Effect of Patient Handouts on Use of the Family Pharmacist System —Comparison of Compliant and Non-Compliant Family Pharmacies— / 社会薬学

Objective : Recently, a directive that all pharmacies should have a family pharmacist by 2025 was announced. However, this directive has not been clearly communicated to patients. The purpose of this study was to examine the effect of patient information handouts on the number of patients who use the new family pharmacist system, using the evaluation index of family pharmacies (Key Performance Indicator [KPI]). Methods : We created and distributed patient handouts about family pharmacists. The number of new family pharmacists, the number of consultations, and the consultation content from June-August 2021 (pre-distribution period) and September-November 2021 (distribution period) were examined to compare the KPI group and non-KPI group. A cutoff score of the KPI index was used to determine compliant vs. non-compliant. Results : The median (interquartile range) number of new patients in the KPI group (7 pharmacies) increased from 0 (0.0, 1.5) in the pre-distribution period to 4 (2.5, 10.5) in the distribution period (P＝0.019). In the non-KPI group (4 pharmacies) it was 0 (0.0, 0.0) both before and after distribution. The number of consultations about unused prescribed medications and health increased (P＝0.031 and 0.047, respectively) in the KPI group during the distribution period, with no change in the non-KPI group. Conclusion : The use of handouts led to an increase in users of the family pharmacist system in the KPI group. The use of handouts at KPI pharmacies will help patients understand the pharmacist profession and the benefits of the family pharmacist system.

Medical Affairs/Medical Science Liaison: Organizational Structure and Medical Contributions / 医薬品情報学

Objective: To identify the organizational structure and medical contributions of Medical Affairs/Medical Science Liaison (MA/MSL) and its impact on the spread of the coronavirus-19 (COVID-19) infection.Method: We conducted a web-based survey for 45 pharmaceutical companies based in Japan. The outcome of 43 questions related to organizational structure, business activities, key performance indicators (KPI), and indicators of medical contribution were analyzed and compared.Results: Responses were received from 43 pharmaceutical companies (95.6%; 26 Japanese and 17 foreign). The total number of MSLs exceeded 1,000 with an average of 30.1 MSLs/company. MSLs supervised an average of 21.8/MSL Key Opinion Leaders/Key Thought Leaders (KOLs/KTLs). There were eight MSL organizations per company on average, and Phase II/III had the most number of MSL organizations. Further, 22 companies (56.4%) had MSL organizations in the oncology area. All the companies were independent from departments mainly engaged in "sales and promotion activities," and the most common KPI was “collection insight from KOL/KTL.” Despite having medical qualifications and highly specialized degrees, training was provided continuously to improve expertise. Based on the life cycle of products, Japanese companies are promoting evidence generation and medical events with KOL/KTL supported by internal and external insights and foreign companies are promoting medical-education activities. Due to the COVID-19 pandemic, the number of “in person” activities have significantly decreased and that of "online" activities have increased considerably, and this trend might continue even after the end of the pandemic.Conclusion: The organizational structure and medical contribution of MA/MSL are partially different between Japanese and foreign companies. MSL continued to increase; however, the organization and activities were affected by the product.

Application and practice of objective management and key performance index method in physical examination quality management / 中华健康管理学杂志

Objective:To explore the effect of applying management by objective (MBO) and key performance indicator (KPI) method in the quality management of physical examination.Methods:The MBO and KPI methods were used to determine the focus of annual physical examination quality control, and to set 9 key physical examination quality control indicators and assessment standards. The results of physical examination quality control in the first quarter of 2018 were selected as the control group, and those in the fourth quarter of 2018 as the observation group. The two groups were compared using the chi-square test or Fisher′s exact test, after which the application effects of MBO and KPI method were discussed.Results:The scores of physical examination quality control in the observation group were higher than those in the control group; however, the difference was not statistically significant. The key indicators of physical examination quality control in the observation group all showed improvement to different degrees when compared with the control group. Among these indicators, the qualified rate of staff hand hygiene compliance, the qualified rate of cardiopulmonary resuscitation operation, and the coincidence rate of major abnormal results of physical examination were increased, but the difference was not statistically significant (95.0% vs 87.5%, P=0.432; 97.5% vs 92.5%, P=0.615; 55.6% vs 51.0%, P=0.232, respectively). Results error rate of physical examination department, completion rate of physical examination quality control documents, client satisfaction, follow-up success rate of major abnormal results of physical examination, and qualified rate of physical examination report were all significantly improved, with statistical significance (1.2% vs 2.2%, P<0.001; 100.0% vs 85.0%, P=0.026; 98.7% vs 96.8%, P<0.001; 68.6% vs 62.6%, P=0.014; 96.2% vs 90.6%, P<0.001, respectively). Conclusion:The application of MBO and KPI methods in the physical examination quality management of physical examination institutions can effectively improve the quality of physical examination.

The Roles, Organizational Structure, Responsibilities, Recruitment, Skills, Performance Indicators and Future Trends of Medical Science Liaison in Japan―Results of a 2019 Questionnaire / 医薬品情報学

Objective: The purpose of this survey was to identify the roles, organizational structure, responsibilities, recruitment, skills, performance indicators and future trends of Medical Science Liaisons (MSLs). In addition, we compared the trend of changes with past surveys.Method: We contacted 52 pharmaceutical companies with a questionnaire survey on MSLs which included 28 items and analyzed the anonymized results using a web response system in Japan.Results: Responses were received from 40 companies (76.9%). The range of MSLs in each company was 0 to 80, the average number for companies withone or more MSLs was 23.6 (median was 13.0). Except for one company, the definition of “MSL” was generally the same. Except for one company, MSLs operated independently of the sales promotion activities. One MSL was responsible for an average of 21 Key Opinion Leader/Key Thought Leaders (KOL/KTL). The key performance indicators (KPI) for MSL activities mainly focused on quantitative indicators such as the number of information collections from KOL/KTL. On the other hand, qualitative indicators were also incorporated suchas feedback from KOL/KTL. “Knowledge of clinical medicine” and “Communication skills” were necessary skills for all companies. 41.9% of companies had an in-house certification program. Some companies will retain and/or decrease the number of MSLs in the future. MSLs were required to have advanced medical expertise as well as medical professional qualifications, and it was confirmed that there are various options for career plans such as MA, R&D, and promotional departments. No matter what the MSL’s therapeutic area (TA), many companies had high expectations for their activities.Conclusion: The current status of expected mission and responsiblities, KPI, size and career plans for MSL were revealed. Companies want MSL’s to play a central role in the inplementation of medical strategies and contribute to internal and external stakeholders.

Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit

Endoscopic quality indicators can be classified into three categories, namely facilities and equipment, endoscopic procedures, and outcome measures. In 2019, the Korean Society of Gastrointestinal Endoscopy updated the accreditation of qualified endoscopy unit assessment items for these quality indicators to establish competence and define areas of continuous quality improvement. Here, we presented the updated program guidelines on the facilities, procedures, and performance of the accredited endoscopy unit. Many of these items have not yet been validated. However, the updated program will help in establishing competence and defining areas of continuous quality improvement in Korean endoscopic practice.

On the Pareto compliance of the averaged hausdorff distance as a performance indicator / Sobre la sujeción de Pareto para la distancia promedio de hausdorff como indicador de desempeño / Sobre a sujeição de Pareto para a distância média de hausdorff como indicador de desempenho

Abstract The averaged Hausdorff distance Δ p is an inframetric, recently introduced in evolutionary multiobjective optimization (EMO) as a tool to measure the optimality of finite size approximations to the Pareto front associated to a multiobjective optimization problem (MOP). Tools of this kind are called performance indicators, and their quality depends on the useful criteria they provide to evaluate the suitability of different candidate solutions to a given MOP. We present here a purely theoretical study of the compliance of the Δ p -indicator to the notion of Pareto optimality. Since Δ p is defined in terms of a modified version of other well-known indicators, namely the generational distance GDp , and the inverted generational distance IGDp , specific criteria for the Pareto compliance of each one of them is discussed in detail. In doing so, we review some previously available knowledge on the behavior of these indicators, correcting inaccuracies found in the literature, and establish new and more general results, including detailed proofs and examples of illustrative situations.

Resumen La distancia promedio de Hausdorff Δp es una inframétrica recientemente introducida en optimización multiobjetivo evolutiva (EMO) como una herramienta para medir la optimalidad de aproximaciones finitas al frente de Pareto asociado con un problema de optimización multiobjetivo (MOP). Presentamos aquí un estudio puramente teórico sobre la sujeción del indicador Δp a la noción de optimalidad de Pareto. Puesto que Δp está definida en términos de una versión modificada de otros indicadores bien conocidos como lo son la distancia generacional GD p y la distancia generacional invertida IGD p , discutimos en detalle criterios específicos para la sujeción de tipo Pareto de cada uno de ellos. Adicionalmente, presentamos una revisión del comportamiento previamente conocido de estos indicadores, corrigiendo imprecisiones que se encuentran en la literatura y establecemos resultados nuevos y más generales, incluyendo pruebas detalladas y ejemplos ilustrativos.

Resumo A distância média de Hausdorff Δp é uma inframétrica introduzida recentemente em otimização multiobjetivo evolucionária (EMO) como uma ferramenta para medir a otimalidade de aproximações finitas para o frente de Pareto associado com um problema de optimização multiobjetivo (MOP). Apresentamos aqui um estudo puramente teórico sobre a sujeição do indicador Δp à noção de otimalidade de Pareto. Desde Δp é definido em termos de uma versão modificada de outros indicadores bem conhecidos, tais como a distância geraçional GD p ∈ a distância geraçional invertida IGD p , discutimos em detalhes critérios específicos para a sujeição de Pareto de cada um deles. Além disso, apresentamos uma revisão do comportamento previamente conhecido desses indicadores, corrigindo imprecisões encontradas na literatura ∈ estabelecemos novos ∈ mais gerais resultados, incluindo testes detalhados ∈ exemplos ilustrativos.

Survey on Role,Responsibility and Skill to Clarify the Medical Science Liaison in Pharmaceutical Companies―Result of the Questionnaire Survey in 2017― / 医薬品情報学

Objective:The purpose of this survey was to identify the roles,responsibilities and skills of medical science liaisons(MSLs) in Japan. In addition,we compared to the prior survey results in 2011,2013 and 2015.Method:We contacted 47 pharmaceutical companies with a questionnaire survey on MSLs which included 22 items and analyzed the anonymized results using a web response system.Results:The total number of MSLs increased compared to prior surveys(ranged from 0 to 110). Many companies need MSLs with medical professional qualifications and sophisticated medical expertise. The roles and responsibilities MSLs were expected to perform included managing thought leaders(TL)and/or key opinion leaders (KOL)and implementing medical strategies. On the other hand, issues reported included management of MSLs and cooperation with other stakeholders in the company,and a still low level of recognition of MSLs.Conclusion:The roles of MSL are diverse,and while their activities and status are becoming established they are not yet unified across companies. It is recommended that at the earliest opportunity the roles,responsibilities and key performance indicators(KPI)of MSLs are defined,and educational programs established so that they can act as effective liaisons with medical professionals.

Effects of match situational variables on possession: the case of England Premier League season 2015/16

Aim: The main aim of this study was to identify the effects of match location, quality of opponents and match status on possession during the 2015/16 Season of England Premier League. Methods: Three hundred and eighty matches played by 20 teams were analysed. For each match, two values were recorded, resulting in 760 observations. Results Teams who played at home (51.77 ± 10.22%) presented higher possession values (EF=moderate) than those who played away (48.21 ± 10.30%). Quality of opponents also had a significant difference, as possession was higher (EF=large) when teams played against weak (52.30 ± 9.77%) than strong opponents (46.48 ± 10.38%). The multivariate analysis revealed no interaction between situational variables and possession (p = 0.76). Despite the teams classified as "best-ranking" (1st to 8th position: 50.60 ± 10.35%) presented greater possession (EF=moderate) than "worst-ranking" (9st to 20th position: 47.59 ± 9.74%), no significant differences were found in the comparisons of match status (winner [50.34 ± 10.48%] x drawer [49.95 ± 10.25%] x loser [49.68 ± 10.48%]). Conclusion: General interpretations should be viewed with caution, since this possession can represent an indicator of success for a team but not for others.(AU)

Appropriateness of Surgical Antibiotic Prophylaxis in a Tertiary Hospital / 병원감염관리

BACKGROUND: This study aimed to evaluate the quality of surgical antibiotic prophylaxis (SAP) in a tertiary hospital. METHODS: Medical, anesthetic, and nursing records from the 27,320 procedures conducted in a tertiary hospital during 2012 were retrospectively reviewed. Three clinical performance indicators of SAP (selection of antibiotic, timing of the first administration, duration of prophylaxis) were included as part of the National Hospital Evaluation Program (NHEP) of the Health Insurance Review and Assessment Service. In addition, 2 other parameters were assessed according to recent guidelines (weight-based initial dosing for obesity, intraoperative re-dosing for excessive blood loss, and prolonged duration of procedures). RESULTS: Prophylactic antibiotics were administered in 19,637 (71.8%) of 27,320 total procedures. Quality of the 3 performance indicators was higher in the types of operations included in NHEP than in other procedures. However, additional doses were administered in 15 (1.2%) of 1,299 surgical procedures that lasted more than twice the half-life of the antibiotic used, and in 9 (3.3%) of 273 procedures with excessive blood loss greater than 1,500 mL. NHEP and non-NHEP results did not differ significantly. CONCLUSION: Three SAP quality indicators showed more improvement in NHEP surgical procedures than in non-NHEP, but the other parameters did not perform well regardless of NHEP assessment. Therefore, more measures to improve the appropriateness of SAP should be developed.

Construction of performance evaluation system for scientific researchers in Peking University Cancer Hospital & Institute / 中华医学科研管理杂志

Through literature review,Delphi method and analytic hierarchy process,the construction and implementation of evaluation system on researchers' performance is in accordance with characteristics and practical requirements of Peking University Cancer Hospital & Institute,19 key indicators,which fall into 3 categories of work aptitude,work behavior,and work effectiveness,were set up as the basic structure,and upon wich the development and implementation of performance evaluation system is based and possible effects and results were discussed.

Analysis of Relative Importance of Key Performance Indicators for Center for Child-Care Foodservice Management through Analytic Hierarchy Process (AHP) / 대한지역사회영양학회지

The objectives of this study were to assign reasonability to importance of weight selection issue in key performance indicator for performance evaluation of Centers for Child-care Foodservice Management (CCFSM) developed by using Balanced Scorecard (BSC), to draw key performance indicator (KPI) by perspective and to analyze differences in recognition on importance. From September 25 to October 9, 2012, we conducted a questionnaire-based study via e-mail, targeting chiefs and team leaders of nationwide 21 CCFSMs (43 persons), officials of local governments where CCFSM was established (21 persons), officials of Korea Food and Drug Administration (2 persons) and foodservice management experts (27 persons) in order to estimate the relative importance on 4 perspectives and 14 KPIs and analyzed its results by using 61 collected data. The results showed that relative importance of perspectives was estimated in order of importance as follows: business performance (0.3519), customer (0.3393), resource (0.1557), learning and growth (0.1531). Relative importance of KPIs was in order of importance as follows: Evaluation of sanitary management level in childcare foodservice facilities (0.1327), Level of customer recognition and behavior improvement (0.1153), performances of round visiting inspection on foodservice, sanitary, safety management, and foodservice consulting (0.0913). Our results showed that the recognition differences exist on the relative importance of perspectives and KPIs between officials of CCFSM, KFDA, local government and foodservice management experts. These observations will form the basis for developing evaluation systems, and it is considered that performance indicators developed on this basis will suggest direction of operation which CCFSM will have to perform.

Patient Waiting Time as A Key Performance Indicator at Orthodontic Specialist Clinics in Selangor

Patient waiting time was introduced to orthodontic clinics in 2009 as a Key Performance Indicator (KPI) in the Ministry of Health Malaysia (MOH) as a measure of client satisfaction. A cross-sectional pilot study was carried out in 2009 in all four main government orthodontic clinics in Selangor. The objectives were to measure patient actual waiting time and evaluate conformance to this KPI. The sample comprised of 5,286 patients; 9.2% from Tanjung Karang, 37.1% Kajang, 29.3% Klang and 24.4% Shah Alam. There were 33.8% punctual, 44.2% early and 21.9% late patients. The mean actual waiting time (AWT) in Selangor was 30 min (SD 24.7); shortest in Tanjung Karang (16.5min, SD 15.3) and longest in Shah Alam (47.9min, SD29.6). AWT was 21.9 min (SD 17.4) for patients punctual for appointments, 40.3 min (SD 40.3) for early patients and 21.9min (SD19.8) for late patients respectively. Although the mean AWT was long for early patients, 20% of them were seen earlier than their appointment time. All four clinics complied with the MOH KPI performance target (>50%) with a mean compliance of 87.5% for Selangor. There is statistically significant difference in punctuality of patients in different clinics (p<0.0001) and in KPI conformance between clinics (p<0.0001).

A Study on Effects of Critical Pathway Practices by Using BSC and Datamining Method / 대한의료정보학회지

Emphasis on healthcare during the 1990s has been to provide both optimal wellness and function with quality in a cost-effective manner. Critical Pathway was developed to meet the need to guide clients along the continuum of care and to achieve continuity of care. The purpose of this study was to develop on evaluating model of Critical Pathway practices. The topics which developed into Critical Pathway were normal delivery, repairment of cataract, cesarean section delivery, pediatric tonsillectomy and hemorrhoidectomy. The main goals set by teams were educations, improvement of process and quality of care, customer satisfaction and financial achievements. To evaluate the performace of Critical Pathway in clinical process, 13 kinds of perspective key performance indicators were selected by using Balanced Scorecard(BSC) method. The analysis method was Data Mining. Cesarean section discharge abstract data were reviewed for guidelines of model development and classification of control groups. Five kinds of Critical Pathway were developed by multidisciplinary participation by personnels of related departments, and pilot-test was performed. All the Critical Pathway was applied as standard protocols in patient s care since November, 1999. Length of stay was significantly shortened and increased patient s satisfaction in 4 case groups except pediatric tonsillectomy group. Hospital and medication cost of each patient remarkably decreased in all 5 case groups. And the improvement of process and quality of care was appeared during the Critical Pathway implementation period. These results show that new evaluation model of Critical Pathway in medical practice was an effective.