№ lp_1_2_39753
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Character count: 2840
File size: 119 KB
This document presents a fishbone diagram that identifies various factors contributing to delays in patient care and operational inefficiencies in medical settings.
Note:
Year
Theme:
IT / Technology, Environmental, Patients, Equipment / Supplies, Staff / People
Document Type:
Diagram
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Year:
2026
Region / City:
Global
Subject:
Business Analysis, Software Architecture
Document Type:
Educational Resource
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Business Analysts, Software Engineers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Topic:
Software Architecture
Document Type:
Educational Material
Target Audience:
Students, Software Developers
MVC is a software design pattern used to separate an application into three layers:
model, view, and controller, simplifying development, testing, and maintenance by clearly defining the roles and interactions of each component.
Note:
Year
Topic:
Software Development, System Analysis
Document Type:
Instructional Guide
Target Audience:
Business Analysts, Software Developers, Stakeholders
Note:
Year
Organization / institution:
National Centre for Research Methods (NCRM)
Subject:
Solid-state physics
Topic:
Electrical conductivity of solids
Key Concepts:
Valence band, Conduction band, Forbidden energy gap
Materials Covered:
Insulators, Semiconductors, Conductors
Subtopics:
Intrinsic semiconductor, Extrinsic semiconductor, n-type semiconductor, p-type semiconductor, P–N junction
Physical Parameters:
Electrical conductivity (S/cm), Energy gap (eV)
Examples Mentioned:
Diamond, Silicon, Germanium, Silver, Copper, Aluminum
Processes Discussed:
Doping, Thermal excitation, Charge carrier conduction
Applications Referenced:
Diodes, Transistors, Solar cells, LEDs, Integrated circuits
Source Type:
Educational physics notes
Note:
Year
Topic:
Virus life cycle
Document type:
Educational material
Target audience:
Students, educators
Year:
2021
Region / City:
N/A
Topic:
Networking
Document Type:
Technical Specification
Organization / Institution:
HomePlug Alliance
Author:
N/A
Target Audience:
Engineers, Network Designers
Period of Effect:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Note:
Year
Theme:
Plant genetics, gene expression, transgenics
Document type:
Research article
Target audience:
Researchers in plant genetics and biotechnology
Note:
Year
Subject:
Causal loop diagrams, system thinking, electric vehicles, fisheries sustainability
Document Type:
Tutorial / Educational Video
Author:
Freya Palmer
Target Audience:
Researchers, policy makers, environmental scientists
Test SensitivityTP/TP+FN SpecificityTN/FP+TN PPVTP/TP+FP NPVTN/TN+FN Limitations USC pathway1 80.4% 47.2% 3.5% 99.0% low no’s of confirmed CRCAUC=0.65 Raman-CRC blood test* 85.7% 68% 14% 98.7:
//doi.org/10.1111/apt.13846
2. Lung PF, Burling D, Kallarackel L, et al. Implementation of a new CT colonography service:
5 year experience. Clin Radiol. 2014; 69(6): 597-605. doi: 10.1016/j.crad.2014.01.007.3. Bowles CJ, Leicester R, Romaya C, et al. A prospective study of colonoscopy practice in the UK today: are we adequately prepared for national colorectal cancer screening tomorrow? Gut 2004; 53: 277-283.1) Can you describe the current colorectal cancer USC referral pathway?What are your perceptions of it? (Prompt: memorised or need to refer to it, makes secondary care the gatekeeper for tests, NICE criteria, timeliness, capacity, reassurance to have a guideline to follow, ignores GP’s ‘instinct’)2) Experience of the timeframe from referral to colonoscopy/CTC? How do you manage patient’s expectation? Frequency of repeat consultations between referral and test being done?(Prompt: 37 days average)3) Do you consider your personal volume of USC pathway referrals to be just right, too few, or too many?(Prompt: how much does knowledge of waiting times and resource capacity affect your likelihood to refer a patient? 4). If resources weren’t a problem and if you could wave a magic wand tomorrow what do you think we should do about improving outcomes from CRC? What do you perceive are the barriers to early diagnosis of CRC?(Prompt: Wales is 22nd of 28 in the European league table of CRC survival, screening problems, resources, effective tests, patient choice, patient education). Perception of need for better access to diagnostics in primary care (invasive and non-invasive)5). Which situation would the Raman-CRC blood test be of most value to a GP:-non-specific symptoms? eg constipation, abdominal pain -younger age group below USC age? -all USC patients? What would a USC pathway look like with Raman-CRC embedded? -should it be a secondary care tool ie decision to perform colonoscopy or not: help with triage/prioritisation of referral in secondary care6). Given the Raman-CRC test performance described (on vignette sheet) would you have confidence to use it? If not, what sens/spec/PPV/NPV would it need to have?(Prompt: to seek to understand what is most important for a GP, ability to exclude (NPV) or to correctly identify cancer (PPV))7).What additional clinical trials would you like to see with the blood test before implementation?Further observational work with larger numbers/centres/situations?Release test for use and observe outcomes? RCT test v no test?Comparison with FIT?NICE guidance?1) Can you describe the current colorectal cancer USC referral pathway?What are your perceptions of it? (Prompt: memorised or need to refer to it, makes secondary care the gatekeeper for tests, NICE criteria, timeliness, capacity, reassurance to have a guideline to follow, ignores GP’s ‘instinct’)2) Experience of the timeframe from referral to colonoscopy/CTC? How do you manage patient’s expectation? Frequency of repeat consultations between referral and test being done?(Prompt: 37 days average)3) Do you consider your personal volume of USC pathway referrals to be just right, too few, or too many?(Prompt: how much does knowledge of waiting times and resource capacity affect your likelihood to refer a patient? 4). If resources weren’t a problem and if you could wave a magic wand tomorrow what do you think we should do about improving outcomes from CRC? What do you perceive are the barriers to early diagnosis of CRC?(Prompt: Wales is 22nd of 28 in the European league table of CRC survival, screening problems, resources, effective tests, patient choice, patient education). Perception of need for better access to diagnostics in primary care (invasive and non-invasive)5). Which situation would the Raman-CRC blood test be of most value to a GP:-non-specific symptoms? eg constipation, abdominal pain -younger age group below USC age? -all USC patients? What would a USC pathway look like with Raman-CRC embedded? -should it be a secondary care tool ie decision to perform colonoscopy or not: help with triage/prioritisation of referral in secondary care6). Given the Raman-CRC test performance described (on vignette sheet) would you have confidence to use it? If not, what sens/spec/PPV/NPV would it need to have?(Prompt: to seek to understand what is most important for a GP, ability to exclude (NPV) or to correctly identify cancer (PPV))7).What additional clinical trials would you like to see with the blood test before implementation?Further observational work with larger numbers/centres/situations?Release test for use and observe outcomes? RCT test v no test?Comparison with FIT?NICE guidance?Box S1. GP focus group questions.VIGNETTESAssumptions: Colonoscopy/CTC capacity is the same as present Raman-CRC blood test is routinely available under local guidelines.Raman-CRC test performance is 85.7% sensitivity, 68% specificity, 14% PPV, 98.7% NPV, based on interim analysis of 120 cases and controls.1. 60 y.o. male presents with tiredness. His wife (also in the practice) diagnosed with breast cancer a year ago and just completing adjuvant chemotherapy. He has had time off work himself when she has been ill with side effects. On deeper questioning he describes 6 weeks of increased stool frequency (usually once/day, now 3 times per day). No history of rectal bleeding or mucous, abdominal pain or weight loss. Doesn’t smoke. Abdominal and rectal examinations are normal. Simple diagnostics show he is not anaemic and a stool culture is negative.a) Refer to secondary care on USC pathway without further testingb) Request Raman-CRC blood test to risk stratifyc) Involve patient in decision making? Explore patient expectations/underlying concerns....d) Other?2. A 50 year old patient who is a frequent attender describes three or four episodes of rectal bleeding. This is fresh blood, noticed in the toilet water. No anal pain or itching. No change on bowel habit. Appetite and weight stable. On citalopram for anxiety. No relevant family history. Abdominal examination: appendicectomy scar, nil else. Rectal exam: small skin tags, no masses felt, no blood on glove, no proctoscope available. FBC normal. Action?3. 45 year old female patient, complains of tiredness and self limiting looser stools for 3 weeks, but does have a FH of bowel cancer. Examination normal.Decision made to perform a Raman-CRC blood test. The test returns positive 2 days later. How would you go about discussing this with the patient in the fol
Year:
2023
Region / City:
Washington, DC; Brooklyn, NYC; San Francisco, CA
Topic:
Network Design
Document Type:
Assignment
Organization / Institution:
University of Maryland
Author:
Student
Target Audience:
Chief Information Officer (CIO) of FractalApps
Action Period:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
Not specified
Manufacturer:
Not specified
System:
Plug-in Hybrid / Electric Vehicle Charging System
Component:
Plugin Charge Control ECU Assembly
Related Components:
Charging Circuit Interrupting Device (CCID); Electric Vehicle Charger Assembly; HV Battery Pack; DC-DC Converter; Power Management Control ECU
Document Type:
Technical System Description
Subject:
Charging Control Logic and Signal Flow
Functions Covered:
Charging Control; AC Input Control; Auxiliary Control; Charging Timer Function; Remote Air Conditioning Control
Voltage Specifications:
Auxiliary Battery Control Voltage 13.5 V
Operating Modes:
Normal Charging; Slow Charging
Signals Referenced:
Charge Start Request Signal; Charge Enable Signal; CPLT Signals; ILMT Signal; Remote Air Conditioning Signal
Year:
2026
School:
Brighton High School
Author:
Matthew Jourden
Document Type:
Tutorial / Instructional Guide
Subject:
Electrical Engineering / Ladder Diagram Design
Target Audience:
High School Students
Components:
Motor (1 Phase), Pilot Light, Push Button, Timer
Voltage:
+24 VDC
Tools Required:
ANIS B Software, HP 5550 Color Printer
Page Layout:
Predefined ladder size, On Center Spacing, Vertical and Horizontal Lines
Procedures:
Ladder creation, adding wires, changing wire types, placing components, rebuilding rungs
Year:
2017
Region / City:
N/A
Topic:
BRAM Timing Diagram
Document Type:
VHDL Code
Institution / Organization:
N/A
Author:
Prof Jeff Falkinburg
Target Audience:
Engineers, Developers
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
1999
Region / City:
Queensland
Topic:
Legal Procedures
Document Type:
Court Order
Institution:
Supreme Court of Queensland
Author:
Not specified
Target Audience:
Legal professionals
Period of validity:
Until further order of the Court
Approval Date:
Not specified
Date of amendments:
Not specified
Context:
Legal document outlining the procedures for disclosure and document management in a court case under the Uniform Civil Procedure Rules.
Year:
2021
Region / city:
New Zealand
Topic:
Simulated recall procedures
Document type:
Checklist
Organization / institution:
NZFS
Author:
Not specified
Target audience:
Businesses involved in production, sales, and distribution
Period of validity:
March 2021
Approval date:
1 March 2021
Modification date:
15 March 2021
Year:
2021
Region / City:
Karratha
Topic:
Coating Systems Inspection
Document Type:
Inspection Test Plan
Organization / Institution:
Water Corporation
Author:
Joe Bloggs
Target Audience:
Contractors, Inspectors
Effective Period:
1st July 2021
Approval Date:
1st July 2021
Modification Date:
Not specified
No. of Pages:
3
Year:
2024
Region / City:
Riverside
Topic:
Public health communication; food access; SNAP benefits; farmers markets
Document type:
Communication plan template with completed example
Program focus:
Increasing access to farmers markets accepting SNAP and EBT
Organizations mentioned:
LiveWell Riverside; State & Community Health Media Center; DNPAO Strategic Communication Team; Centers for Disease Control and Prevention
Target audiences:
Community residents in Riverside; LiveWell Riverside partners
Time frame:
Months 1–12+
Planned completion date:
September 2024
Metrics included:
Media impressions; social media engagement; newsletter distribution and open rates; earned media value
Year:
2017
Region / City:
N/A
Topic:
LXI Conformance
Document Type:
Technical Specification
Organization / Institution:
LXI Consortium
Author:
LXI Consortium
Target Audience:
Developers, Engineers
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A