scholarly journals Reporting of Hospital Facility on Smartphone

2021 ◽  
Vol 1807 (1) ◽  
pp. 012013
Author(s):  
Jack Febrian Rusdi ◽  
Sazilah Salam ◽  
Nur Azman Abu ◽  
Budi Sunaryo ◽  
Nova Agustina ◽  
...  
Keyword(s):  
Hospital Facility

The State Action Doctrine and The Local Government Antitrust Act: The Restructured Public Hospital Model

1988 ◽  
Vol 14 (2-3) ◽  
pp. 171-219
Author(s):  
Theodore N. McDowel ◽  
J. Marbury Rainer
Keyword(s):  
Local Government ◽  
Public Hospital ◽  
The State ◽  
State Action ◽  
Hospital Facility ◽  
Practical Matter ◽  
Antitrust Analysis ◽  
The Impact ◽  
State Action Doctrine ◽  
Public Entity

This Article analyzes the development and complexities of the antitrust state action doctrine and the Local Government Antitrust Act as these doctrines apply to both “municipalities” and private entities. The restructuring of a public hospital is used as a model to facilitate the antitrust analysis. The restructuring model, which typically involves the leasing of a hospital facility by a public entity to a private nonprofit corporation, offers the unique opportunity to compare the different standards employed under the state action doctrine and the Local Government Antitrust Act. As a practical matter, the Article provides a framework for a public hospital to evaluate the impact of corporate restructuring on its antitrust liability exposure and to develop strategies to minimize antitrust risks.

scholarly journals Hospital Construction Cost Affecting Their Lifecycle: An Italian Overview

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 888
Author(s):  
Leopoldo Sdino ◽  
Andrea Brambilla ◽  
Marta Dell’Ovo ◽  
Benedetta Sdino ◽  
Stefano Capolongo
Keyword(s):  
Healthcare Services ◽  
Construction Cost ◽  
Design Stage ◽  
Quality Healthcare ◽  
Healthcare Facilities ◽  
Early Design Stage ◽  
Hospital Facility ◽  
Italian Context ◽  
The Cost ◽  
Cost Components

The need for 24/7 operation, and the increasing requests of high-quality healthcare services contribute to framing healthcare facilities as a complex topic, also due to the changing and challenging environment and huge impact on the community. Due to its complexity, it is difficult to properly estimate the construction cost in a preliminary phase where easy-to-use parameters are often necessary. Therefore, this paper aims to provide an overview of the issue with reference to the Italian context and proposes an estimation framework for analyzing hospital facilities’ construction cost. First, contributions from literature reviews and 14 case studies were analyzed to identify specific cost components. Then, a questionnaire was administered to construction companies and experts in the field to obtain data coming from practical and real cases. The results obtained from all of the contributions are an overview of the construction cost components. Starting from the data collected and analyzed, a preliminary estimation tool is proposed to identify the minimum and maximum variation in the cost when programming the construction of a hospital, starting from the feasibility phase or the early design stage. The framework involves different factors, such as the number of beds, complexity, typology, localization, technology degree and the type of maintenance and management techniques. This study explores the several elements that compose the cost of a hospital facility and highlights future developments including maintenance and management costs during hospital facilities’ lifecycle.

scholarly journals (P2-40) Patient Allocation to Hospitals During Mass-Casualty Incidents

2011 ◽  
Vol 26 (S1) ◽  
pp. s148-s149 ◽  
Author(s):  
K. Ruettger ◽  
W. Lenz
Keyword(s):  
Emergency Response ◽  
Operations Management ◽  
Low Frequency ◽  
Working Hours ◽  
Cost Effective ◽  
Mass Casualty ◽  
Rescue Service ◽  
Hospital Facility ◽  
State Register ◽  
Helicopter Landing

Due to the limited resources of specialized hospital departments, the allocation of patients to different hospitals according to severity is an extraordinarily complex and time-critical problem. The emergency capacity was determined for all medical centers (n = 135) in the State of Hessen, Germany, for patients of various triage categories (red, yellow, green) during normal working hours, and during weekends and nights and included logistic specifications of a potential helicopter landing. These data were entered into a state register. Using the data from the “acute-care-register”, a Ticket System was developed that allows operations management to assign patients according to the severity of their condition, urgency, and specialization requirements (e.g., neurosurgery, ophthalmology, pediatrics) to a hospital without exceeding the admission and/or treatment capacity of the hospital/facility. During a non-critical period, the order of allocations depending on the distance from the clinic is planned in advance so that no further modifications are necessary during the acute intervention phase of an emergency response. Additional notification of hospital capacities for severe casualties provided during the emergency response can be easily and immediately supplemented. Due to the relatively low frequency of such emergency responses, a cost-effective concept that is easily adaptable to the respective fields of application was decided upon. The system is a sticker set customized for the respective rescue teams. The sets will be carried permanently in the rescue equipment by the organization manager of the rescue service team. The equipment is not dependent on electronic components. The cost per sticker set is approximately US$50. Keeping track of the patient allocations is assured.

Primary Casualty Reception Ship: the hospital within—Operation Granby

1992 ◽  
Vol 78 (2) ◽  
pp. 55-64
Author(s):  
E. P. Dewa
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Support Services ◽  
Persian Gulf ◽  
Medical Team ◽  
High Dependency Unit ◽  
Full Support ◽  
Hospital Facility ◽  
High Dependency

SummaryAs the build-up of Operation Granby forces developed in the Gulf, casualty estimates indicated the need for a 100-bed hospital facility to care for the possible maritime casualties. RF A Argus, the Air Training Ship, was identified as the potential Primary Casualty Reception Ship (PCRS) and at the end of September 1990 plans were drawn up to convert the forward hangar into a two-storey 100-bed hospital in collective protection (COLPRO).In the three weeks prior to deployment, the hospital was designed, built, equipped and staffed.Argus arrived in the Gulf in mid-November as the PCRS with, all in COLPRO, a 10-bed intensive care unit (ICU), a 14-bed high dependency unit (HDU), a 76-bed low dependency unit (LDU) plus four operating tables in two theatres with full support services.The hospital was staffed by a medical team of 136 personnel and supported by the Air department with four casualty evacuation helicopters, an RN Party and the staff of the RFA.One hundred and five patients were treated of which 78 were returned to duty. Argus as PCRS spent longer in the northern Persian Gulf than any other ship, UK or US.

Consequences of Migrating U.S. Contagious Facilities Into General Hospitals, 1900–1950

2021 ◽  
pp. 193758672110498
Author(s):  
Jeanne Kisacky
Keyword(s):  
General Hospital ◽  
Disease Incidence ◽  
Spatial Separation ◽  
General Hospitals ◽  
Hospital Facility ◽  
Contagious Disease ◽  
Contact Transmission ◽  
History Of ◽  
Isolation Facilities ◽  
Isolation Facility

Until the 1880s, hospitals excluded contagious disease patients from admission because of the danger they posed to other patients; by the 1950s, contagious disease care had literally moved into the general hospital. This article correlates the changing isolation facility designs with changing disease incidence and prevention strategies. It argues that isolation moved into the hospital in stages that have consequence for isolation facility design today. Between the 1890s and 1940s, contagious disease care shifted from remote isolation hospitals (commonly known as pest houses) to separate contagious disease hospitals, to contagious disease “units” adjacent to or within a general hospital facility, and to isolation rooms included in nursing units. The architectural history of isolation facility designs shows that the integration of isolation facilities into general hospitals relied on the success of new aseptic nursing procedures that prevented contact transmission but which downgraded the need for spatial separation to prevent airborne transmission. In the second half of the 20th century, federal funding and standards made isolation rooms in the hospital the norm. This migration coincided with a historically unprecedented reduction in contagious disease incidence produced by successful vaccines and antibiotics. By the 1980s, the rise of new and antibiotic resistant diseases led to extensive redesigns of the in-house isolation rooms to make them more effective. This article suggests that it is time to rethink isolation not just at the detail level but in terms of its location in relation to the general hospital.

scholarly journals Children’s Nurses’ Knowledge and Attitudes on Paediatric Pain: A Descriptive Cross-Sectional Survey in a Developing Country

2020 ◽  
Vol 10 (3) ◽  
pp. 222-233
Author(s):  
Evans Oduro ◽  
Abigail Kusi-Amponsah Diji ◽  
Grace Kusi ◽  
Albert Amagyei ◽  
Joana Kyei-Dompim ◽  
...  
Keyword(s):  
Professional Education ◽  
Management Practices ◽  
Demographic Data ◽  
Pediatric Pain ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Hospital Facility ◽  
Pain Knowledge ◽  
Nurses Knowledge

Background: Children’s nurses’ knowledge of pain affects their pain management practices. Even though poor knowledge and attitudes have been reported in several studies, most were carried out in developed settings. However, little has been reported on the management of paediatric pain by nurses in resource-limited settings such as in sub-Saharan Africa.Purpose: This study sought to assess the knowledge and perceptions of children’s nurses regarding paediatric pain in a Ghanaian context.Methodology: A descriptive cross-sectional survey was carried out among 65 nurses at eight hospitals at various levels of healthcare in Ghana. Over three months, participants’ demographic data and responses on the Pediatric Nurses Knowledge and Attitude Survey Regarding Pain (PNKAS) instrument were collected. Data were analyzed and presented using descriptive and inferential statistics.Results: Participants’ average (SD) knowledge and attitudes regarding paeditric pain was 36.7% (6.9%) and ranged from 21.4% to 57.1%. Pediatric pain knowledge and attitudes (PPKA) of the nurses differed based on working years in the children’s unit and the hospital type they worked in (p<0.05). Nevertheless, the type of hospital facility was the only independent predictor of their PPKA (R2=0.181, p<0.001).Conclusion: Children nurses in this setting generally had insufficient knowledge and attitudes on paediatric pain. They should be motivated to undertake self-directed learning and regular continuing professional education to update their knowledge, attitude and skills on evidence-based pediatric pain assessment and management. 

scholarly journals Objective assessment of quality of work and material stimulation of medical staff in a hospital

2005 ◽  
pp. 77-80
Author(s):  
I. V. Dukhanina ◽  
A. G. Malyavin ◽  
O. Yu. Alexandrova ◽  
M. V. Dukhanina
Keyword(s):  
Medical Staff ◽  
Inpatient Treatment ◽  
Objective Assessment ◽  
Social Aspects ◽  
Systematic Analysis ◽  
Quality Of Work ◽  
Hospital Facility ◽  
Material Stimulation ◽  
Stimulation Of

We propose and substantiate criteria of objective assessment of quality of work of medical staff in a hospital facility in order to restrict a length of inpatient treatment, to improve work of a doctor and a whole department and to achieve adequate material stimulation and appropriate wages. The criteria consider economic, medical and social aspects, allow computerized analysis of a doctor's and a department work, systematic analysis on clinical conferences and disclosure of factors worsening the quality of inpatients treatment.

scholarly journals Influence of air velocity on indoor environment quality in unidirectional flow operating theatres: A study based on Computational Fluid Dynamics

2019 ◽  
Vol 85 ◽  
pp. 02003
Author(s):  
Gonzalo Sánchez-Barroso Moreno ◽  
Justo García Sanz-Calcedo ◽  
Alfonso C. Marcos Romero
Keyword(s):  
Fluid Dynamics ◽  
Computational Fluid Dynamics ◽  
High Performance ◽  
Indoor Environment ◽  
Air Flow ◽  
Environment Quality ◽  
Hospital Facility ◽  
Unidirectional Flow ◽  
Indoor Environment Quality ◽  
Operating Theatres

It is necessary to characterise air-conditioning airflow in omanuscriprder to optimize hospital Indoor Environment Quality in high-performance operating theatres, and also reduce the risk of nosocomial infection due to pathogen contamination. The aim of this article is to study the prevalence of optimal healthy conditions from controlled air flow quality in hospital facilities, and to minimize energy consumption. To this purpose, the indoor air movement was modelled by Computational Fluid Dynamics technology. The optimal results showed that it is necessary to drive ultra-clean air ranging between 0.25 m/s and 0.40 m/s, values which are adequate to perform efficient sweeping and cleaning of the air near the patient, maintaining unidirectional air flow permanently as the air passes through the surgical field. These speeds must be taken into account as calculation parameters in new hospital facility projects, and as control parameters for the existing operating theatres.

Sign in / Sign up

Export Citation Format

Share Document