Abstract: Quality measurement and reporting systems are used in healthcare internationally. In Australia, the Australian Council on Healthcare Standards records and reports hundreds of clinical indicators (CIs) nationally across the healthcare system. These CIs are measures of performance in the clinical setting, and are used as a screening tool to help assess whether a standard of care is being met. Existing analysis and reporting of these CIs incorporate Bayesian methods to address sampling variation; however, such assessments are retrospective in nature, reporting upon the previous six or twelve months of data. The use of Bayesian methods within statistical process control for monitoring systems is an important pursuit to support more timely decision-making. Our research has developed and assessed a new graphical monitoring tool, similar to a control chart, based on the beta-binomial posterior predictive (BBPP) distribution to facilitate the real-time assessment of health care organizational performance via CIs. The BBPP charts have been compared with the traditional Bernoulli CUSUM (BC) chart by simulation. The more traditional “central” and “highest posterior density” (HPD) interval approaches were each considered to define the limits, and the multiple charts were compared via in-control and out-of-control average run lengths (ARLs), assuming that the parameter representing the underlying CI rate (proportion of cases with an event of interest) required estimation. Preliminary results have identified that the BBPP chart with HPD-based control limits provides better out-of-control run length performance than the central interval-based and BC charts. Further, the BC chart’s performance may be improved by using Bayesian parameter estimation of the underlying CI rate.
Abstract: Surgical team consists of variety types of medical specialists possessing different kind of knowledge, motivations, personalities or abilities. This together with poor knowledge transfer, lack of information and communication technologies (ICT) implementations in hospitals can cause protraction of patient care processes and even jeopardize patient safety. There is presented in the article the outcomes of studies on communication and workflow in surgical team in the background of different collaboration levels in healthcare system. As a result the five determinants of improving workflow and communication within surgical team were indicated as well as knowledge-based tools and supporting information technology were proposed.
Abstract: Nowadays pharmaceutical care departments located in
hospitals are amongst the important pillars of the healthcare system.
The aim of this study was to evaluate quality of hospital drugstores
affiliated with Kermanshah University of Medical Sciences.
In this cross-sectional study a validated questionnaire was used.
The questionnaire was filled in by the one of the researchers in all
seventeen hospital drugstores located in the teaching and nonteaching
hospitals affiliated with Kermanshah University of Medical
Sciences. The results shows that in observed hospitals,24% of
pharmacy environments, 25% of pharmacy store and storage
conditions, 49% of storage procedure, 25% of ordering drugs and
supplies, 73% of receiving supplies (proper procedure are fallowed
for receiving supplies), 35% of receiving supplies (prompt action
taken if deterioration of drugs received is suspected), 23.35% of
drugs delivery to patients and finally 0% of stock cards are used for
proper inventory control have full compliance with standards.
Abstract: Key performance indicators (KPIs) are used for post
result evaluation in the construction industry, and they normally do
not have provisions for changes. This paper proposes a set of
dynamic key performance indicators (d-KPIs) which predicts the
future performance of the activity being measured and presents the
opportunity to change practice accordingly. Critical to the
predictability of a construction project is the ability to achieve
automated data collection. This paper proposes an effective way to
collect the process and engineering management data from an
integrated construction management system. The d-KPI matrix,
consisting of various indicators under seven categories, developed
from this study can be applied to close monitoring of the
development projects of aged-care facilities. The d-KPI matrix also
enables performance measurement and comparison at both project
and organization levels.
Abstract: The healthcare environment is generally perceived as
being information rich yet knowledge poor. However, there is a lack
of effective analysis tools to discover hidden relationships and trends
in data. In fact, valuable knowledge can be discovered from
application of data mining techniques in healthcare system. In this
study, a proficient methodology for the extraction of significant
patterns from the Coronary Heart Disease warehouses for heart
attack prediction, which unfortunately continues to be a leading cause
of mortality in the whole world, has been presented. For this purpose,
we propose to enumerate dynamically the optimal subsets of the
reduced features of high interest by using rough sets technique
associated to dynamic programming. Therefore, we propose to
validate the classification using Random Forest (RF) decision tree to
identify the risky heart disease cases. This work is based on a large
amount of data collected from several clinical institutions based on
the medical profile of patient. Moreover, the experts- knowledge in
this field has been taken into consideration in order to define the
disease, its risk factors, and to establish significant knowledge
relationships among the medical factors. A computer-aided system is
developed for this purpose based on a population of 525 adults. The
performance of the proposed model is analyzed and evaluated based
on set of benchmark techniques applied in this classification problem.