902 resultados para Sterilization Materials management, hospital


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Shipping list no.: 93-0034-P (v. 1-2).

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Material prepared for a training course held at Eastern Instructor Training Center, Brooklyn, N.Y., December 4-9, 1960.

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National Highway Traffic Safety Administration, Washington, D.C.

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National Highway Traffic Safety Administration, Washington, D.C.

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Mode of access: Internet.

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Essays with the general title: Hospital construction and organization, by J. S. Billings, N. Folsom, J. Jones, C. Morris, and S. Smith.

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Includes bibliographical references.

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Report addressed: To the Select and Common Councils of Philadelphia. - p. 3.

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"The work involved in developing and producing these materials was performed pursuant to Contract No. HEW-100-75-0055 with the U.S. Department of Health, Education, and Welfare ..."

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Objective: To assess the value of cusum analysis in hospital bed management. Design: Comparative analysis of medical patient flows, bed occupancy, and emergency department admission rates and access block over 2 years. Setting: Internal Medicine Services and Emergency Department in a teaching hospital. Interventions: Improvements in bed use and changes in the level of available beds. Main outcome measures: Average length of stay; percentage occupancy of available beds; number of patients waiting more than 8 hours for admission (access block); number of medical patients occupying beds in non-medical wards; and number of elective surgical admissions. Results: Cusum analysis provided a simple means of revealing important trends in patient flows that were not obvious in conventional time-series data. This prompted improvements in bed use that resulted in a decrease of 9500 occupied bed-days over a year. Unfortunately and unexpectedly, after some initial improvement, the levels of access block, medical ward congestion and elective surgical admissions all then deteriorated significantly. This was probably caused by excessive bed closures in response to the initial improvement in bed use. Conclusion: Cusum analysis is a useful technique for the early detection of significant changes in patient flows and bed use, and in determining the appropriate number of beds required for a given rate of patient flow.