Planning Documentation Research Articles

The Effect of Application of Discharge Planning Seci Model on The Completeness of Discharge Planning Documentation for Tuberculosis

Background: The implementation of discharge planning must be documented completely. Preliminary study found that 90% of discharge planning implementation is not documented. The weakness of the intervention that has been done by previous researchers is that it does not focus on increasing the completeness of documentation, especially on the documentation of discharge planning, the application of discharge planning based on knowledge management SECI model as an intervention applied to improve the completeness of documentation on discharge planning. Objectives: The purpose of this study was to determine the effect of discharge planning based on knowledge management SECI model on the completeness of documentation of discharge planning for tuberculosis. Methods: This research is quantitative research with quasi-experimental approach with post-test only design with nonequivalent control group. The number of samples was 34 medical records with a diagnosis of pulmonary TB, each of which consisted of 17 samples in the control group and 17 samples in the intervention group. The intervention in this research is the implementation of discharge planning based on knowledge management SECI model. The data were taken using the discharge planning SECI model observation sheet and the documentation completeness observation sheet which had been tested by expert and analyzed using the Mann-Whitney test. Results: The results showed p value is 0.000 < 0.05. Conclusion: Application of discharge planning based on knowledge management SECI model has a significant effect on the completeness of documentation of discharge planning for tuberculosis (TB). Nurses must become to manage knowledge, good time management, and be a role model in providing nursing care.

РОЛЬ ИНФОРМАЦИОННОГО ОБЕСПЕЧЕНИЯ В МОДЕЛЯХ ПРОГНОЗИРОВАНИЯ ПОТОКОВ ПАССАЖИРОВ И ТРАНСПОРТА

The paper shows the influence of a number of parameters and restrictions used in mathematical models for predicting the intensity of passenger traffic in urban agglomerations. Such parameters can be the characteristics of the systems of settlement and distribution of service places, the speed characteristics of the transport network. The article describes the results of experimental calculations of flow distribution parameters on the example of the St. Petersburg agglomeration. The necessity of practical calculations in the development of design solutions in the documentation of strategic, territorial and transport planning is proved subject to the specific features of the functioning of all social and transport systems of the city.

Technology everywhere! But who’s got the time? The influence of time pressures on technology integration in Australian secondary mathematics

Over the past 30 years, teachers have been urged to increase their use of digital technology in the classroom. However, mathematics teachers have been slow to integrate ICT, even though mathematics is naturally aligned with technology. While researchers have documented a variety of time and other related factors that contribute to this resistance, there has been little in-depth analysis of teacher reasoning that inhibits technology integration in mathematics. This article presents four case studies of secondary mathematics teachers employed in Australian schools that investigates the adverse effects of time pressures in not only inhibiting a teacher’s desire to use technology but removing as an option altogether. Data was collected in the form of interviews, lesson planning documentation and notes from observation lessons. Thematic analysis was used to determine how time pressures inhibited participants ability to use technology in their pedagogy. Three time-related obstacles were identified. The first was a lack of time to prepare lessons, the second was content-laden syllabuses and finally, the need to prepare students for traditional assessments. Participants claimed that these obstacles often proved too great to overcome, causing them to abandon any use of technology. This article argues that when the obstacles to technology integration are perceived as too difficult to overcome, it is not enough to provide poorly targeted professional learning or encouragement to work harder to integrate technology. Rather, existing time pressures must be alleviated in terms of workload and syllabus demands if we want to remove the inhibitors to technology integration in mathematics.

EFFICIENCY EVALUATION OF INTERSECTIONS AND INTERCHANGES OF THE URBAN STREET NETWORK IN UKRAINE USING TRANSPORT MODELING

The article examines the current problems of transport modeling using to evaluate the efficiency of intersections and interchanges in a saturated by traffic flows urban street network in conditions of limited resources. It was found out that current urban planning documentation in Ukraine is oriented towards working with unsaturated by traffic flows urban street network, and the main efficiency indicator now is the capacity. It has been proven that the efficiency of the urban street network depends on the efficiency of its components – intersections, interchanges, and links. Due to the permanent redistribution of the traffic flows, intersections and interchanges have a greater impact on the urban street network efficiency. In turn, the efficiency of the intersections and interchanges is determined by their project solutions. It was concluded that it is possible to evaluate the efficiency of the intersections and interchanges on the urban street network using the total delay time for cars. Accordingly, the criterion for evaluating the efficiency of the intersections and interchanges is the reduction of this indicator. The computer experiment showed that the reduction of delay time for cars at intersections and interchanges in saturated by traffic flows urban street networks does not necessarily mean a decrease in the total delay time for cars. At the same time, a decrease in the total delay time for cars may stimulate demand for additional car trips, which will lead to an increase in the total delay time for cars due to an increase in the number of cars in the urban street network. It is justified that the choice of efficiency criteria should be approached responsibly and carefully especially in conditions of limited resources.

It's the little THANGS: Recording frequently unreported errors for dosimetry quality improvement

The reporting of errors resulting in dose deviations are well-studied. Less studied is the amount of inconsequential errors that will not harm the patient but could lead to inefficiency. This paper reports an institutional effort to quantify and reduce these less significant errors. Dosimetry items discovered during physicist plan/record and verify (R&V) check prior to treatment were recorded in a shared document and called Therapy Anomaly Gathering System (THANGS) and individual items were called a “thang.” Items were categorized to 1 of 4 types: Treatment Plan, Plan Document, R&V, and Secondary MU. The aggregate numbers were presented to the dosimetry staff at regular staff meetings. It was emphasized to the staff that this was a Quality Improvement (QI) study and would not be used punitively. Thangs were tracked over a 4-year period. In Q1 of year 1 of the study, the average number of errors identified was 179/month. This was reduced to 114/month by Q4 of year 1 and 68/month by the end of year 4, a 62% reduction. The number of errors/plan in Q1 Year 1 was 1.25, and that was reduced by Q4 Year 4 to 0.4, a 68% reduction. The percentage of errors by type did not vary much over the 4 years. By far, R&V errors were the most common, and QI efforts were primarily aimed at them. We have developed a simple method to identify areas in dosimetric work that are vulnerable to minor errors and, through consistent reminders, drastically reduce them. This leads to a seamless throughput for a given plan ultimately resulting in improved physics, therapist, and most importantly patient satisfaction.

Applications of automated Petrel workflows in 3D reservoir geologic modelling – A case study

AbstractMature fields have been playing a significant role in the oil and gas realm recently, and redevelopment and optimization efforts are being made globally to prolong the lifetime of these resources. The aim of this study is to showcase the benefits of hydrocarbon reservoir modelling, with a special focus on various aspects of Petrel workflows.This article is a direct continuation of Nemes et al. (2021), which described the Phase 1 geomodel of the same field described in this study. The Phase 2 geomodel – the scope of the current article – is based on a significantly more complete, more detailed, and fundamentally rebuilt dataset compared to Phase 1. The seismic and petrophysical interpretations were updated, and additional data sources were incorporated into the analysis.The geomodel was created in Schlumberger's Petrel software, and during the building of it, a comprehensive 800-plus-step, full-cycle, automated workflow was outlined. The created workflow makes the model update faster by a minimum of five times, makes it more transparent and decreases the risk of human error.The created workflow describes the entire geomodelling process from data loading, via surface adjustments, structural modelling, and property modelling, to a closing of the loop with volumetric calculation. The whole workflow can be rerun easily, and beside the updates made to the geomodel, a full range of quality-check supporting calculations and visualizations were created in order to provide the user with full control.The geomodel showcased here is a key building block of the ongoing and planned development and redevelopment activities in the field, serves as a tool for well and workover planning, water injection system adjustments and a direct input to dynamic simulation, and also provides direct inputs to the documentation of an updated field development plan.

Analisis Pengaruh Desain Pembelajaran Berbasis Teknologi Informasi dan Persepsi Guru terhadap Hasil Belajar Sejarah Kebudayaan Islam Siswa Madrasah Tsanawiyah Islam Terpadu Bogor

This article attempts to analyze the influence of information technology-based learning design and teacher perceptions on Islamic Cultural History learning outcomes. Judging from the results of the documentation of the teachers' Learning Implementation Plan (RPP) at the Bogor Integrated Islamic Tsanawiyah Madrasah, it is in accordance with the RPP format of the independent curriculum. Learning by utilizing ICT is an urgent need and a demand to increase the effectiveness of the Islamic Religious Education learning process. Through learning interactions that utilize the internet network, the potential for creating more effective learning in the subject of Islamic Cultural History can be realized. The aim of this research is to analyze the influence of information technology-based learning and teacher perceptions on the learning outcomes of the history of Islamic culture at the Bogor Integrated Islamic Tsanawiyah Madrasah for the 2022-2023 academic year. This research uses a quantitative research design with the SEM method and Smart-PLS approach. Calculation results using Smart-PLS software explain the data results based on assessment questionnaire data. The goodness value of the R-Square model from the SEM calculation is that the Islamic Cultural History Learning Outcome has a value of 0.725. In the F-Square section, Learning Design has a value of 1.401 while Teacher Perception has a value of 0.015.

Energy transition implications for Bolivia. Long-term modelling with short-term assessment of future scenarios

The global imperative of achieving carbon neutrality by 2050 to mitigate climate change has intensified the focus on the energy sector, given its significant contribution to GHG emissions. Like many other countries, Bolivia has set official goals for transitioning its energy sector. However, these still require robust planning and technical documentation to become a reality.To better understand the effects of the transition process, a long-term optimization model (OSeMOSYS) was developed for the period 2020–2050. This model analyses the evolution of energy consumption, emissions, and required investments under alternative conditions. Additionally, a dispatch optimization model (Dispa-SET) was used to validate the technical feasibility of these scenarios periodically. Linking results from both models helps address limitations in the long-term model and determine a margin of error in its simulations.This study explores three scenarios: Business as Usual (BAU), Mixed Policies (MP), incorporating policy-based measures, and Carbon Neutrality (CN), assuming a 95 % reduction of carbon emissions. Results suggest that adopting energy transition measures could reduce the system's overall cost in the long term. However, achieving this would require major investments, especially at the power generation level. Relative to BAU conditions, the MP scenario expects an 80 % reduction in emissions by 2050, but requiring discounted investments 3.5 times higher. The CN scenario would require even larger investments, with an average yearly undiscounted cost of 2700 million USD between 2020 and 2050, similar to 7 % of the current national GDP of Bolivia. These results highlight the significant challenge of transitioning Bolivia's energy sector.

Spiritual care support of goal concordant care in the oncologic emergency setting.

274 Background: Many patients admitted through emergency departments are near the end of life. Patients who have previously indicated that they do not wish for advanced resuscitation efforts are often admitted to the hospital with a presumption of full code status. Documentation of goals of care discussions (GOC) increases the likelihood of receiving goal concordant care during the ensuing hospitalization. In the fast-paced environment of emergency care, physicians often hesitate to introduce these critical conversations. Healthcare has evolved beyond the physician–patient dyad, it includes a variety of professions. A multi-disciplinary team including physicians, nursing, social work, and spiritual care providers (SCPs) was established to improve compliance of documenting goals of care. Methods: This quality improvement project was initiated in the institution's Acute Cancer Care Center. SCPs, a previously underutilized resource, were enlisted to assist in GOC discussions and advance care planning (ACP) documentation on patients who had previously elected do not resuscitate/do not intubate (DNR/DNI) status. The goal was to increase ACP documentation for these patients by 50% over baseline. The project employed a Plan-Do-Study-Act technique. Patients who had a history of DNR/DNI were automatically identified upon arrival to emergency care based on any of 4 criteria extracted from the electronic medical record: 1) History of DNR order within the past year; 2) advance care plan notes documenting the patient is not “full code”; 3) out of hospital DNR; and 4) previous discharge to hospice. Track boards were updated across multiple disciplines (attending physicians, SCPs, nursing and social work) to identify these patients. SCPs rounded on identified patients who were expected to be admitted based on discussions with nurses/attending physicians. They met with patients to provide support while confirming/updating their goals of care. This allowed attending providers to more easily confirm the patient’s wishes and place appropriate documentation/orders. The project took place during May 2023, using April 2023 as baseline data. Results: The goal of a 50% increase in ACP compliance was exceeded. In the month of April, 25 of 131 identified patients had ACP notes. In May 55 of 151 identified patients had ACP documentation. This represents a relative 89% increase in ACP documentation. An increase in DNR orders was also noted (table). Conclusions: SCPs can serve as a resource for establishing and documenting goals of care for patients in the emergency care setting. Collaborating with SCPs can increase compliance with local and national GOC initiatives.[Table: see text]

Characteristics of patients utilizing general inpatient (GIP) hospice.

236 Background: GIP hospice acute care is an inpatient designation for patients (pts) with terminal illness and clinical need to manage uncontrolled symptoms that cannot be managed in other settings. We recently revised hospital workflows to streamline GIP enrollment when appropriate. This study investigates the GIP utilization patterns and characteristics of pts with cancer on GIP. Methods: In December 2022, in collaboration with a consulting hospice program, we revised hospital workflows to improve access to and increase provider and pt awareness about GIP hospice for eligible pts at our academic cancer center. In this study, we review the use of GIP services in hospitalized pts with cancer since the revised workflow. We investigate pt demographics, care utilization (chemotherapy use, hospital readmission) and advanced care planning (ACP) documentation. All data presented are descriptive. Results: A total of 44 pts with cancer enrolled in GIP hospice between 12/2022 and 5/2023 after workflow optimization. This rose from 9 pts in the preceding 6 months prior to revised workflow. Median age was 67 years (range 29-90); 57% were male; 41% were White, 34% were Asian, 5% were Black, and 18% were Other Race; 18% had a hematologic malignancy, and all other pts (82%) had metastatic solid tumors (gastrointestinal, genitourinary, and thoracic diseases most prevalent). 82% listed English as the primary language, and 11% needed an interpreter. 48% had Medicare, 16% had Medicaid, and 36% had private insurance. 98% of the pts had uncontrolled pain as the predominant symptom necessitating inpatient hospice. Among enrolled pts, 98% died on GIP, with a median length of stay preceding GIP of 11.5 days and 2 days on GIP. 39% of pts transitioned to GIP during their first hospitalization within 90 days of death, while 52% had hospital readmissions with a median of 2 admissions in the 90 days prior to death. 18% (8/44) received chemotherapy within 30 days of death (38% [n=3] with curative intent). Notably, the median length of time pts had been followed by their outpatient oncologist was 22 months, and only 18% had fewer than 3 months history at our cancer center. 48% utilized outpatient palliative care prior to death. ACP documentation was completed for 61% of pts (45% with documented prognosis), though only 27% had any documentation by their primary oncologist. Conclusions: Our pilot to identify pts eligible for GIP who could benefit from this care at end of life was successful in increasing utilization of this service. Most pts dying in the hospital on GIP had metastatic solid tumors, with two hospitalizations in the months prior to death. Most pts also had a well-established relationship in the oncology clinic but still had no prior utilization of hospice and only benefitted from a median of 2 days on GIP hospice prior to death. Additional data is needed to understand perspectives and barriers to utilization of outpatient hospice and palliative care resources.

Evaluation of landscape qualities with development guidelines of the Fužine municipality

Abstract The landscape of the municipality of Fužine is characterized as a mountainous landscape of rural settlements. The area faces problems of depopulation and pressures of tourism development on the environment. Basic premise of this paper is derived from the assumption that the values of the landscape are not fully recognized and can become endangered due to implementation of development projects. The aim of the paper is to identify highly valuable areas of the municipality‘s landscape in order to create guidelines for the development of the area, along with the project program that will preserve important features. The analysis of spatial planning and strategic documentation provides an overview of developmental guidelines, the position of planned interventions, the goals and visions of the progress of the municipality. The landscape evaluation is carried out through analysing the factors of the landscape – natural, anthropogenic and structural – with the available literature and spatial data. The product of analysis and evaluation are models, created using the GIS tool of the QGIS application. Based on the analysis, landscape quality modelling was carried out with the ProVal2000 program, where the factors were grouped in order to evaluate the natural-ecological, social-cultural and visual-experiential qualities of the landscape, with combined quality model indicating where the most valuable spatial zones with high quality landscape features are.

Perceived Value of Advance Care Planning Documents in the Electronic Health Record: A Qualitative Study of Chief Medical Information Officers, Clinicians, and Patients with CKD

Perceived Value of Advance Care Planning Documents in the Electronic Health Record: A Qualitative Study of Chief Medical Information Officers, Clinicians, and Patients with CKD

Enhancing Language Acquisition: A Case Study of TESL Lesson Plans in an International School

The fourth goal in Sustainable Development Goals (SDG) spells out Quality Education that demands teachers across all disciplines to teach effectively. The available literature suggests that teaching effectiveness starts from good planning, which should be evident in the documentation of lesson plans. However, when it comes to English teachers, their demanding roles that are attributed to the value-laden content, the grading of essays, the performance pressure of high-stake testing, and the requirement of culturally appropriate pedagogies (Loh & Liew, 2016) have caused the practice of writing lesson plans to be challenged, causing the effectiveness of the teaching to be jeopardised. English teachers in international schools are not exempted from facing this problem, yet little studies have been done on the teachers in this context. To achieve the purpose, this research adopts a case study design using document analysis and semi-structured interview to collect the data. The data were analysed quantitatively using a lesson plan rubric by Student Teacher Assessment Instrument (STAI) and thematic analysis, respectively. The study unveils that the teachers had a moderate level of lesson plan, suggesting a need for further support in lesson planning. The findings of this study will be helpful for English. Teachers understand the importance of writing an effective lesson plan as it has a high possibility of enhancing teaching effectiveness.

CADASTRAL SYSTEMS AND LAND STRUCTURE IN URBAN PLANNING: OPTIMIZATION OF LAND USE AND URBAN PLANNING

The article is devoted to the study of the role of cadastral systems and land management in urban planning. The authors consider ways to optimize land use and urban planning based on the integration of modern cadastral tools. Potential advantages and opportunities provided by cadastral systems for effective management of urban territories, ensuring their sustainable development and taking into account ecological, economic and social aspects are analyzed. The article examines the relationship between cadastral systems and land management in the context of urban planning. The main attention is paid to the optimization of land use and urban planning with the help of modern cadastral technologies. Key principles by which cadastral information can contribute to a more rational and efficient distribution and use of land resources in urban conditions are considered. In addition, the article discusses the importance of cadastral systems in the formation of urban planning strategies and plans for the development of settlements. Formation of land relations, peculiarities of urban development. The theoretical foundations were studied and made it possible to develop an integrated environment for urban land use. This environment combines methods and models of observation, processing and use of geodata, implementation of urban planning documents, assessment of the dynamics of urban objects, identification of inconsistencies, their detection and correction, as well as methods of monitoring the development of urban territories, taking into account their economic, social and legal context. The relevance of the application of geoinformation systems is noted in connection with the complexity of urban planning documentation, a large volume of data and problems of management and distribution of urban land resources. Such systems are considered as a comprehensive solution aimed at optimizing decision-making processes in urban planning and land use. The article focuses on the need to integrate modern technologies into the urban planning process to achieve sustainable development of cities and harmonious interaction between man and the environment.

Improving weekend handover in a teaching hospital elective general surgery department.

Effective documentation and transfer of clinical information are vital for the continuity of care, patient safety, and maintaining medico-legal records, as outlined by the Royal College of Surgeons "Safe Handover: Guidance from the Working Time Directive working party". Our elective surgery weekend team cross-covers both Colorectal and Upper Gastrointestinal surgical specialties across multiple wards, which poses a significant challenge. The aim of this study was to improve the documentation of patients' weekend plans through the introduction of a weekend handover proforma. We reviewed the weekend plans of 199 patients overall. 41 records were initially reviewed over a 2-week period. The surgical multidisciplinary team was then surveyed to establish the need for an improved weekend handover. Following this, a weekend handover proforma was introduced as part of the Friday ward round and education on the expectations were provided at a local Surgery Clinical Governance meeting. The documentation of the weekend plan was reviewed for 158 patients over a 6-week period and a post-intervention survey was disseminated. The preliminary survey highlighted concerns for delayed discharges and patient safety over the weekend, with 88.2% of respondents agreeing a weekend handover proforma would be beneficial. The initial data confirmed inadequate documentation of diagnosis (19.5%), operation/procedure (28.1%), and weekend plans for blood tests (19.5%), discharge planning (2.4%), diet (46.3%), antibiotics (19.5%), intravenous (IV) fluids (22.0%), mobility (19.5%) and drain/wound care (37.5%). After education and implementing a weekend handover proforma, these results increased for documentation of diagnosis (61.2%), operation/procedure (83.2%), blood tests (59.7%), and discharge planning (85.8%). However, there was little improvement in diet (53.0%) and no improvement in the weekend plans for antibiotics (14.2%), IV fluids (17.2%), mobility (14.9%) and drain/wound care (20.2%). The post-intervention survey showed an improvement across all areas, notably continuity of care and patient safety, with 95.5% of individuals finding the weekend handover proforma aided in patient care over the weekend. Education of the ward team and implementation of a weekend handover proforma resulted in a marked improvement in the documentation of patients' weekend plans, which is essential to ensure the continuation of safe and effective patient care.

SAT103 Strategies To Enhance Insulin Pump Backup Plan Delivery: A Quality Improvement Project

Abstract Disclosure: P. Krutilova: None. S. Blount: None. A. Carvalho: None. A. Cedeno: None. K. Jones: None. I. Malik: None. S.A. Maraqa: None. A. Markov: None. A. Martirossian: None. M.C. Petersen: None. R.L. Usala: None. N. Genere: Research Investigator; Self; Fractyl Laboratories. Background: Continuous subcutaneous insulin infusion (“insulin pump”) use is associated with improved glycemic control, greater quality of life, and reduced hypoglycemic events. However, failure to properly identify and respond to insulin pump malfunction can cause adverse events, including diabetic ketoacidosis. Professional society guidelines recommend the use of insulin pump backup plans in the event of pump failure, but plan details are determined by individual clinicians and practices. We identified inconsistent implementation of insulin pump backup plans within our Diabetes Center and undertook a quality improvement project to (1) standardize backup plan documentation and (2) evaluate the extent to which these efforts improve patient confidence in their personalized backup plan. Methods: Retrospective review of the electronic medical record was performed to evaluate whether all necessary components of an insulin pump backup plan [abbreviated as “WIS”, including (1) Written backup plan with dosing, (2) intermediate or long-acting Insulin prescription, and (3) appropriate Supplies], were documented prior to the intervention. Clinician and patient surveys were completed to gather insights into existing backup plan practices. We then developed a ‘Backup Plan’ document with troubleshooting tips and patient-specific dosing of subcutaneous insulin. We assessed several interventions for increasing utilization of the ‘Backup Plan’ using surveys. Results: In a baseline assessment of 89 patients using insulin pumps, 53% had a documented backup plan and 33% had all WIS components. Certified Diabetes Care and Education Specialist (CDCES) visits were the most common source of pump backup plan documentation and CDCES involvement in care was associated with higher likelihood of successful WIS components (53.3% vs. 11.4%, p <0.001). Yet, only 39% of patients had a CDCES visit within the past year. Of 20 patients surveyed, 85% reported confidence in using their backup plan, but only 50% were able to recall specific insulin dosing. Among several interventions, we found that only personalized training for clinicians improved implementation of the ‘Backup Plan’ document, and none of the interventions increased CDCES referral frequency. Barriers to CDCES visits included patient preference, scheduling constraints, and referral order complexity. Conclusion: We identified low rates of insulin pump backup plan documentation in our practice and identified CDCES engagement as a key factor for backup plan implementation. We developed standardized pump backup plan documentation and implemented it using personalized training of clinicians. In the future, we will pilot a multidisciplinary diabetes technology clinic with allocated time for both clinician and CDCES visits and evaluate frequency of successful pump backup plans through retrospective chart review and patient surveys. Presentation: Saturday, June 17, 2023

ИНДИКАТОРЫ ТЕРРИТОРИАЛЬНОГО И ПРОСТРАНСТВЕННОГО РАЗВИТИЯ РЕГИОНОВ

A cross-section of modern evaluation scales of the spatial organization of regional and urban systems is presented, focused on ensuring sustainable, information technology, architectural and urban development of the living environment of people. Theoretical models of unified indexing of the territorial and spatial organization of regions are proposed, corresponding to the current regulatory framework and priority scientific research in the field of criteria of spatial development of regions and their parts, as well as a table of correlation of differences in the conditions of spatial development of regions. The task of "developing the scientific foundations and methodology of the human habitat quality assessment system", including at the regional level, is included in the List of priority areas for the development of applied sciences and exploratory research of the RAASN and the Ministry of Construction of Russia. The methodological basis of the research is the principles of a systematic approach to urban planning, corresponding to the laws of goal-setting, construction and development (implementation) of complex systems. The practical significance of the research lies in the use of the main results of the work in the urban planning support of the spatial development strategy of Russia in terms of the application of its provisions in the preparation of regulatory requirements for urban planning documentation in the field of spatial and territorial planning of the development of regions and agglomeration forms of settlement; in the educational process of preparation in the areas of "Architecture" and "Urban Planning".

THE PREREQUISITES FOR CREATING A GEOSPATIAL DATASET OF THE STATE CADASTRE OF NATURAL TERRITORIES OF RESORTS

This article analyzes the key issues of the current state of geospatial data in the State Cadastre of Natural Areas of Resort, establishes requirements for the data and metadata of this cadastre, taking into account the current legislation in the field of National Spatial Data Infrastructure (hereinafter – NSDI). The authors have formulated and proposed some solutions for creating a set of geospatial data for the State Cadastre of Natural Areas of Resort, as well as a methodology for forming this dataset in terms of the boundaries of state-level resort areas, their districts, and sanitary (mining-sanitary) protection zones, considering existing urban planning and land management documentation. The research results will provide developers of planning documentation with baseline data and ensure compliance with restrictions on the use of natural resources within resort area districts. Additionally, the need for geospatial data on artesian wells located within resort territories has been identified with the aim of restoring the boundaries of the first sanitary (mining-sanitary) protection zone. The processing of the research’s initial data was carried out in the geoinformation environment of QGIS software, as well as in Digitals software.

GENERAL STRATEGIC CITY PLANNING DESIGNING AND PROBLEMS OF PLANNING MANAGEMENT FOR SETTLING (the second part : problems, hindrances concerning their solution, actual targets and technological demands to the content of city planning documentations)

GENERAL STRATEGIC CITY PLANNING DESIGNING AND PROBLEMS OF PLANNING MANAGEMENT FOR SETTLING (the second part : problems, hindrances concerning their solution, actual targets and technological demands to the content of city planning documentations)

Comparison of medical documentation between pharmacist-led anticoagulation clinics and physician-led anticoagulation clinics: A retrospective study

Background and objectivesHigh-quality documentation is critical in medical settings for providing safe patient care. This study was done with the objectiveof assessing the standard of medical records in anticoagulation clinics andinvestigatingthe distinctions between notes written by pharmacists and physicians. MethodsA retrospective cross-sectional analysis of data from electronic health records (EHRs) was performed on patients who received anticoagulation and were observed at anticoagulation clinics from October to December 2020. Patients were monitored in two anticoagulation clinics, one administered by pharmacists and the other by physicians. The quality of the documentation was assessed using a score, and the note was assigned one of five categories according to its score: very good, good, average, poor, and very poor. The data was analyzed using Stata/SE 13.1. P value<0.05 was considered significant in all analytical tests. ResultsA total of 331 patients were included. While 160 patients (48.3%) were followed by the physician-led clinic, 171 (51.6%) were by the pharmacist-led clinic. The average age of the patients was 54 ± 15. 60.73% of them were female, and 90.3% of them were Saudi nationals. Warfarin was the most widely used anticoagulant (70%), followed by rivaroxaban (15.7%). Compared to physicians, pharmacists demonstrated very strong documentation (54% vs. 18%). The examination of the variables considered in the study revealed that physicians had significantly less drug-drug interaction documentation (17 vs. 71times) or drug-food interaction documentation (23 vs. 71times) than pharmacists. In terms of follow-up frequency, pharmacists were found to adhere to the clinic protocol (150 times) more frequently than physicians (104 times). However, there was no significant difference in therapeutic plan documentation between the two groups. (p = 0.416). ConclusionPharmacists were more comprehensive in their documentation than physicians in anticoagulation clinics. Unified clinic documentation can ensure consistent documentation within EHRs across all disciplines.