Measuring Quality Indicators Research Articles

Predicting the S-ovalbumin content and determining the freshness of chicken eggs via transmittance spectroscopy

The quality and freshness of eggs deteriorate during storage, impacting their role as a crucial dietary and industrial component. This study utilizes transmittance spectroscopy (200–1000 nm) to predict the S-ovalbumin content and to identify optimal wavelengths for assessing egg freshness levels. Three hundred fresh eggs were evaluated over 21 days of storage at ambient (25 ± 2 °C, 45 ± 5% R.H.) and refrigerated (5 ± 0.5 °C, 75 ± 5% R.H.) conditions by measuring quality indicators (Haugh unit, air cell height, yolk index, S-ovalbumin, and albumin/yolk pH). The samples were divided into several clusters using the fuzzy C-means algorithm based on these parameters. The changes in the S-ovalbumin concentration increased significantly (p < 0.01) across the storage conditions. Employing the first three principal components of preprocessed transmittance spectra as inputs to artificial neural networks enabled the discrimination of fresh from old eggs with 92% accuracy and the prediction of S-ovalbumin content with R = 0.93 and RMSE = 0.09. The light transmittance at wavelengths of 228 and 280 nm, as determined via the RELIEF algorithm, was used to classify the eggs into fresh/old (74.43% accuracy) and fresh/semi-fresh/old (72.85% accuracy) groups, demonstrating the efficacy of spectroscopy for non-destructive egg quality evaluation.

Building a better lawyer: Experimental evidence that artificial intelligence can increase legal work efficiency

AbstractRapidly improving artificial intelligence (AI) technologies have created opportunities for human–machine cooperation in legal practice. We provide evidence from an experiment with law students (N = 206) on the causal impact of machine assistance on the efficiency of legal task completion in a private law setting with natural language inputs and multidimensional AI outputs. We tested two forms of machine assistance: AI‐generated summaries of legal complaints and AI‐generated text highlighting within those complaints. AI‐generated highlighting reduced task completion time by 30% without any reduction in measured quality indicators compared to no AI assistance. AI‐generated summaries produced no change in performance metrics. AI summaries and AI highlighting together improved efficiency but not as much as AI highlighting alone. Our results show that AI support can dramatically increase the efficiency of legal task completion, but finding the optimal form of AI assistance is a fine‐tuning exercise. Currently, AI‐generated highlighting is not readily available from state‐of‐the‐art, consumer‐facing large language models, but our work suggests that this capability should be prioritized in the development of legal AI products.

NIR spectroscopy for quality assessment and shelf-life prediction of kiwifruit

In this study, a non-destructive quality testing method along with shelf-life prediction of Xu Xiang ready-to-eat kiwifruit were developed using near-infrared spectroscopy (NIR) techniques. Several traditional quality indicators (hardness, soluble solids content, and dry matter) were evaluated. Partial least squares regression (PLS) was used to predict the intrinsic quality attributes of the samples. Competitive adaptive reweighted sampling algorithm (CARS) and uninformative variable elimination (UVE) algorithm were used to select the characteristic wavelengths. Prediction models for hardness, soluble solids content and dry matter were developed. The results showed that the prediction ability of the models could be improved by screening the characteristic wavelengths of CARS and UVE. Among them, the CARS-SNV-PLS model based on soluble solids had the best prediction ability (RMSEP of 0.430 and Rp2 of 0.958). Then, an NIR-based residual shelf-life prediction model was obtained by linking the measured quality indicators to the residual shelf-life, which was well validated with an RMSEP of 1.64 and an Rp2 of 0.939. Therefore, this study demonstrated the potential of combining CARS, SNV, and PLS for the non-destructive testing of ready-to-eat kiwifruit to provide technical support and solution.

Empowering nursing council implementation science: An appeal to action

In most hospitals, nursing councils are responsible for EBP implementation and evaluation. To enhance the perceived value of council participation by frontline nurses, administrators must promote the impact of council projects on healthcare outcomes. The purposes of this appeal to action are to describe the role of nursing councils in promoting IS and EBP, and to provide recommendations that enhance the value of IS and/or EBP councils to frontline nurses, thereby incentivizing participation on these councils. Nurse researchers from three metropolitan hospitals partnered with a medical librarian to recommend six strategies aimed at enhancing the perceived value of council participation. An argumentative review was conducted to support these strategies. Recommendations are inclusion of methods experts on councils; support from nursing administrators in the development, implementation, and evaluation of projects; formation of partnerships with nursing academic departments; expansion of publication opportunities and availability; and connection of projects to measurable quality indicators. Enhancing the perceived value of nursing councils by providing tools that optimize time and resource management can result in greater council participation and broader dissemination of IS evidence.

Quality of care measurement for patients with ovarian cancer in Japan.

Quality of care is important to reduce disease progression, and improve both survival and quality of life. The Japan Society of Gynecologic Oncology has published treatment guidelines to promote standardized high-quality care for ovarian cancer in Japan. We developed quality indicators based on the guideline recommendations and used them on large datasets of health service use to examine the quality of ovarian cancer care. A panel of experts developed the indicators using a modified Delphi method. Adherence to each indicator was evaluated using data from a hospital-based cancer registry of patients diagnosed in 2018. All patients receiving first-line treatment at participating facilities were included. The adherence rates were returned to participating hospitals, and reasons for nonadherence were collected. A total of 580 hospitals participated, and the study examined the care received by 6611 patients with ovarian cancer and 1879 with borderline tumors using 11 measurable quality indicators. The adherence rate ranged from 22.6% for "Estrogen replacement within 6 months of operation" to 93.5% for "Bleomycin, etoposide, and cisplatin for germ cell tumor more than Stage II." Of 580 hospitals, 184 submitted the reasons for nonadherence. The quality of ovarian cancer care should be continuously assessed to encourage the use of best practices. These indicators may be a useful tool for this purpose.

Inspecting Technology-Related Quality of Teaching Artifacts to Understand Teachers' Technology Adoption

Teachers' technology adoption primarily aims to integrate technology into the curriculum and to improve teaching and learning. Teaching artifacts encapsulate the attributes that can reflect teacher expertise in the authentic context. This study inspects the implicit quality of teaching artifacts to examine teachers' technology adoption throughout the evolution process of teaching artifacts. We demonstrate how patterns within the artificial synthesis of digital tools and teaching practice can be identified by examining the technology-specified quality of digital artifacts shaped by teachers of a primary school in Shanghai. To address the potential challenges of artifact analysis, we conduct a set of semiautomatic processes to manage the quality properties of teaching artifacts and measure quality indicators by training a series of automatic annotations. The artifact quality changes over nine semesters demonstrated that teachers increase technology flexibility, content variety, instruction diversity, and richness of artifacts as their technological understanding gradually improves. Other than the mainstream technology adoption research, this study revealed details regarding technology adoption: the introduction of new technology in schools should involve the enhancement of the technological understanding of teachers, the encouragement of teachers to adapt each component of their teaching practice to technological contexts, and the quality and use frequency of artifacts. Moreover, the proposed inspection of artifact quality can reflect the teacher's adoption process in an unconstrained environment. The artifact analytic approaches we created can contribute to the technology adoption from a more objective perspective.

Colonoscopy withdrawal times and adenoma detection rates in a large, multi-site colorectal surgery practice.

433 Background: Colonoscopy withdrawal times (CWT) and adenoma detection rates (ADR) have been extensively correlated in medical literature. The American College of Gastroenterology (ACG) 2021 guidelines recommend measuring quality indicators for screening colonoscopy that achieve minimum benchmarks for ADR (&gt;=25%) and CWT (&gt;=6 minutes). In October 2022, M Desai et al reported in a sample of 1142 patients (46% screening and 54% surveillance), ADR increased as withdrawal time increased from 6 to 13 minutes. Results demonstrated a 6% increase per minute in the likelihood of detecting an additional patient with at least 1 adenoma. Texas Colon and Rectal Specialists routinely reviews ADR’s and CWT’s. This retrospective descriptive study presents a concise review of the correlation between CWT’s and ADR’s in a homogenous set of screening and surveillance patients. Methods: We examined 7164 abstracted colonoscopy records from 31 colorectal surgeons. Diagnostic colonoscopies were excluded. We studied patients between 45 and 84 years of age at the time of the colonoscopy. Each patient was noted for the colonoscopy CWT as well as whether at least one adenomatous polyp was detected. These data were reported in a scatter plot of ADR over CWT as well as a bubble chart of ADR over CWT by each surgeon. A two-sample t-test confirmed a statistical difference between the mean CWT of the adenoma-positive patients and those that were not positive. Results: Consistent with the literature, ADR increased with CWT. The mean CWT was 14.2 minutes in the group where an adenoma was detected (n=3289) and 10.6 minutes in the group where an adenoma was not detected (n=3875), (p&lt;0.05 and CI of 95%). Mean CWT was 12.3 minutes, mode was 7 minutes, median was 10.25 minutes, and the mean ADR was 45.9%. The best ADR performance was 62.5% at a mean of 26.8 minutes CWT and the worst performance was 27.7% at 10 minutes CWT. A bubble chart demonstrates the relationship between CWT and ADR by surgeon with the bubbles representing individual colonoscopy volumes. Consistent with the literature, ADR increased with CWT. The mean CWT was 14.2 minutes in the group where an adenoma was detected (n=3289) and 10.6 minutes in the group where an adenoma was not detected (n=3875), (p&lt;0.05 and CI of 95%). Mean CWT was 12.3 minutes, mode was 7 minutes, median was 10.25 minutes, and the mean ADR was 45.9%. The best ADR performance was 62.5% at a mean of 26.8 minutes CWT and the worst performance was 27.7% at 10 minutes CWT. Conclusions: Our data indicate a significant relationship between CWT and ADR, and may suggest that CWT well beyond six minutes may yield better ADR’s. Furthermore, scope volume appears to play a role in the achievement of higher ADR’s, though this would require further investigation for optimal CWT, minimum expected ADR, optimal techniques and bowel prep, and emerging assistive technology.

Best Practice in Post-Stroke Aphasia Services According to People with Lived Experience. A Modified Nominal Group Technique Study

ABSTRACT Background Clinical practice guidelines and best practice statements aim to optimise patient outcomes through recommended processes of care. The Aphasia United Best Practice Recommendations were developed to provide multi-national best-practice guidance for post-stroke aphasia services. The recommendations were developed through a multi-stage process which synthesised research evidence and the expert opinions of clinicians and researchers. To date, however, people with lived experience of aphasia have not contributed their expertise to these recommendations. Aims To explore the relevance, comprehensibility, and comprehensiveness of the Aphasia United Best Practice Recommendations, from the perspective of people with aphasia and their significant others. Conducted during the COVID-19 pandemic, a secondary aim was to evaluate participants’ satisfaction with videoconferencing for research. Methods & Procedures People with aphasia and their significant others participated in separate focus groups via videoconferencing. Participants were recruited at five Australian sites (representing major cities and regional locations). Participants rated the relevance and comprehensibility (clarity) of the recommendations and suggested improvements. Using the nominal group technique, participants assessed the comprehensiveness of the existing recommendations, and generated and prioritised new items for inclusion. These recommendations were synthesised across groups using qualitative content analysis. Participants rated their satisfaction with videoconferencing for research through a bespoke questionnaire. Outcomes & Results People with aphasia (n=13) and their significant others (n=10) participated in one of eight focus groups in Australia. Most participants rated the existing recommendations as highly relevant, however improvements to comprehensibility and comprehensiveness were suggested. Fifty-one new recommendations were prioritised and synthesised into seven themes for people with aphasia and six themes for significant others. The most highly ranked theme for people with aphasia was, Increased awareness about: what aphasia is, the impacts of aphasia, and how to communicate with a person with aphasia. The theme ranked most highly by significant others was, Aphasia services should be person and family centred. All participants reported being satisfied or highly satisfied with the use of Zoom videoconferencing for research. Conclusions People with aphasia and their significant others in Australia identified new important best practice recommendations for aphasia services. The results of this study suggest that revisions to existing recommendations may improve their relevance, comprehensibility, and comprehensiveness. Participants were satisfied with the use of videoconferencing for research. The results of this research will inform a future consensus process to finalise the revised recommendations and to pair them with measurable quality indicators for post-stroke aphasia services.

A novel method to estimate the aggregate pollution index in a typical limestone mining and cement producing environment.

This study presents a novel method to estimate the aggregate pollution index (API) within the residential communities around a limestone mining and cement producing environment. The ranges for the air quality index (AQI), pollution load index in the topsoil (PLIt), pollution load index in the subsoil (PLIs), heavy metal pollution index in the water (HPI), and radiological external hazard index (Hex) were 5.99 to 57.97, 1.65E-07 to 3.6E-04, 1.7E-08 to 3.5E-04, 52.17 to 1053.13, and 0.0694Bq.kg-1 to 0.550, respectively. The AQI, PLIt, PLIs, HPI, and Hex revealed nonuniform patterns of variations across the communities, though there was a significant correlation between the PLIt and the PLIs, and between the HPI and the Hex; and a moderate correlation between the HPI and the AQI, between the HPI and the PLIt, and between the HPI and the PLIs. The measured quality indicators (MQI), and the calculated pollution indices (CPI) were subjected to the multivariate analysis. The principal components (PC) split the ten communities the same way in the CPI and the MQI. The API, using the PC, ranged from 3 to 9. The Afami, Balogun, and Akinbo communities had the highest API, while the Ewekoro and Itori communities had the lowest. The CPI was 41% of the MQI, with respect to the within-cluster variance, indicating that the CPI-based clustering was more reliable. Both the CPI and the MQI attributed a unique pollution signature to the Ewekoro community, while the remaining nine communities shared a common pollution status with the Ibese community.

Quality indicators and patients' characteristics in relation to early outcome of Kasr-al-ainy stroke unit

BackgroundA wide variety of factors have been reported to influence stroke prognosis. Quality indicators serve as standards of care. The aim of this study is to assess the clinical and demographic characteristics of patients with stroke and to measure quality indicators in relation to stroke early outcome. We analyzed a prospective hospital-based data. All patients with acute stroke admitted to Kasr-al-ainy stroke unit over a 1-year period were included. Clinical variables and quality indicators were studied in relation to early outcome which was measured by both disability at discharge assessed by modified Rankin score (mRS) and in-hospital death.ResultsWe studied 242 patients with acute stroke, 145 patients (59.9%) had poor outcome at discharge [mRS 3–6]. There were 36 (14.9%) in-hospital deaths. High mRS and National institute of health stroke scale (NIHSS) at stroke onset, low Gugging swallowing scale (GUSS) score and hypertension (HTN) were independent predictors for more disability on discharge. Chest infection, bed sores, high mRS at stroke onset and hemorrhagic transformation were independent predictors for in-hospital mortality. Receiving recombinant tissue plasminogen activator (rtPA) showed significant association with good outcome. Mean door to needle time (DNT) was 50.6 min. Low GUSS score was associated with increased risk of chest infection.ConclusionsStroke severity, potentially modifiable risk factors and complications are associated with an increased risk of poor early outcome. Dysphagia screening using GUSS scale can predict patients with higher risk of aspiration pneumonia after stroke. DNT needs to be improved.

Estimating the benefits of stream water quality improvements in urbanizing watersheds: An ecological production function approach

Streams in urbanizing watersheds are threatened by economic development that can lead to excessive sediment erosion and surface runoff. These anthropogenic stressors diminish valuable ecosystem services and result in pervasive degradation commonly referred to as "urban stream syndrome." Understanding how the public perceives and values improvements in stream conditions is necessary to support efforts to quantify the economic benefits of water quality improvements. We develop an ecological production framework that translates measurable indicators of stream water quality into ecological endpoints. Our interdisciplinary approach integrates a predictive hierarchical water quality model that is well suited for sparse data environments, an expert elicitation that translates measurable water quality indicators into ecological endpoints that focus group participants identified as most relevant, and a stated preference survey that elicits the public's willingness to pay for changes in these endpoints. To illustrate our methods, we develop an application to the Upper Neuse River Watershed located in the rapidly developing Triangle region of North Carolina (the United States). Our results suggest, for example, that residents are willing to pay roughly $127 per household and $54 million per year in aggregate (2021 US$) for water quality improvements resulting from a stylized intervention that increases stream bank canopy cover by 25% and decreases runoff from impervious surfaces, leading to improvements in water quality and ecological endpoints for local streams. Although the three components of our analysis are conducted with data from North Carolina, we discuss how our findings are generalizable to urban and urbanizing areas across the larger Piedmont ecoregion of the Eastern United States.

Follow-Up of Celiac Disease in Adults: "When, What, Who, and Where".

For patients with celiac disease (CeD), a lifelong gluten-free diet is not a voluntary lifestyle choice-it is a necessity. The key end points in clinical follow-up are symptom resolution, the normalization of weight, prevention of overweight, seroconversion, and negation or minimization of increased long-term morbidity. For the latter, a surrogate endpoint is mucosal healing, which means the normalization of histology to Marsh 0-1. Ideally, celiac follow-up care includes a multidisciplinary approach, effective referral processes, improved access that leverages technological advances, and following guidelines with the identification of measurable quality indicators, ideally informed by evidence-based research. Face-to-face CeD care and telemedicine are considered the standards for this process, although published data are insufficient. Guidelines and statements on diagnosis are readily available. However, data are lacking on optimal clinic visit intervals and outcomes and quality indicators such as improvement of symptoms, function and quality of life, survival and disease control, and how to most effectively use healthcare resources. The results of future research should provide the basis for general recommendations for evidence-based standards of quality of care in CeD.

Quality Indicators during Delivery and the Immediate Postpartum Period: A Modified Delphi Study.

Our research hypothesis was that most French indicators of quality of care have been validated by experts who are not clinicians and might not always be meaningful for clinicians. Our objective was to define a core set of measurable indicators of care quality during delivery and the immediate postpartum period relevant to clinical practice. A steering committee comprising nine specialists in obstetrics and/or public health conducted a literature review to develop potential indicators. A panel of obstetrician-gynecologists and midwives working in a delivery unit rated each indicator for appropriateness in a two-round Rand-modified Delphi procedure and a physical meeting. The consensus among the panelists was assessed. In the first round, 145 panelists (110 obstetrician-gynecologists and 35 midwives) assessed 77 indicators and 3 definitions: 6 related to labor onset, 20 to delivery, 3 to pain management, 23 to neonatal morbidity/mortality, and 28 to maternal morbidity. In the second round, 132 panelists (98 obstetrician-gynecologists and 34 midwives) assessed 42 indicators and 1 definition. The final set comprised 50 indicators and 2 definitions. This Delphi procedure selected 50 indicators that reflect the quality of perinatal care. These indicators should be recorded in each French maternity ward's birth register for each delivery.

Планування витрат на забезпечення якісних параметрів продукції підприємства в умовах зовнішньоекономічної діяльності

The problems of cost planning for ensuring the quality parameters of the enterprise's products in the conditions of foreign economic activity are investigated. The reasons for the introduction of key principles of quality management in the technology of planning costs to ensure the quality parameters of products are identified. Recommendations for the introduction of assortment policy planning based on the gradation of costs and quality parameters of products at the enterprise in the conditions of foreign economic activity are formed. Quality characteristic is a quantitative expression of one or more homogeneous indicators of products that meet the specific needs of consumers depending on its purpose and conditions of use. The ratio between the actually achieved quality indicator and its normative (reference) value determines the level of product quality. To justify quality indicators and determine their specific levels for each type of product, the following four factors should be taken into account: needs (preferences) of end users: citizens, processors, farms that use intermediate products; real opportunities to achieve quality indicators at this level of development of productive forces (equipment, technology, qualification of workers); availability of developed techniques, methods, ways of measuring quality indicators and monitoring their development; financial incentives for producers to achieve the best quality indicators and establishing financial responsibility for their reduction. The subjects of product quality planning are ultimately various measures and indicators that reflect both individual product properties and various characteristics of the quality management system and processes. One of the ways to improve the efficiency of economic activity of the enterprise is to further expand the range of products, which will help to increase the customer base, and therefore the level of sales. Also, expanding the range of products will help the enterprise to distribute risks and reduce dependence on business cycles. But it should be borne in mind that the expansion of the product range complicates the production process; when producing small batches of products, the cost of each product increases, the organization of management becomes more complicated. Therefore, in order to coordinate the interests of the enterprise – manufacturer and the market, it is necessary to clearly plan the range of products – both new and those already produced by the enterprise.

Development and operationalization of a data framework to assess quality of integrated diabetes care in the fragmented data landscape of Belgium

BackgroundTo assess the quality of integrated diabetes care, we should be able to follow the patient throughout the care path, monitor his/her care process and link them to his/her health outcomes, while simultaneously link this information to the primary care system and its performance on the structure and organization related quality indicators. However the development process of such a data framework is challenging, even in period of increasing and improving health data storage and management. This study aims to develop an integrated multi-level data framework for quality of diabetes care and to operationalize this framework in the fragmented Belgium health care and data landscape.MethodsBased on document reviews, iterative working group discussions and expert consultations, theoretical approaches and quality indicators were identified and assessed. After mapping and assessing the validity of existing health information systems and available data sources through expert consultations, the theoretical framework was translated in a data framework with measurable quality indicators. The construction of the data base included sampling procedures, data-collection, and several technical and privacy-related aspects of linking and accessing Belgian datasets.ResultsTo address three dimensions of quality of care, we integrated the chronic care model and cascade of care approach, addressing respectively the structure related quality indicators and the process and outcome related indicators. The corresponding data framework is based on self-collected data at the primary care practice level (using the Assessment of quality of integrated care tool), and linked health insurance data with lab data at the patient level.ConclusionIn this study, we have described the transition of a theoretical quality of care framework to a unique multilevel database, which allows assessing the quality of diabetes care, by considering the complete care continuum (process and outcomes) as well as organizational characteristics of primary care practices.

A systematic literature review on the policies and economic evaluation of organ transplantations in EU

&#x0D; Background: transplantation of human organs and tissues saves many lives and restores essential functions in combination of high measurable quality indicators. In spite of the fact that organ transplants have saved thousands of lives and greatly improved the quality of life of thousands more, regrettably many people will not benefit from this therapeutic procedure.&#x0D; Methods: this review is based on economic evaluation studies published since 2000 and reviews published since 1987 for kidney, liver, lung, heart, pancreas, and small bowel transplantations that were conducted in 2010.&#x0D; Results: empirical evidence showed that the costs of organ transplantations have generally decreased over time due to improvements in medicine, while survival and quality of life have improved. This indicates that the cost-effectiveness of transplantation has also improved over this period.&#x0D; Conclusions: cost effectiveness studies on organ transplantations could contribute to the efforts of policy makers in maximising societal health benefits by managing society’s scarce resources. The differences between EU country are not only associated with different legal procedures but are also associated with social, organizational and several other factors.&#x0D;

Associations of hospital volume and hospital competition with short-term, middle-term and long-term patient outcomes after breast cancer surgery: a retrospective population-based study

ObjectivesFor oncological care, there is a clear tendency towards centralisation and collaboration aimed at improving patient outcomes. However, in market-based healthcare systems, this trend is related to the potential trade-off...

Методика определения комплексного показателя потребительских свойств новых видов пищевой продукции и её апробация на примере мучных кондитерских изделий

The article presents the developed methodology for determining the complex indicator of consumer properties of new types of food products on the example of confectionery. A comprehensive assessment of the consumer properties of the confectionery products being developed includes the stages of determining the nomenclature of quality indicators of finished products, weighting coefficients of the nomenclature groups, selecting basic quality indicators in each group, measuring quality indicators and bringing them to a comparable form, calculating the indicator of a comprehensive assessment taking into account certain weighting coefficients and drawing up a conclusion. The approbation of the developed methodology was carried out on the example of new types of flour confectionery products of increased nutritional value. The proposed indicator of a comprehensive assessment of consumer properties of new types of confectionery products is designed to help food industry specialists (both technologists and marketers) to obtain an objective assessment of consumer properties of the developed types of food products based on mutually influencing organoleptic and­physico-chemical quality indicators, and can be used to compare a new product with existing analogues, competitors' products, as well as to predict the behavior of the product when it is put on the market.

Rancang Bangun Sistem Informasi Pengelolaan Indikator Mutu dan Insiden Keselamatan Pasien di RSUD Temanggung

RSUD Temanggung has an important role and task in ensuring the continuity and quality of health services for the entire Temanggung residence. Hospital accreditation assessment is an effort to improve the quality of health services in hospitals. The Quality and Patient Safety Program (PMKP) is one of the accreditation committees at the RSUD Temanggung that handles hospital quality programs and patient safety incidents. To complete the quarterly work program made by the PMKP committee, data were collected in all units in the Temanggung Hospital. There is a need for a system to collect data in real-time so that the quality of health services at the RSUD Temanggung can be improved. The measured quality indicators are divided into 3 types, namely national quality indicators, priority quality indicators, and unit quality indicators. The system is built with 3 actors, namely admin, nurse, and director. The admin actor acts as a web manager on the access rights menu, the quality indicator menu, and the patient safety incident menu. The nurse actor acts as the manager of the quality indicator data. The director's role is to overview the graph of quality achievement in all units at the RSUD Temanggung. The results of system testing with beta testing instruments for admin actors (87%), nurse actors (88%), and director actors (94%) are based on several parameters to test the system's functionality according to each actor with a very feasible category. In addition to functionality testing, this system was also tested for performance, ease of searching for hospital quality/safety incident data, as well as ease of making and recapitulating quarterly reports by the PMKP committee with a success percentage of 95%.

Bibliometric Analysis of Publications from Pubmed on Non Communicable Disease and Ayushman Bharat Health and Wellness Center

Background: Increase in Non-communicable diseases in spite of many steps taken for prevention and control is challenge for all over world, these epidemiological transition leas to need of health care services at community level with quality health care services. Under Ayushman Bharat Programme transformation of existing health facilities in Health and Wellness center to deliver universal and free comprehensive primary health care. Delivering Non communicable disease health services is one of major component of HWCs.&#x0D; Objectives:.Study was conducted to conduct analysis of Publication on Non communicable disease and Ayushman Bharat Health and Wellness Center.&#x0D; Methodology: Retrospective observational study was conducted On 30.01.2021, the Pubmed was accessed to collect publication on Non communicable disease and Ayushman Bharat, Health and Wellness Centre. Bibliometric analysis was conducted with quantity indicators for measuring productivity and quality indicators for measurement of output. Structural indicator for measured inter linkage between authors, publication Information on PubMed was used for analysis with the help of R Studio.&#x0D; Results: The PubMed search filtered for annual scientific production including journal ,book , document etc from 1978 to 2021 are found total publication are 2377.Out of Total publication after analysing most relevant sources include PLOS One was found most relevant source around 91.In Correspondence Authors from various countries India is on 3rd number which is around 114 authors.&#x0D; Conclusion: There are many publications on this key words and most publication are published in recent 10 years. Indian contribution in this area in on 3rd no in all over world.