scholarly journals Framing Improvement of Emergency Services RSKJ Soeprapto Hospital with Lean and WAM Modification

2021 ◽  
Vol 2 (3) ◽  
pp. 608-620
Author(s):  
Erlina Puspitaloka Mahadewi ◽  
Ade Heryana ◽  
Fori Yumita ◽  
Mulyo Wiharto ◽  
Lia Amalia
Keyword(s):  
Emergency Service ◽  
Emergency Services ◽  
Secondary Data ◽  
Hospital Staff ◽  
Healthcare Services ◽  
Assessment Model ◽  
Service Process ◽  
Service Flow ◽  
Human Skills ◽  
Improve Hospital

The present study reports the first comprehensive research on covid19 emergency services model. Healthcare services inside hospitals during pandemic can apply the Lean Hospital and Waste Assessment Model (WAM) modification, which is a new method that can be used to identify waste in the hospital service process flow and operational of emergency service. The purpose of this study is to provide recommendations for improving emergency services in the covid19 era. The method used in this research is a descriptive qualitative analysis carried out through observing the service flow of patients who will be hospitalized from the emergency, confirming the service flow by in-depth interviews and looking at secondary data and giving a questionnaire on a modification of eight waste relationship at 15 persons expert who understands the emergency service process. The results showed that the critical waste of emergency services at RSKJ Soeprapto hospital is a waste of human skills of 17.5%. The reasons for the emergence above are because the covid19 team has not yet been formed, the absence of special officers to conduct primary triage before the patient enters the emergency unit, and many officers who do not understand the flow of emergency services in the covid19 pandemic era. In order to improve hospital services in the future, it is necessary to form a covid19 team, to develop a standard emergency service guide, to conduct continuous socialization to all the hospital staff through education and training programs, which are recommendations for improving emergency services at RSKJ Soeprapto Hospital Bengkulu in the pandemic era and new normal preparation.

scholarly journals Efficient Platform for Emergency Healthcare Services II

2021 ◽  
Vol 9 (VI) ◽  
pp. 662-666
Author(s):  
Prof. Shubhangi Suryawanshi
Keyword(s):  
System Architecture ◽  
Emergency Service ◽  
Emergency Services ◽  
Healthcare Services ◽  
Sequence Diagram ◽  
The Core ◽  
Weakest Link ◽  
Generalized System

Emergency healthcare services are the most time crucial services in which people operate, as the survival of the patient depends on how the service is operated. As discussed in the previous paper, the weakest link of the healthcare emergency service is the initiation of the emergency services. We had discussed main methodologies in previous paper and a basic generalized system architecture. This paper discusses the core architecture of the sever and with the help of a sequence diagram we will depict how the server will process requests.

Outreach Psychiatric Emergency Service

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 375-382
Author(s):  
Remco F. P. de Winter ◽  
Mirjam C. Hazewinkel ◽  
Roland van de Sande ◽  
Derek P. de Beurs ◽  
Marieke H. de Groot
Keyword(s):  
General Practitioner ◽  
General Hospital ◽  
Suicidal Behavior ◽  
Emergency Service ◽  
Attempted Suicide ◽  
Emergency Services ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Services ◽  
Psychiatric Emergency Service ◽  
Suicidal Patients

Abstract. Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency service assessments was recorded; 14,705 assessments were included. Characteristics of patients with/without suicidal behavior and with/without suicide attempts were compared. Outcomes were adjusted for clustering of features within individual patients. Results: Suicidal behavior was assessed in 32.2% of patients, of whom 9.2% attempted suicide. Suicidal behavior was most commonly associated with depression or adjustment disorder and these patients were referred to the service by a general practitioner or a general hospital, whereas those who attempted suicide were less likely to be referred by a general practitioner. Those who attempted suicide were more likely to be female and have had a referral by a general hospital. Self-poisoning by medication was the most common method of attempting suicide. Limitations: Bias could be due to missed or incomplete assessments. Primary diagnoses were based on clinical observation at the time of the assessment or on the primary diagnosis previously recorded. In addition, suicidal behavior or attempted suicide might have been underestimated. Conclusions: Suicidal behavior is commonplace in assessments by psychiatric emergency services. Suicidal patients with/without a suicide attempt differed with respect to demographic features, primary diagnoses, and referring entities, but not with respect to treatment policy. About 40% of the suicidal patients with/without an attempt were admitted following assessment.

Efektivitas Layanan Darurat Jakarta Siaga 112 dalam Penanganan Kebakaran oleh UPT. Pusat Data & Informasi Kebencanaan BPBD Provinsi DKI Jakarta

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Musa Musa
Keyword(s):  
Emergency Service ◽  
Fire Management ◽  
Emergency Services ◽  
The Public ◽  
Information Center ◽  
Disaster Data ◽  
In Fire ◽  
Document Review

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

Utilization Of Healthcare Services To General Patient At Inpatient Unit of Anutapura General Hospital, Palu City

2020 ◽  
Vol 10 (1) ◽  
pp. 35-44
Author(s):  
Fausiah Fausiah
Keyword(s):  
Health Services ◽  
General Hospital ◽  
Health Beliefs ◽  
Secondary Data ◽  
Healthcare Services ◽  
Primary Data ◽  
Utilization Of Health Services ◽  
The People ◽  
Quantitative Descriptive ◽  
Utilization Of Healthcare

The number of inpatient visits in RSU Anutapura Palu, where in 2015 inpatient visits of 5,640, then in 2016 patient visits decreased to 5,451, in 2017 also decreased to 3,999 and in 2018 also decreased Drastic to 1,146 patient visits. This research aims to determine the utilization of health services in patients in general hospitalization in RSU Anutapura Palu. This type of research is quantitative descriptive. Research was conducted from May-June 2019. The population in the study is a visitor (number of hospitalizations) at the General Hospital (RSU) Anutapura Palu. In this case the people who use health services in the General Hospital (RSU) Anutapura Palu recorded as many as 1,146 visitors (patients) in the year 2018. Primary data collection is through questionnaires and secondary data through the study of patient record documents and other supporting documents. The utilization of health services in patients in general hospitalization in RSU Anutapura Palu is well from the aspects of health beliefs, abilities and needs. RSU Anutapura Palu is expected to be able to improve the promotion of health services so that people use the health services provided.  

scholarly journals Modelling improved efficiency in healthcare referral systems for the urban poor using a geo-referenced health facility data: the case of Sylhet City Corporation, Bangladesh

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alayne M. Adams ◽  
Rushdia Ahmed ◽  
Shakil Ahmed ◽  
Sifat Shahana Yusuf ◽  
Rubana Islam ◽  
...  
Keyword(s):  
Critical Care ◽  
Urban Poor ◽  
Emergency Services ◽  
Census Data ◽  
Service Providers ◽  
Healthcare Services ◽  
Tertiary Hospital ◽  
Care Services ◽  
Referral Systems ◽  
Alternative Scenarios

Abstract Background An effective referral system is critical to ensuring access to appropriate and timely healthcare services. In pluralistic healthcare systems such as Bangladesh, referral inefficiencies due to distance, diversion to inappropriate facilities and unsuitable hours of service are common, particularly for the urban poor. This study explores the reported referral networks of urban facilities and models alternative scenarios that increase referral efficiency in terms of distance and service hours. Methods Road network and geo-referenced facility census data from Sylhet City Corporation were used to examine referral linkages between public, private and NGO facilities for maternal and emergency/critical care services, respectively. Geographic distances were calculated using ArcGIS Network Analyst extension through a “distance matrix” which was imported into a relational database. For each reported referral linkage, an alternative referral destination was identified that provided the same service at a closer distance as indicated by facility geo-location and distance analysis. Independent sample t-tests with unequal variances were performed to analyze differences in distance for each alternate scenario modelled. Results The large majority of reported referrals were received by public facilities. Taking into account distance, cost and hours of service, alternative scenarios for emergency services can augment referral efficiencies by 1.5–1.9 km (p < 0.05) compared to 2.5–2.7 km in the current scenario. For maternal health services, modeled alternate referrals enabled greater referral efficiency if directed to private and NGO-managed facilities, while still ensuring availability after working-hours. These referral alternatives also decreased the burden on Sylhet City’s major public tertiary hospital, where most referrals were directed. Nevertheless, associated costs may be disadvantageous for the urban poor. Conclusions For both maternal and emergency/critical care services, significant distance reductions can be achieved for public, NGO and private facilities that avert burden on Sylhet City’s largest public tertiary hospital. GIS-informed analyses can help strengthen coordination between service providers and contribute to more effective and equitable referral systems in Bangladesh and similar countries.

scholarly journals The expression of vulnerability through infant mortality in the municipality of Embu

2008 ◽  
Vol 126 (5) ◽  
pp. 262-268 ◽  
Author(s):  
Renato Nabas Ventura ◽  
Rosana Fiorini Puccini ◽  
Nilza Nunes da Silva ◽  
Edina Mariko Koga da Silva ◽  
Eleonora Menicucci de Oliveira
Keyword(s):  
Infant Mortality ◽  
Prenatal Care ◽  
Care Delivery ◽  
Healthcare Access ◽  
Secondary Data ◽  
Healthcare Services ◽  
Primary Data ◽  
Access To Health Services ◽  
One Year

CONTEXT AND OBJECTIVE: Infant mortality expresses a set of living, working and healthcare access conditions and opens up possibilities for adopting interventions to expand equity in healthcare. This study aimed to investigate vulnerability and the consequent differences in access to health services and occurrences of deaths among infants under one year of age in the municipality of Embu. DESIGN AND SETTING: This was a descriptive study in the municipality of Embu. METHODS: Primary data were collected through interviews with the families of children living in the municipality of Embu who died in the years 1996 and 1997 before reaching one year of age. Secondary data were obtained from death certificates. The variables collected related to living conditions, income, occupation, prenatal care, delivery and the healthcare provided for children. These data were compared with the results obtained from a study carried out in 1996. RESULTS: Statistically significant differences were found with regard to income, working without a formal employment contract and access to private health plans among the families of the children who died. There were also differences in access to and quality of prenatal care, frequency of low birth weight and neonatal intercurrences. CONCLUSIONS: The employment/unemployment situation was decisive in determining the degree of family stability and vulnerability to the occurrence of infant deaths, in addition to the conditions of access to and quality of healthcare services.

scholarly journals Making New Health Services Work: Nurse Leaders as Facilitators of Service Development in Rural Emergency Services

Healthcare ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 128
Author(s):  
Helle Kise Hjertstrøm ◽  
Aud Obstfelder ◽  
Bente Norbye
Keyword(s):  
Emergency Service ◽  
Middle Management ◽  
Healthcare Services ◽  
Economic Incentives ◽  
Nurse Leaders ◽  
Service Development ◽  
Articulation Work ◽  
Theoretical Concepts ◽  
Community Healthcare ◽  
Management Positions

Nurse leaders in middle management positions in Norway and other Western countries perform additional new tasks due to high demands for quality and efficacy in healthcare services. These nurses are increasingly becoming responsible for service development and innovation in addition to their traditional leadership and management roles. This article analyses two Norwegian nurse leaders efforts in developing an emergency service in rural municipal healthcare. The analysis applies an ethnographic approach to the data collection by combining interviews with the nurse leaders with observations and interviews with six nurses in the emergency service. The primary theoretical concepts used to support the analysis include “organizing work” and “articulation work”. The results show that in the development of an existing emergency room service, the nurse leaders drew upon their experience as clinical nurses and leaders in various middle management positions in rural community healthcare. Due to their local knowledge and experience, the nurses were able to mobilize and facilitate cooperation among relevant actors in the community and negotiate for resources required for emergency medical equipment, professional development, and staffing to perform emergency care within the rural healthcare context. Due to their distinctive professional and organizational competency and experience, the nurse leaders were well equipped to play a key role in developing services. While mobilizing actors and negotiating for resources, the nurses creatively balanced these two aspects of nursing work to develop the service in accordance to their expectation of providing the highest quality of nursing care to their patients. The nurse leaders balanced their professional ambitions for the service with legal directives, economic incentives, and budgets. Throughout the development process, the nurses carefully combined value-based and goal-based management concerns. In contrast, other studies investigating nursing management and leadership have described that these orientations are in opposition to each other. This study shows that nurses leading the processes of change in rural communities manage the change process by combining the professional and organizational domains of the services.

scholarly journals Determination of Nearest Emergency Service Office using Haversine Formula Based on Android Platform

2018 ◽  
Vol 5 (2) ◽  
pp. 270-278 ◽  
Author(s):  
M. Basyir ◽  
M. Nasir ◽  
Suryati Suryati ◽  
Widdha Mellyssa
Keyword(s):  
Emergency Service ◽  
Emergency Services ◽  
Message Delivery ◽  
Test Results ◽  
Average Delay ◽  
Accuracy Test ◽  
Calculation Results ◽  
Testing Accuracy ◽  
Selection Of

Emergency Reporting Application is an android-based application that serves to help the community in reporting the emergency condition. This application allows users to choose and contact the emergency services office, without the need to notice their position and phone number. Selection of emergency services office is also automatically selected by the system by taking into account the distance between the complainant and the emergency services office. The selected emergency services office is the nearest emergency service office from the complainant so that the delay in coming assistance can be minimized. Therefore, this proposed application requires a GPS feature to recording, reporting and SMS positioning for message delivery of reports. The distance between the position of the complainant and the position of the emergency service office, in the form of latitude and longitude data, is requested using the Haversine formula taking into account the degree of curvature of the earth. Emergency service offices include police and hospital offices spread over 25 different districts. Furthermore, the reporter's position calculation results were compared with all selected emergency service offices and obtained 1 nearest emergency service office. Calculating the accuracy and delay value of the system will do system testing. Accuracy test results using the method of 100% Haversine and the average delay of the system is 4.5 seconds.

scholarly journals Performance of scores in the prediction of clinical outcomes in patients admitted from the emergency service

2021 ◽  
Vol 29 ◽  
Author(s):  
Luana Matuella Figueira da Silva ◽  
Luciano Passamini Diogo ◽  
Letícia Becker Vieira ◽  
Fabiano Da Costa Michielin ◽  
Michelle Dornelles Santarem ◽  
...  
Keyword(s):  
Septic Shock ◽  
Systemic Inflammatory Response Syndrome ◽  
Inflammatory Response ◽  
Clinical Outcomes ◽  
Emergency Service ◽  
Emergency Services ◽  
Early Recognition ◽  
Systemic Inflammatory Response ◽  
The Relationship

Objective: to evaluate the performance of the quickSOFA scores and Systemic Inflammatory Response Syndrome as predictors of clinical outcomes in patients admitted to an emergency service. Method: a retrospective cohort study, involving adult clinical patients admitted to the emergency service. Analysis of the ROC curve was performed to assess the prognostic indexes between scores and outcomes of interest. Multivariate analysis used Poisson regression with robust variance, evaluating the relationship between variables with biological plausibility and outcomes. Results: 122 patients were selected, 58.2% developed sepsis. Of these, 44.3% had quickSOFA ≥2 points, 87% developed sepsis, 55.6% septic shock and 38.9% died. In the evaluation of Systemic Inflammatory Response Syndrome, 78.5% obtained results >2 points; of these, 66.3% developed sepsis, 40% septic shock and 29.5% died. quickSOFA ≥2 showed greater specificity for diagnosis of sepsis in 86% of the cases, for septic shock 70% and for mortality 64%, whereas the second score showed better results for sensitivity with diagnosis of sepsis in 87.5%, septic shock in 92.7% and death in 90.3%. Conclusion: quickSOFA showed by its practicality that it can be used clinically within the emergency services, bringing clinical applicability from the risk classification of patients for the early recognition of unfavorable outcomes.

scholarly journals Risk Analysis and Community Based Disaster Management Plan of Sateek Village, Aizawl District, Mizoram, India

2019 ◽  
Vol 4 (1) ◽  
pp. 11-20
Author(s):  
C. Zoramthara ◽  
Lalthakima
Keyword(s):  
Risk Analysis ◽  
Disaster Management ◽  
Emergency Services ◽  
Secondary Data ◽  
Management Plan ◽  
Primary Data ◽  
Landslide Risk ◽  
Community Based ◽  
The People ◽  
Disaster Assessment

Sateek village is vulnerable to plenty of disasters such as earthquake, landslide, forest fire and disease outbreak. Some other features like poverty, remote area from the city, lack of hospital and other emergency services make the people of this village more vulnerable. The present study deals with the idea of community based disaster management (CBDM) and their risk assessment in Sateek village, which is located in Aibawk block of Aizawl District, Mizoram, India. The data used in this research include collection of primary data through interview, questionnaire and Secondary data. Landslide risk analysis was carried out in quantitative approach. The study seized disaster assessment, resource analysis, risk and vulnerable profile and response plan and interpretation in various disaster of Sateek village and how community based disaster management (CBDM) plan can help the people to cope with hazards.

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