3 results
Can trainees design and deliver a national audit of epistaxis management? A pilot of a secure web-based audit tool and research trainee collaboratives
- N Mehta, R J Williams, M E Smith, A Hall, J C Hardman, L Cheung, M P Ellis, J M Fussey, R Lakhani, O McLaren, P C Nankivell, N Sharma, W Yeung, S Carrie, C Hopkins
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- Journal:
- The Journal of Laryngology & Otology / Volume 131 / Issue 6 / June 2017
- Published online by Cambridge University Press:
- 23 March 2017, pp. 518-522
- Print publication:
- June 2017
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- Article
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Objective:
To investigate the feasibility of a national audit of epistaxis management led and delivered by a multi-region trainee collaborative using a web-based interface to capture patient data.
Methods:Six trainee collaboratives across England nominated one site each and worked together to carry out this pilot. An encrypted data capture tool was adapted and installed within the infrastructure of a university secure server. Site-lead feedback was assessed through questionnaires.
Results:Sixty-three patients with epistaxis were admitted over a two-week period. Site leads reported an average of 5 minutes to complete questionnaires and described the tool as easy to use. Data quality was high, with little missing data. Site-lead feedback showed high satisfaction ratings for the project (mean, 4.83 out of 5).
Conclusion:This pilot showed that trainee collaboratives can work together to deliver an audit using an encrypted data capture tool cost-effectively, whilst maintaining the highest levels of data quality.
Contributors
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- By Rony A. Adam, Gloria Bachmann, Nichole M. Barker, Randall B. Barnes, John Bennett, Inbar Ben-Shachar, Jonathan S. Berek, Sarah L. Berga, Monica W. Best, Eric J. Bieber, Frank M. Biro, Shan Biscette, Anita K. Blanchard, Candace Brown, Ronald T. Burkman, Joseph Buscema, John E. Buster, Michael Byas-Smith, Sandra Ann Carson, Judy C. Chang, Annie N. Y. Cheung, Mindy S. Christianson, Karishma Circelli, Daniel L. Clarke-Pearson, Larry J. Copeland, Bryan D. Cowan, Navneet Dhillon, Michael P. Diamond, Conception Diaz-Arrastia, Nicole M. Donnellan, Michael L. Eisenberg, Eric Eisenhauer, Sebastian Faro, J. Stuart Ferriss, Lisa C. Flowers, Susan J. Freeman, Leda Gattoc, Claudine Marie Gayle, Timothy M. Geiger, Jennifer S. Gell, Alan N. Gordon, Victoria L. Green, Jon K. Hathaway, Enrique Hernandez, S. Paige Hertweck, Randall S. Hines, Ira R. Horowitz, Fred M. Howard, William W. Hurd, Fidan Israfilbayli, Denise J. Jamieson, Carolyn R. Jaslow, Erika B. Johnston-MacAnanny, Rohna M. Kearney, Namita Khanna, Caroline C. King, Jeremy A. King, Ira J. Kodner, Tamara Kolev, Athena P. Kourtis, S. Robert Kovac, Ertug Kovanci, William H. Kutteh, Eduardo Lara-Torre, Pallavi Latthe, Herschel W. Lawson, Ronald L. Levine, Frank W. Ling, Larry I. Lipshultz, Steven D. McCarus, Robert McLellan, Shruti Malik, Suketu M. Mansuria, Mohamed K. Mehasseb, Pamela J. Murray, Saloney Nazeer, Farr R. Nezhat, Hextan Y. S. Ngan, Gina M. Northington, Peggy A. Norton, Ruth M. O'Regan, Kristiina Parviainen, Resad P. Pasic, Tanja Pejovic, K. Ulrich Petry, Nancy A. Phillips, Ashish Pradhan, Elizabeth E. Puscheck, Suneetha Rachaneni, Devon M. Ramaeker, David B. Redwine, Robert L. Reid, Carla P. Roberts, Walter Romano, Peter G. Rose, Robert L. Rosenfield, Shon P. Rowan, Mack T. Ruffin, Janice M. Rymer, Evis Sala, Ritu Salani, Joseph S. Sanfilippo, Mahmood I. Shafi, Roger P. Smith, Meredith L. Snook, Thomas E. Snyder, Mary D. Stephenson, Thomas G. Stovall, Richard L. Sweet, Philip M. Toozs-Hobson, Togas Tulandi, Elizabeth R. Unger, Denise S. Uyar, Marion S. Verp, Rahi Victory, Tamara J. Vokes, Michelle J. Washington, Katharine O'Connell White, Paul E. Wise, Frank M. Wittmaack, Miya P. Yamamoto, Christine Yu, Howard A. Zacur
- Edited by Eric J. Bieber, Joseph S. Sanfilippo, University of Pittsburgh, Ira R. Horowitz, Emory University, Atlanta, Mahmood I. Shafi
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- Book:
- Clinical Gynecology
- Published online:
- 05 April 2015
- Print publication:
- 23 April 2015, pp viii-xiv
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11 - Ecosystem-based fisheries management in the face of climate change
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- By William W. L. Cheung, University of East Anglia, UK, and University of British Columbia, Canada, Jessica J. Meeuwig, University of Western Australia, Australia, Vicky W. Y. Lam, University of British Columbia, Canada
- Edited by Villy Christensen, University of British Columbia, Vancouver, Jay Maclean
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- Book:
- Ecosystem Approaches to Fisheries
- Published online:
- 05 June 2012
- Print publication:
- 03 March 2011, pp 171-188
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- Chapter
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Summary
INTRODUCTION
Climate change can have direct and indirect impacts on marine fisheries (Brander, 2007). Impacts of overfishing and other human factors, such as habitat destruction and pollution, on marine ecosystems and fisheries resources, are generally well known. Overfishing causes large-scale depletion of fish biomass in the ocean and structural changes in ecosystems (Pauly et al., 1998; Jackson et al., 2001; Pauly et al., 2002; Christensen et al., 2003; Myers and Worm, 2003). Simultaneously, other human activities disturb natural habitats and disrupt the ecology and biodiversity of marine ecosystems (Lotze et al., 2006; Worm et al., 2006; Halpern et al., 2008).
In contrast, impacts of global climate change on marine ecosystems are just starting to be recognized, lagging behind such recognition in terrestrial systems (Rosenzweig et al., 2008). Theory and empirical evidence show that climate change is an important factor affecting marine organisms, ecosystems, and the services they provide (Costanza et al., 1999; Roessig et al., 2004; Pörtner and Knust, 2007; Munday et al., 2008; Rosenzweig et al., 2008). For example, distributions of exploited marine fish and invertebrates have shifted as temperature and other ocean conditions change. Observations from the North Sea (Perry et al., 2005) and the Bering Sea (Mueter and Litzow, 2008) show that the average rate of latitudinal range shift has been around 30 km per decade over the last few decades. Fish assemblages in the North Sea are also found to have moved deeper at an average rate of 3.6 m per decade (Dulvy et al., 2008).