ABSTRACT
Abstract This work analyzed the pharmacotherapeutic problems identified by the clinical pharmacist in an intensive care unit (ICU) and the acceptance of pharmaceutical interventions in solving these problems. This is a descriptive cross-sectional retrospective study, carried out in the adult ICU of a public hospital. All patients hospitalized during the study period had their pharmacotherapy monitored and those whose stay at the ICU lasted less than 24 hours were excluded. The pharmacotherapeutic problems were classified according to type, cause, acceptability/implementation, mode of intervention, outcome and related pharmacotherapeutic group. 302 patients were followed up and 350 pharmacotherapeutic problems were identified. Most of them were classified as unnecessary drug-treatment (n=186; 53.1%). The most frequent causes were excessive drug administration (n=181; 97.3%), and antimicrobials was the main group of drugs associated to that type of problem. 350 pharmaceutical interventions were performed, highlighting "prescriber informed only" (n=178; 50.9%), with an average acceptability of 90.7%, with those carried out on site being more effective (93.4%). The number of pharmacotherapeutic problems that were totally solved was 282 (80.6%). Clinical pharmacy activities in the ICU identified, prevented and corrected pharmacotherapeutic problems, contributing to the optimization of pharmacotherapy in aspects related to the need, efficacy and safety of treatments.
Subject(s)
Humans , Male , Female , Patients/classification , Pharmaceutical Services/ethics , Intensive Care Units/organization & administration , Organization and Administration/standards , Pharmacists/classification , Pharmaceutical Preparations/administration & dosage , Patient Safety/standards , Evidence-Based Pharmacy Practice/trendsABSTRACT
Introducción: Los documentos normativos establecen el estado del arte relacionado con determinado campo del conocimiento. Existe una gran cantidad de normas relacionadas con los servicios de salud y su gestión, cuya aplicación es relevante en este sector. Objetivo: Exponer la importancia de las normas técnicas en la formación de los profesionales en ingeniería biomédica, tecnología y administración en salud. Desarrollo: Diferentes aspectos relacionados con el desempeño y las funciones de los profesionales en ingeniería biomédica, tecnología de la salud y administración en salud están recogidos en normas técnicas internacionales y en otras de carácter nacional, que resultan pertinentes y de gran utilidad para su formación en el nivel de grado y el posgrado. Conclusiones: Las profesiones abordadas requieren emplear los documentos normativos relacionados con sus funciones para contribuir con la calidad de los servicios de salud; de ahí la pertinencia de su incorporación en los planes de estudio de estas carreras(AU)
Introduction: Normative documents establish the state of the art related to a certain field of knowledge. There is a large number of standards related to health services and their management, whose application is relevant in this sector. Objective: To show the importance of technical standards in the training of professionals from the fields of biomedical engineering, health technology and health management. Development: Different aspects related to the performance and functions of professionals from the fields of biomedical engineering, health technology and health management are gathered in international and other national technical standards, relevant and useful for their training at the undergraduate and postgraduate levels. Conclusions: The addressed professions require the use of normative documents related to their functions in order to contribute to the quality of health services, hence the relevance of their incorporation into the curriculums of these major(AU)
Subject(s)
Humans , Organization and Administration/standards , Biomedical Engineering/standards , Biomedical Technology/standards , Health Administration/standards , Professional Training , Quality of Health Care/trendsABSTRACT
Trata-se do Volume 1 da coleção "Normas de Conduta Técnica e Gestora para Profissionais do SAMU 192 - Regional Fortaleza" (SAMUFor), que publiciza o Regimento Interno do SAMUFor. Divide-se em três capítulos: 1. Normatização Vigente; 2. Normatização Municipal Vigente; e 3. Regimento Interno SAMUFor. Esse terceiro capítulo divide-se em: Regimento Interno do SAMU 192 Regional Fortaleza; Regimento Interno da Gerência SAMUFor; Regimento Interno dos Órgãos de Assessoria da Gerência do SAMUFor; Regimento Interno do Núcleo Médico; Regimento Interno do Núcleo de Enfermagem; Regimento Interno do Núcleo de Farmácia; Regimento Interno do Núcleo Administrativo; Regimento Interno do Núcleo de Educação Permanente; e Regimento Interno da Central de Regulação das Urgências
Subject(s)
Internal Rules , Delivery of Health Care/organization & administration , Answering Services/organization & administration , Emergency Medical Services/organization & administration , Organization and Administration/standards , Emergencies , Emergency Medical Services/legislation & jurisprudenceABSTRACT
Este documento da orientación provisional procura fortalecer la respuesta de los servicios hospitalarios ante la posibilidad de tener casos en el país de COVID-19, especialmente en la parte de prevención de la transmisión a del fortalecimiento de las precauciones estándar para la prevención y control de infecciones, con énfasis en el lavado de manos y el uso de equipo protección personal por parte del personal de salud. Además, provee orientaciones para organizar los servicios hospitalarios para adecuar áreas de aislamiento, cuidados intermedios y áreas de triage. El documento también orienta para la proyección de costos de insumos: Material medico quirúrgico, medicamentos, recursos humanos, entre otros como preparación para la respuesta (AU).
Subject(s)
Humans , Organization and Administration/standards , Pneumonia, Viral/diagnosis , Infection Control , Coronavirus Infections/diagnosis , Betacoronavirus , Patient Care/methods , Cadaver , Pharmaceutical Preparations/economics , Organizations , Health Personnel , Containment of Biohazards/standards , Equipment and Supplies , Health Surveillance System , Hospital Infection Control Program , Guatemala , Medical Waste/prevention & controlABSTRACT
La tecnología diagnóstica conocida como NGS por sus siglas en inglés, o Secuenciación de nueva generación, es relativamente nueva, y se está implementando en algunos hospitales de Panamá. Esta tecnología ha demostrado ser una herramienta muy eficiente para la detección de alteraciones genómicas o exómicas, tanto para la clínica como para la investigación. Dada la complejidad de esta prueba, requiere una infraestructura y un número importante de recursos humanos capacitados para poder implementar esta prueba. El propósito de este documento es establecer un marco de referencia para los procedimientos administrativos en cuanto a la realización de las pruebas de secuenciación por metodología NGS. Además, que el mismo sirva de guía para el establecimiento adecuado de programas internos de control y evaluación de calidad de esta tecnología en nuestro país y la región
The technology known as NextGeneration sequencing is relatively new, and it is been implemented in some Panamanian hospitals. It has demonstrated to be a very efficient tool to identify genomic and exomic variants in a clinical setting, as well for research purposes. Because of its complexity, it requires an important infrastructure and a significant number of trained healthcare professionals to carry out this test. The purpose of this document is to establish a frame for the administrative and tec hnical aspects for NGS in a clinical setting. Moreover, it will serve as a guide to establish quality control procedures that the technology requires in our country and the region.
Subject(s)
Organization and Administration/standards , Molecular Biology/organization & administration , Kinetics , Databases, Nucleic Acid , Pathology, Molecular , Whole Genome Sequencing , Access to Essential Medicines and Health TechnologiesABSTRACT
The emergence of physicians' roles in key administrative positions within many King Saudi Arabia health care organizations has represented a major change in the medical profession over the last two decades. This have created a need for physicians who are willing to assume a high level of responsibility for managing evolving health care organizations. The study explores the perception of physician managers regarding their work, personal and managerial characteristics. The data for this study were obtained from a sample of 200 physicians working in management positions in different health care organizations in Riyadh. Physicians were selected at random with probability proportional to size from a list containing managers in all health care organization to participate in the study. Our results indicated that physician managers lack administration skills. No formal training in medical administration and management because management principles are not integrated in the medical context and the majority were experienced in management for less than four years. Very few possess the technical competencies such as strategic planning, financial and economics knowledge. Boredom with medical practice, improvement of personal position and encouragement from others are related to being older, having more years in medicine and interest in medicine is reduced. The finding also supported the notion that physician manager can maintain stable levels of loyality to professional interest and organization. This dual commitment is related to work-related characteristics involving sharing his time favorably to management job and to patient care. To improve their management skills physicians can benefit from management education programs such as those offered by King Saud University
Subject(s)
Humans , Organization and Administration/standards , EducationABSTRACT
O objetivo principal deste artigo é verificar se as alterações políticas, sociais e institucionais (ocorridas no Brasil) contribuíram para que a tradução da palavra accountability germinasse no solo brasileiro, tendo transcorrido duas décadas desde a publicação do instigante artigo de Anna Maria Campos sobre a ausência desse conceito no Brasil. Trata-se de estudo de natureza exploratória, analítica e descritiva, numa abordagem essencialmente qualitativa, em que se procurou, além de compreender o significado da palavra accountability nos dicionários e nos trabalhos sucessivos ao de Campos, analisar, por meio da literatura especializada, as principais mudanças processadas no cenário brasileiro, especialmente quanto à organização da sociedade, descentralização e transparência governamental e quanto à emergência de novos valores sociais em substituição aos tradicionais. Reconhecendo que avanços têm sido realizados nessa direção, admite-se ser difícil dar uma resposta conclusiva à questão formulada. Considera-se que estamos mais perto da resposta do que quando Campos se defrontou com o problema, mas ainda muito longe de construir uma verdadeira cultura de accountability.
Subject(s)
Humans , Organization and Administration/standards , Health Policy , Social Responsibility , Social Values , Public Sector/ethics , Public Sector/standardsABSTRACT
Este artigo apresenta um estudo de caso em que são analisadas as relações de poder em uma estrutura de rede de organizações sem fins lucrativos, Cooperapic, para avaliar se concentração de poder no núcleo gestor da rede poderia ser um fator de manutenção da integridade estrutural. Foi utilizada a análise de redes sociais para que fossem elaborados cenários de relacionamento entre os atores e mensurada a concentração de poder na rede. Os resultados da pesquisa permitiram identificar que a rede se constitui de forma descentralizada, com baixo índice de poder central e com subgrupos que concentram o poder, o que pode favorecer sua fragmentação. Foi verificada a importância do núcleo gestor na coesão da rede, bem como os impactos que sua exclusão poderia ocasionar.
Subject(s)
Communitarian Organization , Community Networks , Organization and Administration , Organization and Administration/standards , Power, Psychological , Social OrganizationABSTRACT
Aún cuando ya resulta una verdad conocida que el objetivo de cualquier organización con fines de lucro es la obtención de ganancia también lo es el hecho de que la vía para lograr la misma y manteneria en el futuro es mediante la satisfacción del cliente. Sin embargo son pocas las organizaciones que pueden ver que el trabajador de una entidad también es un cliente a satisfacer y que ambos tipos de clientes se encuentran unidos de forma indisoluble. Este trabajo pretende demostrar que si bien las instalaciones, los equipos y el capital de trabajo deben existir para que la organización exista, son las personas quienes hacen la diferencia. Cada uno en su puesto de trabajo, cuidn de la organización. Pero para que esto ocurra la organización debe ocuparse de ellos. En definitiva se trata de que el trabajador llegue a saber para que es útil su trabajo, sin embargo en muchas ocaciones no lo termina de saber. De aquí surge la necesidad de gestionar estratégicamente al cliente interno. El planeamiento estratégico de recursos humanos se utiliza para alinear la organización en pos de un objetivo común y la clave del éxito en este proceso consiste en obtener la participación activa y el compromiso de todos los miembros de la organización.
Subject(s)
Humans , Personnel Management , Efficiency, Organizational , Health Organizations , Health Policy, Planning and Management , Organization and Administration/standards , Management Service Organizations/organization & administration , Professional Review Organizations , Health Facility Planning/organization & administration , /organization & administration , Attitude of Health Personnel , Personnel ManagementABSTRACT
The North-West coast, NWC, of Egypt represents one of the longest coasts in the country; which extends from Alexandria in the east for 520 km to El-Salloum on the Libyan border to the west. The development plans have been lunched into the zone which is concerned with industrial, agricultural, mining, touristic, and environmental activities. The current study is concerned with studying the management of the different proposed development sectors in the coastal zones. A Strategic environmental assessment model, SEA, has been designed to formtulate the correlation between the scoped factors of the study based on weighing forces of each on the other and on the whole process. The studied NWCZ has a fragile nature as a dryland and it is exposed to the deforestation phenomenon which may affect all the proposed future development plans. So, The agricultural and environmental proposed projects for the studied zone were found as the most positive projects for the area where they recorded 13 and 50 as numerical values; respectively. While; the industrial, mining, and touristic proposed activities, have recorded-38, -40, and-5, respectively