Modelling learning for a better safety culture within an organization using a virtual safety coach: Reducing the risk of postpartum depression via improved communication with parents

This paper describes an extension of a safety culture within hospital organizations providing more transparency and acknowledgement of all actors, and in particular the parents. It contributes a model architecture to support a hospital to develop such an extended safety culture. It is illustrated for prevention of postpartum depression....

Evaluation of the effect of previous endometriosis surgery on clinical and surgical outcomes of subsequent endometriosis surgery

Purpose: Patients often undergo repeat surgery for endometriosis, due to recurrent or residual disease. Previous surgery is often considered a risk factor for worse surgical outcome. However, data are scarce concerning the influence of subsequent endometriosis surgery. Methods: A retrospective study in a centre of expertise for endometriosis...

Clavien-Dindo, comprehensive complication index and classification of intraoperative adverse events: a uniform and holistic approach in adverse event registration for (deep) endometriosis surgery

STUDY QUESTION: What is the additional value of the comprehensive complication index (CCI) and ClassIntra system (classification for intraoperative adverse events (ioAEs)) in adverse event (AE) reporting in (deep) endometriosis (DE) surgery compared to only using the Clavien-Dindo (CD) system? SUMMARY ANSWER: The CCI and ClassIntra are useful...

An improved MOEA/D algorithm for bi-objective optimization problems with complex Pareto fronts and its application to structural optimization

The multi-objective evolutionary algorithm based on decomposition (MOEA/D) has been recognized as a promising method for solving multi-objective optimization problems (MOPs), receiving a lot of attention from researchers in recent years. However, its performance in handling MOPs with complicated Pareto fronts (PFs) is still limited,...

Clinical, mechanical, and immunohistopathological effects of tissue adhesives on the colon: An in-vivo study

Background: Tissue adhesives may be useful for sealing bowel anastomoses by preventing anastomotic leakage. Prior to clinical implementation, an in-depth analysis of the clinical and immunohistopathological effects of tissue adhesives on the target tissue and of the mechanical strength of the adhesive bond in an in vivo model is needed....