scholarly journals ABC, VED and lead time analysis in the surgical store of a public sector tertiary care hospital in Delhi

2019 ◽  
Vol 63 (3) ◽  
pp. 194 ◽  
Author(s):  
Vijaydeep Siddharth ◽  
Mansoor Hussain ◽  
Sanjay Arya
Keyword(s):  
Public Sector ◽  
Lead Time ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Time Analysis

scholarly journals Technical Specification and Bid Evaluation: Major Bottlenecks in Equipment Procurement in a Public Sector Tertiary Care Hospital

2014 ◽  
Vol 2 (2) ◽  
pp. 103-110
Author(s):  
Shweta Prabhakar ◽  
AK Singhal ◽  
Shikha Vardhan
Keyword(s):  
Public Sector ◽  
Lead Time ◽  
Medical Equipment ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Technical Specification ◽  
Care Hospital ◽  
Time Analysis ◽  
Bid Evaluation ◽  
The Individual

ABSTRACT Introduction The innovation of modern medical equipment with wide diversity has contributed immensely in improving the quality of healthcare and state of health profile of nations. For effective and efficient control on procurement of medical equipment, it is required to control the lead time (internal) as limited scope exists in case of external lead time. Objectives The study was conducted to analyze the lead time with an aim to identify the issues/bottlenecks and to suggest the appropriate remedial measures in a public sector Tertiary care Hospital. Materials and methods A retrospective exploratory study was undertaken. A total of 50 such capital equipment was procured in this hospital during March 2007 to 2010 (3 years) were included in this study. Results It was observed that the procurement procedure in public sector tertiary care hospital is as per the standard guidelines prescribed by Government of India in General Financial Rules and guidelines issued by MOHFW and DGHS in this regard. The lead time analysis showed that there is a variation in the total lead time, internal lead time (ILT), external lead time (ELT) and their components. It was observed that ILT2 and ILT4 component constituted around 70% of the total ILT for almost all the equipments under study. In case of ELT, 75% time was consumed by ELT1, i.e. the delivery time and receipt of equipment. Conclusion Since activities in both ILT2 and ILT4, i.e. laying down the technical specification and bid evaluation are the responsibility of the individual department, the overall delay can also be attributed to the individual departments. This is in contrast to the general impression that there is delay on the part of purchase department. On an analysis of lead time as per VED category, it has been concluded that no concept of VED analysis is applied in the procurement of equipment. On further analysis of lead time analysis, it was concluded that the shortest time was taken by proprietary purchase followed by open tender and maximum time in open tender where approval from higher authority was required. How to cite this article Prabhakar S, Singhal AK, Vardhan S. Technical Specification and Bid Evaluation: Major Bottlenecks in Equipment Procurement in a Public Sector Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2): 103-110.

scholarly journals Insight into the knowledge, attitude and practices of hand hygiene with alcohol based hand rubs in a public sector tertiary care hospital of a developing country

2021 ◽  
Vol 8 (10) ◽  
pp. 4685
Author(s):  
Fizra Balkhi ◽  
Aamna Nasir ◽  
Ayesha Asghar ◽  
Farhan Patel ◽  
Marium Zafar ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Public Sector ◽  
Hand Hygiene ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Hospitals ◽  
Care Hospital ◽  
Patient Contact ◽  
Dirty Hands

Background: Health care worker’s hands are mostly responsible for transmission of healthcare associated infections (HCAI). In such instances, alcohol based hand rubs have been endorsed by WHO as the gold standard for hand hygiene for visibly clean hands; whereas, for visibly dirty hands soap and water is recommended. In developing countries (like Pakistan), affected people frequently exceed 25%. However, limited infrastructure in these countries hinders the performance of hand hygiene, but the use of alcohol-based hand rubs in such adverse situations is a practical solution to these constraints.Methods: In January 2021, we initiated a 12 week cross-sectional study in a public sector tertiary care hospital of Karachi, Pakistan. All participants were given a self-designed questionnaire with a consent form thereby giving us permission to use the data. Data was analyzed using statistical package for the social sciences (SPSS version 23).Results: 84.3% of the participants had received prior instructions on hand hygiene; however 71.7% respondents did not have access to alcohol based hand rubs. When questioned if they followed WHO’s five moments of hand hygiene, only 50.5% use alcohol based hand rubs before patient contact; 88.6% used it after patient contact; 83.2% after body fluid exposure risk; 77% before an aseptic task and 78.6% after contact with patient’s surroundings.Conclusions: There is a dire need for concerned authorities to enforce proper hand hygiene in public hospitals of developing countries in order to curb health care associated infections and prolonged hospital stays.

scholarly journals Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi

2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Faryal Akbar Jalbani ◽  
Shiraz Shaikh ◽  
Subhani Fatima
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Public Sector ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Significant Positive Association ◽  
Cross Sectional

Objective: To determine the time from onset of symptoms to start of fibrinolysis and treatment in acute ST elevated myocardial infarction patients and identify the factors which cause delay in treatment. Methods: A cross sectional study was conducted at National Institute of Cardiovascular Diseases, Karachi on 360 conveniently selected patients of ST elevated myocardial infarction from July to September in the year 2017. Structured questionnaire was used to obtain detailed information on socio-demographics, factors which cause delay and timing of onset of symptoms to arrival of patient in emergency ward. Results: Overall, the total average time from the start of symptoms to initiation of treatment was 119.85±63.32 minutes. Only 5.1% patient reached within one hour while 57.7% reached within two hours. Old age group of 60 and above was positively associated with timely arrival (OR=2.75, 95% CI 1.33-5.68, p=0.006). Significant positive association of using personal car as mode of transport to reach the hospital (OR=5.25, 95% CI 2.94-9.35, p<0.001) was also found as compared to using ambulance. Distance from facility was suggestive of negative association in the model but was statistically insignificant. Conclusion: According to the findings of this study, more than one third of patients reached the hospital within two hours of initiation of symptoms while only 5.1% reached within one hour. The delay was mostly pre-hospital attributed to arranging transport, stay at first medical contact and time taken from first medical contact to the hospital. doi: https://doi.org/10.12669/pjms.36.5.2104 How to cite this:Jalbani FA, Shaikh S, Fatima S. Frequency and determinants of timely arrival among patients of acute myocardial infarction at a public sector tertiary care hospital in Karachi. Pak J Med Sci. 2020;36(5):---------.  doi: https://doi.org/10.12669/pjms.36.5.2104 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

NURSES' JOB DISSATISFACTION AND ASSOCIATED FACTORS AT PUBLIC SECTOR TERTIARY CARE HOSPITAL IN PAKISTAN: A QUALITATIVE STUDY

2019 ◽  
Vol 9 (2) ◽  
pp. 9 ◽  
Author(s):  
BANO SHAZIA ◽  
AKBER PRADHAN NOUSHEEN ◽  
RIZVI NARJIS ◽  
MIDHET FARID ◽  
◽  
...  
Keyword(s):  
Public Sector ◽  
Qualitative Study ◽  
Associated Factors ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Job Dissatisfaction ◽  
Care Hospital

scholarly journals Cost of Treatment of Multiple Myeloma in a Public Sector Tertiary Care Hospital of North India

2017 ◽  
Vol 34 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Gunjeet Kaur ◽  
Shankar Prinja ◽  
Pankaj Malhotra ◽  
Deepesh P. Lad ◽  
Gaurav Prakash ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Public Sector ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
North India ◽  
Care Hospital ◽  
Cost Of Treatment

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional
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