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At least 127 records · Page 7Linked to original sources
PubMed2002

Patient activity found to drive linen costs.

As the total cost of textile replacement, processing and in-facility distribution approached $1.4 million per year, the University of Arkansas Medical Center turned to a risk-sharing program offered by Medline Industries. So far, the change has resulted in savings of $516,000. Materials management director Gary Dollar explains how the program is working now.

Academic Medical Centers↗
PubMed2003

Streamlining the supply chain.

Effective management of the supply chain requires attention to: Product management--formulary development and maintenance, compliance, clinical involvement, standardization, and demand-matching. Sourcing and contracting--vendor consolidation, GPO portfolio management, price leveling, content management, and direct contracting Purchasing and payment-cycle--automatic placement, web enablement, centralization, evaluated receipts settlement, and invoice matching Inventory and distribution management--"unofficial" and "official" locations, vendor-managed inventory, automatic replenishment, and freight management.

Accounts Payable and Receivable↗
PubMed2003

Hospitals and academic health sciences centres: leaders or followers in health globalization?

The overall impact of globalization on health outcomes is contentious, but there is no doubt that knowledge transfer and the extension of specific health interventions to developing countries promise extraordinary benefits. It has been suggested that improved information/communications technology and the creation of distributed hospital systems leading a virtual healthcare web will permit realization of the promise of globalization. It is argued in this commentary that such evolution will require a new model of shared governance in the healthcare system. The leading vision is most likely to come from academic institutions, researchers, health professionals and governments. The "super-hospital" of the future should be expected to play a key role as service provider and partner.

Academic Medical Centers↗
PubMed1998

Controlling Legionella in hospital water systems: experience with the superheat-and-flush method and copper-silver ionization.

OBJECTIVE: To evaluate the effect of copper-silver ionization on Legionella colonization and nosocomial legionnaires' disease and to compare the efficacy of metal ions versus the superheat-and-flush method of disinfection. DESIGN: Prospective determination over a 36-month period of copper and silver ion concentrations in the recirculating hot-water system, Legionella colonization of the hospital water distribution system, and cases of nosocomial legionnaires' disease. Retrospective comparison of results with the previous 13 years, during which the superheat-and-flush method was used. SETTING: The Pittsburgh Veterans' Affairs Health Care System (University Drive Division) acute-care hospital. INTERVENTION: Three copper-silver ionization systems were installed on the hot-water distribution system in November 1994. RESULTS: The average number of cases of legionnaires' disease per year and the percentage of distal sites positive for Legionella pneumophila for the superheat-and-flush method versus the copper-silver ionization method was six cases with 15% positivity versus two cases with 4% positivity, respectively. The reduction in Legionella colonization after copper-silver ionization was significant (P<.05) compared to the superheat and flush. Mean copper and silver ion concentrations (mg/L) were 0.29 and 0.054 from hot-water tanks, and 0.17 and 0.04 from distal outlets, respectively. CONCLUSIONS: We conclude that a properly maintained and monitored copper-silver ionization system was more effective than the superheat-and-flush method for reducing the recovery of Legionella from the hospital water distribution system.

Copper↗
PubMed1975

Evaluation of a hospital controlled substances distribution system.

The distribution and control system for controlled drugs at a 500-bed hospital was evaluated. The time requirements of the system for pharmacy and nursing, the drug control procedures used, and the income and expenses of the system were evaluated. It was concluded that the system appears to offer full accountability, but it makes a heavy time demand on pharmacy and nursing. Time requirements could be reduced through a computerized system or by use of a certificate of disposition form that incorporates a charge voucher.

Barbiturates↗