Development of a web-based application to improve data collection for antimicrobial point prevalence surveys in the public health care system in South Africa; findings and implications (Preprint)

2019 ◽  
Author(s):  
Natalie Schellack ◽  
Danie Kruger ◽  
Nokuthula N Dlamini ◽  
Johanna C Meyer ◽  
Brian Godman ◽  
...  

BACKGROUND Determining antimicrobial utilization patterns in hospitals can be a challenge given personnel and resource constraints with paper based systems. A web–based application (APP) was developed in South Africa to address this, building on a recent pilot point prevalence survey (PPS) using a paper-based system. OBJECTIVE The study aim was to test and refine the develop app as well as to evaluate its ease of use and potential time saving versus paper based methods. METHODS The developed app was tested in a large academic public hospital in a PPS in South Africa. During data collection phase, the app was evaluated for functionality on all 35 variables and subsequently refined. After the data collection, the app was evaluated in terms of its time saving potential and ease of use. RESULTS 181 patient’s files were surveyed across 13 wards in the hospital, with the findings similar to the paper-based study. The median age for males was 45.5 years and the median age for females was 42 years. Overall 80 out of 181 (44%) patients received antibiotics. Whilst 38% (12 out of 31) of patients in the adult surgical ward received antimicrobials, the prevalence was the highest (78%) in the paediatric medical wards. All the data collectors were confident in using the app after training and found the tool not complex at all. In addition, the time taken to plan for the study and to collect data was considerably reduced. Reduced time spending is important for instigating quality improvement programmes in resource limited settings. CONCLUSIONS All data collectors would recommend the app for future PPS surveys. Several concerns with data entry were identified, which have now been addressed in both the refined app as well as in future training. The app development has been successful and is now being deployed across South Africa as part of a national PPS.

2019 ◽  
Author(s):  
Amadea Turk ◽  
Emma Fairclough ◽  
Gillian Grason Smith ◽  
Benjamin Lond ◽  
Veronica Nanton ◽  
...  

BACKGROUND Informal carers play an increasingly vital role in supporting the older population and the sustainability of health care systems. Care Companion is a theory-based and coproduced Web-based intervention to help support informal carers’ resilience. It aims to provide personalized access to information and resources that are responsive to individuals’ caring needs and responsibilities and thereby reduce the burdens associated with caregiving roles. Following the development of a prototype, it was necessary to undertake user acceptability testing to assess its suitability for wider implementation. OBJECTIVE This study aimed to undertake user acceptance testing to investigate the perceived usefulness and ease of use of Care Companion. The key objectives were to (1) explore how potential and actual users perceived its usefulness, (2) explore the barriers and facilitators to its uptake and use and (3) gather suggestions to inform plans for an area-wide implementation. METHODS We conducted user acceptance testing underpinned by principles of rapid appraisal using a qualitative descriptive approach. Focus groups, observations, and semistructured interviews were used in two phases of data collection. Participants were adult carers who were recruited through local support groups. Within the first phase, think-aloud interviews and observations were undertaken while the carers familiarized themselves with and navigated through the platform. In the second phase, focus group discussions were undertaken. Interested participants were then invited to trial Care Companion for up to 4 weeks and were followed up through semistructured telephone interviews exploring their experiences of using the platform. Thematic analysis was applied to the data, and a coding framework was developed iteratively with each phase of the study, informing subsequent phases of data collection and analysis. RESULTS Overall, Care Companion was perceived to be a useful tool to support caregiving activities. The key themes were related to its appearance and ease of use, the profile setup and log-in process, concerns related to the safety and confidentiality of personal information, potential barriers to use and uptake and suggestions for overcoming them, and suggestions for improving Care Companion. More specifically, these related to the need for personalized resources aimed specifically at the carers (instead of care recipients), the benefits of incorporating a Web-based journal, the importance of providing transparency about security and data usage, minimizing barriers to initial registration, offering demonstrations to support uptake by people with low technological literacy, and the need to develop a culturally sensitive approach. CONCLUSIONS The findings identified ways of improving the ease of use and usefulness of Care Companion and demonstrated the importance of undertaking detailed user acceptance testing when developing an intervention for a diverse population, such as informal carers of older people. These findings have informed the further refinement of Care Companion and the strategy for its full implementation.


Author(s):  
Nathalie Baraf

<p>In 2010 a research project was initiated by the Swiss VSS (research and standardization in the field of road and transportation) and ewp AG, to develop an overall evaluation method for all types of engineering structures, which reduces the personal effect of an inspector on these evaluations and also includes aspects of structural and user safety as well as serviceability. It was developed to improve the reproducibility of condition ratings.<p>After the completion of the project, ewp continued to adapt the method for practical application. In order to easily collect and handle the data, especially for a large number of objects, the data collection and rating algorithm was implemented into a GIS-based database developed by ewp with solutions for mobile and web based data entry and analysis.


JMIR Aging ◽  
10.2196/13875 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. e13875 ◽  
Author(s):  
Amadea Turk ◽  
Emma Fairclough ◽  
Gillian Grason Smith ◽  
Benjamin Lond ◽  
Veronica Nanton ◽  
...  

Background Informal carers play an increasingly vital role in supporting the older population and the sustainability of health care systems. Care Companion is a theory-based and coproduced Web-based intervention to help support informal carers’ resilience. It aims to provide personalized access to information and resources that are responsive to individuals’ caring needs and responsibilities and thereby reduce the burdens associated with caregiving roles. Following the development of a prototype, it was necessary to undertake user acceptability testing to assess its suitability for wider implementation. Objective This study aimed to undertake user acceptance testing to investigate the perceived usefulness and ease of use of Care Companion. The key objectives were to (1) explore how potential and actual users perceived its usefulness, (2) explore the barriers and facilitators to its uptake and use and (3) gather suggestions to inform plans for an area-wide implementation. Methods We conducted user acceptance testing underpinned by principles of rapid appraisal using a qualitative descriptive approach. Focus groups, observations, and semistructured interviews were used in two phases of data collection. Participants were adult carers who were recruited through local support groups. Within the first phase, think-aloud interviews and observations were undertaken while the carers familiarized themselves with and navigated through the platform. In the second phase, focus group discussions were undertaken. Interested participants were then invited to trial Care Companion for up to 4 weeks and were followed up through semistructured telephone interviews exploring their experiences of using the platform. Thematic analysis was applied to the data, and a coding framework was developed iteratively with each phase of the study, informing subsequent phases of data collection and analysis. Results Overall, Care Companion was perceived to be a useful tool to support caregiving activities. The key themes were related to its appearance and ease of use, the profile setup and log-in process, concerns related to the safety and confidentiality of personal information, potential barriers to use and uptake and suggestions for overcoming them, and suggestions for improving Care Companion. More specifically, these related to the need for personalized resources aimed specifically at the carers (instead of care recipients), the benefits of incorporating a Web-based journal, the importance of providing transparency about security and data usage, minimizing barriers to initial registration, offering demonstrations to support uptake by people with low technological literacy, and the need to develop a culturally sensitive approach. Conclusions The findings identified ways of improving the ease of use and usefulness of Care Companion and demonstrated the importance of undertaking detailed user acceptance testing when developing an intervention for a diverse population, such as informal carers of older people. These findings have informed the further refinement of Care Companion and the strategy for its full implementation.


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Julian P Yang ◽  
Andre Grujovski ◽  
Tim Wright ◽  
Tzu-Ching Wu ◽  
DaiWai M Olson ◽  
...  

Introduction: Data quality in stroke registries is typically dependent upon some form of chart review and manual data abstraction. The retrospective nature of this process is inherently prone to incomplete and inaccurate data collection with limited insight into the process of physician decision making. Hypothesis: New software packages accompanying telestroke systems will dramatically improve the quality of data by automating the abstraction process and providing real-time access to electronic databases. Methods: Telestroke systems provide web-based programs that record various levels of data. InTouch Technologies, Inc. currently provides StrokeRESPOND v3.0, a web-based program that facilitates telestroke consultation by organizing elements of the physician-patient encounter, including history, vitals, physical exam, laboratory results, and radiographs, and by generating a consultation note. Many data elements captured in the user interface mirror traditional metrics of acute stroke care research and can be de-identified and then directly transferred into an electronic database. The “forced choice” (aka hard-stop) design of data entry and elimination of secondhand abstraction can minimize data corruption and loss. Further, because each point of data entry and manipulation is time-stamped, powerful metadata_“data about data”_can be explored. By analyzing the sequence and patterns of clinical information entry and utilization, the actual thought process of the physician user can be investigated and provide new insights into stroke treatment. Optimization of acute stroke management, a complicated protocol, can be driven by identification of physician decision making patterns associated with multiple outcomes, including higher rates of treatment and faster treatment times. Conclusions: Specialized software programs will improve registry data collection, completeness and accuracy. The generation of metadata offers exciting, new avenues of research. Prospective stroke research using this methodology will require the collaboration of multiple academic institutions and industry partners.


Author(s):  
Seth T. Lirette ◽  
Samantha R. Seals ◽  
Chad Blackshear ◽  
Warren May

With technology advances, researchers can now capture data using web-based applications. One such application, Research Electronic Data Capture (REDCap), allows for data entry from any computer with an Internet connection. As the use of REDCap has increased in popularity, we have observed the need to easily create data dictionaries and data collection instruments for REDCap. The command presented in this article, redcapture, demonstrates one method to create a REDCap-ready data dictionary using a loaded Stata dataset, illustrated by examples of starting from an existing dataset or completely starting from scratch.


2019 ◽  
Vol 9 (1) ◽  
pp. 36
Author(s):  
Fatoni Fatoni Fatoni ◽  
Agus Sujarwadi

Inventory system is a system that serves to know the inventory of goods in a place. Inventory systems are widely used or developed in a place with a variety of technologies. The existing problem at cooperative kasongan business together is not yet availability of inventory system of goods not efficient so that, when employees perform data collection sometimes still occur miscalculation because in data collection goods not yet computerized. Therefore, in this final project will be built web-based inventory information system,so that information about the stock of goods available in cooperative can be known clearly and in detail.      This inventory application is built using the programming language Php and mysql as database and several other stages in the design of this system. The stages in the design of this system is the analysis and design of systems, system design, coding, system implementation and system testing.      Based on the concept and design of this system then, it can be concluded that the web-based inventory of goods applications was built with the aim that in the management of data entry and discharge of goods more orderly and computerized so as to avoid the problem of miscalculation done by employees when collecting goods in cooperative Bantul.


Antibiotics ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 199
Author(s):  
Cornelius C. Dodoo ◽  
Emmanuel Orman ◽  
Thelma Alalbila ◽  
Adelaide Mensah ◽  
Jonathan Jato ◽  
...  

A standardised Global Point Prevalence Survey (PPS) tool was used to determine the antimicrobial prescription pattern in the Ho Teaching Hospital on two separate occasions in a total of 14 wards in the hospital, including dedicated wards for paediatrics and neonates. Manually collected and anonymised data were entered, validated, analysed and reported using a web-based global PPS application. With 147 and 153 patients considered in the July 2019 and January 2020 surveys, respectively, 98 patients (66.7%) and 84 patients (54.9%) had received one or more antimicrobials. The prevalence of antimicrobial use in the adult wards was 64.3% (72/112) and 53.4% (63/118) in the first and second surveys, respectively. The prevalence in the paediatric wards was 60.0% (12/20) and 62.5% (10/16), respectively, in the two surveys, while that in the neonatal wards was 93.3% (14/15) and 57.9% (11/19), respectively. β-lactams were the most used antibiotics in both periods. Malaria was the most common diagnosis requiring the use of antimicrobials in July 2019, accounting for 19.4% of the diagnoses, whereas in January 2020, it was skin and soft-tissue conditions (28.1%). This reflects a seasonal association between malaria and rainfall patterns. Out of the antimicrobials prescribed during each of the survey periods, 95% were used for empirical treatment, and this could be attributed to a number of reasons, including logistical challenges, among others, that require further exploration in the context of local, national and international policy recommendations.


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