scholarly journals LEAN E-HEALTH CARE: ITS PERFORMANCE IMPROVEMENT BASED ON BRAZILIAN UNIVERSITY HOSPITAL CASE STUDY

2016 ◽  
Vol 13 (4) ◽  
pp. 442
Author(s):  
Úrsula Maruyama ◽  
Leonardo Luiz Braun ◽  
Gustavo Stender ◽  
Paloma Martinez ◽  
Augusto Reis
Keyword(s):  
Performance Improvement ◽  
Health Sector ◽  
Service Level ◽  
University Hospital ◽  
It Management ◽  
Quality Program ◽  
Management Techniques ◽  
Study Case

This paper aims to demonstrate how simple initiatives on public health sector are able to improve quality on service level. One of the most important aspects considered on this case study was the potential and motivation within University Hospital IT team to achieve excellence. Thus, management improvement started from quality management techniques applied by IT members to enhance results. This qualitative study case based on quality program deployed comparative analysis from literature to hospital IT management real initiatives. Results contribution demonstrate that inclusion and the development of collaborative workgroups can make difference to work environment and quality of service.

scholarly journals Registros de enfermagem e suas implicações para a qualidade do cuidado

2019 ◽  
Vol 9 (26) ◽  
pp. 3
Author(s):  
Beatriz Da Silva Sousa ◽  
Ana Clara Maciel Barroso
Keyword(s):  
Medical Records ◽  
Electronic Records ◽  
Structured Interviews ◽  
Health Records ◽  
Study Case ◽  
Artery Disease ◽  
Study Type ◽  
Nursing Professionals

Avaliar o registro dos enfermeiros nos prontuários do paciente eletrônico e convencional, com vista à melhoria da qualidade do cuidado. Estudo descritivo, tipo estudo de caso. Foram realizadas entrevistas semiestruturadas com 8 enfermeiros da enfermaria de coronariopatias e a análise dos registros nos dois tipos de prontuários do paciente. Nos 25 prontuários revistos, constatou-se o número de 51 registros, sendo 37 do prontuário eletrônico e 14 do prontuário convencional, média de 31 dias de internação. Atrelou-se a não realização ao número insuficiente de profissionais de enfermagem no setor em comparação à complexidade dos pacientes atendidos. Destaca-se como obstáculo o quantitativo de pessoal da equipe de enfermagem e sua carga de trabalho. Consequentemente, há necessidade de ajustes quantitativo e qualitativo no processo de trabalho relacionados a execução desta e das demais tarefas para que possam ser adequadamente conduzidas.Descritores: Cuidados de Enfermagem, Registros Eletrônicos de Saúde, Carga de trabalho. Nursing records and their implications for the quality of careAbstract: To evaluate nurses' records in the electronic and conventional patient charts, with a view to improving the quality of care. Descriptive study, case study type. Semi-structured interviews were carried out with 8 nurses from the coronary artery disease ward and the analysis of the records in the two types of patient records. In the 25 revised records, the number of 51 records was verified, being 37 of the electronic records and 14 of the conventional medical records, average of 31 days of hospitalization. There was a lack of achievement of the insufficient number of nursing professionals in the sector compared to the complexity of the patients attended. The number of nursing staff and their workload stands out as an obstacle. Consequently, there is a need for quantitative and qualitative adjustments in the work process related to the execution of this and other tasks so that they can be properly conducted.Descriptors: Nursing Care, Eletronic Health Records, Workload. Registros de enfermería y sus implicaciones para la calidad de la atenciónResumen: Evaluar el registro de los enfermeros en los prontuarios del paciente electrónico y convencional, con objetivo la mejora de la calidad del cuidado. Estudio descriptivo, tipo estudio de caso. Se realizaron entrevistas semiestructuradas con 8 enfermeros de la enfermería de coronariopatias y el análisis de los registros en los dos tipos de prontuarios del paciente. En los 25 prontuarios revisados, se constató el número de 51 registros, siendo 37 del prontuario electrónico y 14 del prontuario convencional, promedio de 31 días de internación. La no realización se debe al número insuficiente de profesionales de enfermería en el sector en comparación a la complejidad de los pacientes atendidos. Se destaca como obstáculo el cuantitativo de personal del equipo de enfermería y su carga de trabajo. En consecuencia, hay necesidad de ajustes cuantitativos y cualitativos en el proceso de trabajo relacionados con la ejecución de ésta y de las demás tareas para que puedan ser adecuadamente conducidas.Descriptores: Atención de Enfermería, Registros Electrónicos de Salud, Carga de Trabajo.

Galaxy's Data Quality Program

2011 ◽  
pp. 1-25
Author(s):  
Eric Infield ◽  
Laura Sebastian-Coleman
Keyword(s):  
Health Care ◽  
Data Quality ◽  
Data Warehouse ◽  
Information Quality ◽  
Lessons Learned ◽  
Statistical Process ◽  
Health Care Data ◽  
Quality Program

This paper is a case study of the data quality program implemented for Galaxy, a large health care data warehouse owned by UnitedHealth Group and operated by Ingenix. The paper presents an overview of the program’s goals and components. It focuses on the program’s metrics and includes examples of the practical application of statistical process control (SPC) for measuring and reporting on data quality. These measurements pertain directly to the quality of the data and have implications for the wider question of information quality. The paper provides examples of specific measures, the benefits gained in applying them in a data warehouse setting, and lessons learned in the process of implementing and evolving the program.

Design of Quality Aspects in Service Oriented Architecture through Service Level Agreements

2011 ◽  
pp. 1-21
Author(s):  
Marco Massarelli ◽  
Claudia Raibulet ◽  
Daniele Cammareri ◽  
Nicolò Perino
Keyword(s):  
Service Oriented Architecture ◽  
Service Level ◽  
Application Domain ◽  
Service Level Agreements ◽  
Actual Case ◽  
Service Oriented Architectures ◽  
Quality Aspects ◽  
Service Oriented

This chapter gives a solution to design Service Oriented Architectures which defines and manages Service Level Agreements to enforce Quality of Services and achieves adaptivity at runtime. The validation of this proposed approach is performed through an actual case study in the context of the multimedia application domain.

Using service-level indices to manage the quality of computing services: A case study

1992 ◽  
Vol 18 (2) ◽  
pp. 139-145 ◽  
Author(s):  
Armin Roeseler ◽  
Anneliese von Mayrhauser
Keyword(s):  
Service Level ◽  
Computing Services

scholarly journals Education and progression for support workers in mental health

2015 ◽  
Vol 10 (2) ◽  
pp. 117-123
Author(s):  
Chloe Griggs ◽  
Lorna Hunt ◽  
Sharon Reeman
Keyword(s):  
Mental Health ◽  
Curriculum Design ◽  
Design Methodology ◽  
Health Sector ◽  
Support Worker ◽  
Mental Health Nursing ◽  
Content Type ◽  
Health Nursing

Purpose – The purpose of this case study is to detail the development of a bespoke programme of learning for Support Workers employed in the mental health sector. Design/methodology/approach – The programme was designed to serve three purposes: to offer a route into mental health nursing; to upskill those who wanted to remain as a Support Worker; to improve the quality of care provided. Findings – The paper shares the perspectives of the local Partnership Trust, a Support Worker on the programme and the Programme Director. Originality/value – Employers within the mental health sector are encouraged to develop their own staff and universities are urged to think differently about curriculum design.

scholarly journals FINANCING AND RISK MANAGEMENT TECHNIQUES IN GREEN FIELD PROJECTS UNDER PUBLIC, PRIVATE PARTNERSHIP (PPP) MODEL: A CASE STUDY OF RAJIV GANDHI INTERNATIONAL AIRPORT (RGIA) LTD, HYDERABAD.

2009 ◽  
pp. 22-31
Author(s):  
Sarbesh Mishra ◽  
Malay Kumar Mohanty
Keyword(s):  
Risk Mitigation ◽  
Mitigation Strategies ◽  
Initial Stage ◽  
Risk Mitigation Strategies ◽  
Pros And Cons ◽  
Management Techniques ◽  
Operational Phase ◽  
Timely Delivery

PPP projects have brought a big change in Indian Infrastructure Industry. There was not only a dramatic turnaround in the time taken for completion of projects but also a big change in quality of the projects. This change was because of involvement of a private player in the project. Though projects in the range of 500 crores, 1000 crores or even more than that was earlier handled by government departments but they always lacked with timely delivery and quality of projects. This was because of lack of planning and even because of lack of modern day tracking of projects. Now this gap was merged with the entry of a private player. There are glaring examples that this model has been a big success, be it RGIA of Hyderabad or modernization of Delhi and Mumbai airports, each of these projects has been a big success. It’s not only airport projects that has become successful even there are a lot of projects in road sector, port sector which have been completed in this model. The major issue with big infrastructure projects has been financing of these projects. Since in a PPP model private player also takes up the responsibility of financing the project with adequate support from government overall funding of the project becomes easier. But the problem does not seem to end over here because the private player which takes the responsibility of financing the project during initial stage also bears the risk of revenue generation which might be a big concern during operational phase. If the actual revenue falls short of projected revenue than the ROI will have a severe impact. In order to counteract these problems associated with various PPP models several risk mitigation strategies are adopted to safeguard both the parties in a better way. Though India has taken a huge step forward by awarding several projects in this PPP model still there is a long way to go in terms understanding the pros and cons of PPP model and how well it can be adopted in Indian scenario.

scholarly journals Control Chart in the Service Industry: A Case Study in a University Health Clinic

2020 ◽  
Vol 1 (4) ◽  
pp. 436-441
Author(s):  
Johan K. Runtuk
Keyword(s):  
Control Chart ◽  
Control Charts ◽  
Processing Time ◽  
Service Industry ◽  
Services Quality ◽  
Service Level ◽  
Health Clinic ◽  
Capability Analysis

This study analyzes the service quality of a University health clinic in Bekasi, WestJava, Indonesia. A control chart and capability analysis will be employed to analyzethe services' quality, especially registration processing time and the drug defect permonth. This study uses the CUSUM and EWMA control charts for detecting thesmall shifts in the processing time. The findings revealed that the current processesare in control and capable of meeting the current service level. There is only onepoint outside the upper limit. But it can be ignored/deleted since the assignablecause causes that event. This study gives direction for the Clinic to improve theservice quality.

scholarly journals External Evaluation of the Quality of the Seven Biochemical Parameters in Antananarivo in 2020

2020 ◽  
Vol 1 (1) ◽  
pp. 01-06
Author(s):  
Miora Koloina Ranaivosoa ◽  
Annick Anjatiana Raherinaivo ◽  
Andriamiarimbola Irène Rakotoniaina ◽  
Rasoamialy-Soa Razanakolona ◽  
Olivat Rakoto Alson ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Biochemical Parameters ◽  
Accreditation Process ◽  
University Hospital ◽  
External Evaluation ◽  
Evaluative Study ◽  
Quality Program ◽  
Clinical Biology ◽  
Hospital Center

The aim of the present study is to assess the performance of the biochemistry laboratory of Joseph Ravoahangy Andrianavalona by the dosage of the most prescribed 7 biochemical parameters. It is a retrospective evaluative study of the performance of the biochemistry laboratory of Joseph Ravoahangy Andrianavalona University Hospital Center on a period of 6 months from January 2020 to June 2020 involving 12 samples of External Evaluation of the Quality provided by the Quality Insurance Association of the clinical Biology Laboratories in France. Uremia, Serum creatinine, blood glucose, natremia, kaliemia, chlorure and were dosed on the 12 samples which carried out 84 dosages. During a period of 6 months the accuracy was 97.61%. The precision had been 100% if the Variation Coefficient Ratio (VCR) was below 1.50. This participation in the External Evaluation of the Quality program can then improve the quality of the laboratory. It is a step towards the accreditation process.

scholarly journals PREFERENSI KONSUMEN TERHADAP PRODUK HASIL LAUT (STUDI KASUS RESTORAN SEAFOOD MJM KOTA PALU, SULAWESI TENGAH)

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Mohamad Gazali
Keyword(s):  
Linear Regression ◽  
Sampling Method ◽  
Marine Products ◽  
Marine Product ◽  
Study Case ◽  
Level Of Significance ◽  
Coefficient Of Regression ◽  
Central Sulawesi

Many bussinessman develop the restaurant of seafood in the Palu Town, Central Sulawesi. The production’s fisheries activities yielded high protein products and consumed by community, not only limited to fisheries products but also the processed product with various taste. One of the products of fisheries that distributed in the market were the marine products in The Palu town. The objectives of this study is to analyse the preferences of consumer on the marine products in the Palu town. The study method is the case study (case study with a unit of famous seafood restaurant cases  MJM that located in the Palu town. The sampling method which used in this study was accidental sampling. The type of fisheries product that sold in the Seafood Restaurant of MJM were groupers, snapper fish, baronang, katamba, mangrove’s crabs, shrimps and squid. The interest of marine product was undertaken with analysis of multiple linear regression and yielded F-count > F-Table with level of significance 95% shown concordance of consumer’s interest to attribute of  product. Simultanously, attribute of  product of diversity (X1) = , quality (X2), price (X3), taste (X4), and service (X5) have influenced significantly to preference of consumer whereas partially, the product attribute of quality (X2) possess effect the most dominant with coefficient of  regression value is 0,531 or 53,1%. Thus, the preference of consumer to marine product is quality of fish was level of freshing quality, clean, consumed healthty.

scholarly journals Solutions for data management in the health sector

2020 ◽  
Vol 2 (1) ◽  
pp. 178-190
Author(s):  
Crina-Dana Ionescu ◽  
Emilia Ţiţan ◽  
Mihaela Mihai ◽  
Daniela-Ioana Manea ◽  
Andra Nechifor
Keyword(s):  
Data Management ◽  
Health Sector ◽  
Decision Makers ◽  
Added Value ◽  
The Political ◽  
Political Decision ◽  
X Ray ◽  
Medical Sector

Abstract The lack of data for many indicators and the existence of significant gaps in the availability and comparability of data is a problem of global interest, felt by all authorities and agencies specialized in data collection, analysis and use. Their objective is to provide data and indicators of good quality, which will help to correctly inform the political decision-makers and to solve the inequalities in the field of health. Thus, this paper aims to provide clear and coherent solutions to a number of problems identified in data management in general, and in data in the medical sector in particular. Also, the added value of this paper consists in a case study, which presents an x-ray of the current situation of data quality through the existing metadata for each of the analyzed sources. The research methodology used in the paper includes both a thorough analysis of the literature that identifies the main data problems and provides related solutions, as well as a comparative analysis on the quality of health data, using metadata from three sources and distinct levels of aggregation: National (Romania), European and Global.

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