Navigation Links
Two-step decision tree analysis helps inform updates of RT best practices, quality standards
Date:7/28/2014

In exercise one, the 454 standards were categorized using a two-step process. The first step was to categorize the standards according to the Donabedian model, which provides a framework for examining health services and evaluating quality of care using three categories: structure, process and outcome. This categorization resulted in groups of approximately 150 standards each, making an in-depth analysis difficult. To reduce the size of the groups, a second step was implemented to classify the 454 standards according to each standard's target group (patients, staff, equipment or clinical process, or organization). This two-step process resulted in 12 primary classifications with an average size of 40 standards. The resulting smaller group size helped in identifying duplicate standards and key quality measures. The evaluators' responses were examined for reliability using the Fleiss free marginal kappa. The agreement between the evaluators was fair (k from 0.21 to 0.40) or moderate (k from 0.41 to 0.60), meaning three or more reviewers assigned the same categories in both steps to 67 percent (304) of the 454 quality standards. In the Donabedian model step, three or more evaluators agreed on the classification for 93 percent (422) of the 454 standards.

A second exercise was conducted, to determine if greater consistency in categorizations could be achieved. The evaluators reassessed any standards that did not receive unanimous categorization (n=290) in the first exercise. The standards were again categorized using the Donabedian model. When the 290 reevaluations were combined with the 164 that received unanimous agreement in exercise one, the free marginal kappa improved to 0.71, which shows substantial agreement (k=0.61 to 0.80). In exercise two, 64 percent (290) were classified as structure, 26 percent (116) were classified for process, and 10 percent (45) were classified for outcome.

"This research provides a sound basis for refining the globa
'/>"/>

Contact: Michelle Kirkwood
press@astro.org
703-286-1600
American Society for Radiation Oncology
Source:Eurekalert

Page: 1 2 3

Related medicine news :

1. Venapro: Two-Step All-Natural Hemorrhoids Treatment Formula Now Available With 1 Extra Bottle Offer
2. 2 Courts, 2 Different Decisions on Key Obamacare Provision
3. LawyersandSettlements.com Interviews Attorney Roy Pollack About The Recent Microsoft Wrongful Termination Lawsuit Decision for the Plaintiff in Texas
4. To accept or not accept -- Patients want a say in liver transplant decisions
5. Study finds diagnosing physicians influence therapy decisions for prostate cancer patients
6. Madison-based SWAMP, Secure Decisions partner to enhance software security
7. The Lancet Neurology: Post-concussion return to play decision for footballers should be made solely by doctors, says new editorial
8. Mobile Device Forensics Guidelines Play Key Role in Supreme Court’s Smartphone Evidence Warrant Decision
9. Shared decision making during radiation therapy improves patient satisfaction
10. Ever-so-slight delay improves decision-making accuracy
11. Social norms strongly influence vaccination decisions and the spread of disease
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/2/2015)... ... ... to an article published August 12 by International Business Times, a new bill ... grand juries in cases meant to decide if a police officer used deadly or excessive ... in Ferguson and New York City that absolved police officers of charges in the deaths ...
(Date:9/2/2015)... ... September 02, 2015 , ... ... from the Abraham and Mildred Goldstein Charitable Trust to establish the Abraham and ... gift comes six months after WCHN recruited nationally known gynecologic oncologist Thomas J. ...
(Date:9/2/2015)... Angeles, CA (PRWEB) , ... September 02, 2015 , ... ... featured by the Huffington Post on August 25th, writer Akela Stanfield detailed her ... surgery. While the author acknowledged that she had always seen herself as someone who ...
(Date:9/2/2015)... Covington, LA (PRWEB) , ... September 02, 2015 ... ... new President/CEO and Regulatory Affairs Officer following the departure of Kristen Dietz, former ... Medical Officer of Healtec® released the following statement welcoming Mr. Salot: “ Stanley ...
(Date:9/2/2015)... ... 02, 2015 , ... Density measurement is used in many ... handling makes density measurements more efficient and error-free. The new METTLER TOLEDO video ... and the advantages compared to manual sample handling. , The Evolution of Density ...
Breaking Medicine News(10 mins):Health News:Article on Recent Grand Jury Law Brings Increased Accountability to Wrongful Death Cases, says the Law Offices of Burg & Brock 2Health News:Article on Recent Grand Jury Law Brings Increased Accountability to Wrongful Death Cases, says the Law Offices of Burg & Brock 3Health News:Western Connecticut Health Network Receives $1 Million Gift to Establish Ovarian Cancer Research Endowment 2Health News:Western Connecticut Health Network Receives $1 Million Gift to Establish Ovarian Cancer Research Endowment 3Health News:Recent Editorial on Bariatric Surgery Acceptance Illuminates a Typical Journey Towards Weight Loss Surgery, Notes Dr. Michael Feiz 2Health News:Healtec® Announces Executive Leadership Change 2Health News:New Video from METTLER TOLEDO Shows the Advantages of Sample Handling Automation in Density Determination 2Health News:New Video from METTLER TOLEDO Shows the Advantages of Sample Handling Automation in Density Determination 3
... , Front-line Caregivers, Nursing Home Residents and Their Family ... Delegation to Stop Potential Cuts , , ... , , RIO RANCHO, N.M., Aug. 11 A ... nursing home residents and their family members to sign a petition that will ...
... , , WELLESLEY HILLS, Mass., ... the PRX-07034 Therapeutics - CNS Phase 2 will be part of the ... , , The PRX-07034 Therapeutics - CNS Phase 2 ... schizophrenia (CIAS). The Company has completed Phase 1 in obesity with ...
... exercise capacity in some mountaineers, according to Swiss researchers. ... been used for years to treat altitude-related symptoms in ... to improve exercise capacity at high altitude. "We ... for preventing high altitude pulmonary edema (HAPE) and dex ...
... It doesn,t affect quality of life in most cases, review ... spares the limbs of some cancer patients may have little ... cost or quality of life, researchers say. , Limb-sparing ... bone or soft-tissue sarcomas, but the analysis by Canadian researchers ...
... Pain therapy for cancer patients whether inpatient or ... the use of an innovative electronic system combined ... been successfully tested. The treatment of the patients showed ... addition, patients reported having less pain. The results of ...
... delivery for older adults developed by researchers from Indiana ... of life, decreased emergency department visits and lowered hospital ... saved money for the sickest (those with three to ... year after the home-based intervention ended, it saved even ...
Cached Medicine News:Health News:New Mexico Seniors to Lose $130.2 Million in Medicare Long Term Care Funding in House Healthcare Reform Bill 2Health News:Epix Pharmaceuticals, Inc. Announces PRX-07034 Therapeutics - CNS Phase 2 Will be Part of the Intellectual Property Offered for Sale at the September 30, 2009 Auction 2Health News:Taking dex can improve high altitude exercise capacity in certain climbers 2Health News:Taking dex can improve high altitude exercise capacity in certain climbers 3Health News:Limb-Sparing Surgery May Offer Little Benefit to Cancer Patients 2Health News:Computer system improves pain therapy for cancer patients 2Health News:Aging with GRACE: New health care delivery model improves outcomes, saves money 2Health News:Aging with GRACE: New health care delivery model improves outcomes, saves money 3
(Date:9/2/2015)... Sept. 2, 2015 Research and Markets ( ... "New EU Pharmacovigilance Legislation (London, UK - November 16-17, ... The 15 new EU modules concerning Pharmacovigilance are a ... conducted in Europe . The intention ... and their requirements, examine how they overlap and fit ...
(Date:9/2/2015)... QC , Sept. 2, 2015 Demers Ambulances ... (EEP) Inc. as their new dealer for the states of ... and Tennessee . "This ... customers," said Benoit Lafortune , Executive Vice-President for Demers ... Mississippi and Alabama ...
(Date:9/2/2015)... 2, 2015  Boca Raton Regional Hospital,s ... performing ultra-minimally invasive left atrial appendage ligation for ... as Coumadin, Xarelto or Effient. Dr. Cartledge, who ... is one of a select group of surgeons ... microscopic incisions in order to seal off the ...
Breaking Medicine Technology:Demers Ambulances has named Emergency Equipment Professionals (EEP) Inc. as their dealer for the states of MS, AL and TN 2Boca Regional Introduces Ultra-Minimally Invasive Surgical Procedure for Atrial Fibrillation Patients 2Boca Regional Introduces Ultra-Minimally Invasive Surgical Procedure for Atrial Fibrillation Patients 3