The Experts below are selected from a list of 1863 Experts worldwide ranked by ideXlab platform
Axel Ekkernkamp - One of the best experts on this subject based on the ideXlab platform.
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comparison of handheld computer assisted and conventional paper chart documentation of medical records a randomized controlled trial
Journal of Bone and Joint Surgery American Volume, 2004Co-Authors: Dirk Stengel, Kai Bauwens, Thilo Kopfer, Martin Walter, Axel EkkernkampAbstract:Background: Daily documentation and maintenance of medical record Quality is a crucial issue in orthopaedic surgery. The purpose of the present study was to determine whether the introduction of a handheld computer could improve both the quantitative and qualitative aspects of medical records. Methods: A series of consecutive patients who were admitted for the first time to a thirty-six-bed orthopaedic ward of an academic teaching hospital for a planned operation or any other treatment of an acute injury or chronic condition were randomized to daily documentation of their clinical charts on a handheld computer or on conventional paper forms. The electronic documentation consisted of a specially designed software package on a handheld computer for bedside use with structured decision trees for examination, obtaining a history, and coding. In the control arm, chart notes were compiled on standard paper forms and were subsequently entered into the hospital's information system. The number of documented ICD (International Classification of Diseases) diagnoses was the primary end point for sample size calculations. All patient charts were reread by an expert panel consisting of two surgeons and the surgical Quality Assurance Manager. These experts assigned Quality ratings to the different documentation systems by scrutinizing the extent and accuracy of the patient histories and the physical findings as assessed by daily chart notes. Results: Eighty patients were randomized to one of the two documentation arms, and seventy-eight (forty-seven men and thirty-one women) of them were eligible for final analysis. Documentation with the handheld computer increased the median number of diagnoses per patients from four to nine (p < 0.0001), but it produced some overcoding for false or redundant items. Documentation Quality ratings improved significantly with the introduction of the handheld device (p < 0.01) with respect to the correct assessment of a patient's progress and translation into ICD diagnoses. Various learning curve effects were observed with different operators. Study physicians assigned slightly better practicability ratings to the handheld device. Conclusions: The preliminary data from this study suggest that handheld computers may improve the Quality of hospital charts in orthopaedic surgery. Level of Evidence: Therapeutic study, Level I-1a (randomized controlled trial [significant difference]). See Instructions to Authors for a complete description of levels of evidence.
Dirk Stengel - One of the best experts on this subject based on the ideXlab platform.
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comparison of handheld computer assisted and conventional paper chart documentation of medical records a randomized controlled trial
Journal of Bone and Joint Surgery American Volume, 2004Co-Authors: Dirk Stengel, Kai Bauwens, Thilo Kopfer, Martin Walter, Axel EkkernkampAbstract:Background: Daily documentation and maintenance of medical record Quality is a crucial issue in orthopaedic surgery. The purpose of the present study was to determine whether the introduction of a handheld computer could improve both the quantitative and qualitative aspects of medical records. Methods: A series of consecutive patients who were admitted for the first time to a thirty-six-bed orthopaedic ward of an academic teaching hospital for a planned operation or any other treatment of an acute injury or chronic condition were randomized to daily documentation of their clinical charts on a handheld computer or on conventional paper forms. The electronic documentation consisted of a specially designed software package on a handheld computer for bedside use with structured decision trees for examination, obtaining a history, and coding. In the control arm, chart notes were compiled on standard paper forms and were subsequently entered into the hospital's information system. The number of documented ICD (International Classification of Diseases) diagnoses was the primary end point for sample size calculations. All patient charts were reread by an expert panel consisting of two surgeons and the surgical Quality Assurance Manager. These experts assigned Quality ratings to the different documentation systems by scrutinizing the extent and accuracy of the patient histories and the physical findings as assessed by daily chart notes. Results: Eighty patients were randomized to one of the two documentation arms, and seventy-eight (forty-seven men and thirty-one women) of them were eligible for final analysis. Documentation with the handheld computer increased the median number of diagnoses per patients from four to nine (p < 0.0001), but it produced some overcoding for false or redundant items. Documentation Quality ratings improved significantly with the introduction of the handheld device (p < 0.01) with respect to the correct assessment of a patient's progress and translation into ICD diagnoses. Various learning curve effects were observed with different operators. Study physicians assigned slightly better practicability ratings to the handheld device. Conclusions: The preliminary data from this study suggest that handheld computers may improve the Quality of hospital charts in orthopaedic surgery. Level of Evidence: Therapeutic study, Level I-1a (randomized controlled trial [significant difference]). See Instructions to Authors for a complete description of levels of evidence.
Pieternel A Luning - One of the best experts on this subject based on the ideXlab platform.
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a systematic assessment of Quality Assurance based food safety management system of chinese edible oil manufacturer in view of context characteristics
Total Quality Management & Business Excellence, 2016Co-Authors: Yingxue Ren, Pieternel A LuningAbstract:This study uses a framework of a food safety management system-diagnostic instrument (FSMS-DI), for the assessment of the context of a Chinese edible oil manufacture through the view of a case study, and an evaluation of the performance of the FSMS of a Chinese edible oil company. The study includes a structured interview with the Quality Assurance Manager. FSMS-DI is used to diagnose the core control and Assurance activities, as well as the riskiness of context factors and output of the system. A factory tour is done to verify the information collected during the interview. The company is operating in a low to moderate risk context. The control activities are overall operating at an advanced level, while the Assurance activities are at an average level. Although the food safety output of the FSMS is good, improvements are advised on the Assurance activities to develop towards a more robust FSMS. This study gives an insight into the current situation of implemented FSMS in view of the context riskiness of...
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role and position of the modern Quality Assurance Manager
Research Papers in Economics, 2012Co-Authors: A G J Velthuis, Cees Beek, Hanneke Vriend, Frank Bombeeck, Pieternel A Luning, Hans DammanAbstract:Quality Assurance management in the food industry is complex, as it is the total of activities and decisions performed in an organisation to produce and maintain a safe product with the desired Quality level against minimal costs (Luning, 2006). It includes: i) Quality design, ii) Quality control, iii) Quality improvement, iv) Quality Assurance, and v) Quality policy and strategy (Luning, 2007, 2009). Hence, it deals not only with all physical aspects of food products and their technological processes, but also with food handlers’ decisions in daily production as well as management’s decisions that impact food safety and Quality (Luning, 2007). A proper Quality management (i.e. total Quality management) have shown to result in a better performance of the food business (Psomas, 2010; Fotopoulos, 2009, 2010).
Thilo Kopfer - One of the best experts on this subject based on the ideXlab platform.
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comparison of handheld computer assisted and conventional paper chart documentation of medical records a randomized controlled trial
Journal of Bone and Joint Surgery American Volume, 2004Co-Authors: Dirk Stengel, Kai Bauwens, Thilo Kopfer, Martin Walter, Axel EkkernkampAbstract:Background: Daily documentation and maintenance of medical record Quality is a crucial issue in orthopaedic surgery. The purpose of the present study was to determine whether the introduction of a handheld computer could improve both the quantitative and qualitative aspects of medical records. Methods: A series of consecutive patients who were admitted for the first time to a thirty-six-bed orthopaedic ward of an academic teaching hospital for a planned operation or any other treatment of an acute injury or chronic condition were randomized to daily documentation of their clinical charts on a handheld computer or on conventional paper forms. The electronic documentation consisted of a specially designed software package on a handheld computer for bedside use with structured decision trees for examination, obtaining a history, and coding. In the control arm, chart notes were compiled on standard paper forms and were subsequently entered into the hospital's information system. The number of documented ICD (International Classification of Diseases) diagnoses was the primary end point for sample size calculations. All patient charts were reread by an expert panel consisting of two surgeons and the surgical Quality Assurance Manager. These experts assigned Quality ratings to the different documentation systems by scrutinizing the extent and accuracy of the patient histories and the physical findings as assessed by daily chart notes. Results: Eighty patients were randomized to one of the two documentation arms, and seventy-eight (forty-seven men and thirty-one women) of them were eligible for final analysis. Documentation with the handheld computer increased the median number of diagnoses per patients from four to nine (p < 0.0001), but it produced some overcoding for false or redundant items. Documentation Quality ratings improved significantly with the introduction of the handheld device (p < 0.01) with respect to the correct assessment of a patient's progress and translation into ICD diagnoses. Various learning curve effects were observed with different operators. Study physicians assigned slightly better practicability ratings to the handheld device. Conclusions: The preliminary data from this study suggest that handheld computers may improve the Quality of hospital charts in orthopaedic surgery. Level of Evidence: Therapeutic study, Level I-1a (randomized controlled trial [significant difference]). See Instructions to Authors for a complete description of levels of evidence.
Martin Walter - One of the best experts on this subject based on the ideXlab platform.
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comparison of handheld computer assisted and conventional paper chart documentation of medical records a randomized controlled trial
Journal of Bone and Joint Surgery American Volume, 2004Co-Authors: Dirk Stengel, Kai Bauwens, Thilo Kopfer, Martin Walter, Axel EkkernkampAbstract:Background: Daily documentation and maintenance of medical record Quality is a crucial issue in orthopaedic surgery. The purpose of the present study was to determine whether the introduction of a handheld computer could improve both the quantitative and qualitative aspects of medical records. Methods: A series of consecutive patients who were admitted for the first time to a thirty-six-bed orthopaedic ward of an academic teaching hospital for a planned operation or any other treatment of an acute injury or chronic condition were randomized to daily documentation of their clinical charts on a handheld computer or on conventional paper forms. The electronic documentation consisted of a specially designed software package on a handheld computer for bedside use with structured decision trees for examination, obtaining a history, and coding. In the control arm, chart notes were compiled on standard paper forms and were subsequently entered into the hospital's information system. The number of documented ICD (International Classification of Diseases) diagnoses was the primary end point for sample size calculations. All patient charts were reread by an expert panel consisting of two surgeons and the surgical Quality Assurance Manager. These experts assigned Quality ratings to the different documentation systems by scrutinizing the extent and accuracy of the patient histories and the physical findings as assessed by daily chart notes. Results: Eighty patients were randomized to one of the two documentation arms, and seventy-eight (forty-seven men and thirty-one women) of them were eligible for final analysis. Documentation with the handheld computer increased the median number of diagnoses per patients from four to nine (p < 0.0001), but it produced some overcoding for false or redundant items. Documentation Quality ratings improved significantly with the introduction of the handheld device (p < 0.01) with respect to the correct assessment of a patient's progress and translation into ICD diagnoses. Various learning curve effects were observed with different operators. Study physicians assigned slightly better practicability ratings to the handheld device. Conclusions: The preliminary data from this study suggest that handheld computers may improve the Quality of hospital charts in orthopaedic surgery. Level of Evidence: Therapeutic study, Level I-1a (randomized controlled trial [significant difference]). See Instructions to Authors for a complete description of levels of evidence.
