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The safety of patient management in family medicine in Slovenia during Covid-19 : a crosssectional study
Maja Cvetko Gomezelj, Špela Miroševič, Alina Verdnik Tajki, Ksenija Tušek-Bunc, Esther Van Poel, Sara Willems, Zalika Klemenc-Ketiš, 2023, izvirni znanstveni članek

Opis: Abstract Background During the Covid-19 pandemic, family medicine practices (FMPs) changed to improve safety against new coronavirus infections for both patients and employees. Protocols for treating patients with suspected Sars-Cov-2 infections were established to protect medical staf and other patients from being infected. However, these protocols also led to increased safety risks, such as delays in treating patients with other medical conditions. This exploratory study aimed to investigate safety risks in treating patients in FMPs during the Covid-19 pandemic and to suggest improvements to prevent Covid-19 in FMPs in Slovenia. Methods A cross-sectional study was rolled out in FMPs in Slovenia as part of the international Pricov-19 study. Data collection on safety management during the Covid-19 pandemic in FMPs in Slovenia took place from November 2020 until January 2021 using a self-administered online survey for FP working in Slovenia. A chi-square test, ANOVA, independent samples t-test or bivariate correlation test was performed to explore associations regarding the safety of patients’ management variables. Results From the 191 participating family physicians (FPs) (15.2% response rate), 54.8% reported having treated patients with fever (not Covid-19) late due to the new protocols at least once, and 54.8% reported patients with urgent conditions having been seen late at least once due to not coming. In the suburbs and rural environments FPs more often reported that at least once patient with a fever (not Covid-19) was seen late due to the protocol (p=0.017) and more often reported that at least once patient with an urgent condition was seen late due to not com‑ ing to their FP (p=0.017). The larger the practice, the more they reported that at least once a patient with fever (not Covid-19) was seen late due to the protocol (p=0.012) and the more they reported at least once a patient with an urgent condition was seen late due to not coming to their FP (p=0.012). Conclusion Covid-19 afected the safety of patient management in FMP in Slovenia. The most common prob‑ lem was foregone care. Therefor, protocols for chronic patient management in the event of epidemics need to be established.
Ključne besede: Covid-19, family medicine, patient safety, patient management, quality of care, PRICOV-19, primary health care, general practice, timeliness
Objavljeno v DKUM: 29.03.2024; Ogledov: 115; Prenosov: 8
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QoS-oriented design of embedded systems with specification PEARL
Roman Gumzej, Wolfgang A. Halang, 2007, izvirni znanstveni članek

Opis: Only recently have methodical tools adequate to design real-time systems been formally introduced in design methodologies. Naturally, they were present fromthe beginning, but due to the large diversity of embedded systemsć areas of deployment, specially dedicated formalisms have been developed and used. High-level language programming and integration of modeling formalisms into design methods eased the development of more complex real-time applications. With the emerging object-oriented programming languages and design methods, their integration into larger information systems has become more transparent. It was the UML methodology, however, which eventually merged also the design methods and concepts of real-time systems into a consistent whole. It took a large consortium and a long process to persuade industry of the benefits the new integral methodology can offer. On the other hand, there are some trade-offs, and there are some features not completely covered, yet. Here, a different, more straightforward approach to program and design (embedded) real-time systems is presented. Since it emerged from the real-time community, it includes most features relevant there. Independent of the UML profile for schedulability, performance and time specification, a profile was devised for use in PEARL-oriented UML design. The strengths of the mentioned language and design methods for QoS-oriented design of (embedded) real-time systems are emphasised throughout this article.
Ključne besede: real time systems, embedded systems, quality of service, co-design, co-simulation, safety, dependability, security, timeliness, determinism, readiness, reliability, portability, flexibility, specification PEARL, UML profiles, patterns
Objavljeno v DKUM: 31.05.2012; Ogledov: 2447; Prenosov: 128
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