scholarly journals VESS6. Healthcare Delivery Redesign for EVAR Leads to Quality Improvement and Cost Reduction

2014 ◽  
Vol 59 (6) ◽  
pp. 6S
Author(s):  
Courtney J. Warner ◽  
Richard J. Powell ◽  
Alexander J. Horvath ◽  
Jesse A. Columbo ◽  
Teri R. Walsh ◽  
...  
2000 ◽  
Vol 28 (2) ◽  
pp. 581-583 ◽  
Author(s):  
Peter Pronovost ◽  
Derek C. Angus

Energies ◽  
2019 ◽  
Vol 12 (19) ◽  
pp. 3733 ◽  
Author(s):  
Irfanullah Khan ◽  
Jihed Jemai ◽  
Han Lim ◽  
Biswajit Sarkar

The need for efficient electrical energy consumption has greatly expanded in the process industries. In this paper, efforts are made to recognize the electrical energy consumption in a two-echelon supply chain model with a stochastic lead-time demand and imperfect production, while considering the distribution free approach. The initial investments are made for quality improvement and setup cost reduction, which ultimately reduce electrical energy consumption. The inspection costs are considered in order to ensure the good qualities of the product. Centralized and decentralized strategies are used to analyze the proposed supply chain model. The main objective of this study is to reduce the overall cost through efficient electrical energy consumption in supply chain management by optimizing the lot size, the number of shipments, the setup cost, and the failure rate. A quantity-based transportation discount policy is applied to reduce the expected annual costs, and a service-level constraint is incorporated for the buyer to avoid a stockout situation. The impact of the decision variables on the expected total costs is analyzed, and sensitivity analysis is carried out. The results show a significant reduction in overall cost, with quality improvement and setup cost reduction ultimately reducing electrical energy consumption.


2014 ◽  
Vol 23 (Suppl 1) ◽  
pp. i56-i63 ◽  
Author(s):  
Christopher M Siracusa ◽  
Jeanne L Weiland ◽  
James D Acton ◽  
Amitra K Chima ◽  
Barbara A Chini ◽  
...  

2018 ◽  
Vol 132 (12) ◽  
pp. 1093-1096
Author(s):  
C Swords ◽  
A Manji ◽  
E Ward ◽  
A Arora

AbstractBackgroundWork describing patient and family outcomes after tracheostomy has indicated that patients do not feel prepared at the time of discharge.ObjectivesTo assess healthcare professional–patient interactions in tracheostomy care and the current provision of care.MethodA global electronic survey was disseminated via e-mail.ResultsThe majority of respondents were nursing or speech and language staff, from over 10 countries. Only 23 per cent of respondents’ institutions routinely offered patients the ability to meet people with a tracheostomy pre-operatively. Only 31 per cent consistently provided or co-ordinated full nursing and equipment requirements on discharge. Only half of the institutions participated in tracheostomy quality improvement initiatives; less than one-third of these involved patients.ConclusionThe provision of tracheostomy care in hospital and at discharge can be improved. The current practice of clinician-led audit is becoming less viable; future initiatives should focus upon patient-centred outcomes to ensure excellence in healthcare delivery.


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