Support system for planning and medical equipment specification aiming hospital services

2002 ◽  
Author(s):  
E.L. Muller ◽  
S.J. Calil
Keyword(s):  
Support System ◽  
Medical Equipment ◽  
Hospital Services

PP126 Analyses Of User Requirements In The Evaluation Of Medical Equipment

2019 ◽  
Vol 35 (S1) ◽  
pp. 60-60
Author(s):  
Ricardo Bertoglio Cardoso ◽  
Priscila G. Brust-Renck ◽  
Flavio Sanson Fogliatto ◽  
Helena Barreto Dos Santos
Keyword(s):  
User Satisfaction ◽  
Medical Equipment ◽  
Clustering Algorithms ◽  
Healthcare Providers ◽  
End Users ◽  
User Requirements ◽  
Hospital Services ◽  
Healthcare Outcomes ◽  
Service Groups ◽  
Clinical Engineers

IntroductionHuman-centered approaches to eliciting requirements for medical equipment selection are recognized as improving healthcare outcomes, safety, and end-user satisfaction. Nevertheless, there are many challenges to conducting rigorous investigations to identify requirements that satisfy different hospital services and types of end users (e.g., patients, healthcare professionals, and clinical engineers). By establishing a systematic method for selecting medical recliners, this study provides detailed technical characteristics and user requirements associated with several hospital areas, as well as a comparison between two end users (health professionals and patients) and their different perceptions of usability.MethodsFirst, clinical engineers and senior nurses from seven hospital services identified and rated the technical characteristics of medical recliners. Ratings were then used to stratify all services in well-defined similar groups using hierarchical and non-hierarchical clustering algorithms. Next, users of hospital recliners (60 patients and 56 healthcare providers) from each group were interviewed to identify their requirements for an ideal medical recliner. Finally, analyses of variance were performed to identify consensus decisions from users across the different hospital contexts as to which technical characteristics were the most relevant.ResultsThe contribution of senior nurses and clinical engineers led to the identification of 41 technical characteristics. The analysis of 116 participant interviews identified 95 different requirements, extracted from 1,052 user suggestions. Correspondence analysis of the most important requirements, combined for each of the three stratified service groups, indicated that two-thirds of all user requirements (14 out of 20) were fulfilled by five out of 32 quantitative technical characteristics, regardless of context.ConclusionsHuman-centered methods can identify similarities between health technology characteristics and decrease the complexity associated with selecting technologies, while simultaneously fulfilling the requirements of multiple users and hospital departments.

scholarly journals PENGAMATAN PERUBAHAN LANJUT KEMATIAN DALAM MENGHINDARI MATI SURI

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Catherine Karundeng
Keyword(s):  
Support System ◽  
Medical Equipment ◽  
Life Support ◽  
Life Support System ◽  
Simple Tool ◽  
Death Experience ◽  
Defining Death ◽  
Near Death Experience

Abstract: The purpose of this study to further assess changes in mortality in an effort to resolve and prevent cases of near death experience. The basis of the study of a science is Tanatology. Near death experience can occur due to the lack of a simple tool, but it can still be detected with sophisticated tools. For those with advanced medical equipment they can be proven that the three life support system is still functioning. This often leads to inner conflict. Nevertheless, physicians should be able to determine the best decision in order not to harm defining death and can help many people.Keywords: death, tanatology, near death experienceAbstrak: Penelitian ini bertujuan untuk mengetahui perubahan lanjut kematian dalam usaha untuk memecahkan serta menghindari kasus-kasus mati suri. Dasar dari ilmu yang mempelajari tentang kematian merupakan ilmu Tanatologi. Mati suri dapat terjadi karena kurangnya alat sederhana, namun masih dapat terdeteksi dengan alat canggih. Untuk itu dengan peralatan kedokteran canggih masih dapat dibuktikan bahwa ketiga sistem penunjang kehidupan masih berfungsi. Hal ini sering menimbulkan konflik batin. Walaupun demikian dokter harus dapat menentukan keputusan terbaik dalam mendefinisikan kematian agar tidak merugikan dan dapat membantu masyarakat banyak.Kata kunci: kematian, tanatologi, mati suri

scholarly journals Investing in acute health services: is it time to change the paradigm?

2014 ◽  
Vol 38 (5) ◽  
pp. 533 ◽  
Author(s):  
Rhonda Kerr ◽  
Delia V Hendrie ◽  
Rachael Moorin
Keyword(s):  
Health Services ◽  
Service Delivery ◽  
Capital Investment ◽  
Medical Equipment ◽  
Public Hospital ◽  
Cost Of Capital ◽  
Public Hospitals ◽  
Hospital Services ◽  
The Cost

Objective Capital is an essential enabler of contemporary public hospital services funding hospital buildings, medical equipment, information technology and communications. Capital investment is best understood within the context of the services it is designed and funded to facilitate. The aim of the present study was to explore the information on capital investment in Australian public hospitals and the relationship between investment and acute care service delivery in the context of efficient pricing for hospital services. Methods This paper examines the investment in Australian public hospitals relative to the growth in recurrent hospital costs since 2000–01 drawing from the available data, the grey literature and the reports of six major reviews of hospital services in Australia since 2004. Results Although the average annual capital investment over the decade from 2000–01 represents 7.1% of recurrent expenditure on hospitals, the most recent estimate of the cost of capital consumed delivering services is 9% per annum. Five of six major inquiries into health care delivery required increased capital funding to bring clinical service delivery to an acceptable standard. The sixth inquiry lamented the quality of information on capital for public hospitals. In 2012–13, capital investment was equivalent to 6.2% of recurrent expenditure, 31% lower than the cost of capital consumed in that year. Conclusions Capital is a vital enabler of hospital service delivery and innovation, but there is a poor alignment between the available information on the capital investment in public hospitals and contemporary clinical requirements. The policy to have capital included in activity-based payments for hospital services necessitates an accurate value for capital at the diagnosis-related group (DRG) level relevant to contemporary clinical care, rather than the replacement value of the asset stock. What is known about the topic? Deeble’s comprehensive hospital-based review of capital investment and costs, published in 2002, found that investment averages of between 7.1% and 7.9% of recurrent costs primarily replaced existing assets. In 2009, the Productivity Commission and the National Health and Hospitals Reform Commission (NHHRC) recommended capital, for the replacement of buildings and medical equipment, be included in activity-based funding. However, there have been persistent concerns about the reliability and quality of the information on the value of hospital capital assets. What does this paper add? This is the first paper for over a decade to look at hospital capital costs and investment in terms of the services they support. Although health services seek to reap dividends from technology in health care, this study demonstrates that investment relative to services costs has been below sustainable levels for most of the past 10 years. The study questions the helpfulness of the highly aggregated information on capital for public hospital managers striving to improve on the efficient price for services. What are the implications for practitioners? Using specific and accurate information on capital allocations at the DRG level assists health services managers advance their production functions for the efficient delivery of services.

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