A melhor ferramenta para a sua pesquisa, trabalho e TCC!
Página 1 dos resultados de 1920 itens digitais encontrados em 0.058 segundos
- Springer US
- Centers for Disease Control and Prevention
- Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Serviço Social; Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe
- World Bank
- Banco Mundial
- Washington, DC
- http://www.biomedcentral.com/
- Monterey, California: Naval Postgraduate School
- World Bank, Washington, DC
- Université de Montréal
- BMJ Group
- Universidade Cornell
- World Health Organization
- Mais Publicadores...
Audits of antibiotic prescribing in a Bristol hospital.
Fonte: PubMed
Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 08/01/1983
Português
Relevância na Pesquisa
27.01911%
Audits of antibiotic prescribing were done for periods of up to eight weeks in two successive years on medical, surgical, orthopaedic, gynaecology, obstetric, and urology wards and in an accident and emergency department. Clinical details were matched with antibiotic prescribing, and the appropriateness of the latter was judged independently by two medical microbiologists. Only when they agreed was an individual prescription included in the analysis. Overall, 28% of prescriptions in 1979 and 35% in 1980 were judged as unnecessary, with 17% and 16%, respectively, being for inappropriate choices of antibiotic. An educational programme about antibiotic prescribing carried out between the audits had no beneficial effect overall. Though the results compared favourably with those of audits published, prescribing could still be much improved. To judge by the failure of education, however, this might be difficult to achieve. Most prescriptions were written by junior staff, who in the absence of guidance from their seniors and because of their frequent moves would require a widespread and continual education programme. Published concern about the quality of antibiotic prescribing appears to be justified.
Link permanente para citações:
Auditing audits: the method of Oxfordshire Medical Audit Advisory Group.
Fonte: PubMed
Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 16/11/1991
Português
Relevância na Pesquisa
27.28247%
OBJECTIVES--To develop a systematic method for both summative and formative audit of practice audits, and to use the method to review Oxfordshire practice audits and to plan improvement. DESIGN--Development of a coding system for the audit cycle subsequently used prospectively to assess audits reported to medical audit advisory group coordinators on practice visits. SETTING--All 85 general practices in Oxfordshire, of which 80 were visited by Oxfordshire Medical Audit Advisory Group coordinators. MAIN OUTCOME MEASURES--Satisfaction of criteria for different levels of audit (full, partial, potential, planning or no audit) according to coding scores for practice audits. RESULTS--46 (58%) practices were classified as doing audit, the remainder doing no audit or only collecting data for family health services authority returns. Of audits being undertaken, 55/102 (54%) included planning care or the setting of targets. CONCLUSIONS--The coding system offers the prospect of formative assessment for practices to help them improve their audits, and summative assessment for the family health services authority to satisfy the needs for professional accountability. Its use in Oxfordshire disclosed considerable deficiencies in the process of practice audit. IMPLICATIONS AND ACTION--Practices in Oxfordshire should improve their audits. The advisory groups target to March 1992 is for 50% of practices to be doing full or partial and 25% potential audit and half of the remainder planning audit. Practices are encouraged to include in their audit implementing change...
Link permanente para citações:
Chiropractic audits
Fonte: PubMed
Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /06/2000
Português
Relevância na Pesquisa
27.01911%
This paper reviews the process which deals with audits of chiropractic billings. It includes the statutory right to review accounts, the factors which lead to a possible audit, the review process itself as well as the possible outcome of a review. Generally, the number of audits performed on professional practices is minimal in relation to the number of practitioners who submit billings for services. Audits are a matter of public necessity involving accountability to the patient and, if government billings are involved, to the public in general. It is incumbent upon the doctor to ensure that proper protocols exist within his or her office to ensure that an audit is nothing more than opening one’s office for an inspection which should satisfy all of the concerned parties as to legitimacy of the practitioner’s entitlement for reimbursement for services rendered.
Link permanente para citações:
Can Virtual Streetscape Audits Reliably Replace Physical Streetscape Audits?
Fonte: Springer US
Publicador: Springer US
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
27.28247%
There is increasing recognition that the neighborhood-built environment influences health outcomes, such as physical activity behaviors, and technological advancements now provide opportunities to examine the neighborhood streetscape remotely. Accordingly, the aims of this methodological study are to: (1) compare the efficiencies of physically and virtually conducting a streetscape audit within the neighborhood context, and (2) assess the level of agreement between the physical (criterion) and virtual (test) audits. Built environment attributes associated with walking and cycling were audited using the New Zealand Systematic Pedestrian and Cycling Environment Scan (NZ-SPACES) in 48 street segments drawn from four neighborhoods in Auckland, New Zealand. Audits were conducted physically (on-site) and remotely (using Google Street View) in January and February 2010. Time taken to complete the audits, travel mileage, and Internet bandwidth used were also measured. It was quicker to conduct the virtual audits when compared with the physical audits (χ = 115.3 min (virtual), χ = 148.5 min (physical)). In the majority of cases, the physical and virtual audits were within the acceptable levels of agreement (ICC ≥ 0.70) for the variables being assessed. The methodological implication of this study is that Google Street View is a potentially valuable data source for measuring the contextual features of neighborhood streets that likely impact on health outcomes. Overall...
Link permanente para citações:
Conducting Community Audits to Evaluate Community Resources for Healthful Lifestyle Behaviors: An Illustration From Rural Eastern North Carolina
Fonte: Centers for Disease Control and Prevention
Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 15/10/2011
Português
Relevância na Pesquisa
27.187368%
A community audit is a qualitative and quantitative research technique in which researchers drive through a community to observe its physical and social attributes, primarily through windshield tours and "ground truthing." Ground truthing is a verification process that uses data gathered by direct observation to corroborate data gathered from secondary sources. Community audits have been used for epidemiologic studies and in program planning for health-promotion interventions. Few studies have detailed the methodology for conducting community audits in rural areas or the extent to which community audits can contribute to an accurate assessment of community characteristics (eg, presence of sidewalks) and nutrition and physical activity resources (eg, produce stands, parks) that may promote healthful lifestyle behaviors. The objective of this article is to describe our approach to conducting a community audit (consisting of windshield tours and ground truthing) to enumerate resources, to assess community characteristics, and to inform revisions to a community guide on nutrition and physical activity resources. We conducted an audit in 10 communities in a rural eastern North Carolina county in 2010. We also collected data from secondary sources to make comparisons with community audit data. The initial resource guide included 42 resources; the community audits identified 38 additional resources. There was moderate to high agreement between windshield tour observations and secondary data sources for several community characteristics...
Link permanente para citações:
Serviço Social Audit Saúde no SUS/RN: projeto ético político profissional e de reforma sanitária
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Serviço Social; Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe
Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Serviço Social; Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe
Tipo: Dissertação
Formato: application/pdf
Português
Relevância na Pesquisa
27.187368%
#Saúde#Auditorias públicas#Serviço social#Marx#SUS#Health#Audits public social service#Marx#SUS#CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL
Health policies in Brazil, the decentralization of SUS management responsibilities for the
three spheres of government has driven the creation and regulation of the audits of
health services in the National Audit Office, this is a trend of neoliberal policies imposed
by international bodies like the World Bank and IMF to peripheral countries
characterized by productive restructuring and reforming the state focuses on the
presence of two competing projects in the area of health: Health Sector Reform Project
which is based on the democratic rule of law with the assumption of health as social
right and duty of the State in defending the extension of the conquest of rights and
democratization of access to health care guaranteed through the public financing
strategies and the effective decentralization of decisions pervaded by social control and
privatized Health Project which is based on the state minimum, with a reduction in social
spending or in partnerships and privatization, stronger nonprofit sector, subject to
capitalist interests, is made effective through strategies targeting health policy and refilantropização
actions. In this context, the present study is an analysis on the work of
social audits of public health in infants from a qualitative and quantitative approach...
Link permanente para citações:
Risk-Based Tax Audits : Approaches and Country Experiences
Fonte: World Bank
Publicador: World Bank
Português
Relevância na Pesquisa
37.11681%
#ACCOUNTING#ACCOUNTING TREATMENT#ADMINISTRATIVE COSTS#ADVANCE PRICING#ALM#ASYMMETRIC INFORMATION#AUDITORS#BANK CREDIT#BANKS#BARRIER#BUSINESS DEVELOPMENT
Revenue administration is a major
interface between the state and its citizens. A good revenue
administration is, therefore, an important attribute of good
government. As a result, in recent years, policy makers have
become increasingly aware of the importance of policies that
will promote business development while ensuring voluntary
tax compliance. In the modern context, it is neither
desirable nor feasible to examine or inspect every single
taxpayer. The revenue administration, therefore, has to rely
on effective management of compliance. Promoting voluntary
compliance, achieved through a self-assessment system in
which taxpayers comply with their tax obligations without
intervention from tax officials, requires developing modern
approaches to audits based on risk management. The impact of
audits critically depends on a properly designed audit
selection strategy focused on high-risk taxpayers to provide
the most cost-effective outcome. This, in itself,
contributes to promoting voluntary compliance. Risk-based
country audits: approaches and country experiences are an
important study of this critical revenue function of
compliance management.
Link permanente para citações:
Bridging the Malnutrition Gap with Social Audits and Community Participation
Fonte: Banco Mundial
Publicador: Banco Mundial
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
27.11681%
There is an urgent need to increase coverage of the Integrated Child Development Scheme (ICDS) particularly in Madhya Pradesh and to overcome governance failures, such as staff absenteeism, leakage of funds and supplies and false reporting of coverage. By increasing community participation, ownership of the scheme, and improving programme oversight, social audits can result in increased coverage as well as better accountability among service-providers and the relevant line departments. The bulk of experience with social audits comes from implementation of the National Rural Employment Guarantee Act (NREGA), which mandates that social audits be conducted prior to fund release. There is also some experience of using social audits for ICDS in Andhra Pradesh and Orissa. This article examines the experiences from those two states and draws lessons for its application in states such as Madhya Pradesh.
Link permanente para citações:
Lithuania : Accounting and Auditing
Fonte: Washington, DC
Publicador: Washington, DC
Português
Relevância na Pesquisa
27.11681%
#ACCOUNTABILITY#ACCOUNTING#ACCOUNTING PRINCIPLES#ACCOUNTING STANDARDS#AUDITING#AUDITING STANDARDS#AUDITORS#AUDITS#BANKING SUPERVISION#BANKRUPTCY#BANKS
This assessment of accounting and
auditing standards and practices in Lithuania was focuses on
the strengths and weaknesses of the institutional
arrangements needed to observe International Accounting
Standards (IAS) and International Standards on Auditing
(ISA). Financial reporting and accounting by Lithuanian
enterprises are currently governed by laws and other
regulations issued in 1992 and 1993. New laws that came into
effect in 2002 will significantly increase conformity
between Lithuanian requirements and European Union (EU)
Directives, establish a new national standard-setting body,
and require greater compliance with IAS. There is a risk,
therefore, that banks may be unable to fully comply with IAS
because of conflicting requirements under national bank
(BOL) regulations. While the quality of many of the IAS
financial statements reviewed was good, there were a number
of possible conflicts resulting from the application of BOL
regulations and other circumstances peculiar to Lithuania.
There is currently no enforcement or monitoring of
compliance with IAS or national standards. The audit of
financial statements must be carried out by qualified
auditors and in accordance with Lithuanian standards that
are based on ISA. While many audit firms make strenuous
efforts to carry out audits in accordance with ISA...
Link permanente para citações:
Kyrgyz Republic : Country Financial Accountability Assessment
Fonte: Washington, DC
Publicador: Washington, DC
Português
Relevância na Pesquisa
27.11681%
#ACCOUNTABILITY#ACCOUNTANTS#ACCOUNTING#ACCOUNTING REPORTS#ACCOUNTING RULES#ACCOUNTING SERVICES#ACCOUNTING SYSTEMS#ACCOUNTS#APPROPRIATIONS#AUDIT REPORTS#AUDITED FINANCIAL STATEMENTS
This report has identified the following
major issues in the public sector financial accountability
of the Kyrgyz Republic: 1) weak internal controls in several
areas such as treasury, budget implementation, procurement,
human resources, accounting and reporting as evidenced by
large amounts o f illegal unintended expenditures,
embezzlements and other financial offences reported by the
external auditor; 2) weak cash management as the treasury
cash rations on a day-to-day basis, which creates
uncertainty for budget institutions in implementing their
plans; 3) absence of a legal basis for internal audit in
the public sector; 4) weak capacity in the C A for carrying
out effective financial audits and focusing attention on the
basis of risk assessment; 5) weak capacity in line
ministries to undertake systematic budgeting exercise; 6)
budget monitoring is limited to monitoring of fiscal targets
as little attention is paid to assessment of program
effectiveness; 6) lack of systematic management accounting
and weak capacity in departmental management to absorb and
use management accounting data in decision making and
management processes; 7) weak capacity in the parliamentary
committees to provide effective legislative oversight over
the executive; and 8) inadequate accountability arrangements
for public enterprises. Key Recommendations offered in the
short term involve: 1) strengthening internal controls and
the treasury cash management function; 2) establishing daily
reconciliation of consolidated district treasury payment
requests; 3) reconciling daily revenue collections; and 4)
granting authority to the Chamber of Accounts (CA) to
perform interim post audits. In the long term the Government
should: 1) enact the Law on Public Sector Internal Audit and
build internal audit capacity; 2) establish effective
internal audit structures in the line ministries; 3) prepare
rules and methodology for conducting internal audits in the
public sector; 4) provide extensive training; 5) require
internal auditors to carry out detailed assessments of
internal controls; 6) require the CA to certify the year-end
financial statements of the government; 7) make the
process of appointment of the Chairman of the CA
transparent; 8) discontinue the special means provisions;
and 9) clearly define the accountability of public enterprises.
Link permanente para citações:
A structured framework for improving outbreak investigation audits
Fonte: http://www.biomedcentral.com/
Publicador: http://www.biomedcentral.com/
Tipo: Journal article; Published Version; BioMed Central Ltd
Formato: 8 pages
Português
Relevância na Pesquisa
27.11681%
BACKGROUND: Outbreak investigation is a core function of public health agencies. Suboptimal
outbreak investigation endangers both public health and agency reputations. While audits of clinical
medical and nursing practice are conducted as part of continuous quality improvement, public
health agencies rarely make systematic use of structured audits to ensure best practice for
outbreak responses, and there is limited guidance or policy to guide outbreak audit.
METHODS: A framework for prioritising which outbreak investigations to audit, an approach for
conducting a successful audit, and a template for audit trigger questions was developed and trialled
in four foodborne outbreaks and a respiratory disease outbreak in Australia.
RESULTS: The following issues were identified across several structured audits: the need for clear
definitions of roles and responsibilities both within and between agencies, improved
communication between agencies and with external stakeholders involved in outbreaks, and the
need for development of performance standards in outbreak investigations - particularly in relation
to timeliness of response. Participants considered the audit process and methodology to be clear,
useful, and non-threatening. Most audits can be conducted within two to three hours...
Link permanente para citações:
Expanding the Navy’s Managers’ Internal Control Program’s (MICP) capability to prepare for external financial audits
Fonte: Monterey, California: Naval Postgraduate School
Publicador: Monterey, California: Naval Postgraduate School
Tipo: Tese de Doutorado
Português
Relevância na Pesquisa
37.01911%
#Effective Internal Controls#Auditability#Internal Audits#External Audits#GAO’s Five Standards of Internal Control in the Federal Government#Financial Improvement and Audit Readiness (FIAR)#DOD Inspector General#Committee of Sponsoring Organizations of the Treadway Commission’s (COSO) 17 Principles#Office of Financial Operations (FMO)#Managers’ Internal Control Program#Managers’ Internal Control Manual.
Approved for public release; distribution is unlimited; The Department of the Navy’s Managers’ Internal Control Program (MICP) is an important tool for ensuring the Department is well managed. In 2013, The Committee of Sponsoring Organizations of the Treadway Commission (COSO) added 17 principles to the five existing internal control components. In 2014, the Government Accountability Office’s (GAO) updated the Standards for Internal Control in the Federal Government and directed federal managers to adopt the update by fiscal year 2016. The Navy’s internal control program does not yet comply. After analyzing the content of the MICP against the COSO and GAO publications, this thesis developed templates to supplement the MICP in order to bring the Navy program into compliance and provide a tool for internal assessment that may aid commands as they prepare for external financial audits.; ; Lieutenant, United States Navy
Link permanente para citações:
Activating Social Audits in Orissa
Fonte: Washington, DC
Publicador: Washington, DC
Tipo: Economic & Sector Work :: Other Procurement Study; Economic & Sector Work
Português
Relevância na Pesquisa
37.01911%
#ACCESS TO INFORMATION#AUDIT PROCESS#AUDITING#BENEFICIARIES#CAPACITY BUILDING#CIVIL SOCIETY#CIVIL SOCIETY ORGANIZATIONS#COLLABORATION#COLLECTION OF INFORMATION#COMMUNICATION CAMPAIGNS#COMMUNITIES
With the passing of the National Rural
Employment Act (NREGA) in 2005, the Government of India
established a landmark provision that enables communities to
act as watchdogs on local level implementation of the
Government's flagship anti-poverty program. While the
concept of 'social audits' builds on a great deal
of experience in the country, the provisions in the Act have
not been translated into clear guidelines. As a result,
social audits of NREGA have tended to be driven through
'high impact' approaches led by civil society
organizations and have been focused on exposing malpractice
rather than improving implementation. This paper discusses
an initiative by the centre for youth and social development
which sought to explore options to activate the social audit
process in Orissa. The design draws on the provisions of the
Act with a view to developing a sustainable model for the
state. The pilot was conducted in six gram panchayats where
the various stages of preparation, committee formation,
auditing and reporting were developed. The paper highlights
the importance of social audits as an instrument to support
implementation...
Link permanente para citações:
Incentive Audits : A New Approach to Financial Regulation
Fonte: World Bank, Washington, DC
Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
Português
Relevância na Pesquisa
37.01911%
#ACCOUNTABILITY#ACCOUNTING#ADVANCED ECONOMIES#ADVERSE SELECTION#ARBITRAGE#ASYMMETRIC INFORMATION#AUDITING#AUDITORS#AUDITS#AUTONOMY#BALANCE SHEET
A large body of evidence points to
misaligned incentives as having a key role in the run-up to
the global financial crisis. These include bank
managers' incentives to boost short-term profits and
create banks that are "too big to fail,"
regulators' incentives to forebear and withhold
information from other regulators in stressful times, and
credit rating agencies' incentives to keep issuing high
ratings for subprime assets. As part of the response to the
crisis, policymakers and regulators also attempted to
address some incentive issues, but various outside observers
have criticized the response for being insufficient. This
paper proposes a pragmatic approach to re-orienting
financial regulation to have at its core the objective of
addressing incentives on an ongoing basis. Specifically, the
paper proposes "incentive audits" as a tool that
could help in identifying incentive misalignments in the
financial sector. The paper illustrates how such audits
could be implemented in practice, and what the implications
would be for the design of policies and frameworks to
mitigate systemic risks.
Link permanente para citações:
Social Audits in Nepal's Community Schools : Measuring Policy Against Practice
Fonte: World Bank, Washington, DC
Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Brief
Português
Relevância na Pesquisa
37.01911%
#ACADEMIC PERFORMANCE#ACADEMIC YEAR#ACCESS TO EDUCATION#ACHIEVEMENT SCORES#ALTERNATIVE EDUCATION#ATTENDANCE RATES#AUTONOMY#BASIC EDUCATION#CLASSROOM#CLASSROOM ENVIRONMENT#CLASSROOM TEACHING
Nepal s publicly-funded schools have
been managed by community-level stakeholders since 1950 when
Nepal first adopted a demo¬cratic system of government.
Subsequent changes to legislation and policy have further
devolved school management to the com¬munity level,
including the provision of financial resources to support
decision making by school-level committees. In addition to
these reforms, each community school is now required to
conduct an annual social audit. Community School National
Network (CSNN), a national Nepali NGO with expertise in
social accountability approaches, conducted a pilot of 60
schools in three districts (Kaski, Dolakha, and Nawalparasi)
to assess gaps in the implementation of social audits by
schools as specified in the Guidelines for the Social
Auditing of the Schools issued by the Ministry of Education
(MoE) of the Government of Nepal. In each of the three
districts studied, 70 80 percent of the entire school budget
is community-funded. Approximately 83 percent of community
schools conducted social audits in the academic year
2008 09. Their implementation varied between the three
districts but gaps were usu¬ally due to poor capacity and
lack of information about community-level responsibilities.
CSNN led a capacity-building initiative at the national...
Link permanente para citações:
La responsabilité sociale des entreprises transnationales : études de cas sur les audits sociaux et les droits des travailleurs en Chine
Fonte: Université de Montréal
Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
Português
Relevância na Pesquisa
27.240718%
#Responsabilité sociale#Audit social#Code de conduite#Chaine de production#Chine#Nike#Liberté d'association#Norme#Entreprise transnationale#Droit du travail#Corporate social responsibility
À l’heure actuelle, la régulation des chaines mondiales de production dépend principalement de mécanismes non étatiques tels que les codes de conduite et les audits sociaux implantés par les entreprises, les ONG et les organisations internationales. Dans cette recherche, nous évaluons si les audits menés par Nike, Adidas et Puma peuvent contribuer à renforcer les droits des travailleurs chinois. À l’aide d’entrevues réalisées sur le terrain auprès d’auditeurs et d’ONG, nous avons conceptualisé quatre conditions de base, lesquelles concernent la participation directe des travailleurs, le développement de capacités locales, le respect de la liberté d’association et la professionnalisation du travail d’auditeur social. Notre étude conclut que des étapes restent à franchir afin que les audits deviennent des outils d’avancement des droits fondamentaux. L’enjeu prioritaire demeure le développement de structures démocratiques afin de permettre aux ouvriers de former des syndicats libres et de négocier leurs propres conventions de travail.; Current regulation of global supply chains mainly relies on non state mechanisms such as codes of conduct and social audits implemented by corporations, non governmental organizations (NGOs) and international organizations. This research seeks to assess if the audits carried out by Nike...
Link permanente para citações:
Évaluation de stratégies pour améliorer l'observance de la biosécurité sur les fermes avicoles au Québec
Fonte: Université de Montréal
Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
Português
Relevância na Pesquisa
27.11681%
#Biosécurité#Biosecurity#Observance#Compliance#Vidéosurveillance#Video surveillance#Audits#Volaille#Poultry#Personnalité#Personality
La problématique de l’observance de la biosécurité est présente dans tous les types de production. Il est essentiel de définir des stratégies pour améliorer l’application des mesures de biosécurité. Cette étude décrit l’application des mesures de biosécurité à l’entrée et à la sortie de 24 bâtiments d’élevages avicoles au Québec, Canada. L’effet des audits et de caméras visibles sur l’observance a été étudié, de même que les déterminants de l’observance. De plus, la relation entre l’observance et les profils de personnalité, l’expérience et l’éducation a été décrite. L’application des mesures de biosécurité a été évaluée à l’aide de caméras cachées. L’observance à court terme (deux premières semaines) et à moyen terme (six mois plus tard) a été déterminée.
Basés sur les résultats du groupe contrôle, 44 différentes erreurs lors de l’application des mesures de biosécurité ont été observées à l’entrée et la sortie des bâtiments. La plupart étaient reliées à la délimitation des zones (propre versus contaminée). La nature et la fréquence des erreurs suggèrent un manque de compréhension des principes associés aux mesures de biosécurité. Le visionnement des vidéos a révélé 3055 visites par 277 individus différents (136 employés...
Link permanente para citações:
Auditing audits: use and development of the Oxfordshire Medical Audit Advisory Group rating system.
Fonte: BMJ Group
Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em 20/08/1994
Português
Relevância na Pesquisa
27.187368%
OBJECTIVES--To assess the value of the Oxfordshire Medical Audit Advisory Group rating system in monitoring and stimulating audit activity, and to implement a development of the system. DESIGN--Use of the rating system for assessment of practice audits on three annual visits in Oxfordshire; development and use of an "audit grid" as a refinement of the system; questionnaire to all medical audit advisory groups in England and Wales. SETTING--All 85 general practices in Oxfordshire; all 95 medical audit advisory groups in England and Wales. MAIN OUTCOME MEASURES--Level of practices' audit activity as measured by rating scale and grid. Use of scale nationally together with perceptions of strengths and weaknesses as perceived by chairs of medical audit advisory groups. RESULTS--After one year Oxfordshire practices more than attained the target standards set in 1991, with 72% doing audit involving setting target standards or implementing change; by 1993 this had risen to 78%. Most audits were confined to chronic disease management, preventive care, and appointments. 38 of 92 medical audit advisory groups used the Oxfordshire group's rating scale. Its main weaknesses were insensitivity in assessing the quality of audits and failure to measure team involvement. CONCLUSIONS--The rating system is effective educationally in helping practices improve and summatively for providing feedback to family health service authorities. The grid showed up weakness in the breadth of audit topics studied. IMPLICATIONS AND ACTION--Oxfordshire practices achieved targets set for 1991-2 but need to broaden the scope of their audits and the topics studied. The advisory group's targets for 1994-5 are for 50% of practices to achieve an audit in each of the areas of clinical care...
Link permanente para citações:
Implementing Risk-Limiting Post-Election Audits in California
Fonte: Universidade Cornell
Publicador: Universidade Cornell
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
27.187368%
Risk-limiting post-election audits limit the chance of certifying an
electoral outcome if the outcome is not what a full hand count would show.
Building on previous work, we report on pilot risk-limiting audits in four
elections during 2008 in three California counties: one during the February
2008 Primary Election in Marin County and three during the November 2008
General Elections in Marin, Santa Cruz and Yolo Counties. We explain what makes
an audit risk-limiting and how existing and proposed laws fall short. We
discuss the differences among our four pilot audits. We identify challenges to
practical, efficient risk-limiting audits and conclude that current approaches
are too complex to be used routinely on a large scale. One important logistical
bottleneck is the difficulty of exporting data from commercial election
management systems in a format amenable to audit calculations. Finally, we
propose a bare-bones risk-limiting audit that is less efficient than these
pilot audits, but avoids many practical problems.; Comment: Accepted to the Electronic Voting Technology Workshop/Workshop on
Trustworthy Elections 2009 (EVT/WOTE '09),
http://www.usenix.org/events/evtwote09/
Link permanente para citações:
Quality-of-care audits and perinatal mortality in South Africa
Fonte: World Health Organization
Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Formato: text/html
Publicado em 01/06/2015
Português
Relevância na Pesquisa
27.316038%
AbstractProblem Suboptimal care contributes to perinatal mortality rates. Quality-of-care audits can be used to identify and change suboptimal care, but it is not known if such audits have reduced perinatal mortality in South Africa.Approach We investigated perinatal mortality trends in health facilities that had completed at least five years of quality-of-care audits. In a subset of facilities that began audits from 2006, we analysed modifiable factors that may have contributed to perinatal deaths.Local setting Since the 1990s, the perinatal problem identification programme has performed quality-of-care audits in South Africa to record perinatal deaths, identify modifiable factors and motivate change.Relevant changes Five years of continuous audits were available for 163 facilities. Perinatal mortality rates decreased in 48 facilities (29%) and increased in 52 (32%). Among the subset of facilities that began audits in 2006, there was a decrease in perinatal mortality of 30% (16/54) but an increase in 35% (19/54). Facilities with increasing perinatal mortality were more likely to identify the following contributing factors: patient delay in seeking help when a baby was ill (odds ratio, OR: 4.67; 95% confidence interval, CI: 1.99-10.97); lack of use of antenatal steroids (OR: 9.57; 95% CI: 2.97-30.81); lack of nursing personnel (OR: 2.67; 95% CI: 1.34-5.33); fetal distress not detected antepartum when the fetus is monitored (OR: 2.92; 95% CI: 1.47-5.8) and poor progress in labour with incorrect interpretation of the partogram (OR: 2.77; 95% CI: 1.43-5.34).Lessons learnt Quality-of-care audits were not shown to improve perinatal mortality in this study.
Link permanente para citações: