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STUDY DESIGN: Scoping Review. OBJECTIVE: To review the literature and summarize information on checklists and algorithms for responding to intraoperative neuromonitoring (IONM) alerts and management of intraoperative spinal cord injuries (ISCIs). METHODS: MEDLINE® was searched from inception through January 26, 2022 as were sources of grey literature. We attempted to obtain guidelines and/or consensus statements from the following sources: American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM), American Academy of Neurology (AAN), American Clinical Neurophysiology Society, NASS (North American Spine Society), and other spine surgery organizations. RESULTS: Of 16 studies reporting on management strategies for ISCIs, two were publications of consensus meetings which were conducted according to the Delphi method and eight were retrospective cohort studies. The remaining six studies were narrative reviews that proposed intraoperative checklists and management strategies for IONM alerts. Of note, 56% of included studies focused only on patients undergoing spinal deformity surgery. Intraoperative considerations and measures taken in the event of an ISCI are divided and reported in three categories of i) Anesthesiologic, ii) Neurophysiological/Technical, and iii) Surgical management strategies. CONCLUSION: There is a paucity of literature on comparative effectiveness and harms of management strategies in response to an IONM alert and possible ISCI. There is a pressing need to develop a standardized checklist and care pathway to avoid and minimize the risk of postoperative neurologic sequelae.

Objectives: Not much is known about safety checklists use in dentistry. We aim to examine, assess, and provide a comprehensive understanding of the current knowledge concerning the use of checklists to improve patient safety in dentistry. Methods: We conducted a comprehensive literature search using Medline and Embase for studies that use or describe the development of dental patient safety checklists. All study designs were included for citations published through December 2023. Results: Following abstract and full-text screening, 27 studies remained for data extraction and analysis. Oral surgery emerged as the main dental specialty where the utilization and evaluation of checklists were primarily concentrated (n = 15). The majority of the included studies described either checklist development, their implementation, or both (n = 18). Only 6 studies assessed the effectiveness of checklists in improving patient safety outcomes. Of the effectiveness studies, five found a decrease in incidents and dental adverse events, along with an improvement in patient care and safety, associated with the use of checklists. Conclusions: This scoping review highlights the limited current knowledge regarding checklist use and effectiveness in reducing adverse events across dental practices; it demonstrates the need on how to best guide the profession towards implementing this important evidence-based patient safety tool. Clinical relevance: Checklists are effective tools to improve patient safety and have become integral to medical practice. Dentistry can also benefit from these tools to improve patient safety. [ABSTRACT FROM AUTHOR]

Objective Postpartum hemorrhage (PPH) protocols improve patient safety and reduce utilization of blood products; however, few data exist on sustainability of PPH checklist use, how use affects care delivery, and variation of use among patient subgroups. This study aimed to (1) examine compliance with PPH checklist use during vaginal deliveries, (2) evaluate whether checklist use varied by patient and/or care team characteristics, and (3) evaluate whether checklist use was associated with increased use of recommended medications/interventions. Study Design This was a quality improvement study performed from April 2021 through June 2023. A multidisciplinary team developed a revised PPH checklist and used quality improvement methodology to increase checklist use following vaginal birth. Data were collected from medical records and clinician survey. Control charts were generated to track checklist use and evaluate special cause variation. Chi-square tests and logistic regression were used to evaluate variation in medications/interventions and across subgroups. Results During the study period, there were 342 cases of PPH at the time of vaginal birth. The checklist was used in 67% of PPH cases during the 20-month period after implementation in a setting where no checklist was previously being used. We found no statistically significant differences in checklist use by patient or health care team characteristics. Use of tranexamic acid, carboprost, and misoprostol were significantly associated with checklist use. Conclusion This study demonstrated successful implementation of a checklist protocol where no checklist was previously being used, with sustained use in an average of 67% of PPH cases over 20 months. Checklist use was consistent across subgroups and was associated with higher use of interventions shown to lower blood loss. Key Points Our study showed sustainability of PPH checklist use over a 20-month period. PPH checklist use was associated with increased use of interventions known to reduce blood loss. Checklist was used consistently across patient subgroups; may help address inequities in obstetric outcomes. [ABSTRACT FROM AUTHOR]

We discuss the use of two empirically validated behavior‐change methods—checklists and goal setting—and designed a checklist to assist behavior analysts in improving their behavioral services to be more culturally responsive and trauma informed. We also present pilot data evaluating the use of the checklist and goal setting on the inclusion of culturally responsive and trauma‐informed practices in behavior support plans designed for students in a public school. The training package was effective for both participants, and the participants' weekly goals corresponded to the observed changes in their behavior plans. Moreover, both participants strongly agreed that the checklist was valuable and easy to use and reported increases in their perceived abilities to implement culturally responsive and trauma‐informed practices posttraining. [ABSTRACT FROM AUTHOR]

Objective It is important to determine whether the use of different quality improvement tools in neonatal resuscitation is well-received by health care teams and improves coordination and perceived quality of the stabilization of the newborn at birth. This study aimed to explore the satisfaction of personnel involved in resuscitation for infants under 32 weeks of gestational age (<32 wGA) at birth with the use of an assistance toolkit: Random Real-time Safety Audits (RRSA) of neonatal stabilization stations, the use of pre-resuscitation checklists, and the implementation of briefings and debriefings. Study Design A quasi-experimental, prospective, multicenter intervention study was conducted in five level III-A neonatal intensive care units in Madrid (Spain). The intervention involved conducting weekly RRSA of neonatal resuscitation stations and the systematic use of checklists, briefings, and debriefings during stabilization at birth for infants <32 wGA. The satisfaction with their use was analyzed through surveys conducted with the personnel responsible for resuscitating these newborns. These surveys were conducted both before and after the intervention phase (each lasting 1 year) and used a Likert scale response model to assess various aspects of the utility of the introduced assistance tools, team coordination, and perceived quality of the resuscitation. Results Comparison of data from 200 preintervention surveys and 155 postintervention surveys revealed statistically significant differences (p < 0.001) between the two phases. The postintervention phase scored higher in all aspects related to the effective utilization of these tools. Improvements were observed in team coordination and the perceived quality of neonatal resuscitation. These improved scores were consistent across personnel roles and years of experience. Conclusion Personnel attending to infants <32 wGA in the delivery room are satisfied with the application of RRSA, checklists, briefings, and debriefings in the neonatal resuscitation and perceive a higher level of quality in the stabilization of these newborns following the introduction of these tools. Key Points RRSA, checklists, briefings, and debriefings improve the quality of neonatal resuscitation at birth. These tools, when used together, are well-received and enhance perceived resuscitation quality. Perception of utility and quality improvement is consistent across roles and experience. [ABSTRACT FROM AUTHOR]

Objective: Numerous studies have examined epilepsy surgery outcomes, yet the variability in the level of detail reported hampers our ability to apply these findings broadly across patient groups. Established reporting standards in other clinical research fields enhance the quality and generalizability of results, ensuring that the insights gained from studying these surgeries can benefit future patients effectively. This study aims to assess current reporting standards for epilepsy surgery research and identify potential gaps and areas for enhancement. Methods: The Enhancing the Quality and Transparency of Health Research (EQUATOR) repository was accessed from inception to April 27, 2023, yielding 561 available reporting standards. Reporting standards were manually reviewed in duplicate independently for applicability to epilepsy and/or neurosurgery research. The reporting standards had to cover the following aspects in human studies: (1) reporting standards for epilepsy/epilepsy surgery and (2) reporting standards for neurosurgery. Disagreements were resolved by a third author. The top five neurosurgery, neurology, and medicine journals were also identified through Google Scholar's citation index and examined to determine the relevant reporting standards they recommended and whether those were registered with EQUATOR. Results: Of the 561 EQUATOR reporting standards, 181 were pertinent to epilepsy surgery. One was related to epilepsy, six were specific to surgical research, and nine were related to neurological/neurosurgical research. The remaining 165 reporting standards were applicable to research across various disciplines and included but were not limited to CONSORT (Consolidated Standards of Reporting Trails), STROBE (Strengthening the Reporting of Observational Studies in Epidemiology), and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses). None of these required reporting factors associated with epilepsy surgery outcomes, such as duration of epilepsy or magnetic resonance imaging findings. Significance: Reporting standards specific to epilepsy surgery are lacking, reflecting a gap in standards that may affect the quality of publications. Improving this gap with a set of specific reporting standards would ensure that epilepsy surgery studies are more transparent and rigorous in their design. [ABSTRACT FROM AUTHOR]

The first orthodontic program was opened by Edward H. Angle in 1900 as the Angle School of Orthodontia. From 1900 to 2024, over 70 exceptional orthodontic programs have been developed to provide comprehensive orthodontic education to postdoctoral residents. During this time, numerous innovations have been introduced in orthodontics which have changed the clinical practice of orthodontics. Orthodontic programs need to incorporate such innovations into their curriculum so that the residents are knowledgeable of current developments. To incorporate innovations into orthodontic residency programs, it is important to balance it with standardization. Standardization can be explained in terms of roadmaps and checklists for different innovations. This article aims to provide roadmaps, checklists, and principles for incorporating and teaching innovation into the orthodontic residency curriculum. [ABSTRACT FROM AUTHOR]

Objectives: This narrative review aimed to explore the impact of checklists and error reporting systems on hospital patient safety and medical errors. Methods: A systematic search of academic databases from 2013 to 2023 was conducted, and peer-reviewed studies meeting inclusion criteria were assessed for methodological rigor. The review highlights evidence supporting the efficacy of checklists in reducing medication errors, surgical complications, and other adverse events. Error reporting systems foster transparency, encouraging professionals to report incidents and identify systemic vulnerabilities. Results: Checklists and error reporting systems are interconnected. Interprofessional collaboration is emphasized in checklist implementation. In this review, limitations arise due to the different methodologies used in the articles and potential publication bias. In addition, language restrictions may exclude valuable non-English research. While positive impacts are evident, success depends on organizational culture and resources. Conclusions: This review contributes to patient safety knowledge by examining the relevant literature, emphasizing the importance of interventions, and calling for further research into their effectiveness across diverse healthcare and cultural settings. Understanding these dynamics is crucial for healthcare providers to optimize patient safety outcomes.

To develop two ethical checklists to evaluate (i) management of ethical concerns in research projects and (ii) awareness of ethical conduct of healthcare laboratory professionals.Comprehensive discussion among the members of IFCC Task Force on Ethics based on pertinent literature.This Checklist for Clinical Research Projects should be useful to evaluate research proposals from an ethical perspective before submitting it to an IRB or its equivalent, thereby diminishing rejection rates and resulting in more time-effective projects. The checklist designed to evaluate the ethical conduct in laboratory medicine could be useful for self evaluation (internal audits) and for certification/accreditation processes performed by third parties.These checklists are simple but powerful tools useful to guide professionals to adhere to ethical principles in their practice, especially in developing countries where accredited ethics committees may be difficult to find. [ABSTRACT FROM AUTHOR]

This checklist covers catalogs, checklists, and articles on the Slavic and East European collections written by scholars and Slavic staff. It includes the general catalogs, in-house checklists, published monographs and articles checklists, and works on the General History of the Slavonic (later, Slavic & Baltic) Division. With some sample illustrations that are strongly related to the history of the Slavonic Collections, the checklist contains around 320 entries. [ABSTRACT FROM AUTHOR]

The survival and health of preterm and critically ill infants have markedly improved over the past 50 years, supported by well‐conducted neonatal research. However, newborn research is difficult to undertake for many reasons, and obtaining informed consent for research in this population presents several unique ethical and logistical challenges. In this article, we explore methods to facilitate the consent process, including the role of checklists to support meaningful informed consent for neonatal clinical trials. Conclusion: The authors provide practical guidance on the design and implementation of an effective consent checklist tailored for use in neonatal clinical research. [ABSTRACT FROM AUTHOR]

Application of usability evaluations throughout the health technology lifecycle is necessary to improve the efficiency, safety, and effectiveness of health service delivery. Unfortunately, technology vendors and healthcare organizations may not have funding, time or expertise to conduct usability studies. In this paper, we describe how usability checklists can potentially fill this gap. First, we introduce a case study using a checklist to identify usability issues with a primary care dashboard. Then we provide an expert summary of the strengths and limitations of usability checklists. Findings suggest that checklists are efficient to identify important usability issues. They can be used effectively by project team members – including clinicians – without formal usability training. However, checklists should complement rather than replace usability evaluations with representative users. [ABSTRACT FROM AUTHOR]

The replacement of natural areas due to urbanisation represents a major threat to wildlife. Wild species may be classified according to their response towards urban areas. Such responses lead to persistence (exploiters and tolerant) or local extinction (avoiders) of species within cities, which in turn contributes to shaping the assemblages found therein, usually according to specific sets of ecological and morphological traits.Here, we focus on Orthoptera as a model group to test hypotheses on the relationships between species' traits and persistence in urban environments, using the city of Rome, Italy, as study area. By compiling and comparing species checklists for two distinct time frames, we assessed assemblage variation across the last three decades and revealed that local extinction of Orthoptera in urban areas is trait‐biased.Species with low mobility and fertility, and narrower—more specialised—climatic niches showed higher probability of local extinction.Our results point at both climate and land use changes as potentially major drivers of orthopterans' local extinction in urban areas, suggesting that strategies to increase natural habitat preservation and connectivity, and mitigate climate‐change induced events, may both prove effective in sustaining richer insect communities within urban areas. [ABSTRACT FROM AUTHOR]

Given the prevalence of misconduct in research and among students in higher education, there is a need to create solutions for how best to prevent such behaviour in academia. This paper proceeds on the assumption that one way forward is to prepare students in higher education at an early stage and to encourage a smoother transition from academic integrity to research integrity by incorporating academic integrity training as an ongoing part of the curriculum. To this end, this paper presents three checklists developed as part of the Erasmus+ Strategic Partnership project Bridging Integrity in Higher Education, Business and Society (BRIDGE, 2020-1-SE01-KA203-077973). The aim of the checklists is to help students and their supervisors to bridge academic integrity and research integrity in research training. The checklists target master students, doctoral students, and their supervisors. This paper presents the theoretical background of the checklists, how they were developed, their content, and how they may be used in supervising thesis/dissertation work to promote a transition from academic integrity to research integrity. [ABSTRACT FROM AUTHOR]

Anaesthesiologists are responsible for procedures performed in a multidisciplinary team. The complexity of procedures, the burden of responsibility, time pressure, efficiency demands, psychological and physiological limitations, the necessity for quick and accurate decision-making, and many other challenges pose a risk of error. The purpose of this paper is to highlight the role of human factors in the occurrence of errors during anaesthesia procedures, as well as to identify strategies, which implementation into the training process and clinical practice of anaesthesia could support the safety of the therapeutic process. This paper discusses selected issues that, in our opinion, should be a permanent element of training and periodic qualification improvement among anesthesia team members.

Background: Retrospective studies and large-scale reviews suggest multiple properties of effective checklist implementation, such as active leadership, ongoing feedback, and local modification. We hypothesized that the use of these effective checklist implementation strategies would yield better results as compared to a more fixed implementation strategy of the Pre-anesthesia Induction Patient Safety (PIPS) checklist. Methods: We conducted a prospective, pre-post, pragmatic cohort trial of a checklist implementation using a prospective difference-in-difference design observing simultaneous implementation of the same PIPS checklist in two community hospitals. At one hospital, we created a multidisciplinary committee of stakeholders to oversee implementation and provide active leadership, ongoing feedback, and local modification of the checklist (“Dynamic Implementation”). At the second hospital, a single clinical champion implemented the checklist with no local modification (“Static Implementation”). We examined checklist compliance and proximal outcomes three months before and nine months after implementation. We conducted surveys and interviews to examine attitudes and implementation barriers. Results: We observed 477 anesthesia inductions. The “Dynamic” cohort demonstrated significantly greater checklist compliance post-implementation compared to the “Static” cohort (B = 0.26, p

In the constantly evolving field of acute care medicine, optimizing ICU rounds is crucial for delivering quality patient care. This review article presents the latest information on ICU rounding practices and provides a thorough overview of proven strategies and approaches that enhance patient outcomes. The text examines the appropriate composition of the rounding team, strategies for conducting ICU rounds, and the integration of clinical tools and technology to enhance the efficiency of the process. [ABSTRACT FROM AUTHOR]

The research aims to assess the quality of construction and construction projects in Egypt (Damanhour City) to monitor and follow up on the reality of the implementation of engineering projects and determine their percentage compared to the methods and international standards adopted for that and then identify the reasons and factors affecting the quality of project implementation. To achieve this, we evaluated the quality and identified the problems related to it in a sample of construction projects implemented in the year 2021, and this was done by measuring the percentage of conformity to quality requirements using checklists according to the standards of the quality management program BIM 360 field, and the conformity rate was 88% and indicates the existence of a real problem according to international standards, so problems and deviations related to quality were identified and the reasons leading to the occurrence of these problems were identified, which were classified into three factors, namely laws, regulations and compliance It has technical factors and administrative factors, which constitute the basis that must be based on it and try to improve the quality of projects, and summarized the research to the need to work by the concerned authorities to reformulate laws related to engineering work and develop them with the identification of systems and procedures to improve technical and administrative factors in engineering projects. [ABSTRACT FROM AUTHOR]

This commentary paper will describe how the discipline of human factors and ergonomics (HFE) can help to close the gender data gap, which is prevalent across many domains and arises due to a lack of data capturing female metrics and viewpoints. HFE is a domain‐independent discipline that seeks to understand human performance and well‐being with respect to the interactions that humans engage in and the environments that they inhabit. HFE therefore presents an opportunity to understand how gender influences human performance, effective design, social interactions, and environmental factors. This paper argues that a sociotechnical systems approach is essential when reviewing equality, diversity, and inclusivity issues, without which attempts to close the gender data gap will not go far enough. Following the sociotechnical systems approach in HFE, the micro‐, meso‐, and macro‐levels of system design with respect to closing the gender data gap are reviewed. We discuss these issues in relation to a case study example of a crash test dummy. A checklist approach for researchers is presented, which identifies key questions that prompt where gender should be considered in the research process across these levels of sociotechnical systems. [ABSTRACT FROM AUTHOR]

There is a variety of taxonomic and nomenclatural databases, curated at different intervals and using different criteria to decide which species names are listed as accepted and which are considered synonyms. Botanical collections, such as herbaria or botanical gardens, maintain data that link names to plant material. The choice of the used database affects the naming of the plant specimens. If data from different institutions are to be matched, inconsistencies may arise. A solution that allows the use of different databases side by side would be beneficial in our opinion. The linking of botanical taxonomic and nomenclatural datasets by utilizing standardized Semantic Web technologies allows the coexistence of several lists. In this study, we conducted a mapping of The Plant List, World Flora Online, and the Integrated Taxonomic Information System provided in Darwin Core Archive files to the Simple Knowledge Organization System and created an interlinked version of these datasets. The developed graphical user interface visualized the contents of the included taxonomic databases. The usefulness and usability of the GUI were positively evaluated in interviews with five scientific employees and curators of four different botanical gardens. Citation: Schrumpf A., Killinger M., Schiessle P. & Scherp A. 2024: On the coexistence of taxonomic botanical databases – a user study. – Willdenowia 53: 309–316. https://doi.org/10.3372/wi.53.53308 Version of record first published online on 01 February 2024. [ABSTRACT FROM AUTHOR]

The integrity of randomized clinical trials (RCT) has become a concern owing to a recent rise in the number of retractions and the repercussions this has for evidence‐based patient care. However, there is little research on the subject of RCT integrity assessment. Recent literature reviews have revealed that journals' authors' instructions concerning integrity and their investigation policies concerning allegations of misconduct are heterogeneous. The judicious use of integrity tests applied to RCT manuscripts is hampered by an absence of data concerning misconduct prevalence (pre‐test probability), a failure to evaluate test performance (validity) and a lack of consensus over a gold standard (against which test accuracy can be evaluated). These deficiencies hinder the post‐publication correction of RCT records, the integrity evaluations in systematic reviews of RCTs and the prospective application of preventive solutions in RCT peer‐review and preprint assessment. Dealing with the current controversy about trustworthiness of RCT evidence requires a strong investment in research, reform and education concerning research integrity. The purpose of this review article is to highlight the current limitations in dealing with trial integrity‐related concerns and to propose solutions to some of these issues. Synopsis: Concerns regarding the integrity of randomized clinical trials need to be addressed by using validated and robust methods to ensure impartial and objective assessment. [ABSTRACT FROM AUTHOR]

This study seeks to evaluate the technician in the Department of Sports and School Activity in the General Directorate of Education of Baghdad / Al-Rusafa II, according to the requirements of the standard of artificial intelligence techniques in order to diagnose and identify the gap between the technical performance of this section with the requirements of the standard, identify the causes of the gap and propose effective solutions for it. The checklist was used to collect data and information according to the scale of artificial intelligence technologies with five axes (expert systems, virtual reality, smart agents, information technologies, and process automation). The Department of Sports and School Activity in the General Directorate of Education of Baghdad / Al-Rusafa II (case study) have a clear perception of the importance of the measure of artificial intelligence techniques, but the absence of financial and technical capabilities prevents the adoption of this measure in the management of the department, in addition to the lack of management of the department of an administrative unit to follow up the functional work And technology and studying the causes of deviation and the procedures to be followed for the purpose of controlling all factors affecting artificial intelligence techniques, and by examining the results of this study obtained from the checklists, it can be indicated that there are weaknesses in all the requirements that must be available in the sports and school activity section and according to the requirements of the intelligence techniques scale With regard to the axis of expert systems and the axis of smart agents, the percentage of matching dolls was (0%) and the gap for non-conformity amounted to (1). As for the axis of virtual impact, it is not less important than them, as the amount of the gap amounted to (0.9), but the amount of the gap for the axes of information technology and process automation is (0.3), which indicates that the Department of Sports and School Activity applies in its work to most of the paragraphs of these two axes to the requirements of the scale of artificial intelligence technologies. [ABSTRACT FROM AUTHOR]

Abstract Background Checklists are a powerful tool for reduction of mortality and morbidity. Checklists structure complex processes in a reproducible manner, optimize team interaction, and prevent errors related to human factors. Despite wide dissemination of the checklist, effects of checklist use in the prehospital emergency medicine are currently unclear. The aim of the study was to demonstrate that participants achieve higher adherence to guideline-recommended actions, manage the scenario more time-efficient, and thirdly demonstrate better adherence to the ABCDE-compliant workflow in a simulated ROSC situation. Methods CHIPS was a prospective randomized case–control study. Professional emergency medical service teams were asked to perform cardiopulmonary resuscitation on an adult high-fidelity patient simulator achieving ROSC. The intervention group used a checklist which transferred the ERC guideline statements of ROSC into the structure of the ‘ABCDE’ mnemonic. Guideline adherence (performance score, PS), utilization of process time (items/minute) and workflow were measured by analyzing continuous A/V recordings of the simulation. Pre- and post-questionnaires addressing demographics and relevance of the checklist were recorded. Effect sizes were determined by calculating Cohen’s d. The level of significance was defined at p

Abstract Introduction Inappropriate ventilator settings, non-adherence to a lung-protective ventilation strategy, and inadequate patient monitoring during mechanical ventilation can potentially expose critically ill children to additional risks. We set out to improve team theoretical knowledge and practical skills regarding pediatric mechanical ventilation and to increase compliance with treatment goals. Methods An educational initiative was conducted from August 2019 to July 2021 in a neonatal and pediatric intensive care unit of the University Children’s Hospital, Hamburg-Eppendorf, Germany. We tested baseline theoretical knowledge using a multiple choice theory test (TT) and practical skills using a practical skill test (PST), consisting of four sequential Objective Structured Clinical Examinations of physicians and nurses. We then implemented an educational bundle that included video self-training, checklists, pocket cards, and reevaluated team performance. Ventilators and monitor settings were randomly checked in all ventilated patients. We used a process control chart and a mixed-effects model to analyze the primary outcome. Results A total of 47 nurses and 20 physicians underwent assessment both before and after the implementation of the initiative using TT. Additionally, 34 nurses and 20 physicians were evaluated using the PST component of the initiative. The findings revealed a significant improvement in staff performance for both TT and PST (TT: 80% [confidence interval (CI): 77.2–82.9] vs. 86% [CI: 83.1–88.0]; PST: 73% [CI: 69.7–75.5] vs. 95% [CI: 93.8–97.1]). Additionally, there was a notable increase in self-confidence among participants, and compliance with mechanical ventilation treatment goals also saw a substantial rise, increasing from 87.8% to 94.5%. Discussion Implementing a pediatric mechanical ventilation education bundle improved theoretical knowledge and practical skills among interprofessional pediatric intensive care staff and increased treatment goal compliance in ventilated children.

Relevance. Mining sector is one of the leading branches of the industry in Armenia. Therefore, effective government regulation of the sector based on a sound legal basis is a necessity. Accidents at tailing management facilities are posing a high risk to people and environment especially in their near vicinity and often have a transboundary impact. The tailing management facility safety methodology elaborated under the auspices of the German Environmental Agency is an efficient tool for quick assessment of the technical condition of the tailing management facilities. Aim. To present the results of application of the tailing management facility methodology in Armenia, which was applied to the operated Nahatak tailing management facility of the Akhtala Ore Dressing Combine (Lori region, Armenia). Objects. Tailing management facility methodology was applied to the operated tailing management facility Nahatak of the Akhtala Ore Dressing Combine, for which all documentation was checked. Enrichment wastes were stored at the tailing management facility during processing copper ore from the Shamlug mine and polymetals from the Akhtala mine. The main visual inspection was carried out in three parts of the tailing management facility: main dam, drainage canal and secondary dam. Special attention was drawn to main dam conditions. The video recorded by a drone was used to explore the dam bottom-line. Methods. The tailing management facility methodology includes the following elements: the method of evaluation of Tailings Hazard Index; the tailing management facility checklists including the questionnaire for visual and documentation inspection, the evaluation matrix for the tailing management facility safety level; the measures catalogue for taking actions to improve tailing management facility safety. The questions of the each tailing management facility checklist are stated in a way to encompass the minimum set of the requirements, critical for tailing management facility safety, which allows evaluating the tailing management facility conditions. Questions in all groups of the checklist are sorted by the tailing management facility lifecycle and each subsection contains relevant questions applied to a specific stage (design, construction, operation, re-cultivation, closure). Application of the tailing management facility checklist is supported by a measures catalogue with short-, medium- and long-term safety measures. Results. The tailing management facility methodology was used/tested for the operated tailing management facility in Armenia for the first time. Тhe main problems of the Nahatak tailing management facility were identified and analyzed, and appropriate recommendations were provided based on them. Based on the obtained results it can be concluded that the main problems are related to the drainage system and the management of water flows, some parts of the primary dam that require restoration, as well as the improvement of monitoring systems. At the same time the experience of application of the tailing management facility methodology in Armenia, allowed improving this methodology and making it the most effective working tool for quick and efficient visual inspection of tailing management facilities and for thorough inspection of relevant documentations. The user-friendly tailing management facility safety methodology (with questionnaires of visual and documentation checking) is an efficient tool for quick assessment of the technical condition of the tailing management facilities, as well as for training staff both in the governance bodies and in mining enterprises.

Background: Checklists are a powerful tool for reduction of mortality and morbidity. Checklists structure complex processes in a reproducible manner, optimize team interaction, and prevent errors related to human factors. Despite wide dissemination of the checklist, effects of checklist use in the prehospital emergency medicine are currently unclear. The aim of the study was to demonstrate that participants achieve higher adherence to guideline-recommended actions, manage the scenario more time-efficient, and thirdly demonstrate better adherence to the ABCDE-compliant workflow in a simulated ROSC situation. Methods: CHIPS was a prospective randomized case–control study. Professional emergency medical service teams were asked to perform cardiopulmonary resuscitation on an adult high-fidelity patient simulator achieving ROSC. The intervention group used a checklist which transferred the ERC guideline statements of ROSC into the structure of the 'ABCDE' mnemonic. Guideline adherence (performance score, PS), utilization of process time (items/minute) and workflow were measured by analyzing continuous A/V recordings of the simulation. Pre- and post-questionnaires addressing demographics and relevance of the checklist were recorded. Effect sizes were determined by calculating Cohen's d. The level of significance was defined at p < 0.05. Results: Twenty scenarios in the intervention group (INT) and twenty-one in the control group (CON) were evaluated. The average time of use of the checklist (CU) in the INT was 6.32 min (2.39–9.18 min; SD = 2.08 min). Mean PS of INT was significantly higher than CON, with a strong effect size (p = 0.001, d = 0.935). In the INT, significantly more items were completed per minute of scenario duration (INT, 1.48 items/min; CON, 1.15 items/min, difference: 0.33/min (25%), p = 0.001), showing a large effect size (d = 1.11). The workflow did not significantly differ between the groups (p = 0.079), although a medium effect size was shown (d = 0.563) with the tendency of the CON group deviating stronger from the ABCDE than the INT. Conclusion: Checklists can have positive effects on outcome in the prehospital setting by significantly facilitates adherence to guidelines. Checklist use may be time-effective in the prehospital setting. Checklists based on the 'ABCDE' mnemonic can be used according to the 'do verify' approach. Team Time Outs are recommended to start and finish checklists. [ABSTRACT FROM AUTHOR]

Commercial aviation practices including the role of the pilot monitoring, the sterile flight deck rule, and computerised checklists have direct applicability to anaesthesia care. The pilot monitoring performs specific tasks that complement the pilot flying who is directly controlling the aircraft flight path. The anaesthesia care team, with two providers, can be organised in a manner that is analogous to the two-pilot flight deck. However, solo providers, such as solo pilots, can emulate the pilot monitoring role by reading checklists aloud, and utilise non-anaesthesia providers to fulfil some of the functions of pilot monitoring. The sterile flight deck rule states that flight crew members should not engage in any non-essential or distracting activity during critical phases of flight. The application of the sterile flight deck rule in anaesthesia practice entails deliberately minimising distractions during critical phases of anaesthesia care. Checklists are commonly used in the operating room, especially the World Health Organization surgical safety checklist. However, the use of aviation-style computerised checklists offers additional benefits. Here we discuss how these commercial aviation practices may be applied in the operating room. [ABSTRACT FROM AUTHOR]

Introduction: Inappropriate ventilator settings, non-adherence to a lung-protective ventilation strategy, and inadequate patient monitoring during mechanical ventilation can potentially expose critically ill children to additional risks. We set out to improve team theoretical knowledge and practical skills regarding pediatric mechanical ventilation and to increase compliance with treatment goals. Methods: An educational initiative was conducted from August 2019 to July 2021 in a neonatal and pediatric intensive care unit of the University Children's Hospital, Hamburg-Eppendorf, Germany. We tested baseline theoretical knowledge using a multiple choice theory test (TT) and practical skills using a practical skill test (PST), consisting of four sequential Objective Structured Clinical Examinations of physicians and nurses. We then implemented an educational bundle that included video self-training, checklists, pocket cards, and reevaluated team performance. Ventilators and monitor settings were randomly checked in all ventilated patients. We used a process control chart and a mixed-effects model to analyze the primary outcome. Results: A total of 47 nurses and 20 physicians underwent assessment both before and after the implementation of the initiative using TT. Additionally, 34 nurses and 20 physicians were evaluated using the PST component of the initiative. The findings revealed a significant improvement in staff performance for both TT and PST (TT: 80% [confidence interval (CI): 77.2–82.9] vs. 86% [CI: 83.1–88.0]; PST: 73% [CI: 69.7–75.5] vs. 95% [CI: 93.8–97.1]). Additionally, there was a notable increase in self-confidence among participants, and compliance with mechanical ventilation treatment goals also saw a substantial rise, increasing from 87.8% to 94.5%. Discussion: Implementing a pediatric mechanical ventilation education bundle improved theoretical knowledge and practical skills among interprofessional pediatric intensive care staff and increased treatment goal compliance in ventilated children. [ABSTRACT FROM AUTHOR]

In the dynamic world of construction projects, ensuring quality is a fundamental objective that directly impacts the project's success, site safety, and stakeholder satisfaction. Quality management plays a vital role in maintaining high standards throughout the project lifecycle, from design and construction to completion and beyond. As construction practices continue to evolve, new technologies and methodologies emerge to streamline processes and enhance project outcomes. One such powerful tool in the construction industry is the three-phase control system. Given the lack of detailed information in the literature on three-phase control systems, this paper aims to fill the gap by providing a detailed overview of the subject. It discusses the importance of the system and how it can improve quality management in construction projects. The system comprises three phases - preparatory, initial, and follow-up. Each phase of the system has its own set of activities, inspections, and tests. By using this system, construction professionals can identify and address quality issues early in the process, which can help to reduce rework and ensure that projects comply with the specified quality standards. [ABSTRACT FROM AUTHOR]

Early complications following periodontal and dental implant surgeries are typically attributed to technique or poor biological response, ignoring the possibility of the human element. Interestingly, significant experience is not correlated with increased success, whereas evidence supports the impact of clinical behavior on patient outcome. This is the result of errors, much like those scrutinized in other high‐risk technical fields, such as aviation. What can be surprising is that those who make these errors are very well acquainted with best practices. Given this, how is it possible for the conscientious practitioner to fail to apply protocols that are nonetheless very well known? Recently, the concepts of human and organizational factors have been translated to medicine, though dentistry has been slow to recognize their potential benefit. This review lists specific human factor behaviors, such as use of checklists and crew resource management, which might improve postsurgical outcome. [ABSTRACT FROM AUTHOR]

Closed circuit rebreathers have been widely adopted by technical divers as tools for reducing gas consumption and extending depth and duration capabilities. Rebreathers are technologically complex with many failure points, and their use appears associated with a higher accident rate than open circuit scuba. Rebreather Forum Four (RF4) was held in Malta in April 2023 attracting approximately 300 attendees and representatives of multiple manufacturers and training agencies. Over two and a half days a series of lectures was given by influential divers, engineers, researchers and educators on topics of contemporary relevance to rebreather diving safety. Each lecture was followed by a discussion session with audience participation. Potential consensus statements were drafted by the authors (SJM and NWP) during the course of the meeting. These were worded to be confluent with some important messages emerging from the presentations and subsequent discussions. The statements were presented one by one in a half-day plenary session of participants, and discussion was invited on each. After discussion and any necessary revision, the participants voted on whether to adopt the statement as a position of the forum. A clear majority was required for acceptance. Twenty-eight statements embracing thematic areas designated ‘safety’, ‘research’, ‘operational issues’, ‘education and training’, and ‘engineering’ were adopted. Those statements are presented along with contextualising narrative where necessary. The statements may help shape research and teaching initiatives, and research and development strategies over subsequent years. [ABSTRACT FROM AUTHOR]

This action research aims at exploring the contribution of self-assessment checklists on improving oral presentations of two participants that were taking an initial-level English as a second language course at a technician professional institute in Talcahuano, Chile. The intervention was carried out in four weekly sessions in which the participants were trained on the different criteria to assess their oral presentations. The participants self-assessed their work with a checklist and performed a second presentation based on their first self-assessment. Analytic rubrics were also used as an external assessment to compare results from the checklists. At the end of the intervention, a semi-structured interview was conducted to obtain the participants’ perceptions about the process. Findings reveal that by developing autonomy, language awareness, and self-reflective skills, the use of the self-assessment checklist supported the participants not only to improve their oral presentation in overall aspects, mainly in fluency and pronunciation aspects, but also to make positive changes in their confidence and expectations about their performance.

Abstract Background Health state utility values (HSUVs) are an essential input parameter to cost-utility analysis (CUA). Systematic literature reviews (SLRs) provide summarized information for selecting utility values from an increasing number of primary studies eliciting HSUVs. Quality appraisal (QA) of such SLRs is an important process towards the credibility of HSUVs estimates; yet, authors often overlook this crucial process. A scientifically developed and widely accepted QA tool for this purpose is lacking and warranted. Objectives To comprehensively describe the nature of QA in published SRLs of studies eliciting HSUVs and generate a list of commonly used items. Methods A comprehensive literature search was conducted in PubMed and Embase from 01.01.2015 to 15.05.2021. SLRs of empirical studies eliciting HSUVs that were published in English were included. We extracted descriptive data, which included QA tools checklists or good practice recommendations used or cited, items used, and the methods of incorporating QA results into study findings. Descriptive statistics (frequencies of use and occurrences of items, acceptance and counterfactual acceptance rates) were computed and a comprehensive list of QA items was generated. Results A total of 73 SLRs were included, comprising 93 items and 35 QA tools and good recommendation practices. The prevalence of QA was 55% (40/73). Recommendations by NICE and ISPOR guidelines appeared in 42% (16/40) of the SLRs that appraised quality. The most commonly used QA items in SLRs were response rates (27/40), statistical analysis (22/40), sample size (21/40) and loss of follow up (21/40). Yet, the most commonly featured items in QA tools and GPRs were statistical analysis (23/35), confounding or baseline equivalency (20/35), and blinding (14/35). Only 5% of the SLRS used QA to inform the data analysis, with acceptance rates of 100% (in two studies) 67%, 53% and 33%. The mean counterfactual acceptance rate was 55% (median 53% and IQR 56%). Conclusions There is a considerably low prevalence of QA in the SLRs of HSUVs. Also, there is a wide variation in the QA dimensions and items included in both SLRs and extracted tools. This underscores the need for a scientifically developed QA tool for multi-variable primary studies of HSUVs.