34 research outputs found

    ORCID Deutschland Konsortium

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    Presentation at the 1. ORCID DE Outreach Workshop. Potsdam, Germany, October 25, 2016

    Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

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    Background: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. Methods: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. Findings: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96–1·28). Interpretation: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. Funding: National Institute for Health Research Health Services and Delivery Research Programme

    Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

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    BACKGROUND: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. METHODS: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. FINDINGS: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96-1·28). INTERPRETATION: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. FUNDING: National Institute for Health Research Health Services and Delivery Research Programme

    Die Rolle der ORCID iD in der Wissenschaftskommunikation

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    Die steigende Zahl von Forschenden, das wachsende Publikationsaufkommen und die im Kontext von Open Science breiter werdende Definition von Publikationen einschließlich Forschungsdaten und Forschungssoftware verschĂ€rfen das Problem der eindeutigen Zuordnung von Forschenden zu ihrem Forschungsoutput. Bei der automatischen Erfassung und Aggregation der Publikationen kann die ORCID iD dahingehend fĂŒr eine QualitĂ€ts- und Effizienzsteigerung sorgen. Die eindeutige Identifikation der Forschenden, die persistente VerknĂŒpfung zwischen ihnen und ihren Publikationen sowie zu weiteren Identifikatoren sind nur drei Nutzungsszenarien fĂŒr die Verwendung von ORCID iDs in der Wissenschaftskommunikation. Die vielseitig integrierbare ORCID-Datenbank ermöglicht es Forschungsförderern, wissenschaftlichen Einrichtungen und Forschenden einrichtungs-ĂŒbergreifende, verifizierte Informationen ĂŒber sĂ€mtliche ForschungsaktivitĂ€ten, wie Textpublikationen und Forschungsdaten sowie empfangene Fördermittel, zu erhalten. Diese werden zum einen als Leistungsindikatoren fĂŒr Forschende, Hochschulen und außeruniversitĂ€re Forschungseinrichtungen herangezogen. Zum anderen mĂŒssen sich die Einrichtungen regelmĂ€ĂŸig der Herausforderung stellen, institutsĂŒbergreifende sowie detaillierte fakultĂ€ts-, instituts- oder lehrstuhlbezogene Publikationslisten vorzuhalten. Zu diesem Zweck implementieren sie institutionelle Repositorien, Publikationsdatenbanken, Hochschulbibliographien und FIS. SpĂ€testens hier zeigt sich der Bedarf nach einer eindeutigen Identifizierung der wissenschaftlichen Mitarbeiter*innen und deren Zuordnung zur internen Organisationsstruktur. Das seit Mai 2016 von der DFG geförderte Projekt ORCID DE gemeinsam mit dem ORCID-Deutschland-Konsortium unterstĂŒtzt die Hochschulen und außeruniversitĂ€ren Forschungseinrichtungen bei der Implementierung von ORCID
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