The Mapi Urgency Rating as an Investment-Ranking Criterion

1960 ◽  
Vol 33 (4) ◽  
pp. 327 ◽  
Author(s):  
Myles M. Dryden
Keyword(s):  
Ranking Criterion ◽  
Urgency Rating

scholarly journals Time from triage to initial physician assessment: A 5-year retrospective analysis

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Mor Saban ◽  
Nadav Armoni ◽  
Heli Patito ◽  
Tal Shachar ◽  
Aziz Darawsha ◽  
...  
Keyword(s):  
Waiting Times ◽  
Tertiary Hospital ◽  
Time Lags ◽  
Physician Assessment ◽  
Evaluation Time ◽  
Patient Arrival ◽  
Emergency Department Triage ◽  
Urgency Rating ◽  
Physician Adherence ◽  
Triage Classification

The aim of the study is to examine whether physicians adhere to the urgency classification as determined by the Canadian Triage and Acuity Scale. A retrospective-archive study was conducted in a tertiary hospital from January 2011 to December 2015. For each patient, we examined the relation between the urgency rating set by the triage nurse and the waiting time for the physician. Additionally, we explored the relationships between waiting times for physicians and several subgroups: patient arrival time, season of the year, assigned care area, and first consultant to examine the patient, using Analysis of Variance (ANOVA) analysis. There were 392,687 unique visits during the study period. The distribution of the classification was heterogeneous: 7,133 (1.8%) patients were classified as Priority (P) P1; 17,318 as P2 (4.4%); 148,657 as P3 (37.8%); 113,502 as P4 (28.9%); and 106,077 as P5 (27%). Median and interquartile ranges for time from triage until physician assessment, by triage group, were: P1, 0.7 minutes (0.2-24); P2, 35 minutes (13-76); P3, 44 minutes (21-88); P4, 45 minutes (20-87); and P5, 46 minutes (22-88). Percentages of visits that met the evaluation time goals, by triage classification, were: P1, 61%; P2, 27%; P3, 37%; P4, 61%; and P5, 85%. ANOVA test for the four subgroups revealed statistically significant differences (P<.001). In conclusion, the standard goals for time to physician evaluation are not being met, and there is little difference in time to evaluation between the P3, P4, and P5 classifications. Initiation of system-wide changes in physician workflow and awareness may improve physician adherence to triage classification, shorten time lags, and improve patient evaluation. Further research may allow for better understanding of the factors influencing triage adherence and reinforce teamwork among Emergency Department triage nurses and physicians.

Sacrificing the Patrol: Utilitarianism, Future Generations and Infinity

1997 ◽  
Vol 13 (2) ◽  
pp. 159-174 ◽  
Author(s):  
Luc Van Liedekerke ◽  
Luc Lauwers
Keyword(s):  
Decision Criterion ◽  
Moral Community ◽  
Future Generations ◽  
Original Position ◽  
Distant Future ◽  
Ethical Foundation ◽  
Future People ◽  
Ranking Criterion ◽  
Average Utility

Many people believe that we have responsibility towards the distant future, but exactly how far this responsibility reaches and how we can find a reasonable ethical foundation for it has not been answered in any definitive manner. Future people have no power over us, they form no part of our moral community and it is unclear how we can represent them in a possible original position. All these problems can be circumvented when you take an impersonal decision criterion like maximizing total or average utility. Such a sum-ranking criterion is neutral with respect to distance in time or space: my utility, my neighbour's and that of our descendants all carry the same weight. This makes future people an integral part of present decisions. Time-neutrality was defended by, among others, Sidgwick, Pigou and Ramsey.

THE MAPI URGENCY RATING

1959 ◽  
Vol 5 (1) ◽  
pp. 13-21
Author(s):  
Myles M. Dryden
Keyword(s):  
Urgency Rating

scholarly journals COMF: Comprehensive Model-Fitting Method for Simulating Isothermal and Single-Step Solid-State Reactions

Crystals ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 139
Author(s):  
Yannis Vasilopoulos ◽  
Eliška Skořepová ◽  
Miroslav Šoóš
Keyword(s):  
Solid State ◽  
Model Fitting ◽  
Single Step ◽  
Solid State Reactions ◽  
Comprehensive Model ◽  
Ranking Criterion ◽  
Fitting Method ◽  
Reaction Speed ◽  
Selection Of

It is well known that the implementation of the conventional model-fitting (CMF) method leads to several indistinguishable ‘best’ candidate models (BCMs) for a single-step isothermal solid-state reaction (ISSR), meaning that subjective selection becomes unavoidable. Here, we developed a more robust comprehensive model-fitting method (COMF) which, while maintaining the mathematical simplicity of CMF, utilizes a ranking criterion that enables automatic and unambiguous determination of the BCM. For each model evaluated, COMF, like CMF, fits the integral reaction rate, but, unlike CMF, it also fits the experimental conversion fraction and reaction speed. From this, three different determination coefficients are calculated and combined to rank the considered models. To validate COMF, we used two sets of experimental kinetic data from the literature regarding the isothermal desolvation of pharmaceutical solvates: (i) tetrahydrofuran solvates of sulfameter, and (ii) methanol solvates of ciclesonide. Our results suggest that from an algorithmic perspective, COMF could become the model-fitting method of choice for ISSRs making the selection of BCM easier and more reliable.

scholarly journals Core Journals That Publish Clinical Trials of Physical Therapy Interventions

2010 ◽  
Vol 90 (11) ◽  
pp. 1631-1640 ◽  
Author(s):  
Leonardo Oliveira Pena Costa ◽  
Anne M. Moseley ◽  
Catherine Sherrington ◽  
Christopher G. Maher ◽  
Robert D. Herbert ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Impact Factor ◽  
Journal Impact Factor ◽  
Impact Factors ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Ranking Criterion ◽  
The Mean ◽  
Therapy Interventions ◽  
Journal Impact

Objective The objective of this study was to identify core journals in physical therapy by identifying those that publish the most randomized controlled trials of physical therapy interventions, provide the highest-quality reports of randomized controlled trials, and have the highest journal impact factors. Design This study was an audit of a bibliographic database. Methods All trials indexed in the Physiotherapy Evidence Database (PEDro) were analyzed. Journals that had published at least 80 trials were selected. The journals were ranked in 4 ways: number of trials published; mean total PEDro score of the trials published in the journal, regardless of publication year; mean total PEDro score of the trials published in the journal from 2000 to 2009; and 2008 journal impact factor. Results The top 5 core journals in physical therapy, ranked by the total number of trials published, were Archives of Physical Medicine and Rehabilitation, Clinical Rehabilitation, Spine, British Medical Journal (BMJ), and Chest. When the mean total PEDro score was used as the ranking criterion, the top 5 journals were Journal of Physiotherapy, Journal of the American Medical Association (JAMA), Stroke, Spine, and Clinical Rehabilitation. When the mean total PEDro score of the trials published from 2000 to 2009 was used as the ranking criterion, the top 5 journals were Journal of Physiotherapy, JAMA, Lancet, BMJ, and Pain. The most highly ranked physical therapy–specific journals were Physical Therapy (ranked eighth on the basis of the number of trials published) and Journal of Physiotherapy (ranked first on the basis of the quality of trials). Finally, when the 2008 impact factor was used for ranking, the top 5 journals were JAMA, Lancet, BMJ, American Journal of Respiratory and Critical Care Medicine, and Thorax. There were no significant relationships among the rankings on the basis of trial quality, number of trials, or journal impact factor. Conclusions Physical therapists who are trying to keep up-to-date by reading the best available evidence on the effects of physical therapy interventions have to read more broadly than just physical therapy–specific journals. Readers of articles on physical therapy trials should be aware that high-quality trials are not necessarily published in journals with high impact factors.

Ranking Two-Stage Production Units in Data Envelopment Analysis

2016 ◽  
Vol 33 (01) ◽  
pp. 1650002
Author(s):  
Roza Azizi ◽  
Reza Kazemi Matin
Keyword(s):  
Data Envelopment Analysis ◽  
Production Systems ◽  
Relative Performance ◽  
Accurate Information ◽  
Data Envelopment ◽  
Two Stage ◽  
New Approach ◽  
Ranking Criterion

In this paper, we propose a new approach to rank two-stage production systems in data envelopment analysis based on performance of the stages. To do this, a method is devised to compare the stages performance of a special two-stage unit with the corresponding stages performance of other units. The relative performance of two-stage production units is investigated under new definitions of weak and strong relations and a new ranking criterion is introduced as the result. The most important features of our method is the ability to achieve ranking intervals for two-stage production units based on the introduced relations over all feasible weights, as well as the ability to generate accurate information about sources of inefficiency of two-stage production units.

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