Análisis de la interferencia inducida en el electrocardiograma y señal de impedancia por compresiones torácicas sobre un maniquí.

[EN]This paper presents a project within that research field. The project consists on the development of an experimental environment comprised by a sensorized practice manikin and a management software system. Manikin model allows the simulation of cardiac arrest episodes on laboratory settings. The management software system adds the capacity to compute and analyze the characteristics of the artifact induced on the electrocardiogram and the thoracic impedance signals by chest compressions during cardiopulmonary resuscitation due to variations of the electrode-skin interface. The main reason for choosing this kind of model is the impossibility to use real people because of the risk of thoracic injuries during chest compression. Moreover, this platform could be used for training in reanimation techniques for real situations. Even laypeople with minimal training can perform cardiopulmonary resuscitation. This can reduce the response time to an emergency while the healthcare personnel arrives, which is key to improve outcomes, since with every minute the chances of survival decrease approximately 10%. It is not necessary to have medical knowledge to perform cardiopulmonary resuscitation, which could increase chances of survival for a patient with an early reanimation since In this context, this paper details the technique solution for the manikin sensorisation to acquire the electrocardiogram, the impedance signal measured between the defibrillation pads placed on the patient’s chest, the compression depth, the compression force and the acceleration experienced by the chest in the three orthogonal axes. Moreover, it is possible to inject a previously recorded electrocardiogram signal.

Process management in healthcare.Sant Camil Hospital case study

Nowadays due to the crisis, some government measures are aimed at reducing healthcare spending, affecting in some level or another the quality offered. Process management is said to be a useful tool for reducing healthcare costs by improving management without any additional economic investment. That is doing more with the same resources and without reducing the quality offered. In this study an empirical case of a Catalan hospital is presented. Overall, the usefulness of process management in the healthcare sector is shown and some tips are provided for those managers that want to implement this management system in their hospitals. This work is also interesting for those managers responsible for the National Healthcare System due to a big question is stated: what would happen if process management was implemented in the whole healthcare system?

Distribution of Healthcare resources II.Study and Comparison of a Linear Programming Problem and its Dual. Resolution and Evaluation of a Practical Case and its Programming using Excel and Win QSB.

[EN]This research had as primary objective to model different types of problems using linear programming and apply different methods so as to find an adequate solution to them. To achieve this objective, a linear programming problem and its dual were studied and compared. For that, linear programming techniques were provided and an introduction of the duality theory was given, analyzing the dual problem and the duality theorems. Then, a general economic interpretation was given and different optimal dual variables like shadow prices were studied through the next practical case: An aesthetic surgery hospital wanted to organize its monthly waiting list of four types of surgeries to maximize its daily income. To solve this practical case, we modelled the linear programming problem following the relationships between the primal problem and its dual. Additionally, we solved the dual problem graphically, and then we found the optimal solution of the practical case posed through its dual, following the different theorems of the duality theory. Moreover, how Complementary Slackness can help to solve linear programming problems was studied. To facilitate the solution Solver application of Excel and Win QSB programme were used.