Top PDF Applied Healthcare Knowledge Management for Hospital in Clinical Aspect

Applied Healthcare Knowledge Management for Hospital in Clinical Aspect

Applied Healthcare Knowledge Management for Hospital in Clinical Aspect

C) Operationalize and use healthcare knowledge, in clinical workflows, provide pragmatic patient care services, such as decision support (DSS) and maintenance planning, at point of care and point of need. The types of knowledge that directly contribute to clinical decision making and care planning according to [15]: 1. Patient knowledge brings a clear description of the patient's health status encapsulating the medical relations between the various observations of the patient and the intervention shown by the physician, including capturing and recording in medical records, to provide a complete picture of the patient; 2. Practitioner knowledge is tacit knowledge relating to practice that is hidden by practitioners and trained at the time of carrying out medical treatment obtained through learning, internship, observation and experience; 3. Medical knowledge is the core domain knowledge describes the theories about health and health services, models and processes of delivery of health services; 4. Resource knowledge is a qualification of the delivery resources of care and infrastructure available in a health care setting; 5. Process knowledge considers the pathway (or flow of work) of specialized institutional care that determines the prescribed discourse of care for a medical condition in a health care setting; 6. Organizational knowledge represents organizational structures and policies that are trained by health care institutions that carry the flow of information and knowledge within the organization; 7. Relationship knowledge that describes social capital hidden in the organization, a community of health care providers or even individuals. Basically, relationship knowledge provides an understanding of how the knowledge sought and shared can be effected among healthcare professionals. In practice, knowledge helps in asking the right questions to the right person; 8. Measurement knowledge specifies the metrics, criteria and standards for measuring the success of the health service delivery process/delivery system and associated health outcomes.
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Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

There is an abundance of literature that discusses knowledge application systems that are designed for use by clinicians. However, there is a need for developing patient-centered knowledge application systems that can help patients in decision making related to their treatments [Haux, 2002, 2006; Haux et al., 2002; Scott and Lenert, 1998]. Another area of research with potential for further research is patient care workflow management systems. Patient care workflow management systems have been developed in integration with clinical practice guidelines. However, one of the main limitations noted for such systems is limited flexibility and adaptation capabilities to respond to changing patient care needs. Advances in dynamic workflow systems need to be leveraged to overcome these limitations and provide the much needed flexibility in handling normal as well as exceptional occurrence of events. There is minimal literature on knowledge application systems for clinical prognosis. Estimating treatment outcomes can lead to better response readiness, in turn leading to better patient care. This is a key issue that seeks attention. Even in the case of clinical processes of treatment, diagnosis and monitoring, knowledge application systems have focused on clinical settings such as primary care, hospitals, and intensive care units, there is a noticeable dearth of systems geared for medical emergency response. Information systems research developments focused on crisis and emergency management systems may be applied to filling this research gap.
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Research on Risk Management for Healthcare Supply Chain in Hospital

Research on Risk Management for Healthcare Supply Chain in Hospital

payers). Many researchers assert that implementing SCM would reduce organizational costs and cycle time as well as leading to higher performance without compromising quality of services. An efficient, user-friendly supply chain can also impact the healthcare provider’s revenues by engendering physician loyalty and staff retention. However, studies have shown that the healthcare industry consistently lags commercial industry in adopting supply chain management. The topic of healthcare supply chain management is still in the early stage and its operational performance is immature, fragmented and more problematic (Kumar et al., 2008; Mustaffa and Potter, 2009; Kwon et al., 2016). D. Elmuti et al., (2013) completed a survey of 700 organizations in the United States according to their familiarity and utilization of HCSCM initiatives. The results indicated that about 62% of the respondents reported that they did not have an existing HCSCM program. About 38% of the organizations surveyed reported that they were familiar with the HCSCM concept. The remaining organizations reported the duration of their HCSCM programs to be less than 1 year. Most of these companies are working to improve on only one aspect of the area of the total supply chain. Kwon et al., (2016) indicated that the healthcare supply chain is struggling with misunderstanding of the fundamentals of supply chain concepts. The functions of the healthcare supply chain have been mistakenly identified as merely purchasing and contract management. Moreover, other hindrances for implementing SCM in the healthcare industry include the lack of standard nomenclature for healthcare products and the clinicians’ preferences create further uncertainties (McKone-Sweet et al., 2005), and lack of trust between hospitals and suppliers (Mustaffa and Potter, 2009). Despite the above, it is still perceived that there is significant scope for improving the overall performance of the supply chain in healthcare sector. Since 2005, there is a dramatically increasing number of publications about this topic. A number of different SCM tools have been also applied in practice, such as Just-In-Time (JIT), Vendor managed inventory (VMI) as well as Collaborative Planning, Forecasting and Replenishment (CPFR), etc.
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Knowledge Management From A Paradox Perspective - Siemens Healthcare s Approach To Organizational Tensions In The Field Of Knowledge Management

Knowledge Management From A Paradox Perspective - Siemens Healthcare s Approach To Organizational Tensions In The Field Of Knowledge Management

The highly-skilled employees of the Clinical Competence Centers have a medical, technical, commercial or academic background. Their activities involve numerous aspects like analyzing the different healthcare markets worldwide, conducting training and information sessions for Siemens employees or interacting with customers and hospital personnel. In doing so, Siemens Healthcare pursues the objective of constantly ex- panding the already established knowledge base. The newly obtained knowledge contributes to the further development of medical imaging modalities or to the refinement of service offerings. These incremental innovations usually target the day-to- day business and leverage existing organizational capabilities.
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COMPREHENSIVE STUDY OF GUDA MARMA AND ITS APPLIED ASPECT

COMPREHENSIVE STUDY OF GUDA MARMA AND ITS APPLIED ASPECT

Lifestyle diseases are our human being creation and now becoming the major and most common cause of death and disability worldwide. Among them anorectal problems are one of them which makes human life despondent. Although anorectal problems are not fatal diseases, physical and psychological discomfort related with various symptoms of anorectal can appreciably influence quality of life (QOL) in a person with anorectal problems. [8] By accepting healthy lifestyle and diet pattern everybody can solve their anorectal problems easily. The stigma or fear still associated among people by whom they are feeling shame for anorectal problems, They do not want to discuss their problems and unwilling to go to the doctor [9] , so it is important to know the factors involved in manifestation of it and to adopt healthy living pattern to prevent it. These disorders occur in peri-anal and perineal region, the seat of Sadyaḥprāṇahara Marma [10] (vital area) and require proper management.
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Knowledge, Awareness and Practice of Biomedical Waste Management guidelines 2016 among Healthcare personnel in a Tertiary care hospital, Rajasthan, INDIA

Knowledge, Awareness and Practice of Biomedical Waste Management guidelines 2016 among Healthcare personnel in a Tertiary care hospital, Rajasthan, INDIA

This study shows that Doctors, nurses and laboratory technicians all had knowledge and awareness regarding revision of biomedical waste management rules in 2016, but laboratory technicians are lagging in practicing them. Importance of training cannot be overemphasized so, there should be strict implementation of rules by healthcare facilities and continuous training of healthcare personnel should be done. Injuries to staff due to sharps should be reported to in-charge of BMWM and they report it to pollution control board. Most medical waste is being incinerated this practice is short lived because of environmental considerations. The burning of solid and regulated medical waste generated by healthcare system creates many problems such as emitting toxic air pollutants and toxic ash residues, which are the major source of dioxins in the environment. Public concerns about incinerator emissions and its toxic emissions, as well as the creation of strict regulations for medical waste incinerators, are causing many healthcare facilities to reconsider their choices in medical waste treatment. The newer non- incineration treatment technologies can be adapted to create a toxin-free environment. 11 adequate equipments and supplies should be provided to all departments for proper care of wastes. Public and private sectors should be incorporated into this matter for better management of waste.
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A CRITICAL REVIEW OF CHATURVIDH SIDDHANTA AND ITS APPLIED ASPECT .......

A CRITICAL REVIEW OF CHATURVIDH SIDDHANTA AND ITS APPLIED ASPECT .......

Ayurveda has included the four fundamental princi- ples and dependant on it. These principles make this eternal which is complete and will remain true or ap- plicable at any condition. Whatever mentioned in Ayurvedic texts and whichever will be discussed based upon principles. Therefore, we can say that any statement of Ayurveda can’t be reasonably interpreted without its principles. Without the knowledge of Moolasiddhants one can’t understand treatment prin- ciples and other concepts of Ayurveda. If the physi- cians have a complete knowledge of the principles of Ayurveda then they will be perfect to treat of all the diseases. Hence the principles of Ayurveda are de- scribed by the applied examples then it is easily un- derstood by the all physicians and students.
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Evaluation of Medical Waste Management applied to a Small Capacity Healthcare Unit in Brazil

Evaluation of Medical Waste Management applied to a Small Capacity Healthcare Unit in Brazil

Ana Maria Maniero Moreira, Faculdade de Saúde Pública / USP Wanda Maria Risso Günther, Faculdade de Saúde Pública / USP EXECUTIVE SUMMARY This paper shows the results achieved by the development and implementation of a Medical Waste Management Plan - MWMP in a Public Healthcare Unit, located in São Paulo city, Brazil. The methodology consisted in 5 steps: i) First diagnosis of the situation; ii) Development of the plan; iii) Implementation; iv) Second diagnosis; v) Results evaluation one year after beginning the implantation. For the first diagnosis, it was developed and applied a specific form to collect data, supported by current Brazilian legislation and technical standards. In addition, every type of waste, classified as infectious, sharps and common (recyclable and non-recyclable) were identified and quantified, considering the sectors of origin. Based on this diagnosis, a MWMP was developed and immediately implemented. The results evaluation consisted in comparing generated waste measurements and photographic records before and after the implementation of the plan. In 2008, the first quantification registered 22.5 kg/day of total waste generation, represented by 25% infectious, 62% common and 13% recyclable materials. One year later, the total generation rose to 25.9 kg, consisting on 25% infectious, 51% common, 17% recyclable materials and 7% organics sent to compost production. Although no decline had been detected at infectious waste percentage (persisting 25%), recyclable materials collection arose from 13% to 17% and had started segregation of organic waste to composting (7%). This analysis also showed a small reduction of infectious waste rate (generated in critical areas) from 0.021 to 0.018 kg/ procedure.day. For more effective results, it is recommended to include dangerous chemical substances to the management plan; maintenance of monitoring process; conquer the commitment of managers, staff and users of the facility; development of an efficient employees training program and educational campaigns involving patients. The main benefits of this plan, as well as complying legislation, are reduction of the amount of common waste sent to landfill and consequently minimization of environmental impacts; reduction of risks of occupational accidents and contamination risks; implementation of appropriated routines and improvement at unit conditions offered to users.
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Beyond the Standard: The Value of Knowledge-Based Management in Correctional Healthcare

Beyond the Standard: The Value of Knowledge-Based Management in Correctional Healthcare

John Trageser has 29 years of experience in the correctional healthcare field. For 14 years, he managed a statewide program, which is supported by his 15 years as clinical provider of direct care services. Mr. Trageser is dedicated to meeting the goals and expectations of clients and preserving the integrity of providers. Mr. Trageser holds a Bachelor of Arts degree from Duquesne University and Masters of Arts degree in Clinical Psychology from Middle Tennessee State University.

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Knowledge Management for Healthcare Organizations: Comparing Strategies with Technical Support

Knowledge Management for Healthcare Organizations: Comparing Strategies with Technical Support

The healthcare organization selected is a large metropolitan area hospital with over 300 beds. Inpatient nursing staff consists of over 400 nurses. The hospital boasts centers of excellence in trauma and infectious disease care and is also a premier teaching hospital in the region. A total of 150 surveys were distributed to the nurses working on the medical and surgical departments at the chosen Hospital during the daytime shifts on a weekday. A total of 51 fully completed surveys were collected through a collection box over a two week period. The response rate was 34%. The technical support organization chosen is a multi-national company. The organization is a leader in the support of multi-vendor networking equipment, with capabilities including design, installation, monitoring and break-fix support. The center that is studied has 500 technical support personnel. A total of 150 surveys were distributed to the call center employees on the daytime shift on a weekday. A total of 103 fully completed surveys were collected after a 90 minute period through a collection box. The response rate was 68.6%. The grossly disparate response rates can be partially attributed to the irregular shifting work schedule of nurses and the lack of any follow up reminders to the nurses during the two weeks to complete the surveys. Moreover job demands grossly differ, as technical support agents were able to complete the survey between customer trouble calls at their desk; while nurses usually have no specific desk or cubicle, and often require prompt bed side visits to the patient’s rooms on calls. This coupled with 2 or 3 day per week work schedules for the nurses, resulted in the vastly different response rates. 6.2 Demographics
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Knowledge Management and Communities of Practice around Healthcare Digital Libraries

Knowledge Management and Communities of Practice around Healthcare Digital Libraries

Recent technical advances resulting in a boom in medical informatics, that have en- abled new ehealth-related activities, have got a common denominator: the Internet. As June Forkner-Dunn foresees: “the impact of the Internet has largely been unforeseen, and it may have a revolutionary role in retooling the trillion-dollar health care indus- try in the United States” [1]. However, the Internet can only play this essential role in healthcare if the knowledge provided over this powerful media is made accessible and delivered to the end-users – both healthcare professionals and members of public – in the right form to meets their needs. Therefore, the issues around the knowledge man- agement in healthcare digital libraries and the impact on healthcare service and clini- cal practice are at the very centre of ehealth research.
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Assessment Of User Authentication Risks In A Healthcare Knowledge Management System

Assessment Of User Authentication Risks In A Healthcare Knowledge Management System

The term “knowledge management system” (KMS) has been used in different meanings through the literature. In knowledge management literature, the terms knowledge management system and knowledge systems are used interchangeably to refer to the technology or software components of knowledge management (Raftery, 2003). For example, Alavi and Leidner (2001) define knowledge as “IT-based systems developed to support and enhance the organizational processes of knowledge creation, storage/retrieval, transfer, and application”. Furthermore, Gupta et al. (2000) define it as “A class of information systems applied to managing organizational knowledge”. Knowledge management systems help organizations to select, find, disseminate, organize and transfer vital information and expertise necessary for activities such as dynamic learning, decision-making, problem-solving, and strategic planning. However, other researchers have expanded those definitions by incorporating strategy, services, processes, and user components to the KMS, not just the IT components (Haimes, 2005). So, the terms of KMS and knowledge system in this research are used to refer to the technological and/or non-technological components of knowledge management that may include knowledge management software, hardware, networks, individuals, groups, organizations, resources, tools, services, activities, procedures, methods and other environmental factors and activities that may compose, relate to or affect knowledge management in an organization. Readers interested in knowledge management systems should refer to the text by Gupta et al. (2000), Copperman et al. (2004) and King and Marks, Jr. (2008).
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Dynamic Systems Applied to Bed Management in a Public Hospital Specialized in Cardiology

Dynamic Systems Applied to Bed Management in a Public Hospital Specialized in Cardiology

These new waves of query if these are intended solely for return visits, reduce the time people wait to return to the hospital. With the analysis of the 10% reduction in waiting times, we arrive at the conclusion that the returns are key element in this system. Therefore, an alternative for patients spend the shortest possible time within the system and reduce the waiting time by reducing the return time in the waiting room of the doctor's offices. This will give flexibility to Ambulatory, i.e. the faster the patients return, more will be given discharge. This fact is also proven by the Causal Diagram for both the General Outpatient Clinic as for the Specialties.
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Time Management of the Clinical Nurses at Public Hospital in Bangladesh

Time Management of the Clinical Nurses at Public Hospital in Bangladesh

DOI: 10.4236/ojn.2019.910077 1047 Open Journal of Nursing ment skill questionnaire with 4 points Likert scale. Table 2 shows the distribu- tion and frequency, percentage, mean and SD of nurses on time management. The result revealed that the overall mean score of nurses was calculated as 2.63 ± 0.28 out of 4 point, which indicates moderate level skill on the time management scale. The mean score for the dimension of workload related skill was 2.75 ± 0.71, delegation related skill was 2.62 ± 0.4, and schedule related skill were 2.34 ± 0.56. Among five dimensions, nurses had more skill in priority related dimen- sion mean was 3.23 ± 0.89 and fewer skills in technique related dimension mean was 2.03 ± 0.54. According to item analysis, majority of the nurses (76.6%) al- ways perform the main task and responsibilities. In terms of delegation related practice most of the nurses (79.2%) always considered that task delegation is an important part for their job and majority of the nurses (77.9%) perform their task by themselves than delegate other. However, larger number of nurses (75.3%) usually found themselves compelled to return to work. Majority of the nurse (85.7%) always delegate work correctly and expected exactly what to do. As re- garded technique related practice, most of the nurses (76.6%) thought that fre- quently meeting wasted more time and a huge percentage of nurse partcipants
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Aspect Extraction with Automated Prior Knowledge Learning

Aspect Extraction with Automated Prior Knowledge Learning

Figure 1: The proposed overall algorithm. transfer learning (He et al., 2011, Pan and Yang, 2010, Xue et al., 2008). However, transfer learn- ing in these papers is for traditional classification rather than topic/aspect extraction. In (Kang et al., 2012), labeled documents from source domains are transferred to the target domain to produce topic models with better fitting. However, we do not use any labeled data. In (Yang et al., 2011), a user provided parameter indicating the technical- ity degree of a domain was used to model the lan- guage gap between topics. In contrast, our method is fully automatic without human intervention. 3 Overall Algorithm
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Evidence in Management Decisions (EMD) : advancing knowledge utilization in healthcare management : final report

Evidence in Management Decisions (EMD) : advancing knowledge utilization in healthcare management : final report

In July 2010, the Secretary of State for Health, Andrew Lansley, announced major changes in the NHS commissioning structures – the most important one for this research being the devolution of PCT commissioning functions to the so-called Clinical Commissioning Groups, which will be led by GPs. At the time of writing it was still unclear how the various changes proposed by the 2010 White Paper would be implemented and what organisations and organisational arrangements would end up fulfilling the commissioning function in the NHS. Paradoxically, these changes, and the creation of new and less experienced commissioning organisations, makes this research particularly relevant insofar as: (a) evidence-based commissioning will continue to be a priority; (b) service redesign is considered the key vehicle for improving productivity, prevention, innovation and quality (QIPP) of healthcare; (c) conflict between individual vs. population commissioning decisions may become increasingly important in the emerging context of GP-led commissioning and; (d) new organisations risk repeating the mistakes of the past instead of capitalising on previous experience.
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Validation Of The Risk Adjustment Method - Adjusted Clinical Groups (ACG) As Applied To The Chinese Healthcare System

Validation Of The Risk Adjustment Method - Adjusted Clinical Groups (ACG) As Applied To The Chinese Healthcare System

The differences in the ICD format, which was the number of the characters in an ICD-10 code, were due to the different workflows and focuses between the insurance companies and hospitals. An insurance company manages a significantly larger population than a single hospital. An insurance company also needs to document the utilization of its patients for every visit in detail whereas hospitals only document clinical information in detail for the inpatient patients by the clinicians due to the extremely high volume of the outpatient visits. In addition, some insurance companies may not be able to directly receive the claim data from the hospital electronically and need to document the clinical information manually, which also increased the cost of the documentation. Therefore, compared with the data from the hospitals of the inpatient populations, the potential high cost associated with documenting clinical information for the insurance companies resulted in the lower granularity of the diagnoses and their corresponding ICD-10 codes for the data from the insurance companies. Without its subdivision, the ICD-10 code format, which only contains three characters, may not provide the greatest specificity, but it could still serve the administrative purpose as a code. However, it would be ideal that ICD codes are filled in as specifically as possible, so that more meaningful clinical information is documented for further analysis.
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Management accounting: analytical aspect

Management accounting: analytical aspect

According to the results of the discussed arguments, we can conclude that managerial analysis is an analysis of the enterprise activity which is carried out with the aim of making optimal management decisions. It is based on the methodology of economic analysis, but, in our opinion, many of the studied indicators closer to managerial accounting and is one of its most important components. Thus, the analysis is one of the most important procedures of modern management accounting.

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ICT knowledge, Utilization and Perception among Healthcare Providers at National Hospital Abuja, Nigeria

ICT knowledge, Utilization and Perception among Healthcare Providers at National Hospital Abuja, Nigeria

Healthcare providers at National Hospital, Abuja possess good knowledge, are considerably skilled with good disposition towards computer and use of the Internet especially for the enhancement of their professional practice and improvement of patient care quality. However, they presented poor knowledge in database design and statistical analysis. They massively indicated interests for further training in the use of computer and the Internet so as to boost their sources of information for better practice and improved public health. Any effort at enriching their sources of information and enhancing their usability of these technologies would be worthwhile.
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Clinical Aspect of Diseases of Cornea in Ayurveda

Clinical Aspect of Diseases of Cornea in Ayurveda

Introduction: There are total seventy six ocular diseases described in Sushruta Samhita and 94 diseases in Astanga Sangrah & Astanga Hridya. This concept of classification of ocular disorders is well buttressed by classifying the disease as Sandhigata (Diseases affecting junctional areas of eye), Vartamagata (Diseases of eyelids), Shuklagata (Diseases of Sclera plus Conjunctiva), Krishnagata (Diseases of Cornea), Sarvagata (Diseases affecting all parts of Eye), Drishtigata (Diseases of Lens). Material and Methods: Extensive literary review of various text of Ayurveda in order to carve out a possible comparison of Ayurvedic Corneal Ophthalmological disorders with modern counterpart. Aims: To establish clinical correlation between diseases of Krishna mandala to disease of the cornea. Discussion: Classifications of corneal diseases in classical Ayurvedic texts are sequential and progressive in nature viz. one condition progress to the next corresponding stage. Acharya Sushruta described 4 types of diseases of cornea while V agbhatta has enumerated 5 types. A conscious endeavor is made to correlate the Ayurvedic and modern corneal disorders in a complimentary manner. Conclusion: The congruent behavior of corneal disorders of Ayurved and modern is justified by the clinical symptomology, progression of the disease, prognostic reasons and relevant intervention. The integrated disease approach, treatment application and predicting prognosis will suffice the resultant outcome of the disease in a more favorable perspective which will herald a better approach in managing preventable corneal blindness.
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