Methods and Materials Study design and target group This prospective double-blind clinical trial was conducted in the ED of Isfahan Alzahra Hospital‚ from May 2016 to June 2017. The sedation levels and different outcomes of patients receiving low-dose intravenous ketamine bolus (intervention group) were compared to patients receiving higher dosage of intravenous ketamine (control group)‚ for reduction of upper and lower extremity fractures. Inclusion criteria consisted of parents’ desire and consent
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Introduction Princess Marina hospital (PMH) is a referral healthcare facility with 600 bed capacity‚ and it operates three theatres with seven operating theatres. From the theatre records it shows that it treats around 6‚000 patients per year. This only represents 65 percent of all scheduled elective surgeries compared to the 95 percent target set by the hospital. In order to improve this‚ management‚ decided to look at the efficiency and effectiveness of the system that affects patient care. A
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One tool used to improve performance of caregivers in a hospital setting is the clinical ladder. The clinical ladder is developed to entice caregivers to develop new skills (Pierson‚ 2010). It also encourages the caregiver to develop leadership skills and to be financially rewarded for the effort. Clinical ladders began cropping up in the 1970s (Pierson‚ 2010). Caregivers can move from novice to expert while being supported and encouraged by more senior staff and administration. (Pierson‚ 2010).
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experienced the similar operation at other hospitals. And the recurrence rate for all operations performed at Shouldice is about 0. The Unique Selling Point of the Hospital “There is No Substitute for Experience”. Shouldice Hospital has been dedicated to the repair of hernias for over 55 years. The trained team of Shouldice Hospital surgeons have repaired more than 300‚000 hernias with a greater than 99% success rate. Surgeons at Shouldice Hospital have a virtual 100% success rate performing
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that was selected for implementation at Cramton Memorial Hospital impacts several stakeholders that are involved which includes: patients‚ hospital administration‚ and human resources. If one of these two solutions are put into effect it would impact patients first and foremost because it would result in nurses providing better quality of care for patients as well as keeping patients away from harm caused by any type of medical error. The hospital administration is impacted because it will help them
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CASE ANALYSIS: SHOULDICE HOSPITAL LIMITED Executive Summary: The Shouldice Hospital‚ Ontario‚ Canada is a pioneer in the field of treating patients suffering from external abdominal hernia. The speedy ambulation coupled with its reasonable price rates leads to satisfied patients publicizing the hospital by word of mouth. The issues that confront the hospital management are: ·Deciding on ways to meet the backlog of operations‚ by expanding the hospital’s capacity‚ while still maintaining control
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Hospital-Acquired Infections (HAIs)‚ or healthcare associated infections‚ encompass almost all clinically evident infections that do not originate from a patients original admitting diagnosis. Most infections that become clinically evident after 48 hours of hospitalization are considered hospital-acquired. HAIs represent a frequent nonspecific clinical problem with potential consequences for morbidity and mortality. The highest rates of HAIs are observed in intensive care units (ICUs)‚ which are
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uShouldice Case Case 1: Shouldice Hospital Limited Q1: How does shouldice compete? In other words why do patients come to shouldice hospital? Two main reasons drive customers into choosing Shouldice over other competitors/hospitals. The first is quality‚ and the other is cost. talking about quality of the Shouldice “product” includes both‚ quality of the operation‚ and quality of post operation activities and overall services offered by Shouldice. The Shouldice method is a focused‚ specified
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Problem 7.1 Fort Winston Hospital Variable cost per visit 5 Annual direct fixed costs 500‚000 Annual overhead allocations 50‚000 Expected annual utiliztion 10‚000 a. What per-visit must be set for the services to break even? Variable Cost Variable cost per visit 5 Volume 10‚000 Total Variable Costs 50‚000 Fixed Costs Annual direct costs 500‚000 Total Fixed Costs 500‚000 Annual overhead 50‚000 Total Costs 600‚000 Volume 10‚000 Price
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For the month of July 2016‚ The New London Hospital Association‚ Inc. generated a consolidated loss from operations of $177k compared to a budgeted loss of $247k. Non-operating revenue was $109k compared to a budget of $83k‚ resulting in a positive variance of $26k. Gross Revenue – The first month of FY17 started off with consolidated gross revenue $192k lower than budget‚ but favorable to July 2015’s gross revenue by $300k. Within the Hospital‚ the departments with the largest favorable revenue
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