Найдено научных статей и публикаций: 2, для научной тематики: Quality assessment
1.
Posnenkova О.М., Kiselev A.R., Popova Yu.V., Gridnev V.I., Dovgalevsky P.Ya., Danilov A.N.
- Saratov Journal of Medical Scientific Research , 2014
The purpose was to implement system analysis of clinical cases for development of healthcare quality indicators for STe-ACS patients, aimed at achievement of clinical result — decrease of in-hospital mortality. Mathehal and Methods. National recommendations on diagnostic and treatment of patients...
The purpose was to implement system analysis of clinical cases for development of healthcare quality indicators for STe-ACS patients, aimed at achievement of clinical result — decrease of in-hospital mortality. Mathehal and Methods. National recommendations on diagnostic and treatment of patients with myocardial infarction with ST-segment elevation on ECG (2007) were used to determine clinical result of treatment and key measures of medical care. To reveal major causes of clinical result non-achievement fishbone diagram was used. Results. Early reperfusion and optimal medical therapy were determined as the key measures of medical care delivered to patients with STe-ACS. The following indicators were developed to control these measures: «Primary reperfusion», «Thrombolysis in 30 minutes», «Primary percutaneous coronary intervention in 90 minutes», «Dual antiplatelet therapy in hospital», «Beta-blockers administration», «ACE-is/ARBs administration». The major causes of in-hospital mortality were separated. Indicators for assessment the major causes of clinical result non-achievement were proposed. Principal stages of performance measures creation were posed. Conclusion. Recommendation-based and clear definition of clinical result of treatment and key measures of the result achievement combined with methods of systems analysis allows development of evidence-based measures for assessment the quality of care delivered to patients with STe-ACS.
Posnenkova О.М., Kiselev A.R., Popova Yu.V., Gridnev V.I., Dovgalevsky P.Ya., Danilov A.N. Novel approach to evaluation of medical care quality delivered to patients with ST-segment elevation acute coronary syndrome: course to clinical result // Saratov Journal of Medical Scientific Research, Vol. 10, Issue 3, 2014, pp. 408-413
2.
Andrushko Dmytro Vladimirovich, Volotka Vadim Sergeevich, Skibin Vladislav Petrovich
- Проблеми телекомунікацій , 2013
Quality control of functioning of telecommunication systems (TCS) is considered, based on the results of the statistical analysis of the spectral matrix of residual detunes obtained at the optimal state estimation of the different elements in the network. The recommendations are given on the method ...
Quality control of functioning of telecommunication systems (TCS) is considered, based on the results of the statistical analysis of the spectral matrix of residual detunes obtained at the optimal state estimation of the different elements in the network. The recommendations are given on the method of forming the matrix of residual detunes. The proposed method of diagnosing the quality of telecommunications systems solved in the space of signals on the principle of "learning with a teacher" has a higher reliability than the method solved in the parameter space. The residual detune, obtained due to result of best estimation system as a result of a "supervised learning", has the most complete information about the state of the system deviation from the desired characteristics. Therefore, the method based on the use of the statistical characteristics of the sequence of residual detunes (the matrix of residual detunes) to diagnose the quality of functioning of TCS is the most informative. The upper confidence limit of the spectral norm of the matrix normalized for residual detunes can be used as a threshold function for detecting disorders (disorder) in the state of the system. In order to localize the causes of disorder it may be recommend to use of individual assessment of filters for each object of diagnosis.
Andrushko Dmytro Vladimirovich, Volotka Vadim Sergeevich, Skibin Vladislav Petrovich Quality control of functioning of telecommunications systems // Проблеми телекомунікацій, Vol. 2013, Issue 2, 2013, pp. 78-82