جستجوی مقالات مرتبط با کلیدواژه "بهره برداری" در نشریات گروه "پزشکی"

Resource management and efficiency analysis assist the hospitals in controlling the expenses and optimum utilization. Operating room (OR) is a critical department in a hospital and its performance highly affects the financial resources. The current study tried to measure OR utilization at a University Hospital of Shahid Sadoughi University of Medical Sciences in Yazd. This was a descriptive-analytical and cross-sectional study in which 151 surgeries performed in four ORs were recorded in a total of 53 OR days. Data analysis was carried out using Microsoft Office Excel 2010. OR utilization was measured as 68% for Orthopedics OR, 61% for Ophthalmology, 89% General Surgery, and 86% for ENT. In general, 13400 minutes out of 19080 available min. were used for the surgeries and 1215 min. for turn-over-time or delay between two surgeries. Of the total 53 days, 7 days were used efficiently, 27 days were under-utilized, and 19 days were over-utilized. Data analysis showed that Orthopedics and Ophthalmology rooms were under-utilized, while General Surgery and ENT rooms were over-utilized. Regarding the importance of surgical suites efficiency, calculation of OR utilization could provide valuable and practical information for the managers to efficiently use the hospital resources. Therefore, it is highly recommended to insert the exact start and end time for each surgery in specified software. Further similar studies are suggested with larger records for more effective scheduling of the surgeries and improved OR efficiency.

Regarding to the importance of controlling health care expenditure, necessity for proper distribution of health care resources and appropriate utilization of hospital resources through inappropriate services reduction for patients, this study aimed to assess suitability of brain CT scans, based on American College of Radiologists (ACR) appropriateness criteria in Shahid Beheshti Hospital affiliated to Kashan University of Medical Sciences (KAUMS).
This cross sectional and retrospective study was conducted in internal and surgery triage unites of an academic hospital in KAUMS to determine the appropriateness of brain CT scans. A General physician reviewed 361 medical records of patients through the check list based on ACR appropriateness criteria. Collected data was classified in three areas including appropriate, possibly appropriate and inappropriate. Data was analyzed using SPSS through descriptive statistics such as Index of dispersion and chi-square test.
Study findings revealed that among delivered CT scans, 310 (85.9%) appropriate, 38(10.5%) possibly appropriate and 13(3.6%) were inappropriate. The maximum and the minimum inappropriate brain CT scans rate 4 (4.17 %) were related to patients with Ataxia and zero (0 %) were related to patients with Headache, respectively.
Based on ACR appropriateness criteria, Brain CT scans were not utilized appropriately. In order to depict utilization review of radiology procedure in Iran, Developing a national guideline is necessary. To detect the effective factors regarding formulating targeted intervention, more comprehensive studies in various hospitals, different specialty and radiology modality seems necessary.

One of the vital aspects of transferring research results is intellectual property of information. The key point in intellectual property is lack of use or misuse of research results. At times the urgent or early transfer of research results is necessary, and at times it is not possible prior to peer review. Since there were no specific rules in this field in the country, one of the innovations suggested for strengthening knowledge translation was compilation of an ethical code for research to promote knowledge translation by safekeeping stakeholder's intellectual property rights.The current status of knowledge translation in the university has been evaluated by the research team. Among the most important issues of disseminating research results prior to publication is the prerequisite of peer review. Dissemination of research results is also dependant on the contract made on intellectual property rights, the type of data, and the urgency of their early publication. The final draft is a figure that has been illustrated in the full text. After compilation and implementation of the ethical code in the country's research system, in addition to re-evaluating the knowledge translation status of the university, the role of this specific innovation should also be assessed in bringing about any change in this status.In Iran the medical universities provide resources for research. We therefore suggest two recommendations under the current circumstances: to promulgate the use of the mentioned ethical code, and to add a clause to the university's research contracts in which the university will have the right to disseminate research results in the target audience's language if they are beneficial to the community and scientifically valid.