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The Fast Alcohol Screening Test (FAST) is as Good as the AUDIT to Screen Alcohol Use Disorders

MENESES-GAYA, Carolina; CRIPPA, Jose Alexandre S.; ZUARDI, Antonio Waldo; LOUREIRO, Sonia Regina; HALLAK, Jaime E. C.; TRZESNIAK, Clarissa; SOUSA, Joao Paulo Machado De; CHAGAS, Marcos Hortes Nisihara; SOUZA, Roberto Molina; MARTIN-SANTOS, Rocio
Fonte: INFORMA HEALTHCARE Publicador: INFORMA HEALTHCARE
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
36.06%
This study was aimed at assessing the psychometric qualities of the fast alcohol screening test (FAST), and at comparing these qualities to those of the alcohol use disorders identification test (AUDIT) in three samples of Brazilian adults: (i) subjects attended at an emergency department (530); (ii) patients from a psychosocial care center (40); and (iii) university students (429). The structured clinical interview for diagnosis (SCID)-IV was used as gold standard. The FAST demonstrated high test-retest and interrater reliability coefficients, as well as high predictive and concurrent validity values. The results attest the validity and reliability of the Brazilian version of the FAST for the screening of indicators of alcohol abuse and dependence.

Beyond "audit" definition : a framework proposal for integrated management systems

Domingues, Pedro; Sampaio, Paulo; Arezes, P.
Fonte: Universidade do Minho Publicador: Universidade do Minho
Tipo: Conferência ou Objeto de Conferência
Publicado em //2011 Português
Relevância na Pesquisa
36.34%
Oxford dictionary online defines audit as a ‘systematic review or assessment of something’. This generic definition faces a new reality due to recent management changes focusing management systems integration in organizations. A more suitable definition is provided by management standards stating that an audit is a ‘systematic, independent and documented process for obtaining audit evidence and evaluating it objectively to determine the extent to which the audit criteria are fulfilled’. Management systems conformity and efficiency levels assessment facing proposed goals and improvement opportunities identification are among the auditing objectives. Several articles mentioned that a study on auditing integrated management systems (IMS) should consider the historic evolution of sub-systems implementation. Several authors stated that audits have been structured to audit one management system at the time due to the lag time implementation of sub-systems. Hence, auditors have conducted auditing process on a single management system basis, which is, in our days, a narrow approach due to the ever increasing relevance of integrated management systems. ISO19011, released in 2002, was the first standard focused on auditing integrated management system providing “guidelines” to assess quality and environmental integrated system. Last standard revision was based on a more generic approach allowing the auditing of integrated systems with genesis on other standardized sub-systems. Continuous improvement philosophy common to all management systems standards is supported on several compulsory requirements...

Analysis of the use of imipenem at a University Hospital following the restructuring of an antimicrobial audit system

Souza,N.P.; Noblat,A.C.B.; Noblat,L.
Fonte: Brazilian Society of Infectious Diseases Publicador: Brazilian Society of Infectious Diseases
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2008 Português
Relevância na Pesquisa
36.16%
This study analyzed the use pattern of imipenem following the restructuring of the antimicrobial audit system at a University Hospital. It was an observational study before and after the restructuring of the antimicrobial audit system in a University Hospital from May to August and then from September to December 2006. The criteria of the rational use of imipenem were obtained from a non-systematic revision of the literature. The collection of data on the general characteristics and clinical state of the patient, the infection and the established therapy was carried out in a previously tested instrument. Data was recorded, revised and analyzed in a database built with the software SPSS® for Windows® PC, version 10.0. The statistical analysis had a descriptive character: frequencies, mean, median and standard deviation. No differences were encountered in relation to the appropriate indication, consumption and clinical outcomes of patients. However, there was a reduction of 4 to 1 (75.0%) in the number of associations with spectrum superposition and an increase of 4 to 8 (50.0%) in the change of therapy. The restructuring of the antimicrobial audit system in the studied hospital did not reflect significantly the increase of the appropriate indication of imipenem. It contributed...

A prospective audit against national standards of the presentation and management of acute pancreatitis in the South of England

Toh, S; Phillips, S; Johnson, C
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /02/2000 Português
Relevância na Pesquisa
36.22%
BACKGROUND—The incidence of acute pancreatitis shows regional variations in the UK.
AIMS—To document the incidence and presentation of acute pancreatitis in hospitals in Wessex, and to audit the process and outcome of management of patients against the UK guidelines.
METHODS—A prospective survey was carried out of all patients with acute pancreatitis in a one year period, in eight geographically adjacent acute hospitals in the Wessex region.
RESULTS—186 patients with acute pancreatitis were identified, an incidence of 152 per million in the adult population. Aetiology was: gallstones 33%, alcohol 20%, idiopathic 32%, other 15%. There were 60 severe cases with 17 deaths. Age and APACHE-II score had significant relations to outcome, but delay to admission, serum amylase level, aetiology, and sex did not. The mortality rate (9.1%) was within the audit standard of 10%. Some management goals were not met: in mild cases, only one third of patients with gallstone pancreatitis had definitive treatment within four weeks. In severe cases, there was poor use of objective severity stratification (19%), low admission rates to a high dependency unit or intensive care unit (67%), and only 33% of patients had computed tomography. Only seven of 17 patients with severe gallstone pancreatitis had an urgent endoscopic retrograde cholangiopancreatography.
CONCLUSIONS—The incidence of clinically diagnosed acute pancreatitis in England continues to rise. Current management of acute pancreatitis is suboptimal when compared with evidence based UK guidelines but the mortality rate was within the guideline standard.


Keywords: acute pancreatitis; epidemiology; management; audit

Bhutan - Public Financial Management Accountability Assessment

World Bank
Fonte: World Bank Publicador: World Bank
Português
Relevância na Pesquisa
36.19%
This summary assessment uses indicator-led analysis to provide an integrated assessment of the Public Financial Management (PFM) system which draws on international standards developed by various development partners. The purpose is to measure PFM performance across a wide range of development over time. The Public Expenditure and Financial Accountability (PEFA) methodology includes the best conditions that some Organization for Economic cooperation and Development (OECD) countries demonstrate and in this assessment it is important to consider the Bhutanese context, that it is a small country, traditionally with an agricultural base society with relatively lesser industry and commerce. It is unable to support a financial sector infrastructure in terms of accountancy and audit standard setting and the availability of international standards is of great assistance. The 31 indicators for the PFM system focus on the basic qualities of a PFM system operating to existing good international practices, and assessments are classified A (excellent)...

An audit of the contribution to post-mortem examination diagnosis of individual analyte results obtained from biochemical analysis of the vitreous

Mitchell, R.; Charlwood, C.; Thomas, S.; Bellis, M.; Langlois, N.
Fonte: Humana Press, Inc. Publicador: Humana Press, Inc.
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
Relevância na Pesquisa
36.22%
Biochemical analysis of the vitreous humor from the eye is an accepted accessory test for post-mortem investigation of cause of death. Modern biochemical analyzers allow testing of a range of analytes from a sample. However, it is not clear which analytes should be requested in order to prevent unnecessary testing (and expense). The means and standard deviation of the values obtained from analysis of the vitreous humor for sodium, potassium, chloride, osmolality, glucose, ketones (β-hydroxybutyrate), creatinine, urea, calcium, lactate, and ammonia were calculated from which the contribution of each analyte was reviewed in the context of post-mortem findings and final cause of death. For sodium 32 cases were regarded as high (more than one standard deviation above the mean), from which 9 contributed to post-mortem diagnosis [drowning (4), heat related death (2), diabetic hyperglycemia (2), and dehydration (1)], but 25 low values (greater than one standard deviation below the mean) made no contribution. For chloride 29 high values contributed to 4 cases--3 drowning and 1 heat-related, but these were all previously identified by a high sodium level. There were 29 high and 35 low potassium values, none of which contributed to determining the final cause of death. Of 22 high values of creatinine...

The audit reporting model: current research synthesis and implications

Mock, T.J.; Bédard, J.; Coram, P.J.; Davis, S.M.; Espahbodi, R.; Warne, R.C.
Fonte: American Accounting Association Publicador: American Accounting Association
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
Relevância na Pesquisa
36.21%
This research synthesis evaluates relevant research concerning the audit report. For too long, there has been a significant “expectations gap” between what financial statement users expect an audit is delivering and what the audit profession believes it is providing. This gap becomes particularly problematic for auditors when there is a “business crisis” and attention is directed to the role of the auditor. Two related gaps are considered in this synthesis, a communications gap, and an information gap. All of these gaps relate to the demand for, understanding of, and use of auditor communications, which is the focus of this synthesis. Our synthesis is driven by two primary research questions: What do financial statement users perceive as information that should be communicated, and what does research show to be the effects on users of existing and other auditor communications currently being considered? As we discuss in detail, prior research does address many aspects of these two questions, but many of the findings are mixed and some important aspects have not been studied. Further research, particularly in areas regarding changes to the audit reporting model currently being considered, could lead to the improvement of the value relevance of auditor services...

Impacto comercial de las nuevas normas internacionales de materialidad en auditoría: evidencia empírica en México y España.; The impact of the new international standard on auditing regarding materiality on business: empirical evidence on Mexico and Spain.

Ramírez Cacho, Sergio Iván; Montoya del Corte, Javier; Martínez García, Francisco Javier
Fonte: The Institute for Business & Financial Research Publicador: The Institute for Business & Financial Research
Tipo: info:eu-repo/semantics/article; publishedVersion
Português
Relevância na Pesquisa
36.15%
RESUMEN. Durante la etapa de emisión de informe, la evaluación cualitativa de las incidencias detectadas en la auditoría, mediante los factores contenidos en la Norma Internacional de Auditoría revisada y reeditada 450, plantea nuevos desafíos y compromisos para los auditores, imponiéndoles, entre otras circunstancias, una mayor carga de trabajo y la necesidad de utilizar su juicio profesional de forma más intensiva y reflexiva. Este artículo presenta evidencia empírica obtenida en México y España, respecto a ciertas consecuencias que sobre dicho escenario podrían afectar la relación comercial que los auditores mantienen con sus clientes. Los resultados demuestran que a pesar del probable incremento de informes con salvedades, la imagen de la entidad auditada no se perjudicaría ante terceros, ni se incrementarían los costos del servicio de auditoría. Por lo tanto, tampoco aumentaría el riesgo de que los auditores pierdan como clientes a las entidades auditadas y, en general, la buena relación comercial auditorentidad auditada no se vería afectada.; ABSTRACT. International Standard on Auditing 450 raises new challenges for auditors. It imposes, among other things, an increased workload and requires them to use their professional judgment in a more intensive and reflective way. This article presents an empirical analysis of the impact of the International Standard on Auditing 450 on the business relationship between auditors and their clients. The results show that despite a likely increase of qualified opinion reports...

Utilidad diagnóstica del cuestionario AUDIT y de la transferrina deficiente en carbohidratos para detectar consumo de alcohol de riesgo en población laboral femenina

Jorrín Moreno, Ascensión
Fonte: Universidade de Cantabria Publicador: Universidade de Cantabria
Tipo: Tese de Doutorado
Português
Relevância na Pesquisa
36.23%
RESUMEN: Objetivos: Evaluar la efectividad diagnóstica del cuestionario AUDIT y la Transferrina Deficiente en Carbohidratos (%CDT), para detectar el consumo de riesgo en mujeres trabajadoras. Métodos: Estudio descriptivo transversal de evaluación de pruebas diagnósticas en 326 mujeres de 13 empresas. Criterios de consumo de riesgo: ≥17 UBE/s y ≥14 UBE/s, reportados mediante encuesta estructurada de cantidad/frecuencia. Resultados: El mejor rendimiento del AUDIT, fue para el punto de corte ≥5, para ambos consumos de referencia: ≥17 UBE/s (S: 100,0; E: 86,2) y ≥14 UBE/s (S: 82,9; E: 88,0). La respuesta del %CDT al alcohol aumentaba hasta una mediana de 14 UBE/s, a partir del cual no incrementaba e incluso bajaba. El punto de corte óptimo resultó entre 1,43% y 1,46%. Conclusiones: La utilidad del %CDT en mujeres se ve limitada por su “efecto techo”. El AUDIT puede usarse como método de cribado en trabajadoras y ante resultado positivo, determinar el %CDT.; ABSTRACT: Aims: To evaluate the performance of AUDIT and carboydrate-deficient transferrin (CDT) for detecting hazardous drinking in female workers. Methods: Cross-sectional study for evaluation of diagnostic tests carried out in 326 women from 13 workplaces. The gold standard was self-reported consumption...

Practitioner based quality improvement: a review of the Royal College of Nursing's dynamic standard setting system

Morrell, C.; Harvey, G.; Kitson, A.
Fonte: BMJ Publishing Publicador: BMJ Publishing
Tipo: Artigo de Revista Científica
Publicado em //1997 Português
Relevância na Pesquisa
36.49%
OBJECTIVE: To explore and describe the implementation of the Royal College of Nursing's approach to audit--the dynamic standard setting system--within the current context of health care, in particular to focus on how the system has developed since its inception in the 1980s as a method for uniprofessional and multiprofessional audit. DESIGN: Qualitative design with semistructure interviews and field visits. SETTING: 28 sites throughout the United Kingdom that use the dynamic standard setting system. SUBJECTS: Quality and audit coordinators with a responsibility for implementing the system; clinical staff who practice the system. MAIN MEASURES: Experiences of the dynamic standard setting system, including reasons for selection, methods of implementation, and observed outcomes. RESULTS: Issues relating to four themes emerged from the data: practical experiences of the system as a method for improving patient care; issues of facilitation and training; strategic issues of implementation; and the use of the system as a method for multiprofessional audit. The development of clinical practice was described as a major benefit of the system and evidence of improved patient care was apparent. However, difficulties were experienced in motivating staff and finding time for audit...

Republic of Trinidad and Tobago : Report on the Observance of Standard and Codes - Accounting and Auditing

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Accounting and Auditing Assessment (ROSC); Economic & Sector Work
Português
Relevância na Pesquisa
36.16%
The Report on the Observance of Standard and Codes (ROSC) Accounting and Auditing (A&A) focuses on the institutional framework underpinning national accounting and auditing practices, and their conformity with international standards and good practices. It evaluates the: a) adequacy of reporting requirements, b) capacity to implement applicable standards and codes, and c) the effectiveness of enforcement mechanisms for ensuring compliance with applicable standards and codes. This report provides an assessment of corporate sector accounting, financial reporting, and auditing practices in Trinidad and Tobago. It aims to assist the Government of Trinidad and Tobago's efforts to strengthen accounting and auditing practices and enhance financial transparency in the corporate sector, so as to support the Government's objective of private sector-led growth and deepened integration with the international economy. Trinidad and Tobago is a relatively small, open economy with a high per capita income and abundant natural resources. Key areas for strengthening Trinidad and Tobago's corporate financial reporting practices are: 1) establishing a culture of compliance; 2) improving monitoring and enforcement capabilities of various regulators; 3) establishing institutional mechanisms for regulating the accounting profession...

Nicaragua : A Review of Accounting and Auditing Practices

World Bank
Fonte: World Bank Publicador: World Bank
Tipo: Economic & Sector Work :: Accounting and Auditing Assessment (ROSC)
Português
Relevância na Pesquisa
36.35%
This ROSC analyzes accounting, financial reporting and auditing practices within the corporate sector in Nicaragua, using International Financial Reporting Standards (IFRS) and International Standards on Auditing (ISA) as benchmarks, and drawing on international experience and good practice in those fields. Nicaragua remains among the poorest countries of the Western Hemisphere, with 46 percent of its five million people living below the poverty line. The 2008 Gross Domestic Product (GDP) of US$6.4 billion translates into a per-capita GDP of approximately US$1,000. After average GDP growth of about 3.6 percent during 2005-08, the global financial and economic crisis lead to a contraction in real GDP of 1.5 percent in 2009. Going forward, if the private sector is to serve as an engine of growth for the Nicaraguan economy, the country needs to follow high-level accounting and auditing practices and the highest standards of corporate governance. This ROSC supports three main development objectives: (a) improving Nicaragua's investment climate; (b) ensuring the stability and fostering the development of the local financial sector and (c) advancing governance and financial accountability in both the private and public sectors. The report seeks to help the authorities address these issues by: (i) improving the technical skills of accounting and audit practitioners...

Panorama brasileiro da auditoria ambiental; Brazilian overview of the environmental audit

Gaudêncio José Pinotti Martins
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 11/08/2015 Português
Relevância na Pesquisa
36.21%
O agravamento dos incidentes ambientais provocados pela indústria em várias partes do mundo faz com que sejam criados mecanismos de proteção. A sua difusão estimula a criação de sistemas de gestão ambiental de caráter preventivo e adoção voluntária, tendo como uma de suas ferramentas a auditoria ambiental. Esta ferramenta, adotada por alguns países como instrumento de políticas públicas, tem seu apogeu no final do século XX. A auditoria ambiental é adotada como proposta em uma norma do sistema ISO, ISO 19011, que estabelece diretrizes e não prescreve procedimentos. Este trabalho analisa as aplicações da auditoria ambiental no Brasil, que adota este instrumento de avaliação de desempenho no âmbito federal, estadual e municipal. Apesar de a auditoria ambiental compulsória surgir em decorrência de incidentes graves da indústria petrolífera, os documentos legais que a regulamentam tratam de uma diversidade de processos industriais. Analisa-se a fragilidade desta decisão legal posto ser a norma de auditoria frágil para um instrumento que se pretende avaliar conformidades legais.; The deterioration of environmental incidents caused by industry around the world creates protection mechanisms. The diffusion of those protection mechanisms has encouraged the creation of environmental management systems for preventive and voluntary adoption...

Critérios para auditoria do programa de controle médico de saúde ocupacional; Criteria for audit of the occupational health medical control program

Felipe Rovere Diniz Reis
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 20/02/2015 Português
Relevância na Pesquisa
36.3%
Para diminuir os custos sociais decorrentes dos riscos relacionados ao trabalho, os Estados criam normas que obrigam o empregador a controlar a saúde ocupacional dos trabalhadores. No Brasil, estas ações devem estar dispostas no Programa de Controle Médico de Saúde Ocupacional, segundo obriga a Norma Regulamentadora nº 07. Para garantir o cumprimento desta norma, tanto o Estado quanto o empregador podem auditar o PCMSO; no entanto, não existem critérios para realizar esta auditoria. O objetivo deste estudo foi verificar a aplicabilidade desta auditoria dentro do modelo brasileiro de controle estatal em saúde ocupacional e propor critérios para sua realização. Para isso, foi feita uma revisão narrativa da literatura, para reconhecer o controle estatal no Brasil, tanto no que se refere às normas referentes à fiscalização em saúde e segurança no trabalho e ao seguro acidente de trabalho quanto às propostas para sua melhoria. Os resultados indicaram que o Estado ao se basear em normas punitivas e reparadoras, através de uma fiscalização pontual e repressora falha tanto em reduzir os gastos com doenças relacionadas ao trabalho quanto em estimular o cumprimento voluntário da lei. Indicaram também que as propostas de melhoria do controle estatal (aumento do número de fiscais...

Auditoria operacional como ferramenta para aumento da competitividade e da lucratividade de operadores logísticos; Operational audit as a tool to improve the competitiveness and profitability of third-party logistics providers (3pl)

José Carvalho de Ávila Jacintho
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 28/01/2013 Português
Relevância na Pesquisa
36.21%
O objetivo desta dissertação é apresentar um estudo de casos referente a um Sistema de Auditorias em Operações Logísticas internas, implantado em um Operador Logístico brasileiro em suas atividades de movimentação e armazenagem de materiais em indústrias, armazéns e centros de distribuição. Porém, por utilizar conceitos gerais, o sistema pode ser aplicado também em atividades industriais ou de serviços. O Sistema de Auditorias abrange a verificação da gestão dos 10 seguintes processos operacionais, diretos e indiretos, fundamentais para a eficiência e eficácia das operações: pessoas, equipamentos, controle de processos, segurança e saúde ocupacional, engenharia logística, relacionamento com os clientes, contrato com fornecedores, análise crítica de resultados, meio ambiente e organização e limpeza. É chamado de Sistema de Auditorias Operacionais Logísticas, pois vai além da proposição e aplicação da auditoria propriamente dita, tratando-se de uma abordagem sistemática, que visa à melhoria contínua das operações, através dos seguintes passos complementares: elaboração de planos de ação para a correção dos problemas apontados nas auditorias; incentivo ao uso das tradicionais ferramentas da qualidade; repetição periódica das auditorias e a aplicação de Indicadores Chave de Desempenho (KPI) para se acompanhar a evolução dos 10 processos auditados. Neste estudo de casos...

Tribunais de contas : parceiros ou obstantes no processo brasileiro de desenvolvimento científico, tecnológico e de inovação?; Courts of audit : partners or despite of the brazilian process of scientific technology development and innovation?

Maristella Barros Ferreira de Freitas
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 16/08/2013 Português
Relevância na Pesquisa
36.28%
Desde a construção do Sistema Nacional de Ciência e Tecnologia entre as décadas de 1960 a 80, o Estado brasileiro tem buscado o seu fortalecimento a partir da Política Nacional de Ciência, Tecnologia e Inovação - PNCT&I. Integrando o Sistema Nacional de Inovação - SNI, o Poder Público busca cumprir o seu papel enfatizado na Constituição de 1988 (artigo 218), formulando leis e regulamentos, articulando os atores envolvidos ao financiar a pesquisa e o desenvolvimento científico e tecnológico, e mantendo a infraestrutura de ensino, pesquisa e prestação de serviços tecnológicos. Nesse cenário, um novo ator ficou em evidência nas manifestações externalizadas no meio acadêmico e organizacional: os Tribunais de Contas, cujas atuações tem provocado preocupações das mais diversas naturezas no ambiente de CT&I brasileiro. Essa perspectiva leva a concluir que essas Entidades Fiscalizadoras Superiores - EFS, como parte do Poder Público, também integram o SNI, na medida em que o controle externo por elas exercido afeta o ambiente da Ciência, Tecnologia e Inovação - CT&I no Brasil. Em decorrência, surgiu a necessidade de investigar o assunto, tendo como objetivo principal conhecer de que maneira ocorre a influência dessa atuação na área de CT&I...

Audit of prehospital thrombolysis by general practitioners in peripheral practices in Grampian

Rawles, J; Sinclair, C; Jennings, K; Ritchie, L; Waugh, N
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /09/1998 Português
Relevância na Pesquisa
36.3%
Background—In the Grampian region early anistreplase trial (GREAT), domiciliary thrombolysis by general practitioners was associated with a halving of one year mortality compared with hospital administration. However, after completion of the trial and publication of the results, the use of this treatment by general practitioners declined sharply.
Objective—To increase the proportion of eligible patients receiving timely thrombolytic treatment from their general practitioners.
Setting—Practices in Grampian located ⩾ 30 minutes' travelling time from Aberdeen Royal Infirmary, where patients with suspected acute myocardial infarction were referred after being seen by general practitioners.
Audit standard—A call-to-needle time of 90 minutes, as proposed by the British Heart Foundation (BHF).
Methods—Findings of this audit of prehospital management of acute myocardial infarction were periodically fed back to the participating doctors, when practice case reviews were also conducted.
Results—Of 414 administrations of thrombolytic treatment, 146 (35%) were given by general practitioners and 268 (65%) were deferred until after hospital admission. Median call-to-needle times were 45 (94% ⩽ 90) and 145 (7% ⩽ 90) minutes...

Using audit to improve senior house officer training.

Johansen, A.
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em /12/1997 Português
Relevância na Pesquisa
36.27%
The British Geriatrics Society has described 16 training objectives for senior house officers (SHOs) in geriatric medicine. We have developed these into an audit standard, and in a controlled trial we consider the effectiveness of audit as a means of monitoring and improving SHO training. SHOs from three hospitals were sent a questionnaire asking about the adequacy of formal and informal training for each objective; there was a response rate of 87%. Results were presented at an audit meeting in one hospital, inadequacies of training identified and the hospital's programme of teaching modified appropriately. Two control hospitals remained unaware of the audit findings and were therefore unable to modify their training programmes. Re-audit at six months completed the audit cycle; the control hospitals showing no change between the two audits. In the intervention hospital the adequacy of training over the 16 objectives improved from 59% at first audit to 73% at re-audit. The initial audit had highlighted three target objectives as needing special attention; here the improvement from 38% to 69% was even more impressive, and statistically significant at p < 0.05 on chi 2 test. Thus, although a questionnaire approach is inevitably subjective and affected by SHO satisfaction...

Implementing an environmental audit program in a university setting: A Recommendation for Rochester Institute of Technology

Henry, Kelly
Fonte: Rochester Instituto de Tecnologia Publicador: Rochester Instituto de Tecnologia
Tipo: Tese de Doutorado
Português
Relevância na Pesquisa
36.25%
In an effort to assure and move beyond regulatory compliance, Rochester Institute of Technology has begun implementing an environmental management system (EMS) through the RIT Strategic Environmental Management Initiative. As part of this initiative, RIT is considering implementing a comprehensive auditing program to evaluate environmental compliance and management system performance. This thesis evaluates current environmental internal audit program design and implementation practices at other colleges and universities, and compares those to standard environmental audit program implementation and design in the industrial regulated community. The thesis evaluates compliance auditing programs at seven colleges and universities of varying sizes, and environmental management system auditing programs at one ISO 14001-registered university. From this evaluation and comparison, an audit program design strategy recommendation is offered for RIT. It was found that the elements being implemented in the university setting closely mirror those recommended by industrially focused literature sources for industrial entities. At this point, these elements are effectively helping colleges and universities manage their environmental issues and ensure compliance...

Do English NHS Microbiology laboratories offer adequate services for the diagnosis of UTI in children? Healthcare Quality Improvement Partnership (HQIP) Audit of Standard Operational Procedures

McNulty, Cliodna A. M.; Verlander, Neville Q.; Moore, Philippa C. L.; Larcombe, James; Dudley, Jan; Banerjee, Jaydip; Jadresic, Lyda
Fonte: Society for General Microbiology Publicador: Society for General Microbiology
Tipo: Text
Publicado em /09/2015 Português
Relevância na Pesquisa
36.12%
The National Institute of Care Excellence (NICE) 2007 guidance CG54, on urinary tract infection (UTI) in children, states that clinicians should use urgent microscopy and culture as the preferred method for diagnosing UTI in the hospital setting for severe illness in children under 3 years old and from the GP setting in children under 3 years old with intermediate risk of severe illness. NICE also recommends that all ‘infants and children with atypical UTI (including non-Escherichia coli infections) should have renal imaging after a first infection’. We surveyed all microbiology laboratories in England with Clinical Pathology Accreditation to determine standard operating procedures (SOPs) for urgent microscopy, culture and reporting of children's urine and to ascertain whether the SOPs facilitate compliance with NICE guidance. We undertook a computer search in six microbiology laboratories in south-west England to determine urine submissions and urine reports in children under 3 years. Seventy-three per cent of laboratories (110/150) participated. Enterobacteriaceae that were not E. coli were reported only as coliforms (rather than non-E. coli coliforms) by 61 % (67/110) of laboratories. Eighty-eight per cent of laboratories (97/110) provided urgent microscopy for hospital and 54 % for general practice (GP) paediatric urines; 61 % of laboratories (confidence interval 52–70 %) cultured 1 μl volume of urine...