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Documenting metrological traceability as intended by ISO 15189:2012 : a consensus statement about the practice of the implementation and auditing of this norm element
Maria Lohmander, Christos Kroupis, Edward Barrett, Guilaine Boursier, Bernard Gouget, Pika Meško-Brguljan, Florent Vanstapel, Marc H. M. Thelen, Luděk Šprongl, Tatjana Vodnik, 2019

Povzetek: ISO15189:2012 requires medical laboratories to document metrological traceability of their results. While the ISO17511:2003 standard on metrological traceability in laboratory medicine requires the use of the highest available level in the traceability chain, it recognizes that for many measurands there is no reference above the manufacturer's selected measurement procedure and the manufacturer's working calibrator. Some immunoassays, although they intend to measure the same quantity and may even refer to the same reference material, unfortunately produce different results because of differences in analytical selectivity as manufacturers select different epitopes and antibodies for the same analyte. In other cases, the cause is the use of reference materials, which are not commutable. The uncertainty associated with the result is another important aspect in metrological traceability implementation. As the measurement uncertainty on the clinical samples is influenced by the uncertainty of all steps higher in the traceability chain, laboratories should be provided with adequate and appropriate information on the uncertainty of the value assignment to the commercial calibrators that they use. Although the between-lot variation in value assignment will manifest itself as part of the long-term imprecision as estimated by the end-user, information on worst-case to be expected lot-lot variation has to be communicated to the end-user by the IVD provider. When laboratories use ancillary equipment that potentially could have a critical contribution to the reported results, such equipment needs verification of its proper calibration and criticality to the result uncertainty could be assessed by an approach based on risk analysis, which is a key element of ISO15189:2012 anyway. This paper discusses how the requirement for metrological traceability as stated in ISO15189 should be met by the medical laboratory and how this should be assessed by accreditation bodies.
Ključne besede: laboratories, medical laboratory science, risk management, quality control, quality improvement, health care quality assurance, metrological traceability
DiRROS - Objavljeno: 22.10.2020; Ogledov: 496; Prenosov: 98

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Noninvasive ventilation : education and training. A narrative analysis and an international consensus document
Karen E. A. Burns, Habib Mohammad Reazaul Karim, Irena Šarc, Jean-Michel Arnal, Vito Antonio Falcone, Szymon Skoczyński, Thierry Hernández-Gilsoul, Nicola Vargas, Antonello Nicolini, Mohamad F. El-Khatib, Laura D. Ciobanu, 2019

Povzetek: Noninvasive ventilation (NIV) is an increasingly used method of respiratory support. The use of NIV is expanding over the time and if properly applied, it can save patients’ lives and improve long-term prognosis. However, both knowledge and skills of its proper use as life support are paramount. This systematic review aimed to assess the importance of NIV education and training. Literature search was conducted (MEDLINE: 1990 to June, 2018) to identify randomized controlled studies and systematic reviews with the results analyzed by a team of experts across the world through e-mail based communications. Clinical trials examining the impact of education and training in NIV as the primary objective was not found. A few studies with indirect evidence, a simulation-based training study, and narrative reviews were identified. Currently organized training in NIV is implemented only in a few developed countries. Due to a lack of high-grade experimental evidence, an international consensus on NIV education and training based on opinions from 64 experts across the twenty-one different countries of the world was formulated. Education and training have the potential to increase knowledge and skills of the clinical staff who deliver medical care using NIV. There is a genuine need to develop structured, organized NIV education and training programs, especially for the developing countries.
Ključne besede: noninvasive ventilation -- education, health personnel -- education, training, staff
DiRROS - Objavljeno: 22.10.2020; Ogledov: 534; Prenosov: 302
.pdf Celotno besedilo (258,13 KB)

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Completeness of tuberculosis (TB) notification : inventory studies and capture-recapture analyses, six European Union countries, 2014 to 2016
Petra Svetina, Carlos Carvalho, Aleksandar Šimunović, Henrieke Schimmel, Peter H Andersen, Masja Straetemans, Mirjam I Bakker, Sandra Alba, Christina Mergenthaler, Ente Rood, 2020

Povzetek: Background. Progress towards the World Health Organization's End TB Strategy is monitored by assessing tuberculosis (TB) incidence, often derived from TB notification, assuming complete case detection and reporting. This assumption is unlikely to hold in many settings, including European Union (EU) countries. Aim. We aimed to assess observed and estimated completeness of TB notification through inventory studies and capture-recapture (CRC) methodology in six EU countries: Croatia, Denmark, Finland, the Netherlands, Portugal, Slovenia. Methods. We performed record linkage, case ascertainment and CRC analyses of data collected retrospectively from at least three national TB-related registers in each country between 2014 and 2016. Results. Observed completeness of TB notification by inventory studies was 73.9% in Croatia, 98.7% in Denmark, 83.6% in Finland, 81.6% in the Netherlands, 85.8% in Portugal and 100% in Slovenia. Subsequent CRC analysis estimated completeness of TB notification to be 98.4% in Denmark, 76.5% in Finland and 77.0% in Portugal. In Croatia, CRC analyses produced implausible results while in the Netherlands and Slovenia, it was methodologically considered not meaningful. Conclusion. Inventory studies and CRC methodology suggest a TB notification completeness between 73.9% and 100% in the six EU countries. Mandatory reporting by clinicians and laboratories, and cross-checking of registers, strongly contributes to accurate notification rates, but hospital episode registers likely contain a considerable proportion of false-positive TB records and are thus less useful. Further strengthening routine surveillance to count TB cases, i.e. incidence, accurately by employing record-linkage of high-quality TB registers should make CRC studies obsolete in EU countries.
Ključne besede: Mycobacterium tuberculosis, tuberculosis, incidence, public health surveillance, registries, reporting, notification, data collection, data analysis
DiRROS - Objavljeno: 27.07.2020; Ogledov: 760; Prenosov: 385
.pdf Celotno besedilo (214,77 KB)

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ARIA digital anamorphosis : digital transformation of health and care in airway diseases from research to practice
Jean Bousquet, Josep M. Antò i Boquè, Claus Bachert, Tari Haahtela, Torsten Zuberbier, Wienczyslawa Czarlewski, Anna Bedbrook, Sinthia Bosnic-Anticevitch, Giorgio Walter Canonica, Victoria Cardona, Mihaela Zidarn, 2020

Povzetek: Digital anamorphosis is used to define a distorted image of health and care that may be viewed correctly using digital tools and strategies. MASK digital anamorphosis represents the process used by MASK to develop the digital transformation of health and care in rhinitis. It strengthens the ARIA change management strategy in the prevention and management of airway disease. The MASK strategy is based on validated digital tools. Using the MASK digital tool and the CARAT online enhanced clinical framework, solutions for practical steps of digital enhancement of care are proposed.
Ključne besede: digital transformation of healthcare, e-health, ARIA guidelines, MASK
DiRROS - Objavljeno: 29.07.2020; Ogledov: 841; Prenosov: 0

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Sanitarno inženirstvo
2007

Ključne besede: sanitary engineering, journal, public health, environmental health, sanitary engineers
DiRROS - Objavljeno: 16.11.2020; Ogledov: 442; Prenosov: 163
URL Celotno besedilo (0,00 KB)

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Using citizen science to monitor the spread of tree pests and diseases : outcomes of two projects in Slovenia and the UK
Peter Crow, Ana Pérez-Sierra, Andreja Kavčič, Kate Lewthwaite, Marija Kolšek, Nikica Ogris, Barbara Piškur, Jana Kus Veenvliet, Simon Zidar, Suzanne Sancisi-Frey, Maarten De Groot, 2020

Povzetek: The trees and forests of Europe are increasingly under threat from new pests and diseases that have originated in other parts of the world. Early detection of alien species when they first appear in European countries allows rapid response and offers the best chance to mitigate against their establishment and spread. Citizen science initiatives such as LIFE ARTEMIS in Slovenia, and Observatree in the UK, provide members of the public with the necessary training and educational resource to identify these tree pests and diseases and report them to the appropriate authorities, thereby increasing the level of surveillance and the capacity of the early warning system. This paper summarises some of the outcomes of these two projects and how they have both become integral parts of the official forest and tree health monitoring systems within their respective countries of Slovenia and the United Kingdom.
Ključne besede: invasive alien species, plant health, tree health, forest health, early warning, rapid response
DiRROS - Objavljeno: 16.11.2020; Ogledov: 567; Prenosov: 339
URL Celotno besedilo (0,00 KB)
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