Narrative Questions Research Articles

A Comparative Study on the Sea-heroes Narrative Structure between Game 'Dave the Diver' and 'Tale of Geotaji'

The purpose of this study is to examine the cultural originality of folktales and the media specificity of game narratives by comparing and analyzing the narrative structures of digital games and Korean folktales. To this end, this study focused on the fact that both the game <Dave the Diver> and <Tale of Geotaji> feature sea-heroes narratives that follow the structure of a hero’s journey based in the sea. First, this study analyzes the universality inherent in games and folktales through the structure of return between the sea and land and the occupational characteristics of the main character. In Korean storytelling culture, the sea is assumed to be a space interrelated with the land, and sea heroes also perform by utilizing acquired skills. And this study analyzes how archetypal folktales are transformed to fit the game medium. The sea-heroes narrative appears as a structure of juxtaposition in which quest games are repeatedly performed through the participation of players and quest narratives are continuously accumulated. In addition, the main character establishes a dual identity by coexisting with his everyday appearance on land and extraordinary appearance under the sea.

European Respiratory Society guidelines for the diagnosis and management of pulmonary alveolar proteinosis.

Pulmonary alveolar proteinosis (PAP) is a rare syndrome caused by several distinct diseases leading to progressive dyspnoea, hypoxaemia, risk of respiratory failure and early death due to accumulation of proteinaceous material in the lungs. Diagnostic strategies may include computed tomography (CT) of the lungs, bronchoalveolar lavage (BAL), evaluation of antibodies against granulocyte-macrophage colony-stimulating factor (GM-CSF), genetic testing and, eventually, lung biopsy. The management options are focused on removing the proteinaceous material by whole lung lavage (WLL), augmentation therapy with GM-CSF, rituximab, plasmapheresis and lung transplantation. The presented diagnostic and management guidelines aim to provide guidance to physicians managing patients with PAP. A European Respiratory Society Task Force composed of clinicians, methodologists and patients with experience in PAP developed recommendations in accordance with the ERS Handbook for Clinical Practice Guidelines and the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) approach. This included a systematic review of the literature and application of the GRADE approach to assess the certainty of evidence and strength of recommendations. The Task Force formulated five PICO (Patients, Intervention, Comparison, Outcomes) questions and two narrative questions to develop specific evidence-based recommendations. The Task Force developed recommendations for the five PICO questions. These included management of PAP with WLL, GM-CSF augmentation therapy, rituximab, plasmapheresis and lung transplantation. Also, the Task Force made recommendations regarding the use of GM-CSF antibody testing, diagnostic BAL and biopsy based on the narrative questions. In addition to the recommendations, the Task Force provided information on the hierarchy of diagnostic interventions and therapy. The diagnosis of PAP is based on CT and BAL cytology or lung histology, whereas the diagnosis of specific PAP-causing diseases requires GM-CSF antibody testing or genetic analysis. There are several therapies including WLL and augmentation therapy with GM-CSF available to treat PAP, but supporting evidence is still limited.

국어과 중등교사 임용시험(2002-2024) ‘고전 시가’ 영역의 분석 및 방향

Objectives The purpose of this study was to analyze the questions in the ‘classical poetry’ area in the Korean Language Department Secondary Teacher Appointment Test (2002-2024), and to suggest what direction to proceed in the future. Methods Questions in the classical poetry area were extracted from the Korean language department secondary teacher appointment test questionnaire and analyzed ‘tendency’ and ‘type of question’ based on the direction and principles of questions provided by the Korea Institute for Curriculum and Evaluation. Results The tendency of the questions could be divided into three main categories. First, there was a great tendency to consist of 2-3 passages only within the classical poem. Second, there was a bias in the classical poem section that is presented every year. Third, there were many cases where the works that were presented reappeared in different forms with similar content. The types of questions were analyzed by dividing them by period. First, in the 2000s, there was a great tendency to write questions by memorizing knowledge or content about the work. Second, questions before and after 2010 were presented focusing on knowledge of literary history and understanding and analysis of works. Third, the written questions from 2014 to the present are presented to allow objective evaluation as much as possible, and the narrative questions are presented in the direction of analysis, reasoning, synthesis, and evaluation based on data. Conclusions Based on the analysis results, four directions for the future classical poetry appointment test are proposed. First, it is necessary to expand the scope of complex passages in classical poetry. Second, reduce the deviation of the frequently asked branches, and evenly present the branches of oral literature, Korean literature, and Chinese literature. Third, develop questions to measure more diverse and higher-order thinking. Fourth, the questions are presented so that the essence of the classic poem, “a poem” and “a song (歌)” can be confirmed or realized.

Natural language processing in finance: A survey

This survey presents an in-depth review of the transformative role of Natural Language Processing (NLP) in finance, highlighting its impact on ten major financial applications: (1) financial sentiment analysis, (2) financial narrative processing, (3) financial forecasting, (4) portfolio management, (5) question answering, virtual assistant and chatbot, (6) risk management, (7) regulatory compliance monitoring, (8) Environmental, Social, Governance (ESG) and sustainable finance, (9) explainable artificial intelligence (XAI) in finance and (10) NLP for digital assets. With the integration of vast amounts of unstructured financial data and advanced NLP techniques, the study explores how NLP enables data-driven decision-making and innovation in the financial sector, alongside the limitations and challenges. By providing a comprehensive analysis of NLP applications combining both academic and industrial perspectives, this study postulates the future trends and evolution of financial services. It introduces a unique review framework to understand the interaction of financial data and NLP technologies systematically and outlines the key drivers, transformations, and emerging areas in this field. This survey targets researchers, practitioners, and professionals, aiming to close their knowledge gap by highlighting the significance and future direction of NLP in enhancing financial services.

Getting to the situation: the N400 can indicate meaning integration beyond word priming

ABSTRACT Can integration processes during reading be detected in the N400 time window? Although many results have supported this possibility, recent research controlling for semantic priming concluded that only word-meaning retrieval is detected in the N400 [Delogu, F., Brouwer, H., & Crocker, M. W. (2019). Event-related potentials index lexical retrieval (N400) and integration (P600) during language comprehension. Brain and Cognition, 135, 103569. https://doi.org/10.1016/j.bandc.2019.05.007]. We report three experiments designed to detect N400 integration effects by encouraging situation-level comprehension, manipulating integration difficulty through event congruence. Experiments 1 and 2 created narrative texts and questions targeting attention to event structures, showing priming but no additional integration effects. In Experiment 3, readers formed mental images, updating their mental model with each sentence. The results show integration effects during the N400 window and later around 600 ms, indicating both priming and message-level integration effects can emerge in the N400 when readers engage in situational comprehension.

‘Women Bleed in Private’ / Miscarriage Goes Public: A Relational Response to Social Silence over Miscarriage in Sarah Ruhl’s Writings

This article discusses Sarah Ruhl’s miscarriage experience in her autobiographical work Smile (2022) and in a selection of poems from 44 Poems for You (2020). The discussion considers Ruhl’s account as quest narratives in which she voices what she considers a tragic event in her life to underline the need to overcome the usual social silence that reigns over miscarriage. Ruhl’s prose and lyrical approaches to her miscarriage are both physical and emotional, but also social, cultural and political. Her accounts help to destigmatize this loss and to hold control over her own experience in ways that transcend the social constructions of how to experience miscarriage. As argued, Ruhl’s approach is that of a communicative dyadic body that informs us on the signals of miscarriage, of her personal experience, and what she did to get pregnant again and reconcile with this loss. Beyond the medical usefulness of her work, through her writings, Ruhl invites readers to question the social and cultural assumptions surrounding miscarriage. And in doing so, she helps women who have experienced miscarriage to regain confidence in their own bodies and the strength to revisit and fight against the common conception and representation of miscarriage as merely a physical and emotional wasteland.

Z czego jest haczyk (w powieści 2666 Roberta Bolaño)? Spekulacja narratologiczna (What is the hook in Roberto Bolaño’s novel 2666? A narratological speculation)

The starting point of the article is the assumption that the novel 2666 is - contrary to popular belief - a complete and meticulously thought out work even despite the un-finished editorial work due to the author’s premature death. The thorough considera-tion of the plot and also poetic aspects is evidenced by a series of 'hooks' – deliberately used techniques – that effectively capture the attention of discerning readers. The article briefly characterizes some of the relevant solutions adopted by the author – from the title and the structure of the novel to the different genres of its various parts – and then focuses on perhaps the most intriguing theme, namely the enigma of the ambiguous and elusive narrative. The question of narration in Roberto Bolaño’s last novel has not yet been discussed in detail, although it deserves a thorough analysis because of its impact on the overall interpretation of the work, which represents the main thesis of the article.

Why don't faculty members report incidents of online abuse and what can be done about it?

The mobilization of academic research via online platforms presents a troubling paradox. Digital-first publications offer the opportunity for scholars to reach a wider audience, yet this same online vehicle for knowledge mobilization opens scholars to the risk of online abuse. Furthermore, the concept of online abuse is often misunderstood or dismissed by post-secondary institution administrators. The aim of this research is to understand why faculty members who experience online abuse do not report the such abuse to their administration, even though there is indication that support from administration is needed to manage the problem. Drawing from a series of semi-structured interviews and focus groups, this research examines the reasons why faculty members decide not to report their experiences of online abuse to their various academic administrators. A total of 11 faculty members in academic positions located North America agreed to participate in the research. We used a combination of semi-structured and narrative interview questions to understand participants’ experiences of online abuse. The data was coded using the constant comparative approach to identify emergent themes (Glaser & strauss, 1967), a nd guided by the research questions. The Theory of Planned Behavior was used to schematize the attitudes, social norms, and perceived behavioral controls that dissuade reporting of online abuse, and provide institutional recommendations that may encourage reporting and improve support for targeted faculty members. This study contributes to theory and practice by offering that when academic administrators foster a culture of care, faculty would be encouraged to report incidences of online abuse.

Parables for planetary crisis: storytelling and multispecies migration in Amitav Ghosh’s Gun Island

Throughout his oeuvre, Amitav Ghosh deals with storytelling and migration. Exploring legacies of empire and entanglements between the human and non-human world, his writing is driven by an ethical imperative to excavate “forgotten” stories, and, especially in his later texts, to find new forms of storytelling suited to capture pasts, presents, and futures shaped by a growing sense of planetary crisis. Gun Island (2019), a generic mix of personal quest narrative, thriller, romance, and folk tale, depicts a world disrupted by different forms of multispecies migration. Linking the Indian subcontinent, the US, and Europe, it chronicles voluntary and forced journeys of humans and animals between the Global North and South, intertwining refugee and climate crises in the Mediterranean and Bangladesh with the morally charged legend of the gun merchant, a seventeenth-century world traveller. The text brings current and historical links between migration and climate change, which are comparatively rarely treated in literary fiction, into sharp focus. As this essay argues, it highlights specifically the need to broaden the notion of migration literature and its subgenres to include both human and animal migration and the impact of globalization and current realities of climate change. Exploring genre and poetics in Gun Island, this essay reads the novel against the broader aesthetic and cultural-historical arguments made in Ghosh’s The Great Derangement (2016) and The Nutmeg’s Curse (2021). To explore Ghosh’s poetics, which fuse everyday realism with the uncanny, the improbable, and the mythical, this essay also draws on Thom van Dooren and Deborah Bird Rose’s notions of “ethography”. It argues that Gun Island, as a multispecies climate migration novel, responds to the author’s call for a rediscovery of storytelling beyond Western-style realism or SF, as a means to capture human and non-human subjectivities and to undo demarcations between rationality and spirituality.

An ambition at a crossroads: Transiting out of the game in amateur and semi-professional football in Nigeria

Thousands of youths play in amateur and semi-professional clubs in Nigeria with the hope of achieving a professional contract or transnational migration through football. For the majority, however, the social and spatial mobility that is hoped for is never realised. This means that they would have to terminate their pursuit and transition into alternative adulthood pathways. Through semi-structured interviews with former players, this study explored how athletes in amateur and semi-professional football in Nigeria experience and navigate the termination process and transition out of the game. The findings revealed that career termination may develop in a non-linear trajectory as athletes consider their chances of a professional career, age and the obligations of adulthood and intergenerational care. Generally, the athletes navigated the process without significant support from their clubs or other institutions. However, they made use of the social capital and relationships built from their involvement in football (e.g. going into coaching) or leveraged familial ties to secure alternative livelihood opportunities. While participants in this study showed a proactive quest narrative to rebuild their lives away from football, some reported experiences of a chaos narrative among former colleagues, especially manifesting in alcoholism. The findings of this study underscored the need for frameworks for dual career planning for athletes alongside their athletic education and making provisions for psychosocial support for players transitioning out of the game.

Analisis Kemampuan Pemecahan Masalah Matematis Pada Materi Penjumlahan Dan Pengurangan di Kelas II SDN 1 Selojari

Lower elementary school students usually have difficulty solving arithmetic puzzles. This is caused by variables inhibiting students, including lack of focus and low motivation to learn. This research was conducted to determine the proficiency of class II students at SD 1 Selojari in answering addition and subtraction questions through the use of narrative questions. The aim of the qualitative method of this research which uses a qualitative descriptive approach is to characterize mathematical problem solving abilities. The technique for selecting subjects in this research is using a purposive sampling technique, which is a technique for determining samples with various specific considerations using 11 class II students at SD 1 Selojari. The data collection techniques used were interview, observation and documentation methods. The data analysis technique uses data collection, data reduction, and drawing conclusions. The mathematical problem solving ability of second grade elementary school students in addition and subtraction material is quite high, namely 90%, as seen in the students' ability to work on the questions given and get high scores. The results of this research show that one in three students are still unable to solve problem questions and still need help.

Evaluation of the Effectiveness of Standardized Patient Simulation as a Teaching Method in Psychiatric and Mental Health Nursing.

Background: The use of standardized patient simulation in psychiatric nursing education addresses the unique challenges presented by mental healthcare settings. Students' attitudes toward clinical simulation remain predominantly favorable, with many expressing enthusiasm for the opportunities it provides in terms of embracing challenges, enhancing realism, and promoting critical thinking through problem solving, decision-making, and adaptability. Methods: This quantitative study used a cross-sectional, descriptive, correlation design to investigate the effectiveness of standardized patient simulation as a teaching method in the Psychiatric and Mental Health nursing course in a university setting. A total of 84 nursing students were recruited for the convenience sample. Data were collected using a three-part questionnaire survey which included the following: a demographic data sheet, the Student Satisfaction and Self-confidence in Learning Scale, and a narrative open-ended question asking the participants to write the advantages and disadvantages of their simulation experience. Data were analyzed using the statistical software JMP pro17. Results: The total satisfaction with learning subscale score ranged between 5 and 25 with a mean score of 19.36 ± 6.32. The total self-confidence subscale score ranged between 8 and 40 with a mean score of 30.87 ± 9.1. Pearson's correlation coefficient r revealed a statistically significant positive relationship between the participants' satisfaction with the learning experience and their self-confidence (t = 0.923, p < 0.0001). Approximately 91.7% of the students recommended using simulation. The results confirmed the students' recommendations of simulation use in teaching psychiatric and mental health courses; furthermore, the results showed a statistically significant positive correlation with the total SSLS (p = 0.01) and satisfaction with learning subscale (0.003). Participants reported that authentic, practical, comfortable, and safe learning environments contributed to an enriched learning experience. Additionally, factors such as timesaving, access to information, cost-effectiveness, standardized teaching, varied exposure, skill development, and immediate feedback also enhanced the learning experience through patient simulation in psychiatric and mental health nursing. Conclusion: Simulations can contribute efficiently and positively to psychiatric and mental health nursing education in a manner that optimizes the learning experience while ensuring the consistency of student learning in a safe learning environment.

Pleasure, ‘education’, and erotism: An intersectional reading of gender, sex, and sexuality in Agents of Ishq Zines

ABSTRACT Situated at the crossroads of scholarly inquiry in gender studies and counter-cultural studies, this paper analyses how the two zines by the multimodal platform Agents of Ishq viz. What is normal? AKA Heteronormativity Kya Hai? and The Political Power of Pleasure, ‘perform’ as a space for sexuality-studies sensitisation and create a platform for inclusive and intersectional sex education. The use of handmade illustrations, intermingled languages, ‘cut-and-paste’ collage style aesthetic, nonlinear narrative, and nonconformist content pose compelling questions related to erotic subcultures, cultural taboos, heteronormativity, and discrimination. The analysis focuses on how the visual-verbal format of zines contribute to the need for narratives that focus on differences in experiences, instead of imposing single-axis ideas and representations, to explore how these texts represent the voices that lie at intersections by opposing homogenisation of identities and cultures. It highlights the need to acknowledge the intersectionality of sexual identities to practice a more inclusive and sensitised social activism.

AN ANALYSIS OF GRAND NARRATIVES IN JEANETTE WINTERSON’S ORANGES ARE NOT THE ONLY FRUIT

Jeanette Winterson, one of the most significant writers of the 21st century, touches on various topics in her Oranges Are Not the Only Fruit. One of the subject matters that stands out is the novel’s criticism of grand narratives through its main heroine, Jeanette. The question of grand narratives, touched upon and re-evaluated by postmodernism, has a substantial place in the narration of the novel. The ideologies, determined and limited by society as grand narratives, reject pluralism and differences. They defend a single ideology and undermine differences. The grand narratives examined under the subject of religion in this article determine social norms and lead them. Winterson’s Jeanette is a character who tries to assume a different identity in a society where grand narratives are unshakably implemented and close the door to different ideologies. This article examines Jeanette’s experiences and rebellion in a society surrounded by grand narratives. The study aims to show how the church and church society adhere to grand narratives and how the main character overturns established ideologies.

The Implementation of Recommender Systems for Mental Health Recovery Narratives: Evaluation of Use and Performance.

Recommender systems help narrow down a large range of items to a smaller, personalized set. NarraGive is a first-in-field hybrid recommender system for mental health recovery narratives, recommending narratives based on their content and narrator characteristics (using content-based filtering) and on narratives beneficially impacting other similar users (using collaborative filtering). NarraGive is integrated into the Narrative Experiences Online (NEON) intervention, a web application providing access to the NEON Collection of recovery narratives. This study aims to analyze the 3 recommender system algorithms used in NarraGive to inform future interventions using recommender systems for lived experience narratives. Using a recently published framework for evaluating recommender systems to structure the analysis, we compared the content-based filtering algorithm and collaborative filtering algorithms by evaluating the accuracy (how close the predicted ratings are to the true ratings), precision (the proportion of the recommended narratives that are relevant), diversity (how diverse the recommended narratives are), coverage (the proportion of all available narratives that can be recommended), and unfairness (whether the algorithms produce less accurate predictions for disadvantaged participants) across gender and ethnicity. We used data from all participants in 2 parallel-group, waitlist control clinical trials of the NEON intervention (NEON trial: N=739; NEON for other [eg, nonpsychosis] mental health problems [NEON-O] trial: N=1023). Both trials included people with self-reported mental health problems who had and had not used statutory mental health services. In addition, NEON trial participants had experienced self-reported psychosis in the previous 5 years. Our evaluation used a database of Likert-scale narrative ratings provided by trial participants in response to validated narrative feedback questions. Participants from the NEON and NEON-O trials provided 2288 and 1896 narrative ratings, respectively. Each rated narrative had a median of 3 ratings and 2 ratings, respectively. For the NEON trial, the content-based filtering algorithm performed better for coverage; the collaborative filtering algorithms performed better for accuracy, diversity, and unfairness across both gender and ethnicity; and neither algorithm performed better for precision. For the NEON-O trial, the content-based filtering algorithm did not perform better on any metric; the collaborative filtering algorithms performed better on accuracy and unfairness across both gender and ethnicity; and neither algorithm performed better for precision, diversity, or coverage. Clinical population may be associated with recommender system performance. Recommender systems are susceptible to a wide range of undesirable biases. Approaches to mitigating these include providing enough initial data for the recommender system (to prevent overfitting), ensuring that items can be accessed outside the recommender system (to prevent a feedback loop between accessed items and recommended items), and encouraging participants to provide feedback on every narrative they interact with (to prevent participants from only providing feedback when they have strong opinions).

ERS/EBMT clinical practice guidelines on treatment of pulmonary chronic graft-versus-host disease in adults.

Chronic graft-versus-host disease (cGvHD) is a common complication after allogeneic haematopoietic stem cell transplantation, characterised by a broad disease spectrum that can affect virtually any organ. Although pulmonary cGvHD is a less common manifestation, it is of great concern due to its severity and poor prognosis. Optimal management of patients with pulmonary cGvHD is complicated and no standardised approach is available. The purpose of this joint European Respiratory Society (ERS) and European Society for Blood and Marrow Transplantation task force was to develop evidence-based recommendations regarding the treatment of pulmonary cGvHD phenotype bronchiolitis obliterans syndrome in adults. A multidisciplinary group representing specialists in haematology, respiratory medicine and methodology, as well as patient advocates, formulated eight PICO (patient, intervention, comparison, outcome) and two narrative questions. Following the ERS standardised methodology, we conducted systematic reviews to address these questions and used the Grading of Recommendations Assessment, Development and Evaluation approach to develop recommendations. The resulting guideline addresses common therapeutic options (inhalation therapy, fluticasone-azithromycin-montelukast, imatinib, ibrutinib, ruxolitinib, belumosudil, extracorporeal photopheresis and lung transplantation), as well as other aspects of general management, such as lung functional and radiological follow-up and pulmonary rehabilitation, for adults with pulmonary cGvHD phenotype bronchiolitis obliterans syndrome. These recommendations include important advancements that could be incorporated in the management of adults with pulmonary cGvHD, primarily aimed at improving and standardising treatment and improving outcomes.

Self and Peer Assessment Based on Storytelling: Implementation on Islamic Education Learning

This study aims to find out the techniques of self-assessment and peer assessment through the storytelling method as well as the benefits of the storytelling-based self-assessment and friend process for students and teachers. This article uses qualitative research methods to explore a deep understanding of self-assessment and peer judgment based on storytelling. Data were collected through self-assessment and in-depth interviews that allowed researchers to explore the rich perspectives of the participants directly. Data analysis is carried out thematically, by highlighting patterns that emerge from the data and providing a holistic interpretation of the phenomenon being studied. The results of the study show that self-assessment and peer assessment using storytelling in Islamic religious education learning can be done in several steps, namely determining the competencies or aspects to be assessed, determining the assessment criteria to be used, formulating an assessment format, and in the form of assessment guidelines, checklists, or assessment scales, asking students to do self-assessments, teachers reviewing evaluation samples at random, encourage students to always conduct careful and objective self-assessments. The second technique can be done by providing some narrative questions. In this case, students will be asked to share the results of their assessment in front of teachers and friends in turn

Healthcare professionals’ attitudes towards the termination of pregnancy: a qualitative analysis of survey data in Northern Ireland

Abortion was decriminalised in Northern Ireland in October 2019. Following decriminalisation, the new regulations set out legal provision for abortion up until 12 weeks, with conditions thereafter. This cross-sectional descriptive survey, conducted in late 2019 in Northern Ireland, gathered the views of health professionals on decriminalisation, and their willingness to provide abortion services. This article provides a thematic analysis of answers to narrative questions from the online survey, and identifies priority areas of engagement with healthcare professionals. We assess how healthcare professional roles and responsibilities, abortion procedures, the foetus, and women and pregnant people were discursively constructed by respondents who are willing or unwilling to provide abortion services in Northern Ireland. We identify a narrow understanding of ‘harm’, and gendered norms of women as irresponsible or duplicitous, as inhibitory factors to the normalisation of abortion services in Northern Ireland.

“An Unexpectedly Transgressive Subject of Twentieth-Century History”: How to Write (and Why to Read) about Communist Women Today

This review article discusses two newly-released publications on communist women activists: Kristen Ghodsee’s Red Valkyries: Feminist Lessons from Five Revolutionary Women and The Palgrave Handbook of Communist Women Activists around the World, edited by Francisca de Haan. It focuses on questions of narrative and the persuasive function of the reviewed works, asking how and for whom one should write about communist women today. It brings to light methodological challenges, as well as those related to access to sources on communist women. It also reflects on the place that publications which tell stories of communist women who challenged gender, class, and racial inequalities in the past occupy in the perception of contemporary readers, so often confronted in these times with experiences of inequality and violence.

Abstract TP98: Data Quality Review: Opportunities Through Transparency

Background: Manual abstraction is still the leading source of registry data entry. Due to variability, information should be reviewed for accuracy. Clinical processes that impact quality of care and hospital metrics are abstracted and entered in the Get with The Guidelines® (GWTG) suite of registry programs. GWTG data is intended to be abstracted in accordance with specified coding instructions with high integrity. Created in 2023, the Data Quality Review Program (DQR) reviews the medical record concurrently with abstracted GWTG data to help streamline processes and ensure accuracy of data entry. The information is then compiled to form an inner-rater reliability (IRR) report including performance improvement opportunities. Methods: Site participation is voluntary and a percentage of annual charts is selected. Records in GWTG are compared to corresponding patient records via screen sharing for accuracy. Discrepancies and opportunities are reviewed with each case including clinical pathway performance, regulatory standards, and coding elements. Chart review includes data used for GWTG achievement and quality awards, time-sensitive activities and social disparities of health. IRR is further supported by individual risk and occurrence factors for each element reviewed along with a total composite IRR score guided by a standardized framework. Results: From April to July 2023, 50 hospitals have completed the DQR. Sites have varied geographically, in intervention capabilities, and accrediting body. Sites completed an experience survey after the DQR using Likert scale and narrative questions. 100% of survey respondents rated the DQR a 5 the top score, and valued evidence-based education and discussion of site abstraction processes. DQR reports were presented during regulatory body surveys in 6 cases which resulted in “no findings” note in this component for the site. Conclusion: While abstraction is not directly related to clinical care there are opportunities to connect registry data entry to improvement, both in quality and delivery of care. Sites participating in the DQR feel better prepared for certification, validation of current practices, and enhanced knowledge of coding instructions demonstrated through quality matrix recommendations.