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Scheduling Operating Rooms: Achievements, Challenges and Pitfalls Samudra M, Van Riet C, Demeulemeester E, Cardoen B, Vansteenkiste N, Rademakers F
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Lirias Scheduling operating rooms: achievements, challenges and pitfalls Samudra M, Van Riet C, Demeulemeester E, Cardoen B, Vansteenkiste N, Rademakers F. KBI_1608 Scheduling operating rooms: Achievements, challenges and pitfalls Michael Samudra · Carla Van Riet · Erik Demeulemeester · Brecht Cardoen · Nancy Vansteenkiste · Frank E. Rademakers Abstract In hospitals, the operating room (OR) Keywords Health care management · Surgery is a particularly expensive facility and thus effi- scheduling · Operating room planning · Review cient scheduling is imperative. This can be greatly supported by using advanced methods that are discussed in the academic literature. In order to 1 Introduction help researchers and practitioners to select new relevant articles, we classify the recent OR plan- Health care has a heavy financial burden for gov- ning and scheduling literature into tables using ernments within the European Union as well as patient type, used performance measures, deci- in the rest of the world. Additionally, while grow- sions made, OR supporting units, uncertainty, re- ing economies and newly emerging technologies search methodology and testing phase. Addition- could lead us to believe that supporting our re- ally, we identify promising practices and trends spective national health care systems might get and recognize common pitfalls when research- less expensive over time, data show that this is not ing OR scheduling. Our findings indicate, among the case. others, that it is often unclear whether an arti- For example, within the USA, the National cle mainly targets researchers and thus contributes Health Expenditure as a share of the Gross Do- advanced methods or targets practitioners and mestic Product (GDP) was 17.4% in 2013 [54]. -
In. ^Ifil Fiegree in PNILOSOPNY
ISLAMIC PHILOSOPHY OF SCIENCE: A CRITICAL STUDY O F HOSSAIN NASR Dis««rtation Submitted TO THE Aiigarh Muslim University, Aligarh for the a^ar d of in. ^Ifil fiegree IN PNILOSOPNY BY SHBIKH ARJBD Abl Under the Kind Supervision of PROF. S. WAHEED AKHTAR Cbiimwa, D«ptt. ol PhiloMphy. DEPARTMENT OF PHILOSOPHY ALIGARH IWIUSLIIM UNIVERSITY ALIGARH 1993 nmiH DS2464 gg®g@eg^^@@@g@@€'@@@@gl| " 0 3 9 H ^ ? S f I O ( D .'^ ••• ¥4 H ,. f f 3« K &^: 3 * 9 m H m «< K t c * - ft .1 D i f m e Q > i j 8"' r E > H I > 5 C I- 115m Vi\ ?- 2 S? 1 i' C £ O H Tl < ACKNOWLEDGEMENT In the name of Allah« the Merciful and the Compassionate. It gives me great pleasure to thanks my kind hearted supervisor Prof. S. Waheed Akhtar, Chairman, Department of Philosophy, who guided me to complete this work. In spite of his multifarious intellectual activities, he gave me valuable time and encouraged me from time to time for this work. Not only he is a philosopher but also a man of literature and sugge'sted me such kind of topic. Without his careful guidance this work could not be completed in proper time. I am indebted to my parents, SK Samser All and Mrs. AJema Khatun and also thankful to my uncle Dr. Sheikh Amjad Ali for encouraging me in research. I am also thankful to my teachers in the department of Philosophy, Dr. M. Rafique, Dr. Tasaduque Hussain, Mr. Naushad, Mr. Muquim and Dr. Sayed. -
Intensive Care Units (ICU): the Clinical Pharmacist Role to Improve Clinical Outcomes and Reduce Mortality Rate- an Undeniable Function
Open Access Journal of Clinical Intensive Care and Medicine Review Article Intensive Care Units (ICU): The clinical pharmacist role to improve clinical ISSN 2639-6653 outcomes and reduce mortality rate- An undeniable function Luisetto M1* and Ghulam Rasool Mashori2 1Applied Pharmacologist, Hospital Pharmacist Manager 29121, Italy 2Professor & Director, Peoples University of Medcial & Health Sciences for Woman, Nawabshah, Pakistan *Address for Correspondence: Luisetto M, Applied Abstract Pharmacologist, Hospital Pharmacist Manager 29121, Italy, Email: [email protected] Observing relevant biomedical literature we have see that clinical pharmacist play a crucial role in ICU Submitted: 09 October 2017 settings with reducing in mortality rate and improving some clinical outcomes. Approved: 01 November 2017 Published: 02 November 2017 Copyright: 2017 Luisetto M, et al. This is Introduction an open access article distributed under the Creative Commons Attribution License, which In ICU settings we can easily observe that the mortality rate is higher then other permits unrestricted use, distribution, and wards and for this reason a real multisiciplinatity medical team with added clinical ph. reproduction in any medium, provided the Competences can improve this situation. High intensity of cure, polipharmacy, critical original work is properly cited. patient conditions need also a pharmaceutical competencies to be added to the classic Keywords: ICU; Clinical pharmacy; Pharmaceutical decision making systems (clinical- managerial). The critically hill patients need a more care; Clinical outcomes; Mortality rate rational decision making systems to improve the clinical outcomes and in safety way. Material and Methods In this review and research paper we have searched some relevant biomedical literature in order to evaluate the real eficacy of clinical pharmacist in improving clinical outcomes and reducing mortality rate. -
Introduction to Hospital and Health-System Pharmacy Practice 59 Tients with a Specific Disease State Or for Activities Related to Self Governance Diagnosis
Part II: Managing Medication Use CHAPTER 4 Medication Management Kathy A. Chase ■■ ■■■ Key Terms and Definitions Learning Objectives ■■ Closed formulary: A list of medica- After completing this chapter, readers tions (formulary) which limits access should be able to: of a practitioner to some medications. 1. Describe the purpose of a formulary A closed formulary may limit drugs to system in managing medication use in specific physicians, patient care areas, or institutions. disease states via formulary restrictions. 2. Discuss the organization and role of the ■■ Drug formulary: A formulary is a pharmacy and therapeutics committee. continually updated list of medications 3. Explain how formulary management and related information, representing works. the clinical judgment of pharmacists, 4. List the principles of a sound formulary physicians, and other experts in the system. diagnosis and/or treatment of disease 5. Define key terms in formulary manage- and promotion of health. ment. ■■ Drug monograph: A written, unbi- ased evaluation of a specific medica- tion. This document includes the drug name, therapeutic class, pharmacology, indications for use, summary of clinical trials, pharmacokinetics/dynamics, ad- verse effects, drug interactions, dosage regimens, and cost. ■■ Drug therapy guidelines: A document describing the indications, dosage regi- mens, duration of therapy, mode(s) of administration, monitoring parameters and special considerations for use of a specific medication or medication class. ■■ Drug use evaluation (DUE): A process used to assess the appropriate- ness of drug therapy by engaging in the evaluation of data on drug use in a given health care environment against predetermined criteria and standards. ◆■ Diagnosis-related DUE: A drug use evaluation completed on pa- INTRODUCTION TO HOSPITAL AND HEALTH-SYSTEM PHARMACY PRACTICE 59 tients with a specific disease state or for activities related to self governance diagnosis. -
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Original Research PRACTICE-BASED RESEARCH Descriptive Analysis of Acceptance by Prescribers and Economic Benefit of Pharmacist Recommended Interventions in a Critical Care Unit YoonJung Lee, PharmD1, 2; Lana Gettman, PharmD2 1Texas Tech University Health Sciences Center; 2Harding University College of Pharmacy ABSTRACT Background: Pharmacist clinical intervention is defined as the action that identifies and prevents medication-related problems and optimizes patient’s medication therapy in cooperation with other healthcare professionals. Types of clinical interventions may vary, but each is patient specific. Few studies have focused on clinical pharmacists interventions in a critical care setting at a rural hospital. Objectives: The purpose of this study was to assess physician acceptance rate of pharmacist-recommended interventions in the critical care unit (CCU) at a rural hospital over five years and to evaluate the economic benefit of accepted pharmacist-recommended interventions over a one-year time period. Methods: This study was a retrospective chart review over a five-year time period. Each intervention was categorized and analyzed for acceptance or non-acceptance by the treating physician. Evaluation of economic benefit, cost saving and cost avoidance, for a one-year time period was performed. Results: A total of 1275 interventions were documented during study period. The average acceptance rate for documented interventions was 56%. The acceptance rate by physicians increased over the study period; with the acceptance rate in 2013 being statistically significantly higher than any other years. The overall cost saving for selected interventions was $432 for the one year. The overall cost avoidance of all accepted interventions for the one year was $453,339.36-$468,327.62. -
Gap Analysis Between Patients' Expectations and Services
JRFHHA Gap Analysis between Patients’ Expectations and Services Provided by Pharmacy10.5005/jp-journals-10035-1018 Store of a Tertiary Care Hospital RESEARCH ARTICLE Gap Analysis between Patients’ Expectations and Services Provided by Pharmacy Store of a Tertiary Care Hospital 1Jharna Bajpai, 2Nirmal K Gurbani ABSTRACT INTRODUCTION Pharmacy store of hospital is among one the major revenue In recent years, awareness has risen on how patients perceive generating area of hospital. Its performance can be a vital the quality of their healthcare. Consequently measuring element in the success of any upcoming hospital. Nowadays, not only the availability of prescribed drugs matters but explanation patient satisfaction has become an important tool to gain of dose, frequency and duration of drugs to be taken, behavior of attention and value among the healthcare consumers as well pharmacist and waiting time to get drugs play an important role as competitors. Measuring patient satisfaction encompasses in satisfaction of patients. The pharmacy store of the hospital evaluating patient’s perceptions and determining whether provides more specialized and more time-saving services they felt that their needs met.1 Research in the area of ‘Hospital for patients. It also eases the financial burden on pharmacy users via drug discounts. A cross-sectional comparative study Administration in India’ is still in its infant stage. To men- was conducted on 90 respondents. A self administered pre- tion a few important research works carried out in India, designed, pretested, structured questionnaire was given to a reference can be made to Sreenivas2 who examined why selected respondents on first contact to the pharmacy store the hospital administrator should take patient-satisfaction of the hospital with the aim to study the perception of patients seriously as a measurement. -
Integrating the Healthcare Enterprise Hospital Pharmacy and Community Pharmacy Use Cases and Standards White Paper Final Text Ve
Hospital Pharmacy and Community Pharmacy – Use Cases and Standards – v1.2 Integrating the Healthcare Enterprise Hospital Pharmacy and Community Pharmacy Use Cases and Standards White Paper Final Text Version 1.2 1 / 70 Copyright © 2010, IHE Europe Hospital Pharmacy and Community Pharmacy – Use Cases and Standards – v1.2 Document version Editor Remarks 1.2 N. Canu, PHAST Final Text G. Claeys, Agfa Healthcare T. de Jong, HL7 A. Estelrich, GIP/DMP I. Gibaud, SIB S. Juvin, GIP/DMP F. Macary, GMSIH V. Mary, SIB J. Nuñez Suarez, INDRA C. Rica, GIP/DMP A. Slee, NHS M. Sprenger, NICTIZ J. Surugue, EAHP S. Thun, DIMDI L. Tzimis, EAHP 2 / 70 Copyright © 2010, IHE Europe Hospital Pharmacy and Community Pharmacy – Use Cases and Standards – v1.2 Contents _____________________________________________________________________________________ 3 / 70 Copyright © 2010, IHE Europe 1 Introduction The Pharmacy domain is increasingly adopting Information & Communication Technologies to support their main activities like prescription and medication dispense. In order to guarantee interoperability among the different ICT systems in the Pharmacy domain, it is important that all stakeholders (users, vendors, payers) agree on a set of common communication standards. The purpose of this White Paper is to identify the critical interoperability needs in the Pharmacy domain, describe the corresponding interoperability Use Cases and propose a set of communication standards to implement these Use Cases. The White Paper can serve as basis for the development of one or more IHE Pharmacy Integration Profiles. The document starts with an overview of the main business processes in the pharmacy domain, describing the workflow and the information flows. These business processes are the basis for describing the various Interoperability Use Cases. -
EAHP Survey 2010 on Hospital Pharmacy in Europe
BMJ 2139 European Journal of Hospital Pharmacy EAHP_European Journal of Hospital Pharmacy EAHP 05/06/2013 13:24 Page 1 HoEuropeasn Jouprnal ofital Pharmacy SCIENCE AND PRACTICE EAHP SURVEY 2010 Hospital Pharmacy Practice in Europe ejhp.bmj.com EAHP Survey 2010 on hospital pharmacy in Europe Dr. Roberto Frontini, EAHP President Since 1995, every five years the European Association of Hospital Pharma- cists (EAHP) has compiled and published a comprehensive survey of hospital pharmacy practice across Europe. The fourth survey was conducted in 2010, with data collected until January 2011. It is a pleasure for me to present in this booklet a summary of the results, which were published in a series in the EAHP’s official journal, European Journal of Hospital Pharmacy: Science and Practice (EJHP), in 2012 and 2013. The survey data are not presented question by question but rather are the- matically grouped into five chapters that encompass the spread of hospital pharmacy activity: 1. General frame and staffing; 2. Procurement and distribution; 3. Production and quality assurance; 4. Clinical services and patient safety; and, 5. Education and research In this way we hope to give a more concise overview without making concessions on the provision of detailed information by coun- try, by type, and by size of hospital. Where sensible and according to the quality of the data gathered, we also make some compari- sons to the results of the 2005 and 2000 surveys. Whilst the scale of difference in questions asked in the first EAHP survey (1995) is too high to allow comparisons with the 2010 data, it is still possible to track the developments in hospital pharmacy practice over the last decade. -
Live Delivery of Neurosurgical Operating Theater Experience in Virtual Reality
Live delivery of neurosurgical operating theater experience in virtual reality Marja Salmimaa (SID Senior Member) Abstract — A system for assisting in microneurosurgical training and for delivering interactive mixed Jyrki Kimmel (SID Senior Member) reality surgical experience live was developed and experimented in hospital premises. An interactive Tero Jokela experience from the neurosurgical operating theater was presented together with associated medical Peter Eskolin content on virtual reality eyewear of remote users. Details of the stereoscopic 360-degree capture, surgery imaging equipment, signal delivery, and display systems are presented, and the presence Toni Järvenpää (SID Member) Petri Piippo experience and the visual quality questionnaire results are discussed. The users reported positive scores Kiti Müller on the questionnaire on topics related to the user experience achieved in the trial. Jarno Satopää Keywords — Virtual reality, 360-degree camera, stereoscopic VR, neurosurgery. DOI # 10.1002/jsid.636 1 Introduction cases delivering a sufficient quality, VR experience is important yet challenging. In general, perceptual dimensions Virtual reality (VR) imaging systems have been developed in affecting the quality of experience can be categorized into the last few years with great professional and consumer primary dimensions such as picture quality, depth quality, interest.1 These capture devices have either two or a few and visual comfort, and into additional ones, which include, more camera modules, providing only a monoscopic view, or for example, naturalness and sense of presence.5 for instance eight or more cameras to image the surrounding VR systems as such introduce various features potentially environment in stereoscopic, three-dimensional (3-D) affecting the visual experience and the perceived quality of fashion. -
HOSPITAL PHARMACY OPERATIONS REPORT Introduction
2020 HPORHOSPITAL PHARMACY OPERATIONS REPORT Introduction At Kit Check, we believe that tomorrow’s innovations come from thoroughly understanding the challenges of today. This solution-oriented model has helped our network of more than 700 hospitals achieve success through operational efficiency, patient safety, and medication visibility. We weren’t satisfied with turning to our own experiences and perspectives for answers, so we developed our proprietary annual survey to derive key insights and intelligence from pharmacy decision-makers. We think of the Hospital Pharmacy Operations Report survey as our road map forward—shedding light on the state of the industry to inform and equip leaders for what’s to come. Now entering its 7th consecutive year, the 2020 Hospital Pharmacy Operations Report (HPOR) once again takes us inside the minds of Hospital Pharmacy leaders. We’ll hear firsthand from those on the front lines of a global pandemic about how they experienced an unprecedented and unexpected year. We’ll learn how COVID-19 has challenged workflows, shifted priorities, and reshaped the future of the hospital pharmacy industry. In a year that stress-tested the entire drug supply chain, we’ll understand why pharmacy leaders are turning to new technologies to future-proof their operations. THE 2020 HOSPITAL PHARMACY OPERATIONS REPORT 2 Contents Key Themes………………………04 Methodology……………….……..05 Drug Shortages ……………….…07 Drug Recalls …………….…….…08 Staffing Challenges……..…….…09 New Tech Initiatives…………......10 Tightening Budgets……..……..…12 Inventory Visibility……………..…13 Dispense Approaches….……..…15 Medication Intelligence…….……16 Drug Diversions…………....….…18 DSCSA 2023 Regulations …...…22 THE 2020 HOSPITAL PHARMACY OPERATIONS REPORT 3 Key Themes THEME 1 THEME 2 Future Operational Proofing Efficiency After a global pandemic Facing tight budgets & limited stress-tested the entire staff hours, pharmacy industry, pharmacy leaders systems are focused on are looking ahead and optimizing their workflows. -
Operating Room Planning and Scheduling: a Literature Review
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Research Papers in Economics Faculty of Business and Economics Operating room planning and scheduling: A literature review Brecht Cardoen, Erik Demeulemeester and Jeroen Beliën DEPARTMENT OF DECISION SCIENCES AND INFORMATION MANAGEMENT (KBI) KBI 0807 Operating room planning and scheduling: A literature review Brecht Cardoen¤, Erik Demeulemeester, Jeroen BeliÄen Katholieke Universiteit Leuven, Faculty of Business and Economics, Department of Decision Sciences and Information Management, Naamsestraat 69, B-3000 Leuven, Belgium, [email protected], [email protected], [email protected] Hogeschool-Universiteit Brussel, Campus Economische Hogeschool, Centrum voor Modellering en Simulatie, Stormstraat 2, B-1000 Brussel, Belgium, [email protected] Abstract This paper provides a review of recent research on operating room planning and scheduling. We evaluate the literature on multiple ¯elds that are related to either the problem setting (e.g. performance measures or patient classes) or the technical features (e.g. solution technique or uncertainty incorporation). Since papers are pooled and evaluated in various ways, a diversi¯ed and detailed overview is obtained that facilitates the identi¯cation of manuscripts related to the reader's speci¯c interests. Throughout the literature review, we summarize the signi¯cant trends in research on operating room planning and scheduling and we identify areas that need to be addressed in the future. Keywords: health care, operating room, scheduling, planning, literature review 1 Introduction The managerial aspect of providing health services to patients in hospitals is becoming increas- ingly important. Hospitals want to reduce costs and improve their ¯nancial assets, on the one ¤Corresponding author 1 hand, while they want to maximize the level of patient satisfaction, on the other hand. -
Department of Public Health 105 Cmr 722.000
105 CMR: DEPARTMENT OF PUBLIC HEALTH 105 CMR 722.000: DISPENSING PROCEDURES FOR CLINIC AND HOSPITAL PHARMACIES Section 722.001: Purpose 722.020: Definitions 722.090: Hospital Pharmacies 722.091: Clinic Pharmacies 722.095: Waivers 722.100: Severability 722.001: Purpose The purpose of 105 CMR 722.001 is to describe procedures which clinic and hospital pharmacies must follow when dispensing drug products in accordance with M.G.L. c. 94C. 722.020: Definitions The terms used in 105 CMR 722.000 have the following meanings. Terms defined in M.G.L. c. 112, § 12D and c. 94C, § 1, and not defined in 105 CMR 722.000 shall have the meanings set forth therein when used in 105 CMR 722.000, unless the context clearly requires a different interpretation. Clinic. An entity licensed by the Department of Public Health as a clinic, as defined in M.G.L. c. 111, § 52. Clinic Employee. Persons currently on payroll or medical staff members of the clinic, system or accountable care organization, and their spouses and dependents living in the same household; clinic volunteers; students working at the clinic, or individuals contracted for employment by the clinic, system or accountable care organization. Clinic Patient. A person formally registered as a patient who is receiving services or treatment at the clinic. Clinic Pharmacy. A pharmacy that is not registered as a retail drug business pursuant to M.G.L. c. 112, § 39 and which is maintained and operated by the clinic. Commissioner. The Commissioner of the Massachusetts Department of Public Health. Discharge Patient. For the purpose of 105 CMR 722.000 only, a discharge patient is a person who has been released from an inpatient hospital bed and is no longer registered as a hospital patient.