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Can small hospitals be self sufficient? submitted to the Program in Hospital Administration ... in partial fulfillment ... for the degree of Master of Hospital Administration /Finkbeiner, Darwin Orlo. January 1957 (has links)
Thesis (M.H.A.)--University of Michigan, 1957.
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Can small hospitals be self sufficient? submitted to the Program in Hospital Administration ... in partial fulfillment ... for the degree of Master of Hospital Administration /Finkbeiner, Darwin Orlo. January 1957 (has links)
Thesis (M.H.A.)--University of Michigan, 1957.
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Application of minimum bed sizing for a small health maintenance organization hospital submitted ... in partial fulfillment ... Master of Health Services Administration /Rhiver, Joan Exline. January 1982 (has links)
Thesis (M.H.A.)--University of Michigan, 1982.
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A study of alternative measures of hospital size and optimum stratum boundaries submitted ... in partial fulfillment ... Master of Hospital Administration /Evans, Robert L. Graybeal, Richard R. Loebs, Stephen Flanders. January 1961 (has links)
Thesis (M.H.A.)--University of Michigan, 1961.
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Application of minimum bed sizing for a small health maintenance organization hospital submitted ... in partial fulfillment ... Master of Health Services Administration /Rhiver, Joan Exline. January 1982 (has links)
Thesis (M.H.A.)--University of Michigan, 1982.
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A study of alternative measures of hospital size and optimum stratum boundaries submitted ... in partial fulfillment ... Master of Hospital Administration /Evans, Robert L. Graybeal, Richard R. Loebs, Stephen Flanders. January 1961 (has links)
Thesis (M.H.A.)--University of Michigan, 1961.
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Jakten på vårdplatser som inte finns : En kvalitativ intervjustudieAndersson, Amalia January 2015 (has links)
Bakgrund: Vårdplatserna på svenska sjukhus har minskat drastiskt det senaste decenniet. Detta har inneburit en högre beläggning på de kvarvarande och medfört längre väntetid på landets akutmottagningar. Platsbristen skapar, ibland dagliga, överbeläggningar och utlokaliseringar av patienter. Syfte: Att undersöka hur sjuksköterskor och läkare upplever att vårdplatssituationen påverkar deras arbete och vad detta får för konsekvenser för patienterna. Metod: Kvalitativ design med semistrukturerade intervjuer med tre läkare och nio sjuksköterskor från akutvårdsavdelning med inriktning infektion, mottagning med akutintag och akutmottagning. Analysarbetet genomfördes med Malteruds (2009) innehållsanalys. Resultat: Vårdplatssituationen kommer sig av en brist på vårdplatser inom främst medicindivisionen, samt en oförmåga att hålla de platser som finns öppna på grund av sjuksköterskebrist. Bristen på vårdplatser har inneburit en oförmåga för läkare och sjuksköterskor att utföra sitt arbete i enlighet med sin kompetens och beprövad erfarenhet. Slutsats: Svårigheterna med att finna platser till patienterna på deras hemavdelningar samt de ständiga omflyttningarna av patienter medför svårigheter för vårdpersonalen att ge god medicinsk vård och omvårdnad vilket medför stora risker för patientsäkerheten. / Background: Under the last decade hospital beds in Swedish hospitals have been reduced dramatically which have increased the bed – occupancy rates as well as the waiting hours at the emergency departments. As a consequence to this the medical wards become overcrowded and patients are been located in other wards then the ward with the right expertise. Purpose: To examine how registered nurses and physicians are affected by the lack of patient beds in an emergency hospital and how they think the situation affect patient safety. Method: Qualitative study consisting of semi –structured interviews with nine registered nurses and three physicians, all working in an emergency department, an surgery with acute intake and a department for acute infectious diseases. Content analysis (Malterud, 2009) was used to analyse the material. Vårdplatssituationen kommer sig av en brist på vårdplatser inom främst medicindivisionen, samt en oförmåga att hålla de platser som finns öppna på grund av sjuksköterskebrist. Bristen på vårdplatser har inneburit en oförmåga för läkare och sjuksköterskor att utföra sitt arbete i enlighet med sin kompetens och beprövad erfarenhet. Results: The problem to find adequate in-hospital beds for the patients are caused by the lack of physical beds in especially the medicine division and the inability to keep existing beds open as a result of the lack of registered nurses. The lack of hospital beds have made it difficult for the physicians and the registered nurses to give safe and adequate care to their patients. Conclusion: The shortage of hospital beds, and the constant relocation of patients, is making it difficult for nurses and physicians to give patients the medical care they need which have a great effect on patients safety.
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Inpatient bed needs Beyer Memorial Hospital, Ypsilanti, Michigan submitted ... in partial fulfillment ... Master of Hospital Administration /Briscoe, Richard J. January 1975 (has links)
Thesis (M.H.A.)--University of Michigan, 1975.
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Inpatient bed needs Beyer Memorial Hospital, Ypsilanti, Michigan submitted ... in partial fulfillment ... Master of Hospital Administration /Briscoe, Richard J. January 1975 (has links)
Thesis (M.H.A.)--University of Michigan, 1975.
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Ocorrência de fungos patogênicos em leito hospitalar e interferência química de agentes desinfetantes.Fernando, Francine da Silva e Lima de 30 December 2015 (has links)
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Previous issue date: 2015-12-30 / Introduction: Fungal diseases have increased recently these years in many
parts of the world and in different health care settings, being attributed to
several factors, inherent or not to the patient, such as increased aggressive
therapeutic practices, previous exposure to antifungals, and diseases or
immunosuppressive drugs. These morbidities arise in the hospital as
nosocomial infections, being the main cause of morbidity and mortality in
hospitalized patients. The high rates of hospital or nosocomial infection may be
associated with limitated physical and therapeutic resources, or insufficient
investment in training programs, implementation and control of CCIHs, and
limited number of health workers. Such factors corroborate greater demands on
health services, associated to the lack of qualified professionals and the
deficiency in the cleaning and disinfection of environments. Studies has shown
that busy environment by infected or colonized patients by resistant
microorganisms, constitutes a risk factor for maintaining this colonization or
infection of these patients, subsequent and team. Objective: Analyze the
occurrence of pathogenic fungi in a hospital bed and the chemical interference
of disinfectants.Results: in 74 mattresses reviews of a public hospital, there
was growth of yeasts in 28 (38.2%), 19 (67.9%) before and 9 (32.1%) after
cleaning and disinfection. In particular hospital, in 25 mattresses reviewed,
there was growth of Candida spp.in 15 (60.0%), being 10 (66.7%) of them
before and 5 (33.3%) after cleaning / disinfection. Both hospitals showed
occurrence of Candida spp. before and after terminal cleaning, the prevalented
species was C. parapsilos. Conclusion: The persistence of Candida spp. in
both hospital mattresses, after disinfection, demonstrates that the process is
flawed, and that mattresses can serve as reservoirs or fungal vectors potentially
pathogenic, representing a cross risk of acquiring infection for the patient to
professionals and as contamination of surfaces in hospitals. It is necessary to
reassess the techniques used for disinfection of mattresses, adoption of new
measures, such as the pre-cleaning or the use of a detergent / disinfectant to
carry out the process of cleaning and disinfection in one step, definition of roles,
investments in training, supplies and supervision, in both of the team responsible for the procedure, and the nursing staff, in an attempt to reduce the
prevalence of these findings, thus ensuring a microbiologically safe to the
patient and to all involved in the care environment. / Introdução: Doenças provocadas por fungos aumentaram nos últimos anos,
em várias partes do mundo, e em diferentes ambientes de assistência à saúde,
fato este atribuído a inúmeros fatores, inerentes ou não ao paciente, tais como
aumento de práticas terapêuticas agressivas, exposição prévia a antifúngicos,
doenças e ou medicamentos imunossupressores. Estas morbidades surgem no
ambiente hospitalar como infecções nosocomiais, e encontram-se como
principal causa de morbimortalidade em pacientes internados. As altas taxas de
infecção hospitalar ou nosocomial podem estar associadas a limitação de
recursos físicos e terapêuticos, bem como investimentos insuficientes em
programas de treinamento, implementação e controle das CCIHs, além de
número limitado de trabalhadores da saúde. Tais fatores corroboram com
grandes demandas nos serviços de saúde, associados à carência de
profissionais qualificados e adeficiencia nos processos de limpeza e
desinfecção dos ambientes. Estudos demonstram que ambiente ocupado, por
pacientes infectados ou colonizados, por microrganismos resistentes, constituise
em fator de risco para manutenção desta colonização ou infecção destes
pacientes, dos subsequentes e da equipe. Objetivo: Analisar a ocorrência de
fungos patogênicos em leito hospitalar e a interferência química de agentes
desinfetantes. Resultados: dos 74 colchões avaliados de um hospital público,
houve crescimento de leveduras em 28 (38,2%), sendo 19 (67,9%) antes e 9
(32,1%) depois da limpeza e desinfecção. No hospital particular, dos 25
colchões avaliados, houve crescimento de espécies de Candida spp. em 15
(60,0%), sendo 10 (66,7%) antes e cinco (33,3%) depois da
limpeza/desinfecção. Nos dois hospitais houve a ocorrência de Candida spp.
antes e após limpeza terminal e a espécie prevalente foi a C.
parapsilos.Conclusão: A persistência de Candida spp. nos colchões de ambos
os hospitais, após a desinfecção, demonstra que o processo é falho e, que os
colchões podem servir de reservatórios ou vetores de fungos, potencialmente
patogênicos, representando um risco de aquisição de infecção cruzada para os
pacientes, para profissionais, assim como contaminação das superfícies no
ambiente hospitalar. Faz-se necessário reavaliar as técnicas empregadas para desinfecção dos colchões, adoção de novas medidas, tais como a limpeza
prévia ou a utilização de um detergente/desinfetante que realize o processo de
limpeza e desinfecção em uma única etapa, definição de papéis, investimentos
em treinamentos, insumos e supervisão, tanto da equipe responsável pelo
procedimento, quanto da equipe de Enfermagem, na tentativa de diminuir a
prevalência destes achados, garantindo assim um ambiente
microbiologicamente seguro ao paciente e a todos os envolvidos na
assistência.
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