102,031 research outputs found
An Innovative Method for Standardizing Lean Management Approach in Hospitals
No full textLean management constitutes an emerging approach in the healthcare context, in order to increase quality of care and reduce costs. Nevertheless, literature shows the lack of a standardized method, especially in healthcare, due to the complexity of the involved processes. This paper proposes an innovative method for standardizing the lean management approach in Healthcare, in order to reduce wastes particularly in Hospitals. The integration of different techniques, such as IDEF0, and GQM, used in the process management is proposed, in order to let the overall method reproducible and repeatable. The application and feasibility of the method has been studied in an Italian Hospital
Multi-criteria decision analysis to redesign an Italian Clinical Engineering Service under specific needs and regulation requirement
No full textThe aim of this study is to fulfill the need of reengineering the Clinical Engineering Service in an Italian ASL (Local Health Authority) located in Sardinia, in accordance with the Italian regulations for healthcare.
Even if methods for processes redesigning in healthcare organizations are available in the literature, there are no recent evidences of their application in Clinical Engineering Services.
Among the multi-criteria techniques, in this work PAPRIKA was used, since it is an easy-to-use and intuitive method for multi- criteria decision making, based on decision-makers’ preferences.
We identified the decision makers’ criteria to be fulfilled and four different preference levels for each criterion, as inputs of the method. Moreover four different scenarios were identified and, for each scenario and criterion, the decision makers selected the most suitable level. In order to reduce the number of pairwise comparisons among the preference levels associated to the identified criteria, the online software 1000minds, implementing the PAPRIKA method, was used.
After 460 steps, the software allowed to rank the four possible scenarios. The application of the method allowed choosing the best solution for the ASL and it represents a good way for decision making, even though the number of questions is still high
La funzionalità ventilatoria in addetti alla produzione di cloruro di polivinile (PVC): risultati preliminari
No full textEvaluation des effets de l’inhalation de poussieres minerales sur la founction ventilatoire de deux cohortes de travailleurs occupes dans les memes cimenteries en deux differentes periodes de tempes
No full textValutazione dell'esposizone professionale a nichel nella produzione di dibutilditiocarbammati
No full textStudio longitudinale sulla funzionalità respiratoria nei lavoratori delle cave di marna da cemento
No full textAmalgam fillings and urinary mercury excretion in workers with low exposure to inorganic mercury
No full textL'evoluzione del danno uditivo a distanza di 4 anni negli addetti alla produzione del cemento
No full textSacral Neuromodulation: Device Improvement and Current Applications in Urology
No full textSacral neuromodulation (SNM) offers a therapeutic approach to urological patients suffering from idiopathic overactive bladder (OAB) syndrome, with or without incontinence and non-obstructive urinary retention (NOR), who are not responding to or are not compliant with conservative or medical therapies. The exact mechanism of action of SNM is not fully understood but modulation of the spinal cord reflexes and brain networks by peripheral afferents is regarded as the main pathway. Over the years, surgical techniques improved, leading to the development of the modern two-stage implantation technique. The quadripolar lead is positioned percutaneously under fluoroscopy guidance through the third sacral foramen following the trajectory of S3. The procedure can be performed under local or general anesthesia with the patient in prone position. Current applications of sacral neuromodulation in urology are increasing thanks to the recent improvements of the devices that make this a valuable option not only in conditions such as overactive bladder and non-obstructing urinary retention but also neurogenic lower urinary tract dysfunction
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