Science.gov

Sample records for quality assessment decision

  1. MATRIX - development and feasibility of a guide for quality assessment of patient decision aids

    PubMed Central

    Lenz, Matthias; Kasper, Jürgen

    2007-01-01

    Decision aids (DAs) are interventions designed to help people make specific and deliberative choices among options by providing information about the options and outcomes that is relevant to a person's health status. There is an ongoing discussion about the quality of DAs. The present article provides an overview on systematic approaches using various quality criteria. However, these evaluation guides are not yet implemented. Up to now quality assessment of DAs is often limited to the evidence on efficacy through controlled trials using single-outcome measures. Since DAs are multi-component interventions, single-outcome trials are not sufficient for complete quality assessment. Consideration of theoretical founding and the development process is required. In an earlier paper we proposed a novel concept of quality to meet this challenge. We introduced MATRIX a guide for quality assessment of DAs aimed at disclosing the rationale behind underpinning theories, methods, and goals of a DA. The present paper reports how the development of MATRIX progressed including results of pre-testing and a feasibility study. We present the revised version of MATRIX, explain its basic concept, and describe the way to use it. PMID:19742287

  2. Ecosystem valuation: a sequential decision support system and quality assessment issues.

    PubMed

    Turner, R Kerry; Morse-Jones, Sian; Fisher, Brendan

    2010-01-01

    Understanding the economic value of nature and the services it provides to humanity has become increasingly important for local, national, and global policy and decision making. It has become obvious that quantifying and integrating these services into decision making will be crucial for sustainable development. Problems arise in that it is difficult to obtain meaningful values for the goods and services that ecosystems provide and for which there is no formal market. A wide range of ecosystem services fall into this category. Additional problems arise when economic methods are applied inappropriately and when the importance of ecosystem maintenance for human welfare is underestimated. In this article we identify a place for monetary valuation within the pluralistic approach supported by ecological economics and assess progress to date in the application of environmental valuation to ecosystem service provision. We first review definitions of ecosystem services in order to make an operational link to valuation methods. We then discuss the spatially explicit nature of ecosystem services provision and benefits capture. We highlight the importance of valuing marginal changes and the role for macroscale valuation, nonlinearities in service benefits, and the significance of nonconvexities (threshold effects). We also review guidance on valuation studies quality assurance, and discuss the problems inherent in the methodology as exposed by the findings of behavioral economics, as well as with benefits transfer--the most common way valuation studies are applied in the policy process. We argue for a sequential decision support system that can lead to a more integrated and rigorous approach to environmental valuation and biophysical measurement of ecosystem services. This system itself then needs to be encompassed within a more comprehensive multicriteria assessment dialogue and process. PMID:20146763

  3. Surface water vulnerability assessment applying the integrity model as a decision support system for quality improvement

    SciTech Connect

    Mirauda, Domenica; Ostoich, Marco

    2011-04-15

    The implementation of the Water Framework Directive (WFD) 2000/60/EC, aimed at achieving a 'Good' Ecological Status of surface water bodies by 2015, indicates the adoption of a River Basin Management approach by using a model which works as a support for decision making. This work has applied the suggestions put forward by the WFD by means of a mathematical model called the Integrity Model. This represents valid support when assessing the efficiency of planned interventions which may directly or indirectly play a role in enhancing the quality of surface waters at the basin scale. Herein the results of a preliminary application limited to just two indexes on the Bacchiglione river basin, located in Northern Italy, are both presented and compared with the results of institutional monitoring activities in compliance with set technical regulations. The proposed model appears to be useful when carrying out Strategic Environmental Assessment (SEA) procedures in accordance with Directive 2001/42/EC concerning water management and protection plans as well as for the Environmental Impact Assessment (EIA) procedure to be carried out on the interventions identified.

  4. Ten years of the International Patient Decision Aid Standards Collaboration: evolution of the core dimensions for assessing the quality of patient decision aids

    PubMed Central

    2013-01-01

    In 2003, the International Patient Decision Aid Standards (IPDAS) Collaboration was established to enhance the quality and effectiveness of patient decision aids by establishing an evidence-informed framework for improving their content, development, implementation, and evaluation. Over this 10 year period, the Collaboration has established: a) the background document on 12 core dimensions to inform the original modified Delphi process to establish the IPDAS checklist (74 items); b) the valid and reliable IPDAS instrument (47 items); and c) the IPDAS qualifying (6 items), certifying (6 items + 4 items for screening), and quality criteria (28 items). The objective of this paper is to describe the evolution of the IPDAS Collaboration and discuss the standardized process used to update the background documents on the theoretical rationales, evidence and emerging issues underlying the 12 core dimensions for assessing the quality of patient decision aids. PMID:24624947

  5. The Development and Validation of a Generic Instrument, QoDoS, for Assessing the Quality of Decision Making

    PubMed Central

    Donelan, Ronan; Walker, Stuart; Salek, Sam

    2016-01-01

    Introduction: The impact of decision-making during the development and the regulatory review of medicines greatly influences the delivery of new medicinal products. Currently, there is no generic instrument that can be used to assess the quality of decision-making. This study describes the development of the Quality of Decision-Making Orientation Scheme QoDoS© instrument for appraising the quality of decision-making. Methods: Semi-structured interviews about decision-making were carried out with 29 senior decision makers from the pharmaceutical industry (10), regulatory authorities (9) and contract research organizations (10). The interviews offered a qualified understanding of the subjective decision-making approach, influences, behaviors and other factors that impact such processes for individuals and organizations involved in the delivery of new medicines. Thematic analysis of the transcribed interviews was carried out using NVivo8® software. Content validity was carried out using qualitative and quantitative data by an expert panel, which led to the developmental version of the QoDoS. Further psychometric evaluations were performed, including factor analysis, item reduction, reliability testing and construct validation. Results: The thematic analysis of the interviews yielded a 94-item initial version of the QoDoS© with a 5-point Likert scale. The instrument was tested for content validity using a panel of experts for language clarity, completeness, relevance and scaling, resulting in a favorable agreement by panel members with an intra-class correlation coefficient value of 0.89 (95% confidence interval = 0.56, 0.99). A 76-item QoDoS© (version 2) emerged from content validation. Factor analysis produced a 47-item measure with four domains. The 47-item QoDoS© (version 3) showed high internal consistency (n = 120, Cronbach's alpha = 0.89), high reproducibility (n = 20, intra-class correlation = 0.77) and a mean completion time of 10 min. Reliability testing

  6. A Web-Based Decision Support System for Assessing Regional Water-Quality Conditions and Management Actions

    USGS Publications Warehouse

    Booth, N.L.; Everman, E.J.; Kuo, I.-L.; Sprague, L.; Murphy, L.

    2011-01-01

    The U.S. Geological Survey National Water Quality Assessment Program has completed a number of water-quality prediction models for nitrogen and phosphorus for the conterminous United States as well as for regional areas of the nation. In addition to estimating water-quality conditions at unmonitored streams, the calibrated SPAtially Referenced Regressions On Watershed attributes (SPARROW) models can be used to produce estimates of yield, flow-weighted concentration, or load of constituents in water under various land-use condition, change, or resource management scenarios. A web-based decision support infrastructure has been developed to provide access to SPARROW simulation results on stream water-quality conditions and to offer sophisticated scenario testing capabilities for research and water-quality planning via a graphical user interface with familiar controls. The SPARROW decision support system (DSS) is delivered through a web browser over an Internet connection, making it widely accessible to the public in a format that allows users to easily display water-quality conditions and to describe, test, and share modeled scenarios of future conditions. SPARROW models currently supported by the DSS are based on the modified digital versions of the 1:500,000-scale River Reach File (RF1) and 1:100,000-scale National Hydrography Dataset (medium-resolution, NHDPlus) stream networks. ?? 2011 American Water Resources Association. This article is a U.S. Government work and is in the public domain in the USA.

  7. A Web-Based Decision Support System for Assessing Regional Water-Quality Conditions and Management Actions.

    PubMed

    Booth, Nathaniel L; Everman, Eric J; Kuo, I-Lin; Sprague, Lori; Murphy, Lorraine

    2011-10-01

    The U.S. Geological Survey National Water Quality Assessment Program has completed a number of water-quality prediction models for nitrogen and phosphorus for the conterminous United States as well as for regional areas of the nation. In addition to estimating water-quality conditions at unmonitored streams, the calibrated SPAtially Referenced Regressions On Watershed attributes (SPARROW) models can be used to produce estimates of yield, flow-weighted concentration, or load of constituents in water under various land-use condition, change, or resource management scenarios. A web-based decision support infrastructure has been developed to provide access to SPARROW simulation results on stream water-quality conditions and to offer sophisticated scenario testing capabilities for research and water-quality planning via a graphical user interface with familiar controls. The SPARROW decision support system (DSS) is delivered through a web browser over an Internet connection, making it widely accessible to the public in a format that allows users to easily display water-quality conditions and to describe, test, and share modeled scenarios of future conditions. SPARROW models currently supported by the DSS are based on the modified digital versions of the 1:500,000-scale River Reach File (RF1) and 1:100,000-scale National Hydrography Dataset (medium-resolution, NHDPlus) stream networks. PMID:22457585

  8. A Web-Based Decision Support System for Assessing Regional Water-Quality Conditions and Management Actions1

    PubMed Central

    Booth, Nathaniel L; Everman, Eric J; Kuo, I-Lin; Sprague, Lori; Murphy, Lorraine

    2011-01-01

    Abstract The U.S. Geological Survey National Water Quality Assessment Program has completed a number of water-quality prediction models for nitrogen and phosphorus for the conterminous United States as well as for regional areas of the nation. In addition to estimating water-quality conditions at unmonitored streams, the calibrated SPAtially Referenced Regressions On Watershed attributes (SPARROW) models can be used to produce estimates of yield, flow-weighted concentration, or load of constituents in water under various land-use condition, change, or resource management scenarios. A web-based decision support infrastructure has been developed to provide access to SPARROW simulation results on stream water-quality conditions and to offer sophisticated scenario testing capabilities for research and water-quality planning via a graphical user interface with familiar controls. The SPARROW decision support system (DSS) is delivered through a web browser over an Internet connection, making it widely accessible to the public in a format that allows users to easily display water-quality conditions and to describe, test, and share modeled scenarios of future conditions. SPARROW models currently supported by the DSS are based on the modified digital versions of the 1:500,000-scale River Reach File (RF1) and 1:100,000-scale National Hydrography Dataset (medium-resolution, NHDPlus) stream networks. PMID:22457585

  9. Making Decisions in Quality Circles.

    ERIC Educational Resources Information Center

    Browne, Mildred

    This monograph provides educational staff with a theoretical basis for decision-making skills for application in quality circles. Roadblocks to good decisions are outlined, as well as the differences between group decision-making and individual decision-making (both have problems). The influence of values and personality characteristics on…

  10. A Web-Based Decision Support System for Assessing Regional Water-Quality Conditions and Management Actions

    NASA Astrophysics Data System (ADS)

    Booth, N. L.; Everman, E.; Kuo, I.; Sprague, L.; Murphy, L.

    2011-12-01

    A new web-based decision support system has been developed as part of the U.S. Geological Survey (USGS) National Water Quality Assessment Program's (NAWQA) effort to provide ready access to Spatially Referenced Regressions On Watershed attributes (SPARROW) results of stream water-quality conditions and to offer sophisticated scenario testing capabilities for research and water-quality planning via an intuitive graphical user interface with a map-based display. The SPARROW Decision Support System (DSS) is delivered through a web browser over an Internet connection, making it widely accessible to the public in a format that allows users to easily display water-quality conditions, distribution of nutrient sources, nutrient delivery to downstream waterbodies, and simulations of altered nutrient inputs including atmospheric and agricultural sources. The DSS offers other features for analysis including various background map layers, model output exports, and the ability to save and share prediction scenarios. SPARROW models currently supported by the DSS are based on the modified digital versions of the 1:500,000-scale River Reach File (RF1) and 1:100,000-scale National Hydrography Dataset (medium-resolution, NHDPlus) stream networks. The underlying modeling framework and server infrastructure illustrate innovations in the information technology and geosciences fields for delivering SPARROW model predictions over the web by performing intensive model computations and map visualizations of the predicted conditions within the stream network.

  11. Quality improvement in preoperative assessment by implementation of an electronic decision support tool

    PubMed Central

    Flamm, Maria; Fritsch, Gerhard; Hysek, Martin; Klausner, Sabine; Entacher, Karl; Panisch, Sigrid; Soennichsen, Andreas C

    2013-01-01

    Objectives To evaluate the impact of the electronic decision support (eDS) tool ‘PReOPerative evaluation’ (PROP) on guideline adherence in preoperative assessment in statutory health care in Salzburg, Austria. Materials and methods The evaluation was designed as a non-randomized controlled trial with a historical control group (CG). In 2007, we consecutively recruited 1363 patients admitted for elective surgery, and evaluated the preoperative assessment. In 2008, PROP was implemented and available online. In 2009 we recruited 1148 patients preoperatively assessed using PROP (294 outpatients, 854 hospital sector). Our analysis includes full blood count, liver function tests, coagulation parameters, electrolytes, ECG, and chest x-ray. Results The number of tests/patient without indication was 3.39 in the CG vs 0.60 in the intervention group (IG) (p<0.001). 97.8% (CG) vs 31.5% (IG) received at least one unnecessary test. However, we also observed an increase in recommended tests not performed/patient (0.05±0.27 (CG) vs 0.55±1.00 (IG), p<0.001). 4.2% (CG) vs 30.1% (IG) missed at least one necessary test. The guideline adherence (correctly tested/not tested) improved distinctively for all tests (1.6% (CG) vs 49.3% (IG), p<0.001). Discussion PROP reduced the number of unnecessary tests/patient by 2.79 which implied a reduction of patients’ burden, and a relevant cut in unnecessary costs. However, the advantage in specificity caused an increase in the number of patients incorrectly not tested. Further research is required regarding the impact of PROP on perioperative outcomes. PMID:23599223

  12. Testing an advanced satellite technique for dust detection as a decision support system for the air quality assessment

    NASA Astrophysics Data System (ADS)

    Falconieri, Alfredo; Filizzola, Carolina; Femiano, Rossella; Marchese, Francesco; Sannazzaro, Filomena; Pergola, Nicola; Tramutoli, Valerio; Di Muro, Ersilia; Divietri, Mariella; Crisci, Anna Maria; Lovallo, Michele; Mangiamele, Lucia; Vaccaro, Maria Pia; Palma, Achille

    2014-05-01

    In order to correctly apply the European directive for air quality (2008/50/CE), local Authorities are often requested to discriminate the possible origin (natural/anthropic) of anomalous concentration of pollutants in the air (art.20 Directive 2008/50/CE). In this framework, it's been focused on PM10 and PM2,5 concentrations and sources. In fact, depending on their origin, appropriate counter-measures can be taken devoted to prevent their production (e.g. by traffic restriction) or simply to reduce their impact on citizen health (e.g. information campaigns). In this context suitable satellite techniques can be used in order to identify natural sources (particularly Saharan dust, but also volcanic ash or forest fire smoke) that can be responsible of over-threshold concentration of PM10/2,5 in populated areas. In the framework of the NIBS (Networking and Internationalization of Basilicata Space Technologies) project, funded by the Basilicata Region within the ERDF 2007-2013 program, the School of Engineering of University of Basilicata, the Institute of Methodologies for Environmental Analysis of National Research Council (IMAA-CNR) and the Regional Agency for the Protection of the Environment of Basilicata Region (ARPAB) have started a collaboration devoted to assess the potential of the use of advanced satellite techniques for Saharan dust events identification to support ARPAB activities related to the application of the European directive for air quality (2008/50/CE) in Basilicata region. In such a joint activity, the Robust Satellite Technique (RST) approach has been assessed and tested as a decision support system for monitoring and evaluating air quality at local and regional level. In particular, RST-DUST products, derived by processing high temporal resolution data provided by SEVIRI (Spinning Enhanced Visible and Infrared Imager) sensor on board Meteosat Second Generation platforms, have been analysed together with PM10 measurements performed by the ground

  13. Assessing the Hydrologic Performance of the EPA's Nonpoint Source Water Quality Assessment Decision Support Tool Using North American Land Data Assimilation System (Products)

    NASA Technical Reports Server (NTRS)

    Lee, S.; Ni-Meister, W.; Toll, D.; Nigro, J.; Guiterrez-Magness, A.; Engman, T.

    2010-01-01

    The accuracy of streamflow predictions in the EPA's BASINS (Better Assessment Science Integrating Point and Nonpoint Sources) decision support tool is affected by the sparse meteorological data contained in BASINS. The North American Land Data Assimilation System (NLDAS) data with high spatial and temporal resolutions provide an alternative to the NOAA National Climatic Data Center (NCDC)'s station data. This study assessed the improvement of streamflow prediction of the Hydrological Simulation Program-FORTRAN (HSPF) model contained within BASINS using the NLDAS 118 degree hourly precipitation and evapotranspiration estimates in seven watersheds of the Chesapeake Bay region. Our results demonstrated consistent improvements of daily streamflow predictions in five of the seven watersheds when NLDAS precipitation and evapotranspiration data was incorporated into BASINS. The improvement of using the NLDAS data is significant when watershed's meteorological station is either far away or not in a similar climatic region. When the station is nearby, using the NLDAS data produces similar results. The correlation coefficients of the analyses using the NLDAS data were greater than 0.8, the Nash-Sutcliffe (NS) model fit efficiency greater than 0.6, and the error in the water balance was less than 5%. Our analyses also showed that the streamflow improvements were mainly contributed by the NLDAS's precipitation data and that the improvement from using NLDAS's evapotranspiration data was not significant; partially due to the constraints of current BASINS-HSPF settings. However, NLDAS's evapotranspiration data did improve the baseflow prediction. This study demonstrates the NLDAS data has the potential to improve stream flow predictions, thus aid the water quality assessment in the EPA nonpoint water quality assessment decision tool.

  14. Policies to improve end-of-life decisions in Flemish hospitals: communication, training of health care providers and use of quality assessments

    PubMed Central

    2009-01-01

    Background The prevalence and implementation of institutional end-of-life policies has been comprehensively studied in Flanders, Belgium, a country where euthanasia was legalised in 2002. Developing end-of-life policies in hospitals is a first step towards improving the quality of medical decision-making at the end-of-life. Implementation of policies through quality assessments, communication and the training and education of health care providers is equally important in improving actual end-of-life practice. The aim of the present study is to report on the existence and nature of end-of-life policy implementation activities in Flemish acute hospitals. Methods A cross-sectional mail survey was sent to all acute hospitals (67 main campuses) in Flanders (Belgium). The questionnaire asked about hospital characteristics, the prevalence of policies on five types of end-of-life decisions: euthanasia, palliative sedation, alleviation of symptoms with possible life-shortening effect, do-not-resuscitate decision, and withdrawing or withholding of treatment, the internal and external communication of these policies, training and education on aspects of end-of-life care, and quality assessments of end-of-life care on patient and family level. Results The response rate was 55%. Results show that in 2007 written policies on most types of end-of-life decisions were widespread in acute hospitals (euthanasia: 97%, do-not-resuscitate decisions: 98%, palliative sedation: 79%). While standard communication of these policies to health care providers was between 71% and 91%, it was much lower to patients and/or family (between 17% and 50%). More than 60% of institutions trained and educated their caregivers in different aspects on end-of-life care. Assessment of the quality of these different aspects at patient and family level occurred in 25% to 61% of these hospitals. Conclusions Most Flemish acute hospitals have developed a policy on end-of-life practices. However, communication

  15. Decision Impact Assessment Model

    Energy Science and Technology Software Center (ESTSC)

    1991-08-01

    DIAMOND represents the decision-making environment that utility planners and executives face. Users interact with the model after every year or two of simulation, which provides an opportunity to modify past decisions as well as to make new decisions. For example, construction of a power plant can be started one year, and if circumstances change, the plant can be accelerated, mothballed, cancelled, or continued as originally planned. Similarly, the marketing and financial incentives for demand-side managementmore » programs can be changed from year to year. This frequent user interaction with the model, an operational game, should build greater understanding and insights among utility planners about the risks associated with different types of resources.« less

  16. Assessment of the Quality of Antenatal Care Services Provided by Health Workers Using a Mobile Phone Decision Support Application in Northern Nigeria: A Pre/Post-Intervention Study

    PubMed Central

    McNabb, Marion; Chukwu, Emeka; Ojo, Oluwayemisi; Shekhar, Navendu; Gill, Christopher J.; Salami, Habeeb; Jega, Farouk

    2015-01-01

    Background Given the shortage of skilled healthcare providers in Nigeria, frontline community health extension workers (CHEWs) are commonly tasked with providing maternal and child health services at primary health centers. In 2012, we introduced a mobile case management and decision support application in twenty primary health centers in northern Nigeria, and conducted a pre-test/post-test study to assess whether the introduction of the app had an effect on the quality of antenatal care services provided by this lower-level cadre. Methods Using the CommCare mobile platform, the app dynamically guides CHEWs through antenatal care protocols and collects client data in real time. Thirteen health education audio clips are also embedded in the app for improving and standardizing client counseling. To detect changes in quality, we developed an evidence-based quality score consisting of 25 indicators, and conducted a total of 266 client exit interviews. We analyzed baseline and endline data to assess changes in the overall quality score as well as changes in the provision of key elements of antenatal care. Results Overall, the quality score increased from 13.3 at baseline to 17.2 at endline (p<0.0001), out of a total possible score of 25, with the most significant improvements related to health counseling, technical services provided, and quality of health education. Conclusion These study results suggest that the introduction of a low-cost mobile case management and decision support application can spur behavior change and improve the quality of services provided by a lower level cadre of healthcare workers. Future research should employ a more rigorous experimental design to explore potential longer-term effects on client health outcomes. PMID:25942018

  17. Quality of decision making and group norms.

    PubMed

    Postmes, T; Spears, R; Cihangir, S

    2001-06-01

    Two studies investigated the impact of group norms for maintaining consensus versus norms for critical thought on group decisions in a modification of the biased sampling paradigm (G. Stasser & W. Titus, 1985). Both studies showed that critical norms improved the quality of decisions, whereas consensus norms did not. This effect appeared to be mediated by the perceived value of shared and unshared information: Consensus norm groups valued shared information more highly than critical groups did, and valence was a good predictor of decision outcome. In addition, the 2nd study showed that the group norm manipulation has no impact on individual decisions, consistent with the assumption that this is a group effect. Results suggest that the content of group norms is an important factor influencing the quality of group decision-making processes and that the content of group norms may be related to the group's proneness for groupthink. PMID:11414374

  18. Quality decision making in dialysis.

    PubMed

    Nilsson, L G; Anderberg, C; Ipsen, R; Persson, E; Andersson, G

    1998-01-01

    A patient approaching the final stage of his renal disease is faced with many difficult questions. Should he opt for a transplant or start on dialysis? In the case of dialysis, can he manage his treatment at home or will he need to be cared for in a clinic? Should be choose peritoneal dialysis or haemodialysis? Is the freedom of being independent from a machine, given by CAPD, as valuable as the freedom of having days without treatment, given by HD? The issues are complex and do not have a given answer. To make the proper decisions about his treatment the patient needs extensive information and support from the caregivers. Likewise, the caregivers need to know the patient well in order to give appropriate advice. In this exchange of information, the renal nurse has a very important role. Some patients may need to be dialysed in a hospital but most can get an equally good or even better dialysis treatment in a less stressful environment. A high degree of self-care is preferred by people who value independence and freedom of movement. Self-care also improves the self-confidence and increases the chances of maintaining employment and a rich social life. Self-care could mean both PD and HD, sometimes with the assistance of a spouse or a nurse. But a certain degree of self-care can also be maintained in limited-care centres and satellites, where the presence of nursing staff gives the feeling of security. For everybody involved, not least the purchasers of health care, it is desirable to keep the patients out of the costly hospital environment for as long as possible. PMID:10222906

  19. Central Curricular Decisions and Quality Assurance Initiatives.

    ERIC Educational Resources Information Center

    Clement, Mieke; Elen, Jan; Hulpiau, Veerle; Waeytens, Kim

    The general research goal for this study was to determine whether the decision to launch guided self-study as a global concept for university teaching at the Katholieke Universiteit Leuven (Flanders, Belgium) has had any impact on the evaluation of educational quality at the level of individual programs. The main hypothesis was that departments…

  20. Information Dissemination, Information Overload and Decision Quality.

    ERIC Educational Resources Information Center

    Hwang, Mark I.; Lin, Jerry W.

    1999-01-01

    A meta-analysis of 31 experiments reported in 18 empirical bankruptcy prediction studies was conducted to test the effect of two information dimensions: information diversity and information repetitiveness. Results indicated that both information dimensions have an adverse impact on decision quality: provision of either diverse or repeated…

  1. Conceptualizing, Understanding, and Predicting Responsible Decisions and Quality Input

    NASA Astrophysics Data System (ADS)

    Wall, N.; PytlikZillig, L. M.

    2012-12-01

    In areas such as climate change, where uncertainty is high, it is arguably less difficult to tell when efforts have resulted in changes in knowledge, than when those efforts have resulted in responsible decisions. What is a responsible decision? More broadly, when it comes to citizen input, what is "high quality" input? And most importantly, how are responsible decisions and quality input enhanced? The aim of this paper is to contribute to the understanding of the different dimensions of "responsible" or "quality" public input and citizen decisions by comparing and contrasting the different predictors of those different dimensions. We first present different possibilities for defining, operationalizing and assessing responsible or high quality decisions. For example, responsible decisions or quality input might be defined as using specific content (e.g., using climate change information in decisions appropriately), as using specific processes (e.g., investing time and effort in learning about and discussing the issues prior to making decisions), or on the basis of some judgment of the decision or input itself (e.g., judgments of the rationale provided for the decisions, or number of issues considered when giving input). Second, we present results from our work engaging people with science policy topics, and the different ways that we have tried to define these two constructs. In the area of climate change specifically, we describe the development of a short survey that assesses exposure to climate information, knowledge of and attitudes toward climate change, and use of climate information in one's decisions. Specifically, the short survey was developed based on a review of common surveys of climate change related knowledge, attitudes, and behaviors, and extensive piloting and cognitive interviews. Next, we analyze more than 200 responses to that survey (data collection is currently ongoing and will be complete after the AGU deadline), and report the predictors of

  2. [Quality assessment in surgery].

    PubMed

    Espinoza G, Ricardo; Espinoza G, Juan Pablo

    2016-06-01

    This paper deals with quality from the perspective of structure, processes and indicators in surgery. In this specialty, there is a close relationship between effectiveness and quality. We review the definition and classification of surgical complications as an objective means of assessing quality. The great diversity of definitions and risk assessments of surgical complications hampered the comparisons of different surgical centers or the evaluation of a single center along time. We discuss the different factors associated with surgical risk and some of the predictive systems for complications and mortality. At the present time, standarized definitions and comparisons are carried out correcting for risk factors. Thus, indicators of mortality, complications, hospitalization length, postoperative quality of life and costs become comparable between different groups. The volume of procedures of a determinate center or surgeon as a quality indicator is emphasized. PMID:27598495

  3. Quality Assessment in Oncology

    SciTech Connect

    Albert, Jeffrey M.; Das, Prajnan

    2012-07-01

    The movement to improve healthcare quality has led to a need for carefully designed quality indicators that accurately reflect the quality of care. Many different measures have been proposed and continue to be developed by governmental agencies and accrediting bodies. However, given the inherent differences in the delivery of care among medical specialties, the same indicators will not be valid across all of them. Specifically, oncology is a field in which it can be difficult to develop quality indicators, because the effectiveness of an oncologic intervention is often not immediately apparent, and the multidisciplinary nature of the field necessarily involves many different specialties. Existing and emerging comparative effectiveness data are helping to guide evidence-based practice, and the increasing availability of these data provides the opportunity to identify key structure and process measures that predict for quality outcomes. The increasing emphasis on quality and efficiency will continue to compel the medical profession to identify appropriate quality measures to facilitate quality improvement efforts and to guide accreditation, credentialing, and reimbursement. Given the wide-reaching implications of quality metrics, it is essential that they be developed and implemented with scientific rigor. The aims of the present report were to review the current state of quality assessment in oncology, identify existing indicators with the best evidence to support their implementation, and propose a framework for identifying and refining measures most indicative of true quality in oncologic care.

  4. Evaluating the Validity of Portfolio Assessments for Licensure Decisions

    ERIC Educational Resources Information Center

    Wilson, Mark; Hallam, P. J.; Pecheone, Raymond; Moss, Pamela A.

    2014-01-01

    This study examines one part of a validity argument for portfolio assessments of teaching practice used as an indicator of teaching quality to inform a licensure decision. We investigate the relationship among portfolio assessment scores, a test of teacher knowledge (ETS's Praxis I and II), and changes in student achievement (on…

  5. Soil Quality Assessment: Past, Present, and Future

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Soil quality assessment can help land owners and managers appreciate the multiple functions that soils perform and thus improve the resource management decisions they make. Our objective is to show how the Soil Management Assessment Framework (SMAF) can complement the Soil Conditioning Index (SCI) a...

  6. The Educational Quality Assessment

    ERIC Educational Resources Information Center

    Dinsmore, Peter; And Others

    1976-01-01

    Pennsylvania's Educational Quality Assessment (EQA) program is discussed in terms of its historical background, ACLU objections to its alleged infringements of individual rights, and reactions of students who have taken it. Journal is available from Ritter Hall, Fourth Floor, Temple University, Philadelphia, Pa. 19122. (AV)

  7. Assessing risks to ecosystem quality

    SciTech Connect

    Barnthouse, L.W.

    1995-12-31

    Ecosystems are not organisms. Because ecosystems do not reproduce, grow old or sick, and die, the term ecosystem health is somewhat misleading and perhaps should not be used. A more useful concept is ``ecosystem quality,`` which denotes a set of desirable ecosystem characteristics defined in terms of species composition, productivity, size/condition of specific populations, or other measurable properties. The desired quality of an ecosystem may be pristine, as in a nature preserve, or highly altered by man, as in a managed forest or navigational waterway. ``Sustainable development`` implies that human activities that influence ecosystem quality should be managed so that high-quality ecosystems are maintained for future generations. In sustainability-based environmental management, the focus is on maintaining or improving ecosystem quality, not on restricting discharges or requiring particular waste treatment technologies. This approach requires management of chemical impacts to be integrated with management of other sources of stress such as erosion, eutrophication, and direct human exploitation. Environmental scientists must (1) work with decision makers and the public to define ecosystem quality goals, (2) develop corresponding measures of ecosystem quality, (3) diagnose causes for departures from desired states, and (4) recommend appropriate restoration actions, if necessary. Environmental toxicology and chemical risk assessment are necessary for implementing the above framework, but they are clearly not sufficient. This paper reviews the state-of-the science relevant to sustaining the quality of aquatic ecosystems. Using the specific example of a reservoir in eastern Tennessee, the paper attempts to define roles for ecotoxicology and risk assessment in each step of the management process.

  8. On the Quality of Collective Decisions in Sociotechnical Systems: Transparency, Fairness, and Efficiency

    NASA Astrophysics Data System (ADS)

    Porello, Daniele

    The aim of this paper is to propose a methodology for evaluating the quality of collective decisions in sociotechnical systems (STS). We propose using a foundational ontology for conceptualizing the complex hierarchy of information involved in decisions in STS (e.g., normative, conceptual, factual, perceptual). Moreover, we introduce the concept of transparency of decisions as a necessary condition in order to assess the quality of decision-making in STS. We further view transparency as an entitlement of the agent affected by the decision: i.e., the collective decision should be justified.

  9. Joint Statement: Quality Assessment and Quality Audit.

    ERIC Educational Resources Information Center

    Scottish Higher Education Funding Council, Edinburgh.

    This document sets out the respective responsibilities of the Scottish Higher Education Funding Council (SHEFC) and the Higher Education Quality Council (HEQC) as they currently stand in the field of higher education quality assurance. The SHEFC and the HEQC are both agencies that fulfill legislatively mandated quality assessment and control…

  10. Aides' Involvement in Decision-Making and the Quality of Care in Institutional Settings

    ERIC Educational Resources Information Center

    Raynes, Norma V.; And Others

    1977-01-01

    The degree of participation in decision making by direct care staff aides, and its effect on the quality of care for mentally handicapped persons, was assessed among 125 staff of 3 state institutions averaging 1080 patients. (BB)

  11. Decision Tree Approach for Soil Liquefaction Assessment

    PubMed Central

    Gandomi, Amir H.; Fridline, Mark M.; Roke, David A.

    2013-01-01

    In the current study, the performances of some decision tree (DT) techniques are evaluated for postearthquake soil liquefaction assessment. A database containing 620 records of seismic parameters and soil properties is used in this study. Three decision tree techniques are used here in two different ways, considering statistical and engineering points of view, to develop decision rules. The DT results are compared to the logistic regression (LR) model. The results of this study indicate that the DTs not only successfully predict liquefaction but they can also outperform the LR model. The best DT models are interpreted and evaluated based on an engineering point of view. PMID:24489498

  12. Analysis of ETMS Data Quality for Traffic Flow Management Decisions

    NASA Technical Reports Server (NTRS)

    Chatterji, Gano B.; Sridhar, Banavar; Kim, Douglas

    2003-01-01

    The data needed for air traffic flow management decision support tools is provided by the Enhanced Traffic Management System (ETMS). This includes both the tools that are in current use and the ones being developed for future deployment. Since the quality of decision support provided by all these tools will be influenced by the quality of the input ETMS data, an assessment of ETMS data quality is needed. Motivated by this desire, ETMS data quality is examined in this paper in terms of the unavailability of flight plans, deviation from the filed flight plans, departure delays, altitude errors and track data drops. Although many of these data quality issues are not new, little is known about their extent. A goal of this paper is to document the magnitude of data quality issues supported by numerical analysis of ETMS data. Guided by this goal, ETMS data for a 24-hour period were processed to determine the number of aircraft with missing flight plan messages at any given instant of time. Results are presented for aircraft above 18,000 feet altitude and also at all altitudes. Since deviation from filed flight plan is also a major cause of trajectory-modeling errors, statistics of deviations are presented. Errors in proposed departure times and ETMS-generated vertical profiles are also shown. A method for conditioning the vertical profiles for improving demand prediction accuracy is described. Graphs of actual sector counts obtained using these vertical profiles are compared with those obtained using the Host data for sectors in the Fort Worth Center to demonstrate the benefit of preprocessing. Finally, results are presented to quantify the extent of data drops. A method for propagating track positions during ETMS data drops is also described.

  13. Effect of Training in Rational Decision Making on the Quality of Simulated Career Decisions.

    ERIC Educational Resources Information Center

    Krumboltz, John D.; And Others

    1982-01-01

    Determined if training in rational decision making improves the quality of simulated career decisions. Training in rational decision making resulted in superior performance for females on one subscore of the knowledge measure. It also resulted in superior simulated career choices by females and younger males. (Author)

  14. Portfolio Assessment and Quality Teaching

    ERIC Educational Resources Information Center

    Kim, Youb; Yazdian, Lisa Sensale

    2014-01-01

    Our article focuses on using portfolio assessment to craft quality teaching. Extant research literature on portfolio assessment suggests that the primary purpose of assessment is to serve learning, and portfolio assessments facilitate the process of making linkages among assessment, curriculum, and student learning (Asp, 2000; Bergeron, Wermuth,…

  15. Health Impact Assessment of Urban Waterway Decisions

    PubMed Central

    Korfmacher, Katrina Smith; Aviles, Katia; Cummings, B.J.; Daniell, William; Erdmann, Jared; Garrison, Valerie

    2014-01-01

    Health impact assessments (HIA) promote the consideration of health in a wide range of public decisions. Although each HIA is different, common pathways, evidence bases, and strategies for community engagement tend to emerge in certain sectors, such as urban redevelopment, natural resource extraction, or transportation planning. To date, a limited number of HIAs have been conducted on decisions affecting water resources and waterfronts. This review presents four recent HIAs of water-related decisions in the United States and Puerto Rico. Although the four cases are topically and geographically diverse, several common themes emerged from the consideration of health in water-related decisions. Water resource decisions are characterized by multiple competing uses, inter-institutional and inter-jurisdictional complexity, scientific uncertainty, long time scales for environmental change, diverse cultural and historical human values, and tradeoffs between private use and public access. These four case studies reveal challenges and opportunities of examining waterfront decisions through a “health lens”. This review analyzes these cases, common themes, and lessons learned for the future practice of HIA in the waterfront zone and beyond. PMID:25547399

  16. Quality indicators and quality assessment in child health

    PubMed Central

    Kavanagh, Patricia L.; Adams, William G.; Wang, C. Jason

    2009-01-01

    Quality indicators are systematically developed statements that can be used to assess the appropriateness of specific healthcare decisions, services and outcomes. In this review, we highlight the range and type of indicators that have been developed for children in the UK and US by prominent governmental agencies and private organizations. We also classify these indicators in an effort to identify areas of child health that may lack quality measurement activity. We review the current state of health information technology in both countries since these systems are vital to quality efforts. Finally, we propose several recommendations to advance the quality indicator development agenda for children. The convergence of quality measurement and indicator development, a growing scientific evidence base and integrated information systems in healthcare may lead to substantial improvements for child health in the 21st century. PMID:19307196

  17. Decision theory applied to image quality control in radiology

    PubMed Central

    Lessa, Patrícia S; Caous, Cristofer A; Arantes, Paula R; Amaro, Edson; de Souza, Fernando M Campello

    2008-01-01

    Background The present work aims at the application of the decision theory to radiological image quality control (QC) in diagnostic routine. The main problem addressed in the framework of decision theory is to accept or reject a film lot of a radiology service. The probability of each decision of a determined set of variables was obtained from the selected films. Methods Based on a radiology service routine a decision probability function was determined for each considered group of combination characteristics. These characteristics were related to the film quality control. These parameters were also framed in a set of 8 possibilities, resulting in 256 possible decision rules. In order to determine a general utility application function to access the decision risk, we have used a simple unique parameter called r. The payoffs chosen were: diagnostic's result (correct/incorrect), cost (high/low), and patient satisfaction (yes/no) resulting in eight possible combinations. Results Depending on the value of r, more or less risk will occur related to the decision-making. The utility function was evaluated in order to determine the probability of a decision. The decision was made with patients or administrators' opinions from a radiology service center. Conclusion The model is a formal quantitative approach to make a decision related to the medical imaging quality, providing an instrument to discriminate what is really necessary to accept or reject a film or a film lot. The method presented herein can help to access the risk level of an incorrect radiological diagnosis decision. PMID:19014545

  18. Decision-Making Theories and Career Assessment: A Psychometric Evaluation of the Decision Making Inventory

    ERIC Educational Resources Information Center

    Hardin, Erin E.; Leong, Frederick T. L.

    2004-01-01

    To address criticisms that the empirical literature on assessment of career decision making has tended to lack a theoretical base, the present study explored the relevance of a general theory of decision making to career decision making by assessing the psychometric properties of the Decision Making Inventory (DMI), designed to measure Johnson's…

  19. Solar Radiation Empirical Quality Assessment

    Energy Science and Technology Software Center (ESTSC)

    1994-03-01

    The SERIQC1 subroutine performs quality assessment of one, two, or three-component solar radiation data (global horizontal, direct normal, and diffuse horizontal) obtained from one-minute to one-hour integrations. Included in the package is the QCFIT tool to derive expected values from historical data, and the SERIQC1 subroutine to assess the quality of measurement data.

  20. WATER QUALITY ASSESSMENT METHODOLOGY (WQAM)

    EPA Science Inventory

    The Water Quality Assessment Methodology (WQAM) is a screening procedure for toxic and conventional pollutants in surface and ground waters and is a collection of formulas, tables, and graphs that planners can use for preliminary assessment of surface and ground water quality in ...

  1. Approximate risk assessment prioritizes remedial decisions

    SciTech Connect

    Bergmann, E.P. )

    1993-08-01

    Approximate risk assessment (ARA) is a management tool that prioritizes cost/benefit options for risk reduction decisions. Management needs a method that quantifies how much control is satisfactory for each level of risk reduction. Two risk matrices develop a scheme that estimates the necessary control a unit should implement with its present probability and severity of consequences/disaster. A second risk assessment matrix attaches a dollar value to each failure possibility at various severities. Now HPI operators can see the cost and benefit for each control step contemplated and justify returns based on removing the likelihood of the disaster.

  2. Service Quality and Customer Satisfaction: An Assessment and Future Directions.

    ERIC Educational Resources Information Center

    Hernon, Peter; Nitecki, Danuta A.; Altman, Ellen

    1999-01-01

    Reviews the literature of library and information science to examine issues related to service quality and customer satisfaction in academic libraries. Discusses assessment, the application of a business model to higher education, a multiple constituency approach, decision areas regarding service quality, resistance to service quality, and future…

  3. The Effect of Conflict on the Quality of Group Decisions.

    ERIC Educational Resources Information Center

    Poncelow, Stacy D.

    A study was conducted to examine the relationship between the amount of conflict in a group decision-making process and the achievement of a quality decision. A task problem given to 33 college students completing a group symposium assignment in a basic public speaking and discussion course called for subjects to choose three possible topics for a…

  4. The Use of Graphs as Decision Aids in Relation to Information Overload and Managerial Decision Quality.

    ERIC Educational Resources Information Center

    Chan, Siu Y.

    2001-01-01

    Discussion of information overload focuses on a study of masters degree students at a Hong Kong university that investigated the effectiveness of graphs as decision aids to reduce adverse effects of information overload on decision quality. Results of a simulation of a business prediction task with a sample of business managers are presented.…

  5. Assessing Air Quality.

    ERIC Educational Resources Information Center

    Bloomfield, Molly

    2000-01-01

    Introduces the Science and Math Investigative Learning Experiences (SMILE) program. Presents an air quality problem as an example of an integrated challenge problem activity developed by the SMILE program. Explains the process of challenge problems and provides a list of the National Science Education Standards addressed by challenge problems.…

  6. Irrigation water quality assessments

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Increasing demands on fresh water supplies by municipal and industrial users means decreased fresh water availability for irrigated agriculture in semi arid and arid regions. There is potential for agricultural use of treated wastewaters and low quality waters for irrigation but this will require co...

  7. Assessing uncertainty in stormwater quality modelling.

    PubMed

    Wijesiri, Buddhi; Egodawatta, Prasanna; McGree, James; Goonetilleke, Ashantha

    2016-10-15

    Designing effective stormwater pollution mitigation strategies is a challenge in urban stormwater management. This is primarily due to the limited reliability of catchment scale stormwater quality modelling tools. As such, assessing the uncertainty associated with the information generated by stormwater quality models is important for informed decision making. Quantitative assessment of build-up and wash-off process uncertainty, which arises from the variability associated with these processes, is a major concern as typical uncertainty assessment approaches do not adequately account for process uncertainty. The research study undertaken found that the variability of build-up and wash-off processes for different particle size ranges leads to processes uncertainty. After variability and resulting process uncertainties are accurately characterised, they can be incorporated into catchment stormwater quality predictions. Accounting of process uncertainty influences the uncertainty limits associated with predicted stormwater quality. The impact of build-up process uncertainty on stormwater quality predictions is greater than that of wash-off process uncertainty. Accordingly, decision making should facilitate the designing of mitigation strategies which specifically addresses variations in load and composition of pollutants accumulated during dry weather periods. Moreover, the study outcomes found that the influence of process uncertainty is different for stormwater quality predictions corresponding to storm events with different intensity, duration and runoff volume generated. These storm events were also found to be significantly different in terms of the Runoff-Catchment Area ratio. As such, the selection of storm events in the context of designing stormwater pollution mitigation strategies needs to take into consideration not only the storm event characteristics, but also the influence of process uncertainty on stormwater quality predictions. PMID:27423532

  8. Affirming the Value of the Resident Assessment Instrument: Minimum Data Set Version 2.0 for Nursing Home Decision-Making and Quality Improvement

    PubMed Central

    Drummond, Lindsay S.; Slaughter, Susan E.; Jones, C. Allyson; Wagg, Adrian S.; Batchelor-Murphy, Melissa

    2015-01-01

    Background: We examined the agreement over time of the physical functioning domains of the Resident Assessment Instrument: Minimum Data Set Version 2.0 (RAI-MDS) and the Functional Independence Measure (FIM) in nursing home residents with dementia. Methods: We completed a secondary analysis of data from a longitudinal quasi-experimental study of residents who could transfer independently or with the assistance of one person. FIM assessments were completed at up to three time points by researchers using interviews. RAI-MDS assessments, completed by nursing home staff, were matched to the FIM assessment by nearest time. FIM and RAI-MDS assessments were correlated based on time between assessments using Pearson’s correlation. Items for activities of daily living (ADL) from the RAI-MDS were rescaled using two previously published crosswalks. Motor and ADL subscales were also used, containing eight and six items, respectively. Results: A total of 362 paired interviews and assessments were collected from 130 residents. The mean scores and standard deviations were as follows: FIM: 19.64 (7.60); William’s RAI-MDS crosswalk: 18.04 (5.25); and Velozo’s RAI-MDS crosswalk: 18.09 (6.50). Using both crosswalks, most items showed medium (r > 0.3) or large (r > 0.5) correlations, even at greater than 41 days between assessments. Subscales showed large correlations for all time intervals for both crosswalks. Conclusions: The RAI-MDS remains stable when data are collected greater than 41 days from the FIM assessment. These findings should add confidence in the RAI-MDS data and its clinical utility.

  9. Institutional Consequences of Quality Assessment

    ERIC Educational Resources Information Center

    Joao Rosa, Maria; Tavares, Diana; Amaral, Alberto

    2006-01-01

    This paper analyses the opinions of Portuguese university rectors and academics on the quality assessment system and its consequences at the institutional level. The results obtained show that university staff (rectors and academics, with more of the former than the latter) held optimistic views of the positive consequences of quality assessment…

  10. Quality assessment of urban environment

    NASA Astrophysics Data System (ADS)

    Ovsiannikova, T. Y.; Nikolaenko, M. N.

    2015-01-01

    This paper is dedicated to the research applicability of quality management problems of construction products. It is offered to expand quality management borders in construction, transferring its principles to urban systems as economic systems of higher level, which qualitative characteristics are substantially defined by quality of construction product. Buildings and structures form spatial-material basis of cities and the most important component of life sphere - urban environment. Authors justify the need for the assessment of urban environment quality as an important factor of social welfare and life quality in urban areas. The authors suggest definition of a term "urban environment". The methodology of quality assessment of urban environment is based on integrated approach which includes the system analysis of all factors and application of both quantitative methods of assessment (calculation of particular and integrated indicators) and qualitative methods (expert estimates and surveys). The authors propose the system of indicators, characterizing quality of the urban environment. This indicators fall into four classes. The authors show the methodology of their definition. The paper presents results of quality assessment of urban environment for several Siberian regions and comparative analysis of these results.

  11. Educational Quality Assessment. 1986 Data.

    ERIC Educational Resources Information Center

    Pennsylvania State Dept. of Education, Harrisburg. Div. of Educational Testing and Evaluation.

    This manual contains the statistics generated from the Pennsylvania Quality Education Assessment (QEA) administered in 1986. The assessment was to evaluate the achievement of certain educational objectives in grades 4, 6, 7, 9, and 11 in the public schools. The tests were in the following areas: reading comprehension, writing skills, mathematics,…

  12. Objective view synthesis quality assessment

    NASA Astrophysics Data System (ADS)

    Conze, Pierre-Henri; Robert, Philippe; Morin, Luce

    2012-03-01

    View synthesis brings geometric distortions which are not handled efficiently by existing image quality assessment metrics. Despite the widespread of 3-D technology and notably 3D television (3DTV) and free-viewpoints television (FTV), the field of view synthesis quality assessment has not yet been widely investigated and new quality metrics are required. In this study, we propose a new full-reference objective quality assessment metric: the View Synthesis Quality Assessment (VSQA) metric. Our method is dedicated to artifacts detection in synthesized view-points and aims to handle areas where disparity estimation may fail: thin objects, object borders, transparency, variations of illumination or color differences between left and right views, periodic objects... The key feature of the proposed method is the use of three visibility maps which characterize complexity in terms of textures, diversity of gradient orientations and presence of high contrast. Moreover, the VSQA metric can be defined as an extension of any existing 2D image quality assessment metric. Experimental tests have shown the effectiveness of the proposed method.

  13. Using NASA EOS to Assess Air Quality and Health Risks Associated with the Virginia Dismal Swamp Fires of 2011 for Improved Decision Making

    NASA Astrophysics Data System (ADS)

    Hebbar, V.

    2012-12-01

    The Great Dismal Swamp has always experienced recurring wildfires that are part of a natural cycle of ecological growth and succession. However, the Lateral West Fire in 2011 was the product of two factors; an ongoing regional drought and a lightning strike. The fire burned from August to late November and was a challenge to extinguish because of the highly organic peat ecosystem. The fire released smoke that was reported over 200 miles north of the origin. The combustion of organic peat content augmented PM2.5, PM10, and carbon monoxide levels enough to exceed federal air quality limits. In order to analyze the effects, MODIS (Moderate-resolution Imaging Spectroradiometer) aboard Aqua and Terra and Aqua's AIRS (Atmospheric Infrared Sounder) were used. The satellites were used to discern aerosol distribution and chemical content of the fire's smoke plumes. In addition, data taken from NASA Langley's High Spectral Resolution LiDAR from flights conducted during the time period in conjunction with CALIPSO's CALIOP (Cloud-Aerosol LiDAR with Orthogonal Polarization) sensor offered vertical cross sections of aerosol tracking and air quality analysis. Finally, Meteorology-based trajectories and concentration plots from NOAA's HYSPLIT (Hybrid Single Particle Lagrangian Integrated Trajectory) model added theoretical smoke plume direction and distribution information to compare with observed data. With the utilization of NASA Earth and airborne observing systems in conjunction with models were able to analyze the spread of smoke, aerosols, and its effects on air quality to provide a method that can be used by concerned agencies in an effort to protect regional environment and public health in the case of future exceptional and wildfire events.; MODIS AOD and CALIPSO 532nm attenuated backscatter along with NOAA HYSPLIT Frequency model on August 22nd, indicating smoke direction and particles in the atmosphere.

  14. Decision making with probabilitic and possibilistic assessments

    SciTech Connect

    Sudkamp, T.

    1996-12-31

    System models are constructed to provide tools for both situation assessment and decision analysis. Two distinct types of information are used in system modeling: external information provided by mechanical sensors or human observation and internal information that describes relationships between components of the system. The former type of information is frequently represented by probability estimates, fuzzy sets, or other techniques for representing uncertain or ambiguous information while the latter type is represented by logical relations, rules, or other variations of predicate calculus. Modeling complex system requires the ability to combine the internal system relationships with the information that describes the current assessment of the status of the system. Updating an assessment incorporates sensor information and propagates it through the relational constraints of the system. Two strategies have been introduced to attempt to integrate probabilistic and possibilistic information: probability-possibility transformations and consistency measures. Consistency measures have been designed to analyze the degree of agreement of possibilistic and probabilistic interpretations of the same data. In this paper we consider the problem of assessing the consistency of probabilistic and possibilistic information obtained from different sources. Criteria for possibilistic-probabilistic consistency measures are developed using inclusion measures for fuzzy sets.

  15. Assessing Adolescent Decision-Making Competence

    ERIC Educational Resources Information Center

    Fischhoff, Baruch

    2008-01-01

    Behavioral decision research offers a general approach to studying cognitive aspects of decision making, as well as a platform for studying their interplay with social and affective processes. Applied to any decision, behavioral decision research involves three interrelated tasks: (a) "normative" analysis, identifying the expected impacts of…

  16. Decision making in a multidisciplinary cancer team: does team discussion result in better quality decisions?

    PubMed

    Kee, Frank; Owen, Tracy; Leathem, Ruth

    2004-01-01

    To establish whether treatment recommendations made by clinicians concur with the best outcomes predicted from their prognostic estimates and whether team discussion improves the quality or outcome of their decision making, the authors studied real-time decision making by a lung cancer team. Clinicians completed pre- and postdiscussion questionnaires for 50 newly diagnosed patients. For each patient/doctor pairing, a decision model determined the expected patient outcomes from the clinician's prognostic estimates. The difference between the expected utility of the recommended treatment and the maximum utility derived from the clinician's predictions of the outcomes (the net utility loss) following all potential treatment modalities was calculated as an indicator of quality of the decision. The proportion of treatment decisions changed by the multidisciplinary team discussion was also calculated. Insofar as the change in net utility loss brought about by multidisciplinary team discussion was not significantly different from zero, team discussion did not improve the quality of decision making overall. However, given the modest power of the study, these findings must be interpreted with caution. In only 23 of 87 instances (26%) in which an individual specialist's initial treatment preference differed from the final group judgment did the specialist finally concur with the group treatment choice after discussion. This study does not support the theory that team discussion improves decision making by closing a knowledge gap. PMID:15534341

  17. Competence and Quality in Real-Life Decision Making

    PubMed Central

    2015-01-01

    What distinguishes a competent decision maker and how should the issue of decision quality be approached in a real-life context? These questions were explored in three studies. In Study 1, using a web-based questionnaire and targeting a community sample, we investigated the relationships between objective and subjective indicators of real-life decision-making success. In Study 2 and 3, targeting two different samples of professionals, we explored if the prevalent cognitively oriented definition of decision-making competence could be beneficially expanded by adding aspects of competence in terms of social skills and time-approach. The predictive power for each of these three aspects of decision-making competence was explored for different indicators of real-life decision-making success. Overall, our results suggest that research on decision-making competence would benefit by expanding the definition of competence, by including decision-related abilities in terms of social skills and time-approach. Finally, the results also indicate that individual differences in real-life decision-making success profitably can be approached and measured by different criteria. PMID:26545239

  18. Key Elements for Judging the Quality of a Risk Assessment

    PubMed Central

    Fenner-Crisp, Penelope A.; Dellarco, Vicki L.

    2016-01-01

    Background: Many reports have been published that contain recommendations for improving the quality, transparency, and usefulness of decision making for risk assessments prepared by agencies of the U.S. federal government. A substantial measure of consensus has emerged regarding the characteristics that high-quality assessments should possess. Objective: The goal was to summarize the key characteristics of a high-quality assessment as identified in the consensus-building process and to integrate them into a guide for use by decision makers, risk assessors, peer reviewers and other interested stakeholders to determine if an assessment meets the criteria for high quality. Discussion: Most of the features cited in the guide are applicable to any type of assessment, whether it encompasses one, two, or all four phases of the risk-assessment paradigm; whether it is qualitative or quantitative; and whether it is screening level or highly sophisticated and complex. Other features are tailored to specific elements of an assessment. Just as agencies at all levels of government are responsible for determining the effectiveness of their programs, so too should they determine the effectiveness of their assessments used in support of their regulatory decisions. Furthermore, if a nongovernmental entity wishes to have its assessments considered in the governmental regulatory decision-making process, then these assessments should be judged in the same rigorous manner and be held to similar standards. Conclusions: The key characteristics of a high-quality assessment can be summarized and integrated into a guide for judging whether an assessment possesses the desired features of high quality, transparency, and usefulness. Citation: Fenner-Crisp PA, Dellarco VL. 2016. Key elements for judging the quality of a risk assessment. Environ Health Perspect 124:1127–1135; http://dx.doi.org/10.1289/ehp.1510483 PMID:26862984

  19. Guidance on Data Quality Assessment for Life Cycle Inventory Data

    EPA Science Inventory

    Data quality within Life Cycle Assessment (LCA) is a significant issue for the future support and development of LCA as a decision support tool and its wider adoption within industry. In response to current data quality standards such as the ISO 14000 series, various entities wit...

  20. Adaptive Peircean decision aid project summary assessments.

    SciTech Connect

    Senglaub, Michael E.

    2007-01-01

    This efforts objective was to identify and hybridize a suite of technologies enabling the development of predictive decision aids for use principally in combat environments but also in any complex information terrain. The technologies required included formal concept analysis for knowledge representation and information operations, Peircean reasoning to support hypothesis generation, Mill's's canons to begin defining information operators that support the first two technologies and co-evolutionary game theory to provide the environment/domain to assess predictions from the reasoning engines. The intended application domain is the IED problem because of its inherent evolutionary nature. While a fully functioning integrated algorithm was not achieved the hybridization and demonstration of the technologies was accomplished and demonstration of utility provided for a number of ancillary queries.

  1. Using the data quality objectives process in risk assessment

    SciTech Connect

    Not Available

    1994-07-01

    The Environmental Protection Agency`s Quality Assurance Management Staff has developed a systematic process, the Data Quality Objectives (DQO) process, as an important tool for assisting project managers and planners in determining the type, quantity, and quality of environmental data sufficient for environmental decision-making. This information brief presents the basic concepts of, and information requirements for using the DQO process to plan the collection of the necessary environmental data, to support the performance of human health risk assessments under the Comprehensive Environmental Response, Compensation and Liability Act or Resource Conservation and Recovery Act. The goal of the DQO process is to identify the type, quality, and quantity of data required to support remedial action decisions which are based on risk assessment and its associated uncertainties. The DQO process consists of a number of discrete steps. These steps include a statement of the problem and the decision to be made, identifying inputs to the decision, developing a decision rule, and optimizing the design for data collection. In defining the data for input into the decision, a Site Conceptual Exposure Model should be developed to identify the existing or potential complete exposure pathways. To determine the data quality for use din the risk assessment, the DQO team must assist the decision-maker to define the acceptable level of uncertainty for making site-specific decisions. To determine the quantity of data needed, the DQO team utilizes the established target cleanup level, previously collected data and variability, and the acceptable errors. The results of the DQO process are qualitative and quantitative statements that define the scope of risk assessment data to be collected to support a defensible site risk management decision.

  2. Quality assessment for hyperspectral imaging

    NASA Astrophysics Data System (ADS)

    Chen, Yuheng; Chen, Xinhua; Zhou, Jiankang; Shen, Weimin

    2014-11-01

    Image quality assessment is an essential value judgement approach for many applications. Multi & hyper spectral imaging has more judging essentials than grey scale or RGB imaging and its image quality assessment job has to cover up all-around evaluating factors. This paper presents an integrating spectral imaging quality assessment project, in which spectral-based, radiometric-based and spatial-based statistical behavior for three hyperspectral imagers are jointly executed. Spectral response function is worked out based on discrete illumination images and its spectral performance is deduced according to its FWHM and spectral excursion value. Radiometric response ability of different spectral channel under both on-ground and airborne imaging condition is judged by SNR computing based upon local RMS extraction and statistics method. Spatial response evaluation of the spectral imaging instrument is worked out by MTF computing with slanted edge analysis method. Reported pioneering systemic work in hyperspectral imaging quality assessment is carried out with the help of several domestic dominating work units, which not only has significance in the development of on-ground and in-orbit instrument performance evaluation technique but also takes on reference value for index demonstration and design optimization for instrument development.

  3. EQA: Educational Quality Assessment. Commentary.

    ERIC Educational Resources Information Center

    Pennsylvania State Dept. of Education, Harrisburg. Div. of Educational Testing and Evaluation.

    In response to a prevailing demand for better quality education in public schools in Pennsylvania, procedures were developed to measure the adequacy and the efficiency of the educational programs in public schools. The objectives currently assessed are in the following areas: communication skills (reading and writing), mathematics, self-esteem,…

  4. Quality assessment tools add value.

    PubMed

    Paul, L

    1996-10-01

    The rapid evolution of the health care marketplace can be expected to continue as we move closer to the 21st Century. Externally-imposed pressures for cost reduction will increasingly be accompanied by pressure within health care organizations as risk-sharing reimbursement arrangements become more commonplace. Competitive advantage will be available to those organizations that can demonstrate objective value as defined by the cost-quality equation. The tools an organization chooses to perform quality assessment will be an important factor in its ability to demonstrate such value. Traditional quality assurance will in all likelihood continue, but the extent to which quality improvement activities are adopted by the culture of an organization may determine its ability to provide objective evidence of better health status outcomes. PMID:10162486

  5. ECOLOGICAL ASSESSMENT OF GENERALIZED LITTORAL ENVIRONMENTS DECISION-SUPPORT SYSTEM (EAGLE/OS)

    EPA Science Inventory

    The outcomes include an assessment of probabilities of high water quality conditions or risks of extreme water quality degradation due to synergistic forcing functions, a decision-support system that integrates available real-time or near-real-time environmental and satelli...

  6. Automated data quality assessment of marine sensors.

    PubMed

    Timms, Greg P; de Souza, Paulo A; Reznik, Leon; Smith, Daniel V

    2011-01-01

    The automated collection of data (e.g., through sensor networks) has led to a massive increase in the quantity of environmental and other data available. The sheer quantity of data and growing need for real-time ingestion of sensor data (e.g., alerts and forecasts from physical models) means that automated Quality Assurance/Quality Control (QA/QC) is necessary to ensure that the data collected is fit for purpose. Current automated QA/QC approaches provide assessments based upon hard classifications of the gathered data; often as a binary decision of good or bad data that fails to quantify our confidence in the data for use in different applications. We propose a novel framework for automated data quality assessments that uses Fuzzy Logic to provide a continuous scale of data quality. This continuous quality scale is then used to compute error bars upon the data, which quantify the data uncertainty and provide a more meaningful measure of the data's fitness for purpose in a particular application compared with hard quality classifications. The design principles of the framework are presented and enable both data statistics and expert knowledge to be incorporated into the uncertainty assessment. We have implemented and tested the framework upon a real time platform of temperature and conductivity sensors that have been deployed to monitor the Derwent Estuary in Hobart, Australia. Results indicate that the error bars generated from the Fuzzy QA/QC implementation are in good agreement with the error bars manually encoded by a domain expert. PMID:22163714

  7. Automated Data Quality Assessment of Marine Sensors

    PubMed Central

    Timms, Greg P.; de Souza, Paulo A.; Reznik, Leon; Smith, Daniel V.

    2011-01-01

    The automated collection of data (e.g., through sensor networks) has led to a massive increase in the quantity of environmental and other data available. The sheer quantity of data and growing need for real-time ingestion of sensor data (e.g., alerts and forecasts from physical models) means that automated Quality Assurance/Quality Control (QA/QC) is necessary to ensure that the data collected is fit for purpose. Current automated QA/QC approaches provide assessments based upon hard classifications of the gathered data; often as a binary decision of good or bad data that fails to quantify our confidence in the data for use in different applications. We propose a novel framework for automated data quality assessments that uses Fuzzy Logic to provide a continuous scale of data quality. This continuous quality scale is then used to compute error bars upon the data, which quantify the data uncertainty and provide a more meaningful measure of the data’s fitness for purpose in a particular application compared with hard quality classifications. The design principles of the framework are presented and enable both data statistics and expert knowledge to be incorporated into the uncertainty assessment. We have implemented and tested the framework upon a real time platform of temperature and conductivity sensors that have been deployed to monitor the Derwent Estuary in Hobart, Australia. Results indicate that the error bars generated from the Fuzzy QA/QC implementation are in good agreement with the error bars manually encoded by a domain expert. PMID:22163714

  8. Twelve tips for increasing the defensibility of assessment decisions.

    PubMed

    Hays, Richard B; Hamlin, Gary; Crane, Linda

    2015-05-01

    In an era of increasing scrutiny of the performance of graduates in the workplace, there can be frustrations when decisions about learners with borderline or poor performance in formal assessments are over-turned in appeal processes. This article addresses the approach to reducing the uncertainty about assessment decisions and surviving appeals. PMID:25109230

  9. Decision Making in Assessment and Early Intervention Planning.

    ERIC Educational Resources Information Center

    Crais, Elizabeth R.; Roberts, Joanne E.

    1991-01-01

    This article presents a series of decision trees to help in planning assessment and intervention with handicapped children between three months and five years of age. A series of assessment questions lead to suggestions for intervention. Steps in using the decision trees are given and a case example presented. (Author/DB)

  10. The integration of ecological risk assessment and structured decision making into watershed management.

    PubMed

    Ohlson, Dan W; Serveiss, Victor B

    2007-01-01

    Watershed management processes continue to call for more science and improved decision making that take into account the full range of stakeholder perspectives. Increasingly, the core principles of ecological risk assessment (i.e., the development and use of assessment endpoints and conceptual models, conducting exposure and effects analysis) are being incorporated and adapted in innovative ways to meet the call for more science. Similarly, innovative approaches to adapting decision analysis tools and methods for incorporating stakeholder concerns in complex natural resource management decisions are being increasingly applied. Here, we present an example of the integration of ecological risk assessment with decision analysis in the development of a watershed management plan for the Greater Vancouver Water District in British Columbia, Canada. Assessment endpoints were developed, ecological inventory data were collected, and watershed models were developed to characterize the existing and future condition of 3 watersheds in terms of the potential risks to water quality. Stressors to water quality include sedimentation processes (landslides, streambank erosion) and forest disturbance (wildfire, major insect or disease outbreak). Three landscape-level risk management alternatives were developed to reflect different degrees of management intervention. Each alternative was evaluated under different scenarios and analyzed by explicitly examining value-based trade-offs among water quality, environmental, financial, and social endpoints. The objective of this paper is to demonstrate how the integration of ecological risk assessment and decision analysis approaches can support decision makers in watershed management. PMID:17283600

  11. External quality assessment: best practice.

    PubMed

    James, David; Ames, Darren; Lopez, Berenice; Still, Rachel; Simpson, Wiliam; Twomey, Patrick

    2014-08-01

    There is a requirement for accredited laboratories to participate in external quality assessment (EQA) schemes, but there is wide variation in understanding as to what is required by the laboratories and scheme providers in fulfilling this. This is not helped by a diversity of language used in connection with EQA; Proficiency testing (PT), EQA schemes, and EQA programmes, each of which have different meanings and offerings in the context of improving laboratory quality. We examine these differences, and identify what factors are important in supporting quality within a clinical laboratory and what should influence the choice of EQA programme. Equally as important is how EQA samples are handled within the laboratory, and how the information provided by the EQA programme is used. EQA programmes are a key element of a laboratory's quality assurance framework, but laboratories should have an understanding of what their EQA programmes are capable of demonstrating, how they should be used within the laboratory, and how they support quality. EQA providers should be clear as to what type of programme they provide - PT, EQA Scheme or EQA Programme. PMID:24621574

  12. Orion Entry Handling Qualities Assessments

    NASA Technical Reports Server (NTRS)

    Bihari, B.; Tiggers, M.; Strahan, A.; Gonzalez, R.; Sullivan, K.; Stephens, J. P.; Hart, J.; Law, H., III; Bilimoria, K.; Bailey, R.

    2011-01-01

    The Orion Command Module (CM) is a capsule designed to bring crew back from the International Space Station (ISS), the moon and beyond. The atmospheric entry portion of the flight is deigned to be flown in autopilot mode for nominal situations. However, there exists the possibility for the crew to take over manual control in off-nominal situations. In these instances, the spacecraft must meet specific handling qualities criteria. To address these criteria two separate assessments of the Orion CM s entry Handling Qualities (HQ) were conducted at NASA s Johnson Space Center (JSC) using the Cooper-Harper scale (Cooper & Harper, 1969). These assessments were conducted in the summers of 2008 and 2010 using the Advanced NASA Technology Architecture for Exploration Studies (ANTARES) six degree of freedom, high fidelity Guidance, Navigation, and Control (GN&C) simulation. This paper will address the specifics of the handling qualities criteria, the vehicle configuration, the scenarios flown, the simulation background and setup, crew interfaces and displays, piloting techniques, ratings and crew comments, pre- and post-fight briefings, lessons learned and changes made to improve the overall system performance. The data collection tools, methods, data reduction and output reports will also be discussed. The objective of the 2008 entry HQ assessment was to evaluate the handling qualities of the CM during a lunar skip return. A lunar skip entry case was selected because it was considered the most demanding of all bank control scenarios. Even though skip entry is not planned to be flown manually, it was hypothesized that if a pilot could fly the harder skip entry case, then they could also fly a simpler loads managed or ballistic (constant bank rate command) entry scenario. In addition, with the evaluation set-up of multiple tasks within the entry case, handling qualities ratings collected in the evaluation could be used to assess other scenarios such as the constant bank angle

  13. Clinical decision support systems: data quality management and governance.

    PubMed

    Liaw, Siaw-Teng

    2013-01-01

    This chapter examines data quality management (DQM) and information governance (IG) of electronic decision support (EDS) systems so that they are safe and fit for use by clinicians and patients and their carers. This is consistent with the ISO definition of data quality as being fit for purpose. The scope of DQM & IG should range from data creation and collection in clinical settings, through cleaning and, where obtained from multiple sources, linkage, storage, use by the EDS logic engine and algorithms, knowledge base and guidance provided, to curation and presentation. It must also include protocols and mechanisms to monitor the safety of EDS, which will feedback into DQM & IG activities. Ultimately, DQM & IG must be integrated across the data cycle to ensure that the EDS systems provide guidance that leads to safe and effective clinical decisions and care. PMID:24018528

  14. Decision-support tools for the assessment process

    SciTech Connect

    Whelan, Gene; Pelton, Mitch A.; Dorow, Kevin E.

    2004-06-14

    A new software system is under development that provides a framework to link disparate assessment software and databases for site-specific, regional, or national analyses. This system represents the merger of the Framework for Risk Analysis in Multimedia Environmental Systems (FRAMES), which performs site-specific assessments, and Multi-media, Multi-pathway, Multi-receptor Risk Assessment (3MRA) methodology, which performs regional and national assessments. This Merged System is an icon-driven, site-layout platform, which represents an interactive means by which the user graphically constructs a conceptualization of the problem by visually expressing the assessment, indicating sources of contamination, contaminant travel pathways through the environment, linkages between contamination and people or wildlife, and impacts associated with the contamination. It processes data as part of a systems-based assessment and is an open-architecture, object-oriented framework, which contains ''sockets'' for a collection of databases and computer codes that will transparently simulate elements of transport, exposure, and risk assessment, including contaminant source and release to and through overland soils, vadose and saturated zones, air, surface water, food supply, intake human health impacts, sensitivity/uncertainty, ecological impacts, with the ability to expand into areas including Geographical Information System (GIS), remediation technology, cost analysis, Data Quality Objectives, life-cycle management, and conceptual site design. A user can choose from a list of models, and the assessment path forward can be visually presented, which describes the models and their linkages from source through receptor to the decision-making endpoint.

  15. Fovea based image quality assessment

    NASA Astrophysics Data System (ADS)

    Guo, Anan; Zhao, Debin; Liu, Shaohui; Cao, Guangyao

    2010-07-01

    Humans are the ultimate receivers of the visual information contained in an image, so the reasonable method of image quality assessment (IQA) should follow the properties of the human visual system (HVS). In recent years, IQA methods based on HVS-models are slowly replacing classical schemes, such as mean squared error (MSE) and Peak Signal-to-Noise Ratio (PSNR). IQA-structural similarity (SSIM) regarded as one of the most popular HVS-based methods of full reference IQA has apparent improvements in performance compared with traditional metrics in nature, however, it performs not very well when the images' structure is destroyed seriously or masked by noise. In this paper, a new efficient fovea based structure similarity image quality assessment (FSSIM) is proposed. It enlarges the distortions in the concerned positions adaptively and changes the importances of the three components in SSIM. FSSIM predicts the quality of an image through three steps. First, it computes the luminance, contrast and structure comparison terms; second, it computes the saliency map by extracting the fovea information from the reference image with the features of HVS; third, it pools the above three terms according to the processed saliency map. Finally, a commonly experimental database LIVE IQA is used for evaluating the performance of the FSSIM. Experimental results indicate that the consistency and relevance between FSSIM and mean opinion score (MOS) are both better than SSIM and PSNR clearly.

  16. Merging Air Quality and Public Health Decision Support Systems

    NASA Astrophysics Data System (ADS)

    Hudspeth, W. B.; Bales, C. L.

    2003-12-01

    The New Mexico Air Quality Mapper (NMAQM) is a Web-based, open source GIS prototype application that Earth Data Analysis Center is developing under a NASA Cooperative Agreement. NMAQM enhances and extends existing data and imagery delivery systems with an existing Public Health system called the Rapid Syndrome Validation Project (RSVP). RSVP is a decision support system operating in several medical and public health arenas. It is evolving to ingest remote sensing data as input to provide early warning of human health threats, especially those related to anthropogenic atmospheric pollutants and airborne pathogens. The NMAQM project applies measurements of these atmospheric pollutants, derived from both remotely sensed data as well as from in-situ air quality networks, to both forecasting and retrospective analyses that influence human respiratory health. NMAQM provides a user-friendly interface for visualizing and interpreting environmentally-linked epidemiological phenomena. The results, and the systems made to provide the information, will be applicable not only to decision-makers in the public health realm, but also to air quality organizations, demographers, community planners, and other professionals in information technology, and social and engineering sciences. As an accessible and interactive mapping and analysis application, it allows environment and health personnel to study historic data for hypothesis generation and trend analysis, and then, potentially, to predict air quality conditions from daily data acquisitions. Additional spin off benefits to such users include the identification of gaps in the distribution of in-situ monitoring stations, the dissemination of air quality data to the public, and the discrimination of local vs. more regional sources of air pollutants that may bear on decisions relating to public health and public policy.

  17. Determinants of judgment and decision making quality: the interplay between information processing style and situational factors

    PubMed Central

    Ayal, Shahar; Rusou, Zohar; Zakay, Dan; Hochman, Guy

    2015-01-01

    A framework is presented to better characterize the role of individual differences in information processing style and their interplay with contextual factors in determining decision making quality. In Experiment 1, we show that individual differences in information processing style are flexible and can be modified by situational factors. Specifically, a situational manipulation that induced an analytical mode of thought improved decision quality. In Experiment 2, we show that this improvement in decision quality is highly contingent on the compatibility between the dominant thinking mode and the nature of the task. That is, encouraging an intuitive mode of thought led to better performance on an intuitive task but hampered performance on an analytical task. The reverse pattern was obtained when an analytical mode of thought was encouraged. We discuss the implications of these results for the assessment of decision making competence, and suggest practical directions to help individuals better adjust their information processing style to the situation at hand and make optimal decisions. PMID:26284011

  18. Development of instruments to measure the quality of breast cancer treatment decisions

    PubMed Central

    Lee, Clara N.; Dominik, Rosalie; Levin, Carrie A.; Barry, Michael J.; Cosenza, Carol; O’Connor, Annette M.; Mulley, Albert G.; Sepucha, Karen R.

    2010-01-01

    Background Women with early stage breast cancer face a multitude of decisions. The quality of a decision can be measured by the extent to which the treatment reflects what’s most important to an informed patient. Reliable and valid measures of patients’ knowledge and their goals and concerns related to breast cancer treatments are needed to assess decision quality. Objective To identify a set of key facts and goals relevant to each of three breast cancer treatment decisions (surgery, reconstruction, and adjuvant chemotherapy and hormone therapy) and to evaluate the validity of the methods used to identify them. Methods Candidate facts and goals were chosen based on evidence review and qualitative studies with breast cancer patients and providers. Cross-sectional surveys of patients and providers were conducted for each decision. The accuracy, importance, and completeness of the items were examined. Results 38 facts (11–14 per decision) and 27 goals (8–10 per decision) were identified. An average of 17 patients and 21 providers responded to each survey. The sets of facts were accurate and complete for all three decisions. The sets of goals and concerns were important for surgery and reconstruction, but not chemotherapy/hormone therapy. Patients and providers disagreed about the relative importance of several key facts and goals. Conclusion Overall, breast cancer patients and providers found the sets of facts and goals accurate, important, and complete for three treatment decisions. Because patients’ and providers’ perspectives are different, it is vital that instrument development should include items reflecting both views. PMID:20550591

  19. Data Quality Assessment for Maritime Situation Awareness

    NASA Astrophysics Data System (ADS)

    Iphar, C.; Napoli, A.; Ray, C.

    2015-08-01

    The Automatic Identification System (AIS) initially designed to ensure maritime security through continuous position reports has been progressively used for many extended objectives. In particular it supports a global monitoring of the maritime domain for various purposes like safety and security but also traffic management, logistics or protection of strategic areas, etc. In this monitoring, data errors, misuse, irregular behaviours at sea, malfeasance mechanisms and bad navigation practices have inevitably emerged either by inattentiveness or voluntary actions in order to circumvent, alter or exploit such a system in the interests of offenders. This paper introduces the AIS system and presents vulnerabilities and data quality assessment for decision making in maritime situational awareness cases. The principles of a novel methodological approach for modelling, analysing and detecting these data errors and falsification are introduced.

  20. The xeroderma pigmentosum pathway: decision tree analysis of DNA quality.

    PubMed

    Naegeli, Hanspeter; Sugasawa, Kaoru

    2011-07-15

    The nucleotide excision repair (NER) system is a fundamental cellular stress response that uses only a handful of DNA binding factors, mutated in the cancer-prone syndrome xeroderma pigmentosum (XP), to detect an astounding diversity of bulky base lesions, including those induced by ultraviolet light, electrophilic chemicals, oxygen radicals and further genetic insults. Several of these XP proteins are characterized by a mediocre preference for damaged substrates over the native double helix but, intriguingly, none of them recognizes injured bases with sufficient selectivity to account for the very high precision of bulky lesion excision. Instead, substrate versatility as well as damage specificity and strand selectivity are achieved by a multistage quality control strategy whereby different subunits of the XP pathway, in succession, interrogate the DNA double helix for a distinct abnormality in its structural or dynamic parameters. Through this step-by-step filtering procedure, the XP proteins operate like a systematic decision making tool, generally known as decision tree analysis, to sort out rare damaged bases embedded in a vast excess of native DNA. The present review is focused on the mechanisms by which multiple XP subunits of the NER pathway contribute to the proposed decision tree analysis of DNA quality in eukaryotic cells. PMID:21684221

  1. An Assessment of Reading Compliance Decisions among Undergraduate Students

    ERIC Educational Resources Information Center

    Sharma, Amit; Van Hoof, Bert; Pursel, Barton

    2013-01-01

    Research suggests that reading compliance among undergraduate students is low. This study assesses the factors that influence students' decisions to comply with their assigned course readings using two theoretical underpinnings: students' self-rationing ability of time and construal effects on their decision process. Data collected…

  2. Integrated Modelling Frameworks for Environmental Assessment and Decision Support

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Modern management of environmental resources defines problems from a holistic and integrated perspective, imposing strong requirements to Environmental Decision Support Systems (EDSSs) and Integrated Assessment Tools (IATs), which tend to be increasingly complex in terms of software architecture and...

  3. Linking Assessment to Decision Making in Water Resources Planning - Decision Making Frameworks and Case Study Evaluations

    NASA Astrophysics Data System (ADS)

    Broman, D.; Gangopadhyay, S.; Simes, J.

    2015-12-01

    Climate assessments have become an accepted and commonly used component of long term water management and planning. There is substantial variation in the methods used in these assessments; however, managers and decision-makers have come to value their utility to identify future system limitations, and to evaluate future alternatives to ensure satisfactory system performance. A new set of decision-making frameworks have been proposed, including robust decision making (RDM), and decision scaling, that directly address the deep uncertainties found in both future climate, and non-climatic factors. Promising results have been obtained using these new frameworks, offering a more comprehensive understanding of future conditions leading to failures, and identification of measures to address these failures. Data and resource constraints have limited the use of these frameworks within the Bureau of Reclamation. We present here a modified framework that captures the strengths of previously proposed methods while using a suite of analysis tool that allow for a 'rapid climate assessment' to be performed. A scalable approach has been taken where more complex tools can be used if project resources allow. This 'rapid assessment' is demonstrated through two case studies on the Santa Ana and Colorado Rivers where previous climate assessments have been completed. Planning-level measures are used to compare how decision making is affected when using this new decision making framework.

  4. Carbon Nanotube Material Quality Assessment

    NASA Technical Reports Server (NTRS)

    Yowell, Leonard; Arepalli, Sivaram; Sosa, Edward; Niolaev, Pavel; Gorelik, Olga

    2006-01-01

    The nanomaterial activities at NASA Johnson Space Center focus on carbon nanotube production, characterization and their applications for aerospace systems. Single wall carbon nanotubes are produced by arc and laser methods. Characterization of the nanotube material is performed using the NASA JSC protocol developed by combining analytical techniques of SEM, TEM, UV-VIS-NIR absorption, Raman, and TGA. A possible addition of other techniques such as XPS, and ICP to the existing protocol will be discussed. Changes in the quality of the material collected in different regions of the arc and laser production chambers is assessed using the original JSC protocol. The observed variations indicate different growth conditions in different regions of the production chambers.

  5. Addendum to Air Quality: Decision Support Tools, Partner Plans, Working Groups, Committees

    NASA Technical Reports Server (NTRS)

    Holekamp, Kara; Frisbie, Troy; Estep, Lee

    2005-01-01

    In the original report dated February 11, 2005, the utility of NASA Earth science data in the air quality activities of other agencies and organizations was assessed by reviewing strategic and mission plans and by conducting personal interviews with agency experts to identify and investigate agencies with the potential for partnership with NASA. The overarching agency strategic plans were reviewed and commonalities such as the desire for partnerships and technology development were noted. This addendum to the original report contains such information about the Tennessee Valley Authority and will be inserted as Section 2.6 of "Air Quality: Decision Support Tools, Partner Plans, Working Groups, Committees."

  6. Addendum to Air Quality: Decision Support Tools, Partner Plans, Working Groups, Committees

    NASA Technical Reports Server (NTRS)

    Holekamp, Kara; Frisbie, Troy; Estep, Lee

    2005-01-01

    In the original report dated February 11, 2005, the utility of the NASA Earth science data in the air quality activities of other agencies and organizations was assessed by reviewing strategic and mission plans and by conducting personal interviews with agency experts to identify and investigate agencies with the potential for partnership with NASA. The overarching agency strategic plans were reviewed and commonalities such as the desire for partnerships and technology development were noted. The addendum to the original report contains such information about the Tennessee Valley Authority and will be inserted in Section 2.6 of "Air Quality Decision Support Tools, Partner Plans, Working Groups, Committees".

  7. Implementing a Quality Needs Assessment

    ERIC Educational Resources Information Center

    Cuiccio, Cary

    2012-01-01

    Districts nationwide are facing budget cuts that, to some, feel more like funding cliffs. Accordingly, school teams are re-examining their personnel, programs, and schedules so that they can make difficult decisions about where to spend resources to realize the greatest improvement. The principals who are able to make decisions with data from…

  8. Performance Assessment for Environmental Decision Making

    SciTech Connect

    Anderson, D.R.; Fewell, M.E.; Gomez, L.S.; Marietta, M.G.; Swift, P.N.; Trauth, K.M.; Vaughn, P.; MacKinnon, R.J.

    1997-12-01

    The Waste Isolation Pilot Plant (WIPP) Performance Assessment Departments at Sandia National Laboratories have, over the last twenty (20) years, developed unique, internationally-recognized performance and risk assessment methods to assess options for the safe disposal and remediation of radioactive and non-radioactive hazardous waste/contamination in geohydrologic systems. While these methods were originally developed for the disposal of nuclear waste, ongoing improvements and extensions make them equally applicable to a variety of environmental problems such as those associated with the remediation of EPA designated Superfund sites and the more generic Brownfield sites (industrial sites whose future use is restricted because of real or perceived contamination).

  9. Towards Quality Assessment in an EFL Programme

    ERIC Educational Resources Information Center

    Ali, Holi Ibrahim Holi; Al Ajmi, Ahmed Ali Saleh

    2013-01-01

    Assessment is central in education and the teaching-learning process. This study attempts to explore the perspectives and views about quality assessment among teachers of English as a Foreign Language (EFL), and to find ways of promoting quality assessment. Quantitative methodology was used to collect data. To answer the study questions, a…

  10. Risk assessment as a framework for decisions.

    SciTech Connect

    Rechard, Robert Paul; McKenna, Sean Andrew; Borns, David James

    2010-12-01

    The risk assessment approach has been applied to support numerous radioactive waste management activities over the last 30 years. A risk assessment methodology provides a solid and readily adaptable framework for evaluating the risks of CO2 sequestration in geologic formations to prioritize research, data collection, and monitoring schemes. This paper reviews the tasks of a risk assessment, and provides a few examples related to each task. This paper then describes an application of sensitivity analysis to identify important parameters to reduce the uncertainty in the performance of a geologic repository for radioactive waste repository, which because of importance of the geologic barrier, is similar to CO2 sequestration. The paper ends with a simple stochastic analysis of idealized CO2 sequestration site with a leaking abandoned well and a set of monitoring wells in an aquifer above the CO2 sequestration unit in order to evaluate the efficacy of monitoring wells to detect adverse leakage.

  11. Healthcare quality maturity assessment model based on quality drivers.

    PubMed

    Ramadan, Nadia; Arafeh, Mazen

    2016-04-18

    Purpose - Healthcare providers differ in their readiness and maturity levels regarding quality and quality management systems applications. The purpose of this paper is to serve as a useful quantitative quality maturity-level assessment tool for healthcare organizations. Design/methodology/approach - The model proposes five quality maturity levels (chaotic, primitive, structured, mature and proficient) based on six quality drivers: top management, people, operations, culture, quality focus and accreditation. Findings - Healthcare managers can apply the model to identify the status quo, quality shortcomings and evaluating ongoing progress. Practical implications - The model has been incorporated in an interactive Excel worksheet that visually displays the quality maturity-level risk meter. The tool has been applied successfully to local hospitals. Originality/value - The proposed six quality driver scales appear to measure healthcare provider maturity levels on a single quality meter. PMID:27120510

  12. Assessment and Quality Social Studies

    ERIC Educational Resources Information Center

    Savage, Tom V.

    2003-01-01

    Those anonymous individuals who develop high-stakes tests by which educational quality is measured exercise great influence in defining educational quality. In this article, the author examines the impact of high-stakes testing on the welfare of the children and the quality of social studies instruction. He presents the benefits and drawbacks of…

  13. Assessment of Unconscious Decision Aids Applied to Complex Patient-Centered Medical Decisions

    PubMed Central

    Manigault, Andrew Wilhelm; Whillock, Summer Rain

    2015-01-01

    reporting judgments. Cognitive load was manipulated by having participants memorize semi-random (high), line structured (low), or no dot patterns and recall these intermittently with their decision reports. Overall then, participants were randomly assigned to the conditions of a 3 (thought condition) by 3 (cognitive-load level) between-subjects design. Results A logistic regression analysis indicated that the odds of participants choosing the best treatment were 2.25 times higher in the unconscious-thought condition compared to the immediate-decision condition (b=.81, Wald=4.32, P=.04, 95% CI 1.048-4.836), and 2.39 times greater compared to the conscious-thought condition (b=.87, Wald=4.87, P=.027, 95% CI 1.103-5.186). No difference was observed between the conscious-thought condition compared to the immediate-decision condition, and cognitive load manipulations did not affect choices or alter the above finding. Conclusions This research demonstrates a plausible benefit of unconscious thinking as a decision aid for complex medical decisions, and represents the first use of unconscious thought processes as a patient-centered medical decision aid. Further, the quality of decisions reached unconsciously does not appear to be affected by the amount of cognitive load participants experienced. PMID:25677337

  14. School-Based Management: An Approach to Decision-Making Quality in Egyptian General Secondary Schools

    ERIC Educational Resources Information Center

    Elmelegy, Reda Ibrahim

    2015-01-01

    The current research aims at clarifying how school-based management (SBM) can contribute to achieve the decision-making quality in Egyptian general secondary schools and determine the requirements of quality decision-making. It depends on the descriptive method in order to acknowledge the basics of the SBM and its relationship with the quality of…

  15. Assessing Quality in Home Visiting Programs

    ERIC Educational Resources Information Center

    Korfmacher, Jon; Laszewski, Audrey; Sparr, Mariel; Hammel, Jennifer

    2013-01-01

    Defining quality and designing a quality assessment measure for home visitation programs is a complex and multifaceted undertaking. This article summarizes the process used to create the Home Visitation Program Quality Rating Tool (HVPQRT) and identifies next steps for its development. The HVPQRT measures both structural and dynamic features of…

  16. Environmental Decision Making and Information Technology: Issues Assessment

    SciTech Connect

    Barg, S.; Fletcher, T.; Mechling, J.; Tonn, B.; Turner, R.

    1999-05-01

    This report presents a summary of the Information Technology and Environmental Decision Making Workshop that was held at Harvard University, October 1-3, 1998. Over sixty participants from across the US took part in discussions that focused on the current practice of using information technology to support environmental decision making and on future considerations of information technology development, information policies, and data quality issues in this area. Current practice is focusing on geographic information systems and visualization tools, Internet applications, and data warehousing. In addition, numerous organizations are developing environmental enterprise systems to integrate environmental information resources. Plaguing these efforts are issues of data quality (and public trust), system design, and organizational change. In the future, much effort needs to focus on building community-based environmental decision-making systems and processes, which will be a challenge given that exactly what needs to be developed is largely unknown and that environmental decision making in this arena has been characterized by a high level of conflict. Experimentation and evaluation are needed to contribute to efficient and effective learning about how best to use information technology to improve environmental decision making.

  17. SERI QC Solar Data Quality Assessment Software

    SciTech Connect

    1994-12-31

    SERI QC is a mathematical software package that assesses the quality of solar radiation data. The SERI QC software is a function written in the C programming language. IT IS NOT A STANDALONE SOFTWARE APPLICATION. The user must write the calling application that requires quality assessment of solar data. The C function returns data quality flags to the calling program. A companion program, QCFIT, is a standalone Windows application that provides support files for the SERI QC function (data quality boundaries). The QCFIT software can also be used as an analytical tool for visualizing solar data quality independent of the SERI QC function.

  18. SERI QC Solar Data Quality Assessment Software

    Energy Science and Technology Software Center (ESTSC)

    1994-12-31

    SERI QC is a mathematical software package that assesses the quality of solar radiation data. The SERI QC software is a function written in the C programming language. IT IS NOT A STANDALONE SOFTWARE APPLICATION. The user must write the calling application that requires quality assessment of solar data. The C function returns data quality flags to the calling program. A companion program, QCFIT, is a standalone Windows application that provides support files for themore » SERI QC function (data quality boundaries). The QCFIT software can also be used as an analytical tool for visualizing solar data quality independent of the SERI QC function.« less

  19. Assessing and communicating data quality in policy-relevant research

    NASA Astrophysics Data System (ADS)

    Costanza, Robert; Funtowicz, Silvio O.; Ravetz, Jerome R.

    1992-01-01

    The quality of scientific information in policy-relevant fields of research is difficult to assess, and quality control in these important areas is correspondingly difficult to maintain. Frequently there are insufficient high-quality measurements for the presentation of the statistical uncertainty in the numerical estimates that are crucial to policy decisions. We propose and develop a grading system for numerical estimates that can deal with the full range of data quality—from statistically valid estimates to informed guesses. By analyzing the underlying quality of numerical estimates, summarized as spread and grade, we are able to provide simple rules whereby input data can be coded for quality, and these codings carried through arithmetical calculations for assessing the quality of model results. For this we use the NUSAP (numeral, unit, spread, assessment, pedigree) notational system. It allows the more quantitative and the more qualitative aspects of data uncertainty to be managed separately. By way of example, we apply the system to an ecosystem valuation study that used several different models and data of widely varying quality to arrive at a single estimate of the economic value of wetlands. The NUSAP approach illustrates the major sources of uncertainty in this study and can guide new research aimed at the improvement of the quality of outputs and the efficiency of the procedures.

  20. Developing a quality criteria framework for patient decision aids: online international Delphi consensus process

    PubMed Central

    Elwyn, Glyn; O'Connor, Annette; Stacey, Dawn; Volk, Robert; Edwards, Adrian; Coulter, Angela; Thomson, Richard; Barratt, Alexandra; Barry, Michael; Bernstein, Steven; Butow, Phyllis; Clarke, Aileen; Entwistle, Vikki; Feldman-Stewart, Deb; Holmes-Rovner, Margaret; Llewellyn-Thomas, Hilary; Moumjid, Nora; Mulley, Al; Ruland, Cornelia; Sepucha, Karen; Sykes, Alan; Whelan, Tim

    2006-01-01

    Objective To develop a set of quality criteria for patient decision support technologies (decision aids). Design and setting Two stage web based Delphi process using online rating process to enable international collaboration. Participants Individuals from four stakeholder groups (researchers, practitioners, patients, policy makers) representing 14 countries reviewed evidence summaries and rated the importance of 80 criteria in 12 quality domains ona1to9 scale. Second round participants received feedback from the first round and repeated their assessment of the 80 criteria plus three new ones. Main outcome measure Aggregate ratings for each criterion calculated using medians weighted to compensate for different numbers in stakeholder groups; criteria rated between 7 and 9 were retained. Results 212 nominated people were invited to participate. Of those invited, 122 participated in the first round (77 researchers, 21 patients, 10 practitioners, 14 policy makers); 104/122 (85%) participated in the second round. 74 of 83 criteria were retained in the following domains: systematic development process (9/9 criteria); providing information about options (13/13); presenting probabilities (11/13); clarifying and expressing values (3/3); using patient stories (2/5); guiding/coaching (3/5); disclosing conflicts of interest (5/5); providing internet access (6/6); balanced presentation of options (3/3); using plain language (4/6); basing information on up to date evidence (7/7); and establishing effectiveness (8/8). Conclusions Criteria were given the highest ratings where evidence existed, and these were retained. Gaps in research were highlighted. Developers, users, and purchasers of patient decision aids now have a checklist for appraising quality. An instrument for measuring quality of decision aids is being developed. PMID:16908462

  1. Needs Assessment for the Use of NASA Remote Sensing Data for Regulatory Water Quality

    NASA Technical Reports Server (NTRS)

    Spiering, Bruce; Underwood, Lauren

    2010-01-01

    This slide presentation reviews the assessment of the needs that NASA can use for the remote sensing of water quality. The goal of this project is to provide information for decision-making activities (water quality standards) using remotely sensed/satellite based water quality data from MODIS and Landsat data.

  2. Use of Probabilistic Risk Assessment in Shuttle Decision Making Process

    NASA Technical Reports Server (NTRS)

    Boyer, Roger L.; Hamlin, Teri, L.

    2011-01-01

    This slide presentation reviews the use of Probabilistic Risk Assessment (PRA) to assist in the decision making for the shuttle design and operation. Probabilistic Risk Assessment (PRA) is a comprehensive, structured, and disciplined approach to identifying and analyzing risk in complex systems and/or processes that seeks answers to three basic questions: (i.e., what can go wrong? what is the likelihood of these occurring? and what are the consequences that could result if these occur?) The purpose of the Shuttle PRA (SPRA) is to provide a useful risk management tool for the Space Shuttle Program (SSP) to identify strengths and possible weaknesses in the Shuttle design and operation. SPRA was initially developed to support upgrade decisions, but has evolved into a tool that supports Flight Readiness Reviews (FRR) and near real-time flight decisions. Examples of the use of PRA for the shuttle are reviewed.

  3. Science and Decisions: Advancing Risk Assessment (NAS Final Report)

    EPA Science Inventory

    In August 2009, the Committee on Improving Risk Analysis Approaches Used by the U.S. EPA, National Research Council released a final report, requested and sponsored by the EPA, entitled Science and Decisions: Advancing Risk Assessment 2009.

  4. 36 CFR 220.7 - Environmental assessment and decision notice.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AGRICULTURE NATIONAL ENVIRONMENTAL POLICY ACT (NEPA) COMPLIANCE § 220.7 Environmental assessment and decision... incorporated by reference in accord with 40 CFR 1502.21. (iv) The proposed action and one or more alternatives to the proposed action may include adaptive management. An adaptive management proposal...

  5. Qualitatively Assessing Family Influence in Career Decision Making

    ERIC Educational Resources Information Center

    Chope, Robert C.

    2005-01-01

    Assessing influential factors in the family relative to career decision making is consistent with evolving postmodern approaches to career counseling. However, the challenge of measuring family influence is technically demanding considering the ongoing revolutionary changes in the structure of the family. Moreover, while measuring the impact of…

  6. Rendered virtual view image objective quality assessment

    NASA Astrophysics Data System (ADS)

    Lu, Gang; Li, Xiangchun; Zhang, Yi; Peng, Kai

    2013-08-01

    The research on rendered virtual view image (RVVI) objective quality assessment is important for integrated imaging system and image quality assessment (IQA). Traditional IQA algorithms cannot be applied directly on the system receiver-side due to interview displacement and the absence of original reference. This study proposed a block-based neighbor reference (NbR) IQA framework for RVVI IQA. Neighbor views used for rendering are employed for quality assessment in the proposed framework. A symphonious factor handling noise and interview displacement is defined and applied to evaluate the contribution of the obtained quality index in each block pair. A three-stage experiment scheme is also presented to testify the proposed framework and evaluate its homogeneity performance when comparing to full reference IQA. Experimental results show the proposed framework is useful in RVVI objective quality assessment at system receiver-side and benchmarking different rendering algorithms.

  7. Clinical Decision Support System to Enhance Quality Control of Spirometry Using Information and Communication Technologies

    PubMed Central

    2014-01-01

    Background We recently demonstrated that quality of spirometry in primary care could markedly improve with remote offline support from specialized professionals. It is hypothesized that implementation of automatic online assessment of quality of spirometry using information and communication technologies may significantly enhance the potential for extensive deployment of a high quality spirometry program in integrated care settings. Objective The objective of the study was to elaborate and validate a Clinical Decision Support System (CDSS) for automatic online quality assessment of spirometry. Methods The CDSS was done through a three step process including: (1) identification of optimal sampling frequency; (2) iterations to build-up an initial version using the 24 standard spirometry curves recommended by the American Thoracic Society; and (3) iterations to refine the CDSS using 270 curves from 90 patients. In each of these steps the results were checked against one expert. Finally, 778 spirometry curves from 291 patients were analyzed for validation purposes. Results The CDSS generated appropriate online classification and certification in 685/778 (88.1%) of spirometry testing, with 96% sensitivity and 95% specificity. Conclusions Consequently, only 93/778 (11.9%) of spirometry testing required offline remote classification by an expert, indicating a potential positive role of the CDSS in the deployment of a high quality spirometry program in an integrated care setting. PMID:25600957

  8. Using measurement uncertainty in decision-making and conformity assessment

    NASA Astrophysics Data System (ADS)

    Pendrill, L. R.

    2014-08-01

    Measurements often provide an objective basis for making decisions, perhaps when assessing whether a product conforms to requirements or whether one set of measurements differs significantly from another. There is increasing appreciation of the need to account for the role of measurement uncertainty when making decisions, so that a ‘fit-for-purpose’ level of measurement effort can be set prior to performing a given task. Better mutual understanding between the metrologist and those ordering such tasks about the significance and limitations of the measurements when making decisions of conformance will be especially useful. Decisions of conformity are, however, currently made in many important application areas, such as when addressing the grand challenges (energy, health, etc), without a clear and harmonized basis for sharing the risks that arise from measurement uncertainty between the consumer, supplier and third parties. In reviewing, in this paper, the state of the art of the use of uncertainty evaluation in conformity assessment and decision-making, two aspects in particular—the handling of qualitative observations and of impact—are considered key to bringing more order to the present diverse rules of thumb of more or less arbitrary limits on measurement uncertainty and percentage risk in the field. (i) Decisions of conformity can be made on a more or less quantitative basis—referred in statistical acceptance sampling as by ‘variable’ or by ‘attribute’ (i.e. go/no-go decisions)—depending on the resources available or indeed whether a full quantitative judgment is needed or not. There is, therefore, an intimate relation between decision-making, relating objects to each other in terms of comparative or merely qualitative concepts, and nominal and ordinal properties. (ii) Adding measures of impact, such as the costs of incorrect decisions, can give more objective and more readily appreciated bases for decisions for all parties concerned. Such

  9. Situation assessment in the Paladin tactical decision generation system

    NASA Technical Reports Server (NTRS)

    Mcmanus, John W.; Chappell, Alan R.; Arbuckle, P. Douglas

    1992-01-01

    Paladin is a real-time tactical decision generator for air combat engagements. Paladin uses specialized knowledge-based systems and other Artificial Intelligence (AI) programming techniques to address the modern air combat environment and agile aircraft in a clear and concise manner. Paladin is designed to provide insight into both the tactical benefits and the costs of enhanced agility. The system was developed using the Lisp programming language on a specialized AI workstation. Paladin utilizes a set of air combat rules, an active throttle controller, and a situation assessment module that have been implemented as a set of highly specialized knowledge-based systems. The situation assessment module was developed to determine the tactical mode of operation (aggressive, defensive, neutral, evasive, or disengagement) used by Paladin at each decision point in the air combat engagement. Paladin uses the situation assessment module; the situationally dependent modes of operation to more accurately represent the complex decision-making process of human pilots. This allows Paladin to adapt its tactics to the current situation and improves system performance. Discussed here are the details of Paladin's situation assessment and modes of operation. The results of simulation testing showing the error introduced into the situation assessment module due to estimation errors in positional and geometric data for the opponent aircraft are presented. Implementation issues for real-time performance are discussed and several solutions are presented, including Paladin's use of an inference engine designed for real-time execution.

  10. Human Variome Project Quality Assessment Criteria for Variation Databases.

    PubMed

    Vihinen, Mauno; Hancock, John M; Maglott, Donna R; Landrum, Melissa J; Schaafsma, Gerard C P; Taschner, Peter

    2016-06-01

    Numerous databases containing information about DNA, RNA, and protein variations are available. Gene-specific variant databases (locus-specific variation databases, LSDBs) are typically curated and maintained for single genes or groups of genes for a certain disease(s). These databases are widely considered as the most reliable information source for a particular gene/protein/disease, but it should also be made clear they may have widely varying contents, infrastructure, and quality. Quality is very important to evaluate because these databases may affect health decision-making, research, and clinical practice. The Human Variome Project (HVP) established a Working Group for Variant Database Quality Assessment. The basic principle was to develop a simple system that nevertheless provides a good overview of the quality of a database. The HVP quality evaluation criteria that resulted are divided into four main components: data quality, technical quality, accessibility, and timeliness. This report elaborates on the developed quality criteria and how implementation of the quality scheme can be achieved. Examples are provided for the current status of the quality items in two different databases, BTKbase, an LSDB, and ClinVar, a central archive of submissions about variants and their clinical significance. PMID:26919176

  11. Using ecosystem services to inform decisions on U.S. air quality standards.

    PubMed

    Rea, Anne W; Davis, Christine; Evans, David A; Heninger, Brian T; Van Houtven, George

    2012-06-19

    The ecosystem services (ES) framework provides a link between changes in a natural system's structure and function and public welfare. This systematic integration of ecology and economics allows for more consistency and transparency in environmental decision making by enabling valuation of nature's goods and services in a manner that is understood by the public. This policy analysis (1) assesses the utility of the ES conceptual framework in the context of setting a secondary National Ambient Air Quality Standard (NAAQS), (2) describes how economic valuation was used to summarize changes in ES affected by NOx and SOx in the review, and (3) uses the secondary NOxSOx NAAQS review as a case study to highlight the advantages and challenges of quantifying air pollutant effects on ES in a decision making context. Using an ES framework can benefit the decision making process by accounting for environmental, ecological, and social elements in a holistic manner. As formal quantitative linkages are developed between ecosystem structure and function and ES, this framework will increasingly allow for a clearer, more transparent link between changes in air quality and public welfare. PMID:22594541

  12. CASE STUDIES IN THE APPLICATION OF AIR QUALITY MODELING IN ENVIRONMENTAL DECISION MAKING: SUMMARY AND RECOMMENDATIONS

    EPA Science Inventory

    Eleven case studies of the application of air quality models were undertaken in order to examine the problems encountered when trying to use these models in making environmental policy decisions. The case studies of air pollution control decisions describe the decision process, t...

  13. Continuous assessment of perceptual image quality

    NASA Astrophysics Data System (ADS)

    Hamberg, Roelof; de Ridder, Huib

    1995-12-01

    The study addresses whether subjects are able to assess the perceived quality of an image sequence continuously. To this end, a new method for assessing time-varying perceptual image quality is presented by which subjects continuously indicate the perceived strength of image quality by moving a slider along a graphical scale. The slider's position on this scale is sampled every second. In this way, temporal variations in quality can be monitored quantitatively, and a means is provided by which differences between, for example, alternative transmission systems can be analyzed in an informative way. The usability of this method is illustrated by an experiment in which, for a period of 815 s, subjects assessed the quality of still pictures comprising time-varying degrees of sharpness. Copyright (c) 1995 Optical Society of America

  14. A Decision Support System for Drinking Water Production Integrating Health Risks Assessment

    PubMed Central

    Delpla, Ianis; Monteith, Donald T.; Freeman, Chris; Haftka, Joris; Hermens, Joop; Jones, Timothy G.; Baurès, Estelle; Jung, Aude-Valérie; Thomas, Olivier

    2014-01-01

    The issue of drinking water quality compliance in small and medium scale water services is of paramount importance in relation to the 98/83/CE European Drinking Water Directive (DWD). Additionally, concerns are being expressed over the implementation of the DWD with respect to possible impacts on water quality from forecast changes in European climate with global warming and further anticipated reductions in north European acid emissions. Consequently, we have developed a decision support system (DSS) named ARTEM-WQ (AwaReness Tool for the Evaluation and Mitigation of drinking Water Quality issues resulting from environmental changes) to support decision making by small and medium plant operators and other water stakeholders. ARTEM-WQ is based on a sequential risk analysis approach that includes consideration of catchment characteristics, climatic conditions and treatment operations. It provides a holistic evaluation of the water system, while also assessing human health risks of organic contaminants potentially present in treated waters (steroids, pharmaceuticals, pesticides, bisphenol-a, polychlorobiphenyls, polycyclic aromatic hydrocarbons, petrochemical hydrocarbons and disinfection by-products; n = 109). Moreover, the system provides recommendations for improvement while supporting decision making in its widest context. The tool has been tested on various European catchments and shows a promising potential to inform water managers of risks and appropriate mitigative actions. Further improvements should include toxicological knowledge advancement, environmental background pollutant concentrations and the assessment of the impact of distribution systems on water quality variation. PMID:25046634

  15. A decision support system for drinking water production integrating health risks assessment.

    PubMed

    Delpla, Ianis; Monteith, Donald T; Freeman, Chris; Haftka, Joris; Hermens, Joop; Jones, Timothy G; Baurès, Estelle; Jung, Aude-Valérie; Thomas, Olivier

    2014-07-01

    The issue of drinking water quality compliance in small and medium scale water services is of paramount importance in relation to the 98/83/CE European Drinking Water Directive (DWD). Additionally, concerns are being expressed over the implementation of the DWD with respect to possible impacts on water quality from forecast changes in European climate with global warming and further anticipated reductions in north European acid emissions. Consequently, we have developed a decision support system (DSS) named ARTEM-WQ (AwaReness Tool for the Evaluation and Mitigation of drinking Water Quality issues resulting from environmental changes) to support decision making by small and medium plant operators and other water stakeholders. ARTEM-WQ is based on a sequential risk analysis approach that includes consideration of catchment characteristics, climatic conditions and treatment operations. It provides a holistic evaluation of the water system, while also assessing human health risks of organic contaminants potentially present in treated waters (steroids, pharmaceuticals, pesticides, bisphenol-a, polychlorobiphenyls, polycyclic aromatic hydrocarbons, petrochemical hydrocarbons and disinfection by-products; n = 109). Moreover, the system provides recommendations for improvement while supporting decision making in its widest context. The tool has been tested on various European catchments and shows a promising potential to inform water managers of risks and appropriate mitigative actions. Further improvements should include toxicological knowledge advancement, environmental background pollutant concentrations and the assessment of the impact of distribution systems on water quality variation. PMID:25046634

  16. Assessing quality across healthcare subsystems in Mexico.

    PubMed

    Puig, Andrea; Pagán, José A; Wong, Rebeca

    2009-01-01

    Recent healthcare reform efforts in Mexico have focused on the need to improve the efficiency and equity of a fragmented healthcare system. In light of these reform initiatives, there is a need to assess whether healthcare subsystems are effective at providing high-quality healthcare to all Mexicans. Nationally representative household survey data from the 2006 Encuesta Nacional de Salud y Nutrición (National Health and Nutrition Survey) were used to assess perceived healthcare quality across different subsystems. Using a sample of 7234 survey respondents, we found evidence of substantial heterogeneity in healthcare quality assessments across healthcare subsystems favoring private providers over social security institutions. These differences across subsystems remained even after adjusting for socioeconomic, demographic, and health factors. Our analysis suggests that improvements in efficiency and equity can be achieved by assessing the factors that contribute to heterogeneity in quality across subsystems. PMID:19305224

  17. Flaws in the Decision-Making Process: Assessment and Acceptance in the Decision to Launch Flight 51-L.

    ERIC Educational Resources Information Center

    Renz, Mary Ann; Greg, John

    1988-01-01

    Argues that it was the failure of the decision-making process, rather than the mode of risk assessment, which led to the decision to launch the Space Shuttle Challenger. Identifies the phrasing of the decision question and a shift in the burden of proof as specific problems of the process. (MS)

  18. Health-related quality of life assessment in clinical practice.

    PubMed

    Meers, C; Singer, M A

    1996-01-01

    Assessment of biochemical responses to therapy is routine in the management of patients with end stage renal disease (ESRD). Assessment of health-related quality of life (HRQOL), however, is less common. Previous research indicates that HRQOL is a meaningful indicator that should be integrated into clinical practice. HRQOL is longitudinally evaluated in in-centre hemodialysis patients using the RAND 36-item Health Survey 1.0. Caregivers incorporate scores from this instrument into their assessment of patient functioning and well-being. HRQOL scores can be utilized to evaluate responses to changes in therapy, and to direct clinical decision-making, adding an important dimension to holistic, quality care for ESRD patients. PMID:8900807

  19. Quality Assessment in the Blog Space

    ERIC Educational Resources Information Center

    Schaal, Markus; Fidan, Guven; Muller, Roland M.; Dagli, Orhan

    2010-01-01

    Purpose: The purpose of this paper is the presentation of a new method for blog quality assessment. The method uses the temporal sequence of link creation events between blogs as an implicit source for the collective tacit knowledge of blog authors about blog quality. Design/methodology/approach: The blog data are processed by the novel method for…

  20. National water-quality assessment: Future directions of the U.S. Geological Survey

    USGS Publications Warehouse

    Cohen, Philip; Alley, William M.; Wilber, William G.

    1988-01-01

    Throughout U.S. history, the Nation has made major investments in assessing natural resources, such as soils, minerals, and hydrocarbons. The maintenance and the improvement of water quality has been one of the major areas of public investment and government regulation. One of the contributions the U.S. Geological Survey proposes to make is to provide a strong, high quality National Water-Quality Assessment Program to underpin and unify the Nation's water-quality activities. Such an assessment program will satisfy a decisive share of the attainable, national scale, water quality information objectives.

  1. Prior Degree and Student Assessment Performance: How Can Evidence Guide Decisions on Assessment Policy?

    ERIC Educational Resources Information Center

    Craig, Pippa; Gordon, Jill; Clarke, Rufus; Oldmeadow, Wendy

    2009-01-01

    This study aimed to provide evidence to guide decisions on the type and timing of assessments in a graduate medical programme, by identifying whether students from particular degree backgrounds face greater difficulty in satisfying the current assessment requirements. We examined the performance rank of students in three types of assessments and…

  2. Probabilistic Risk Assessment for Decision Making During Spacecraft Operations

    NASA Technical Reports Server (NTRS)

    Meshkat, Leila

    2009-01-01

    Decisions made during the operational phase of a space mission often have significant and immediate consequences. Without the explicit consideration of the risks involved and their representation in a solid model, it is very likely that these risks are not considered systematically in trade studies. Wrong decisions during the operational phase of a space mission can lead to immediate system failure whereas correct decisions can help recover the system even from faulty conditions. A problem of special interest is the determination of the system fault protection strategies upon the occurrence of faults within the system. Decisions regarding the fault protection strategy also heavily rely on a correct understanding of the state of the system and an integrated risk model that represents the various possible scenarios and their respective likelihoods. Probabilistic Risk Assessment (PRA) modeling is applicable to the full lifecycle of a space mission project, from concept development to preliminary design, detailed design, development and operations. The benefits and utilities of the model, however, depend on the phase of the mission for which it is used. This is because of the difference in the key strategic decisions that support each mission phase. The focus of this paper is on describing the particular methods used for PRA modeling during the operational phase of a spacecraft by gleaning insight from recently conducted case studies on two operational Mars orbiters. During operations, the key decisions relate to the commands sent to the spacecraft for any kind of diagnostics, anomaly resolution, trajectory changes, or planning. Often, faults and failures occur in the parts of the spacecraft but are contained or mitigated before they can cause serious damage. The failure behavior of the system during operations provides valuable data for updating and adjusting the related PRA models that are built primarily based on historical failure data. The PRA models, in turn

  3. Comparing and using assessments of the value of information to clinical decision-making.

    PubMed Central

    Urquhart, C J; Hepworth, J B

    1996-01-01

    This paper discusses the Value project, which assessed the value to clinical decision-making of information supplied by National Health Service (NHS) library and information services. The project not only showed how health libraries in the United Kingdom help clinicians in decision-making but also provided quality assurance guidelines for these libraries to help make their information services more effective. The paper reviews methods and results used in previous studies of the value of health libraries, noting that methodological differences appear to affect the results. The paper also discusses aspects of user involvement, categories of clinical decision-making, the value of information to present and future clinical decisions, and the combination of quantitative and qualitative assessments of value, as applied to the Value project and the studies reviewed. The Value project also demonstrated that the value placed on information depends in part on the career stage of the physician. The paper outlines the structure of the quality assurance tool kit, which is based on the findings and methods used in the Value project. PMID:8913550

  4. National Water-Quality Assessment Program - Source Water-Quality Assessments

    USGS Publications Warehouse

    Delzer, Gregory C.; Hamilton, Pixie A.

    2007-01-01

    In 2002, the National Water-Quality Assessment (NAWQA) Program of the U.S. Geological Survey (USGS) implemented Source Water-Quality Assessments (SWQAs) to characterize the quality of selected rivers and aquifers used as a source of supply to community water systems in the United States. These assessments are intended to complement drinking-water monitoring required by Federal, State, and local programs, which focus primarily on post-treatment compliance monitoring.

  5. Computational study of developing high-quality decision trees

    NASA Astrophysics Data System (ADS)

    Fu, Zhiwei

    2002-03-01

    Recently, decision tree algorithms have been widely used in dealing with data mining problems to find out valuable rules and patterns. However, scalability, accuracy and efficiency are significant concerns regarding how to effectively deal with large and complex data sets in the implementation. In this paper, we propose an innovative machine learning approach (we call our approach GAIT), combining genetic algorithm, statistical sampling, and decision tree, to develop intelligent decision trees that can alleviate some of these problems. We design our computational experiments and run GAIT on three different data sets (namely Socio- Olympic data, Westinghouse data, and FAA data) to test its performance against standard decision tree algorithm, neural network classifier, and statistical discriminant technique, respectively. The computational results show that our approach outperforms standard decision tree algorithm profoundly at lower sampling levels, and achieves significantly better results with less effort than both neural network and discriminant classifiers.

  6. ANSS Backbone Station Quality Assessment

    NASA Astrophysics Data System (ADS)

    Leeds, A.; McNamara, D.; Benz, H.; Gee, L.

    2006-12-01

    In this study we assess the ambient noise levels of the broadband seismic stations within the United States Geological Survey's (USGS) Advanced National Seismic System (ANSS) backbone network. The backbone consists of stations operated by the USGS as well as several regional network stations operated by universities. We also assess the improved detection capability of the network due to the installation of 13 additional backbone stations and the upgrade of 26 existing stations funded by the Earthscope initiative. This assessment makes use of probability density functions (PDF) of power spectral densities (PSD) (after McNamara and Buland, 2004) computed by a continuous noise monitoring system developed by the USGS- ANSS and the Incorporated Research Institutions in Seismology (IRIS) Data Management Center (DMC). We compute the median and mode of the PDF distribution and rank the stations relative to the Peterson Low noise model (LNM) (Peterson, 1993) for 11 different period bands. The power of the method lies in the fact that there is no need to screen the data for system transients, earthquakes or general data artifacts since they map into a background probability level. Previous studies have shown that most regional stations, instrumented with short period or extended short period instruments, have a higher noise level in all period bands while stations in the US network have lower noise levels at short periods (0.0625-8.0 seconds), high frequencies (8.0- 0.125Hz). The overall network is evaluated with respect to accomplishing the design goals set for the USArray/ANSS backbone project which were intended to increase broadband performance for the national monitoring network.

  7. Water quality assessment in Ecuador

    SciTech Connect

    Chudy, J.P.; Arniella, E.; Gil, E.

    1993-02-01

    The El Tor cholera pandemic arrived in Ecuador in March 1991, and through the course of the year caused 46,320 cases, of which 692 resulted in death. Most of the cases were confined to cities along Ecuador's coast. The Water and Sanitation for Health Project (WASH), which was asked to participate in the review of this request, suggested that a more comprehensive approach should be taken to cholera control and prevention. The approach was accepted, and a multidisciplinary team consisting of a sanitary engineer, a hygiene education specialist, and an institutional specialist was scheduled to carry out the assessment in late 1992 following the national elections.

  8. Exploring the quality of evidence for complex and contested policy decisions

    NASA Astrophysics Data System (ADS)

    van der Sluijs, Jeroen P.; Petersen, Arthur C.; Janssen, Peter H. M.; Risbey, James S.; Ravetz, Jerome R.

    2008-04-01

    Policy decisions on complex environmental risks often involve contested science. Typically there are no 'facts' that entail a unique correct policy. The evidence that is embodied in scientific policy advice requires quality assessment. Advice should be relevant to the policy issue, scientifically tenable and robust under societal scrutiny. In 2003, the Netherlands Environmental Assessment Agency adopted a standardized method, referred to as 'guidance', whereby key quality aspects of knowledge production and use are exhibited through a checklist for uncertainty assessment and communication. Although the guidance is not fully used within all projects yet, it is increasingly used, attitudes towards dealing with uncertainty in performing and reporting environmental assessments have changed, and communication on uncertainty in the agency's reports has improved over the past five years. In this letter, we present results from the application of the guidance to controversies on the risks of ambient particulate matter. The active deliberation on uncertainty in the policy advisory setting brings about a joint learning process for advisors and policy makers, which leads to a deeper understanding and increased awareness of the phenomenon of uncertainty and its policy implications.

  9. Development of a GIS-based decision support system for urban air quality management in the city of Istanbul

    NASA Astrophysics Data System (ADS)

    Elbir, Tolga; Mangir, Nizamettin; Kara, Melik; Simsir, Sedef; Eren, Tuba; Ozdemir, Seda

    2010-02-01

    A decision support system has been developed for urban air quality management in the metropolitan area of Istanbul. The system is based on CALMET/CALPUFF dispersion modeling system, digital maps, and related databases to estimate the emissions and spatial distribution of air pollutants with the help of a GIS software. The system estimates ambient air pollution levels at high temporal and spatial resolutions and enables mapping of emissions and air quality levels. Mapping and scenario results can be compared with air quality limits. Impact assessment of air pollution abatement measures can also be carried out.

  10. [Radiological assessment of bone quality].

    PubMed

    Ito, Masako

    2016-01-01

    Structural property of bone includes micro- or nano-structural property of the trabecular and cortical bone, and macroscopic geometry. Radiological technique is useful to analyze the bone structural property;micro-CT or synchrotron-CT is available to analyze micro- or nano-structural property of bone samples ex vivo, and multi-detector row CT(MDCT)or high-resolution peripheral QCT(HR-pQCT)is available to analyze human bone in vivo. For the analysis of hip geometry, CT-based hip structure analysis(HSA)is available aw sell se radiography and DXA-based HSA. These structural parameters are related to biomechanical property, and these assessment tools provide information of pathological changes or the effects of anti-osteoporotic agents on bone. PMID:26728530

  11. Portable Imagery Quality Assessment Test Field for Uav Sensors

    NASA Astrophysics Data System (ADS)

    Dąbrowski, R.; Jenerowicz, A.

    2015-08-01

    Nowadays the imagery data acquired from UAV sensors are the main source of all data used in various remote sensing applications, photogrammetry projects and in imagery intelligence (IMINT) as well as in other tasks as decision support. Therefore quality assessment of such imagery is an important task. The research team from Military University of Technology, Faculty of Civil Engineering and Geodesy, Geodesy Institute, Department of Remote Sensing and Photogrammetry has designed and prepared special test field- The Portable Imagery Quality Assessment Test Field (PIQuAT) that provides quality assessment in field conditions of images obtained with sensors mounted on UAVs. The PIQuAT consists of 6 individual segments, when combined allow for determine radiometric, spectral and spatial resolution of images acquired from UAVs. All segments of the PIQuAT can be used together in various configurations or independently. All elements of The Portable Imagery Quality Assessment Test Field were tested in laboratory conditions in terms of their radiometry and spectral reflectance characteristics.

  12. Automatic no-reference image quality assessment.

    PubMed

    Li, Hongjun; Hu, Wei; Xu, Zi-Neng

    2016-01-01

    No-reference image quality assessment aims to predict the visual quality of distorted images without examining the original image as a reference. Most no-reference image quality metrics which have been already proposed are designed for one or a set of predefined specific distortion types and are unlikely to generalize for evaluating images degraded with other types of distortion. There is a strong need of no-reference image quality assessment methods which are applicable to various distortions. In this paper, the authors proposed a no-reference image quality assessment method based on a natural image statistic model in the wavelet transform domain. A generalized Gaussian density model is employed to summarize the marginal distribution of wavelet coefficients of the test images, so that correlative parameters are needed for the evaluation of image quality. The proposed algorithm is tested on three large-scale benchmark databases. Experimental results demonstrate that the proposed algorithm is easy to implement and computational efficient. Furthermore, our method can be applied to many well-known types of image distortions, and achieves a good quality of prediction performance. PMID:27468398

  13. Review of Multi-Criteria Decision Aid for Integrated Sustainability Assessment of Urban Water Systems - MCEARD

    EPA Science Inventory

    Integrated sustainability assessment is part of a new paradigm for urban water decision making. Multi-criteria decision aid (MCDA) is an integrative framework used in urban water sustainability assessment, which has a particular focus on utilising stakeholder participation. Here ...

  14. Assessing product image quality for online shopping

    NASA Astrophysics Data System (ADS)

    Goswami, Anjan; Chung, Sung H.; Chittar, Naren; Islam, Atiq

    2012-01-01

    Assessing product-image quality is important in the context of online shopping. A high quality image that conveys more information about a product can boost the buyer's confidence and can get more attention. However, the notion of image quality for product-images is not the same as that in other domains. The perception of quality of product-images depends not only on various photographic quality features but also on various high level features such as clarity of the foreground or goodness of the background etc. In this paper, we define a notion of product-image quality based on various such features. We conduct a crowd-sourced experiment to collect user judgments on thousands of eBay's images. We formulate a multi-class classification problem for modeling image quality by classifying images into good, fair and poor quality based on the guided perceptual notions from the judges. We also conduct experiments with regression using average crowd-sourced human judgments as target. We compute a pseudo-regression score with expected average of predicted classes and also compute a score from the regression technique. We design many experiments with various sampling and voting schemes with crowd-sourced data and construct various experimental image quality models. Most of our models have reasonable accuracies (greater or equal to 70%) on test data set. We observe that our computed image quality score has a high (0.66) rank correlation with average votes from the crowd sourced human judgments.

  15. Development and preliminary user testing of the DCIDA (Dynamic computer interactive decision application) for ‘nudging’ patients towards high quality decisions

    PubMed Central

    2014-01-01

    Background Patient decision aids (PtDA) are developed to facilitate informed, value-based decisions about health. Research suggests that even when informed with necessary evidence and information, cognitive errors can prevent patients from choosing the option that is most congruent with their own values. We sought to utilize principles of behavioural economics to develop a computer application that presents information from conventional decision aids in a way that reduces these errors, subsequently promoting higher quality decisions. Method The Dynamic Computer Interactive Decision Application (DCIDA) was developed to target four common errors that can impede quality decision making with PtDAs: unstable values, order effects, overweighting of rare events, and information overload. Healthy volunteers were recruited to an interview to use three PtDAs converted to the DCIDA on a computer equipped with an eye tracker. Participants were first used a conventional PtDA, and then subsequently used the DCIDA version. User testing was assessed based on whether respondents found the software both usable: evaluated using a) eye-tracking, b) the system usability scale, and c) user verbal responses from a ‘think aloud’ protocol; and useful: evaluated using a) eye-tracking, b) whether preferences for options were changed, and c) and the decisional conflict scale. Results Of the 20 participants recruited to the study, 11 were male (55%), the mean age was 35, 18 had at least a high school education (90%), and 8 (40%) had a college or university degree. Eye-tracking results, alongside a mean system usability scale score of 73 (range 68–85), indicated a reasonable degree of usability for the DCIDA. The think aloud study suggested areas for further improvement. The DCIDA also appeared to be useful to participants wherein subjects focused more on the features of the decision that were most important to them (21% increase in time spent focusing on the most important feature

  16. Phase congruency assesses hyperspectral image quality

    NASA Astrophysics Data System (ADS)

    Shao, Xiaopeng; Zhong, Cheng

    2012-10-01

    Blind image quality assessment (QA) is a tough task especially for hyperspectral imagery which is degraded by noise, distortion, defocus, and other complex factors. Subjective hyperspectral imagery QA methods are basically measured the degradation of image from human perceptual visual quality. As the most important image quality measurement features, noise and blur, determined the image quality greatly, are employed to predict the objective hyperspectral imagery quality of each band. We demonstrate a novel no-reference hyperspectral imagery QA model based on phase congruency (PC), which is a dimensionless quantity and provides an absolute measure of the significance of feature point. First, Log Gabor wavelet is used to calculate the phase congruency of frequencies of each band image. The relationship between noise and PC can be derived from above transformation under the assumption that noise is additive. Second, PC focus measure evaluation model is proposed to evaluate blur caused by different amounts of defocus. The ratio and mean factors of edge blur level and noise is defined to assess the quality of each band image. This image QA method obtains excellent correlation with subjective image quality score without any reference. Finally, the PC information is utilized to improve the quality of some bands images.

  17. Does need matter? Needs assessments and decision-making among major humanitarian health agencies.

    PubMed

    Gerdin, Martin; Chataigner, Patrice; Tax, Leonie; Kubai, Anne; von Schreeb, Johan

    2014-07-01

    Disasters of physical origin, including earthquakes, floods, landslides, tidal waves, tropical storms, tsunamis, and volcanic eruptions, have affected millions of people globally over the past 100 years. Proportionately, there is far greater likelihood of being affected by such disasters in low-income countries than in high-income countries. Furthermore, low-income countries are in need of international assistance following disasters more often than high-income countries. The funding of international humanitarian assistance has increased from USD 12.9 billion in 2006 to an estimated USD 16.7 billion in 2010. The majority of this funding is channelled through humanitarian agencies and is supposed to be distributed based on the need of those affected, as assessed using needs assessments. Such needs assessments may be used to inform decisions internally, to influence others, to justify response decisions, and to obtain funding. Little is known about the quality of needs assessments in practical applications. Consequently, this paper reports on and analyses the views of operational decision-makers in major health-related humanitarian agencies on needs assessments. PMID:24905705

  18. How to assess the quality of your analytical method?

    PubMed

    Topic, Elizabeta; Nikolac, Nora; Panteghini, Mauro; Theodorsson, Elvar; Salvagno, Gian Luca; Miler, Marijana; Simundic, Ana-Maria; Infusino, Ilenia; Nordin, Gunnar; Westgard, Sten

    2015-10-01

    Laboratory medicine is amongst the fastest growing fields in medicine, crucial in diagnosis, support of prevention and in the monitoring of disease for individual patients and for the evaluation of treatment for populations of patients. Therefore, high quality and safety in laboratory testing has a prominent role in high-quality healthcare. Applied knowledge and competencies of professionals in laboratory medicine increases the clinical value of laboratory results by decreasing laboratory errors, increasing appropriate utilization of tests, and increasing cost effectiveness. This collective paper provides insights into how to validate the laboratory assays and assess the quality of methods. It is a synopsis of the lectures at the 15th European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Continuing Postgraduate Course in Clinical Chemistry and Laboratory Medicine entitled "How to assess the quality of your method?" (Zagreb, Croatia, 24-25 October 2015). The leading topics to be discussed include who, what and when to do in validation/verification of methods, verification of imprecision and bias, verification of reference intervals, verification of qualitative test procedures, verification of blood collection systems, comparability of results among methods and analytical systems, limit of detection, limit of quantification and limit of decision, how to assess the measurement uncertainty, the optimal use of Internal Quality Control and External Quality Assessment data, Six Sigma metrics, performance specifications, as well as biological variation. This article, which continues the annual tradition of collective papers from the EFLM continuing postgraduate courses in clinical chemistry and laboratory medicine, aims to provide further contributions by discussing the quality of laboratory methods and measurements and, at the same time, to offer continuing professional development to the attendees. PMID:26408611

  19. Automatic quality assessment of planetary images

    NASA Astrophysics Data System (ADS)

    Sidiropoulos, P.; Muller, J.-P.

    2015-10-01

    A significant fraction of planetary images are corrupted beyond the point that much scientific meaning can be extracted. For example, transmission errors result in missing data which is unrecoverable. The available planetary image datasets include many such "bad data", which both occupy valuable scientific storage resources and create false impressions about planetary image availability for specific planetary objects or target areas. In this work, we demonstrate a pipeline that we have developed to automatically assess the quality of planetary images. Additionally, this method discriminates between different types of image degradation, such as low-quality originating from camera flaws or low-quality triggered by atmospheric conditions, etc. Examples of quality assessment results for Viking Orbiter imagery will be also presented.

  20. Needs assessment for diagnostic decision support systems (DDSS).

    PubMed Central

    Berner, E. S.; Shugerman, A. A.

    1991-01-01

    Diagnostic decision support systems are often developed without a clear idea of how well the system will meet the needs of its users. The present study was designed to assess the information needs of clinicians. A set of questions submitted to an information service by family physicians was used to determine how much need there was for diagnostic decision support, the types of support needed, and the general content areas of their questions. Results showed that less than half of the questions were related to diagnosis and that most of those were requests for general information about a given condition. In addition, the fewest diagnosis questions were for conditions that were seen frequently in ambulatory care in a survey of family practitioners. PMID:1807674

  1. Regulatory review: How do agencies ensure the quality of decision making?

    PubMed

    Liberti, L; McAuslane, N; Patel, P; Breckenridge, A; Eichler, H G; Peterson, R

    2013-09-01

    The Centre for Innovation in Regulatory Science (CIRS) Workshop on Regulatory Review brought together international regulators and multinational pharmaceutical company representatives to focus on best practices that underlie regulatory decision making, thereby facilitating the transparent, timely, procedurally predictable, and good-quality evaluation of new medicines. Participants investigated frameworks used by agencies, discussed challenges for regulatory agencies in making quality decisions, investigated the role of other stakeholders, and made recommendations of activities and processes that agencies and companies can consider to enable quality decision making. PMID:23963218

  2. [Internal Quality Control and External Quality Assessment on POCT].

    PubMed

    Kuwa, Katsuhiko

    2015-02-01

    The quality management (QM) of POCT summarizes its internal quality control (IQC) and external quality assessment (EQA). For QM requirements in POCT, ISO 22870-Point-of-care testing (POCT) -Requirements for quality and competence and ISO 15189-Medical laboratories-Requirements for quality and competence, it is performed under the guidance of the QM committee. The role of the POC coordinator and/or medical technologist of the clinical laboratory is important. On measurement performance of POCT devices, it is necessary to confirm data on measurement performance from the manufacturer other than those in the inserted document. In the IQC program, the checking and control of measurement performance are the targets. On measurements of QC samples by the manufacturer, it is essential to check the function of devices. In addition, regarding the EQA program, in 2 neighboring facilities, there is an effect to confirm the current status of measurement and commutability assessment in these laboratories using whole blood along with residual blood samples from daily examinations in the clinical laboratory. PMID:26529974

  3. Decision Maker Perception of Information Quality: A Case Study of Military Command and Control

    ERIC Educational Resources Information Center

    Morgan, Grayson B.

    2013-01-01

    Decision maker perception of information quality cues from an "information system" (IS) and the process which creates such meta cueing, or data about cues, is a critical yet un-modeled component of "situation awareness" (SA). Examples of common information quality meta cueing for quality criteria include custom ring-tones for…

  4. Decision-making in structure solution using Bayesian estimates of map quality: the PHENIX autosol wizard

    SciTech Connect

    Terwilliger, Thomas C; Adams, Paul D; Read, Randy J; Mccoy, Airlie J

    2008-01-01

    Ten measures of experimental electron-density-map quality are examined and the skewness of electron density is found to be the best indicator of actual map quality. A Bayesian approach to estimating map quality is developed and used in the PHENIX AutoSol wizard to make decisions during automated structure solution.

  5. [Health Impact Assessment: opportunity for participative decision-making or persuasive tool for decisions already taken?].

    PubMed

    Sturloni, Giancarlo

    2016-01-01

    The Health Impact Assessment (HIA) has already been tested in dozens of nations, including Italy, and the reflection is now mature enough to allow a first evaluation of its effective capacity to offer an inclusive tool for prevention. The analysis focuses in particular on the HIA ability to address, through a participatory approach, one of its founding values: the democratic nature of decisions with an impact on public health. In most cases, the experiments carried out so far seem to be disappointing: the participation is often absent or performed in a rhetorical form. Sometimes the HIA has even been used in an instrumental way to justify decisions already taken, with the only result to further erode the credibility of experts and institutions. In this work, however, the author will try to show how, on the contrary, a greater involvement in the evaluation and decision-making processes could improve the effectiveness of HIA in terms of prevention, while at the same time promoting a relationship of trust between experts, institutions, and citizens on which to establish an ecologically and socially sustainable development. PMID:27290891

  6. End-to-end image quality assessment

    NASA Astrophysics Data System (ADS)

    Raventos, Joaquin

    2012-05-01

    An innovative computerized benchmarking approach (US Patent pending Sep 2011) based on extensive application of photometry, geometrical optics, and digital media using a randomized target, for a standard observer to assess the image quality of video imaging systems, at different day time, and low-light luminance levels. It takes into account, the target's contrast and color characteristics, as well as the observer's visual acuity and dynamic response. This includes human vision as part of the "extended video imaging system" (EVIS), and allows image quality assessment by several standard observers simultaneously.

  7. SUMAC: Constructing Phylogenetic Supermatrices and Assessing Partially Decisive Taxon Coverage

    PubMed Central

    Freyman, William A.

    2015-01-01

    The amount of phylogenetically informative sequence data in GenBank is growing at an exponential rate, and large phylogenetic trees are increasingly used in research. Tools are needed to construct phylogenetic sequence matrices from GenBank data and evaluate the effect of missing data. Supermatrix Constructor (SUMAC) is a tool to data-mine GenBank, construct phylogenetic supermatrices, and assess the phylogenetic decisiveness of a matrix given the pattern of missing sequence data. SUMAC calculates a novel metric, Missing Sequence Decisiveness Scores (MSDS), which measures how much each individual missing sequence contributes to the decisiveness of the matrix. MSDS can be used to compare supermatrices and prioritize the acquisition of new sequence data. SUMAC constructs supermatrices either through an exploratory clustering of all GenBank sequences within a taxonomic group or by using guide sequences to build homologous clusters in a more targeted manner. SUMAC assembles supermatrices for any taxonomic group recognized in GenBank and is optimized to run on multicore computer systems by parallelizing multiple stages of operation. SUMAC is implemented as a Python package that can run as a stand-alone command-line program, or its modules and objects can be incorporated within other programs. SUMAC is released under the open source GPLv3 license and is available at https://github.com/wf8/sumac. PMID:26648681

  8. Soft Mathematical Aggregation in Safety Assessment and Decision Analysis

    SciTech Connect

    Cooper, J. Arlin

    1999-06-10

    This paper improves on some of the limitations of conventional safety assessment and decision analysis methods. It develops a top-down mathematical method for expressing imprecise individual metrics as possibilistic or fuzzy numbers and shows how they may be combined (aggregated) into an overall metric, also portraying the inherent uncertainty. Both positively contributing and negatively contributing factors are included. Metrics are weighted according to significance of the attribute and evaluated as to contribution toward the attribute. Aggregation is performed using exponential combination of the metrics, since the accumulating effect of such factors responds less and less to additional factors. This is termed soft mathematical aggregation. Dependence among the contributing factors is accounted for by incorporating subjective metrics on overlap of the factors and by correspondingly reducing the overall contribution of these combinations to the overall aggregation. Decisions corresponding to the meaningfulness of the results are facilitated in several ways. First, the results are compared to a soft threshold provided by a sigmoid function. Second, information is provided on input ''Importance'' and ''Sensitivity,'' in order to know where to place emphasis on controls that may be necessary. Third, trends in inputs and outputs are tracked in order to add important information to the decision process. The methodology has been implemented in software.

  9. SUMAC: Constructing Phylogenetic Supermatrices and Assessing Partially Decisive Taxon Coverage.

    PubMed

    Freyman, William A

    2015-01-01

    The amount of phylogenetically informative sequence data in GenBank is growing at an exponential rate, and large phylogenetic trees are increasingly used in research. Tools are needed to construct phylogenetic sequence matrices from GenBank data and evaluate the effect of missing data. Supermatrix Constructor (SUMAC) is a tool to data-mine GenBank, construct phylogenetic supermatrices, and assess the phylogenetic decisiveness of a matrix given the pattern of missing sequence data. SUMAC calculates a novel metric, Missing Sequence Decisiveness Scores (MSDS), which measures how much each individual missing sequence contributes to the decisiveness of the matrix. MSDS can be used to compare supermatrices and prioritize the acquisition of new sequence data. SUMAC constructs supermatrices either through an exploratory clustering of all GenBank sequences within a taxonomic group or by using guide sequences to build homologous clusters in a more targeted manner. SUMAC assembles supermatrices for any taxonomic group recognized in GenBank and is optimized to run on multicore computer systems by parallelizing multiple stages of operation. SUMAC is implemented as a Python package that can run as a stand-alone command-line program, or its modules and objects can be incorporated within other programs. SUMAC is released under the open source GPLv3 license and is available at https://github.com/wf8/sumac. PMID:26648681

  10. SU-E-J-155: Automatic Quantitative Decision Making Metric for 4DCT Image Quality

    SciTech Connect

    Kiely, J Blanco; Olszanski, A; Both, S; White, B; Low, D

    2015-06-15

    Purpose: To develop a quantitative decision making metric for automatically detecting irregular breathing using a large patient population that received phase-sorted 4DCT. Methods: This study employed two patient cohorts. Cohort#1 contained 256 patients who received a phasesorted 4DCT. Cohort#2 contained 86 patients who received three weekly phase-sorted 4DCT scans. A previously published technique used a single abdominal surrogate to calculate the ratio of extreme inhalation tidal volume to normal inhalation tidal volume, referred to as the κ metric. Since a single surrogate is standard for phase-sorted 4DCT in radiation oncology clinical practice, tidal volume was not quantified. Without tidal volume, the absolute κ metric could not be determined, so a relative κ (κrel) metric was defined based on the measured surrogate amplitude instead of tidal volume. Receiver operator characteristic (ROC) curves were used to quantitatively determine the optimal cutoff value (jk) and efficiency cutoff value (τk) of κrel to automatically identify irregular breathing that would reduce the image quality of phase-sorted 4DCT. Discriminatory accuracy (area under the ROC curve) of κrel was calculated by a trapezoidal numeric integration technique. Results: The discriminatory accuracy of ?rel was found to be 0.746. The key values of jk and tk were calculated to be 1.45 and 1.72 respectively. For values of ?rel such that jk≤κrel≤τk, the decision to reacquire the 4DCT would be at the discretion of the physician. This accounted for only 11.9% of the patients in this study. The magnitude of κrel held consistent over 3 weeks for 73% of the patients in cohort#3. Conclusion: The decision making metric, ?rel, was shown to be an accurate classifier of irregular breathing patients in a large patient population. This work provided an automatic quantitative decision making metric to quickly and accurately assess the extent to which irregular breathing is occurring during phase

  11. Assessment of Competence in Clinical Reasoning and Decision-Making under Uncertainty: The Script Concordance Test Method

    ERIC Educational Resources Information Center

    Ramaekers, Stephan; Kremer, Wim; Pilot, Albert; van Beukelen, Peter; van Keulen, Hanno

    2010-01-01

    Real-life, complex problems often require that decisions are made despite limited information or insufficient time to explore all relevant aspects. Incorporating authentic uncertainties into an assessment, however, poses problems in establishing results and analysing their methodological qualities. This study aims at developing a test on clinical…

  12. Objective assessment of MPEG-2 video quality

    NASA Astrophysics Data System (ADS)

    Gastaldo, Paolo; Zunino, Rodolfo; Rovetta, Stefano

    2002-07-01

    The increasing use of video compression standards in broadcasting television systems has required, in recent years, the development of video quality measurements that take into account artifacts specifically caused by digital compression techniques. In this paper we present a methodology for the objective quality assessment of MPEG video streams by using circular back-propagation feedforward neural networks. Mapping neural networks can render nonlinear relationships between objective features and subjective judgments, thus avoiding any simplifying assumption on the complexity of the model. The neural network processes an instantaneous set of input values, and yields an associated estimate of perceived quality. Therefore, the neural-network approach turns objective quality assessment into adaptive modeling of subjective perception. The objective features used for the estimate are chosen according to the assessed relevance to perceived quality and are continuously extracted in real time from compressed video streams. The overall system mimics perception but does not require any analytical model of the underlying physical phenomenon. The capability to process compressed video streams represents an important advantage over existing approaches, like avoiding the stream-decoding process greatly enhances real-time performance. Experimental results confirm that the system provides satisfactory, continuous-time approximations for actual scoring curves concerning real test videos.

  13. 42 CFR 460.140 - Additional quality assessment activities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Additional quality assessment activities. 460.140... FOR THE ELDERLY (PACE) Quality Assessment and Performance Improvement § 460.140 Additional quality assessment activities. A PACE organization must meet external quality assessment and reporting...

  14. Water quality issues and energy assessments

    SciTech Connect

    Davis, M.J.; Chiu, S.

    1980-11-01

    This report identifies and evaluates the significant water quality issues related to regional and national energy development. In addition, it recommends improvements in the Office assessment capability. Handbook-style formating, which includes a system of cross-references and prioritization, is designed to help the reader use the material.

  15. An assessment model for quality management

    NASA Astrophysics Data System (ADS)

    Völcker, Chr.; Cass, A.; Dorling, A.; Zilioli, P.; Secchi, P.

    2002-07-01

    SYNSPACE together with InterSPICE and Alenia Spazio is developing an assessment method to determine the capability of an organisation in the area of quality management. The method, sponsored by the European Space Agency (ESA), is called S9kS (SPiCE- 9000 for SPACE). S9kS is based on ISO 9001:2000 with additions from the quality standards issued by the European Committee for Space Standardization (ECSS) and ISO 15504 - Process Assessments. The result is a reference model that supports the expansion of the generic process assessment framework provided by ISO 15504 to nonsoftware areas. In order to be compliant with ISO 15504, requirements from ISO 9001 and ECSS-Q-20 and Q-20-09 have been turned into process definitions in terms of Purpose and Outcomes, supported by a list of detailed indicators such as Practices, Work Products and Work Product Characteristics. In coordination with this project, the capability dimension of ISO 15504 has been revised to be consistent with ISO 9001. As contributions from ISO 9001 and the space quality assurance standards are separable, the stripped down version S9k offers organisations in all industries an assessment model based solely on ISO 9001, and is therefore interesting to all organisations, which intend to improve their quality management system based on ISO 9001.

  16. Recognition and Assessment of Teaching Quality.

    ERIC Educational Resources Information Center

    Fairbrother, Patricia

    1996-01-01

    Identifies models for consideration of teacher quality and competence in nursing education. Presents a range of evaluation criteria in these categories: preparation, delivery, innovation, communication, self-assessment, instructional management, peer recognition, professional memberships and service, publications, and grants and contracts secured.…

  17. Retinal image quality assessment using generic features

    NASA Astrophysics Data System (ADS)

    Fasih, Mahnaz; Langlois, J. M. Pierre; Ben Tahar, Houssem; Cheriet, Farida

    2014-03-01

    Retinal image quality assessment is an important step in automated eye disease diagnosis. Diagnosis accuracy is highly dependent on the quality of retinal images, because poor image quality might prevent the observation of significant eye features and disease manifestations. A robust algorithm is therefore required in order to evaluate the quality of images in a large database. We developed an algorithm for retinal image quality assessment based on generic features that is independent from segmentation methods. It exploits the local sharpness and texture features by applying the cumulative probability of blur detection metric and run-length encoding algorithm, respectively. The quality features are combined to evaluate the image's suitability for diagnosis purposes. Based on the recommendations of medical experts and our experience, we compared a global and a local approach. A support vector machine with radial basis functions was used as a nonlinear classifier in order to classify images to gradable and ungradable groups. We applied our methodology to 65 images of size 2592×1944 pixels that had been graded by a medical expert. The expert evaluated 38 images as gradable and 27 as ungradable. The results indicate very good agreement between the proposed algorithm's predictions and the medical expert's judgment: the sensitivity and specificity for the local approach are respectively 92% and 94%. The algorithm demonstrates sufficient robustness to identify relevant images for automated diagnosis.

  18. [Making best use of external quality assessment].

    PubMed

    Fried, Roman

    2015-02-01

    To receive a maximum benefit from external quality assessment, the laboratory has to fulfill certain requirements. There have to be standard operating procedures and checklists for the correct sample processing and analysis. It is equally important, that the staff has a basic understanding how this quality-tools work and that detected errors are used as a chance to improve the processes within the laboratory. The benefit of surveys for external quality assessment is not only limited to the analytical phase, but also to some aspects of the pre and post-analytical processes. Due to the many participants, the survey providers are able to collect a lot of practical knowledge. All participants can learn from this by reading the survey reports and commentaries. With this, and with special educational surveys, the providers of surveys are able to offer an opportunity of continuous education to the laboratories. PMID:25630289

  19. Quality assessment: A performance-based approach to assessments

    SciTech Connect

    Caplinger, W.H.; Greenlee, W.D.

    1993-08-01

    Revision C to US Department of Energy (DOE) Order 5700.6 (6C) ``Quality Assurance`` (QA) brings significant changes to the conduct of QA. The Westinghouse government-owned, contractor-operated (GOCO) sites have updated their quality assurance programs to the requirements and guidance of 6C, and are currently implementing necessary changes. In late 1992, a Westinghouse GOCO team led by the Waste Isolation Division (WID) conducted what is believed to be the first assessment of implementation of a quality assurance program founded on 6C.

  20. INTEGRATING AIR QUALITY DATA TO INFORM HUMAN HEALTH DECISIONS

    EPA Science Inventory

    The August 1-2, 2005 EPA-NIEHS workshop is addressing the linkages between air quality and human health. My presentation will discuss the strengths and limitations of various databases for relating air quality to health impacts. Specifically, the need for fusing ground-based, s...

  1. Decision Gate Process for Assessment of a Technology Development Portfolio

    NASA Technical Reports Server (NTRS)

    Kohli, Rajiv; Fishman, Julianna; Hyatt, Mark

    2012-01-01

    The NASA Dust Management Project (DMP) was established to provide technologies (to TRL 6 development level) required to address adverse effects of lunar dust to humans and to exploration systems and equipment, which will reduce life cycle cost and risk, and will increase the probability of sustainable and successful lunar missions. The technology portfolio of DMP consisted of different categories of technologies whose final product is either a technology solution in itself, or one that contributes toward a dust mitigation strategy for a particular application. A Decision Gate Process (DGP) was developed to assess and validate the achievement and priority of the dust mitigation technologies as the technologies progress through the development cycle. The DGP was part of continuous technology assessment and was a critical element of DMP risk management. At the core of the process were technology-specific criteria developed to measure the success of each DMP technology in attaining the technology readiness levels assigned to each decision gate. The DGP accounts for both categories of technologies and qualifies the technology progression from technology development tasks to application areas. The process provided opportunities to validate performance, as well as to identify non-performance in time to adjust resources and direction. This paper describes the overall philosophy of the DGP and the methodology for implementation for DMP, and describes the method for defining the technology evaluation criteria. The process is illustrated by example of an application to a specific DMP technology.

  2. Informed Decisions: Bringing Assessments into the Policy Process

    NASA Astrophysics Data System (ADS)

    Hannegan, B.

    2008-12-01

    Human activities are causing rapid and widespread changes in the biogeochemical cycles that support and sustain human societies. In the U.S., policy makers in both the Legislative and Executive Branches are faced with the challenge of using the results from assessment models to develop policy instruments to mitigate the problems that can result. Drawing on the author's experience with both the Senate Committee on Energy and Natural Resources and the White House Council on Environmental Quality, as well as his present work with energy systems at EPRI, the talk will explore the challenges and opportunities for effectively bringing these assessments into the policy process.

  3. Water Quality Assessment using Satellite Remote Sensing

    NASA Astrophysics Data System (ADS)

    Haque, Saad Ul

    2016-07-01

    The two main global issues related to water are its declining quality and quantity. Population growth, industrialization, increase in agriculture land and urbanization are the main causes upon which the inland water bodies are confronted with the increasing water demand. The quality of surface water has also been degraded in many countries over the past few decades due to the inputs of nutrients and sediments especially in the lakes and reservoirs. Since water is essential for not only meeting the human needs but also to maintain natural ecosystem health and integrity, there are efforts worldwide to assess and restore quality of surface waters. Remote sensing techniques provide a tool for continuous water quality information in order to identify and minimize sources of pollutants that are harmful for human and aquatic life. The proposed methodology is focused on assessing quality of water at selected lakes in Pakistan (Sindh); namely, HUBDAM, KEENJHAR LAKE, HALEEJI and HADEERO. These lakes are drinking water sources for several major cities of Pakistan including Karachi. Satellite imagery of Landsat 7 (ETM+) is used to identify the variation in water quality of these lakes in terms of their optical properties. All bands of Landsat 7 (ETM+) image are analyzed to select only those that may be correlated with some water quality parameters (e.g. suspended solids, chlorophyll a). The Optimum Index Factor (OIF) developed by Chavez et al. (1982) is used for selection of the optimum combination of bands. The OIF is calculated by dividing the sum of standard deviations of any three bands with the sum of their respective correlation coefficients (absolute values). It is assumed that the band with the higher standard deviation contains the higher amount of 'information' than other bands. Therefore, OIF values are ranked and three bands with the highest OIF are selected for the visual interpretation. A color composite image is created using these three bands. The water quality

  4. Exploring multicriteria decision strategies in GIS with linguistic quantifiers: A case study of residential quality evaluation

    NASA Astrophysics Data System (ADS)

    Malczewski, Jacek; Rinner, Claus

    2005-06-01

    Commonly used GIS combination operators such as Boolean conjunction/disjunction and weighted linear combination can be generalized to the ordered weighted averaging (OWA) family of operators. This multicriteria evaluation method allows decision-makers to define a decision strategy on a continuum between pessimistic and optimistic strategies. Recently, OWA has been introduced to GIS-based decision support systems. We propose to extend a previous implementation of OWA with linguistic quantifiers to simplify the definition of decision strategies and to facilitate an exploratory analysis of multiple criteria. The linguistic quantifier-guided OWA procedure is illustrated using a dataset for evaluating residential quality of neighborhoods in London, Ontario.

  5. A cloud model-based approach for water quality assessment.

    PubMed

    Wang, Dong; Liu, Dengfeng; Ding, Hao; Singh, Vijay P; Wang, Yuankun; Zeng, Xiankui; Wu, Jichun; Wang, Lachun

    2016-07-01

    Water quality assessment entails essentially a multi-criteria decision-making process accounting for qualitative and quantitative uncertainties and their transformation. Considering uncertainties of randomness and fuzziness in water quality evaluation, a cloud model-based assessment approach is proposed. The cognitive cloud model, derived from information science, can realize the transformation between qualitative concept and quantitative data, based on probability and statistics and fuzzy set theory. When applying the cloud model to practical assessment, three technical issues are considered before the development of a complete cloud model-based approach: (1) bilateral boundary formula with nonlinear boundary regression for parameter estimation, (2) hybrid entropy-analytic hierarchy process technique for calculation of weights, and (3) mean of repeated simulations for determining the degree of final certainty. The cloud model-based approach is tested by evaluating the eutrophication status of 12 typical lakes and reservoirs in China and comparing with other four methods, which are Scoring Index method, Variable Fuzzy Sets method, Hybrid Fuzzy and Optimal model, and Neural Networks method. The proposed approach yields information concerning membership for each water quality status which leads to the final status. The approach is found to be representative of other alternative methods and accurate. PMID:26995351

  6. Salient motion features for video quality assessment.

    PubMed

    Ćulibrk, Dubravko; Mirković, Milan; Zlokolica, Vladimir; Pokrić, Maja; Crnojević, Vladimir; Kukolj, Dragan

    2011-04-01

    Design of algorithms that are able to estimate video quality as perceived by human observers is of interest for a number of applications. Depending on the video content, the artifacts introduced by the coding process can be more or less pronounced and diversely affect the quality of videos, as estimated by humans. While it is well understood that motion affects both human attention and coding quality, this relationship has only recently started gaining attention among the research community, when video quality assessment (VQA) is concerned. In this paper, the effect of calculating several objective measure features, related to video coding artifacts, separately for salient motion and other regions of the frames of the sequence is examined. In addition, we propose a new scheme for quality assessment of coded video streams, which takes into account salient motion. Standardized procedure has been used to calculate the Mean Opinion Score (MOS), based on experiments conducted with a group of non-expert observers viewing standard definition (SD) sequences. MOS measurements were taken for nine different SD sequences, coded using MPEG-2 at five different bit-rates. Eighteen different published approaches related to measuring the amount of coding artifacts objectively on a single-frame basis were implemented. Additional features describing the intensity of salient motion in the frames, as well as the intensity of coding artifacts in the salient motion regions were proposed. Automatic feature selection was performed to determine the subset of features most correlated to video quality. The results show that salient-motion-related features enhance prediction and indicate that the presence of blocking effect artifacts and blurring in the salient regions and variance and intensity of temporal changes in non-salient regions influence the perceived video quality. PMID:20876020

  7. Use of risk assessment and life cycle assessment in decision making: a common policy research agenda.

    PubMed

    Cowell, Sarah J; Fairman, Robyn; Lofstedt, Ragnar E

    2002-10-01

    Quantitative risk assessment (RA) and life cycle assessment (LCA) are both analytical tools used to support decision making in environmental management. They have been developed and used by largely separate groups of specialists, and it is worth considering whether there is a common research agenda that may increase the relevance of these tools in decision-making processes. The validity of drawing comparisons between use of the tools is established through examining key aspects of the two approaches for their similarities and differences, including the nature of each approach and contextual and methodological aspects. Six case studies involving use of each approach in public decision making are described and used to draw out concerns about using RA and LCA in this context. The following categories of concern can be distinguished: philosophical approach of the tools; quantitative versus qualitative assessment; stakeholder participation; the nature of the results; and the usefulness of the results in relation to time and financial resource requirements. These can be distilled into a common policy research agenda focusing on: the legitimacy of using tools built on a particular perspective in decision making; recognition and role of value judgments in RA and LCA; treatment of uncertainty and variability; the influence of analytical tools in focusing attention on particular aspects of a decision-making situation; and understandability of the results for nonspecialists. It is concluded that it is time to bring together the experiences of RA and LCA specialists and benefit from cross-fertilization of ideas. PMID:12442986

  8. Assessment of water quality along a recreational section of the Damour River in Lebanon using the water quality index.

    PubMed

    Massoud, May Afif

    2012-07-01

    Considering that water is becoming progressively scarce, monitoring water quality of rivers is a subject of ongoing concern and research. It is very intricate to accurately express water quality as water quantity due to the various variables influencing it. A water quality index which integrates several variables in a specific value may be used as a management tool in water quality assessment. Moreover, this index may facilitate communication with the public and decision makers. The main objectives of this research project are to evaluate the water quality index along a recreational section of a relatively small Mediterranean river in Southern Lebanon and to characterize the spatial and temporal variability. Accordingly, an assessment was conducted at the end of the dry season for a period of 5 years from 2005 to 2009. The estimated water quality index classified the average water quality over a 5-year period at the various sites as good. Results revealed that water quality of the Damour River is generally affected by the anthropogenic activities taking place along its watershed. The best quality was found in the upper sites and the worst at the estuary. The presence of fecal coliform bacteria in very high levels may indicate potential health risks to swimmers. This study can be used to support the evaluation of management, regulatory, and monitoring decisions. PMID:21853414

  9. Noncancer MOA Decision Points: Examples from the Draft Formaldehyde Inhalation Assessment of Respiratory Tract Effect

    EPA Science Inventory

    This is a presentation on some of the possible subjective decision points in a mode-of-action (MOA) analysis that incorporates some systematic review principles, using examples from the draft formaldehyde assessment to illustrate possible decisions and documentation.

  10. Agricultural climate impacts assessment for economic modeling and decision support

    NASA Astrophysics Data System (ADS)

    Thomson, A. M.; Izaurralde, R. C.; Beach, R.; Zhang, X.; Zhao, K.; Monier, E.

    2013-12-01

    A range of approaches can be used in the application of climate change projections to agricultural impacts assessment. Climate projections can be used directly to drive crop models, which in turn can be used to provide inputs for agricultural economic or integrated assessment models. These model applications, and the transfer of information between models, must be guided by the state of the science. But the methodology must also account for the specific needs of stakeholders and the intended use of model results beyond pure scientific inquiry, including meeting the requirements of agencies responsible for designing and assessing policies, programs, and regulations. Here we present methodology and results of two climate impacts studies that applied climate model projections from CMIP3 and from the EPA Climate Impacts and Risk Analysis (CIRA) project in a crop model (EPIC - Environmental Policy Indicator Climate) in order to generate estimates of changes in crop productivity for use in an agricultural economic model for the United States (FASOM - Forest and Agricultural Sector Optimization Model). The FASOM model is a forward-looking dynamic model of the US forest and agricultural sector used to assess market responses to changing productivity of alternative land uses. The first study, focused on climate change impacts on the UDSA crop insurance program, was designed to use available daily climate projections from the CMIP3 archive. The decision to focus on daily data for this application limited the climate model and time period selection significantly; however for the intended purpose of assessing impacts on crop insurance payments, consideration of extreme event frequency was critical for assessing periodic crop failures. In a second, coordinated impacts study designed to assess the relative difference in climate impacts under a no-mitigation policy and different future climate mitigation scenarios, the stakeholder specifically requested an assessment of a

  11. Teachers' Opinions on Quality Criteria for Competency Assessment Programs

    ERIC Educational Resources Information Center

    Baartman, Liesbeth K. J.; Bastiaens, Theo J.; Kirschner, Paul A.; Van der Vleuten, Cees P. M.

    2007-01-01

    Quality control policies towards Dutch vocational schools have changed dramatically because the government questioned examination quality. Schools must now demonstrate assessment quality to a new Examination Quality Center. Since teachers often design assessments, they must be involved in quality issues. This study therefore explores teachers'…

  12. Does empowering resident families or nursing home employees in decision making improve service quality?

    PubMed

    Hamann, Darla J

    2014-08-01

    This research examines how the empowerment of residents' family members and nursing home employees in managerial decision making is related to service quality. The study was conducted using data from 33 nursing homes in the United States. Surveys were administered to more than 1,000 employees on-site and mailed to the primary-contact family member of each resident. The resulting multilevel data were analyzed using hierarchical linear modeling. The empowerment of families in decision making was positively associated with their perceptions of service quality. The empowerment of nursing staff in decision making was more strongly related to service quality than the empowerment of nonnursing staff. Among nursing staff, the empowerment of nursing assistants improved service quality more than the empowerment of nurses. PMID:24652909

  13. Socioeconomic assessment guidance report: Determining the effects of amenity characteristics on business location decisions

    SciTech Connect

    Allison, T.

    1993-02-01

    Evaluating perception-based impacts of hazardous waste facilities has become an increasingly important part of socioeconomic impact assessments in recent years. One area of discussion has been the potential effect of risk perceptions on business location decision making. This report evaluates the importance of environmental amenities (broadly defined to include natural, cultural, and recreational features; environmental quality; and other indexes of quality of life) with respect to decisions on locating both manufacturing and business service activities. It discusses the major theoretical and empirical issues that arise in attempting to determine the effects of environmental amenities on the location choices for businesses and business activities. This discussion is followed by a survey of major findings from the academic literature and a review of research by the state of Nevada. A number of recommendations for further research are also provided to help the US Department of Energy`s Office of Civilian Radioactive Waste Management better understand the importance of perception-based impacts in business location decision making and estimate the scale of socioeconomic impacts that would result from siting a high-level waste repository in Nevada.

  14. Assessing the quality of cost management

    SciTech Connect

    Fayne, V.; McAllister, A.; Weiner, S.B.

    1995-12-31

    Managing environmental programs can be effective only when good cost and cost-related management practices are developed and implemented. The Department of Energy`s Office of Environmental Management (EM), recognizing this key role of cost management, initiated several cost and cost-related management activities including the Cost Quality Management (CQM) Program. The CQM Program includes an assessment activity, Cost Quality Management Assessments (CQMAs), and a technical assistance effort to improve program/project cost effectiveness. CQMAs provide a tool for establishing a baseline of cost-management practices and for measuring improvement in those practices. The result of the CQMA program is an organization that has an increasing cost-consciousness, improved cost-management skills and abilities, and a commitment to respond to the public`s concerns for both a safe environment and prudent budget outlays. The CQMA program is part of the foundation of quality management practices in DOE. The CQMA process has contributed to better cost and cost-related management practices by providing measurements and feedback; defining the components of a quality cost-management system; and helping sites develop/improve specific cost-management techniques and methods.

  15. A decision support system for emission reduction assessment: the OPERA LIFE+ project

    NASA Astrophysics Data System (ADS)

    Carnevale, Claudio; Bianchessi, Nicola; Finzi, Giovanna; Pederzoli, Anna; Pisoni, Enrico; Volta, Marialuisa; Deserti, Marco; De Munari, Eriberto; Stortini, Michele; Veronesi, Paolo; Gianfreda, Roberta; Maffeis, Giuseppe; Blond, Nadege; Mark-Hummel, Lioba; Clappier, Alain; Perron, Gilles

    2013-04-01

    In last decades, air pollution modelling assumed a key role for the definition and evaluation of suitable emission control strategies, supporting Regional Decision Makers in the design of long-term plans for air quality improvement. This is a complex task, due to the non-linear chemical reactions and physical processes that bring to secondary pollution formation and accumulation, involving precursor emissions, namely VOC, NOx, NH3, primary PM and SO2. The problem is even more complex when constraining policy to a fixed budget. This paper presents the first results of the OPERA (Operational Procedure for Emission Reduction Assessment) LIFE+ project (2010-2013, www.operatool.eu) aiming to design and to implement an enhanced approach to identify efficient regional policies (1) complying with National and EU air quality standards, (2) with local emission and meteorological features, financial, technological and social constraints and (3) considering potential synergies with actions to reduce GHG emissions. The proposed methodology is based on a multi-objective (air quality, internal and external costs) optimization problem. The decision variables are the technical and non-technical emission abatement measures. Artificial neural networks, identified processing long-term 3D deterministic multi-phase modelling system simulation outputs, describe the nonlinear relations between the control variables (precursor emissions reduction) and the air quality indexes (AQIs), defining the air quality objective. The internal costs are due to emission reduction measures implementation, while the external costs assess the damage due to population pollution exposure. The methodology has been implemented in a software tool (RIAT+) and tested on two regional applications, Emilia Romagna (IT) and Alsace (FR).

  16. The reliability of the pass/fail decision for assessments comprised of multiple components

    PubMed Central

    Möltner, Andreas; Tımbıl, Sevgi; Jünger, Jana

    2015-01-01

    Objective: The decision having the most serious consequences for a student taking an assessment is the one to pass or fail that student. For this reason, the reliability of the pass/fail decision must be determined for high quality assessments, just as the measurement reliability of the point values. Assessments in a particular subject (graded course credit) are often composed of multiple components that must be passed independently of each other. When “conjunctively” combining separate pass/fail decisions, as with other complex decision rules for passing, adequate methods of analysis are necessary for estimating the accuracy and consistency of these classifications. To date, very few papers have addressed this issue; a generally applicable procedure was published by Douglas and Mislevy in 2010. Using the example of an assessment comprised of several parts that must be passed separately, this study analyzes the reliability underlying the decision to pass or fail students and discusses the impact of an improved method for identifying those who do not fulfill the minimum requirements. Method: The accuracy and consistency of the decision to pass or fail an examinee in the subject cluster Internal Medicine/General Medicine/Clinical Chemistry at the University of Heidelberg’s Faculty of Medicine was investigated. This cluster requires students to separately pass three components (two written exams and an OSCE), whereby students may reattempt to pass each component twice. Our analysis was carried out using the method described by Douglas and Mislevy. Results: Frequently, when complex logical connections exist between the individual pass/fail decisions in the case of low failure rates, only a very low reliability for the overall decision to grant graded course credit can be achieved, even if high reliabilities exist for the various components. For the example analyzed here, the classification accuracy and consistency when conjunctively combining the three individual

  17. Scene reduction for subjective image quality assessment

    NASA Astrophysics Data System (ADS)

    Lewandowska (Tomaszewska), Anna

    2016-01-01

    Evaluation of image quality is important for many image processing systems, such as those used for acquisition, compression, restoration, enhancement, or reproduction. Its measurement is often accompanied by user studies, in which a group of observers rank or rate results of several algorithms. Such user studies, known as subjective image quality assessment experiments, can be very time consuming and do not guarantee conclusive results. This paper is intended to help design an efficient and rigorous quality assessment experiment. We propose a method of limiting the number of scenes that need to be tested, which can significantly reduce the experimental effort and still capture relevant scene-dependent effects. To achieve it, we employ a clustering technique and evaluate it on the basis of compactness and separation criteria. The correlation between the results obtained from a set of images in an initial database and the results received from reduced experiment are analyzed. Finally, we propose a procedure for reducing the initial scenes number. Four different assessment techniques were tested: single stimulus, double stimulus, forced choice, and similarity judgments. We conclude that in most cases, 9 to 12 judgments per evaluated algorithm for a large scene collection is sufficient to reduce the initial set of images.

  18. Assessing environmental conditions of Antarctic footpaths to support management decisions.

    PubMed

    Tejedo, Pablo; Benayas, Javier; Cajiao, Daniela; Albertos, Belén; Lara, Francisco; Pertierra, Luis R; Andrés-Abellán, Manuela; Wic, Consuelo; Luciáñez, Maria José; Enríquez, Natalia; Justel, Ana; Reck, Günther K

    2016-07-15

    Thousands of tourists visit certain Antarctic sites each year, generating a wide variety of environmental impacts. Scientific knowledge of human activities and their impacts can help in the effective design of management measures and impact mitigation. We present a case study from Barrientos Island in which a management measure was originally put in place with the goal of minimizing environmental impacts but resulted in new undesired impacts. Two alternative footpaths used by tourist groups were compared. Both affected extensive moss carpets that cover the middle part of the island and that are very vulnerable to trampling. The first path has been used by tourists and scientists since over a decade and is a marked route that is clearly visible. The second one was created more recently. Several physical and biological indicators were measured in order to assess the environmental conditions for both paths. Some physical variables related to human impact were lower for the first path (e.g. soil penetration resistance and secondary treads), while other biochemical and microbiological variables were higher for the second path (e.g. β-glucosidase and phosphatase activities, soil respiration). Moss communities located along the new path were also more diverse and sensitive to trampling. Soil biota (Collembola) was also more abundant and richer. These data indicate that the decision to adopt the second path did not lead to the reduction of environmental impacts as this path runs over a more vulnerable area with more outstanding biological features (e.g. microbiota activity, flora and soil fauna diversity). In addition, the adoption of a new route effectively doubles the human footprint on the island. We propose using only the original path that is less vulnerable to the impacts of trampling. Finally from this process, we identify several key issues that may be taken into account when carrying out impact assessment and environmental management decision-making in the

  19. Staff Involvement in Leadership Decision Making in the UK Further Education Sector: Perceptions of Quality and Social Justice

    ERIC Educational Resources Information Center

    Maringe, Felix

    2012-01-01

    Purpose: The purpose of the paper is to explore the quality of leadership decision making at various leadership levels in the further education (FE) sector. Using Hoffberg and Korver's model for integrated decision making, the paper aims to examine how staff in five UK FE colleges perceive the quality of their involvement in decision-making teams…

  20. Quality Assessment of Domesticated Animal Genome Assemblies

    PubMed Central

    Seemann, Stefan E.; Anthon, Christian; Palasca, Oana; Gorodkin, Jan

    2015-01-01

    The era of high-throughput sequencing has made it relatively simple to sequence genomes and transcriptomes of individuals from many species. In order to analyze the resulting sequencing data, high-quality reference genome assemblies are required. However, this is still a major challenge, and many domesticated animal genomes still need to be sequenced deeper in order to produce high-quality assemblies. In the meanwhile, ironically, the extent to which RNAseq and other next-generation data is produced frequently far exceeds that of the genomic sequence. Furthermore, basic comparative analysis is often affected by the lack of genomic sequence. Herein, we quantify the quality of the genome assemblies of 20 domesticated animals and related species by assessing a range of measurable parameters, and we show that there is a positive correlation between the fraction of mappable reads from RNAseq data and genome assembly quality. We rank the genomes by their assembly quality and discuss the implications for genotype analyses. PMID:27279738

  1. A decision support system for water quality issues in the Manzanares River (Madrid, Spain).

    PubMed

    Paredes, Javier; Andreu, Joaquín; Solera, Abel

    2010-05-15

    The Manzanares River, located in Madrid (Spain), is the main water supplier of a highly populated region, and it also receives wastewater from the same area. The effluents of eight Waste Water Treatment Plants (WWTPs) downstream of the river, which represent 90% of the flow in the middle and lower parts of the river, are the primary sources of water pollution. Although the situation has improved slightly in the last two years, the water in the river is highly polluted, making it uninhabitable for aquatic life. Water quality modelling is typically used to assess the effect of treatment improvements in water bodies. In this work, the GESCAL module of the Aquatool Decision Support System Shell was used to simulate water quality in the Manzanares River. GESCAL is appropriate for modelling in an integrated way water quality for whole water resources systems, including reservoirs and rivers. A model was built that simulates conductivity, phosphorous, carbonaceous organic matter, dissolved oxygen, organic nitrogen, ammonia, and nitrates. The period from October 2006 to September 2008 was selected for calibration due to the many treatment modifications that occurred during this time. An earlier and longer period, from October 2000 to September 2006, was used for validation. In addition, a daily model was used to analyse the robustness of the GESCAL model. Once the GESCAL model was validated, different scenarios were considered and simulated. First, different combinations of nutrient elimination among the different WWTPs were simulated, leading to the conclusion that investments have to focus on three of the proposed WWTPs. Moreover, these treatments will not be sufficient to maintain fish habitat conditions at all times. Additional measures, such as the increment of the flow in the river or oxygen injection, were simulated. Incrementing the flow of the Manzanares River has been shown to be an efficient means of increasing water quality, but this implies an increment in the

  2. A decision support system for quality of life in head and neck oncology patients

    PubMed Central

    2012-01-01

    Background The assessment of Quality of Life (QoL) is a Medical goal; it is used in clinical research, medical practice, health-related economic studies and in planning health management measures and strategies. The objective of this project is to develop an informational platform to achieve a patient self-assessment with standardized QoL measuring instruments, through friendly software, easy for the user to adapt, which should aid the study of QoL, by promoting the creation of databases and accelerating its statistical treatment and yet generating subsequent useful results in graphical format for the physician analyzes in an appointment immediately after the answers collection. Methods First, a software platform was designed and developed in an action-research process with patients, physicians and nurses. The computerized patient self-assessment with standardized QoL measuring instruments was compared with traditional one, to verify if its use did not influence the patient's answers. For that, the Wilcoxon and t-Student tests were applied. After, we adopted and adapted the mathematic Rash model to make possible the use of QoL measure in the routine appointments. Results The results show that the computerized patient self-assessment does not influence the patient's answers and can be used as a suitable tool in the routine appointment, because indicates problems which are more difficult to identify in a traditional appointment, improving thus the physician's decisions. Conclusions The possibility of representing graphically useful results that physician needs to analyze in the appointment, immediately after the answer collection, in an useful time, makes this QoL assessment platform a diagnosis instrument ready to be used routinely in clinical practice. PMID:22340746

  3. Novel flood risk assessment framework for rapid decision making

    NASA Astrophysics Data System (ADS)

    Valyrakis, Manousos; Koursari, Eftychia; Solley, Mark

    2016-04-01

    The impacts of catastrophic flooding, have significantly increased over the last few decades. This is due to primarily the increased urbanisation in ever-expanding mega-cities as well as due to the intensification both in magnitude and frequency of extreme hydrologic events. Herein a novel conceptual framework is presented that incorporates the use of real-time information to inform and update low dimensionality hydraulic models, to allow for rapid decision making towards preventing loss of life and safeguarding critical infrastructure. In particular, a case study from the recent UK floods in the area of Whitesands (Dumfries), is presented to demonstrate the utility of this approach. It is demonstrated that effectively combining a wealth of readily available qualitative information (such as crowdsourced visual documentation or using live data from sensing techniques), with existing quantitative data, can help appropriately update hydraulic models and reduce modelling uncertainties in future flood risk assessments. This approach is even more useful in cases where hydraulic models are limited, do not exist or were not needed before unpredicted dynamic modifications to the river system took place (for example in the case of reduced or eliminated hydraulic capacity due to blockages). The low computational cost and rapid assessment this framework offers, render it promising for innovating in flood management.

  4. Geospatial decision support framework for critical infrastructure interdependency assessment

    NASA Astrophysics Data System (ADS)

    Shih, Chung Yan

    Critical infrastructures, such as telecommunications, energy, banking and finance, transportation, water systems and emergency services are the foundations of modern society. There is a heavy dependence on critical infrastructures at multiple levels within the supply chain of any good or service. Any disruptions in the supply chain may cause profound cascading effect to other critical infrastructures. A 1997 report by the President's Commission on Critical Infrastructure Protection states that a serious interruption in freight rail service would bring the coal mining industry to a halt within approximately two weeks and the availability of electric power could be reduced in a matter of one to two months. Therefore, this research aimed at representing and assessing the interdependencies between coal supply, transportation and energy production. A proposed geospatial decision support framework was established and applied to analyze interdependency related disruption impact. By utilizing the data warehousing approach, geospatial and non-geospatial data were retrieved, integrated and analyzed based on the transportation model and geospatial disruption analysis developed in the research. The results showed that by utilizing this framework, disruption impacts can be estimated at various levels (e.g., power plant, county, state, etc.) for preventative or emergency response efforts. The information derived from the framework can be used for data mining analysis (e.g., assessing transportation mode usages; finding alternative coal suppliers, etc.).

  5. 76 FR 4345 - A Method To Assess Climate-Relevant Decisions: Application in the Chesapeake Bay

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... AGENCY A Method To Assess Climate-Relevant Decisions: Application in the Chesapeake Bay AGENCY... review draft document titled, ``A Method to Assess Climate-Relevant Decisions: Application in the.../conferences/peerreview/register-chesapeake.htm . The draft ``A Method to Assess Climate-Relevant...

  6. Assessing the Quality of Bioforensic Signatures

    SciTech Connect

    Sego, Landon H.; Holmes, Aimee E.; Gosink, Luke J.; Webb-Robertson, Bobbie-Jo M.; Kreuzer, Helen W.; Anderson, Richard M.; Brothers, Alan J.; Corley, Courtney D.; Tardiff, Mark F.

    2013-06-04

    We present a mathematical framework for assessing the quality of signature systems in terms of fidelity, cost, risk, and utility—a method we refer to as Signature Quality Metrics (SQM). We demonstrate the SQM approach by assessing the quality of a signature system designed to predict the culture medium used to grow a microorganism. The system consists of four chemical assays designed to identify various ingredients that could be used to produce the culture medium. The analytical measurements resulting from any combination of these four assays can be used in a Bayesian network to predict the probabilities that the microorganism was grown using one of eleven culture media. We evaluated fifteen combinations of the signature system by removing one or more of the assays from the Bayes network. We demonstrated that SQM can be used to distinguish between the various combinations in terms of attributes of interest. The approach assisted in clearly identifying assays that were least informative, largely in part because they only could discriminate between very few culture media, and in particular, culture media that are rarely used. There are limitations associated with the data that were used to train and test the signature system. Consequently, our intent is not to draw formal conclusions regarding this particular bioforensic system, but rather to illustrate an analytical approach that could be useful in comparing one signature system to another.

  7. Supporting consumer involvement in decision making: what constitutes quality in consumer health information?

    PubMed

    Entwistle, V A; Sheldon, T A; Sowden, A J; Watt, I S

    1996-10-01

    The promotion of consumer involvement in decisions about individual health care is now high on many health policy agendas, but the structures to support it are not all in place. While it is generally accepted that information to support consumer involvement should be of good quality, the question of what constitutes quality in such information packages is far from settled. Debate around this issue should consider the various theoretical perspectives which relate to the nature and purpose of consumer involvement in health care decision making, and the contexts in which information is used. If we are to judge the quality of information within a consequentialist framework, we need empirical research evidence about the effects of information provision. Until such evidence becomes available, we can only hypothesize about what makes for quality. In this paper we discuss some dimensions of quality which are suggested by a consequentialist perspective. PMID:9117196

  8. An Integrated Decision Support System for Water Quality Management of Songhua River Basin

    NASA Astrophysics Data System (ADS)

    Zhang, Haiping; Yin, Qiuxiao; Chen, Ling

    2010-11-01

    In the Songhua River Basin of China, many water resource and water environment conflicts interact. A Decision Support System (DSS) for the water quality management has been established for the Basin. The System is featured by the incorporation of a numerical water quality model system into a conventional water quality management system which usually consists of geographic information system (GIS), WebGIS technology, database system and network technology. The model system is built based on DHI MIKE software comprising of a basin rainfall-runoff module, a basin pollution load evaluation module, a river hydrodynamic module and a river water quality module. The DSS provides a friendly graphical user interface that enables the rapid and transparent calculation of various water quality management scenarios, and also enables the convenient access and interpretation of the modeling results to assist the decision-making.

  9. Assessing Assessment Quality: Criteria for Quality Assurance in Design of (Peer) Assessment for Learning--A Review of Research Studies

    ERIC Educational Resources Information Center

    Tillema, Harm; Leenknecht, Martijn; Segers, Mien

    2011-01-01

    The interest in "assessment for learning" (AfL) has resulted in a search for new modes of assessment that are better aligned to students' learning how to learn. However, with the introduction of new assessment tools, also questions arose with respect to the quality of its measurement. On the one hand, the appropriateness of traditional,…

  10. No-reference stereoscopic image quality assessment

    NASA Astrophysics Data System (ADS)

    Akhter, Roushain; Parvez Sazzad, Z. M.; Horita, Y.; Baltes, J.

    2010-02-01

    Display of stereo images is widely used to enhance the viewing experience of three-dimensional imaging and communication systems. In this paper, we propose a method for estimating the quality of stereoscopic images using segmented image features and disparity. This method is inspired by the human visual system. We believe the perceived distortion and disparity of any stereoscopic display is strongly dependent on local features, such as edge (non-plane) and non-edge (plane) areas. Therefore, a no-reference perceptual quality assessment is developed for JPEG coded stereoscopic images based on segmented local features of artifacts and disparity. Local feature information such as edge and non-edge area based relative disparity estimation, as well as the blockiness and the blur within the block of images are evaluated in this method. Two subjective stereo image databases are used to evaluate the performance of our method. The subjective experiments results indicate our model has sufficient prediction performance.

  11. Image quality assessment and human visual system

    NASA Astrophysics Data System (ADS)

    Gao, Xinbo; Lu, Wen; Tao, Dacheng; Li, Xuelong

    2010-07-01

    This paper summaries the state-of-the-art of image quality assessment (IQA) and human visual system (HVS). IQA provides an objective index or real value to measure the quality of the specified image. Since human beings are the ultimate receivers of visual information in practical applications, the most reliable IQA is to build a computational model to mimic the HVS. According to the properties and cognitive mechanism of the HVS, the available HVS-based IQA methods can be divided into two categories, i.e., bionics methods and engineering methods. This paper briefly introduces the basic theories and development histories of the above two kinds of HVS-based IQA methods. Finally, some promising research issues are pointed out in the end of the paper.

  12. Quality assessment of strawberries (Fragaria species).

    PubMed

    Azodanlou, Ramin; Darbellay, Charly; Luisier, Jean-Luc; Villettaz, Jean-Claude; Amadò, Renato

    2003-01-29

    Several cultivars of strawberries (Fragaria sp.), grown under different conditions, were analyzed by both sensory and instrumental methods. The overall appreciation, as expressed by consumers, was mainly reflected by attributes such as sweetness and aroma. No strong correlation was obtained with odor, acidity, juiciness, or firmness. The sensory quality of strawberries can be assessed with a good level of confidence by measuring the total sugar level ( degrees Brix) and the total amount of volatile compounds. Sorting out samples using the score obtained with a hedonic test (called the "hedonic classification method") allowed the correlation between consumers' appreciation and instrumental data to be considerably strengthened. On the basis of the results obtained, a quality model was proposed. Quantitative GC-FID analyses were performed to determine the major aroma components of strawberries. Methyl butanoate, ethyl butanoate, methyl hexanoate, cis-3-hexenyl acetate, and linalool were identified as the most important compounds for the taste and aroma of strawberries. PMID:12537447

  13. Bacteriological Assessment of Spoon River Water Quality

    PubMed Central

    Lin, Shundar; Evans, Ralph L.; Beuscher, Davis B.

    1974-01-01

    Data from a study of five stations on the Spoon River, Ill., during June 1971 through May 1973 were analyzed for compliance with Illinois Pollution Control Board's water quality standards of a geometric mean limitation of 200 fecal coliforms per 100 ml. This bacterial limit was achieved about 20% of the time during June 1971 through May 1972, and was never achieved during June 1972 through May 1973. Ratios of fecal coliform to total coliform are presented. By using fecal coliform-to-fecal streptococcus ratios to sort out fecal pollution origins, it was evident that a concern must be expressed not only for municipal wastewater effluents to the receiving stream, but also for nonpoint sources of pollution in assessing the bacterial quality of a stream. PMID:4604145

  14. NATIONAL CROP LOSS ASSESSMENT NETWORK: QUALITY ASSURANCE PROGRAM (JOURNAL VERSION)

    EPA Science Inventory

    A quality assurance program was incorporated into the National Crop Loss Assessment Network (NCLAN) program, designed to assess the economic impacts of gaseous air pollutants on major agricultural crops in the United States. The quality assurance program developed standardized re...

  15. Peer Review and Quality Assessment in Complete Denture Education.

    ERIC Educational Resources Information Center

    Novetsky, Marvin; Razzoog, Michael E.

    1981-01-01

    A program in peer review and quality assessment at the University of Michigan denture department is described. The program exposes students to peer review in order to assess the quality of their treatment. (Author/MLW)

  16. Application of water quality guidelines and water quantity calculations to decisions for beneficial use of treated water

    NASA Astrophysics Data System (ADS)

    Pham, Minh Phung T.; Castle, James W.; Rodgers, John H.

    2011-12-01

    Water reuse guidelines were compiled as a decision-analysis screening tool for application to potential water reuse for irrigation, livestock watering, aquaculture, and drinking. Data compiled from the literature for water reuses yielded guideline values for over 50 water quality parameters, including concentrations of inorganic and organic constituents as well as general water chemistry parameters. These water quality guidelines can be used to identify constituents of concern in water, to determine the levels to which the constituents must be treated for water reuse applications, and assess the suitability of treated water for reuse. An example is provided to illustrate the application of water quality guidelines for decision analysis. Water quantity analysis was also investigated, and water volumes required for producing 16 different crops in 15 countries were estimated as an example of applying water quantity in the decision-making process regarding the potential of water reuse. For each of the countries investigated, the crop that produces the greatest yield in terms of weight per water volume is tomatoes in Australia, Brazil, Italy, Japan, Saudi Arabia, Turkey, USA; sugarcane in Chad, India, Indonesia, Sudan; watermelons in China; lettuce in Egypt, Mexico; and onions (dry) in Russia.

  17. No training blind image quality assessment

    NASA Astrophysics Data System (ADS)

    Chu, Ying; Mou, Xuanqin; Ji, Zhen

    2014-03-01

    State of the art blind image quality assessment (IQA) methods generally extract perceptual features from the training images, and send them into support vector machine (SVM) to learn the regression model, which could be used to further predict the quality scores of the testing images. However, these methods need complicated training and learning, and the evaluation results are sensitive to image contents and learning strategies. In this paper, two novel blind IQA metrics without training and learning are firstly proposed. The new methods extract perceptual features, i.e., the shape consistency of conditional histograms, from the joint histograms of neighboring divisive normalization transform coefficients of distorted images, and then compare the length attribute of the extracted features with that of the reference images and degraded images in the LIVE database. For the first method, a cluster center is found in the feature attribute space of the natural reference images, and the distance between the feature attribute of the distorted image and the cluster center is adopted as the quality label. The second method utilizes the feature attributes and subjective scores of all the images in the LIVE database to construct a dictionary, and the final quality score is calculated by interpolating the subjective scores of nearby words in the dictionary. Unlike the traditional SVM based blind IQA methods, the proposed metrics have explicit expressions, which reflect the relationships of the perceptual features and the image quality well. Experiment results in the publicly available databases such as LIVE, CSIQ and TID2008 had shown the effectiveness of the proposed methods, and the performances are fairly acceptable.

  18. Blind image quality assessment through anisotropy.

    PubMed

    Gabarda, Salvador; Cristóbal, Gabriel

    2007-12-01

    We describe an innovative methodology for determining the quality of digital images. The method is based on measuring the variance of the expected entropy of a given image upon a set of predefined directions. Entropy can be calculated on a local basis by using a spatial/spatial-frequency distribution as an approximation for a probability density function. The generalized Rényi entropy and the normalized pseudo-Wigner distribution (PWD) have been selected for this purpose. As a consequence, a pixel-by-pixel entropy value can be calculated, and therefore entropy histograms can be generated as well. The variance of the expected entropy is measured as a function of the directionality, and it has been taken as an anisotropy indicator. For this purpose, directional selectivity can be attained by using an oriented 1-D PWD implementation. Our main purpose is to show how such an anisotropy measure can be used as a metric to assess both the fidelity and quality of images. Experimental results show that an index such as this presents some desirable features that resemble those from an ideal image quality function, constituting a suitable quality index for natural images. Namely, in-focus, noise-free natural images have shown a maximum of this metric in comparison with other degraded, blurred, or noisy versions. This result provides a way of identifying in-focus, noise-free images from other degraded versions, allowing an automatic and nonreference classification of images according to their relative quality. It is also shown that the new measure is well correlated with classical reference metrics such as the peak signal-to-noise ratio. PMID:18059913

  19. Quality effort decision in service supply chain with quality preference based on quantum game

    NASA Astrophysics Data System (ADS)

    Zhang, Cuihua; Xing, Peng; Wang, Jianwei

    2015-04-01

    Service quality preference behaviors of both members are considered in service supply chain (SSC) including a service integrator and a service provider with stochastic demand. Through analysis of service quality cost and revenue, the utility functions are established on service quality effort degree and service quality preference level in integrated and decentralized SSC. Nash equilibrium and quantum game are used to optimize the models. By comparing the different solutions, the optimal strategies are obtained in SSC with quality preference. Then some numerical examples are studied and the changing trend of service quality effort is further analyzed by the influence of the entanglement operator and quality preferences.

  20. Full-Reference Image Quality Assessment with Linear Combination of Genetically Selected Quality Measures

    PubMed Central

    2016-01-01

    Information carried by an image can be distorted due to different image processing steps introduced by different electronic means of storage and communication. Therefore, development of algorithms which can automatically assess a quality of the image in a way that is consistent with human evaluation is important. In this paper, an approach to image quality assessment (IQA) is proposed in which the quality of a given image is evaluated jointly by several IQA approaches. At first, in order to obtain such joint models, an optimisation problem of IQA measures aggregation is defined, where a weighted sum of their outputs, i.e., objective scores, is used as the aggregation operator. Then, the weight of each measure is considered as a decision variable in a problem of minimisation of root mean square error between obtained objective scores and subjective scores. Subjective scores reflect ground-truth and involve evaluation of images by human observers. The optimisation problem is solved using a genetic algorithm, which also selects suitable measures used in aggregation. Obtained multimeasures are evaluated on four largest widely used image benchmarks and compared against state-of-the-art full-reference IQA approaches. Results of comparison reveal that the proposed approach outperforms other competing measures. PMID:27341493

  1. Full-Reference Image Quality Assessment with Linear Combination of Genetically Selected Quality Measures.

    PubMed

    Oszust, Mariusz

    2016-01-01

    Information carried by an image can be distorted due to different image processing steps introduced by different electronic means of storage and communication. Therefore, development of algorithms which can automatically assess a quality of the image in a way that is consistent with human evaluation is important. In this paper, an approach to image quality assessment (IQA) is proposed in which the quality of a given image is evaluated jointly by several IQA approaches. At first, in order to obtain such joint models, an optimisation problem of IQA measures aggregation is defined, where a weighted sum of their outputs, i.e., objective scores, is used as the aggregation operator. Then, the weight of each measure is considered as a decision variable in a problem of minimisation of root mean square error between obtained objective scores and subjective scores. Subjective scores reflect ground-truth and involve evaluation of images by human observers. The optimisation problem is solved using a genetic algorithm, which also selects suitable measures used in aggregation. Obtained multimeasures are evaluated on four largest widely used image benchmarks and compared against state-of-the-art full-reference IQA approaches. Results of comparison reveal that the proposed approach outperforms other competing measures. PMID:27341493

  2. Quality Assessment Dimensions of Distance Teaching/Learning Curriculum Designing

    ERIC Educational Resources Information Center

    Volungeviciene, Airina; Tereseviciene, Margarita

    2008-01-01

    The paper presents scientific literature analysis in the area of distance teaching/learning curriculum designing and quality assessment. The aim of the paper is to identify quality assessment dimensions of distance teaching/learning curriculum designing. The authors of the paper agree that quality assessment should be considered during the…

  3. The Lichtenberg Financial Decision Screening Scale (LFDSS): A new tool for assessing financial decision making and preventing financial exploitation

    PubMed Central

    Lichtenberg, P.A.; Howard, H; Simaskp, P.; Mall, S.; Speir, J.; Farrell, C.; Tatro, R; Rahman-Filipiak, A.; Ficker, L.J.

    2016-01-01

    One of the challenges in preventing the financial exploitation of older adults is that neither criminal justice nor noncriminal justice professionals are equipped to detect capacity deficits. Because decision-making capacity is a cornerstone assessment in cases of financial exploitation, effective instruments for measuring this capacity are essential. We introduce a new screening scale for financial decision making that can be administered to older adults. To explore the scale’s implementation and assess construct validity, we conducted a pilot study of 29 older adults seen by APS workers and 79 seen by other professionals. Case examples are included. PMID:27010780

  4. Content-aware objective video quality assessment

    NASA Astrophysics Data System (ADS)

    Ortiz-Jaramillo, Benhur; Niño-Castañeda, Jorge; Platiša, Ljiljana; Philips, Wilfried

    2016-01-01

    Since the end-user of video-based systems is often a human observer, prediction of user-perceived video quality (PVQ) is an important task for increasing the user satisfaction. Despite the large variety of objective video quality measures (VQMs), their lack of generalizability remains a problem. This is mainly due to the strong dependency between PVQ and video content. Although this problem is well known, few existing VQMs directly account for the influence of video content on PVQ. Recently, we proposed a method to predict PVQ by introducing relevant video content features in the computation of video distortion measures. The method is based on analyzing the level of spatiotemporal activity in the video and using those as parameters of the anthropomorphic video distortion models. We focus on the experimental evaluation of the proposed methodology based on a total of five public databases, four different objective VQMs, and 105 content related indexes. Additionally, relying on the proposed method, we introduce an approach for selecting the levels of video distortions for the purpose of subjective quality assessment studies. Our results suggest that when adequately combined with content related indexes, even very simple distortion measures (e.g., peak signal to noise ratio) are able to achieve high performance, i.e., high correlation between the VQM and the PVQ. In particular, we have found that by incorporating video content features, it is possible to increase the performance of the VQM by up to 20% relative to its noncontent-aware baseline.

  5. A Preliminary View of the Quality of Decision-Making in the Benchmark Year of 1984. AIR 1985 Annual Forum Paper.

    ERIC Educational Resources Information Center

    Spiro, Louis M.; Campbell, Jill F.

    Perceptions of college institutional research directors concerning the quality of executive decision making at their institutions were studied. Perceptions were assessed using a theoretical model of Groupthink developed by Janis, who postulates that a high amount of environmental stress should lead to a greater degree of "sticking-together" by the…

  6. Assessing the Quality of Clinical Teachers

    PubMed Central

    Bolhuis, Sanneke; Grol, Richard; Laan, Roland; Wensing, Michel

    2010-01-01

    Background Learning in a clinical environment differs from formal educational settings and provides specific challenges for clinicians who are teachers. Instruments that reflect these challenges are needed to identify the strengths and weaknesses of clinical teachers. Objective To systematically review the content, validity, and aims of questionnaires used to assess clinical teachers. Data Sources MEDLINE, EMBASE, PsycINFO and ERIC from 1976 up to March 2010. Review Methods The searches revealed 54 papers on 32 instruments. Data from these papers were documented by independent researchers, using a structured format that included content of the instrument, validation methods, aims of the instrument, and its setting. Results Aspects covered by the instruments predominantly concerned the use of teaching strategies (included in 30 instruments), supporter role (29), role modeling (27), and feedback (26). Providing opportunities for clinical learning activities was included in 13 instruments. Most studies referred to literature on good clinical teaching, although they failed to provide a clear description of what constitutes a good clinical teacher. Instrument length varied from 1 to 58 items. Except for two instruments, all had to be completed by clerks/residents. Instruments served to provide formative feedback ( instruments) but were also used for resource allocation, promotion, and annual performance review (14 instruments). All but two studies reported on internal consistency and/or reliability; other aspects of validity were examined less frequently. Conclusions No instrument covered all relevant aspects of clinical teaching comprehensively. Validation of the instruments was often limited to assessment of internal consistency and reliability. Available instruments for assessing clinical teachers should be used carefully, especially for consequential decisions. There is a need for more valid comprehensive instruments. Electronic supplementary material The online

  7. Spatial assessment of Langat River water quality using chemometrics.

    PubMed

    Juahir, Hafizan; Zain, Sharifuddin Md; Aris, Ahmad Zaharin; Yusoff, Mohd Kamil; Mokhtar, Mazlin Bin

    2010-01-01

    The present study deals with the assessment of Langat River water quality with some chemometrics approaches such as cluster and discriminant analysis coupled with an artificial neural network (ANN). The data used in this study were collected from seven monitoring stations under the river water quality monitoring program by the Department of Environment (DOE) from 1995 to 2002. Twenty three physico-chemical parameters were involved in this analysis. Cluster analysis successfully clustered the Langat River into three major clusters, namely high, moderate and less pollution regions. Discriminant analysis identified seven of the most significant parameters which contribute to the high variation of Langat River water quality, namely dissolved oxygen, biological oxygen demand, pH, ammoniacal nitrogen, chlorine, E. coli, and coliform. Discriminant analysis also plays an important role as an input selection parameter for an ANN of spatial prediction (pollution regions). The ANN showed better prediction performance in discriminating the regional area with an excellent percentage of correct classification compared to discriminant analysis. Multivariate analysis, coupled with ANN, is proposed, which could help in decision making and problem solving in the local environment. PMID:20082024

  8. Patient-reported Outcomes in Randomised Controlled Trials of Prostate Cancer: Methodological Quality and Impact on Clinical Decision Making

    PubMed Central

    Efficace, Fabio; Feuerstein, Michael; Fayers, Peter; Cafaro, Valentina; Eastham, James; Pusic, Andrea; Blazeby, Jane

    2014-01-01

    Context Patient-reported outcomes (PRO) data from randomised controlled trials (RCTs) are increasingly used to inform patient-centred care as well as clinical and health policy decisions. Objective The main objective of this study was to investigate the methodological quality of PRO assessment in RCTs of prostate cancer (PCa) and to estimate the likely impact of these studies on clinical decision making. Evidence acquisition A systematic literature search of studies was undertaken on main electronic databases to retrieve articles published between January 2004 and March 2012. RCTs were evaluated on a predetermined extraction form, including (1) basic trial demographics and clinical and PRO characteristics; (2) level of PRO reporting based on the recently published recommendations by the International Society for Quality of Life Research; and (3) bias, assessed using the Cochrane Risk of Bias tool. Studies were systematically analysed to evaluate their relevance for supporting clinical decision making. Evidence synthesis Sixty-five RCTs enrolling a total of 22 071 patients were evaluated, with 31 (48%) in patients with nonmetastatic disease. When a PRO difference between treatments was found, it related in most cases to symptoms only (n = 29, 58%). Although the extent of missing data was generally documented (72% of RCTs), few reported details on statistical handling of this data (18%) and reasons for dropout (35%). Improvements in key methodological aspects over time were found. Thirteen (20%) RCTs were judged as likely to be robust in informing clinical decision making. Higher-quality PRO studies were generally associated with those RCTs that had higher internal validity. Conclusions Including PRO in RCTs of PCa patients is critical for better evaluating the treatment effectiveness of new therapeutic approaches. Marked improvements in PRO quality reporting over time were found, and it is estimated that at least one-fifth of PRO RCTs have provided sufficient

  9. A Tutorial on Probablilistic Risk Assessement and its Role in Risk-Informed Decision Making

    NASA Technical Reports Server (NTRS)

    Dezfuli, Homayoon

    2010-01-01

    This slide presentation reviews risk assessment and its role in risk-informed decision making. It includes information on probabilistic risk assessment, typical risk management process, origins of risk matrix, performance measures, performance objectives and Bayes theorem.

  10. Image quality assessment in the low quality regime

    NASA Astrophysics Data System (ADS)

    Pinto, Guilherme O.; Hemami, Sheila S.

    2012-03-01

    Traditionally, image quality estimators have been designed and optimized to operate over the entire quality range of images in a database, from very low quality to visually lossless. However, if quality estimation is limited to a smaller quality range, their performances drop dramatically, and many image applications only operate over such a smaller range. This paper is concerned with one such range, the low-quality regime, which is defined as the interval of perceived quality scores where there exists a linear relationship between the perceived quality scores and the perceived utility scores and exists at the low-quality end of image databases. Using this definition, this paper describes a subjective experiment to determine the low-quality regime for databases of distorted images that include perceived quality scores but not perceived utility scores, such as CSIQ and LIVE. The performances of several image utility and quality estimators are evaluated in the low-quality regime, indicating that utility estimators can be successfully applied to estimate perceived quality in this regime. Omission of the lowestfrequency image content is shown to be crucial to the performances of both kinds of estimators. Additionally, this paper establishes an upper-bound for the performances of quality estimators in the LQR, using a family of quality estimators based on VIF. The resulting optimal quality estimator indicates that estimating quality in the low-quality regime is robust to exact frequency pooling weights, and that near-optimal performance can be achieved by a variety of estimators providing that they substantially emphasize the appropriate frequency content.

  11. 2003 SNL ASCI applications software quality engineering assessment report.

    SciTech Connect

    Schofield, Joseph Richard, Jr.; Ellis, Molly A.; Williamson, Charles Michael; Bonano, Lora A.

    2004-02-01

    This document describes the 2003 SNL ASCI Software Quality Engineering (SQE) assessment of twenty ASCI application code teams and the results of that assessment. The purpose of this assessment was to determine code team compliance with the Sandia National Laboratories ASCI Applications Software Quality Engineering Practices, Version 2.0 as part of an overall program assessment.

  12. Assessing Decision Making in Young Adult Romantic Relationships

    ERIC Educational Resources Information Center

    Vennum, Amber; Fincham, Frank D.

    2011-01-01

    Romantic relationships among young adults are rich with ambiguity and without a clear, universal progression emphasizing the need for active decision making. Lack of active decision making in romantic relationships can lead to increases in constraints (e.g. pregnancy, shared living space or finances) that promote the continuation of relationships…

  13. Teacher Decisions about Planning and Assessment in Primary Mathematics

    ERIC Educational Resources Information Center

    Sullivan, Peter; Clarke, David J.; Clarke, Doug M.

    2012-01-01

    We are interested in exploring the processes teachers use when planning. We sought responses from teachers on aspects of their planning from a survey of various aspects of their decisions. We found that, while there is diversity in processes teachers use for planning, a consistent theme was that teachers make deliberative decisions at all stages…

  14. Parental Decision Making about Technology and Quality in Child Care Programs

    ERIC Educational Resources Information Center

    Rose, Katherine K.; Vittrup, Brigitte; Leveridge, Tinney

    2013-01-01

    Background: This study investigated parental decision making about non-parental child care programs based on the technological and quality components of the program, both child-focused and parent-focused. Child-focused variables related to children's access to technology such as computers, educational television programming, and the internet.…

  15. Small, Task-Oriented Groups: Conflict, Conflict Management, Satisfaction, and Decision Quality.

    ERIC Educational Resources Information Center

    Wall, Victor D., Jr.; And Others

    1987-01-01

    Examined relationship among amount of conflict experienced, the style of its management, individual satisfaction, and decision quality of small, task-oriented groups using 129 college student subjects in 24 groups. Data suggest a curvilinear relationship between the number of conflict episodes experienced by group members and the subsequent…

  16. Decision Making, Structure and Institutional Notions of Quality: A Case Study.

    ERIC Educational Resources Information Center

    Wolverton, Mimi

    Few studies have focused on the effects of systemic change and decentralized decision making on organizational structure and on an institution's notion of quality education. This study examined such interconnections at a community college given the pseudonym America Community College (ACC). ACC is a multi-campus metropolitan area college in a area…

  17. Design Decisions in Developing Learning Trajectories-Based Assessments in Mathematics: A Case Study

    ERIC Educational Resources Information Center

    Penuel, William R.; Confrey, Jere; Maloney, Alan; Rupp, André A.

    2014-01-01

    This article analyzes the design decisions of a team developing diagnostic assessments for a learning trajectory focused on rational number reasoning. The analysis focuses on the design rationale for key decisions about how to develop the cognitive assessments and related validity arguments within a fluid state and national policy context. The…

  18. The impact of decision models on self-perceived quality of life: a study on brain cancer patients.

    PubMed

    Lucchiari, C; Botturi, A; Pravettoni, G

    2010-01-01

    Quality of life (QoL) is an increasingly important outcome measure in medicine. Health, in fact, is not only based on functional status but also on psychological and social well being. Since QoL is related to the patient's perception of their position in life in relation to their goals, expectations, standards and concerns, the way in which the medical context is experienced may be critical. We then hypothesised that self-perceived QoL may be linked to unmet needs in information management and decision involvement. To analyse this hypothesis, we conducted a quantitative study on 84 consecutive patients with a diagnosis of primary high-grade glioma. The functional assessment of cancer therapy-Brain (FACT-Br) scales, the hospital anxiety and depression (HAD) scale and the need evaluation questionnaire (NEQ) questionnaire were used, in order to measure quality-of-life dimension, mood and unmet needs. Patients were classified as having no need (cluster 1), a moderate need (cluster 2) or a high need (cluster 3) to be more involved in the clinical process.Our data confirmed previous studies in other clinical areas, showing that shared decision might contribute to a better adaptation process to the illness [1]. In fact, patients in cluster 1 showed a significant better self-perceived QoL, despite the lack of clinical differences between clusters. The study showed that patients satisfied with respect to decisional involvement seem to be able to better cope with their disease. Finally, the study suggests the need for a more attuned decision-making process in approaching clinical decisions. Physicians need to better understand patient preferences related to information and decision sharing. PMID:22276038

  19. When Quality Beats Quantity: Decision Theory, Drug Discovery, and the Reproducibility Crisis.

    PubMed

    Scannell, Jack W; Bosley, Jim

    2016-01-01

    A striking contrast runs through the last 60 years of biopharmaceutical discovery, research, and development. Huge scientific and technological gains should have increased the quality of academic science and raised industrial R&D efficiency. However, academia faces a "reproducibility crisis"; inflation-adjusted industrial R&D costs per novel drug increased nearly 100 fold between 1950 and 2010; and drugs are more likely to fail in clinical development today than in the 1970s. The contrast is explicable only if powerful headwinds reversed the gains and/or if many "gains" have proved illusory. However, discussions of reproducibility and R&D productivity rarely address this point explicitly. The main objectives of the primary research in this paper are: (a) to provide quantitatively and historically plausible explanations of the contrast; and (b) identify factors to which R&D efficiency is sensitive. We present a quantitative decision-theoretic model of the R&D process. The model represents therapeutic candidates (e.g., putative drug targets, molecules in a screening library, etc.) within a "measurement space", with candidates' positions determined by their performance on a variety of assays (e.g., binding affinity, toxicity, in vivo efficacy, etc.) whose results correlate to a greater or lesser degree. We apply decision rules to segment the space, and assess the probability of correct R&D decisions. We find that when searching for rare positives (e.g., candidates that will successfully complete clinical development), changes in the predictive validity of screening and disease models that many people working in drug discovery would regard as small and/or unknowable (i.e., an 0.1 absolute change in correlation coefficient between model output and clinical outcomes in man) can offset large (e.g., 10 fold, even 100 fold) changes in models' brute-force efficiency. We also show how validity and reproducibility correlate across a population of simulated screening and

  20. When Quality Beats Quantity: Decision Theory, Drug Discovery, and the Reproducibility Crisis

    PubMed Central

    Scannell, Jack W.; Bosley, Jim

    2016-01-01

    A striking contrast runs through the last 60 years of biopharmaceutical discovery, research, and development. Huge scientific and technological gains should have increased the quality of academic science and raised industrial R&D efficiency. However, academia faces a "reproducibility crisis"; inflation-adjusted industrial R&D costs per novel drug increased nearly 100 fold between 1950 and 2010; and drugs are more likely to fail in clinical development today than in the 1970s. The contrast is explicable only if powerful headwinds reversed the gains and/or if many "gains" have proved illusory. However, discussions of reproducibility and R&D productivity rarely address this point explicitly. The main objectives of the primary research in this paper are: (a) to provide quantitatively and historically plausible explanations of the contrast; and (b) identify factors to which R&D efficiency is sensitive. We present a quantitative decision-theoretic model of the R&D process. The model represents therapeutic candidates (e.g., putative drug targets, molecules in a screening library, etc.) within a “measurement space", with candidates' positions determined by their performance on a variety of assays (e.g., binding affinity, toxicity, in vivo efficacy, etc.) whose results correlate to a greater or lesser degree. We apply decision rules to segment the space, and assess the probability of correct R&D decisions. We find that when searching for rare positives (e.g., candidates that will successfully complete clinical development), changes in the predictive validity of screening and disease models that many people working in drug discovery would regard as small and/or unknowable (i.e., an 0.1 absolute change in correlation coefficient between model output and clinical outcomes in man) can offset large (e.g., 10 fold, even 100 fold) changes in models’ brute-force efficiency. We also show how validity and reproducibility correlate across a population of simulated screening and

  1. Groundwater quality data from the National Water-Quality Assessment Project, May 2012 through December 2013

    USGS Publications Warehouse

    Arnold, Terri L.; Desimone, Leslie A.; Bexfield, Laura M.; Lindsey, Bruce D.; Barlow, Jeannie R.; Kulongoski, Justin T.; Musgrove, Marylynn; Kingsbury, James A.; Belitz, Kenneth

    2016-01-01

    Groundwater-quality data were collected from 748 wells as part of the National Water-Quality Assessment Project of the U.S. Geological Survey National Water-Quality Program from May 2012 through December 2013. The data were collected from four types of well networks: principal aquifer study networks, which assess the quality of groundwater used for public water supply; land-use study networks, which assess land-use effects on shallow groundwater quality; major aquifer study networks, which assess the quality of groundwater used for domestic supply; and enhanced trends networks, which evaluate the time scales during which groundwater quality changes. Groundwater samples were analyzed for a large number of water-quality indicators and constituents, including major ions, nutrients, trace elements, volatile organic compounds, pesticides, and radionuclides. These groundwater quality data are tabulated in this report. Quality-control samples also were collected; data from blank and replicate quality-control samples are included in this report.

  2. Quality assessment of clinical computed tomography

    NASA Astrophysics Data System (ADS)

    Berndt, Dorothea; Luckow, Marlen; Lambrecht, J. Thomas; Beckmann, Felix; Müller, Bert

    2008-08-01

    Three-dimensional images are vital for the diagnosis in dentistry and cranio-maxillofacial surgery. Artifacts caused by highly absorbing components such as metallic implants, however, limit the value of the tomograms. The dominant artifacts observed are blowout and streaks. Investigating the artifacts generated by metallic implants in a pig jaw, the data acquisition for the patients in dentistry should be optimized in a quantitative manner. A freshly explanted pig jaw including related soft-tissues served as a model system. Images were recorded varying the accelerating voltage and the beam current. The comparison with multi-slice and micro computed tomography (CT) helps to validate the approach with the dental CT system (3D-Accuitomo, Morita, Japan). The data are rigidly registered to comparatively quantify their quality. The micro CT data provide a reasonable standard for quantitative data assessment of clinical CT.

  3. Automatic quality assessment protocol for MRI equipment.

    PubMed

    Bourel, P; Gibon, D; Coste, E; Daanen, V; Rousseau, J

    1999-12-01

    The authors have developed a protocol and software for the quality assessment of MRI equipment with a commercial test object. Automatic image analysis consists of detecting surfaces and objects, defining regions of interest, acquiring reference point coordinates and establishing gray level profiles. Signal-to-noise ratio, image uniformity, geometrical distortion, slice thickness, slice profile, and spatial resolution are checked. The results are periodically analyzed to evaluate possible drifts with time. The measurements are performed weekly on three MRI scanners made by the Siemens Company (VISION 1.5T, EXPERT 1.0T, and OPEN 0.2T). The results obtained for the three scanners over approximately 3.5 years are presented, analyzed, and compared. PMID:10619255

  4. LOCALLY LED CONSERVATION ACTIVITIES: DEVELOPING A SOIL QUALITY ASSESSMENT TOOL

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Farmers base many management decisions on a variety of personal observations of their crops and soils. However, there was no soil assessment procedure applicable to farms across the country to help farmers record these observations and to use them to guide their future management decisions. To add...

  5. A Wireless Sensor Network-Based Approach with Decision Support for Monitoring Lake Water Quality.

    PubMed

    Huang, Xiaoci; Yi, Jianjun; Chen, Shaoli; Zhu, Xiaomin

    2015-01-01

    Online monitoring and water quality analysis of lakes are urgently needed. A feasible and effective approach is to use a Wireless Sensor Network (WSN). Lake water environments, like other real world environments, present many changing and unpredictable situations. To ensure flexibility in such an environment, the WSN node has to be prepared to deal with varying situations. This paper presents a WSN self-configuration approach for lake water quality monitoring. The approach is based on the integration of a semantic framework, where a reasoner can make decisions on the configuration of WSN services. We present a WSN ontology and the relevant water quality monitoring context information, which considers its suitability in a pervasive computing environment. We also propose a rule-based reasoning engine that is used to conduct decision support through reasoning techniques and context-awareness. To evaluate the approach, we conduct usability experiments and performance benchmarks. PMID:26610496

  6. A Wireless Sensor Network-Based Approach with Decision Support for Monitoring Lake Water Quality

    PubMed Central

    Huang, Xiaoci; Yi, Jianjun; Chen, Shaoli; Zhu, Xiaomin

    2015-01-01

    Online monitoring and water quality analysis of lakes are urgently needed. A feasible and effective approach is to use a Wireless Sensor Network (WSN). Lake water environments, like other real world environments, present many changing and unpredictable situations. To ensure flexibility in such an environment, the WSN node has to be prepared to deal with varying situations. This paper presents a WSN self-configuration approach for lake water quality monitoring. The approach is based on the integration of a semantic framework, where a reasoner can make decisions on the configuration of WSN services. We present a WSN ontology and the relevant water quality monitoring context information, which considers its suitability in a pervasive computing environment. We also propose a rule-based reasoning engine that is used to conduct decision support through reasoning techniques and context-awareness. To evaluate the approach, we conduct usability experiments and performance benchmarks. PMID:26610496

  7. Factual Approach in Decision Making - the Prerequisite of Success in Quality Management

    NASA Astrophysics Data System (ADS)

    Kučerová, Marta; Škůrková Lestyánszka, Katarína

    2013-12-01

    In quality management system as well as in other managerial systems, effective decisions must be always based on the data and information analysis, i.e. based on facts, in accordance with the factual approach principle in quality management. It is therefore necessary to measure and collect the data and information about processes. The article presents the results of a conducted survey, which was focused on application of factual approach in decision making. It also offers suggestions for improvements of application of the principle in business practice. This article was prepared using the research results of VEGA project No. 1/0229/08 "Perspectives of the quality management development in relation to the requirements of market in the Slovak Republic".

  8. Project Assessment Framework through Design (PAFTD) - A Project Assessment Framework in Support of Strategic Decision Making

    NASA Technical Reports Server (NTRS)

    Depenbrock, Brett T.; Balint, Tibor S.; Sheehy, Jeffrey A.

    2014-01-01

    Research and development organizations that push the innovation edge of technology frequently encounter challenges when attempting to identify an investment strategy and to accurately forecast the cost and schedule performance of selected projects. Fast moving and complex environments require managers to quickly analyze and diagnose the value of returns on investment versus allocated resources. Our Project Assessment Framework through Design (PAFTD) tool facilitates decision making for NASA senior leadership to enable more strategic and consistent technology development investment analysis, beginning at implementation and continuing through the project life cycle. The framework takes an integrated approach by leveraging design principles of useability, feasibility, and viability and aligns them with methods employed by NASA's Independent Program Assessment Office for project performance assessment. The need exists to periodically revisit the justification and prioritization of technology development investments as changes occur over project life cycles. The framework informs management rapidly and comprehensively about diagnosed internal and external root causes of project performance.

  9. Quality of Online Information to Support Patient Decision-Making in Breast Cancer Surgery

    PubMed Central

    Bruce, Jordan G.; Tucholka, Jennifer L.; Steffens, Nicole M.; Neuman, Heather B.

    2015-01-01

    Background Breast cancer patients commonly use the internet as an information resource. Our objective was to evaluate the quality of online information available to support patients facing a decision for breast surgery. Methods Breast cancer surgery-related queries were performed (Google and Bing), and reviewed for content pertinent to breast cancer surgery. The DISCERN instrument was used to evaluate websites’ structural components that influence publication reliability and ability of information to support treatment decision-making. Scores of 4/5 were considered “good”. Results 45 unique websites were identified. Websites satisfied a median 5/9 content questions. Commonly omitted topics included: having a choice between breast conservation and mastectomy (67%) and potential for 2nd surgery to obtain negative margins after breast conservation (60%). Websites had a median DISCERN score of 2.9 (range 2.0–4.5). Websites achieved higher scores on structural criteria (median 3.6 [2.1–4.7]), with 24% rated as “good”. Scores on supporting decision-making questions were lower (2.6 [1.3–4.4]), with only 7% scoring “good”. Conclusion Although numerous breast cancer-related websites exist, most do a poor job providing women with essential information necessary to actively participate in decision-making for breast cancer surgery. Providing easily-accessible, high-quality online information has the potential to significantly improve patients’ experiences with decision-making. PMID:26417898

  10. 42 CFR 493.1289 - Standard: Analytic systems quality assessment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard: Analytic systems quality assessment. 493... HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing Analytic Systems § 493.1289 Standard: Analytic systems quality assessment. (a)...

  11. 42 CFR 493.1249 - Standard: Preanalytic systems quality assessment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard: Preanalytic systems quality assessment... AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing Preanalytic Systems § 493.1249 Standard: Preanalytic systems quality assessment. (a)...

  12. 42 CFR 493.1299 - Standard: Postanalytic systems quality assessment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard: Postanalytic systems quality assessment... AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing Postanalytic Systems § 493.1299 Standard: Postanalytic systems quality assessment. (a)...

  13. Decision analysis as a life support technology assessment capability.

    PubMed

    Ballin, M G

    1995-01-01

    Applied research and technology development is often characterized by uncertainty, risk, and significant delays before tangible returns are obtained. Decision making regarding which technologies to advance and what resources to devote to them is a challenging but essential task, especially in a resource-constrained environment. In the application of life support technology to future manned space flight, new technology concepts typically are characterized by rough approximations of technology performance, uncertain future flight program needs, and a complex, time-intensive process to develop technology to a flight-ready status. Decision analysis is a quantitative, logic-based discipline that imposes formalism and structure to complex problems confronting a decision maker. It also accounts for the limits of knowledge available at the time a decision is needed. The utility of decision analysis to life support technology R&D was evaluated by applying it to two case studies. The methodology was found to provide useful insight for making technology development resource allocation decisions. PMID:11538570

  14. Do users ignore spatial data quality? A decision-theoretic perspective.

    PubMed

    van Oort, P A J; Bregt, A K

    2005-12-01

    Risk analysis (RA) has been proposed as a means of assessing fitness for use of spatial data but is only rarely adopted. The proposal is that better decisions can be made by accounting for risks due to errors in spatial data. Why is RA so rarely adopted? Most geographical information science (GISc) literature stresses educational and technical constraints. In this article we propose, based on decision theory, a number of hypotheses for why the user would be more or less willing to spend resources on RA. The hypotheses were tested with a questionnaire, which showed that the willingness to spend resources on RA depends on the presence of feedback mechanisms in the decision-making process, on how much is at stake, and to a minor extent on how well the decision-making process can be modeled. PMID:16506986

  15. Video quality assessment for web content mirroring

    NASA Astrophysics Data System (ADS)

    He, Ye; Fei, Kevin; Fernandez, Gustavo A.; Delp, Edward J.

    2014-03-01

    Due to the increasing user expectation on watching experience, moving web high quality video streaming content from the small screen in mobile devices to the larger TV screen has become popular. It is crucial to develop video quality metrics to measure the quality change for various devices or network conditions. In this paper, we propose an automated scoring system to quantify user satisfaction. We compare the quality of local videos with the videos transmitted to a TV. Four video quality metrics, namely Image Quality, Rendering Quality, Freeze Time Ratio and Rate of Freeze Events are used to measure video quality change during web content mirroring. To measure image quality and rendering quality, we compare the matched frames between the source video and the destination video using barcode tools. Freeze time ratio and rate of freeze events are measured after extracting video timestamps. Several user studies are conducted to evaluate the impact of each objective video quality metric on the subjective user watching experience.

  16. Beef quality assessed at European research centres.

    PubMed

    Dransfield, E; Nute, G R; Roberts, T A; Boccard, R; Touraille, C; Buchter, L; Casteels, M; Cosentino, E; Hood, D E; Joseph, R L; Schon, I; Paardekooper, E J

    1984-01-01

    Loin steaks and cubes of M. semimembranosus from eight (12 month old) Galloway steers and eight (16-18 month old) Charolais cross steers raised in England and from which the meat was conditioned for 2 or 10 days, were assessed in research centres in Belgium, Denmark, England, France, the Federal Republic of Germany, Ireland, Italy and the Netherlands. Laboratory panels assessed meat by grilling the steaks and cooking the cubes in casseroles according to local custom using scales developed locally and by scales used frequently at other research centres. The meat was mostly of good quality but with sufficient variation to obtain meaningful comparisons. Tenderness and juiciness were assessed most, and flavour least, consistently. Over the 32 meats, acceptability of steaks and casseroles was in general compounded from tenderness, juiciness and flavour. However, when the meat was tough, it dominated the overall judgement; but when tender, flavour played an important rôle. Irish and English panels tended to weight more on flavour and Italian panels on tenderness and juiciness. Juciness and tenderness were well correlated among all panels except in Italy and Germany. With flavour, however, Belgian, Irish, German and Dutch panels ranked the meats similarly and formed a group distinct from the others which did not. The panels showed a similar grouping for judgements of acceptability. French and Belgian panels judged the steaks from the older Charolais cross steers to have more flavour and be more juicy than average and tended to prefer them. Casseroles from younger steers were invariably preferred although the French and Belgian panels judged aged meat from older animals equally acceptable. These regional biases were thought to be derived mainly from differences in cooking, but variations in experience and perception of assessors also contributed. PMID:22055992

  17. Clinician Perspectives on the Quality of Patient Data Used for Clinical Decision Support: A Qualitative Study

    PubMed Central

    McCormack, James L.; Ash, Joan S.

    2012-01-01

    Objective: Clinical decision support (CDS), defined broadly as patient-specific information and knowledge provided at the point of care, depends on a foundation of high quality electronic patient data. Little is known about how clinicians perceive the quality and value of data used to support CDS within an electronic health record (EHR) environment. Methods: During a three-year research study, we collected ethnographic data from ten diverse organizations, including community hospitals, academic medical centers and ambulatory clinics. Results: An in-depth analysis of the theme “data as a foundation for CDS” yielded a descriptive framework incorporating five subthemes related to data quality: completeness, accessibility, context specificity, accuracy, and reliability. Conclusion: We identified several multi-dimensional models that might be used to conceptualize data quality characteristics for future research. These results could provide new insights to system designers and implementers on the importance clinicians place on specific data quality characteristics regarding electronic patient data for CDS. PMID:23304409

  18. QUALITY: A program to assess basis set quality

    NASA Astrophysics Data System (ADS)

    Sordo, J. A.

    1998-09-01

    A program to analyze in detail the quality of basis sets is presented. The information provided by the application of a wide variety of (atomic and/or molecular) quality criteria is processed by using a methodology that allows one to determine the most appropriate quality test to select a basis set to compute a given (atomic or molecular) property. Fuzzy set theory is used to choose the most adequate basis set to compute simultaneously a set of properties.

  19. The Impact of Quality Assessment in Universities: Portuguese Students' Perceptions

    ERIC Educational Resources Information Center

    Cardoso, Sonia; Santiago, Rui; Sarrico, Claudia S.

    2012-01-01

    Despite being one of the major reasons for the development of quality assessment, students seem relatively unaware of its potential impact. Since one of the main purposes of assessment is to provide students with information on the quality of universities, this lack of awareness brings in to question the effectiveness of assessment as a device for…

  20. Integrated assessment for supporting decision making with multiple criteria

    NASA Astrophysics Data System (ADS)

    Friedrich, R.

    2015-08-01

    Decisions about the development of the energy system should take all relevant criteria into account, including costs and health, environmental and climate impacts. As usually no decision alternative fulfils all criteria better than all other alternatives, a weighting between the indicators that show the degree of fulfilment of the criteria, is necessary. In the following the "impact pathway approach" is described that supports decisions by using weighting factors that are derived from measuring or observing the preferences of the population. The methodology is applied to rank technologies for generating electricity according to their social costs, which is a summary indicator comprising simultaneously costs, impacts of air pollution on health and biodiversity and climate impacts.

  1. An integrated modeling process to assess water quality for watersheds

    NASA Astrophysics Data System (ADS)

    Bhuyan, Samarjyoti

    2001-07-01

    be useful for the resource managers to assess the water quality of sub-watersheds and identify areas within a watershed for which to develop action plans for land use decisions such as adoption of best management practices (BMPs) to improve water quality.* *This dissertation includes a CD that is compound (contains both a paper copy and a CD as part of the dissertation). The CD requires the following applications: Microsoft Excel; AGNPS ARC INFO (program included); NDVI Estimation (included) for ERDAS IMAGINE software (not included); Winzip; Real Jukebox.

  2. Assessment of New Approaches in Geothermal Exploration Decision Making: Preprint

    SciTech Connect

    Akar, S.; Young, K. R.

    2015-02-01

    Geothermal exploration projects have significant amount of risk associated with uncertainties encountered in the discovery of the geothermal resource. Understanding when and how to proceed in an exploration program, and when to walk away from a site, are two of the largest challenges for increased geothermal deployment. Current methodologies for exploration decision making is left to subjective by subjective expert opinion which can be incorrectly biased by expertise (e.g. geochemistry, geophysics), geographic location of focus, and the assumed conceptual model. The aim of this project is to develop a methodology for more objective geothermal exploration decision making at a given location, including go-no-go decision points to help developers and investors decide when to give up on a location. In this scope, two different approaches are investigated: 1) value of information analysis (VOIA) which is used for evaluating and quantifying the value of a data before they are purchased, and 2) enthalpy-based exploration targeting based on reservoir size, temperature gradient estimates, and internal rate of return (IRR). The first approach, VOIA, aims to identify the value of a particular data when making decisions with an uncertain outcome. This approach targets the pre-drilling phase of exploration. These estimated VOIs are highly affected by the size of the project and still have a high degree of subjectivity in assignment of probabilities. The second approach, exploration targeting, is focused on decision making during the drilling phase. It starts with a basic geothermal project definition that includes target and minimum required production capacity and initial budgeting for exploration phases. Then, it uses average temperature gradient, reservoir temperature estimates, and production capacity to define targets and go/no-go limits. The decision analysis in this approach is based on achieving a minimum IRR at each phase of the project. This second approach was

  3. Assessing electronic health record systems in emergency departments: Using a decision analytic Bayesian model.

    PubMed

    Ben-Assuli, Ofir; Leshno, Moshe

    2016-09-01

    In the last decade, health providers have implemented information systems to improve accuracy in medical diagnosis and decision-making. This article evaluates the impact of an electronic health record on emergency department physicians' diagnosis and admission decisions. A decision analytic approach using a decision tree was constructed to model the admission decision process to assess the added value of medical information retrieved from the electronic health record. Using a Bayesian statistical model, this method was evaluated on two coronary artery disease scenarios. The results show that the cases of coronary artery disease were better diagnosed when the electronic health record was consulted and led to more informed admission decisions. Furthermore, the value of medical information required for a specific admission decision in emergency departments could be quantified. The findings support the notion that physicians and patient healthcare can benefit from implementing electronic health record systems in emergency departments. PMID:26033468

  4. Geospatial Data Fusion and Multigroup Decision Support for Surface Water Quality Management

    NASA Astrophysics Data System (ADS)

    Sun, A. Y.; Osidele, O.; Green, R. T.; Xie, H.

    2010-12-01

    Social networking and social media have gained significant popularity and brought fundamental changes to many facets of our everyday life. With the ever-increasing adoption of GPS-enabled gadgets and technology, location-based content is likely to play a central role in social networking sites. While location-based content is not new to the geoscience community, where geographic information systems (GIS) are extensively used, the delivery of useful geospatial data to targeted user groups for decision support is new. Decision makers and modelers ought to make more effective use of the new web-based tools to expand the scope of environmental awareness education, public outreach, and stakeholder interaction. Environmental decision processes are often rife with uncertainty and controversy, requiring integration of multiple sources of information and compromises between diverse interests. Fusing of multisource, multiscale environmental data for multigroup decision support is a challenging task. Toward this goal, a multigroup decision support platform should strive to achieve transparency, impartiality, and timely synthesis of information. The latter criterion often constitutes a major technical bottleneck to traditional GIS-based media, featuring large file or image sizes and requiring special processing before web deployment. Many tools and design patterns have appeared in recent years to ease the situation somewhat. In this project, we explore the use of Web 2.0 technologies for “pushing” location-based content to multigroups involved in surface water quality management and decision making. In particular, our granular bottom-up approach facilitates effective delivery of information to most relevant user groups. Our location-based content includes in-situ and remotely sensed data disseminated by NASA and other national and local agencies. Our project is demonstrated for managing the total maximum daily load (TMDL) program in the Arroyo Colorado coastal river basin

  5. Food quality assessment by NIR hyperspectral imaging

    NASA Astrophysics Data System (ADS)

    Whitworth, Martin B.; Millar, Samuel J.; Chau, Astor

    2010-04-01

    Near infrared reflectance (NIR) spectroscopy is well established in the food industry for rapid compositional analysis of bulk samples. NIR hyperspectral imaging provides new opportunities to measure the spatial distribution of components such as moisture and fat, and to identify and measure specific regions of composite samples. An NIR hyperspectral imaging system has been constructed for food research applications, incorporating a SWIR camera with a cooled 14 bit HgCdTe detector and N25E spectrograph (Specim Ltd, Finland). Samples are scanned in a pushbroom mode using a motorised stage. The system has a spectral resolution of 256 pixels covering a range of 970-2500 nm and a spatial resolution of 320 pixels covering a swathe adjustable from 8 to 300 mm. Images are acquired at a rate of up to 100 lines s-1, enabling samples to be scanned within a few seconds. Data are captured using SpectralCube software (Specim) and analysed using ENVI and IDL (ITT Visual Information Solutions). Several food applications are presented. The strength of individual absorbance bands enables the distribution of particular components to be assessed. Examples are shown for detection of added gluten in wheat flour and to study the effect of processing conditions on fat distribution in chips/French fries. More detailed quantitative calibrations have been developed to study evolution of the moisture distribution in baguettes during storage at different humidities, to assess freshness of fish using measurements of whole cod and fillets, and for prediction of beef quality by identification and separate measurement of lean and fat regions.

  6. Including Alternate Assessment Results in Accountability Decisions. NCEO Policy Directions.

    ERIC Educational Resources Information Center

    Quenemoen, Rachel; Thurlow, Martha

    Alternate assessments provide a mechanism for students with complex disabilities to be included in assessment systems. An integral part of maximizing the benefits of assessing students is to include the results of alternate assessments in school accountability systems. This report addresses policy options for including the results of alternate…

  7. Criteria for assessing problem solving and decision making in complex environments

    NASA Technical Reports Server (NTRS)

    Orasanu, Judith

    1993-01-01

    Training crews to cope with unanticipated problems in high-risk, high-stress environments requires models of effective problem solving and decision making. Existing decision theories use the criteria of logical consistency and mathematical optimality to evaluate decision quality. While these approaches are useful under some circumstances, the assumptions underlying these models frequently are not met in dynamic time-pressured operational environments. Also, applying formal decision models is both labor and time intensive, a luxury often lacking in operational environments. Alternate approaches and criteria are needed. Given that operational problem solving and decision making are embedded in ongoing tasks, evaluation criteria must address the relation between those activities and satisfaction of broader task goals. Effectiveness and efficiency become relevant for judging reasoning performance in operational environments. New questions must be addressed: What is the relation between the quality of decisions and overall performance by crews engaged in critical high risk tasks? Are different strategies most effective for different types of decisions? How can various decision types be characterized? A preliminary model of decision types found in air transport environments will be described along with a preliminary performance model based on an analysis of 30 flight crews. The performance analysis examined behaviors that distinguish more and less effective crews (based on performance errors). Implications for training and system design will be discussed.

  8. Federal Workforce Quality: Measurement and Improvement. Report of the Advisory Committee on Federal Workforce Quality Assessment.

    ERIC Educational Resources Information Center

    Office of Personnel Management, Washington, DC.

    The Advisory Committee on Federal Workforce Quality Assessment was chartered to examine various work force quality assessment efforts in the federal government and provide advice on their adequacy and suggestions on their improvement or expansion. Objective data in recent research suggested that a universal decline in work force quality might not…

  9. Making effective links to decision-making: Key challenges for health impact assessment

    SciTech Connect

    Elliott, Eva . E-mail: elliotte@cf.ac.uk; Francis, Sarah

    2005-10-15

    This paper draws on an exploratory research study to examine the effectiveness of health impact assessments in Wales. Through the review of five case study health impact assessments the research identified a number of benefits of the process in terms of skills and knowledge development amongst participants. The indirect contributions to decision-making were also evident including the way in which health impact assessment provided useful insights into the local community's perspective and raised awareness about the wider determinants of health. The process was also useful in establishing a dialogue between different stakeholders, which indirectly assisted decision-making and implementation. The direct links between health impact assessment and decision-making were more difficult to trace and this paper puts forward a number of suggestions for making those links more transparent. Suggestions include integrating decision-makers and clarifying the intended links to decision-making at the start of the health impact assessment process. Mainstreaming health impact assessment so that it is triggered as a routine part of all decision-making would help ensure it stands the best chance of informing decisions.

  10. A decision support system for delivering optimal quality peach and tomato

    NASA Technical Reports Server (NTRS)

    Thai, C. N.; Pease, J. N.; Shewfelt, R. L.

    1990-01-01

    Several studies have indicated that color and firmness are the two quality attributes most important to consumers in making purchasing decisions of fresh peaches and tomatoes. However, at present, retail produce managers do not have the proper information for handling fresh produce so it has the most appealing color and firmness when it reaches the consumer. This information should help them predict the consumer color and firmness perception and preference for produce from various storage conditions. Since 1987, for 'Redglobe' peach and 'Sunny' tomato, we have been generating information about their physical quality attributes (firmness and color) and their corresponding consumer sensory scores. This article reports on our current progress toward the goal of integrating such information into a model-based decision support system for retail level managers in handling fresh peaches and tomatoes.