The Lean Approach To Improve Human Productivity in Maternity Ward: A Case Study in Kemang Medical Care (KMC)

2015 ◽  
Author(s):  
Acim Heri Iswanto
Keyword(s):  
2020 ◽  
Vol 5 (4) ◽  

Since the Covid 19 broke out, people are all looking for the cure. Many people died from this fat al disease; and cytokine storm is one of the most dangerous complications. For some low-income people, they are not eligible to be tested for Covid; and they might not get the proper medical care. In these cases, self-care procedures, such as exercise, clear the airway, handwashing, wearing mask, taking meds on time, and proper diet become crucial in deciding the prognoses. This research is about a case study of a patient who is not eligible for a Covid 19 lab test; and how she dealt with a severe flu-like disease.


2020 ◽  
Vol 46 (2) ◽  
pp. 135-143
Author(s):  
Letitia B Johnson

The forcible relocation of Japanese-Canadians (Nikkei) during World War II has been widely examined; however, little scholarly attention has been paid to the impact of relocation on the medical services provided to, and by, the Nikkei. This article highlights the issue of providing sufficient medical care during forcible relocation and the experiences of one Nikkei physician, Dr Masajiro Miyazaki. His story illustrates both the limitations in the healthcare provided to the Nikkei community during relocation and the struggle for Nikkei medical professionals to continue their practice during the war. The agency of the Nikkei—who constantly balanced resistance and adaptation to oppressive conditions—comes to the forefront with this case study. Dr Miyazaki’s personal records of forcible relocation, as well as his published memoir, reveal aspects of the lived reality of one Nikkei physician who was not included in the government discourse, or in the dialogue among his fellow Nikkei physicians, such as inter-racial medical care. It is evident through this case that there was great diversity in the level of medical care which the Nikkei received during their relocation in Canada. Furthermore, Dr Masajiro Miyazaki’s story proves that healthcare professionals, from doctors to nurses’ aides who were both Nikkei and white, provided extraordinary medical services during the forcible relocation, despite significant constraints.


2019 ◽  
Vol 17 (2) ◽  
Author(s):  
Jaqueline Souza da Silva ◽  
Ana Paula Vieira dos Santos Esteves ◽  
Joffre Amim Junior ◽  
Jorge Fonte de Rezende Filho

Aim: to construct a scheduling protocol and the assistance flow of elective surgeries to the Obstetric Center of a maternity ward. Method: this is a methodological, descriptive, qualitative research, of the case study type, operationalized in 2015 in a maternity hospital in the city of Rio de Janeiro. The Situational Strategic Planning proposed by Carlos Matus was used, starting from the explanatory, normative, strategic and tactical-operational moments. Results: in the explanatory moment the diagnosis of the reality of scheduling of the surgical sector was performed; in the normative moment the strategies of solution to the confrontation of the problem were proposed; in the strategic moment the viability of the strategies of solution was constructed from action plans; in the tactical-operational moment the following actions were operationalized: construction of the protocol and a flow chart of surgical scheduling. Conclusion: it is believed that these instruments, which still need to be tested and validated in the study scenario, will help manage the healthcare processes of the sector.


2020 ◽  
Vol 14 (1) ◽  
pp. 61-83
Author(s):  
Karen M. McNamara

Abstract This article examines the experiences of Bangladeshi patients and their families as they travel transnationally within Asia for medical care. I explain how failures of biomedicine in Bangladesh feed into idealized expectations of care abroad. This medical imaginary is fueled by the hope that more expensive treatment in wealthier countries will result in better care, and it is sustained by the way the medical tourism industry operates and the way Bangladeshi patients and their families make choices and engage in the doing of care abroad. A detailed case study of a Bangladeshi cancer patient’s prolonged care in Singapore illustrates the tensions and ambivalences in the quest for the best treatment. These tensions are exacerbated by the linguistic, monetary, and emotional challenges faced in traveling back and forth between countries. While patients feel at times betrayed by experiences of care that do not meet their expectations, they also feel compelled to carry on. I capture this dynamic in the term rhythms of care, understanding these as the way the medical imaginary shapes care practices that become a scaffolding for hope to be maintained and further travel to be undertaken. I also reflect on how I become part of these rhythms by acting as the family’s interpreter as they navigate health care in Singapore.


Author(s):  
Artur Z. Białoszewski ◽  
Dorota Gołąb-Bełtowicz ◽  
Monika Raulinajtys-Grzybek

The SARS-CoV-2 epidemic requires dynamic action on the part of the entire health care system to provide infected patients whose condition requires hospitalization with access to appropriate medical care and infrastructure, including oxygen devices and ventilators. The demand for specialized inpatient care has increased rapidly and in many areas exceeds the resources available to date. Individual hospitals must make investment and organizational decisions to increase their capacity to handle patients with SARS-CoV-2. The aim of the article is to present the organizational and investment steps taken to establish and maintain an infectious hospital ward as well as the clinical and financial consequences of this decision. The study was conducted in a hospital ward that was launched at the end of October 2020 to care for patients with SARS-CoV-2. A case study method was used. The department was characterized taking into account its importance for: (1) the regional level of health coverage of the population, (2) the organization of the hospital’s activities, (3) the financial and economic situation of the hospital.


2017 ◽  
Vol 5 (2) ◽  
pp. 234-249
Author(s):  
Estevão Maria Campolina De Oliveira ◽  
Eloísa Helena Rodrigues Guimaraes ◽  
Ester Eliane Jeunon

This study aimed to identify and analyze the factors that contribute to the effectiveness of the management of medical-care equipment at the Hospital of Federal University of Minas Gerais (HC-UFMG) in Belo Horizonte, Minas Gerais. To achieve this goal, a case study was performed along with a field research at HC-UFMG, through interviews using a semi-structured questionnaire to professionals who handle and operate medical-care equipment; professionals who provide maintenance on equipment, and professionals who manage the operation and maintenance of equipment. As a strategy for discussion of the results, the Collective Subject Discourse (CSD) was used supported by the analysis of the Central Idea (CI) of each question or question groups. According to the CSD results, it was possible to identify factors that contribute to the effectiveness of the management of medical-care equipment, such as: professional qualification; practical knowledge; work professionalization; supervision focused on evaluation, development, results and continuous improvement; professional updating and technical support; individual accountability; adequate infrastructure; and implementation of equipment management planning. These factors indicate, to the institutions, opportunities of culture change and organizational growth.


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