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Utilisation of operation theatres at General De La Rey Hospital in the North West ProvinceLobelo, Maria Eleanor 10 January 2012 (has links)
BACKGROUND: Operating theatres in any hospital consume a large amount
of resources. A well-functioning theatre complex is an important and essential
component of a well functioning hospital. .
The analysis is based on the socio-economic profile of patients and the time
spent in theatre.
METHODOLOGY: A cross-sectional study design was used involving a
retrospective record review over a one year period (April 2009 to March 2010)
was conducted. The variables for the study included, type of operations and
their indications, profiles of patients and turn-around time in the theatre. In
addition, a comparison between those who had elective and emergency
surgery was done with regard to some variables such as profile of patients
and turn-around time. The project was initiated after obtaining approval from
the head of the department of the North West Provincial Department of Health
and University of the Witwatersrand Human Research Ethics Committee
(Medical). Confidentiality and anonymity were maintained all the time during
collection, capturing, and reporting of the information
RESULT: A total of 447 cases were performed during this period including
5.6% (25) elective cases and 94.4% (422) emergency cases. The majority of
the operations performed at this Hospital included caesarean section and
evacuation of uterus. In addition to that there were other procedures such as
laparotomy, labial incision, perineorrhaphy, and dilatation and curettage. The
type of procedures (elective or emergency) was significantly associated with
ethnicity, employment and medical aid status and referral source of the
subjects. The majority of the caesarean sections were performed due to
maternal indications. More elective caesarean sections were performed for
maternal indications (79%) than fetal indications (21%). There was one
maternal complication (ruptured uterus) but no maternal mortality during this
period. Whereas all the babies were alive after elective CS, there were seven
stillbirths after emergency CS. An average of 110 minutes were spent by
patients in theatre and at least 33% of the time was spend on the actual
operation although there is no significant difference between elective and emergency patients with regard to time spent in the operating room (p = 0.46).
Emergency patients took more time (25 minutes) before they were wheeled to
theatre which is an area for improvement. The operating theatre was utilised
only 5.9% of available time. This suggests that is opportunity to utilise the
operating theatre for other cases.
CONCLUSION: This is first formal study performed at a district hospital
operating theatre in the North West Province. This study assisted in
development of understanding of the function of the operating theatre at the
General de la Rey Hospital. The findings of this would assist the hospital
management to improve its function such as reduction of latent time for
emergency patients and conducting more elective procedures.
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Operating room utilization a determination of policies and guidelines for minimizing total cost : submitted ... in partial fulfillment ... Master of Hospital Administration /Burns, Linda A. Flick, Gwen A. January 1975 (has links)
Thesis (M.H.A.)--University of Michigan, 1975.
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Operating room utilization a determination of policies and guidelines for minimizing total cost : submitted ... in partial fulfillment ... Master of Hospital Administration /Burns, Linda A. Flick, Gwen A. January 1975 (has links)
Thesis (M.H.A.)--University of Michigan, 1975.
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The development and an application of an instrument to measure the objective visual elements of living roomsMcLeod, William Peter. January 1978 (has links)
Thesis--Wisconsin. / Vita. Includes bibliographical references (leaves 242-250).
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Patient expectations and attitudes about waiting time in the waiting room at rural hospital an assessment and potential intervention /LaVelle, John Matthew. January 2004 (has links) (PDF)
Thesis, PlanB (M.S.)--University of Wisconsin--Stout, 2004. / Includes bibliographical references.
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An analysis of theatre utilization at Sekororo District HospitalRamodise, Kgaugelo Betrets 26 February 2014 (has links)
Thesis (M.P.H.)--University of the Witwatersrand, Faculty of Health Sciences, 2013. / BACKGROUND – District hospitals provides level of care services that are part of the basic service package for district hospitals. Services applicable to district hospitals’ operating theatres include performance of elective and emergency surgical procedures. A study was conducted at Sekororo district hospital to evaluate the functioning of the operating theatre system.
AIM: To describe the profile of patients, theatre down time and theatre throughput efficiencies at the district hospital for the period 1 April 2009 – 31 March 2011.
METHODOLOGY: This was a cross sectional study based on a retrospective record review. The study setting was Sekororo District Hospital Operating Theatre. The population included records of all operations performed in the theatre during the study period. Theatre utilization was calculated as well as patient throughput to assess the internal operational efficiencies. The throughput of elective and emergency cases were compared.
RESULTS: A total of 702 cases were performed during the study period. The majority of cases performed in the operating theatre were maternity cases (caesarean sections). Maternity cases accounted for 602 cases. The most common indication for caesarean sections (CS) is Cephalo-pelvic Disproportion (CPD) (49.2%). For the maternity cases, the majority were emergency cases (84.33%), and 15.67% elective cases. Theatre utilization for this period was 3% (3.6% for 2009/10 and 3.2% for 2010/11). There was a statistically significant difference (p<0.01) between the average throughput for emergency and elective cases – 25 minutes for emergency cases (confidence interval 20-35 minutes) versus 62.5 minutes for elective cases (confidence interval 38.75 – 78.75 minutes).
CONCLUSION: The theatre utilization rate is extremely low for this study period. Patient throughput is much more efficient for emergency cases. Further studies are required to determine resource allocation to the operating theatre that resulted in the low theatre utilization.
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Interpersonal deceit and lie-detection using computer-mediated communicationPlacks, Simon James January 2003 (has links)
This thesis examines the use of computer-mediated communication for lie-detection and interpersonal deceit. The literature within the fields of lie-detection and mediated communication are reviewed and it is proposed that there is a lack of knowledge surrounding how people use CMC to deceive one another. Qualitative research was carried out in order to address this shortcoming, exploring the self-reported experiences of chat room users who have been exposed to online deceit. Reports were provided that describe the misrepresentation of age, gender, vocation, affection, and appearance. The importance of stereotypes in driving suspicions is also emphasised within the reports. It is suggested that this key characteristic has more dominance in CMC than it would do face-to-face because of the occlusion of the traditional nonstrategic clues to deceit. Evidence for an alternative set of nonstrategic leakage clues was examined further by conducting a variant of the Guilty-Knowledge test within the context of a CMC based crime. It was found that participants exhibited a response time inhibition effect when presented with 'guilty knowledge' and that this effect was detectable through a standard two-button mouse. The use of such nonstrategic cues to deceit was explored further in a study that examined how CMC might be used to add additional control to a Statement Validity Assessment truth-validation test. It was found that the content analysis technique used by SVA was unable in its present form to correctly distinguish between truthful and fabricated statements of participants interviewed using a CMC chat program. In addition, it was found that the deletion-behaviours of participants fabricating a story within CMC provided no quantitative or qualitative evidence that they were lying.
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The cult rooms from the 'Citadel House' excavations at MycenaeMoore, A. D. January 1988 (has links)
No description available.
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Music room construction a thesis presented ... in partial fulfillment ... for the degree of Master of Music Education /Gilbert, Paul H. January 1949 (has links)
Thesis (M.M)--University of Michigan, 1949.
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Cleanroom establishment and processing implementation for electron dragRagucci, Anthony J., January 1900 (has links)
Thesis (Ph. D.)--Ohio State University, 2004. / Title from first page of PDF file. Document formatted into pages; contains x, 135 p.; also includes graphics. Includes bibliographical references (p. 131-135).
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