Artigos de revistas: "Project stewardship"

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McLeod, Poppy, Jonathon Schuldt, Hwanseok Song, Rhiannon Crain e Janis Dickinson. "Does Terminology Matter? Effects of the Citizen Science Label on Participation in a Wildlife Conservation Online Platform". Citizen Science: Theory and Practice 10, n.º 1 (29 de janeiro de 2025): 7. https://doi.org/10.5334/cstp.715.

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Despite concerns that sociocultural connotations of the term citizen science may discourage engagement with such projects among certain groups, little empirical evidence is available about the behavioral effects of this terminology. One specific area of concern is the persistent gender gap in citizen science participation. A two-week field experiment (N = 699) with users of an online platform framed as either a citizen science or an environmental stewardship project examined framing and gender effects on engagement, sense of community (SoC), and indicators of pro-environmental interest. Results revealed no direct effects of the frame. Rather, framing interacted with participants’ perceptions of the extent to which the project was about citizen science or environmental stewardship. Perceiving the project as environmental stewardship predicted higher engagement and environmental interest among women than among men, and greater SoC only among men assigned to the environmental stewardship frame. A key implication is that the congruence between a project’s label and people’s experiences in the project may be more important than how the project is labeled.

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Singh, Prachi, Brian Lee e Jenna Holmen. "Promoting Antimicrobial Stewardship Education Among Pediatricians Through a Maintenance of Certification Part 4 Quality Impro". Antimicrobial Stewardship & Healthcare Epidemiology 1, S1 (julho de 2021): s29. http://dx.doi.org/10.1017/ash.2021.53.

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Background: The rise of antimicrobial resistance has made it critical for clinicians to understand antimicrobial stewardship principles. We sought to determine whether the opportunity to participate in an American Board of Pediatrics Maintenance of Certification Part 4 (MOC4) quality improvement (QI) project would engage pediatricians and improve their knowledge about antimicrobial stewardship. Methods: In August 2019, a new clinical algorithm for acute appendicitis, spearheaded by the antimicrobial stewardship program (ASP), was implemented at UCSF Benioff Children’s Hospital Oakland to standardize care and optimize antimicrobial use. Medical staff were invited to participate in a QI project evaluating the impact of this algorithm. Data were collected for the 2 quarters preceding implementation (baseline), for the quarter of implementation (transition period), and for the quarter after implementation. Participants were offered MOC4 credit for reviewing these 3 cycles of data and associated materials highlighting information about antimicrobial stewardship. An initial survey was given to participants to assess their baseline knowledge via 4 questions about antimicrobial use in surgical patients (Table 1). At the conclusion of the QI project, another survey was conducted to reassess participant knowledge and to evaluate overall satisfaction with the project. Results: In total, 150 clinicians completed the initial survey. Of these, 44% were general pediatricians and 56% were pediatric subspecialists. Based on years out of training, their levels of experience varied: >20 years in 24%, 11–20 years in 32.7%, 0–10 years in 34.7%, and currently in training in 8.7%. Of the 150 initial participants, 133 (89%) completed the QI project and the second survey. Between surveys, there was significant improvement in knowledge about the appropriate timing and duration of surgical antibiotic prophylaxis (Table 1). Moreover, 88% of participants responded that the QI project was extremely effective in helping them learn about antimicrobial stewardship principles and about ASP interventions. Conclusions: Participation in this MOC4 QI project resulted in significant improvement in knowledge about antimicrobial use in surgical patients, and the activity was perceived as a highly effective way to learn about antimicrobial stewardship. QI projects that leverage MOC4 credit can be a powerful tool for engaging pediatricians and disseminating education about antimicrobial stewardship.Funding: NoDisclosures: None

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Garwood, Deborah A. "Case study on a scientific oral history project using information practice analysis". Information Research an international electronic journal 29, n.º 2 (18 de junho de 2024): 322–40. http://dx.doi.org/10.47989/ir292829.

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Introduction. This investigation explored 21st century stewardship of a late 20th century scientific oral history project through the lens of information practice. Oral history project stewardship and reuse are understudied. Literature review. Oral histories foreground human agency in the world. Often studied singly, many reflect an oral history project’s historiographic context. Stewardship documentation by multiple stakeholders accrues over time. The author developed an information practice analysis tool for systematic exploration of oral history stewardship documentation. Method. A case study approach and qualitative content analysis techniques guided investigation of documentation for an oral history project held at Science History Institute in Philadelphia. Textual data was collected for a purposive sample. Analysis and results. Multiple stakeholders’ documentation schema for the purposive sample were analysed in Excel and Word. Results coded five information work models for stakeholder information practices. Discussion. The information work models portrayed stakeholder information practices as mechanisms for stability in the stewardship of contextual assets, and mechanisms for transformation through staff knowledge, as situational assets. Conclusion. Information practice analysis of oral history stewardship in this case study systematised stakeholders’ and user perspectives on access. Implications for theory development lie in leveraging the stability and transformative agency of stewardship and reuse.

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Barnes, Joy M., e Pamela Bradshaw. "Interventions to Decrease Inappropriate Antibiotic Use for Non-acute Respiratory Illness in Long-Term Care Settings". International Journal of Studies in Nursing 4, n.º 3 (21 de junho de 2019): 28. http://dx.doi.org/10.20849/ijsn.v4i3.599.

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Background: The life-saving power of antibiotics could be lost forever if leaders fail to implement effective antibiotic stewardship programs at all healthcare levels. Grahams’ Knowledge to Action theory guided the development of an antibiotic stewardship program in a long-term care facility that had received a citation for having no active antibiotic stewardship program as required by federal regulations. Purpose: The purpose of this project was to develop and implement an evidence-based antibiotic stewardship program into one long-term care facility. Methods and Materials: This quality improvement project was a population-based systems charter development. The implementation intervention was designed to change the way health care professionals treat non-acute episodes of upper respiratory infections in a long-term care setting. This project utilized the suspected lower respiratory infection (LRI) Situation, Background, Assessment, Recommendation (SBAR) form to reduce the number of antibiotics given during the early part of cold and influenza season of 2018. An antibiotic stewardship policy was developed by multidisciplinary team members and then implemented into the facilities daily practice. Results: The point-prevalence rate of antibiotics within this facility dropped from 24% in 2017 to 6% in 2018 after implementation of the antibiotic stewardship program. Conclusion: This project demonstrates how long-term care facilities can successfully implement an antibiotic stewardship program and potentially improve overall healthcare outcomes for the residents.

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Reyes, Betsaida M. "Book Review: Shared Collections: Collaborative Stewardship". Library Resources & Technical Services 61, n.º 2 (11 de maio de 2017): 119. http://dx.doi.org/10.5860/lrts.61n2.119.

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Librarians are natural collaborators. As professionals we enjoy working with colleagues within the same institution and beyond. This is particularly fitting when it comes to collection development. Academic libraries strive to support the research needs of our users by providing access to a wide range of materials. In a world of shrinking budgets and limited staff, we turn to collaboration as a way to continue to deliver excellent services to our patrons. Collaborative partnerships between regional institutions or across state lines allow individual organizations to reallocate their resources and better serve the local needs. If you are ready to begin the planning stages of a collaborative collection development project, this book is a great starting point. Shared Collections: Collaborative Stewardship is a gathering of essays that discusses an array of cooperative collection development projects in a variety of institutions. It covers everything you need to know from how to create a partnership of shared collections (chapter 2) to specific examples of current projects covering everything from serials (chapter 4), monographs (chapters 6 and 8) and digital collections (chapter 7).

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Allerberger, Franz, Annegret Frank e Roland Gareis. "Antibiotic Stewardship through the EU Project "ABS International"". Wiener klinische Wochenschrift 120, n.º 9-10 (maio de 2008): 256–63. http://dx.doi.org/10.1007/s00508-008-0966-9.

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Lareza Jr., Leopoldo H. "Stewardship: Christian Responsibility Through Circular Economy – A Community “TAKA PROJECT”". International Journal of Research and Scientific Innovation XI, n.º V (2024): 1161–74. http://dx.doi.org/10.51244/ijrsi.2024.1105078.

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The idea of stewardship, which emphasizes the duty to look after and safeguard the Earth, has its roots in Christian teachings. In light of the circular economy, this article investigates the application of a community “TAKA project” that fosters stewardship. As a strategy for attaining sustainable growth and protecting the environment, the circular economy is garnering more and more attention. Businesses and individuals must align their operations and consumption habits to minimize or eradicate waste and pollution, while also recycling products and resources to restore the ecosystem. As stewards of the planet, humans must accept responsibility for the environment if the circular economy model is to be successfully implemented, which calls for community cooperation. This study examines the execution of a community “TAKA project” that addresses sustainable development in the local community and protects the environment by promoting stewardship through circularity principles. Through sustainable consumption and production, this TAKA project seeks to inform and include the local community, particularly schools. Pope Francis’ call to transform our “throw-away culture” is closely linked to the Christian concept of stewardship and its relationship to the circular economy. It highlights the significance of sustainable development and responsible resource management, which is in line with the biblical call to care for God’s creation by embracing the circular economy’s principles and actively participating in the community to reduce resource depletion and environmental degradation.

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HOLZMUELLER, ERIC J., JOHN W. GRONINGER e MICHAEL A. MARTINEK. "FOREST MANAGEMENT PLANNING ON PRIVATE LANDS: A CASE STUDY OF THE SPATIAL ANALYSIS PROJECT IN THE NORTH CENTRAL UNITED STATES". Journal of Environmental Assessment Policy and Management 15, n.º 01 (março de 2013): 1350004. http://dx.doi.org/10.1142/s146433321350004x.

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In 2004, the US Forest Service launched the Spatial Analysis Project (SAP) to determine whether lands enrolled in the Forest Stewardship Program meet state stewardship objectives. Within each state, SAP used an aggregate analysis to categorise all land available for the FSP as — low, medium, or high stewardship potential. We characterized differences in land classified by the SAP in the study area, and determined if states have been effectively enrolling lands in the high category. Results indicate that while states are enrolling high stewardship potential lands (p < 0.0001), prioritising among forest lands is difficult because nearly all of it is classified as high or medium stewardship potential. We suggest prioritising forested areas using ranking criteria that are more closely associated with state forestry priorities, a strategy that could be adapted to increase the impact of limited public forest stewardship resources outside of the region as well.

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Kerkvliet, Joe. "The Practice and Economics of Stewardship Contracting: A Case Study of the Clearwater Stewardship Project". Forest Products Journal 60, n.º 3 (maio de 2010): 213–20. http://dx.doi.org/10.13073/0015-7473-60.3.213.

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Ding, Chen, e Michael A. Schuett. "Predicting the Commitment of Volunteers’ Environmental Stewardship: Does Generativity Play a Role?" Sustainability 12, n.º 17 (21 de agosto de 2020): 6802. http://dx.doi.org/10.3390/su12176802.

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This study examined factors that contribute to the commitment of volunteers’ environmental stewardship through motivations, satisfaction, and generativity. Generativity, a focus on the next generation, has not been examined in the content of environmental stewardship. Volunteers for the Texas Parks & Wildlife Department (TPWD) were surveyed online from May to September of 2016 (n = 1111). Through structural equation modeling (SEM) analysis, our findings validated six categories of motivations (helping the environment, project organization, values, learning, career, and social), four dimensions of satisfaction (organizational support, project organization, sense of empowerment, and group integration), and two factors of commitment (affective commitment and normative commitment). Our findings showed positive and significant path correlations for four latent variables (motivations, satisfaction, commitment, and generativity). This study contributes to the literature by showing the potential for generativity to contribute to environmental stewardship, and by enhancing stewardship efforts for agencies and organizations in recruiting and engaging volunteers.

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Russell, Matthew A., Larry E. Murphy, Donald L. Johnson, Timothy J. Foecke, Pamela J. Morris e Ralph Mitchell. "Science for Stewardship: Multidisciplinary Research on USS Arizona". Marine Technology Society Journal 38, n.º 3 (1 de setembro de 2004): 54–63. http://dx.doi.org/10.4031/002533204787511255.

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The National Park Service's Submerged Resources Center and USS Arizona Memorial are conducting and coordinating research directed at understanding the nature and rate of natural processes affecting the deterioration of the USS Arizona in Pearl Harbor, Hawaii. The USS Arizona Preservation Project is designed to be multi-year, interdisciplinary and cumulative, with each element contributing to developing an overall management strategy designed to minimize environmental hazard from fuel oil release and provide the basic research required to make informed management decisions for long-term preservation. The primary project focus is toward acquiring requisite data for understanding the complex corrosion and deterioration processes affecting Arizona's hull, both internally and externally, and modeling and predicting the nature and rate of structural changes. This research program is designed to be a cumulative progression of multi-disciplinary investigative steps. Multiple lines of evidence are being pursued simultaneously, each directly or indirectly linked to the others and to the overall project objectives. This project is an example of government agencies, academic institutions, military commands and private institutions working together effectively for public benefit. The USS Arizona Preservation Project is designed to serve as a model because it will have direct application to preservation and management of historical iron and steel vessels worldwide and to intervention actions for other leaking vessels.

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Monsees, Elizabeth, Elizabeth Monsees, Ann Wirtz, Angela Myers, Angela Myers, Alaina Burns, Chris Day et al. "1052. Antimicrobial Stewardship: On Board with Lean Daily Management System". Open Forum Infectious Diseases 6, Supplement_2 (outubro de 2019): S371. http://dx.doi.org/10.1093/ofid/ofz360.916.

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Abstract Background Limited guidance exists on how to design and measure the efficiency and effectiveness of an antimicrobial stewardship program (ASP). Our established ASP sought to broaden interprofessional accountability and enhance our programmatic efficiency by employing Lean Daily Management System (DMS) procedures. Methods To improve ASP communication, a visual and systematic approach to identify, address, and resolve ASP projects while quantifying nontraditional metrics measuring the efficiency and effectiveness was developed. Through shared discussions, an interdisciplinary group of stakeholders produced the following deliverables: (a) established shared programming goals/metrics; (b) improved prioritization methods and project tracking through completion; (c) developed readiness and metric boards to display achievements, current activity, and metrics; (d) identified programming threats and strategies to strengthen our provided services. Results At 6 months following DMS adoption, our ASP has disbanded monthly meetings in lieu of weekly, 15 minute huddles utilizing the readiness and metric boards. We achieved consistent and interprofessional representation where each member is accountable for leading huddles, providing reports, and owning projects. Using a stoplight color system to indicate status, potential ASP influencers are tracked and reported: clinical workload/demands, organizational awareness, equipment/supplies, staffing, project updates, and announcements. The visual identification allows the team to address “quick hits” or escalate resource allocation to solve “big issues” (figure). Program metrics are codified under the domains of delivery, people, quality, safety, and financial stewardship. Administrative leadership has attended huddles and provided positive and constructive feedback to foster a process of continuous improvement. Conclusion Integration of Lean DMS huddles provides a collaborative, interactive and interdisciplinary approach to enhance shared awareness and to broaden the reach and efficiency of our ASP. With project tracking mechanisms in place, our team is refining our problem-solving abilities to ensure a congruent plan between issues raised and established program metrics. Disclosures All authors: No reported disclosures.

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Bryant, Brandy, Jennifer Curello, Daniel Uslan, Romney Humphries, Meganne Kanatani e Zahra Kassamali. "Antimicrobial Stewardship Programs: Engaging Project Managers to Increase Productivity". Infection Control & Hospital Epidemiology 37, n.º 6 (31 de março de 2016): 739–40. http://dx.doi.org/10.1017/ice.2016.63.

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Bivacca, Kelsey, e Catherine Nadeau. "Quality Improvement Project for Antibiotic Stewardship in Urgent Care". Journal for Nurse Practitioners 19, n.º 3 (março de 2023): 104528. http://dx.doi.org/10.1016/j.nurpra.2022.104528.

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Bontsevich, R. A., G. I. Zavitkevich, E. V. Eliseeva, Yu V. Feoktistova, O. G. Kompaniets, G. G. Ketova e M. L. Maksimov. "Antimicrobial therapy: assessing physicians’ basic knowledge. KANT-I/II project". Glavvrač (Chief Medical Officer), n.º 4 (30 de abril de 2024): 13–23. http://dx.doi.org/10.33920/med-03-2404-02.

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Teperek, Marta, Maria J. Cruz, Ellen Verbakel, Jasmin Böhmer e Alastair Dunning. "Data Stewardship addressing disciplinary data management needs". International Journal of Digital Curation 13, n.º 1 (27 de dezembro de 2018): 141–49. http://dx.doi.org/10.2218/ijdc.v13i1.604.

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One of the biggest challenges for multidisciplinary research institutions which provide data management support to researchers is addressing disciplinary differences (Akers and Doty,2013). Centralised services need to be general enough to cater for all the different flavours of research conducted in an institution. At the same time, focusing on the common denominator means that subject-specific differences and needs may not be effectively addressed. In 2017, Delft University of Technology (TU Delft) embarked on an ambitious Data Stewardship project, aiming to comprehensively address data management needs across a multi-disciplinary campus. In this article we describe the principles behind the Data Stewardship project at TU Delft, the progress so far, identify the key challenges and explain our plans for the future.

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Arora, Pankaj, Gurpreet Singh, Ritesh Agarwal, Pallab Ray, M. Praveen Kumar, Nusrat Shafiq, Vikas Gautam et al. "Antimicrobial Stewardship Program of Postgraduate Institute of Medical Education and Research, Chandigarh: Running Fast to catch the Missed Bus". Journal of Postgraduate Medicine, Education and Research 51, n.º 3 (2017): 123–27. http://dx.doi.org/10.5005/jpmer-51-3-123.

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ABSTRACT Antimicrobial stewardship is a coordinated multidisciplinary effort directed at judicious use of antimicrobials. While antimicrobial stewardship is a routine activity in the developed world, the concept has evolved only of late in the developing countries including India. Started initially as a research project, a formal antimicrobial stewardship committee was constituted in the institute. The present article highlights the work done so far, problems faced, and the future of antimicrobial stewardship related activities in the institute. How to cite this article Shafiq N, Kumar MP, Kumar G, Rohilla R, Saha S, Gautam V, Agarwal R, Ray P, Singh G, Muralidharan J, Arora P. Antimicrobial Stewardship Program of Postgraduate Institute of Medical Education and Research, Chandigarh: Running Fast to catch the Missed Bus. J Postgrad Med Edu Res 2017;51(3):123-127.

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Caliz, B. "INT-009 Efficiency of an Antifungal Stewardship Program (PROMULGA Project)". European Journal of Hospital Pharmacy 21, Suppl 1 (24 de fevereiro de 2014): A210.3—A211. http://dx.doi.org/10.1136/ejhpharm-2013-000436.515.

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Holm, Rochelle H., e Alice Ngulube Magombo. "Between water stewardship and independent global water certification: learning from smallholder rice farmers, Karonga, Malawi". Waterlines 40, n.º 1 (1 de janeiro de 2021): 61–72. http://dx.doi.org/10.3362/1756-3488.20-00006.

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Cooperation and locally driven water management are at the forefront of food production water management for smallholder farmers in low-income countries. The aim of this paper was to critically reflect on the experiences of 5,819 smallholder rice farmers in Karonga District, Malawi, who were members of a farmers’ organization that achieved improved water stewardship, but could not achieve Alliance for Water Stewardship certification within a three-year project. The data for this paper were obtained through farmer and stakeholder interviews. The partnership attempted to bring together four parties: academics, farmers, local government, and a non-governmental organization. The farmers were trained by combining stewardship and certification topics through a train-the-trainer approach. The farmers’ organization primarily focuses on agribusiness; therefore, they did not have any water-related data or detailed farm boundaries from the large and dispersed group of farmers and could not obtain a collective water permit. Understanding water governance was difficult for many farmers. Furthermore, moving from stewardship to certification presented some financial challenges. Critical thinking and questioning are required, along with a deeper understanding of the local context, logistical hindrances, priorities, alternatives, culture, and science, to evaluate how projects are designed and partially succeed or fail from the perspective of low-income farmers in the Global South.

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Horiuchi, Catherine. "Stewardship in Large Public Projects: The Practicality of Shakespeare". Public Voices 14, n.º 2 (5 de janeiro de 2017): 19. http://dx.doi.org/10.22140/pv.7.

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Can reading great literature, considering its heroes and small characters, improve the performance of public sector actors? King Lear’s characters fault a wickedly disinterested heaven for life’s setbacks and woes. Yet Shakespeare makes clear that these actors’ own terrible choices beset the king, his family and the rest of us who are subject to the acts of public leaders. Reading this literature as analogy for the effectiveness of the modern public sector suggests how administrative operation of our democratic state may – or may not – successfully parcel power and control so as to limit negative externalities derived from ill-informed, self-serving or rent-seeking executive and individual decisions. Lear’s tragic arc mimics a sorrowful “muddling through” and potentially unnecessary “satisficing” in certain large public works projects. One large public project currently deemed successful is examined here – the replacement of the eastern span of the Bay Bridge in San Francisco – as a reflection on separated powers, the limits of human nature, and the inevitability of error.

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Yousef, Rana, e Walaa Qutechate. "Green Risk Management: Integrating Sustainability into IT Project Management". International Journal of Advances in Soft Computing and its Applications 16, n.º 3 (novembro de 2024): 47–66. http://dx.doi.org/10.15849/ijasca.241130.04.

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This paper aims to explore the significance of incorporating sustainability principles into risk management processes within the field of information technology project management. As IT projects grow in complexity and scale, traditional risk management approaches may prove inadequate in addressing environmental and social responsibilities. Through a comprehensive review of existing research, this study emphasizes the necessity of a sustainability-oriented risk management framework. The proposed framework seeks to balance technological advancement with environmental stewardship as well as social responsibility, aligning the outcomes of IT projects with broader sustainability objectives. The paper explores potential obstacles and advantages, providing valuable insights into how the implementation of sustainable risk management can contribute to the development of more resilient, responsible, and futureoriented IT projects.

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Bardel, Alexander, Ilire Hasani-Mavriqi, Claire Jean-Quartier, Peter Schaffer, Therese Macher, Tereza Kalová, Michael Feichtinger et al. "Data Stewardship – Austrian National Strategy and Alignment". Zeitschrift für Hochschulentwicklung 18, Sonderheft Forschung (29 de novembro de 2023): 65–88. http://dx.doi.org/10.21240/zfhe/sh-f/05.

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Within the FAIR Data Austria project, supported by the Federal Ministry for Education, Science, and Research (BMBWF), a national strategy has been established to advance the creation of tailored Data Stewardship solutions for the Austrian context. The strategy, formalized as a toolbox, delineates various Data Steward models, corresponding competencies, and accessible training resources. Despite the crucial role of Data Stewardship in supporting data-driven scientific research, Austrian universities encounter challenges in its implementation. Issues include lack of consensus on the skills, roles, and responsibilities of Data Stewards, coupled with insufficient funding for these positions. This article explores these challenges and emphasizes the importance of addressing them to promote effective Data Stewardship within the Austrian academic landscape.

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Broyles, Jennifer L., Elizabeth Friberg, Keri K. Hall e Pamela B. DeGuzman. "Diagnostic Stewardship Protocol to Reduce Urine Contamination: A Quality Improvement Project". Journal for Nurse Practitioners 17, n.º 4 (abril de 2021): 399–404. http://dx.doi.org/10.1016/j.nurpra.2020.12.007.

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Thabet, Salem, Mamta S. Chhabria, Muhammad Ali Naveed, Leela KT Boppana e Michael N. Gurell. "Impact of Pulmonary Rehabilitation Stewardship Program on COPD Patients, QI project". Journal of Community Hospital Internal Medicine Perspectives 12, n.º 1 (17 de fevereiro de 2022): 110–13. http://dx.doi.org/10.55729/2000-9666.1024.

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Browne, Cameron, Matthew Stephenson e Walter Crist. "Data Note: The Digital Ludeme Project Database". Open Research Europe 3 (28 de setembro de 2023): 164. http://dx.doi.org/10.12688/openreseurope.16524.1.

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This document outlines the types of data collected for the Digital Ludeme Project, an ERC-funded research project that aims to improve our understanding of the development of games throughout human history through computational analysis of the available (partial) historical data of games. This document outlines how this data is collected, formatted and stored, and how it can be accessed. It is the aim of the Digital Ludeme Project to provide a data resource of unprecedented depth and scope for the benefit of historical games researchers worldwide. Special attention is paid to the FAIR Guiding Principles for scientific data management and stewardship.

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McCormick, Ted. "Moral geometry in Restoration Ireland: Samuel Foley’s ‘Computatio universalis’ (1684) and the science of colonisation". Irish Historical Studies 40, n.º 158 (novembro de 2016): 192–207. http://dx.doi.org/10.1017/ihs.2016.24.

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AbstractDespite the importance of the new science in the colonisation of Stuart Ireland, and the many Irish links to major figures in the Scientific Revolution, these connections remain relatively little studied outside of major episodes such as the Down Survey. This article examines a much smaller project, the ‘Computatio Universalis’ (1684) of Church of Ireland clergyman (later bishop of Down and Connor) Samuel Foley (1655–1695). Submitted to the Dublin Philosophical Society in 1684 as an attempt to ‘to demonstrate a universal standard’ of value, Foley’s project was in fact a guide to the achievement of ‘happiness’ through the careful stewardship of time and wealth. Foley’s project recalls earlier Christian humanist and Protestant concern with stewardship, however, and also reflects seventeenth-century economic writers’ and moral reformers’ concern with avoiding idleness. In the context of Restoration Ireland, however, it can also be seen more specifically as a project harnessing new methods of quantification for the cultural maintenance of a ruling Protestant elite historically threatened by degeneration in a colonial setting, as well as a reflection of Protestant anxieties about the Catholic church’s control over time.

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Virag, Peter, Edward W. N. Bernroider e Ulrich Remus. "Agile Project Management Styles and Control Ambidexterity in Agile Information Systems Development Projects: An Exploratory Case Study". Journal of the Association for Information Systems 25, n.º 5 (2024): 1274–302. https://doi.org/10.17705/1jais.00880.

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Agile information systems development (ISD) projects face the dilemma of control versus autonomy. Although autonomy benefits agile ISD, many projects in practice nevertheless feature project managers who exert control for more formal structure and guidance. To address this autonomy-control dilemma, prior research on traditional ISD highlights the need for control ambidexterity, which is the simultaneous execution of contrasting control activities. However, little is known about achieving control ambidexterity in agile ISD projects, and, in particular, how agile project managers dynamically adapt controls to changing contextual requirements. Our in-depth case study in the IT department of a multinational container shipping company that runs several Scrum ISD projects identifies four agile project management styles (Landscaper, Buddy, Detective, and Commander) and associated balanced practices for control ambidexterity. We also show how agile project managers blend or shift their styles in response to conflicts, revealing different levels of adherence to agile development principles. We contribute to the ISD control literature by reflecting on different forms of contextual and temporal control ambidexterity and theorizing how the interplay between control conflicts and underlying factors leads to varied ambidexterity forms. Furthermore, our insights suggest signaling theory should complement agency and stewardship theories to better understand agile ISD control.

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Crawford, James M., Khosrow Shotorbani e Kathleen Swanson. "The Role of the Clinical Laboratory in Diagnostic Stewardship and Population Health". Journal of Applied Laboratory Medicine 10, n.º 1 (janeiro de 2025): 140–47. https://doi.org/10.1093/jalm/jfae113.

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Abstract Background As healthcare identifies new opportunities to provide patient services and moves from volume to value payment models, the clinical laboratory is in an ideal position to serve as a catalyst for these changes. In 2017, the Project Santa Fe Foundation (PSFF) was founded to support the clinical laboratory’s role to promote the objectives of population health and value-based healthcare. The initiative, known as Clinical Lab 2.0, uses longitudinal laboratory data to create actionable insights that can lead to improved patient and population outcomes, optimize the total cost of care, and reduce financial risk for stakeholders. Content The Clinical Lab 2.0 model was developed by a coalition of laboratory leaders to support clinical laboratories in the implementation of this new paradigm that moves beyond the provision of high-specificity and high-accuracy transactional test results and promotes “well care” and population health. To provide leadership for Clinical Lab 2.0 across healthcare, promote dissemination of these concepts to clinical laboratories, and create evidence of laboratory’s value; the Foundation has several ongoing initiatives. The first initiative is the conduct of both single-site and multisite demonstration projects at PSFF member sites. The second ongoing initiative for the Foundation is the provision of guidance documents to support clinical laboratories in the implementation of Clinical Lab 2.0 and promote policy development. PSFF has developed 2 types of guidance document tools: Position Statements and Laboratory-Driven Care Models. Summary This review summarizes the history, background, and initiatives for Clinical Lab 2.0 supported by the Project Santa Fe Foundation.

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Cole, Jennifer, e Sarah Smith. "918: EFFECTS OF A NOVEL STEROID STEWARDSHIP PROJECT IN HOSPITALIZED AECOPD PATIENTS". Critical Care Medicine 50, n.º 1 (16 de dezembro de 2021): 456. http://dx.doi.org/10.1097/01.ccm.0000809996.04488.50.

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Pasay, Darren K., Sheldon J. S. Chow, Lauren C. Bresee, Micheal Guirguis e Jeremy Slobodan. "Assessment of current antimicrobial stewardship policies and resources: a focus group project". Healthcare infection 20, n.º 1 (março de 2015): 7–15. http://dx.doi.org/10.1071/hi14025.

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Yunus, Siti Nadzrah, Nur Haryanti Izumi Suhaimi, Ka Ting Ng, Ili Syazana Jamal Azmi, Noorjahan Haneem Md Hashim e Ina Ismiarti Shariffuddin. "Medication stewardship in the operating theatre in Malaysia: A quality improvement project". Indian Journal of Anaesthesia 68, n.º 10 (14 de setembro de 2024): 882–88. http://dx.doi.org/10.4103/ija.ija_1186_23.

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Background and Aims: A quality improvement project (‘Safe Anaesthesia for ALL-SEAL’) was implemented to reduce preventable medication errors and drug wastage in the operating theatre (OT) of a tertiary hospital. The primary objective of this quality improvement project was to prevent the incidence of medication errors, and the secondary objective was to reduce the wastage of unused drugs. Methods: A pre-intervention questionnaire and an audit survey were performed, and multidirectional interventions were designed post-survey. A post-intervention survey was conducted to evaluate effectiveness. The incidence of medication errors, including near misses, was assessed for root causes. Unused drugs drawn or diluted in syringes were recorded daily in each OT. The weekly drug orders and mid-week reordering frequency were also monitored. The data were reported as simple means and percentages. Results: Ninety-eight anaesthesia care providers participated in the survey (72.4% doctors and 27.6% anaesthetic nurses). Pre-intervention, 76.1% of respondents had experienced medication errors during their practice. Common errors included misidentification of ampoules or vials (65.2%), miscalculation of dosages (65.2%), improper syringe labelling (56.5%), accidental drug omission (54.3%) and wrong prescriptions (39.1%). The main sources of errors were fatigue/overwork (80.4%) and a hectic OT environment (71.7%). Post-intervention, no incidents of medication errors were reported. In addition, there was a significant reduction in drug wastage. Conclusions: The SEAL project positively prevented medication errors and reduced drug wastage, which should be further validated in other clinical settings.

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Corsi, Gabriela, Audrey Wanger, Karen James, Brian Banner, Bela Patel, Jeffrey Katz e Luis Ostrosky-Zeichner. "1916. Diagnostic Stewardship in Infectious Diseases Molecular Viral Testing: A Pilot Project". Open Forum Infectious Diseases 5, suppl_1 (novembro de 2018): S551—S552. http://dx.doi.org/10.1093/ofid/ofy210.1572.

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Manson, Louise, Claire Fugaccia e Harriet Davis. "31 Improving antimicrobial stewardship on the orthopaedic wards: A quality improvement project". Clinical Infection in Practice 25 (março de 2025): 100454. https://doi.org/10.1016/j.clinpr.2025.100454.

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Mahohoma, Tinaye, e Moffat Makumbi. "Application of servant leadership in the delivery of strategic government projects in Gauteng Province Case". International Journal of Business Ecosystem & Strategy (2687-2293) 6, n.º 5 (11 de dezembro de 2024): 110–20. https://doi.org/10.36096/ijbes.v6i5.589.

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This qualitative research investigates the influence of servant leadership on the execution of strategic government initiatives, with a particular emphasis on the Reconstruction and Development Programme (RDP) in Kwa-Thema. The project outcomes were investigated by collecting data from 10 participants using convenience sampling to investigate the impact of servant leadership traits, including empathy, commitment, empowerment, humility, ethical stewardship, long-term vision, and resilience. Thematic analysis was implemented to pinpoint critical themes and insights that were pertinent to the success and obstacles of the project. The research tackles a critical issue: project failures frequently result from inadequate leadership, which impedes team cohesion, collaboration, and overall performance (Swart et al., 2022). Additionally, the results suggest that servant leadership significantly improves project delivery by ensuring transparency, promoting collaboration, and aligning projects with community requirements. The impact of leadership on project achievement was discovered to be mediated by employee motivation and engagement. The study's limitations include its emphasis on a particular region and project type, which implies the necessity of conducting more extensive research. There are two recommendations: the integration of servant leadership principles into project management practices and the provision of targeted training for leaders to improve team dynamics and project outcomes.

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Cope, Aimee, Adrian Plunkett, Alison Jones, Alice Chan, Katie Price e Rhian Isaac. "P049 Pharmacist 5Ps- positive PRAISe produces pleasing prescribing". Archives of Disease in Childhood 104, n.º 7 (19 de junho de 2019): e2.54-e2. http://dx.doi.org/10.1136/archdischild-2019-nppc.58.

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AimLearning from Excellence (LfE), a positive reporting initiative, has two main objectives: to capture and learn from episodes of excellent practice and boost morale through positive feedback. The PRAISe project,2 tests the hypothesis that positive reporting and appreciative inquiry (AI) can be used as interventions to facilitate behavioural change and improvement in antimicrobial stewardship.MethodsLfE was applied as a quality improvement (QI) intervention for antimicrobial use on PICU over a 12 month period: baseline (3 months), intervention (6 months) and post intervention (3 months) phases. 31 PICU charts were screened weekly by PICU research nurses, this included any documentation added by a pharmacist to improve antimicrobial stewardship. Positive reports (IR2) were generated for gold standard prescriptions and excellence in antimicrobial stewardship, followed up by AI. QI suggestions derived from AIs were applied to the antimicrobial stewardship programme of the unit e.g. RAG rating antibiotics to the prescription charts. PICU pharmacists recorded interventions relating to antimicrobials during the data collection period. Pharmacist interventions were split into proactive or reactive: proactive involving advance confirmation that prescriptions were individualised to best therapy for patients and reactive if a prescription was incorrectly written or no clarification was sought from the pharmacist during ward round. Mini-AI interviews were conducted with the pharmacists at the end of the QI project to assess their opinions on changes to the antimicrobial stewardship programme.ResultsThe chart reviews by nursing staff highlighted 98 pharmacist interventions at baseline, 275 during the intervention phase and 80 post intervention. The pharmacists recorded an extra 138, 340 and 135 baseline, during and post intervention. Proactive intervening increased during each phase 68 (49.2%), 183 (53.8%) and 84 (62.2%), respectively. Thirty eight out of the 613 (6.2%) extra interventions were not accepted, with 25 (65.7%) of these being reactive.Gold standard prescribing improved during the intervention stage and was sustained in the post intervention phase. QI interventions brought out from the AIs involving pharmacists included RAG rating antibiotics according to priority to de- escalate to a narrower spectrum and presence at the daily microbiology round to document and communicate decisions to the wider team. AIs held with the pharmacists post project included the following themes: improved antimicrobial knowledge and understanding for directed therapy, greater communication ‘as now part of the PICU microbiology team’, ‘increased confidence to challenge antimicrobial decisions’. The pharmacists perceive there continues to be an increase in antimicrobial discussions on the daily PICU ward round.ConclusionPositive re-enforcement can improve a prescriber’s antimicrobial prescribing and documentation and encourage them to proactively seek pharmacy input to ensure best directed therapy for antimicrobials. This contributes to the overall quality of antimicrobial stewardship and patient care on the unit.ReferencesKelly N et al Learning from excellence in healthcare: a new approach to incident reporting. http://adc.bmj.com/content/101/9/7882Plunkett A, et al. Positive Reporting and Appreciative Inquiry in Sepsis (PRAISe). https://www.health.org.uk/improvement-projects/positive-reporting-and-appreciative-inquiry-in-sepsis-praise (Accessed 13 May 2019)

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Kim, Daniel Dongiu, Eric Chiang, Andrew Volio, Alexis Skolaris, Aratara Nutcharoen, Eric Vogan, Kevin Krivanek e Sabry Salama Ayad. "Reducing inpatient opioid consumption after caesarean delivery: effects of an opioid stewardship programme and racial impact in a community hospital". BMJ Open Quality 13, n.º 2 (abril de 2024): e002265. http://dx.doi.org/10.1136/bmjoq-2023-002265.

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Caesarean section is the most common inpatient surgery in the USA, with more than 1.1 million procedures in 2020. Similar to other surgical procedures, healthcare providers rely on opioids for postoperative pain management. However, current evidence shows that postpartum patients usually experience less pain due to pregnancy-related physiological changes. Owing to the current opioid crisis, public health agencies urge providers to provide rational opioid prescriptions. In addition, a personalised postoperative opioid prescription may benefit racial minorities since research shows that this population receives fewer opioids despite greater pain levels. Our project aimed to reduce inpatient opioid consumption after caesarean delivery within 6 months of the implementation of an opioid stewardship programme.A retrospective analysis of inpatient opioid consumption after caesarean delivery was conducted to determine the baseline, design the opioid stewardship programme and set goals. The plan-do-study-act method was used to implement the programme, and the results were analysed using a controlled interrupted time-series method.After implementing the opioid stewardship programme, we observed an average of 80% reduction (ratio of geometric means 0.2; 95% CI 0.2 to 0.3; p<0.001) in inpatient opioid consumption. The institution designated as control did not experience relevant changes in inpatient opioid prescriptions during the study period. In addition, the hospital where the programme was implemented was unable to reduce the difference in inpatient opioid demand between African Americans and Caucasians.Our project showed that an opioid stewardship programme for patients undergoing caesarean delivery can effectively reduce inpatient opioid use. PDSA, as a quality improvement method, is essential to address the problem, measure the results and adjust the programme to achieve goals.

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Konova, Natalia, Andrey Petrov, Diana Pendicheva, Yavor Assyov e Emil Gatchev. "Key features of hospitals antibiotic stewardship software solutions needed for successfully optimizing patient outcomes while fighting antibiotic resistance on a global scale – a shared experience". Pharmacia 71 (16 de agosto de 2024): 1–6. http://dx.doi.org/10.3897/pharmacia.71.e130414.

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Antimicrobial resistance threatens the very core of modern medicine and currently costs the EU more than 11.7 billion euro per year. In 2050 it is projected that 10 million people will die from infections with the so called “superbugs”. In the past few decades, no entirely new antibiotic groups are being discovered which makes of crucial importance to preserve the effectiveness of the antibiotics we have today for future generations. Antimicrobial stewardship programs worldwide aim to optimize the use of antimicrobials to improve effectiveness, safety and economic feasibility of antibiotics while fighting antibiotic resistance on a local and global scale. This article shares the experience of building a software solution from scratch for digitalisation of local antibiotic stewardship policies – what are the key features needed and the steps required for successful implementation of a digital local antibiotic stewardship policy and who are the stakeholders in a project of this nature.

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Shenton, Helen. "Virtual Reunification, Virtual Preservation and Enhanced Conservation". Alexandria: The Journal of National and International Library and Information Issues 21, n.º 2 (agosto de 2009): 33–45. http://dx.doi.org/10.7227/alx.21.2.4.

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The digitization of dispersed collections offers the opportunity to do much more than simply image collections. The paper centres on major initiatives involving the British Library which are virtually reunifying significant collections dispersed around the world. Such virtual reconstruction of cultural heritage creates a different digital entity. The Codex Sinaiticus project has worked towards the July 2009 Web launch of the virtual reunification of all the leaves of one of the earliest extant Bibles. The approximately 400 leaves are physically located in St Catherine's Monastery, Mount Sinai, Leipzig University Library, the National Library of Russia, St Petersburg, and the British Library, London. The International Dunhuang Project is a very mature project that has been digitizing material from the Dunhuang caves and the Eastern Silk Road dispersed in London, Beijing, Dunhuang, St Petersburg, Berlin, Paris, Stockholm and Kyoto. These complex programmes have broad application to other cultural–historical projects, and some of the wider political, diplomatic and stewardship themes are developed.

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Yen, Christina, Paul Holtom, Susan M. Butler-Wu, Noah Wald-Dickler, Ira Shulman e Brad Spellberg. "Reducing Clostridium difficile Colitis Rates Via Cost-Saving Diagnostic Stewardship". Infection Control & Hospital Epidemiology 39, n.º 6 (3 de abril de 2018): 734–36. http://dx.doi.org/10.1017/ice.2018.51.

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We conducted a quality improvement project at a large public tertiary-care academic hospital to reduce reported hospital-acquired Clostridium difficile infection (CDI) rates. We introduced diagnostic stewardship and provider education, resulting in a 2-fold reduction in C. difficile nucleic acid amplification test (NAAT) orders and markedly lower hospital CDI rate.Infect Control Hosp Epidemiol 2018;39:734–736

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Yoong, S. "Audit project on the appropriateness of teicoplanin prescribing in Milton Keynes University Hospital (MKUH)". International Journal of Pharmacy Practice 32, Supplement_2 (novembro de 2024): ii5—ii6. http://dx.doi.org/10.1093/ijpp/riae058.005.

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Abstract Introduction Teicoplanin is the Trust’s preferred glycopeptide antibiotic compared to vancomycin due to the once-daily dosing, less toxic side effects and monitoring requirements1. Teicoplanin dosing regimen is weight-dependent, including loading and maintenance doses adjusted according to creatinine clearance (CrCl) from Day 52. As antimicrobial resistance emergence continues to be a public health concern, appropriate teicoplanin use is vital to avoid treatment failure in line with antimicrobial stewardship3. Aim and Standards To assess teicoplanin prescribing compliance with the Trust guideline. 100% compliance was expected for the following standards: 1. Teicoplanin is prescribed for an approved indication according to Trust guideline or by a Consultant Microbiologist. 2. Loading dose of teicoplanin is prescribed for treatment initiation. 3. Appropriate teicoplanin loading dose is prescribed based on actual body weight (ABW) and indication. 4. Appropriate teicoplanin maintenance dose is prescribed until Day 4 based on ABW and indication. 5. Appropriate teicoplanin maintenance dose is prescribed from Day 5 onwards based on CrCl, ABW and indication. Method This study did not require ethics approval. To assess audit feasibility, a pilot was done looking at teicoplanin prescriptions and clinical notes against the audit standards. CrCl was calculated where appropriate. Retrospective data of 18 teicoplanin prescriptions between 08/11/2022-14/11/2022 were extracted from the Electronic Prescribing and Medicines Administration (EPMA) system onto an Excel data collection spreadsheet. No changes were made to the data collection tool. One month’s data between 11/10/2022-07/11/2022 were further extracted and process was repeated. Paediatric patients and indications for surgical prophylaxis and Clostridioides difficile infection were excluded. Results 88 patients were included in the study. 90% (n=79) of teicoplanin prescriptions were prescribed for an indication approved on the Trust’s antimicrobial guideline or by a Consultant Microbiologist. Teicoplanin loading dose was prescribed for 82% (n=71) of patients. 1 patient was excluded as loading dose was administered in another hospital. 46% (n=40) of patients were prescribed the appropriate teicoplanin loading dose. 60% (n=34) of the 57 patients who continued teicoplanin up until Day 4 were prescribed the appropriate teicoplanin maintenance dose. 56% (n=22) of the 39 patients treated with teicoplanin past Day 4 were prescribed the appropriate teicoplanin maintenance dose. None of the 5 standards were met. Conclusion The results indicate inappropriate teicoplanin prescribing against the current Trust guideline which need improvement. Training with prescribers on utilising the EPMA’s pre-populated teicoplanin dose prescription function alongside encouraging pledges to be an Antibiotic Guardian are recommended during their induction. This would help avoid prescription errors and reduce antimicrobial resistance development. The data collected did not subdivide patients under specific specialities, which could highlight areas where training should be focused on. This limitation should be addressed when the re-audit due in 1 years’ time is carried out, to evaluate the changes implemented. References 1. Wood M. J. The comparative efficacy and safety of teicoplanin and vancomycin. The Journal of antimicrobial chemotherapy 1996, 37(2), 209–222. 2. MicroGuide. Teicoplanin. https://viewer.microguide.global/guide/1000000241#content,4aff3eb4-e9a0-4490-92b6-b28370f78da0(Accessed 10 November 2022). 3. UK Health Security Agency. Start smart then focus:antimicrobial stewardship toolkit for inpatient care settings. https://www.gov.uk/government/publications/antimicrobial-stewardship-start-smart-then-focus/start-smart-then-focus-antimicrobial-stewardship-toolkit-for-inpatient-care-settings(Accessed 17 August 2023).

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O’Horo, John C., Jasmine R. Marcelin, Omar M. Abu Saleh, Amelia K. Barwise, Patricia M. Odean, Christina G. Rivera, Aaron J. Tande, John W. Wilson, Douglas R. Osmon e Pritish K. Tosh. "Standardizing Febrile Neutropenia Management: Antimicrobial Stewardship in the Hematologic Malignancy Population". Journal of Oncology Practice 15, n.º 9 (setembro de 2019): e843-e848. http://dx.doi.org/10.1200/jop.18.00775.

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Patients with febrile neutropenia (FN) often are subject to antibiotic and diagnostic test overuse. We sought to improve appropriate use of antimicrobials and diagnostic tests for patients with FN. We used a blended quality approach with Lean Six Sigma tools and iterative improvement of a clinical decision aid to guide providers through empirical antimicrobial selection and diagnostic evaluation of patients with FN during a yearlong period. We evaluated the incidence of nonadherence to best practice before, during, and after rollout of a clinical decision aid in conjunction with an educational initiative. At baseline, 71% of patients with FN had at least one critical deviation from best practice. During the project, the percentage decreased to 27.3%; 4 months after the project was completed, the percentage was 33.3% ( P = .04). A clinical decision aid can improve adherence to best practices for the empirical management of FN.

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Musoke, David, Freddy Eric Kitutu, Lawrence Mugisha, Saba Amir, Claire Brandish, Deborah Ikhile, Henry Kajumbula et al. "A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda". Antibiotics 9, n.º 11 (31 de outubro de 2020): 764. http://dx.doi.org/10.3390/antibiotics9110764.

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Antimicrobial stewardship (AMS), as one of the global strategies to promote responsible use of antimicrobials to prevent antimicrobial resistance (AMR), remains poor in many low-and middle-income countries (LMICs). We implemented a project aimed at strengthening AMS in Wakiso district, Uganda using a One Health approach. A total of 86 health practitioners (HPs), including animal health workers, and 227 community health workers (CHWs) participated in training workshops, and over 300 pupils from primary schools were sensitized on AMR, AMS, and infection prevention and control (IPC). We further established two multidisciplinary online communities of practice (CoPs) for health professionals and students, with a current membership of 321 and 162, respectively. In addition, a Medicine and Therapeutics Committee (MTC) was set up at Entebbe Regional Referral Hospital. The project evaluation, conducted three months after training, revealed that the majority of the HPs (92.2%) and CHWs (90.3%) reported enhanced practices, including improved hand washing (57.3% and 81.0%, respectively). In addition, 51.5% of the HPs reported a reduction in the quantity of unnecessary antibiotics given per patient. This project demonstrates that AMS interventions using a One Health approach can promote understanding of the prudent use of antimicrobials and improve practices at health facilities and in communities.

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Jordan, Rebecca, Amanda Sorensen e Steven Gray. "Citizen Science, Experts, and Expertise." Current World Environment 16, n.º 2 (30 de agosto de 2021): 378–85. http://dx.doi.org/10.12944/cwe.16.2.05.

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Interest in citizen science is growing among both scientists and community groups who are interested in creating natural resource management projects. Such projects have the potential to result in social learning, which can further reinforce resource stewardship. Data to study this learning process, however, remain scant. Using transcripts from four different natural resource management projects, we use discourse analysis to investigate the discursive practice between project scientists and community members in the development of models that were used to test ideas and subsequently modified with citizen collected data. We found that only a portion of the discussion focused on knowledge building and that only experts provided challenges to ideas being discussed. Subsequently to these challenges, however, a greater proportion of knowledge co-creation occurred.

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Schulz, Lucas, Kurt Osterby e Barry Fox. "The Use of Best Practice Alerts with the Development of an Antimicrobial Stewardship Navigator to Promote Antibiotic De-escalation in the Electronic Medical Record". Infection Control & Hospital Epidemiology 34, n.º 12 (dezembro de 2013): 1259–65. http://dx.doi.org/10.1086/673977.

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Objective.Develop a clinical decision support tool comprised of an electronic medical record alert and antimicrobial stewardship navigator to facilitate antimicrobial stewardship.Design.We analyzed alerts targeting antimicrobial de-escalation to assess the effectiveness of the navigator as a stewardship tool. The alert provides antimicrobial recommendations, then directs providers to the navigator, which includes order management, relevant patient information, evidence-based clinical information, and bidirectional communication capability.Setting.Academic, tertiary care medical center with an electronic medical record.Intervention.Alerts containing stewardship recommendations and immediate access to the navigator were created.Results.Antibiotic use and response data were collected 1 day before stewardship recommendation via the best practice alert (BPA) tool and 1 day after the BPA tool response. A total of 1,285 stewardship BPAs were created. Two hundred and forty-four (18.9%) of the BPAs were created and acted upon within 72 hours for the purpose of de-escalation: 169 (69%) were accepted, 30 (12%) were accepted with modification, and 45 (18%) were rejected. Statistically significant decreases in total antibiotic use as well as in use of broad-spectrum (anti-methicillin-resistant Staphylococcus aureus and anti-pseudomonal) agents occurred when accepted recommendations were compared with rejected recommendations.Conclusions.We describe the successful development of a clinical decision support tool to perform prospective audit and feedback comprised of an alert and navigator system featuring evidence-based recommendations and clinical and educational information. We demonstrate that this tool improves antibiotic use through our example of de-escalation.Clinical Trials Identifier.This project was registered at ClinicalTrials.gov (NCT01573195).

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Palou Zúniga, Nohelia, Róger Madrigal Ballestero, Achim Schlüter e Juan José Alvarado. "Applying the SES Framework to coral reef restoration projects on the Pacific coast of Costa Rica". Revista de Biología Tropical 71, S1 (2 de maio de 2023): e54583. http://dx.doi.org/10.15517/rev.biol.trop..v71is1.54853.

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Introduction: Global and local stressors have led to rapid declines in coral reef health. The high rates of coral degradation have motivated restoration initiatives worldwide. Evaluation of these initiatives has provided valuable information regarding coral restoration techniques and limitations faced by projects. However, most of the literature is focused on evaluating metrics related to fragment survival rate and growth, leaving a gap in understanding how social aspects such as governance structure affect project outcomes Objective: The present research applies the Social-Ecological Systems Framework to identify social and ecological factors contributing to the success of three coral reef restoration projects in Costa Rica. Methods: Data was gathered from 50 semi-structured interviews with project members, volunteers, tour operators, fishers, and related community and government organizations that were analyzed using the categories determined by the Social-Ecological Systems Framework. Results: Despite each case’s specific ecological and governance characteristics, research results show that three main steps have contributed to project success. First, the importance of locals having a positive perception of coral reef and project benefits; second, the use of network structure to obtain adequate financial and human resources and third, the importance of compliance with a regulatory framework to create enabling environments for reef restoration. Conclusions: Results show no universal solutions for coral reef restoration projects. Project managers must understand the ecological and social context of the restoration site to boost the benefits that reef restoration projects can provide, such as an increase in local stewardship, income generation, and the creation of more resilient communities.

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Knapp, Kenneth R. "Scientific data stewardship of international satellite cloud climatology project B1 global geostationary observations". Journal of Applied Remote Sensing 2, n.º 1 (1 de novembro de 2008): 023548. http://dx.doi.org/10.1117/1.3043461.

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DeVore, Brian. "Creating Habitat on Farms The Land Stewardship Project and Monitoring on Agricultural Land". Conservation in Practice 4, n.º 2 (abril de 2003): 28–35. http://dx.doi.org/10.1111/j.1526-4629.2003.tb00060.x.

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Querbach, Christiane, Tilo Biedermann, Dirk H. Busch, Rüdiger Eisenhart-Rothe, Susanne Feihl, Christiane Filser, Friedemann Gebhardt et al. "Suspected penicillin allergy: risk assessment using an algorithm as an antibiotic stewardship project". Allergo Journal International 29, n.º 6 (27 de agosto de 2020): 174–80. http://dx.doi.org/10.1007/s40629-020-00135-5.

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Summary Background Beta-lactam antibiotics (BLA) are the treatment of choice for a large number of bacterial infections. Putative BLA allergies are often reported by patients, but rarely confirmed. Many patients do not receive BLA due to suspected allergy. There is no systematic approach to risk stratification in the case of a history of suspected BLA allergy. Methods Using the available stratification programs and taking current guidelines into account, an algorithm for risk stratification, including recommendations on the use of antibiotics in cases of compellingly indicated BLA despite suspected BLA allergy, was formulated by the authors for their maximum care university hospital. Results The hospital is in great need of recommendations on how to deal with BLA allergies. Patient-reported information in the history forms the basis for classifying the reactions into four risk categories: (1) BLA allergy excluded, (2) benign delayed reaction, (3) immediate reaction, and (4) severe cutaneous and extracutaneous drug reaction. Recommendations strictly depend on this classification and range from use of full-dose BLA or use of BLA under certain conditions (e.g., two-stage dose escalation, non-cross-reactive BLA only) to prohibiting all BLA and the use of alternative non-BLA. In case of suspected immediate or delayed allergic reactions, there is an additional recommendation regarding subsequent allergy testing during a symptom-free interval. Conclusion Triage of patients with suspected BLA is urgently required. While allergy testing, including provocation testing, represents the most reliable solution, this is not feasible in all patients due to the high prevalence of BLA allergies. The risk stratification algorithm developed for the authors’ hospital represents a tool suitable to making a contribution to rational antibiotic therapy.

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Lairangi, Jeniffer Kinya, Mary Kinoti e John Njoroge. "Influence of Sustainability of Spiritual-Economic Projects on Growth of Methodist Church in Kaaga Synod, Kenya". International Journal of Professional Practice 12, n.º 4 (4 de setembro de 2024): 29–40. https://doi.org/10.71274/ijpp.v12i4.479.

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The mission of the church is to contribute to the transformation of the dehumanizing economic structures. Nevertheless, churches in Kenya have experienced a lack in financial leadership and spiritual support for projects; occasioned by absence of spiritual guidance in the implementation of economic projects. The purpose of this study was to investigate the influence of sustainability of spiritual-economic projects on growth of the Methodist church in Kenya, Kaaga Synod. The study was guided by stewardship theory, and adopted descriptive research design. The target population was 25 Circuits of Methodist Church, Kaaga Synod, Meru, Kenya. Purposive sampling technique was used to select 53 project managers, while simple random sampling technique was used to select 196 project members, constituting 30 percent of the project membership population across the sampled circuits. Questionnaires were used to collect data. A pre-test study was conducted in Methodist church in Nairobi synod, where 5 projects heads and 20 community project members were included. The data was analyzed using descriptive statistics such as mean, frequencies and percentage. SPSS version 29 was used to analyze the data, and results were presented in tables. The study found out that church projects, such as schools and financial institutions, were negatively impacted by Covid-19, resulting in low income. Consequently, the church has taken longer time than anticipated to deliver its mandate. The study recommends that the church council to develop strategies that would enable the church projects recover more quickly from the adverse effects of Covid-19 pandemic.

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Harvey, Stephen, e Brian Hillier. "Community forestry in Ontario". Forestry Chronicle 70, n.º 6 (1 de dezembro de 1994): 725–30. http://dx.doi.org/10.5558/tfc70725-6.

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Policy-makers and resource managers are attempting to define more-effective mechanisms for involving the local community in forest land management for many years. In the past five years, renewed attention has been given to the opportunity for empowering local communities with decision-making and program delivery responsibilities. The community forestry project in Ontario is one example of policy-makers, resource managers and local communities trying to bridge the gap between community development and resource management. With the assistance of four pilot projects, a research project and public discussion, a community forestry strategy is under development in Ontario. While it may take years to produce indisputable results through trials at the local level, three years of work have already enriched our understanding of the interface between human settlements and natural resources and of alternative means for successful stewardship. Key words: community forestry, community forest, Ontario

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