scholarly journals A lean case study in an oncological hospital: implementation of a telephone triage system in the emergency service

Author(s):  
José Crespo de Carvalho ◽  
Madelena Ramos ◽  
Carina Paixao
2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Musa Musa

This research was conducted to determine the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province by paying attention to aspects contained in the Effectiveness of the Jakarta Siaga Emergency Service Program 112. The research method was carried out with a case study method with data collection techniques using interview methods and document review. Interviews were conducted on 10 (ten) key informants, document review focused on documents related to the Jakarta Emergency Alert Service 112 Effectiveness research in Fire Management. The results showed that the Effectiveness of Jakarta Siaga 112 Emergency Services in Fire Management by UPT. The Center for Disaster Data & Information BPBD DKI Jakarta Province Its effectiveness is still low, due to the Implementation of Emergency Services Jakarta Standby 112 in Fire Management implemented by UPT. Disaster Data & Information Center of BPBD DKI Jakarta Province in terms of the Target Group Understanding of the Program, the Achievement of the Program Objectives aspects, and the Program Follow-up aspects. It is recommended to continue to disseminate this Emergency Service to the public, it is necessary to increase the firm commitment of the Head of 8 SKPD related to fire management so that all units play a role in accordance with the Standard Operating Procedures (SOPs) for Fire Management and the evaluation and follow-up of program services that are held periodically 3 once a month.Keywords: Effectiveness, Emergency Services, Fire Handling


2016 ◽  
Vol 24 (12) ◽  
pp. 5041-5048 ◽  
Author(s):  
Lorraine Warrington ◽  
Patricia Holch ◽  
Lucille Kenyon ◽  
Ceri Hector ◽  
Krystina Kozlowska ◽  
...  

2016 ◽  
Author(s):  
Michael Laughlin ◽  
Russell J. Owens

1993 ◽  
Vol 39 (4) ◽  
pp. 485-508 ◽  
Author(s):  
David A. Kessler

Police administrators argue that they cannot experiment with reforms because of calls-for-service demand and lack of resources. This article looks at police staffing levels needed for a district operating under various models of police administration, such as the professional model and community-oriented policing. Using queuing theory as the methodology, the analysis illustrates that emergency service not only makes the most demands on staffing but also creates considerable idle time for administrators to implement reforms without sacrificing responsiveness to calls for service.


2007 ◽  
Author(s):  
shuang chan ◽  
Eric Yong ◽  
Alvin Ting ◽  
Marg Kendrick ◽  
Dawn DeWitt

2021 ◽  
Vol 13 (4) ◽  
pp. 395-398
Author(s):  
J.E. Gaughran ◽  
D.M. Geddes-Barton ◽  
T Cliff ◽  
F Bailey ◽  
C Ovadia ◽  
...  

Background: In response to the COVID-19 pandemic, a central London tertiary referral hospital’s nurse-led Early Pregnancy & Acute Gynaecology Unit (EPAGU) suspended its walk-in service in favour of a telephone triage system with scheduled appointments. Objective: To assess if the pandemic and this adaptation to clinical services had an impact on the presentation, management and complication rate of ectopic pregnancies. Materials and Methods: A retrospective review was performed of ectopic pregnancies diagnosed in the EPAGU between 5th of March 2020 – 15th of July 2020 (pandemic) and 5th of March 2019 – 15th of July 2019 (pre-pandemic). Main outcome measures: Ultrasound findings, patient demographics, serum hCG concentrations, operative findings and complications. Results: There was a 36% reduction in attendances to the unit during the pandemic. Allowing for this, there was no significant difference in the diagnosis rate between the two periods. There was no significant difference in the gestation at diagnosis, serum hCG concentration or volume of mass at presentation. There was also no significant difference in rate of surgical intervention or complications including rupture of fallopian tube, haemoperitoneum or need for blood transfusion. Conclusion: This study suggests this is a safe means of caring for women with ectopic pregnancies which does not limit management options nor lead to higher complication rates. What is new: Other EPAGUs may choose to adopt a telephone triage system with reassurance of its safety.


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