Дисертації з теми "Emergencies services"
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Ankney, James P. "USMC Fire and Emergency services : a comparative Business Case Analysis /." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2005. http://library.nps.navy.mil/uhtbin/hyperion/05Dec%5FAnkney.pdf.
Повний текст джерелаWhite, Andrew William. "Frequent use of psychiatric emergency services : a multilevel approach /." View online ; access limited to URI, 2007. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3277011.
Повний текст джерелаFitzpatrick, David. "Hypoglycaemic emergencies attended by the Scottish Ambulance Service : a multiple methods investigation." Thesis, University of Stirling, 2015. http://hdl.handle.net/1893/21854.
Повний текст джерелаAlmeida, Kelviani Ludmila dos Santos. "Perfil de uma unidade de pronto atendimento e ferramentas educativas relativas ao acolhimento com classificação de risco." Universidade Estadual Paulista (UNESP), 2018. http://hdl.handle.net/11449/153421.
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Introdução. Em todo o mundo, nos últimos anos, percebeu-se um aumento significativo da procura de atendimento nos serviços de urgência e emergência, essa demanda está atrelada ao aumento das estatísticas de acidentes automobilísticos, da violência e a procura para cuidados não urgentes. A superlotação desses serviços é algo preocupante, uma vez que compromete a segurança dos pacientes envolvendo elevado tempo de espera, a classificação de risco, a educação do paciente e da equipe em relação a finalidade desse atendimento surgem como métodos de organização do fluxo. Objetivo. Identificar o perfil da demanda atendida na Unidade de Pronto Atendimento (UPA) de Itapeva, considerando a classificação de risco, e desenvolver material educativo digital a partir do perfil caracterizado. Método. O estudo foi realizado em 3 etapas, a primeira consistiu em uma revisão integrativa da literatura, que teve por objetivo conhecer o motivo da busca por atendimento da demanda não urgente, esta resultou em uma amostra de 8 estudos a partir da busca nas bases de dados: Biblioteca virtual em saúde (BVS), Web of Science, Embase, PubMed, Scopus e Cinahal. A etapa seguinte consistiu em um estudo quantitativo, transversal e descritivo que teve intuito de analisar o perfil de atendimentos da UPA do município de Itapeva. Quanto à amostragem, foi realizado cálculo estatístico para o tamanho amostral, considerando 95% de confiança e uma margem de erro de 5%, sendo recomendada amostra com n de 370 pacientes. A coleta de dados ocorreu através de acesso aos prontuários físicos localizados no setor de arquivo, no período de março a junho de 2017, referentes aos pacientes atendidos de janeiro a abril de 2017. A última etapa correspondeu a um estudo de desenvolvimento tecnológico com o objetivo de elaborar um material digital para educação em saúde, tanto para profissionais quanto para pacientes. O desenvolvimento foi realizado com o apoio do Núcleo de Educação a Distância Tecnologia e Informação em Saúde da FMB- UNESP. Resultados e discussão. A revisão integrativa evidenciou que a demanda não urgente procura atendimento pela facilidade de acesso e pela tecnologia que o serviço de urgência e emergência oferece. A análise da demanda atendida na UPA de Itapeva foi capaz de mostrar que quase 80% dos atendimentos tratavam de demanda não urgente, com queixas não recentes, e apenas aproximadamente 2% da amostra necessitou ser removida para o hospital de referência do município, o que apresenta a alta resolubilidade das unidades de pronto atendimento. Uma limitação do estudo foi a insuficiente capacitação do profissional enfermeiro para exercer atividade do acolhimento com classificação de risco. Foi necessário, portanto, elaborar estratégias que pudessem contribuir com essa necessidade da unidade, assim como colaborar com a educação dos pacientes para o uso do pronto atendimento. Esses levantamentos deram subsídios para a criação de dois produtos: um website e um vídeo educativo, o primeiro voltado aos profissionais e o outro voltado para a população. Conclusão. A população realiza uso indiscriminado da unidade de pronto atendimento, seja por desconhecimento da sua finalidade ou por conveniência de atendimento. A maior parte dos atendimentos consiste em demanda não urgente, e se faz necessária intervenção, como estratégias de educação em saúde, que possa direcionar a população para o oportuno atendimento, assim como a capacitação profissional, buscando alcançar melhores resultados na assistência.
Introduction. In recent years, there has been a significant increase in the demand for emergency services across the world. This demand is linked to the statistical increase of car accidents, violence and the search for non-urgent care. The overcrowding of these services is somewhat worrisome, since it compromises the safety of patients, involving high waiting time. Risk classification, patient and team education on the purposes of such services arise as methods of flow organization. Objective. Identify the profile of the demand served by the Itapeva Emergency Care Unit (UPA), considering the risk classification, and to develop digital educational material based on the characterized profile. Method. The study was carried out in 3 stages. The first consisted of an integrative review of the literature, which aimed to know the reasons involving the search for non-urgent care. It resulted in a sample of 8 studies taken from the database: Virtual Health Library (VHL), Web of Science, Embase, PubMed, Scopus and Cinahal. The next step consisted of a quantitative, cross-sectional and descriptive study which aimed to analyze the care profile of the UPA in the city of Itapeva. As for sampling, a statistical calculation was performed for the sample size, considering 95% confidence, a margin of error of 5%, and a sample with n corresponding to 370 patients. Data collection was taken from physical files located in its archive sector, from March to June 2017, referring to the patients attended from January to April 2017. The last step corresponded to a technological development study with aiming to develop digital material for health education for both professionals and patients. The development was carried out with the support of the Nucleus of Distance Education Technology and Information in Health of FMB- UNESP. Results and discussion. The integrative review showed that non-urgent demand seeks care due to the ease of access and the technology offered by the emergency service. The demand analysis at Itapeva’s UPA showed that almost 80% of the cases dealt with non-urgent demands, with no recent complaints, and only approximately 2% of the cases analysed needed to be sent to the reference hospital in the municipality, which demonstrates the high resolubility of the immediate care units services. One limitation of the study was the insufficient training of nurses to carry out host activity with risk classification. It was therefore necessary to devise strategies which could contribute to that necessity, as well as collaborate with the education of patients regarding the use of immediate care. Those surveys provided support for the creation of two products: a website and an educational video, the first aimed at professionals and the second aimed at the population. Conclusion. The population makes indiscriminate use of the immediate care service, either for lack of knowledge of its purpose or for convenience of service. The majority of the visits consisted of non-urgent demand, which requires intervention such as health education strategies which can direct the population to the appropriate service, as well as professional qualification, seeking to achieve better results in care.
Fernandes, Flávia Saraiva Leão. "O processo de trabalho da Central de Regulação do Serviço de Atendimento Móvel de Urgência - SAMU 192 do município de São Paulo." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-10052017-113804/.
Повний текст джерелаIntroduction After more than a decade of Brazilian Mobile Emergency Services (SAMU) implementation, it becomes importante to launch a critical look at this service in order to identify the proposals of the National Policy for Emergency Care. Objective To critically describe and analyze the work process of SAMU Regulation Center of the city of São Paulo (SAMU SP). Methods A descriptive exploratory case study with mixed methods strategy, integrating the quantitative (secondary data for October 2012) and qualitative (direct observation and interviews with three regulatory physicians) approaches. The secondary database was used to describe SAMU SP demand and to verify the existence of patterns of association between the variables. Absolute and relative frequencies of all categorical variables and the times involved in prehospital care were calculated. The interviews were transcribed and analyzed through Bardin content analysis with the objective of identifying subjective factors that were not possible to be measured in the quantitative analysis. A second statistical analysis of the database was carried out, focusing on the prioritization of emergency incidentes. The frequency of dispatch and regulation time were investigated, according to the Priority Determinant and main complaint. The chi-square test was used for statistical significance. Results - The demand is composed mainly by clinical chief complaints (59.2 per cent ), male patients (52.2 per cent ), between 20 and 59 years old (54.5 per cent ) and classified with high priority determinants (Echo and Delta) (52.5 per cent ). Interhospital transfers correspond to 0.6 per cent of the demand. Ambulance dispatch frequency is 63.4 per cent and decreases as the priority decreases, reaching 21.2 per cent in the lowest Priority Determinant (Omega). The response time is inversely proportional to the Priority Determinant, and a significant portion of low priority occurrences (35.9 per cent ) are included in the health system. Three dimensions have been identified that influence the prioritization of emergency incidents: reported clinical conditions (cardiorespiratory arrest, respiratory problems, unconsciousness), vulnerable conditions and specific risk of the emergency incident (elderly and children under 3 years, falls, medical doctor fear of underestimation, presence of violence, interaction with other services) and work process intrinsic conditions of SAMU SP operations center (high demand and few resources, collaborative work with other professionals). Conclusions The description and critical analysis of the demand and work process of the SAMU SP brings elements to the discussion about its role within the health system of the city of São Paulo. It is possible to affirm that SAMU SP has fulfilled the mission of saving lives, providing qualified assistance to patients classified as high priority who need care outside the hospital environment. In order to SAMU SP organize the demand for urgent care and to be a health observatory, there is the need of technical and political re-recognition that it is a service integrated to the health care network and not just a thematic network of urgency
Cox, Cynthia A. "Standardized training to improve readiness of the Medical Reserve Corps : a Department of Health and Human Services program under the direction of the Office of the Surgeon General." Thesis, Monterey, California. Naval Postgraduate School, 2006. http://hdl.handle.net/10945/2358.
Повний текст джерелаThe Medical Reserve Corps (MRC) was formed to provide a cadre of trained medical volunteers to support and strengthen the public health infrastructure and improve its' emergency preparedness level. Training policies and standards are left to the discretion of the local MRC coordinator so the program maintains its flexibility to meet community needs. Training varies from unit to unit, and there are no protocols in place to measure or evaluate the effectiveness of that training. According to recent studies and surveys, disaster operations are an unfamiliar role for most MRC volunteers and the public health workforce in general. Evidence also suggests that few medical and public health workers receive this important preparedness training. In 2005, MRC working group members developed a list of core competency recommendations to provide training guidance, but specific educational content to satisfy those competencies were not defined. This thesis offers specific training content guidelines and strategies for achieving competency. The MRC must be able to integrate into the disaster environment while working safely, effectively and efficiently. Standards will set the mark for success, enabling the MRC to respond in a coordinated manner and at a consistently higher level to any public health emergency.
Captain, Texas State Guard-Medical Rangers
Coplen, Chris Rolland. "Emergency medical service training for California peace officers." CSUSB ScholarWorks, 1989. https://scholarworks.lib.csusb.edu/etd-project/438.
Повний текст джерелаMendes, Tatiane de Jesus Martins. "Avaliação de um protocolo de acolhimento com classificação de risco em relação à capacidade de predizer o desfecho clínico." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/22/22134/tde-11082017-193016/.
Повний текст джерелаThe health services intended to provide urgent and emergency care are mostly overcrowded, which causes long waiting queues and may entail damage to the care of injured people requiring urgent care. Faced with this scenario, there is a need to organize the system, with the purpose of avoiding losses to the patients waiting for medical care. In such a context, the Welcoming with Risk Classification provides the urgent and emergency care with a guiding principle to classify patients and accomplish care actions in line with the potential risk, thereby caring for priority cases, and no longer on a first-come first-served basis. Accordingly, this study was aimed to assess the ability of a Risk Classification protocol adapted from the Ministry of Health to envisage the clinical outcome of the patients. The study was held in an urgent and emergency unit in a private hospital in the countryside of São Paulo, between the months of July 2014 and June 2015, with a sample of 1674 medical charts of the patients that sought clinical care. Of the assessed medical charts, 65% belonged to female patients, with an average age of 42.0 years, where the most frequent complaint was related to the digestive tract (14.8%). Most of patients served were classified as less urgent (green), 91.2%, followed by 8.8% classified as urgent (yellow) and 0.1% classified as emergency (red). The service time by the risk classification and medical care has proved to be shorter in the classifications with greater priority. Upon analyzing the outcomes, 98.7% were discharged after medical care, where the non-urgent classification was prevalent. Of the patients referred for hospitalization, 59.1% were classified as emergency/urgent. When relating the risk classification with the early warning score (MEWS), we noted a higher score in the patients classified as emergency/urgent, and the hospitalized patients have reached scores higher than those who were discharged. The results found have shown that the risk classification was effective in defining the priority of care of patients in an urgent and emergency unit
Dias, Roger Daglius. "Nível de estresse durante o atendimento às emergências: comparação entre realidade e cenários simulados." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-24022016-110738/.
Повний текст джерелаIntroduction: Medical simulation is fast becoming a standard of health care training throughout undergraduate, postgraduate and continuing medical education. Although there has been significant research into the effects of chronic stress on both physical and mental health of physicians, there has been little research into the effects of acute stress on performance. The relation between performance and acute stress is highly controversial. Our aim in this research was to evaluate if simulated scenarios may induce stress levels equivalent to real emergency medical situations. Method: Twenty-eight internal medicine residents participated in 32 emergency situations (16 real-life emergencies and 16 simulated emergencies). They had their stress levels measured in baseline (T1) and immediately post-emergencies (T2). Parameters measuring acute stress were: heart rate (HR), systolic (SBP) and diastolic blood pressure (DBP), salivary alpha amylase (AA), interleukine-1 beta (IL-b) and State Anxiety Inventory (STAI-s). Results: In the real-life group, all parameters increased significantly between T1 and T2. In the simulation group, only HR and IL-1b increased after emergencies. The comparison between groups (real-life versus simulation) demonstrates that acute stress response (T2-T1) and STAI-s (T2) did not differ between both groups. The correlation between the different parameters measuring stress was poor. Discussion/Conclusion: Stress measuring parameters increased between T1 and T2 in real-life situations (HR, SBP, DBP, AA and IL-1b) and in the simulated setting (HR and IL-1b). Acute stress response, measured by T2 - T1 values and STAI-s scale, did not differ between both groups. Our results indicate that emergency medicine simulation may create a high psychological fidelity environment, similarly to what is observed in an actual emergency room. Medical simulation may be effectively used in emergency medicine, especially when training human factor elements
Commander, John Vincent. "The efficiency of bag-valve mask ventilations by medical first responders and basic emergency medical technicians." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2310.
Повний текст джерелаFrederick, John (John William) 1952. ""The help I need is more than the help they can give me" : a study of the life circumstances of emergency relief clients." Monash University, Dept. of Social Work, 2004. http://arrow.monash.edu.au/hdl/1959.1/5151.
Повний текст джерелаDias, Gabriela Toutin. "Comunicação de más notícias no departamento de emergência: uma análise comparativa entre as percepções de médicos residentes, pacientes e familiares." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-24022016-115126/.
Повний текст джерелаIntroduction: Breaking bad news is a common and routine practice, performed practically every day by physicians. In the Emergency Department, communication acquires unique aspects. Objective: Our main objective was to assess patient and family member\'s perception about bad news communication in the Emergency Department and compare these with physicians\' perceptions. Method: This is a cross-sectional study performed at the Emergency Department of a tertiary teaching hospital. To compare physicians\' and receivers\' (patient and/or family member) perceptions, we created a survey based on the six attributes derived from the SPIKES protocol (Setting: questions 1-5; Perception: question 6; Invitation: question 7; Knowledge: questions 8-12; Emotions: questions 13-15; Strategy and Summary: question 16). The surveys were applied immediately after bad news communication happened in the Emergency Department. We analyzed agreement amongst participants using Kappa statistics and Qui-squared test to compare proportions. Results: A total of 73 bad news communication encounters were analyzed. The survey respondents were 73 physicians, 69 family members and 4 patients. In general, there is a low level of concordance between physicians\' and receivers\' perceptions of how breaking bad news transpired. The satisfaction level of receivers in regards to breaking bad news by doctors presented a mean of 3.7 + 0.6 points. In contrast, the physicians\' perception of the communication was worse (2.9 + 0.6 points), with p < 0.001. Conclusions: Doctors and receivers disagree in relation to what transpired throughout the bad news communication. Discrepancies were more evident in issues involving emotion, invitation and privacy. However, an important agreement between perceptions was found in technical and knowledge related aspects of the communication
Arce, Palomino Juan Luis. "Perfil epidemiológico de las evacuaciones de urgencia y emergencia en el Policlínico Yanacancha de la Compañía Minera Antamina. Enero a diciembre - 2005." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2007. https://hdl.handle.net/20.500.12672/11917.
Повний текст джерелаTrabajo académico
Salguero, Liliana, and Andrea Moyano. "Subutilización del servicio de emergencias públicas y sus consecuencias socio-económicas." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2013. http://bdigital.uncu.edu.ar/9809.
Повний текст джерелаFil: Salguero, Liliana. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Moyano, Andrea. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Huaco, Salas Carlos Guillermo. "Sistema de referencia y contrarreferencia en el departamento de emergencia del Hospital Nacional Dos de Mayo. Propuesta para su mejoramiento." Master's thesis, Universidad Nacional Mayor de San Marcos, 2021. https://hdl.handle.net/20.500.12672/17343.
Повний текст джерелаCuthbertson, Joseph. "The effectiveness of airway management in the pre hospital treatment of traumatic brain injury : a retrospective, observational study of pre hospital treatment of traumatic brain injury (TBI) in the Western Australian ambulance service." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2012. https://ro.ecu.edu.au/theses/563.
Повний текст джерелаGarlet, Estela Regina. "O processo de trabalho da equipe de saúde de uma unidade hospitalar de atendimento às urgências e emergências." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2008. http://hdl.handle.net/10183/13670.
Повний текст джерелаThis study aims at the analysis of the working process of a health team in a hospital emergency Ward. It is a case study with a qualitative approach. The collection of data was conducted through non-structured observation, structured observation by time sample and semi-structured interview, from June to September 2007, at a Public University Hospital emergency Ward in the state of Rio Grande do Sul The observation focused on the working process in the emergency Ward: object, agents/instruments, organization and relationships. The interviews were made to recognize the conceptions of the agents on the work in emergency Units. The obtained data were classified in relevance structures and lately grouped in a group called: The process of work in a health care team from a hospital emergency Ward. The results reached showed that, due to the fact of being in a hospital environment and receiving influence from the hegemonic-medical model, this Unit presents a working organization process centered onto the physician figure and the type of sickness. The other members of the team develop activities that are complementary and necessary to the clinical activity. Nursing is part of the health care team which works at the emergency Unit and depends, as well as the other professionals, on the medical decisions. The nurse is autonomous in Nursing work, takes actions within the directly related care to the patient, nursing staff management, emergency service definition, indication for material resources to be used in the procedures. The working process is compound by many agents: physicians, nurses, technicians and auxiliaries, physical therapists, nutriotionists, social assistants, among others; which carachterize the presence of a collective work. The actions, however, are taken in a fragmented and compartimentalized way. The goal that orients the work of different professionals is the production of care to the users in critical life situations, to obtain as a final product the health problems diagnosis and treatment. In the process of work in an emergency Unit it was evidenced a difference among the health necessities that lead the users to look for a Unit and the assistance, highlighted by the professionals. The population does not recognize the organization of the assistencial network to the health based on hierarquization and regionalization. This way, it makes use of the health services in accordance with the necessities of the moment, looking for service where their problems might be solved.
Este estudio tiene como objetivo analizar el proceso de trabajo del equipo de salud de una Unidad hospitalaria de atención a las urgencias y emergencias. Se trata de un estudio de caso, con un abordaje cualitativo. La recolección de los datos fue realizada por medio de una observación no estructurada, una observación estructurada por muestreo de tiempo y una entrevista semi-estructurada en el periodo de junio a septiembre de 2007,en una Unidad de emergencia de un Hospital Público y Universitario del interior de la provincia del Rio Grande do Sul. El foco de observación fue el proceso de trabajo en la Unidad de emergencia: el objeto, los agentes/instrumentos, la organización y las relaciones. Las entrevistas fueron realizadas para conocer las concepciones de los agentes en lo que se refiere al trabajo en la Unidad de emergencia. Los datos obtenidos fueron clasificados en estructuras de relevancia y, posteriormente, agrupados en un núcleo nombrado: “El proceso de trabajo del equipo de salud de una Unidad hospitalaria de atención a las urgencias y emergencias”. Los resultados encontrados demuestran que, por estar inserta en el ambiente hospitalario y recibir influencia del modelo médicohegemónico, esa Unidad presenta una organización del proceso de trabajo centrada en la figura del médico y en la enfermedad. Los demás integrantes del equipo desarrollan actividades complementarias y necesarias a su actividad clínica. La enfermería es parte integrante del equipo de salud que actúa en la Unidad de emergencia y depende, también, como los demás profesionales, de las decisiones médicas. La enfermera tiene autonomía enlo que se refiere al trabajo de Enfermería, realiza acciones de cuidado directoal paciente, gestión del personal de enfermería, definición de atenciones de urgencia, indicación de recursos materiales a ser utilizados con relación a los procedimientos. El proceso de trabajo está compuesto por varios agentes: médicos, enfermeras, técnicos y auxiliares de enfermería, fisioterapeutas, nutricionistas, asistentes sociaesl, entre otros, que caracterizan la presencia de un trabajo colectivo. Sin embargo, las acciones son realizadas de manera fragmentada y compartimentalizada. La finalidad que orienta el trabajo de los diferentes profesionales es la producción de los cuidados a los usuarios en situaciones críticas de vida, para obtener como producto final el diagnóstico y el tratamiento de los daños a la salud. En el proceso de trabajo en la Unidad de emergencias, fue evidenciado un desacuerdo entre las necesidades de salud que llevan a los usuarios.a buscar la Unidad y la finalidad del trabajo destacada por los profesionales. La población no reconoce la organización de la red de asistencia a la salud basada en la jerarquización y regionalización. Así, utiliza los servicios de salud de acuerdo con las necesidades del momento, buscando atención donde tengan resueltos sus problemas.
Oliveira, Marcelino Nascimento de. "Avaliação de desempenho de serviços emergenciais de saúde em redes sem fio heterogêneas." Pós-Graduação em Ciência da Computação, 2014. https://ri.ufs.br/handle/riufs/3365.
Повний текст джерелаAs aplicações de saúde voltadas para monitoramento de pacientes a distância têm atingido grandes proporções com o avanço das redes sem fio. Este trabalho apresenta um estudo de avaliação de desempenho do tráfego de biosinais, no qual foi simulado a transmissão de dados de pacientes em situações de emergência. O cenário de simulação considerou a transmissão dos sinais a partir de uma ambulância, através de rede sem fio e coletados em um centro de monitoramento médico. No percurso até o hospital, o móvel transmitiu biosinais enquanto transitou entre áreas cobertas por tecnologias de rede distintas, caracterizando situação de handover vertical. Com base nos requisitos mínimos de QoS praticados na comunidade científica, foram avaliados os parâmetros mais importantes em aplicações de saúde como taxa de perdas, atraso, vazão e jitter. Ainda foi considerada uma largura de banda mínima necessária para transmissão de sinais vitais, levando-se em conta as taxas de amostragens conhecidas para sinais médicos como Eletrocardiograma (ECG), Pressão arterial, Frequência cardíaca, Temperatura do corpo e Taxa de saturação de oxigênio no sangue. Para avaliar o desempenho, foram realizadas simulações computacionais com o uso de uma implementação do padrão IEEE 802.21 para o simulador NS-2. O cenário simulado utilizou as redes das tecnologiasWi-Fi eWiMAX, dispositivo móvel com múltipla interface e nós de carga, os quais realizaram transmissões com taxas constantes. Os resultados mostraram que as tecnologias de rede em uso podem atender aos requisitos mínimos de QoS para aplicações médicas.
Oria, Ramírez Miguel Angel. "Conocimientos sobre el uso de la vía intraósea en situaciones de emergencia del profesional de enfermería que realiza la especialidad de Emergencias y Desastres en la Universidad Nacional Mayor de San Marcos." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2015. https://hdl.handle.net/20.500.12672/13530.
Повний текст джерелаObjetivos. Determinar los conocimientos sobre el uso de la vía intraósea en situaciones de emergencias en el profesional de Enfermería de la especialidad de Emergencias y Desastres en la UNMSM e identificar los conocimientos sobre la técnica de punción intraósea y el uso de los dispositivos intraóseos. Material y método. El estudio es de nivel aplicativo, tipo cuantitativo, método descriptivo simple de corte transversal. La población estuvo conformada por 35 profesionales de enfermería. La técnica fue la encuesta y el instrumento el cuestionario aplicado previo consentimiento informado. Resultados. Del 100% (35), 11% (4) tiene conocimiento alto, 31% (11) medio y 57% (20) bajo. En cuanto a la técnica de punción intraósea, 6% (2) posee conocimiento alto, 14% (5) medio y 80% (28) bajo. Respecto al uso de los dispositivos de punción intraósea, 11% (4) tiene conocimiento alto, 17% (6) medio y 72% (25) bajo. Conclusiones. Los conocimientos sobre el uso de la vía intraósea en situaciones de emergencia en el profesional de enfermería no es el adecuado por lo que la mayoría tiene de medio a bajo referido a que no reconocen el tipo de vía al que pertenece el intraóseo, las indicaciones en niños y adultos, las zonas recomendadas, las ventajas y desventajas, sustancias que se pueden infundir, complicaciones y contraindicaciones. De igual modo en lo referido a la técnica de punción intraósea no conocen acerca de los pasos a seguir para la colocación de un catéter intraóseo, las medidas de asepsia, la comprobación de la correcta colocación del catéter. Sobre el uso de dispositivos intraóseos la mayoría no conoce los existentes actualmente en el mercado y sus principales características.
Trabajo académico
Vieira, Maria Sharlene dos Santos. "Os estágios em um serviço de urgência : o olhar dos gestores." Universidade Federal de Alagoas, 2013. http://www.repositorio.ufal.br/handle/riufal/1356.
Повний текст джерелаOs serviços de Urgência 24 horas não hospitalar da Secretaria de Estado de Alagoas são instituições públicas que apresenta campo do estágio em diferentes áreas de formação. Mas nos últimos dois anos na unidade em estudo os estágios se restringem a um setor e o interesse pela ampliação desse tipo de atividade não tem sido evidenciado entre os gestores da unidade. Com isso, surgiram indagações que culminaram na elaboração deste trabalho acadêmico. A pesquisa procurou identificar os aspectos que norteiam o desenvolvimento do estágio em um serviço de urgência através das falas dos gestores com o intuito de compreender o que eles pensam e sabem acerca dos estágios Foi expressa em um artigo científico e seus resultados levaram a produção de um projeto de intervenção. Através deste trabalho surgiram posicionamentos dos gestores demonstrando que a falta de ações integrativas entre academia e profissionais do serviço ocorre em virtude dos profissionais não se sentirem aptos para o ensino, mas mesmo assim os estágios são autorizados pelos gestores por acharem algo necessário na formação profissional. O projeto de intervenção é o ponto de partida para a construção coletiva e uma reflexão sobre planejamento compartilhado com os atores envolvidos é algo relevante nesta construção.
Daknou, Amani. "Architecture distribuée à base d’agents pour optimiser la prise en charge des patients dans les services d’urgence en milieu hospitalier." Thesis, Ecole centrale de Lille, 2011. http://www.theses.fr/2011ECLI0011/document.
Повний текст джерелаHealth-care organizations are facing new challenges such as the aging population, the rise of health care costs and the rapid progress of medical technologies. New policies of health care budget control have been introduced to increase efficiency, reduce waste and reshape the entire health care system. Targeted organizations are complex networks of human,financial, structural and technological resources aiming at guarantying best public health care.These issues concern all the more Emergency Departments (ED) congested by the massive influx of passages and which must provide quick decisions and ensure the sizing of its resources to reduce waiting times for patients with out compromising quality of care.The objective of this thesis is to propose appropriate solutions to ED to improve carefor patients in terms of waiting time. We began by analyzing the problems of the emergency department in order to initiate a process of improvement. Subsequently, we modeled the process of care for patients at ED by using an open and dynamic multi-agent system. The proposed system can provide decision support on business planning and allocation of medical resources in a unit where one is often faced with an emergency situation requiring rapid and effective response. In this context, we study the reactive problem for optimizing scheduling of operations care and the coordination problem of medical staff. We take into account the skills mastered by human resources at ED in order to find a match with those required by the medical activity. This approach aims to increase quality, reduce time of expectation and provide pointers gains management
Legua, Quispe José Carlos. "Adecuación de ingresos hospitalarios en el Servicio de Emergencia del Hospital de Emergencias Grau EsSalud, enero - diciembre, 2009." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2010. https://hdl.handle.net/20.500.12672/12816.
Повний текст джерелаTrabajo académico
Ramos, Leandro, and Sergio Mezzatesta. "Implicancias del déficit de comunicación en la hora dorada." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2013. http://bdigital.uncu.edu.ar/10664.
Повний текст джерелаFil: Ramos, Leandro. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Mezzatesta, Sergio. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Díaz, Hijar María Luz. "Grado de uso de la guía de atención de emergencias en hemorragia obstétrica severa y su correlación con el tiempo de estancia en el Hospital Vitarte de la Ciudad de Lima en el periodo 2005 al 2009." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2011. https://hdl.handle.net/20.500.12672/2086.
Повний текст джерела--- OBJECTIVE: To determine the correlation between the degree of use of emergency care guideline in severe obstetric hemorrhage, and length of stay in Vitarte Hospital of Lima in the period 2005 to 2009. MATERIALS AND METHODS: We conducted a study focusing quantitative, observational and correlational design. The population consisted of pregnant women who went to Vitarte hospital searching care for severe obstetric hemorrhage and shock in the period 2005 to 2009 and who met the inclusion criteria, which amounts to 105 pregnant women. RESULTS: The degree of use of emergency response guides in severe obstetric hemorrhage is negatively correlated with length of stay in the Hospital Vitarte of the city of Lima was statistically significant (r = 0.58, p = 0.0001). The hospital stay was 2 days in 63 patients (60.00%) of them and equal to or greater or 3 days in 23 patients (31.43%). 92 (87.6%) out of high improved without complications, enhanced with two complications (1.9%) and referred eight (7.6%) patients. The complications were referred to rule as DIC, renal failure, to another establishment of greater complexity. The degree of use of the guide emergency obstetric care was high in 96 (91.43%) cases, medium in 8 (7.62%) and low in 1 (0.95%). A greater use of emergency response guides in severe obstetric hemorrhage had more days of hospital stay. But apparently the quality of your application is inadequate to judge by results. Of all patients 28 (26.7%) had primary education, 73 (69.5%) secondary, 22 (21.0%) 1 pregnancy, 35 (33.3%) 2 pregnancies and 48 (45.9%) between 5 and 8 pregnancies, 40 (38.10 %) had a history of abortion, 13 (12.38%) with a history of bleeding and 5 (4.8%) a history of cesarean section. Gestational age was ≤ 22 weeks 14 (34.15%), 23 to 36 weeks 13 (31.71%) and ≥ 37 weeks 14 (34.15%). 35 (33.33%) had interpregnancy period of less than 1 year. The condition of the patient at admission was 96 (91.43%) of these stable and serious 9 (8.57%). In relation to procedures, in 68 (64.76%) of them were administered crystalloid or plasma, monitoring the state of consciousness was performed in 96 (91.4%) of them, measurement and control of diuresis in 18 (17.1% ) and monitoring of vital functions in 95 (90.5%). Making laboratory tests was performed in 101 (96.19%). Complications were observed in 6 (5.71%) patients, complications such as disseminated intravascular coagulation in a case of DPP, 1 Couvelaire uterus, a uterine rupture and another 3 to rule out DIC. Total of 9 (8.57%) patients were referred. CONCLUSION: The degree of use of emergency response guides in severe obstetric hemorrhage is negatively correlated with length of stay in the Hospital Vitarte of the city of Lima. A greater use of emergency response guides in severe obstetric hemorrhage had more days of hospital stay. The degree of use of emergency response guides for severe obstetric hemorrhage is high, but apparently the quality of implementation is inadequate to judge by results. The factors that influence hospital stay for patients treated for severe obstetric bleeding emergencies were: Status of income and / or complications of severe obstetric hemorrhage (severity of the intercurrent disease by association) the inappropriate use of the guide (use partial), sub complementary diagnostic logging history.
Tesis de segunda especialidad
Alfaro, Enciso Sonia. "Preparación y capacidad de respuesta en simulacros de evacuación por sismos en enfermeras asistenciales en el Hospital Regional de Ayacucho 2013." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2015. https://hdl.handle.net/20.500.12672/13585.
Повний текст джерелаTrabajo académico
Santos, Reyes Silvia Evangelina. "Crecimiento habitacional del distrito de Jesús María como causa del aumento de la vulnerabilidad funcional del Hospital Nacional Edgardo Rebagliati Martins. EsSalud, Lima. Perú - 2007." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2007. https://hdl.handle.net/20.500.12672/12723.
Повний текст джерелаEl distrito de Jesús María ha sufrido un crecimiento urbanístico vertical vertiginoso en los últimos 4 años, con un aumento aproximado 20,000 habitantes con la construcción de 95 complejos habitacionales. Un porcentaje aproximado del 40% de estos nuevos vecinos del distrito pertenecen y acuden al Sistema de Salud de la Seguridad Social para cubrir sus necesidades de atención en la salud, conllevando al congestionamiento de los policlínicos correspondientes a la Red Edgardo Rebagliati Martins y un incremento de las atenciones por urgencias y emergencias en la central de dicha Red (Emergencia Rebagliati). El incremento de la demanda de atención no se ha reflejado en una ampliación de los sistemas de atención en consultorios externos, ni en los servicios de urgencias y emergencias de la red. Por otro lado estos complejos habitacionales si bien tienen medidas de seguridad exigidas por defensa civil para casos de terremotos e incendios, estas medidas no son adecuadamente conocidas por sus habitantes, lo cual los hace más sensibles a sufrir accidentes durante la presencia de estos eventos. La posibilidad de aumento de víctimas en caso de emergencias masivas y desastres hace peligrar la aplicación con éxito del plan de respuesta para emergencias y desastres que tiene la Emergencia Rebagliati que al momento no ha evaluado el crecimiento del distrito de Jesús María.
Trabajo académico
Torres, Palomino Ernesto. "Conocimiento del profesional de enfermería sobre triaje en víctimas por desastres en la Unidad de Emergencia General Hospital de Apoyo San Francisco Ayacucho 2013." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2015. https://hdl.handle.net/20.500.12672/13581.
Повний текст джерелаTrabajo académico
Guimarães, Priscila Linardi. "Mapeamento dos fatores de risco de quedas identificados por enfermeiros do serviço de urgência pré-hospitalar fixo." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/22/22134/tde-11082017-194250/.
Повний текст джерелаThe issue of patient safety is an old concern, but it has only become relevant in recent years with the dissemination of data on incidents in health care and its consequences. One of these events, called an adverse event, corresponds to the fall. Falls are unplanned events that take the patient to the ground, with or without injury, being responsible for suffering to patients and their families, longer hospitalization, costs to health systems and even death. Several factors can lead the patient to the ground, however, the focus of the studies is concentrated in the population over 65, mainly in hospitalization units. Although morbidity and mortality patterns have caused changes in the configuration of health care, considerably increasing urgency and complexity of care, little is known about falls in non-hospital settings, especially in primary care. Changes in care flows have led to changes in the work scenarios of primary care, especially for nursing, which performs most of the care actions. Stress, insecurity and structural failures are some factors that contribute to compromising patient safety, especially in identifying a risk for falls. This study seeks to map the risk factors for falls identified by nurses in the fixed prehospital emergency department, professionals responsible for the design, implementation and evaluation of processes for incident prevention, using important instruments such as standardized language on a global scale North American Nursing Diagnosis Association International (NANDA-I) and the Morse Falls Scale (MFS)
Deslandes, Suely Ferreira. "Violencia no cotidiano dos servicos de emergencia: representacoes, praticas, interacoes e desafios." Rio de Janeiro : [s.n.], 2000. http://teses.cict.fiocruz.br/pdf/deslandessfd.pdf.
Повний текст джерелаTaleb, Abdesselam. "Analyse pluridisciplinaire des situations de travail : le cas du service des urgences médico-chirurgicales du CHU de Tlemcen." Thesis, Aix-Marseille, 2015. http://www.theses.fr/2015AIXM3053.
Повний текст джерелаInitial results have encouraged us to closely observe the work of the emergency situations through the realization of an ergonomic intervention at first and then ergologia (GRT) in a second time. To bring out the elements that may lead to the identification of difficult work situations, we conducted comprehensive and systematic observations leading to the formulation of a local and general diagnosis. We have proposed operational action tracks, one of which is the organization of a meeting of the Working Group (GRT). Writing and putting into words the activity of nurses, caregivers and physicians was difficult. The general tone of the speeches has reported difficulties, collective discomfort or pain at work. The protagonists of work relate currently functions lips and near absence of management. As to the issue of psychosocial risks, the epidemiological study has highlighted the strong professional constraints and the lack of recognition of novice general practitioners and young orderlies.The major consequences are the demotivation and the deployment of defensive strategies as the medicalization of their health seeking an exemption from custody or a transfer to another service.Keywords :Medical and surgical emergencies; Psychosocial risks; Ergonomic; Activity; Psychosocial risks; ergologia; Meeting of the Working Group
Luna, Almanza José Esteban. "Estudio aleatorio de tiempos de espera de pacientes según niveles de prioridad." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2004. https://hdl.handle.net/20.500.12672/1757.
Повний текст джерелаThe study objective is to determine the waiting times of patients according to priority levels on the Loayza Hospital Emergency Service, Lima – Perú. Is un randomized, prospective, descriptive study that estimates the first assistance time, assistance length and total stay. The priority level was determined according to Andorran and Canadien Triage Model. Gómez percentil was used to value the results. The average times (minutes) of first assistance were: priority I = 35.6 +- 55.8, priority II = 50.8 +- 81.6, priority III = 31.5 +- 40.7, priority IV = 37.5 +- 67.8 y priority V = 40.8 +- 69.8. The length and total stay were directly related to the seriousness. The priority I, II y III didn’t perform with the Gómez percentil. The increased demand of emergengy services produces extend waiting times which affects negatively to the serious patients
Tesis de segunda especialidad
Thomas, Llewellyn. "Ecosystem emergence : an investigation of the emergence processes of six digital service ecosystems." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/18315.
Повний текст джерелаRíos, Flores Aldo Adolfo Jesús, and Moncada Roger Yoel Conde. "Frecuencia y factores relacionados al rechazo de atención por triaje en el servicio de emergencia de un hospital de tercer nivel 2015." Bachelor's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2017. http://tesis.usat.edu.pe/handle/usat/814.
Повний текст джерелаTesis
Michelin, Nathallia Seródio [UNESP]. "Análise dos atendimentos obstétricos realizados pelo SAMU de Botucatu, SP." Universidade Estadual Paulista (UNESP), 2015. http://hdl.handle.net/11449/139328.
Повний текст джерелаO objetivo geral do presente estudo foi analisar os chamados da população obstétrica usuária do SAMU 192 de Botucatu no ano de 2012 com relação à sua pertinência, considerando a paridade das mulheres. Trata-se de estudo observacional e analítico, realizado com população de mulheres no ciclo gravídico/puerperal e com profissionais da rede básica de saúde do município de Botucatu-SP. Os dados foram coletados a partir das fichas de atendimento do Serviço e chamados pertinentes foram todos os que resultaram em encaminhamento ao hospital e quando classificados nas cores vermelha, laranja e amarela, segundo critério de risco proposto pelo Ministério da Saúde. Quanto aos profissionais, a amostra foi composta por 67 pessoas, entre médicos, enfermeiros, auxiliares/técnicos de enfermagem e agentes comunitários de saúde. Nas análises estatísticas foram utilizados o teste qui-quadrado, Kruskal-Wallis e exato de Fisher, sendo que em todos os casos considerou-se p crítico <0,05. As análises foram feitas com o software SPSS v15.0. Este estudo foi aprovado por Comitê de Ética em Pesquisa da Faculdade de Medicina de Botucatu - UNESP. Para ambos os critérios de classificação utilizados, a prevalência de demanda não pertinente foi baixa. Não houve diferença estatisticamente significativa na demanda não pertinente segundo a paridade. Quando se consideram as diferentes categorias profissionais que atuam na atenção básica, não houve diferença entre elas, quando se investigou se primíparas devem ser prioritárias para o SAMU, quando comparadas às multíparas. O escore de conhecimento sobre a pertinência da demanda ao SAMU obtido pelos profissionais variou entre 7 e 8 e pode ser considerado elevado. A excelente condição da mulher no atendimento, as queixas brandas e o registro de achados leves pelos profissionais sugerem que o encaminhamento ao serviço de referência pode estar sendo superestimado, indicando falta de...
The general objective of the present study was to analyze the calls from the obstetric users of SAMU 192 in Botucatu, in 2012, as regards their pertinence and taking the women's parity into consideration. The present analytic and observational study included a population of women in the pregnancy-puerperium cycle as well as professionals of the primary healthcare network in the city of Botucatu, SP, Brazil. Data were collected from records of the Service and pertinent calls were all those resulting in referrals to hospitals and classified as red, orange and yellow according to the risk criteria proposed by the Brazilian Ministry of Health. As regards the involved professionals, the study sample comprised 67 peoples including physicians, nurses, nursing assistants/technicians and community healthcare agents. The chi-square, Kruskal-Wallis and exact Fisher's tests were utilized in the statistical analyses, and the critic p value was set at <0.05. The analyses were performed with the SPSS v15.0 software. The present study was approved by the Committee for Ethics in Research of Faculdade de Medicina de Botucatu - UNESP. A low prevalence of non pertinent demand was observed as both classification criteria were considered. No statistically significant difference was observed in relation to the non pertinent demand as the women's parity was considered. As the different professional categories involved in primary healthcare activities were considered, no difference was observed in the degree of priority given by SAMU to primiparae and multiparae. The scoring of the professionals' knowledge about demand pertinence ranged between 7 and 8 and may be considered high. The excellent health conditions of the women at their admission, their mild complaints and the reporting of mild findings by the professionals suggest that the index of referrals to the reference center might be overestimated, indicating lack of integration between primary ...
Nieto, Pocomucha Leonor Gloria. "Nivel de satisfacción del paciente en relación al cuidado del enfermero (a) en el servicio de emergencia del Hospital de Emergencias Grau, set.-dic. 2005." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2008. https://hdl.handle.net/20.500.12672/14466.
Повний текст джерелаDetermina el nivel de satisfacción del paciente en el servicio de emergencia en relación a los cuidados que recibe del profesional enfermero(a) en el Hospital de Emergencias Grau. El presente estudio es descriptivo transversal, la muestra constituida por 40 pacientes, siendo la técnica de muestreo el aleatorio simple. Los datos se recolectarán mediante entrevistas individuales, utilizando un formulario estructurado, previo consentimiento informado del paciente, durante los meses de septiembre a diciembre. Analizándose según frecuencias se concluyó que los pacientes tienen un nivel de satisfacción media con tendencia a un bajo nivel de satisfacción respecto a los cuidados del profesional de enfermería recibidos en el Servicio de Emergencias del Hospital de Emergencias Grau; y en relación a la calidad de los cuidados que recibe de los enfermeros tiene la tendencia media a alta en los servicios del Hospital de Emergencias Grau.
Trabajo académico
Magalhães, Adriana Oliveira. "A VIVÊNCIA DA INTERNAÇÃO EMERGENCIAL NA PERSPECTIVA DE FAMILIARES DE PESSOAS COM POLITRAUMATISMO." Pontifícia Universidade Católica de Goiás, 2015. http://localhost:8080/tede/handle/tede/3016.
Повний текст джерелаEmergency hospitalization services are stressful environments for professionals, patients and accompanying family members due to the very scenario and severity of the patients that are cared for. In this environment, we meet the family member seeking take part in this context and in patient care. Facing this situation, we intend to comprehend the lived experience of emergency hospitalization in the perspective of accompanying family members of poly-trauma patients. This qualitative study presents a grounded theory analysis. The data collection happened in a public hospital in the state of Mato Grosso - MT. The sample consisted of eight family members who accompanied the emergency hospitalization of a family member with multiple traumas. The analysis used the pathway described by Charmaz (2009). It includes a critical consideration of the data, construction of open and analytical codes based on the data, thus making the organization and explanation of the meaning possible, resulting in the development of a theoretical model concerning the lived experience of the situation by the family member. The data showed that not only the emergency, but also the functioning of the health service had a strong impact on the family member. This functioning influences the family members´ capacity to contribute to the process. The results suggests that the family member is an important active actor, however insufficiently recognized in the process of patient care and in the mechanisms of the health service and that he or she faces obstacles and emotional impacts during hospitalization. The scenario and functioning of the emergency service do not only affect the life of the patient, but also his or her family members, who are directly exposed to new and unsettling information and situations. Family members have a contextual understanding of what happens and they acknowledge means of improvement of patient care and humane treatment and understand the efforts made by the health professionals. Health services should include and empower them in the context of patient care, and take action to improve the family members wellbeing contributing to the health professionals effectiveness, institutional and community wellbeing.
O serviço médico de emergência é considerado um ambiente estressante para os profissionais, pacientes e familiares, relacionados ao cenário e a gravidade dos pacientes que estão sendo atendidos. Neste ambiente encontramos os familiares buscando ser inseridos neste contexto e no processo de cuidado. Objetivou-se compreender a vivência do atendimento e internação emergencial na perspectiva dos familiares de pessoas com politraumatismos. Trata-se de estudo qualitativo baseado no método da teoria fundamentada em dados descrita por Charmaz (2009). A coleta dos dados ocorreu em um hospital público no interior do estado de Mato Grosso no período de outubro a novembro. A amostragem teórica constituiu-se de oito familiares que vivenciaram o atendimento e internação emergencial as vítimas com politraumatismos. Para tratamento dos dados utilizou-se das estratégias descritas por Charmaz (2009), foi realizado uma construção de códigos abertos e analíticos a partir dos dados encontrados, possibilitando assim a organização e a explicação dos significados, resultando no desenvolvimento de um modelo teórico a respeito da vivência da situação pelo familiar. Das categorias, surgiram conceitos mais amplos denominados eixos temáticos, que possibilitaram a elaboração de dois artigos que atenderam os objetivos da dissertação e colaborando com os resultados finais. Os dados mostraram que não só a situação emergencial, mas também o funcionamento do serviço de saúde tem um impacto notório sobre a vida do familiar. Esse funcionamento influência a capacidade do familiar de atuar ativamente nos processos relacionados a questões de tomada de decisão. Indicaram que o familiar é um agente ativo importante, porém insuficientemente reconhecido no processo de atendimento e na organização de cuidados no serviço de saúde, onde o mesmo enfrenta obstáculos internos e externos durante todo o processo de atendimento e internação emergencial, este cenário e o atendimento vivenciado pelos familiares causam impactos não só na vida da pessoa socorrida, mas também de seus familiares, que acabam presenciando todos os acontecimentos, estando diretamente expostas as notícias e situações muitas vezes não experienciadas em sua vida e ainda conseguem mobilizar recursos de enfrentamentos psicológicos. Considera-se que a partir de um olhar mais ampliado buscando perceber como os familiares vivenciam o atendimento, é possível vislumbrar melhorias frente ao acolhimento e humanização repercutindo de forma satisfatória no planejamento e cuidado dispensado, visando inseri-los nas tomadas de decisões, orienta-los, acompanha-los e instrumentaliza-los no acompanhamento e ajuda ao paciente, colaborando com o bem-estar dos envolvidos nesse processo.
Takeda, Renata Algisi. "Uma contribuição para avaliar o desempenho de sistemas de transporte emergencial de saúde." Universidade de São Paulo, 2000. http://www.teses.usp.br/teses/disponiveis/18/18137/tde-15052014-102209/.
Повний текст джерелаOne of the major concerns of medical emergency systems is to provide the fastest possible medical attention for the victims. The time elapsed between the emergency call and the assistance, called the response time, is one of the main factors that influence the system\'s performance. This time lapse depends on traffic conditions, the day of the week and time of day, the number of available vehicles and their location, the rescue team\'s professional qualifications, etc. This work consists of an analysis of the performance of the emergency service available in Campinas, SP, and deals with the problem using the hypercube queuing model, which considers stochastic variations of the arrival and assistance processes. The application of this model produces a wide variety of system performance indicators, which are compared with the real observed values to validate the model\'s hypothetical application. Application of the model in alternative operational scenarios, such as decentralization and a greater number of ambulances, showed a significant increase in the quality of the service offered to the user. It was concluded that the model constitutes an important analytical tool for this type of system, serving as an aid for strategic and operational decision-making.
Hill, Robert Gareth. "Calling ourselves to account : the emergence, practice and rationale of quality assurance in mental health services." Thesis, Brunel University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264815.
Повний текст джерелаAlmeida, Angelica Olivetto de. "Unidades não hospitalares de atendimento a urgencia e emergencia da região metropolitana de Campinas : aspectos organizacionais e conhecimento teorico dos enfermeiros sobre parada cardiorrespiratoria e ressuscitação cardiopulmonar." [s.n.], 2008. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309767.
Повний текст джерелаDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-12T18:13:55Z (GMT). No. of bitstreams: 1 Almeida_AngelicaOlivettode_M.pdf: 622575 bytes, checksum: 951208f5ece75c14658a513160fe4a78 (MD5) Previous issue date: 2008
Resumo: A partir de 2002, o Ministério da Saúde estabeleceu a Política Nacional de Atendimento às Urgências e Emergências devido ao aumento da demanda, da violência e do número de acidentes, além da insuficiência de serviços, superlotação dos pronto-socorros e queda da qualidade na assistência. A rede assistencial foi então modificada, surgindo as Unidades não-hospitalares de Atendimento a Urgência e Emergência (UNHAU/E), com a finalidade de atender pacientes com quadros agudos ou crônicos agudizados e ordenar os fluxos de urgência. Os objetivos deste estudo foram analisar a organização das UNHAU/E em relação à estrutura física, recursos materiais e humanos e o conhecimento teórico dos enfermeiros sobre parada cardiorrespiratória (PCR) e ressuscitação cardiopulmonar (RCP), dessas unidades. Estudo descritivo e exploratório utilizando um questionário pré-elaborado e validado por juízes que foi aplicado a 73 enfermeiros das UNHAU/E da Região Metropolitana de Campinas (RMC), compreendendo sete municípios e 16 UNHAU/E. Três enfermeiros de cada UNHAU/E, de diferentes turnos, foram aleatoriamente selecionados e entrevistados sobre o dimensionamento de recursos humanos e materiais e a organização assistencial da Unidade. O questionário sobre conhecimento teórico de PCR/RCP foi aplicado a todos os enfermeiros. Em relação à área física constatou-se que além da falta das divisões em blocos, muitas foram improvisadas com adaptações para se tornarem UNHAU/E. Quanto aos recursos materiais observou-se a ausência daqueles preconizados para uso em urgência e emergência (respirador adulto e infantil, bomba de infusão, material para cricotiroidostomia, caixa de pequena cirurgia, gerador de energia elétrica). Constatouse a ausência do profissional enfermeiro no período noturno. Os municípios que possuem maiores déficits em estrutura organizacional das UNHAU/E foram os municípios D, E e F. Resumidamente, destacam-se: mais de 60% dos respondentes não sabem detectar corretamente a PCR; cerca de 70% não sabem as condutas imediatas após a sua detecção; mais de 80% não sabem quais são os padrões de ritmos presente na PCR; acima de 60% não sabem a seqüência do suporte básico de vida (SBV); apenas 20% sabem a postura corporal correta para a realização da compressão torácica externa (CTE); mais de 60% não sabem a relação ventilação/compressão; acima de 70% sabem posicionar as pás dodesfibrilador, porém quase 70% desconhecem o valor da carga elétrica a ser utilizada; menos de 10% sabem em que consiste o SAV; menos de 7% sabem quais as vias possíveis para administração de fármacos; 100% sabem parcialmente quais os fármacos utilizados na RCP e 50% conhecem parcialmente para que servem e, apenas 20% sabem o que deve conter o registro do atendimento da PCR. Os enfermeiros do município C foram os que apresentaram pior desempenho na nota final. Conclui-se que as UNHAU/E apresentam grandes déficits em relação à área física, recursos materiais e humanos. Em relação aos conceitos teóricos em PCR/RCP os enfermeiros das UNHAU/E da RMC obtiveram uma nota média de 5,18 (±1,42), indicando uma deficência de conhecimentos em relação ao exigido para profissionais que atendem um quadro tão complexo, apesar das inúmeras diretrizes sobre o assunto disponíveis na literatura
Abstract: Since 2002 the Ministry of Health established the National Policy on care for Urgencies and Emergencies due to increased demand and high rates of urban violence and accidents. The services were insufficient, with subsequent overcrowding of emergency rooms and a low quality of care. The system was then modified and stemmed the Non-Hospital Emergency Care Units (N-HECU) aiming to dealing with patients in chronic or acute situations and to coordinate the flow of medical urgencies. The study's main objectives were: to analyze the organization of N-HECU in relation to the physical structure, material and human resources and to examine the theoretical knowledge of their nurses on cardiac arrest and cardiopulmonary resuscitation (CPR). A descriptive and exploratory survey was done by applying a questionnaire pre-endorsed by judges to 73 nurses from N-HECU of the Metropolitan Region of Campinas (MRC) comprising seven cities and 16 N-HECU. Three nurses from each N-HECU and from different shifts, randomly selected, were inquired about the material and human resources, and organization of the Unit. The questionnaire with theoretical knowlegde about cardiac arrest and CPR was applied to all nurses. The results regarding the physical area have shown that besides the lack of rooms in blocks, many were improvised with adjustments to become N-HECU. In relation to material resources it was found a lack of those routinely needed for use in emergency situations (adult and child respirator, infusion pump, material for traqueal intubation, small surgery box, electrical generators). There is a lack of registered nurses in the night shift. It was found that cities with the greatest deficits in organizational structure of N-HECU were cities D, E and F. Briefly stands out: over 60% of respondents don't know how to properly detect a cardiac arrest; almost 70% don't know the procedues after its immediate detection; above 80% don't know what are the rhythms' patterns of cardiac arrest; above 60% don't know the BLS sequence; only 20% know the correct body position to carry out the chest compressions; above 60% don't know the compression-ventilation ratio; above 70% know the position of the defibrillator paddles, but almost 70% don't know the value of electric charge to be used; less than 10% know what is the ACLS; less than 7% know what are the possible ways for drug administration; 100% know partly which drugs are used in CPR and 50% know partly what are their finality; and only 20% know what there must contain the record of CPR attendance. The nurses of the city C were those who had the worst performance in the final grade. It was concluded that N-HECU have large deficits in relation to physical area material and human resources. Regarding theoretical concepts on cardiac arrest and CPR it was found that N-HECU nurses obtained an average grade of 5,18 (± 1,42), indicating a knowledge level lesser than that required for an adequate management of this complex situation, despite the great number of guidelines available in the literature
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem
Vilchez, Zapata Carlos Alberto. "Aplicación de un sistema de triaje de cinco niveles en pacientes que acuden al servicio de Emergencia del HospitalIII Chimbote – Essalud. Noviembre del 2008 a setiembre 2009." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2010. https://hdl.handle.net/20.500.12672/2093.
Повний текст джерелаThe present study had to assess the outcome of the implementation of a system of triage of five levels in the emergency service of the Hospital III Chimbote –Is Health. November 2008 to September 2009.Therefore, we studied 600 patients, they met the criteria for inclusion and exclusion, the information was collected using a tab specially designed for the study also, the collection of data was in charge of the doctor on duty in triage. It obtained the following results: The average age was 58.02 years, being more frequent patients older than 70 years, where the 58.67% were male and 41.33 per cent of female, which were as common background the arterial hypertension and diabetes mellitus. The middle of arrival in the hospital was walking, being the reasons for consultation more frequent syndrome of abdominal pain and gastrointestinal disease acute. The taking of vital functions was in its majority. (70%) incomplete .The average time of duration of medical triage per patient was 3.48 minutes And the average time of patient waiting who spent triage to be evaluated by a doctor of topic was 58.69 Minutes, taking as the highest hopes to more than 180 minutes; On the other hand has been that the classification of doctor of triage agrees with the revaluation of the classification of the doctor of topic in the priorities I and III With regard to the priority II and IV there is much unlike the assessment between the two doctors. Within the defections, were 12 patients who were classified in the triage, but that did not wait to be serviced by the doctor of topical It concludes; that there is a need to implement in the Hospital III of Chimbote-EsSalud the system of triage of V levels 24 hours a day, with human resources trained which would provide a quality care and implement a computerized system for registration of triage of V levels that would allow monitor, assess quantify the number of desertions from patients.
Tesis de segunda especialidad
Bandiera, B. Graciana L., and Belén A. Garín. "Sobrecarga de pacientes en el servicio de urgencias y emergencias." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2013. http://bdigital.uncu.edu.ar/9523.
Повний текст джерелаFil: Bandiera B., Graciana L.. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Garín, Belén A.. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Zucker, Danièle. "Crise et archaïsme: retour de l'histoire perdue." Doctoral thesis, Universite Libre de Bruxelles, 1997. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/212112.
Повний текст джерелаRios, Flores Aldo Adolfo Jesus, and Moncada Roger Yoel Conde. "Frecuencia y factores relacionados al rechazo de atención por triaje en el servicio de emergencia de un hospital de tercer nivel 2015." Bachelor's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2017. http://hdl.handle.net/20.500.12423/814.
Повний текст джерелаTesis
Bhagattjee, Benoy. "Emergence and taxonomy of big data as a service." Thesis, Massachusetts Institute of Technology, 2014. http://hdl.handle.net/1721.1/90709.
Повний текст джерелаCataloged from PDF version of thesis.
Includes bibliographical references (pages 82-83).
The amount of data that we produce and consume is growing exponentially in the modem world. Increasing use of social media and new innovations such as smartphones generate large amounts of data that can yield invaluable information if properly managed. These large datasets, popularly known as Big Data, are difficult to manage using traditional computing technologies. New technologies are emerging in the market to address the problem of managing and analyzing Big Data to produce invaluable insights from it. Organizations are finding it difficult to implement these Big Data technologies effectively due to problems such as lack of available expertise. Some of the latest innovations in the industry are related to cloud computing and Big Data. There is significant interest in academia and industry in combining Big Data and cloud computing to create new technologies that can solve the Big Data problem. Big Data based on cloud computing is an upcoming area in computer science and many vendors are providing their ideas on this topic. The combination of Big Data technologies and cloud computing platforms has led to the emergence of a new category of technology called Big Data as a Service or BDaaS. This thesis aims to define the BDaaS service stack and to evaluate a few technologies in the cloud computing ecosystem using the BDaaS service stack. The BDaaS service stack provides an effective way to classify the Big Data technologies that enable technology users to evaluate and chose the technology that meets their requirements effectively. Technology vendors can use the same BDaaS stack to communicate the product offerings better to the consumer.
by Benoy Bhagattjee.
S.M. in Engineering and Management
Diaz, Hayashida Doris Victoria. "Síndrome de Burnout y calidad del servicio en el personal médico de emergencia del HNGAI EsSalud. Lima 2017." Master's thesis, Universidad Nacional Mayor de San Marcos, 2019. https://hdl.handle.net/20.500.12672/11467.
Повний текст джерелаTesis
León, La Torre Isaac Eduardo. "Investigación de casos de optimización para servicios de seguridad y emergencias." Bachelor's thesis, Pontificia Universidad Católica del Perú, 2020. http://hdl.handle.net/20.500.12404/19186.
Повний текст джерелаTrabajo de investigación
Chavesta, Atoche Katherine Sarai. "Revisión crítica : estilos de vida del profesional de enfermería que labora en el servicio de emergencia 2017." Bachelor's thesis, Universidad Católica Santo Toribio de Mogrovejo, 2017. http://tesis.usat.edu.pe/handle/usat/1128.
Повний текст джерелаTrabajo académico
Bonny, Ludovic. "La dynamique innovation - apprentissage dans la transformation des configurations organisationnelles : le cas des fourth party logistics (4PL™)." Thesis, Orléans, 2011. http://www.theses.fr/2011ORLE0509.
Повний текст джерелаIn the 1990s, a major change occurred in logistics services. The «traditional» Third Party Logistics(3PL) moved towards a new version, the Fourth Party Logistics (4PL™), which differs from its predecessors by its expertise in design and operational management of supply chains. By focusing on their appearance, we sought to understand the emergence of new organizational configurations in the field of logistics. Originally, we assumed that the innovation - learning dynamic was the main reason for the emergence of 4PL™.To validate or refute this hypothesis, we were interested in relevant theories dealing with innovationand learning. We realized that we lacked a comprehensive theoretical framework that allowed us to discern the influence of innovation - learning dynamic.We found, after an exploratory study and the study of a single case, that the 4PL™ emerged gradually (in the supply chain under consideration) through a process of propagation of combustion involving knowledge and interactions of stakeholders
Ayala, Ayala Luis Manuel Martín. "Hospital de emergencias Nuestra Señora de la Asunción - Chilca." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2014. http://hdl.handle.net/10757/315383.
Повний текст джерелаTesis
Ljungwald, Carina. "The Emergence of the Crime Victim in the Swedish Social Services Act." Doctoral thesis, Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-55698.
Повний текст джерела