1,720,959 research outputs found
Il difficile equilibrio tra qualità attesa e risorse disponibili nei servizi in outsourcing: analisi di un servizio esternalizzato di pulizia in ospedale
No full textThe study analyses the performances of a hospital cleaning service managed in outsourcing with respect to the balance between available resources and expected quality standards. Data were referred to a high specialization hospital and were collected through a multiple approach (interviews, cost analysis, performance simulations and field investigations). A difference (48%) emerged between expected and observed standards. In order to quantify the estimated gap, two models were examined with respect to personnel costs (euro 7.09/hr for NHS personnel and euro 4.5/hr for private personnel). Additional resources needed to achieve required standards resulted respectively 182% and 115% of the invested budget. This result stresses the importance to define the minimum standard to be guaranteed for safe and clean environment in health care organizations and the break-even point between quality and costs, leaving the single institutions the decision about additional quality level and resources needed for it
Il difficile equilibrio tra qualità attesa e risorse disponibili nei servizi in outsourcing: analisi di un servizio esternalizzato di pulizia di ospedale
No full textAppropriate laboratory utilization in diagnosing pulmonary embolism
No full textBackground: The appropriateness of clinical laboratory use in hospital clinical practice is a very debated question. In fact diagnostic tests are essential tools for disease screening or diagnosis but at the same time they represent an important expenditure.
Methods: A quantitative study was conducted in an Italian general hospital with 535 beds and about 27,000 admissions per year. The sample was made of all patients discharged from the hospital with DRG 78 between the period 1 January 2005 and 31 December 2005.
Results: The Emergency Department (ED) discharged 2.9% (116/4009) of patients with pulmonary embolism diagnosis in the year 2005. The percentage of prescription inappropriateness inferred by analysis of all required tests by operative unit was 21.7% (950/4385). The approximate estimate of the economic value of unnecessarily required tests was of 3495(sic). Of these 96.5% (112/116) had enlisting criteria. All haematological and clinical-chemical tests (11295) concerning studied patients were analysed. About 70.4% (93/132) of d-dimer tests were ordered in ED. In the studied patients, unfractionated heparin was administered in 17.8% (20/112) of the cases, low-molecular weight heparin in 79.5% (89/112) and heparin therapy was not administered in 2.7% (three of 112).
Conclusion: This study uses a method to assess the quality of laboratory test orders using results as a tool to estimate the impact of economic resources devolved in executing inappropriate tests
Studio sulla compliance del lavaggio delle mani in ambito sanitario. [Compliance with handwashing in health care settings]
No full textApprendimento clinico nella formazione universitaria degli studenti infermieri: indagine descrittiva. [Clinical learning in a university undergraduate nursing program in Italy: a descriptive study]
No full textOBJECTIVE: This study aims to describe how undergraduate nursing students learn clinical skills.
MATERIALS AND METHODS: This study is part of a larger study and was performed in January-March 2005 as a prevalence survey. A semi-structured questionnaire was administered to all nursing students (n.172) enrolled in the undergraduate nursing program at the University of Udine (Italy).
RESULTS: The response rate was 83.1% (143/172). Relevant results of the study include the following: in 61% of cases (87/143) tutors asked each student, at the beginning of training, to make clear which skills and objectives had already been achieved; during training, students who had problems with writing out nursing records asked their tutor for help in 64.3% of cases (92/143); according to 17.5% (24/143) of students, the tutor's role should include encouraging students to be autonomous, teaching them to reason about problems and how to link theory with practice.
CONCLUSIONS: While keeping in mind that this study evaluates students' perceptions about their clinical training experience, we can state that tutoring methods were found to be sufficiently homogeneous and can be improved to become more efficient and meaningful
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Studio sulla Compliance del lavaggio delle mani in ambito sanitario. VI Congresso nazionale AIMI L'infermiere e le malattie infettive: progettare insieme un nuovo ruolo professionale
No full textVariations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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