345 A Novel Study Exploring the Hidden Cost of Insufficient Investment in Computer Technology in a District General Hospital

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Rogers ◽  
R Ramasubbu ◽  
B Ramasubbu
Keyword(s):  
Computer Technology ◽  
Capital Investment ◽  
District General Hospital ◽  
Daily Cost ◽  
Hidden Cost ◽  
Computer Based ◽  
Cost Of Time ◽  
The Cost ◽  
Computer Unit ◽  
Average Daily Cost

Abstract Introduction The NHS’ move towards increasing digitisation is limited by inadequate resourcing. It is estimated 70% of a junior doctor’s time is spent completing computer-based administrative work. Aging and insufficient equipment leads to inefficiency. The objective of this study is to investigate the hidden cost of insufficient and poorly performing computer technology. Method Surveys were disseminated to doctors and data was collected regarding designation, ward, salary and estimated ‘minutes-waiting’ for computers to become free (CF) and to load (CL). Results 33 surveys were completed. The hospital-wide average CF and CL were 25 minutes and 31.06 minutes respectively, with a corresponding average daily cost per doctor of £10.16 (CF) and £12.63 (CL), totalling £22.79/doctor/day. In the highest-expense ward, CF (31.66 minutes) and CL (38.33 minutes) equated to £30.28/doctor/day. Following acquisition of new hardware and re-audit, CL was significantly reduced to 20.4 minutes (p = 0.0142). Conclusions This study highlights the hidden cost of insufficient, poorly performing hardware. Every day the total cost of time-wasted greatly surpasses the cost of a single computer unit, illustrating the false economy of reduced capital investment in computer technology.

Application and Evaluation of SPD Based Logistics Management Model for Medical Consumables in Clinical Nursing Departments

2020 ◽  
Author(s):  
Chai YANG ◽  
Wei GU ◽  
Tongzhu LIU
Keyword(s):  
Delphi Method ◽  
Turnover Rate ◽  
Operating Costs ◽  
Daily Cost ◽  
Management Efficiency ◽  
Clinical Nursing ◽  
Inventory Turnover ◽  
Time Required ◽  
The Cost ◽  
Average Daily Cost

Background: Supply, processing, and distribution (SPD) model is sparingly used in hospitals in China. We evaluated its effects on the management efficiency, quality control, and operating costs of medical consumables (MCs) in the clinical nursing surroundings in a single Chinese hospital-Anhui Provincial Hospital from 2014 to 2015. Methods: Amount-based packages (ABP) and procedure-based packages (PBP) models were created. They were introduced the use of quick response (QR) code scanning for using in clinical nursing departments (CNDs). Questionnaires were prepared by referring to previous literature and using Delphi method repeatedly, further discussed and formalized. Partial results of the formal questionnaire were analyzed using SPSS. Results: Frequency of MCs claims reduced without any requirements of MCs in 70% of CNDs. Average time spent on the inventory per week decreased and the time required to procure MCs reduced. Moreover, the average satisfaction score with MCs management increased, reaching 100%. Average space occupied by MCs decreased significantly, reducing by 1.2444m3. Overall, 100% of the respondents concluded that the management of MCs improved effectively and the inventory turnover rate had accelerated. The cost of MCs decreased by 15% with more than 10% increase in in-hospital amount, and the average daily cost of MCs also showed decrease. Conclusion: SPD can improve the efficiency of MCs management in CNDs, reducing medical risks and disputes, saving hospital operating costs, and decreasing capital occupation.

Reduction in neonatal mortality by simple interventions

1989 ◽  
Vol 21 (S10) ◽  
pp. 127-136 ◽  
Author(s):  
S. R. Daga
Keyword(s):  
Neonatal Intensive Care ◽  
Newborn Infants ◽  
Extremely Low Birth Weight ◽  
Daily Cost ◽  
Average Hospital ◽  
Low Birth Weight Babies ◽  
Definition Of ◽  
The Cost ◽  
Care Costs ◽  
Average Daily Cost

Newborn infants are among those which generate the highest health care costs. For instance, the cost of hospital care until discharge was assessed at US $ 14,200 (Boyle et al., 1983) for babies weighing 1000–1499g at birth. The average hospital stay for a baby weighing less than 1500g at birth in 1981 was 100 days at an average daily cost of US$ 898 (Stahlman, 1984). Achievements in neonatal survival, especially of extremely low birth weight babies, have necessitated frequent revision of the definition of viability. However, modern neonatal intensive care cannot be regarded as appropriate for developing countries as it cannot be made accessible to all at an affordable cost.

Exergoeconomic analysis of renewable multi-generation system

2020 ◽  
pp. 99-111
Author(s):  
Vontas Alfenny Nahan ◽  
Audrius Bagdanavicius ◽  
Andrew McMullan
Keyword(s):  
Capital Investment ◽  
Combined Cycle ◽  
Asian Countries ◽  
Generation System ◽  
Integrated Gasification Combined Cycle ◽  
Heating And Cooling ◽  
Integrated Gasification ◽  
Exergoeconomic Analysis ◽  
Main Components ◽  
The Cost

In this study a new multi-generation system which generates power (electricity), thermal energy (heating and cooling) and ash for agricultural needs has been developed and analysed. The system consists of a Biomass Integrated Gasification Combined Cycle (BIGCC) and an absorption chiller system. The system generates about 3.4 MW electricity, 4.9 MW of heat, 88 kW of cooling and 90 kg/h of ash. The multi-generation system has been modelled using Cycle Tempo and EES. Energy, exergy and exergoeconomic analysis of this system had been conducted and exergy costs have been calculated. The exergoeconomic study shows that gasifier, combustor, and Heat Recovery Steam Generator are the main components where the total cost rates are the highest. Exergoeconomic variables such as relative cost difference (r) and exergoeconomic factor (f) have also been calculated. Exergoeconomic factor of evaporator, combustor and condenser are 1.3%, 0.7% and 0.9%, respectively, which is considered very low, indicates that the capital cost rates are much lower than the exergy destruction cost rates. It implies that the improvement of these components could be achieved by increasing the capital investment. The exergy cost of electricity produced in the gas turbine and steam turbine is 0.1050 £/kWh and 0.1627 £/kWh, respectively. The cost of ash is 0.0031 £/kg. In some Asian countries, such as Indonesia, ash could be used as fertilizer for agriculture. Heat exergy cost is 0.0619 £/kWh for gasifier and 0.3972 £/kWh for condenser in the BIGCC system. In the AC system, the exergy cost of the heat in the condenser and absorber is about 0.2956 £/kWh and 0.5636 £/kWh, respectively. The exergy cost of cooling in the AC system is 0.4706 £/kWh. This study shows that exergoeconomic analysis is powerful tool for assessing the costs of products.

Measuring the Cost of Time in Recreation Demand Analysis: Reply

1983 ◽  
Vol 65 (1) ◽  
pp. 172-174 ◽  
Author(s):  
Kenneth E. McConnell ◽  
Ivar E. Strand
Keyword(s):  
Recreation Demand ◽  
Demand Analysis ◽  
Cost Of Time ◽  
The Cost

Yacht Performance Analysis with Computers

1981 ◽  
Author(s):  
David R. Pedrick ◽  
Richard S. McCurdy
Keyword(s):  
Performance Analysis ◽  
Computer Technology ◽  
Home Computers ◽  
Computer Based ◽  
Electronic Calculation

Advances in computer technology continue to expand the every-day application of electronic calculation and programming. With everything from home computers to automotive diagnostic devices, hand-held Pong games, and calculator wristwatches now being big sellers, it is no surprise that computer-based marine instruments have increased in capability and popularity. This paper describes some current developments in electronics to evaluate the performance of sailing yachts, ranging from basic digital displays to full-blown shoreside computers.

The evolution of computer-based analysis of high-resolution CT of the chest in patients with IPF

2021 ◽  
pp. 20200944
Author(s):  
Lucio Calandriello ◽  
Simon LF Walsh
Keyword(s):  
High Resolution ◽  
Computer Technology ◽  
Response To Treatment ◽  
Visual Interpretation ◽  
Future Directions ◽  
The Past ◽  
High Resolution Ct ◽  
Ct Analysis ◽  
Computer Based ◽  
Fibrotic Lung Disease

In patients with idiopathic pulmonary fibrosis (IPF), there is an urgent need of biomarkers which can predict disease behaviour or response to treatment. Most published studies report results based on continuous data which can be difficult to apply to individual patients in clinical practice. Having antifibrotic therapies makes it even more important that we can accurately diagnose and prognosticate in IPF patients. Advances in computer technology over the past decade have provided computer-based methods for objectively quantifying fibrotic lung disease on high-resolution CT of the chest with greater strength than visual CT analysis scores. These computer-based methods and, more recently, the arrival of deep learning-based image analysis might provide a response to these unsolved problems. The purpose of this commentary is to provide insights into the problems associated with visual interpretation of HRCT, describe of the current technologies used to provide quantification of disease on HRCT and prognostication in IPF patients, discuss challenges to the implementation of this technology and future directions.

The Hidden Cost Dilemma

PEDIATRICS ◽  
1977 ◽  
Vol 59 (1) ◽  
pp. 142-142
Author(s):  
David Sparling
Keyword(s):  
Preventive Health ◽  
Health Examination ◽  
Office Space ◽  
Hidden Cost ◽  
Tuberculin Testing ◽  
The Cost ◽  
Tuberculin Tests

The commentary by Steigman amid Kendig1 on frequency of tuberculin testing, found in the August 1975 issue, presents a basic dilemma common to all preventive health procedures incorporated into office pediatrics. The cost of tuberculin testing is not in the material, but in the personnel time to administer and explain. If the patient is to return to the office for measurement and documentation, there are additional requirements of personnel time and office space. In our own office, where around 2,500 tuberculin tests are done each year, we have continued tuberculin testing at each annual health examination.

What Drives a Successful Technology Implementation?

2013 ◽  
pp. 340-357
Author(s):  
Kawal Kapoor ◽  
Yogesh K. Dwivedi ◽  
Michael D. Williams ◽  
Mohini Singh ◽  
Mark J. Hughes
Keyword(s):  
Public Sector ◽  
Radio Frequency Identification ◽  
Technology Implementation ◽  
Capital Investment ◽  
Stock Management ◽  
Implementation Team ◽  
Public Sector Organizations ◽  
Self Service ◽  
The Individual ◽  
The Cost

Radio Frequency Identification (RFID) is revolutionizing item identification and tracking. The technology demonstrates complexities in terms of (a) huge initial capital investment, (b) validating the need for RFID followed by its implementation decisions, (c) risks associated with consumer acceptance and consequences of incorrect implementation, and (d) capability to support enhancements and upgrades in cordial agreement with the individual implementer organizations. This paper explores the extent of RFID implementation at the Swansea University Library, examining the Social, Technological, Economic, and Managerial (STEM) aspects directly associated with implementation. A focused interview approach was resorted to, for data collection purposes. The core implementation team for RFID at Swansea University was interviewed to gain insights into the study’s areas of interest. It was found that self service is the most sought after benefit. It simplifies stock management and enhances security at the libraries. Although the cost of the system remains a concern, varying on the basis of the scale of implementation, vandalism also continues to exist but to a reduced degree. University libraries are public sector organizations, consequently leading these findings to have an insinuation for RFID implementations in other public sector organizations as well.

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