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Children are the most important asset for the society's future. They develop into maturity depending upon how they are moulded by their families, society, and the environment. They are very sensitive and could easily get influenced or affected by the slightest change. Therefore it is important to maintain a normal set-up for them under all of their routine and disturbed mental and physical conditions.Sickness and hospitals are one thing that affect a child's psychology. Children dread to get into the harsh technological environments of today's medical environments. Hospitals are constantly evolving to keep pace with the latest medical technologies. Additions or refurbishments or a totally new set-up usually focuses on the technological requirements rather than the human element of such an undertaking. The Riley Hospital for Children in Indianapolis presents an architectural opportunity to incorporate psychology of the environment into the design and construction of a new outpatient unit. By balancing the technological requirements with the physical and pschological needs of a child patient, one can create a healing environment more conducive to a rapid recovery. This thesis explores one of the possibilities of creating such an environment. / Department of Architecture

Hospitals are constantly evolving to keep pace with the latest medical technologies. Whether it is a refurbishment of an existing facility or the addition of a new unit, the design process usually focuses on the technological requirements rather than the human elements of such an undertaking. The Riley Hospital for Children in Indianapolis presents an architectural opportunity to incorporate psychology of the environment into the design and construction of a new Cancer Unit. By balancing the technological requirements with the physical and psychological needs of the pediatric bone marrow transplant and hematology/oncology patients, one can create a healing environment more conducive to a rapid recovery. / Department of Architecture

Thesis (MTech (Office Management and Technology))--Cape Peninsula University of Technology, 2017. / Healthcare facilities across South Africa are increasingly facing a myriad of societal, fiscal, political and cultural challenges associated with demands for greater quality in the provision of healthcare services. This study measures service quality and customer satisfaction at a Cape Town hospital (hereinafter referred to as Hospital X), with the aim of providing its management with information to enable them to enhance service quality and thus improve customer satisfaction. It is essential to note that the respondents in this study were the parents or guardians of patients. The views of the patients were not obtained directly from them as it would have been unethical for minors to have participated in the survey. Their parents or guardians were surveyed in order to obtain the requisite data. The problem investigated was that management at public hospitals does not regularly research what customers need from a service quality point of view, Therefore, Hospital X may be failing to provide a quality service to its customers, namely, parents and guardians. Against this background, the researcher set out to measure customer perceptions and expectations of service quality by making use of the SERVQUAL model. “Customer expectation” is what the customer can reasonably expect given the available resources and is likely to be influenced by personal needs and past experience. “Customer perceptions” are totally subjective and based on the customer’s interaction with the service provided at Hospital X. The SERVQUAL model (reliability, assurance, tangibles, empathy and responsiveness), is commonly known as the RATER model, RATER being an acronym formed from the first letter of each of the five dimensions of SERVQUAL. The study incorporates the SERVQUAL dimensions within a survey comprising a number of questions structured on a six-point Likert scale. The results of applying the SERVQUAL model will indicate whether or not Hospital X provides a quality service to their customers. The study seeks to demonstrate the importance of service quality and customer satisfaction to hospital management, as well as the impact that effective service quality can have on customers’ evaluation of their overall hospital experience. (The term customer will be used interchangeably with parent and/or guardian in this study.)

Orientador: Antonio Celso Fonseca de Arruda / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia Mecânica / Made available in DSpace on 2018-08-27T21:51:49Z (GMT). No. of bitstreams: 1 Tavares_AlanFerreiraPinheiro_M.pdf: 45828556 bytes, checksum: df420c63706176638cd3d63b5f5ba1c0 (MD5) Previous issue date: 2015 / Resumo: No transporte, por ambulâncias, as crianças estão expostas a riscos fatais ao serem transportadas em macas de adultos as quais não atendem a antropometria infantil. A situação é agravada ao considerar o fato das ambulâncias se locomoverem em altas velocidades e necessitarem frequentemente reduzi-las de modo abrupto. Neste cenário, buscou-se projetar, construir e testar um protótipo de maca com um sistema de retenção eficaz para transportes emergenciais de crianças. O diferencial do projeto em relação às outras macas infantis, existentes no mercado internacional, está na versatilidade de realizar transportes tanto em ambulâncias quanto em áreas de resgate de difícil acesso veicular. O projeto de maca infantil possibilita atender uma ampla gama de pacientes de pequeno porte desde crianças na faixa etária de 1 (um) ano até 10 (dez) anos de idade. Trata-se de uma maca desenvolvida para rápido manuseio e armazenagem por ser dobrável e de fácil instalação sobre qualquer maca de adulto normatizada pela ABNT. O principal fator de segurança está vinculado ao sistema de retenção regulável, com facilidade de rápida fixação e remoção da criança. Foram realizados testes de impacto, com velocidade aproximada de 18 (dezoito) km/h, utilizando a maca de adulto e a maca infantil. O manequim com massa de 22 kg, representativo de uma criança de 6 (seis) anos de idade, foi instalado nas posições sentado e deitado. Os dados coletados, via um programa computacional Kinovea adequado para análise de biomecânica, permitiram estimar o deslocamento do manequim com grande precisão. Utilizou-se um aplicativo instalado em um celular com sistema operacional Android para registrar as desacelerações ocorridas no momento do impacto. A maca infantil apresentou uma retenção significativamente superior à obtida com a maca de adulto, tanto no deslocamento da cabeça quanto do tronco do manequim. Na posição deitado, o manequim chegou a ser ejetado para fora da maca, o que nunca ocorreu utilizando a maca infantil. Os testes realizados com o protótipo da maca validaram o projeto e a solução construtiva que estão vinculados a uma patente a ser depositada no Brasil / Abstract: In transportation, for ambulances, children are exposed to fatal risks by transported in adult gurneys that are not adapted to child anthropometry. The situation is escalated when considering the fact that the ambulances move up in high speeds and with frequently need to reduce abruptly velocity. In this field, we tried to design, build and test a prototype gurney with an effective restraint system for emergency transport children. The differential of the project regards to other children gurneys that exist in the international market; its versatility to perform both transport in ambulances and possible land rescue. Child gurney enables a wide range of small patients from children with one (1) until ten (10) years old, designed for fast handling and storage by be foldable and easy to install on any adult gurney standardized by ABNT. The main safety factor is linked to the adjustable retention system with facility for rapid attachment and the child's removal. Impact tests were performed, with an approximate speed of 18 (twenty) km / h, using the adult gurney and child gurney. The dummy with mass 22 kg, representing a child with 6 (six) years old, was installed in sitting and lying positions. Data collected via a computer program Kinovea suitable for biomechanical analysis, allowed to estimate displacement of the dummy with great precision. It was used a smartphone based on Android operational system to register decelerations occurred on impact. Child gurney had a higher retention regarding to adult gurney both the displacement of the head when the dummy torso restraint. In two teste with lying position, the dummy was ejected out of the gurney, fact that had never happened with child gurney. Tests conducted with the prototype gurney validated the project and the constructive solution that are bind to a patent to will be implanted in Brazil / Mestrado / Materiais e Processos de Fabricação / Mestre em Engenharia Mecânica

This research explored the information needs of patient families and hospital staff at a pediatric hospital system in Dallas, Texas. Library statistics recorded in four hospital libraries from 2011 - 2013 were used to analyze the information requests from patient families and hospital staff. Crosstabulations revealed the extent to which patient families and hospital staff used the libraries to satisfy their information needs. The data showed that patient families used the libraries very differently than hospital staff. Chi-square tests for independence were performed to identify the relationships between the Classification (Patient Family, Hospital Staff) and two descriptors of information needs (Request Type, Resources Used). There were a total of 1,406 information requests analyzed. The data showed that patient families and hospital staff information requests differed greatly in the number of information requests, the type of information requested, the resources used and the time the library staff spent on the requests. Chi-square analyses revealed relationships statistically significant at the p < .05 level; however, the strength of the relationships varied.

This prospective descriptive study describes the referral patterns to the Red Cross War Memorial Children's Hospital. The study was conducted from 1st July to 31st December 1987 and entailed the collection of all referral letters presented (9288) to the hospital and the analysis of a sample of these letters (4702). The results indicated: * The patients are similar in terms of age and sex to those attending the Outpatients Department except that relatively fewer referred patients are Black. * The private sector, i.e. general practitioners, is the largest referral agency followed by Day Hospitals. * Most patients were ref erred to the Outpatients Department without an appointment. * Of the specialist clinics, the surgical clinics, i.e. Ophthalmology and Ear, Nose and Throat Clinics, were utilised the most. * The majority of patients (84,90%) were not admitted. * The contact made by the hospital with referral agents was poor (only in 30,30%). * The quality of information in referral letters was generally poor and did not contribute to patient care. Recommendations are made to the hospital and relevant health authorities.

A fila de espera nas unidades de pronto-atendimento pediátrico é um problema constante em diversos hospitais do Brasil. A introdução de novas tecnologias pode contribuir para a gestão dessa fila. No entanto, inexistem pesquisas de aplicativos que abordem esse problema. Neste estudo foram desenvolvidas duas atividades principais e relacionadas, mas independentes. A primeira foi o desenvolvimento de um aplicativo multiplataforma para dispositivos móveis, visando à diminuição da fila de espera no pronto-atendimento pediátrico de um grande hospital de Curitiba. A adoção de um modelo de sistema de pré-reserva ou check-in permitiu que o aplicativo indicasse os horários de menor frequência para utilização do pronto atendimento, sem descaracterizá-lo como pronto atendimento. Em outras palavras, o sistema busca melhorar o funcionamento do pronto atendimento sem torná-lo um sistema de agendamento de consultas eletivas. O aplicativo possui três principais funcionalidades: apresentação do número de crianças aguardando atendimento, apresentação do tempo estimado de espera para uma consulta e o sistema de checkin para a fila de espera. Durante o período de 90 dias de avaliação do protótipo foram realizados 2.835 downloads e instalações em dispositivos móveis com 35.811 acessos registrados. A segunda atividade foi a análise dos resultados e efeitos da utilização do sistema de check-in na fila de espera do pronto-atendimento pediátrico. O aplicativo propõe um horário mais adequado para o usuário ir ao hospital, minimizando o risco de ocorrência de eventos adversos. Foram obtidas e analisadas 129 observações completas de pacientes que utilizaram a função de check-in. O levantamento de dados relacionou a quantidade de pacientes aguardando na fila de espera por três perspectivas de tempo, considerando o tempo real de espera no momento do check-in do usuário no aplicativo, em comparação, ao tempo de espera deste usuário com o horário de agendamento gerado pelo aplicativo, assim como ao tempo de espera de sua entrada/chegada real ao hospital. Para verificação do resultado das comparações dos tempos foi adotado o método estatístico de análises temporais. Nas 129 observações de pacientes que utilizaram o check-in, os resultados demonstraram que em média os pacientes aguardaram atendimento por 19,24 minutos em comparação ao resultado do tempo médio 127,8 minutos de espera na fila dos pacientes que não utilizaram o aplicativo em seus atendimentos. O método proposto de check-in apresentou índices de melhora na redução do tempo de espera dos pais que utilizaram o aplicativo em comparação aos demais pais, indicando que ele pode ser usado para contribuir na gestão da fila de espera do pronto atendimento pediátrico. / Waiting queues in pediatric emergency unit are a constant problem in many hospitals in Brazil. The introduction of new technologies can contribute to the management of the queues. However, research about mobile applications to that address this problem was not identified. The present study developed two main activities that are related but independent. The first was the development of a cross-platform mobile application aimed at reducing the waiting queue in the pediatric emergency room of a major hospital in Curitiba. Using a pre-booking/check-in model, the application indicates time slots when the flux of patients is low in the emergency room. The model sought to achieve a balance between demand of treatment and hosting capacity that would help manage overcrowding and maintain the responsiveness in the service. The mobile application has three main features: to show the number of children that are waiting for care, to present the estimated waiting time for an appointment and a check-in system for the queue. During the 90-day evaluation of the prototype, 2,835 downloads and installations on mobile devices were carried out with 35,811 registered accesses. The second activity was the analysis of the effects of the check-in system use in the pediatric emergency department queue. The application proposes a time slot with fewer patients in the queue for the user, minimizing the risk of adverse events. 129 complete observations of patients who used the check-in function were obtained. The data related to three types of patients’ waiting times in queue were analyzed: the real waiting time in the room considering the check time in the application, the waiting time considering the scheduled time generated by the application, and the waiting time considering the actual arrival time at the hospital. To analyze the results, the three types of waiting times were compared using the statistical method of analysis time. In the 129 observations of patients who used the check-in, the analysis showed that on average, patients waited for care 19.24 minutes compared to the average time 127.8 minutes of waiting in the queue for patients who do not used the application. The proposed method of check-in reduced the waiting time for parents who used the application in comparison to other parents, indicating that it could be used to contribute to the management of the overcrowding in pediatric emergency unit.