Cost-utilization of peripheral intravenous cannulation in hospitalized adults: An observational study

2020 ◽  
Vol 21 (5) ◽  
pp. 687-693 ◽  
Author(s):  
Fredericus HJ van Loon ◽  
Tina Leggett ◽  
Arthur RA Bouwman ◽  
Angelique TM Dierick-van Daele
Keyword(s):  
Catheter Insertion ◽  
International Standards ◽  
Personnel Costs ◽  
Peripheral Intravenous Catheter ◽  
Nurses And Physicians ◽  
Supply Costs ◽  
Cost Utilization ◽  
The Cost ◽  
Hospital Protocols ◽  
Mean Time

Aim: In modern healthcare there is increased focus on optimizing efficiency for every treatment or performed procedure, of which reduction of costs is an important part. With this study, authors aimed to calculate the cost of peripheral intravenous cannulation including all components that influence its price. Methods: This observational cost-utilization study was conducted between May and October 2016. Hospitalized adults were included in this study, who received usual care. Peripheral intravenous cannulation was carried out according to current hospital protocols, based on international standards for peripheral intravenous catheter insertion. Device costs were assumed equal to the number of attempts multiplied by the fixed supply costs and applicable costs for additional attempts, whereas personnel costs for both nurses and physicians were based on their hourly salary. Results: A total of 1512 patients were included in this study, with a mean of 1.37 (±0.77) attempts and a mean time of 3.5 (±2.7) min were needed for a successful catheter insertion. Adjusted mean costs for peripheral intravenous cannulation were estimated to be €11.67 for each patient, but costs increase as the number of attempts for successful cannulation increases. The cost for patients with a successful first attempt was lower, at approximately €9.32 but increased markedly to €65.34 when five attempts were needed. Conclusion: Prevention of multiple attempts may lower the costs, and furthermore, additional technologies applied by nurses to individual patients based on predicted difficult intravenous access will make the application of these additional technologies, in turn, more efficient.

At what cost is performance-based financing implemented? Novel evidence from Malawi

2019 ◽  
Vol 34 (4) ◽  
pp. 282-288 ◽  
Author(s):  
Manuela De Allegri ◽  
Chris Makwero ◽  
Aleksandra Torbica
Keyword(s):  
Low Income ◽  
Economic Cost ◽  
Personnel Cost ◽  
Cost Category ◽  
Implementation Phase ◽  
Personnel Costs ◽  
Performance Based Financing ◽  
Implementation Costs ◽  
The Cost ◽  
Low Income Setting

Abstract Our study estimated the full economic cost of implementing performance-based financing [PBF, the Support for Service Delivery Integration Performance-Based Incentives (SSDI-PBI) programme], as a means of first introducing strategic purchasing in a low-income setting, Malawi. Our analysis distinguished design from implementation costs and traces costs across personnel and non-personnel cost categories over the 2012–15 period. The full cost of the SSDI-PBI programme amounted to USD 3 402 187, equivalent to USD 6.46 per targeted beneficiary. The design phase accounted for about one-third (USD 1 161 332) of the total costs, while the incentives (USD 1 140 436) represented about one-third of the total cost of the intervention and about half the cost of the implementation phase. With a cost of USD 1 605 178, personnel costs represented the dominant cost category. Our study indicated that the introduction of PBF entailed consumption of a substantial amount of resources, hence representing an important opportunity cost for the health system.

CRITICAL ANALYSIS OF APPROACHES TO ASSESSING THE IMPACT OF BUSINESS PROCESSES ON THE FINANCIAL PERFORMANCE OF AN ORGANIZATION

2021 ◽  
Vol 4 (4) ◽  
pp. 201-205
Author(s):  
A. L. GENDON ◽  
◽  
G. F. GOLUBEVA ◽  
Keyword(s):  
Financial Performance ◽  
Critical Analysis ◽  
Business Processes ◽  
International Standards ◽  
Financial Indicators ◽  
Life Activity ◽  
Cost Of Production ◽  
The Cost ◽  
The Impact

The article reveals a system of financial indicators that characterize business processes, accounting for income and expenses according to Russian and international standards. The ways of increasing the efficiency of the company's life activity, in particular, the ways of reducing the cost of production, are considered.

scholarly journals Staff cost in direct nursing care at an intensive care unit

2007 ◽  
Vol 15 (5) ◽  
pp. 1005-1009 ◽  
Author(s):  
Sandra Cristina Ribeiro Telles ◽  
Valéria Castilho
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Work Load ◽  
Direct Care ◽  
Personnel Cost ◽  
Simple Method ◽  
Personnel Costs ◽  
Staff Cost ◽  
The Cost

This quantitative case study aimed to learn and analyze the personnel cost in nursing direct care in the intensive care unit. We opted to use a therapeutic intervention score index, TISS-28, for the analysis of the indirect gravity of patients and the dimension of the nursing staff working time. Evaluating the cost by a gravity score presented to be a logical and relatively simple method to allocate costs per patient in the intensive care unit. In this exploratory and descriptive study, the average TISS-28 per patient was 31 points, requiring a daily expenditure of care hours of R$ 298.69. It was evidenced in this study that personnel costs are variable since there are patients with different complexities. Therefore is possible to estimate the nursing staff cost by assessing its work load.

scholarly journals PROFESSIONAL JUDGMENT OF AN ACCOUNTANT UNDER UNCERTAINTY

2021 ◽  
Author(s):  
Iryna Melnychuk ◽  
◽  
Oksana Lopatovska ◽  
Keyword(s):  
Business Processes ◽  
Rapid Development ◽  
International Standards ◽  
Professional Judgment ◽  
Accounting System ◽  
Basic Principles ◽  
Domestic Legislation ◽  
Variable Characteristic ◽  
Specific Alternative ◽  
The Cost

The modern accountant works in extremely difficult conditions, which is associated with the rapid development of the service economy, which leads to the formation of new and complex business processes and operations. Since all transactions must be reflected in the accounting system of the enterprise, there is a need to find sound methods that allow to implement it within the existing legal field. However, domestic legislation in the field of accounting and taxation is increasingly undergoing changes that are not always relevant and systematic. As a result, the accountant in his work is faced with problematic issues that need to be addressed immediately. However, the solution of such problems is not always directly regulated by law. In such conditions, the role and importance of professional judgment of the accountant, the content of which is disclosed in the article, increases significantly. It is determined that professional judgment is bases on acquired knowledge, own skills, abilities, experience and professional sense, and is a kind of superstructure of professional opportunities. The cost of such a judgment depends on the result obtained on the basis of its application. Professional judgment is a variable characteristic of an accountant's capabilities and requires constant development. To do this, you should follow certain principles, which include consistency, argumentation, reliability, completeness, logic. Adherence to these principles will form the level of professional judgment that will provide an opportunity to effectively solve non-standard production situations and bring additional income to the accountant. In addition, we believe that the application of international accounting and reporting standards provides more opportunities for the development of accounting judgment. This is because international standards describe the basic principles that a particular entity must comply with. Domestic accounting regulations provide many alternatives by which objects can be recognized in accounting. Therefore, the development of professional judgment in the application of national provisions is primarily related to the justification of a specific alternative or scheme of application of methods of recognition, evaluation, accounting of individual objects.

scholarly journals Analysis of chicken production trends in Ukraine

2017 ◽  
Vol 15 (4) ◽  
pp. 302-316 ◽  
Author(s):  
Alla Fatenok-Tkachuk ◽  
Myroslava Kulynych ◽  
Anna Safarova ◽  
Nadiya Bukalo
Keyword(s):  
International Standards ◽  
Poultry Meat ◽  
Meat Production ◽  
Poultry Production ◽  
Agrarian Sector ◽  
Poultry Products ◽  
Slaughter House ◽  
The Cost ◽  
Domestic Products ◽  
Poultry Farming

Poultry farming is one of the most promising areas of production not only in Ukraine but also in the world. This is due to the high demand for protein products and increased consumption. Ukraine does not use enough of its export potential in the agrarian sector. It is precisely these circumstances lead to choosing as the basis for the research the mentioned direction of production by domestic producers.The tendencies of the Ukrainian poultry enterprises development and features of the chicken market are generalized, namely the volume of cultivation and sale on the slaughter of poultry by Ukrainian producers, the cost price and profitability of poultry meat production have been analyzed; the specific features of the products range are defined in all competitor companies and products offered for export. The competitiveness of domestic poultry production in comparison with domestic and foreign analogues has been investigated. For the study the following enterprises as the LLS “Ptahokompleks” Gubin, TM “Pan Kurchak”, slaughter-house “Piorkowscy” and JSC “Superdrop” were taken. It is established that domestic products are competitive both in terms of price and taste properties. The dynamics of export and import of poultry meat in Ukraine and abroad is analyzed. Significant growth of poultry meat export as compared to previous periods has been revealed, which is explained by obtaining permit documents and implementation of measures by domestic producers to bring poultry products closer to international standards. The prospects for the development of the investigated production direction are designed.

scholarly journals International Technical Standards: An Overview

2002 ◽  
Author(s):  
Robert Hebner
Keyword(s):  
Hybrid System ◽  
Economic Benefit ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
International Standards ◽  
Benefit Analysis ◽  
Technical Standards ◽  
Global Standards ◽  
The Individual ◽  
The Cost

The growing globalization of industry is stimulating a growing emphasis on international standards. Standards are important because they provide significant economic benefit. They are also costly and much of the benefit is broad-based, i.e. it does not accrue preferentially to those who incur the cost. Finally, there is a highly disaggregated international standards system and at least two very different basic philosophies as to how standard systems should operate. The effect of the individual cost-benefit analysis by organizations may produce a hybrid system that produces both global standards in which each country participates in the development as well as less costly technical and consortium standards.

scholarly journals Credit Card Fraud Detection Using Machine Learning Techniques

2020 ◽  
pp. 436-442
Author(s):  
Aruna Kumar Joshi ◽  
Vikram Shirol ◽  
Shreekanth Jogar ◽  
Pavankumar Naik ◽  
Annapoorna Yaligar
Keyword(s):  
Credit Card ◽  
Fraud Detection ◽  
Shopping Mall ◽  
Machine Learning Techniques ◽  
Credit Card Fraud ◽  
Public And Private ◽  
Transaction Process ◽  
Illegal Activities ◽  
Cost Utilization ◽  
The Cost

Credit Card Fraud is one of the major moral issues in the public and private bans sector. The effect of this problems leads to the several ethical trouble. The important themes are to notice the distinctive kinds of credit card fraud and to locate different methods that have been used in fraud detection. The sub-point is to suppose about existing and ruin down as of late dispensed discoveries in fraud detection. Probable upon the variety of extortion appeared with the banks or different financial organizations, exceptional measures can be embraced and executed. The work carried out in this paper are usually going to have really beneficial residences as a approaches as expenditure reserve fund and time capability. The cost utilization of the strategies investigated proper right here is in the minimization of credit card fraud. Anyway, there are up to now moral troubles when appropriate credit card customers are unsorted as fraudulent. Credit Card Fraud Detection is an method which will help people for their transaction process in shopping mall and any other transaction process nowadays fraud detection is nothing but an process where the criminals are found and there are many illegal activities are taking place which causes difficulty for people. Here in this paper we are using SMOTE technique to find fraud and this technique will help to sort both the normal transaction and fraud transaction this process can make easy to find fraudulent. And Neural Network KNN are also taken place to find Credit Card Fraud.

Przegląd czynników wpływających na skuteczność nawaniania gazu

Nafta-Gaz ◽  
2021 ◽  
Vol 77 (8) ◽  
pp. 553-560
Author(s):  
Anna Huszał ◽  
Keyword(s):  
Distribution Network ◽  
Field Measurements ◽  
International Standards ◽  
Odor Intensity ◽  
Operational Experience ◽  
Minimum Concentration ◽  
Gas Network ◽  
Natural Gases ◽  
High Level ◽  
The Cost

Due to rapid advancement in technology, the odorization process in Poland seems to be increasingly stabilized in practice and conducted at a sufficiently high level. International standards are adopted in this regard. One of the most important requirements for the natural gases quality delivered to customers from a distribution network, guaranteeing their safe use is ensuring an appropriate odorization level, allowing to detect the uncontrolled gas leakages from the distribution network, installation and gas appliances. The odorant concentration in its dosing point should ensure the intensity of the gas odor at the “clearly perceptible” level at the network end point. The odorant concentration variability in the gas network is a dynamic value, constantly accompanying the odorizing process. In consequence constant metrological supervision over the process is needed (what might be done by measuring the odorant concentration and gas odor intensity). Also, verification of undergoing periodic changes in the value of the minimum concentration of odorant in the gas for the respective groups of natural gases and various gas pipelines based on operational experience and field measurements is required. Such verification allows to determine the optimal concentration of odorant for each group of natural gases and furthermore allows to optimize the cost of gas odorization process while ensuring its legally required quality described as odor intensity. This article presents the problem of the dependence of the network gas odorization effectiveness on various factors, especially network parameters or even the gas composition itself. Their identification allows to better plan the process and ensure its effective implementation, which ultimately ensures safety for gas users.

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