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Savigliano, Italy

Weinberg S.,Health Care Management | Fuqua R.,Clayton State University
Scientific Computing | Year: 2011

Statistical models based on two different fields such as astuaries and epidemiology have become critical diseases mitigation tools. Actuaries are associated with the field of insurance and certified accountancy, while epidemiologists are associated healthcare management and public health. Actuaries risk mathematicians for the insurance industry and perform calculations with basic, manually provisioned, distributed processing environments. Actuaries also perform advanced and detailed analysis of the data produced by the models. Systems supporting actuarial functions have migrated toward soft computing, the modes of computing in which precision is traded for tractability, robustness and ease-of-implementation. Epidemiological work has a public focus and benefits the general population while actuarial work is for private enterprise and benefits the individual organization. Epidemiology has a macro function, while actuarial science has a micro function and their approaches demonstrate this basic difference. Source

Fabbri G.,Health Care Management | Panico M.,Hospital Directorate | Dallolio L.,University of Bologna | Suzzi R.,Hospital Directorate | And 3 more authors.
International Journal of Environmental Research and Public Health | Year: 2013

Klebsiella pneumoniae is a frequent cause of infectious outbreaks in Neonatal Intensive Care Units (NICUs). The aim of this paper is to describe an outbreak occurred in a 13-bed NICU and the control measures adopted in order to interrupt the chain of transmission. We described the microbiological investigations, the NICU staff compliance to the infection control measures by means of a specifically designed check-list and the control measures adopted. Six cases of primary bloodstream infections sustained by ampicillin/piperacillin-resistant Klebsiella pneumoniae were observed over a two-month period. One culture obtained from a 12% saccarose multiple-dose solution allowed the growth of Klebsiella pneumoniae. During the inspections performed by the Hospital Infection Control Team, using the check-list for the evaluation of the NICU staff compliance to the infection control measures, several breaches in the infection control policy were identified and control measures were adopted. In our case the definition of a specific check-list led to the adoption of the correct control measures. Further studies would be helpful in order to develop a standard check-list able to identify critical flows in the adhesion to the guidelines. It could be used in different NICUs and allow to obtain reproducible levels of infection control. © 2013 by the authors. Source

Charrier L.,University of Turin | Serafini P.,S. Anna Hospital | Chiono V.,S. Anna Hospital | Rebora M.,Health Care Management | And 2 more authors.
Journal of Evaluation in Clinical Practice | Year: 2010

Rationale Although the World Health Organization recommends not using sterile technique for low-risk delivery and literature doesn't report a significant association between clean delivery and higher risk for infection, sterile technique remains a prevalent practice. We conducted our study in the obstetric clinics of two hospitals of Piemonte Region (Italy) that use different operative care models ('clean' vs. 'sterile'). Objectives Aim of the study was to describe practices and procedures used by midwives during delivery, according to the model adopted, and to compare the incidence of perineal infection between use of 'clean' versus 'sterile' practices for intrapartum care. Methods Prospective cohort study. 200 women for each hospital were included in the study. Health care behaviour and practices performed during the different stages of delivery were observed and recorded on an observation sheet. Follow-up was conducted for 1 month after discharge in order to detect infections of reproductive organs. Results Many differences were described in procedures and health care worker practices between the two hospitals and even among operators of the same ward, but a greater compliance with the theoretical model adopted was described among midwives and physicians of the 'clean' delivery model. No infections were detected in either of the two samples of women included in the study. Conclusions From our observations we can conclude that many reasons support the adoption of 'clean' technique for low-risk deliveries: reducing inappropriate use of resources and costs for health care, less medicalization, less frequent use of episiotomy and shaving, major compliance of operators with simple and coherent practices and procedures. © 2010 Blackwell Publishing Ltd. Source

Delpasand M.,Health Care Management | Raeissi P.,Tehran University of Medical Sciences | Begdeli F.,Health Care Management | Shahabi M.,Health Care Management
Iran Occupational Health | Year: 2011

Background and aim: Job burnout is a syndrome which is known by emotional exhaustion, depersonalization, and deterioration of job performance. Due to the negative impacts of this syndrome on patients, employees, and organization in healthcare settings this issue has drawn attention of many researchers during recent years. Despite the large number of publications in this area, limited attention has been paid to the factors influencing job burnout. The aim of the present study was to determine the level of job burnout and impacts of job rotation on nurses burnout in Ayatollah Kashani hospital, Tehran. Methods: In order to conduct this research a historical cohort study was performed to determine degree of job burnout among nurses with and without job rotation in Ayatollah Kashani Hospital in Tehran. The number of nurses with job rotation was (n=59) and without job rotation (n=29). Data was collected via a self-report questionnaire. Maslach Burnout Inventory (MBI) was used to assess the job burnout of the subjects. Results: The overall findings revealed that nurses had low level of emotional exhaustion, low level of depersonalization and middle level of declining of personal accomplishment. No significant difference was observed between the job burnout of the tow groups of nurses - with and without rotation. In comparing the level of job burnout among the nurses of different wards (i.e. between wards comparison) the findings revealed that nurses of the emergency ward, had higher rate of depersonalization (P=0.012). Conclusion: The nurses' burnout showed to be at the medium level with respect to the personal accomplishment subscale, which seems to require a managerial intervention in this hospital. Apparently current job rotation schedule has had no significant impact on the nurses' job burnout in Ayatollah Kashani hospital and the obtained results suggest that other alternative approaches need to be considered to improve personal accomplishment and to decrease job burnout among nurses. Source

Delpasand M.,Health Care Management | Shahabi M.,Health Care Management Moharram | Zanganeh,Health Care Management | Hedayati A.,Social Security Organization | Nafisi A.,Health Care Management
Life Science Journal | Year: 2013

Introduction: Personality of a brand is known as the core and the closest variable in customer's decision to choose. Branding is a new phenomenon in the sector of health care services. This study aims to determine the relationship between branding and performance in Qa'em hospital of Mashhad city. Study Method: The type of this study is correlation - cross sectional and has been carried out in the second half of 2008. Data on the created hotelling brands were collected by attending the hospital, interviewing authorities, observing the changes in study place, and studying performance indicators with the help of the statistics center of hospital and by studying the gathered materials. The data were analyzed using statistical software SPSS12 and Paires-Sample T-Test. Findings: No significant statistical relation was observed between branding and the mean value of variations in the number of patients (p= 0.453). There were significant statistical relations between the performed hotelling branding and variations in the mean value of bed occupancy percent (p= 0.000), bed circulation (p= 0.016), and emptiness ratio (p= 0.012). Discussion: Branding is effective in the improvement of hospital performance in the competitive environments in which they seek to attract selective patients. Source

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