Youth Psychotherapy Change Trajectories and Early Warning System Accuracy in a Managed Care Setting

2013 ◽  
Vol 69 (9) ◽  
pp. 880-895 ◽  
Author(s):  
Philip L. Nelson ◽  
Jared S. Warren ◽  
Robert L. Gleave ◽  
Gary M. Burlingame
Keyword(s):  
Managed Care ◽  
Early Warning ◽  
Early Warning System ◽  
Care Setting ◽  
Warning System ◽  
Change Trajectories ◽  
Youth Psychotherapy

scholarly journals Development of an Early Warning System to Prevent Crises in the Palliative Home Care Setting of Patients and Their Informal Caregivers: Protocol for a Mixed Method Study

10.2196/13933 ◽  
2019 ◽  
Vol 8 (11) ◽  
pp. e13933 ◽  
Author(s):  
André Fringer ◽  
Eleonore Arrer ◽  
Edith Maier ◽  
Wilfried Schnepp ◽  
Tom Ulmer
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Early Warning ◽  
Early Warning System ◽  
Care Setting ◽  
Symptom Burden ◽  
Warning System ◽  
Care Needs ◽  
Palliative Care Needs ◽  
At Home

Background Most people wish to die at home, but most people in Switzerland die in hospitals or nursing homes. Family caregivers often offer support so patients with palliative care needs can stay at home for as long as possible. However, crises and unplanned hospital admissions often occur in this setting because of family caregiver strain and symptom severity in patients. The so-called smart devices such as wearables or smartphones offer the opportunity to continuously monitor certain parameters and recording symptom deteriorations. By providing professionals with this information in a timely manner, crises in the home could be avoided. Objective The aim of this interdisciplinary study is to explore the symptom burden of people with palliative care needs who are cared for at home and to understand the development of crises in the home care setting. On the basis of the findings from this study, we will develop an early warning system to stabilize the home care situation and to prevent critical events from happening, thereby reducing avoidable hospitalizations. Methods A mixed method study is being conducted consisting of 4 main consecutive phases: (1) developing the monitoring system; (2) pretesting the system and adapting it to user needs; (3) conducting the study in the palliative home care setting with approximately 40 patients; and (4) distinguishing symptom patterns from the collected data specific to crisis emergence, followed by the development of an early warning system to prevent such crises. In study phase 3, each patient will receive an upper arm sensor and a symptom diary to assess symptom burden related to patients and family caregivers. A within-case analysis will be conducted for each patient’s situation followed by a cross-case comparison to identify certain symptom patterns that may predict symptom deterioration (study phase 4). Results The collaboration with the local mobile palliative care team for participant recruitment and data collection has been established. Recruitment is forthcoming. Conclusions We expect the findings of this study to provide holistic insight into symptom burden and the well-being of patients with palliative care needs and of their family caregivers. This information will be used to develop an early warning system to avoid the occurrence of potential crises, thereby improving palliative care provision at home. International Registered Report Identifier (IRRID)  PRR1-10.2196/13933

scholarly journals Development of an Early Warning System to Prevent Crises in the Palliative Home Care Setting of Patients and Their Informal Caregivers: Protocol for a Mixed Method Study (Preprint)

2019 ◽  
Author(s):  
André Fringer ◽  
Eleonore Arrer ◽  
Edith Maier ◽  
Wilfried Schnepp ◽  
Tom Ulmer
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Early Warning ◽  
Early Warning System ◽  
Care Setting ◽  
Symptom Burden ◽  
Warning System ◽  
Care Needs ◽  
Palliative Care Needs ◽  
At Home

BACKGROUND Most people wish to die at home, but most people in Switzerland die in hospitals or nursing homes. Family caregivers often offer support so patients with palliative care needs can stay at home for as long as possible. However, crises and unplanned hospital admissions often occur in this setting because of family caregiver strain and symptom severity in patients. The so-called smart devices such as wearables or smartphones offer the opportunity to continuously monitor certain parameters and recording symptom deteriorations. By providing professionals with this information in a timely manner, crises in the home could be avoided. OBJECTIVE The aim of this interdisciplinary study is to explore the symptom burden of people with palliative care needs who are cared for at home and to understand the development of crises in the home care setting. On the basis of the findings from this study, we will develop an early warning system to stabilize the home care situation and to prevent critical events from happening, thereby reducing avoidable hospitalizations. METHODS A mixed method study is being conducted consisting of 4 main consecutive phases: (1) developing the monitoring system; (2) pretesting the system and adapting it to user needs; (3) conducting the study in the palliative home care setting with approximately 40 patients; and (4) distinguishing symptom patterns from the collected data specific to crisis emergence, followed by the development of an early warning system to prevent such crises. In study phase 3, each patient will receive an upper arm sensor and a symptom diary to assess symptom burden related to patients and family caregivers. A within-case analysis will be conducted for each patient’s situation followed by a cross-case comparison to identify certain symptom patterns that may predict symptom deterioration (study phase 4). RESULTS The collaboration with the local mobile palliative care team for participant recruitment and data collection has been established. Recruitment is forthcoming. CONCLUSIONS We expect the findings of this study to provide holistic insight into symptom burden and the well-being of patients with palliative care needs and of their family caregivers. This information will be used to develop an early warning system to avoid the occurrence of potential crises, thereby improving palliative care provision at home.

MODIFIKASI ASESMEN EARLY WARNING SYSTEM UPAYA PENINGKATAN PENERAPAN KESELAMATAN PASIEN

2020 ◽  
Vol 6 (2) ◽  
pp. 112
Author(s):  
Veronika Hutabarat ◽  
Enie Novieastari ◽  
Satinah Satinah
Keyword(s):  
Action Research ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Planning Action

Salah satu faktor dalam meningkatkan penerapan keselamatan pasien adalah ketersediaan dan efektifitas prasarana dalam rumah sakit. Early warning system (EWS) merupakan prasarana dalam mendeteksi perubahan dini  kondisi pasien. Penatalaksanaan EWS masih kurang efektif karena parameter dan nilai rentang scorenya belum sesuai dengan kondisi pasien. Tujuan penulisan untuk mengidentifikasi efektifitas EWS dalam penerapan keselamatan pasien. Metode penulisan action research melalui proses diagnosa, planning action, intervensi, evaluasi dan  refleksi. Responden dalam penelitian ini adalah  perawat yang bertugas di area respirasi dan pasien dengan kasus kompleks respirasi di Rumah Sakit Pusat Rujukan Pernapasan Persahabatan Jakarta. Analisis masalah dilakukan dengan menggunakan diagram fishbone. Masalah yang muncul belum optimalnya implementasi early warning system dalam penerapan keselamatan pasien. Hasilnya 100% perawat mengatakan REWS membantu mendeteksi kondisi pasien, 97,4 % perawat mengatakan lebih efektif dan 92,3 % perawat mengatakan lebih efesien mendeteksi perubahan kondisi pasien. Modifikasi EWS menjadi REWS lebih efektif dan efesien dilakukan karena disesuaikan dengan jenis dan kekhususan Rumah Sakit dan berdampak terhadap kualitas asuhan keperawatan dalam menerapkan keselamatan pasien. Rekomendasi perlu dilakukan monitoring evaluasi terhadap implementasi t.erhadap implementasi REWS dan pengembangan aplikasi berbasis tehnologi

Development of a Pediatric Early Warning System Using Data-Driven Vital Signs

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 256A-256A
Author(s):  
Catherine Ross ◽  
Iliana Harrysson ◽  
Lynda Knight ◽  
Veena Goel ◽  
Sarah Poole ◽  
...  
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Vital Signs ◽  
Warning System ◽  
Data Driven ◽  
Using Data

KAJIAN KEKUATAN SINYAL RADIO (RSSI) XBEE DALAM RANGKA PEMASANGAN LANDSLIDE EARLY WARNING SYSTEM (LEWS) DI KABUPATEN GARUT, TASIKMALAYA DAN MAJALENGKA

2019 ◽  
Vol 3 (2) ◽  
pp. 88
Author(s):  
Riski Fitriani
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Signal Strength ◽  
Received Signal Strength ◽  
Received Signal Strength Indicator ◽  
Landslide Early Warning ◽  
Point To Point

Salah satu inovasi untuk menanggulangi longsor adalah dengan melakukan pemasangan Landslide Early Warning System (LEWS). Media transmisi data dari LEWS yang dikembangkan menggunakan sinyal radio Xbee. Sehingga sebelum dilakukan pemasangan LEWS, perlu dilakukan kajian kekuatan sinyal tersebut di lokasi yang akan terpasang yaitu Garut, Tasikmalaya, dan Majalengka. Kajian dilakukan menggunakan 2 jenis Xbee yaitu Xbee Pro S2B 2,4 GHz dan Xbee Pro S5 868 MHz. Setelah dilakukan kajian, Xbee 2,4 GHz tidak dapat digunakan di lokasi pengujian Garut dan Majalengka karena jarak modul induk dan anak cukup jauh serta terlalu banyak obstacle. Topologi yang digunakan yaitu topologi pair/point to point, dengan mengukur nilai RSSI menggunakan software XCTU. Semakin kecil nilai Received Signal Strength Indicator (RSSI) dari nilai receive sensitivity Xbee maka kualitas sinyal semakin baik. Pengukuran dilakukan dengan meninggikan antena Xbee dengan beberapa variasi ketinggian untuk mendapatkan kualitas sinyal yang lebih baik. Hasilnya diperoleh beberapa rekomendasi tinggi minimal antena Xbee yang terpasang di tiap lokasi modul anak pada 3 kabupaten.

Summary of the stakeholders workshop to develop a National Volcano Early Warning System (NVEWS)

2006 ◽  
Author(s):  
Marianne Guffanti ◽  
William E. Scott ◽  
Carolyn L. Driedger ◽  
John W. Ewert
Keyword(s):  
Early Warning ◽  
Early Warning System ◽  
Warning System
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