Unidad de Práctica Prolongada para optar al título de Químico Farmacéutico / Un establecimiento de salud asistencial cuenta con varios servicios clínicos y unidades de apoyo, que sustentan actividades relacionadas con la salud de los pacientes que ahí se atienden. Una de estas unidades de apoyo, es Farmacia, donde se desarrollan diferentes labores relacionadas con la promoción, protección y recuperación de la salud de los pacientes, usando los servicios farmacéuticos y los medicamentos como herramienta principal. El Hospital El Carmen Dr. Luis Valentín Ferrada, es un establecimiento asistencial de alta complejidad, concesionado y autogestionado, que se encuentra en la comuna de Maipú, Región Metropolitana. En este hospital, la Unidad de Farmacia es un subdepartamento, el cual está separado en un área de producción y otra de control y gestión; que en conjunto cumplen con los objetivos sanitarios. El Subdepartamento de Farmacia fue sometido a una auditoría ministerial en el año 2015, y los resultados de esta se dieron a conocer en diciembre del mismo año. Dentro de las falencias identificadas se encontraba la falta de manuales que dieran cuenta de la organización y procedimientos llevados a cabo en la unidad. Como parte del plan de mejoras de Farmacia 2016, y para cerrar esta brecha, se planteó como objetivo de esta práctica profesional redactar los manuales de organización y procedimientos de Farmacia. Para la redacción de estos manuales, se revisaron algunos pertenecientes a establecimientos asistenciales, con el fin de tener conocimiento respecto a la estructura y contenidos que estos debían tener. Luego, se recopiló información por vía oral y escrita, entregada por profesionales del subdepartamento. Además, se obtuvieron otros datos a través de la observación de las actividades realizadas en cada área de Farmacia. Todos los datos reunidos fueron revisados y después incluidos en los manuales respectivos. En el Manual de Organización se adjuntaron antecedentes históricos respecto al funcionamiento de Farmacia. Además, se incluyeron gráficos que evidencian el aumento en la actividad de las secciones de Dosis Unitaria, Farmacia Ambulatoria y Farmacia Hospitalizados. También, se creó un organigrama jerárquico de Farmacia, una tabla explicativa con la dotación de personal y perfiles para todos los cargos existentes. El Manual de Procedimientos incluyó por separado protocolos generales y específicos. Los generales, son aquellos que involucran actividades que afectan a todo el subdepartamento, mientras que los específicos abarcan los procedimientos propios de cada área de Farmacia. Para este manual se redactaron protocolos nuevos (generales y específicos), y apartados con información que no se encontraba presente en protocolos que ya estaban escritos. Concluida la redacción de ambos manuales, estos fueron revisados por la Jefa de Farmacia y la coordinadora del área de Calidad de Farmacia, quienes dieron su aprobación para enviarlos al Departamento de Calidad del hospital. Tanto el Manual de Organización como el de Procedimientos, conforman ahora una herramienta importante que ayudará a garantizar, mantener y/o mejorar la calidad de los servicios otorgados, de la atención asistencial y la gestión administrativa del Subdepartamento de Farmacia del Hospital El Carmen / A health care institution is formed by several clinical services and support units, holding activities related to the wellness of patients. One of these support units is Pharmacy, where different activities related to the promotion, protection and recovery of patients' health are carried out, using pharmaceutical services and drugs as their main tool. El Carmen Dr. Luis Valentín Ferrada Hospital is a high complexity, concessioned and self-managed care institution, located in Maipú, Metropolitan Region. In this hospital, the Pharmacy Unit is a sub-department, separated into a production area and a control and management area; together they achieve sanitary goals. In 2015, Pharmacy Subdepartment was submitted to a ministerial audit, and the results were announced in December of the same year. One of the biggest shortcomings, was the lack of manuals that show the organization structure and the procedures done in the unit. As part of the Pharmacy 2016 improvement plan, and to close this gap, it was proposed as an objective of this professional practice to write the manuals of the organization and procedures of Pharmacy. To write these manuals, it was necessary to review manuals belonging to other health care facilities, to have an idea of the structure and contents they should have. The information was collected orally and written, delivered by professionals from the subdepartment. Furthermore, other data were obtained by observing the activities performed in each Pharmacy area. All data was revised and then included in the respective manuals. In the Organization Manual, historical precedents related to the operation of Pharmacy were attached. In addition, graphs that show the increase in the activity of the sections of Unitary Dose, Ambulatory Pharmacy and Hospitalized Pharmacy were included. Also, it was created a hierarchical organization chart of Pharmacy, an explanatory table with staffing and profiles for all existing appointments. The Procedures Manual included general and specific protocols sepparately. The general ones are those which involve activities that affect the entire subdepartment, while the specific ones include the procedures of each Pharmacy areas. For this manual the new protocols (general and specific) have been written, and the sections with information not found in protocols, were attached. Once concluded the writing of both manuals, these were reviewed by the Chief of Pharmacy and the Pharmacy’s Quality coordinator, who gave their approval to send them to the Quality Department of the Hospital. Both, Organization and Procedures Manual are now an important tool and will help to guarantee, maintain and / or improve the quality of the services provided, the care and administrative management of the El Carmen Hospital Pharmacy Subdepartment

O presente trabalho trata do Hospital de Clínicas de Porto Alegre, um patrimônio moderno reconhecido no âmbito local, apesar do afastamento de sua concepção original de Jorge Moreira, autor das três versões preliminares realizadas entre 1942 e 1952. A conclusão do projeto se deu em 1958 por Oscar Valdetaro e Roberto Nadalutti, o projeto executado seguiu em grande parte a última versão de Moreira. O valor do grande bloco foi reconhecido com a salvaguarda municipal em 2011, quando a defasagem crescente entre estrutura física e serviços demandavam sua ampliação. O novo projeto proposto afetava “parcialmente a percepção do conjunto inventariado”, como apontou o parecer da Equipe do Patrimônio Histórico Artístico e Cultural. Indeferido pela via normal, foi aprovado através de Lei Complementar. A dissertação examina a intervenção acrítica realizada, com ampliação de 84.000m² e rearranjos no interior da preexistência. Analisa a complexa requalificação da “peça urbana” moderna cuja condição de bem protegido somado ao programa hospitalar são agravantes. E, de modo propositivo, busca através de investigação volumétrica relações espaciais consistentes entre as expansões necessárias, a preexistência e o entorno, simulando solução funcional que minimize danos à percepção do conjunto. / The present work addresses the Hospital de Clínicas (Clinic Hospital) in Porto Alegre, a modern heritage recognized in the local sphere, despite the distancing of its original conception by Jorge Moreira, author of the three previous versions conceived between 1942 and 1952. The completion of the project occurred in 1958 by Oscar Valdetaro and Roberto Nadalutti, the executed project followed mostly the last version by Moreira. The worth of the big block was recognized by the municipal safeguard in 2011, when the increasing gap between physical structure and services required its extension. The new proposal affected “partially the perception of the inventoried assemblage”, as pointed by the report from the Historic Artistic and Cultural Heritage Staff. Dismissed by standard measures, it was approved by Supplementary Law. The dissertation examines the uncritical intervention implemented, the 84.000m² extension and rearrangements in the preexistent interior. Analyses the complex requalification of the modern “urban element” whose condition as protected asset combined with the hospital program are aggravators. Furthermore, as a proposed method, pursues through volumetric investigation consistent spatial relations between the required expansions, the preexistence and surroundings, simulating a functional solution, which minimizes damages regarding the perception of the assemblage.

Cette thèse porte sur la communication externe des centres hospitaliers universitaires en France, plus particulièrement sur la communication via les réseaux sociaux. La compréhension et l’analyse des informations les plus partagées et les plus interactives favorisent notre objectif qui est de faire émerger un modèle communicationnel hospitalier.Il s’agit donc dans un premier temps de mieux comprendre le système hospitalier français et son développement, ainsi que l’évolution du terme « santé ». Pour cela nous aborderons également des thèmes comme la « E-Santé », illustration de la croisée des technologies de l’information, de la communication et du système de santé ainsi que de la prise en charge du patient. Nous constatons que la position du malade vis-à-vis de son médecin a été modifiée depuis l’avènement de nouveaux médias permettant un accès libre et constant à certains savoirs.Ces mutations ont un impact direct sur la communication des hôpitaux qui se doivent d’être plus ouverts et transparents, mais également modernes. De ce fait nous avons choisi d’analyser les réseaux sociaux les plus utilisés par les CHU, YouTube, Facebook et Twitter. Nous nous intéressons également à deux autres supports de communication, le livret d’accueil, étant un document obligatoire à tous, et les sites internet des CHU. L’étude faite propose une comparaison des établissements quant au contenu transmis par chacun de ces supports et la commodité pour y accéder. Elle ouvre une perspective nouvelle dans le champ de la communication externe des hôpitaux et fait envisager une réponse plus précise à la demande d’information des usagers. Nous avons recensé également auprès des professionnels, par des questionnaires, un besoin de plus de fluidité dans la communication au sein de l’hôpital. Notre travail permet donc de voir les avancées et les limites de la communication externe actuelle des hôpitaux mais surtout d’ouvrir la voie à de nouvelles façons de communiquer pour ces établissements. / This thesis is about external communication of university hospital in France, more precisely on communication through social networks. Understanding and analysing the most shared and interactive information make our aim easier to design a model for hospital communication. Firstly, we need to better understand the French hospital system and its history, as well as the change of meaning of the word “health”. To demonstrate this, we will address issues such as E.health as being the meeting point of media, communication, and healthcare technologies, as well as patient management.We notice that the patient’s behaviour towards the doctor has changed since the arrival of new media technologies allowing people to get some resources at any time and freely.These changes have a direct impact on hospitals communication which have to become more opened, clear, and also modern. Then we choose to analyse the most used networks by the university hospitals, Youtube, Facebook and twitter.We also mention two other communication aids, the patient booklet which has to be delivered to every patient, and internet websites. The present research proposes a comparison of the hospitals on the content of each of their aids and the convenience to have access to them. It opens a new perspective in the field of hospital external communication and allows a more precise response to patient’s enquiries. Thanks to surveys among professionals, we have also found that there was a need for more fluid communication between the different departments within the hospital. Our research makes visible the developments and the limits of the current external communication in hospitals but above all opens the way to new communication means in these establishments.

Patient falls are the most commonly reported "adverse events" in hospitals, according to studies conducted in the U.S. and elsewhere. The rate of falls is not high (2.3 to 7 falls per 1,000 patient days), but about a third of falls result in injuries or even death, and these preventable events drive up the cost of healthcare and, clearly, are harmful outcomes for the patients involved. This study of a private hospital, Dublin Methodist Hospital, in Dublin, Ohio analyzes data about patient falls and the facility's floor plans and design features and makes direct connections between hospital design and patient falls. This particular hospital, which was relatively recently constructed, offered particular advantages in investigating unit-layout-related environmental factors because of the very uniform configuration of its rooms, which greatly narrowed down the variables under study. This thesis investigated data about patients who had suffered falls as well as patients with similar characteristics (e.g., age, gender, and diagnosis) who did not suffer falls. This case-control study design helps limit differences between patients. Then patient data was correlated to the location of the fall and environmental characteristics of the locations, analyzed in terms of their layout and floor plan. A key part of this analysis was the development of tools to measure the visibility of the patient's head and body to nurses, the relative accessibility of the patient, the distance from the patient's room to the medication area, and the location of the bathroom in patient rooms (many falls apparently occur during travel to and from these areas). From the analysis of all this data there emerged a snapshot of the specific rooms in the hospital being analyzed where there was an elevated risk of a patient falling. While this finding is useful for the administrators of that particular facility, the study also developed a number of generally applicable conclusions. The most striking conclusion was that, for a number of reasons, patients whose heads were not visible from caregivers working from their seats in nurses' stations and/or from corridors had a higher risk of falling, in part because staff were unable to intervene in situations where a fall appeared likely to occur. This was also the case with accessibility; patients less accessible within a unit had a higher risk of falling. The implications for hospital design are clear: design inpatient floors to maximize a visible access to patients (especially their heads) from seats in nurses' stations and corridors.

No description available.

Thesis (Ph. D.)--University of Alabama at Birmingham, 2007. / Title from first page of PDF file (viewed June 30, 2007). Includes bibliographical references (p. 202-216).

Data de aprova??o ausente. / Disponibiliza??o do trabalho em conte?do parcial, conforme Termo de Autoriza??o. / Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-03-10T19:29:54Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) danielle_mandacaru_souza_parcial.pdf: 114895 bytes, checksum: c25bdadc0c4a16e8b838134a138a653f (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-03-30T16:43:01Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) danielle_mandacaru_souza_parcial.pdf: 114895 bytes, checksum: c25bdadc0c4a16e8b838134a138a653f (MD5) / Made available in DSpace on 2017-03-30T16:43:01Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) danielle_mandacaru_souza_parcial.pdf: 114895 bytes, checksum: c25bdadc0c4a16e8b838134a138a653f (MD5) Previous issue date: 2016 / O presente estudo buscou identificar a funcionalidade da Ger?ncia de leitos em um hospital polo da Regi?o Ampliada de Sa?de Jequitinhonha e da Regi?o de Sa?de Diamantina. Com abordagem qualitativa, o estudo foi realizado por meio de entrevistas gravadas e informa??es coletadas dos Sistemas de Processamento de Dados SPDATA. Entrevistou-se 89 colaboradores, sendo quatorze enfermeiros, quinze m?dicos, nove administrativos, doze funcion?rios da higieniza??o, sete profissionais da recep??o e trinta e tr?s t?cnicos de enfermagem. Realizou-se a an?lise de conte?do das entrevistas com base na metodologia de Minayo. Organizaram-se as informa??es coletadas em categorias tem?ticas: A funcionalidade da gest?o de leitos na organiza??o dos processos de entrada e sa?da dos pacientes; A responsabilidade da comunica??o como ferramenta para a instala??o do processo de Gest?o de Leitos; O direcionamento dos pacientes para a cl?nica certa ap?s a implanta??o da GL; A gest?o de leitos e a hotelaria hospitalar; Organiza??o do servi?o hospitalar ap?s a Gest?o de Leitos; Influ?ncia da Gest?o de Leitos na organiza??o das cirurgias eletivas. Esse estudo mostrou que o gerenciamento e melhoria do fluxo de pacientes ao longo das interna??es hospitalares s?o importantes, que o servi?o de Gerenciamento de Leitos buscou utilizar cada leito hospitalar em sua m?xima, diminuiu a espera para as interna??es, tanto eletivas quanto de urg?ncias. Com esse servi?o, a equipe multidisciplinar tem mais seguran?a na gera??o das informa??es sobre o leito que ser? ofertado para o paciente, al?m de tornar o processo de interna??o r?pido e eficiente. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, [2016]. / This study sought to identify the functionality of beds Management on a pole hospital Jequitinhonha Extended Health Region and the Diamantina Health Region. With a qualitative approach, the study was conducted through recorded interviews and information collected from SPDATA Data Processing Systems. She interviewed 89 employees, with fourteen nurses, fifteen doctors, nine administrative, twelve employees of hygiene, seven professional reception and thirty-three nursing technicians. We conducted content analysis of the interviews based on Minayo methodology. Organized the information collected in thematic categories: The functionality of bed management in the organization of the procedures and exit of patients; The responsibility of communication as a tool for installing the bed management process; The direction of patients to the right clinic after the implementation of the bed management; The management of beds and hospital catering; the hospital service organization after he bed management; bed management influence in the organization of elective surgeries. This study showed that the management and improve the flow of patients through the hospital admissions are important, the beds Management service sought to use every hospital bed at its maximum, decreased waiting for hospitalizations, both elective as emergency. With this service, the multidisciplinary team has more security in the generation of information about the bed which will be offered to the patient, in addition to making the quick and efficient admission process.

O estudo analisa relações sociais e de poder em uma micro-unidade penitenciária de hospital geral, no Rio Grande do Sul, no período compreendido entre julho a outubro de 2004. Para tanto, examina o processo de atendimento à saúde do preso doente que necessita internação hospitalar, destacando o modo como ele chega ao hospital, como é atendido e recebe alta. Focaliza o caso do Hospital Vila Nova, embora também examine o modo como esse atendimento era feito anteriormente, quando ainda funcionava o Hospital Penitenciário do estado. Os dados coletados e analisados referem-se, principalmente, às dinâmicas sociais estabelecidas através das práticas de atendimento médico hospitalar, das práticas de vigilância e das estratégias dos presos doentes na busca de ampliar sua capacidade de negociação e aumentar seu grau de liberdade. Desse modo, verificou-se como a disciplina funcionou como técnica de controle sobre o preso, revelando a supremacia do poder médico no processo de atendimento ao preso doente hospitalizado na micro-unidade penitenciária em foco. O estudo também permite uma apreciação crítica das condições de saúde, a qual a população encarcerada está submetida. / This paper analyzes the social and power relations in a micro-unit of prisoners of a general hospital in Rio Grande do Sul State during the period from July to October 2004.Thus, it examines the hospital attendance process of sick prisoners who need hospitalization, focusing on how they arrive at the hospital, how they are cared and discharged. It focuses on Vila Nova hospital, although it also examines the way how these patients attendance used to happen previously, when the State Prison Hospital was open. The collected and analyzed data is mainly concerned with the social dynamics established through medical hospitalar care practices, surveillance practices and strategies of the sick prisoners who aim at expanding their capacity of negotiation and having a higher degree of freedom.Thus, the discipline worked as a control technique on prisoners, demonstrating the supremacy of the medical power in the attendance process of the prisoners hospitalized in the micro-unit in focus.This study also allows a critical appreciation of the health conditions faced by prison population.

O presente trabalho trata do Hospital de Clínicas de Porto Alegre, um patrimônio moderno reconhecido no âmbito local, apesar do afastamento de sua concepção original de Jorge Moreira, autor das três versões preliminares realizadas entre 1942 e 1952. A conclusão do projeto se deu em 1958 por Oscar Valdetaro e Roberto Nadalutti, o projeto executado seguiu em grande parte a última versão de Moreira. O valor do grande bloco foi reconhecido com a salvaguarda municipal em 2011, quando a defasagem crescente entre estrutura física e serviços demandavam sua ampliação. O novo projeto proposto afetava “parcialmente a percepção do conjunto inventariado”, como apontou o parecer da Equipe do Patrimônio Histórico Artístico e Cultural. Indeferido pela via normal, foi aprovado através de Lei Complementar. A dissertação examina a intervenção acrítica realizada, com ampliação de 84.000m² e rearranjos no interior da preexistência. Analisa a complexa requalificação da “peça urbana” moderna cuja condição de bem protegido somado ao programa hospitalar são agravantes. E, de modo propositivo, busca através de investigação volumétrica relações espaciais consistentes entre as expansões necessárias, a preexistência e o entorno, simulando solução funcional que minimize danos à percepção do conjunto. / The present work addresses the Hospital de Clínicas (Clinic Hospital) in Porto Alegre, a modern heritage recognized in the local sphere, despite the distancing of its original conception by Jorge Moreira, author of the three previous versions conceived between 1942 and 1952. The completion of the project occurred in 1958 by Oscar Valdetaro and Roberto Nadalutti, the executed project followed mostly the last version by Moreira. The worth of the big block was recognized by the municipal safeguard in 2011, when the increasing gap between physical structure and services required its extension. The new proposal affected “partially the perception of the inventoried assemblage”, as pointed by the report from the Historic Artistic and Cultural Heritage Staff. Dismissed by standard measures, it was approved by Supplementary Law. The dissertation examines the uncritical intervention implemented, the 84.000m² extension and rearrangements in the preexistent interior. Analyses the complex requalification of the modern “urban element” whose condition as protected asset combined with the hospital program are aggravators. Furthermore, as a proposed method, pursues through volumetric investigation consistent spatial relations between the required expansions, the preexistence and surroundings, simulating a functional solution, which minimizes damages regarding the perception of the assemblage.

O estudo analisa relações sociais e de poder em uma micro-unidade penitenciária de hospital geral, no Rio Grande do Sul, no período compreendido entre julho a outubro de 2004. Para tanto, examina o processo de atendimento à saúde do preso doente que necessita internação hospitalar, destacando o modo como ele chega ao hospital, como é atendido e recebe alta. Focaliza o caso do Hospital Vila Nova, embora também examine o modo como esse atendimento era feito anteriormente, quando ainda funcionava o Hospital Penitenciário do estado. Os dados coletados e analisados referem-se, principalmente, às dinâmicas sociais estabelecidas através das práticas de atendimento médico hospitalar, das práticas de vigilância e das estratégias dos presos doentes na busca de ampliar sua capacidade de negociação e aumentar seu grau de liberdade. Desse modo, verificou-se como a disciplina funcionou como técnica de controle sobre o preso, revelando a supremacia do poder médico no processo de atendimento ao preso doente hospitalizado na micro-unidade penitenciária em foco. O estudo também permite uma apreciação crítica das condições de saúde, a qual a população encarcerada está submetida. / This paper analyzes the social and power relations in a micro-unit of prisoners of a general hospital in Rio Grande do Sul State during the period from July to October 2004.Thus, it examines the hospital attendance process of sick prisoners who need hospitalization, focusing on how they arrive at the hospital, how they are cared and discharged. It focuses on Vila Nova hospital, although it also examines the way how these patients attendance used to happen previously, when the State Prison Hospital was open. The collected and analyzed data is mainly concerned with the social dynamics established through medical hospitalar care practices, surveillance practices and strategies of the sick prisoners who aim at expanding their capacity of negotiation and having a higher degree of freedom.Thus, the discipline worked as a control technique on prisoners, demonstrating the supremacy of the medical power in the attendance process of the prisoners hospitalized in the micro-unit in focus.This study also allows a critical appreciation of the health conditions faced by prison population.