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AIM: To determine whether the I-DECIDED assessment and decision tool enhances peripheral intravenous catheter assessment, care and decision-making in paediatrics. DESIGN: Quasi-experimental, interrupted time-series study. METHODS: An interrupted time-series study was conducted in a paediatric inpatient unit at a public teaching hospital in Brazil. The participants were patients aged less than 15 years old with a peripheral intravenous catheter, and their parents or guardians. Data were collected between January and July 2023, encompassing six time points, three pre-intervention and three post-intervention. Evaluation data were based on the I-DECIDED tool, including idle devices, dressings, complications, patient/family awareness, hand hygiene, disinfection and documentation. RESULTS: We conducted 585 peripheral intravenous catheter observations, with 289 in the pre-intervention phase and 296 in the post-intervention phase, inserted in 65 hospitalised children, 30 in the pre-intervention phase and 35 in the post-intervention phase. After the intervention, reductions were observed in the number of idle catheters, substandard dressings and complications. Patients and family members reported an increase in device assessment, hand hygiene and peripheral intravenous catheter disinfection. Additionally, there was an increase in documentation of decision-making performed by nurses and nursing technicians/assistants. CONCLUSION: Implementation of the I-DECIDED assessment and decision tool in a paediatric unit significantly improved the assessment, care and decision-making regarding peripheral intravenous catheters. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Opportunity to enhance practice standards, elevate the quality of care provided to paediatric patients, contribute to improved patient outcomes, advance evidence-based practice in vascular access management and enhance patient experience through increased involvement in care. IMPACT: To influence clinical practice and healthcare policies aimed at improving peripheral intravenous catheter care and patient safety in paediatric settings. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution to the design of this study.

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OBJECTIVE: To assess the completeness and accuracy of neonatal resuscitation documentation the electronic medical record (EMR) compared with a data-capture system including video. STUDY DESIGN: Retrospective observational study of 226 infants assessed for resuscitation at birth between April 2019 and October 2021 at Sharp Mary Birch Hospital, San Diego. Completeness was defined as the presence of documented resuscitative interventions in the EMR. We assessed the timing and frequency of interventions to determine the accuracy of the EMR documentation using video recordings as an objective record for comparison. Inaccuracy of EMR documentation was scored as missing (not documented), under-reported, or over-reported. RESULTS: Overall, the completeness of resuscitation interventions documented in the EMR was high (85%-100%), but the accuracy of documentation varied between 39% and 100% Modes of respiratory support were accurately captured in 96%-100% of the EMRs. Time to successful intubation (39%) and maximum fraction of inspired oxygen (47%) were the least accurately documented interventions in the EMR. Under-reporting of interventions with several events (eg, number of positive pressure ventilation events and intubation attempts) were also common errors in the EMR. CONCLUSIONS: The self-reported modes of respiratory support were accurately documented in the EMR, whereas the timing of interventions was inaccurate when compared with video recordings. The use of a video-capture system in the delivery room provided a more objective record of the timing of specific interventions during neonatal resuscitations.

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El crecimiento del número de organizaciones criminales y su complejidad, en la variedad conceptual, las implicancias teóricas y sus desafíos empíricos, han dificultado a los investigadores la generación de suficientes teorías, estudios de causas y escalas que permitan una categorización y explicación de sus fenómenos. La caracterización de estas organizaciones y el abordaje de su definición resultan complejos tanto por la diversidad de sus impactos sociales como por lo frondoso de las áreas temáticas que la abordan. Este estudio muestra las tendencias de investigación y estudio de las organizaciones criminales mediante la realización de una revisión sistemática de literatura de los años 2022 y 2023, utilizando el método PRISMA y explorando las tendencias actuales en la investigación académica y producción bibliográfica sobre el tema.

The growth in the number of criminal organisations and their complexity, in terms of conceptual variety, theoretical implications and empirical challenges, have made it difficult for researchers to generate sufficient theories, studies of causes and scales to categorise and explain the phenomena. The characterisation of these organisations and the approach to defining them is complex both because of the diversity of their social impacts and because of the broad range of thematic areas they address. This study shows the trends in research and study of criminal organisations by conducting a systematic literature review of the years 2022 and 2023, using the PRISMA method and exploring current trends in academic research and bibliographic production on the subject.

O crescimento do número de organizações criminosas e sua complexidade, em termos de variedade conceitual, implicações teóricas e desafios empíricos, dificultaram para os pesquisadores a geração de teorias, estudos de causas e escalas suficientes para categorizar e explicar os fenômenos. A caracterização dessas organizações e a abordagem para defini-las são complexas, tanto pela diversidade de seus impactos sociais quanto pela ampla gama de áreas temáticas que abordam. Este estudo mostra as tendências de pesquisa e estudo das organizações criminosas por meio da realização de uma revisão sistemática da literatura dos anos de 2022 e 2023, utilizando o método PRISMA e explorando as tendências atuais da pesquisa acadêmica e da produção bibliográfica sobre o tema.

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This study examines changes in the sociodemographic patterns of deportation and voluntary return of undocumented immigrants from the United States to Mexico during three US presidential administrations (2001 to 2019) with different immigration policies. Most previous studies examining these migration flows for the United States as a whole have relied exclusively on counts of deportees and returnees, thereby ignoring changes over the past 20 y in the characteristics of the undocumented population itself, i.e., the population at risk of deportation or voluntary return. We estimate Poisson models based on two data sources that permit us to compare changes in the sex, age, education, and marital status distributions of both deportees and voluntary return migrants with the corresponding changes in the undocumented population during the Bush, Obama, and Trump administrations: the Migration Survey on the Borders of Mexico-North (Encuesta sobre Migración en las Fronteras de México-Norte) for counts of deportees and voluntary return migrants and the Current Population Survey's Annual Social and Economic Supplement for estimated counts of the undocumented population living in the United States. We find that whereas disparities by sociodemographic characteristics in the likelihood of deportation generally increased beginning in Obama's first term, sociodemographic disparities in the likelihood of voluntary return generally decreased over this period. Despite heightened antiimmigrant rhetoric during the Trump administration, the changes in deportation and voluntary return migration to Mexico among the undocumented during Trump's term were part of a trend that began early in the Obama administration.

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Abstract The relation between science and art has shown potential regarding the investigative contexts of the human and social sciences. Thus, this study aimed to describe the Research-Exhibition method, a theoretical-methodological proposition developed as an innovative proposal for document analysis, especially of documents resulting from participant research and/or other participatory methodologies. Designed from a documental collection referring to a project to continuously train teachers, Research-Exhibition is sustained by three dimensions: the work with the documents; that of setting up the scene in dialogue with the work of Jacques Rancière; and that of the place of researcher-curators. These dimensions enable subjects and collectives' singularities, memories, affections, and subjectivation processes to be brought to the exhibition by various documentary sources.

Resumo As relações entre ciência e arte têm apresentado potencialidades no que diz respeito aos contextos investigativos das ciências humanas e sociais. Neste sentido, este estudo teve por objetivo apresentar o método da Pesquisa-Exposição. Essa proposição teórico-metodológica foi desenvolvida como uma proposta inovadora de análise de documentos, principalmente documentos resultantes de pesquisas participantes e/ou outras metodologias participativas. Desenhada a partir da criação de um acervo documental referente a um projeto de formação continuada de professores, a Pesquisa-Exposição é sustentada em três dimensões: a do trabalho com os documentos; a da montagem da cena, em diálogo com a obra de Jacques Rancière; e a do lugar do pesquisador-curador. Essas dimensões possibilitam trazer à exposição singularidades, memórias, afetos e processos de subjetivação de sujeitos e coletivos, por intermédio das diversas fontes documentais.

Resumen La relación entre ciencia y arte ha mostrado potencialidades con respecto a los contextos investigativos de las ciencias humanas y sociales. En ese sentido, este estudio tuvo como objetivo presentar el método Investigación-Exposición. Esta propuesta teórico-metodológica se desarrolló como una propuesta innovadora para el análisis de documentos, principalmente resultantes de la investigación participante y/u otras metodologías participativas. Diseñada a partir de la creación de un acervo documental referente a un proyecto de formación continua de docentes, la Investigación-Exposición se sustenta en tres dimensiones: el trabajo con los documentos; la puesta en escena, en diálogo con la obra de Jacques Rancière; y la del lugar del investigador-curador. Estas dimensiones permiten traer a la exposición singularidades, memorias, afectos y procesos de subjetivación de sujetos y colectivos mediante diversas fuentes documentales.

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Objectives: Drug information systems are commonly used by professionals to assist in the identification of drug interactions and to ensure the safe use of medications. Real-world evidence about the comparison of different drug interaction sources is scarce. We aimed to compare two drug interaction databases to identify interactions in a population-based survey. Materials and Methods: This is a cross-sectional study based on a previous survey performed in the city of Manaus, Brazil, in 2019. We included adults aged 18 years and over, who used two or more medicines 15 days before the interview. To assess potential drug interactions, we searched Micromedex and UpToDate databases. The primary outcome was the prevalence of potential drug interactions in each database. Weighted Kappa statistics were calculated to assess agreement on the presence of drug interaction, documentation and severity. Results: A total of 752 participants were included in the study. The prevalence of drug interactions was 43.8% [95% confidence interval (CI): 40.2, 47.3%] in UpToDate and 30.2% (95% CI: 26.9, 33.5%), in Micromedex. The agreement related to drug interactions between the two databases was fair (Kappa: 0.631). For severity (Kappa: 0.398) and documentation (Kappa: 0.311), the agreement was poor. Conclusion: Agreement among compared databases was sub-optimal. Better quality and transparency of evidence available in drug interaction sources are needed to support informed healthcare professionals' decision.

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Introdução: Diante da realidade virtual que se encontram os procedimentos burocráticos, observa-se a necessidade de se idealizar programas de triagem nas clínicas-escola com os objetivos de se encaminhar pacientes para a clínica mais compatível com as suas necessidades, e substituir os prontuários físicos pelos eletrônicos, numa alternativa ambientalmente correta.Objetivo: Avaliar a efetividade de um modelo de triagem informatizado, comparando-o ao modelo utilizado atualmente, no serviço de Serviço de Triagem e Documentação Odontológica do Departamento de Odontologia da Universidade Federal do Rio Grande do Norte. Metodologia: O estudo realizado foi do tipo descritivo, constituído de uma amostra de 50 pacientes, que foram submetidos ao modelo de triagem utilizado atualmente no Serviço de Triagem e Documentação Odontológica do Departamento de Odontologia da Universidade Federal do Rio Grande do Norte e a triagem com aplicação de um programa informatizado. Foi avaliada a efetividade do dispositivo e feita uma comparação entre os modelos. A análise estatística foi feita por meio do índice de correlação intra-classe, utilizando-se um banco de dados criado no software Statistical Package for Social Sciences, versão 20.0, adotando significância de 95% (p< 0,05).Resultados: Após análise estatística, com realização de correlação entre os resultados do software e o modelo atual de triagem, obteve-se coeficiente de correlação intra-classe de 0,578, com o nível de significância, para avaliação dos dados obtidos de (P<0,05), foi possível evidenciar que ocorreu correlação satisfatória positiva e significativa entre os resultados do software e o modelo atual de triagem.Conclusões:Os resultados denotam concordância entre os modelos de triagem estudados e demonstram que a utilização destes recursos apresenta resultados satisfatórios. Notadamente, evidenciando-se a vantagem da utilização do modelo de triagem informatizado (AU).

Introduction: In view of the virtual reality of bureaucratic procedures, it is necessary to devise screening programs in school clinics to refer patients to the clinic more compatible with their needs and replace physical with electronic records as an environmentally friendly alternative.Objective: To evaluate the effectiveness of a computerized screening model, comparing it to the model currently used in the Dental Documentation and Screening Service of the Dentistry Department of the Federal University of Rio Grande do Norte. Methodology: The descriptive study consisted of a sample of 50 patients who were submitted to the screening model currently used in the abovementioned service and the computerized screening model. The effectiveness of the device was evaluated and a comparison was made between the models. Statistical analysis was made using the intra-class correlation index and a database created in Statistical Package for Social Sciences version 20.0, adopting a significance of 95% (p < 0.05). Results: An intra-class correlation coefficient of 0.578 was obtained with the significance level of p < 0.05. There was a positive and significant satisfactory correlation between the software results and the current screening model.Conclusions: There was agreement between the studied models and the use of these resources yield satisfactory results. Therefore, the advantage of using the computerized screening model was confirmed (AU).

Introducción: Ante la realidad virtual de los trámites burocráticos, surge la necesidad de diseñar programas de cribado en las clínicas docentes con el objetivo de enviar a los pacientes a la clínica más compatible con sus necesidades, reemplazando los registros físicos y electrónicos en una alternativa ambientalmente correcta.Objetivo: Evaluar la efectividad de un modelo de cribado informatizado, comparándolo con el modelo utilizado actualmente en el Servicio de Cribado y Documentación Dental del Departamento de Odontología de la Universidad Federal de Rio Grande do Norte.Metodología: El estudio realizado fue de tipo descriptivo, constituido por una muestra de 50 pacientes que fueron sometidos al modelo de cribado actualmente utilizado en el dicho servicio y al cribado mediante programa informatizado. Se evaluó la efectividad del dispositivo y se realizó una comparación entre los modelos. El análisis estadístico se realizó mediante el índice de correlación intraclase, utilizando una base de datos creada en el software Statistical Package for Social Sciences, versión 20.0, adoptando un nivel de significación del 95% (p< 0,05).Resultados: Luego del análisis estadístico, con correlación entre los resultados del software y el modelo de cribadoactual, se obtuvo un coeficiente de correlación intraclase de 0.578, con nivel de significancia, para evaluación de los datos obtenidos de (P<0.05). Fue posible mostrar que hubo una correlación positiva y significativa satisfactoria entre los resultados del software y el modelo de cribado actual. Conclusiones: Los resultados muestran concordancia entre los modelos de cribado estudiados y demuestran que el uso de estos recursos presenta resultados satisfactorios. En particular, demostrando la ventaja de usar el modelo de cribado computarizado (AU).

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Resumo Introdução O registro em prontuário configura-se como um instrumento ético-legal de suma importância para os pacientes, a instituição, a equipe de saúde, o ensino e a pesquisa. Objetivo Apresentar o percurso histórico do registro em prontuário no âmbito da saúde e dar luz aos tensionamentos atuais atrelados a esse procedimento. Método Adotou-se como referencial teórico a Política Nacional de Humanização para a apresentação de uma análise reflexiva sobre a temática, a qual ocorreu pautada em levantamento bibliográfico e pesquisa documental envolvendo diretrizes das classes profissionais e documentos do Ministério da Saúde. Resultados O desenvolvimento histórico do prontuário está imbricado ao desenvolvimento da medicina e à evolução da instituição hospitalar, sendo, contemporaneamente, a exigência da qualidade dos registros em prontuário impulsionada por aspectos da gestão institucional. Conclusão Os principais desafios envolvidos na efetivação do procedimento dos registros estão atrelados ao processo de educação inicial e continuada e à necessidade de elucidar modos mais gerenciáveis de documentar a prática clínica, permitindo registros de qualidade, garantia de comunicação de evidências e fomento da prática da clínica ampliada.

Abstract Background The medical record is an ethical legal instrument of paramount importance for patients, the institution, the health team, teaching, and research. Objective To present the historical path of the medical record in the health record and to point out current tensions linked to this procedure. Method The National Humanization Policy was adopted as a theoretical reference for the presentation of a reflexive analysis on the subject, which was based on data obtained from bibliographical research and a documentary study involving guidelines from the professional classes and documents of the Health Ministry. Results The historical development of the medical record is related to the development of medicine and to the evolution of the hospital institution and the current requirement of the quality of medical records is driven by aspects of institutional management. Conclusion The main challenges involved in carrying out the procedure of registers are linked to the process of initial and continuing education and the need to elucidate more manageable ways of documenting clinical practice, allowing quality records, guaranteeing the communication of evidence in the documentation, and promoting the practice of the extended clinic.

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Costa Rica is home to 557,000 migrants, whose disproportionate exposure to precarious, dangerous, and informal work has resulted in persistent inequities in health and wellbeing in the midst of the COVID-19 pandemic. We used a novel multimodal grounded approach synthesizing documentary film, experiential education, and academic research to explore socioecological wellbeing among Nicaraguan migrant workers in Costa Rica. Participants pointed to the COVID-19 pandemic as exacerbating the underlying conditions of vulnerability, such as precarity and informality, dangerous working conditions, social and systemic discrimination, and additional burdens faced by women. However, the narrative that emerged most consistently in shaping migrants' experience of marginalization were challenges in obtaining documentation-both in the form of legal residency and health insurance coverage. Our results demonstrate that, in spite of Costa Rica's acclaimed social welfare policies, migrant workers continue to face exclusion due to administrative, social, and financial barriers. These findings paint a rich picture of how multiple intersections of precarious, informal, and dangerous working conditions; social and systemic discrimination; gendered occupational challenges; and access to legal residency and health insurance coverage combine to prevent the full achievement of a shared minimum standard of social and economic security for migrant workers in Costa Rica.

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El expediente clínico es considerado un documento de importancia médica y legal en donde se integran los datos necesarios para registrar el diagnóstico y los tratamientos realizados en cada paciente. Uno de los elementos más importantes dentro del expediente clínico son las notas de evolución, documentos con los que el odontólogo informa sobre el estado general del paciente y los tratamientos realizados cita tras cita. Existen legislaciones específicas en México que orientan al estomatólogo sobre los componentes mínimos necesarios que una nota de evolución debe tener; sin embargo, una de las omisiones más comunes de los odontólogos es que, por desconocimiento, no se dé la debida importancia a la elaboración de una adecuada nota de evolución, aumentando el riesgo de problemas legales. El objetivo del presente artículo es analizar la importancia de las notas de evolución dentro del expediente clínico, destacando su importancia clínica y legal (AU)

The clinical file is considered a document of medical and legal importance where the data necessary to record the diagnosis and the treatments performed on each patient are integrated. One of the most important elements within the clinical records are the medical charts, documents through which de dentist reports on the general condition of the patient and the treatments performed appointment after appointment. There are specific laws in Mexico that guide the stomatologist on the minimum necessary components that a medical chart must have, however, one of the most common omissions of dentist is that, due to ignorance, due importance is not given to the preparation of an adequate medical chart, increasing the risk of legal problems. The aim of this article is to analyze the importance of the evolution charts within the clinical records, highlighting their clinical and legal importance (AU)

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El propósito del presente artículo fue analizar los patrones de colaboración del programa de formación doctoral en Bibliotecología y Documentación Científica desarrollado entre la Universidad de La Habana y la Universidad de Granada en el período 2007-2017. Para esto se creó una base de datos en EndNote® x.9, con 396 documentos. Se crearon listados de frecuencia de acuerdo con los indicadores analizados, los cuales se procesaron con los programas Excel y Tableau Public 2020.3 para generar tablas y gráficos. Se utilizó Bibexcel (Olle Persson, Universidad de Umeå, Suecia) para realizar los conteos de frecuencia generales, la generación de matrices y el análisis de las redes de coautoría, cotutoría y de colaboración entre instituciones, en aras de procesarlas con UCINET 6.175. Para su representación reticular se utilizaron NetDraw 2.38 y VOSviewer 1.6.16. La colaboración fue analizada de manera global, por grupos y por tipología documental. Se valoraron las relaciones establecidas para el desarrollo de las investigaciones y para la dirección de las tesis. Para los artículos se analizaron las redes de coautoría y los nexos interinstitucionales. En las tesis se analizaron las relaciones establecidas para la tutoría. Se identificó un predominio de autoría múltiple, mayoritariamente en los artículos científicos. Se aprecian nexos relativamente importantes en la tutoría a partir del establecimiento de relaciones entre los tutores más productivos del programa. A nivel institucional se aprecia un protagonismo de la Universidad de Granada y la Universidad de La Habana por ser las coordinadoras del programa. No obstante, se aprecia una amplia gama de instituciones nacionales. Se reflejan los participantes y tutores más representados(AU)

The purpose of the study was to analyze the collaboration patterns in the Library Science and Scientific Documentation doctoral training program conducted jointly by the University of Havana and the University of Granada in the period 2007-2017. To achieve this end, a database of 396 documents was created on EndNote® x.9. Frequency lists were developed for the indicators analyzed, which were processed with the software Excel and Tableau Public 2020.3 to generate tables and charts. Bibexcel (Olle Persson, Umeå University, Sweden) was used to carry out overall frequency counts, generate matrices, and analyze co-authorship, co-tutorship and collaboration networks between institutions, with a view to processing them with UCINET 6.175. NetDraw 2.38 and VOSviewer 1.6.16 were used for their reticular representation. Collaboration was analyzed globally, by group and by document typology. An assessment was made of the relationships established for research development and thesis guidance. Analysis of papers included co-authorship networks and interinstitutional links, whereas the analysis of theses included the tutoring relationships established. A predominance was found of multiple authorship, mainly in scientific papers. Relatively important links were found in tutoring based on the establishment of relationships between the most productive authors in the program. On an institutional level, leadership by the University of Granada and the University of Havana was observed, being as they are the program coordinators. However, a wide range of national institutions was also found. Reference is made to the best represented participants and tutors(AU)

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Data sharing is necessary to address communication deficits along the transitions of care among community settings. Evidence-based practice supports home healthcare (HHC) patients to see their primary care team within the first two weeks of hospital discharge to reduce rehospitalization risk. A small subset of patient data collected at HHC admission is mandated to be transmitted to primary care, predominantly by fax. Using qualitative analysis, we assessed completeness of the United States Core Data for Interoperability (USCDI) interoperability standard, as compared to the patient data collected by the primary care team (topics) and HHC (classes) during the initial visit; and offer interoperability recommendations. Findings indicate the USCDI does not cover 74% of the 19 faxed HHC classes that mapped to the primary care topics, and 95% of the 38 not-faxed HHC classes. We offer USCDI recommendations to address these interoperability gaps.

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BACKGROUND: Anterior cruciate ligament reconstruction (ACLR) has a high incidence among sports players, and one important side effect of the surgery is graft donor site morbidity. Although some evidence suggests that application of platelet-rich plasma (PRP) during ACLR reduces pain and improves knee function, it is not a universal finding. PURPOSE: To perform a meta-analysis of previous studies testing the effects of PRP on donor site morbidity after ACLR. STUDY DESIGN: Systematic review and meta-analysis. METHODS: We reviewed PubMed (Medline), Web of Science, Embase, Scopus, and Cochrane databases to find studies testing the effects of PRP on the donor site of ACLR autograft. After identifying 4 studies, we conducted 2 meta-analyses, 1 for the effects of PRP on pain, assessed by visual analog scale (VAS), and the other for the functional knee scores. We also tested the ability of time after ACLR to predict the PRP-related reduction of pain. RESULTS: In the 4 studies identified, 157 patients were analyzed. Although the VAS score was lower with PRP at 6 months (raw mean difference [RMD], -0.97 [95% CI, -1.59 to -0.36]; P = .001) and 12 months (RMD, -0.61 [95% CI,-1.02 to -0.21]; P = .003), the effects of PRP disappeared at 24 months (RMD, -0.08 [95% CI,-0.38 to 0.22]; P = .586). A univariate regression analysis reinforced the ability of time after ACLR to predict the PRP-related reduction of VAS pain score (r2 = 0.98). However, knee function after ACLR was not improved by the use of PRP (standardized mean difference, 0.71 [95% CI,-0.17 to 1.60]; P = .114). CONCLUSION: PRP applied to a bone-patellar tendon-bone donor site could reduce knee pain within a year, and this reduction had a correlation with time, meaning that the effect of PRP decreased with time after surgery. However, pain reduction did not reach clinical relevance and did not lead to better functional knee scores.

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Genetic characterization of wild and cultivated plants provides valuable knowledge for conservation and agriculture. DNA sequencing technologies are improving, and costs are dropping. Yet analysis of many species is hindered because they grow in regions that lack infrastructure for advanced molecular biology. The authors developed and adapted low-cost methods that address these issues. Tissue was collected and stored in silica gel, avoiding the need for liquid nitrogen and freezers. The authors optimized low-cost, homemade DNA extraction to increase yields, reduce costs and produce DNA suitable for next-generation sequencing. The authors describe how to build a gel documentation system for DNA quantification. As a proof of principle, the authors used these methods to evaluate wild Berberis darwinii, native to Southern Chile.

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Objetivo: socializar, por meio de uma visita guiada, o primeiro Museu Cearense que trata da história e memória da Enfermagem, oriundo das conquistas do Núcleo de Documentação, Informação, História e Memória da Enfermagem no Ceará na luta pela guarda, recuperação e preservação desta história no estado. Método: Trata-se de relato de experiência acerca de trabalho realizado para guardar e preservar a história da Enfermagem cearense, que culminou na criação de Museu, per-tencente ao Núcleo de Documentação, Informação, História e Memória da Enfermagem no Ceará, instalado na Universidade Estadual do Ceará. Resultados: São apresentadas duas salas. A sala um é constituída por bandeiras da primeira escola de Enfermagem do estado, quadros, mobiliários e expositores, contendo diversos objetos: livro de registro de acontecimentos, fotos, broches, anéis, entre outros, e na sala dois há documentação, arquivo e acervo de biblioteca. Os materiais/objetos expostos nos museus, cuja busca se deu a partir do envolvimento de pesquisadores, mostram-se indispensáveis para o resgate e a preservação da História da Enfermagem no Ceará. Conclusão: A criação de Museus, além de agregar conhecimento, reúne valor à formação e reconhecimento do profissional de Enfermagem.

Objective: to socialize, through a guided visit, the first Museum of Ceará that deals with the his-tory and memory of Nursing, originating from the conquests of the Nucleus of Documentation, Information, History and Memory of Nursing in Ceará in the struggle for the safekeeping, recovery and preservation of this history in the state. Method: This is an experience report about the work done to save and preserve the history of nursing in Ceará, which culminated in the creation of the Museum, belonging to the Nucleus of Documentation, Information, History and Memory of Nurs-ing in Ceará, installed in the State University of Ceará. Results: Two rooms are presented. Room one consists of flags from the first nursing school in the state, pictures, furniture and displays, containing several objects: registration book of events, photos, brooches, rings, among others, and in room two there is documentation, archive and library collection. The materials/objects exhib-ited in the museums, whose search was based on the involvement of researchers, show themselves indispensable for the rescue and preservation of the History of Nursing in Ceará. Conclusion: The creation of museums, besides aggregating knowledge, adds value to the formation and recognition of the nursing professional.

Objetivo: socializar, a través de una visita guiada, el primer Museo de Ceará que trata de la historia y memoria de la Enfermería, originado por las conquistas del Núcleo de Documentación, Información, Historia y Memoria de la Enfermería en Ceará en la lucha por el resguardo, recuperación y preserva-ción de esta historia en el estado. Método: Este es un informe de experiencia sobre el trabajo realizado para salvar y preservar la historia de la enfermería en Ceará, que culminó con la creación del Museo, perteneciente al Núcleo de Documentación, Información, Historia y Memoria de la Enfermería en Ceará, instalado en la Universidad Estatal de Ceará. Resultados: Se presentan dos salas. La sala uno consta de banderas de la primera escuela de enfermería del estado, cuadros, muebles y expositores, conteniendo varios objetos: libro de registro de eventos, fotos, broches, anillos, entre otros, y en la sala dos hay documentación, archivo y fondo de biblioteca. Los materiales/objetos expuestos en los museos, cuya búsqueda se basó en la participación de los investigadores, se muestran indispensables para el rescate y preservación de la Historia de la Enfermería en Ceará. Conclusión: La creación de museos, además de agregar conocimiento, agrega valor a la formación y reconocimiento del profe-sional de enfermería.

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ABSTRACT Objectives: to propose quality indicators for clinical nursing documentation Methods: methodological study in which literature review guided the composition of an instrument for evaluating nursing documentation. Two independent professionals evaluated 204 medical records of adult patients. The analysis of this assessment generated quality indicators for clinical nursing documentation. Inter-rater agreement was analyzed by Cohen's kappa. Results: the bibliographic review, analysis by experts and pre-test resulted in 88 evaluation items distributed in seven topics; in 88.5% of the items, inter-rater agreement between strong and almost perfect (k=0.61-1.0) was observed. Analysis of the evaluations generated a global indicator and seven partial indicators of documentation quality. Compliance in the two services ranged between 62.3% and 93.4%. The global indicator showed a 2.1% difference between services. Conclusions: seven quality indicators of clinical nursing documentation and their method of application in hospital records have been proposed.

RESUMEN Objetivos: proponer indicadores de calidad de la documentación clínica de enfermería. Métodos: estudio metodológico en que revisión de literatura orientó la composición de instrumento de evaluación de la documentación de enfermería. Dos profesionales independientes evaluaron 204 prontuarios de pacientes adultos. Análisis de esa evaluación generó indicadores de calidad de la documentación de enfermería. La concordancia interevaluadores fue analizada por Kappa de Cohen. Resultados: revisión bibliográfica, análisis por especialistas y pretest originaron 88 ítems de evaluación distribuidos en siete tópicos; en 88,5% de los ítems, observó concordancia interevaluadores entre fuerte y casi perfecta (k=0,61-1,0). Análisis de las evaluaciones generaron un indicador global y siete indicadores parciales de calidad de la documentación. La conformidad en los dos servicios varió entre 62,3% y 93,4%. Indicador global mostró diferencia de 2,1% entre los servicios. Conclusiones: fueron propuestos siete indicadores de calidad de la documentación de enfermería y su método de aplicación en prontuarios hospitalarios.

RESUMO Objetivos: propor indicadores de qualidade da documentação clínica de enfermagem. Métodos: estudo metodológico em que revisão da literatura norteou a composição de um instrumento de avaliação da documentação de enfermagem. Dois profissionais independentes avaliaram 204 prontuários de pacientes adultos. A análise dessa avaliação gerou indicadores de qualidade da documentação clínica de enfermagem. A concordância interavaliadores foi analisada pelo kappa de Cohen. Resultados: a revisão bibliográfica, análise pelos especialistas e pré-teste originaram 88 itens de avaliação distribuídos em sete tópicos; em 88,5% dos itens, observou-se concordância interavaliadores entre forte e quase perfeita (k=0,61-1,0). Análises das avaliações geraram um indicador global e sete indicadores parciais de qualidade da documentação. A conformidade nos dois serviços variou entre 62,3% e 93,4%. O indicador global mostrou diferença de 2,1% entre os serviços. Conclusões: foram propostos sete indicadores de qualidade da documentação clínica de enfermagem e seu método de aplicação em prontuários hospitalares.

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Resumen Introducción La Cienciometría es el estudio de los aspectos cuantitativos de la literatura científica y tecnológica, y ayuda a crear una visión amplia de los logros de la investigación en un campo científico. Una tesis doctoral es un estudio de investigación original sobre un área científica realizado por un candidato y se considera un indicador de personal altamente cualificado. Hasta donde sabemos, no se ha realizado ningún análisis cienciométrico en terapia ocupacional em España. Objetivos Caracterizar las tesis doctorales de terapia ocupacional defendidas em España y su tendencia. Metodo: Se ha realizado un estudio cienciométrico, descriptivo y retrospectivo entre 1976 y noviembre de 2019, utilizando la información buscada en las bases de datos TESEO y SOCINTO, el Portal de Ética DART-Europe y el repositório Dialnet. Se realizaron análisis descriptivos y de regresión. Resultados 77 tesis doctorales cumplieron los criterios de inclusión. La regresión lineal refleja una progresión diacrónica con r2= 0,530 con una significación estadística (p<.001). Conclusión La producción de tesis doctorales de terapia ocupacional en España se ha incrementado en las dos últimas décadas. Esta investigación ha contribuido a caracterizar el estado actual de las tesis doctorales de terapia ocupacional defendida em España, considerando el análisis de las tesis doctorales como un importante indicador cienciométrico y siendo el primer estudio de este tipo a nivel mundial.

Resumo Introdução A cienciometria é o estudo dos aspectos quantitativos da literatura científica e tecnológica, contribuindo para criar uma visão ampla dos resultados da investigação num campo científico. Uma tese de doutoramento é um estudo de investigação original sobre uma área científica realizado por um candidato e é considerada uma qualificação pessoal altamente qualificada. Segundo os nossos melhores conhecimentos, não foi realizada qualquer análise cientométrica em terapia ocupacional na Espanha. Objetivos Caracterizar as teses de doutoramento em terapia ocupacional defendidas na Espanha e a suas tendências. Método Foi realizado um estudo cientométrico, descritivo e retrospectivo entre 1976 e novembro de 2019, utilizando a pesquisa de informação nas bases de dados TESEO e SOCINTO, no Portal DART-Europe Etheses e no repositório Dialnet. Foram realizadas análises descritivas e regressivas. Resultados 77 teses de doutoramento cumpriram os critérios de inclusão. A regressão linear reflete uma progressão diacrônica com r2= 0,530, com um significado estatístico (p<.001). Conclusão A produção de teses de doutoramento em terapia ocupacional na Espanha aumentou nas últimas duas décadas. Esta investigação ajudou a caracterizar o estado atual das teses de doutoramento em terapia ocupacional defendidas na Espanha, considerando a análise de teses de doutoramento como um indicador cientificamente importante e sendo o primeiro estudo deste tipo em nível mundial.

Abstract Introduction Scientometry is the study of the quantitative aspects of the scientific and technological literature, helping in creating a broad vision of the research achievements in a scientific field. A Ph.D. thesis is an original research study about a scientific area carried out by a candidate and is considered an indicator of highly qualified staff. To our best knowledge, no scientometric analysis has been performed in occupational therapy in Spain. Objective To characterize occupational therapy Ph.D. theses defended in Spain and its trend. Method A scientometric, descriptive, retrospective study was conducted between 1976 and November 2019, using the information searching in the TESEO and SOCINTO databases, the DART-Europe Etheses Portal, and the Dialnet repository. Descriptive and regression analyses were carried out. Results 77 Ph.D. theses met the inclusion criteria. The linear regression reflects a diachronic progression with r2= 0.530 with a statistical significance (p<.001). Conclusion The production of occupational therapy Ph.D. theses in Spain has been increased in the last two decades. This research has helped to characterize the current state of the occupational therapy Ph.D. theses defended in Spain, considering Ph.D. theses analysis as an important scientometric indicator and being the first study of this type worldwide.

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Background: The law mandates careful record-keeping in the emergency department, and clinical imperatives also support the value of complete and legible reports. A common assumption is that extensive documentation increases the yield of relative value units (RVUs) and higher levels of care, thereby maximizing reimbursement. However, overdocumentation presents certain risks, possibly impacts physician efficiency, and does not ensure that records are more readable and clinically useful. We examined the effect of increased documentation on actual reimbursement. Methods: We conducted a 12-month productivity analysis of patients per hour (pt/h), RVUs per hour (RVU/h), amounts of monies billed, and amounts of monies collected for all full-time supervising physicians in a university emergency medicine training program. Results: RVU/h vs pt/h yielded a positive linear relationship (R2=0.7571) and a strong correlation coefficient of 0.87. RVU/h vs revenue collection (amount actually paid) yielded a moderately positive linear relationship (R2=0.1752), with a correlation coefficient of 0.42. The relationship between pt/h and collections was weak (R2=0.0815), with a correlation coefficient of 0.29. A quartile comparison showed an inflection point, suggesting that after the third quartile, RVU/h did not appear to help generate significantly higher collections. Conclusion: The data, while not definitive, suggest that overly extensive documentation may increase RVU totals but, after a point, does not reliably increase revenue generation.

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Se presenta un estudio de caso en el contexto de la gestión de la información clínica sanitaria, en el que, a partir de la revisión de la literatura científica, se detectó que las tecnologías de la información se han ido introduciendo de manera desigual e irregular en la sanidad pública española. El estudio se planteó como objetivo analizar cómo se realiza un proyecto de digitalización de historias clínicas, el cual condujo a las siguientes preguntas de investigación: ¿Cómo se gestiona la información sanitaria? ¿Cómo se realiza un proyecto de digitalización de historias clínicas en un contexto real? ¿Qué formación tienen los profesionales que participan en el proceso y ¿cuál es el papel de los documentalistas? Se siguió una metodología de investigación cualitativa con perspectiva naturalista, además del análisis de la literatura científica, en la que se presentaron los resultados del estudio basados en la dotación de equipamiento, el servicio de consultoría, la gestión documental y de archivo, además del perfil profesional que se plantea para la ejecución de un proyecto de digitalización de historias clínicas. Se concluye que la gestión de la información no satisface las necesidades del personal sanitario; que no existe un procedimiento documentado para la digitalización de las historias clínicas y que no se requiere la participación de profesionales sanitarios ni de documentalistas, a pesar de que la literatura científica resalta la inestimable participación de estos profesionales(AU)

A health information management case study is presented in a which scientific literature review revealed that information technologies have been incorporated into Spanish public health in an uneven, irregular manner. To corroborate this fact we set ourselves the objective of analyzing the way in which a medical record digitalization project is conducted, which led to the following research questions: How is health information managed? How is a medical record digitalization project conducted in a real life context? What is the background of professionals involved in the process and what is the role of documentalists? Besides examination of the scientific literature, a naturalist qualitative analysis was performed in which the results of the study were presented, based on equipment provision, advisory service, document management and archiving, and the professional profile established for the conduct of a medical record digitalization project. It is concluded that information management does not meet the needs of the health personnel, that a documented procedure is not available for medical record digitalization, and that participation of health professionals and documentalists is not requested, despite the scientific literature highlighting the invaluable participation of these professionals(AU)

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