality indicators, but there is a little recommendation for researchers who wish to use it. This study aimed 1 to describe reporting of the Delphi method to develop quality indicators, 2 to discuss specific methodological skills for quality indicators selection 3 to give guidance about this practice. METHODOLOGY AND MAIN FINDING: Three electronic data bases were searched over a 30 years period (1978-2009. All articles that used the Delphi method to select quality indicators were identified. A standardized data extraction form was developed. Four domains (questionnaire preparation, expert panel, progress of the survey and Delphi results were assessed. Of 80 included studies, quality of reporting varied significantly between items (9% for year's number of experience of the experts to 98% for the type of Delphi used. Reporting of methodological aspects needed to evaluate the reliability of the survey was insufficient: only 39% (31/80 of studies reported response rates for all rounds, 60% (48/80 that feedback was given between rounds, 77% (62/80 the method used to achieve consensus and 57% (48/80 listed quality indicators selected at the end of the survey. A modified Delphi procedure was used in 49/78 (63% with a physical meeting of the panel members, usually between Delphi rounds. Median number of panel members was 17(Q1:11; Q3:31. In 40/70 (57% studies, the panel included multiple stakeholders, who were healthcare professionals in 95% (38/40 of cases. Among 75 studies describing criteria to select quality indicators, 28 (37% used validity and 17(23% feasibility. CONCLUSION: The use and reporting of the Delphi method for quality indicators selection need to be improved. We provide some guidance to the investigators to improve the using and reporting of the method in future surveys.

  1. Evaluation of Selected Quality of Life Indicators in Lag “Dol Ná Nitra”

    Directory of Open Access Journals (Sweden)

    Baková Ingrida

    2016-05-01

    Full Text Available The paper focuses on quality of life of inhabitants in Slovak countryside as well as conditions for development of municipalities on possibilities of drawing European funds and the performance of Local Action Groups. Its main objective is to evaluate the effect of the Slovak Rural Development Programme 2007-2013 measures on increasing the quality of life in a selected region and to compare results in municipalities that were part of a public-private partnership and those they did not participate. The paper mainly deals with quality of life indicators defined in the field of employment and quality of employment.

  2. Biological indices for classification of water quality around Mae Moh power plant, Thailand

    Directory of Open Access Journals (Sweden)

    Pongsarun Junshum and Siripen Traichaiyaporn

    2007-12-01

    Full Text Available The algal communities and water quality were monitored at eight sampling sites around Mae Moh power plant during January-December 2003. Three biological indices, viz. algal genus pollution index, saprobic index, and Shannon-Weaver index, were adopted to classify the water quality around the power plant in comparison with the measured physico-chemical water quality. The result shows that the Shannon-Weaver diversity index appears to be much more applicable and interpretable for the classification of water quality around the Mae Moh power plant than the algal genus pollution index and the saprobic index.

  3. Information Quality Control of ERP System

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    From the viewpoint of manufacturing enterprises, th is thesis discusses the concept and definition of information quality as well as t he connotation of information quality. Based on our personal experiences of many years, we have summarized the cases of success and failure with ERP system, an d from the angle of information quality control, we have come up with the follow ing concepts : static information quality of enterprises, information maturity o f enterprises and dynamic information quality.Inform...

  4. Medicares Physician Quality Reporting System (PQRS)...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Medicares Physician Quality Reporting System (PQRS) allows providers to report measures of process quality and health outcomes. The authors of Medicares Physician...

  5. Characterization of groundwater quality using water evaluation indices, multivariate statistics and geostatistics in central Bangladesh

    Directory of Open Access Journals (Sweden)

    Md. Bodrud-Doza

    2016-04-01

    Full Text Available This study investigates the groundwater quality in the Faridpur district of central Bangladesh based on preselected 60 sample points. Water evaluation indices and a number of statistical approaches such as multivariate statistics and geostatistics are applied to characterize water quality, which is a major factor for controlling the groundwater quality in term of drinking purposes. The study reveal that EC, TDS, Ca2+, total As and Fe values of groundwater samples exceeded Bangladesh and international standards. Ground water quality index (GWQI exhibited that about 47% of the samples were belonging to good quality water for drinking purposes. The heavy metal pollution index (HPI, degree of contamination (Cd, heavy metal evaluation index (HEI reveal that most of the samples belong to low level of pollution. However, Cd provide better alternative than other indices. Principle component analysis (PCA suggests that groundwater quality is mainly related to geogenic (rock–water interaction and anthropogenic source (agrogenic and domestic sewage in the study area. Subsequently, the findings of cluster analysis (CA and correlation matrix (CM are also consistent with the PCA results. The spatial distributions of groundwater quality parameters are determined by geostatistical modeling. The exponential semivariagram model is validated as the best fitted models for most of the indices values. It is expected that outcomes of the study will provide insights for decision makers taking proper measures for groundwater quality management in central Bangladesh.

  6. Internal medicine resident training and provision of diabetes quality of care indicators.

    Science.gov (United States)

    Devkota, Bishnu P; Ansstas, Michael; Scherrer, Jeffrey F; Salas, Joanne; Budhathoki, Chakra

    2015-04-01

    Existing research is inconsistent on whether clinical experience is associated with improved management of type 2 diabetes mellitus. We sought to determine whether meeting diabetes quality indicators improves as general internal medicine physicians progress from first to last year of residency. We performed a chart abstraction of electronic health records data covering the period from September 2008 to August 2011. In all, 352 patient records were abstracted and linked to year of resident provider. Type 2 diabetes quality indicators included glycated hemoglobin (A1C), low-density lipoprotein, diastolic and systolic blood pressure control, obtaining urine microalbumin or prescription for angiotensin-converting enzyme inhibitor or angiotensin receptor blocker and documented foot and eye examinations. Chi-square tests and logistic regression analysis were used to determine whether year of residency was associated with quality of care indices before and after adjusting for patient age, gender, race, body mass index and cigarette smoking. Urine microalbumin was the most often met indicator (76.9%), and the least often met indicator was documented eye examination (37.4%). Results of adjusted analysis indicated that the odds of A1C, low-density lipoprotein control, obtaining urine microalbumin and documented eye and foot examinations were greater among patients of second- and third-year residents compared with those of first-year residents (odds ratios range, 1.26-5.12). Urine microalbumin was the indicator most often in optimal control and least often met indicators were eye and foot examinations. We observed improvement in quality of diabetes care throughout residency. However, the low prevalence of several quality indicators indicates a need for additional training and quality improvement. Copyright © 2015 Canadian Diabetes Association. All rights reserved.

  7. An analysis of the quality indicators of the organ donation process in São Paulo, Brazil.

    Science.gov (United States)

    Moura, Luciana Carvalho; de Oliveira, Priscilla Caroliny; dos Santos, Juliana Guareschi; Paglione, Heloisa Barboza; do Nascimento Neto, Jose Maria; dos Santos, Roberta Cristina Cardoso; de Oliveira Marcos, Marli Cristina; Carneiro, André Ramos; Moreira, Felipe Alves; Correa Calado, Dayana Aparecida Martins; Leite, Renata Fabiana; de Aguiar Roza, Bartira; de Oliveira Salvalaggio, Paolo Rogerio; de Matos, Ana Cristina Carvalho

    2015-12-01

    Few studies have investigated whether quality initiatives in the process of organ donation yield better results of the organ donation process. To analyze whether the indicators of the organ donation process in Brazilian hospitals meet the standards established by the Organ Donation European Quality System (ODEQUS). We evaluated the quality of the organ donation in a selected group of Brazilian hospitals served by the Nucleus of Organ Procurement (NOP) using standards of the ODEQUS. Structural and process indicators had 100% conformity. Indicators of results showed a family consent rate of 61% (29% lower than ODEQUS goal); a conversion rate of potential donors to effective donors of 47% (28% below the goal); and a 12% rate of sudden cardiac arrest (higher than the quality limit). Our findings highlight the importance for the development of quality initiatives in identifying gaps and weaknesses in the process that should be corrected or even restructured, therefore maximizing the number of donors and organs transplanted. Hospitals that participate in the NOP process met 61% of the quality indicators proposed by ODEQUS. Identification of potential donors, family consent, conversion, and sudden cardiac arrest rates are areas that did not conform to ODEQUS standard and revealed a great opportunity for improvement. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  8. Quality and Reliability of Missile System

    Directory of Open Access Journals (Sweden)

    Mr. Prahlada

    2002-01-01

    Full Text Available Missile system is a single-shot weapon system which requires very high quality and reliability. Therefore, quality and reliability have to be built into the system from designing to testing and evaluation. In this paper, the technological challenges encountered during development of operational missile system and the factors considered to build quality and reliability through the design, manufacture, assembly, testing and by sharing the knowledge with other aerospace agencies, industries and institutions, etc. have been presented.

  9. 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.

  10. (Dysfunctional relations between knowledge quality and education system

    Directory of Open Access Journals (Sweden)

    Avramović Zoran

    2011-01-01

    Full Text Available Functional analysis of the relation between knowledge and education system from the viewpoint of quality is used in the paper. It is proved that it is not necessarily true that there is a correspondence between knowledge quality and construction of the education system, i.e. that the former quality is not an inevitable condition of the latter. In the first part of the paper, we distinguish the concept of quality from non-quality knowledge. Out of 19 indicators, five knowledge qualities are normative (exceptional sense, and the others descriptive (specific sense characteristics. In the second part, the conceptual approach to education system focuses on its (dysfunctional and non-functional connections. The tradition of national knowledge, the character of social relations established between the actors within the system and the influence of implicit knowledge on teacher and student actions in education system are discussed. All these factors can influence positively and negatively the direction and content of knowledge quality in education system. Knowledge quality in school curricula and textbooks may be ensured and then (not realized due to the influence of traditional, social and implicit factors on educational interaction. The concept of constellation is used to explain the favorable and unfavorable relation between knowledge quality and education system. In the concluding part, the author argues that education system cannot ensure complete realization of knowledge quality since it is, to a considerable extent, conditioned by school and non-school factors.

  11. Reporting and use of the OECD Health Care Quality Indicators at national and regional level in 15 countries.

    Science.gov (United States)

    Rotar, Alexandru M; van den Berg, Michael J; Kringos, Dionne S; Klazinga, Niek S

    2016-06-01

    OECD member states are involved since 2003 in a project coordinated by the OECD on Health Care Quality Indicators (HCQI). All OECD countries are biennially requested by the OECD to deliver national data on the quality indicators for international benchmarking purposes. Currently, there is no knowledge whether the OECD HCQI information is used by the countries themselves for healthcare system accountability and improvement purposes. The objective of the study is to explore the reporting and use of OECD HCQI in OECD member-states. Data were collected through a questionnaire sent to all OECD member-states containing factual questions on the reporting on all OECD HCQ-indicators. Responses were received between June and December 2014. In this timeframe, two reminders were sent to the participants. The work progress was presented during HCQI Meetings in November 2014 and May 2015. Fifteen countries reported to have a total of 163 reports in which one or more HCQIs were reported. One hundred and sixteen were national and 47 were regional reports. Forty-nine reports had a general system focus, 80 were disease specific, 10 referred to a specific type of care setting, 22 were thematic and 2 were a combination of two (disease specific for a particular type of care and thematic for a specific type of care). Most reports were from Canada: 49. All 15 countries use one or more OECD indicators. The OECD quality indicators have acquired a clear place in national and regional monitoring activities. Some indicators are reported more often than others. These differences partly reflect differences between healthcare systems. Whereas some indicators have become very common, such as cancer care indicators, others, such as mental healthcare and patient experience indicators are relatively new and require some more time to be adopted more widely. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights

  12. A functional evaluation of three indicator sets for assessing soil quality

    NARCIS (Netherlands)

    Lima, A.C.R.; Brussaard, L.; Totola, M.R.; Hoogmoed, W.B.; Goede, de R.G.M.

    2013-01-01

    Efforts to define and quantify soil quality are not new, but establishing consensus about a set of standardized indicators remains difficult. Also, the view of land managers is usually not taken into account when evaluating various sets of indicators. Our objective was to compare, in functional term

  13. Quality indicators for the hospital transfusion chain : A national survey conducted in 100 dutch hospitals

    NARCIS (Netherlands)

    Zijlker-Jansen, Pauline Y.; Janssen, M. P.; van Tilborgh-de Jong, A. J W; Schipperus, M. R.; Wiersum-Osselton, J. C.

    2015-01-01

    Background: The 2011 Dutch Blood Transfusion Guideline for hospitals incorporates seven internal quality indicators for evaluation of the hospital transfusion chain. The indicators aim to measure guideline compliance as shown by the instatement of a hospital transfusion committee and transfusion saf

  14. Low-Bandwidth Channel Quality Indication for OFDMA Frequency Domain Packet Scheduling

    DEFF Research Database (Denmark)

    Kolding, Troels E.; Frederiksen, Frank; Pokhariyal, Akhilesh

    2007-01-01

     In this paper, we study methods for lowering the bandwidth needed for the UE to transmit channel quality indication (CQI) for time and frequency domain scheduling (FDPS) in OFDMA. We consider smart compression methods, such as threshold based indication, to only include scheduler...

  15. A functional evaluation of three indicator sets for assessing soil quality

    NARCIS (Netherlands)

    Lima, A.C.R.; Brussaard, L.; Totola, M.R.; Hoogmoed, W.B.; Goede, de R.G.M.

    2013-01-01

    Efforts to define and quantify soil quality are not new, but establishing consensus about a set of standardized indicators remains difficult. Also, the view of land managers is usually not taken into account when evaluating various sets of indicators. Our objective was to compare, in functional term

  16. Race-Related Stress, Quality of Life Indicators, and Life Satisfaction among Elderly African Americans.

    Science.gov (United States)

    Utsey, Shawn O.; Payne, Yasser A.; Jackson, Ebonique S.; Jones, Antoine M.

    2002-01-01

    Examines the relationships among race-related stress, quality of life indicators, and life satisfaction among elderly African Americans. Results indicated that elderly African American men and women differed significantly with regard to institutional and collective racism-related stress. In addition, institutional racism-related stress was a…

  17. Strengths and weaknesses of common sustainability indices for multidimensional systems.

    Science.gov (United States)

    Mayer, Audrey L

    2008-02-01

    Sustainability is rapidly moving from an abstract concept to a measurable state of dynamic human-ecological systems. The large number of economic, social, and environmental indicators currently available provides an unwieldy view of system sustainability. To aid policy decisions, these indicators are therefore either presented in the context of a conceptual framework, or quantitatively aggregated into indices. Due to the quantitative nature of sustainability indices, their results may be given more weight by scientists and policy-makers. However, policy decisions can be ineffective or even counterproductive if they do not consider factors which influence index behavior: the scale of the available data and choice of system boundaries; the inclusion, transformation, and weighting of indicator data; and the aggregation method used. As previous reviews have demonstrated, sustainability indices do not rank countries consistently, even when using some of the same indicator data. Several improvements would increase the utility of sustainability indices for policy decisions, particularly the identification of biases introduced by the index methodology and data inclusion. The discrepancy of current sustainability indices due to theoretical or methodological differences supports the use of several complementary indices.

  18. Construction of a novel water quality index and quality indicator for reservoir water quality evaluation: A case study in the Amazon region

    Science.gov (United States)

    Lobato, T. C.; Hauser-Davis, R. A.; Oliveira, T. F.; Silveira, A. M.; Silva, H. A. N.; Tavares, M. R. M.; Saraiva, A. C. F.

    2015-03-01

    A novel Quality Indicator (QI) and Water Quality Index (WQI) were constructed in the present study for the evaluation of the water quality of a Hydroelectric Plant reservoir in the Amazon area, Brazil, taking into account the specific characteristics of the Amazon area. Factor analyses were applied in order to select the relevant parameters to be included in the construction of both indices. Quality curves for each selected parameter were then created and the constructed QI and WQI were then applied to investigate the water quality at the reservoir. The hydrological cycle was shown by the indices to directly affect reservoir water quality, and the WQI was further useful in identifying anthropogenic impacts in the area, since water sampling stations suffering different anthropogenic impacts were categorized differently, with poorer water quality, than stations near the dam and the environmental preservation area, which suffer significantly less anthropogenic impacts, and were categorized as presenting better water quality. The constructed indices are thus helpful in investigating environmental conditions in areas that show well-defined hydrological cycles, in addition to being valuable tools in the detection of anthropogenic impacts. The statistical techniques applied in the construction of these indices may also be used to construct other indices in different geographical areas, taking into account the specificities for each area.

  19. SUSTAINABILITY IN AGROFORESTRY SYSTEMS: SOCIO-ECONOMICAL INDICATORS

    Directory of Open Access Journals (Sweden)

    Omar Daniel

    2009-09-01

    Full Text Available It is wide the discussion involving the importance of production adjustment activities in general, to the concept of sustainable development. Among the agricultural activities, the agroforestry systems have been considered sustainable, coming as alternatives to the intensive systems of agricultural production. To monitor the sustainability of agricultural activities, includings  AF,  the  literature  emphasizes  the  biophysical  indicators,  in  detriment  of  the  socio-economical ones. Seeking to define a list of socio-economical indicators that can be adapted to the several models recommendations of  AF a study was developed, supported by specialists and technicians and wide literature review. The conclusions were: the categories related  to the operation of the systems had the largest number of indicators in the socioeconômic component, with larger concentration in the endogenous operations of the system, followed by the endogenous and exogenous resources; the largest number of indicators suggested in the category operation of the system was in the descriptors health and nutrition, employment, habitation and sanity and economic analysis; in the category operation of exogenous systems, there were certain larger number of indicators for the descriptors commercialization and rural infrastructure; practically there was no difference among the number of indicators obtained for the agroforestry systems with and without the animal component.

  20. Developing Indicators of Service Quality Provided for Cardiovascular Patients Hospitalized in Cardiac Care Unit

    Directory of Open Access Journals (Sweden)

    Saber Azami-Aghdash

    2013-03-01

    Full Text Available Introduction: Cardiovascular diseases are among the most prevalent chronic diseases leading to high degrees of mortality and morbidity worldwide and in Iran. The aim of the current study was to determine and develop appropriate indicators for evaluating provided service quality for cardiovascular patients admitted to Cardiac Care Units (CCU in Iran. Methods: In order to determine the indicators for evaluating provided service quality, a four-stage process including reviewing systematic review articles in premier bibliographic databases, interview, performing two rounds of Delphi technique, and holding experts panel by attendance of experts in different fields was adopted. Finally, after recognizing relevant indicators in resources, these indicators were finalized during various stages using ideas of 27 experts in different fields. Results: Among 2800 found articles in the text reviewing phase, 21 articles, which had completely mentioned relevant indicators, were studied and 48 related indicators were extracted. After two interviews with a cardiologist and an epidemiologist, 32 items of the indicators were omitted and replaced by 27 indicators coping with the conditions of Iranian hospitals. Finally, 43 indicators were added into the Delphi phase and after 2 rounds of Delphi with 18 specialists, 7 cases were excluded due to their low scores of applicability. In the experts’ panel stage, 6 items were also omitted and 10 new indicators were developed to replace them. Eventually, 40 indicators were finalized. Conclusion: In this study, some proper indicators for evaluating provided service quality for CCU admissions in Iran were determined. Considering the informative richness of these indicators, they can be used by managers, policy makers, health service providers, and also insurance agencies in order to improve the quality of services, decisions, and policies.

  1. INDICATORS OF QUALITY OF ELECTRIC ENERGY IN THE ELECTRIC TRACTION DC

    Directory of Open Access Journals (Sweden)

    A. V. Petrov

    2010-04-01

    Full Text Available The research results showing an opportunity to use a power quality rating in a system of direct current electric traction on a traction substation input and output are stated. It is demonstrated that these ratings essentially simplify the quality analysis of power coming into traction circuits.

  2. Field scale studies on the spatial variability of soil quality indicators in Washington State, USA

    Science.gov (United States)

    Arable lands are needed for sustainable agricultural systems to support an ever growing human population. Soil quality needs to be defined to assure the new arable land is sustainable. To evaluate soil quality a number of soil attributes will need to be measured, evaluated and integrated into a soi...

  3. Studies on Tomato Seedling Quality Indices Under Simulated Shipping and Storage Conditions

    Institute of Scientific and Technical Information of China (English)

    NING Wei; GE Xiao-guang; LI Tian-lai

    2004-01-01

    Indices of the tomato seedling quality maintenance level after production before field planting were studied through simulated experiments, small--scale operation, indoor analyses and measurements, and field observation. The results showed that under simulated shipping and storage conditions, seedling quality change following different durations (days) of shipping and storage was correlated significantly or even very significantly with certain physiological and morphological indices. With various measured indices following different periods of shipping and storage treatment subjected to multinomial successive regressive correlation analysis, the principal factors influencing seedling quality maintenance level are identified to be chlorophyll content→dry short weight→ leaf freshness index in order of their importance. Significance analysis with multinomial fitted equation indicated that correlations between any one of above three factors and the growth index after field planting reached very significant difference level.

  4. 14 CFR 23.1323 - Airspeed indicating system.

    Science.gov (United States)

    2010-01-01

    ... with flaps extended. (c) The design and installation of each airspeed indicating system must provide... respective pitot tubes must be far enough apart to avoid damage to both tubes in a collision with a bird....

  5. Variation in optical coherence tomography signal quality as an indicator of retinal nerve fibre layer segmentation error.

    Science.gov (United States)

    Folio, Lindsey S; Wollstein, Gadi; Ishikawa, Hiroshi; Bilonick, Richard A; Ling, Yun; Kagemann, Larry; Noecker, Robert J; Fujimoto, James G; Schuman, Joel S

    2012-04-01

    Commercial optical coherence tomography (OCT) systems use global signal quality indices to quantify scan quality. Signal quality can vary throughout a scan, contributing to local retinal nerve fibre layer segmentation errors (SegE). The purpose of this study was to develop an automated method, using local scan quality, to predict SegE. Good-quality (global signal strength (SS) ≥ 6; manufacturer specification) peripapillary circular OCT scans (fast retinal nerve fibre layer scan protocol; Stratus OCT; Carl Zeiss Meditec, Dublin, California, USA) were obtained from 6 healthy, 19 glaucoma-suspect and 43 glaucoma subjects. Scans were grouped based on SegE. Quality index (QI) values were computed for each A-scan using software of our own design. Logistic mixed-effects regression modelling was applied to evaluate SS, global mean and SD of QI, and the probability of SegE. The difference between local mean QI in SegE regions and No-SegE regions was -5.06 (95% CI -6.38 to 3.734) (psignal quality parameter, the variation of signal quality between A-scans provides significant information about the quality of an OCT scan and can be used as a predictor of segmentation error.

  6. Evaluation Indicator System of Marketing Planning Ability Based on ANP

    OpenAIRE

    Min Jin

    2014-01-01

    The evaluation of “Marketing planning” curriculum in higher vocational colleges should pay attention to planning ability of students which requires a set of scientific evaluation indicator system of marketing planning ability, however, there is less in-depth study in this field, especially the quantitative research. Scientific evaluation indicator system of marketing planning ability should divide the elements of marketing planning ability reasonably, and should give them reasonable weight. C...

  7. Using a summary measure for multiple quality indicators in primary care: the Summary QUality InDex (SQUID

    Directory of Open Access Journals (Sweden)

    Nemeth Lynne S

    2007-04-01

    Full Text Available Abstract Background Assessing the quality of primary care is becoming a priority in national healthcare agendas. Audit and feedback on healthcare quality performance indicators can help improve the quality of care provided. In some instances, fewer numbers of more comprehensive indicators may be preferable. This paper describes the use of the Summary Quality Index (SQUID in tracking quality of care among patients and primary care practices that use an electronic medical record (EMR. All practices are part of the Practice Partner Research Network, representing over 100 ambulatory care practices throughout the United States. Methods The SQUID is comprised of 36 process and outcome measures, all of which are obtained from the EMR. This paper describes algorithms for the SQUID calculations, various statistical properties, and use of the SQUID within the context of a multi-practice quality improvement (QI project. Results At any given time point, the patient-level SQUID reflects the proportion of recommended care received, while the practice-level SQUID reflects the average proportion of recommended care received by that practice's patients. Using quarterly reports, practice- and patient-level SQUIDs are provided routinely to practices within the network. The SQUID is responsive, exhibiting highly significant (p Conclusion The SQUID algorithm is feasible and straightforward, and provides a useful QI tool. Its statistical properties and clear interpretation make it appealing to providers, health plans, and researchers.

  8. A new approach to the identification of Landscape Quality Objectives (LQOs) as a set of indicators.

    Science.gov (United States)

    Sowińska-Świerkosz, Barbara Natalia; Chmielewski, Tadeusz J

    2016-12-15

    The objective of the paper is threefold: (1) to introduce Landscape Quality Objectives (LQOs) as a set of indicators; (2) to present a method of linking social and expert opinion in the process of the formulation of landscape indicators; and (3) to present a methodological framework for the identification of LQOs. The implementation of these goals adopted a six-stage procedure based on the use of landscape units: (1) GIS analysis; (2) classification; (3) social survey; (4) expert value judgement; (5) quality assessment; and (6) guidelines formulation. The essence of the research was the presentation of features that determine landscape quality according to public opinion as a set of indicators. The results showed that 80 such indicators were identified, of both a qualitative (49) and a quantitative character (31). Among the analysed units, 60% (18 objects) featured socially expected (and confirmed by experts) levels of landscape quality, and 20% (6 objects) required overall quality improvement in terms of both public and expert opinion. The adopted procedure provides a new tool for integrating social responsibility into environmental management. The advantage of the presented method is the possibility of its application in the territories of various European countries. It is flexible enough to be based on cartographic studies, landscape research methods, and environmental quality standards existing in a given country. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Quality indicators to compare accredited independent pharmacies and accredited chain pharmacies in Thailand.

    Science.gov (United States)

    Arkaravichien, Wiwat; Wongpratat, Apichaya; Lertsinudom, Sunee

    2016-08-01

    Background Quality indicators determine the quality of actual practice in reference to standard criteria. The Community Pharmacy Association (Thailand), with technical support from the International Pharmaceutical Federation, developed a tool for quality assessment and quality improvement at community pharmacies. This tool has passed validity and reliability tests, but has not yet had feasibility testing. Objective (1) To test whether this quality tool could be used in routine settings. (2) To compare quality scores between accredited independent and accredited chain pharmacies. Setting Accredited independent pharmacies and accredited chain pharmacies in the north eastern region of Thailand. Methods A cross sectional study was conducted in 34 accredited independent pharmacies and accredited chain pharmacies. Quality scores were assessed by observation and by interviewing the responsible pharmacists. Data were collected and analyzed by independent t-test and Mann-Whitney U test as appropriate. Results were plotted by histogram and spider chart. Main outcome measure Domain's assessable scores, possible maximum scores, mean and median of measured scores. Results Domain's assessable scores were close to domain's possible maximum scores. This meant that most indicators could be assessed in most pharmacies. The spider chart revealed that measured scores in the personnel, drug inventory and stocking, and patient satisfaction and health promotion domains of chain pharmacies were significantly higher than those of independent pharmacies (p independent pharmacies and chain pharmacies in the premise and facility or dispensing and patient care domains. Conclusion Quality indicators developed by the Community Pharmacy Association (Thailand) could be used to assess quality of practice in pharmacies in routine settings. It is revealed that the quality scores of chain pharmacies were higher than those of independent pharmacies.

  10. Identification and alignment of strategic indicators for socio-environmental quality - Case Fosfértil

    Directory of Open Access Journals (Sweden)

    William Barbosa Vianna

    2009-08-01

    Full Text Available The objective of this paper is to identify the quality indicators that are aligned with competitive sustainable strategies. It is a case study, with exploratory character, that analyzes the implemented processes: 5S, QMS, certifications ISO 9000 and 14000 and MIS.The results bring indicators that favor the alignment of products and processes to the strategical objectives to be integrated in a general management plan. Some results and benefits of the evaluation method that use Indicators are also discussed.

  11. Quality management system at K-Lab

    Energy Technology Data Exchange (ETDEWEB)

    Bosio, J. (K-Lab (NO))

    1990-01-01

    This report describes how a Quality Management System has been organised at Kaarstoe metering and technology laboratory (K-Lab). Implementation of new technologies will become easier to carry through if they have been developed within a Quality Management System according to existing international standards. K-Lab has applied for accreditation to the Norwegian Calibration Service which among other requirements requests a proper Quality Management System. 2 refs., 4 figs.

  12. Application of soil quality indices to assess the status of agricultural soils irrigated with treated wastewaters

    Directory of Open Access Journals (Sweden)

    A. Morugán-Coronado

    2013-03-01

    Full Text Available The supply of water is limited in some parts of the Mediterranean region, such as southeastern Spain. The use of treated wastewater for the irrigation of agricultural soils is an alternative to using better-quality water, especially in semi-arid regions. On the other hand, this practice can modify some soil properties, change their relationships and influence soil quality. In this work two soil quality indices were used to evaluate the effects of irrigation with treated wastewater in soils. The indices were developed studying different soil properties in undisturbed soils in SE Spain, and the relationships between soil parameters were established using multiple linear regressions. These indices represent the balance reached among properties in "steady state" soils. This study was carried out in four study sites from SE Spain irrigated with wastewater, including four study sites. The results showed slight changes in some soil properties as a consequence of irrigation with wastewater, the obtained levels not being dangerous for agricultural soils, and in some cases they could be considered as positive from an agronomical point of view. In one of the study sites, and as a consequence of the low quality wastewater used, a relevant increase in soil organic matter content was observed, as well as modifications in most of the soil properties. The application of soil quality indices indicated that all the soils of study sites are in a state of disequilibrium regarding the relationships between properties independent of the type of water used. However, there were no relevant differences in the soil quality indices between soils irrigated with wastewater with respect to their control sites for all except one of the sites, which corresponds to the site where low quality wastewater was used.

  13. QUALITY MANAGEMENT IN BANKING SYSTEM

    Directory of Open Access Journals (Sweden)

    Micuda Ion Dan

    2009-05-01

    Full Text Available Quality management banking perspective is extremely interesting, from the point of view of the activities specific, and of the permanent area competition improvement. Banks being aware of the quality problems also lead to the appearance and requirement of

  14. Agricultural management practices and soil quality : measuring, assessing, and comparing laboratory and field test kit indicators of soil quality atributes

    OpenAIRE

    Evanylo, Gregory K.; McGuinn, Robert

    2000-01-01

    Describes some indicators of soil that can be measured with a simple test kit developed by the United States Department of Agriculture - Natural Resource Conservation Service, directions for interpreting these measurements, the effects of soil amendments on soil quality attributes, and comparisons of field kit and laboratory results.

  15. [Validation and adhesion to GESIDA quality indicators in patients with HIV infection].

    Science.gov (United States)

    Riera, Melchor; Esteban, Herminia; Suarez, Ignacio; Palacios, Rosario; Lozano, Fernando; Blanco, Jose R; Valencia, Eulalia; Ocampo, Antonio; Amador, Concha; Frontera, Guillem; vonWichmann-de Miguel, Miguel Angel

    2016-01-01

    The objective of the study is to validate the relevant GESIDA quality indicators for HIV infection, assessing the reliability, feasibility and adherence to them. The reliability was evaluated using the reproducibility of 6 indicators in peer review, with the second observer being an outsider. The feasibility and measurement of the level of adherence to the 22 indicators was conducted with annual fragmented retrospective collection of information from specific databases or the clinical charts of the nine participating hospitals. Reliability was very high, with interobserver agreement levels higher than 95% in 5 of the 6 indicators. The median time to achieve the indicators ranged between 5 and 600minutes, but could be achieved progressively from specific databases, enabling obtaining them automatically. As regards adherence to the indicators related with the initial evaluation of the patients, instructions and suitability of the guidelines for ART, adherence to ART, follow-up in clinics, and achieve an undetectable HIV by PCR at week 48 of the ART. Indicators of quality related to the prevention of opportunistic infections and control of comorbidities, the standards set were not achieved, and significant heterogeneity was observed between hospitals. The GESIDA quality indicators of HIV infection enabled the relevant indicators to be feasibly and reliably measured, and should be collected in all the units that care for patients with HIV infection. Copyright © 2015 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  16. Estimation of Power Quality Indicators During a Real Wind Farm Islanding Experiment

    DEFF Research Database (Denmark)

    Terzija, Vladimir; Stanojević, V.; Štrbac, G.

    2008-01-01

    The two-stage Newton Type Algorithm for the tracking of the power quality indicators, frequency and rate of frequency changes is presented in the paper. By this definitions for power quality indicators according to the IEEE Standard 1459-2000 were used. In the first algorithm stage the spectra of...... spectrum. The proposed algorithm is implemented for the analysis of transient processes during a real islanding experiment on the Rejsby Hede wind farm in Denmark.......The two-stage Newton Type Algorithm for the tracking of the power quality indicators, frequency and rate of frequency changes is presented in the paper. By this definitions for power quality indicators according to the IEEE Standard 1459-2000 were used. In the first algorithm stage the spectra...... of voltages and currents are estimated. Frequency and its rate of change are directly estimated from voltage input signals. In the second algorithm stage the power quality indicators are calculated. The algorithm considers frequency as an unknown model parameter simultaneously estimated with the voltage...

  17. Portuguese food composition database quality management system.

    Science.gov (United States)

    Oliveira, L M; Castanheira, I P; Dantas, M A; Porto, A A; Calhau, M A

    2010-11-01

    The harmonisation of food composition databases (FCDB) has been a recognised need among users, producers and stakeholders of food composition data (FCD). To reach harmonisation of FCDBs among the national compiler partners, the European Food Information Resource (EuroFIR) Network of Excellence set up a series of guidelines and quality requirements, together with recommendations to implement quality management systems (QMS) in FCDBs. The Portuguese National Institute of Health (INSA) is the national FCDB compiler in Portugal and is also a EuroFIR partner. INSA's QMS complies with ISO/IEC (International Organization for Standardisation/International Electrotechnical Commission) 17025 requirements. The purpose of this work is to report on the strategy used and progress made for extending INSA's QMS to the Portuguese FCDB in alignment with EuroFIR guidelines. A stepwise approach was used to extend INSA's QMS to the Portuguese FCDB. The approach included selection of reference standards and guides and the collection of relevant quality documents directly or indirectly related to the compilation process; selection of the adequate quality requirements; assessment of adequacy and level of requirement implementation in the current INSA's QMS; implementation of the selected requirements; and EuroFIR's preassessment 'pilot' auditing. The strategy used to design and implement the extension of INSA's QMS to the Portuguese FCDB is reported in this paper. The QMS elements have been established by consensus. ISO/IEC 17025 management requirements (except 4.5) and 5.2 technical requirements, as well as all EuroFIR requirements (including technical guidelines, FCD compilation flowchart and standard operating procedures), have been selected for implementation. The results indicate that the quality management requirements of ISO/IEC 17025 in place in INSA fit the needs for document control, audits, contract review, non-conformity work and corrective actions, and users' (customers

  18. Design and Implementation of Quantity-quality Indicators Monitoring System of Outpatient and Emergency%门急诊数质量监控系统的设计与实现

    Institute of Scientific and Technical Information of China (English)

    丁慧萃; 邱明辉; 季磊; 张震江; 卢倩

    2014-01-01

    依托现有门急诊信息系统,如门诊医生工作站、挂号收费、分诊叫号等系统,设计并实现了门急诊数质量监控系统。系统可实时获取当前门急诊的挂号、就诊等候、交费和取药等情况并预警,也可查询历史信息,为门诊医疗资源的合理安排和为患者提供优质服务提供参考依据。目前,系统已上线使用两年多,运行效果良好。%This paper designed a monitor system based on the outpatient & emergency information systems. The system got the latest data and called attention to the relative staff in the respects of registration, seeing a doctor, etc. In the meanwhile, the system could browse history data and help to improve the arrangement of the outpatient works. Until now, the system have used over two years and worked well.

  19. Organ Donation European Quality System: ODEQUS project methodology.

    Science.gov (United States)

    Manyalich, M; Guasch, X; Gomez, M P; Páez, G; Teixeira, L

    2013-01-01

    Differences in the number of organ donors among hospitals cannot be explained only by the number of intensive care unit beds used or neurologic patients treated. The figures obtained are influenced by the organizational structure of the donation process and how efficient it is. The Organ Donation European Quality System (ODEQUS) is a 3-year project (from October 2010 to September 2013) co-financed by the European Agency for Health and Consumers (EAHC20091108) which aims to define a methodology to evaluate organ procurement performance at the hospital level. ODEQUS's specific objectives are to identify quality criteria and to develop quality indicators in three types of organ donation (after brain death, after cardiac death, and living donation). Those tools will be useful for hospitals' self-assessment as well as for developing an international auditing model. A consortium has been established involving 14 associated partners from Austria, Croatia, France, Germany, Italy, Poland, Portugal, Romania, Spain, Sweden, and the United Kingdom, as well as five collaborating partners from Greece, Hungary, Malta, Slovenia, and Turkey. The project has been established in three steps: 1) Design of a survey about the use of quality tools in a wide sample of European hospitals; 2) Development of quality criteria and quality indicators by the project experts. The main fields considered have been organizational structures, clinical procedures, and outcomes; and 3) Elaboration of an evaluation system to test the quality indicators in 11 European hospitals. Two types of training have been designed and performed: one concerns the development of quality criteria and quality indicators, whereas another is focused on how to use evaluation tools. Following this methodology, the project has so far identified 131 quality criteria and developed 31 quality indicators. Currently, the quality indicators are being tested in 11 selected hospitals.

  20. Protocol for a scoping review study to identify and classify patient-centred quality indicators

    Science.gov (United States)

    Jolley, Rachel J; Lorenzetti, Diane L; Manalili, Kimberly; Lu, Mingshan; Santana, Maria J

    2017-01-01

    Introduction The concept of patient-centred care (PCC) is changing the way healthcare is understood, accepted and delivered. The Institute of Medicine has defined PCC as 1 of its 6 aims to improve healthcare quality. However, in Canada, there are currently no nationwide standards in place for measuring and evaluating healthcare from a patient-centred approach. In this paper, we outline our scoping review protocol to systematically review published and unpublished literature specific to patient-centred quality indicators that have been implemented and evaluated across various care settings. Methods and analysis Arksey and O'Malley's scoping review methodology framework will guide the conduct of this scoping review. We will search electronic databases (MEDLINE, EMBASE, the Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Social Work Abstracts, Social Services Abstracts), grey literature sources and the reference lists of key studies to identify studies appropriate for inclusion. 2 reviewers will independently screen all abstracts and full-text studies for inclusion. We will include any study which focuses on quality indicators in the context of PCC. All bibliographic data, study characteristics and indicators will be collected and analysed using a tool developed through an iterative process by the research team. Indicators will be classified according to a predefined conceptual framework and categorised and described using qualitative content analysis. Ethics and dissemination The scoping review will synthesise patient-centred quality indicators and their characteristics as described in the literature. This review will be the first step to formally identify what quality indicators have been used to evaluate PCC across the healthcare continuum, and will be used to inform a stakeholder consensus process exploring the development of a generic set of patient-centred quality indicators applicable to multiple care settings. The

  1. The reliability-quality relationship for quality systems and quality risk management.

    Science.gov (United States)

    Claycamp, H Gregg; Rahaman, Faiad; Urban, Jason M

    2012-01-01

    Engineering reliability typically refers to the probability that a system, or any of its components, will perform a required function for a stated period of time and under specified operating conditions. As such, reliability is inextricably linked with time-dependent quality concepts, such as maintaining a state of control and predicting the chances of losses from failures for quality risk management. Two popular current good manufacturing practice (cGMP) and quality risk management tools, failure mode and effects analysis (FMEA) and root cause analysis (RCA) are examples of engineering reliability evaluations that link reliability with quality and risk. Current concepts in pharmaceutical quality and quality management systems call for more predictive systems for maintaining quality; yet, the current pharmaceutical manufacturing literature and guidelines are curiously silent on engineering quality. This commentary discusses the meaning of engineering reliability while linking the concept to quality systems and quality risk management. The essay also discusses the difference between engineering reliability and statistical (assay) reliability. The assurance of quality in a pharmaceutical product is no longer measured only "after the fact" of manufacturing. Rather, concepts of quality systems and quality risk management call for designing quality assurance into all stages of the pharmaceutical product life cycle. Interestingly, most assays for quality are essentially static and inform product quality over the life cycle only by being repeated over time. Engineering process reliability is the fundamental concept that is meant to anticipate quality failures over the life cycle of the product. Reliability is a well-developed theory and practice for other types of manufactured products and manufacturing processes. Thus, it is well known to be an appropriate index of manufactured product quality. This essay discusses the meaning of reliability and its linkages with quality

  2. Water quality dynamics in the Boro-Thamalakane-Boteti river system ...

    African Journals Online (AJOL)

    The quality of water in aquatic systems is subject to temporal and spatial ... and lends strong support to management efforts to maintain river water quality to ... microbiological indicators, Okavango Delta, physico-chemical indicators, pollution

  3. Detection and persistence of fecal Bacteroidales as water quality indicators in unchlorinated drinking water

    DEFF Research Database (Denmark)

    Saunders, Aron M.; Kristiansen, Anja; Lund, Marie B.

    2009-01-01

    The results of this study support the use of fecal Bacteroidales qPCR as a rapid method to complement traditional, culture-dependent, water quality indicators in systems where drinking water is supplied without chlorination or other forms of disinfection. A SYBR-green based, quantitative PCR assay...... was developed to determine the concentration of fecal Bacteroidales 16S rRNA gene copies. The persistence of aBacteroides vulgatus pure culture and fecal Bacteroidales from a wastewater inoculum was determined in unchlorinated drinking water at 10 °C. B. vulgatus 16S rRNA gene copies persisted throughout...... the experimental period (200 days) in sterile drinking water but decayed faster in natural drinking water, indicating that the natural microbiota accelerated decay. In a simulated fecal contamination of unchlorinated drinking water, the decay of fecal Bacteroidales 16S rRNA gene copies was considerably faster than...

  4. Two-Dimensional Porosity of Crusted Silty Soils: Indicators of Soil Quality in Semiarid Rangelands?

    OpenAIRE

    2011-01-01

    Little is known about the morphological characteristics of pores in soil crusts. The objective was to characterize the 2D-porosity (amount, shape, size and area of pores) of soil crusts to ascertain their potential as indicators of soil quality for natural crusted soils. 2D-porosity was described in thin sections and measured by image analysis of polished resin-impregnated soil blocks. Physical soil crust and incipient biological soil crusts appear to be the lowest-quality soil...

  5. Indicators and quality specifications for strategic and support processes related to the clinical laboratory: four years' experience.

    Science.gov (United States)

    Ruiz, Rosa; Llopis, Ma Antònia; Biosca, Carme; Trujillo, Gloria; Llovet, Ma Isabel; Tarrés, Ester; Ibarz, Mercè; Alsina, Ma Jesus; Alvarez, Virtudes; Busquets, Glòria; Doménech, Ma Vicenta; Figueres, Carme; Minchinela, Joana; Pastor, Rosa Ma; Perich, Carmen; Ricós, Carmen; Sansalvador, Mireia; Simón, Margarita

    2010-07-01

    Quality specifications for indicators of the key analytic processes have been defined by international consensus. However, only preliminary specifications for laboratory-related strategic and support processes have been developed. The present study attempts to increase the robustness of the preliminary proposed specifications. Recovering records and incidences occurred over a 4-year follow-up period, for 12 indicators, used in all laboratories from this group regarding strategic and support processes. The results obtained indicate that it is better to establish an interval rather than a fixed value for the majority of indicators. Longer studies are needed to properly assess some quality specifications, and data recording system must be standardized in others. Additional, multicenter studies are needed to establish more robust specifications and determine the state of the art of laboratories in other settings.

  6. Indicators of collapse in systems undergoing unsustainable growth.

    Science.gov (United States)

    Ridolfi, Luca; D'Odorico, Paolo; Laio, Francesco

    2015-02-01

    Unsustainable growth is typical of systems that rely on a finite pool of non-renewable resources that are tapped until they are depleted. The decrease in resource availability eventually leads these systems to a decline. Here we investigate the dynamics of systems that exhibit unsustainable growth and are prone to a collapse to an alternative ("degraded") state. For these systems the possible imminent occurrence of a collapse is difficult to avert because they keep growing as they approach the transition point. It is therefore important to identify some early warning signs that can be used to predict whether the system is approaching a critical and likely irreversible transition to an undesired and degraded state. This study evaluates whether existing theories of precursors of phase transitions based on the critical slowing down phenomenon are applicable as leading indicators of state shift in unsustainable growth dynamics. It is found that such indicators fail to serve as reliable early warning signs of the system's collapse.

  7. Application of soil quality indices to assess the status of agricultural soils irrigated with treated wastewaters

    Directory of Open Access Journals (Sweden)

    A. Morugán-Coronado

    2012-12-01

    Full Text Available The supply of water is limited in some parts of the Mediterranean region, such as southeastern Spain. The use of treated wastewater for the irrigation of agricultural soils is an alternative to using better-quality water, especially in semi-arid regions. On the other hand, this practice can modify some soil properties, change their relationships, the equilibrium reached and influence soil quality. In this work two soil quality indices were used to evaluate the effects of irrigation with treated wastewater in soils. The indices were developed studying different soil properties in undisturbed soils in SE Spain, and the relationships between soil parameters were established using multiple linear regressions. This study was carried out in three areas of Alicante Province (SE Spain irrigated with wastewater, including four study sites. The results showed slight changes in some soil properties as a consequence of irrigation with wastewater, the obtained levels not being dangerous for agricultural soils, and in some cases they could be considered as positive from an agronomical point of view. In one of the study sites, and as a consequence of the low quality wastewater used, a relevant increase in soil organic matter content was observed, as well as modifications in most of the soil properties. The application of soil quality indices indicated that all the soils of study sites are in a state of disequilibrium regarding the relationships between properties independent of the type of water used. However, there were no relevant differences in the soil quality indices between soils irrigated with wastewater with respect to their control sites for all except one of the sites, which corresponds to the site where low quality wastewater was used.

  8. Psychosocial work environment and prediction of quality of care indicators in one Canadian health center.

    Science.gov (United States)

    Paquet, Maxime; Courcy, François; Lavoie-Tremblay, Mélanie; Gagnon, Serge; Maillet, Stéphanie

    2013-05-01

    Few studies link organizational variables and outcomes to quality indicators. This approach would expose operant mechanisms by which work environment characteristics and organizational outcomes affect clinical effectiveness, safety, and quality indicators. What are the predominant psychosocial variables in the explanation of organizational outcomes and quality indicators (in this case, medication errors and length of stay)? The primary objective of this study was to link the fields of evidence-based practice to the field of decision making, by providing an effective model of intervention to improve safety and quality. The study involved healthcare workers (n = 243) from 13 different care units of a university affiliated health center in Canada. Data regarding the psychosocial work environment (10 work climate scales, effort/reward imbalance, and social support) was linked to organizational outcomes (absenteeism, turnover, overtime), to the nurse/patient ratio and quality indicators (medication errors and length of stay) using path analyses. The models produced in this study revealed a contribution of some psychosocial factors to quality indicators, through an indirect effect of personnel- or human resources-related variables, more precisely: turnover, absenteeism, overtime, and nurse/patient ratio. Four perceptions of work environment appear to play an important part in the indirect effect on both medication errors and length of stay: apparent social support from supervisors, appreciation of the workload demands, pride in being part of one's work team, and effort/reward balance. This study reveals the importance of employee perceptions of the work environment as an indirect predictor of quality of care. Working to improve these perceptions is a good investment for loyalty and attendance. In general, better personnel conditions lead to fewer medication errors and shorter length of stay. © Sigma Theta Tau International.

  9. Improving outcomes using German Inpatient Quality Indicators in conjunction with peer review procedures.

    Science.gov (United States)

    Mansky, Thomas; Völzke, Tatjana; Nimptsch, Ulrike

    2015-01-01

    Some hospital comparisons seem to generate confusion because different methods of outcome comparisons lead to different results in hospital rankings. This article questions the concept of overall comparisons of hospitals, which are multiproduct enterprises and may have specialties that provide good results in some areas despite having worse outcomes in others. Therefore, the authors argue for a disease specific view of outcome measurement. The concept of the German Inpatient Quality Indicators is explained. These indicators cover volume, mortality, and other information by a disease specific approach, which includes information for potential patients as well as specific feedback to the physicians responsible for the respective specialty. This article focuses on the feedback to the hospitals and explains how these indicators can be used for improvement in conjunction with a peer review process. The indicators provide information to the hospitals regarding their relative position because German reference values are available for all indicators. Thus, the indicators can serve as a trigger instrument for identifying possible quality problems. Based on these indications, peer review can be used to analyze the treatment processes and to eventually verify weaknesses and define actions for improvement. The first studies indicate that the use of this approach within hospital quality management can largely improve hospital outcomes in hospitals with subpar results compared to the German average.

  10. Application of indices Cp and Cpk to improve quality control capability in clinical biochemistry laboratories.

    Science.gov (United States)

    Chen, Ming-Shu; Wu, Ming-Hsun; Lin, Chih-Ming

    2014-04-30

    The traditional criteria for acceptability of analytic quality may not be objective in clinical laboratories. To establish quality control procedures intended to enhance Westgard multi-rules for improving the quality of clinical biochemistry tests, we applied the Cp and Cpk quality-control indices to monitor tolerance fitting and systematic variation of clinical biochemistry test results. Daily quality-control data of a large Taiwanese hospital in 2009 were analyzed. The test items were selected based on an Olympus biochemistry machine and included serum albumin, aspartate aminotransferase, cholesterol, glucose and potassium levels. Cp and Cpk values were calculated for normal and abnormal levels, respectively. The tolerance range was estimated with data from 50 laboratories using the same instruments and reagents. The results showed a monthly trend of variation for the five items under investigation. The index values of glucose were lower than those of the other items, and their values were usually <2. In contrast to the Cp value for cholesterol, Cpk of cholesterol was lower than 2, indicating a systematic error that should be further investigated. This finding suggests a degree of variation or failure to meet specifications that should be corrected. The study indicated that Cp and Cpk could be applied not only for monitoring variations in quality control, but also for revealing inter-laboratory qualitycontrol capability differences.

  11. Evaluation Indicator System of Marketing Planning Ability Based on ANP

    Directory of Open Access Journals (Sweden)

    Min Jin

    2014-02-01

    Full Text Available The evaluation of “Marketing planning” curriculum in higher vocational colleges should pay attention to planning ability of students which requires a set of scientific evaluation indicator system of marketing planning ability, however, there is less in-depth study in this field, especially the quantitative research. Scientific evaluation indicator system of marketing planning ability should divide the elements of marketing planning ability reasonably, and should give them reasonable weight. Combined with document and the interview data, this paper will carry on the construction and analysis of the evaluation index system of marketing planning ability with Analytic Network Process (ANP, and use Super Decisions Software (SD to carry on the corresponding calculation and verification. Finally a set of more scientific and reasonable evaluation indicator system of marketing planning ability will be summed up.

  12. The intake of saturated fat and dietary fibre: a possible indicator of diet quality

    DEFF Research Database (Denmark)

    Biltoft-Jensen, Anja Pia; Fagt, Sisse; Groth, Margit Velsing

    2008-01-01

    The aim of the present study was to assess if a simple dietary quality index (SDQI) is a useful indicator for nutritional quality in the Danish diet. Data from the Danish National Dietary Survey 2000-2 for adults (n 3151; age 18-75 years) were used to construct an SDQI based on the intake......-dense foods, for example, salty snacks, confectionery, and beverages, for example, soft drinks and alcohol. The SDQI is a simple and useful tool to characterise the diet quality of Danish adults....

  13. Quality Indicators of Cardiovascular Disease Prevention for Primary Care in Slovenia

    Directory of Open Access Journals (Sweden)

    Davorina Petek

    2012-10-01

    Results: Most of validated indicators belonged to the health-care management of people with established cardiovascular disease. Fewer numbers of indicators were validated for primary prevention, mostly on life style recording and advice. Only very few indicators on outcome measures (level of risk factors were validated. No indicators of patients’ involvement or new risk factors, such as socioeconomic circumstances, got consensus. Conclusion: Slovenia validated more indicators than the international study, especially indicators of primary prevention. The experts did not achieve consensus on indicators of patients’ perspective, despite the paradigm of family medicine that the patient is in the centre of care. Validated indicators can now be tested for systematic quality assessment of cardiovascular prevention in the country.

  14. Sound quality indicators for urban places in Paris cross-validated by Milan data.

    Science.gov (United States)

    Ricciardi, Paola; Delaitre, Pauline; Lavandier, Catherine; Torchia, Francesca; Aumond, Pierre

    2015-10-01

    A specific smartphone application was developed to collect perceptive and acoustic data in Paris. About 3400 questionnaires were analyzed, regarding the global sound environment characterization, the perceived loudness of some emergent sources and the presence time ratio of sources that do not emerge from the background. Sound pressure level was recorded each second from the mobile phone's microphone during a 10-min period. The aim of this study is to propose indicators of urban sound quality based on linear regressions with perceptive variables. A cross validation of the quality models extracted from Paris data was carried out by conducting the same survey in Milan. The proposed sound quality general model is correlated with the real perceived sound quality (72%). Another model without visual amenity and familiarity is 58% correlated with perceived sound quality. In order to improve the sound quality indicator, a site classification was performed by Kohonen's Artificial Neural Network algorithm, and seven specific class models were developed. These specific models attribute more importance on source events and are slightly closer to the individual data than the global model. In general, the Parisian models underestimate the sound quality of Milan environments assessed by Italian people.

  15. Application of water quality indices and analysis of the surface water quality monitoring network in semiarid North-Central Chile.

    Science.gov (United States)

    Espejo, Lesly; Kretschmer, Nicole; Oyarzún, Jorge; Meza, Francisco; Núñez, Jorge; Maturana, Hugo; Soto, Guido; Oyarzo, Paula; Garrido, Marcela; Suckel, Felipe; Amezaga, Jaime; Oyarzún, Ricardo

    2012-09-01

    Surface water quality has increasing importance worldwide and is particularly relevant in the semiarid North-Central Chile, where agriculture and mining activities are imposing heavy pressure on limited water resources. The current study presents the application of a water quality index in four watersheds of the 29°-33°S realm for the period 1999-2008, based on the Canadian Council of Ministers for the Environment approach and the Chilean regulation for irrigation water quality. In addition, two modifications to the index are tested and a comprehensive characterization of the existing monitoring network is performed through cluster analysis. The basins studied show fairly good water quality in the overall, specially the Limarí basin. On the other hand, the lower index values were obtained for the headwaters of Elqui, associated with the El Indio mining district. The first modification of the indicator (i.e., to consider parameters differentially according to their effect on human health or the environment) did not produce major differences with respect to the original index, given the generally good water quality. The second modification (i.e., to consider as threshold values the more restrictive figures derived from a set of regulations) yielded important differences in the indicator values. Finally, an adequate characterization of the monitoring network was obtained. The results presented spatial coherence and the information can be used as a basis for the optimization of the monitoring network if required.

  16. [Quality indicators pertinence and limits in medicine: example of nosocomial infections].

    Science.gov (United States)

    Petitmermet, D; Troillet, N; Wasserfallen, J B

    2001-11-01

    Insuring that quality indicators really measure quality of care and not other factors, such as the type of intervention or the patients' characteristics, is notoriously difficult. In order to avoid as much as possible these potential methodological pitfalls, the association FoQual (www.hospvd.ch/quality/foqual) requested in the year 2000 the opinion of experts on the scientific value of some indicators, considered for introduction into practice by the commission on quality of care representing the Swiss hospital association and the health insurers' association (H+/CAMS), as well as on theoretical and practical aspects essential to guarantee their efficiency. The expert group Swiss-NOSO (www.hospvd.ch/swiss-noso) was asked to assess the indicator "nosocomial infection". This example illustrates some pitfalls to avoid, the importance of including infectious surveillance into a global prevention program and ask professionals with a specific training and independence from hospital wards to perform this activity. It shows the complexity of setting up and exploiting quality indicators in health care and the side effects that they might have.

  17. Effect of different feed supplements on selected quality indicators of chicken meat

    Directory of Open Access Journals (Sweden)

    Peter Haščík

    2015-12-01

    Full Text Available The aim of the study was to evaluate the effect of different feed additives (bee pollen extract, propolis extract, and probiotic on meat quality of broiler chickens. A total of 180 one day-old broiler chicks of mixed sex (Ross 308 were randomly divided into 3 groups. Dietary treatments were as follows: basal diet, free of supplements (control group; C;  basal diet  plus 400 mg bee pollen extract per 1 kg of feed mixtures and 3.3 g probiotic preparation added to drinking water (group E1; basal diet  plus 400 mg propolis extract per 1 kg of feed mixtures and 3.3 g probiotic preparation added to drinking water (group E2. In the experiment, the probiotic preparation based on Lactobacillus fermentum (1.109 CFU.g-1 of bearing medium was used. Fattening period lasted for 42 days. Feed mixtures were produced without any antibiotic preparations and coccidiostatics. Meat quality was evaluated by following technological properties: cooling, freezing and roasting loss; colour parameters based on CIELab system; and shear force. Both dietary supplementations led to decrease in cooling (p ≤0.05 and freezing (p ≥0.05 losses compared with control. On the contrary, the supplemented diet tended to increase roasting losses (p ≤0.05 and shear force values in thigh muscle (p ≤0.05. Significantly higher L* values (p ≤0.05 in breast and thigh muscles, as well as the b* values in thigh muscle, were found when broiler chickens were fed the supplements, especially bee pollen extract and probiotics. In addition, the supplements improve redness (a* of meat. The redness of breast muscle appeared to be the most affected (p ≥0.05 by propolis extract plus probiotics supplementation, while thigh muscle had the highest value (p ≤0.05 in bee pollen extract plus probiotics supplemented group. These findings suggested that the supplements have a beneficial effect on quality of chicken meat due to positive changes in most of quality indicators investigated in the

  18. Evaluation Indicator System for China’s Agricultural Industrial Safety

    Institute of Scientific and Technical Information of China (English)

    Qingpeng; GAO; Bin; CHEN; Qinyang; LI

    2013-01-01

    On the basis of new characteristics and trend of China’s agricultural development in the post-WTO period,combining analysis of factors influencing agricultural industrial safety,this paper builds an evaluation indicator system for China’s agricultural industrial safety by scientific indicator system design method.This indicator system includes risk factor indicators(showing risk degree)and capacity factor indicators(showing guaranteeing ability),and consists of 7 subsystems:consumption safety,production safety,industrial controlling capacity,industrial development capacity,industrial development environment,government functions and industrial foundation condition.Risk factor is divided into 5 levels:higher risk,high risk,medium risk,low risk and lower risk;guarantee risk is also divided into five levels:strong,healthy,normal,weak and disabled.According to the overall evaluation score obtained from weighting sum,the agricultural industrial safety includes 5 types:very safe,safe,basically safe,not safe and hazardous.This evaluation indicator system is expected to providing theoretical reference for evaluating China’s agricultural industrial safety.

  19. Quality indicators for the analysis of communication in an online course

    Directory of Open Access Journals (Sweden)

    Antonella Pezzotti

    2012-08-01

    Full Text Available This study describes the development and validation of quality indicators for analyzing forums interactions in an online course in biology teaching. The aim is to evaluate the quality of communication so as to strengthen the tutor’s role and help students learn fundamental biology concepts while enhancing their collaboration competencies. The indicators are used to analyze cognitive, metacognitive and relational aspects, drawing on a content analysis methodology. The model appears to have a wide range of possible applications in other online courses.

  20. Using Caffeine as a Water Quality Indicator in the Ambient Monitoring Program for Third Fork Creek Watershed, Durham, North Carolina.

    Science.gov (United States)

    Spence, Porché L

    2015-01-01

    Caffeine has been suggested as a chemical indicator for domestic wastewater in freshwater systems, although it is not included in water quality monitoring programs. The Third Fork Creek watershed in Durham, NC, is highly urbanized, with a history of receiving untreated wastewater from leaking and overflowing sanitary sewers. The poor water quality originating in the Third Fork Creek watershed threatens its intended uses and jeopardizes drinking water, aquatic life, and recreational activities provided by Jordan Lake. Organic waste contaminants have been detected in both Third Fork Creek watershed and Jordan Lake; however, the sampling periods were temporary, resulting in a few samples collected during nonstorm periods. It is recommended that (1) the concentration of caffeine and other organic waste contaminants are determined during storm and nonstorm periods and (2) caffeine is monitored regularly with traditional water quality indicators to evaluate the health of Third Fork Creek watershed.

  1. Patent office Governance and Patent System Quality

    OpenAIRE

    Picard, Pierre; Pottelsberghe de la Potterie, Bruno van

    2011-01-01

    The present paper discusses the role of quality in patent systems from the perspective of patent offices' behavior and organization. After documenting original stylized facts, the paper presents a model in which patent offices set patent fees and the quality level of their examination processes. Various objectives of patent offices' governors are considered. We show that the quality of the patent system is maximal for the patent offices that maximises either the social welfare or its own prof...

  2. APPRAISAL OF THE QUALITY OF FABRICS MADE OF COMBED WOOL YARNS THROUGH SYNTHETIC INDICES

    Directory of Open Access Journals (Sweden)

    HRISTIAN Liliana

    2015-05-01

    Full Text Available In order to assess the quality level, it is necessary to determine a series of indices, then to establish the reference elements on whose basis to formulate the findings and the conclusions, thus highlighting the optimum variants of fabrics. In this work have been determined the values of synthetic durability indices, setting the basis for a ranking of studied fabric variants in terms of surface characteristics. The highest weight in this work belongs to the measurement applied to an important number of quality characteristics, representative for the appraisal of durability functions specific to fabric surfaces. The selection of the representative characteristics: breaking strength, Pr (daN; mass loss due to friction stress, Δm (%; thickness diminution due to friction stress, Sg (%, breaking strain work, Ws (daN/m, fabric strength per denier, τt (cN/tex and wrinkle recovering angle α (o, on whose basis the durability indices were calculated, have been determined through standardized means and methods. The expertise method has been applied to assess the significance degree of the characteristics which express the analyzed products functions. Quality index is the relative expression of a certain characteristic, obtained by referring it to a reference value (norm, standard or pattern. The index can be converted in marks, namely by convention the qualificative/mark «0» represents an inadequate product/non-quality, while the qualificative/mark «1» represents the high qualificative/mark level. In terms of complexity, quality indices can be simple, synthetic and global. The work sets the accent on the appraisal of quality level of the analyzed textile surface by means of synthetic indices.

  3. The Resident Assessment Instrument-Minimum Data Set 2.0 quality indicators: a systematic review

    Directory of Open Access Journals (Sweden)

    Squires Janet E

    2010-06-01

    Full Text Available Abstract Background The Resident Assessment Instrument-Minimum Data Set (RAI-MDS 2.0 is designed to collect the minimum amount of data to guide care planning and monitoring for residents in long-term care settings. These data have been used to compute indicators of care quality. Use of the quality indicators to inform quality improvement initiatives is contingent upon the validity and reliability of the indicators. The purpose of this review was to systematically examine published and grey research reports in order to assess the state of the science regarding the validity and reliability of the RAI-MDS 2.0 Quality Indicators (QIs. Methods We systematically reviewed the evidence for the validity and reliability of the RAI-MDS 2.0 QIs. A comprehensive literature search identified relevant original research published, in English, prior to December 2008. Fourteen articles and one report examining the validity and/or reliability of the RAI-MDS 2.0 QIs were included. Results The studies fell into two broad categories, those that examined individual quality indicators and those that examined multiple indicators. All studies were conducted in the United States and included from one to a total of 209 facilities. The number of residents included in the studies ranged from 109 to 5758. One study conducted under research conditions examined 38 chronic care QIs, of which strong evidence for the validity of 12 of the QIs was found. In response to these findings, the 12 QIs were recommended for public reporting purposes. However, a number of observational studies (n = 13, conducted in "real world" conditions, have tested the validity and/or reliability of individual QIs, with mixed results. Ten QIs have been studied in this manner, including falls, depression, depression without treatment, urinary incontinence, urinary tract infections, weight loss, bedfast, restraint, pressure ulcer, and pain. These studies have revealed the potential for systematic bias in

  4. Hydrologic and Water Quality System (HAWQS)

    Science.gov (United States)

    The Hydrologic and Water Quality System (HAWQS) is a web-based interactive water quantity and quality modeling system that employs as its core modeling engine the Soil and Water Assessment Tool (SWAT), an internationally-recognized public domain model. HAWQS provides users with i...

  5. Integrating resource, social, and managerial indicators of quality into carrying capacity decision-making

    Science.gov (United States)

    Newman, P.; Marion, J.; Cahill, K.

    2001-01-01

    In park and wilderness management, integrating social and resource indicators is essential to meet park mandates that require the protection of both experiential and resource conditions. This paper will address the challenges we face in integrating social and resource data and outline a study in progress in Yosemite National Park. This study will develop and apply a management model that integrates resource, social and managerial indicators of quality into carrying capacity decisionmaking.

  6. Human enteric viruses–potential indicators for enhanced monitoring of recreational water quality

    Institute of Scientific and Technical Information of China (English)

    Erin; Allmann; Updyke; Zi; Wang; Si; Sun; Christina; Connell; Marek; Kirs; Mayee; Wong; Yuanan; Lu

    2015-01-01

    Recreational waters contaminated with human fecal pollution are a public health concern, and ensuring the safety of recreational waters for public use is a priority of both the Environmental Protection Agency(EPA) and the Centers for Disease Control and Prevention(CDC). Current recreational water standards rely on fecal indicator bacteria(FIB) levels as indicators of human disease risk. However present evidence indicates that levels of FIB do not always correspond to the presence of other potentially harmful organisms, such as viruses. Thus, enteric viruses are currently tested as water quality indicators, but have yet to be successfully implemented in routine monitoring of water quality. This study utilized enteric viruses as possible alternative indicators of water quality to examine 18 different fresh and offshore recreational waters on O‘ahu, Hawai‘i, by using newly established laboratory techniques including highly optimized PCR, real time PCR, and viral infectivity assays. All sample sites were detected positive for human enteric viruses by PCR including enterovirus, norovirus genogroups I and II, and male specific FRNA coliphage. A six time-point seasonal study of enteric virus presence indicated significant variation in virus detection between the rainy and dry seasons. Quantitative PCR detected the presence of norovirus genogroup II at levels at which disease risk may occur, and there was no correlation found between enteric virus presence and FIB counts. Under the present laboratory conditions, no infectious viruses were detected from the samples PCR-positive for enteric viruses. These data emphasize both the need for additional indicators for improved monitoring of water quality, and the feasibility of using enteric viruses as these indicators.

  7. Analysis and Design of Agricultural Sustainability Indicators System

    Institute of Scientific and Technical Information of China (English)

    QIU Hua-jiao; ZHU Wan-bin; WANG Hai-bin; CHENG Xu

    2007-01-01

    The development and characteristic of agricultural sustainability indicators system (Sis), at home and abroad, was reviewed. It was pointed out that the existing domestic methodsof sustainability evaluation can not be accepted by foreign scholars, and their scientific basis is inadequate. The experience and shortcomings of the previous studies on the indicators selection and evaluation methods were analyzed, also with the significance for practice. Finally, a new Sis for agriculture development evaluation was proposed, together with the corresponding calculation and evaluation methods. The farmer development index indicator was proposed to embody the viewpoint that the development of people is the ultimate aim; the dynamic weight calculation method was designed to reflect the various significance of the different indicators when their values were changing; and new indicators integrate methods were also explored.

  8. Quality indicators for acute myocardial infarction: A position paper of the Acute Cardiovascular Care Association.

    Science.gov (United States)

    Schiele, Francois; Gale, Chris P; Bonnefoy, Eric; Capuano, Frederic; Claeys, Marc J; Danchin, Nicolas; Fox, Keith Aa; Huber, Kurt; Iakobishvili, Zaza; Lettino, Maddalena; Quinn, Tom; Rubini Gimenez, Maria; Bøtker, Hans E; Swahn, Eva; Timmis, Adam; Tubaro, Marco; Vrints, Christiaan; Walker, David; Zahger, Doron; Zeymer, Uwe; Bueno, Hector

    2017-02-01

    Evaluation of quality of care is an integral part of modern healthcare, and has become an indispensable tool for health authorities, the public, the press and patients. However, measuring quality of care is difficult, because it is a multifactorial and multidimensional concept that cannot be estimated solely on the basis of patients' clinical outcomes. Thus, measuring the process of care through quality indicators (QIs) has become a widely used practice in this context. Other professional societies have published QIs for the evaluation of quality of care in the context of acute myocardial infarction (AMI), but no such indicators exist in Europe. In this context, the European Society of Cardiology (ESC) Acute Cardiovascular Care Association (ACCA) has reflected on the measurement of quality of care in the context of AMI (ST segment elevation myocardial infarction (STEMI) and non-ST segment elevation myocardial infarction (NSTEMI)) and created a set of QIs, with a view to developing programmes to improve quality of care for the management of AMI across Europe. We present here the list of QIs defined by the ACCA, with explanations of the methodology used, scientific justification and reasons for the choice for each measure.

  9. Postmenopausal Osteoporosis Management: A Review of the Evidence to Inform the Development of Quality Indicators.

    Science.gov (United States)

    Conklin, Annalijn; Yaqub, Ohid; Celia, Claire; Nolte, Ellen

    2012-01-01

    This article aims to inform the development of quality indicators for postmenopausal osteoporosis management through (a) assessing the evidence for screening and diagnosis of osteoporosis and related risk factors, and for prevention and treatment of osteoporosis and osteoporosis-related fractures; (b) describing current practice for managing postmenopausal osteoporosis in Europe; and (c) highlighting existing gaps in the evidence base and management practices in Europe. Analyses involved a comprehensive review of reviews regarding the screening and diagnosis of osteoporosis and related risk factors and the prevention and treatment of osteoporosis and osteoporosis-related fractures. While this identified a well-developed evidence base on the effects of selected treatments on clinical outcomes of postmenopausal osteoporosis and associated fractures, and on the usefulness of selected simple risk factor assessment tools to identify postmenopausal women who would benefit from further diagnostic assessment, uncertainties remain regarding for example the optimal use of pharmacological interventions for preventive purposes and the effectiveness of population-based screening. We also carried out case study reviews of current practices for managing postmenopausal osteoporosis in England, France, Germany and Spain. We identify a need for the establishment of routine monitoring systems to enable better understanding of contemporary patterns and trends and identify care gaps in the management of postmenopausal osteoporosis and associated fractures. Such analyses are crucial to inform targeted strategies and policies to effectively address the burden of osteoporosis and associated fractures, which is sizable and set to increase across Europe. We set out considerations as a starting point for the further development of quality measures for postmenopausal osteoporosis in Europe.

  10. The use of soil quality indicators to assess soil functionality in restored semi-arid ecosystems

    Science.gov (United States)

    Muñoz-Rojas, Miriam; Erickson, Todd E.; Dixon, Kingsley W.; Merritt, David J.

    2016-04-01

    . Soil microbial activity was measured with the 1-day CO2 test, a cost-effective and rapid method to determine soil microbial respiration rate based on the measurement of the CO2 burst produced after moistening dry soil (Muñoz-Rojas et al., 2016). Soil microbial abundance of specific groups was measured by phospholipid fatty acid analysis. Results and discussion We showed that in addition to organic C and C:N ratio, biological indicators (microbial diversity and activity in particular), are the most sensitive indicators to detect differences among reconstructed soils and analogue undisturbed soils in semi-arid areas. The 1-day CO2 test is an alternative cost- and time-effective method to measure microbial activity and assess soil functionality of restored soils. Our results also showed a positive effect of vegetation on reconstructed soils and a recovery of soil functionality in waste material to levels similar to topsoil once vegetation is established, although soil quality levels are still far from those in undisturbed native soils four years post-restoration. Soil functionality is critical in the restoration process, particularly in semi-arid areas, and the methods used here could be effectively applied in a broad range of restoration projects in arid and semi-arid environments. References Costantini EAC, Branquinho C, Nunes A, Schwilch G, Stavi I, Valdecantos A and Zucca C (2015) Soil indicators to assess the effectiveness of restoration strategies in dryland ecosystems. Solid Earth Discussions 7:3645-3687. James JJ, Sheley RL, EricksonT, Rollins KS, Taylor MH, Dixon KW (2013) A systems approach to restoring degraded drylands. Journal of Applied Ecology 50:730-739. Muñoz-Rojas M., Erickson T, Merritt D, Dixon K (2014) Optimising post-mining soil conditions to maximise restoration success in a biodiverse semiarid environment. Geophysical Research. Abstracts Vol. 16, EGU2014-2069-1, EGU General Assembly. Muñoz-Rojas M, Erickson T, Merritt D, Dixon K (2015) Applying

  11. Measures of Quality of Care for People with HIV: A Scoping Review of Performance Indicators for Primary Care.

    Science.gov (United States)

    Johnston, Sharon; Kendall, Claire; Hogel, Matthew; McLaren, Meaghan; Liddy, Clare

    2015-01-01

    The healthcare of people with HIV is transitioning from specialty care to the primary healthcare (PHC) system. However, many of the performance indicators used to measure the quality of HIV care pre-date this transition. The goal of this work was to examine how existing HIV care performance indicators measure the comprehensive and longitudinal care offered in a PHC setting. A scoping review consisting of peer-reviewed and grey literature searches was performed. Two reviewers evaluated study eligibility and indicators in documents meeting inclusion criteria were extracted into a database. Indicators were matched to a PHC performance measurement framework to determine their applicability for evaluating quality of care in the PHC setting. The literature search identified 221 publications, of which 47 met inclusion criteria. 1184 indicators were extracted and removal of duplicates left 558 unique indicators. A majority of the 558 indicators fell under the 'secondary prevention' (12%) and 'care of chronic conditions' (33%) domains when indicators were matched to the PHC performance framework. Despite the imbalance, nearly all performance domains in the PHC framework were populated by at least one indicator with significant concentrations in domains such as patient-provider relationship, patient satisfaction, population and community characteristics, and access to care. Existing performance frameworks for the care of people with HIV provide a comprehensive set of indicators that align well with a PHC performance framework. Nonetheless, some important elements of care, such as patient-reported outcomes, are poorly covered by existing indicators. Advancing our understanding of how the experience of care for people with HIV is impacted by changes in health services delivery, specifically more care within the PHC system, will require performance indicators to capture this aspect of HIV care.

  12. Quality indicators for physiotherapy care in hip and knee osteoarthritis: development and clinimetric properties

    NARCIS (Netherlands)

    Peter, W.F.; Wees, P.J. van der; Hendriks, E.J.; Bie, R.A. de; Verhoef, J.; Jong, Z. de; Bodegom-Vos, L. van; Hilberdink, W.K.H.A.; Vlieland, T.P.

    2013-01-01

    OBJECTIVE: The aim of the present study was to develop process quality indicators for physiotherapy care based on key recommendations of the Dutch physiotherapy guideline on hip and knee osteoarthritis (OA). METHODS: Guideline recommendations were rated for their relevance by an expert panel, transf

  13. Do Treatment Quality Indicators Predict Cardiovascular Outcomes in Patients with Diabetes?

    NARCIS (Netherlands)

    Sidorenkov, Grigory; Voorham, Jaco; de Zeeuw, Dick; Haaijer-Ruskamp, Flora M.; Denig, Petra

    2013-01-01

    Background: Landmark clinical trials have led to optimal treatment recommendations for patients with diabetes. Whether optimal treatment is actually delivered in practice is even more important than the efficacy of the drugs tested in trials. To this end, treatment quality indicators have been devel

  14. Evidence-Based Practice: Quality Indicator Analysis of Antecedent Exercise in Autism Spectrum Disorders

    Science.gov (United States)

    Kasner, Melanie; Reid, Greg; MacDonald, Cathy

    2012-01-01

    The purpose of the research was to conduct a quality indicator analysis of studies exploring the effects of antecedent exercise on self-stimulatory behaviors of individuals with autism spectrum disorders (ASD). Educational Resources Information Center (ERIC), Google Scholar, SPORTDiscus, PsychINFO, and PubMed/MedLine databases from 1980 to October…

  15. Indicators of quality use of medicines in South-East Asian countries : a systematic review

    NARCIS (Netherlands)

    Nguyen, H. T.; Wirtz, V. J.; Haaijer-Ruskamp, F. M.; Taxis, K.

    2012-01-01

    Objectives To identify indicators of quality use of medicines used in South-East Asian region. Methods A systematic review was conducted searching MEDLINE, Embase and The International Network for Rational Use of Drugs (INRUD) and The World Health Organization (WHO) website. Original studies or repo

  16. Indicators of quality use of medicines in South-East Asian countries : a systematic review

    NARCIS (Netherlands)

    Nguyen, H. T.; Wirtz, V. J.; Haaijer-Ruskamp, F. M.; Taxis, K.

    2012-01-01

    Objectives To identify indicators of quality use of medicines used in South-East Asian region. Methods A systematic review was conducted searching MEDLINE, Embase and The International Network for Rational Use of Drugs (INRUD) and The World Health Organization (WHO) website. Original studies or

  17. Environmental Learning Workshop: Lichen as Biological Indicator of Air Quality and Impact on Secondary Students' Performance

    Science.gov (United States)

    Samsudin, Mohd Wahid; Daik, Rusli; Abas, Azlan; Meerah, T. Subahan Mohd; Halim, Lilia

    2013-01-01

    In this study, the learning of science outside the classroom is believe to be an added value to science learning as well as it offers students to interact with the environment. This study presents data obtained from two days' workshop on Lichen as Biological Indicator for Air Quality. The aim of the workshop is for the students to gain an…

  18. Assessment of water quality based on diatom indices in a small ...

    African Journals Online (AJOL)

    2016-04-02

    Apr 2, 2016 ... for water quality changes over short time scales. Diatoms have .... A CyberScan Series 600 portable ... estuary section of the river were sampled from Sites E1 to E3 ..... the indices were developed or were planktonic forms (e.g..

  19. Productivity as an Indication of Quality in Higher Education: The Views of Employed Graduates in Greece

    Science.gov (United States)

    Eliophotou Menon, Maria

    2016-01-01

    The paper investigates the views of Greek university graduates on the link between higher education and productivity in order to determine the extent to which productivity can be considered to be an indication of quality in higher education. It also investigates the perceived effect of the type and content of higher education on productivity;…

  20. Air quality indicators from the Environmental Performance Index: potential use and limitations in South Africa

    CSIR Research Space (South Africa)

    Garland, Rebecca M

    2017-05-01

    Full Text Available values, as well as number of exceedances of South African National Ambient Standards. However, these do not directly communicate the potential impact on human health and the ecosystem. To this end, the use of air quality indicators is seen as a potential...

  1. Aggregation of ecological indicators for mapping aquatic nature quality : overview of existing methods and case studies

    NARCIS (Netherlands)

    Knotters, M.; Lahr, J.; Oosten-Siedlecka, van A.M.; Verdonschot, P.F.M.

    2010-01-01

    Indicators for aquatic nature quality are calculated using ecological monitoring data from individual sampling stations. For reporting purposes, these results need to be aggregated and scaled up to higher levels (catchment area, country). This report provides an overview of different existing spatia

  2. [POSSIBILITY OF OBTAINING ALLOGENEIC ANTIMENINGOCOCCUS FRESH FROZEN PLASMA AND CONTROL OF ITS QUALITY INDICATORS].

    Science.gov (United States)

    Tereshchuk, T O

    2015-01-01

    Results of the study identifying the titer of natural antimeningococcus antibodies serogroup B of non-immunized donor population of Zhytomyr Region aged 18-54 years, all AB0 blood groups are presented for further use of these results in the organization of the immune donation. Indicators of quality of antimeningococcus fresh frozen plasma obtained by different methods are characterized.

  3. Conclusions and future use of fecal indicator bacteria for monitoring water quality and protecting human health

    Science.gov (United States)

    Sadowsky, Michael J.; Whitman, Richard L.

    2011-01-01

    A summary of the focus and the recurring theme of the book is presented in this chapter. It includes the use of faecal bacteria as an indicator of faecal pollution and water quality, ubiquity of faecal bacteria, and sources and movement of faecal bacteria in the environment.

  4. Farm-scale variation of soil quality indices and association with edaphic properties

    Science.gov (United States)

    Soil organisms are indicators of dynamic soil quality because their community structure and population density are sensitive to management changes. However, edaphic properties can also affect soil organisms and high spatial variability can confound their utility for soil evaluation. In the present...

  5. 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…

  6. 78 FR 22883 - AHRQ Standing Workgroup for Quality Indicator Measure Specification

    Science.gov (United States)

    2013-04-17

    ....federalregister.gov/articles/2013/01/28/2013-01348/ahrq-standing-workgroup-for-quality-indicator-measure... transparency about the scientific development of the AHRQ QIs. Time-Limited Workgroup Time-limited workgroups... specialized in the relevant statistical methods and applications One or more individuals with expertise...

  7. Integrated Indicators-based Gradation of Cultivated Land Quality in Mountainous Region of Southwestern China

    Institute of Scientific and Technical Information of China (English)

    SHAO Jing'an; WEI Chaofu; XIE Deti; ZHOU Yan

    2006-01-01

    The gradation of cultivated land is to assess the suitability of cultivated land for agricultural production in terms of natural and economic properties of land. It can be used to evaluate sustainability of land use and soil management practices. Formal and informal surveys, Delphi and comprehensive index method are adopted to identify appropriate integrated indicators, and measure the gradation of cultivated land quality. The determination of integrated indicators presents three basic features of cultivated land quality: stable plant productivity, social acceptability and maintenance of environmental quality.Pronounced concentration-dissipation law of total function score value occurs in paddy field units, with three ranges, I.e., 79-68.5, 68.5~59 and 59-51. Total function score value in dryland units mainly ranges from 40 to 70, but slight concentration-dissipation law of each unit is still observed, with four ranges, I.e., 79~68, 68~51, 51~37 and 37~15. Paddy field quality is divided into three gradations, and the scales are 18 220.9 ha, 5410.6 ha and 2890.9 ha. Dryland quality is classified into four gradations, and the scales are 1548.6 ha, 8153.8 ha, 3316.3 ha and 685.2 ha. The total function score value of every gradation unit is conformed to the results of farmers' assessment. Research results meet with the needs of accurate degree of the gradation of cultivated land quality. Integrated indicators-based gradation of cultivated land assessment accords with the characteristics of land resources and human preference in the mountains of southwestern China. This study will be useful to promote the monitoring of cultivated land quality, and to supply fine ground and knowledge for establishing appropriate cultivated land management practices in Southwestern China.

  8. Evaluation of physical quality indices of a soil under a seasonal semideciduous forest

    Directory of Open Access Journals (Sweden)

    Thalita Campos Oliveira

    2014-04-01

    Full Text Available The concept of soil quality is currently the subject of great discussion due to the interaction of soil with the environment (soil-plant-atmosphere and practices of human intervention. However, concepts of soil quality relate quality to agricultural productivity, but assessment of soil quality in an agronomic context may be different from its assessment in natural areas. The aim of this study was to assess physical quality indices, the S index, soil aeration capacity (ACt/Pt, and water storage capacity (FC/Pt of the soil from a permanent plot in the Caetetus Ecological Reserve (Galia, São Paulo, Brazil under a seasonal semideciduous forest and compare them with the reference values for soil physical quality found in the literature. Water retention curves were used for that purpose. The S values found were higher than the proposed limit for soil physical quality (0.035. The A and E horizons showed the highest values because their sandy texture leads to a high slope of the water retention curve. The B horizons showed the lowest S values because their natural density leads to a lower slope of the water retention curve. The values found for ACt/Pt and FC/Pt were higher and lower than the idealized limits. The values obtained from these indices under natural vegetation can provide reference values for soils with similar properties that undergo changes due to anthropic activities. All the indices evaluated were effective in differentiating the effects of soil horizons in the natural hydro-physical functioning of the soils under study.

  9. Do treatment quality indicators predict cardiovascular outcomes in patients with diabetes?

    Directory of Open Access Journals (Sweden)

    Grigory Sidorenkov

    Full Text Available BACKGROUND: Landmark clinical trials have led to optimal treatment recommendations for patients with diabetes. Whether optimal treatment is actually delivered in practice is even more important than the efficacy of the drugs tested in trials. To this end, treatment quality indicators have been developed and tested against intermediate outcomes. No studies have tested whether these treatment quality indicators also predict hard patient outcomes. METHODS: A cohort study was conducted using data collected from >10.000 diabetes patients in the Groningen Initiative to Analyze Type 2 Treatment (GIANTT database and Dutch Hospital Data register. Included quality indicators measured glucose-, lipid-, blood pressure- and albuminuria-lowering treatment status and treatment intensification. Hard patient outcome was the composite of cardiovascular events and all-cause death. Associations were tested using Cox regression adjusting for confounding, reporting hazard ratios (HR with 95% confidence intervals. RESULTS: Lipid and albuminuria treatment status, but not blood pressure lowering treatment status, were associated with the composite outcome (HR = 0.77, 0.67-0.88; HR = 0.75, 0.59-0.94. Glucose lowering treatment status was associated with the composite outcome only in patients with an elevated HbA1c level (HR = 0.72, 0.56-0.93. Treatment intensification with glucose-lowering but not with lipid-, blood pressure- and albuminuria-lowering drugs was associated with the outcome (HR = 0.73, 0.60-0.89. CONCLUSION: Treatment quality indicators measuring lipid- and albuminuria-lowering treatment status are valid quality measures, since they predict a lower risk of cardiovascular events and mortality in patients with diabetes. The quality indicators for glucose-lowering treatment should only be used for restricted populations with elevated HbA1c levels. Intriguingly, the tested indicators for blood pressure-lowering treatment did not predict patient

  10. Expanding the uses of AHRQ's prevention quality indicators: validity from the clinician perspective.

    Science.gov (United States)

    Davies, Sheryl; McDonald, Kathryn M; Schmidt, Eric; Schultz, Ellen; Geppert, Jeffrey; Romano, Patrick S

    2011-08-01

    The Agency for Healthcare Research and Quality's prevention quality indicators (PQIs) are used as a metric of area-level access to quality care. Recently, interest has expanded to using the measures at the level of payer or large physician groups, including public reporting or pay-for-performance programs. However, the validity of these expanded applications is unknown. We conducted a novel panel process to establish face validity of the 12 PQIs at 3 denominator levels: geographic area, payer, and large physician groups; and 3 uses: quality improvement, comparative reporting, and pay for performance. Sixty-four clinician panelists were split into Delphi and Nominal Groups. We aimed to capitalize on the reliability of the Delphi method and information sharing in the Nominal group method by applying these techniques simultaneously. We examined panelists' perceived usefulness of the indicators for specific uses using median scores and agreement within and between groups. Panelists showed stronger support of the usefulness of chronic disease indicators at the payer and large physician group levels than for acute disease indicators. Panelists fully supported the usefulness of 2 indicators for comparative reporting (asthma, congestive heart failure) and no indicators for pay-for-performance applications. Panelists expressed serious concerns about the usefulness of all new applications of 3 indicators (angina, perforated appendix, dehydration). Panelists rated age, current comorbidities, earlier hospitalization, and socioeconomic status as the most important risk-adjustment factors. Clinicians supported some expanded uses of the PQIs, but generally expressed reservations. Attention to denominator definitions and risk adjustment are essential for expanded use.

  11. MANAGEMENT SYSTEM SUSTAINABILITY (BASED ON QMS, EMS, H&S AND BUSINESS INDICATORS

    Directory of Open Access Journals (Sweden)

    P.M Andre

    2009-06-01

    Full Text Available Sustainability is one of those buzz words recently introduced in our vocabulary to explain present state of life support systems. In this respect there are number of definitions which are describing specific aspect of sustainability notion. The management system is complex system and requires adequate tool to measure sustainability as the complexity property of management system. The lecture will enlight the historical background of the sustainability development and emphasizes its importance for the management system validation. The complexity of sustainability notion is characterized by multi-dimensional structure including indicators of different scale. The application of sustainability development to the management system requires respective methodology and procedure. The complexity of management system is defined as structure of elements which comprise individual functionality within the management system. Each element is described with number of indicators. The methodology is based on multi- criteria evaluation of the system. The Sustainability Index, which introduces the quality measure for the management system, is derived by agglomeration of indicators for those systems elements. Quality of the management system is an immanent property which requires specific procedure and methodology to be measured. One of the most reliably methods is the multi-criteria Sustainability Index measurement. This evaluation method is based on the priority list formation among the options under consideration, the essential feature of the evaluation method possibility to obtain the effect of different constrain on the priority list.

  12. Indicators of streamflow alteration, habitat fragmentation, impervious cover, and water quality for Massachusetts stream basins

    Science.gov (United States)

    Weiskel, Peter K.; Brandt, Sara L.; DeSimone, Leslie A.; Ostiguy, Lance J.; Archfield, Stacey A.

    2010-01-01

    Massachusetts streams and stream basins have been subjected to a wide variety of human alterations since colonial times. These alterations include water withdrawals, treated wastewater discharges, construction of onsite septic systems and dams, forest clearing, and urbanization—all of which have the potential to affect streamflow regimes, water quality, and habitat integrity for fish and other aquatic biota. Indicators were developed to characterize these types of potential alteration for subbasins and groundwater contributing areas in Massachusetts. The potential alteration of streamflow by the combined effects of withdrawals and discharges was assessed under two water-use scenarios. Water-use scenario 1 incorporated publicly reported groundwater withdrawals and discharges, direct withdrawals from and discharges to streams, and estimated domestic-well withdrawals and septic-system discharges. Surface-water-reservoir withdrawals were excluded from this scenario. Water-use scenario 2 incorporated all the types of withdrawal and discharge included in scenario 1 as well as withdrawals from surface-water reservoirs—all on a long-term, mean annual basis. All withdrawal and discharge data were previously reported to the State for the 2000–2004 period, except domestic-well withdrawals and septic-system discharges, which were estimated for this study. The majority of the state’s subbasins and groundwater contributing areas were estimated to have relatively minor (less than 10 percent) alteration of streamflow under water-use scenario 1 (seasonally varying water use; no surface-water-reservoir withdrawals). However, about 12 percent of subbasins and groundwater contributing areas were estimated to have extensive alteration of streamflows (greater than 40 percent) in August; most of these basins were concentrated in the outer metropolitan Boston region. Potential surcharging of streamflow in August was most commonly indicated for main-stem river subbasins, although

  13. Development of accounting quality management system

    Directory of Open Access Journals (Sweden)

    Plakhtii T.F.

    2017-08-01

    Full Text Available Accounting organization as one of the types of practical activities at the enterprise involves organization of the process of implementation of various kinds of accounting procedures to ensure meeting needs of the users of accounting information. Therefore, to improve its quality an owner should use tools, methods and procedures that enable to improve the quality of implementation of accounting methods and technology. The necessity of using a quality management system for the improvement of accounting organization at the enterprise is substantiated. The system of accounting quality management is developed and grounded in the context of ISO 9001:2015, which includes such processes as the processes of the accounting system, leadership, planning, and evaluation. On the basis of specification and justification of the set of universal requirements (content requirements, formal requirements the model of the environment of demands for high-quality organization of the computerized accounting system that improves the process of preparing high quality financial statements is developed. In order to improve the system of accounting quality management, to justify the main objectives of its further development, namely elimination of unnecessary characteristics of accounting information, the differences between the current level of accounting information quality and its perfect level are considered; the meeting of new needs of users of accounting information that have not been satisfied yet. The ways of leadership demonstration in the system of accounting quality management of accounting subjects at the enterprise are substantiated. The relationship between the current level of accounting information quality and its perfect level is considered. The possible types of measures aimed at improving the system of accounting quality management are identified. The paper grounds the need to include the principle of proper management in the current set of accounting

  14. North Carolina Star Rated License System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of North Carolina's Star Rated License System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  15. Vermont STep Ahead Recognition System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Vermont's STep Ahead Recognition System (STARS) prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for All Child Care Programs;…

  16. Urogenital fistula reviewed: a marker of severe maternal morbidity and an indicator of the quality of maternal healthcare delivery

    OpenAIRE

    2015-01-01

    Background While obstetric fistula has been recognized as a major maternal morbidity since the 1980s, it has become an indicator of access to and quality of women’ s health care. Findings Obstetric fistula still exists in low-income countries (LIC) because health care systems fail to provide adequate family planning, skilled birth attendance, basic and emergency obstetric care, and affordable treatment of fistula, while concurrently lacking social networks to serve as safety nets for affected...

  17. Environmental quality indicators and financial development in Malaysia: unity in diversity.

    Science.gov (United States)

    Alam, Arif; Azam, Muhammad; Abdullah, Alias Bin; Malik, Ihtisham Abdul; Khan, Anwar; Hamzah, Tengku Adeline Adura Tengku; Faridullah; Khan, Muhammad Mushtaq; Zahoor, Hina; Zaman, Khalid

    2015-06-01

    Environmental quality indicators are crucial for responsive and cost-effective policies. The objective of the study is to examine the relationship between environmental quality indicators and financial development in Malaysia. For this purpose, the number of environmental quality indicators has been used, i.e., air pollution measured by carbon dioxide emissions, population density per square kilometer of land area, agricultural production measured by cereal production and livestock production, and energy resources considered by energy use and fossil fuel energy consumption, which placed an impact on the financial development of the country. The study used four main financial indicators, i.e., broad money supply (M2), domestic credit provided by the financial sector (DCFS), domestic credit to the private sector (DCPC), and inflation (CPI), which each financial indicator separately estimated with the environmental quality indicators, over a period of 1975-2013. The study used the generalized method of moments (GMM) technique to minimize the simultaneity from the model. The results show that carbon dioxide emissions exert the positive correlation with the M2, DCFC, and DCPC, while there is a negative correlation with the CPI. However, these results have been evaporated from the GMM estimates, where carbon emissions have no significant relationship with any of the four financial indicators in Malaysia. The GMM results show that population density has a negative relationship with the all four financial indicators; however, in case of M2, this relationship is insignificant to explain their result. Cereal production has a positive relationship with the DCPC, while there is a negative relationship with the CPI. Livestock production exerts the positive relationship with the all four financial indicators; however, this relationship with the CPI has a more elastic relationship, while the remaining relationship is less elastic with the three financial indicators in a country

  18. Assessing soil quality indicator under different land use and soil erosion using multivariate statistical techniques.

    Science.gov (United States)

    Nosrati, Kazem

    2013-04-01

    Soil degradation associated with soil erosion and land use is a critical problem in Iran and there is little or insufficient scientific information in assessing soil quality indicator. In this study, factor analysis (FA) and discriminant analysis (DA) were used to identify the most sensitive indicators of soil quality for evaluating land use and soil erosion within the Hiv catchment in Iran and subsequently compare soil quality assessment using expert opinion based on soil surface factors (SSF) form of Bureau of Land Management (BLM) method. Therefore, 19 soil physical, chemical, and biochemical properties were measured from 56 different sampling sites covering three land use/soil erosion categories (rangeland/surface erosion, orchard/surface erosion, and rangeland/stream bank erosion). FA identified four factors that explained for 82 % of the variation in soil properties. Three factors showed significant differences among the three land use/soil erosion categories. The results indicated that based upon backward-mode DA, dehydrogenase, silt, and manganese allowed more than 80 % of the samples to be correctly assigned to their land use and erosional status. Canonical scores of discriminant functions were significantly correlated to the six soil surface indices derived of BLM method. Stepwise linear regression revealed that soil surface indices: soil movement, surface litter, pedestalling, and sum of SSF were also positively related to the dehydrogenase and silt. This suggests that dehydrogenase and silt are most sensitive to land use and soil erosion.

  19. Using diatom indices for water quality assessment in a subtropical river, China.

    Science.gov (United States)

    Tan, Xiang; Sheldon, Fran; Bunn, Stuart E; Zhang, Quanfa

    2013-06-01

    Diatoms have been regularly used as bioindicators to assess water quality of surface waters. However, diatom-based indices developed for a specific geographic region may not be appropriate elsewhere. We sampled benthic diatom assemblages in the upper Han River, a subtropical river in China, to evaluate applicability of 14 diatom-based indices used worldwide for water quality assessment. A total of 194 taxa from 31 genera were identified in the dry season and 139 taxa from 23 genera in the wet season. During the dry season, significant relationships were found for all but one of the diatom-based indices (Index Diatom Artois-Picardie) with one or more physical and chemical variables including nutrients and ion concentrations in river waters. The Biological Diatom Index (IBD) and diatom-based eutrophication/pollution index (EPI-D) were strongly related to trophic status and ionic content, while Watanabe's Index was related to organic pollution and conductivity. Yet, the diatom indices showed weak relationships with physical and chemical variables during the wet season. It suggests that diatom-based indices developed in Europe can be applied with confidence as bioindicators of water quality in subtropical rivers of China, at least during base-flow conditions.

  20. Voltage stability and controllability indices for multimachine power systems

    Energy Technology Data Exchange (ETDEWEB)

    Vournas, C.D. [National Technical Univ., Athens (Greece). Electrical Energy Systems Lab.

    1995-08-01

    This paper presents a voltage stability index (VSI) and a voltage controllability index (VCI), related to the eigenvalues of mxm matrices in a multimachine power system made up of m synchronous generators and a number of infinite buses. System loads can have an arbitrary voltage sensitivity described by generalized voltage exponents. These nonlinear loads are linearized around an operating point and incorporated into a modified admittance matrix, which is subsequently reduced to the generator terminals using an efficient algorithm and sparsity techniques. The indices proposed are tested in a practical system and it is demonstrated that they provide a timely warning during a sequence of events leading to voltage collapse.

  1. Procedure Design to Fulfill Quality Management System

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    With the application of the principle of PDCA, and dr awing on the experience of the process methods of the ISO9000 and the system met hods of management, the author analyses the basic requirement to fulfill quality management system in enterprises. Then the author inquires into the procedure t o establish the efficiency quality management system. Finally four stages (plan, do, check, action) and eight steps (decision, plan, analyze, design, do, check, improve, fulfill) are put forward to fulfill qualit...

  2. Using Gambusia affinis growth and condition to assess estuarine habitat quality: A comparison of indices

    Science.gov (United States)

    Piazza, Bryan P.; La Peyre, M.K.

    2010-01-01

    Numerous indices have been used to estimate fish growth and condition however, differences in sensitivity and reliability of the methods have hampered efforts to identify appropriate indicators for routine evaluation of habitat quality in the field. We compared common morphometric (length, weight, somatic growth, length-weight condition) and biochemical (RNA:DNA ratio, relative DNA content, energy density) growth indices on the same wild-caught mosquitofish Gambusia affinis to examine their usefulness as indicators of habitat quality. A laboratory experiment was used to quantify growth rates of wild-caught G. affinis under different feeding treatments. Field studies consisted of both a short-term enclosure experiment (10 d) and weekly (7 wk) fish collections to compare growth indices in managed inflow and reference marshes during a winter/spring freshwater pulse event in upper Breton Sound, Louisiana, USA. Marshes flooded by restored freshwater pulses were capable of producing optimum growth (0.001 g DW d-1 DW = dry weight) and energetically valuable habitat (>6000 cal g-1 DW) for trophic transport. Because of differences in timing of response, morphometric and biochemical indices were generally not directly correlated, but there was clear agreement in direction and magnitude of response. The most striking difference in timing was that biochemical indices (RNA:DNA) responded more slowly to treatments than did morphometric growth indices. While gross patterns are comparable between indicators, differences in sensitivity and response time between indicators suggest that choice of indicator needs to be accounted for in interpretation and analysis of effects. ?? Inter-Research 2010, www.int-res.com.

  3. A systematic review of diet quality indices in relation to obesity.

    Science.gov (United States)

    Asghari, Golaleh; Mirmiran, Parvin; Yuzbashian, Emad; Azizi, Fereidoun

    2017-04-01

    Tools, called 'diet/dietary quality indices', evaluate the level of adherence to a specified pattern or a set of recommendations in populations. Yet, there are no review studies providing unanimous comprehensive results of dietary indices on obesity. We reviewed observational studies, focusing on the association of diet quality indices with general obesity or abdominal obesity in adults. We systematically conducted a search in all English language publications available on MEDLINE, ISI Web of Science and Embase between January 1990 and January 2016. Among the wide variety of indices and weight-derived variables, studies with dietary-guideline-based indices and mean changes for weight gain or OR for general obesity and abdominal obesity were selected. From a total of 479 articles, thirty-four studies were selected for the current review, ten of which had prospective designs and twenty-six had cross-sectional designs. Associations of weight status with the original Healthy Eating Index (HEI) and other versions of the HEI including alternative HEI, HEI-2005 and HEI-05 were examined in thirteen studies, with ten studies revealing significant associations. The HEI was a better general obesity predictor in men than in women. Diet scores lacked efficacy in assessing overall diet quality and demonstrated no significant findings in developing countries, in comparison with US populations. In addition, indices based on dietary diversity scores were directly associated with weight gain. Despite the insufficient evidence to draw definitive conclusions about the relation between dietary indices and obesity, HEI was found to be inversely associated with obesity and diversity-based indices were positively associated with obesity.

  4. Process quality indicators for chronic kidney disease risk management: a systematic literature review.

    Science.gov (United States)

    Smits, Kirsten P J; Sidorenkov, Grigory; Bilo, Henk J G; Bouma, Margriet; Navis, Gerjan J; Denig, Petra

    2016-10-01

    Quality indicators (QIs) can be used for measuring the quality of actions of healthcare providers. This systematic review gives an overview of such QIs measuring processes of care for chronic kidney disease (CKD), and identifies the QIs that have content, face, operational and/or predictive validity. PubMed and Embase were searched using a strategy combining the terms "quality of care," "quality indicators" and "chronic kidney disease". Papers were included if they focused on developing, testing or applying QIs for assessing the quality of care in adult patients with CKD not on renal replacement therapy. Two hundred and seventy-three QIs from thirty-one papers were extracted, including QIs on adequate monitoring of kidney function and vascular risk factors, on indicated treatment, drug safety, adherence and referral to a specialist. The QIs that were considered content, face and operational valid focused on monitoring of glomerular filtration rate, albumin-creatinine ratio, lipid levels and blood pressure, the use of non-steroidal anti-inflammatory drugs, nitrofurantoin and biphosphonates in patients with CKD, and QIs on monitoring haemoglobin and treatment with angiotensin-converting-enzyme-inhibitors/angiotensin-receptor-II-blockers in patients with CKD and comorbidities. No QIs were tested for predictive validity. In addition, only two QIs focused on diet and no other QIs focused on lifestyle management. Based on this review, sufficiently validated QIs can be selected for measuring the quality of CKD care. This review provides insight in QIs that need further validation, and in areas of care where QIs are still lacking. © 2016 John Wiley & Sons Ltd.

  5. Rocky-shore communities as indicators of water quality: a case study in the Northwestern Mediterranean.

    Science.gov (United States)

    Pinedo, Susana; García, María; Satta, Maria Paola; de Torres, Mariona; Ballesteros, Enric

    2007-01-01

    The collection of 152 samples from the upper sublittoral zone along the rocky coasts of Catalonia (Northwestern Mediterranean) was carried out in 1999 in order to test the suitability of littoral communities to be used as indicators of water quality in the frame of the European Water Framework Directive. Detrended correspondence analysis were performed to distinguish between different communities and to relate communities composition to water quality. Samples collected in reference sites were included in the analysis. Mediterranean rocky shore communities situated in the upper sublittoral zone can be used as indicators of the water quality: there is a gradient from high to bad status that comprises from dense Cystoseira mediterranea forests to green algae dominated communities. The geographical patterns in the distribution of these communities show that the best areas are situated in the Northern coast, where tourism is the main economic resource of the area, and the worst area is situated close to the metropolitan zone of Barcelona with high population and industrial development. Thus, Mediterranean sublittoral rocky shore communities are useful indicators of water quality and multivariate analysis are a suitable statistical tool for the assessment of the ecological status.

  6. Chemical and biological indicators of water quality in three agricultural watersheds of the Po valley, Italy

    Directory of Open Access Journals (Sweden)

    Linda Pieri

    2011-12-01

    Full Text Available Agriculture has both direct and indirect effects on quality of surface water and is one of the key activities causing water quality degradation. Its environmental impact can be evaluated by the determination of indicators of the quality of water bodies that collect drainage and runoff waters from agricultural watersheds. For this research, the water quality draining from three watersheds, totally or partially cultivated, all within the Po river valley (Italy, was determined, using chemical indicators (N-NO3 and N-NH4 concentration, N balance, trophic status (chlorophyll-a concentration and benthic population indexes. Together, they should provide an overview of the water status, which is supposed to be strictly related to the land use and the management. Results show that the chemical parameters are well related to land use and farming management: intensive agricultural activity leads to high N-NO3 concentration in water and N surplus and vice versa. The chlorophyll-a concentration follows the same trend, being linked to nitrogen loads and land use. Not always there is accordance between chemical and biological indicators: no direct correspondence is evident between the N-NO3 concentration in waters and benthic community. Its presence and abundance seems to be mostly correlated with the geomorphology, hydrology, riparian strips, etc. of the habitat than to the land use. Only the integration of chemical and biological parameters allows a correct understanding of the state of health of water body and benthic communities.

  7. Temporal Dependency of Yield and Quality Estimation through Spectral Vegetation Indices in Pear Orchards

    Directory of Open Access Journals (Sweden)

    Jonathan Van Beek

    2015-08-01

    Full Text Available Yield and quality estimations provide vital information to fruit growers, yet require accurate monitoring throughout the growing season. To this end, the temporal dependency of fruit yield and quality estimations through spectral vegetation indices was investigated in irrigated and rainfed pear orchards. Both orchards were monitored throughout three consecutive growing seasons, including spectral measurements (i.e., hyperspectral canopy reflectance measurements as well as yield determination (i.e., total yield and number of fruits per tree and quality assessment (i.e., fruit firmness, total soluble solids and fruit color. The results illustrated a clear association between spectral vegetation indices and both fruit yield and fruit quality (|r| > 0.75; p < 0.001. However, the correlations between vegetation indices and production variables varied throughout the growing season, depending on the phenological stage of fruit development. In the irrigated orchard, index values showed a strong association with production variables near time of harvest (|r| > 0.6; p < 0.001, while in the rainfed orchard, index values acquired during vegetative growth periods presented stronger correlations with fruit parameters (|r| > 0.6; p < 0.001. The improved planning of remote sensing missions during (rainfed orchards and after (irrigated orchards vegetative growth periods could enable growers to more accurately predict production outcomes and improve the production process.

  8. Quality indicators for musculoskeletal injury management in the emergency department: a systematic review.

    Science.gov (United States)

    Strudwick, Kirsten; Nelson, Mark; Martin-Khan, Melinda; Bourke, Michael; Bell, Anthony; Russell, Trevor

    2015-02-01

    There is increasing importance placed on quality of health care for musculoskeletal injuries in emergency departments (EDs). This systematic review aimed to identify existing musculoskeletal quality indicators (QIs) developed for ED use and to critically evaluate their methodological quality. MEDLINE, EMBASE, CINAHL, and the gray literature, including relevant organizational websites, were searched in 2013. English-language articles were included that described the development of at least one QI related to the ED care of musculoskeletal injuries. Data extraction of each included article was conducted. A quality assessment was then performed by rating each relevant QI against the Appraisal of Indicators through Research and Evaluation (AIRE) Instrument. QIs with similar definitions were grouped together and categorized according to the health care quality frameworks of Donabedian and the Institute of Medicine. The search revealed 1,805 potentially relevant articles, of which 15 were finally included in the review. The number of relevant QIs per article ranged from one to 11, resulting in a total of 71 QIs overall. Pain (n = 17) and fracture management (n = 13) QIs were predominant. Ten QIs scored at least 50% across all AIRE Instrument domains, and these related to pain management and appropriate imaging of the spine. Methodological quality of the development of most QIs is poor. Recommendations for a core set of QIs that address the complete spectrum of musculoskeletal injury management in emergency medicine is not possible, and more work is needed. Currently, QIs with highest methodological quality are in the areas of pain management and medical imaging. © 2015 by the Society for Academic Emergency Medicine.

  9. Using Pressure and Alteration Indicators to Assess River Morphological Quality: Case Study of the Prahova River (Romania

    Directory of Open Access Journals (Sweden)

    Gabriela Ioana-Toroimac

    2015-06-01

    Full Text Available River morphological quality assessment, derived from quantification of human pressures as well as river channel alteration, is a demand of the Water Framework Directive (WFD in terms of integrating hydromorphological elements in defining ecological status. Our study’s aim is to contribute to the hydromorphological evaluation by proposing indicators and separating classes, based on a revisited Morphological Quality Index (rMQI protocol. The rMQI is based on 12 indicators of human pressures, 10 indicators of channel form adjustments, and 11 indicators of functionality. The rMQI scoring system allows for the quantification of changes when compared to reference conditions, be they undisturbed or nearly undisturbed by human interventions, with absent channel adjustments and a functioning natural river style. We used the lower, meandering sector of the Prahova River to demonstrate our assessment methodology. The Lower Prahova River suffers from a minor local intervention and a diminishing intensity of fluvial processes specific to a meandering style. Meanders geometry was affected by significant changes that included a decrease in the radius of curvature, width and width–to–mean–depth ratio. We concluded that the Lower Prahova River has a good morphological quality, which is rated as second class on a scale of five levels, from natural to severely modified. We recommend an improvement in the hydromorphological evaluation protocol in Romania by additional indicators for morphological alterations specific to each channel pattern.

  10. Household-level dietary quality indicator for countries in nutritional transition: application to vulnerable communities in El Salvador.

    Science.gov (United States)

    Fuster, Melissa; Houser, Robert F; Messer, Ellen; de Fulladolsa, Patricia Palma; Deman, Hedi; Bermudez, Odilia I

    2014-03-01

    To develop a household-level diet quality indicator (HDQI) using the Salvadorian dietary guidelines to assess the dietary quality of households in vulnerable communities in El Salvador. The Salvadorian dietary guidelines were reviewed and eighteen HDQI components were identified (nine foods and nine nutrients). The components were evaluated using a proportional scoring system from 0 to 1, penalizing over- and under-consumption, where appropriate. The HDQI was validated in consultations with experts in El Salvador and by statistical analyses of the study sample data. Dietary variety and energy, nutrient and food intakes were compared among households above and below the median HDQI score using Student's t test. Vulnerable, border communities in El Salvador. Households (n 140) provided food consumption information using an FFQ and sociodemographic data. The mean HDQI score was 63·5, ranging from 43·6 to 90·0. The indicator showed a positive, significant association with the dietary variety components. The statistical associations of the indicator with the energy and nutrient components were as expected. Based on the indicator's demonstrated face validity and the results of the expert consultations, the indicator is suggested as a good measure of diet quality for households in El Salvador.

  11. Turbidity as an Indicator of Water Quality in Diverse Watersheds of the Upper Pecos River Basin

    Directory of Open Access Journals (Sweden)

    Gregory M. Huey

    2010-06-01

    Full Text Available Microbial concentrations, total suspended solids (TSS and turbidity vary with stream hydrology and land use. Turbidity, TSS, and microbial concentrations, loads and yields from four watersheds were assessed: an unburned montane forest, a catastrophically burned montane forest, urban land use and rangeland prairie. Concentrations and loads for most water quality variables were greatest during storm events. Turbidity was an effective indicator of TSS, E. coli and Enterococci spp. The greatest threat to public health from microbial contamination occurs during storm runoff events. Efforts to manage surface runoff and erosion would likely improve water quality of the upper Pecos River basin in New Mexico, USA.

  12. [Health information on the Internet and trust marks as quality indicators: vaccines case study].

    Science.gov (United States)

    Mayer, Miguel Angel; Leis, Angela; Sanz, Ferran

    2009-10-01

    To find out the prevalence of quality trust marks present in websites and to analyse the quality of these websites displaying trust marks compared with those that do not display them, in order to put forward these trust marks as a quality indicator. Cross-sectional study. Internet. Websites on vaccines. Using "vacunas OR vaccines" as key words, the features of 40 web pages were analysed. These web pages were selected from the page results of two search engines, Google and Yahoo! Based on a total of 9 criteria, the average score of criteria fulfilled was 7 (95% CI 3.96-10.04) points for the web pages offered by Yahoo! and 7.3 (95% CI 3.86-10.74) offered by Google. Amongst web pages offered by Yahoo!, there were three with clearly inaccurate information, while there were four in the pages offered by Google. Trust marks were displayed in 20% and 30% medical web pages, respectively, and their presence reached statistical significance (P=0.033) when fulfilling the quality criteria compared with web pages where trust marks were not displayed. A wide variety of web pages was obtained by search engines and a large number of them with useless information. Although the websites analysed had a good quality, between 15% and 20% showed inaccurate information. Websites where trust marks were displayed had more quality than those that did not display one and none of them were included amongst those where inaccurate information was found.

  13. Study of water quality using benthic biological indicators in rural and urban streams

    Directory of Open Access Journals (Sweden)

    Sandro Morais Pimenta

    2016-03-01

    Full Text Available Methods other than physical-chemical and geochemical analyses can be used to assess water quality in surface drainage. This study used intolerant, tolerant and resistant benthic species as bioindicators of changes in water quality of two streams, taking in account particle size of sediments and volatile solids. Eight points were sampled in the stream Bandeirinha and four points in the stream Josefa Gomes in January and September 2013 in the municipality of Formosa-GO. The two streams were chosen in order to study two different environments. The study used the diversity indexes of Shannon (H, Equitability (E and Bray-Curtis Similarity and the grouping analysis method UPGMA (Unweighted Pair Group Method with Arithmetic Mean. The results of particle size and volatile solids study of Bandeirinha stream located in rural areas showed bioindicator species intolerant of changes in water quality. The stream Josefa Gomes, completely inserted in an urban environment, showed alteration identified by tolerant and resistant species. The results demonstrate differences in water quality in the rural and urban environments and the relationship of bioindicators with sediments. The study aids the interpretation of changes in the water quality of the two drainages areas. Analysis of water quality based upon benthic biological indicators associated with physical-chemical and geochemical analyses of water and sediments provide a better interpretation of the results.

  14. Evaluation of Soil Quality Indicators in Sugarcane Management in Sandy Loam Soil

    Institute of Scientific and Technical Information of China (English)

    S.A.C.SANT'ANNA; M.F.FERNANDES; W.M.P.M.IVO; J.L.S.COSTA

    2009-01-01

    An important factor for the sustainability of soils highly susceptible to degradation is the use of monitoring tools that promptly and realistically reflect changes imposed on soil by different cropping systems.To select soil quality indicator variables in sugarcane (Saccharum offcinarum L.) production areas that fulfill the criteria of sensitivity to management practices and between-season consistency in the management discrimination,ten composite soil samples (0-10 cm) were collected in July 2005 (rainy season) and again in March 2006 (dry season) from areas under cultivation of organic sugarcane (OS),green sugarcane (GS),burned sugarcane (BS) and from an adjacent native forest (NF) area at Usina Triunfo,Boca da Mata,Alagoas,Brazil.Microbial biomass-C (MBC),total organic C (TOC),soil enzyme activity expressed as the rate of fluorescein diacetate (FDA) hydrolysis,mean weight diameter of water-stable soil aggregates (MWD),and percentage of water-stable macroaggregates (PWSA) were analyzed.Although MBC and TOC were higher in NF than in the cultivated areas,no differences were observed in these C pools between the three sugarcane systems.The response of FDA to the site management was dependent on the sampling time.In the rainy period,the activity followed the order:NF > OS > GS > BS,whereas in the dry season,only NF differed from the other treatments.Irrespective of the sampling time,MWD and PWSA decreased in the order NF > OS = GS > BS.The variables MWD and PWSA are quite sensitive for discriminating between site management histories regardless the sampling season.

  15. Sustainable Development Indicators in Poland: Measurement and System Evaluation

    Directory of Open Access Journals (Sweden)

    Maria Urbaniec

    2015-05-01

    Full Text Available The aim of this article is to explore the strategic foundations related to the sustainable development measurement and to evaluate the current system of indicators for sustainable development monitoring in Poland. A review of mainstream literature on Sustainable Development Indicators (SDIs was conducted along with document-based descriptive analysis of secondary data and further critical literature analysis. Statistical databases have been used for the analysis. This research paper draws on several strands within the economic, social, environmental, as well as the institutional and political dimensions of sustainability measurement. The results indicate that Polish monitoring system of sustainable development is based on numerous strategic documents. There is no integrated strategy of sustainable development in Poland. The findings also suggest SDI structure has been dominated by social indicators. The evaluation of the Polish measurement system can help to find solutions that support change processes aimed at improving the implementation of sustainable development principles in policy making. This article contributes to existing literature on measurement and monitoring of sustainable development by applying SDIs in the public statistics as well as in the practices of decision making at policy level. Overall, this study extends the understanding of the importance of SDIs and implications of measurement by focusing on the importance of the sustainable development areas.

  16. Improving Data Quality for Pavement Management System

    OpenAIRE

    2015-01-01

    The Metropolitan Transportation Commission (MTC) has developed a pavement management StreetSaver program with more than 400 users in the United States. MTC uses the program to evaluate street and road condition and perform maintenance needs assessments for the 109 cities and counties in the San Francisco Bay Area. Quality pavement condition survey data is a critical component of a pavement management system. MTC has augmented a new quality acceptance (QA) program as part of its Quality Data M...

  17. THE QUALITY METRICS OF INFORMATION SYSTEMS

    Directory of Open Access Journals (Sweden)

    Zora Arsovski

    2008-06-01

    Full Text Available Information system is a special kind of products which is depend upon great number variables related to nature, conditions during implementation and organizational clime and culture. Because that quality metrics of information system (QMIS has to reflect all previous aspects of information systems. In this paper are presented basic elements of QMIS, characteristics of implementation and operation metrics for IS, team - management quality metrics for IS and organizational aspects of quality metrics. In second part of this paper are presented results of study of QMIS in area of MIS (Management IS.

  18. 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.

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

    Science.gov (United States)

    Braithwaite, Jeffrey; Hibbert, Peter; Blakely, Brette; Plumb, Jennifer; Hannaford, Natalie; Long, Janet Cameron; Marks, Danielle

    2017-01-01

    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. PMID:28228948

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

    Science.gov (United States)

    Braithwaite, Jeffrey; Hibbert, Peter; Blakely, Brette; Plumb, Jennifer; Hannaford, Natalie; Long, Janet Cameron; Marks, Danielle

    2017-01-01

    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. 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. 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. These comparative data inform researchers and policymakers internationally when designing health performance frameworks and indicator sets.

  1. Manufacturing Execution Systems: Examples of Performance Indicator and Operational Robustness Tools.

    Science.gov (United States)

    Gendre, Yannick; Waridel, Gérard; Guyon, Myrtille; Demuth, Jean-François; Guelpa, Hervé; Humbert, Thierry

    2016-01-01

    Manufacturing Execution Systems (MES) are computerized systems used to measure production performance in terms of productivity, yield, and quality. In the first part, performance indicator and overall equipment effectiveness (OEE), process robustness tools and statistical process control are described. The second part details some tools to help process robustness and control by operators by preventing deviations from target control charts. MES was developed by Syngenta together with CIMO for automation.

  2. Keys to successful implementation of a French national quality indicator in health care organizations: a qualitative study.

    Science.gov (United States)

    Waelli, Mathias; Gomez, Marie-Léandre; Sicotte, Claude; Zicari, Adrian; Bonnefond, Jean-Yves; Lorino, Philippe; Minvielle, Etienne

    2016-10-06

    Several countries have launched public reporting systems based on quality indicators (QIs) to increase transparency and improve quality in health care organizations (HCOs). However, a prerequisite to quality improvement is successful local QI implementation. The aim of this study was to explore the pathway through which a mandatory QI of the French national public reporting system, namely the quality of the anesthesia file (QAF), was put into practice. Seven ethnographic case studies in French HCOs combining in situ observations and 37 semi-structured interviews. A significant proportion of potential QAF users, such as anesthetists or other health professionals were often unaware of quality data. They were, however, involved in improvement actions to meet the QAF criteria. In fact, three intertwined factors influenced QAF appropriation by anesthesia teams and impacted practice. The first factor was the action of clinical managers (chief anesthetists and head of department) who helped translate public policy into local practice largely by providing legitimacy by highlighting the scientific evidence underlying QAF, achieving consensus among team members, and pointing out the value of QAF as a means of work recognition. The two other factors related to the socio-material context, namely the coherence of information systems and the quality of interpersonal ties within the department. Public policy tends to focus on the metrological validity of QIs and on ranking methods and overlooks QI implementation. However, effective QI implementation depends on local managerial activity that is often invisible, in interaction with socio-material factors. When developing national quality improvement programs, health authorities might do well to specifically target these clinical managers who act as invaluable mediators. Their key role should be acknowledged and they ought to be provided with adequate resources.

  3. Air Quality Monitoring System and Benchmarking

    DEFF Research Database (Denmark)

    Liu, Xiufeng; Nielsen, Per Sieverts

    2017-01-01

    Air quality monitoring has become an integral part of smart city solutions. This paper presents an air quality monitoring system based on Internet of Things (IoT) technologies, and establishes a cloud-based platform to address the challenges related to IoT data management and processing...

  4. [Essential guidelines for Quality Management System].

    Science.gov (United States)

    Daunizeau, A

    2013-06-01

    The guidelines describe the essential parts of the quality management system to fulfil the requirements of the standard EN ISO 15 189. It includes mainly the organisation, the definition of responsibilities, training of personnel, the document control, the quality control, identification and control of nonconformities, corrective actions, preventive actions and evaluation, as audits and the management review.

  5. Competition and quality indicators in the health care sector : Empirical evidence from the Dutch hospital sector

    NARCIS (Netherlands)

    Croes, Ramsis; Krabbe, Yvonne; Mikkers, Misja

    2017-01-01

    There is much debate about the effect of competition in healthcare and especially the effect of competition on the quality of healthcare, although empirical evidence on this subject is mixed. The Netherlands provides an interesting case in this debate. The Dutch system could be characterized as a

  6. Competition and quality indicators in the health care sector: empirical evidence from the Dutch hospital sector

    NARCIS (Netherlands)

    Croes, R.R.; Krabbe-Alkemade, Y.J.F.M.; Mikkers, M.C.

    2017-01-01

    textabstractThere is much debate about the effect of competition in healthcare and especially the effect of competition on the quality of healthcare, although empirical evidence on this subject is mixed. The Netherlands provides an interesting case in this debate. The Dutch system could be

  7. Improving Indicators in a Brazilian Hospital Through Quality-Improvement Programs Based on STS Database Reports

    Directory of Open Access Journals (Sweden)

    Pedro Gabriel Melo de Barros e Silva

    2015-12-01

    Full Text Available ABSTRACT OBJECTIVE: To report the initial changes after quality-improvement programs based on STS-database in a Brazilian hospital. METHODS: Since 2011 a Brazilian hospital has joined STS-Database and in 2012 multifaceted actions based on STS reports were implemented aiming reductions in the time of mechanical ventilation and in the intensive care stay and also improvements in evidence-based perioperative therapies among patients who underwent coronary artery bypass graft surgeries. RESULTS: All the 947 patients submitted to coronary artery bypass graft surgeries from July 2011 to June 2014 were analyzed and there was an improvement in all the three target endpoints after the implementation of the quality-improvement program but the reduction in time on mechanical ventilation was not statistically significant after adjusting for prognostic characteristics. CONCLUSION: The initial experience with STS registry in a Brazilian hospital was associated with improvement in most of targeted quality-indicators.

  8. Land Use Effects on Soil Quality Indicators: A Case Study of Abo-Wonsho Southern Ethiopia

    Directory of Open Access Journals (Sweden)

    Awdenegest Moges

    2013-01-01

    Full Text Available Soil quality assessment is valuable for evaluating agroecosystem sustainability, soil degradation, and identifying sustainable land management practices. This study compared soil quality within culturally protected forest areas and adjacent grassland, grazing land, and farmland in Abo-Wonsho, Southern Ethiopia. A total of 40 soil samples (4 land uses × 5 replications × 2 soil depth layers: 0 to 10 cm and 10 to 20 cm were collected for analysis. Soil textural fractions (i.e., sand, silt, and clay percentage varied with land use and soil depths even though the textural class across all land use types was sandy loam. Bulk density, soil organic carbon (SOC, and available potassium (K varied significantly: , , and , respectively, with land use and soil depth, but other indicators showed no significant difference. We conclude soil quality can be protected and maintained by improving existing land use practices within both agricultural and modern forest management areas.

  9. Quality of life and physical activity as indicators of health-preserving competence of teachers

    Directory of Open Access Journals (Sweden)

    Pavlova Iu.A.

    2012-03-01

    Full Text Available The quality of life and physical activity of teachers of physical culture, basic of health, labour, the defense of Motherland and pedagogue-organizers from secondary schools Lviv region (Ukraine were investigated. The 402 persons (age 24-78 years were surveyed with the use of questionnaires MOS SF 36 and IPAQ. The highest quality of life and level of physical activity have teachers of physical culture. It is considered the quality of life of teachers of other subjects similar to persons with chronic diseases. The level of physical activity in leisure time was particularly low for teachers of Basic of Health and pedagogue-organizers. The teachers spent no more than 433 MET-min/ week for moderate- and vigorous-intensity activity. The level of physical activity of teachers (besides the physical education teachers was insufficient to improve health and indicate about low level of health-preserving competence.

  10. BETWEEN BALANCED SCORECARD AND QUALITY MANAGEMENT SYSTEM

    Directory of Open Access Journals (Sweden)

    Jelena Jovanović

    2008-09-01

    Full Text Available The aim of this research is to analyze parallel implementation of BSC as a strategic management system and quality management system by the principals of ISO 9000 certification. We will analyze advantages and disadvantages of the models. Further more, the research will analyze cumulative advantages of the two systems implementation. The research will present possibilities for BSC implementation in QMS environment, underlining the processes. We will put the accent on improvement of firm's effectiveness by Strategic Management System (BSC and Quality Management System's implementation.

  11. Agroforestry systems and environmental quality: introduction.

    Science.gov (United States)

    Nair, P K Ramachandran

    2011-01-01

    Investments in agroforestry research during the past three decades-albeit modest-have yielded significant gains in understanding the role of trees on farmlands, and the ecological and economic advantages of integrated farming systems. While early research focused mostly on farm or local levels, broader-level ecosystem services of agroforestry systems (AFS) have raised high expectations in recent years. The nine papers included in this special collection deal with three of such environmental benefits of AFS: water-quality enhancement, carbon sequestration, and soil improvement. These benefits are based on the perceived ability of (i) vegetative buffer strips (VBS) to reduce surface transport of agrochemical pollutants, (ii) large volumes of aboveground and belowground biomass of trees to store high amounts of C deeper in the soil profile, and (iii) trees to enhance soil productivity through biological nitrogen fixation, efficient nutrient cycling, and deep capture of nutrients. The papers included have, in general, substantiated these premises and provided new insights. For example, the riparian VBS are reported to increase the reservoir life, in addition to reducing transport of agrochemicals; the variations in C storage in different soil-fraction sizes suggest that microaggregate (250-53 μm) dynamics in the soil could be a good indicator of its C-storage potential; and the use of vector analysis technique is recommended in AFS to avoid consequences of inaccurate and overuse of fertilizers. The papers also identified significant knowledge gaps in these areas. A common theme across all three environmental quality issues covered is that more and varied research datasets across a broad spectrum of conditions need to be generated and integrated with powerful statistical tools to ensure wide applicability of the results. Furthermore, appropriate management practices that are acceptable to the targeted land users and agroforestry practitioners need to be designed to

  12. Furthering the quality agenda in Aboriginal community controlled health services: understanding the relationship between accreditation, continuous quality improvement and national key performance indicator reporting.

    Science.gov (United States)

    Sibthorpe, Beverly; Gardner, Karen; McAullay, Daniel

    2016-01-01

    A rapidly expanding interest in quality in the Aboriginal-community-controlled health sector has led to widespread uptake of accreditation using more than one set of standards, a proliferation of continuous quality improvement programs and the introduction of key performance indicators. As yet, there has been no overarching logic that shows how they relate to each other, with consequent confusion within and outside the sector. We map the three approaches to the Framework for Performance Assessment in Primary Health Care, demonstrating their key differences and complementarity. There needs to be greater attention in both policy and practice to the purposes and alignment of the three approaches if they are to embed a system-wide focus that supports quality improvement at the service level.

  13. 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

  14. Making air quality indices comparable--assessment of 10 years of air pollutant levels in western Europe.

    Science.gov (United States)

    Lokys, Hanna Leona; Junk, Jürgen; Krein, Andreas

    2015-01-01

    To address the incomparability of the large number of existing air quality indices, we propose a new normalization method that is suited to directly compare air quality indices based on the common European World Health Organization (WHO) air quality guidelines for NO2, O3, and PM10. Using this method, we compared three air quality indices based on the European guidelines, related them to another air quality index based on the relative risk concept, and used them to assess the air quality and its trends in northwest central Europe. The average air quality in the area of investigation is below the recommended European guidelines. The majority of index values exceeding this threshold are caused by PM10, which is also, in most cases, responsible for the degrading trends in air quality. Eleven out of 29 stations tested showed significant trends, of which eight indicated trends towards better air quality.

  15. INDICATORS FOR SUSTAINABILITY IN INDUSTRIAL SYSTEMS CASE STUDY: PAPER MANUFACTURING

    Directory of Open Access Journals (Sweden)

    Maria Emiliana Fortună

    2011-12-01

    Full Text Available The paper describes a framework for promoting sustainability by using indicators for sustainable production. The concept of sustainable production is described as it is viewed by various organisms actions involved in the analysis of the sustainable industrial systems.The measure of sustainability is approached considering indicators of sustainable production, addressing both their dimensions and qualitative and quantitative features.The proposed framework refines the sustainability dimension for a case study which envisages sustainability in paper manufacturing. The analysis takes into account the life cycle analysis for the considered process since the environmental impact is seen as an essential sustainability indicator. Paper recycling and reuse is associated environmental and social costs, as a preferred alternative in waste minimization hierarchy in the manufacturing of non-trees eco-friendly paper.Proactive initiatives to improve the environmental performances of production process are considered as powerful tools for improving the paper manufacturing environmental footprint.

  16. Development of a system of indicators for sustainable port management.

    Science.gov (United States)

    Peris-Mora, E; Diez Orejas, J M; Subirats, A; Ibáñez, S; Alvarez, P

    2005-12-01

    The 1998 project ECOPORT, "Towards A Sustainable Transport Network", developed by the Valencia Port Authority (VPA), established the bases for implementing an Environmental Management System (EMS) in industrial harbours. The use of data and information shall always be required to develop an efficient EMS. The objective of the present research (INDAPORT) study is to propose a system of sustainable environmental management indicators to be used by any port authorities. All activities performed within a port area are analysed for any potential environmental impacts and risks. An environmental analysis of port activities has been carried out with the objective of designing the indicators system. Twenty-one corresponding activities have been identified for large industrial ports. Subsequently, the same methodology developed to date will be later applied to other Spanish and European ports. The study has been developed by using an original system and a methodology, which simultaneously use stage diagrams and systemic models (material and energy flow charts). Multi-criteria analysis techniques were used to evaluate potential impacts (identification of factors and evaluation of impacts).

  17. Efficacy of double gloving with an intrinsic indicator system.

    Science.gov (United States)

    Florman, Sander; Burgdorf, Michael; Finigan, Kathleen; Slakey, Douglas; Hewitt, Robert; Nichols, Ronald L

    2005-01-01

    Blood-borne infection is an ever-present fear for medical professionals, especially surgeons and operating room personnel. Safety is paramount, and the reliability and efficacy of surgical gloves are crucial, as gloves are the most important barriers protecting hospital personnel and patients. Unfortunately, glove perforation rates are as high as 78% in high-risk procedures. As well as being efficacious, surgical gloves must be comfortable and easy to don, and when holes are present, it is imperative they be detected expeditiously. The purpose of this double-blind randomized study was to evaluate the ability of participants to locate 30-micron laser holes in surgical gloves while performing simulated surgery and to evaluate the Biogel Indicator Glove System, which reveals punctures. Twenty glove configurations (eight single, twelve double) were tested, half of which had laser-created holes. Each of the 25 participants tested and evaluated 20 configurations randomly. Simulated surgery terminated when a hole was identified by the participant or at the end of two minutes, whichever occurred first. Participants also rated their perceptions of each glove's features on questionnaires, all of which were returned, with 95.8% being complete. Participants found 84% and 56% of the holes in the two indicator systems, latex and synthetic, in an average of 22 seconds and 42 seconds, respectively. In the worst-performing latex and synthetic glove configurations, participants found only 8% and 12% of the holes at an average of 47 seconds and 67 seconds, respectively. Indicator gloves were highly rated for comfort and ease of use. Double gloving with an indicator system provides the best protection and allows the timeliest identification of perforations. Participants failed to identify most of the holes in the non-indicator gloves.

  18. DEVELOPMENT OF THE LEVEL INDICES SYSTEM OF UNIVERSITY INTERNATIONALIZATION

    Directory of Open Access Journals (Sweden)

    Artem R. Denisov

    2015-01-01

    Full Text Available The aim of the investigation is to show possible variants of audit in the higher educational institution while processes of internationalisation (procedures of definition of its level; to find out an estimation method of the received results in the given sphere.Methods. The methods involve comparative analysis, synthesis, range and systematization of information concerning the discussed problem.Results and scientific novelty. The necessity of universities participating in internationalization processes is proved. Existing approaches to internationalization evaluation levels are reviewed, as well as best practices for each criterion. Level indicators of considered process are proposed due to summarising the results of the given review, and also as a result of the coordination of criteria NAFSA and authors’ system of indicators: international programs supporting by a university administration, curricular changes, faculty involving into international research, faculty involving into teaching process, students participation, abroad study support, international students and teachers support. The research demonstrates that to improve the adequacy the system of indicators has to be supplemented with some indicators to evaluate the conformity of a university’s internationalization to its mission; the conformity of a university’s internationalization to the government geopolitics; extracurricular activities of students; cultural aspects of internationalization including communication with local ethnical groups; attractiongetting mechanisms for international students.Practical significance. The proposed system of indicators can be used for an estimation of high school development in internationalisation sphere, and under certain correction and improvement for efficiency definition of development of its academic divisions in the given field.

  19. A quality monitoring program for red blood cell components: in vitro quality indicators before and after implementation of semiautomated processing.

    Science.gov (United States)

    Acker, Jason P; Hansen, Adele L; Kurach, Jayme D R; Turner, Tracey R; Croteau, Ioana; Jenkins, Craig

    2014-10-01

    Canadian Blood Services has been conducting quality monitoring of red blood cell (RBC) components since 2005, a period spanning the implementation of semiautomated component production. The aim was to compare the quality of RBC components produced before and after this production method change. Data from 572 RBC units were analyzed, categorized by production method: Method 1, RBC units produced by manual production methods; Method 2, RBC units produced by semiautomated production and the buffy coat method; and Method 3, RBC units produced by semiautomated production and the whole blood filtration method. RBC units were assessed using an extensive panel of in vitro tests, encompassing regulated quality control criteria such as hematocrit (Hct), hemolysis, and hemoglobin (Hb) levels, as well as adenosine triphosphate, 2,3-diphosphoglycerate, extracellular K(+) and Na(+) levels, methemoglobin, p50, RBC indices, and morphology. Throughout the study, all RBC units met mandated Canadian Standards Association guidelines for Hb and Hct, and most (>99%) met hemolysis requirements. However, there were significant differences among RBC units produced using different methods. Hb content was significantly lower in RBC units produced by Method 2 (51.5 ± 5.6 g/unit; p < 0.001). At expiry, hemolysis was lowest in Method 2-produced RBC units (p < 0.05) and extracellular K(+) levels were lowest in units produced by Method 1 (p < 0.001). While overall quality was similar before and after the production method change, the observed differences, although small, indicate a lack of equivalency across RBC products manufactured by different methods. © 2014 AABB.

  20. Using In-Hospital Mortality as an Indicator of Quality Care and Hospital Performance

    Directory of Open Access Journals (Sweden)

    Badia BISBIS

    2016-06-01

    Full Text Available The in-hospital mortality (MIH is used as a performance indicator and quality healthcare in hospital. However, the majority of deaths resulted from an inevitable disease process (severity of cases and / or co-morbidity, and not medical errors or changes in the quality of care. This work aims to make a distribution of deaths in the Regional Hospital of Eastern, Al Farabi hospital and to highlight that more studies on the MIH are required consistently with detailed clinical data at the admission. The MIH showed its limitation as a health care  indicator. The overall rate of in-hospital deaths within the Al Farabi hospital has averaged 2.4%, with 8.4% in the emergency unit, 28% in intensive care unit, 22% Neonatology unit, 1.6% in pediatric unit. The MIH may depend, firstly, on the condition of patients before hospitalization and secondly, on the conditions of their transfer from one institution to another that supports them as a last resort. Al Farabi hospital supports patients transferred from the provinces of the eastern region. Thus, 6% of patients who died in 2014 come from Berkane, 2% from  Nador, 2% from Bouarfa, 4% from  Taourirt and 2% from Jerrada. One might question about  the procedures and the conditions of such transfers. In conclusion, the overall MIH measured from routine data do not allow proper comparison between hospitals or the assessment of the quality of care and patient safety in the hospital. To do so, we should ideally have detailed clinical data on admission (e.g. type of admission, age of patient, sex, comorbidity, .... The MIH is however an important indicator to consider as a tool to detect potential  problems related to admission procedures and to suspect an area of "non-quality" in healthcare . The MIH is interesting for the patient and for the hospital because it serves the improvement of quality healthcare.

  1. Assessing youth policies. A system of indicators for local government.

    Science.gov (United States)

    Planas, Anna; Soler, Pere; Vilà, Montserrat

    2014-08-01

    In the current European climate of economic, financial and political crisis and the questioning of the welfare state, assessing public policies assume a primary and strategic relevance in clarifying the results and contributions of policy actions. In this article, we aim to present the current situation in relation to youth policy assessment so as to formulate a system of assessment indicators in the sphere of Spanish local government youth policy. A review is conducted of some of the principal contributions in the field of constructing indicators for evaluating youth policies. We have found that most of these evaluation tools exist on a national or state level and that there is a dearth of local or municipal tools. The article concludes with a concrete proposal for an assessment tool: the SIAPJove (Sistema d'Indicadors d'Avaluació per a les Polítiques Municipals de Joventut or System of Assessment Indicators for Local Government Youth Policies) (web page: http://siapjove.udg.edu/). It provides both quantitative and qualitative indicators for local youth policy managers to obtain assessment reports with relative ease in 12 possible areas for assessment within youth policy.

  2. Five-Star Quality Rating System

    Data.gov (United States)

    U.S. Department of Health & Human Services — CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily and to help identify areas about...

  3. Seed quality in informal seed systems

    NARCIS (Netherlands)

    Biemond, P.C.

    2013-01-01

    Keywords:     informal seed systems, seed recycling, seed quality, germination, seed pathology, seed health, seed-borne diseases, mycotoxigenic fungi, Fusarium verticillioides, mycotoxins, Vigna unguiculata, Zea mays, Nigeria.   Seed is a crucial input for agricultural producti

  4. Seed quality in informal seed systems

    NARCIS (Netherlands)

    Biemond, P.C.

    2013-01-01

    Keywords:     informal seed systems, seed recycling, seed quality, germination, seed pathology, seed health, seed-borne diseases, mycotoxigenic fungi, Fusarium verticillioides, mycotoxins, Vigna unguiculata, Zea mays, Nigeria.   Seed is a crucial input for agricultural

  5. Reoperation for rhegmatogenous retinal detachment as quality indicator for disease management

    DEFF Research Database (Denmark)

    Hajari, Javad N; Christensen, Ulrik; Kiilgaard, Jens F;

    2015-01-01

    PURPOSE: To establish a quality indicator that could be used in optimizing treatment for rhegmatogenous retinal detachment (RRD). METHODS: The Danish National Patient Registry was used to identify surgery conducted in Denmark for RRD in the period 01 January 2001-31 December 2009. Cases were...... identified by diagnosis and surgical codes. RESULTS: A total of 6522 cases were operated for a primary RRD in the study period, and 22% (1434 patients) were reoperated for a redetachment. A Cox regression analysis showed that the risk of redetachment was equal to or less than detachment on the fellow eye 1...... year after primary surgery with techniques not using silicone oil. The same was true 1.5 years after surgery for techniques using silicone oil. Based on this, we established a quality indicator defining failure as the need for operation for redetachment within 1 year from initial surgery when using...

  6. Soil Quality Indices for Evaluating Smallholder Agricultural Land Uses in Northern Ethiopia

    Directory of Open Access Journals (Sweden)

    Aweke M. Gelaw

    2015-02-01

    Full Text Available Population growth and increasing resource demands in Ethiopia are stressing and degrading agricultural landscapes. Most Ethiopian soils are already exhausted by several decades of over exploitation and mismanagement. Since many agricultural sustainability issues are related to soil quality, its assessment is very important. We determined integrated soil quality indices (SQI within the surface 0–15 cm depth increment for three agricultural land uses: rain fed cultivation (RF; agroforestry (AF and irrigated crop production (IR. Each land use was replicated five times within a semi-arid watershed in eastern Tigray, Northern Ethiopia. Using the framework suggested by Karlen and Stott (1994; four soil functions regarding soil’s ability to: (1 accommodate water entry (WE; (2 facilitate water movement and availability (WMA; (3 resist degradation (RD; and (4 supply nutrients for plant growth (PNS were estimated for each land use. The result revealed that AF affected all soil quality functions positively more than the other land uses. Furthermore, the four soil quality functions were integrated into an overall SQI; and the values for the three land uses were in the order: 0.58 (AF > 0.51 (IR > 0.47 (RF. The dominant soil properties influencing the integrated SQI values were soil organic carbon (26.4%; water stable aggregation (20.0%; total porosity (16.0%; total nitrogen (11.2%; microbial biomass carbon (6.4%; and cation exchange capacity (6.4%. Collectively, those six indicators accounted for more than 80% of the overall SQI values.

  7. Charcot–Marie–Tooth disease, psychiatric indicators and quality of life: a systematic review

    Science.gov (United States)

    Cordeiro, Joana L.C.; Marques, Wilson; Hallak, Jaime E.C.; Osório, Flávia L.

    2014-01-01

    This study is aimed to conduct a systematic literature review regarding the associations between psychiatric symptoms, functional impairments, and quality of life in patients with CMT (Charcot–Marie–Tooth). The PUBMED, PsycInfo, SCIELO, and LILACS electronic databases were used, and the following search terms were employed: CMT, HMSN (hereditary motor and sensory neuropathy), mental disorder, quality of life, psychiatry, psychiatric, and psychological without the use of time-limit filters. According to the adopted inclusion criteria, 20 studies were included and appraised. These studies indicated that patients with CMT exhibited an increased trend toward depressive symptoms compared with the general population. In addition, CMT patients were exposed to a higher risk of reduced quality of life and significant sleep impairment. Considering the comorbidity of CMT with other psychiatric disorders, the heterogeneity of the instruments used to evaluate the psychiatric symptoms compromised the ability to compare the studies examined. Our results indicate a need for a systematic evaluation of these conditions to minimize the impairments and decreased quality of life caused by CMT. PMID:24654889

  8. The use of benthic metabolic processes as indicators for environmental quality assessment in coastal lagoons

    Directory of Open Access Journals (Sweden)

    E. Arévalo

    2013-11-01

    Full Text Available The review highlights the various methods used for assessing environmental quality in Mediterranean coastal lagoons, with emphasis on benthic parameters and processes. The application of indices based on benthic macrofauna, extensively used in coastal areas, may fail in discerning between natural and anthropogenic pressures over naturally stressed coastal lagoons. Sediment can play an important regulatory role over the overlying water composition through the storage capacity for organic matter and pollutants, regeneration of nutrients or its buffering capacity. Descriptive classical measurements like sedimentary organic matter, Chlorophyll α and nutrient content are commonly included in monitoring efforts. However, other more complex indicators like primary production, sediment-water solute fluxes, solute sorption dynamics or microbial reaction rate determinations, have not been fully implemented for environmental quality assessment in coastal lagoons. These could offer crucial information on current and projected anthropogenic influence on ecosystem functioning. Irruption of novel techniques in benthic biogeochemistry like Excitation-Emission-Matrix (EEM fluorescence for the study of dissolved organic matter dynamics shows high potential in combination with biological quality elements and other metabolic measurements for the evaluation of the environmental quality in coastal lagoons.

  9. SEASONAL CHANGES IN SELECTED INDICATORS OF WATER QUALITY OF THE ŁYDYNIA RIVER

    Directory of Open Access Journals (Sweden)

    Marek Gugała

    2016-01-01

    Full Text Available The objective of the research was to compare seasonal changes in selected indicators of water quality of the Łydynia river against Regulation of the Minister of Environment of 9 November 2011 on classification method for waterbody of surface waters and environmental quality standards for priority substances (Dz. U. [Journal of Laws] 2011, No. 257, item 1545. Water samples were taken in Ciechanów in the spring and autumn from 2009 to 2011. Water pH, specific conductance and calcium ion (Ca2+ and magnesium ion (Mg2+ concentrations were determined as part of physical and chemical analysis. The study results were compared with the limit values of water quality indicators established in annex no. 1 for the aforementioned regulation. The water quality of the Łydynia river was found to be class I water (class I being the highest purity class. Additionally, colour and turbidity (the parameters not included in the aforementioned regulation were determined in water samples.

  10. Re-evaluation of peroxide value as an indicator of the quality of edible oils.

    Science.gov (United States)

    Shiozawa, Satoshi; Tanaka, Masaharu; Ohno, Katsutoshi; Nagao, Yasuhiro; Yamada, Toshihiro

    2007-06-01

    The oxidation of oils has important effects on the quality of oily foods, such as instant noodles. In particular, the generation of aldehydes, which accompanies the oxidation of oils, is one of the first factors to reduce food quality. We examined various indicators of oil quality during temperature-accelerated storage and found that peroxide value (POV) was highly correlated with the total concentration of major odorants. Moreover, the correlation of POV with the total concentration of five unsaturated aldehydes (t-2-heptenal, t-2-octenal, t-2-decenal, t-2-undecenal and t,t-2,4-decadienal) that show strong cytotoxicity was greater than the correlation of POV with the total concentration of major odorants. The maximum allowable concentration of the five aldehydes was calculated based on the 'no observed adverse-effect level' of the aldehyde that showed the highest cytotoxicity, t,t-2,4-decadienal, along with the human daily oil intake. We showed that it is useful to utilize POV as an indicator to control food quality and safety.

  11. Summary of safety relief valve position indication systems

    Energy Technology Data Exchange (ETDEWEB)

    Cybulski, D.S.; Walter, J.F.

    1986-01-01

    Mainly as a result of the Three Mile Island-2 (TMI-2) incident, the US Nuclear Regulatory Commission's Regulatory Guide 1.97 instituted criteria recommendations for monitoring variables to: 1. provide information required to permit the operator to take preplanned manual actions to accomplish safe plant shutdown; 2. determine whether...systems important to safety are performing their functions...; and 3. provide information to the operators that will enable them to determine the potential for causing a gross breach of the barriers to radioactivity release.... This report surveys the methodologies employed in nuclear plants to monitor Type D variables as referred to in Regulatory Guide 1.97. Type D are those variables that provide information to indicate the operation of individual safety systems and other systems important to safety. The specific Type D variable addressed is safety relief valve (i.e., spring style safety relief valve) position indication. The application criteria for each of the methodologies surveyed is as described in Regulatory Guide 1.97. That is, minimally to provide light indications of closed/not closed positions.

  12. Tennessee Star-Quality Child Care Program: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Tennessee's Star-Quality Child Care Program prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  13. Quality indicators for trace gas concentrations determined from earthlimb emission spectra

    Science.gov (United States)

    Uplinger, W. G.; Kumer, J. B.

    1986-01-01

    Different techniques which can be used to indicate the quality of the mixing ratios retrieved from spectral radiance measurements made by the CLAES instrument for 11 different atmospheric gases are discussed. A key to retrieval from noisy data is the Singular Value Decomposition (SVD), which is described. The use of the SVD with simulated data and radiance measurements from a balloon floating at 30 km is discussed.

  14. Quality of care in one Italian nursing home measured by ACOVE process indicators.

    Directory of Open Access Journals (Sweden)

    Claudia Pileggi

    Full Text Available To adapt the Assessing Care of Vulnerable Elders Quality Indicators (ACOVE QIs for use in Italy, to assess the adherence to these indicators as reported in the medical records of residents in a nursing home (NH, to compare this adherence for general medical and geriatric conditions, and eventually, to identify the relationships between patients' characteristics and reported processes of care.Two physicians collected the data by reviewing medical records of all NH residents in the previous 5 years, for a period of one year. Patients aged <65 years were excluded. A total of 245 patients were reviewed during the study period. The ACOVE QIs set, developed for NH processes of care, was used to assess the quality of care. Multivariate analysis was performed to identify and to assess the role of patients' characteristics on quality of processes of care by several domains of care in general medical and geriatric conditions.With the exception of diabetes management, quality of processes of care for general medical conditions approached adequate adherence. Care falls substantially short of acceptable levels for geriatric conditions (pressure ulcers, falls, dementia. On the contrary, the recommended interventions for urinary incontinence were commonly performed. Adherence to indicators varied for the different domains of care and was proven worse for the screening and prevention indicators both for geriatric and general medical conditions. Statistical analysis showed disparities in provision of appropriate processes of care associated with gender, age, co-morbidities, level of function and mobility, length of stay and modality of discharge by NHs.Adherence to recommended processes of care delivered in NH is inadequate. Substantial work lies ahead for the improvement of care. Efforts should focus particularly on management of geriatric conditions and on preventive healthcare.

  15. Comparative Study between the Quality Management Indicators, Marker of Major Psychiatric Disorders in Evolution

    OpenAIRE

    BONDARI, D.; Bondari, Simona; Gheonea, Ioana; ANDRONACHE, ANDREEA

    2014-01-01

    Indicators of quality management are represented by: accounting hospitalization days (duration of stay); mortality rate; the rate of nosocomial infections; patients readmitted in 30 days; the percentage patients transferred; inconsistent diagnoses. The hospitalization period is a marker of evolution. The present study reflects comparative data between duration and the number of hospitalisations in patients with major psychiatric disorders. Introduction. Medical Psychiatry as a discipline has ...

  16. The use of benthic metabolic processes as indicators for environmental quality assessment in coastal lagoons

    OpenAIRE

    E. Arévalo; J. S. P. Ibánhez; Papaspyrou, S; A. Nicolaidou

    2013-01-01

    The review highlights the various methods used for assessing environmental quality in Mediterranean coastal lagoons, with emphasis on benthic parameters and processes. The application of indices based on benthic macrofauna, extensively used in coastal areas, may fail in discerning between natural and anthropogenic pressures over naturally stressed coastal lagoons. Sediment can play an important regulatory role over the overlying water composition through the storage capacity for organic matte...

  17. The relationship between different diet quality indices and severity of airflow obstruction among COPD patients.

    Science.gov (United States)

    Yazdanpanah, Leila; Paknahad, Zamzam; Moosavi, Ali Javad; Maracy, Mohammad Reza; Zaker, Mohammad Masoud

    2016-01-01

    Chronic obstructive pulmonary disease (COPD) is a major public health problem worldwide. Smoking is the number one cause of COPD; however, genetic, environmental and dietary factors contribute to the etiology of this disease. In this study, we assessed the association between three diet quality indices -the Healthy Eating Index-2005 (HEI-2005), the Healthy Eating Index-2010 (HEI-2010), and Mediterranean Diet Score (MED)- and the severity of disease in COPD patients. This cross-sectional study was performed at Rasul-e-Akram Hospital in Tehran on 121 COPD patients with the mean age of (SD) of 66.1(10.9) years. A pulmonary specialist diagnosed all participants based on a spirometry test. They were categorized into four groups (1, 2, 3, 4 stages of disease). Three diet quality indices, spirometry test and determination of disease severity were performed for all the participants. ANCOVA and Kruskal-Wallis test were used to assess the relationship between dietary quality indices and severity of the disease. The relationship between HEI-2010, HEI-2005, MED score, their components and lung function was assessed using a multiple linear regression analysis. All analyses were done using SPSS 18. Reduction of the Healthy Eating Index-2010 and MED score were observed along with the increase in disease severity, but they were not significant. The relationship between the three diet quality indices and lung function showed a significant association between MED score and Forced expiratory volume in one second (FEV1), The Forced Vital Capacity (FVC) (β=2.9, 95% CI (1.1, 4.8), p=0.002), (β=2.8, 95% CI (0.9, 4.8), p=0.007), respectively. Mediterranean dietary pattern and obtaining a better score on HEI-2010 diet were associated with a better lung function test.

  18. CUSTOMER SATISFACTION AS AN INDICATOR OF SERVICE QUALITY IN TOURISM AND HOSPITALITY

    OpenAIRE

    Ana Stranjancevic; Iva Bulatovic

    2015-01-01

    One of the greatest challenges for stakeholders is to ensure customer satisfaction, especially in service industries such as tourism and hospitality. The aim of this paper is to show that restaurant guest satisfaction depends on numerous factors as well as to show the connection between satisfaction and loyalty. Customer satisfaction and loyalty are excellent indicators of service quality. For the purpose of this paper, empirical survey was conducted and the results of the research were analy...

  19. Implementation of quality of care indicators for third-level public hospitals in Mexico

    Directory of Open Access Journals (Sweden)

    Pedro Jesús Saturno-Hernández

    2017-05-01

    Full Text Available Objective. To select, pilot test and implement a set of indi­cators for tertiary public hospitals. Materials and meth­ods. Quali-quantitative study in four stages: identification of indicators used internationally; selection and prioritization by utility, feasibility and reliability; exploration of the quality of sources of information in six hospitals; pilot feasibility and reliability, and follow-up measurement. Results. From 143 indicators, 64 were selected and eight were prioritized. The scan revealed sources of information deficient. In the pilot, three indicators were feasible with reliability limited. Has conducted workshops to improve records and sources of information; nine hospitals reported measurements of a quarter. Conclusions. Eight priority indicators could not be measured immediately due to limitations in the data sources for its construction. It is necessary to improve mechanisms of registration and processing of data in this group of hospital.

  20. Does ICD indication affect quality of life and levels of distress?

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Sears, Samuel F; Burg, Matthew M

    2009-01-01

    on patients' lives, particularly whether primary prophylaxis implantation may impact adversely on patient-centered outcomes such as quality of life (QoL) and distress. We examined the evidence for a role of ICD indication on these patient-centered outcomes. A literature search was conducted on PubMed and Web......-426 patients across studies, five of seven articles used a prospective design, and follow-up ranged from 2-12 months. No study reported an effect for indication on patient-centered outcomes. There is no evidence to suggest that patients receiving an ICD for primary prophylaxis have subsequent poorer Qo...

  1. Assessment of the quality of fall detection and management in primary care in the Netherlands based on the ACOVE quality indicators

    OpenAIRE

    Askari, M.; Eslami, S.; van Rijn, M.; Medlock, S.; Moll van Charante, E. P.; van der Velde, N.; Rooij, S.E. de; Abu-Hanna, A.

    2016-01-01

    Summary We determined adherence to nine fall-related ACOVE quality indicators to investigate the quality of management of falls in the elderly population by general practitioners in the Netherlands. Our findings demonstrate overall low adherence to these indicators, possibly indicating insufficiency in the quality of fall management. Most indicators showed a positive association between increased risk for functional decline and adherence, four of which with statistical significance. Introduct...

  2. Quality indicators and shelf life of red octopus (Octopus maya in chilling storage

    Directory of Open Access Journals (Sweden)

    Mariel GULLIAN-KLANIAN

    2016-01-01

    Full Text Available Abstract There are no precedents concerning the quality of Octopus maya during chilled storage. This study evaluated the shelf life of the red octopus in chilling storage (4oC and the correlation of the sensory quality index with microbiological counting and the biochemical indicators (hypoxanthine, histamine and volatile amines. A total of 112 whole raw octopi (average weight of 896 g were randomly selected from seven batches and exposed to 4°C for 18, 24, 48, 72, 84, 96, and 100 h. The histamine concentration (91.7%, followed by the counts of psychrotrophic bacteria (5.5% and hypoxanthine (2.2%, were the predictors from the redundancy analysis that better explained the changes taking place during the chilling hours. After 72 h of chilling, the microbial count was determined to be log 4.7 CFU/g, and the octopus samples were classified as B quality (minor sensory quality defects based on the sensory quality scale. Although the samples were not classified as unacceptable at 100 h of refrigeration by the sensory index, the level of histamine reached the defect action level (5 mg/100 g as ruled by the International Food Safety Authorities. The shelf life of the red octopus in chilling storage was predicted to be 119 h.

  3. Quality Management and Integrated Management System

    OpenAIRE

    2011-01-01

    Graduation theses is directed on the Management System and the characteristics of the company and its development since 2003. Theses is introduced on the Integrated Management System, which consists of the Quality Management System, the Environmental Management System and the Occupational Health and Safety Assessment Series. The theses is especially directed on the Occupational Health and Safety Assessment Series. Management System is analyzed and steps are recommended to improve these proces...

  4. [Information systems in health and health indicators: an integrating perspective].

    Science.gov (United States)

    Canela-Soler, Jaume; Elvira-Martínez, David; Labordena-Barceló, María Jesús; Loyola-Elizondo, Enrique

    2010-02-01

    Health Information Systems (HIS) are the core support to decision-making in health organizations. Within HIS, health indicators (HI) reflect, numerically, events measured in the health-illness continuum. The integrated health information system is intended to standardize, integrate and organize all the information available in health information systems through an accessible and secure repository, and to conveniently distribute information for decision-making. To standardize information it is necessary to define standards and semantic information to enable us to identify concepts and relate them uniquely to each other. The definition of a catalog of entities (DEA) with concepts, attributes and domains will enable the configuration of the information system, so there will be a catalog of entities (concepts of information and domains). Based on operational systems, analytical systems enabling management and strategy in the management of organizations will be built. The maximum level of analysis is the Balanced Score Card (BSC), which is established as the strategic tool for managers. It is necessary for the organization an integrated information system to plan, manage, evaluate and therefore provide managers with a decision tool for strategic and tactical decision-making in short and medium term. 2010 Elsevier España S.L. All rights reserved.

  5. Soil quality indicators response to application of hydrophilic polymers to a soil from a sulfide mine.

    Science.gov (United States)

    de Varennes, A; Qu, G; Cordovil, C; Gonçalves, P

    2011-09-15

    In soils impacted by mining activities a vegetal cover is required to protect the site from the erosive forces of water and wind. The success of this objective depends on plant establishment and canopy closure. Polyacryalate polymers aid the growth of crops and indigenous plants in soils from sulfide mines. Soil characteristics change as a consequence of polymer application, but indicators that pinpoint these changes have not been identified yet. Our objectives were to (1) identify the sensitive indicators of changes in soil quality following polymer application, (2) relate these with assessment based on plant growth and soil cover. A mine soil was left unamended or received a characterized polyacrylate, a polyacrylate removed from diapers, or shredded diapers. Biomass of Spergularia purpurea was measured and proportion of soil cover evaluated. Soil enzymes, microbial activity, and respiration were analyzed. Availability of potentially toxic trace elements was estimated by their concentration in shoots. Factor analysis identified three factors that accounted for 94% of the variation in parameters, and the scores separated the four treatments. The indicators with greatest communality were correlated with plant growth and soil cover. The best soil quality indicators were As and Zn in shoots, protease, β-glucosidase, and fructose-induced respiration. It seems that the most important indicators to be used to assess the restoration of sulfide mine soils are those related with bioavailability of trace elements and soil enzymatic activities.

  6. Regional knowledge economy development indicative planning system conceptual model

    Directory of Open Access Journals (Sweden)

    Elena Davidovna Vaisman

    2012-12-01

    Full Text Available The subject of the research is the processes of Russian knowledge economy development, its progress on the regional level is taken as a theme, which determined the purpose of research: development of the regional knowledge economy development indicative planning method conceptual model. The methodological base of the research is the knowledge economy concept and supply and demand theory, the methods of comparative and system analysis and theoretical modeling; common generalization and classification methods and regression models are used in the work. As a result, we managed to create the regional knowledge economy development indicative planning method conceptual model, which includes the choice of the types of indicative plans and the justification for the complex of indicators according to the stated requirements to this complex. The model of supply and demand for knowledge dependency from the knowledge cost, allowing to determine the acceptable range for the indicators proceeding from the demand and supply levels and their interrelation, is developed. The obtained results may be used by the regional government authorities while planning the regional innovative development and consulting companies while making the proposals for this development

  7. Disparities in Health Care Quality Indicators among US Children with Special Health Care Needs According to Household Language Use

    Directory of Open Access Journals (Sweden)

    Stella Yu, ScD, MPH, Sue Lin, MS, Bonnie Strickland, PhD

    2015-10-01

    Full Text Available Background: Lower health care utilization and less favorable health outcomes have been demonstrated in children from Non-English Primary Language households (NEPL in previous studies. This study examines prevalence of health care quality indicators among US children with special health care needs (CSHCN and their association with household language use. Methods: We used data from the 2009-2010 National Survey of Children with Special Health Care Needs, restricted to an analytic sample of 40,242 children. Logistic regression models were used to examine the effects of primary household language on the attainment of the 6 health care quality indicators for CSHCN. Results: Compared to CSHCN from English primary language households (EPL, CSHCN from NEPL households had 31% higher odds of not feeling like partners in health care decision-making. They had 67% higher odds of lacking care through a medical home and 42% higher odds of reporting inadequate health insurance. NEPL children had 32% higher odds of not receiving early and continuous screening for special health care needs. NEPL youths had 69% higher odds of not receiving services for transition to adulthood. Minority race/ethnicity, lower income and families other than two biological parents all conferred additional risks to not attaining quality indicators. Publicly insured or uninsured CSHCN were also at higher risk. Conclusions and Global Health Implications: Our study provides compelling evidence that significant disparities exist for CSHCN by primary household language status across all health care quality indicators. Establishment of effective surveillance systems and targeting of outreach programs in both developed and developing countries may lead to improved understanding of health care needs and quality of services and reduction of health disparities for this underserved population.

  8. Selecting process quality indicators for the integrated care of vulnerable older adults affected by cognitive impairment or dementia

    Directory of Open Access Journals (Sweden)

    Lebel Paule

    2007-11-01

    Full Text Available Abstract Background This study aimed at evaluating face and content validity, feasibility and reliability of process quality indicators developed previously in the United States or other countries. The indicators can be used to evaluate care and services for vulnerable older adults affected by cognitive impairment or dementia within an integrated service system in Quebec, Canada. Methods A total of 33 clinical experts from three major urban centres in Quebec formed a panel representing two medical specialties (family medicine, geriatrics and seven health or social services specialties (nursing, occupational therapy, psychology, neuropsychology, pharmacy, nutrition, social work, from primary or secondary levels of care, including long-term care. A modified version of the RAND®/University of California at Los Angeles (UCLA appropriateness method, a two-round Delphi panel, was used to assess face and content validity of process quality indicators. The appropriateness of indicators was evaluated according to a agreement of the panel with three criteria, defined as a median rating of 7–9 on a nine-point rating scale, and b agreement among panellists, judged by the statistical measure of the interpercentile range adjusted for symmetry. Feasibility of quality assessment and reliability of appropriate indicators were then evaluated within a pilot study on 29 patients affected by cognitive impairment or dementia. For measurable indicators the inter-observer reliability was calculated with the Kappa statistic. Results Initially, 82 indicators for care of vulnerable older adults with cognitive impairment or dementia were submitted to the panellists. Of those, 72 (88% were accepted after two rounds. Among 29 patients for whom medical files of the preceding two years were evaluated, 63 (88% of these indicators were considered applicable at least once, for at least one patient. Only 22 indicators were considered applicable at least once for ten or more out

  9. Soil phosphorus forms as quality indicators of soils under different vegetation covers.

    Science.gov (United States)

    Turrión, María-Belén; López, Olga; Lafuente, Francisco; Mulas, Rafael; Ruipérez, César; Puyo, Alberto

    2007-05-25

    The type of vegetation cover determines the physicochemical and biological properties of the soil over which they are developing. The objective of this study was to determine the effect of different vegetation covers on the forms of soil phosphorus, in order to know which of these forms can be used as a soil quality indicator. The experimental area was located on the acidic plateau at the North of Palencia (North Spain), where an area was selected vegetation covers very close to each other: pine (Pinus sylvestris), oak (Quercus pyrenaica), and three different shrub species (Arctostaphylos uva-ursi, Erica australis and Halimium alyssoides). The Ah horizon was sampled and pH, total organic C (C(org)), total N (N), cationic exchange capacity (CEC), sum of bases (S) and P forms by a sequential fractionation were analysed. Results showed that oak and A. uva-ursi improve the considered soil parameters (pH, C(org)/N ratio, CEC, and S) and provide soils of better quality. Inorganic soil P forms were influenced in greater extent by the vegetation cover than were P organic forms. Labile inorganic P forms could be used as indicators of soil quality. The organic P forms were less sensitive than inorganic ones to the indicated improvements.

  10. Nursing students' evaluation of quality indicators during learning in clinical practice.

    Science.gov (United States)

    Jansson, Inger; Ene, Kerstin W

    2016-09-01

    A supportive clinical learning environment is important for nursing students' learning. In this study, a contract between a county and a university involving a preceptor model of clinical education for nursing students is described. The aim of this study was to describe nursing students' clinical education based on quality indicators and to describe the students' experiences of what facilitated or hindered the learning process during their clinical practice. During autumn 2012 and spring 2013, 269 student evaluations with quantitative and qualitative answers were filled out anonymously. Quantitative data from the questionnaires concerning the quality indicators: Administration/information, Assessments/examinations and Reflection were processed to generate descriptive statistics that revealed gaps in what the preceptor model demands and what the students reported. The answers from the qualitative questions concerning the quality indicator Learning were analysed using content analysis. Four categories emerged: Independence and responsibility, continuity of learning, time, and the competence and attitudes of the staff. The study underlines that reflection, continuity, communication and feedback were important for the students' learning process, whereas heavy workload among staff and being supervised by many different preceptors were experienced as stressful and hindering by students. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Amino acid quality indices of the leaves ofClerodendrum volubile

    Institute of Scientific and Technical Information of China (English)

    Ochuko Lucky Erukainure; Folashade Oluwayemisi Owolabi; Temiloluwa Adebola Adesioye; Deborah Olabisi Akinyele; Grace Ijeoma Okonrokwo

    2016-01-01

    Objective: To evaluate the amino acid profile and quality indices ofClerodendrumvolubile (C. volubile) leaves. Methods:Dried leaves ofC. volubile were blended, defatted and subjected to amino acid analysis using the technicon sequential multi-sample amino acid analyzer. The amino acid quality indices which covers for chemical score, essential amino acid index, nutritional index, true digestibility, protein digestibility corrected amino acid score, and digestible indispensable amino acid score were evaluated using standard formulas. Results: Amino acid analysis revealed glutamic acid to have the highest concentration, with cysteine having the least. Aspartic acid had the highest chemical score, this was followed by glycine, histidine and arginine, respectively. The least scores were observed in serine and methionine. Glutamic acid had the highest value for true digestibility and protein digestibility corrected amino acid score, with the least observed in cysteine. Digestible indispensable amino acid score evaluation showed histidine to have the highest value for infants (birth to 6 months), threonine for children (6 months to 3 years), while isoleucine was observed to have the highest value for older children, adolescents and adults. The essential amino acid index value was less than 4, while nutritional index value was less than 0.5. Conclusions:These results indicated the leaves ofC. volubile as a potential source of amino acids in the human diet as portrayed by its amino acids profile and qualities.

  12. ATLAS Offline Data Quality System Upgrade

    CERN Document Server

    Farrell, Steve

    2012-01-01

    The ATLAS data quality software infrastructure provides tools for prompt investigation of and feedback on collected data and propagation of these results to analysis users. Both manual and automatic inputs are used in this system. In 2011, we upgraded our framework to record all issues affecting the quality of the data in a manner which allows users to extract as much information (of the data) for their particular analyses as possible. By improved recording of issues, we are allowed the ability to reassess the impact of the quality of the data on different physics measurements and adapt accordingly. We have gained significant experience with collision data operations and analysis; we have used this experience to improve the data quality system, particularly in areas of scaling and user interface. This document describes the experience gained in assessing and recording of the data quality of ATLAS and subsequent benefits to the analysis users.

  13. ATLAS Offline Data Quality System Upgrade

    CERN Document Server

    Farrell, S; The ATLAS collaboration

    2012-01-01

    The ATLAS data quality software infrastructure provides tools for prompt investigation of and feedback on collected data and propagation of these results to analysis users. Both manual and automatic inputs are used in this system. In 2011, we upgraded our framework to record all issues affecting the quality of the data in a manner which allows users to extract as much information (of the data) for their particular analyses as possible. By improved recording of issues, we are allowed the ability to reassess the impact of the quality of the data on different physics measurements and adapt accordingly. We have gained significant experience with collision data operations and analysis; we have used this experience to improve the data quality system, particularly in areas of scaling and user interface. This poster describes the experience gained in assessing and recording of the data quality of ATLAS and subsequent benefits to the analysis users.

  14. Are diagnosis specific outcome indicators based on administrative data useful in assessing quality of hospital care?

    Science.gov (United States)

    Scott, I; Youlden, D; Coory, M

    2004-01-01

    Background: Hospital performance reports based on administrative data should distinguish differences in quality of care between hospitals from case mix related variation and random error effects. A study was undertaken to determine which of 12 diagnosis-outcome indicators measured across all hospitals in one state had significant risk adjusted systematic (or special cause) variation (SV) suggesting differences in quality of care. For those that did, we determined whether SV persists within hospital peer groups, whether indicator results correlate at the individual hospital level, and how many adverse outcomes would be avoided if all hospitals achieved indicator values equal to the best performing 20% of hospitals. Methods: All patients admitted during a 12 month period to 180 acute care hospitals in Queensland, Australia with heart failure (n = 5745), acute myocardial infarction (AMI) (n = 3427), or stroke (n = 2955) were entered into the study. Outcomes comprised in-hospital deaths, long hospital stays, and 30 day readmissions. Regression models produced standardised, risk adjusted diagnosis specific outcome event ratios for each hospital. Systematic and random variation in ratio distributions for each indicator were then apportioned using hierarchical statistical models. Results: Only five of 12 (42%) diagnosis-outcome indicators showed significant SV across all hospitals (long stays and same diagnosis readmissions for heart failure; in-hospital deaths and same diagnosis readmissions for AMI; and in-hospital deaths for stroke). Significant SV was only seen for two indicators within hospital peer groups (same diagnosis readmissions for heart failure in tertiary hospitals and inhospital mortality for AMI in community hospitals). Only two pairs of indicators showed significant correlation. If all hospitals emulated the best performers, at least 20% of AMI and stroke deaths, heart failure long stays, and heart failure and AMI readmissions could be avoided

  15. Development and technology transfer of the BNL flame quality indicator for oil-fired applications: Project report

    Energy Technology Data Exchange (ETDEWEB)

    Butcher, T.A.; Litzke, Wai Lin; McDonald, R.J.

    1994-09-01

    The purpose of a flame quality indicator is to continuously and closely monitor the quality of the flame to determine a heating system`s operating performance. The most efficient operation of a system is achieved under clean burning conditions at low excess air level. By adjusting a burner to function in such a manner, monitoring the unit to maintain these conditions can be accomplished with a simple, cheap and reliable device. This report details the development of the Flame Quality Indicator (FQI) at Brookhaven National Laboratory for residential oil-heating equipment. It includes information on the initial testing of the original design, field testing with other cooperating organizations, changes and improvements to the design, and finally technology transfer and commercialization activities geared towards the development of commercially available products designed for the oil heat marketplace. As a result of this work, a patent for the technology was obtained by the U.S. Department of Energy (DOE). Efforts to commercialize the technology have resulted in a high level of interest amongst industry members including boiler manufacturers, controls manufacturers, oil dealers, and service organizations. To date DOE has issued licenses to three different manufacturers, on a non-exclusive basis, to design, build, and sell FQIs.

  16. [Assessment of quality indicators in pediatric poisoning in an emergency service].

    Science.gov (United States)

    Giménez Roca, C; Martínez Sánchez, L; Calzada Baños, Y; Trenchs Sainz de la Maza, V; Quintilla Martínez, J M; Luaces Cubells, C

    2014-01-01

    Assessment of quality indicators allows clinicians to evaluate clinical assistance with a standard, to detect deficiencies and to improve medical assistance. Patients who came to emergency services of a tertiary level hospital for suspicion of poisoning from January 2011 to June 2012 were assessed using 20 quality indicators of pediatric poisoning. Data collection was performed by retrospective review of clinical reports. A total of 393 patients were admitted for suspicion of poisoning (0.3% of all admissions).The standard was reached in 11 indicators and not reached in 6: administration of activated charcoal within 2hours of poison ingestion (standard=90%, result=83.5%); attention within the first 15minutes of arriving in the emergency service (standard=90%, result=60.4%); start of gastrointestinal decontamination within 20minutes of arrival in emergency services (standard=90%, result=29.7%); performing of electrocardiogram on the patients poisoned with cardiotoxic substances (standard=95%, result=87%); judicial communication of cases of poisoning that could conceal a crime (standard=95%, result=31.3%), and collection of the minimal set of information of poisoned patients (standard=90%, result=1.9%). Three indicators could not be evaluated as a consequence of the limited number of cases where they could be applied (<5). The main deficiencies are related to delay in assistance, collection of information and completion of judicial reports. Giving these patients priority, designing a checklist to collect the main points of their management, and creating obligatory fields for data in computerized medical records, are the main actions available to achieve pediatric poisoning quality indicators in this emergency service. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  17. Production control system specified quality sausage products

    Directory of Open Access Journals (Sweden)

    A. V. Tokarev

    2016-01-01

    Full Text Available The problem of management of production target in technological system of production of sausages of the set quality is considered in article. Decomposition of technological system is considered. Functions of management are allocated: formation of an optimum compounding of forcemeat, expert analysis of a compounding, laboratory analysis of a compounding and its statement. Information technology of interaction of these functions is offered. The mathematical problem definition of finding of an optimum compounding meat product with use of possible substitutes of ingredients is presented. This mathematical problem is a classical linear programming problem whose solution has the standard program. Since the manufacture of the finished product are various nonlinear effects are taken into account at the present time it is practically impossible, the methodology provided in this operation "Expert analysis of the formulation" and "Laboratory analysis of the finished product." An example of calculating the optimum alternative base recipe "Sausages “Viennese with cheese”" TS 9213-010-40155161-2002. For an alternative formulation demands were made at a cost of meat, the ingredient composition, as well as the final product organoleptic and physic-chemical indicators should comply with regulatory requirements "Sausages “Viennese with cheese”" TS 9213-010-40155161-2002. Indicator acid activity (pH calculated stuffing formulation should be in the range 6.0-6.3. As a partial replacement for the main raw material have been proposed acceptable substitutes. It was necessary to calculate on the basis of the formulation "Sausages “Viennese with cheese”" TS 9213-010-40155161-2002 optimal price and quality alternative formulation. As a result of depreciation of the value of alternative stuffing recipe was 14,5 % when all of the restrictions on the consumer properties. The proposed information technology implemented in the software package "Multi

  18. Evaluación de la calidad de suelos mediante el uso de indicadores e índices Soil quality evaluation using indicators and indices

    Directory of Open Access Journals (Sweden)

    Mario Pablo Cantú

    2007-12-01

    Full Text Available El avance de la agricultura en áreas con cierto grado de fragilidad hace necesario realizar evaluaciones del estado del sistema suelo mediante indicadores. El objetivo del trabajo fue desarrollar y aplicar un set mínimo de indicadores del estado del recurso suelo para evaluar la calidad del suelo en agroecosistemas con Molisoles de bajo a moderado desarrollo. La metodología se probó en una unidad ambiental homogénea, con Hapludoles típicos, bajo diferentes sistemas de uso y manejo, en una cuenca pedemontana del SO de la provincia de Córdoba. A las propiedades medidas (carbono orgánico, pH, saturación de bases, agregados estables en agua, velocidad de infiltración, densidad aparente y el espesor horizonte A se le establecieron rangos de calidad a partir de los cuales se normalizaron los indicadores. Los indicadores seleccionados son un número mínimo de variables con alto grado de agregación, fáciles de medir y repetibles, representando las condiciones locales. Estos indicadores de estado del recurso suelo no son universales ya que fueron elegidos en función del tipo de ambiente y suelo de la región en estudio.The expansion of agriculture in areas with a certain degree of fragility, make it necessary to evaluate the state of soil system by means of indicators. The aim of this paper was to develop and apply a minimum set of indicators of the state of the resource to assess soil quality in agroecosystems with low to moderate development Mollisols. The methodology was tested in a homogeneous environmental unit (with Typic Hapludolls under different uses and management systems in a piedmont basin in SW Córdoba province. Quality ranges were established for the measured properties (organic carbon, pH, base saturation, water stable aggregates, infiltration rate, bulk density, A horizon depth to normalize the indicators. Selected indicators constitute a minimum number of variables with a high aggregation degree, easy to measure and

  19. EFFICIENCY INDICATORS INFORMATION MANAGEMENT IN INTEGRATED SECURITY SYSTEMS

    Directory of Open Access Journals (Sweden)

    N. S. Rodionova

    2014-01-01

    Full Text Available Summary. Introduction of information technology to improve the efficiency of security activity leads to the need to consider a number of negative factors associated with in consequence of the use of these technologies as a key element of modern security systems. One of the most notable factor is the exposure to information processes in protection systems security threats. This largely relates to integrated security systems (ISS is the system of protection with the highest level of informatization security functions. Significant damage to protected objects that they could potentially incur as a result of abnormal operation ISS, puts a very actual problem of assessing factors that reduce the efficiency of the ISS to justify the ways and methods to improve it. Because of the nature of threats and blocking distortion of information in the ISS of interest are: the volume undistorted ISF working environment, as a characteristic of data integrity; time access to information as a feature of its availability. This in turn leads to the need to use these parameters as the performance characteristics of information processes in the ISS - the completeness and timeliness of information processing. The article proposes performance indicators of information processes in integrated security systems in terms of optimal control procedures to protect information from unauthorized access. Set the considered parameters allows to conduct comprehensive security analysis of integrated security systems, and to provide recommendations to improve the management of information security procedures in them.

  20. Developing quality indicators for the appropriateness of resuscitation in prehospital atraumatic cardiac arrest.

    Science.gov (United States)

    Grudzen, Corita R; Liddicoat, Rebecca; Hoffman, Jerome R; Koenig, William; Lorenz, Karl A; Asch, Steven M

    2007-01-01

    The vast majority of out-of-hospital cardiac arrest victims do not survive or suffer severe neurological impairment. We sought to develop a set of straightforward clinical indicators that paramedics could use to better match resuscitation attempts to those most likely to benefit. In partnership with the Los Angeles County Emergency Medical Services, we used the RAND/UCLA appropriateness method of quantifying expert opinion regarding the risks and benefits of medical procedures. We presented available scientific evidence related to potential indicators of the quality of resuscitative care to stakeholder-nominated experts. Forty-one candidate indicators incorporated key variables, including initial rhythm, patient preferences, presence of witnesses, and place of arrest. Nine panelists, including palliative care and emergency medical specialists, rated the appropriateness of paramedic use of each indicator by using a 1-9 scale. An indicator was considered appropriate if the potential benefits outweighed the potential harm to the patient or their family. Indicators were retained if median score was >/=7. The expert panel voted to retain 28 quality indicators. Three addressed signs of irreversible death (e.g., dependent lividity), 8 addressed patient preferences (e.g., inquiring about DNR status), and the remainder addressed combinations of initial rhythm and other prognostic signs (e.g., "If initial rhythm is asystole and patient is known by apparent surrogate decision maker to have a terminal illness, then forgo resuscitation."). Our experts recommended a series of much more liberal criteria for forgoing resuscitation than is currently practiced. This includes ascertaining and honoring patient preferences, either through written documents or family members, and combinations of clinical criteria that predict poor neurological outcome, such as asystole, terminal illness, age greater than 70, and response time greater than 15 minutes. These quality indicators expand on