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Results for “Hospital Distribution Systems”

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At least 379 records · Page 21Linked to original sources
PubMed2005

Peracetic acid in the disinfection of a hospital water system contaminated with Legionella species.

OBJECTIVE: To assess the efficacy of an alternative disinfection method for hospital water distribution systems contaminated with Legionella. METHODS: Disinfection with peracetic acid was performed in a small hospital contaminated with L. pneumophila serotype 1. The disinfectant was used at concentrations of 50 ppm (first three surveillance phases) and 1,000 ppm (fourth surveillance phase) for 30 minutes. RESULTS: Environmental monitoring revealed that disinfection was maintained 1 week after treatment; however, levels of recontamination surpassing baseline values were detected after approximately 1 month. Comparison of water temperatures measured at the distal outlets showed a statistically significant association between temperature and bacterial load. The circulating water temperature was found to be lower in the two wards farthest away from the hot water production plant than in other wards. It was thought that the lower water temperature in the two wards promoted the bacterial growth even after disinfection. CONCLUSION: Peracetic acid may be useful in emergency situations, but does not provide definitive protection even if used monthly.

Colony Count, Microbial↗
PubMed1981

Recommendations of the task force on record-keeping and blood distribution systems.

The objectives of an automated donor record system are reviewed and recommendations as to file content and structure of a computer-based system are outlined. Four sections are suggested, data related to donor identification, demography, date of last donation and special services requirements. Alternative means of data entry and donor-donation links are discussed as well as desirable capabilities of unit record and patient record systems. Two types of blood distribution systems are outlined, namely the reactive type where hospital blood bank inventories are replenished on demand and the predictive type where inventory requirements are predicted in advance and inventories are replenished on a fixed, previously agreed on schedule.

Blood Banks↗
PubMed1995

Hospital staffing adjustments under global budgeting.

The U.S. Department of Veterans Affairs operates a hospital system that distributes a national global budget to 159 hospital units. Over recent years, cost containment and downward budgetary pressures have affected hospital performance and the quality of care delivered in unknown ways. This article examines hospital staffing levels as potential performance measures. We first develop a regression model to estimate the number and types of clinical staff required to meet current inpatient workloads at VA medical centers. We are able to improve on previous analyses by employing better data on physicians and by evaluating the behavior of hospitals in consecutive years. Our findings provide managers of hospital systems with promising new approaches for comparing hospital production processes and more information on the effects of global budgeting on individual hospital staffing within systems.

Budgets↗
PubMed1998

Integrating the healthcare supply chain.

Today's integrated delivery systems (IDSs) require efficient supply chain processes to speed products to users at the lowest possible cost. Most excess costs within the supply chain are a result of inefficient and redundant processes involved in the transport and delivery of supplies from suppliers to healthcare providers. By integrating and assuming control of these supply chain processes, improving supply chain management practices, and organizing and implementing a disciplined redesign plan, IDSs can achieve substantial savings and better focus their organizations on their core patient care mission.

Benchmarking↗