BACKGROUND Achieving quality improvement (QI) aims often requires local innovation. Without objective evidence review, innovators may miss previously tested approaches, rely on biased information, or use personal preferences in designing and implementing local QI programmes. AIM To develop a practical, responsive approach to evidence review for QI innovations aimed at both achieving the goals...

You, the medical director of an intensive care unit (ICU), discover that mortality has increased for patients with sepsis. You are considering a quality improvement (QI) initiative to improve the care and outcomes of your patients. However, you are concerned that many QI studies have weak designs and poor data quality and often overestimate potential benefits. Before beginning, you decide to id...

در این مقاله، به بررسی اثر پارامترهای گوناگون بر شکل تپ‌های گسیلی لیزر 2CO تپی پرداخته شده است. راستا، عوامل مختلفی مانند: فشار گاز و هم‌­چنین طول تشدیدگر تغییر داده شدند هر حالت به‌همراه اندازه انرژی آن‌ها ثبت گردیدند. نتایج نشان می‌­دهد که با افزایش گاز، به‌شدت می‌یابد، به‌گونه‌ای 2 برابر 3 شدن فشار، 5 برابر، پهنای زمانی تپ‌ها نیم یک‌سوم زمان برساخت آن‌­ها نیز 9/0 7/0 اندازه‌های اولیه‌ی خود م...

We propose a simple low-energy classical experiment in which the effects of noncommutativity can be clearly separated from commutative physics. The ensuing bound on the noncommutative scale is remarkable, especially in view of its elementary derivation. Noncommutative mechanics has recently been under intensive investigation [1, 2]. It uses the following basic commutators for the coordinates qi...

T he Journal of Graduate Medical Education often receives submissions from trainees and educators highlighting work they do in quality improvement (QI). This is remarkably encouraging given the emphasis that the Accreditation Council for Graduate Medical Education (ACGME) Next Accreditation System has placed on integrating QI into the clinical learning environment. A major challenge for editors...

OBJECTIVE To describe health workers' perceptions of a quality improvement (QI) intervention that focused on improving institutional childbirth services in primary health facilities in Southern Tanzania. DESIGN A qualitative design was applied using in-depth interviews with health workers. SETTING This study involved the Ruangwa District Reproductive and Child Health Department, 11 dispensa...

BACKGROUND Quality improvement (QI) activities are required to maintain board certification in pediatrics. However, because of lack of training and resources, pediatricians may feel overwhelmed by the need to implement QI activities. Pediatricians also face challenges when caring for overweight and obese children. OBJECTIVE To create a virtual (online) QI learning collaborative through which ...

OBJECTIVE To assess the impact of a quality improvement (QI) intervention on the quality of diabetes care at primary care clinics. RESEARCH DESIGN AND METHODS Twelve primary care medical practices were matched by size and location and randomized to intervention or control conditions. Intervention clinic staff were trained in a seven-step QI change process to improve diabetes care. Surveys and...

This talks examines the effect of angular ordering on the small-x evolution of the unintegrated gluon distribution, and discusses the characteristic function for the CCFM equation. For some time now it has been known that angular ordering [1] is an essential element in any description of small-x final state properties [2]. As a first step of a programme to study the final state in small-x physi...