Uncertainty and Risk Management Plans are Critical for Team Alignment and Better Decision Quality

Author(s):  
R. Sawiris ◽  
C. S. Howes ◽  
J. A. Rodriguez ◽  
W. L. Foley
2018 ◽  
Author(s):  
Michael Lang ◽  
Martin Mayr ◽  
Stefan Ringbauer ◽  
Lukas Cepek

UNSTRUCTURED Background: Adherence constitutes a great challenge for disease management, particularly when treating chronically ill patients facing an extensive, complex and long-term therapy. Earlier studies emphasize the relevance of adherence for improving therapy benefits. Besides the positive impact of increased patient support, the use of mobile health applications has gained importance in disease management. Objective: We aimed to develop a software application providing innovative features to simplify the contact between patients and treating physicians in order to overcome adherence barriers, to implement risk management plans and to collect patient reported outcome data. Methods: A novel software application ensuring data security was developed. Various innovative modules have been implemented, enabling bidirectional communication between treating physicians and patients, supporting therapy monitoring and management and allowing the collection of large sets of anonymous patient data. Results: The PatientConcept app is freely available for download and is tested since 2016, with more than 1800 generated patient IDs and 279 patients documenting health data according to risk management plans online in 2017. The impact on adherence issues is currently tested in larger patient populations. Conclusion: This innovative app provides a feasible and cost-optimized possibility to intensify and simplify the communication between patients and their treating physicians across indications, thus promising an exceptional benefit to both. It may not only support chronically ill patients in managing their daily life and improving adherence, but can also facilitate the implementation of risk management plans through automated monitoring, thus supporting physicians in their daily routine. Furthermore, patient reported outcome data can be collected. Importantly, a secure ID-associated data management ensures patient anonymity complying with highest data safety standards.


2021 ◽  
Author(s):  
Heiko Apel ◽  
Sergiy Vorogushyn ◽  
Mostafa Farrag ◽  
Nguyen Viet Dung ◽  
Melanie Karremann ◽  
...  

<p>Urban flash floods caused by heavy convective precipitation pose an increasing threat to communes world-wide due to the increasing intensity and frequency of convective precipitation caused by a warming atmosphere. Thus, flood risk management plans adapted to the current flood risk but also capable of managing future risks are of high importance. These plans necessarily need model based pluvial flood risk simulations. In an urban environment these simulations have to have a high spatial and temporal resolution in order to site-specific management solutions. Moreover, the effect of the sewer systems needs to be included to achieve realistic inundation simulations, but also to assess the effectiveness of the sewer system and its fitness to future changes in the pluvial hazard. The setup of these models, however, typically requires a large amount of input data, a high degree of modelling expertise, a long time for setting up the model setup and to finally run the simulations. Therefor most communes cannot perform this task.</p><p> In order to provide model-based pluvial urban flood hazard and finally risk assessments for a large number of communes, the model system RIM<em>urban</em> was developed. The core of the system consists of a simplified raster-based 2D hydraulic model simulating the urban surface inundation in high spatial resolution. The model is implemented on GPUs for massive parallelization. The specific urban hydrology is considered by a capacity-based simulation of the sewer system and infiltration on non-sealed surfaces, and flow routing around buildings. The model thus considers the specific urban hydrological features, but with simplified approaches. Due to these simplifications the model setup can be performed with comparatively low data requirements, which can be covered with open data in most cases. The core data required are a high-resolution DEM, a layer of showing the buildings, and a land use map.</p><p>The spatially distributed rainfall input can be derived local precipitation records, or from an analysis of weather radar records of heavy precipitation events. A catalogue of heavy rain storms all over Germany is derived based on radar observations of the past 19 years. This catalogue serves as input for pluvial risk simulations for individual communes in Germany, as well as a catalogue of possible extreme events for the current climate. Future changes in these extreme events will be estimated based on regional climate simulations of a ΔT (1.5°C, 2°C) warmer world.</p><p>RIM<em>urban</em> simulates the urban inundation caused by these events, as well as the stress on the sewer system. Based on the inundation maps the damage to residential buildings will be estimated and further developed to a pluvial urban flood risk assessment. Because of the comparatively simple model structure and low data demand, the model setup can be easily automatized and transferred to most small to medium sized communes in Europe and even beyond, if the damage estimation is modified. RIM<em>urban</em> is thus seen as a generally appölicable screening tool for urban pluvial flood risk and a starting point for adapted risk management plans.</p>


Author(s):  
Alejandra María Díaz-Tamayo

Abstract Over the years, Colombia has faced disaster situations that have generated changes in risk management models. These situations have brought suffering, destruction, and loss of human life, but have also served as lessons to develop procedures aimed at minimizing the risks caused by the presence of hazards. The objective of this article is to provide general evidence-based guidelines for formulating disaster risk management plans for each of the 3 action processes: risk awareness, risk reduction, and disaster management in Colombia. These plans can be achieved by preparing responses to different emergencies, which arise from threats in each of the possible scenarios, and are adverse events that alter the normal functioning of entities and communities. The implementation of these prevention strategies will allow communities to respond effectively to emergencies and recover rapidly in the face of adversity.


Drug Safety ◽  
2007 ◽  
Vol 30 (10) ◽  
pp. 919-990 ◽  
Author(s):  
A Banerjee ◽  
L Gredsted ◽  
S Ingate ◽  
F McMahon ◽  
A Hobbs

2010 ◽  
Vol 66 (8) ◽  
pp. 785-790 ◽  
Author(s):  
Serena Frau ◽  
Maria Font Pous ◽  
Maria Rosa Luppino ◽  
Anita Conforti

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Deborah J. Morris ◽  
Elanor L. Webb ◽  
Inga Stewart ◽  
Jordan Galsworthy ◽  
Paul Wallang

Purpose A co-produced clinical practice that aims to improve outcomes through a partnership with service users is becoming increasingly important in intellectual disability (ICD) services, yet these approaches are under-evaluated in forensic settings. This study aims to explore and compare the feasibility of two approaches to co-production in the completion of dynamic risk assessments and management plans in a secure setting. Design/methodology/approach A convenience sample of adults admitted to a secure specialist forensic ICD service (N = 54) completed the short dynamic risk scale (SDRS) and drafted risk management plans under one of two conditions. In the first condition, participants rated the SDRS and risk management plan first, separately from the multidisciplinary team (MDT). In the second condition, participants and MDTs rated the SDRS and risk management plan together. Findings In total, 35 (65%) participants rated their risk assessments and 25 (47%) completed their risk management plans. Participants who rated their risk assessments separately from the MDT were significantly more likely to complete the SDRS (p = 0.025) and draft their risk management plans (p = 0.003). When rated separately, MDT scorers recorded significantly higher total SDRS scores compared to participants (p = 0.009). A series of Mann-Whitney U tests revealed significant differences between MDT and participant ratings on questions that required greater skills in abstraction and social reasoning, as well as sexual behaviour and self-harm. Originality/value Detained participants with an intellectual disabilities will engage in their dynamic risk assessment and management plan processes. The study demonstrates the impact of different co-production methodologies on engagement and highlights areas for future research pertaining to co-production.


2018 ◽  
Vol 6 (1) ◽  
pp. 81-97
Author(s):  
Goran Karanović ◽  
Bisera Karanović ◽  
Martina Gnjidić

The main purpose of this paper is to explore the practice of liquidity risk management of Croatian business entities. The analysis is based on a survey of 62 business entities in Croatia. The authors investigate the existence of risk management and liquidity risk management measures among the surveyed business entities. The respondents’ knowledge of management, their use of indicators and methods for the management of liquidity risk, in addition to the cited reasons for implementation of liquidity risk measures were also subject to examination. Furthermore, the authors investigate the importance of liquidity management in business. The analysis reveals that Croatian business entities have neither sufficient knowledge regarding the majority of financial indicators, nor they tend to use liquidity management plans. Consequently, the survey’s findings indicate that the overall level of financial knowledge of Croatian managers is inadequate. This can, thus, be identified as one of the reasons for the traditionally high number of illiquid business entities in the market. Finally, this paper provides academia and policymakers with new revelations concerning the management of liquidity risk among business entities in Croatia.


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