4,357 results on '"Materials management, hospital"'
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2. Improved Nursing Workload by Introducing a Traceability System to Manage Medical Materials.
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Nishi R, Tajiri H, and Miyo K
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- Radio Frequency Identification Device, Materials Management, Hospital, Electronic Data Processing, Humans, Nursing Staff, Hospital, Workload
- Abstract
This paper reports a case study in which an improvement in nursing work was achieved through the introduction of a traceability system compatible with radio-frequency identification (RFID) and bar codes for the management of medical materials. In verifying the RFID-based system in an operating room, the work time was reduced to approximately one-tenth of that of barcode reading. In the catheterization laboratory, a system consisting of a cartel management system utilizing bar codes and an RFID-compatible inventory management cabinet was introduced. The system eliminates the need to cut and paste packages onto vouchers after the cases are completed and digitizes the data sent to the medical affairs department for secure billing. We are implementing this system at many facilities, and, in addition to improving the work of nurses, we are taking new steps to improve hospital management through data linkage. more...
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- 2024
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3. Insertion of nursing professionals in the management of materials in a teaching hospital of Paraná.
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Gabrielle dos Santos Andrade, Raísa, Conde Bogo, Priscila, Tonini, Nelsi Salete, Gonçalves de Oliveira Azevedo Matos, Fabiana, and Ignácio Alves, Debora Cristina
- Abstract
Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) more...
- Published
- 2021
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4. [Medical Equipment Management System Based on the Concept of Whole Life Cycle].
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Cheng J
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- Internet of Things, Equipment and Supplies, Materials Management, Hospital, Cost Control, Equipment and Supplies, Hospital
- Abstract
Objective: Strengthen the legal, compliant, and rational use of medical equipment and further guide the rationalization of medical behaviors., Methods: By utilizing the Internet of Things (IoT) and image analysis technology, collect real-time operation data of the equipment, establish a real-time running database for medical equipment, and cooperate with the 12 key links of the "whole life" of the equipment and the 8+6 management system framework to implement lean management of the efficiency, benefit, and effectiveness of medical equipment usage., Results: It realizes the improvement of the quality and efficiency of medical equipment, cost reduction and cost control, and provides data support for scientific decision-making., Conclusion: This study innovates the management model for the entire life cycle of medical equipment, providing a scientific approach to the management of hospital equipment. more...
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- 2024
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5. [Design and Application of an IVD Reagent Management Information Systems Based on Unique Code].
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Pan W and Yang F
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- Management Information Systems, Materials Management, Hospital, Indicators and Reagents
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The management of in vitro diagnostic (IVD) reagents in hospitals often faces issues such as the lack of a unified coding system, unclear consumption patterns, and unknown cost-to-income ratios. It is necessary to employ information systems to achieve comprehensive, detailed, and traceable management of IVD reagents. An information management system for IVD reagents based on unique coding is introduced, which integrates admission, acceptance, and consumption processes through unique codes. The system calculates the income per experimental item based on the consumption of IVD reagents and the charge for each experimental item. The system enhances the efficiency of the IVD reagent supply chain management and promotes detailed oversight of IVD reagent usage. more...
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- 2024
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6. Curating duplicates: operationalizing similiarity in the Smithsonian Institution with Haida rattles, 1880–1926
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Catherine A, Nichols
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History ,History and Philosophy of Science ,Anseriformes ,Anthropology ,Museums ,Animals ,Records ,Materials Management, Hospital - Abstract
In the late nineteenth century, the anthropology curators of the Smithsonian Institution consulted their cataloguing systems and storerooms, assessing specimens in order to determine which could be designated as duplicate specimens and exchanged with museums domestically and abroad. The status of ‘duplicate’ for specimens was contingent on conceptions of similiarity impacted by disciplinary classification praxis, with particular emphasis on object nomenclature and formal attributes. Using rattles from Haida Gwaii collected between 1881 and 1885 by James Swan for the Smithsonian Institution, this article explores how anthropology curators designated rattles as exchangeable duplicate specimens. It considers cataloguing and spatial arrangements, as well as changing populations and formal characteristics of rattles, in order to explore how similarity was operationalized in the museum to produce duplicate anthropological specimens. more...
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- 2022
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7. [Design and Implementation of Medical Consumables Management Information Systems Based on Cloud Server]
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Wenqin, Pan and Fenghui, Yang
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Materials Management, Hospital ,Management Information Systems - Abstract
There are common problems in realistic medical consumables management such as inconsistent material names, irregular billing, extensive management of sub-warehouse. It is necessary to use information systems to achieve full-process, refined, traceable management of medical consumables. A cloud-based information management system of medical consumables is introduced, which connects consumables access, acceptance, consumption and settlement by matching UDI code, charge code and medical insurance code. The system connects to external systems such as charging system. The system realizes traceable management of full-process from manufacture, supplier to hospital material management department, and finally to consumption department. The management efficiency of medical consumables supply chain is improved. more...
- Published
- 2023
8. A microbial quantity monitoring model based on 3D fluorescence data of the cucumber storeroom gas and its use in providing auxiliary early spoilage warning
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Yunxia Yuan, Xueru Liu, Yong Yin, Huichun Yu, Junliang Chen, and Mengli Li
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Spectrometry, Fluorescence ,Electrochemistry ,Tryptophan ,Environmental Chemistry ,Cucumis sativus ,Materials Management, Hospital ,Biochemistry ,Spectroscopy ,Fluorescence ,Analytical Chemistry - Abstract
A real-time model for monitoring the microbial quantity based on the microbial intrinsic fluorescence information of cucumber storeroom gas was established. Firstly, 3D fluorescence data of the storeroom gas were collected on different storage days. Secondly, the number of components of a parallel factor model was determined to be 3 using the core consistency diagnostic. Thirdly, parallel factor analysis was used to decompose the fluorescence data to obtain the excitation spectra, emission spectra and concentration scores of 3 components. The positions of the fluorescence peaks were consistent with the fingerprints of tryptophan-like, tyrosine-like and phenylalanine-like substances in the characteristic spectrum of each component. And then the prediction model was constructed by fitting the concentration scores of the 3 components with the microbial quantity, and the coefficient of determination was 98.27%, and the cross-validation determination coefficient could reach 91.97%. Finally, after integrating the predicted value of the microbial quantity and the total chromatism of the cucumber pericarp during cucumber storage, the spoilage date was determined to be the 7 more...
- Published
- 2022
9. Key Characteristics of a Fragile Healthcare Supply Chain: Learning from a Pandemic
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Michael Saunders, Anne W. Snowdon, and Alexandra Wright
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Canada ,Economic growth ,medicine.medical_specialty ,business.industry ,Supply chain ,Public health ,Politics ,COVID-19 ,Materials Management, Hospital ,Fragility ,Analytics ,Order (exchange) ,Health care ,Pandemic ,medicine ,Humans ,business ,Delivery of Health Care ,Personal protective equipment ,Equipment and Supplies, Hospital ,State Government - Abstract
The COVID-19 pandemic has highlighted the many challenges that provincial health systems have experienced while scaling health services to protect Canadians from viral transmission and support care for those who get infected. Supply chain capacity makes it possible for health systems to deliver care and implement public health initiatives safely. In this paper, we present emerging findings from a national research study that documents the key features of the fragility of the health supply chain evident across the seven Canadian provinces. Results suggest that the fragility of the health supply chain contributes to substantive challenges across health systems, thus limiting or precluding proactive and comprehensive responses to pandemic management. These findings inform strategies to strengthen supply chain capacity and performance in order to enable health systems to effectively respond to pandemic events. more...
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- 2021
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10. Logistics of an advanced therapy medicinal product during COVID-19 pandemic in Italy: successful delivery of mesenchymal stromal cells in dry ice
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Daniela Catanzaro, Rachele Ciccocioppo, Martina Bernardi, Giuseppe Astori, Francesca Elice, Angela Bozza, Monica Santimaria, Katia Chieregato, Marco Ruggeri, Giuseppe Amodeo, Roberto Barbazza, and Anna Merlo more...
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0301 basic medicine ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Cell Survival ,Point-of-Care Systems ,Mesenchymal stromal cells ,Graft vs Host Disease ,lcsh:Medicine ,Transportation ,030204 cardiovascular system & hematology ,Mesenchymal Stem Cell Transplantation ,Severity of Illness Index ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,0302 clinical medicine ,Cell factory ,Dry Ice ,Pandemic ,medicine ,Humans ,Intensive care medicine ,Pandemics ,Cells, Cultured ,Equipment and Supplies, Hospital ,Cell Proliferation ,GvHD ,SARS-CoV-2 ,business.industry ,Research ,Mesenchymal stem cell ,lcsh:R ,COVID-19 ,Mesenchymal Stem Cells ,General Medicine ,Materials Management, Hospital ,Supply chain ,Product (business) ,Phenotype ,030104 developmental biology ,Italy ,Organization and Administration ,Acute Disease ,Dry ice ,Cord Blood Stem Cell Transplantation ,business ,Delivery of Health Care - Abstract
Background During the coronavirus disease-2019 (COVID-19) pandemic, Italian hospitals faced the most daunting challenges of their recent history, and only essential therapeutic interventions were feasible. From March to April 2020, the Laboratory of Advanced Cellular Therapies (Vicenza, Italy) received requests to treat a patient with severe COVID-19 and a patient with acute graft-versus-host disease with umbilical cord-derived mesenchymal stromal cells (UC-MSCs). Access to clinics was restricted due to the risk of contagion. Transport of UC-MSCs in liquid nitrogen was unmanageable, leaving shipment in dry ice as the only option. Methods We assessed effects of the transition from liquid nitrogen to dry ice on cell viability; apoptosis; phenotype; proliferation; immunomodulation; and clonogenesis; and validated dry ice-based transport of UC-MSCs to clinics. Results Our results showed no differences in cell functionality related to the two storage conditions, and demonstrated the preservation of immunomodulatory and clonogenic potentials in dry ice. UC-MSCs were successfully delivered to points-of-care, enabling favourable clinical outcomes. Conclusions This experience underscores the flexibility of a public cell factory in its adaptation of the logistics of an advanced therapy medicinal product during a public health crisis. Alternative supply chains should be evaluated for other cell products to guarantee delivery during catastrophes. more...
- Published
- 2020
11. Intermittent demand forecasting for medical consumables with short life cycle using a dynamic neural network during the COVID-19 epidemic
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Peipei Liu
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021103 operations research ,Supply chain management ,Consumables ,Operations research ,Artificial neural network ,SARS-CoV-2 ,Computer science ,Model selection ,0211 other engineering and technologies ,COVID-19 ,Health Informatics ,02 engineering and technology ,Materials Management, Hospital ,Demand forecasting ,Order (exchange) ,0202 electrical engineering, electronic engineering, information engineering ,Humans ,Preprocessor ,020201 artificial intelligence & image processing ,Neural Networks, Computer ,Seasons ,Seasonal adjustment ,Pandemics - Abstract
Accurate demand forecasting is always critical to supply chain management. However, many uncertain factors in the market make this issue a huge challenge. Especially during the current COVID-19 outbreak, the shortage of certain types of medical consumables has become a global problem. The intermittent demand forecast of medical consumables with a short life cycle brings some new challenges, such as the demand occurring randomly in many time periods with zero demand. In this research, a seasonal adjustment method is introduced to deal with seasonal influences, and a dynamic neural network model with optimized model selection procedure and an appropriate model selection criterion are introduced as the main forecasting models. In addition, in order to reduce the impact of zero demand, it adds some input nodes to the neural network by preprocessing the original input data. Lastly, a modified error measurement method is proposed for performance evaluation. Experimental results show that the proposed forecasting framework is superior to other intermittent demand models. more...
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- 2020
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12. Implementação do sistema de gestão de materiais informatizado do Hospital Universitário da Universidade de São Paulo Implementación de un sistema de gestión de materiales informatizado del Hospital Universitario de la Universidad de São Paulo Implementation of computerized material management system at the University of São Paulo University Hospital
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Maria Lúcia Habib Paschoal and Valéria Castilho
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Enfermería ,Administración de materiales de hospital ,Procesamiento automatizado de datos ,Enfermagem ,Administração de materiais no hospital ,Processamento automatizado de dados ,Nursing ,Materials management, hospital ,Automatic data processing ,Public aspects of medicine ,RA1-1270 ,RT1-120 ,Mental healing ,RZ400-408 ,Education (General) ,L7-991 - Abstract
Trata-se do relato do processo de implementação do sistema informatizado de gestão de materiais no Hospital Universitário da USP. O sistema foi intitulado Sistema de Gestão de Materiais (SGM). A implementação apresentou quatro fases: a escolha do modelo e da ferramenta informacional, a reestruturação do processo logístico de materiais do hospital, a reestruturação das áreas de apoio e a implantação do próprio sistema SGM. O estudo realizado no Centro Cirúrgico após a implantação do sistema demonstrou que, comparando o consumo e o estoque de materiais do SGM em relação ao Sistema Tradicional, houve uma diminuição da quantidade consumida e do custo dos materiais estocados na Unidade.Se trata de un informe de experiencia del proceso de implementación de un sistema informatizado de gestión de materiales en el Hospital Universitario de la Universidad de São Paulo, Brasil. El sistema llevó por nombre Sistema de Gestión de Materiales (SGM). La implementación necesitó de cuatro fases: la elección del modelo y de las herramientas informáticas, la reestructuración del proceso logístico de materiales hospitalarios, la reestructuración de las áreas de apoyo y la implantación del propio sistema SMG. Un estudio realizado en los Quirófanos luego de la implementación demostró que, comparando el consumo y el stock de materiales del SMG en relación al Sistema Tradicional, hubo una disminución de las cantidades consumidas y del costo de los materiales en stock en la Unidad.This is an experience report on the process of implementing a computerized materials management system at the University Hospital of the University of São Paulo. The system was called Materials Management System (SGM). The process comprised four phases: choice of the model and information tool; restructuring of the logistic materials process at the hospital; restructuring of the support areas and establishment of the SGM system itself. A study carried out at the Surgical Center after the establishment demonstrated that, when comparing materials consumption and inventories in the SGM with the Traditional System, the consumed quantity and the cost of inventory materials at the Unit decreased. more...
- Published
- 2010
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13. Gerenciamento de custos: aplicação do método de Custeio Baseado em Atividades em Centro de Material Esterilizado Gerenciamiento de costos: aplicación del Método de Costeo Basado en actividades en centro de material esterilizado Cost management: the implementation of the Activity-Based Costing method in sterile processing department
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Marli de Carvalho Jericó and Valéria Castilho
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Costos y análisis de costo ,Control de costos ,Administración de materiales de hospital ,Costos de hospital ,Custos e análise de custo ,Controle de custos ,Administração de materiais no hospital ,Custos hospitalares ,Costs and cost analysis ,Cost control ,Materials management, hospital ,Hospital costs ,Public aspects of medicine ,RA1-1270 ,Nursing ,RT1-120 ,Mental healing ,RZ400-408 ,Education (General) ,L7-991 - Abstract
Esta pesquisa exploratória descritiva, na modalidade de estudo de caso, teve por objetivo a aplicação do Custeio Baseado em Atividades (ABC) em Centro de Material e Esterilização (CME) de um hospital de ensino de capacidade extra. A coleta de dados ocorreu durante o ano de 2006, utilizando-se as técnicas de análise documental e observação direta não participante. A análise de processos possibilitou o conhecimento dos custos do ciclo/carga de desinfecção química ($9.95) e física ($12.63), e esterilização por vapor saturado sob pressão ($31.37) e por vapor de Baixa Temperatura e Formaldeído Gasoso ($255.28). As informações geradas pelo ABC resultaram na compreensão do processo gerador de custos e forneceram base para a mensuração de desempenho e melhorias de processos do CME.Esta investigación exploratoria descriptiva efectuada en la modalidad de estudio de caso, tuvo por objetivo la aplicación del Costeo Basado en Actividades (ABC) en un Centro de Material y Esterilización (CME) de un hospital de enseñanza de capacidad extra. La recolección de datos se efectuó durante el año 2006 utilizándose las técnicas de análisis documental y observación directa no participativa. El análisis de procesos posibilitó el conocimiento de los costos de ciclo/carga de desinfección química ($9,95) y física ($12,63), y de esterilización por vapor saturado bajo presión ($31,37) y por vapor de baja temperatura y formaldehido gaseoso ($255,28). Las informaciones generadas por el ABC favorecieron la comprensión del proceso generador de costos y brindaron una base para la medición de desempeño y mejorías de procesos del CME.This exploratory case study was performed aiming at implementing the Activity-based Costing (ABC) method in a Sterile Processing Department (SPD) of a major teaching hospital. Data collection was performed throughout 2006. Documentary research techniques and non participant closed observation were used. The ABC implementation allowed for learning the activity-based costing of both the chemical and physical disinfection cycle/load: ($9.95) and ($12.63), respectively; as well as the cost for sterilization by steam under pressure (autoclave) ($31.37) and low temperature steam and gaseous formaldehyde sterilization (LTSF) ($255.28). The information provided by the ABC method has optimized the overall understanding of the cost driver process and provided the foundation for assessing performance and improvement in the SPD processes. more...
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- 2010
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14. Retos y gestión del equipo de enfermería del material esterilizado de la central
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Santos, Mona Augusta Onety dos, Borges, Monique Amorim, Barbosa, Robert Lima, Silva, Erika Oliveira da, and Borges, Paula Figliuolo da Cruz
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Rol del profesional de enfermería ,Administración de materiales hospitalarios ,Enfermagem ,Sterilization ,Nursing ,Papel do Profissional de Enfermagem ,Materials Management, Hospital ,Nurse's Role ,Nursing Team ,Enfermería ,Esterilização ,Esterilización ,Equipe de Enfermagem ,Equipo de enfermería ,Administração de Materiais no Hospital - Abstract
Objective: To identify the main challenges described and the management of the nursing team at the Central Sterile Material Center. Methodology: This is an integrative review of qualitative nature that used 12 articles in Portuguese and English extracted from the Scientific Electronic Library Online (Scielo) and Public Medline (PubMed), with the help of descriptors available in the Health Science Descriptors (DeCS) in Portuguese and English. Results: The nursing staff in front of the CME is routinely exposed to risks by chemical, physical and biological agents, as well as risk related to ergonomic factors. These health risk problems can be added to the work overload, and the lack of experience and training for the development of their activities. Conclusion: Given the discussion of this article, the nursing practice at the Central Sterilized Material Center is surrounded by challenges and problems that need more attention from the institutional management team, as well as from its technical leaders in the segments of personnel management and continuing education. Objetivo: Identificar los principales desafíos descritos y la gestión del equipo de enfermería de la Central de Material Esterilizado. Metodología: Se trata de una revisión integradora de corte cualitativo que utilizó 12 artículos en lengua portuguesa e inglesa extraídos de la Scientific Electronic Library Online (Scielo) y de Public Medline (PubMed), con ayuda de los descritos disponibles en los Descritores en Ciencia de la Salud (DeCS) en los idiomas portugués e inglés. Resultados: El equipo de enfermería antes del CME está expuesto de forma rutinaria a riesgos por agentes químicos, físicos y biológicos, así como a riesgos relacionados con factores ergonómicos. A estos problemas de riesgo para la salud se suma la sobrecarga de trabajo y la falta de experiencia y de formación para el desarrollo de sus actividades. Conclusión: Visto el debate del presente artículo, el ejercicio de la enfermería frente a la Central de Material Esterilizado está lleno de desafíos y problemas que requieren una mayor atención por parte del equipo gestor institucional, así como de sus responsables técnicos en los segmentos de gestión de personal y educación continua. Objetivo: Identificar os principais desafios descritos e o gerenciamento da equipe de enfermagem diante da Central de Material Esterilizado. Metodologia: Trata-se de uma revisão integrativa de cunho qualitativa que utilizou 12 artigos na língua português e inglesa extraídos da Scientific Electronic Library Online (Scielo) e Public Medline (PubMed), com auxilio dos descritores disponíveis nos Descritores em Ciência da Saúde (DeCS) nos idiomas português e inglês. Resultados: A equipe de enfermagem diante da CME está rotineiramente exposta à riscos por agentes químicos, físicos e biológicos, bem como risco relacionados a fatores ergonômicos. Esses problemas de risco à saúde podem ser somados com a sobrecarga de trabalho, e a falta de experiência e ausência treinamento para o desenvolvimento de suas atividades. Conclusão: Haja visto a discussão do presente artigo, o exercício da enfermagem frente a Central de Material Esterilizado é cercado de desafios e problemas que precisam de maior atenção por parte da equipe gestora institucional, assim como de seus responsáveis técnicos nos segmentos de gestão de pessoal e educação continuada. more...
- Published
- 2021
15. Parâmetros de produtividade de um centro de material e esterilização Los parametros de productividad del centro de material y esterilización Productivity indicators in a sterilization central supply
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Tânia Regina Sancinetti and Maria Alice Fortes Gatto
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Eficiencia ,Administración de materiales de hospital ,Esterilización ,Enfermería ,Eficiência ,Administração de materiais no hospital ,Esterilização ,Enfermagem ,Efficiency ,Materials management, hospital ,Sterilization ,Nursing ,Public aspects of medicine ,RA1-1270 ,RT1-120 ,Mental healing ,RZ400-408 ,Education (General) ,L7-991 - Abstract
O estudo identifica parâmetros de produtividade no Centro de Material e Esterilização, com base em documentos, observação e cronometragem do processamento de duas amostras: caixa de herniorrafia e pacote de curativo. A produção média mensal foi de 30.466,42 artigos, a capacidade de produção, por hora, foi de 10,3 artigos por funcionário. O tempo de processamento do curativo do expurgo ao armazenamento foi, em média, de 295 minutos; o processo manual utilizou 46 minutos e o automatizado, 88 minutos. O tempo da caixa de herniorrafia foi de 329 minutos; o processo manual utilizou 60 minutos e o automatizado, 98 minutos. O processamento manual do curativo utilizou 59,23% horas produtivas no expurgo; 26,31% guarda e distribuição; 10,94% esterilização e 3,28% preparo. Quanto à caixa de herniorrafia: no preparo 16,20%; no expurgo 11,84%; na guarda e distribuição 7,47% e na esterilização 1,89%. Este estudo possibilitou aferir resultados e analisar o processo de trabalho no CME.El estudio identifica parámetros de productividad del Centro de Material y Esterilización, basados en documentos, observación y cronometraje procesadas en dos muestras: caja de herniorafia y fardo de curativo. El promedio de producción mensual fue de 30.466,42 artículos y el promedio de la capacidad de producción por hora fue 10,3 artículos por empleado. El tiempo de procesamiento del curativo del expurgo al almacenamiento fue en un promedio de 295 minutos; su proceso manual utilizó 46 minutos y lo automatizó en 88 minutos. El tiempo de la caja de herniorafia fue 329 minutos; su proceso manual utilizó 60 minutos y lo automatizó en 98 minutos. El procesamiento manual del curativo fue: 59,23% horas productivas encima del expurgo; 26,31% guarda y distribución; 10,94% esterilización y 3,28% preparo. Cuanto a la caja de herniorafia: en su preparo 16,20%; en el expurgo 11,84%; en la custodia y asignación 7,47% y en la esterilización 1,89%. El estudio posibilitó contrastar resultados y analizar el proceso de trabajo del CME.This study identifies productivity indicators at a Sterilization Central Supply (CME) through documents, observation and time counting of the process for two items selected from the sample: a bandage pack and a herniorrhaphy box. The monthly average production was 30,466.42 items, and the production capacity per hour was 10.3 items per employee. The bandage pack averaged 295 minutes from the expurgation area to storage; the manual process lasted 46 minutes and the automated 88 minutes. For the herniorrhaphy box the average was 329 minutes; the manual process lasted 60 minutes and automated 98 minutes. In the bandage kit, the manual process used up 59.23% of the productivity hours in the expurgation area, 3.28% in the preparation, 10.94% in the sterilization process, and 26.31% in storage and distribution. Figures for the manual process of herniorrhaphy box were: expurgation, 11.84%; preparation, 16.20%; storage and distribution, 7.47%; and sterilization, 1.89%. The study made possible to assess the results and to analyze the working process at the CME. more...
- Published
- 2007
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16. Classificação ABC dos materiais: uma ferramenta gerencial de custos em enfermagem Clasificación ABC de materiales: una herramienta gerencial de costos en enfermería ABC supplies classification: a managment tool of costs in nursing
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Karina Gomes Lourenço and Valéria Castilho
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Administración de los materiales de hospital ,Costos de hospital ,Economia de la enfermería ,Registros de enfermería ,Administração de materiais no hospital ,Custos hospitalares ,Economia da enfermagem ,Registros de enfermagem ,Materials management, hospital ,Hospital costs ,Economics, nursing ,Nursing records ,Nursing ,RT1-120 - Abstract
A implementação de sistemas que auxiliam no gerenciamento de custos é importante para a área de saúde, quando visa contenção de gastos e melhoria da qualidade do serviço. A classificação ABC dos materiais é uma estratégia aplicada para controle de gastos com estoque. A finalidade deste estudo é conhecer o perfil dos gastos com material de consumo do Hospital Universitário da Universidade de São Paulo no período de um ano. Trata-se de um estudo exploratório-descritivo com análise quantitativa dos dados. Dos 1938 materiais classificados, 67 itens foram Classe A, que correspondem aos materiais com maiores custos para o hospital. 31,3% destes itens correspondem a materiais assistenciais, mais utilizados pela equipe de enfermagem.La implementación de los sistemas que auxilian en la gerencia de costos es importante para la área del servicio médico, por la contención de costos y mejoría de la calida de los servicios. La clasificación ABC de los materiales es una estrategia aplicada para el control de costos del inventario. La finalidad del trabajo es conocer el perfil de costos con materiales de consumo del Hospital Universitario de la Universidad de São Paulo en el periodo de uno año. Consiste en un análisis cuantitativo de exploratorio-descriptivo de los datos. De los 1938 materiales clasificados, 67 ítems fueron Classe A, que corresponden a los materiales de mayores costos para el hospital. 31.3% de los ítems corresponden a los materiales asistenciales, mas utilizados por el equipo de enfermera.The implementation of costs management systems has been extremely helpful to healthcare area owing to their efficacy in cutting expenditures as well as improving service quality. The ABC classification is an applied strategy to stocktaking and control. The research, which consists of an exploratory/descriptive quantitative analysis, has been carried out in order to identify, in a year time period, the demand for supplies at Universidade de Sao Paulo's Hospital. Of 1938 classified materials, 67 itens had been classified that they correspond to the materials with bigger costs for the hospital. 31,3% of these A-Class supplies catalogued items are the nursing materials, more used for the nursing team. more...
- Published
- 2006
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17. Improving hospital pharmacy inventory management using data segmentation
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Vicky Manthou, Andreas Revanoglou, and Christos Bialas
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ABC analysis ,Computer science ,Pharmacy ,Context (language use) ,030226 pharmacology & pharmacy ,03 medical and health sciences ,0302 clinical medicine ,Cost Savings ,0502 economics and business ,Humans ,Operations management ,Hospital pharmacy ,Inventories, Hospital ,Pharmacology ,Inventory optimization ,business.industry ,Health Policy ,05 social sciences ,Materials Management, Hospital ,Organizational Policy ,Service level ,Public hospital ,Performance indicator ,Pharmacy Service, Hospital ,business ,Software ,050203 business & management - Abstract
Purpose This case study describes the development and empirical validation of an easy-to-implement practical framework for improving hospital pharmacy inventory management. Summary Research suggests various inventory optimization models, which can lead to cost reductions while maintaining adequate service levels; however, they are facing limited adoption in healthcare settings. The main barriers appear to be the high effort and complexity of implementation, the dependence on data that are not available or might not be in the right form, and the one-size-fits-all approach often followed without addressing healthcare sector–specific particularities. A research framework was developed by adapting relevant inventory models to the healthcare context using the concept of data segmentation on the basis of a three-dimensional classification of hospital pharmacy inventory items based on their relative importance, clinical criticality, and consumption pattern. Suitable replenishment policies were assigned to high-impact classes, and an integrated performance-measurement component assesses the framework’s effectiveness. The suggested approach was implemented and empirically tested at the pharmacy of a large public hospital using longitudinal data. The results demonstrate substantial improvements with respect to all of the selected key performance indicators and translate into inventory cost savings due to reduced stockholding costs and better synchronization of inventories to demand. Conclusion Use of standard software functionalities combined with targeted data segmentation efforts significantly improves hospital pharmacy inventory cost performance. more...
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- 2019
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18. ABC, VED and lead time analysis in the surgical store of a public sector tertiary care hospital in Delhi
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Mansoor Hussain, Vijaydeep Siddharth, and Sanjay Arya
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ABC analysis ,essential ,Consumables ,Time Factors ,surgical store ,inventory management ,India ,Tertiary Care Centers ,Inventory management ,Procurement ,Always ,medicine ,Humans ,and desirable analysis ,Inventories, Hospital ,Inventory control ,Public Sector ,and control analysis ,business.industry ,lcsh:Public aspects of medicine ,Public sector ,lcsh:RA1-1270 ,General Medicine ,Materials Management, Hospital ,lead time ,medicine.disease ,Surgical Instruments ,better ,Ledger ,Medical emergency ,inventory control ,business ,vital ,Lead time - Abstract
Background: An efficient inventory control system would help optimize the use of resources and eventually help improve patient care. Objectives: The study aimed to find out the surgical consumables using always, better, and control (ABC) and vital, essential, and desirable (VED) technique as well as calculating the lead time of specific category A and vital surgical consumables. Methods: This was a descriptive, record-based study conducted from January to March 2016 in the surgical stores of the All India Institute of Medical Sciences, New Delhi. The study comprised all the surgical consumables which were procured during the financial year 2014–2015. Stores ledger containing details of the consumption of the items, supply orders, and procurement files of the items were studied for performing ABC analysis and calculating the lead time. A list of surgical consumables was distributed to the doctors, nursing staff, technical staff, and hospital stores personnel to categorize them into VED categories after explaining them the basis for the classification. Results: ABC analysis revealed that 35 items (14%), 52 items (21%), and 171 items (69%) were categorized into A (70% annual consumption value [ACV]), B (20% ACV), and C (10% ACV) category, respectively. In the current study, vital items comprised the majority of the items, i.e., 73% of the total items and essential (E) category of items comprised 26% of all the items. The average internal, external, and total lead time was 17 days (range 3–30 days), 25 days (range 5–38) and 44 days (range 18–98 days), respectively. Conclusions: Hospitals stores need to implement inventory management techniques to reduce the number of stock-outs and internal lead time. more...
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- 2019
19. [Medical Consumable Management System Research under the New Situation]
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Jianghua, Zhu, Wen, Chen, and Liang, Huang
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Materials Management, Hospital ,Equipment and Supplies, Hospital ,Hospitals - Abstract
With the continuous improvement of the difficulty of surgery, we need to investigate and analyze the current situation, to understand the structure and related attributes of medical consumables. Rely on the information construction of medical consumables; Improve the supervision method and further improve the refined management effect; Establish multi-modal procurement management; Improve management methods; Maximize the benefits of transformation structure and study the trace management of medical consumables in the key areas of the hospital's full life process at the same time. Provide data decision-making services for hospitals through the early warning management of medical consumables based on clinical quality management, and use tools such as HB-HTA to further construct a reasonable evaluation system for medical consumables. more...
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- 2020
20. The role of the critical care pharmacist during the COVID-19 pandemic
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E Cousein, E. Matusik, J. Lemtiri, N. Elbeki, and F. Lambiotte
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Information Storage and Retrieval ,Pharmaceutical Science ,Pharmacists ,Pandémie COVID-19 ,030226 pharmacology & pharmacy ,law.invention ,0302 clinical medicine ,law ,Pandemic ,Medicine ,030212 general & internal medicine ,Réanimation ,Equipment and Supplies, Hospital ,Clinical Trials as Topic ,Pharmacie clinique ,Materials Management, Hospital ,Intensive care unit ,Clinical pharmacy ,Job Description ,Pharmaceutical Preparations ,Pharmacien clinicien en soin critique ,Committee Membership ,France ,Patient Safety ,Medical emergency ,Coronavirus Infections ,Pharmacy Service, Hospital ,Critical Care ,Pneumonia, Viral ,Job description ,Pharmacist ,COVID-19 pandemic ,Critical care pharmacist ,Pharmacy ,Betacoronavirus ,03 medical and health sciences ,Patient safety ,Intensive care ,Humans ,Pandemics ,Information Services ,Pharmacology ,SARS-CoV-2 ,business.industry ,Role ,COVID-19 ,medicine.disease ,SARS-CoV2 ,Current Events ,Interdisciplinary Communication ,business - Abstract
Highlights • The COPIL allowed the restructuring of the ICU in record time to double its capacity. • The CCP, integrated in the COPIL and already a member of the ICU team for a few years, provided an essential link between the ICU and the pharmacy during the COVID-19 pandemic. • The CCP implemented actions to avoid health products shortages, to secure practices and played a key role in the critical analysis of emerging published data in COVID-19 potential treatments., On January 4 2020, the World Health Organization (WHO) reported the emergence of a cluster of pneumonia cases in Wuhan, China due to a new coronavirus, the SARS-CoV-2. A few weeks later, hospitals had to put in place a series of drastic measures to deal with the massive influx of suspected COVID-19 (COronaroVIrus Disease) patients while securing regular patient care, in particular in the intensive care units (ICU). Since March 12th, 77 of the 685 COVID-19 patients admitted to our hospital required hospitalization in the ICU. What are the roles and the added-value of the critical care pharmacist during this period? His missions have evolved although they have remained focused on providing health services for the patients. Indeed, integrated into a steering committee created to organize the crisis in the intensive care units, the role of the clinical pharmacist was focused on the organization and coordination between ICU and the pharmacy, the implementation of actions to secure practices, to train new professionals and the adaptation of therapeutic strategies. He participated to literature monitoring and increased his involvement in the clinical research team. He provided a link between the ICU and the pharmacy thanks to his knowledges of practices and needs. more...
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- 2020
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21. Tracking health commodity inventory and notifying stock levels via mobile devices: a mixed methods systematic review
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Marita Sporstøl Fønhus, Simon Lewin, Claire Glenton, Smisha Agarwal, Garrett Mehl, Nicholas Henschke, Hanna Bergman, and Tigest Tamrat
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Non-Randomized Controlled Trials as Topic ,Delivery of healthcare services ,Health Personnel ,Effective practice & health systems ,Psychological intervention ,Essential medicines ,03 medical and health sciences ,0302 clinical medicine ,Bias ,Medicine ,Pharmacology (medical) ,Mobile technology ,Operations management ,030212 general & internal medicine ,Equipment and Supplies, Hospital ,Inventories, Hospital ,Randomized Controlled Trials as Topic ,Stock management ,business.industry ,Clinical study design ,Interrupted Time Series Analysis ,Materials Management, Hospital ,Digital health ,Systematic review ,Controlled Before-After Studies ,Computers, Handheld ,Management system ,Drugs, Essential ,business ,Cell Phone ,030217 neurology & neurosurgery - Abstract
Background Health systems need timely and reliable access to essential medicines and health commodities, but problems with access are common in many settings. Mobile technologies offer potential low‐cost solutions to the challenge of drug distribution and commodity availability in primary healthcare settings. However, the evidence on the use of mobile devices to address commodity shortages is sparse, and offers no clear way forward. Objectives Primary objective To assess the effects of strategies for notifying stock levels and digital tracking of healthcare‐related commodities and inventory via mobile devices across the primary healthcare system Secondary objectives To describe what mobile device strategies are currently being used to improve reporting and digital tracking of health commodities To identify factors influencing the implementation of mobile device interventions targeted at reducing stockouts of health commodities Search methods We searched CENTRAL, MEDLINE Ovid, Embase Ovid, Global Index Medicus WHO, POPLINE K4Health, and two trials registries in August 2019. We also searched Epistemonikos for related systematic reviews and potentially eligible primary studies. We conducted a grey literature search using mHealthevidence.org, and issued a call for papers through popular digital health communities of practice. Finally, we conducted citation searches of included studies. We searched for studies published after 2000, in any language. Selection criteria For the primary objective, we included individual and cluster‐randomised trials, controlled before‐after studies, and interrupted time series studies. For the secondary objectives, we included any study design, which could be quantitative, qualitative, or descriptive, that aimed to describe current strategies for commodity tracking or stock notification via mobile devices; or aimed to explore factors that influenced the implementation of these strategies, including studies of acceptability or feasibility. We included studies of all cadres of healthcare providers, including lay health workers, and others involved in the distribution of health commodities (administrative staff, managerial and supervisory staff, dispensary staff); and all other individuals involved in stock notification, who may be based in a facility or a community setting, and involved with the delivery of primary healthcare services. We included interventions aimed at improving the availability of health commodities using mobile devices in primary healthcare settings. For the primary objective, we included studies that compared health commodity tracking or stock notification via mobile devices with standard practice. For the secondary objectives, we included studies of health commodity tracking and stock notification via mobile device, if we could extract data relevant to our secondary objectives. Data collection and analysis For the primary objective, two authors independently screened all records, extracted data from the included studies, and assessed the risk of bias. For the analyses of the primary objectives, we reported means and proportions where appropriate. We used the GRADE approach to assess the certainty of the evidence, and prepared a 'Summary of findings' table. For the secondary objective, two authors independently screened all records, extracted data from the included studies, and applied a thematic synthesis approach to synthesise the data. We assessed methodological limitation using the Ways of Evaluating Important and Relevant Data (WEIRD) tool. We used the GRADE‐CERQual approach to assess our confidence in the evidence, and prepared a 'Summary of qualitative findings' table. Main results Primary objective For the primary objective, we included one controlled before‐after study conducted in Malawi. We are uncertain of the effect of cStock plus enhanced management, or cStock plus effective product transport on the availability of commodities, quality and timeliness of stock management, and satisfaction and acceptability, because we assessed the evidence as very low‐certainty. The study did not report on resource use or unintended consequences. Secondary objective For the secondary objectives, we included 16 studies, using a range of study designs, which described a total of eleven interventions. All studies were conducted in African (Tanzania, Kenya, Malawi, Ghana, Ethiopia, Cameroon, Zambia, Liberia, Uganda, South Africa, and Rwanda) and Asian (Pakistan and India) countries. Most of the interventions aimed to make data about stock levels and potential stockouts visible to managers, who could then take corrective action to address them. We identified several factors that may influence the implementation of stock notification and tracking via mobile device. These include challenges tied to infrastructural issues, such as poor access to electricity or internet, and broader health systems issues, such as drug shortages at the national level which cannot be mitigated by interventions at the primary healthcare level (low confidence). Several factors were identified as important, including strong partnerships with local authorities, telecommunication companies, technical system providers, and non‐governmental organizations (very low confidence); availability of stock‐level data at all levels of the health system (low confidence); the role of supportive supervision and responsive management (moderate confidence); familiarity and training of health workers in the use of the digital devices (moderate confidence); availability of technical programming expertise for the initial development and ongoing maintenance of the digital systems (low confidence); incentives, such as phone credit for personal use, to support regular use of the system (low confidence); easy‐to‐use systems built with user participation (moderate confidence); use of basic or personal mobile phones to support easier adoption (low confidence); consideration for software features, such as two‐way communication (low confidence); and data availability in an easy‐to‐use format, such as an interactive dashboard (moderate confidence). Authors' conclusions We need more, well‐designed, controlled studies comparing stock notification and commodity management via mobile devices with paper‐based commodity management systems. Further studies are needed to understand the factors that may influence the implementation of such interventions, and how implementation considerations differ by variations in the intervention., Plain language summary Using mobile phones to keep track of medicines and notify superiors when more are needed What is the aim of this review? In this Cochrane Review, we aimed to assess if health workers would have better access to medicines and other supplies, if they used mobile phones or other mobile devices to keep track of the amount of supplies they had available, and to notify superiors when they needed more supplies. We also described how health workers are currently using these mobile systems, and what factors influence their use. Key messages We do not know if using mobile phones to keep track of medical supplies gives primary healthcare workers better access to these supplies. This is because the certainty of the available evidence was very low. However, the evidence does point to several factors that could influence the implementation of these systems. These include the sharing of data across all levels of the health system; reliable access to electricity and the internet; easy‐to‐use and functional phones and systems; good technical support; and sufficient training and supervision. Well‐functioning digital systems will only succeed if medical supplies are actually available. What was studied in the review? Healthcare workers need medicines, vaccines, syringes, and other supplies to do their jobs properly. But many healthcare settings, particularly in poor countries, often lack supplies because governments cannot afford to buy them, or because they do not have good systems for distributing them to the right places at the right time. To address some of these problems, managers and health workers can use mobile phones to keep track of supplies, decide how much more to order and when, and let people at higher levels of the system know when supplies are running low. The main aim of our review was to find out if health workers who use these mobile systems had better access to supplies than health workers using other systems, or no systems at all. We also looked at how these mobile systems are being used in primary healthcare settings, and the factors that influences their use. What are the main results of the review? We found one study from Malawi that measured the effect of mobile phone systems on access to medicines and supplies in health facilities. However, we do not know whether these systems improve access or not, because the certainty of this evidence was very low. We found 16 studies conducted in African and Asian countries, in which study authors identified several factors that could help to set up systems successfully. ‐ Study authors suggested that allowing healthcare officials at all levels of the healthcare system to see the data could help them to respond on time and avoid supply shortages (low confidence). ‐ Study authors highlighted how poor access to electricity and internet could make it difficult for health workers to charge phones and send data (moderate confidence). ‐ Study authors pointed to the importance of user‐friendly systems, built with user participation (moderate confidence); access to technical experts to develop and maintain the system (low confidence); proper support and supervision for health workers (moderate confidence); and training of health workers in how to use the mobile system itself (moderate confidence). ‐ One author suggested that adding phone credits to health workers’ mobile phones for their personal use, could motivate them, and improve their use of the system (low confidence). Study authors also suggested several mobile phone functions that could be helpful to health workers using these systems. These included phones that could take pictures and map geographic locations, systems that allowed toll‐free text messaging, two‐way communication, and easy sharing of information (low confidence). But study authors also suggested that health workers might find it easier to use basic phones and maintain their own personal phones (low confidence). ‐ Study authors emphasised that digital notification systems will only give health workers better access to supplies if the supplies are actually available at the district or national level (low confidence). How up‐to‐date is this review? We searched for studies that had been published up to August 2019. more...
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- 2020
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22. [Design and Development of Medical Equipment Lifecycle Management System Based on Structured Information Flow Architecture]
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Zhaoming, Ruan, Liangjun, Fang, and Songcheng, Xie
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Quality Control ,Equipment and Supplies ,Materials Management, Hospital ,Hospitals - Abstract
This paper introduces the design and development of a light-weighted medical equipment management system in hospital based on structured information flow architecture, to collect and analyze data in medical equipment lifecycle management processes. It applies co-operative work flows both online and off-line to achieve high quality data collection, and to increase the efficiency for clinical personals and clinical engineers. This system manages to apply the UDI system, implements the intelligent access to medical equipments, uses data analysis to provide intelligent services. It will boost the quality control management and information construction synchronously. more...
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- 2020
23. Resource husbandry in challenging times
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Atul Dhingra, Deepak Khandelwal, Upasana Agrawal, and Sanjay Kalra
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Telemedicine ,Resource (biology) ,Coronavirus disease 2019 (COVID-19) ,Health Personnel ,Pneumonia, Viral ,Developing country ,Betacoronavirus ,Pandemic ,Health care ,Medicine ,Effective treatment ,Humans ,Pandemics ,Personal Protective Equipment ,business.industry ,SARS-CoV-2 ,COVID-19 ,General Medicine ,Animal husbandry ,Materials Management, Hospital ,medicine.disease ,Health Resources ,Medical emergency ,business ,Coronavirus Infections - Abstract
Coronavirus disease 2019 (COVID-19) pandemic has put a huge pressure on healthcare systems across the globe, more so in developing countries. Not only patients of acute febrile illness and respiratory problems but also patients with other acute and chronic diseases are facing challenges while seeking healthcare, getting laboratory investigations done and obtaining medications. Healthcare workers have their challenges including limited resources, lack of personal protective equipments, and fear of contracting COVID-19. Resource husbandry, which refers to the judicious use of available stocks, is a vital concept that needs to be promoted during such challenging times to combat the shortage of medical resources while simultaneously providing effective treatment to the patients. Some easily implementable concepts of resource husbandry can have a significant impact and result in minimising trouble for many patients during a challenging time. more...
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- 2020
24. Opening Up New Supply Chains
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Mark L. Zeidel, Carolyn Kirk, and Ben Linville-Engler
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2019-20 coronavirus outbreak ,Supply chain ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Pneumonia, Viral ,Health Care Sector ,International trade ,030204 cardiovascular system & hematology ,Efficiency, Organizational ,Betacoronavirus ,03 medical and health sciences ,0302 clinical medicine ,Government regulation ,Correspondence ,Pandemic ,Agency (sociology) ,Humans ,Medicine ,030212 general & internal medicine ,Pandemics ,biology ,SARS-CoV-2 ,United States Food and Drug Administration ,business.industry ,COVID-19 ,General Medicine ,Materials Management, Hospital ,biology.organism_classification ,United States ,Equipment and Supplies ,Massachusetts ,Government Regulation ,Coronavirus Infections ,business - Abstract
Opening Up New Supply Chains A Massachusetts economic-development agency assembled a diverse team to help manufacturers open up new supply chains and start producing materials needed to alleviate c... more...
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- 2020
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25. [Development of Hospital Medical Instrumentation Management System Based on Cloud Computing]
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Shengfan, Chen, Jianqi, Huang, and Zheng, Gao
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Durable Medical Equipment ,Cloud Computing ,Materials Management, Hospital ,Software - Abstract
In order to improve the efficiency of medical instrumentation management in hospital, reduce the management cost and save the human cost, this study analyzes the problems in the traditional hospital medical instrumentation management system, and develops a new system based on cloud computing. Through the characters of the SaaS Service Platform, the system improves the flow efficiency of the medical instrumentation in hospital, saves deployment and operating system costs, and improves the people's work efficiency. more...
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- 2020
26. In COVID-19 response to CongressAdministration, AGS calls for access to medical supplies, telehealth, among other needs
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Annie Medina-Walpole
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2019-20 coronavirus outbreak ,biology ,Coronavirus disease 2019 (COVID-19) ,business.industry ,SARS-CoV-2 ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Pneumonia, Viral ,COVID-19 ,Telehealth ,Materials Management, Hospital ,biology.organism_classification ,medicine.disease ,Telemedicine ,Betacoronavirus ,Geriatric Nursing ,Pandemic ,Medicine ,Humans ,Medical emergency ,business ,Coronavirus Infections ,Administration (government) ,Gerontology ,Pandemics - Published
- 2020
27. [Construction of Quality Control System for Medical Equipment under the Model of County Medical Service Community]
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Guoping, Tang and Qingli, Zhou
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Quality Control ,Materials Management, Hospital ,Equipment and Supplies, Hospital - Abstract
The construction of county and district medical community is an important measure for high-quality medical resources to "double sink and improve". In this study, we have initially constructed a medical equipment quality control system for members of the regional medical community. The current situation of lack of professional medical equipment management personnel and quality control equipment in primary medical institutions has been alleviated, the quality control level of medical equipment in primary medical institutions has been improved, and a new management model for quality control of primary medical equipment has been explored. more...
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- 2020
28. Healthcare supply chain management: Application in the Maltese Healthcare System
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Frank Bezzina, Andrew Xuereb, Sandra C. Buttigieg, and Prasanta Kumar Dey
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Process management ,Supply chain ,Exploratory research ,Efficiency, Organizational ,Competitive advantage ,03 medical and health sciences ,0302 clinical medicine ,0502 economics and business ,Health care ,Humans ,030212 general & internal medicine ,Supply chain management ,Economic Competition ,business.industry ,Malta ,Health Policy ,05 social sciences ,Focus Groups ,Materials Management, Hospital ,language.human_language ,Maltese ,language ,Business ,Health Facilities ,Delivery of Health Care ,050203 business & management ,Healthcare system - Abstract
IntroductionHospital supply chains are complex systems ensuring flow of products/services to satisfy patients. The aim of this exploratory study is to improve the Maltese health care system’s efficiency using supply chain management principles in three hospital settings. The theoretical basis underlying the study is the supply chain decision-making framework.MethodsUsing observation and focus groups, the following steps were undertaken: (i) mapping healthcare supply chain processes and identifying challenges; (ii) understanding competitive strategy through implied demand uncertainty; (iii) deriving supply chain strategies through supply chain drivers; (iv) optimizing healthcare supply chain (right balance between cost and responsiveness); (v) identifying critical success factors for healthcare supply chains.ResultsIn line with their competitive and supply chain strategies, the three settings have well-defined primary goals, stakeholders’ needs/demands/expectations, as well as clear-cut, albeit some similar, criteria and sub-criteria for improving the quality and quantity of their services. The trade-offs between efficiency and responsiveness for the supply chain drivers are distinctive and in line with their competitive strategies, hence achieving the desired fit with the healthcare supply chain strategies.ConclusionsBy adopting healthcare supply chain principles, there should be improved services in each setting, which in turn should lead to system-wide results. more...
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- 2020
29. Material deprivation and access to cancer care in a universal health care system
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Laura E. Davis, Alyson L. Mahar, Julie Hallet, Craig C. Earle, Natalie G. Coburn, Sten Myrehaug, and Ying Liu
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Male ,Cancer Research ,medicine.medical_specialty ,Palliative care ,Psychological intervention ,03 medical and health sciences ,0302 clinical medicine ,Health care ,medicine ,Humans ,030212 general & internal medicine ,Socioeconomic status ,Radiation oncologist ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Proportional hazards model ,Hazard ratio ,Retrospective cohort study ,Materials Management, Hospital ,Middle Aged ,Oncology ,Socioeconomic Factors ,030220 oncology & carcinogenesis ,Family medicine ,Universal Health Care ,Female ,business - Abstract
Background The role of socioeconomic factors as determinants of oncology consultations for advanced cancers in public payer health care systems is unknown. This study examined the association between material deprivation and receipt of cancer care among patients with advanced gastrointestinal (GI) cancer. Methods This was a population-based, retrospective cohort study of noncuratively treated patients with GI cancer diagnosed from 2007 to 2017. Material deprivation, representing income, quality of housing, education, and family structure, was defined as quintiles on the basis of 2016 census data. The first consultation with a radiation oncologist or medical oncologist and the receipt of 1 or more instances of radiation and/or chemotherapy were measured in the year after diagnosis. Adjusted, cause-specific Cox proportional hazards competing risk analyses were used (competing event = death). Results This study included 34,022 noncuratively treated patients with GI cancer. Consultation rates ranged from 67.8% for those in the most materially deprived communities to 73.5% for those in the least materially deprived communities. Among those with a consult, rates of cancer-directed therapy ranged from 58.5% for patients in the most materially deprived communities to 62.3% for patients in the least materially deprived communities. Patients living in the most materially deprived communities were significantly less likely to see a radiation and/or medical oncologist after a diagnosis (hazard ratio [HR], 0.88; 95% confidence interval [CI], 0.85-0.92) and significantly less likely to receive radiation and/or chemotherapy (HR, 0.80; 95% CI, 0.76-0.85) than those living in the least materially deprived communities. Conclusions This study identified socioeconomic disparities in accessing cancer care. Continued efforts at examining and developing evidence-based policies for interventions that begin before or at the time of oncologist consultation are required to address root causes of inequities. more...
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- 2020
30. Management of ophthalmic surgical instruments and processes optimization: mixed method study
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Daniela Silva dos Santos Schneider, Ana Maria Müller de Magalhães, Cecilia Helena Glanzner, Elisabeth Gomes da Rocha Thomé, João Lucas Campos de Oliveira, and Michel José Anzanello
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Time Factors ,Quality management ,Linear programming ,Computer science ,RT1-120 ,Exploratory research ,Ophthalmologic Surgical Procedures ,Nursing ,Rationalization (economics) ,Materials management ,Esterilização ,03 medical and health sciences ,0302 clinical medicine ,Gestión de la calidad ,Brainstorming ,Humans ,Operations management ,030212 general & internal medicine ,hospital ,Qualitative Research ,030504 nursing ,Administración de materiales de hospital ,Sterilization ,Gestão da qualidade ,General Medicine ,Materials Management, Hospital ,Surgical Instruments ,University hospital ,Esterilización ,Administração de materiais no hospital ,0305 other medical science ,Qualitative research - Abstract
Aim: Analysis of the use of ophthalmic instruments during surgical procedures in order to propose a material management method. Method: Mixed method study, sequential exploratory design, performed from January to June 2015, at a university hospital in southern Brazil. First, a qualitative approach was held from brainstorming and field observation. Themes were grouped into thematic categories. By connection, the quantitative stage happened through matrix arrangement and linear programming, culminating in the instrument management proposal. Results: Given categories - instruments reorganization according to the time of the surgical procedure and the need surgical instruments for in each procedure - guided the definition of existing restrictions and application of mathematical models. There was an average reduction of 13.10% in the number of surgical instruments per tray and an increase of 17.88% in surgical production. Final considerations: This proposal allowed the rationalization and optimization of ophthalmic instruments, favoring sustainability of the organization. RESUMEN Objetivo: Analizar el uso de instrumentos oftalmológicos durante los procedimientos quirúrgicos y proponer un método de gestión de materiales. Método: Estudio de método mixto, exploratorio secuencial, realizado entre enero y junio de 2015, en un hospital universitario en el sur de Brasil. Primero, se realizó un enfoque cualitativo a partir de la reflexión y la observación de campo. Los temas se agruparon en categorías temáticas. Por conexión, la etapa cuantitativa ocurrió por arreglos de matrices y programación linear, culminando con la propuesta de gestión de instrumentales. Resultados: Las categorías - reorganización del instrumental conforme tiempo del procedimiento quirúrgico y necesidad de piezas para cada procedimiento - orientaron la definición de las restricciones existentes y aplicación de los modelos matemáticos. Verificó una reducción media del 13,10% en el número de piezas por bandejas y aumento del 17,88% de la producción quirúrgica. Consideraciones finales: Esta propuesta permitió la racionalización y optimización de instrumentos oftalmológicos, favoreciendo la sostenibilidad de la organización. RESUMO Objetivo: Analisar o uso de instrumentais oftalmológicos durante os procedimentos cirúrgicos e propor um método de gerenciamento de materiais. Método: Estudo de método misto, exploratório sequencial, realizado entre janeiro e junho de 2015, em hospital universitário no sul do Brasil. Primeiramente, fez-se uma abordagem qualitativa a partir de brainstorming e observação de campo. Os temas foram agrupados em categorias temáticas. Por conexão, a etapa quantitativa aconteceu por arranjos de matrizes e programação linear, culminando à proposta de gerenciamento de instrumentais. Resultados: As categorias - reorganização do instrumental conforme tempo do procedimento cirúrgico e necessidade de peças para cada procedimento - orientaram a definição das restrições existentes e aplicação dos modelos matemáticos. Verificou-se uma redução média de 13,10% no número de peças por bandejas e aumento de 17,88% da produção cirúrgica. Considerações finais: Esta proposta permitiu a racionalização e otimização de instrumentais oftalmológicos, favorecendo a sustentabilidade da organização. more...
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- 2020
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31. Management of ophthalmic surgical instruments and processes optimization: mixed method study
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Schneider, Daniela Silva dos Santos, de Magalhães, Ana Maria Müller, Glanzner, Cecilia Helena, Thomé, Elisabeth Gomes da Rocha, de Oliveira, João Lucas Campos, and Anzanello, Michel José
- Subjects
Esterilização ,Esterilización ,Administração de materiais no hospital ,Gestión de la calidad ,Administración de materiales de hospital ,Sterilization ,Materials management, hospital ,Esterilização. Gestão da qualidade. Administração de materiais no hospital ,Quality management ,Gestão de qualidade - Abstract
Objetivo: Analisar o uso de instrumentais oftalmológicos durante os procedimentos cirúrgicos e propor um método de gerenciamento de materiais. Método: Estudo de método misto, exploratório sequencial, realizado entre janeiro e junho de 2015, em hospital universitário no sul do Brasil. Primeiramente, fez-se uma abordagem qualitativa a partir de brainstorming e observação de campo. Os temas foram agrupados em categorias temáticas. Por conexão, a etapa quantitativa aconteceu por arranjos de matrizes e programação linear, culminando à proposta de gerenciamento de instrumentais. Resultados: As categorias - reorganização do instrumental conforme tempo do procedimento cirúrgico e necessidade de peças para cada procedimento - orientaram a definição das restrições existentes e aplicação dos modelos matemáticos. Verificou-se uma redução média de 13,10% no número de peças por bandejas e aumento de 17,88% da produção cirúrgica. Considerações finais: Esta proposta permitiu a racionalização e otimização de instrumentais oftalmológicos, favorecendo a sustentabilidade da organização Aim: Analysis of the use of ophthalmic instruments during surgical procedures in order to propose a material management method. Method: Mixed method study, sequential exploratory design, performed from January to June 2015, at a university hospital in southern Brazil. First, a qualitative approach was held from brainstorming and field observation. Themes were grouped into thematic categories. By connection, the quantitative stage happened through matrix arrangement and linear programming, culminating in the instrument management proposal. Results: Given categories - instruments reorganization according to the time of the surgical procedure and the need surgical instruments for in each procedure - guided the definition of existing restrictions and application of mathematical models. There was an average reduction of 13.10% in the number of surgical instruments per tray and an increase of 17.88% in surgical production. Final considerations: This proposal allowed the rationalization and optimization of ophthalmic instruments, favoring sustainability of the organization Objetivo: Analizar el uso de instrumentos oftalmológicos durante los procedimientos quirúrgicos y proponer un método de gestión de materiales. Método: Estudio de método mixto, exploratorio secuencial, realizado entre enero y junio de 2015, en un hospital universitario en el sur de Brasil. Primero, se realizó un enfoque cualitativo a partir de la reflexión y la observación de campo. Los temas se agruparon en categorías temáticas. Por conexión, la etapa cuantitativa ocurrió por arreglos de matrices y programación linear, culminando con la propuesta de gestión de instrumentales. Resultados: Las categorías - reorganización del instrumental conforme tiempo del procedimiento quirúrgico y necesidad de piezas para cada procedimiento - orientaron la definición de las restricciones existentes y aplicación de los modelos matemáticos. Verificó una reducción media del 13,10% en el número de piezas por bandejas y aumento del 17,88% de la producción quirúrgica. Consideraciones finales: Esta propuesta permitió la racionalización y optimización de instrumentos oftalmológicos, favoreciendo la sostenibilidad de la organización more...
- Published
- 2020
32. [Design and Implementation of Medical Consumables Management Information Systems Based on Cloud Server].
- Author
-
Pan W and Yang F
- Subjects
- Management Information Systems, Materials Management, Hospital
- Abstract
There are common problems in realistic medical consumables management such as inconsistent material names, irregular billing, extensive management of sub-warehouse. It is necessary to use information systems to achieve full-process, refined, traceable management of medical consumables. A cloud-based information management system of medical consumables is introduced, which connects consumables access, acceptance, consumption and settlement by matching UDI code, charge code and medical insurance code. The system connects to external systems such as charging system. The system realizes traceable management of full-process from manufacture, supplier to hospital material management department, and finally to consumption department. The management efficiency of medical consumables supply chain is improved. more...
- Published
- 2022
- Full Text
- View/download PDF
33. A microbial quantity monitoring model based on 3D fluorescence data of the cucumber storeroom gas and its use in providing auxiliary early spoilage warning.
- Author
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Yuan Y, Liu X, Yin Y, Yu H, Chen J, and Li M
- Subjects
- Fluorescence, Spectrometry, Fluorescence methods, Tryptophan, Cucumis sativus, Materials Management, Hospital
- Abstract
A real-time model for monitoring the microbial quantity based on the microbial intrinsic fluorescence information of cucumber storeroom gas was established. Firstly, 3D fluorescence data of the storeroom gas were collected on different storage days. Secondly, the number of components of a parallel factor model was determined to be 3 using the core consistency diagnostic. Thirdly, parallel factor analysis was used to decompose the fluorescence data to obtain the excitation spectra, emission spectra and concentration scores of 3 components. The positions of the fluorescence peaks were consistent with the fingerprints of tryptophan-like, tyrosine-like and phenylalanine-like substances in the characteristic spectrum of each component. And then the prediction model was constructed by fitting the concentration scores of the 3 components with the microbial quantity, and the coefficient of determination was 98.27%, and the cross-validation determination coefficient could reach 91.97%. Finally, after integrating the predicted value of the microbial quantity and the total chromatism of the cucumber pericarp during cucumber storage, the spoilage date was determined to be the 7
th day by K-means clustering. The results show that the monitoring model constructed through distinguishing the fluorescence data of airborne microorganisms can effectively monitor the spoilage process. more...- Published
- 2022
- Full Text
- View/download PDF
34. Clinically Integrated Supply Chain Infrastructure in Health Systems: The Opportunity to Improve Quality and Safety
- Author
-
Anne W. Snowdon
- Subjects
Process management ,Cost-Benefit Analysis ,Point-of-Care Systems ,Supply chain ,media_common.quotation_subject ,Materials management ,Patient safety ,Health care ,Global health ,Humans ,Quality (business) ,Economics, Hospital ,Equipment and Supplies, Hospital ,health care economics and organizations ,Quality of Health Care ,media_common ,Supply chain management ,Medical Errors ,Cost–benefit analysis ,business.industry ,Materials Management, Hospital ,Hospitals ,Patient Safety ,Business ,InformationSystems_MISCELLANEOUS ,Delivery of Health Care - Abstract
Health systems worldwide are challenged by the growing costs and demands of delivering high-quality healthcare services that are safe and cost-effective to support health and wellness for populations. This paper proposes a system-level transformation of clinical environment infrastructure to advance quality and strengthen patient safety at sustainable costs. Evidence of the impact and value of the clinically integrated supply chain strategy is emerging in three global health systems: Alberta Health Services (Canada), Mercy (US) and the National Health Service (UK) to inform a strategic roadmap for health system leaders to leverage supply chain infrastructure in clinical environments as a strategic asset to strengthen quality, safety and cost. more...
- Published
- 2018
- Full Text
- View/download PDF
35. Case Study: Supply Chain Transformation in the UK National Health Service
- Author
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Anne W, Snowdon and Alexandra, Wright
- Subjects
Patient Identification Systems ,Cost-Benefit Analysis ,Point-of-Care Systems ,Supply chain ,State Medicine ,Materials management ,Automation ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,Procurement ,030202 anesthesiology ,Return on investment ,Humans ,030212 general & internal medicine ,Equipment and Supplies, Hospital ,health care economics and organizations ,Quality of Health Care ,Finance ,Electronic Data Processing ,Supply chain management ,Cost–benefit analysis ,business.industry ,Electronic data processing ,Materials Management, Hospital ,England ,Organizational Case Studies ,Patient Safety ,Business - Abstract
This case study provides evidence of the impact of the Scan4Safety program demonstrated in six National Health Service (NHS) Trusts, funded to achieve supply chain transformation to improve safety, quality and performance in the NHS in England. All 154 Trusts were mandated to adopt GS1 global standards for supply chain processes and Pan-European Public Procurement On-Line standards in 2014 to enable digital transactions across the NHS. The outcomes of this case reflect the early implementation of the program infrastructure in surgical theatre and cardiac programs. Outcomes include a 4:1 return on investment and projected savings of £1 billion pounds when scaled across the NHS. more...
- Published
- 2018
- Full Text
- View/download PDF
36. A Rational Approach to Efficient Equipment Maintenance, Part 2: A Comprehensive AEM Program
- Author
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Stephen L. Grimes, Bhaskar Iduri, Matthew Clark, Michael W. Lane, Nancy Lum, Alan Lipschultz, Malcolm Ridgway, and Matthew F. Baretich
- Subjects
03 medical and health sciences ,0302 clinical medicine ,Maintenance ,Computer Networks and Communications ,Computer science ,Biomedical Engineering ,Humans ,030212 general & internal medicine ,Materials Management, Hospital ,030204 cardiovascular system & hematology - Published
- 2018
- Full Text
- View/download PDF
37. Curating duplicates: operationalizing similiarity in the Smithsonian Institution with Haida rattles, 1880-1926.
- Author
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Nichols CA
- Subjects
- Animals, Anthropology, Museums history, Records, Anseriformes, Materials Management, Hospital
- Abstract
In the late nineteenth century, the anthropology curators of the Smithsonian Institution consulted their cataloguing systems and storerooms, assessing specimens in order to determine which could be designated as duplicate specimens and exchanged with museums domestically and abroad. The status of 'duplicate' for specimens was contingent on conceptions of similiarity impacted by disciplinary classification praxis, with particular emphasis on object nomenclature and formal attributes. Using rattles from Haida Gwaii collected between 1881 and 1885 by James Swan for the Smithsonian Institution, this article explores how anthropology curators designated rattles as exchangeable duplicate specimens. It considers cataloguing and spatial arrangements, as well as changing populations and formal characteristics of rattles, in order to explore how similarity was operationalized in the museum to produce duplicate anthropological specimens. more...
- Published
- 2022
- Full Text
- View/download PDF
38. Hospital Supply Expenses: An Important Ingredient in Health Services Research
- Author
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Yousef Abdulsalam and Eugene S. Schneller
- Subjects
medicine.medical_specialty ,Index (economics) ,Supply chain management ,030503 health policy & services ,Health Policy ,Health services research ,Materials Management, Hospital ,United States ,Purchasing ,03 medical and health sciences ,Health services ,0302 clinical medicine ,Payroll ,Purchasing, Hospital ,Family medicine ,Value (economics) ,Costs and Cost Analysis ,medicine ,Humans ,Operations management ,Health Services Research ,030212 general & internal medicine ,Business ,0305 other medical science ,Equipment and Supplies, Hospital - Abstract
The purpose of this article is to shed light on hospital supply expenses, which form the second largest expense category after payroll and hold more promise for improving cost-efficiency compared to payroll. However, limited research has rigorously scrutinized this cost category, and it is rarely given specific consideration across cost-focused studies in health services publications. After reviewing previously cited estimates, we examine and independently validate supply expense data (collected by the American Hospital Association) for over 3,500 U.S. hospitals. We find supply expenses to make up 15% of total hospital expenses, on average, but as high as 30% or 40% in hospitals with a high case-mix index, such as surgery-intensive hospitals. Future research can use supply expense data to better understand hospital strategies that aim to manage costs, such as systemization, physician–hospital arrangements, and value-based purchasing. more...
- Published
- 2017
- Full Text
- View/download PDF
39. Repurposing medical equipment
- Author
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R John Massie
- Subjects
Conservation of Natural Resources ,Safety Management ,Biomedical Engineering ,Medical equipment ,Climate change ,Environmental pollution ,General Medicine ,Materials Management, Hospital ,Equipment and Supplies ,Humans ,Environmental policy ,Business ,Environmental medicine ,Environmental Pollution ,Environmental planning ,Repurposing - Published
- 2019
40. Development of Temperature Monitoring System of Hospital Cold Storages Based on Wireless Network and its Database Management
- Author
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Vindhya Seneviratne, Yoochul Won, Subin Bae, Seong Bin Jeon, and Gilwon Yoon
- Subjects
Short Message Service ,020205 medical informatics ,Computer science ,Medicine (miscellaneous) ,Health Informatics ,02 engineering and technology ,computer.software_genre ,Login ,law.invention ,Bluetooth ,Health Information Management ,Backup ,law ,0202 electrical engineering, electronic engineering, information engineering ,Wireless ,Humans ,Biological Specimen Banks ,Data Management ,Database ,Wireless network ,business.industry ,Temperature ,Materials Management, Hospital ,Personal computer ,business ,Wireless sensor network ,computer ,Wireless Technology ,Information Systems - Abstract
Storing bio-specimens in adequate temperatures is an important task in hospitals. Usually an assigned employee records manually the temperatures of the hospital cold storages such as refrigerators and freezers that keep them at regular intervals. In this research, a low power wireless Bluetooth Low Energy network is applied where the central monitoring personal computer, receives the temperature data and stores in a database. The system consists of many beacons which are wirelessly sending the measured temperature data, and the central monitoring computer which allows the user to monitor that data. In the case of wireless signals getting blocked due to obstacles, repeaters called bridges send the data to the central computer forming a so-called scatter net. Once the data is received by the Bluetooth module connected to the monitoring computer, an application saves the data into a database. This web application forms a website where the users holding the authentication information can log in and monitor the temperature data in the form of tables and graphs. The same information can be viewed by a smartphone and a person in charge receives a warning SMS message. This system also provides a scheduled backup system where the database is automatically backed up periodically. The suggested system has the advantage of managing reagent records with reduced manpower whilst coping for emergency situations automatically. more...
- Published
- 2019
41. [Research on Quality Evaluation System of Ultrasound Diagnostic Equipment Maintenance]
- Author
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Heqing, Lu, Si, Sun, and Xiaofeng, Zhang
- Subjects
Maintenance ,Commerce ,Materials Management, Hospital ,Equipment and Supplies, Hospital ,Diagnostic Equipment - Abstract
In order to improve the quality of medical equipment after-sales service quality and improve the quality of medical equipment maintenance, this paper discusses the establishment of an evaluation index system to evaluate the quality of ultrasonic diagnostic equipment. From the three aspects of maintenance results, maintenance process and maintenance coverage, the quality of the post-maintenance quality of hospital ultrasound diagnostic equipment manufacturers is objectively evaluated. more...
- Published
- 2019
42. [Meticulous Management of the Whole Life Cycle of Medical Equipment in Hospital]
- Author
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Chengjun, Li and Shiju, Yan
- Subjects
Maintenance ,Humans ,Materials Management, Hospital ,Equipment and Supplies, Hospital ,Hospitals - Abstract
Aiming at the different characteristics of the various stages of medical equipment life cycle in hospital, research on the targeted and meticulous management mode.Divides the whole life cycle of medical equipment in hospital into four phases, which are the selection demonstration period, purchase acceptance period, maintenance period, and retirement disposal period, and comparison with human fetal period, infant stage, adult stage and old age.With the meticulous management mode, the service quality of medical equipment in hospital has been improved, and the service benefits have been enhanced.According to the respective characteristics of different stages, the corresponding meticulous management mode is implemented to make the management more scientific and standardized, and the operation is safer and more reliable, which escorts the whole life cycle of medical equipment in hospital. more...
- Published
- 2019
43. [Development of Intelligent Infusion Management System]
- Author
-
Da, Li, Yuan, Gao, Zhenfei, Duan, and Lei, Xia
- Subjects
Internet ,Humans ,Materials Management, Hospital ,Hospitals - Abstract
The intelligent infusion management system is established through intelligent internet of things, by using the gravity sensor, acceleration sensor and other equipment.Establish an infusion management platform based on B/S architecture. Combined with the intelligent terminal and get the major values, including:the infusion speed, the remaining liquid and so on. Besides, it can integrate with the HIS, EMR and PDA.It has solved the data collection of the whole infusion process, realized the real-time visualization during the infusion, and improved the quality of nursing management.In the paper, it has been used in wards more than 2 years, which has reduced the workload of the infusion and improved the satisfaction of patients. At the same time, it has provided the infusion big data collection and statistics for the research and auxiliary treatment. more...
- Published
- 2019
44. [Exploration of Medical Equipment Management Development in Public Hospitals]
- Author
-
Hui, Cao, Jian, Zhang, and Yang, Liu
- Subjects
China ,Equipment and Supplies ,Hospitals, Public ,Materials Management, Hospital - Abstract
With the continuous improvement of the hospital diagnosis and treatment level and the continuous renewal of medical equipment in China, the mismatch between medical equipment management personnel training and the introduction of medical equipment, the development of medical technology and the requirements of modern hospital management is increasingly prominent. This article is based on a current situation survey of medical equipment and management personnel at all levels of hospitals in Shanghai. It discusses joint with professional colleges and universities, and gives suggestions about needs, objectives and practice of personnel training. It provides references to improve the personnel training of medical equipment. more...
- Published
- 2019
45. Case Study: Supply Chain Transformation in the Mercy Health System
- Author
-
Anne Snowdon and Betty Rocchio
- Subjects
Operating Rooms ,Supply chain management ,Medical Errors ,Supply chain ,Best practice ,Cost-Benefit Analysis ,Point-of-Care Systems ,Industry standard ,Materials Management, Hospital ,United States ,Never events ,Order (business) ,General Surgery ,Organizational Case Studies ,Humans ,Operations management ,Business ,Revenue growth ,Hospital Costs ,Delivery of Health Care ,Equipment and Supplies, Hospital - Abstract
The Mercy case study documents evidence of a clinically integrated supply chain strategy implemented in the peri-operative programs in three of the 46 hospitals in the Mercy system. Mercy became the first US health system to achieve "the perfect order," a supply chain industry standard with end-to-end integration of supply chain best practice in the Mercy system. To date, the Mercy strategy has demonstrated revenue growth of $8 billion, a 70% reduction in Never Events, a 33.3% reduction in supplies cost/case and a 29.5% reduction in labour costs/case in the perioperative programs in three hospitals. more...
- Published
- 2019
46. Associations Between Practices and Behaviors at the Health Facility Level and Supply Chain Management for Antiretrovirals: Evidence from Cameroon, Namibia, and Swaziland
- Author
-
David Kapaon, Angela Y Chang, Diana Bowser, Laura Krech, Thomas J. Bossert, and David Mabirizi
- Subjects
Knowledge management ,Anti-HIV Agents ,Supply chain ,MEDLINE ,HIV Infections ,Materials management ,03 medical and health sciences ,0302 clinical medicine ,Health facility ,Humans ,030212 general & internal medicine ,Cameroon ,Medical prescription ,030219 obstetrics & reproductive medicine ,Supply chain management ,business.industry ,fungi ,General Medicine ,Original Articles ,Focus Groups ,Materials Management, Hospital ,Focus group ,Namibia ,Hospitals ,Anti-Retroviral Agents ,Health Facilities ,International development ,business ,Delivery of Health Care ,Eswatini - Abstract
Using antiretrovirals (ARVs) as tracer products, we identified the following key practices that may affect supply chain management at the facility level: order verification, actions taken when stock is received, changes in prescription and dispensing due to ARV stock-out, actions to ensure patient adherence, and communication with other affiliated facilities and higher-level supply chain management. We propose a set of indicators to measure these practices., Background: While measuring, monitoring, and improving supply chain management (SCM) for antiretrovirals (ARVs) is understood at many levels of health systems, a gap remains in the identification and measurement of facility-level practices and behaviors that affect SCM. This study identifies practices and behaviors that are associated with SCM of ARVs at the hospital level and proposes new indicators for measurement. Methods: We performed an in-depth literature review to identify facility-level practices and behaviors and existing indicators that are associated with SCM. We used the United States Agency for International Development's 2013 National Supply Chain Assessment Toolkit to define 7 supply chain function areas to frame the study. Qualitative, semistructured key informant and focus group interviews were conducted in hospitals with health professionals from Cameroon, Namibia, and Swaziland to understand facility-level practices and behaviors. Results: Using the results from 54 key informant and focus group interviews from 12 hospitals, we identified 30 practices and behaviors that may affect ARV SCM at the facility level. The following practice areas were particularly associated with SCM: order verification, actions taken when ARV stock is received, changes in prescription and dispensing due to ARV stock-out, actions to ensure patient adherence, and communication with other affiliated facilities and higher-level SCM. We subsequently developed measurable indicators for future research. Conclusion: This study characterizes facility-level practices and behaviors that can affect ARV SCM. It also identifies gaps in their measurement. While this study uses ARVs as a tracer medicine to understand gaps in practices at the facility level, many of the findings are more broadly applicable to other medicines in an integrated setting. This study provides real-world evidence and the groundwork for further research to characterize the link between 30 facility-level practices and behaviors and ARV SCM at the facility and central levels. more...
- Published
- 2019
47. Integrated Multicriteria Decision-Making Methods to Solve Supplier Selection Problem: A Case Study in a Hospital
- Author
-
Serap Akcan and Meral Güldeş
- Subjects
0209 industrial biotechnology ,lcsh:Medical technology ,Article Subject ,Operations research ,Computer science ,Supply chain ,Biomedical Engineering ,Analytic hierarchy process ,Health Informatics ,02 engineering and technology ,Supplier evaluation ,Decision Support Techniques ,020901 industrial engineering & automation ,0202 electrical engineering, electronic engineering, information engineering ,Humans ,ELECTRE ,Selection (genetic algorithm) ,Equipment and Supplies, Hospital ,lcsh:R5-920 ,TOPSIS ,Materials Management, Hospital ,Multiple-criteria decision analysis ,Hospitals ,Ranking ,lcsh:R855-855.5 ,Models, Organizational ,020201 artificial intelligence & image processing ,Surgery ,lcsh:Medicine (General) ,Delivery of Health Care ,Biotechnology ,Research Article - Abstract
In supply chain literature, supplier evaluation and selection problem is one of the most studied subjects because of the significant roles of suppliers in terms of the chain’s sustainability and profitability. Therefore, it is important for organizations to adopt a systematic way to evaluate and select the best supplier according to their respective criteria in today’s competitive environment. Multicriteria decision-making methods provide for this need of organizations because determination of an appropriate supplier selection is a multicriteria decision-making (MCDM) problem essentially. Although a lot of applications of these methods for supplier evaluation and selection can be seen in the literature, studies in the health-care sector are insufficient. Hospitals in the health-care sector also have to consider their supplier-related decisions to decrease risks and threads which affect their effectiveness. The aim of this study was to fill this gap by providing different hybrid models for selecting the best supplier for hospitals. Supplier evaluation and selection process start with recognizing the related criteria according to the studies in the literature. Analytic hierarchy process (AHP) method is deployed to weight the criteria, and suppliers are listed via technique for order preference by similarity to ideal solution (TOPSIS), elimination and choice translating reality English (ELECTRE), grey relational analysis (GRA), and simple additive weighting (SAW) methods. The main aim of this study was to present different hybrid MCDM methods and show their efficiency and consistency with each other. In this study, hybrid multicriteria decision-making models (AHP-TOPSIS, AHP-ELECTRE, AHP-GRA, and AHP-SAW) are presented and compared. The results show that the presented hybrid methods in this study are consistent with each other and give the same ranking for the selection of the best supplier. It can be considered as a useful guideline for hospitals. more...
- Published
- 2019
48. Research, development, and evaluation of the practical effect of a storage inflow and outflow management system for consumables in the endocrinology department of a hospital.
- Author
-
Luo J, Wang Y, Zhang Y, Yan X, Huang X, and Zhao F
- Subjects
- Endocrinology, Hospital Departments, Hospital Information Systems, Humans, Surveys and Questionnaires, Disposable Equipment, Materials Management, Hospital
- Abstract
Background: This study was designed for the research and development (R&D) and application of a storage inflow and outflow management system enabling departments to perform efficient, scientific, and information-based consumable management., Methods: In the endocrinology department of a hospital, expert and R&D teams in consumable management were set up, and an information-based storage inflow and outflow management system for consumables was designed and developed. The system was operated on a personal computer and was divided into three modules: public consumables, bed consumables, and quality control management. The functions of the system included storage inflow and outflow, early warnings, response to user queries, and statistics on consumables. Data were derived from the hospital information system (HIS,ZHIY SOFTWARE HIS VERSION4.0) and a questionnaire survey. Economic indicators, work efficiency of consumable management, nurse burnout, consumable stockroom management, and staff satisfaction were compared under manual management, Excel-based management, and the consumable storage inflow and outflow management system. The results of the questionnaire were analysed using the R software, version 4.1.0., Results: Dates were obtained from manual management, Excel-based management and the consumable storage inflow and outflow management system. Under these three methods, the daily prices of department consumables per bed were 53.43 ± 10.27 yuan, 38.65 ± 8.56 yuan, and 31.98 ± 7.36 yuan, respectively, indicating that the new management system reduced costs for the department. The time spent daily on consumable management was shortened from 119.5 (106.75, 123.5) min to 56.5 (48.5, 60.75) to 20 (17.25, 24.25) min. Nurses' emotional fatigue and job indifference scores, respectively, decreased from 22.90 ± 1.65 and 8.75 ± 1.25 under manual management to 19.70 ± 1.72 and 6.90 ± 1.37 under Excel-based management and to 17.20 ± 2.04 and 6.00 ± 1.30 under the novel system; the satisfaction of the warehouse keeper and collection staff, respectively, increased from 76.62% and 80.78% to 91.6% and 90.5% to 98.8% and 98.5% under the three successive systems., Conclusions: The storage inflow and outflow management system achieved produced good results in the storage and classification of consumables., (© 2022. The Author(s).) more...
- Published
- 2022
- Full Text
- View/download PDF
49. Prevalence of Medical Conditions Potentially Amenable to Cellular Therapy among Families Privately Storing Umbilical Cord Blood
- Author
-
Alyssa Ziman, Kelin Colberg, Mark Kane, Heather Brown, Andrew Mohr, Peter Mazonson, Chris Santas, and Heather Harris
- Subjects
Lymphoma ,Epidemiology ,Stem Cell Research - Umbilical Cord Blood/ Placenta - Human ,Regenerative Medicine ,Regenerative medicine ,Umbilical cord ,Medical and Health Sciences ,Cord blood stem cell transplantation ,Cell therapy ,Umbilical cord blood ,0302 clinical medicine ,Stem Cell Research - Nonembryonic - Human ,Surveys and Questionnaires ,Obstetrics and Gynaecology ,Prevalence ,Blood bank ,Cancer ,Pediatric ,Leukemia ,Obstetrics and Gynecology ,Anemia ,Sarcoma ,Hematology ,Materials Management, Hospital ,Fetal Blood ,medicine.anatomical_structure ,Studies in Human Society ,030220 oncology & carcinogenesis ,Cord blood ,Public Health ,Stem cell ,Stem Cell Research - Umbilical Cord Blood/ Placenta ,medicine.medical_specialty ,Intellectual and Developmental Disabilities (IDD) ,Clinical Trials and Supportive Activities ,Cord Blood Stem Cell Transplantation ,Article ,03 medical and health sciences ,Hospital ,Rare Diseases ,Clinical Research ,Internal medicine ,medicine ,Humans ,Pediatrics, Perinatology, and Child Health ,Transplantation ,business.industry ,Public Health, Environmental and Occupational Health ,Materials Management ,medicine.disease ,Stem Cell Research ,United States ,Surgery ,Brain Disorders ,Cross-Sectional Studies ,Pediatrics, Perinatology and Child Health ,Autism ,Stem cell transplant ,business ,Hematopoietic stem cells ,030215 immunology - Abstract
Introduction Little is known about the prevalence of conditions potentially amenable to cellular therapy among families storing umbilical cord blood in private cord blood banks. Methods A cross-sectional study of families with at least one child who stored umbilical cord blood in the largest private cord blood bank in the United States was performed. Respondent families completed a questionnaire to determine whether children with stored cord blood or a first-degree relative had one or more of 16 conditions amenable primarily to allogeneic stem cell transplant (“transplant indications”) or 16 conditions under investigation for autologous stem cell infusion (“regenerative indications”), regardless of whether they received a transplant or infusion. Results 94,803 families responded, representing 33.3 % of those surveyed. Of respondent families, 16.01 % indicated at least one specified condition. 1.64 % reported at least one first-degree member with a transplant indication potentially treatable with an allogeneic stem cell transplant. The most common transplant indications reported among first-degree family members were Non-Hodgkin’s Lymphoma (0.33 %), Hodgkin’s Lymphoma (0.30 %), and Acute Lymphoblastic Leukemia (0.28 %). 4.23 % reported at least one child with a regenerative indication potentially treatable with an autologous stem cell infusion. The most common regenerative indications among children with stored umbilical cord blood were Autism/Autism Spectrum Disorder/Apraxia (1.93 %), Other Developmental Delay (1.36 %), and Congenital Heart Defect (0.87 %). Discussion Among families storing umbilical cord blood in private cord blood banks, conditions for which stem cell transplant or infusion may be indicated, or are under investigation, appear to be prevalent, especially for regenerative medicine indications. Electronic supplementary material The online version of this article (doi:10.1007/s10995-016-2110-1) contains supplementary material, which is available to authorized users. more...
- Published
- 2016
50. Plastic wrap combined with alcohol wiping is an effective method of preventing bacterial colonization on mobile phones
- Author
-
Tzu-Yi Wang, Yi-Hsuan Chang, Wen-Hui Su, Kuan-Ting Liu, Chao-Ju Chen, I Chen, Hsiu-Yueh Wu, Deng-Chyang Wu, Ming-Feng Hou, Li-Chin Chen, I-Jeng Yeh, Hsin-Liang Liu, Pei-Hsuan Yang, and Yen-Hung Wu
- Subjects
business.product_category ,Plastic wrap ,Toxicology ,03 medical and health sciences ,0302 clinical medicine ,Bacterial colonization ,Quality Improvement Study ,Humans ,Medicine ,030212 general & internal medicine ,Equipment and Supplies, Hospital ,Disinfection methods ,mobile phone ,Cross Infection ,Bacteria ,Ethanol ,alcohol ,business.industry ,Protective Devices ,technology, industry, and agriculture ,infection prevention ,plastic wrap ,General Medicine ,Materials Management, Hospital ,Disinfection ,Mobile phone ,030220 oncology & carcinogenesis ,Anti-Infective Agents, Local ,Equipment Contamination ,Emergency Service, Hospital ,business ,Plastics ,human activities ,Cell Phone ,Research Article - Abstract
Introduction: Using mobile phones for communication in emergency departments is a common practice; however, several studies have demonstrated that they may act as vectors for bacteria and viruses. This study evaluated the effectiveness of plastic wrapping in decreasing bacterial contamination on mobile phone surfaces. Method: We used culture dishes and a luminometer to detect bacterial colonies and contamination on the phone surfaces. Result: Our experiment showed that bacterial colonies exist on mobile phones before and after work. We found that wiping with 75% alcohol sanitizers effectively reduces the number of colonies on either a mobile phone or a temporary plastic covering. In addition, we found that bacterial colonies do not contaminate or adhere to plastic wrap any easier than to mobile phones. Conclusion: These results demonstrated the effectiveness of plastic wrap for protecting mobile phone surfaces against bacterial colonization. In addition, applying a layer of plastic wrap protects the phone from potential damage due to the alcohol. more...
- Published
- 2020
- Full Text
- View/download PDF
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