A review of cloud application assessment practices at the University of Ballarat
- Authors: Wilmott, Deirdre , Knox, Ian
- Date: 2012
- Type: Text , Journal article
- Relation: Education for Information Vol. 29, no. 3-4 (2012), p. 229-242
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- Description: It has been suggested that traditional assessment practices in tertiary institutions tend not to equip students well for the processes of effective learning in a learning society [1]. This paper reviews alternative Internet based assessment practices used in Library, Business and Education courses at the University of Ballarat, Victoria, Australia in 2011. © 2012 - IOS Press and the authors. All rights reserved. © 2012 - IOS Press and the authors. All rights reserved.
OKC-enabled online knowledge integration: role of group heterogeneity and group interaction process
- Authors: Qiu, Jiangnan , Xu, Liwei , Zuo, Min , Wang, Jingxian , Weadon, Helen
- Date: 2020
- Type: Text , Journal article
- Relation: Information Technology and People Vol. 34, no. 1 (2020), p. 336-359
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- Description: Purpose: Online knowledge integration has been an important concern of the online knowledge community as it can lead to various positive outcomes of online knowledge coproduction. This paper identifies online knowledge integration factors by considering group heterogeneity and group interaction process. Design/methodology/approach: Based on the categorization-elaboration model (CEM) and interactive team cognition (ITC) theory, a research model that reflects the antecedent's factors and mediating factors of online knowledge integration was developed and empirically examined based on data collected from 2,339,836 data extracted from Wikipedia. Findings: Group interaction process plays an essential mediator role in online knowledge integration. Group knowledge heterogeneity negatively influences online knowledge integration and group experience heterogeneity positively, and they both positively promote online knowledge integration through group interaction process with different paths. Research limitations: Our research concerns the OKC context in one setting (Wikipedia). We expect that the results will generalize to other OKC platforms. Practical implications: The findings of the study could assist the online knowledge community's organizers to understand the motivational mechanisms of online knowledge integration. Group interaction process could be regarded as the key role to promote group wisdom and maintain group independence. Social implications: We advance the understanding of the online knowledge integration and gain a richer understanding of the importance of group interaction independence for online knowledge integration based on the agreement of group wisdom. It suggested keeping group interaction independence is an important aspect for highly online knowledge integration among heterogeneity groups. Originality/value: This study extends CEM and ITC theory to the domain of knowledge integration context and finds the mechanism between group heterogeneity and online knowledge integration by introducing the group interaction process. © 2020, Emerald Publishing Limited.
A patient agent to manage blockchains for remote patient monitoring
- Authors: Uddin, Ashraf , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2018
- Type: Text , Conference proceedings
- Relation: 7th International Conference on Global Telehealth, GT 2018; Colombo, Sri Lanka; 10th-11th October 2018; published in Studies in Health Technology and Informatics Vol. 254, p. 105-115
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- Description: Continuous monitoring of patient's physiological signs has the potential to augment traditional medical practice, particularly in developing countries that have a shortage of healthcare professionals. However, continuously streamed data presents additional security, storage and retrieval challenges and further inhibits initiatives to integrate data to form electronic health record systems. Blockchain technologies enable data to be stored securely and inexpensively without recourse to a trusted authority. Blockchain technologies also promise to provide architectures for electronic health records that do not require huge government expenditure that challenge developing nations. However, Blockchain deployment, particularly with streamed data challenges existing Blockchain algorithms that take too long to place data in a block, and have no mechanism to determine whether every data point in every stream should be stored in such a secure way. This article presents an architecture that involves a Patient Agent, coordinating the insertion of continuous data streams into Blockchains to form an electronic health record.
- Description: Studies in Health Technology and Informatics
Investigating the social implications of biometrics and the need for global biometric uniformity
- Authors: Leicester, Phillip , Kulkarni, Siddhivinayak
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal for Infonomics Vol. 6, no. 3/4 (2013), p. 731-735
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- Description: This research paper looks at the social implications of biometrics pertaining to the ethics of privacy and the ownership of individual biometric data, including how these issues can be resolved through the establishment of a Biometric Commission by introducing global standardised biometric uniformity and the guidelines that will ensure their technological foundations. Much of the distrust that engulfs society is due to the past performances and policy implementations that governments have initiated surrounding biometric technology and its miss use beyond the realms of individual identification for security purposes. There needs to be total transparency from governments and organisations that use biometric technology for security identification in how every individuals biometric data will be used, stored and the ethical standards provided in eliminating many of the implications that every society has towards on how their biometric data will be used.
Supporting regional aged care nursing staff to manage residents’ behavioural and psychological symptoms of dementia, in real time, using the nurses’ behavioural assistant (NBA) : A pilot site 'end-user attitudes’ trial
- Authors: Klein, Britt , Clinnick, Lisa , Chesler, Jessica , Stranieri, Andrew , Bignold, Adam , Dazeley, Richard , McLaren, Suzanne , Lauder, Sue , Balasubramanian, Venki
- Date: 2018
- Type: Text , Conference paper
- Relation: 2017 Global Telehealth Meeting, GT 201; Adelaide, Australia; 22nd-24th November 2017; published in Telehealth for our Ageing Society (part of the Studies in Health Technology and Informatics series) Vol. 246, p. 24-28
- Full Text: false
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- Description: Background: This regional pilot site ‘end-user attitudes’ study explored nurses’ experiences and impressions of using the Nurses’ Behavioural Assistant (NBA) (a knowledge-based, interactive ehealth system) to assist them to better respond to behavioural and psychological symptoms of dementia (BPSD) and will be reported here. Methods: Focus groups were conducted, followed by a four-week pilot site ‘end-user attitudes’ trial of the NBA at a regional aged care residential facility (ACRF). Brief interviews were conducted with consenting nursing staff. Results: Focus group feedback (N = 10) required only minor cosmetic changes to the NBA prototype. Post pilot site end-user interview data (N = 10) indicated that the regional ACRF nurses were positive and enthusiastic about the NBA, however several issues were also identified. Conclusions: Overall the results supported the utility of the NBA to promote a person centred care approach to managing BPSD. Slight modifications may be required to maximise its uptake across all ACRF nursing staff.
The delicate balance of communicational interests : a Bakhtinian view of social media in health care
- Authors: Ukoha, Chukwuma , Stranieri, Andrew
- Date: 2020
- Type: Text , Journal article
- Relation: Journal of Information, Communication and Ethics in Society Vol. 19, no. 2 (2020), p. 236-248
- Full Text: false
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- Description: Purpose: This paper aims to use the writings of Mikhail Bakhtin to reveal new insights into the role and impact of social media in health-care settings. Design/methodology/approach: With the help of Bakhtin’s constructs of dialogism, polyphony, heteroglossia and carnival, the power and influences of the social media phenomenon in health-care settings, are explored. Findings: It is apparent from the in-depth analysis conducted that there is a delicate balance between the need to increase dialogue and the need to safeguard public health, in the use of social media for health-related communication. Bakhtin‘s constructs elucidate this delicate balance and highlight the need for health-care providers that use social media to find the right balance between these competing communicational priorities. Originality/value: This paper advances a nascent theoretical approach to social media research. By applying Bakhtinian ideas to consumer health informatics, this paper has the potential to open a new approach to theorizing the role of social software in health-care settings. Stakeholders in digital health will find this paper useful, as it opens up dialogue to further discuss the role of social media in health care. © 2020, Emerald Publishing Limited.
Barriers and enablers to the delivery of psychological care in the management of patients with type 2 diabetes mellitus in China : a qualitative study using the theoretical domains framework
- Authors: Chapman, Anna , Yang, Hui , Thomas, Shane , Searle, Kendall , Browning, Colette
- Date: 2016
- Type: Text , Journal article
- Relation: BMC Health Services Research Vol. 16, no. 1 (2016), p.
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- Description: Background: China has the largest number of type 2 diabetes mellitus (T2DM) cases globally and individuals with T2DM have an increased risk of developing mental health disorders and functional problems. Despite guidelines recommending that psychological care be delivered in conjunction with standard T2DM care; psychological care is not routinely delivered in China. Community Health Centre (CHC) doctors play a key role in the management of patients with T2DM in China. Understanding the behavioural determinants of CHC doctors in the implementation of psychological care recommendations allows for the design of targeted and culturally appropriate interventions. As such, this study aimed to examine barriers and enablers to the delivery of psychological care to patients with T2DM from the perspective of CHC doctors in China. Methods: Two focus groups were conducted with 23 CHC doctors from Shenzhen, China. The discussion guide applied the Theoretical Domains Framework (TDF) that examines current practice and identifies key barriers and enablers perceived to influence practice. Focus groups were conducted with an interpreter, and were digitally recorded and transcribed. Two researchers independently coded transcripts into pre-defined themes using deductive thematic analysis. Results: Barriers and enablers perceived by doctors as being relevant to the delivery of psychological care for patients with T2DM were primarily categorised within eight TDF domains. Key barriers included: CHC doctors' knowledge and skills; time constraints; and absence of financial incentives. Other barriers included: societal perception that treating psychological aspects of health is less important than physical health; lack of opinion leaders; doctors' intentional disregard of psychological care; and doubts regarding the efficacy of psychological care. In contrast, perceived enablers included: Training of CHC doctors in psychological skills; identification of afternoon/evening clinic times when recommendations could be implemented; introduction of financial incentives; and the creation of a professional role (e.g. diabetes educator), that could implement psychological care recommendations to patients with T2DM. © 2016 Chapman et al..
A model of knowledge acquisition that refocuses knowledge management
- Authors: Van Beveren, John
- Date: 2002
- Type: Text , Journal article
- Relation: Journal of Knowledge Management Vol. 6, no. (2002), p. 18-22
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- Description: This paper presents a model of knowledge acquisition from definitions of data, information and knowledge. The model asserts that knowledge cannot exist outside of the human brain, and that any expression of the knowledge requires it to be transformed into information to be communicated outside of the brain. The model asserts that information is acquired through the sensors to the brain where it is processed with prior knowledge and that new knowledge can be created from the processing of information within the brain only. From a discussion of this model in the context of alternative viewpoints, it is concluded that the future focus for knowledge management should be toward human resource strategies that leverage human-intellectual capital within firms and for the dissemination and sharing of important information that promotes creativity and innovation within and between employees.
- Description: C1
- Description: 2003000231
A participatory information management framework for patient centred care of autism spectrum disorder
- Authors: De Silva, Daswin , Burstein, Frada , Stranieri, Andrew , Williams, Katrina , Rinehart, Nicole
- Date: 2013
- Type: Text , Conference paper
- Relation: Information systems: Transforming the future 24th Australasian Conference on Information p. 2-11
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Using radar plots for performance benchmarking at patient and hospital levels using an Australian orthopaedics dataset
- Authors: Morales-Silva, Daniel , McPherson, Cameron , Pineda-Villavicencio, Guillermo , Atchison, Rory
- Date: 2020
- Type: Text , Journal article
- Relation: Health Informatics Journal Vol. 26, no. 3 (2020), p. 2119-2137
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- Description: This study will highlight the diagnostic potential that radar plots display for reporting on performance benchmarking from patient admissions to hospital for surgical procedures. Two drawbacks of radar plots – the presence of missing information and ordering of indicators – are addressed. Ten different orthopaedic surgery procedures were considered in this study. Moreover, twelve outcome indicators were provided for each of the 10 surgeries of interest. These indicators were displayed using a radar plot, which we call a scorecard. At the hospital level, we propose a facile process by which to consolidate our 10 scorecards into one. We addressed the ordering of indicators in our scorecards by considering the national median of the indicators as a benchmark. Furthermore, our the consolidated scorecard facilitates concise visualisation and dissemination of complex data. It also enables the classification of providers into potential low and high performers that warrant further investigation. In conclusion, radar plots provide a clear and effective comparative tool for discerning multiple outcome indicators against the benchmarks of patient admission. A case study between two top and bottom performers on a consolidated scorecard (at hospital level) showed that medical provider charges varied more than other outcome indicators. © The Author(s) 2020.
Doing the right thing at the right time: Assessing responses to patient deterioration in electronic simulation scenarios using course-of-action analysis.
- Authors: Cooper, Simon J. , Cant, Robyn , Bogossian, Fiona , Bucknall, Tracey , Hopmans, Ruben
- Date: 2015
- Type: Text , Journal article
- Relation: CIN: Computers, Informatics, Nursing Vol. 33, no. 5 (2015), p. 199-207
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- Description: International studies indicate that the recognition and management of deteriorating patients in hospitals are poor and that patient assessment is often inadequate. Face-to-face simulation programs have been shown to have an impact on educational and clinical outcomes; however, little is known about performance in contemporary healthcare e-simulation approaches. Using data from an open-access Web-based patient deterioration program (FIRSTACTWeb), the performance of 367 Australian nursing students in identification of treatment priorities and clinical actions was analyzed using a military model of Course of Action Simulation Analysis. Participants' performance in the whole program demonstrated a significant improvement in knowledge and skills (P ≤ .001) with high levels of participant satisfaction. Course of Action Simulation Analysis modeling identified three key participant groupings within which only 18% took the "best course of action" (the right actions and timing), with most (70%) completing the right actions but in the wrong order. The remaining 12% produced incomplete assessments and actions in an incorrect sequence. Contemporary approaches such as e-simulation do enhance educational outcomes. Measurement of performance when combined with Course of Action Simulation Analysis becomes a useful tool in the description of outcomes, an understanding of decision making, and the prediction of future events.
Automated opinion detection : Implications of the level of agreement between human raters
- Authors: Osman, Deanna , Yearwood, John , Vamplew, Peter
- Date: 2010
- Type: Text , Journal article
- Relation: Information Processing and Management Vol. 46, no. 3 (2010), p. 331-342
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- Description: The ability to agree with the TREC Blog06 opinion assessments was measured for seven human assessors and compared with the submitted results of the Blog06 participants. The assessors achieved a fair level of agreement between their assessments, although the range between the assessors was large. It is recommended that multiple assessors are used to assess opinion data, or a pre-test of assessors is completed to remove the most dissenting assessors from a pool of assessors prior to the assessment process. The possibility of inconsistent assessments in a corpus also raises concerns about training data for an automated opinion detection system (AODS), so a further recommendation is that AODS training data be assembled from a variety of sources. This paper establishes an aspirational value for an AODS by determining the level of agreement achievable by human assessors when assessing the existence of an opinion on a given topic. Knowing the level of agreement amongst humans is important because it sets an upper bound on the expected performance of AODS. While the AODSs surveyed achieved satisfactory results, none achieved a result close to the upper bound. © 2009 Elsevier Ltd. All rights reserved.
E-simulation:pre-registration nursing students' evaluation of an on-line patient deterioration program
- Authors: Cant, Robyn , Young, Susan , Cooper, Simon J. , Porter, Joanne
- Date: 2015
- Type: Text , Journal article
- Relation: CIN: Computers, Informatics, Nursing Vol. 33, no. 3 (2015), p. 108-114
- Full Text: false
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- Description: This study explores preregistration nursing students’ views of a Web-based simulation program: FIRST2 ACTWeb (Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends-Web). The multimedia program incorporating three videoed scenarios portrayed by a standardized patient (human actor) aims to improve students’ recognition and management of hospital patient deterioration. Participants were 367 final-year nursing students from three universities who completed an online evaluation survey and 19 students from two universities who attended one of five focus groups. Two researchers conducted a thematic analysis of the transcribed narratives. Three core themes identified were as follows: “ease of program use,” “experience of e-Simulation,” and “satisfaction with the learning experience.” The Web-based clinical learning environment was endorsed as functional, feasible, and easy to use and was reported to have high fidelity and realism. Feedback in both focus groups and surveys showed high satisfaction with the learning experience. Overall, evaluation suggested that the Web-based simulation program successfully integrated elements essential for blended learning. Although Web-based educational applications are resource intensive to develop, positive appraisal of program quality, plus program accessibility and repeatability, appears to provide important educational benefits. Further research is needed to determine the transferability of these learning experiences into real-world practice.
Digitising archival records : Benefits and challenges for a large professional accounting association
- Authors: Keneley, Monica , Potter, Brad , West, Brian , Cobbin, Phillip , Chang, Steven
- Date: 2016
- Type: Text , Journal article
- Relation: Archivaria Vol. 2016, no. 81 (2016), p. 75-100
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- Description: With antecedents extending to 1886, CPA Australia is one of the world’s most significant professional accounting associations. Reflective of its long history and widespread influence, the organization holds an extensive and diverse archive that evidences both its own development and the general evolution of accounting and business practices. This article presents a case study of a project to digitize selected aspects of this archive. Informed by perspectives on managing archives in the digital era, the benefits and challenges of digitization are presented. A key benefit was enabling access to digital images while preserving rare and fragile original records and documents. However, challenges arose in prioritizing the items for digitization, and this necessitated the development of a model, taking the form of a decision matrix. The CPA Australia case study will be informative for other organizations seeking to use digitization as a means to overcome the dilemma associated with providing access to archival materials while also ensuring their preservation. © 2016, Association of Canadian Archivists. All rights reserved.
Development of a suicidal ideation detection tool for primary Healthcare settings : Using open access online psychosocial data
- Authors: Meyer, Denny , Abbott, Jo-Anne , Rehm, Imogen , Bhar, Sunil , Barak, Azy , Deng, Gary , Wallace, Klaire , Ogden, Edward , Klein, Britt
- Date: 2017
- Type: Text , Journal article
- Relation: Telemedicine and e-Health Vol. 23, no. 4 (2017), p. 273-281
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- Description: Background: Suicidal patients often visit healthcare professionals in their last month before suicide, but medical practitioners are unlikely to raise the issue of suicide with patients because of time constraints and uncertainty regarding an appropriate approach. Introduction: A brief tool called the e-PASS Suicidal Ideation Detector (eSID) was developed for medical practitioners to help detect the presence of suicidal ideation (SI) in their clients. If SI is detected, the system alerts medical practitioners to address this issue with a client. The eSID tool was developed due to the absence of an easy-to-use, evidence-based SI detection tool for general practice. Material and Methods: The tool was developed using binary logistic regression analyses of data provided by clients accessing an online psychological assessment function. Ten primary healthcare professionals provided advice regarding the use of the tool. Results: The analysis identified eleven factors in addition to the Kessler-6 for inclusion in the model used to predict the probability of recent SI. The model performed well across gender and age groups 18-64 (AUR 0.834, 95% CI 0.828-0.841, N = 16,703). Healthcare professionals were interviewed; they recommended that the tool be incorporated into existing medical software systems and that additional resources be supplied, tailored to the level of risk identified. Conclusion: The eSID is expected to trigger risk assessments by healthcare professionals when this is necessary. Initial reactions of healthcare professionals to the tool were favorable, but further testing and in situ development are required. © 2017, Mary Ann Liebert, Inc.
Latent scrutiny : Personal archives as perpetual mementos of the official gaze
- Authors: Wilson, Jacqueline , Golding, Frank
- Date: 2016
- Type: Text , Journal article
- Relation: Archival Science Vol. 16, no. 1 (2016), p. 93-109
- Full Text: false
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- Description: This article examines the significance, in the lives of those who experienced out-of-home care as children, of the archived records of their institutionalisation. The affective ramifications of accessing the records as adults are discussed, with especial focus on the records' capacity to revive past suffering. Drawing on the work of Bruner (Crit Inq Autumn 1-21,1991, Consumption and everyday life, Sage, London, 1997) and MacIntyre (After virtue: a study in moral theory, University of Notre Dame Press, Notre Dame, 1981), a 'narrative' model of the self is utilised to account for the negative effect of systemic flaws in the records' original composition. Such flaws, it is argued, have the potential to disrupt the individual's sense of self. Both the authors, who experienced out-of-home care as children, present their own experiences of accessing the records, as case studies. The records' manifold inaccuracies and inadequacies are interpreted in the light of prevailing welfare practices, in particular a highly damaging judgemental paradigm of gendered and moralistic assumptions of the inferior character of those in care. The authors conclude by arguing that research into the archives should involve the direct participation, as 'insider researchers', of those who experienced the matters contained in the records. Such participation is essential if the process of revealing and interpreting the archives is to maintain the dignity of the records' subject individuals, and ensure the integrity of the research. © 2015, Springer Science+Business Media Dordrecht.
Being savvy in cyberspace
- Authors: Greenway, Nikki , Miller, Charlynn
- Date: 2010
- Type: Text , Conference paper
- Relation: 6th Australian Womens Health Conference
- Full Text: false
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A review of cloud application assessment practices at the University of Ballarat
- Authors: Wilmott, Deirdre , Knox, Ian
- Date: 2012
- Type: Text , Journal article
- Relation: Education for Information Vol. 29, no. 3-4 (2012), p. 229-242
- Full Text: false
- Reviewed:
- Description: It has been suggested that traditional assessment practices in tertiary institutions tend not to equip students well for the processes of effective learning in a learning society [1]. This paper reviews alternative Internet based assessment practices used in Library, Business and Education courses at the University of Ballarat, Victoria, Australia in 2011.© 2012 - IOS Press and the authors
- Description: C1
A Chaotic field of practice: Financial reporting of the Library collections of Australia's public Universities, 2007-2011
- Authors: Carnegie, Garry , Sidaway, Shannon , West, Brian
- Date: 2013
- Type: Text , Journal article
- Relation: Australian Academic and Research Libraries Vol. 44, no. 4 (2013), p. 195-216
- Full Text: false
- Reviewed:
- Description: The accounting practices adopted by Australia's 36 public universities in accounting for their library collections - including heritage and special collections - are identified and analysed. The data is collected from a survey of these institutions' annual reports over the period 2007 to 2011 and the analysis is guided by theoretical perspectives drawn from new institutional sociology (NIS). Consistent with prior research by West and Carnegie (2010), accounting for university library collections is depicted as a chaotic field of practice. Inconsistent and idiosyncratic policies that compromise the overall reliability, comparability and usefulness of university financial reports are observed, along with instances of dramatic valuation adjustments. However, the beginnings of some amelioration of the chaos are also detected, as regulatory activity and a voluntary homogenisation of accounting policies begin to take effect. In particular, a general trend towards more conservative accounting practices is evident as universities perhaps seek to guard against accounting debacles - most notably massive valuation write-downs - of the kind that have been suffered by several institutions over the last decade. Assigning financial values to the library collections and other non-financial resources of not-for-profit public institutions remains a problematic issue. © 2013 Australian Library & Information Association.
- Description: The accounting practices adopted by Australia's 36 public universities in accounting for their library collections - including heritage and special collections - are identified and analysed. The data is collected from a survey of these institutions' annual reports over the period 2007 to 2011 and the analysis is guided by theoretical perspectives drawn from new institutional sociology (NIS). Consistent with prior research by West and Carnegie (2010), accounting for university library collections is depicted as a chaotic field of practice. Inconsistent and idiosyncratic policies that compromise the overall reliability, comparability and usefulness of university financial reports are observed, along with instances of dramatic valuation adjustments. However, the beginnings of some amelioration of the chaos are also detected, as regulatory activity and a voluntary homogenisation of accounting policies begin to take effect. In particular, a general trend towards more conservative accounting practices is evident as universities perhaps seek to guard against accounting debacles - most notably massive valuation write-downs - of the kind that have been suffered by several institutions over the last decade. Assigning financial values to the library collections and other non-financial resources of not-for-profit public institutions remains a problematic issue. © 2013 © 2013 Australian Library & Information Association.
The impact of web-based and face-to-face simulation on patient deterioration and patient safety : Protocol for a multi-site multi-method design
- Authors: Cooper, Simon J. , Kinsman, Leigh , Chung, Catherine , Cant, Robyn , Boyle, Jayne , Bull, Loretta , Cameron, Amanda , Connell, Cliff , Kim, Jeong-Ah , McInnes, Denise , McKay, Angela , Nankervis, Katrina , Penz, Erika , Rotter, Thomas
- Date: 2016
- Type: Text , Journal article
- Relation: BMC Health Services Research Vol. 16, no. 1 (2016), p. 1-8
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- Description: Background: There are international concerns in relation to the management of patient deterioration which has led to a body of evidence known as the 'failure to rescue' literature. Nursing staff are known to miss cues of deterioration and often fail to call for assistance. Medical Emergency Teams (Rapid Response Teams) do improve the management of acutely deteriorating patients, but first responders need the requisite skills to impact on patient safety. Methods/design: In this study we aim to address these issues in a mixed methods interventional trial with the objective of measuring and comparing the cost and clinical impact of face-to-face and web-based simulation programs on the management of patient deterioration and related patient outcomes. The education programs, known as 'FIRST2ACT', have been found to have an impact on education and will be tested in four hospitals in the State of Victoria, Australia. Nursing staff will be trained in primary (the first 8 min) responses to emergencies in two medical wards using a face-to-face approach and in two medical wards using a web-based version FIRST2ACTWeb. The impact of these interventions will be determined through quantitative and qualitative approaches, cost analyses and patient notes review (time series analyses) to measure quality of care and patient outcomes. Discussion: In this 18 month study it is hypothesised that both simulation programs will improve the detection and management of deteriorating patients but that the web-based program will have lower total costs. The study will also add to our overall understanding of the utility of simulation approaches in the preparation of nurses working in hospital wards. (ACTRN12616000468426, retrospectively registered 8.4.2016). © 2016 The Author(s).