1,721,017 research outputs found

    Industry 4.0 and its applications in the healthcare sector: A sistematic review

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    Industry 4.0 (I4), the Fourth Industrial Revolution, is having a strong impact in all industrial sector but, although less evident, it is also bringing important results in other fields such as Healthcare Systems. In fact, Hospitals can be effectively considered smart factories because they are “factory” which “context-aware assists people and machines in execution of their tasks”. Hospitals are very difficult entity to manage and the application of Industry 4.0 technologies could have a deep impact on them. However, a systematic and extensive review of recent research on it is has been unavailable. Accordingly to that, this paper conducts a literature review on the combined use of the key words “Industry 4.0” and “Health 4.0”. Altogether, 46 papers related to such topics are grouped into eight research categories and reviewed. The aim of this paper is to investigate the applicability, the advantages and the weakness of Industry 4.0 paradigms in the Healthcare sector. In fact, on the one hand they could ensure and increase the safety of patients, the quality of life and other health care activities. On the other, the recent entry into application of the General Data Protection Regulation, May 2018, has required strong rules and limitations on the data management. All the data belonging to the healthcare sector could be defined as sensitive data. The value of this work is a critical analysis on the actual applications of Industry 4.0 in the Healthcare Sector with a focus on the Italian context

    A state of the art of digital twin and simulation supported by data mining in the healthcare sector

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    Healthcare and more precisely private hospitals are critical and complex environments where making appropriate decisions is vital. For this reason, they are widely studied in many fields. This paper aims to provide the current state of the art of Digital Twin and/or Simulation involved in Decision Support System (DSS) whose data are processed through Data Mining techniques applied in the healthcare sector. In this view, the authors' research has been based on the following keywords: Healthcare, Hospital, Digital Twin, Simulation, Data Mining and Decision Support System. Doing so, it has been possible to gather 13 papers which have been carefully studied

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

    Study and implementation of a performance set of indicators for the nurse manager in a frailty hospital

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    Introduction. Hospitals are known to be the most complex entities to manage. In fact, the main problem in healthcare are the expensive needs with limited resources. During the last years the complexity of the nurse manager role has gradually changed from assistance to management. However, nowadays the methods for quantifying the nurse managers' skills and performance are not available. The aim of this study is to implement a method to assess and measure the skills of the nurse managers. An innovative indicator to globally evaluate the features, the professional skills and their performance is described. Methods. The authors started with an interview with the directors of all the nurses as the top experts of the nurse managers' technical skills. The purpose of this step was to understand what were the features of a valuable nurse manager. The methods identified three different aspects (qualitative, quantitative and relational) that were transformed in a single indicator. These parameters also enable to identify the strengths and weaknesses of each professional. An important implication of this score is the possible improvement of loss-making skills. Results. A total of 18 centres, with their nurse managers, were evaluated in this study. All the results confirmed the judgment of the Healthcare Professions Structure Manager. Conclusions. This assessment method, validated with these tests, evaluated the nurse manager's ability to deal with personnel, resources and patients and to quantify his/her organizational and welfare performances. It is useful for planning actions that allow nurse managers to improve their skills

    The implementation of a methodology for measuring the performance of nurse managers in a hospital for highly specialized care intensity through the PDCA approach

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    Background: the complexity of nurse managers’ role is gradually changed from assistance to management. The aim of this study is to implement an innovative indicator to globally evaluate the features, the professional skills and their performance is described. Methods: the authors found out the features of a valuable nurse managers through an interview to the directors of all the nurses. The method individuated three different aspects (qualitative, quantitative and relational) that were transformed in a single indicator. The approach used by the authors is the PDCA. Results: A total of 18 nurse managers were evaluated in this study. All the results confirmed the judgment of the Healthcare Professions Structure head. Conclusion: This assessment method, validated with these tests, is able to evaluate the nurse manager’s ability to manage personnel, resources and patients

    Variations on the Author

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    “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

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Managing and evaluating different projects in a hospital trough the analytic hierarchy process: Methodology and test case

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    Nowadays hospitals work in the context with decreasing resources over time, and unfortunately not all the projects can be implemented. For this reasons healthcare area needs tool to decide on which project invest. The current paper has been developed in one of the major hospital in Genoa (Italy): Galliera. The Galliera hospital has a board of directors who need to know the sustainability of the projects. The aim of this paper is to implement a method to measure in a quantitative way the projects sustainability, with an innovative application of the Analytic Hierarchical Process (AHP). This method allows to compare the quantitative and qualitative items of the projects at the same time. These projects are extremely heterogeneous. The authors involved also all the employees having a strategic position in the hospital determining in this way the success of the work as the results show
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