scholarly journals Factors impacting arthroscopic rotator cuff repair operational throughput time at an ambulatory care center

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Emily J. Curry ◽  
Catherine Logan ◽  
Kaytelin Suslavich ◽  
Kaitlyn Whitlock ◽  
Eric Berkson ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Ambulatory Care ◽  
Recovery Room ◽  
Care Center ◽  
Throughput Time ◽  
Patient Factors ◽  
Factors Influencing ◽  
Set Up ◽  
Room Time ◽  
Beach Chair

Identifying patient factors influencing operational throughput time is becoming more imperative due to an increasing focus on value and cost savings in healthcare. The primary objective of this study was to determine patient factors influencing throughput time for primary rotator cuff repairs. Demographic information, medical history and operative reports of 318 patients from one ambulatory care center were retrospectively reviewed. Operating room set up, incision to closure and recovery room time were collected from anesthesia records. Univariate analysis was performed for both continuous and categorical variables. A stepwise, multivariable regression analysis was performed to determine factors associated with operating room time (incision to closure) and recovery room time. Of the 318 patients, the mean age was 54.4±10.0 and 197 (61%) were male. Male patients had a significantly longer OR time than females (115.5 vs. 100.8 minutes; P<0.001). Furthermore, patients set up in the beach chair position had a significantly longer OR time than patients positioned lateral decubitus (115.8 vs. 89.6 mins, P<0.0001). Number of tendons involved, and inclusion of distal clavicle excision, biceps tenodesis and labral debridement also added significant OR time. Type and number of support staff present also significantly affected OR time. Recovery room time was significantly longer patients who had surgery in the beach chair position (+9.61 minutes) and for those who had a cardiac-related medical comorbidity (+11.7 minutes). Our study found that patients positioned in a beach chair spent significantly more time in the operating and recovery rooms. While ease of set up has been a stated advantage ofbeach chair position, we found the perceived ease of set up does not result in more efficient OR throughput.

Supplemental Environmental Assessment of the Ambulatory Care Center at Joint Base Andrews-Naval Air Facility Washington, Maryland

2011 ◽  
Author(s):  
Sari Atchue ◽  
Kurt Buchholz ◽  
Amy Lovelady ◽  
Rafael Olivieri ◽  
Rachel Schneider
Keyword(s):  
Ambulatory Care ◽  
Environmental Assessment ◽  
Care Center

scholarly journals Maintaining an Adult Hematology/Oncology Service at a Tertiary Care Center during the SARS-CoV-2 Pandemic: An Eight-Week-Experience with a Newly Implemented Procedural Plan

2021 ◽  
pp. 1-6
Author(s):  
Philipp G. Hemmati ◽  
Dorothea Fischer ◽  
Frank Breywisch ◽  
Sabine Wohlfarth ◽  
Matthias Kramer ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Care Center ◽  
Tertiary Care ◽  
Cancer Center ◽  
Staff Members ◽  
Oncology Service ◽  
Containment Measures ◽  
Vulnerable Patient ◽  
Set Up ◽  
Oncology Unit

Treatment of cancer patients has become challenging when large parts of hospital services need to be shut down as a consequence of a local COVID-19 outbreak that requires rapid containment measures, in conjunction with the shifting of priorities to vital services. Reports providing conceptual frameworks and first experiences on how to maintain a clinical hematology/oncology service during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic are scarce. Here, we report our first 8 weeks of experience after implementing a procedural plan at a hematology/oncology unit with its associated cancer center at a large academic teaching hospital in Germany. By strictly separating team workflows and implementing vigorous testing for SARS-CoV-2 infections for all patients and staff members irrespective of clinical symptoms, we were successful in maintaining a comprehensive hematology/oncology service to allow for the continuation of treatment for our patients. Notably, this was achieved without introducing or further transmitting SARS-CoV-2 infections within the unit and the entire center. Although challenging, our approach appears safe and feasible and may help others to set up or optimize their procedures for cancer treatment or for other exceedingly vulnerable patient cohorts.

Abstract 448: Impact of Novel Healthcare Facility First Responder Training on Resuscitation Task Self-Efficacy Measures

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Les R Becker ◽  
Cheryl Camacho ◽  
Sheryl J Titus ◽  
Janet L Thorne ◽  
Munish Goyal
Keyword(s):  
Ambulatory Care ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Care Center ◽  
Tertiary Care ◽  
Sudden Cardiac Arrest ◽  
Healthcare Facility ◽  
Care Hospital ◽  
Ambulatory Care Setting ◽  
Before And After

Introduction: When sudden cardiac arrest occurs in non-resuscitation focused care settings, bedside clinicians may not intervene prior to dedicated resuscitation team arrival. As perceived self-efficacy (SE) contributes to cognitive functioning, facilitating effective intervention, we developed and evaluated a mock code training approach, First Five (FF) , to enhance bedside responders’ resuscitation task SE using an entity’s defibrillator and manikin. Self-efficacy is knowing that one can perform actions in principle and envision performing the steps to reach a goal. Hypotheses: Participants’ resuscitation SE will improve after FF training; 2) Inpatient (IP) and Ambulatory Care Center (ACC) providers will differ in their pre-SE and post-SE in response to FF training. Methods: Participants enrolled from ACCs and medical-surgical IP units at a large, urban tertiary care hospital from May 2018 to April 2019 completed a de-identified 10-point Likert-scale SE survey before and after they were trained to perform initial bedside resuscitation tasks (Figure 1 x-axis labels). Matched, complete, pre/post data for 85 in-hospital and 107 ACC participants were analyzed via repeated measures multivariate analysis of variance. Results: Patterns of reported change in the seven resuscitation task SE measures of IP personnel differed significantly from those of ACC personnel [Pillai’s Trace = .222, F(7,184)=7.483, p=.0005, partial η 2 = .222]. In both settings, post-session SE measures increased significantly from pre-session SE measures [Pillai’s Trace = .588, F(7,184)=37.438, p=.0005, partial η 2 = .588]. Moreover, though ACC providers consistently reported lower pre-training SE resuscitation task scores, post-training scores from both settings were comparable (Figure 1). Conclusions: First Five training is effective in enhancing resuscitation task SE among inpatient and ambulatory care setting providers that are not resuscitation-focused.

Injuries in Swedish Day-Care Centers

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1033-1036
Author(s):  
Eva Sellström ◽  
Sven Bremberg ◽  
Albert Chang
Keyword(s):  
Day Care ◽  
Care Center ◽  
Health And Safety ◽  
Developed Countries ◽  
Day Care Centers ◽  
Number Of Children ◽  
Common Coding ◽  
Risk Of Injury ◽  
Local Injury ◽  
Set Up

In the developed countries, an increasing number of children are enrolled in day-care centers. When parents leave their child in a day-care center they expect high standards of health and safety. Accidental injuries are a major threat in this age group. In a comparable institution that serves children, the school, the risk of injury is higher than in the home environment.1-2 Thus, safety in day-care centers cannot be taken for granted. A few studies of injuries in day-care centers have been reported, from the Nordic countries2,3-5 and from the US.6-10 Most of these studies, however, have been small and most lack information on time of exposure. Information about the risk of injury in Swedish day-care centers might be of interest as enrollment has been high for a long time. In Sweden, within the frame of a national injury program,11 a number of local hospital- and health center-based injury report systems have been set up. All have a basic common coding. These systems enable compilation of injuries in day-care centers on a national basis. The aim of our study was to analyze child injuries in day-care centers as reported in 10 local injury registry systems in Sweden regarding incidence, type, and mechanism of injury. METHOD Data were compiled from 10 local injury registry systems, covering 1- to 2-year periods. The earliest registers were from the years 1983 to 1984 and the latest from 1991. These systems were set up in all medical institutions at a predefined level, covering all individuals in a total or a part of a county.

Patient Factors Influencing Respiratory-Related Clinician Actions in Chronic Obstructive Pulmonary Disease Screening

2017 ◽  
Vol 52 (1) ◽  
pp. 94-99 ◽  
Author(s):  
William C. Wadland ◽  
Valentina Bayer Zubek ◽  
Emmanuelle M. Clerisme-Beaty ◽  
Carlos F. Ríos-Bedoya ◽  
Barbara P. Yawn
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Disease Screening ◽  
Chronic Obstructive ◽  
Patient Factors ◽  
Obstructive Pulmonary Disease ◽  
Factors Influencing

scholarly journals Factors Influencing and Contributing to Perceived Safety of Passengers during Driverless Shuttle Rides

2021 ◽  
Vol 1 (3) ◽  
pp. 657-671
Author(s):  
Claudia Luger-Bazinger ◽  
Cornelia Zankl ◽  
Karin Klieber ◽  
Veronika Hornung-Prähauser ◽  
Karl Rehrl
Keyword(s):  
Autonomous Driving ◽  
Future Research ◽  
Natural Setting ◽  
Mixed Traffic ◽  
Control Room ◽  
Driving Style ◽  
Perceived Safety ◽  
Factors Influencing ◽  
Traffic Environment ◽  
Set Up

This study investigates the perceived safety of passengers while being on board of a driverless shuttle without a steward present. The aim of the study is to draw conclusions on factors that influence and contribute to perceived safety of passengers in driverless shuttles. For this, four different test rides were conducted, representing aspects that might challenge passengers’ perceived safety once driverless shuttles become part of public transport: passengers had to ride the shuttle on their own (without a steward present), had to interact with another passenger, and had to react to two different unexpected technical difficulties. Passengers were then asked what had influenced their perceived safety and what would contribute to it. Results show that perceived safety of passengers was high across all different test rides. The most important factors influencing the perceived safety of passengers were the shuttle’s driving style and passengers’ trust in the technology. The driving style was increasingly less important as the passengers gained experience with the driverless shuttle. Readily available contact with someone in a control room would significantly contribute to an increase in perceived safety while riding a driverless shuttle. For researchers, as well as technicians in the field of autonomous driving, our findings could inform the design and set-up of driverless shuttles in order to increase perceived safety; for example, how to signal passengers that there is always the possibility of contact to someone in a control room. Reacting to these concerns and challenges will further help to foster acceptance of AVs in society. Future research should explore our findings in an even more natural setting, e.g., a controlled mixed traffic environment.

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