Gerenciamento dos resíduos de serviços de saúde da Unidade de Terapia Intensiva do Pronto Socorro do Hospital das Clínicas da Faculdade de Medicina de Botucatu – UNESP

Health care waste (HCW) is the type of waste that results from activities performed in health care services during care provision to humans or animals. Presently, according to RDC 306/04, issued in 2004 by Anvisa, and Resolution no. 358/05, by CONAMA, waste groups have the following classification: Group A (biological waste), Group B (chemical waste), Group C (waste containing radionucleotides), Group D (common waste) and Group E (piercing and cutting waste). In Brazil, 149 tons of wastes are collected every day, and HCW corresponds to approximately 1% to 3 % of that total. An efficient way to adequately manage HCW is through the Health Care Waste Management Plan (HCWMP), and it is possible to reduce the risk posed by certain materials in addition to ensuring disposal in an ecologically correct and economical fashion. According to the Pan-American Health Organization (PAHO), the management process enables health care establishments to adequately manage waste. Hence, there is greater control and reduction in the health risks caused by infectious or special waste, in addition to facilitated recycling, treatment, storage, transport and final disposal of solid hospital waste in an environmentally safe fashion. To evaluate the management of HCW of Groups A and D from the Intensive Care Unit of the University Emergency Hospital - FMB - UNESP in the city of Botucatu according to the guidelines presently in force. The waste flow was followed up, and during four random days in the month of September 2011, waste was quantified by estimating daily and monthly values, according to its classification. : In 2011, the University hospital has produced an average of 57,676.8 kg/month of biological and common waste. By adding Groups A and D, during the four days, approximately 209.8 Kg of waste (202.2 Kg of Group A and 7.6 Kg of Group D) were produced in the establishment under study, which... (Complete abstract click electronic access below)

Gestão de desenvolvimento competitivo: atuação do Relações-públicas em programas de gestão do conhecimento

The theme approached relates contemporaneous organizational competitive scenario to draw parallels between the organizational structure, Knowledge Management and Public Relations. Many aspects are complementary and can be grouped, enabling the idea of verifying the possibility of a Public Relations work like a manager of Knowledge Management. The objective of this study focuses in analyzing the administration ways of the organizational environment to verify the best kind of structure for the competitive development pattern, then we sought the meaning of Knowledge Management and their results to draw a parallel between the image of the Knowledge Management process manager and the Public Relations professional. The methodology chosen was bibliographic research, by which we noticed the theme relevance, the proposal validity and build a convergence between the skills of a person responsible for managing processes in Knowledge Management and the capabilities of a Public Relations professional. This way adopts a human feature to the managing process, respecting the technical-informational scenario of this area

Gestão do Conhecimento aplicada à redes de Fast-Food

The knowledge currently stands as one of the intangible assets of fundamental importance in the competitive market in which it is organizations. Knowledge management has become mandatory in the competitive environment of today, as a tool to systematize knowledge within the organization. Underscoring the importance of this management process, this thesis aimed to identify possible problems and generate recommendations for improving the performance of Knowledge Management. The objective was achieved by conducting the analysis of a case study of a fast-food franchise through a case study in the ground plan of all the franchise restaurants. For the preparation of the case study was required to respect a theoretical review on the introduction of the concepts of knowledge management in fast-food restaurants, in addition to reviewing the theory on the concepts of organizational learning and on Standardization. When finalizing the theoretical review and analyze the case study was proposed recommendations and highlight difficulties and good practice found in the analyzed organization, and procedures for demonstrating the success of knowledge management in organizations

Precificação no Setor de serviço

Given the competitive reality of the globalized market, companies are compelled to develop strategic aspects of the management process, in order to ensure their survival. Among the strategic aspects is the price formation process, whose reasoning occurs mainly of adoption through cost system. Knowledge of costs and expenses provides conditions for the company to position itself strategically in the market, being able to follow the price of competition and sometimes even surpass them, called, more and more attention with regard to price formation. This study aims to identify the best price to be transferred to the market. To this end, were approached concept of pricing and its components, their strategies and pricing objectives, as well as the influence of demand on price formation, as well as the added value the brand and quality; and even a careful analysis of the price established by the said company in the service offered. We used the method of literature review and case study in the company ESA international aeronautical industry. Thus, we sought to explain about the main concepts for pricing in order to support decision making

Construindo significados sobre gerência da assistência: um estudo fenomenológico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Capacidade de suporte de carga e densidade do solo em áreas de plantio direto com e sem escarificação

No-till has been used in many different regions of Brazil. However, depending on the location and intensity of machinery traffic, this has caused the problem of soil compaction and many producers are scarification the land as a solution to break through the layer that is restricting plant growth. The objective of this study was to evaluate the influence of scarification (0.30 m) in the physical properties of a dystrophic Alfisol comparing the results with a non-scarified contiguous area; both were previously conducted using no-till. The density and pressure of pre-consolidation were sampled in two areas of non-tillage, one with chiseling (PDCE) and one without (PDSE) by using the UMAS -Mobile Soil Sampling Unit built by NEMPA – Agroforestry Machinery and Tire Testing Center/FCA / UNESP, Botucatu ,SP. The UMAS is equipped with GPS which allows the samples to be georeferenced. The samples were evaluated in the laboratory through the collection of standardized rings. Sampling was performed at a dimension of 15 x 50 m, with 160 rings being collected. The samples containing rings which were used in determining the density and also for testing the consolidometer, were collected from the layers of 0 to 0.10 m, 0.10 to 0.20 m, 0.20 to 0.30 0.30 to I 0.40 m. For the odometer test the undisturbed sample rings were used in obtaining the load bearing capacity of the soil. The soil management adopted provided a decrease in soil density using no-tillage with scarification depths from 0.0 to 0.10 0.10 to 0.20 m while the other depths did not show any decrease. The pre-consolidation pressure in combination with soil aggregate resistance identified that the management process PDCE within all layers was subjected to water content reliability regarding a greater load bearing capacity of the soil. For the PDSE that only was possible in the 0 to 0.10 m, showing greater consolidation of this layer.

Segurança do paciente: análise das notificações de eventos em um hospital privado

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Vocabulário controlado para arquivos: análise de viabilidade e propostas

Pós-graduação em Ciência da Informação - FFC

The knowledge conversion SECI process as innovation indicator analysis factor

It highlights the innovation importance in the current society and presents innovation indicators applied in 125 countries. We made an analysis in the 80 variables distributed through seven GII pillars, trying to identify the direct, indirect or null incidences of the knowledge conversion way described by the SECI Process. The researched revealed the fact that knowledge management, in this case specifically the knowledge conversion SECI Process, is present in the variables that, according to the GII, make clear innovative activity in countries.

An Educational international partnership responding to local needs: Process evaluation of the Brazil FAIMER Regional Institute

The Brazilian public health system requires competent professionals sensitive to the needs of the population. The Foundation for Advancement of International Medical Education and Research (FAIMER) provides a two-year faculty development programme for health professions educators, aiming to build leadership in education to improve health. A partnership with governmental initiatives and FAIMER was established for meeting these needs. This paper describes the initial process evaluation results of the Brazilian FAIMER Institute Fellowship (FAIMER BR). Methods: Data were analysed for the classes 2007-2010 regarding: application processes; innovation project themes; retrospective post-pre self-ratings of knowledge acquisition; and professional development portfolios. Results: Seventeen of 26 Brazilian states were represented among 98 Fellows, predominantly from public medical schools (75.5%) and schools awarded Ministry of Health grants to align education with public health services (89.8%). One-third (n = 32) of Fellows' innovation projects were related to these grants. Significant increases occurred in all topic subscales on self-report of knowledge acquisition (eff ect sizes, 1.21-2.77). In the follow up questionnaire, 63% of Fellows reported that their projects were incorporated into the curriculum or institutional policies. The majority reported that the programme deepened their knowledge (98%), provided new ideas about medical education (90%) and provided skills for conflict management (63%). One-half of the Fellows reported sustained benefits from the programme listserv and other communications, including breadth of expertise, establishment of research collaboration and receiving emotional support. Conclusion: Contributors to initial programme success included alignment of curriculum with governmental initiatives, curriculum design merging educational technology, leadership and management skills and central role of an innovation educational project responding to local needs.

Integration practices for the technological innovation of products: Case studies at two large technological companies

Studies on innovation and technology management have emphasized the importance of integration between the research and development (R&D) department and others involved with the product development process (PDP) as a relevant practice for the good performance of technological innovation of product activities. This study addresses the topic of transfers of technologies to new product projects and also integration practices between the R&D department and others involved with the PDP. A qualitative study was conducted that was operationalized through two case studies at large high-tech companies: One is Brazilian and the other is a multinational subsidiary in Brazil. Among its main result, this paper represents and analyzes management practices that are favorable to integration in product development projects that demand development and transfer of technologies, such as: participation of R&D personnel in market activities, the adoption of virtual interaction mechanisms, and the application of methods such as technology roadmaps. © Universidad Alberto Hurtado, Facultad de Economía y Negocios.

The meaning of evidence-based management to brazilian senior nurse leaders

Purpose: The study objective was to understand the meaning of evidence-based management for senior nurse leaders in accredited, public hospitals in the State of Sao Paulo, Brazil. Design and Method: A phenomenological approach was used to analyze interviews conducted with 10 senior nurse leaders between August 2011 and March 2012. The analytic method was developed by the Brazilian phenomenologist, Martins. Findings: Senior nurse leaders described how they critically appraise many sources of evidence when making managerial decisions. They emphasized the importance of working with their teams to locally adapt and evaluate best evidence associated with managerial decision making and organizational innovations. Their statements also demonstrated how they use evidence-based management to support the adoption of evidence-based practices. They did not, however, provide specific strategies for seeking out and obtaining evidence. Notable challenges were traditional cultures and rigid bureaucracies, while major facilitators included accreditation, teamwork, and shared decision making. Conclusions: Evidence-based management necessitates a continuous process of locating, implementing, and evaluating evidence. In this study leaders provided multiple, concrete examples of all these processes except seeking out and locating evidence. They also gave examples of other leadership skills associated with successful adoption of evidence-based practice and management, particularly interdisciplinary teamwork and shared decision making. Clinical Relevance: This study demonstrates senior nurse leaders' awareness and utilization of evidence-based management. The study also suggests what aspects of evidence-based management need further development, such as more active identification of potential, new organizational innovations. © 2013 Sigma Theta Tau International.