Compliance with the Data Protection Acts in a psychiatric department: a complete audit cycle

2014 ◽  
Vol 31 (2) ◽  
pp. 125-130
Author(s):  
A. Hassab Errasoul ◽  
M. Cannon ◽  
D. Cotter
Keyword(s):  
Data Protection ◽  
Working Hours ◽  
Educational Interventions ◽  
Hospital Data ◽  
Staff Members ◽  
Before And After ◽  
Audit Cycle ◽  
Collection Practices ◽  
Psychiatric Department ◽  
The Impact

Aim1) to assess compliance with the Data Protection Acts (DPA) by a Department of Psychiatry in a general hospital, 2) to implement measures that are likely to maximize compliance with the hospital data protection policy, 3) to close the audit cycle by assessing the impact of such measures on departmental compliance with the DPA over five months period.MethodAn individual, anonymised staff questionnaire on data collection practices, procedure of disclosure of data to third parties and previous training on DPA was used to collect information from the department staff. The premises were inspected at different times over a week period using structured checklist. Default points were recorded during each inspection. Post-audit interventions included a mixture of educational interventions and practical solutions. A re-audited took place five months later using the same method.ResultsThe baseline audit demonstrated significant lack of compliance with the DPA among staff members and lack of staff training on the DPA. Following the interventions, staff awareness of the requirements of the act rose which in turn lead to better adherence to recommend practices in data handling and to mean default points dropped significantly. Management of manual files appears to constitute the biggest problem in this audit. Daytime breaks were found to pose higher risk to stored data compared with before and after working hours.ConclusionsA combination of educational and practical interventions including training of staff on the DPA results in overall improvement in compliance and reduction in default points. However, management of manual (physical) data proves to be more difficult and hence will need more input.

scholarly journals Assessment of Reflex Urine Culture Criteria Changes and its Impact on Treatment of Asymptomatic Bacteriuria

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S346-S346 ◽  
Author(s):  
Kirre Wold ◽  
Jeff Brock ◽  
Kelly Percival ◽  
Lindsey Rearigh ◽  
Lucas Vocelka ◽  
...  
Keyword(s):  
Asymptomatic Bacteriuria ◽  
Signs And Symptoms ◽  
Hospital Data ◽  
Post Intervention ◽  
Number Of Patients ◽  
Positive Urine ◽  
Before And After ◽  
Implementation Period ◽  
Inappropriate Antibiotics ◽  
The Impact

Abstract Background Asymptomatic bacteriuria (ASB) is a common clinical condition identified by the presence of bacteria in the urine of a patient without signs and symptoms of a urinary tract infection (UTI). Treatment of ASB leads to unnecessary antimicrobial use and can cause more harm than benefit in many patients. This study is to determine the impact of more stringent criteria for urinalysis with culture if indicated (UAC), implemented in September 2016, on the treatment of asymptomatic bacteriuria. Methods A pre-post descriptive study of patients was conducted with an order placed for UAC in the Emergency Department (ED) or hospital. Data was collected retrospectively via chart reviews. The data on ASB patients from November 2015 to April 2016 was compared with the post-implementation period October 2016 to January 2017. The number of UAC orders and cultures were averaged for 6 months pre and post implementation of the criteria change. Results A total of 580 patient charts were assessed post-implementation of the UAC criteria change. A majority of the orders originated from the ED, (N = 430, 72.8%). ASB was treated inappropriately at a rate of 60.4% (N = 64/106) pre-implementation and a rate of 65% (N = 41/63) post implementation, P = 0.542. The total number of UAC ordered before and after implementation did not change, (N = 2852 pre-intervention vs N = 2825 post-intervention, P = 0.744), as seen in Figure 1. However, the number of reflexed urine cultures did significantly decrease post criteria change,
 (N = 1056 pre-intervention vs. N = 603 post-intervention, P < 0.0001). In addition, the number of positive urine cultures also significantly decreased, (N = 378 pre-intervention vs. N = 289 post-intervention, P = 0.0447). The impact the criteria change had on patient care is the number of potential antibiotic courses saved by reflexing fewer urine cultures off the UAC. Based on the decrease in positive urine cultures, it is estimated 702 courses of inappropriate antibiotics for ASB could be saved per year (59/month). Conclusion More stringent criteria for reflex urine cultures significantly decreases the number of urine cultures performed, therefore decreasing the number of patients treated with ASB. Additional stewardship measures are necessary to reduce the treatment of ASB for patients who have cultures performed. Disclosures All authors: No reported disclosures.

Identifying strategies to address obstacles to optimal integration of cancer immunotherapies in the community.

2020 ◽  
Vol 38 (5_suppl) ◽  
pp. 96-96
Author(s):  
Latha Shivakumar ◽  
Christine B. Weldon ◽  
Ali McBride ◽  
Igor Puzanov ◽  
Joanne Riemer ◽  
...  
Keyword(s):  
Patient Education ◽  
Educational Interventions ◽  
Cancer Center ◽  
Interprofessional Communication ◽  
Exact Test ◽  
Cancer Centers ◽  
Before And After ◽  
Communication And Coordination ◽  
Cancer Immunotherapies ◽  
The Impact

96 Background: Evolving indications for immuno-oncology (IO) therapies in cancer pose a significant challenge to community clinicians around the practical issues that must be addressed to implement these therapies safely and effectively. The Association of Community Cancer Centers (ACCC) initiated a quality improvement (QI) research study to assess the impact of educational interventions targeting the multidisciplinary cancer care team on evidence-based integration of IO therapy. Methods: The QI study collected baseline data from 100 patients initiating IO therapy between Dec 2017-Apr 2018 at two community cancer centers on co-morbidities, immune-related adverse events (irAEs), laboratory tests, ER visits and hospitalizations, patient education, and adherence. The advisory committee analyzed this data to identify practice gaps and designed educational interventions to address these gaps. After clinicians at both centers completed the educational interventions, data was collected from 100 patients initiating IO therapy between Jan 2019-Apr2019 and compared using Fisher’s exact test. We also conducted staff surveys before and after participating in the interventions. Results: Offering ACCC-created IO wallet cards to patients was a recommended intervention but only one site adopted this. The site that used the wallet cards had a statistically significant reduction in hospitalization rates compared to the other site (38% vs 70%, p = 0.0024). Respondents to the practice surveys reported an increase in handing out patient education materials following participation in the interventions. They also reported an improved understanding of strategies to manage patients with co-morbidities, management of irAEs, patient education and engagement, interprofessional communication, and coordination with non-oncology specialists. Conclusions: Community cancer center directed educational interventions are feasible and may improve clinician understanding, comfort, and attitudes with the integration of emerging IO agents. Administering wallet cards to patients at the beginning of IO therapy may decrease the risk of hospitalization and warrants further investigation in larger studies.

scholarly journals Retaining older workers: the effect of phased retirement on delaying early retirement

2015 ◽  
Vol 6 ◽  
Author(s):  
Åsmund Hermansen
Keyword(s):  
Relative Risk ◽  
Older Workers ◽  
Early Retirement ◽  
Working Hours ◽  
Full Time ◽  
Flexible Working Hours ◽  
Flexible Working ◽  
Before And After ◽  
Phased Retirement ◽  
The Impact

Introduction: Phased retirement involves reducing working time in the final years before retirement. The aim of phased retirement is to extend working careers and retain older workers who would otherwise opt for full early retirement. This article investigates the effect of offering phased retirement on early-retirement behaviour in Norway.Method: The data used in the analysis covers the period between 2000 and 2010 and comprises all employees between 61 and 62 years of age (N= 18 174) who were employed in any of the 442 companies that participated in a 2010 survey carried out by the Fafo Institute for Labour and Social Research and Respons Analyse AS, a Norwegian research firm. I use a difference-in-differences approach and logistic regression, which enables the measurement of changes in the individual relative risk of retiring full-time on the contractual pension (AFP, avtalefestet pensjon, contractual early-retirement pension,) before and after the introduction of phased retirement as a retention measure.Results: The results show that working in a company that offers reduced working hours for older workers does not have an effect on the relative risk of a 61- or 62-year-old withdrawing a full contractual pension in the next two years of their employment. This result is evident both before and after controlling for a range of known individual risk factors, as well as after controlling for company characteristics.Discussion: In the search for suitable measures for retaining older workers, offering phased retirement may still be part of the answer. Though my analysis does not support the idea that more flexible working hours is a decisive factor for those who choose to opt for full early retirement, a possible next step could be to investigate the impact of offering flexible working hours on the employment duration of those who do remain in employment.

scholarly journals Extending the liaison psychiatry service in a large hospital in the UK: a before and after evaluation of the economic impact and patient care following ED attendances for self-harm

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016906 ◽  
Author(s):  
Brent C Opmeer ◽  
William Hollingworth ◽  
Elsa M R Marques ◽  
Ruta Margelyte ◽  
David Gunnell
Keyword(s):  
Working Hours ◽  
Psychosocial Assessment ◽  
Favourable Effect ◽  
Liaison Psychiatry ◽  
Large Hospital ◽  
Before And After ◽  
Self Harm ◽  
Mean Cost ◽  
The Impact ◽  
Patient Attendance

ObjectivesTo evaluate the impact of an expansion of liaison psychiatry services (LPS) on patient management, outcomes and treatment costs for emergency department (ED) attendances for self-harm.DesignRetrospective before and after cohort study using routinely collected Self-Harm Surveillance Register data.SettingA large hospital in South West England.SubjectsPatients attending the ED for self-harm.InterventionsExtension of the LPS’ working hours from 9:00 to 17:00, Monday to Friday to 8:00 to 22:00, 7 days a week, following a £250 000 annual investmentMain outcome measuresNumber and characteristics of ED attendances for self-harm. The before and after cohorts were compared in terms of key process measures, including proportion of patients receiving a psychosocial assessment, average length of hospital stay, waiting times for assessment, proportion of patients who self-discharged without an assessment, levels of repeat self-harm attendances and mean cost per patient attendance.Results298 patients attended ED for self-harm on 373 occasions between January and March 2014, and 318 patients attended on 381 occasions between January and March 2015. The proportion of ED attendances where patients received a psychosocial assessment increased from 57% to 68% (p=0.003), median waiting time decreased by 3 hours and 14 min (p=0.017), and the proportion of episodes where patients self-discharged without a psychosocial assessment decreased from 20% to 13% (p=0.022). The mean cost per patient attendance was marginally lower after the intervention (−£84; 95% CI −£254 to £77).ConclusionsThe extended LPS seems to have had a favourable effect on the management and outcomes of self-harm patients. The cost of extending the LPS’ working hours might be partially offset by more efficient assessment and discharge. The impact of the extended LPS on the care of hospitalised patients with mental health problems other than self-harm requires further evaluation.

scholarly journals The Impact of Working Relationships in the Accounting and Audit Cycle

2018 ◽  
Author(s):  
Reza Mohammadi
Keyword(s):  
Working Relationships ◽  
Cooling Period ◽  
Input And Output ◽  
Chinese Companies ◽  
Before And After ◽  
Work Relationship ◽  
Audit Cycle ◽  
The Impact

This study evaluates literature on the wheel of audit partners in Chinese companies and institutions by examining the impact of relationships before and after the rotation between the input and output partners. We consider the partners in the rotation before the rotation, before the work relationship. We find two different results from the previous working relationships: (a) increasing the likelihood of the outgoing partners after the cooling period, and (b) reducing the quality of the audit and lower accounting after the rotation. These findings ask whether the rotational partners are truly independent of the working relationships.

Validation of a documentary on Chagas disease by a population living in an endemic area

2020 ◽  
Author(s):  
T. F. Bianchi ◽  
S. Jeske ◽  
A. Sartori ◽  
A. P. Grala ◽  
M. M. Villela
Keyword(s):  
Public Schools ◽  
Chagas Disease ◽  
Endemic Area ◽  
Educational Interventions ◽  
Instructional Video ◽  
Before And After ◽  
Group 2 ◽  
The Impact ◽  
Basic Health Units

Abstract Educational interventions may trigger actions that contribute to prevent parasitic diseases, such as Chagas disease (CD). This study aimed at investigating the impact of an instructional video named “Documentary on Chagas Disease” on knowledge about CD and its vectors displayed by a population that lives in an endemic area in Brazil, so as to validate it as an educational tool. The video was shown to 226 subjects, divided into two groups. Group 1 was composed of users of Basic Health Units (BHU) in Pelotas and Pinheiro Machado, cities located in Rio Grande do Sul (RS) state, Brazil, where CD is endemic. Group 2 consisted of students who attend three public schools located in the rural area in Pinheiro Machado, RS. Two questionnaires with questions about their knowledge about triatomines and CD were applied, before and after the documentary was shown. After the video was shown, there was significant increase in individuals’ knowledge (in both groups) about “kissing bugs”, their notification, the disease and its prevention. Besides, watchers considered that the quality of the material was satisfactory. Since the “Documentary on CD” can be easily accessed on the internet and was effective in teaching the population that lives in endemic areas, its use should be encouraged in places and meetings connected to health that aim at fighting against triatominae and at exposing an updated view of CD.

scholarly journals Educational interventions to improve inhaler techniques and their impact on asthma and COPD control: a pilot effectiveness-implementation trial

2016 ◽  
Vol 42 (6) ◽  
pp. 440-443 ◽  
Author(s):  
Tiago Maricoto ◽  
◽  
Sofia Madanelo ◽  
Luís Rodrigues ◽  
Gilberto Teixeira ◽  
...  
Keyword(s):  
Test Scores ◽  
Educational Interventions ◽  
Breath Hold ◽  
Asthma Control Test ◽  
Clinical Control ◽  
Before And After ◽  
Asthma Patients ◽  
Functional Control ◽  
The Impact ◽  
Implementation Trial

ABSTRACT To assess the impact that educational interventions to improve inhaler techniques have on the clinical and functional control of asthma and COPD, we evaluated 44 participants before and after such an intervention. There was a significant decrease in the number of errors, and 20 patients (46%) significantly improved their technique regarding prior exhalation and breath hold. In the asthma group, there were significant improvements in the mean FEV1, FVC, and PEF (of 6.4%, 8.6%, and 8.3% respectively). Those improvements were accompanied by improvements in Control of Allergic Rhinitis and Asthma Test scores but not in Asthma Control Test scores. In the COPD group, there were no significant variations. In asthma patients, educational interventions appear to improve inhaler technique, clinical control, and functional control.

Assessing the Impact of Summer Camp Employment on the Development of Workplace Skills

2021 ◽  
Author(s):  
Rachael Botting ◽  
Robert Ribbe Jr. ◽  
Greg Robinson
Keyword(s):  
Best Practices ◽  
Summer Camp ◽  
Support Staff ◽  
Staff Perceptions ◽  
Staff Support ◽  
Staff Members ◽  
Before And After ◽  
Summer Camp Staff ◽  
The Impact ◽  
Post Assessment

The purpose of this study was to quantitatively assess the impact of working at a camp on summer camp staff while simultaneously seeking to understand what facilitates and inhibits growth in that context. This study examined differences in levels of leadership, teamwork and resilience before and after working at a summer camp as a staff member. It also assessed staff perceptions of staff culture, support, and care. Results indicated that summer camp staff members can and do grow in the areas measured over the course of a summer at camp and that some elements of the staff experience related to staff support, staff care, and staff culture may be important factors in contributing to that growth. This study enhances our understanding of the impact of working at a camp on staff by providing a pre-post assessment while beginning the conversation about best practices to facilitate growth.

Strategic Role of Zakat in Multidimensional Quality of Life in Sijunjung, Indonesia

2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Wealth Distribution ◽  
Absolute Poverty ◽  
Before And After ◽  
The Status ◽  
Being There ◽  
The Impact

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.

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