scholarly journals Data Development Running Analysis in the Process of Synchronizing Patient Reference Services One-Stop Service Oriented

2021 ◽  
Vol 1 ◽  
pp. 1-6
Author(s):  
Iwan Purwanto
Keyword(s):  
Analysis Data ◽  
Hospital Staff ◽  
Referral Hospital ◽  
Reference Services ◽  
Registration Process ◽  
Track Record ◽  
Filing System ◽  
Service Oriented ◽  
One Stop

The service process implemented with subsidized facilities is a tiered process. Patients must undergo a treatment process at a hospital that has a lower level prior to being recommended to a higher hospital with better facilities, of course. Today the administrative process is still running using a filing system, where patients are still using files to bring patient reference data to hospital actions. The problem that arises is that in the registration process and service actions (filing) treatment that is still done manually is a barrier for patients to enjoy the service perfectly. Patients must register manually with a file from the referral hospital. The researcher tried to make a design using the distribution of data carried out on the previous illness to be transferred to a follow-up hospital, so that patients did not need to do the queue during the registration process, and the patient's track record could be taken online by the referral hospital. The Envelopment Analysis Data will record the process and forward it to the referral hospital, so that the patient does not need to do the re-delivery and does not need to bring the file to the referral hospital. The level of accuracy of the data can be ascertained the quality, because the data is synchronized. This certainly makes it easy for patients to get time for action and convenience for hospital staff in the process of reviewing the patient's track record from the referring hospital.

scholarly journals The Implementation of Visual Comfort Evaluation in the Evidence-Based Design Process Using Lighting Simulation

2021 ◽  
Vol 11 (11) ◽  
pp. 4982
Author(s):  
Anahita Davoodi ◽  
Peter Johansson ◽  
Myriam Aries
Keyword(s):  
Performance Metrics ◽  
Analysis Data ◽  
Evidence Based ◽  
Visual Comfort ◽  
Simulation Tools ◽  
Post Occupancy Evaluation ◽  
Lighting Simulation ◽  
Insight Into

Validation of the EBD-SIM (evidence-based design-simulation) framework, a conceptual framework developed to integrate the use of lighting simulation in the EBD process, suggested that EBD’s post-occupancy evaluation (POE) should be conducted more frequently. A follow-up field study was designed for subjective–objective results implementation in the EBD process using lighting simulation tools. In this real-time case study, the visual comfort of the occupants was evaluated. The visual comfort analysis data were collected via simulations and questionnaires for subjective visual comfort perceptions. The follow-up study, conducted in June, confirmed the results of the original study, conducted in October, but additionally found correlations with annual performance metrics. This study shows that, at least for the variables related to daylight, a POE needs to be conducted at different times of the year to obtain a more comprehensive insight into the users’ perception of the lit environment.

scholarly journals Trials and Tribulations: mHealth Clinical Trials in the COVID-19 Pandemic

2021 ◽  
Author(s):  
Praveen Indraratna ◽  
Uzzal Biswas ◽  
Jennifer Yu ◽  
Guenter Schreier ◽  
Sze-Yuan Ooi ◽  
...  
Keyword(s):  
Decompensated Heart Failure ◽  
Hospital Staff ◽  
Outpatient Setting ◽  
World Health ◽  
Randomised Control Trial ◽  
Contact Method ◽  
Model Of Care ◽  
Coronary Syndrome ◽  
Health Organization

Introduction: Mobile phone-based interventions in cardiovascular disease are growing in popularity. A randomised control trial (RCT) for a novel smartphone app-based model of care, named TeleClinical Care - Cardiac (TCC-Cardiac), commenced in February 2019, targeted at patients being discharged after care for an acute coronary syndrome or episode of decompensated heart failure. The app was paired to a digital sphygmomanometer, weighing scale and a wearable fitness band, all loaned to the patient, and allowed clinicians to respond to abnormal readings. The onset of the COVID-19 pandemic necessitated several modifications to the trial in order to protect participants from potential exposure to infection. The use of TCC-Cardiac during the pandemic inspired the development of a similar model of care (TCC-COVID), targeted at patients being managed at home with a diagnosis of COVID-19. Methods: Recruitment for the TCC-Cardiac trial was terminated shortly after the World Health Organization announced COVID-19 as a global pandemic. Telephone follow-up was commenced, in order to protect patients from unnecessary exposure to hospital staff and patients. Equipment was returned or collected by a ‘no-contact’ method. The TCC-COVID app and model of care had similar functionality to the original TCC-Cardiac app. Participants were enrolled exclusively by remote methods. Oxygen saturation and pulse rate were measured by a pulse oximeter, and symptomatology measured by questionnaire. Measurement results were manually entered into the app and transmitted to an online server for medical staff to review. Results: A total of 164 patients were involved in the TCC-Cardiac trial, with 102 patients involved after the onset of the pandemic. There were no hospitalisations due to COVID-19 in this cohort. The study was successfully completed, with only three participants lost to follow-up. During the pandemic, 5 of 49 (10%) of patients in the intervention arm were readmitted compared to 12 of 53 (23%) in the control arm. Also, in this period, 28 of 29 (97%) of all clinically significant alerts received by the monitoring team were managed successfully in the outpatient setting, avoiding hospitalisation. Patients found the user experience largely positive, with the average rating for the app being 4.56 out of 5. 26 patients have currently been enrolled for TCC-COVID. Recruitment is ongoing. All patients have been safely and effectively monitored, with no major adverse clinical events or technical malfunctions. Patient satisfaction has been high. Conclusion: The TCC-Cardiac RCT was successfully completed despite the challenges posed by COVID-19. Use of the app had an added benefit during the pandemic as participants could be monitored safely from home. The model of care inspired the development of an app with similar functionality designed for use with patients diagnosed with COVID-19.

scholarly journals Surgeon-operated ultrasonography in a one-stop shoulder clinic

2011 ◽  
Vol 93 (7) ◽  
pp. 528-531 ◽  
Author(s):  
R Seagger ◽  
T Bunker ◽  
P Hamer
Keyword(s):  
Rotator Cuff ◽  
Surgical Repair ◽  
Rotator Cuff Tears ◽  
Financial Cost ◽  
Time Saving ◽  
One Stop ◽  
Group A ◽  
Group B ◽  
Portable Ultrasonography

INTRODUCTION Nearly 1 in 40 of the population seeks medical advice related to a shoulder problem every year. The majority pertain to rotator cuff pathology. Prior to intervention in such patients it is imperative to define whether the tendons are intact or torn. Ultrasonography has become an essential adjunct to clinical assessment in diagnosing rotator cuff tears. This study was designed to investigate if a surgeon using a portable ultrasonography machine in a one-stop shoulder clinic could significantly reduce the time a patient waited from initial outpatient presentation to the end of the treatment episode (be it surgery, injection or conservative management). METHODS A total of 77 patients were allocated to one of two groups: Group A, consisting of 37 patients who were assessed and had ultrasonography as outpatients, and Group B, consisting of 40 patients who were assessed and referred for departmental ultrasonography where appropriate. Three clear outcome groups were defined: those who required surgical repair, those who had irreparable tears and those who declined surgery. RESULTS For all outcomes (surgery, irreparable tears and conservative treatment), the patients in Group A all completed their clinical episodes significantly quicker than those in Group B (p<0.02). As well as the time saving benefits, there was a substantial financial saving for Group A. By performing ultrasonography in the outpatients department, those patients avoided the requirement of departmental imaging (£120) and subsequent follow-up appointments (£73) to discuss results and management, resulting in a saving of nearly £200 per patient. CONCLUSIONS The use of a portable ultrasonography machine by an orthopaedic surgeon can significantly reduce the time to treatment and the financial cost for patients with rotator cuff tears.

scholarly journals Assessing the Feasibility of a One-Stop Approach to Diagnosis for Urological Patients

2009 ◽  
Vol 91 (4) ◽  
pp. 305-309 ◽  
Author(s):  
Nadine Coull ◽  
Giles Rottenberg ◽  
Sheila Rankin ◽  
Maria Pardos-Martinez ◽  
Bola Coker ◽  
...  
Keyword(s):  
Shock Wave Lithotripsy ◽  
Cost Effective ◽  
Standard Of Care ◽  
Referral Letter ◽  
Urinary Flow ◽  
Publicly Funded ◽  
Extracorporeal Shock Wave ◽  
Effective Care ◽  
One Stop

INTRODUCTION Conventional publicly funded out-patient services in many specialties are characterised by delays, fragmented diagnostic processes, and overloaded clinics. This is bad for patients as it is clinically dangerous; bad for managers who spend hours managing the failure; bad for doctors who respond by overloading clinics; and bad for purchasers who have to fund the multiple out-patient visits needed. Sound clinical and financial reasons exist for introducing more efficient diagnostic processes. PATIENTS AND METHODS A total of 330 consecutive patients referred to the urology department of Guy' and St Thomas' NHS Foundation Trust were invited to attend one of nine one-stop clinics staffed by consultant urologists with specialist registrars, nurses, and clerical staff. Pre-clinic blood and urine tests were ordered based on the referral letter. Clinics had facilities to perform cystoscopy, ultrasound, and urinary flow studies. Correspondence was generated in real time, and a copy given to the patient. RESULTS Overall, 257 patients attended the clinics. Twenty-three patients cancelled appointments and 50 patients did not attend. Pre-clinic tests were requested in 133 patients and were completed by 86% of the patients who attended. Of patients, 42% were diagnosed and discharged; 28% were listed for surgery, extracorporeal shock wave lithotripsy (ESWL), or referred to another specialty. About 30% of patients needed further out-patient review; in approximately two-thirds to complete a diagnosis and one-third to review the results of therapy initiated. An estimated 350 appointments and 550 patient visits to hospital were saved. CONCLUSIONS A one-stop method of consultation is efficient across a range of urological presenting complaints, and dramatically reduces the need for follow–up consultations. It has potential to: (i) reduce delays to being seen in out-patients; (ii) lead to more cost-effective care; and (iii) increase safety and patient satisfaction. It should become the standard of care in urology, and is probably applicable in many other disciplines.

scholarly journals Pharmacy-Based Tuberculosis Skin Testing (TST): Approaches to Legal Authority

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Dylan Atkinson ◽  
Allison M. Dering-Anderson ◽  
Alex Adams
Keyword(s):  
Skin Testing ◽  
Latent Tuberculosis ◽  
The United States ◽  
Legal Authority ◽  
Purified Protein Derivative ◽  
Independent Prescribing ◽  
Track Record ◽  
Statutory Authority ◽  
Derivative Products

The Mantoux Tuberculin Skin Test (TST) is the standard method for detecting latent tuberculosis and has been provided by pharmacists since at least 2006. In the largest published study of pharmacy-based TST involving 578 patients, the most common reason for obtaining the test were employment or school requirements.Pharmacists have demonstrated high rates of follow-up for the reading of the test, reported to be 92.8% to 94.4%. The biggest barrier to pharmacy-based TST is that a prescription is required for the two tuberculosis (TB) purified protein derivative products available on the market in the United States. States have adopted three strategies to enable pharmacy-based TST prescribing: 1) collaborative practice agreements; 2) statewide protocols; and 3) independent prescribing. These three approaches are reviewed, with a focus on the New Mexico statewide protocol and the recent statutory authority in Idaho that grants pharmacists independent prescriptive authority for TST. States may consider pursuing more autonomous models of TST prescribing given the safety and track record of this service at pharmacies.   Type: Commentary

scholarly journals 15th Bethune Round Table Conference on International SurgeryCaustic soda for the manufacture of a local variety of soap — the cause of untold suffering in the lives of children in a developing countryBarriers to care and patterns of congenital malformations in Eastern Democratic Republic of CongoAnesthesia capacity in rural hospitals in Enugu, NigeriaPostcrash management of road traffic injury victims in TanzaniaA framework for the monitoring and evaluation of international surgical initiatives in low- and middle-income countriesMaternal near miss and mortality in a tertiary care hospital in RwandaThe socioeconomic impact of lower extremity fractures in Uganda: 1-year results of a prospective case seriesPost–cesarean section pain control at Mbarara Regional Referral Hospital: a comparison of intrathecal morphine and transversus abdominis plane blockPediatric plastic surgery in global health: a scoping reviewUsing local theatre to reduce the surgical burden of childhood burns in East AfricaMeeting local needs in neonatal anesthesia to improve outcome in surgeryContext-specific challenges faced by Rwandan surgeons: development of an evidence-based resident curriculum in nontechnical skills to overcome resource variabilityUsing data to drive prehospital quality improvement in trauma: a mixed-methods analysis of the Rwandan experienceSurgical follow-up rates at HEAL Africa Hospital in Eastern Democratic Republic of CongoProof of concept methodology: feasibility of postoperative follow-up using cellular phones at HEAL Africa Hospital in the Eastern Democratic Republic of CongoDeveloping a critical care (CC) curriculum fit for purpose for the College of Surgeons of East, Central and Southern Africa (COSECSA)WHO Surgical Safety Checklist to reduce cost in a rural communityFacilitation of surgical skills acquisition by interns through simulation at UITH, NigeriaInnovations in minimally invasive surgeries for rural areasThe low-cost topical vacuum therapy unit: salvaging diabetic footEngaging communities in influencing quality of health care servicesSafety and efficacy of oral ketamine for premedication in children undergoing day surgerySurgical device innovation for low-resource settings: an alternative for bone drillingDeveloping an effective surgical skills simulation program for surgical residents in a resource-constrained settingBridging the communication gap between communities and health facilities using modern accessible technology with information power for improved care of vulnerable mothers and newborns: a case of 4 rural hospitals in UgandaFrom community laywomen to breast health workers: a successful training model for implementing a clinical breast exam screening program in MalawiImproving intra- and interhospital communication using caller user groups (CUG) for health service providers for material newborn healthAssessing access to surgical care in Nepal via a countrywide surveyManagement of bladder exstrophy using the mainz II procedure in a resource-limited setting: a multisite studyAddressing the value equation in global surgery: Connecticut’s experience with surgical care in low- and middle-income countriesInguinal hernia repair in Rwanda: a survey of the surgical residentsCompleteness and utility of surgical data capture at a rural Ugandan regional referral hospital: a foundation for quality improvement initiativesBuilding perioperative nursing capacity in Ethiopia through educationDevelopment of a combined surgery/oncology breast clinic in RwandaSurgical education partnerships: a socially responsible approach to augment surgical capacityCommunity needs assessment for prehospital trauma care in Northwestern CambodiaShumba Medical Society: practising pro-African medicine

2015 ◽  
Vol 58 (4 Suppl 1) ◽  
pp. S157-S168
Author(s):  
Mohammed Bukari ◽  
Luc Kalisya Malemo ◽  
Obinna Ajuzieogu ◽  
Respicious Boniface ◽  
George Ibrahim ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Democratic Republic ◽  
Surgical Care ◽  
Rural Hospitals ◽  
Surgical Skills ◽  
Referral Hospital ◽  
Middle Income ◽  
Regional Referral Hospital ◽  
Low And Middle Income
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