Relevant bibliographies by topics / Hospital metrics

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Hospital metrics'

Author: Grafiati
Published: 25 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Hospital metrics"

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Ellenbogen, Michael I., Laura Prichett, Pamela T. Johnson, and Daniel J. Brotman. "Development of a Simple Index to Measure Overuse of Diagnostic Testing at the Hospital Level Using Administrative Data." Journal of Hospital Medicine 16, no. 2 (February 1, 2021): 77–83. http://dx.doi.org/10.12788/jhm.3547.

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OBJECTIVE: We developed a diagnostic overuse index that identifies hospitals with high levels of diagnostic intensity by comparing negative diagnostic testing rates for common diagnoses. METHODS: We prospectively identified candidate overuse metrics, each defined by the percentage of patients with a particular diagnosis who underwent a potentially unnecessary diagnostic test. We used data from seven states participating in the State Inpatient Databases. Candidate metrics were tested for temporal stability and internal consistency. Using mixed-effects ordinal regression and adjusting for regional and hospital characteristics, we compared results of our index with three Dartmouth health service area-level utilization metrics and three Medicare county-level cost metrics. RESULTS: The index was comprised of five metrics with good temporal stability and internal consistency. It correlated with five of the six prespecified overuse measures. Among the Dartmouth metrics, our index correlated most closely with physician reimbursement, with an odds ratio of 2.02 (95% CI, 1.11-3.66) of being in a higher tertile of the overuse index when comparing tertiles 3 and 1 of this Dartmouth metric. Among the Medicare county-level metrics, our index correlated most closely with standardized costs of procedures per capita, with an odds ratio of 2.03 (95% CI, 1.21-3.39) of being in a higher overuse index tertile when comparing tertiles 3 and 1 of this metric. CONCLUSIONS: We developed a novel overuse index that is preliminary in nature. This index is derived from readily available administrative data and shows some promise for measuring overuse of diagnostic testing at the hospital level.
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Shannon, Elizabeth A., B. Anne Brand, Kevin M. Ratcliffe, and Bruce K. Tranter. "Developing metrics for hospital medical workforce allocation." Australian Health Review 31, no. 3 (2007): 411. http://dx.doi.org/10.1071/ah070411.

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Public hospitals deliver a broad range of specialist treatments to patients, with public demand for hospital services almost always outstripping supply. Health department and hospital managers prioritise requests for additional resources, such as medical staffing, across the full spectrum of services delivered. Without a clear and equitable basis of workload comparison across medical specialties, this decision-making process can be controversial and internally divisive. This paper outlines the development of a metric to guide the allocation of hospital medical staff. It suggests that a valid comparison of workload can be gained from the consideration of the number of inpatients (weighted for case complexity) and the number of outpatient presentations, as seen by each full-time hospital medical practitioner per annum. While this supports a ?common sense? understanding of hospital medical activity, it also reflects limitations in the quality and quantity of data available. The replication and testing of this methodology in other jurisdictions is encouraged.
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Auger, Katherine A., Ronald J. Teufel, J. Mitchell Harris, James C. Gay, Mark A. Del Beccaro, Mark I. Neuman, Javier Tejedor-Sojo, et al. "Children’s Hospital Characteristics and Readmission Metrics." Pediatrics 139, no. 2 (January 25, 2017): e20161720. http://dx.doi.org/10.1542/peds.2016-1720.

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Dyer, April, Elizabeth Dodds Ashley, Angelina Davis, Melissa Johnson, Travis Jones, and Rebekah W. Moehring. "1629. Targeted Antimicrobial Use Admission Provides an Actionable Denominator for Antimicrobial Stewardship Programs Evaluating Inpatient Length of Therapy." Open Forum Infectious Diseases 5, suppl_1 (November 2018): S42. http://dx.doi.org/10.1093/ofid/ofy209.099.

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Abstract Background Actionable, easy to interpret antibiotic use (AU) metrics provide antimicrobial stewardship programs (ASPs) with clear targets. Current aggregate AU metrics lack the ability to discriminate between long courses in a limited number of patients versus short courses in a large number of patients. Methods We developed a novel AU denominator termed “targeted antimicrobial use admission,” defined as an inpatient admission in which a selected agent or group of agents was administered. When used with length of therapy (LOT), it provides the average number of days patients receive the targeted agent(s) during inpatient hospital admissions. To demonstrate the added utility of this metric, we used descriptive statistics to compare it to LOT, LOT/1,000 patient days, LOT/1,000 admissions, and LOT/admission to quantify intravenous (IV) vancomycin use among 25 hospitals in the Duke Antimicrobial Stewardship Outreach Network (DASON) for calendar year 2017. The metric was also used to compare hospitals to one another and track durations at an example hospital over time. Results Total LOT included 128,680 days of IV vancomycin (table). LOT/targeted antimicrobial use admission is the only metric that allows programs to quickly assess agent durations. Conclusion Stewardship programs seeking to shorten durations of therapy can track this metric over time to determine the impact of their ASP efforts (Figure 1). The metric can also be used to compare average durations of IV vancomycin by hospital to determine when and if agent-focused audit and feedback or antibiotic timeouts may be useful (Figure 2). The network mean provides a target for agent-specific de-escalations, in days, for facilities with longer durations. LOT/targeted antimicrobial use admission provides an actionable metric for quantifying antimicrobial durations. This metric is easy to interpret and can feasibly be captured through the electronic prescribing record to aid in selecting ASP strategy. Disclosures All authors: No reported disclosures.
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Kinney, Ashley, Quyen Bui, Jane Hodding, and Jennifer Le. "Pharmacy Dashboard: An Innovative Process for Pharmacy Workload and Productivity." Hospital Pharmacy 52, no. 3 (March 2017): 198–206. http://dx.doi.org/10.1310/hpj5203-198.

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Background Innovative approaches, including LEAN systems and dashboards, to enhance pharmacy production continue to evolve in a cost and safety conscious health care environment. Furthermore, implementing and evaluating the effectiveness of these novel methods continues to be challenging for pharmacies. Objective To describe a comprehensive, real-time pharmacy dashboard that incorporated LEAN methodologies and evaluate its utilization in an inpatient Central Intravenous Additives Services (CIVAS) pharmacy. Methods Long Beach Memorial Hospital (462 adult beds) and Miller Children's and Women's Hospital of Long Beach (combined 324 beds) are tertiary not-for-profit, community-based hospitals that are served by one CIVAS pharmacy. Metrics to evaluate the effectiveness of CIVAS were developed and implemented on a dashboard in real-time from March 2013 to March 2014. Results The metrics that were designed and implemented to evaluate the effectiveness of CIVAS were quality and value, financial resilience, and the department's people and culture. Using a dashboard that integrated these metrics, the accuracy of manufacturing defect-free products was ≥99.9%, indicating excellent quality and value of CIVAS. The metric for financial resilience demonstrated a cost savings of $78,000 annually within pharmacy by eliminating the outsourcing of products. People and value metrics on the dashboard focused on standard work, with an overall 94.6% compliance to the workflow. Conclusion A unique dashboard that incorporated metrics to monitor 3 important areas was successfully implemented to improve the effectiveness of CIVAS pharmacy. These metrics helped pharmacy to monitor progress in real-time, allowing attainment of production goals and fostering continuous quality improvement through LEAN work.
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Lichtman, Judith H., Erica C. Leifheit, Yun Wang, and Larry B. Goldstein. "Hospital Quality Metrics: “America's Best Hospitals” and Outcomes After Ischemic Stroke." Journal of Stroke and Cerebrovascular Diseases 28, no. 2 (February 2019): 430–34. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.10.022.

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Schoppy, David W., Yifei Ma, Kim Felder Rhoads, Michelle M. Chen, Brian Nussenbaum, Ryan K. Orosco, Eben Lloyd Rosenthal, and Vasu Divi. "Association of surgical quality metrics and hospital-level overall survival for patients with head and neck squamous cell carcinoma." Journal of Clinical Oncology 35, no. 8_suppl (March 10, 2017): 206. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.206.

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206 Background: Both negative margins and lymph node yields ≥ 18 from neck dissections in patients with head and neck mucosal squamous cell carcinomas (SCC) have been correlated with improved overall survival. It is unclear whether these patient-level metrics are applicable at the hospital level, and what compliance rates hospitals would need to achieve to show an improvement in survival. Methods: The National Cancer Database (NCDB) was used to identify patients who underwent primary surgery that included a neck dissection for mucosal SCC of the oral cavity, oropharynx, larynx, and hypopharynx. The percentage of patients at each institution with negative margins on primary resection and lymph node yields ≥ 18 from a neck dissection was quantified. A multivariate Cox proportional hazard regression was used to determine the association between hospital compliance rates with these metrics and overall survival. Results: There were 65,097 patients at 1,087 hospitals in the NCDB who underwent a neck dissection for mucosal SCC of the head and neck. A total of 221 hospitals (20%) had lymph node yields of 18 or higher in ≥ 80% of patients, and 137 hospitals (12.6%) achieved negative margins in ≥ 90% of patients. Patients treated at hospitals that attained the combined quality metric of ≥ 80% compliance rate with lymph node counts and a ≥ 90% compliance rate with negative margins, showed a significant improvement in overall survival (hazard ratio [HR] 0.93; 95% CI 0.89 to 0.98). This benefit in survival was independent of the patient level improvement seen from having negative margins (HR 0.73; 95% CI 0.70 to 0.75) and a lymph node count ≥ 18 (HR 0.85; 95% CI 0.83 to 0.88). Treatment at high volume or academic teaching hospitals was not independently associated with improved survival once the model controlled for margin status and lymph node count. Conclusions: Patients with head and neck mucosal SCC experience better survival when treated at hospitals achieving a combined quality metric based on lymph node counts and negative margin rates. National tracking of these modifiable quality metrics may identify facilities that would benefit from quality improvement measures.
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Davies, S. M., O. Saynina, K. M. McDonald, and L. C. Baker. "Limitations of using same-hospital readmission metrics." International Journal for Quality in Health Care 25, no. 6 (October 27, 2013): 633–39. http://dx.doi.org/10.1093/intqhc/mzt068.

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Unger, Scott R., Nicole Campion, Melissa M. Bilec, and Amy E. Landis. "Evaluating quantifiable metrics for hospital green checklists." Journal of Cleaner Production 127 (July 2016): 134–42. http://dx.doi.org/10.1016/j.jclepro.2016.03.167.

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Hostler, Christopher, Rebekah W. Moehring, Arthur W. Baker, Becky Smith, Linda Adcock, Brittain Wood, Evelyn Cook, et al. "The Effect of National Healthcare Safety Network (NHSN) Rebaselining on Community Hospital SIRs." Open Forum Infectious Diseases 4, suppl_1 (2017): S50—S51. http://dx.doi.org/10.1093/ofid/ofx162.119.

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Abstract Background The NHSN recently updated risk adjustment models and “rebaselined” Standardized Infection Ratios (SIRs) for healthcare-associated infections. The CDC expected that hospital SIRs would generally increase. However, the impact of rebaselining on individual hospitals’ SIRs was unknown. Accordingly, we assessed the impact of rebaselining on SIRs in a network of community hospitals. Methods We analyzed 2016 SIR data for CAUTI, MRSA LabID events, CDI LabID events, colon SSIs (COLO), and abdominal hysterectomy SSIs (HYST) from 38 hospitals in the Duke Infection Control Outreach Network (DICON). SIRs calculated using the old and new baselines were compared. Wilcoxon signed rank test was performed to determine whether hospitals’ SIRs changed significantly following rebaselining. Hospitals were ranked by SIR for each metric, and change in rank following rebaselining was determined. Meaningful change in rank was defined as increase or decrease by ≥4 places (greater than a decile). Hospitals that did not have an SIR calculated for a given metric were excluded from that metric’s analysis. Results Median hospital SIRs for CAUTI and CDI increased significantly after rebaselining (0.587 vs 0.307, P < 0.001; and 0.825 vs 0.783, p = 0.04, respectively). Median MRSA SIRs increased (0.903 vs 0.797, P = 0.5), and COLO and HYST SIRs decreased (0.457 vs 0.586, P = 0.1; and 0 vs 0.489, P = 0.4); however, these changes were not statistically significant (Figure 1). For all metrics, a minority of hospitals had meaningful change in SIR rank following rebaselining (Figure 2). Conclusion SIRs increased following rebaselining for CAUTI and CDI but did not change significantly for MRSA, COLO, or HYST. The majority of hospitals’ SIR rank did not change meaningfully following rebaselining. Disclosures D. Sexton, Centers for Disease Control and Prevention: Grant Investigator, Grant recipient; Centers for Disease Control and Prevention Foundation: Grant Investigator, Grant recipient; UpToDate: Collaborator, Royalty Recipient
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Dissertations / Theses on the topic "Hospital metrics"

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Okcu, Selen. "Developing evidence based design metrics and methods for improving healthcare soundscapes." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/43695.

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Healing and clinical work requires a complex choreography of architectural acoustic design in healthcare settings. In most healthcare settings, medical staff members conduct vital tasks that may have life-and-death implications. Patients visit the hospitals to heal. Their expectations include fast recovery, restful sleep, and privacy (i.e., speech privacy). However, sound environment qualities of the care settings often fall far from supporting the mission of hospitals. There is strong and growing evidence showing that effective soundscapes in healthcare settings potentially impact errors, healing and stress for patients, families and staff but it is still not clear what measures of the sound environment best predict key healthcare outcomes and what design strategies best impact those measures. By using a multi-method approach (i.e., objective and subjective noise level measurements, in-situ impulse response measurements, heuristic design analysis, theoretical studies, acoustic simulations and statistical analysis), this study aims to develop evidence based design strategies by statistically defining the relationships between three types of variables: (1) architectural floor-plate design metrics, (2) acoustic metrics, and (3) occupant response. The research is conducted in three phases. The first phase of the study compared the objective and subjective qualities of the hospital sound environments with different architectural designs, assessed the effectiveness of a newer acoustic metrics in capturing caregiver perceptions, and evaluated the impact of particular noise sources on caregiver outcomes. The second phase of the study tested the validity of an acoustic simulation tool in estimating the acoustic qualities of the healthcare soundscapes. The third phase of the study systematically explored the relationship between floor-plate design and acoustics of complex inter-connected nursing unit corridors. Even though the relationship between design and acoustics of proportional spaces (a.k.a. rooms with more traditional dimensions) has been well documented, the number of studies linking design and acoustics of complex non-proportional spaces such as inter-connected corridors still remains limited. The findings of the first phase show that critical care sound environments with different designs can vary drastically and impact caregivers` perceived wellbeing and task performance (e.g., patient auditory monitoring). Despite their extensive use, traditional noise metrics sometimes may not be effective in capturing unique characteristics of healthcare sound environments. This study validated the effectiveness of a new more detailed noise metric, "occurrence rate", in capturing the differences between acoustic characteristics of healthcare sound environments. Moreover, particular noise sources such as impulsive noises are likely to dominate the ICU sound environments and interfere with perceived caregiver health and performance. The findings of the second phase suggest the potential effectiveness of acoustic simulation tools (with hybrid prediction programs) in estimating the acoustic qualities of complex inter-connected hospital corridors. The findings of the third phase suggest the potential significant impact of design features of particular hallways (e.g., number of turns, corridor length, and number of branches) and overall floor-shape characteristics of inter-connected corridors (i.e., relative grid distance, and visual fragmentation) on reverberation time. Overall, in the units with shorter, more compact, fragmented corridors with multiple number of branching hallways, reverberation times are likely to be less. Moreover receivers located at the corridors with less number of turns from the sound source also potentially experience lower reverberation times. According to previous research, the human auditory system`s ability to monitor auditory cues is likely to be higher in the less reverberant sound environments.
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Mkandawire, Collins Yazenga. "Hospital Outcomes Based on Physician Versus Non-Physician Leadership." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10257047.

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Hospital performance metrics are an indicator of leadership performance. However, there is inadequate research on whether physician or nonphysician chief executive officers (CEOs) perform better in the U.S. hospitals. The purpose of this study was to examine which type of leaders is better. Leadership trait, situational leadership, and leadership behavior theories constituted the theoretical foundation. The key research question examined the relationship between a hospital’s outcomes, which in this study, included hospital net income, patient experience ratings, and mortality rates, and the type of CEO in that hospital: physician or non-physician. A quantitative, causal comparative design was used to answer this question. Three hypotheses were tested using multivariate analysis of variance. The dependent variable was hospital outcomes: hospital net income, patient experience ratings, and mortality rates. The independent variable was the type of hospital CEO: physician and nonphysician. Datasets from 2014-2015 were used, which were publically available on the websites of U.S. based hospitals, research organizations, and journals. A sample of 60 hospitals was drawn from U.S. non-federal, short-term, acute care hospitals, based on number of staffed beds (n = 60). No significant differences were found between nonphysician and physician CEOs on hospitals’ net income (p = .911), patient experience ratings (p = .166), or mortality rates ( p = .636). Thus, the null hypotheses were retained. Findings suggest that physician and non-physician CEOs may produce similar outcomes in the hospitals they lead. Based on these findings, hospital boards can view CEO applicants equally when considering whom to hire and understanding U.S. hospital leadership.

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Cai, Hui. "Making “invisible architecture” visible: a comparative study of nursing unit typologies in the United States and China." Diss., Georgia Institute of Technology, 2012. http://hdl.handle.net/1853/48972.

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China is engaged in the largest healthcare construction program in history, expecting to build more than 2,000 hospitals and a large number of healthcare facilities at all scale over the next few years. This once-in-a-lifetime construction boom provides a valuable opportunity to rethink Chinese hospital design, and especially to consider how to design modern hospitals that are effective and efficient in delivering care, and are responsive to the cultural needs of the Chinese people as well. This dissertation seeks to rigorously define these issues and develop metrics that link design to key healthcare processes. This study uses a range of concepts and analysis tools drawn from cross-culture organizational communications, evidence-based design, space syntax and other research traditions. This thesis develops and refines metrics for four main drivers of nursing unit design: space economy, staff efficiency, natural light and cultural preferences for communication. Communication among Chinese healthcare workers is strongly influenced by cultural preferences for patterns of authority and decision-making reflected in organizational culture and rooted in Confucian principles of hierarchical social structure (Dengji), social network (Guanxi) and face (Mianzi). While the dissertation builds on a longstanding tradition of research focusing on healthcare space economy and staff efficiency, new measures for cultural preferences are proposed and tested. Based on emerging theories of cross-cultural organizational communication by Hofstede and other scholars, and space syntax, this study particularly explores how cultural preferences for face-to-face communication are reflected in the design of Chinese nursing units. Based on the proposed metrics, the dissertation analyzes six pairs of Chinese and US nursing units, matched on layout type. While the Chinese nursing units appear Western, deeper quantitative analysis of their layouts reveals significant national differences in the application of unit typologies in China when compared to those in the U.S. It shows that Chinese hospital design is rooted in cultural preferences such as for positive energy (qi) based on Fengshui theory, and in Confucian principles of hierarchy, social networking and face.
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Wilson, Merna Akram. "Triage Template to Improve Emergency Department Flow." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1622280768033809.

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Baltar, Marta Garcia. "Redu??o da demanda de energia el?trica utilizando par?metros construtivos visando ao conforto t?rmico." Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2006. http://tede2.pucrs.br/tede2/handle/tede/2983.

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Este trabalho tem por objetivo avaliar a influ?ncia de par?metros construtivos na demanda e consumo de energia el?trica para fins de condicionamento t?rmico ambiental. Os par?metros construtivos avaliados englobam tipos de vidros, cores externas das fachadas e revestimento nas paredes internas. As an?lises s?o realizadas atrav?s do programa de simula??o termoenerg?tica EnergyPlus e avaliadas a partir de um m?todo desenvolvido para analisar a efic?cia das alternativas construtivas. As avalia??es s?o realizadas tendo como base a edifica??o do Hospital Bruno Born, localizado em Lajeado, Rio Grande do Sul. A an?lise visa minimizar o consumo de energia el?trica no sistema de ar condicionado e atender todos os requisitos de conforto e assepsia de treze quartos de interna??o do estabelecimento hospitalar, de acordo com os ?ndices de temperatura especificados na NBR-6401. Visando averiguar as condi??es do ambiente t?rmico e o consumo de energia el?trica, s?o avaliados os ?ndices de conforto t?rmico, as temperaturas internas e a pot?ncia necess?ria do ar condicionado de expans?o direta para cada um dos treze quartos de interna??o do hospital, verificando o consumo energ?tico das alternativas utilizadas e a rela??o custo-benef?cio da melhor alternativa. Atrav?s das simula??es constatou-se que com a utiliza??o de materiais eficientes termicamente as trocas t?rmicas do interior com o exterior s?o minimizadas, diminuindo o consumo energ?tico do sistema de ar condicionado.
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Fechine, Ana Karine Ferreira da Silva. "O servi?o social no Hospital Universit?rio Ana Bezerra: reflex?es sobre a influ?ncia dos par?metros para atua??o de assistentes sociais na pol?tica de sa?de." Universidade Federal do Rio Grande do Norte, 2015. http://repositorio.ufrn.br/handle/123456789/20468.

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O presente trabalho ? fruto de um processo investigativo no Hospital Universit?rio Ana Bezerra (HUAB), integrante da rede hospitalar da Universidade Federal do Rio Grande do Norte (UFRN) cujo objetivo geral ? analisar em que medida os ?Par?metros para Atua??o de Assistentes Sociais na Pol?tica na Sa?de? tem sido incorporado no cotidiano dos profissionais dessa institui??o. Esse documento foi publicado no ano de 2010 pelo Conselho Federal de Servi?o Social (CFESS) com o prop?sito subsidiar e respaldar a atua??o profissional cotidiana dos assistentes sociais face ?s demandas apresentadas tanto pelos usu?rios dos servi?os quanto pelos empregadores. Al?m disso, vem buscando promover uma reflex?o cr?tica sobre as a??es realizadas com o intuito de fortalecer o projeto desta profiss?o. Como percurso metodol?gico unimos pesquisa bibliogr?fica e documental com pesquisa de campo atrav?s de: 1) Aplica??o de um question?rio com 100% das assistentes sociais lotadas no HUAB, incluindo uma residente, cujo resultado precedeu a realiza??o do grupo focal. 2) Realiza??o de um de grupo focal com as assistentes sociais do referido hospital, atrav?s do qual foi poss?vel obter dados de car?ter qualitativo viabilizado por um frut?fero debate. As informa??es obtidas foram categorizadas e analisadas ? luz dos ?Par?metros?, e revelaram que 100% das assistentes sociais conhecem o documento e enfatizaram suas sucessivas tentativas de utilizar os Par?metros no seu cotidiano de trabalho embora tenham consci?ncia dos limites institucionais.
This work is the result of an investigative process at the University Hospital Ana Bezerra (HUAB), a member of the Federal University of Rio Grande do Norte (UFRN) whose general objective is to analyze how the "Parameters for Practice of Social Workers in Politics in Health" has been incorporated into the daily lives of the professionals of this institution. This document was published in 2010 by the Federal Social Work Council (CFESS) in order to subsidize and support the everyday work of professional social workers of demands presented both by service users as by employers. Also, it has sought to promote a critical reflection on actions taken in order to strengthen the design of this profession. As a methodological join bibliographical and documentary research path with field research through: 1) implementation of a questionnaire with 100% of the social workers crowded in HUAB including a resident, the result of which preceded the completion of the focus group. 2) Conduct a focus group with the social workers of the hospital, by which it was possible to obtain qualitative data made possible by a fruitful debate. The information obtained was categorized and analyzed by "Parameters", and revealed that 100% of the social workers know the document and emphasized its successive attempts to use the Parameters in their daily work but are aware of the institutional limits.
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Vidalón, Hidalgo David. "SATURACIÓN DE OXÍGENO DE LOS RECIÉN NACIDOS A TÉRMINO SANOS CUANTIFICADO POR OXIMETRÍA DE PULSO EN EL HOSPITAL REGIONAL ZACARÍAS CORREA VALDIVIA, A UNA ALTITUD DE 3860 METROS SOBRE EL NIVEL DEL MAR, DE SETIEMBRE A NOVIEMBRE DEL AÑO 2016." Bachelor's thesis, Universidad Ricardo Palma, 2017. http://cybertesis.urp.edu.pe/handle/urp/1045.

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INTRODUCCION: La saturación medida por oximetría de pulso es importante para monitorizar al recién nacido y determinar la intervención médica que requieran cuando se encuentren enfermos. OBJETIVO: Determinar el rango de Saturación de oxigeno de los recién nacidos (RN) a término sanos en el Hospital de Huancavelica, ubicado a una altura de 3860 metros sobre el nivel del mar (m.s.n.m.), durante las primeras 24 horas de vida. METODOS: Tipo de estudio, observacional descriptivo, prospectivo, de corte longitudinal. La población de estudio fue de 129 recién nacidos. Se empleó una ficha de recolección de datos para el recojo de las variables planteadas en el presente estudio, además del consentimiento informado. Las variables de estudio se analizaron con estadística descriptiva. RESULTADOS: Los rangos de saturación de oxigeno son menores que lo reportados en las poblaciones estudiadas a nivel del mar, existiendo significancia estadística, p = 0.00000. Las medidas antropométricas: peso, talla, perímetro craneano comparadas con las reportadas en las poblaciones estudiadas a nivel del mar no muestran significancia estadística. CONCLUSIONES: La saturación promedio en los recién nacidos en la altura, es menor, comparado con los nacidos en ciudades a nivel del mar. Las medidas antropométricas, no muestran significancia estadística comparados con los hallados en poblaciones a nivel del mar.
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Ferreira, Patrícia de Castilho Bacelar. "Sistema de avaliação do desempenho da gestão : aplicação no contexto do Serviço de Medicina Nuclear do Hospital Garcia de Orta, E.P.E." Master's thesis, 2013. http://hdl.handle.net/10400.14/15653.

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O sector da saúde consome muito recurso público. Por esta razão, urge implementar, nas entidades prestadoras de cuidados de saúde, modelos de gestão, centralizados no utente e orientados para resultados, garantindo a sustentabilidade das mesmas. O objectivo da presente dissertação é conceber e implementar um sistema de avaliação do desempenho da gestão para o Serviço de Medicina Nuclear do Hospital Garcia de Orta, E.P.E.. Este sistema de avaliação integra três metodologias distintas: o Balanced Scorecard, o Analitycal Hierarchy Process e o Metric-Merit Conversion. A sua implementação pretende garantir o alinhamento dos objectivos do Serviço de Medicina Nuclear com os objectivos estratégicos do Hospital, promover a transparência dos resultados, influenciar o comportamento dos profissionais na prossecução dos objectivos, facilitar a comunicação dentro do Serviço e deste com a envolvente e, apoiar o processo de tomada de decisão. A concepção pressupõe o conhecimento dos processos internos, a recolha de informação e a definição de uma hierarquia de objectivos e indicadores associados. O sistema de avaliação do desempenho foi desenhado em EXCEL e é composto por cinco folhas: uma folha de inserção do valor de métricas, uma hierarquia de objectivos, a ponderação de cada objectivo, as curvas de mérito – métrica e a análise de sensibilidade. A implementação deste sistema demonstra a adequabilidade de ferramentas de gestão empresarial a serviços de saúde públicos, contribuindo para melhorar o processo de gestão pois, fornece informação objectiva e real do desempenho actual e orientação sobre como atingir os objectivos pretendidos.
The health sector consumes very public resource. For this reason, it is urgent implement, on health care providers, management systems, user-centered and results-oriented, ensuring it sustainability. The main objective of this dissertation is to design and implement a system for assessment the performance of management for the Nuclear Medicine Service at Hospital Garcia de Orta, E.P.E.. This assessment system integrates three different methodologies: the Balanced Scorecard, the Analitycal Hierarchy Process and Merit-Metric Conversion. The implementation of this system aims to ensure alignment of the objectives of the Nuclear Medicine Service with the strategic objectives of the Hospital, to promote transparency of the results, influence the behaviour of professionals in the pursuit of goals, facilitate communication within the Service and with this environment and support the process of decision making. The design requires knowledge of internal processes, gathering information and defining a hierarchy of objectives and associated indicators. The performance assessment system was designed in EXCEL and consists of five sheets: one sheet insertion of the value of metrics, a hierarchy of objectives, the weighting of each objective, the curves of merit - metric and sensitivity analysis. The implementation of this system demonstrates the suitability of enterprise management tools to public health services, helping improve the management process therefore provides objective and real information about actual performance and guidance on how achieve the stated objectives.
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Books on the topic "Hospital metrics"

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Misulis, Karl E., and Monico Peter Baňez. Business of Hospital Neurology. Edited by Karl E. Misulis and E. Lee Murray. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190259419.003.0003.

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Business and organizational issues are critical to success of a hospital neurology program. Most hospital neurologists will participate in or institute stroke services. This will be accompanied by a set of expectations and metrics which require continued vigilance. Other organizational decisions include whether to participate in Teleneurology services. Billing, coding, and risk management are just some of the other issues which have to be addressed as part of the program.
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The Power Of Clinical And Financial Metrics: Achieving Success In Your Hospital (American College of Helathcare Executives Management Series). Health Administration Press, 2005.

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Shrock, Dennis. George Frideric Handel – Messiah. Oxford University Press, 2017. http://dx.doi.org/10.1093/acprof:oso/9780190469023.003.0004.

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Messiah is discussed in reference to Handel’s operas, other choral works in general, and other oratorios in specific, with focus on the librettos. Additional historic information covers the premiere of Messiah, audience reactions, and subsequent performances, including the beginning of its popularity after performances in the Foundling Hospital Chapel and large-scale and re-orchestrated festival performances in the 1780s. Musical topics address Handel’s compositional process (e.g., speed of writing, parody of previously composed works, and revision of works from performance to performance) and factors of musical organization. Performance practices issues include vocal and instrumental timbre, pitch, vibrato, metric accentuation, rhythmic alteration, recitative, and ornamentation.
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Temperley, Nicholas. Anglicanism and Music. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780199644636.003.0019.

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The Restoration brought a determination to revive the Elizabethan choral tradition of the cathedrals. There followed a second ‘golden age’ culminating in the work of Henry Purcell. The characteristic forms of anthem, service, responses, and chants were maintained, but the Hanoverian succession led to a decline in choral standards and a relatively undistinguished period of cathedral music. Meanwhile, parish churches relied chiefly on metrical psalms, sung in town churches by schoolchildren with organ accompaniment, and in country parishes by voluntary choirs and bands, often located in the west gallery. Anglican music was a powerful magnet for missions abroad. It also assisted many charities at home, such as the Foundling and Lock Hospitals. The growing number of choral festivals was a crowning expression of Anglican culture. They were also the seedbed for Handel’s oratorios. His many anthems and Te Deums celebrating special events set a new standard for Anglican ceremonial music.
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Book chapters on the topic "Hospital metrics"

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Pavoll, Alexander, Catherine Feleppa Camenga, and Saul N. Weingart. "Developing a Hospital Quality Metrics System and Dashboard." In Quality Measures, 115–25. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-37145-6_8.

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Anders, Christiane, Claudia Bloom, Vicky Braouzou, Duncan Finch, Mary Reid, Mariangela Zanini, and Christopher Shaw. "Hospitals." In Metric Handbook, 351–82. Sixth edition. | New York: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315230726-19.

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Godbole, Nina S., and John P. Lamb. "The Need for Standard Healthcare and Hospital Energy Use and Carbon Footprint Metrics and the Triple Challenge." In Making Healthcare Green, 105–17. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-79069-5_8.

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Dick, Robbin, and Robert Agness. "Hospital Capacity Management Metrics." In Hospital Capacity Management, 69–76. Productivity Press, 2021. http://dx.doi.org/10.4324/9781003148289-9.

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Farber, Jeffrey I. "Metrics and Dashboards." In Essentials of Hospital Medicine, 133–40. WORLD SCIENTIFIC, 2012. http://dx.doi.org/10.1142/9789814354912_0013.

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Portela, Filipe, Manuel Filipe Santos, José Machado, António da Silva Abelha, and Fernando Rua. "Step Towards Pervasive Technology Assessment in Intensive Medicine." In Hospital Management and Emergency Medicine, 213–29. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch012.

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This paper presents the evaluation of a Pervasive Intelligent Decision Support System in Intensive Medicine making use of Technology Acceptance Model 3 (TAM3). Two rounds of questionnaires were distributed and compared. The work is based on a discursive evaluation of a method employed to assess a new and innovative technology (INTCare) using the four constructs of TAM3 and statistical metrics. The paper crosses the TAM3 constructs with INTCare features to produce a questionnaire to provide a better comprehension of the users' intentions. The final results are essential to validate the system and understand the user sensitivity. The paper validates a method to access technologies in critical environments and shows an example of how a questionnaire can be developed based on TAM3. It also proves the viability of using this method and advises that two rounds of questionnaires should be performed if we want to have better evidence on user satisfaction.
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Mettler, Tobias. "Transformation of the Hospital Supply Chain." In Healthcare Information Technology Innovation and Sustainability, 180–92. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-2797-0.ch011.

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Increased competition and market dynamics in healthcare have led to a stronger need for a strategy to amend customer relationships and for a clear understanding of how healthcare providers can improve their collaboration with key suppliers. Under the label of ‘supplier relationship management’, more research is conducted to study this phenomenon either on a social system or technical system perspective. In this paper, the author presents a maturity model that links metrics for both ‘worlds’ to prescribe the evolution of key practices, IT-services, and people skills. The proposed model can be used to examine the maturity of supplier relationship management of a particular hospital, identifying performance gaps and systematizing improvement initiatives. When used across a health system, it can be applied to benchmark the performance of the participating members, facilitating new ways for collaborative learning.
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Clarke, David. "Hospitals." In Metric Handbook, 25–1. Routledge, 2012. http://dx.doi.org/10.4324/9780080963419-25.

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"Hospitals." In Metric Handbook, 260–87. Routledge, 2007. http://dx.doi.org/10.4324/9780080523163-22.

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"Hospitals." In Metric Handbook, 335–54. Routledge, 2015. http://dx.doi.org/10.4324/9781315759333-24.

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Conference papers on the topic "Hospital metrics"

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Faber, Brenton, and Adhish Rajkarnikar. "Designing hospital metrics." In the 30th ACM international conference. New York, New York, USA: ACM Press, 2012. http://dx.doi.org/10.1145/2379057.2379100.

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Kwok, M., J. Booth, P. Konstanty, JF Standing, and AD Irwin. "A2.1 A comparison of metrics to evaluate trends in antimicrobial consumption in a tertiary children’s hospital." In Great Ormond Street Hospital Conference. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-084620.21.

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Markley, Catherine, Keith Feldman, and Nitesh V. Chawla. "Outside the Hospital Walls: Associations of Value Based Care Metrics and Community Health Factors." In 2019 IEEE EMBS International Conference on Biomedical & Health Informatics (BHI). IEEE, 2019. http://dx.doi.org/10.1109/bhi.2019.8834487.

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Ieong, M. H., K. Seim, A. Cann, and C. Fabrizi. "Metrics of Ethics: How to Measure the Work and Build Medical Ethics Consultative Expertise to Support the ICU and Hospital." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a4304.

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Özkil, Ali Gürcan, and Thomas Howard. "Automatically Annotated Mapping for Indoor Mobile Robot Applications." In ASME 2012 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/detc2012-71351.

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This paper presents a new and practical method for mapping and annotating indoor environments for mobile robot use. The method makes use of 2D occupancy grid maps for metric representation, and topology maps to indicate the connectivity of the ‘places-of-interests’ in the environment. Novel use of 2D visual tags allows encoding information physically at places-of-interest. Moreover, using physical characteristics of the visual tags (i.e. paper size) is exploited to recover relative poses of the tags in the environment using a simple camera. This method extends tag encoding to simultaneous localization and mapping in topology space, and fuses camera and robot pose estimations to build an automatically annotated global topo-metric map. It is developed as a framework for a hospital service robot and tested in a real hospital. Experiments show that the method is capable of producing globally consistent, automatically annotated hybrid metric-topological maps that is needed by mobile service robots.
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Li, Wendy, Leah Jin, Martin Fischer, and John Kunz. "Method Using Metric-Based Performance Feedback to Predict Client Satisfaction—A Hospital Case Study." In Construction Research Congress 2012. Reston, VA: American Society of Civil Engineers, 2012. http://dx.doi.org/10.1061/9780784412329.048.

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Wickert, Toni I., Luciana S. Buriol, Greet Vanden Berghe, and Pieter Smet. "Personnel rostering: models and algorithms for scheduling, rescheduling and ensuring robustness." In Concurso de Teses e Dissertações da SBC. Sociedade Brasileira de Computação - SBC, 2020. http://dx.doi.org/10.5753/ctd.2020.11365.

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Personnel rostering is the process of assigning employees to shifts while respecting a set of constraints. Despite progress in recent decades concerning computation techniques, a considerable number of organizations continue to organize their rosters manually. This thesis seeks to bridge the gap between academia and practice by (i) introducing an integer programming model based on a real-world demand and a matheuristic to quickly generate results, (ii) producing state-of-the-art results for cyclic rostering problems using instances available in the literature, (iii) designing new rerostering strategies for repairing disruptions in multi-skilled rostering scenarios, and (iv) introducing a metric for quantifying and enforcing robustness in rosters. Besides the scientific contributions resulted from the thesis, this work is also relevant in practice. Since April of 2019, Hospital de Clínicas de Porto Alegre employs this PhD's outcome, named ProScheduleSolver to compute its physicians' rosters. The automation takes a few minutes, as opposed to multiple hours in the past, and results in 24,7\% less overtime for the physicians.
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Cifuentes, Jenny A., Minh Tu Pham, Richard Moreau, Flavio Prieto, and Pierre Boulanger. "Objective Assessment of Surgical Skills." In ASME 2012 11th Biennial Conference on Engineering Systems Design and Analysis. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/esda2012-82862.

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Minimally Invasive Surgery (MIS) has definitively changed the procedures performed in operating rooms. In many cases, MIS has become the recommended standard technique, replacing the traditional open surgery. Effective training and objective assessment of surgeons in these techniques become a major concern in hospitals in recent years, encouraged primarily by patients and a society that demands safer surgical procedures, which is associated with better surgeons training. In the framework of surgery, the difficulty of defining objective metrics for performance evaluation lies in the strict dependency between tasks and the difficulty of defining the meaning of optimal performance, related to the characterization of gestures made by the experts. An objective method to compare 3D gestures between an expert and novice surgeons through multidimensional data analysis is proposed in this paper. A survey of different algorithms for surgical gestures analysis in time domain is carried out. These ones include the Multi-dimensional Dynamic Time Warping (MD-DTW) and Multi-Dimensional Derivative Dynamic Time Warping (MD-DDTW). Simulation and experimental results are given with this different techniques.
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Reports on the topic "Hospital metrics"

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Moakler, Megan C. An Analysis of Operating Room Performance Metrics at Reynolds Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, June 2009. http://dx.doi.org/10.21236/ada516603.

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