Role Of Team Research Articles

Factors affecting target caloric achievement and calorie intake improvement: the nutrition support team's role.

The nutrition support team (NST) works to improve malnutrition in hospitalized patients, and its role is expanding as more hospitals adopt NST. This study aimed to identify the clinical characteristics of NST-referred patients admitted to a tertiary hospital. The study focused on two groups: those who achieved the target calories, approximately 75% or more of their caloric needs relative to their body weight regardless of the period after the first NST referral, and those who improved their calorie intake 1 week after NST therapy. This study also analyzed the important factors affecting the achievement of target calorie intake and improvement in calorie intake to discover the focus of future NST therapy. This study examined 1,171 adult patients (aged ≥18 years) who were referred to the NST from all the departments within a tertiary hospital at least twice, with a minimum one-week interval between referrals, between January 1, 2019, and December 31, 2020. The study participants consisted of patients receiving <75% of their required caloric intake at the time of their first NST referral. Patients were categorized and compared according to whether they achieved their target calorie intake regardless of the period after the first NST referral and whether they improved their calorie intake 1 week after the NST therapy. We then identified factors affecting target caloric achievement and improvement in calorie intake. The group that achieved the target calorie intake had a lower proportion of neuro department patients (31.3%), a higher proportion of patients receiving intensive care unit (ICU) care (31.9%), and a longer ICU stay (p < 0.001) than the group that did not achieve the target calorie intake. Neuro department admission negatively affected target caloric achievement [adjusted odds ratio (aOR) = 0.305, 95% confidence interval (CI) = 0.150-0.617], whereas the length of ICU stay positively affected target caloric achievement (aOR = 1.025, 95% CI = 1.007-1.043). The proportion of neuro department patients was also low (42.5%) in the group with improved calorie intake 1 week after NST therapy. Neuro department admission was a negative factor (aOR = 0.376, 95% CI = 0.264-0.537) affecting the improvement in calorie intake. NST therapy significantly improved clinical outcomes for inpatients at nutritional risk. Because achieving target calories and improving calorie intake in neuro department patients is difficult, it is necessary to actively refer them to NST to achieve the target calories and improve calorie intake. Furthermore, because a longer ICU stay positively affects target calorie achievement, the system for ICU nutrition therapy should be expanded and implemented for general-ward patients, including neurological patients.

Role of the clinical radiopharmacist in patient safety during myocardial perfusion imaging with vasodilator stress agents

AimTo assess the radiopharmacist’s role in a multidisciplinary team focused on the contraindications of regadenoson in order to ensure the safe use of pharmacologic vasodilator stress agents in patients undergoing SPECT-MPI. MethodsWe ambispectively studied its safe use in 1905 patients (54.1% female, mean age: 66.6±11.7 years, range: 20–95 years). Sex, age, medical history, medications, drug allergies, and contraindications for stress testing were registered together with recommendations for the nuclear physician in charge. ResultsDetected contraindications and corresponding recommendations were as follows: risk factors for QTc interval prolongation 7.5% – measurement of QTc interval previously to test and monitor ECG; prior stroke or TIA 4.2% – consider carotid stenosis assessment; salicylates/sulfonamides allergy 3.1% – use 99mTc-sestamibi; epilepsy or risk factors for seizures 2.4% – use of adenosine or reconsider test indication; systemic corticosteroid therapy for severe COPD 1.3% – reassessment of patient’s condition; acute exacerbation of COPD 0.8% – defer test until acute episode is over; severe asthma 0.4% – do not perform test; methylxanthine ingestion 0.3% – avoid consumption previously; other 6.1% – evaluation of other contraindications. No contraindications were detected in 73.6% of patients. The test was canceled due to absolute contraindications in 2.9% of the requests. ConclusionsWorking in a systematic way, the radiopharmacist was able to detect a high number of issues related to regadenoson, with one out of four patients presenting some clinical contraindication. The recommendations given by the radiopharmacist were well accepted by the nuclear physicians who changed their approach contributing to increase the safety of patients referred for MPI.

The role of specialty palliative care interdisciplinary team members in acute care decision support: a qualitative study protocol

BackgroundSpecialty palliative care interdisciplinary teams (IDT) can play an important role in supporting patients and family members during acute care decision-making. Despite guidelines and evidence emphasizing decision-making support as a key domain of specialty palliative care, little is known about how decision-making support is actually implemented by specialty palliative care IDTs. This study aims to (1) describe the structure and processes of inpatient decision-making support delivered by specialty palliative care IDT, and (2) examine the perspectives of IDT members on their role in this decision-support.MethodsA team of clinician and non-clinician researchers will conduct non-participant observation ethnography at a single medical center in northern New England. The ethnography will focus on the work of IDT members in supporting decision making, particularly elements of specialty palliative care that have limited descriptions in the literature (e.g. systems and processes of care). Observations of formal and informal interactions between IDT members and clinical encounters will be conducted at one site over four months. Participants include patients, care partners, non-specialty palliative care providers, and specialty palliative care IDT members. Additionally, we will conduct semi-structured interviews with IDT members across three geographically diverse specialty palliative care teams across the United States to explore providers’ first-person perspective on their roles and function in decision-making support for hospitalized patients. Field notes and transcripts from observation and interviews will be uploaded to Dedoose software for management and thematic analysis following an inductive approach.DiscussionTo our knowledge, this will be the first observational study of the roles of interdisciplinary specialty palliative care teams. Results from this research will support further investigation into implementation of decision-making support across different types of medical teams.

Impact of the Multidisciplinary Cancer Team on the Diagnostic and Therapeutic Care Pathway of Early Breast Cancer Patients and Perception of Team Members: The Experience of a Cancer Centre in Italy

Literature on the role of multidisciplinary team (MDT) in cancer is still controversial. We aimed to investigate MDT impact on a panel of indicators in breast cancer care in a single-center retrospective study performed in a Cancer Reference Center in Italy. We analysed the diagnostic and therapeutic care pathway (DTCP) of 266 early breast cancer patients managed by our MDT during 2019-2020. Process indicators reflecting the change of the diagnostic and therapeutic care pathways occurred after the MDT discussion were computed. Further, the performance of some quality care indicators in breast cancer care since the establishment of the MDT activity and the breast cancer MDT members’ perceptions were also investigated. According to our study, the MDT approach improves breast cancer management by increasing the completion of staging and by encouraging neo-adjuvant treatment and an appropriate and faster surgery. In MDT members’ perspective it also improves decision-making and training and creates a positive work environment. Globally, our study encourages MDT rollout in breast cancer care. However, to enhance the reliability and comparability of the results of studies investigating MDT effectiveness in clinical practice, shared guidelines on its operationalisation are strongly desirable.

Exploring heart failure nurse practitioner outcome measures: a scoping review.

Clinical guidelines recommend people with heart failure are managed within a multidisciplinary team to receive optimal evidence-based management of the syndrome. There is increasing evidence that Nurse Practitioners (NP) in heart failure demonstrate positive patient outcomes. However, their roles as key stakeholders in a multidisciplinary heart failure team are not clearly defined. The aim of the review was to explore the literature related to NP-sensitive outcomes in heart failure. A scoping review was conducted according to accepted guidelines using the Joanna Briggs Institute framework for conducting a scoping review, to identify the literature that related to NP-sensitive outcomes in heart failure management. Sixteen texts were selected for data extraction and analysis. The most common outcome measures reported were readmission rates, self-care measurement scales, functional status scores, quality of life measurements, and medication optimization outcomes. No two studies collected or reported on the same outcome measurements. This review highlights that the reporting of heart failure (HF) NP outcome indicators was inconsistent and disparate across the literature. The outcome measures reported were not exclusive to NP interventions. Nurse Practitioner roles are not clearly defined, and resulting outcomes from care are difficult to characterize. Standardized NP-specific outcome measures would serve to highlight the effectiveness of the role in a multidisciplinary HF team.

Examining workload variations among different surgical team roles, specialties, and techniques: a multicenter cross-sectional descriptive study

BackgroundA high workload may negatively impact the surgical team's performance and jeopardize patient safety. The aim of this study was to measure the workload of the surgical team across different surgical roles, specialties, and techniques in several hospitals.MethodsThis cross-sectional multicenter study was performed in the operating rooms of eight teaching hospitals affiliated with Isfahan University of Medical Sciences, Iran. At the conclusion of each surgical procedure, all members of the surgical team completed the Surgery Task Load Index (SURG-TLX) questionnaire to assess workload levels. Descriptive statistics, analysis of variance (ANOVA), and Pearson correlations, were performed to compare surgical roles, specialties, techniques, and surgical time on workload overall and by subscale.ResultsA total of 409 workload questionnaires were obtained from 76 surgical teams or cases, involving 346 surgical team members. The total workload among all participants was 32.41 ± 17.21. Surgical complexity, physical demands, and mental demands were the highest workload subscales and distraction was the lowest workload subscale. Cardiovascular specialty had a higher workload compared to other specialties. Open techniques resulted in a higher workload compared to minimally invasive techniques. Surgical technologists who act in both the role of circulating and scrub nurse (C&Ss) experienced the highest workload, followed by surgical residents and surgeons.ConclusionsThe results of the study showed that the workload for some members of the surgical team is disproportionately high and is influenced by factors such as specialty, technique, role, and surgical duration. By knowing the distribution of workload among the members of the surgical team, efforts can be made to optimize the team members’ workload.

Comparative study of positioning and technical-tactical indicators between teams of different performance levels in the Qatar 2022 FIFA world cup

The aim of the study was to identify the technical-tactical indicators and differentiate collective positioning between the qualified teams and teams non-qualified for the final phase of the FIFA World Cup Qatar 2022, considering effective playing time. The aim was also to understand the interaction of variables that significantly increased the likelihood of being qualified in the analysed championship. We conducted a comparative analysis that covered all matches played (N=64), evaluating 93 technical-tactical indicators, 24 collective positional indicators and six hybrid indicators. The absolute technical-tactical indicators were normalised based on the effective playing time of each team in each match. We used t-tests and binary logistic regression (R2 Nagelkerke = .738 – AUC = .955) to analyse differences and determine their statistical significance (p&amp;lt;.05). Our analysis revealed significant differences in 33 indicators, suggesting that certain technical-tactical aspects played a crucial role in teams’ performance. Furthermore, through multivariate analysis, we were able to identify that offensive efficiency in set pieces, the height of the defensive line during the offensive phase, and the ability to reduce the available playing space for the opposing team during the defensive phase emerged as the main indicators that allowed us to classify the teams’ performance. These findings enable coaches to use the identified key indicators as performance predictors to devise match strategies aimed at enhancing the effectiveness of their teams.

A strategy to improve adherence to guideline-directed medical therapy (GDMT) and the role of the multidisciplinary team in a heart-failure programme.

Heart failure (HF) patients place a heavy burden on the healthcare system because of their frequent need for in-patient treatment, emergency room visits and subsequent hospital stays. To provide proper care and effective therapy, practitioners have streamlined delivery techniques such as clinical pathways, checklists and pocket manuals. However, a description of the establishment of a disease-management programme, including a multidisciplinary team of physicians, clinical pharmacists and nurse specialists is required. The aim of this study was to highlight the role of the multidisciplinary team in a heart-failure programme by assessing the improvement in adherence to guideline-directed medical therapy. A retrospective, observational research was undertaken on patients with HF at a cardiac centre in Riyadh, to observe the HF patients' management before (January to December 2014) and after (January to December 2015) the establishment of a programme. The use of angiotensin converting enzyme inhibitors and angiotensin receptor blockers was 75.59% in 2014 at discharge and 81.17% in 2015 (p = 0.249). Beta-blockers use at release increased from 87.83% in 2014 to 94.53% in 2015 (p = 0.021). The flu vaccine was given to 48.24% of patients in 2014 and 75.13% of the patients in 2015 (p < 0.001). The pneumococcal vaccine was administered to 44.22% of patients in 2014 and 75.13% of patients in 2015 (p < 0.001). The ejection fraction improved from 30.21% in the first month to 39.56% in the 12th month (p = 0.001) in patients managed in 2015. The multidisciplinary heart-failure programme resulted in a positive effect, in the form of improved patient care after including the clinical pharmacist and nurse specialist.

Síndrome congênita do Zika vírus: o papel da atenção primária e da rede de saúde

Abstract The article aims to understand the care network and the challenges that children with congenital Zika virus syndrome (CZS) and their caregivers face to ensure comprehensive care. This is a qualitative study, part of research carried out at the Hospital das Clínicas of the Federal University of Pernambuco, which followed 151 children suspected of having CZS. Two focus groups were carried out, one with health workers and the other with caregivers. Children with CZS travel long distances, attending various network services. Difficulty in conducting and recognizing the role of the PHC reference team was observed, resulting in fractional care, with obstacles to communication between services and lack of attention to caregivers. A fragile network was perceived, with fragmented meetings and a reduced look. It is fundamental that the efforts prioritize the strengthening of the bond between the nodes of the care and support network. The essential and derivative attributes of PHC are crucial for the network of services and the provision of care for children with CZS and their families.

Primary Health Care in transitional care of people with stroke.

to understand the role of Primary Health Care teams in caring for people with stroke after hospital discharge. single case study, with integrated units of analysis, with a qualitative approach. Data triangulation occurred through interviews with professionals and family caregivers involved in transition of care, in addition to direct observations in rounds and document analysis. For the analyses, the analytical strategies of theoretical propositions and construction of explanations were used, with the help of ATLAS.ti®. the importance of counter-referral, the role of community health workers and the multidisciplinary team, health promotion, secondary prevention, home visits as a visceral attribute and nurses as care managers are evident. the high demand on teams and the Social Determinants of Health interfere with adequate continuity of care. Transitional care programs that enable continuity of care are recommended.

СТУДЕНЧЕСКИЕ КОМАНДЫ НА ИГРАХ БРИКС: КАТАЛИЗАТОР РАЗВИТИЯ СПОРТИВНОЙ ДИПЛОМАТИИ И СТУДЕНЧЕСКОГО СПОРТА В РОССИИ

The article presents an in-depth analysis of the role of student teams in the BRICS Games, examining their impact on the development of sports diplomacy and student sports in Russia. The study covers the dynamics of Russian students’ participation in the Games, their sports achievements, and the significance of the Games in the context of forming the country’s sports reserve. Special attention is given to the influence of the BRICS Games on promoting sports among youth, developing international cooperation in the field of student sports, and fostering a healthy lifestyle. The article includes the results of a sociological survey conducted among students of Russian universities, allowing an assessment of their awareness of the Games and their significance. The study provides valuable insights for sports organizations, educational institutions, government authorities, and everyone interested in the development of student sports and sports diplomacy.

Exploring team roles for social innovation labs: Toward a competence-based role self-assessment approach

This research proposes a competence-based role model as a methodological basis for guiding the conformation of social innovation lab (SI lab) teams. Based on a comprehensive literature review including the comparison of 7 innovation team frameworks and a set of 14 competences for SI lab teams, a model consisting of the roles of facilitator, maker, visionary and manager is proposed. Applied to 10 nascent SI lab teams from Latin American universities, the self-assessment methodology provides an interpretative approach for SI lab teams to position themselves with regards to their competence profile and proposed roles, while identifying strategies for improvement.

Exploration of Team Building and Management Practices in Junior High School Classes from the Perspective of Team Roles—Taking the Sutra-Fetching Team in “Journey to the West” as an Example

Exploration of Team Building and Management Practices in Junior High School Classes from the Perspective of Team Roles—Taking the Sutra-Fetching Team in “Journey to the West” as an Example

Transformation of the Team Role Model of Scientific Schools Into a Markov Chain

The modern paradigm of performing scientific research is steadily improving. One of the directions of its development is the substantiation and organization of team interaction of scientists working on solving a certain scientific problem. The complexity of the tasks to be solved, the need to ensure continuity in scientific research, and the complexity of projects require the introduction of new project management approaches, even in the organization of scientific teams aimed at obtaining unique results.The provisions considered in the study are relevant for the development and organization of scientific research. Moreover, examples of best practices for the success of project teams, considering the types of roles of participants, can be transferred from the field of project management to the field of organization of scientific research. The presented tools will make it possible to move from qualitative ideas about the activities of scientific teams to quantitative assessments of the effectiveness of the researchers work. The use of modeling tools to demonstrate the necessity of each role listed in the scientific school's organizational structure as a "Belbin's team," emphasizing the most crucial ones that influence its growth, and the potential to combine specific project roles without sacrificing project quality are what make this research innovative from a scientific standpoint.

A Survey of Speech-Language Pathologists’ Knowledge and Perception About Their Role in Providing Dysphagia Services in India

Purpose: Speech-Language Pathologists (SLPs) are frequently involved in dysphagia services including identification, assessment, diagnosis, and rehabilitation. Understanding of SLPs’ role in dysphagia care has evolved drastically in India over the last decade; however, research and advocacy are still in emerging status. In order to refine dysphagia practice patterns in India, we should understand the current standards. Thus, the present study was conceived to investigate SLPs’ knowledge and perception about their role in providing dysphagia services in India.Methods: A cross-sectional online survey research design was employed. The survey questionnaire comprised of four sections that evaluated SLPs’ demographic characteristics, exposure to dysphagia services, self-perception about their role in the dysphagia rehabilitation team, and knowledge related to assessment and management of individuals with dysphagia. The obtained responses were stored in Google forms and were further analyzed in terms of percentage.Results: A total of 269 SLPs responded to the survey and 59% of the respondent SLPs practicing in India were rendering dysphagia services. Although a majority of the SLPs had adequate knowledge and were aware of their role in the interdisciplinary dysphagia rehabilitation, they lacked opportunities to be a part of the team.Conclusion: The survey clearly identified the trend and issues in dysphagia service delivery by SLPs in the Indian scenario by evaluating their knowledge and skills fundamental to the assessment and management of individuals with dysphagia. This further necessitates a re-examination of the role of SLPs in providing dysphagia services in India in view of establishing standard guidelines and practice patterns.

Multidisciplinary perspectives on roles of hospital pharmacists in tertiary settings: a qualitative study.

In today's complex healthcare landscape, exacerbated by resource constraints at various levels, optimization of health professionals' roles is becoming increasingly paramount. Interprofessional collaboration, underpinned by role recognition and teamwork, leads to improved patient and organizational outcomes. Hospital pharmacists play a pivotal role in multidisciplinary teams, and it is imperative to understand multidisciplinary viewpoints on hospital pharmacists' roles to guide role prioritization and organizational efficiency. However, no study extensively investigated multidisciplinary views on values of diverse pharmacist roles in tertiary settings. This study aims to address this gap by examining non-pharmacist health professionals' views on hospital pharmacists' roles, recognizing their specialized niches as a crucial step towards optimizing their roles and services in Australia and internationally. Multiple focus group discussions and interviews were held via a virtual conferencing platform. Study participants were recruited using the study investigators' professional networks who were non-pharmacist health professionals with experience working with pharmacists in hospital settings. Data were collected from transcripts of the focus group recordings, which were later summarized using descriptive statistics and thematic analysis. Overarching themes were categorized and mapped against work system models to conceptualize organizational implications of multidisciplinary feedback, linking them to patient and organizational outcomes. Twenty-seven health professionals participated across focus groups and interviews, with the majority of professions being doctors and nurses. Three major themes were identified as follows: (i) overarching perceptions regarding hospital pharmacists; (ii) professional niches of hospital pharmacists; and (iii) future opportunities to optimize hospital pharmacy services. Valued professional niches included patient and health professional educators, transition-of-care facilitators, and quality use of medicines analysts. The study highlights critical insights into hospital pharmacists' roles in Australia, identifying their niche expertise as vital to healthcare efficiency and success. Based on multidisciplinary feedback, the study advocates for strategic role optimization and targeted research for enhanced clinical, economic, and organizational outcomes.

Organizational behavior and human resource management perspectives on entrepreneurship: Lessons learned and new directions

AbstractThis special issue of Personnel Psychology is devoted to micro‐based research on entrepreneurship, an emerging field that heretofore has been highly influenced by scholars in economics, strategy, and sociology. A theme of this special issue is that to further advance research on entrepreneurship, we need to develop a greater understanding of the role of individuals and teams in entrepreneurial activity from an OB/HR perspective. Accordingly, the goals of our overview article are twofold. First, we summarize the articles in the special issue, which address a number of important micro topics, including HRM practices in the entrepreneurial firm, leadership, identity, teams, well‐being, diversity/equity/inclusion, and careers and hiring. These articles are based on a variety of research methods and data sources from multiple nations. Second, we identify additional important topics for OB/HR scholars who are interested in conducting research on entrepreneurship. They include a global perspective, the bright versus dark side of entrepreneurship, entrepreneurship and STEM workers, and genetic and biological determinants. We conclude with a consideration of methodological and research design issues.

Coaching teamwork: Team sport athletes’ and coaches’ perceptions of how coaches facilitate teamwork

To date, research on teamwork in sport has largely focused on defining the construct and examining its relationships to emergent states and outcomes. By comparison, little is known about the antecedents (e.g., leadership) that promote teamwork behaviors in team sports. The purpose of this study was to explore what specifically sport coaches can do to develop teamwork within their teams. Using a critical realist approach, we conducted 15 semi-structured interviews with participants who competed in interdependent team sports (n = 8 athletes, n = 7 coaches). The data were thematically analyzed whereby three higher-order themes (comprising nine subthemes) were generated. The themes included (1) Crafting a teamwork recipe, (2) Come together, stay together, and (3) Maximizing teamwork in action. Specifically, coaches can facilitate teamwork by: (re)structuring selection practices, carefully considering team compositions, and encouraging role commitment (Theme 1); emphasizing coach-athlete relationships, promoting meaningful connections between teammates, and managing perceptions of favoritism (Theme 2); and crafting team-focused tactics, promoting athlete-led teamwork, and managing healthy internal competition (Theme 3). In summary, coaches appear to play an important role in facilitating teamwork. Specifically, coaches could consider looking beyond individual talent and skill during the team selection process, promoting strong bonds with their players and amongst teammates, and focusing on team-first training and execution tactics. Recommendations for future research and additional implications for those working in the applied field (e.g., coaches, sport psychologists) are also discussed. Lay summary: This study explored how team sport coaches might facilitate teamwork within their teams. Based on interviews with eight coaches and seven athletes, we identified how coaches utilize the following factors to promote teamwork: team selection, roles, coach-athlete relationships, athlete-to-athlete support, favoritism, tactical systems, athlete leadership, and internal competition.

Belbin’s Team Role Theory and Shared Leadership for Universities Employment Services: New Bridges Between Graduates and Employers

Nowadays, higher education institutions are required to have a more significant role in society, especially by leading mediation among stakeholders and transferring their research results. In Spain, universities still do not have a substantial role in linking potential employers and graduates. In this indispensable context of transferability and collaboration, The University of Extremadura and the state Employment Office of the region of Extremadura signed an agreement with the aim of becoming bridges between students, former students and employers. To do so, the Internship and Employment Office (SEPYE) was launched to develop actions and projects that will increase the employability of students. In order to optimize the SEPYE, a diagnosis and capacitation process that allowed the training of the service’s staff was developed. This process was designed under a shared leadership perspective using Belbin’s team roles theory as a diagnosis tool. In this article, the description of the creation of the service, the training of its staff and the results of the strategy using Belbin’s theory will be described with the idea that this common leadership collaboration can be transferred to similar contexts.

Papel del radiofarmacéutico clínico en la seguridad del paciente durante los estudios de perfusión miocárdica de esfuerzo con vasodilatadores

AimTo assess the radiopharmacist's role in a multidisciplinary team focused on the contraindications of regadenoson in order to ensure the safe use of pharmacologic vasodilator stress agents in patients undergoing SPECT-MPI. MethodsWe ambispectively studied its safe use in 1905 patients (54.1% female, mean age: 66.6±11.7 years, range: 20-95years). Sex, age, medical history, medications, drug allergies, and contraindications for stress testing were registered together with recommendations for the nuclear physician in charge. ResultsDetected contraindications and corresponding recommendations were as follows: risk factors for QTc interval prolongation 7.5% — measurement of QTc interval previously to test and monitor ECG; prior stroke or TIA 4.2% — consider carotid stenosis assessment; salicylates/sulfonamides allergy 3.1% — use 99mTc-sestamibi; epilepsy or risk factors for seizures 2.4% — use of adenosine or reconsider test indication; systemic corticosteroid therapy for severe COPD 1.3% — reassessment of patient's condition; acute exacerbation of COPD 0.8% — defer test until acute episode is over; severe asthma 0.4% — do not perform test; methylxanthine ingestion 0.3% — avoid consumption previously; other 6.1% — evaluation of other contraindications. No contraindications were detected in 73.6% of patients. The test was cancelled due to absolute contraindications in 2.9% of the requests. ConclusionsWorking in a systematic way, the radiopharmacist was able to detect a high number of issues related to regadenoson, with one out of four patients presenting some clinical contraindication. The recommendations given by the radiopharmacist were well accepted by the nuclear physicians who changed their approach contributing to increase the safety of patients referred for MPI.