916 resultados para THE EMERGENCY SERVICES CALL CENTER


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This article is the first part of an on-going ergonomic work analysis with the emergency services call center set up by the Fire Department of the Military Police of Sao Paulo. The final objective of the research is to identify the prescribed task, the real work executed and strategies used by workers to meet the demands of the job. Starting by identifying the tasks and activities developed, this article analyzes the work of the emergency services call center which is of vital importance to the organizational structure, since it is the start point for the process that results in fulfilling the corporation's mission.

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This project aims to provide feasible solutions to improve customer´s Help Area at Continente Online. The goal is to increase satisfaction and loyalty by reducing the main causes that lead customers to appeal to Call Center or abandon the website. The pursued solution is the implementation of Web Self-Service and the vision taken is focused not only on providing customers basic help tools but also innovate with international best practices to sustain Sonae MC´s present and future market leader position. Customer´s feedback, costs and impact are taken in consideration to find the best fit for the company.

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Having as basic purpose, that the work motivational strategies are more efficient when elaborated directly from the worker¿s personal goals and values, the study line of this dissertation searched to identify the worker¿s motivational employee¿s profile from call center industry. The knowledge of this motivational profile makes possible the development of differentiated programs of motivation inside the organization, aiming to attend goals of diverse groups of workers. In order to achieve the considered objective, the present dissertation analyzed one of the biggest companies in call center¿s inside Brazilian market, the BrasilCenter Communications Ltda. In such a way, in the first stage of the study, a bibliographical research was carried out, with the objective to collect contributions from diverse authors on the motivation subject, and also a modern theory of values was presented, verified empirically in more than 60 countries, which identifies the people¿s motivational structure. Having as base the results of these studies, the worker¿s concept profile motivational and argued its way of evaluation in the organizations it was boarded. In the second stage, a field research was carried out, with the application of the Inventory of Values of Schwartz theory (IVS), in order to identify the employee¿s motivational profile crowded in the Center of Attendance and Services (call center) company, located in Juiz de Fora city. The analysis of the results from the field research, based on the bibliographical data, identified that the values prioritized for the call center¿s employees are the ones that serves the collective and mixing goals. This motivational profile offers some perspectives of employee¿s valuation that correspond to their goals and interests. The displayed results point respect to the centrality of the types of values benevolence, conformity, security and universalism among the participants in the sample. As the accented was more among the employees it was the search of collective results it, is concluded that the more appropriate valuation strategies are those related to the tolerance for the ideas and opinion of the others, to harmonic a organizational enviroment, the concern with the quality of life at work and the social aspects of the work.

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The Legislative Council established the Emergency Services Interim Study Committee in 2006 and authorized the Committee to meet for two days during the 2006 Legislative Interim. Upon request by the Committee, the Legislative Council subsequently approved a third meeting. The Committee was charged to study the governance, structure, and funding of the state's emergency services and available training for emergency services providers, and receive input from the Department of Public Defense's Division of Homeland Security and Emergency Management; Departments of Human Services, Public Health, and Public Safety, including the State Fire Marshal; and representatives of emergency services providers, including the Iowa Firemen's Association, Iowa Fire Chiefs' Association, Iowa Association of Professional Fire Chiefs, Iowa Professional Fire Fighters, Iowa Emergency Medical Services Association, and emergency room physicians.

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Nursing home-acquired pneumonia (NHAP) is one of the most common infections arising amongst nursing home residents, and its incidence is expected to increase as population ages. The NHAP recommendation for empiric broad-spectrum antibiotic therapy, arising from the concept of healthcare-associated pneumonia, has been challenged by recent studies reporting low rates of multidrug-resistant (MDR) bacteria. This single center study analyzes the results of NHAP patients admitted through the Emergency Department (ED) at a tertiary center during the year 2010. There were 116 cases, male gender corresponded to 34.5 % of patients and median age was 84 years old (IQR 77-90). Comorbidities were present in 69.8 % of cases and 48.3 % of patients had used healthcare services during the previous 90 days. In-hospital mortality rate was 46.6 % and median length-of-stay was 9 days. Severity assessment at the Emergency Department provided CURB65 index score and respective mortality (%) results: zero: n = 0; one: n = 7 (0 %); two: n = 18 (38.9 %); three: n = 26 (38.5 %); four: n = 30 (53.3 %); and five; n = 22 (68.2 %); and sepsis n = 50 (34.0 %), severe sepsis n = 43 (48.8 %) and septic shock n = 22 (72.7 %). Significant risk factors for in-hospital mortality in multivariate analysis were polypnea (p = 0.001), age ≥ 75 years (p = 0.02), and severe sepsis or shock (p = 0.03) at the ED. Microbiological testing in 78.4 % of cases was positive in 15.4 % (n = 15): methicillin-resistant Staphylococcus aureus (26.7 %), Pseudomonas aeruginosa (20.0 %), S. pneumoniae (13.3 %), Escherichia coli (13.3 %), others (26.7 %); the rate of MDR bacteria was 53.3 %. This study reveals high rates of mortality and MDR bacteria among NHAP hospital admissions supporting the use of empirical broad-spectrum antibiotic therapy in these patients.

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Dissertação de mestrado integrado em Engenharia e Gestão Industrial

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One of the assumptions of the Capacitated Facility Location Problem (CFLP) is thatdemand is known and fixed. Most often, this is not the case when managers take somestrategic decisions such as locating facilities and assigning demand points to thosefacilities. In this paper we consider demand as stochastic and we model each of thefacilities as an independent queue. Stochastic models of manufacturing systems anddeterministic location models are put together in order to obtain a formula for thebacklogging probability at a potential facility location.Several solution techniques have been proposed to solve the CFLP. One of the mostrecently proposed heuristics, a Reactive Greedy Adaptive Search Procedure, isimplemented in order to solve the model formulated. We present some computationalexperiments in order to evaluate the heuristics performance and to illustrate the use ofthis new formulation for the CFLP. The paper finishes with a simple simulationexercise.

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Previous covering models for emergency service consider all the calls to be of the sameimportance and impose the same waiting time constraints independently of the service's priority.This type of constraint is clearly inappropriate in many contexts. For example, in urban medicalemergency services, calls that involve danger to human life deserve higher priority over calls formore routine incidents. A realistic model in such a context should allow prioritizing the calls forservice.In this paper a covering model which considers different priority levels is formulated andsolved. The model heritages its formulation from previous research on Maximum CoverageModels and incorporates results from Queuing Theory, in particular Priority Queuing. Theadditional complexity incorporated in the model justifies the use of a heuristic procedure.

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Audit report on Pleasantville Emergency Services Association, Pleasantville, Iowa for the year ended June 30, 2012

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The Institute of Radiation Physics (IRA) is attached to the Department of Medical Radiology at the Vaud University Hospital Center (CHUV) in Lausanne. The Institute's main tasks are strongly linked to the medical activities of the Department: radiotherapy, radiodiagnostics, interventional radiology and nuclear medicine. The Institute also works in the fields of operational radiation protection, radiation metrology and radioecology. In the case of an accident involving radioactive materials, the emergency services are able to call on the assistance of radiation protection specialists. In order to avoid having to create and maintain a specific structure, both burdensome and rarely needed, Switzerland decided to unite all existing emergency services for such events. Thus, the IRA was invited to participate in this network. The challenge is therefore to integrate a university structure, used to academic collaborations and the scientific approach, to an interventional organization accustomed to strict policies, a military-style command structure and "drilled" procedures. The IRA's solution entails mobilizing existing resources and the expertise developed through professional experience. The main asset of this solution is that it involves the participation of committed collaborators who remain in a familiar environment, and are able to use proven materials and mastered procedures, even if the atmosphere of an accident situation differs greatly from regular laboratory routines. However, this solution requires both a commitment to education and training in emergency situations, and a commitment in terms of discipline by each collaborator in order to be integrated into a response plan supervised by an operational command center.

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Introducción: Los trastornos del aparato locomotor son una de las principales causas del ausentismo laboral y generan un gasto considerable para el sistema de gestión pública. Objetivo: Determinar la prevalencia de síntomas osteomusculares en miembros superiores y su relación con los factores ocupacionales en trabajadores de un Call Center de Bogotá – Colombia durante el año 2015. Metodología: Estudio de corte transversal donde se evaluó la prevalencia de los síntomas osteomusculares de miembros superiores, se utilizó como instrumento el ERGOPAR validado en España . Resultados: El grupo de estudio lo conformaron 223 trabajadores de un Call Center donde el género femenino fue el más frecuente (66,8%), el grupo etario predominante fue entre 21 y 25 años (30,5%). La prevalencia de los síntomas osteomusculares por molestia estimada, fue mayor en cuello/hombro (57%), seguido del síntoma en manos/muñecas (40,8%) y por ultimo codos (17%); contrario a la prevalencia de síntomas osteomusculares manifestados por dolor ya que fue mayor en manos/muñecas (35%), seguido de cuello/hombros (28,3%) y por último codo (6,7%), esta prevalencia fue mayor en trabajadores de género femenino que en los de género masculino. Respecto a las variables relacionadas con el género, se encontró que la prevalencia por presencia de dolor en cuello/hombro fue mayor en trabajadores de género femenino (p=0,005) de la misma manera que la prevalencia por presencia de dolor en manos/muñecas (p<0,001). Conclusiones: Los síntomas osteomusculares más prevalentes en los trabajadores del Call Center fueron en cuello/hombro y manos/muñeca con mayor frecuencia en los trabajadores del género femenino. Con el fin de eliminar o disminuir la aparición temprana de estos síntomas, se recomienda la implementación de medidas de prevención dirigidas no solo al trabajador sino a todos los factores que hagan parte del desarrollo de su tarea.

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O objetivo desse trabalho é fazer um estudo exploratório acerca da fidelização de usuários de serviços de telefonia celular, na Grande São Paulo, em função do atendimento percebido por ele, quando em contato com o Call Center da empresa. Buscou-se verificar quais os elementos importantes e impactantes do atendimento, assim como de que modo o atendimento prestado pelo Call Center impacta na fidelização do cliente à sua operadora. Para tanto, foi empreendida uma pesquisa de campo junto a clientes das diversas operadoras atuantes na região.

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Neste estudo realizamos uma pesquisa no setor de serviços de uma empresa multinacional de alta tecnologia, na qual ocorreram mudanças organizacionais envolvendo a área de treinamento e desenvolvimento, que atendia vários clientes de call centers, com sua equipe deixando de se reportar à Gerência Operacional local e passando a se reportar à área de Treinamento & Desenvolvimento Global. O objetivo foi contribuir para o papel do desenho organizacional da área de treinamento neste setor. O estudo teve como embasamento a Teoria das Cinco Configurações, de Henry Mintzberg, e as questões respondidas foram: que reestruturação a empresa estudada está implementando, de acordo com a teoria de Mintzberg, e quais são os impactos desta reestruturação para o departamento estudado, na visão dos entrevistados? O método utilizado foi o de estudo de caso e a nossa pesquisa foi realizada na organização desta área no Brasil, na qual coletamos dados através de fontes primárias, e empregamos observação direta e pesquisa de campo com entrevistas semiestruturadas com funcionários e clientes da área. Demostramos que a organização de treinamento estava se estruturando como uma Adhocracia Operacional e que a mudança foi positiva na visão tanto dos funcionários da área, quanto de seus clientes. Para avaliarmos o comportamento dos indivíduos do grupo, criamos duas tipologias a partir da categorização dos dados coletados. Concluímos que as pessoas do grupo tinham ação estratégica e foco em seu desenvolvimento profissional, o que é coerente com a estrutura Adhocrática de Mintzberg. As características de uma Adhocracia se mostraram positivas para uma área de treinamento de call center que atende a múltiplos clientes, conduzindo a equipe a ter foco mais estratégico, aumentando a autonomia e o engajamento, elevando o conhecimento, melhorando a comunicação, trazendo processos flexíveis e, como consequência, um resultado positivo para as operações atendidas.

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Adolescents are seeking new references and experiences, which may involve attitudes of risk and exposure to accidents and violence from external causes. These events constitute a serious Public Health problem. The scope of this study was to analyze the occurrence of accidents by external causes in adolescents from 10 to 19 years of age attended at sentinel urgency and emergency services in Brazil. Data from the 2009 Surveillance System for Violence and Accidents (VIVA 2009) was analyzed in 74 emergency units in 23 state capitals and the Federal District. The findings revealed that 6,434 adolescents (89.8%) were victims of accidents and 730 (10.2 %) were victims of violence. The main causes of the accidents were falls and traffic accidents, and assaults were predominant in violence. For both accidents and violence, non-white male adolescents were predominant and the events occurred most frequently on the public highways. A marked increase was detected, with hospitalization of victims of violence between 15 and 19 years of age. Understanding the epidemiological reality of external causes among adolescents represents an important tool for health prevention and promotion policies and the culture of peace seeking to reduce morbidity and mortality.