Request Management Research Articles

Implementation of a Multidisciplinary Medication Refill Protocol.

Primary care clinicians spend significant time managing nonvisit activities, including processing of requests for prescription renewal. Delays in processing refills may lead to patient dissatisfaction and impact provider productivity. Having nonclinicians process refills can be more efficient and time-saving. We aimed to evaluate the use of a multidisciplinary medication refill protocol to decrease the time to complete refill requests. We implemented nursing-driven management of refill requests within two family medicine residency clinics in Milwaukee, Wisconsin (Phase 1: single clinic implementation [March 2017-June 2019]; Phase 2: added second clinic prepandemic [June 2019-March 2020] and postpandemic [April 2020-December 2020]). The multidisciplinary refill protocol was created by faculty, residents, pharmacy, and nursing. Data were collected using electronic health record time stamps to determine when refill requests were initiated and filled by faculty, residents, and nurses. We used Mood's median test to compare the median time for medication refill completion. We used Levene's test to test for equal variance surrounding the median of each caregiver group. We used Fisher's exact test or χ2 test with Yates' correction for 2×2 contingency tables. In both phases, we identified a significant reduction in median time to refill completion ( P<.001) and variability of time to refill completion ( P<.001). Notably, in Phase 1, reduction in median refill time was most apparent among residents (383 vs 79 min postimplementation); and in Phase 2, the percentage of refills completed within 48 hours significantly increased between the pre-COVID-19 and COVID-19 pandemic among faculty and nursing in Clinic 1 and residents and faculty in Clinic 2 (all P's<.001). Implementation of a multidisciplinary refill protocol significantly improved time and predictability of refill completion in both phases.

Implementation of a centralized discharge planning office during the COVID-19 pandemic: translating the experience from the emergency to routine clinical practice.

The PRIAMO web portal was developed to manage discharge requests with centralized and standardized procedures. The activity on PRIAMO consisted of three stages: discharge request, sorting process, and discharge follow-up phase. To evaluate the activity of the CDPO, these indicators were considered: average time (hours) between patient discharge and transfer acceptance; average time (hours) between patient discharge and effective admission to the new facility; percentage of transfers whose destination was found directly by the CDPO; percentage of reallocations beyond 24 hours; mean distance between discharge and admission facilities. Process indicator evaluation showed a great reduction in the time between the discharge and the admission to post-acute care facilities. Transfers whose destination was found directly by the CDPO progressively increased. Reallocations beyond 24 hours by the CDPO decreased, suggesting an improvement in the quality of the operations. Centralized discharge planning has enabled timely and efficient management of discharge requests even in the moment of a surge, saving time and costs for acute care hospitals.

THEORETICAL AND METHODICAL PRINCIPLES OF THE FORMATION OF INTEGRATED REPORTING

The publication discusses the debatable issues of scientists and practitioners regarding the formation of integrated reporting by enterprises in Ukraine, which gave the authors the opportunity to identify a number of methodological problems: lack of methodological support in the part of forming non-financial indicators; the formal nature of the accounting policy and the lack of clear regulatory and methodological support for its construction; weakness of methodical structuring of accounting policy depending on types of accounting; the imperfection of methodical structuring of the accounting policy depending on the types of accounting; inconsistency of the actual accounting methods with the chosen accounting policy. To solve these problems, the article proposes a three-level model of methodological support for the formation of integrated reporting. At the first level, an integrated methodological framework for generating financial and non-financial information has been developed; at the second level the development of a complex integrated accounting policy is proposed; at the third one, the method of forming integrated reporting was improved. The authors have developed an integrated accounting system for which it is proposed to use global accounting accounts: control, digraphic and unigraphic. The purpose of integrated accounting is defined, determined by management requests and the structure of integrated reporting, and may change according to the management's needs. The content of such an integrated accounting system of any enterprise will reflect the movement of its property, intellectual and labour potential, environmental and socio-economic factors influencing its activity and development strategy in financial and non-financial indicators. Methodical tools for creating a single information database of financial and non-financial indicators are proposed. The studied factors of influence on the accounting policy of the enterprise made it possible to understand that such a situation causes a negative impact on the information component of the enterprise and prompts the development of an accounting policy for methodical and organizational support of the preparation of integrated reporting. The article presents the structure of a complex integrated accounting policy in the methodically supported formation of financial and non-financial indicators, which corresponds to modern management principles.

Upland prairie adaptive management staged‐scale restoration practices for native plant and endangered butterfly reintroduction

Abstract The present practice insight derives from land manager requests to document current on‐site activity and provides a management planning reference for restoration on Violet Prairie. Start‐up restoration initiates from trial‐and‐error adaptive management practices in the Puget Sound region of western Washington, USA. Treatments used focus on the implementation of staged‐scale restoration. Preparation intends to meet reintroduction goals of establishing a native plant community that could potentially support the threatened endemic Castilleja levisecta (golden paintbrush). Reintroduction of the associated native plant community provides habitat for endangered Euphydryas editha taylori (Taylor's checkerspot butterfly). Known conventional agricultural use coupled to fire suppression since the 1800s altered regional prairie lands to an unfavourable state for native plant species. Local native prairie soil types were favoured for growing conventional grasses and exotic forb species common to grazing pastures. Land abandonment and degradation has lengthened the time of disturbance and complicated restoring to a generalized reference point prior to settlement. Persistent exotic species, encroaching housing development, coniferous forest and recent wildfire complicate converting back to native prairie. Threatened and endangered species and their habitat are targeted in a trial‐and‐error process of staged‐scale adaptive management within the goal of whole ecosystem and connectivity restoration. Land managers focus on exotics removal and intensive native reseeding while restoring the use of prescribed burning as a maintenance tool. Embedded monitoring and observation advises where future practices need to be adapted by focusing on treatments and outcomes. Past land use practices replaced native soil seed banks with exotic seed banks that further distort reference proxies. Unknowns interrupt the current implementation additionally to soil conversion issues, while short‐term adaptive management methods initiate conversion back to native prairie. Species reintroduction choices to develop community structure are complicated by the fact that historical reference point species may be missing altogether from existing native communities. An unanswered outcome of the restoration process is determining which set of treatments best prepares soil for the desired native plant community.

Актуальные проблемы управления службой лучевой диагностики первичного уровня медико-санитарной помощи

The main problems of the organization of the work of the radiation diagnostics service and the possibilities for their solution provided by the tools of information systems are considered. The organizational tasks that need to be provided for in the digitalization of healthcare are formulated. The analysis of changes in the organizational and managerial approach to ensuring the work of the diagnostic department is carried out. A decisive role in the development of modern healthcare is played by a systematic approach to the digitalization of the industry and the creation of digital infrastructure in accordance with current requests for operational management.

Implications of seasonal changes in photosynthetic traits and leaf area index for canopy CO2 and H2O fluxes in a Japanese cedar (Cryptomeria japonica D. Don) plantation

Recently, requests for forest management to conserve water resources and sequester carbon have increased in Japan, where approximately 27% and 12% of the total land area are covered by forest plantations and Japanese cedar (Cryptomeria japonica D. Don). To formulate better forest management practices that maximize forest functions by maintaining water and carbon cycles, an understanding of how leaf-level ecophysiological traits influence canopy-level CO2 and H2O exchanges in Japanese cedar plantations is required. In this study, observations of eddy covariance flux and leaf ecophysiology in a Japanese cedar plantation in southern Japan indicate that significantly greater productivity and seasonal variations tend to occur in canopy CO2 and H2O fluxes, with seasonal patterns of photosynthetic traits (maximum carboxylation rate normalized at 25 °C, Vcmax,25) and leaf area index (LAI). We also examined how biotic (e.g., Vcmax,25 and LAI) and abiotic (e.g., meteorological variables) factors govern canopy fluxes using a multi-layer soil–vegetation–atmosphere transfer (SVAT) model. The model validation suggests that seasonal variations in Vcmax,25 and LAI must be included to reproduce the fluxes observed in the plantation. Quantitative experiments using the validated SVAT model indicate that considering cold acclimation during the winter improved the reproducibility of the model with regard to the measured fluxes, constant high intra-annual LAI had the least impact on forest productivity, and a consistently high Vcmax,25 value increased forest productivity but considerably decreased the nitrogen use efficiency and required a larger nitrogen supply from the ecosystem during the winter. These findings highlight the necessity of decreasing photosynthetic ability during the winter, which safeguards the ecosystem's nitrogen resources to sustain the productivity of the Japanese cedar plantation throughout the year.

A Deep-Learning Framework for Analysing Students' Review in Higher Education.

As part of continuous process improvements to teaching and learning, the management of tertiary institutions requests students to review modules towards the end of each semester. These reviews capture students' perceptions about various aspects of their learning experience. Considering the large volume of textual feedback, it is not feasible to manually analyze all the comments, hence the need for automated approaches. This study presents a framework for analyzing students' qualitative reviews. The framework consists of four distinct components: aspect-term extraction, aspect-category identification, sentiment polarity determination, and grades' prediction. We evaluated the framework with the dataset from the Lilongwe University of Agriculture and Natural Resources (LUANAR). A sample size of 1,111 reviews was used. A microaverage F1-score of 0.67 was achieved using Bi- LSTM-CRF and BIO tagging scheme for aspect-term extraction. Twelve aspect categories were then defined for the education domain and four variants of RNNs models (GRU, LSTM, Bi-LSTM, and Bi-GRU) were compared. A Bi-GRU model was developed for sentiment polarity determination and the model achieved a weighted F1-score of 0.96 for sentiment analysis. Finally, a Bi-LSTM-ANN model which combined textual and numerical features was implemented to predict students' grades based on the reviews. A weighted F1-score of 0.59 was obtained, and out of 29 students with "F" grade, 20 were correctly identified by the model.

PLATAFORMA DIGITAL PARA GERENCIAMENTO DE IMUNOBIOLÓGICOS ESPECIAIS NA ATENÇÃO PRIMÁRIA À SAÚDE

ABSTRACT Objective: to develop and validate a digital platform for managing special immunobiologicals in Primary Health Care. Method: this is a methodological study, carried out in Campinas/SP, Brazil. The platform development took place between July and December 2021. Between April and October 2022, simulation and validity were carried out by professionals, applying an instrument containing statements referring to the ISO/IEC 25010 standard characteristics and sub-characteristics, judged as in agreement, disagreement or does not apply. Values of characteristics and subcharacteristics were estimated, considering the minimum value of 70% of positive answers to be adequate. Characteristics and subcharacteristics that did not reach the minimum value had their justifications categorized according to changes made. Results: the platform was called ConectAPS-CRIE. Login, Home Dashboard, Users, Units, Immunobiological, Patients, Requests, Reports and Help areas were developed. When validated by nurses, the Accessibility (66.7%) and Protection Against Error (66.7%) subcharacteristics were considered inadequate. Information technology professionals considered the Reliability characteristic (52.8%) and the Functional correctness (69.2%), Accessibility (37.5%), Error protection (40%), Integrity (59.1%) and Non-repudiation (66.7%) sub-characteristics to be inadequate. The categories of justifications reported and changed were: disappearance of patients’ record when changing it; access to the system using only a password; lack of accessibility characteristics; lack of validity of personal data; exclusion of patients with a registered request; inclusion of a request without patient registration; layout and text message adjustment in the Attach File function; request disconnected from the requesting user’s unit. Conclusion: the platform can facilitate the management of requests for special immunobiologicals in Primary Care and its validity has allowed it to be improved.

Migration of a stock management application in the healthcare industry to a Web/Mobile environment: a project report

Hospital Institutions face many challenges. Because of this, improved management allows for better healthcare and the efficient functioning of the institution. IT comes along the field of hospital logistics to automate processes, reduce costs and time, and globally improve the functioning of the hospital. Given the evolutionary needs of Health Institutions, the advantages of having a system for hospital logistics, available to use in the latest devices, on Web and Mobile environments, were perceived. This innovation will enable Health Institutions to achieve greater mobility between services, greater efficiency, among others. To explore this need, there was developed an application that allows the management of requests for material required for hospital services in order to affect positively the management of these hospital institutions. This development was made in an entrepreneurial environment, in order to satisfy the needs of the users of the company's implemented solutions, to contribute to their technological evolution. The developed application has three modules: "Serviços", "Armazém Interno"e "Bens de Consumo". At the beginning of the development, it was performed an investigation to identify the value of hospital logistics and the influential role of IT in this area. Then, it was performed the study of technologies to choose the most suitable ones. Next, the functional and non-functional requirements that the application should satisfy were analyzed.

Requirement-Oriented TT&amp;C Method for Satellite Based on BDS-3 Short-Message Communication System

With the increasing number of satellites being launched in China, the demand for Telemetry, Tracking, and Command (TT&amp;C) resources is also increasing. Because of the global coverage and resource requirements of TT&amp;C management, this paper proposes a TT&amp;C scheme based on the Global Short-Message Communication System (GSMCS) of the BeiDou-3 Navigation Satellite System (BDS-3). The system composition, workflow, and functions of satellite TT&amp;C are analyzed using the GSMCS of BDS-3. Through the coverage analysis of the Medium Earth Orbit (MEO) constellation of BDS-3, scheme’s applicability is pointed out, and the correctness of the analysis results is verified via simulation. The value range of the link distance is derived by calculating the range of the distance variation between any 2 satellites in the BDS-3 MEO constellation and combining the intersatellite routing scheme. The calculation results show that the response time range of the autonomous request management application of in-orbit satellites based on the GSMCS of BDS-3 is 1.407 to 2.448 s. This can meet the requirements of TT&amp;C service.

Story Book – A Social Media-based Web Application

In this article, the MERN (MongoDB, Express, React, and Node.js) stack is used to create and deploy a social networking platform. The project’s goal was to provide a feature rich platform with tools for users to share text and images, connect with others via friend requests, engage with postings through likes and comments, and flag offensive material. Additionally, the platform provides options for dark and light viewing modes. In addition to highlighting the important features and functionalities developed, the paper gives an overview of the project’s architecture and goes over user registration, profile setup, post authoring, friend request management, and post engagement. The specifics of the implementation, including the difficulties encountered and fixes used, are covered. The platform’s review reveals its effective operation, user involvement, and responsiveness. The study advances the subject of social media platforms by demonstrating how a MERN based solution may be implemented successfully. The results of this study act as a starting point for future developments in social media platform design.

Optimizing DSO Requests Management Flexibility for Home Appliances Using CBCC-RDG3

This article covers a case study with homes equipped with multiple appliances for energy consumption. The central goal is to provide for aggregators’ flexibility in distribution networks by building an optimal schedule that takes advantage of load flexibility resources. This, in turn, allows for the re-scheduling of shifting/real-time home appliances to provision a request from a distribution system operator (DSO). The paper concludes with the consideration of the CBCC-RDG3, HyDE-DF, and genetic algorithms, which were used to find the best schedule that would be highly efficient and meet all the constraints associated with the problem that successfully demonstrate the effectiveness of this particular approach.

Artificial intelligence, machine learning and deep learning in musculoskeletal imaging: Current applications.

Artificial intelligence is rapidly expanding in all technological fields. The medical field, and especially diagnostic imaging, has been showing the highest developmental potential. Artificial intelligence aims at human intelligence simulation through the management of complex problems. This review describes the technical background of artificial intelligence, machine learning, and deep learning. The first section illustrates the general potential of artificial intelligence applications in the context of request management, data acquisition, image reconstruction, archiving, and communication systems. In the second section, the prospective of dedicated tools for segmentation, lesion detection, automatic diagnosis, and classification of musculoskeletal disordersisdiscussed.

Factors contributing to anglers’ satisfaction and their requests concerning recreational salmonid fisheries management: Insights from a questionnaire survey in strictly regulated, catch-and-release stream fishing areas

Regional fisheries managers need to consider anglers’ satisfaction and requests and balance them with resource conservation when making decisions to promote the sustainability of recreational fisheries. However, there is a marked paucity of information on inland recreational fisheries, particularly in non-Western countries. This study was designed to gain insight on the factors contributing to the anglers' satisfaction and their requests concerning salmonid recreational fisheries management. The approach used was a questionnaire survey of salmonid anglers in two strictly regulated, reservation-only, catch-and-release stream fishing areas in Japan. We evaluated the relationships among anglers’ characteristics and the fishing experience with their satisfaction degree. We also investigated the anglers’ requests concerning the use of fishing license proceeds. The catch numbers of the larger masu salmon available in the area (e.g., 20–40 cm standard length) were positively related to the satisfaction degree of anglers. This study confirms the findings on the determinants of anglers’ satisfaction in Western countries, especially concerning avid anglers. The highest priority for using the fishing license proceeds was for enhancing the number of fish and conserving the fish habitats. Surprisingly, enhancing the number of large fish received the lowest priority among the requests. These results suggest that anglers’ requests for recreational fisheries management do not necessarily reflect their preference to catch more and larger fish. Thus, reflecting only the anglers’ requests and discontinuing stocking the special areas with large fish could paradoxically reduce the anglers’ satisfaction. These results strongly point out that understanding the factors contributing to anglers' satisfaction is crucial to avoid misunderstandings and make sounder and more sustainable recreational fisheries management decisions.

Beneficial effects of a program of Mindfulness by remote during COVID-19 lockdown.

In the emergency context of COVID-19 pandemic and lockdown, mindfulness relaxation techniques can provide a safe and effective strategy to obtain in a reasonably short time some degree of relief from suffering and to guarantee a greater confidence with emotional reactions in the general population. The Mindfulness-Based Stress Reduction program for coping with COVID-19 emergency was designed as an 8-week program during the early phase of lockdown consisting in practice meditation exercises at least once a day guided and structured by certified instructors entered on a free online platform. At the end of the program all participants completed a survey. A total of 108 surveys were completed (67.6% male; 32.4% female). Despite the difficult moment of lockdown and the fear linked to the pandemic, 61.9% of interviewed subjects declared a state of general well-being from fair to good linked to the practice of mindfulness. Female subjects (p=0.001), married subjects (p=0.05) and people taking pharmacologic therapy demonstrated (p=0.009) significant improvement in daily management of emotions and practical requests during the early phase of the COVID-19 outbreak. Mindfulness meditation may be effective in helping people to regulate emotions and to support their mental health during this period of worry and uncertainty.

CRM APPLICATION FOR TEXTILE INDUSTRY WITH WORKFLOW AND LEAVE REQUEST MANAGEMENT

The purpose of our project is to develop a web based application to create a Customer Relationship Management (CRM) Application with workflow and leave request management for Textile industry. CRM is very important for small scale industries and business sectors. We provide CRM application with workflow management to small scale organization (Textile industry) with the additional features such as maintaining orders and managing leave requests. CRM plays a vital role in communication of information within the members of organization and outside the organization. Small scale business organizations are interested to do their business online so they are interested to use the CRM, but existing CRM provides some unwanted services at unnecessary costs, but the company needs only necessary services. So the motive of the project is to provide the proper workflow and some additional features such as maintaining orders and managing leave requests to the small scale business sectors (Textile industry). Keywords - Customer Relationship Management (CRM)

Approaches to healthcare personnel exemption requests from coronavirus disease 2019 (COVID-19) vaccination: Results of a national survey.

Although a growing number of healthcare facilities are implementing healthcare personnel (HCP) coronavirus disease 2019 (COVID-19) vaccination requirements, vaccine exemption request management as a part of such programs is not well described. Cross-sectional survey. Infectious disease (ID) physician members of the Emerging Infections Network with infection prevention or hospital epidemiology responsibilities. Eligible persons were sent a web-based survey focused on hospital plans and practices around exemption allowances from HCP COVID-19 vaccine requirements. Of the 695 ID physicians surveyed, 263 (38%) responded. Overall, 160 respondent institutions (92%) allowed medical exemptions, whereas 132 (76%) allowed religious exemptions. In contrast, only 14% (n = 24) allowed deeply held personal belief exemptions. The types of medical exemptions allowed varied considerably across facilities, with allergic reactions to the vaccine or its components accepted by 145 facilities (84%). For selected scenarios commonly used as the basis for religious and deeply held personal belief exemption requests, 144 institutions (83%) would not approve exemptions focused on concerns regarding right of consent or violations of freedom of personal choice, and 140 institutions (81%) would not approve exemptions focused on introducing foreign substances into one's body or the sanctity of the body. Most respondents noted plans for additional infection prevention interventions for HCP who received an exemption for COVID-19 vaccination. Although many respondent institutions allowed exemptions from HCP COVID-19 vaccination requirements, the types of exemptions allowed and how the exemption programs were structured varied widely.

Assessing content and factors influencing responses to information requests in community pharmacies in Jordan: A simulated patients study.

ObjectivesTo assess the management of requests for information about a prescription only medicine (simvastatin for treatment of dyslipidemia) by pharmacy staff in community settings and explore the factors influencing the information content.MethodsA cross sectional study conducted using the stimulated patient (SP) method between November 2018 and May 2019. The SP conveyed the request at the beginning of the encounter in a standardized way based on predetermined plots and was instructed to ask the pharmacy staff directly if information was not discussed spontaneously. After the visit, the SP provided written feedback including information about the scenario and a copy of individualized feedback. The study was reported according to the checklist for reporting research using simulated patient methodology (CRiSP). Factors influencing information content with or without information demand were investigated.ResultsA total of 55 visits were analyzed. The average content score for the information discussed spontaneously was 16.2% with the standard deviation (SD) equal to15.6. The score improved significantly after information was demanded by the SP; the average total information content score became 34.4% (SD = 16) with p < 0.001. The score of information discussed spontaneously was higher for male pharmacy staff, older age, more experience, and a Pharm D degree. When the SP prompted or demanded for information, older pharmacy staff with more experience and with a college degree scored higher. Independent pharmacies, longer visit durations, and less distraction were associated significantly with higher information scores Pharmacy staff aged 35–39 and those with 6–10 years of experience were significant contributors to spontaneous discussion of information with p values = 0.003 and 0.013, respectively. After the SP demanded information, pharmacy staff with less than 5 years of experience and greater confidence as well as longer visits were positively predicting higher information scores with p values of 0.049, 0.04, and 0.04, respectively.ConclusionsInformation provided by community pharmacists responding to information requests about prescription only medications was found to be suboptimal. Patient requests for information were found to be a positive driver for better information content. Further research of mixed methodologies is required to clarify the factors and motivators enabling information exchange in community settings and to outline true training needs.

Peran Auditor Internal Dalam Consulting Perusahaan

This study examines the added value that businesses can derive from internal auditors through their consulting role. This is research that provides an overview of consulting activities in a business context. In today's complexity and constantly changing business issues, leveraging the wealth of collective business information obtained by internal auditors to add value and enhance competitiveness is therefore a good strategy. Under stewardship theory, internal audit will support the board and management team through a consulting role and are expected to provide advice on business improvements or future investment opportunities if the company is aggressive for new ventures, etc. This research is a literature review that discusses the nature and level of consulting activity in a company. The results show that internal auditors provide consultation at the request of management, the board of directors or the audit committee, on an ad-hoc basis to help improve business operations and to achieve organizational goals. This study contributes to the literature by providing deeper insight into the nature and level of consulting activity carried out by internal auditors.

Service request management system application development with rapid application development method using web-based bubble sort algorithm

The Helpdesk system is a system to facilitate the reporting of technological information damage. Helpdesk systems are already widely used or developed somewhere with a wide variety of technologies and systems. Monitoring system as a process to collect data from various sources and helpdesk as the implementer of the monitoring system is required to be active to monitor reports from users. The helpdesk is a center point where problems or issues are reported in a coordinated and coordinated manner. The helpdesk is a complementary part of a function, service, and is responsible for problem solving. This is one of the obstacles in the implementation of work is still found errors in the process of handling remote hands or trouble shoot reports daily, weekly and monthly. Because currently the data and problem handling reports are still manual so it is difficult to see the status of handling. Helpdesk design system at PT. TH Indoplantations is a system where to facilitate users or customers and the Helpdesk data center division in processing a technical problem that occurs in the data center or customer or user devices located in the data center PT. TH Indoplantations. Based on the concept and design of a web-based helpdesk system at PT. TH Indoplantations can help in dealing with interference that occurs in customer devices.