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:9/21/2014)... 21, 2014 “Cluster headaches are sometimes ... and difficult to resolve,” said Steve Young of Ew ... of a pain that is more intense.” , “It ... cluster headaches, or migraines, that medical research is pointing ... system,” he added. , Serotonin (5-HT, 5-hydroxytryptamine) is a ...
(Date:9/21/2014)... 21, 2014 Faculty and staff at Garrison ... preschool in Owings Mills, Md., kicked off the academic year ... bands. GFS is the first independent school to receive the ... and even sleep patterns— as part of a pilot program ... and walking specialty chain. The Vivofit bands are just one ...
(Date:9/21/2014)... Top10BestSEOHosting.com, a leading review website, has recently announced ... most recommended hosting suppliers for the webmasters worldwide ... , “Don’t waste your time on searching ... hosting companies to you,” the IT manager of ... are the most recommended suppliers for everyone. A ...
(Date:9/20/2014)... Diabetes Protocol , a breakthrough ... helping thousands of people learn how to naturally manage ... or prescriptions has caught the attention of Shane Michaels, ... tens of millions of people in the U.S. today ... diabetes, and unfortunately, big pharma makes a killing just ...
(Date:9/20/2014)... GA (PRWEB) September 20, 2014 David ... 20, 2014. The first poster looked at the clinical ... cardiac cycle for calculating diastolic function. In conjunction with ... end-stage renal disease and normal LVEF by echo (>50%). ... stress protocol, and standard SPECT. Emory Toolbox 4.0 ...
Breaking Medicine News(10 mins):Health News:Homeostasis: Equinox Serotonin (5HT) Headache Stories ~ New on the Bryan William Brickner Blog 2Health News:Garrison Forest School Leader in Independent School Wellness Programs 2Health News:Leading Review Website Top10BestSEOHosting.com Unveils The Best Hosting Suppliers In September 2Health News:Diabetes Protocol: Review Exposes Kenneth Pullman’s Breakthrough Discovery About Diabetes Management 2Health News:Versatility of Emory Toolbox 4.0 Shown at ASNC in Scientific Posters 2Health News:Versatility of Emory Toolbox 4.0 Shown at ASNC in Scientific Posters 3
... Reporter , TUESDAY, Nov. 16 (HealthDay News) -- College ... at significantly higher risk for becoming alcohol-dependent, new research ... of energy drinks are more likely to meet the ... Arria, director of the Center on Young Adult Health ...
... states earned a better grade on the 2010 March of Dimes ... Columbia saw their preterm birth rates improve. Following three decades ... in the preterm birth rate, a 4 percent drop from 2006. ... the 2006 final rate of 12.8 percent. The March of Dimes ...
... point mutations mis-spellings in a single letter of ... of cancer cells can be detected successfully in advanced ... opens the way for personalised medicine in which every ... and the appropriate drug chosen to target the mutation ...
... Reporter , TUESDAY, Nov. 16 (HealthDay News) -- U.S. ... recommend approval of the first new drug in more ... The drug, belimumab (Benlysta), is a so-called monoclonal ... systemic lupus erythematosus. Lupus is an autoimmune disease ...
... LANSING, Mich. Transforming vacant urban lots into farms ... majority of their fruits and vegetables. As city ... University study indicates that a combination of urban farms, ... used to extend the growing season could supply ...
... more weight a person gains, the greater the risk that ... blood flow to the heart that can lead to a ... team found that for every 8.8 pound increase in the ... risk for developing ischemic heart disease rose by more than ...
Cached Medicine News:Health News:Energy Drinks May Fuel College Kids' Alcohol Use 2Health News:Energy Drinks May Fuel College Kids' Alcohol Use 3Health News:Preterm birth rates improve in most states 2Health News:Researchers map the way to personalised treatment for ovarian cancer 2Health News:Researchers map the way to personalised treatment for ovarian cancer 3Health News:FDA Advisers Endorse New Lupus Drug 2Health News:FDA Advisers Endorse New Lupus Drug 3Health News:Detroit's urban farms could provide a majority of produce for local residents 2
(Date:9/19/2014)... WEST CHESTER, Pa. , Sept. 19, 2014 ... Johnson launched two new variable angle plating systems ... this technology, surgeons can adapt screw trajectory to ... screws towards specific fragments of bone. The systems ... Orthopaedic Foot & Ankle Society (AOFAS) and the ...
(Date:9/19/2014)... VIEW, Calif. , Sept. 19, 2014 Today, ... in capital from Xiaomi Ventures, Ltd. for its first ... used to continue expanding iHealth,s global reach, accelerate growth ... resources.  As part of the investment, Xiaomi Ventures will ... the areas of cloud infrastructure and ecommerce. ...
(Date:9/19/2014)... 2014  The board of directors of AbbVie Inc. ... dividend of $0.42 per share.  The ... of record at the close of business on Oct. ... global, research-based biopharmaceutical company formed in 2013 following separation ... expertise, dedicated people and unique approach to innovation to ...
Breaking Medicine Technology:DePuy Synthes Proprietary Variable Angle Locking Technology Now Available To Treat Calcaneal Fractures And Medial Column Fusion Procedures 2DePuy Synthes Proprietary Variable Angle Locking Technology Now Available To Treat Calcaneal Fractures And Medial Column Fusion Procedures 3iHealth Raises $25 Million to Fuel Growth and Global Market Share 2
Rotating 360 degrees, 3 mm x 7 mm bite....
45 degree, forward 3 mm, 4 mm x 5 mm cup, length of shaft 140 mm, overall length 8.3 inches....
20 mm. Plastic, methylmethacrylate. Supplied sterile....
Small right. Teflon orbital plates....
Medicine Products: