scholarly journals Peningkatan Kualitas Timbang Terima Di Instalasi Gawat Darurat Era Revolusi Industri 4.0

2019 ◽  
Vol 2 (2) ◽  
pp. 40
Author(s):  
Tri Andri Pujiyanti ◽  
Luky Dwiantoro ◽  
Muhammad Hasib Ardani

A handover is an application form for improving effective communication which is part of the patient safety goal. Ineffective handover has been shown to increase the risk of preventable side effects, length of stay and rates of complications. High patient mobilization, a lot of time taken, and increased workload are reasons why nurses do not have time for handover. While the ER Nurses are also required to develop, improve their knowledge and skills to improve quality services in line with the technological development of the era industrial revolution 4.0. The objective of this review to identify efforts for improving quality of handover in Emergency Departement in accordance with the development of the industrial revolution era 4.0. This review source search through CINAHL Ebsco, Science Direct, and pubmed from 2010 to 2019, in English, and full text. Searching keywords are Improvemenr, Quality Handover, Technology, and Emergency Department. From this literature review, it was found that efforts to improve quality of handover in the emergency departement included the establishment of appropriate communication / protocol tools / frameworks, developing multi-disciplinary teams, recognizing the influence of culture and implementing training. These efforts cannot be separated, all are interrelated to realize quality handover. Facing the digital revolution 4.0 based on Cyber Physical Systems in the health sector, improving quality handover may use electronic communication framework. Materials handover is using patient data in the medical record (RM) or electronic medical record (ERM). Electronic Handover tool aswer the challenges for facing the digital revolution 4.0. Efforts to improve the quality of handover in the emergency department are established effective communication tools / frameworks, Multidicipline Team meetings, training / coaching and recognizing cultural influences.

2021 ◽  
Vol 26 (11) ◽  
pp. 1227-1235
Author(s):  
V. D. Ardzinov ◽  
N. V. Chepachenko ◽  
A. A. Leont’ev

The presented study examines the comparative characteristics of industrial revolution targets, national goals, and strategic objectives for the development of the Russian economy; proposes methods for measuring and evaluating technological development; describes its impact on economic growth and shows the performance of enterprises.Aim. The study aims to determine the specific features of formation of economic and social development targets and the potential of new technologies, including breakthrough technologies, for shaping the technological development of the Russian economy; to propose methods for measuring and evaluating technological development and its impact on the growth and development of the national economy that would improve the quality of economic and managerial decision-making.Tasks. The authors clarify the interpretation of the concept of breakthrough technologies; identify distinctive features in the formation of industrial revolution targets and priority targets for the development of the Russian economy; substantiate methodological approaches to identifying parameters and indicators, methods for measuring and evaluating the level of technological development, its impact on the results of changes in economic growth and development of the national economy and its economic entities.Methods. The authors use the methods of scientific research, theoretical and comparative analysis, synthesis, generalization, general theory of economic growth, and elements of the economic efficiency theory.Results. The interpretation of breakthrough technologies as dominant new technologies that can ensure accelerated progressive development of the economy and minimize damage to the natural environment is clarified. The distinctive features of formation of industrial revolution targets and their relationship with the targets for the development of the Russian economy are identified. Evaluative features are substantiated; indicators for measuring and evaluating the transformation of the technological development of enterprises engaged in different activities and indicators for measuring and evaluating the impact of new technologies, including breakthrough technologies, on economic growth and development are proposed. The influence of the recommended measurement and evaluation methods on improving the quality of management decisions is shown.Conclusions. The study substantiates the need to improve methods for assessing the actual achieved (projected, planned) level of technological development as a necessary prerequisite for its qualitative analysis, evaluation, control, and monitoring required to make sound economic and managerial decisions. The proposed methods for measuring and evaluating technological development, measuring and evaluating the impact of new technologies, including breakthrough technologies, on the quality of economic growth, efficiency and competitiveness of the national economy (region, industry, activity, enterprises) improve the quality of managerial decision-making in achieving national goals for the development of the national economy.


2012 ◽  
Vol 38 (4) ◽  
pp. 322-328 ◽  
Author(s):  
Zhen Zeng ◽  
Xiaoji Ma ◽  
Yao Hu ◽  
Jingshan Li ◽  
Deborah Bryant

2012 ◽  
Vol 28 (2) ◽  
pp. 176-183 ◽  
Author(s):  
James E. Bailey ◽  
Jim Y. Wan ◽  
Lisa M. Mabry ◽  
Stephen H. Landy ◽  
Rebecca A. Pope ◽  
...  

Author(s):  
Katherine Blondon ◽  
Frederic Ehrler

Patient-generated health data (PGHD), when shared with the provider, provides potential as an approach to improve quality of care. Based on interviews and a focus group with stakeholders involved in PGHD integration in the electronic medical record (EMR), we explore the benefits, barriers and possible risks. We propose solutions to address liability concerns, such as clarifying patient and provider expectations for the analyses of PGHD and emphasize considerations for future steps, which include the need to screen PGHD for patient safety.


2020 ◽  
Vol 37 (9) ◽  
pp. 562-564 ◽  
Author(s):  
Patrick J Wallace ◽  
Jordana J Haber

Emergency edicine providers are responsible for ensuring the emergency department is staffed 24 hours a day. As such, providers must efficiently transition between day, swing and night shift on an almost weekly basis. There is no formal education in medical school or residency on how to approach the transition to and from night shift, remain alert and productive and maximise sleep during the day. There are a multitude of blogs and online sources discussing night shift, but few, if any, provide an evidence-based approach. This article will provide the top 10 evidence-based recommendations to increase sleep, maximise performance, decrease fatigue on shift and improve quality of life outside the workplace.


2007 ◽  
Vol 14 (5 Supplement 1) ◽  
pp. S205-S205
Author(s):  
R. Duseja ◽  
S. Schwartz ◽  
R. Gonzales ◽  
C. Camargo ◽  
J. Metlay

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S84
Author(s):  
V. Bismah ◽  
J. Prpic ◽  
S. Michaud ◽  
N. Sykes

Introduction: Prehospital transport of patients to an alternative destination (diversion) has been proposed as part of a solution to overcrowding in emergency departments (ED). We evaluated compliance and safety of an EMS bypass protocol allowing paramedics to transport intoxicated patients directly to an alternate facility [Withdrawal Management Services (WMS)], bypassing the ED. Patients were eligible for diversion if they were ≥18 years old, classified as CTAS level III-IV, scored <4 on the Prehospital Early Warning (PHEW) score, and did not have any vital sign parameters in a danger zone (as per PHEW score criteria). Methods: A retrospective analysis was conducted on intoxicated patients presenting to Sudbury EMS. Data was abstracted from EMS reports, hospital medical records, and discharge forms from WMS. Protocol compliance was measured using missed protocol opportunities (patients eligible for diversion but taken directly to the ED) and protocol noncompliance rates; protocol safety was measured using protocol failure (presentation to ED within 48 hours of appropriate diversion) and patient morbidity rates (hospital admission within 48 hours of diversion). Data was analysed qualitatively and quantitatively using proportions. Results: EMS responded to 681 calls for intoxication. Of the 568 taken directly to the ED, 65 met diversion criteria; these were missed protocol opportunities (11%). 113 patients were diverted. There was protocol noncompliance in 41 cases (36%), but 35 were due to incomplete recording of vital signs. There were direct protocol violations in only 6 cases (5%). There was protocol failure in 16 cases (22%), and patient morbidity in 1 case (1%). No patients died within 48 hours of diversion. Conclusion: EMS providers were fairly compliant with the protocol when transporting patients directly to the ED. There was some protocol non-compliance with patients diverted to WMS, though this is largely attributed to incomplete recording of vital signs; direct protocol violations were low. The protocol provides high levels of safety for patients diverted to WMS. Broader implementation of the protocol could reduce the volume of intoxicated patients seen in the ED, and improve quality of care received by this population.


Author(s):  
Teni Husnul Khotimah ◽  
Natasya Siti Rokaibah ◽  
Suci Zahrotunnisa ◽  
Muhammad Wildan Firdaus ◽  
Rahimul Wiqi ◽  
...  

This study aims to determine the views of physics and non-physics teachers on the challenges and opportunities of education now and in the future, namely the entry of Indonesia in industry 4.0. Education is not a simple thing that we can ignore because basically education is the basis of the formation of a character. Countries are said to be developed if the quality of human resources possessed is high quality. In this study we used a participatory qualitative research method. The instrument used was a questionnaire response to the challenges and educational opportunities which amounted to 25 statements and was given to 10 educators in West Java. The results of this study indicate the profile of respondents' responses to educational challenges and opportunities is varied and the indicator profile of educational challenges and opportunities is at 70%. This study concludes that the level of educator response to the nature of education is quite low at 70%. The most dominant aspects of challenges and opportunities include the role of globalization and technological development. This study recommends that teachers improve the individual quality of each student and the placement of learning systems that are compatible with the education system in the era of the industrial revolution 4.0.


Author(s):  
Michael Voskoglou

The rapid industrial and technological development of the last years has transformed the human society to its current form of knowledge and globalization. As a result, the formal education is nowadays faced with the big challenge of preparing students for a new way of life in the forthcoming fourth industrial revolution. This new revolution could be characterized as the era of the internet of things and energy and of the cyber-physical systems. The present chapter focuses on the role that computers and artificial intelligence could play in future education and the risks hiding behind this perspective. It is concluded that it is rather impossible that computers and the other “clever” machines of artificial intelligence will reach to the point of replacing teachers for educating students in future, because all these devices have been created and programmed by humans and therefore it is logical to accept that they will never succeed to reach the quality of human reasoning. However, it is certain that the role of the teacher will be dramatically changed in the future classrooms.


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