Direct Benefits Research Articles

Machine Learning Supporting Virtual Reality and Brain–Computer Interface to Assess Work–Life Balance Conditions for Employees

The widespread adoption of the Industry 5.0 paradigm puts people and their applications at the center of attention and, with the increasing automation and robotization of work, the need for workers to acquire new, more advanced skills increases. The development of artificial intelligence (AI) means that expectations for workers are further raised. This leads to the need for multiple career changes from life and throughout life. Belonging to a previous generation of workers makes this retraining even more difficult. The authors propose the use of machine learning (ML), virtual reality (VR) and brain–computer interface (BCI) to assess the conditions of work–life balance for employees. They use machine learning for prediction, identifying users based on their subjective experience of work–life balance. This tool supports intelligent systems in optimizing comfort and quality of work. The potential effects could lead to the development of commercial industrial systems that could prevent work–life imbalance in smart factories for Industry 5.0, bringing direct economic benefits and, as a preventive medicine system, indirectly improving access to healthcare for those most in need, while improving quality of life. The novelty is the use of a hybrid solution combining traditional tests with automated tests using VR and BCI. This is a significant contribution to the health-promoting technologies of Industry 5.0.

Does the presence of a sustainability committee strengthen the impact of ESG disclosure on tax aggressiveness? Insights from North America

AbstractWe investigate the influence of ESG disclosure on tax aggressiveness within the North American Travel and Leisure (T&L) sectors, specifically examining the role of sustainability committees in this relationship. Our analysis utilizes longitudinal panel data from the USA B3000 and Canadian S&P/TSX indices over the period from 2010 to 2020. Employing fixed-effects panel quantile regression with two distinct measures of tax aggressiveness, our findings indicate that firms with a focus on ESG tend to display higher levels of tax aggressiveness. This suggests that some companies might use strong ESG performance as a facade to obscure aggressive tax strategies. Moreover, our research introduces new evidence that the existence of sustainability committees can both hinder corporate tax aggressiveness and foster an ethical corporate culture, which aligns higher ESG engagement with lower tax aggressiveness. Our study underscores the importance of fostering tax compliance in T&L companies, emphasizing that individuals and corporations, which often seek direct state benefits, regard robust public services as essential for encouraging adherence to tax regulations. Furthermore, sustainability committees play a crucial role in enabling firms to address broader social issues, including tackling tax aggressiveness, thus shaping their sustainability agendas.

Performance of cash transfer program on farmers’ livelihood: evidence from PM-KISAN scheme of India

IntroductionResearch into various aspects of vulnerability and poverty has played a key role in shaping cash transfer systems. Cash-based direct benefit transfers (DBT) are frequently discussed, as they help reduce corruption and limit intermediary involvement, which often impedes policy implementation in countries like India. Small and marginal farmers (SMFs), constituting 86% of India’s farming population, are essential for sustainable agricultural growth and ensuring food and nutrition security. The Pradhan Mantri Kisan Samman Nidhi (PM-KISAN) scheme provides Rs.6000 annually to the farmer families via DBT mechanism. Despite reports and information from various government sources, significant concerns remain regarding the performance of PM-KISAN scheme in improving living conditions of SMFs.MethodsFor having the highest number of SMFs, a research study was conducted in Bihar and Uttar Pradesh. Two cluster of villages from each of these two states were chosen by simple random sampling (SRS) method. An ex post facto research design was used; data was gathered from 240 SMFs, with 120 beneficiaries and 120 non-beneficiaries, using a stratified disproportionate simple random sampling technique. The study used 18 indicators related to livelihood assets—human capital, social capital, natural capital, physical capital, and financial capital—to generate a Livelihood Index (LI) through Principal Component Analysis (PCA).ResultsThe beneficiaries of the scheme had an average LI score of 0.396, while non-beneficiaries had a score of 0.366. Propensity Score Matching (PSM) was employed to compare the beneficiaries and non-beneficiaries in order to determine the impact of the scheme. In the Livelihood Index of beneficiaries, in comparison to non-beneficiaries, there was a significant improvement of 3.34 to 4.13 percentage points, according to the analysis, which utilized a variety of matching algorithms.DiscussionImplications from the study suggests that PM-KISAN should be integrated into a broader rural development strategy to maximize multiplier effects. By combining cash transfers with complementary initiatives like modern technology adoption and high-yield seeds, farmers can make productive investments that could enhance their livelihood status.

The influence of visual and auditory environments in parks on visitors’ landscape preference, emotional state, and perceived restorativeness

Various auditory and visual factors influence people’s perception and restoration experiences in the spatial environments. However, few studies have treated these factors as a comprehensive system phenomenon to reveal their integrated effects. Therefore, a specific explanation of the primary pathways and factors that contribute to the main effects of park soundscapes and visual features and the resulting perceived restorativeness remains unclear. The study surveyed 861 visitors in five urban parks in China and collected audiovisual information. Using Partial Least Squares Structural Equation Modeling (PLS-SEM), the research explored the direct, indirect, and moderating effects of common audiovisual environments in parks on perceived restorativeness, emotional states, and preferences. The results indicate that most natural-related visual and auditory factors provide direct benefits for people’s perceived restorativeness, emotional state, and preference. Additionally, certain landscape features and types of sound sources, such as trees and water sounds, have indirect effects on activating restoration through preference and emotion mediation. The study also reveals the moderating effects of landscape features and sound source types on emotional and perceived restorativeness. Another noteworthy finding is the significant relationship between bird songs and the positive impact on perceived restorativeness, emotional state, and preference, which is closely related to acoustic quality indicators. These findings offer new insights for creating urban park spaces through visual and auditory interactions.

Empowering Veterinary Herd Health Management: Insights into Education, Implementation, and Regulation Across Europe

In recent years, integrated veterinary herd health management (VHHM), improving animal health, welfare, food safety, public health, farm management, and economics, has become ever-more important in the European Union due to structural and regulatory advancements. A mixed-methods study analyzed the current state and gaps in VHHM education and training across Europe. Data from 41 European veterinary institutions showed that 83% (n = 34/41) offered VHHM education, either as standalone courses and/or integrated into other subjects. An online survey for veterinarians, primarily working with cattle, poultry, pigs, and small ruminants (75%; n = 86/114), assessed perceived training knowledge gaps and needs. The majority of respondents were unaware of VHHM training programs (69.4%, n = 43/62) or projects (59.6%, n = 59/99) and reported the biggest gaps in VHHM training certification (14%, n = 7/49), followed by soft skills (12%, n = 6/52) and demonstrating VHHM benefits to their clients (9%, n = 5/53). To conclude, while undergraduate VHHM education was generally adequate, enhancing post-graduate certified multi-species training opportunities, incl. soft skills VHHM training were perceived as essential. Our findings also underscored the urgent need for robust economic evaluations of preventive strategies across various animal species to allow veterinarians to better demonstrate VHHM’s direct and indirect benefits to farmers.

Analysis of Mangrove Forest Management in Teluk Lembar, West Lombok, Indonesia

Mangrove forests in Teluk Lembar, West Lombok, have an important role in ecological balance and socio-economic benefits. However, these ecosystems face pressure from land conversion for ponds, illegal logging, and pollution. This study aims to describe the condition of mangroves, analyze the socio-economic aspects of the community and the role of stakeholders, assess the value of direct benefits of mangroves, and formulate sustainable management strategies. The results showed significant biodiversity, with 14 species of mangroves and 53 species of fauna, including 44 species of birds. The bird ecological index showed diversity (H') 32, uniformity (E) 0.8, and dominance (D) 0.7, which signified ecosystem stability. However, a serious threat comes from the conversion of land for ponds, houses, factories, and ports. Of the 1703.19 ha of the total area area, only 179.44 ha (10.54%) of mangrove forests remain. Waste pollution, such as mercury and copper levels that exceed the limit, also negatively impacts the ecosystem. Based on the SWOT analysis, the proposed mangrove management strategy includes: (a) strengthening community capacity in mangrove management through training and education, (b) increasing collaboration between stakeholders to strengthen regulation and law enforcement, (c) optimizing economic benefits through the development of mangrove-based ecotourism, and (d) implementing sustainable management practices to maintain a balance between conservation and utilization

The Correlation of the Smart City Concept with the Costs of Toxic Exhaust Gas Emissions Based on the Analysis of a Selected Population of Motor Vehicles in Urban Traffic

The intensive development of road transport has resulted in a significant increase in air pollution. This phenomenon is particularly noticeable in urban areas. This creates the need for analyses and forecasts of the scale and extent of future emissions of harmful substances into the environment. The aim of this study was to estimate the costs of the emission of toxic components of exhaust gases generated by all users of conventionally propelled vehicles travelling on a section of urban road in the next 25 years. The traffic study was carried out on an urban traffic route, playing a key role for road transport in the dimension of a given urban agglomeration. The traffic forecast for the analysed road section was based on the results of our own measurements carried out in April 2023 and external data from the General Directorate for Roads and Motorways. The results of the observations concerned six categories of vehicles for the morning and afternoon rush hours. Based on the data obtained, the generic structure of the vehicle population on the analysed section and the average daily traffic were determined. Using the methodology contained in the Blue Book of Road Infrastructure, parameters were calculated in the form of annual indicators of traffic growth on the analysed section, travel speed, and annual air pollution costs for selected vehicle categories, remembering at the same time that the Blue Book-based methodology does not distinguish between unit costs in relation to the type of emissions. The results of the study confirmed that there was an increase in the cost of toxic emissions for each vehicle category over the projected 25-year period. The largest increases were seen for trucks with trailers and passenger cars. In total, for all vehicle categories, emission costs nearly doubled from 2024 to 2046, from EUR 3,745,229 to EUR 7,443,384, due to the doubling of the number of vehicles resulting from the traffic forecast. The analyses presented here provide an answer to the question of what pollution costs may be faced by cities in which road transport will continue to be based on conventional types of propulsion. In addition, the research presented can be used to develop urban mobility transformation plans for the coming years, within the scope of the widely promoted smart city concept and the idea of electromobility, by pointing out to local authorities the direct economic benefits of these changes.

Guru Inovatif dan Kreatif Berbasis Kearifan Lokal Menggunakan Aplikasi CANVA

Innovative and creative teachers can be trained through socialization and training activities for teachers. This activity aims to expand teacher knowledge and improve teacher skills in utilizing technology through the preparation and creation of teaching materials using the Canva application. The community service activities carried out by the PKM team of the Superior Human Resources Supporting Lecturer Program (PDPSU) at the State Elementary School located at Jl. Jawa 01, PAHANDUT, Pahandut District, Palangka Raya City, Central Kalimantan Province, have several stages, namely (1) Participation method, namely the community service team actively participates in providing knowledge socialization activities to teachers regarding the important role of teaching materials in learning, then material on how to utilize technology through the Canva application and link it to local wisdom; (2) Survey method, namely distributing questionnaires to training participants before and after implementation, as well as a satisfaction survey of community service partners and (3) Training, namely the community service team provides skills training to teachers to create teaching materials in the form of animated folk tales using the Canva application; (4) Activity Evaluation. This community service activity aims to produce innovative and creative teachers in compiling interesting teaching materials based on local wisdom. Partnership Program This activity can provide direct benefits to improving the human resources of Elementary School teachers in learning at school. Keywords: Innovative and creative teachers, Canva, Local wisdom

Public health effectiveness of cooling centres in adverse hot weather events: a systematic review

Abstract Background The 2022 heatwave in England highlighted the need for effective public health interventions like cooling centres in temperate climates where built-in air conditioning is uncommon. Aim To determine the impacts of cooling centres on heat-related health outcomes for users in temperate climates, assessing their effectiveness and identifying barriers to usage. Methods This systematic review analysed literature sourced from MEDLINE, Embase, Web of Science, CENTRAL, and Google Scholar from January 2010 to February 2023. Criteria for inclusion focused on studies evaluating health outcomes related to cooling centre use. Screening and quality assessments were independently conducted using the Mixed Methods Appraisal Tool. Results The review included six studies: three quantitative, three qualitative. Two were evidence synthesis of prior studies. No studies conclusively measured health and wellbeing outcomes directly after cooling centre use; instead, research emphasised user demographics, barriers, and facilitators. Common barriers included accessibility, operational hours, and public perceptions, which often misalign with user needs. Successful implementations were noted in centres integrated within community facilities like libraries or community centres. One modelling study suggested a number needed to treat to avoid one heat-related death of 1 million. The relevance of this is unclear as it was in a hotter climate with greater prevalence of air conditioning than in England. Conclusions While direct health benefits in cooler climates like England are poorly documented, cooling centres play an essential role in comprehensive heat response strategies. They offer potential social benefits and provide a cost-effective alternative to urban redesign. Future studies should aim to directly measure health outcomes and refine operational strategies to maximise benefits. Key messages • Cooling centres are crucial in comprehensive heat response strategies, yet direct evidence in cooler climates like England remains limited. • Integration with existing community services may significantly enhance cooling centre utilisation and effectiveness.

Easter eggs: Signaling quality via intrinsic motivation

AbstractEaster eggs are initially hidden elements of a consumer experience that have little direct commercial benefit for the brand. While Easter eggs may have been present in video games and software since the 1970s, they are now found in more and more consumer products such as cars, fashion, and fast food. This work explores the possible motivations for brands to include Easter eggs in their experiences by testing their effects on consumers during the post-purchase experience. It is found that Easter eggs serve as a new type of quality signal and positively affect perceived quality. The positive effect of Easter eggs on perceived product quality appears to be mediated by increased perceived intrinsic motivation of the brand’s employees. One study on Amazon.com reviews data on video games, and three online experiments on fashion, candy, and cars lend support to these hypotheses.

Research ethics implications in the development of personalised therapy for pediatric SIRS patients

Abstract Background Pediatric Systemic Inflammatory Response Syndrome (SIRS) presents diagnostic and therapeutic challenge that can be addressed through personalised therapy. Related ethical challenges are understudied. Our report aims at identification and analysis of research ethics implications within the bigger ERA PerMed funded project of development of tailored immunotherapy for paediatric SIRS patients (TIPS) coordinated by Prof. Catharina Schütz from Technic University Dresden. Methods A sample of 10 experts with different backgrounds was studied through semi-structured interviews. Systematic literature review grounded the interview questionnaire. The transcripts were subjected to thematic analysis by two independent researchers. Results Five classical research ethics issues were identified: respect for autonomy; informed consent; risk-benefits ratio; data protection; social justice. All experts favoured the empowerment of children (N = 10) and obtainment of informed consent rather than assent was seen as a common goal (N = 5). The emergency context of SIRS research impeded the informed consent. Despite favourable risk-benefits ratio, no direct benefits resulted to study participants. Data anonymisation though necessary (N = 10), hinders proper dealing with incidental findings. Social justice issues apparently accompanied research design in personalised medicine (N = 2) but should not extend to access to personalised therapy. Conclusions The classical framework of research ethics is challenged by the new fields of medical research. Traditional concepts, such as informed consent in minors, are subject to rethinking. Current ethical and legal guidelines fall short of proper practical instructions in the specific case of SIRS pediatric patients. Thus, ethical aspects of new technology development should always be studied in parallel to the biometrics within personalised medicine projects so as to the development of guidelines is more evidence-based than precautionary driven. Key messages • Current ethical and legal guidelines fall short of proper practical instructions in the specific case of SIRS pediatric patients. • Ethical aspects of new technology development should always be studied within personalised medicine projects so as to the development of guidelines is more evidence-based than precautionary driven.

Strategies to promote safety for sexual and gender minority youth in secondary schools: A longitudinal analysis.

In order to promote school safety for sexual and gender minority youth (SGMY), many schools implement strategies such as SGM-focused policies and gender-sexuality alliances (GSAs). Little is known about the effects such strategies have over time on feelings of safety at school for SGMY. Hierarchical Linear Models were conducted using longitudinal data from 417 SGMY attending secondary schools to examine trajectories of feelings of safety and the effects of SGM-focused policies, GSA presence, or GSA membership on feelings of safety. Findings indicate that SGM-focused policies and GSAs had direct benefits for safety at school SGMY, both independently and in combination; however, GSA membership was not. Schools should implement a combination of school strategies to promote safer environments for SGMY.

Grain quality attributes of an on-farm Thailand's highland rice germplasm directly beneficial to the farming households

Rice (Oryza sativa) from the highlands of Northern Thailand where the crop is predominantly planted with local varieties was examined for grain quality features having direct benefits for the local population. Un-husked rice seed provided by farmers of 10 minority groups had large grains, in contrast to the slender grain type found in the lowlands. The highland-grown rice directly benefits the local population by providing a higher dietary intake of Fe but not of Zn. The highlands have been identified as a rich source of pigmented rice with a high anthocyanin content and an environment favouring the production of premium quality rice. On-farm experiments confirmed the effects of genotype (G) and environment (E) and the G × E interaction on grain quality. The local rice with high grain Zn exhibited higher concentrations under the upland conditions, while the high anthocyanin variety produced greater levels under wetland conditions. The pigmented rice had a higher anthocyanin content at high altitudes than at lower altitudes. The information concerning the value of local rice germplasm benefits the local population and should facilitate more sustainable on-farm conservation efforts than rewards offered to the farmers from external funding sources.

Punishment or reward? Environmental information disclosure in Chinese listed companies based on evolutionary game systems

AbstractIn February 2022, the Chinese government implemented a mandatory environmental information disclosure policy for publicly traded corporations. To assess the factors influencing environmental information disclosure, we developed a tripartite evolutionary game system model based on strategic interactions between the government, enterprises and the public. Afterwards, we conducted a simulation to examine the systemic interaction equilibrium among the parties involved. Additionally, we assessed critical factor changes in decision‐making for three stakeholders: initial strategy selection, related policy subsidies, regulatory penalties and public incentives. Incorporating Gaussian white noise into the evolutionary game model enhances the realism of simulations, allowing for a more accurate representation of how random disturbances affect decision‐making among the government, the public and enterprises. The study reveals that the active participation of the public in information disclosure activities has a certain degree of substitution effect on the government's choice to regulate high‐quality information disclosure by enterprises actively. The penalty mechanism is more effective than the subsidy mechanism. The public's decision‐making process is susceptible to the direct economic benefits that enterprises can gain from disclosing low‐quality environmental information.

Data Ethics in Library Learning Analytics

Introduction: This study examines data handling and data ethics in library learning analytics research projects involving the use of data about students as library patrons, alongside a baseline evaluation of the benefits of library learning analytics to libraries practicing it. Methods: Citations were gathered via citation chain aggregation from the original Value of Academic Libraries report, then winnowed to projects with English-language artifacts documenting them, collection and/or analysis of library data about students, and a research question about the contribution of student library use to student success. Results and Discussion: Much of this research is reaching publication despite not employing best practices nor documenting respect for human-subjects research ethics, library-specific privacy and confidentiality ethics, and student data-privacy expectations. Very few projects create direct benefits to libraries. This result would not be possible without gaps or lapses in editorial processes, peer review, and upstream research guidance and ethics reviews. Conclusion: Ethics reforms are required at all stages of research and publication to prevent further unethical exploitation of patron data.

The Role of Sharia Financial Inclusion in MSME Development in Sumenep (Study at BPRS Bhakti Sumekar)

This research is intended to identify and evaluate the contribution of Sharia financial inclusion at Sharia People's Financing Bank Bhakti Sumekar to the development of MSMEs in Sumenep Regency with the dimensions of accessibility, use of products and services, and service quality. This study determined sample size followed the Roscoe formula. At least 40 MSMEs were customers of Sharia People's Financing Bank Bhakti Sumekar were obtained. To collect data, a combination of interview methods and questionnaire distribution were used. The data was analyzed using SPSS for instrument testing, descriptive statistics, multiple linear regression, classical assumption testing, and hypothesis testing. Results showed that simultaneously, the variables of accessibility, use of products and services, and service quality have a significant impact on the development of MSMEs. However, partial use of products and services does not have a big impact on the development of MSMEs. This is partly due to the limited public awareness regarding Sharia financing, as well as the frequent misuse of credit financing. The implications of this research can provide direct benefits of Islamic financial inclusion, such as easier access to financing, better financial management, and increased business capacity. This will ultimately contribute to improved MSME performance, regional economic growth, and community welfare.

Directionality in BiCROS hearing aids: an investigation of objective and subjective outcomes

Objectives To assess the effect of forward and omnidirectional microphone configurations in BiCROS versus monaural hearing aids on objective and subjective outcomes in different noise conditions. Design After fitting and a 4-week acclimatisation period, speech recognition and sound quality were measured using forward directional, omnidirectional, and unaided settings. Two noise configurations were used, surrounding noise and noise presented from the aided (better) ear. Subjective outcomes were assessed using the SSQ-b and BBSS questionnaires and participant interviews. Study sample Eighteen adult participants (mean: 74.6 y; range: 61–94 y; ten males, eight females) with mild to moderately severe SNHL in their better ear (PTA0.5–4khz > 20 dB HL) and limited usable hearing in their poorer ear (average PTA0.5–4khz > 100 dB HL). Results Significant improvement in speech recognition and sound quality for BiCROS and monaural directional settings over omnidirectional and unaided, in both noise configurations. There were no significant differences observed between monoaural and BiCROS directional settings. Conclusion Speech in noise recognition and sound quality scores demonstrated a significant directional benefit for both BiCROS and monaural directional fitting settings over omnidirectional and unaided conditions. Unique BiCROS-specific experiences were identified in a patient-oriented approach. These can inform the development of BiCROS-tailored tools.

Development of a center for automated equipment processing to transform the research enterprise configuration.

The strategy of centralizing equipment sanitation and processing was developed by a top-tier public university to address the growing physical infrastructure and human resource challenges of its expanding in-vivo research enterprise. Subsequently, a center for automated equipment processing physically separate from all animal research facilities was developed and has operated consistently since 2016. The facility incorporates systems such as process automation to sanitize and sterilize equipment as efficiently as possible. Analysis of the differences between the new centralized and old distributed research enterprise configurations shows a total estimated fiscal benefit of almost US$54 m to date projected out to US$124 m through 2028. Utility consumption of operations over nine years in the new configuration was estimated to be decreased by over 125 million gallons of water, 14 million gallons of chilled water, 121 million pounds of steam, and almost 3.6 million kilowatts of electricity, with consumption savings significantly increased projected out to 2028. Additional operational and organizational benefits as well as direct research benefits were identified. The new configuration has functioned for nine years without detectable cross contamination within the research enterprise thus providing evidence that the location of equipment processing can be less of a "microbial" risk factor than previously attributed.

Nilai Ekonomi Pengelolaan Hutan Lindung Blok Kawae KH. Maria/RTK 25 BKPH Maria Donggomasa Dinas LHK Provinsi NTB

One part of the Sari watershed, which was a strategic area for Bima City, was the Kawae Block protected forest area. This forest area acted as a catchment area for the Bima City Region and supports the lives of the people of Wawo, Bima Regency and its surroundings. In the last decade, the Kawae Block protected forest area has come under pressure from vulnerability in several ways, especially pressure from destruction due to illegal logging and encroachment on forest areas for farming of seasonal crops (corn). The aim of this research were to analyze the factors that directly cause damage and the economic value of damage as well as the economic value of potential natural resources in the Kawae Block Protected Forest Area. This research was conducted in the Kawae KH Block Protected Forest Area. Maria/RTK 25 BKPH Maria Donggomasa Provincial LHK Service. NTB with an area of 1,500 hectares. The sample used was 210 respondents. The variables used in this research were the price value of NTFPs and the price value of water to calculate the value of direct benefits of forest areas, ecological benefits, flood control and carbon emission reduction/carbon credits to calculate the value of indirect benefits of areas and the value of biodiversity to calculate the value of selected benefits. Data analysis was carried out for regional economic valuation using the total economic value valuation method (Total Economic Value). The research resulted in the factors that directly cause damage to the area; they were land burning, encroachment on areas for agricultural land for seasonal crops/corn, excessive community management, rosewood theft/illegal logging and opening of farming roads. Meanwhile, the total economic value of the HL Kawae Block area was IDR. 61,135,306,500,-. The economic value resulting from sustainable forest management is much more profitable than the results of cultivating seasonal crops (especially corn).

Risk-benefit analysis of a multi-site radiographer comment model for emergency departments.

Critical/urgent X-ray findings are not always communicated in an appropriate time frame to ED physicians. The practice of radiographers alerting referrers to clinically significant image findings (verbally, via image flags or written comment) is noted internationally but risk assessment data is unavailable in the literature. A hybrid radiographer comment and alert model was piloted in New South Wales and a risk-benefit assessment conducted for timely and safe communication of abnormal X-ray appearances to ED physicians. Radiographer comments (n = 1102) were provided to five New South Wales EDs by 69 radiographers for a period of 3-12 months. Site auditors classified comments as true positive (TP), false positive (FP) or indeterminate (ID) with respect to the radiology report. FP comments were investigated with ED referrers and a low-medium-high-risk assessment was provided by two independent reviewers. A total of 42 FP (3.9%; 95% confidence interval [CI] 2.9-5.3) comments were analysed for any adverse outcomes. Risk assessments demonstrated 37 low, 5 low-moderate and no high-risk cases. A total of 282 direct or potential patient benefits were identified (26.4%; 95% CI 23.8-29.1). A total of 42 radiology report discrepancies were incidentally found: (3.9%; 95% CI 2.9-5.3). Audit results demonstrated areas where the radiographer comment could mitigate risk. The provision of radiographer alerts with a written comment for ED was found to be low risk to patients in the pilot study. Radiographers communicating directly with the emergency team when abnormal image appearances are detected can reduce diagnostic error and improve patient safety and health outcomes.