General Analysis and Simulation of Surgical Instrument Sterile Processing Unit Using Arena

2020 ◽  
Author(s):  
Abdul Haseeb
Keyword(s):  
General Analysis ◽  
Processing Unit ◽  
Surgical Instrument ◽  
Sterile Processing

scholarly journals An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study

2020 ◽  
Vol 17 (23) ◽  
pp. 8748
Author(s):  
Valentina Nino ◽  
David Claudio ◽  
Leonardo Valladares ◽  
Sean Harris
Keyword(s):  
Medical Literature ◽  
Value Added ◽  
Rural Hospital ◽  
Cross Contamination ◽  
Surgical Instrument ◽  
Sterilization Process ◽  
Instrument Processing ◽  
Sterile Processing ◽  
Busy Schedule

Operating Rooms (ORs) generate the largest revenues and losses in a hospital. Without the prompt supply of sterile surgical trays from the Sterile Processing Department (SPD), the OR would not be able to perform surgeries to its busy schedule. Nevertheless, little emphasis has been brought in the medical literature to research on surgical instrument processing in the medical literature. The present study was done applies an Enhanced Kaizen Event (EKE) in the SPD of a rural hospital to identify sources of waste and minimize non-value-added steps in the SPD processes. The EKE consisted of three successive Plan-Do-Check-Act (PDCA) cycles, which focused on improvements at the departmental level first, then at an area level, and finally at the station level. The EKE yielded an improved streamlined workflow and a new design for the SPD layout, one of its areas, and a workstation. This paper aims at building a methodology, including identified steps. Results exhibited a 35% reduction in travel distance by the staff, eliminating non-value-added processes, reducing errors in the sterilization process, and eliminating cross-contamination for sterilized materials.

scholarly journals A Shipping Container-Based Sterile Processing Unit for Low Resources Settings

PLoS ONE ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. e0149624 ◽  
Author(s):  
Jean Boubour ◽  
Katherine Jenson ◽  
Hannah Richter ◽  
Josiah Yarbrough ◽  
Z. Maria Oden ◽  
...  
Keyword(s):  
Processing Unit ◽  
Shipping Container ◽  
Sterile Processing

Implementation and Impact of a Hospital-Wide Instrument Set Review: Early Experiences at a Multisite Tertiary Care Academic Institution

2018 ◽  
Vol 34 (1) ◽  
pp. 67-73
Author(s):  
Seungwon Yoon ◽  
Corinna C. Zygourakis ◽  
Joshua Seaman ◽  
Min Zhu ◽  
A. Karim Ahmed ◽  
...  
Keyword(s):  
Systematic Approach ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Quality Improvement Intervention ◽  
Surgical Instrument ◽  
Academic Hospital ◽  
Early Experiences ◽  
Key Stakeholders ◽  
Sterile Processing ◽  
Improvement Intervention

A multidisciplinary team of nurses, sterile processing technicians, and surgeons reviewed 609 otolaryngology–head and neck surgery (OHNS) surgical instrument sets at the study institution’s 3 hospitals. Implementation of the 4-phase instrument review resulted in decreased OHNS surgical instrument set types from 261 to 234 sets, and a decreased number of instruments in these sets from 18 952 to 17 084. The instrument set review resulted in an estimated savings of $35 665 in sterile processing costs for the OHNS department. Instrument review applied to all 10 surgical specialties at the institution would result in an estimated annual savings of $425 378. Through effective leadership, multidisciplinary participation of all key stakeholders, and a systematic approach, this study demonstrates that a hospital-wide quality improvement intervention for instrument set optimization can be successfully performed in a large, multisite tertiary care academic hospital.

Evaluation of Microbial Load from Canned Soya Milk Drinks in Malaysia

2016 ◽  
Vol 2 (1) ◽  
pp. 22-25
Author(s):  
Nur Amalina binti Mustafa ◽  
Muhammad Ashraf bin Redzuan ◽  
Muhamad Hazim bin Zuraimi ◽  
Muhamad Shuhaimi bin Shuib ◽  
Shahnaz Majeed ◽  
...  
Keyword(s):  
Culture Media ◽  
Storage Condition ◽  
Storage Conditions ◽  
Nutrient Agar ◽  
Microbial Load ◽  
Blood Agar ◽  
Human Consumption ◽  
Processing Unit ◽  
Soya Milk ◽  
Two Samples

Objective: Owing to the habit of consuming ready food among the citizens of Malaysia a study was conducted to evaluate 20 samples of canned soya milk for the presence of possible microbial content. The samples were collected randomly from shopping malls, restaurants and kiosk in Ipoh Malaysia. Methods: All samples collected across Ipoh, were subjected to test for presence bacteria in nutrient agar, blood agar and macConkey media. The possible microbial load was swapped from surface and soya milk content with a sterile cotton and streaked on nutrient agar, blood agar and macConkey culture media. The streaked petri plates were incubated for 48 hours at 37oC. Results: The study revealed negative microbial growth in all except two samples from the surface and soya milk content collected from a restaurant in nutrient agar and blood agar medium. The presence of microbes was conformed as gram positive staphylococcus sp. through gram staining. The positive growth may be imputed to poor storage condition at the restaurant. Conclusion: It can be computed from the study that the majority of the samples were free from bacterial growth, suggesting strong in house quality control mechanism at the processing unit and exquisite storage conditions in malls and kiosk suggesting that soya milk available in malls and kiosk are fit for human consumption.

cognitive-pragmatic account of the English imperative-conditional construction

2016 ◽  
Vol 1 (2) ◽  
pp. 251-269
Author(s):  
Keding Zhang
Keyword(s):  
Cognitive Linguistics ◽  
Processing Unit ◽  
Pragmatic Approach ◽  
The Third ◽  
Pragmatic Enrichment ◽  
Symbolic Structure ◽  
Speaker Intentions ◽  
Interactive Relationship ◽  
Pragmatic Account ◽  
Everyday Communication

The imperative-conditional construction (ICC) in English is a type of construction which consists of an ordinary imperative clause and an ordinary declarative clause connected by the connective and or or. This article deals with the speaker intentions of ICCs and their motivations from a cognitive-pragmatic approach. Based on the concept of construction in cognitive linguistics, an ICC can be called a complex symbolic structure which, though composed of two components, should be regarded as a single pragmatic processing unit. It is demonstrated that, in everyday communication, the ICC can usually convey three kinds of speaker intentions: a prohibitive intention, an inducing/forcing intention, and an advisory intention. The first refers to the intention of the speaker to prohibit the hearer from carrying out the act described by the imperative. The second is the intention of the speaker to induce or force the hearer to bring about the act described by the imperative. The third refers to the intention of the speaker to advise the hearer to carry out the act described by the imperative. These speaker intentions are highly motivated. The motivations include the constructional context, the conditional relation between the imperative and the declarative, the directive force of the imperative, the pragmatic enrichment of the declarative, and the complementary and interactive relationship between the imperative and declarative clauses, among which the constructional context serves as an overall motivation, and the rest may be seen as specific motivations.

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