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At least 415 records · Page 23Linked to original sources
PubMed2000

Creating world-class supply chains.

This article will share knowledge in two areas: The elements of world-class supply chains and the linking processes from customers' customers to suppliers' suppliers and the management approaches needed to engage the people and the organization in an effective implementation process to achieve world-class status.

Commerce↗
PubMed2005

The supply chain and clinical quality.

Improving quality of care has become a major consideration when it comes to buying supplies. Here's how leading-edge hospitals are changing the process, including adding clinicians to their buying staffs and standardizing how they choose and use products.

Decision Making, Organizational↗
PubMed1987

Legionella species as hospital-acquired respiratory pathogens.

Nosocomial pneumonia caused by legionella is an increasingly recognized entity. Legionella sp responsible for documented nosocomial disease include Legionella pneumophila, Tatlockia micdadei, Legionella bozemanii, Legionella dumoffi and Legionella oakridgensis. The clinical presentation is nonspecific although diarrhea occurs frequently. Hyponatremia occurs significantly more frequently in legionnaires' disease than pneumonias caused by other agents. Chest roentgenographic findings are nonspecific, although cavitation can be seen in immunosuppressed patients. Laboratory methods require the use of direct fluorescent antibody (DFA) stains, culture using selective media, serologic testing, and detection of antigen in urine. The DFA test is not sensitive; however, it does correlate with the severity of disease. Culture from sputa is now feasible. Bronchoalveolar lavage is a promising technique for obtaining specimens. The ideal specimen for culture is that obtained by transtracheal aspiration, which bypasses oropharyngeal contamination. Combination therapy of erythromycin and rifampin is recommended for selected patients. Because the source of the organism is the hospital water distribution system, we recommend routine environmental surveillance, especially in hospitals in which organ transplants are performed. The role of cooling towers as a vector for dissemination of the organism is disputed. Disinfection of the water supply can be accomplished by using heat eradication. Chlorination has generally proven unsatisfactory because of organism persistence as well as corrosive damage to the plumbing system from the chlorine. Both physician awareness and availability of specialized laboratory testing are necessary for the detection of cases.

Cross Infection↗
PubMed1980

Retrograde pressurization of a medical oxygen pipeline system: safety backup or hazard?

Pipeline systems are used in most hospitals today to deliver medical oxygen to patient care areas. Intermittent reports have appeared concerning serious problems and failure with these systems. Mandated reserve systems have not provided the necessary backup at times. This article describes an auxiliary system to supply oxygen in a zonal fashion to wall outlets. The system will function during most failure situations; a hazard is inherent in the knowledge of this technique and will be examined.

Hospital Administration↗
PubMed1997

Using a supply usage relational database to reduce costs.

Relational database applications are valuable tools for tracking supply utilization patterns. This information can be used to standardize supplies and reduce utilization, thereby reducing costs and improving consistency. A supply usage database can generate comprehensive reports in a fraction of the time required to produce similar reports by other means. The reports can provide data sorted by patient, surgeon, procedure, product, or any other data field the user specifies, and the comprehensive data are a persuasive means for suggesting changes to supply utilization patterns to physicians.

California↗