Biomedical subjects

D W Juzwishin

Publications and source records attributed to D W Juzwishin.

10 recordsLinked to original sources

PubMed1995

Case study: assessing laparoscopic cholecystectomy. The GVHS experience.

This article describes the experience at the Greater Victoria Hospital Society of assessing the appropriateness of introducing laparoscopic cholecystectomy (lap chole) within the framework of an established technology assessment process. Lap chole promised to deliver cost savings; however, these could only be realized by capitalizing on the reduced length of stay by removing the surgical beds from service. A cautionary note is raised as to whether the increased use of lap chole in the population is appropriate.

Bed Conversion↗

PubMed1991

New technology, physical facilities and the environment.

Technology assessment is already a powerful tool for dealing with issues of appropriateness and effectiveness of clinical technology; it can be significantly enhanced as a valuable process if it is extended to deal with issues of how best to integrate the considered technology with the physical environment and facilities in which it will be used. These issues include: staff and patient safety and comfort; code compliance; effective accommodation of work flow; staff training; and ongoing operational costs. The methodology of technology assessment can effectively assist health facility administrators in evaluating the appropriateness and effectiveness of energy conservation projects and in addressing environmental concerns. The constraints in funding available to the health care system will continue to challenge the creative energies of our managers to encourage them to develop innovative ways, using technology assessment, to make the physical facilities and environment safe, economical and comfortable for patients and staff.

British Columbia↗

PubMed1989