A personnel time-motion study of intranasal influenza vaccination in healthy children

Vaccine ◽  
2005 ◽  
Vol 23 (40) ◽  
pp. 4879-4885 ◽  
Author(s):  
Michael L. Washington ◽  
Sharon G. Humiston ◽  
Peter B. Fauerbach ◽  
W. Paul Glezen ◽  
Steve Black ◽  
...  
2020 ◽  
Author(s):  
Philip Boakye

The acceptance of electronic laboratory information system (LIS) is gradually increasing in developing countries. However, the issue of time effectiveness due to computerization is less clear as there is fewer accessible information. One of the key issues for laboratorians is their indecision with LISs’ would-be effect of time on their work. A polyclinic in Ghana was in the process of implementing electronic LIS. Several of the laboratorians did not have knowledge and skill in computing and there were disagreeing views on the time effectiveness of the LIS after implementation. The management of the polyclinic laboratory was concerned to assess time advantageousness of recording data when using the electronic LIS compared with paper-based LIS. <div><br></div><div>Five randomly selected laboratorians were provided two sheets of paper with tables to document the time they spent for both paper-based and electronic LIS. Data were collected for a total of 230 records,115 electronic LIS and 115 paper-based LIS. The t-test (mean-comparison test) was computed to compare the means of both electronic and paperbased LIS times. </div><div><br></div><div>There was a statistical significant difference in the time spent between electronic and paper-based LIS. The time spent between paper-based and electronic LIS was 0.41 minutes (95% CI 0.15 to 0.66) longer than in electronic LIS. </div><div><br></div><div>LIS can be adopted in polyclinics without having significant negative impact on time spent between electronic and paper-based LIS. More time–motion studies that include laboratorians are however necessary in order to get a more complete picture of time spent between electronic and paper-based LIS. </div>


Author(s):  
Roxanne Müller ◽  
Christine Cohen ◽  
Philippe Delmas ◽  
Jérôme Pasquier ◽  
Marine Baillif ◽  
...  

2021 ◽  
pp. 0887302X2110054
Author(s):  
Anis Fatima ◽  
Muhammad Tufail

To gain the competitive advantage, it has become essential for manufacturing industry to use its resources effectively, efficiently and economically. It is required to understand that such resources are based on 5 Ms (manpower, methods, materials, money, and machinery). In this study an apparel industry was selected to create a directorial plan by using the ideologies of resource management to improve the process efficiency. For this the data related to the product layout, operation plan, and process flow was collected. Time motion study was performed for aspect analysis. Information regarding operation, number of machines and efficiency of the production line was evaluated. The proposed plan successfully increase the efficiency up to 10%. It also shows an improvement in effective utilization of manpower and money.


Jurnal Teknik ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Diah Septiyana

PT. Gajah Tunggal Tbk merupakan perusahaan yang memproduksi tube/ ban dalam. Teknologi yang digunakan perusahaan tersebut masih sederhana sehingga kemampuan tenaga kerja berpengaruh besar terhadap kinerja perusahaan. Analisa gerak dan waktu, diperlukan untuk dapat meminimalkan gerakan kerja yang tidak efektif sehingga akan diperoleh waktu kerja yang optimal. Tujuan penelitian ini adalah (1) Untuk mengetahui waktu standar sebelum perbaikan metode kerja dengan metode Time Motion Study, (2) Untuk mengetahui waktu standar setelah perbaikan metode kerja dengan metode Time Motion Study, (3)Untuk menganalisis faktor yang menyebabkan waktu kerja pada bagian OEM Final Inspection tidak optimal. Dalam penelitian ini dilakukan pengukuran waktu kerja secara langsung dengan metode Time Motion Study. Dan dianalisa kembali dengan menggunakan diagram fishbone .Faktor yang mempengaruhi kinerja tidak efektif yaitu Kurang disiplinnya operator karena budaya kerja, Belum adanya standar kerja (gerak dan waktu). Adanya proses menunggu Berdasarkan hasil perhitungan diperoleh hasil waktu standar  sebelum perbaikan pada operator 1 yaitu 417 detik, operator 2 yaitu 474 detik, pada operator 3 yaitu 447 detik dan pada operator 4 yaitu 136 detik dan hasil waktu standar setelah perbaikan  pada operator 1,2,3 dan 4 yaitu 332 detik, 457 detik, 374 detik dan 62 detik


2008 ◽  
Vol 22 (4) ◽  
pp. 365-368 ◽  
Author(s):  
Daniel C Sadowski ◽  
Linda Broenink

INTRODUCTION: High-resolution manometry (HRM) of the esophagus is a new technique that provides a more precise assessment of esophageal motility than conventional techniques. Because HRM measures pressure events along the entire length of the esophagus simultaneously, clinical procedure time should be shorter because less catheter manipulation is required. According to manufacturer advertising, the new HRM system is more accurate and up to 50% faster than conventional methods.OBJECTIVE: To test the hypothesis that clinical testing with HRM requires less procedural time than a standard water perfusion (WP) method.METHODS: Forty-one consecutive patients were studied (20 underwent WP and 21 underwent HRM). Using time-motion analysis, the start and end times for each task associated with performing the study were recorded. Patient discomfort and study quality were also assessed by using five- and four-point qualitative scales, respectively.RESULTS: Total procedure time was reduced on average by 25.6% in the HRM group (from 41.8 minutes with WP to 30.7 minutes with HRM, P<0.05). There was no significant difference in the discomfort scores reported by the study subjects and no difference in study quality.CONCLUSIONS: HRM requires less time to complete than conventional manometry and should therefore shorten the wait-times of patients scheduled for esophageal manometry and have a significant impact on the cost of performing this commonly used clinical investigation.


PEDIATRICS ◽  
1966 ◽  
Vol 38 (2) ◽  
pp. 254-263 ◽  
Author(s):  
Abraham B. Bergman ◽  
Steven W. Dassel ◽  
Ralph J. Wedgwood

Four practicing pediatricians were followed by an observer with a stopwatch for a total of 18 days to gain a profile of how their working days were spent. An average of 48% of the day was spent with patients, 12.5% on the phone, and 9% on paper work. Fifty per cent of patient time was spent with well children, and 22% on children with minor respiratory illness. Intellectual understimulation seemed to arise from spending the majority of time with children who did not require their special talents. In view of the alarming decline in ratio of physicians to child population, pediatricians are urged to play a decisive role in formulating the alternative patterns of child health care that must inevitably develop in the United States.


CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S102-S103
Author(s):  
E. Feng ◽  
Z. Zia ◽  
C. Tong ◽  
N. Cornell

Introduction: The growing scrutiny to improve Emergency Department (ED) wait times and patient flow have resulted in many efforts to increase efficiency and maximize patient throughput via systems improvements. This study investigates areas of efficiency improvement from the Emergency Physician (EP) perspective by examining EP workflow in a two phased observational time-motion study. In the initial phase, the distribution of time and activities of EPs were dissected to identify potential sources for streamlining to maximize physician productivity. The first phase was of the study was completed during the period immediately preceding the implementation of an Electronic Health Records (EHR). The second phase of the study will repeat the analysis one year post EHR implementation. This data will be dissected to again identify sources for streamlining in an EHR environment and to identify shifts in work flow from a paper-based system. Methods: An observational time motion study was conducted at St. Mary's Hospital ED, in Kitchener Ontario. An observer was paired with an EP for the duration of an 8 hour shift, to a total of 14 shifts in the first phase of the study. Nine task categories were measured concurrently with a stopwatch application on a tablet, along with the number of interruptions experienced by the EP. Means of each category were calculated and converted to percentages, representing the amount of time per 8 hour shift dedicated to each activity. The second phase will be repeated in Fall 2020, 1 year after EHR implementation. Results: A total of 14 shifts were observed, accounting for 112 hours of observation. EP's time was allocated amongst the following categories: direct patient interaction (40.8%), documentation (27.1%), reviewing patient results (18.4%), communicating with ED staff (7.63%), personal activities (5.7%), writing orders (5.1%), communicating with consultants (3.3%), teaching (1.7%) and medical information searches (1.3%). On average, EPs experienced 15.8 interruptions over the course of an 8 hour shift. Conclusion: In a paper charting system, the direct patient interaction accounts for the largest timeshare over the course of a given shift. However, the next two largest categories, documentation and reviewing patient data, both represent areas of potential streamlining via clerical improvements. Additionally, detailed measurements of EPs’ activities have proven feasible and provides the potential for future insight into the impact of EHR's on EP workflow.


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