Potential Key Performance Indicators Research Articles

Key performance indicators for improving outcomes from retroperitoneal sarcoma surgery in New Zealand.

Retroperitoneal sarcomas are a rare and heterogenous group of tumours. There is increasing evidence that high volume sarcoma units achieve superior outcomes than low volume units. Due to the relatively small population, New Zealand is unlikely to generate a sufficient case volume to be considered high volume. To our knowledge, no well-established key performance indicators (KPIs) exist for retroperitoneal sarcoma surgery. In order to ensure quality standards we aim to propose KPIs which will act as a benchmark and a target for future quality improvement. Potential KPIs were generated by internal discussion within the sarcoma team, taking into consideration available guidelines and evidence. Cases treated through the unit since 2015 were audited to determine historical performance against these KPIs. Eighty-six patients with primary retroperitoneal sarcomas were identified. 69% of patients were discussed at the sarcoma MDM prior to treatment, 62% underwent preoperative core biopsy. 82% of patients were seen and treated within target timeframes set by the Ministry of Health. 53% of patients underwent surgery with a sarcoma trained surgeon. R0/R1 rate was 88%. 90-day mortality was 4.6%. Surgical treatment of retroperitoneal sarcomas is complex and can be associated with significant morbidity. The proposed KPIs provide a measure of service performance and provide targets for quality improvement.

Architecture Engineering and Construction Industrial Framework for Circular Economy: Development of a Circular Construction Site Methodology

All sectors have been affected by digital, economic, and demographic transitions. These will also be completely changing the paradigms of the construction industry, which is increasingly being pressured to implement strategic solutions in order to mitigate its own current environmental impact. Existing environmental standards and voluntary protocols are useful tools for reducing the environmental impact of buildings and infrastructures above all during the operation phase, but there is no consistent methodology for creating a circular and sustainable construction stage at the moment, probably because this represents a small stage in the entire life cycle of a structure; nevertheless, the construction industry impacts a lot on the environment and should be managed in a circular way. A detailed analysis of the current problem is provided, as well as a potential solution involving a transition to a circular economic model for the entire construction lifecycle, supported by innovative models and methodologies. The purpose of this article is to create a “Circular Construction Sites” (CCS) flow using circular concepts and to develop a circular methodology for construction sustainability, considering practical solutions related to materials, water, and waste management. According to the circular economy model, the circular construction site can communicate with other industrial ecosystems to promote external circularity and zero waste production. A set of potential key performance indicators (KPIs) for monitoring circularity processes is presented. Finally, a method is proposed that circularizes not only the building or infrastructure design, but also the construction phase.

Key Performance Indicators Related to Strength, Endurance, Flexibility, Anthropometrics, and Swimming Performance for Competitive Aquatic Lifesaving.

The aim of the study was to investigate key performance indicators for the individual pool-based disciplines of competitive lifesaving regarding strength, flexibility, sprint and endurance swimming performance, anthropometric characteristics, and technical skills specific to competitive lifesaving. Data were collected from Swiss national team members (seven males: age 19 ± 2 yrs, body mass 77 ± 11 kg, body height 177 ± 7 cm and seven females age 21 ± 5 yrs, body mass 64 ± 6 kg, body height 171 ± 4 cm) competing at the 2019 European lifesaving championships. Potential key performance indicators were assessed with race times derived from the 2019 long-course season using Spearman’s correlation coefficient. Large and significant correlations showed that sprint, i.e., 50 m freestyle performance (r ≥ 0.770), was related to race time of all pool-based disciplines, rather than endurance swimming performance. Additionally, significant correlations revealed upper body strength, i.e., bench press (r ≥ −0.644) and pull (r ≥ −0.697), and leg strength (r ≥ −0.627) as key performance indicators. Importance of the lifesaving-specific skills, anthropometric characteristics, and core strength varied between the disciplines. Flexibility was not significantly related to race times of competitive lifesaving. The present study showed that sprint swimming performance, upper body, and leg strength are particularly important for competitive lifesaving. As other physical and technical requirements varied between the pool-based disciplines, coaches may use the present key performance indicators to establish training guidelines and conditioning programs as well as prioritize skill acquisition in training to specifically prepare athletes for their main disciplines.

Augmented reality tools for industrial applications: What are potential key performance indicators and who benefits?

Augmented reality (AR) tools are poised to have great potential for organizations when it comes to complex processes in the field of industrial applications – like construction or maintenance in the automotive industry. The human-centred technology displays context-specific 3-D information in a real environment related to a specific targeted object. Immersive experiences are expected to boost task efficiency, the quality of training and maintenance purposes. However, ready-for-market AR tools are still rarely used and benefits seldom demonstrated. This paper focuses on the key performance indicators (KPIs) that are able to benchmark the impact of using ready-for-market AR tools on automotive maintenance performance. After a comprehensive literature review on the benefits of AR for several industrial applications in design, education and training, KPIs were extracted and evaluated by experts from the automotive industry. They were used in an empirical study – based on the technology acceptance model (TAM) – with users evaluating the KPIs before and after training situations. In addition, ‘Perceived Usefulness’ and ‘Intention to Use’ were investigated. Significant enhancements of all KPIs were observed and novice users were identified as a potential target group.

CHP within smart micro energy grid: optimum operation with distributed energy resources

A well-designed and maintained combined heat and power (CHP) plant can deliver significant economic and environmental benefits by reducing energy bills and CO2 emission. Recently, CHP is receiving increasing considerations for investment by national and international governments, as well as power grid companies to maximise the benefits from CHP. The variable demand of heat and power loads from the CHP plant and utility grid changing tariffs during the peak and off peak hours introduce more complexities to the control and the performance optimisation of CHP operation. In this paper, potential key performance indicators of CHP-based micro energy grid and the optimum utilisation of a specific grid with distributed energy sources are discussed. Optimisation algorithm is introduced to maximise the overall performance of CHP implementations.

PTH-006 Current Performance Of Ercp In The Clearance Of Bile Duct Stones In Uk Centres - Working Towards Robust Key Performance Indicators

IntroductionCholedocholithiasis is the commonest indication for endoscopic retrograde cholangiopancreatography (ERCP). ERCP carries substantial risk of complication when compared to other endoscopic modalities. The identification of key performance indicators (KPIs) in...

Reporting clinical trial information: colorectal cancer trials at Sydney Cancer Centre

Clinical trial units are integral to the functioning of a medical oncology department with patient access to clinical trials an important component in patient care. There has been a paucity of potential key performance indicators in medical oncology and clinical trial information may be utilised for this purpose. The aim of this study was to record retrospectively and collate prospectively collected information regarding basic demographics, response rate, progression and survival plus grade 3 or 4 toxicity in patients enrolled in clinical trials for metastatic colorectal cancer at the Sydney Cancer Centre between 1999 and 2007. Baseline patient demographics, clinical response, progression dates, grade 3 or 4 toxicities plus treatment-related fatalities were collected from individual clinical trials. Outcome measures were clinical response, progression-free survival and overall survival. There was a total of 14 trials undertaken during the defined period for patients with metastatic colorectal cancer. There was available information for 243 patient trials with sufficient information regarding response rates, toxicity, progression and survival. Tumour response rates ranged from 27% to 66% for first line chemotherapy trials and 0% to 20% for non-first line chemotherapy trials. The overall progression-free survival was 6.4 months and overall survival 14.0 months for all trials. There was one treatment-related fatality on clinical trial during this period. Results of our clinical database have been used here to illustrate the concept and value of reporting clinical trial information in medical oncology. Public reporting of such information may allow for comparisons between units and for quality improvement.

Use of Social Media in Health Promotion

Despite the expanding use of social media, little has been published about its appropriate role in health promotion, and even less has been written about evaluation. The purpose of this article is threefold: (a) outline purposes for social media in health promotion, (b) identify potential key performance indicators associated with these purposes, and (c) propose evaluation metrics for social media related to the key performance indicators. Process evaluation is presented in this article as an overarching evaluation strategy for social media.

Identification of key performance indicators for on-farm animal welfare incidents: possible tools for early warning and prevention

BackgroundThe objective of this study was to describe aspects of case study herds investigated by the Department of Agriculture, Fisheries and Food (DAFF) in which animal welfare incidents occurred and to identify key performance indicators (KPIs) that can be monitored to enhance the Early Warning System (EWS). Despite an EWS being in place for a number of years, animal welfare incidents continue to occur. Questionnaires regarding welfare incidents were sent to Superintending Veterinary Inspectors (SVIs), resulting in 18 herds being chosen as case study herds, 12 of which had a clearly defined welfare incident date. For each study herd, data on six potential KPIs were extracted from DAFF databases. The KPIs for those herds with a clearly defined welfare incident date were studied for a consecutive four year window, with the fourth year being the 'incident year', when the welfare incident was disclosed. For study herds without a clearly defined welfare incident date, the KPIs were determined on a yearly basis between 2001 and 2009.ResultsWe found that the late registration of calves, the use of on-farm burial as a method of carcase disposal, an increasing number of moves to knackeries over time and records of animals moved to 'herd unknown' were notable on the case farms.ConclusionFour KPIs were prominent on the case study farms and warrant further investigation in control herds to determine their potential to provide a framework for refining current systems of early warning and prevention.

Identifying key performance indicators for nursing and midwifery care using a consensus approach

The aim of this study was to gain consensus on key performance indicators that are appropriate and relevant for nursing and midwifery practice in the current policy context. There is continuing demand to demonstrate effectiveness and efficiency in health and social care and to communicate this at boardroom level. Whilst there is substantial literature on the use of clinical indicators and nursing metrics, there is less evidence relating to indicators that reflect the patient experience. A consensus approach was used to identify relevant key performance indicators. A nominal group technique was used comprising two stages: a workshop involving all grades of nursing and midwifery staff in two HSC trusts in Northern Ireland (n = 50); followed by a regional Consensus Conference (n = 80). During the workshop, potential key performance indicators were identified. This was used as the basis for the Consensus Conference, which involved two rounds of consensus. Analysis was based on aggregated scores that were then ranked. Stage one identified 38 potential indicators and stage two prioritised the eight top-ranked indicators as a core set for nursing and midwifery. The relevance and appropriateness of these indicators were confirmed with nurses and midwives working in a range of settings and from the perspective of service users. The eight indicators identified do not conform to the majority of other nursing metrics generally reported in the literature. Furthermore, they are strategically aligned to work on the patient experience and are reflective of the fundamentals of nursing and midwifery practice, with the focus on person-centred care. Nurses and midwives have a significant contribution to make in determining the extent to which these indicators are achieved in practice. Furthermore, measurement of such indicators provides an opportunity to evidence of the unique impact of nursing/midwifery care on the patient experience.

Assessing health impacts in complex eco-epidemiological settings in the humid tropics: The centrality of scoping

Natural resources development projects are – and have been for more than 150 years – located in remote rural areas in developing countries, where local level data on community health is notoriously scarce. Health impact assessment (HIA) aims at identifying potential negative health consequences of such projects and providing the initial evidence-base for prevention and mitigation of diseases, injuries and risk factors, as well as promotion of positive effects. An important, but under-systematised early phase of the HIA process is scoping. It aims at organising diverse, often fragmentary, evidence and identifying potential project-related health impacts and underlying data gaps. It is also a key element in defining the terms of reference for the entire assessment. We present novel methodological features for the scoping process, emphasising the evaluation of quality of evidence, and illustrate its use in a contemporary HIA of the Simandou iron ore project in the Republic of Guinea. Assessment of data quality is integrated with specific content information via an analytical framework for the systematic identification of health outcomes and determinants of major concern. A subsequent gap analysis is utilised to assess the need for further baseline data collection and to facilitate the specification of a set of potential key performance indicators and strategies to inform the required evidence-base. We argue that scoping also plays a central role in the design of surveillance systems for longitudinal monitoring of health, equity and wellbeing following project implementation.

Developing key performance indicators for supply chain: an industry perspective

PurposeMeasuring or monitoring supply chain performance reveals the gap between planning and execution and helps companies to identify potential problems and areas for improvement. However, it is recognized that developing key performance indicators (KPIs), or metrics, is very challenging and a set of practical guidelines is not readily available for companies and supply chain management (SCM) practitioners. This paper seeks to offer a practical approach to performance measurement and to present a list of essential KPIs.Design/methodology/approachThis paper offers insights from industry in the area of supply chain performance measurement and a practical approach to developing performance metrics.FindingsThe experience from, and the review of, industry standards and best practices in supply chain performance measurement suggest that “less is better” as to developing performance metrics. Companies should focus on only a small list of KPIs which are critical for their operations management, customer service, and financial viability. Potential KPIs should be developed for each of the supply chain operations‐reference (SCOR) model's four meta‐processes (plan, source, make, and delivery) and need to be hierarchically grouped such as primary and secondary metrics.Practical implicationsThe paper offers a background of why performance measurement is necessary for SCM success, pragmatic guidelines for designing and implementing performance metrics, and critical KPIs with the definition, examples, and computation mechanism.Originality/valueDespite the importance of performance measurement for successful SCM, many companies wonder how to put performance metrics in place and make them work in practice. This paper offers an industry‐oriented, practical approach to performance measurement in SCM contexts and proposes key performance metrics which can be easily adapted for different businesses.