Desenvolvimento de ferramentas e indicadores de gestão em saúde: experiência da segurança do paciente

The aim was to demonstrate the use of quality and safety management indicators for fall risk. Descriptive case report on the use and results of quality management tools. The setting is a clinical ward of a tertiary care hospital located in the capital of the state of Rio de Janeiro. Data were collected in April/2023. The pre-test assertiveness rate was 87% and 89% for the post-test, however for analysis of the indicator identification of the risk of falling, it was significantly high for inadequacy, on the general average 90.48% of the beds, and after raising awareness via online training and monitoring, there was a drastic and relatively important change to 84.56% of beds and patients identified appropriately. The prevention and reduction of risk factors are challenges in the management of nursing care in the broad health ecosystem. Quality as a right must be implemented by associating accessible technological resources and tools that can measure and quantify objectives aligned with institutional practices.Objetivou-se demonstrar o uso de indicadores de gestão de qualidade e segurança do risco de queda. Relato de caso descritivo sobre uso e resultados de ferramentas de gestão da qualidade. O cenário é uma enfermaria clínica de um hospital de nível de atenção terciário localizado na capital do estado do Rio de Janeiro. Os dados foram coletados em abril/2023. A taxa de assertividade do pré-teste foi de 87% e para o pós-teste de 89%, contudo para análise do indicador identificação do risco de queda que era significativamente alta para inadequação, na média geral 90,48% dos leitos, e após a sensibilização via treinamento online e do monitoramento, houve uma mudança drástica e relativamente importante para 84,56% de leitos e pacientes identificados de maneira adequadas. A prevenção e redução de fatores de riscos são desafios na gestão da assistência de enfermagem no amplo ecossistema da saúde. A qualidade como direito deve ser implementado associando recursos tecnológicos acessíveis e com ferramentas que possam mensurar e quantificar objetivos alinhados com as práticas institucionais

Evaluation of digital educational studenttechnology interaction in neonatal nursing

OBJECTIVE To assess the digital educational technology interface Caring for the sensory environment in the neonatal unit: noise, lighting and handling based on ergonomic criteria. METHODS Descriptive study, in which we used the guidelines and ergonomic criteria established by ISO 9241-11 and an online Likert scale instrument to identify problems and interface qualities. The instrument was built based on Ergolist, which follows the criteria of ISO 9141-11. There were 58 undergraduate study participants from the School of Nursing of Ribeirao Preto, University of Sao Paulo, who attended the classes about neonatal nursing content. RESULTS All items were positively evaluated by more than 70% of the sample. CONCLUSION Educational technology is appropriate according to the ergonomic criteria and can be made available for teaching nursing students.OBJETIVO Evaluar la interfaz de la tecnología educativa digital Cuidando el ambiente sensorial en la unidad neonatal: ruido, luminosidad y manipulación con base en los criterios de ergonomía. MÉTODO Estudio descriptivo, en el que se emplearon las orientaciones y los criterios ergonómicos establecidos por la Norma ISO 9241-11 y un instrumento tipo Likert en línea para identificar los problemas y las calidades de la interfaz. El instrumento fue construido con base en el Ergolist, que sigue los criterios de la ISO 9141-11. Participaron del estudio 58 alumnos de pregrado de la Escuela de Enfermería de Ribeirão Preto de la Universidad de São Paulo, quienes cursaron las asignaturas que ofrecen contenidos de enfermería neonatal. RESULTADOS Todos los puntos fueron evaluados positivamente por más del 70% de la muestra. CONCLUSIÓN La tecnología educativa está adecuada a los criterios ergonómicos y se puede utilizarla para la enseñanza de estudiantes de enfermería.OBJETIVO Avaliar a interface da tecnologia educacional digital Cuidando do ambiente sensorial na unidade neonatal: ruído, luminosidade e manipulação com base nos critérios de ergonomia. MÉTODO Estudo descritivo, em que foram utilizadas as orientações e os critérios ergonômicos estabelecidos pela Norma ISO 9241-11 e um instrumento tipo Likert online para identificar problemas e qualidades da interface. O instrumento foi construído com base no Ergolist, que segue os critérios da ISO 9141-11. Participaram do estudo 58 alunos de graduação da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, os quais cursaram as disciplinas que oferecem conteúdos de enfermagem neonatal. RESULTADOS Todos os itens foram avaliados positivamente por mais de 70% da amostra. CONCLUSÃO A tecnologia educacional está adequada segundo os critérios ergonômicos e pode ser disponibilizada para o ensino de estudantes de enfermagem

EVALUATION OF LINEAR ACCELERATOR UTILIZATION FOR CA MAMMAE RADIOTHERAPY AT A PRIVATE HOSPITAL

Background: Radiotherapy is an important cancer therapy in Indonesia. For hospitals which have provided radiotherapy tools for more than five years, they need to evaluate its utilization and influence on patients’ condition.Aim: This study aims to analyze the use of Linac for radiating breast cancers in one of a type-C private hospital in Central Java by using Health Technology Assessment.Method: This study is an observational and descriptive study with an in-depth interview. There were 72 medical record documents examined. Furthermore, the researchers calculated the profits from the financial feasibility of tool investment gained by the hospital. This study involved six Key Informants and four triangulation informants.Results: This study shows that in terms of effectivity aspect, one Linac can prolong patient waiting time about 2-4 weeks. Such a long waiting time may cause disease progression to increase. Meanwhile, seen from the technical characteristics, the tool is not well-maintained by the internal and external parties. It causes the tool’s performance worse. In terms of the economic aspect, the tool has lasted for 7.5 years, but it technically has been utilized for ten years. Therefore, the hospital needs to supply more radiation tools.Conclusion: The Linac utilization in a year increased, and the ca mammae patient visits were high. In addition to those aspects, the profits gained from the health services were high as well. The hospital should add radiation tools to improve the radiation capacity and decrease patient waiting time.Keywords: linac, economic evaluation, Ca Mammae

Evaluation of digital educational studenttechnology interaction in neonatal nursing

OBJECTIVE To assess the digital educational technology interface Caring for the sensory environment in the neonatal unit: noise, lighting and handling based on ergonomic criteria. METHODS Descriptive study, in which we used the guidelines and ergonomic criteria established by ISO 9241-11 and an online Likert scale instrument to identify problems and interface qualities. The instrument was built based on Ergolist, which follows the criteria of ISO 9141-11. There were 58 undergraduate study participants from the School of Nursing of Ribeirao Preto, University of Sao Paulo, who attended the classes about neonatal nursing content. RESULTS All items were positively evaluated by more than 70% of the sample. CONCLUSION Educational technology is appropriate according to the ergonomic criteria and can be made available for teaching nursing students

Relationships Among Administrative Computerization, Hospital Size, and Administrative Expenses

The healthcare industry is computerizing administrative functions in an attempt to reduce expenses and remain competitive. This correlational study of 3,088 Medicare-certified, short-term, acute-care hospitals in the United States was based on a general systems theory framework; it sought to examine the relationships among the independent variables of hospital size and administrative computerization and the dependent variable of administrative expenses. Secondary data from Health Information Management Systems Society\u27s surveys and cost reports from the Centers for Medicare and Medicaid services were used. Correlation analyses with an alpha of .05 were used to test 3 of the 4 hypotheses; regression analysis was used to test the final hypothesis. Approximately 52% of the variance in administrative expenses was explained by the number of beds, a moderate-to-high relationship. Only 6.3% of the variance in administrative expenses was explained by the amount of administrative computerization, a significant but small relationship. Only 9% of the variance in administrative computerization was explained by the hospital size, a significant but small relationship. The results of this study can be used as a basis to determine whether investment in technology in administration will reduce health care expenses. Appropriate investment in technology can contribute to social change by reducing consumer health care costs

Why technology matters as much as science in improving healthcare

Abstract Background More than half a million new items of biomedical research are generated every year and added to Medline. How successful are we at applying this steady accumulation of scientific knowledge and so improving the practice of medicine in the USA? Discussion The conventional wisdom is that the US healthcare system is plagued by serious cost, access, safety and quality weaknesses. A comprehensive solution must involve the better translation of an abundance of clinical research into improved clinical practice. Yet the application of knowledge (i.e. technology) remains far less well funded and less visible than the generation, synthesis and accumulation of knowledge (i.e. science), and the two are only weakly integrated. Worse, technology is often seen merely as an adjunct to practice, e.g. electronic health records. Several key changes are in order. A helpful first step lies in better understanding the distinction between science and technology, and their complementary strengths and limitations. The absolute level of funding for technology development must be increased as well as being more integrated with traditional science-based clinical research. In such a mission-oriented federal funding strategy, the ties between basic science research and applied research would be better emphasized and strengthened. Summary It bears repeating that only by applying the wealth of existing and future scientific knowledge can healthcare delivery and patient care ever show significant improvement.</p

The evaluation of strategic levers as a means to get effectiveness and efficiencies within the JMH Group of private hospitals.

Master of Business Administration. University of KwaZulu-Natal, Westville 2015.Healthcare businesses and service providers are being pressurised to modify and restructure their business models to offer a prodigious high quality service deliver while con currently reducing the costs of the service delivered. In order for these companies to be competitive in this highly complex industry, change and innovation tactics is the status quo. The focus of this research was to examine the key strategic levers within a private hospital group as a means to improve efficiencies and effectiveness. The frame work from imminent change and innovation lead us to infer to the four primary strategic levers identified, namely cost containment, leadership, process management and reimbursement strategies. Recognising the importance of a holistic understanding to define sustainable business practices for the private healthcare hospital industry, this research includes all dimensions of the four strategic levers mentioned above. The study intends to investigate the impact that these strategic levers have on the business and all stakeholders involved. A quantitative approach was selected and the results of the quantitative questionnaire (n= 65) was analysed with corresponding inferences to ensure a more complete conception of the data using the SPSS program. It has been noted from the surveys that these four strategic levers have a significant impact on the institutions performance. The major finding emanated from the study which is of a great concern is the cost drivers affect the JMH business strategy in healthcare indicating that salaries and skilled resources are major cost drivers whilst the ageing population increases utilization which in turn increases healthcare expenditure. The leadership arena is alarming with a high response indicating that a qualification is crucial in leading however the barrier is that 25% of the middle management do not possess a relevant qualification. Process management are in line with internal standards however emphasis was given to a “lean mythology”, that could be beneficial. The under lying derivative from funder reimbursement strategies lead us to argue that the autonomy lied with the funders. Consequently the study shows that there is a need for strategic innovation, aligned with formal measurement and process systems to improve business presence

An approach to transformational cost reduction in a private hospital.

Master’s Degree. University of KwaZulu-Natal, Durban.The National Healthcare system in South Africa has reached a point of intensifying costs due to increases in escalation of at least 15% year on year. The South African Government‟s imminent roll out of the National Health Insurance (NHI) programmes is going to cost R69 million rand and currently, the government is uncertain as to where the funds are going to come from – in all probability increased taxes. The government and public sector health have failed to deliver quality, affordable healthcare services to the South African population, with more than 80% of the population still having no healthcare coverage or insurance or medical aid. The government‟s current management of the public healthcare sector has confirmed that government is unable to control healthcare costs in the public sector. Culture and behaviour that have been in existence for over 30 years cannot have change forced upon them. There have to be many discussions, forums and role modelling with the evidence-based results as the catalyst for the transformation. Management will have to make their staff and doctors comfortable to be receptive to the transformational cost reductions, highlighting that technology is forming a blueprint of all recordable activities which are being measured and monitored by many of the stakeholders from medical aids and managed care organisations. Based on this information, Insight actuaries in South Africa are able to extract data for the medical aids to dispute hospitalisations, doctor behaviour, and treatment patterns with cost per event as a benchmark forming the basis for increased healthcare costs by service providers. These cost efficiency reports are given to hospitals to control doctor behaviour, healthcare spending resulting in the current decreased occupancies, decreased margins, poor profitability and impact on long-term sustainability

Instructional Designers\u27 Perceptions Regarding Preparation For Practice In A Health Care Environment

This study utilized a multi-case, bounded case, single-site case study research design to examine how well instructional designers perceive themselves able to practice ID in health care industries. Questions central to this study focused on how instructional designers perceive their preparation to practice, usefulness of professional development organizations or affiliations in which they participated while practicing ID, both academic and non-academic curricula, and utilization of ID practices when designing and developing ID projects in health care environments. The site selected for this study was a teaching hospital in Southeast Metropolitan Detroit, Michigan. Sampling size was limited to five instructional designers who had been working in the health care environment. Using a case study approach, convenient sampling was utilized to obtain detailed information about the experiences of instructional designers in the health care sector. Upon completion of interviews, participants had the opportunity to show completed work projects and were provided an opportunity to reflect on ID practice via journal entries over a two week time period. The constant comparative method was utilized for data analysis whereby a within - case analysis was conducted followed by a cross case analysis. Findings of this research showed that participants felt well prepared to practice ID in their respective health care environment and offered a variety of ways in which an instructional designer can explore the field of health care, how academic program administrators can collaborate with health care organizations to provide ID opportunities for students, and ways in which health care administrators can explore additional learning opportunities for their ID employees