Análise dos aspectos ambientais e organizacionais e estratégias de prevenção de riscos para erros de medicação em hospital de ensino

Pós-graduação em Bases Gerais da Cirurgia - FMB

Adoção da energia solar fotovoltaica em hospitais: revisando a literatura e algumas experiências internacionais

The sun has an extremely important role in the existence of human beings, and Brazil has a privileged geographical position to explore sunlight. The union of these two factors favors the use of solar cells for converting solar energy into electricity by photovoltaic technology: it is a great alternative energy source, especially for being a clean one, causing less damage to the environment. This paper addresses the photovoltaic technology with a focus on hospitals, through case studies found in international literature, because hospitals, even running all important services to society, have a potential for pollution capable of causing damage to human health and the environment that is around them. It is estimated that the Brazilian oil reserves are sufficient for twenty-two years. This makes the search for alternative sources for power generation a necessity.

Avaliação de desempenho organizacional: um estudo aplicado em hospitais filantrópicos

An evaluation of organizational performance requires studies that encompass the specificities of the object under analysis, which is valid for health organizations. However, this type of organization has little support from Administration techniques and knowledge, thus generating deficiencies in management and control. As a result, the objective of this article is to develop a model for evaluating the specific performance of philanthropic hospitals and to compare the efficiency of those organizations. A theoretical model was createdand subsequently validated by specialists. A data envelopment analysis was conducted by means ofusing the data from 70 hospitals, collected in afield research. The conclusion is that there is no great availability of managerial information in Brazilian hospitals, and elements were pointed out for increasing sample efficiency.

Avaliação da microinfiltração marginal em restaurações de classe V em resina composta em dentes bovinos: efeito de diferentes equipamentos para preparos cavitários e sistemas adesivos

Pós-graduação em Odontologia Restauradora - ICT

A compreensão geográfica dos eventos em saúde no território brasileiro e a análise cartográfica dos equipamentos de imagem-diagnóstico de alta complexidade

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Avaliação de impactos ambientais de equipamentos eletroeletrônicos através de inventário dos materiais usados na fabricação

Pós-graduação em Engenharia Civil e Ambiental - FEB

Estudo de um método automatizado para o cálculo da profundidade de visualização dos equipamentos de ultrassonografia

Ultrasound is the term that describes the sound waves with higher frequencies than human hearing. Ultrasound used in medical diagnosis is a modality based on the use of sound energy and the acoustic properties of the various parts of the body to produce images of stationary and moving tissues. However, despite the ease of use and security that this modality offers for not using ionizing radiation, one should ensure the accuracy and optimum performance of the equipment, which results in precise diagnoses. To accomplish that, periodic quality control tests must be performed, which include: physical and mechanical inspection of the equipment, image uniformity, depth of penetration/visualization, accuracy of distances, axial and lateral resolution, dead zone and doppler sensitivity. This work intends to study a computerized method for calculating the depth of penetration of ultrasound, comparing it to the observerdependent method currently used. The images were collected during the quality control tests of ultrasound equipment. The results of the comparison between the visual and computerized methods were not conclusive for selecting the safest methodology for obtaining the depth of visualization

Controle de qualidade em equipamentos mamográficos

Nowadays the mammography is the most effective way of revealing early breast cancer. The image in this kind of exam is gotten trough a x-ray sheaf of low energy, however, the suitable visualization of the interesting structures by the radiologist is not always possible due several factors that appears since the mamma composition until the equipments limitation. The regulation 453/98 sets quality control tests and limits of acceptation that guarantee a good development of the mammographys. The purpose of this study is the 3D principle ( Diagnostic, Dose and Dollar), that means, an improved diagnosis, a dose reduction in the patient and a cost decrease for the Institution. In this study was made the quality control tests set by the Regulation in two mammography equipments from Hospital das Clínicas da Faculdade de Medicina de Botucatu (HCFMB - UNESP). The results reached in this research were used in the renovation process of quality stamp in mammography granted by Colégio Brasileiro de Radiologia (CBR) to the diagnosis by image from the HCFMB – UNESP

Fluxo institucional de resíduos de equipamentos elétricos e eletrônicos e identificação de seus potenciais impactos ambientais e na saúde

A preocupação ambiental em relação aos resíduos de equipamentos elétricos e eletrônicos (REEE) vem crescendo muito nos últimos anos devido à presença de substâncias perigosas que podem causar danos ao ambiente e à saúde. O trabalho teve por objetivo investigar o destino de REEE gerados no Campus Quadrilátero da Saúde/Direito (CQS/D) da Universidade de São Paulo (Faculdade de Medicina, Faculdade de Saúde Pública, Escola de Enfermagem, Instituto de Medicina Tropical e Faculdade de Direito), a partir do momento em que os mesmos deixam as dependências da Instituição e identificar potenciais riscos à saúde e ao ambiente, decorrentes das atuais ações de gerenciamento dos REEE nas unidades estudadas. A pesquisa desenvolveu-se em 3 etapas: a) pesquisa bibliográfica e documental; b) visitas às unidades que compõem o CQS/D, e identificação de cinco intituições filantrópicas como principais destinos; c) visitas aos locais identificados para investigar as atividades desenvolvidas para a recuperação de equipamentos, componentes ou materiais recicláveis, com base em um formulário desenvolvido. Adicionalmente, foram realizadas visitas a outros quatro locais de destino de REEE. Foi identificado que as etapas realizadas nas instituições são: recebimento, teste, conserto e desmontagem manual e que o destino dos REEE pode ser considerado problemático, já que os rejeitos acabam sendo descartados como resíduo comum, podendo causar danos ao ambiente e à saúde. Além disso há riscos ocupacionais, pois os trabalhadores, além de não utilizarem equipamentos de proteção individual necessários, nem sempre recebem capacitação para exercer suas funções

Aplicação dos conceitos de RCM e a ferramenta FMEA no aumento de confiabilidade em equipamentos de uma indústria química

The growing demand for quality at competitive prices and fast production process put to the test function in the industrial Maintenance. The need for equipment with high availability to fit this fierce competitiveness makes maintenance becomes essentially reliable. Despite this current context, many companies still have an old view of maintenance, focused only on corrective services, and proposals for change are often neglected due to the sense of urgency day to day. Thus, this study aims to demonstrate through theoretical applicability of simple tool, but of great value in increasing reliability within the maintenance sector of an industry, applying the concepts of Reliability Centered Maintenance – RCM and Analysis tool Failure Modes and Effects – FMEA in equipment of a chemical company directly involved in the manufacturing process of the brake fluid, which this product is used in vehicles around the country. That way, you can identify the types, occurrence and criticality of each failure and evaluate assertively decision making for each device, avoiding unnecessary downtime and potential failures of the same

Previsão de vendas para uma indústria de equipamentos pesados: seleção de técnicas e análise

The continuous advance of the Brazilian economy and increased competition in the heavy equipment market, increasingly point to the need for accurate sales forecasting processes, which allow an optimized strategic planning and therefore better overall results. In this manner, we found that the sales forecasting process deserves to be studied and understood, since it has a key role in corporate strategic planning. Accurate forecasting methods enable direction of companies to circumvent the management difficulties and the variations of finished goods inventory, which make companies more competitive. By analyzing the stages of the sales forecasting it was possible to observe that this process is methodical, bureaucratic and demands a lot of training for their managers and professionals. In this paper we applied the modeling method and the selecting process which has been done for Armstrong to select the most appropriate technique for two products of a heavy equipment industry and it has been through this method that the triple exponential smoothing technique has been chosen for both products. The results obtained by prediction with the triple exponential smoothing technique were better than forecasts prepared by the industry experts

Estudo de parâmetros radiométricos e legislação sobre radioproteção em equipamentos de radiodiagnóstico

O uso de radiações ionizantes (R.I.), nas mais variadas atividades tem aumentado nas últimas décadas. Com o avanço tecnológico, novos e sofisticados equipamentos emissores de R.I. tem surgido no cenário nacional, o que torna imperativo a difusão do conhecimento sobre os conceitos de proteção radiológica junto à comunidade em geral, e neste sentido, o curso de física médica desenvolve um importante papel, quer seja no aspecto informativo quanto formativo de cidadãos e profissionais críticos e politicamente corretos, que possam contribuir com as Políticas Públicos dos órgãos normatizadores e fiscalizadores das atividades de vigilância sanitária. Conforme a legislação atual (Resolução SS-625 de 14/12/1994, da Secretaria de Estado da Saúde, e Portaria 453 de 01/06/1998 da Vigilância Sanitária do Ministério da Saúde), todos os serviços que utilizam radiações ionizantes devem realizar testes de avaliação dos parâmetros radiométricos dos equipamentos emissores de R.I., sendo exigidos as medidas de Levantamento Radiométrico das instalações, o Teste de Radiação de Fuga do cabeçote emissor e a implementação de Programa de Garantia de Qualidade dos equipamentos e dos procedimentos radiológicos. Este procedimento tem como objetivo principal a obtenção de imagens radiográficas com qualidade e a segurança de pacientes e profissionais, evitando a exposição desnecessária à radiação de pacientes e profissionais. A correta realização de procedimentos radiológicos além de reduzir a dose nos pacientes também promove significativa diminuição nos custos, por não haver necessidade da repetição dos exames. No Brasil, conforme dados da Secretaria de Atenção à Saúde SAS/MS, atualmente existem instalados 4.469 mamógrafos, 25.930 aparelhos de raios-x médicos, 39.438 aparelhos de raios-x odontológicos e...(Resumo completo, clicar acesso eletrônico abaixo)

Estudo para determinação da kVp em equipamentos de raios X convencional

The quality assurance control program (QACP) in clinical radiology is very important to acquire, image quality, patient dose reduction and cost for the institution. The verification of the real tension on the x ray tube, it is one of many parameters that may be determined on a QACP. This act on image quality as absorbed dose in patient. Once proved the importance of this fact, this study come up with the determination of tension to any X ray tube used on medical routine, on quick, safe and low cost manner. To reach the aim of this study, the methodology consisted on measuring expose rates (ER) using different thicknesses of copper (Cu) plates like filters and relating these results with Half Layer Value (HLV). Afterwards, the HLV was associated to real tension that was acquired with kilo voltage of peak (kVp) measurers used on clinical routine. So walking in this path, when performed the ER, on any X ray tube, it’s possible acquire the HLV and consequently the real kVp, considering measures obtained before, on the methodology of kVp estimative development

Análise da confiabilidade de equipamentos em uma indústria química com aplicações de ferramentas da melhoria contínua

The constant search for improvements and the survival of organizations makes the strategic guidelines are deployed and executed at the operational levels. This work is the approach to critical analysis of the equipment of a chemical industry through a case study based on the classification of each equipment manufactures through qualitative and quantitative analysis on the pillars of maintenance costs, loss of production, MTBF, contribution margin, Health Safety and Environment (SHE). From this study and future data collection, along with the flow diagram show the main equipment that should be special attention. To this can be prepared an action plan with deadlines and responsible. With the results one can measure the maintenance costs, loss of production and technical availability of the plant, with future gains

Otimização de procedimentos de controle de qualidade em equipamentos radiográficos convencionais do Instituto de Eletrotécnica e Energia - USP

Radiography is currently an important method of diagnosis, both medical, dental and veterinary. The image in this type of survey is obtained using an X-ray beam, where the radiologist can possibly view structures of interest. It isn't always possible to get the desired images due to various factors, such as equipment limitations. The Administrative Law 453/98, the State Resolution SS 625/94, and other standards require testing and quality control acceptance limits that guarantee a good performance of the equipment for the security and quality of care, giving service users greater effectiveness in exams. This study were performed in the accompaniment of testing procedures for quality control established by Administrative Law 453/98 in several X-ray equipment to make a comparison and optimization in the descriptions of the procedures used by the Institute for Electrical Energy and the University of São Paulo (IEE / USP / SP).The optimization of the procedures were performed with the aid of a current literature, the Resolution 453/98, State Resolution SS 625/94 and other international standards. On this basis it was possible to observe the importance of regular monitoring of tests for an update, following the technological development of instruments used in the service