scholarly journals Direct cost of connecting, maintaining and disconnecting patient-controlled analgesia pump

2014 ◽  
Vol 48 (1) ◽  
pp. 104-109 ◽  
Author(s):  
Áquila Lopes Gouvêa ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Quantitative Research ◽  
Unit Cost ◽  
Patient Controlled Analgesia ◽  
Unified Health System ◽  
Effective Decision ◽  
The Mean ◽  
Effective Decision Making ◽  
Cost Of Materials ◽  
The Cost ◽  
Probabilistic Sample

Quantitative research that aimed to identify the mean total cost (MTC) of connecting, maintaining and disconnecting patient-controlled analgesia pump (PCA) in the management of pain. The non-probabilistic sample corresponded to the observation of 81 procedures in 17 units of the Central Institute of the Clinics Hospital, Faculty of Medicine, University of Sao Paulo. We calculated the MTC multiplying by the time spent by nurses at a unit cost of direct labor, adding the cost of materials and medications/solutions. The MTC of connecting was R$ 107.91; maintenance R$ 110.55 and disconnecting R$ 4.94. The results found will subsidize discussions about the need to transfer money from the Unified Health System to hospitals units that perform this technique of analgesic therapy and it will contribute to the cost management aimed at making efficient and effective decision-making in the allocation of available resources.

scholarly journals Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

2014 ◽  
Vol 48 (4) ◽  
pp. 699-705 ◽  
Author(s):  
Caroline Rife Nobrega ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Breast Cancer ◽  
Quantitative Research ◽  
Unit Cost ◽  
Chemotherapy Treatment ◽  
Case Study Methodology ◽  
Total Cost ◽  
Outpatient Chemotherapy ◽  
Therapeutic Procedures ◽  
Cost Of Materials ◽  
The Cost

To identify the direct cost of procedures related to an outpatient chemotherapy treatment for women with breast cancer. Method: This is a quantitative research, using the case study methodology, performed in an outpatient chemotherapy of a private hospital. The total cost was calculated by multiplying the time spent by professionals involved in therapeutic procedures, the unit cost of direct labor, adding to the cost of materials, drugs and solutions. For performing the calculations, we used the Brazilian currency (R$). Results: The average total cost per chemotherapy session corresponded to R$ 1,783.01 (100%), being R$ 1,671.66 (93,75%) spent with drugs, R$ 74,98 (4.21%) with materials, R$ 28.49 (1.60%) with labor and R$ 7.88 (0.44%) with solutions. Conclusion: The results may support discussions and decision making for the management of costs related to chemotherapy aimed at reducing expenses and eliminating waste without harm to the care provided. 


scholarly journals Peripheral venous access using devices over needles with and without extension: costs and outcomes

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Antônio Fernandes Costa Lima ◽  
Amanda Saba ◽  
Abílio Gonçalves das Neves Filho ◽  
Karen Aparecida Couto ◽  
Luciana Oliveira e Silva
Keyword(s):  
Direct Cost ◽  
Unit Cost ◽  
Venous Access ◽  
Descriptive Research ◽  
Peripheral Venous Access ◽  
The Mean ◽  
Cost Of Materials ◽  
The Cost ◽  
Nursing Professionals

ABSTRACT Objectives: to analyze the mean direct cost and peripheral venous access length outcomes using devices over needle with and without extension. Methods: quantitative, exploratory-descriptive research. Venous punctures and length of the devices were followed. The mean direct cost was calculated by multiplying the time (timed) spent by nursing professionals by the unit cost of labor, adding to the cost of materials. Results: the total mean direct cost of using devices “with extension” (US$ 9.37) was 2.9 times the cost of using devices “without extension” (US$ 4.50), US$ 7.71 and US$ 2.66, respectively. Totaling 96 hours of stay, the “device over needle with extension” showed a lower occurrence of accidental loss. Conclusions: the use of the “device over needle with extension”, despite its higher mean direct cost, was more effective in favoring adequate length of peripheral venous access.

scholarly journals Direct costs of integrated procedures of conventional hemodialysis performed by nursing professionals

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Antônio Fernandes Costa Lima
Keyword(s):  
Direct Cost ◽  
Unit Cost ◽  
Mean Values ◽  
Hemodialysis Catheter ◽  
Lumen Catheter ◽  
The Mean ◽  
Cost Of Materials ◽  
Study Type ◽  
Nursing Professionals ◽  
Conventional Hemodialysis

ABSTRACT Objective: to analyze the mean direct cost of the constituent procedures of conventional hemodialysis, performed in three public teaching and research hospitals. Method: quantitative, exploratory-descriptive study, of the multiple case study type. The mean direct cost was calculated by multiplying the time (timed) spent by nursing professionals, on the execution of procedures, by the unit cost of direct labor, added to the cost of materials and solutions/medications. Results: the total mean direct cost, in patients with an arteriovenous fistula corresponded to US$25.10 in hospital A, US$37.34 in hospital B and US$25.01 in hospital C, and in patients with a dual lumen catheter, US$32.07 in hospital A, US$40.58 in hospital B and US$30.35 in hospital C. The weighted mean values obtained were US$26.59 for hospital A, US$38.96 for hospital B and US$27.68 for hospital C. It was noted that the “installation and removal of hemodialysis fistula access” caused a significantly lower economic impact compared to “installation and removal of hemodialysis catheter access”. Conclusion: with the knowledge developed it will be possible to support hospital managers, technical managers and nursing professionals in the decision making process, with a view to the rational allocation of the necessary inputs for the performance of conventional hemodialysis.

scholarly journals Direct cost of peripheral catheterization by nurses

2019 ◽  
Vol 72 (1) ◽  
pp. 88-94
Author(s):  
Ana Beatriz Mateus Pires ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Direct Cost ◽  
Neonatal Intensive Care ◽  
Participant Observation ◽  
Single Case ◽  
Unit Cost ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Cost Of Materials ◽  
The Cost ◽  
Nursing Professionals

ABSTRACT Objective: To measure the average direct cost of peripherally inserted central catheterization performed by nurses in a pediatric and neonatal intensive care unit. Method: A quantitative, exploratory-descriptive, single-case study, whose sample consisted of the non-participant observation of 101 peripherally inserted central catheter procedures. The cost was calculated by multiplying the execution time (timed using a chronometer) spent by nursing professionals, participants in the procedure, by the unit cost of direct labor, added to the cost of materials, drugs, and solutions. Results: The average direct cost of the procedure was US$ 326.95 (standard deviation = US$ 84.47), ranging from US$ 99.03 to US$ 530.71, with a median of US$ 326.17. It was impacted by material costs and the direct labor of the nurses. Conclusion: The measurement of the average direct cost of the peripherally inserted central catheter procedure shed light on the financials of consumed resources, indicating possibilities of intervention aiming to increase efficiency in allocating these resources.

scholarly journals Direct cost of maintenance of totally implanted central venous catheter patency

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Rafael Fernandes Bel Homo ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Sodium Chloride ◽  
Central Venous Catheter ◽  
Direct Cost ◽  
Unit Cost ◽  
Venous Catheter ◽  
Total Direct Cost ◽  
Central Venous ◽  
Cost Of Materials ◽  
The Cost ◽  
Total Average

ABSTRACT Objective: to identify the average direct cost of maintaining the patency of totally implanted central venous catheter with heparin at a Day Hospital of a public hospital of high complexity specialized in the treatment of cancer patients, and estimate the average direct cost of replacing heparin with sodium chloride 0.9%. Method: quantitative, exploratory-descriptive study, with a sample of 200 non-participant observations of the maintenance of totally implanted central venous catheters with heparin. The average direct cost was calculated by multiplying the (clocked) time spent by professionals to complete the procedure by the direct unit cost of workforce, added to the cost of materials and solutions. Results: the estimated total direct cost of catheter maintenance with heparin was US$ 9.71 (SD=1.35) on average, ranging from US$ 7.98 to US$ 23.28. The estimated total direct cost of maintenance with 0.9% sodium chloride in the place of heparin was US$ 8.81 (SD=1.29) on average, resulting in a reduction of US$ 0.90 per procedure. Conclusion: the results contributed to propose strategies to assist in cost containment/minimization in this procedure. The replacement of heparin by 0.9% sodium chloride proved to be an option to reduce the total average direct cost.

scholarly journals Coverage for the cost of outpatient nursing procedures by the Unified Health System: a percentage analysis

2021 ◽  
Vol 55 ◽  
Author(s):  
Elisabete Finzch Sportello ◽  
Valéria Castilho ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Health System ◽  
Unit Cost ◽  
University Hospital ◽  
Actual Cost ◽  
Descriptive Case Study ◽  
Unified Health System ◽  
System A ◽  
Percentage Difference ◽  
The Cost

ABSTRACT Objective: To analyze the percentage of the coverage of transfers from the Brazilian Unified Health System regarding nursing procedures conducted in the Outpatient facility of a University Hospital. Method: Quantitative, exploratory, descriptive case study. The sample for calculating the mean total direct costs was composed of non-participant observations of 656 procedures. The obtained costs were compared to transfers from the Unified Health System by multiplying the amount of procedures agreed upon by the unit cost in the Unified Table of Procedures in 2016 and 2017. Results: The Unified Health System transferred a percentage corresponding to 11.13% of the actual cost in 2016 and to 16.02% in 2017. In these two years, transfer values covered only a mean of 13.4%, resulting in a percentage difference in revenue significantly smaller than the actual cost. Conclusion: The higher the productivity of the performed procedures, the higher was the hospital deficit and, consequently, the higher were the costs not covered by the Unified Health System.

scholarly journals Ecotourists’ satisfaction and dissatisfaction: asymmetric effects of service attributes

2019 ◽  
Vol 26 (2) ◽  
pp. 189-205
Author(s):  
Vo Thi Ngoc Thuy ◽  
Hoang Doan Phuong Thao
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Quantitative Research ◽  
Integrated Approach ◽  
Content Type ◽  
Four Dimensions ◽  
Satisfaction Index ◽  
Kano’S Model ◽  
Effective Decision ◽  
Effective Decision Making

Purpose The purpose of this paper is to identify and classify ecotourism service elements according to their instrumentality to customer satisfaction. Design/methodology/approach Drawing on the ECOSERV model, the authors conduct further qualitative and quantitative research to find additional dimensions of service quality. Kano’s model and Customer Satisfaction Index are then employed with a sample of 324 ecotourists to categorize these service quality elements. Findings A new scale of ecotourism service quality is proposed, with the addition of four dimensions: price-quality, interaction with locals, interaction with other customers and relaxation feelings. The paper also confirms the existence of four groups which are classified according to their level of impacts on satisfaction and dissatisfaction: attractive, one-dimensional, must-be and indifferent. Originality/value The paper improves the present ecotourism scale and develops an integrated approach to facilitate effective decision making by identifying areas that require greater attention, thus providing practical benefits for eco-site managers. It also hopes to contribute to better understanding about ecotourism services in the context of an Asia country like Vietnam and encourages further research in this area.

Heart sound classification using machine learning and phonocardiogram

2019 ◽  
Vol 33 (26) ◽  
pp. 1950321 ◽  
Author(s):  
Vinay Arora ◽  
Rohan Leekha ◽  
Raman Singh ◽  
Inderveer Chana
Keyword(s):  
Heart Sound ◽  
Research Work ◽  
Sound Recordings ◽  
Sound Classification ◽  
Effective Decision ◽  
The Mean ◽  
Effective Decision Making ◽  
Pcg Signals

This research pertains to classification of the heart sound using digital Phonocardiogram (PCG) signals targeted to screen for heart ailments. In this study, an existing variant of the decision tree, i.e. XgBoost has been used with unsegmented heart sound signal. The dataset provided by PhysioNet Computing in Cardiology (CinC) Challenge 2016 has been used to validate the technique proposed in this research work. The said dataset comprises six databases (A–F) having 3240 heart sound recordings in all with the duration lasting from 5–120 s. The approach proposed in this paper has been compared with 18 existing methodologies. The proposed method is accurate with the mean score of 92.9, while sensitivity and specificity scores are 94.5 and 91.3, respectively. The timely prediction of heart health will support specialists to attain useful risk stratification of patients and also assist clinicians in effective decision-making. These predictive facts may serve as a guide to provide improved quality of care to the patients by way of effective treatment planning and monitoring.

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