Determination of sediment quality in the Nyl River system, Limpopo Province, South Africa

The importance of wetland management and conservation is becoming more and more prevalent in the world today. It is thus important to determine baseline contamination values for wetlands to assist in making informed management decisions. Sediment from the Nyl River flood plain in the dry Limpopo Province was analysed using sequential extraction and ICP-MS to determine baseline metal concentrations, and bioavailability thereof. Eight heavy metal (Cu, Cd, Cr, Al, As, Zn, Mn, Pb) concentrations were determined and compared to sediment quality guideline values to assess sediment quality. Fractionation of the elements was also noted to assess the bioavailability of the metals. The results indicated that the sediment is of a fair quality in comparison to the sediment quality guideline values. They also indicate that the metals will only become available in the presence of strong reducing agents as most of the metal concentrations were recorded in the 4th and 5th fractions obtained from the Tessier sequential extraction of the sediment samples. The study concluded that the sediment is of a fair quality and that it poses little potential threat to the system

Determination of sediment quality in the Nyl River system, Limpopo Province, South Africa

The importance of wetland management and conservation is becoming more and more prevalent in the world today. It is thus important to determine baseline contamination values for wetlands to assist in making informed management decisions. Sediment from the Nyl River flood plain in the dry Limpopo Province was analysed using sequential extraction and ICP-MS to determine baseline metal concentrations, and bioavailability thereof. Eight heavy metal (Cu, Cd, Cr, Al, As, Zn, Mn, Pb) concentrations were determined and compared to sediment quality guideline values to assess sediment quality. Fractionation of the elements was also noted to assess the bioavailability of the metals. The results indicated that the sediment is of a fair quality in comparison to the sediment quality guideline values. They also indicate that the metals will only become available in the presence of strong reducing agents as most of the metal concentrations were recorded in the 4th and 5th fractions obtained from the Tessier sequential extraction of the sediment samples. The study concluded that the sediment is of a fair quality and that it poses little potential threat to the system.Keywords: sequential extraction, Nylsvley, wetlands, sediment quality, metal

Eviota algida, a new dwarfgoby species from the upwelling waters off Nusa Penida, Indonesia (Teleostei: Gobiidae)

A new species of dwarfgoby, Eviota algida, with a complete cephalic sensory-canal pore pattern (pattern I), a dorsal/anal-fin formula usually 8/8, pectoral-fin rays branched, 5th pelvic-fin ray absent, anterior dorsal-fin spines filamentous in males, a subcutaneous dark spot at center of caudal peduncle over preural centrum, male urogenital papilla black, and a red eye with gold specks, is described from a deep, cold-water upwelling area off Nusa Penida Island, Bali, Indonesi

A Statistics Primer

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67032/2/10.1177_036354659702500425.pd

Stakeholder perspectives on implementing accreditation programs: A qualitative study of enabling factors

Background: Accreditation programs are complex, system-wide quality and safety interventions. Despite their international popularity, evidence of their effectiveness is weak and contradictory. This may be due to variable implementation in different contexts. However, there is limited research that informs implementation strategies. We aimed to advance knowledge in this area by identifying factors that enable effective implementation of accreditation programs across different healthcare settings. Methods. We conducted 39 focus groups and eight interviews between 2011 and 2012, involving 258 diverse healthcare stakeholders from every Australian State and Territory. Interviews were semi-structured and focused on the aims, implementation and consequences of three prominent accreditation programs in the aged, primary and acute care sectors. Data were thematically analysed to distil and categorise facilitators of effective implementation. Results: Four factors were identified as critical enablers of effective implementation: the accreditation program is collaborative, valid and uses relevant standards; accreditation is favourably received by health professionals; healthcare organisations are capable of embracing accreditation; and accreditation is appropriately aligned with other regulatory initiatives and supported by relevant incentives. Conclusions: Strategic implementation of accreditation programs should target the four factors emerging from this study, which may increase the likelihood of accreditation being implemented successfully. © 2013 Hinchcliff et al.; licensee BioMed Central Ltd

Development and application of an indicator assessment tool for measuring health services accreditation programs

© 2015 Mumford et al. Background: Hospital accreditation programs are internationally widespread and consume increasingly scarce health resources. However, we lack tools to consistently identify suitable indicators to assess and monitor accreditation outcomes. We describe the development and validation of such a tool. Results: Using Australian accreditation standards as our reference point we: reviewed the research evidence for potential indicators; looked for links with existing external indicators; and assessed relevant state and federal policies. We allocated provisional scores, on a five point Likert scale, to the five accountability criteria in the tool: research; accuracy; proximity; no adverse effects; and specificity. An expert panel validated the use of the purpose designed indicator assessment tool. The panel identified hand hygiene compliance rates as a suitable process indicator, and hospital acquired Staphylococcus aureus infection (SAB) rates as an outcome indicator, with the hypothesis that improved hand hygiene compliance rates and lower SAB rates would correlate with accreditation performance. Conclusions: This new tool can be used to identify, analyse, and compare accreditation indicators. Using infection control indicators such as hand hygiene compliance and SAB rates to measure accreditation effectiveness has merit, and their efficacy can be determined by comparing accreditation scores with indicator outcomes. To verify the tool as a robust instrument, testing is needed in other health service domains, both in Australia and internationally. This tool provides health policy makers with an important means for assessing the accreditation programs which form a critical part of the national patient safety and quality framework

Economic evaluation of Australian acute care accreditation (ACCREDIT-CBA (Acute)): Study protocol for a mixedmethod research project

Introduction: The Accreditation Collaborative for the Conduct of Research, Evaluation and Designated Investigations through Teamwork-Cost-Benefit Analysis (ACCREDIT-CBA (Acute)) study is designed to determine and make explicit the costs and benefits of Australian acute care accreditation and to determine the effectiveness of acute care accreditation in improving patient safety and quality of care. The cost-benefit analysis framework will be provided in the form of an interactive model for industry partners, health regulators and policy makers, accreditation agencies and acute care service providers. Methods and design: The study will use a mixedmethod approach to identify, quantify and monetise the costs and benefits of accreditation. Surveys, expert panels, focus groups, interviews and primary and secondary data analysis will be used in cross-sectional and case study designs. Ethics and dissemination: The University of New South Wales Human Research Ethics Committee has approved this project (approval number HREC 10274). The results of the study will be reported via peer-reviewed publications, conferences and seminar resentations and will form part of a doctoral thesis

A multimethod research investigation of consumer involvement in Australian health service accreditation programmes: The ACCREDIT-SCI study protocol

Introduction: Health service accreditation programmes are a regulatory mechanism adopted to drive improvements inpatient safety and quality. Research investigating the benefits or limitations, of consumer involvement in accreditation programmes is negligible. To develop our knowledge in this area the ACCREDIT collaboration (Accreditation Collaborative for the Conduct of Research, Evaluation and Designated Investigations through Teamwork) has developed a research plan, known as the ACCREDIT-SCI (Standards of Consumer Involvement) study protocol. Two complementary studies have been designed: one, to examine the effectiveness of a standard for consumer participation and two, to explore how patient experiences vary across a range of settings with differing accreditation results. Methods and design: The research setting is the Australian healthcare system, and the two studies focus on three accreditation programmes in the primary, acute and aged care domains. The studies will use multimethods: document analysis; interviews and surveys. Participants will be stakeholders across the three domains including: policy officers; frontline healthcare professionals; accreditation agency personnel, including surveyors and healthcare consumers. Drawing on previous experience, the research team has developed purpose-designed tools. Data will be analysed using thematic, narrative and statistical (descriptive and inferential) procedures. Ethics and dissemination: The University of New South Wales Human Research Ethics Committee has approved the two studies (HREC 10274). Findings will be disseminated through seminars, conference presentations, academic publications and research partner websites. The findings will be formulated to facilitate uptake by policy and accreditation agency professionals, researchers and academics, and consumers, nationally and internationally

Evaluation of current Australian health service accreditation processes (ACCREDIT-CAP): Protocol for a mixed-method research project

Introduction: Accreditation programmes aim to improve the quality and safety of health services, and have been widely implemented. However, there is conflicting evidence regarding the outcomes of existing programmes. The Accreditation Collaborative for the Conduct of Research, Evaluation and Designated Investigations through Teamwork-Current Accreditation Processes (ACCREDIT-CAP) project is designed to address key gaps in the literature by evaluating the current processes of three accreditation programmes used across Australian acute, primary and aged care services. Methods and design: The project comprises three mixed-method studies involving documentary analyses, surveys, focus groups and individual interviews. Study samples will comprise stakeholders from across the Australian healthcare system: accreditation agencies; federal and state government departments; consumer advocates; professional colleges and associations; and staff of acute, primary and aged care services. Sample sizes have been determined to ensure results allow robust conclusions. Qualitative information will be thematically analysed, supported by the use of textual grouping software. Quantitative data will be subjected to a variety of analytical procedures, including descriptive and comparative statistics. The results are designed to inform health system policy and planning decisions in Australia and internationally. Ethics and dissemination: The project has been approved by the University of New South Wales Human Research Ethics Committee (approval number HREC 10274). Results will be reported to partner organisations, healthcare consumers and other stakeholders via peer-reviewed publications, conference and seminar presentations, and a publicly accessible website