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1
Hu, Yi Ni. "Serial killers in the People's Republic of China :the origins underlying the serial killing". Thesis, University of Macau, 2016. http://umaclib3.umac.mo/record=b3534658.
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Irwin, Adam. "The diagnosis of serious bacterial infections in the children's Emergency Department". Thesis, University of Liverpool, 2016. http://livrepository.liverpool.ac.uk/2005599/.
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Background Acute febrile illness is a common presentation to the children’s Emergency Department (ED). Difficulty discriminating between Serious Bacterial Infections (SBI) and self-limiting infections results in delayed treatment of SBI, and over-treatment of self-limiting infections. Aims/Objectives To define the aetiology of bacteraemia in the children’s ED, to evaluate a universal molecular diagnostic for the diagnosis of bacteraemia, and to derive and validate risk prediction models for SBI in this setting. Methods A prospective diagnostic accuracy study of clinical and biomarker variables in febrile children presenting to the ED which incorporated a case-control study evaluating 16S rRNA followed by sequencing for the diagnosis of bacteraemia. An 11 year retrospective time series analysis described the aetiology of bacteraemia presenting to the children’s ED. The study had full ethical approval. Results Time series analysis of bacteraemia presenting to the ED between 2001 and 2011 (n=575) estimated an annual 10.6% reduction in vaccine-preventable infections, and an annual 6.7% increase in Gram-negative infections. The rate of healthcare-associated bacteraemia increased from 0.18 to 0.50 per 1000 ED attendances, and the proportion of isolates susceptible to empirical antibiotics declined from 96.3% to 82.6%. Episodes of Gram-negative bacteraemia received antibiotics 1h later than episodes of vaccine-preventable bacteraemia. 1101 children were recruited to the diagnostic accuracy study. 146 children were included in an evaluation of 16S rRNA PCR in whole blood (SepsiTest) followed by sequencing for the diagnosis of bacteraemia. 120 ‘high-risk’ children were selected alongside 26 ‘low-risk’ children. SepsiTest identified 9/16 (56%) cases of bacteraemia. Combination with blood culture yielded a sensitivity of 75%, and specificity of 66%. SepsiTest identified 17/120 bloodstream infections with Viridans Group Streptococci in the high-risk group, and none in the low-risk group (p=0.06). A risk prediction model combining clinical variables with the biomarkers CRP, Procalcitonin and Resistin discriminated well between Pneumonia, ‘other SBIs’ and no SBI (AUC 0.84 and 0.77 respectively). External validation of published models was performed and improvements in classification achieved by the addition of Procalcitonin and Resistin. The addition of biomarkers had particular value in ruling-out ‘other SBIs’ (NRI for non-events 5.3%). Conclusion Serious Bacterial Infections in the children’s ED are increasingly healthcare-associated, and remain difficult to recognise. Broad-range molecular tests which are culture independent may have a role as adjuncts to conventional microbiology but require ongoing evaluation. Meanwhile, risk prediction models improve discrimination between SBI and self-limiting infections and should be tested in robust impact studies.
3
Lucius, Tommie J. "Department of Defense quality management systems and ISO 9000:2000". Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2002. http://sirsi.nps.navy.mil/uhtbin/hyperion-image/02Mar%5FLucius.pdf.
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Margolis, Jayne B. "The Muhlenberg College Media Services Department videotaped audio visual equipment training series". Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1989. http://www.kutztown.edu/library/services/remote_access.asp.
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Thesis (M.S.)--Kutztown University, 1989.Source: Masters Abstracts International, Volume: 45-06, page: 2807. Abstract precedes title page. Typescript. Includes bibliographical references (leaves 50-51).
5
Rico, Florentino Antonio. "Emergency department capacity planning for a pandemic scenario : nurse allocation". [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0003245.
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Lam, Vai Iam. "Time domain approach in time series analysis". Thesis, University of Macau, 2000. http://umaclib3.umac.mo/record=b1446633.
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Mui, Chi Seong. "Frequency domain approach to time series analysis". Thesis, University of Macau, 2000. http://umaclib3.umac.mo/record=b1446676.
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Holfert, Heidi H. "Learning objectives for Department of the Navy entry-level budget analysts (Series GS-560)". Thesis, Monterey, California. Naval Postgraduate School, 1991. http://hdl.handle.net/10945/28331.
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El-Sharo, Moh'd Ragheb A. "Predicting hospital admissions from emergency department using artificial neural networks and time series analysis". Diss., Online access via UMI:, 2009.
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Thesis (M.S.)--State University of New York at Binghamton, Thomas J. Watson School of Engineering and Applied Science, Department of Systems Science and Industrial Engineering, 2009.Includes bibliographical references.
10
Liu, Shuang. "Convergence of Fourier series on the sphere in the Clifford analysis setting". Thesis, University of Macau, 2002. http://umaclib3.umac.mo/record=b1446719.
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Lee, Kam-hung. "Implementation of ISO 9000 in electrical & mechanical services Department /". Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B17983769.
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Lee, Jacques Simon. "Acute abdominal pain in the emergency department : physicians' use of opioid analgesics and the incidence of serious outcomes". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0004/MQ44204.pdf.
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Tobin, Martin James. "Risk Management for Persons with Serious Mental Illness: A Process Analysis of Washington State Department of Corrections' Tools". Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1572238409240387.
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Lee, Kam-hung, e 李錦鴻. "Implementation of ISO 9000 in electrical & mechanical services Department". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31267373.
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Ng, Piu Lawrence, e 吳彪. "The development and implementation of ISO 9000 in the LPM branch, civil engineering department". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31268249.
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Hong, Fang. "Cross-listed shares in Hong Kong and mainland China stock markets : time series evidence". Thesis, University of Macau, 2010. http://umaclib3.umac.mo/record=b2144049.
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Ng, Piu Lawrence. "The development and implementation of ISO 9000 in the LPM branch, civil engineering department /". Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B18835892.
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Zhao, Ping. "Time series analysis and forecasting with the application of SAS in forecasting tourist arrivals in Macau". Thesis, University of Macau, 2004. http://umaclib3.umac.mo/record=b1447314.
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Dang, Pei. "Time-frequency analysis based on mono-components". Thesis, University of Macau, 2011. http://umaclib3.umac.mo/record=b2489938.
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Waters, Heidi C. "Evaluating the Impact of Integrated Care on Service Utilization in Serious Mental Illness". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3374.
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Serious mental illness (SMI) affects 5% of the United States population and is associated with increased morbidity and mortality. Use of high-cost healthcare services is common, including hospitalizations and emergency department (ED) visits. Integrating behavioral and physical healthcare may improve care for consumers with SMI, but prior research findings have been mixed. This quantitative retrospective cohort study addressed the impact of integrated care on physical health and ambulatory care sensitive (ACS) utilization via a program evaluation of an integrated health clinic (IHC) at a community mental health center (CMHC). The research questions assessed whether there was a predictive relationship between IHC enrollment and physical health and ACS-specific service utilization for consumers with SMI when controlling for demographic characteristics and disease severity. Secondary administrative healthcare data, including authorization and electronic medical record data, were provided by the CMHC. Logistic regressions assessed the odds of experiencing an inpatient admission or ED visit before or after IHC enrollment; the predictive relationship between IHC enrollment and service utilization was assessed using multiple linear and Poisson regression analyses. There was no statistically significant impact of integrated care clinic enrollment on physical health or ACS-specific utilization. The sample had lower levels of physical health utilization than would have been expected. In terms of positive social change, results may help the CMHC assess the IHC program, overall clinic success, and use of data. Since policy and payment structures continue to support integrated care models, further research on different programs are encouraged, as each setting and practice pattern is unique.
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Chu, Kuok Kun. "Nonlinear time series analysis of Chinese stock markets : Shanghai stock exchanges & Shenzhen stock exchanges". Thesis, University of Macau, 2000. http://umaclib3.umac.mo/record=b1636220.
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Arbuckle, Lon Michel Luk. "Short-Term Occupancy Prediction at the Ottawa Hospital Using Time-Series Data for Admissions and Longitudinal Patient Data for Discharge". Thesis, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/20545.
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The Ottawa Hospital cancels hundreds of elective surgeries every year due to a lack of beds, and has an average weekday occupancy rate above 100%. Our approach to addressing these issues, by way of informing administrators of resource needs, was to model the flow of patients coming and going from the hospital.
We used administrative data from the Ottawa Hospital to build a time-series model of emergency department admissions, and studied models that would predict next-day discharge of patients currently taking up hospital beds. In the latter, we considered population-averaged models for groups of patients based on their primary medical condition, as well as subject-specific models. We included the random effects from subject-specific variation to improve on predictive accuracy over the population- averaged approach. The result was a model that provided more realistic probabilities of discharge, and stable predictive accuracy over patient length of stay.
23
Kaspar, Margaret Ann. "California's "long-standing, serious noncompliance" in the delivery of special education and related services". CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2132.
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The intent of the review, and the list of programs appended to this paper, is to compile examples of successful programs that may serve as models for those in California who have been charged with the development and implementation of programs that will bring the California Department of Education/Office of Special Education and its local education agencies into substantial compliance with the requirements of IDEA.
24
Tang, Lin. "Efficient Inference for Periodic Autoregressive Coefficients with Polynomial Spline Smoothing Approach". University of Toledo / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1449770216.
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Cochran, Tanya R. "Toward a Rhetoric of Scholar-Fandom". Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/english_diss/51.
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Individuals who consider themselves both scholars and fans represent not only a subculture of fandom but also a subculture of academia. These liminal figures seem suspicious to many of their colleagues, yet they are particularly positioned not only to be conduits to engaged learning for students but also to transform the academy by chipping away at the stereotypes that support the symbolic walls of the Ivory Tower. Because they are growing in number and gaining influence in academia, the scholar-fans of the television series Buffy the Vampire Slayer (Buffy) and other texts by creator Joss Whedon are one focus of this dissertation. Though Buffy academics or Whedon scholars are not the only ones of their kind (e.g., academic- fan communities have cropped up around The Simpsons, The Matrix Trilogy, and the Harry Potter franchise), they have produced more literature and are more organized than any other academic-fan community. I approach all of my subjects—fandom, academia, fan-scholars, and scholar-fans—from a multidisciplinary perspective, employing various methodologies, including autoethnography and narrative inquiry. Taking several viewpoints and using mixed methods best allows me to begin identifying and articulating a rhetoric of scholar-fandom. Ultimately, I claim that Whedon academic-fans employ a discourse marked by intimacy, community, reciprocity, and transformation. In other words, the rhetoric of Whedon scholar-fandom promotes an epistemology—a way of knowing—that in Parker J. Palmer’s paradigm is personal, communal, reciprocal, and transformational.
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Pearce, Maryanne. "An Awkward Silence: Missing and Murdered Vulnerable Women and the Canadian Justice System". Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/26299.
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The murders and suspicious disappearances of women across Canada over the past forty years have received considerable national attention in the past decade. The disappearances and murders of scores of women in British Columbia, Alberta and Manitoba have highlighted the vulnerability of women to extreme violence. Girls and women of Aboriginal ethnicity have been disproportionally affected in all of these cases and have high rates of violent victimization. The current socio-economic situation faced by Aboriginal women contributes to this.
To provide publicly available data of missing and murdered women in Canada, a database was created containing details of 3,329 women, including 824 who are Aboriginal. There are key risk factors that increase the probability of experiencing lethal violence: street prostitution, addiction and insecure housing. The vast majority of sex workers who experience lethal violence are street prostitutes. The dissertation examines the legal status and forms of prostitution in Canada and internationally, as well as the individual and societal impacts of prostitution. A review of current research on violence and prostitution is presented. The thesis provides summaries from 150 serial homicide cases targeting prostitutes in Canada, the U.S., and the U.K. The trends and questions posed by these cases are identified.
The cases of the missing women of Vancouver and Robert Pickton are detailed. The key findings from the provincial inquiry into the missing women cases and an analysis of the most egregious failings of the investigations (Projects Amelia and Evenhanded) are discussed. Frequently encountered challenges and common errors, as well as investigative opportunities and best practices of police, and other initiatives and recommendations aimed at non-police agencies are evaluated. The three other RCMP-led projects, KARE, DEVOTE and E-PANA, which are large, dedicated units focused on vulnerable women, are assessed.
All Canadian women deserve to live free of violence. For women with vulnerable life histories, violence is a daily threat and a common occurrence. More must be done to prevent violence and to hold offenders responsible when violence has been done. This dissertation is a plea for resources and attention; to turn apathy into pragmatic, concrete action founded on solid evidence-based research.
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Sheetz, Nathaniel Cloud Medeiros D. J. "Predicting emergency department census using time series regression". 2008. http://etda.libraries.psu.edu/theses/approved/WorldWideIndex/ETD-2966/index.html.
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Chen, Chieh-Fan, e 陳介凡. "Forecasting emergency department revenue and patient volumes -- a study of time series analysis". Thesis, 2010. http://ndltd.ncl.edu.tw/handle/31669076245425122484.
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碩士高雄醫學大學
醫務管理學研究所碩士在職專班
98
Study objective The present study aimed to determine the feasibility of forecasting the emergency department (ED) revenue and patient volumes based on the three aspects of meteorology, organization and socio-economy. Methods In this retrospective study, we attempted to predict the monthly ED revenue and trauma, non-traumatic, pediatric patient volumes in the future intermediate period with the method of Box-Jenkins Auto-Regressive Integrated Moving Average (ARIMA) time-series model. Data for analysis were the counts of monthly revenue and patient volumes at the ED of an acute care regional general hospital from Jan. 2005 to Sep. 2009. Patients were stratified into three divisions: trauma, non-traumatic and pediatric patients. The ARIMA method was separately applied to each of the income and the three separate divisions. Independent variables explored in the model were monthly average of daily maximum and minimum temperature, daily relative humidity and monthly rain fall in meteorological aspect; trauma, pediatric, non-traumatic patient volumes in organizational aspect and variation of stock market index in socio-economic aspect. Results The three aspects had different influences on ED revenue and patients volumes. The ED revenue tended to increase with the maximum temperature, relative humidity, rain fall, non-traumatic and traumatic visits; and decrease with the minimum temperature. Traumatic patient volumes increased with the minimum temperature and the stock market index fluctuation. Non-traumatic visits tended to increase with the maximum temperature, relative humidity and the stock market index fluctuation. The pediatric visits increased with the maximum temperature and relative humidity but decreased with the minimum temperature. The model of intermediate forecasting ED revenue had reasonable to good results. And it is accuracy for traumatic patient volumes is good to excellent; for non- traumatic patient volumes is reasonable to good; but for pediatric patient volumes, it’s not good. Conclusion Meteorological, organizational and socio-economic predictors can make an accurate forecasting model for intermediate ED revenue, traumatic and non-traumatic patient volumes.
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Chen, Shu-Hsing, e 陳素幸. "Measuring Operational Performance and Time-Series Efficiency Change Model on Hospitals of Department of Health". Thesis, 2009. http://ndltd.ncl.edu.tw/handle/37672301670369239373.
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碩士元智大學
管理研究所
97
With the change of payment methods of National Health Insurance (NHI) and the change of operational modes in medical industry, medical care institutions are facing the impact of reduction in global budget floating values of NHI and the reduction in medical income. However, public hospitals still have to offer medical care services, undertake the social responsibility and policy responsibility endowed by the government, and put the health policy of disease prevention and health promotion into practice. Affiliated hospitals of Department of Health (DOH) are the most widely distributed hospitals among the public hospital system. Ever since the NHI policy was put into practice, the medical care seeking behaviors of people have changed. With the gradual decrease in official budget of the government, affiliated hospitals of DOH started to implement the policy of regional alliance to make medical network more complete. It is hoped that the regional alliance among hospitals can reduce the management costs and improve service quality and operational efficiency through methods, such as resources sharing, techniques exchange, joint marketing and joint procurement. The subjects of this study were 22 acute care affiliated hospitals of DOH. This study used Data Envelopment Analysis and chose proper variables of inputs and outputs to evaluate the operational efficiency of year 2007 and analyze the efficiency of time-series from 2005 to 2007. The DEA model in this study used the number of hospital beds, doctors, nurses, non-medical staffs, and administrative staffs as inputs and used the number of inpatients, surgeries, and both outpatient and emergency visits as outputs. The empirical results of DEA found that when comparing the analytical results of efficiency of affiliated hospitals of DOH with external environments (i.e. other public hospitals, Non-Profit Proprietary Hospitals, and private hospitals), the overall efficiency of affiliated hospitals of DOH in 2007 ranked the third, the technical performance was poor, and the scale efficiency ranked the second. It could be inferred that when comparing affiliated hospitals of DOH with other hospitals, many aspects in affiliated hospitals of DOH were still left to be improved, especially the aspect of technical efficiency. Also, the improvement in technical efficiency would help improving the overall efficiency. When comparing the internal environments (i.e. the 22 acute care affiliated hospitals of DOH), the analytic results of overall efficiency of 12 hospitals was relatively high (CCR＝1), the technical efficiency of 16 hospitals was relatively high, and the scale efficiency of 12 hospitals was relatively high, which was the same with that of overall efficiency (Scale=1). The analytical results of Super-Efficiency indicated that the performance of Taitung Hospital was the best. The long term year-span analysis of efficiency of 22 acute care affiliated hospitals of DOH found that except for Heng-chun Tourism Hospital, the efficiency of other 21 hospitals in 2007 improved much better than that in 2005. It could be concluded that the implementation of regional alliance among hospitals by resources sharing, techniques exchange, and joint marketing did improve the service quality and operational performance of hospitals, reduce the management costs, and achieve great performance in increasing competitiveness. Keywords: Affiliated hospitals of Department of Health, Performance evaluation, Data Envelopment Analysis
30
Tok, Teck-Siang, e 卓德松. "A Study of The Revenue of Regional HospitalPediatric Department：A Time Series Analysis". Thesis, 2009. http://ndltd.ncl.edu.tw/handle/37018326543859624930.
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碩士高雄醫學大學
醫務管理學研究所碩士在職專班
97
In the early stages of Taiwan healthcare system, although health resources are scarce and most hospitals are smaller in size comparatively, but most health care organizations were still able to maintain a reliable profit. But as time progress and with the change of the medical care environment, today health system management is much different from the older day. Poor organization administration may face close down or retreat from the market. There are plenty of references about how much resource input and output, especially from medical care or national medical strategy dealing with medical resource distribution and efficiency or outcome of medical resource they input. But research about the relationship of how much resource an individual hospital investment and it resulted revenue is very rare. Thus hope that this study by Time Series Analysis, can find out how under the National Health Insurance global budget how related factors affected a hospital pediatric department medical resource input and it resulted revenue. Also hope that this finding can help to set up a production equation for predicting future hospital pediatric department revenue. Purpose The study has two purposes: (1) to understand the effect of several variables on revenue of a regional hospital pediatric department. These variables include human resources (visiting staff, resident, nurse), number of outpatient, outpatient clinic, emergency patient, pediatric bed, inpatient, inpatient-day, hospital newborn, the capital equipment net value (deduction amortizes after the book value), 0-19 years-olds population and newborn baby of Pingtung County. (2) To find an equation that able to predict revenue of pediatric department in the future. Materials and methods The study hospital for this analysis is a Christian regional teaching hospital located in Pingtung City. Retrospective longitudinal quantitative data from Jan 2004 to May 2008 were used in this study. The research v was designed according to the motivation and purposes of this study. An experimental model framework of this research was decided only after thorough search of related references and studies. A model was constructed for investment of resources input and final outcome of pediatric department revenue. In this study the time series ARIMA model of SPSS 12.0 version was employed. Results The revenue of pediatric department of the study hospital had a decreasing tendency at the first two and half years, but showed an increase trend in the following years of the study period. After the first order of indifference, the increasing and decreasing trends disappeared. No seasonal changes were noted after the spectral analysis. In the auto-correlations analysis of the revenue of pediatric department, the p value is less than 0.05, meaning that monthly revenues have a close intra-relationship to each other. In order to diminish the influence of “time” variable in the revenue of pediatric department, figures of ACF and PACF were analyzed. An ARIMA (p,d,q) model is finally decided, that is (2,12). The influenced variables in this model are number of outpatient clinic, outpatient, inpatient, inpatient-day, visiting staff, resident and hospital newborn. Variables like number of emergency patient, pediatric bed, nurse, the capital equipment value and newborn baby of Pingtung County showed no statistical significant. The positive influenced variables are number of outpatient, inpatient-day, visiting staff, resident, and hospital newborn. The negative influenced variables are number of outpatient, inpatient and 0-19 years olds population of Pingtung County. Discussion and Conclusion This study elucidated variables that have significant influence on the increase of revenue of pediatric department, the sequence from strongest to weakest influence variables are number of visiting staff, resident, hospital newborn, in-patient person-day and outpatient. The variables that have significant influence on the decrease of revenue of pediatric department, from strongest to weakest influence variables are number of outpatient clinic, inpatient and the population of 0-19 year olds of vi Pingtung County. The most important factors of the revenue of pediatric department come from the income of outpatient, in-patient and emergency pediatric department. The pediatric doctors, visiting staffs and residents are the main resource creating the income. From this point of view, increase the number of doctors will increase the income of pediatric department. But increased income does not equivalent to increased profit. Therefore, the management level should find out an appropriated number and ratio of visiting staffs and residents after have an overall consideration of the globe budget payment system, the capacity, equipments and adequate target profits of the hospital. There is no statistical significant influence between the income of pediatric department and its emergency department. The possible explanation is due to the relative stable patient number during the study period. The difference between the predict and the observed value of the revenue of the pediatric department of ARIMA model (2,1,2) is around 20.86%, and the MAPEs are ranged from 3.11% to 35.95%. It is a quiet good revenue-forecasting model.
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CHEN, LI-AN, e 陳立安. "A Deep Neural Network Based Non-linear Ensemble Framework for Time Series Forecasting of Emergency Department Patients Visits". Thesis, 2019. http://ndltd.ncl.edu.tw/handle/6cbgrb.
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碩士輔仁大學
資訊管理學系碩士班
107
Due to the convenience of medical treatment and the provision of National Health Insurance in Taiwan, there are often problems in which emergency department are often and emergency overcrowding occurs. This research will use the historical emergency visits data to predict the daily patient visits through a time series model for doctors and nurses to make the most appropriate head count arrangement. From the above motivations, this study will develop three research purposes. 1. Use a time series data to make predictions and evaluate the effectiveness of each prediction model. 2. Use a heuristic algorithm in the model to see if it will effectively improve the model. 3. Use the combined forecasting method to confirm whether the prediction accuracy of the model can be improved. This research will combine the linear and nonlinear combination prediction methods with the following five models. Autoregressive Integrated Moving Average model(ARIMA), Gray Prediction, Recurrent Neural Networks(RNN), Long Short-Term Memory(LSTM), Gated Recurrent Unit(GRU). In addition to combine five models to predict the numbers of emergency patients, the research will also be adjusted in each model by using Differential Evolution(DE). Using Mean Square Error(MSE), Mean Absolute Percentage Error(MAPE) evaluation indicators to judge the quality of the results. It can be known from the experimental results that in the single model, the traditional time series model has a poorer prediction effect than the cyclic neural network model. The addition of heuristic algorithm and combined prediction method can improve the prediction accuracy, and the result is better than the single model.
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Wang, Jonathan. "On Quantifying and Forecasting Emergency Department Overcrowding at Sunnybrook Hospital using Statistical Analyses and Artificial Neural Networks". Thesis, 2012. http://hdl.handle.net/1807/33580.
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Emergency department (ED) overcrowding is a challenge faced by many hospitals. One approach to mitigate overcrowding is to anticipate high levels of overcrowding. The purpose of this study was to forecast a measure of ED overcrowding four hours in advance to allow clinicians to prepare for high levels of overcrowding. The chosen measure of ED overcrowding was ED length of stay compliance measures set by the Ontario government. A feed-forward artificial neural network (ANN) was designed to perform a time series forecast on the number of patients that were non-compliant. Using the ANN compared to historical averages, a 70% reduction in the root mean squared error was observed as well as good discriminatory ability of the ANN model with an area under the receiver operating characteristic curve of 0.804. Therefore, using ANNs to forecast ED overcrowding gives clinicians an opportunity to be proactive, rather than reactive, in ED overcrowding crises.
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Wei-cheng, Chen, e 陳偉誠. "A Study on Corporate Design Department''s Involvement of Carrying Out ISO 9000 Series Quality Assurance System and Its Consequences". Thesis, 1999. http://ndltd.ncl.edu.tw/handle/36908688058192174863.
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碩士國立成功大學
工業設計學系
87
ABSTRACTAs the global trade competition becomes more and more intense, getting ISO 9000 recognition is considered as the key pass into EC (European Community) and winning international orders for Taiwan''s businesses. Meanwhile, as Taiwan tries to upgrade industries'' competence, design and R&will inevitably play a more and more important roll. Therefore, how ISO standard series affect design and R& and how design sectors responsible for design and R&in businesses respond to the ISO trends and involve the carrying out of ISO''s are worth investigating. And hence, the purpose of this study is set to identify the appropriate rolls design sectors should play and to maximize the value they can contribute to the businesses during carryingout the ISO series.The study comprises three phases in summing up the model for design sector''s participating carrying out ISO 9000 series. First, it analyzes current government strategies toward ISO series, business policies on ISO series, and the relationships between design and ISO series. Secondly, it investigates, via case studies, the breadth and depth of design sector''s participation while the business carrying out ISO 9000 series. Thirdly, it verifies the findings, via questionnaires, to construct the model. All the subjects selected for this experiment had least passed ISO 9001.Some early results summarized from this study exhibit below:(1) The major problems design sectors facing in carrying out ISO 9000 series include: forgot to update documents, and frequent organizational changes;(2) The influences of ISO 9000 series on design performances can be measured by three indicators: the completeness of documents and drawings, the continuity of documents, and the searchability of documents;(3) The advantages design sectors benefit from being implementing ISO 9001 included: can formalize the production of design documents and design drawings, and identify exactly where goes wrong if any;(4) The disadvantages affecting design sectors while implementing ISO 9001 included: documenting was tedious and complicated for designers, and time for design was occupied by paperwork;(5) The most significant contribution design sectors made in carrying out ISO 9000 series is compiling product development related documents.Keywords: ISO 9000, Design, R& Design Sector
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"Application of ISO 9000 quality standard to a maintenance department of a construction material supplier". Chinese University of Hong Kong, 1995. http://library.cuhk.edu.hk/record=b5888305.
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by Sitt Wing-leung William.Thesis (M.B.A.)--Chinese University of Hong Kong, 1995.
Includes bibliographical references (leaves 64-65).
ABSTRACT --- p.iii
TABLE OF CONTENTS --- p.v
LIST OF FIGURES --- p.vii
LIST OF TABLES --- p.viii
ACKNOWLEDGEMENTS --- p.ix
Chapter
Chapter I. --- INTRODUCTION
The Development of Quality --- p.1
Rise of International Quality Standard --- p.2
ISO 9000 Quality Standard --- p.3
Significance of ISO 9000 --- p.5
Maintenance Management --- p.7
Project Objective --- p.8
Chapter II. --- RESEARCH METHODOLOGY
Case Study Approach --- p.10
Settings and Timeframe --- p.10
Data Collection --- p.11
Literature Review --- p.12
Chapter III. --- MAINTENANCE MANAGEMENT
Company Profile --- p.13
Maintenance Department --- p.14
Repair and Maintenance --- p.16
Problems Encountered --- p.18
Improved Operating System --- p.21
Benefits of the New System --- p.28
Limitations of the New System --- p.29
Chapter IV. --- APPLICATION OF ISO 9000 QUALITY SYSTEM
14Elements Applied to Maintenance Department --- p.31
Implementation Process --- p.41
Difficulties Encountered --- p.45
Hints to Successful Implementation --- p.47
Benefits and Drawbacks --- p.50
Chapter V. --- CONCLUSION
Summary --- p.53
Recommendations for Further Study --- p.55
APPENDIX --- p.57
BIBLIOGRAPHY --- p.63
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Cheng, Yi-Ching, e 鄭宜青. "The Comparison Study of Service Failure and Service Recovery Between Domestic and Japanese Series Department Stores in Taiwan─Take Kaohsiung As an Example". Thesis, 2003. http://ndltd.ncl.edu.tw/handle/56803310125580913512.
Texto completo da fonteResumo:
碩士朝陽科技大學
企業管理系碩士班
91
In the recent year, the economic development of Taiwan is striding toward the service industry as the predominance of the modern era, the economic independence of the female consumers and many elements such as to carry out the two days off from the weekend, have led to the demand of the citizen for the high quality and comfortable shopping provided by the department stores, and the needs of the places for leisure activities, to increase by days. In the severe competition of the modern day environment, in order for those in the industry to stand out, one would need to devote to maintain the customer relationship. The customer complaint for the enterprise consists of direct and indirect influence; how to effectively handle customer complaint, to elevate the degree of loyalty for the long-term customer, is an important element that cannot be overlooked by the general merchandise industry. The purpose of this research, is to conduct an area partition between the domestic department stores and the Japanese series department stores, and to adjust the phases for the customer complaint reason, the complaint behavior and handling of the complaint, and through analyzing the variable phases of the relation between cause and effect and the influence of the overall customer satisfaction, in order to further understanding the customers and the people of industry of the department stores. Through the research of the discussion for the actual proves, the descriptive conclusion for this research is as followed: 1. The customer complaint reasons for complaint behavior, the customer complaint behavior for handling complaint, the handling of the customer complaint for the overall customer satisfaction, and the customer complaint reason for the overall customer satisfaction, all have noticeable of positive relationship. 2. The domestic department stores and the Japanese series of department stores have the noticeable difference for the customer complaint reason, but the customer complaint behavior and the method of handling complaints do not have noticeable differences. 3. After the complaint happened, the method of handling the complaint by the department stores, for the overall customer satisfaction, the Japanese series of department stores have advantage over the domestic department stores.
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Rea, William S. "The application of atheoretical regression trees to problems in time series analysis : a thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Mathematics, Department of Mathematics and Statistics, University of Canterbury /". 2008. http://hdl.handle.net/10092/1715.
Texto completo da fonte
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Vieira, Adriana Maria da Silva. "Modelação de admissões e internamentos na urgência do Hospital de Braga". Master's thesis, 2016. http://hdl.handle.net/1822/42920.
Texto completo da fonteResumo:
Dissertação de mestrado em EstatísticaEste estudo teve como objetivos, através da modelação de padrões e tendências, desenvolver modelos que permitissem prever, tanto o número de pacientes admitidos diariamente nos três serviços de urgência (geral, obstétrico e pediátrico), como o número de pacientes internados via urgência, no Hospital de Braga, em Portugal. Para tal foram usadas técnicas de regressão linear e de Poisson, respetivamente, bem como análise de séries temporais. Recorrendo ao uso de variáveis sazonais, meteorológicas, ambientais e epidemiológicas, tentou encontrar-se equações matemáticas que permitissem a previsão futura do número de admissões em ambos os serviços de urgência e internamento. O uso de variáveis que não as sazonais revelou-se de pouco valor preditivo, apesar de existirem variáveis estatisticamente signi cativas. Além disso, para o hospital é mais simples utilizar apenas dados internos ou do conhecimento geral. Assim, foi decidida a utilização de apenas variáveis sazonais, sendo estas o dia da semana, o mês do ano e os feriados. Adicionalmente utilizou-se também a variável t que representa o tempo, em dias, decorrido desde 1 de janeiro de 2012. No caso das admissões no serviço de urgência, estas foram modeladas recorrendo a técnicas de regressão linear múltipla, tendo-se veri cado correlação temporal nos resíduos de cada modelo, sendo o número de admissões de um determinado dia correlacionadas com as dos 7 dias anteriores no caso da urgência geral, e com as dos 8 dias anteriores no caso de ambas urgências, obstétrica e pediátrica. Por outro lado, no caso das admissões no serviço de internamento via urgência, a modelação foi feita com recurso à regressão de Poisson, não se veri cando a existência de qualquer tipo de correlação temporal. Neste caso, também não se registou qualquer evidência de que os feriados estejam relacionados com o número de internamentos. Toda a modelação foi feita com recurso ao software R versão 3.2.2., (2015-08-14).
This study aims, trough patterns and trend modelling, to develop models that allows to predict the number of patients that visit, on a daily basis, the three emergency departments (general, obstetric and pediatric), as well as, the number of hospitalized patients, at Braga's Hospital, Portugal. For such, were used, respectively, linear and Poisson regression, as well as, time series analysis. Using calendar, meteorological, environmental and epidemiological variables, we tried to get mathematical equations that allows to forecast the future number of admissions, both in emergency and hospitalization services. The use of other variables than the calendar ones proved to have little predictive value, despite existing statistically signi cant variables. Furthermore, is simpler for the hospital use only internal data or general knowledge. Thus, it was decided to use only calendar variables, being these the day of the week, the month of the year and holidays. Additionally, we used the variable t, representing the elapsed time, in days, since January 1, 2012. In the case of emergency department admissions, these were modeled using multiple linear regression techniques, having been veri ed temporal correlation in the residuals of each model, being the number of admissions for a given day correlated with the previous 7 days in case of general emergency, and with the previous 8 days for both emergency, obstetric and pediatric. On the other hand, in the hospitalization admission case, modeling was done resorting to the Poisson regression, not having been veri ed the existence of any type of temporal correlation. In this case, it was also not registered any evidence that the holidays are related to the number of admissions. All modeling was performed with R software, version 3.2.2., (2015-08-14).