Sunday, May 24, 2020

Improving The Operating Room Efficiency - 1992 Words

Finally creating better processes as well as assigning staff responsibilities to help maintain stock will create positive steps towards cost reduction. Also, managing supply reorders will decrease supply costs with the use of a perpetual inventory system. This approach continuously tracks supplies on hand and will automatically reorder when the stock reaches its predetermined par threshold. Establishing better control over supplies is rather a detailed and labor-intensive process but it can significantly reduce supply spending. Although this can be labor intensive the cost savings is well worth it (Surgical Directions, 2013, p. 4). Efficiency The Operating Room efficiency is a measurement of how well time and resources are used on a daily basis (Philander Kupietzky, 2013, p.1). In regards to efficiency it is important to utilize the Operating Room surgical rooms as much as possible because it creates higher utilization of the block schedule. It also allows for more surgical cases to be performed. When there are more surgeries performed there will be more revenue generated. In the Operating Room at Children’s Mercy the surgeons and anesthesiologists struggle to agree on what is effective block utilization. They also cannot agree on what constitutes delays, it is ironic that these two groups have the highest number of delays. They need to agree on defining what delays are in order to resolve the utilization issues in the Operating Room. There are otherShow MoreRelatedMemorial Hospital Case Study1449 Words   |  6 PagesIntroduction: The Operating Room is known as the â€Å"cash cow† in most hospitals. Surgical supply, implants, and instrumentation consume a large percentage of a hospital’s annual budget. As a result, proper room utilization with procedures requiring the sterile field of an operating room is essential. Memorial Hospital has over 30 surgical suites and estimates an annual increase of 10 percent in cases; meanwhile they are struggling to keep up with their current volume. While annual volume will continueRead MoreEvaluation Of A Memorial Hospital1622 Words   |  7 PagesMemorial Hospital (MH) is a 349-bed regional and referral center that is challenged by nearly 100% occupancy rate by its inpatient operating room patients. Surgical growth is expected to increase due to an increase in population and aging in its primary service area. This challenge is a major concern for the leadership of the hospital due to the significant outmigration of surgical cases and reports of poor patient s atisfaction. Memorial Hospital has requested a team of staff members from their financialRead MoreCarnival Cruise Strategic Alternatives/Recommendations663 Words   |  3 Pagespause strategy needs to be utilized to allow the company to take a step back from aggressive growth and focus more towards consumer necessities. Many complaints stem from issues like sanitization of rooms, quality of food, and ship malfunctions. Keying in on ship maintenance, restoration, and efficiency will significantly decrease the chance of malfunctions. While implementing more stringent and attentive guidelines towards guest amenities and conditions of food storage/quality to help increase consumerRead MoreApplication Of Six Sigma Tools Essay1496 Words   |  6 Pagesproject shows a medium-strength link to strategic imperatives. The goal of the project is to decrease process variability, increase the percentage of cases under the specification limit of 60 minutes, increase physician satisfaction, and t o increase operating room capacity. The team claimed that the project provided several steps forward toward these goals for the hospital. Specifically, a fifteen percent improvement in average OR turnaround time, a thirty-two percent improvement in DPMO, an increase ofRead MoreCosmetic Changes Of Medical Technology1459 Words   |  6 Pagesday by day, some hospitals have introduced digital operating room, tele surgery, and robotic assistants. These modern technologies can offer shorter hospital stays, less pain, faster recovery and fewer complications. However, many new technologies come with many requirement checks, safety checks, etc. that cause a delay with the pre-surgical check. In general, surgical services cost about 40% of the hospital’s overall revenue. However, operating room performance has many issues that cause inefficienciesRead More HealthCare Bottleneck Relief Essay657 Words   |  3 Pages Many health-care industry bottlenecks can be eliminated, resulting i n major improvements in efficiency, cost savings and patient care when hospitals borrow principles from production lines on the factory floor, according to researchers in the School of Engineering and Applied Sciences at the University at Buffalo. At UBs Center of Excellence for Global Enterprise Management, Li Lin, Ph.D., professor of industrial engineering, and his colleagues apply industrial-engineering tools, including SixRead MoreStudy of Aakash Health Care1701 Words   |  7 Pagesday was calculated as the total mins of OT used in a day/ total mins of OT available in a day. It was observed that in spite of the organization’s effort to increase the utilization time of the minor operation theatre by also using it as a procedure room ,it is still under-utilized in Aakash health care. It identified the bottle neck as the shortage of surgical patients. INTRODUCTION ABOUT AAKASH HEALTH CARE Aakash healthcare ( polyclinic par excellence ) located in dwarka is one of theRead MoreProblems Faced By Airports And Airports1324 Words   |  6 Pagesissues at airports is improving efficiency, flow of all traffic to reduce the possibility of delays. After safety, everyone involved in any sort of airport operations, works on increasing efficiency in order to avoid delays and having to spend additional money. As the airports operations increase, the people in charge will have to come up with solutions to avoid setbacks. Airport planners have to come up with ideas in order to improve airport facilities and increase the efficiency of the flow. The challengesRead MoreCritical Aspects Of Managing Hospitality Properties1604 Words   |  7 Pagessupervisory functions of room division is firstly taken into account, followed by an evaluation on the deployment of security measures at hotels. Last but not least, the significance of technology to the run of hotel business is discussed in fu rther details in the scope of this report. Discussion Reflection upon supervisory functions of rooms division To commence, the focus of this very first section is placed on the discussion concerning the supervision functions of room division, as well as theRead MoreSpace Relationship Diagram Essay804 Words   |  4 PagesPersonnel requirements include data of plant entrances, locker rooms, food service and whether to put restrooms, these all must be decided. Operating policies, procedures and controls includes the production planning and control system, the inventory paperwork, the inventory control, the scheduling system, the time-keeping routine, the methods of quality control and other operating procedures and their supporting paperwork are important for improving the performance which the installed layout actually can

Wednesday, May 13, 2020

Athenian Democracy and Divination Essay - 2601 Words

Athenian Democracy and Divination Divination was a prevalent feature in Archaic Greece, as it provided objective advice, to assist people in making appropriate decisions in problematic predicaments. In certain situations its ambiguity allowed decisions to be postponed, or blame to be assigned to others. Divination was also used to explain matters that seemed unexplainable, such as crop failure or drought. This is illustrated in the Homeric epics, which depicts numerous oracle interpreters, such as Calchas, consulting oracles on domestic, as well as, military decisions. Divination was a guiding authority in ancient society. However, during the fifth and fourth century BC, the democratic†¦show more content†¦Furthermore, when the Athenians suggest to the Melians that they should become allies with them, against the Spartans, the Melians state: à ¢Ã¢â€š ¬Ã‚ ¦We trust that the gods will give us fortune as good as yoursà ¢Ã¢â€š ¬Ã‚ ¦[3] In contrast, the Athenians dismiss the protection of the gods, and state: This kind of attitude is not going to be of much help to you in your absurd conquest for safety at the moment.[4] Thucydides portrays the Athenians in an arrogant light, which suggests that they will get their comeuppance for such sacrilegious opinions. Furthermore, Thucydides also highlights the scientific approach that the Athenians have towards their domination of the Peloponnese, suggesting that it is the law of nature, that they should conquer as much as they can. The rise of freethinking, that the democracy had established, had lead to the neglect of the gods. In comparison, Xerxes, in his conquest to dominate Greece, complies with a dream that is sent from the gods, which indicates to him and Artabanus that he should continue with the Persian wars.[5] Herodotus, writing in the early fifth century, highlights the importance of following divination, whereas, Thucydides, writing in the later fifth century, focuses on decisions made by the people. The Sicilian expedition, from 415BC,Show MoreRelatedEssay The History of Gambling in Ancient Civilizations3908 Words   |  16 Pagesoldest form, divination, was introduced around the same time systematic agriculture was (circa 14000 BCE). Divination is the practice of letting the outcome of an outside object determine what a person or a group should do in a certain situation. â€Å"Some examples of modern divination systems are the tarot, I Ching, scrying and using a pendulum,† (Ward, Keith). But, â€Å"the most widespread and oldest divination game was odds and evens,† (Schwartz, 6). Evidence for odds and evens divination can be found

Wednesday, May 6, 2020

Realities on Teen Pregnancy in America Free Essays

Although the rate of teenage pregnancy in the United States has declined greatly within the past few years, it is still an enormous problem that needs to be addressed. These rates are still higher in the 1990’s than they were only a decade ago. The United State’s teenage birthrate exceeds that of most other industrialized nations, even though American teenagers are no more sexually active than teenagers are in Canada or Europe. We will write a custom essay sample on Realities on Teen Pregnancy in America or any similar topic only for you Order Now Recent statistics concerning the teen birthrates are alarming. About 560,000 teenage girls give birth each year. Almost one-sixth of all births in the United States are to eenage women are to teenage women. Eight in ten of these births resulted from unintended pregnancies. (Gormly 347) By the age of eighteen, one out of four teenage girls will have become pregnant. (Newman 679) Although the onset of pregnancy may occur in any teenager, some teens are at higher risk for unplanned pregnancy than others. Teenagers who become sexually active at an earlier age are at a greater risk primarily because young teenagers are less likely to use birthcontrol. African-American and Hispanic teenagers are twice as likely to give birth as are white teenagers. Whites are more likely to have abortions. Teenagers who come from poor neighborhoods and attend segregated schools are at a high risk for pregnancy. Also, teenagers who are doing poorly in school and have few plans for the future are more likely to become parents than those who are doing well and have high educationsl and occupational expectations. Although the rate of teenage pregnancy is higher among low- income African-Americans and Hispanics, especially those in inner city ghettoes, the number of births to teenagers is highest among white, nonpoor young women who live in mall cities and towns. (Calhoun 309) In addition to the question of which teenagers become pregnant, interest is shown in the social consequences of early parenthood. Adolescent parents (mostly mothers) may find that they have a â€Å"lost or limited opportunity for education. (Johnson 4) The higher a woman’s level of education, the more likely she is to postpone marriage and childbearing. Adolescents with little schooling are often twice as likely as those with more education to have a baby bafore their twentieth birthday. Some 58% of young women in he United States who receive less than a high school education give birth by the time they are twenty years old, compared with 13% of young women who complete at least twelve years of schooling. (Tunick 11) Teens who become pregnant during high school are more likely to drop out. Calhoun 310) A teen mother leaves school because she cannot manage the task of caring for a baby and studying, and a teen father usually chooses a job over school so that he can pay bills and provide for his child. (Johnson 4) Teen mothers usually have fewer resources than older mothers because they have had less time to gather avings or build up their â€Å"productivity† through work experience, education, or training. (Planned Parenthood 1) Because of this, teen mothers are generally poor and are dependent on government support. Newman 679) The welfare system is usually the only support a teen parent will receive. Welfare benefits are higher for families with absent fathers or dependent children. (Calhoun 309) In some cases, teen mothers may also receive help like Medicaid, Food Stamps, and â€Å"Aid to Families with Dependent Besides educational and financial problems, teenage mothers may face a great deal f emotional strain and may become very stressed. Teen mothers may have limited social contacts and friendships because they do not have time for anything other than their baby. Lack of a social life and time for herself may cause the teenage mother to become depressed or have severe mental anxiety. (Johnson 5) Depression may become worse for a teenage mother because she usually does not know much about child development or about how to care for their children. Children who are born to teenage mothers usually suffer from poor parenting. (Berk 188) Also, children of teenage parents start being exually active before their peers and they are more likely to become teenage parents themselves. These children may also suffer from financial difficulties similar to that of their parents. Children whose mothers are age seventeen or younger are three times as likely as their peers to be poor, and are likely to stay poor for a longer period of time. † (Calhoun 311) The children born to teenage mothers sometimes score lower on development tests than the children of older mothers. It seems that â€Å"rather than declining over time, educational deficits increase in severity and the children show lower academic chievement, higher drop out rates, and are more likely to be held back in school. † Teenage pregnancy comes with not only a child, but also many consequences. Teen mothers face greater health risks than older mothers, such as anemia, pregnancy induced hypertension, toxemia, premature delivery, cervical trauma, and even death. Many of these health risks are due to inadequate prenatal care and support, rather than physical immaturity. The teenage mother is more likely to be undernourished and suffer premature and prolonged labor. (Calhoun 311) The death rate from pregnancy omplications are much higher among girls who give birth under age fifteen. (Gormly 347) Poor eating habits, smoking, alcohol and drugs increase the risk of having a baby with health problems. Johnson 3) The younger the teenage mother is, the higher the chances are that she and her baby will have health problems. This is mainly due to late prenatal care (if any) and poor nutrition. (Planned Parenthood 1) An adolescent mother and her baby may not get enough nutrients and, because the mother’s body is not fully mature, she may have many complications throughout the duration of the pregnancy. Along with the mother, the children of teenage parents too often become part of a cycle of poor health, school failure, and poverty. Infants born to teenage mothers are at a high risk of prematurity, fragile health, the need for intensive care, cerebral palsy, epilepsy, and mental retardation. (Johnson 5) Low birth weight is the most immediate health problem. Babies born to teenagers are often born too small, too soon. Low birthweight babies may have immature organ systems (brain, lungs, and heart), difficulty controlling body temperature and blood sugar levels, and a risk of dying in early infancy that is much igher than that of normal weight babies (five and one-half pounds or more). Calhoun 310) â€Å"The death rate for babies whose mothers are under fifteen years of age is double that of babies whose mothers are twenty to thirty years old. † (Johnson 5) Because of these extremely serious problems, many government, as well as local, organizations are fighting to stop the occurence of teenage pregnancy by helping to educate children of the risks involved and the consequences after. Some research indicates that â€Å"the percentage of teenage birthrates has declined simply because fewer eenagers are having sexual intercourse and more adolescents are using contraceptives. Researchers say that the recent trends in sexual activity and contraceptive use are the result of a number of factors, including greater emphasis on abstinence, more conservative attitudes about sex, fear of contracting sexually transmitted diseases, the popularity of long-lasting birthcontrol methods such as the contraceptive implant (Norplant) and the injectable (Depo-Provera), and even because of the economy. In addition, researchers say that young people have become somewhat more conservative in their views about casual ex and out-of-wedlock childbearing. Some attribute this change in attitude mainly to concern about sexually transmitted diseases. Others say that it is because of the involvement of conservative religious groups in the public debate over sexual behavior. Many researchers believe that the strong economy and the increasing availability of jobs at minimum wage have contributed to fewer births among teenagers. (Donovan 32) Americans, however, seem to be against some of the methods used by these various organizations to reduce the teen pregnancy rates. The most controversial aspect of adolescent pregnancy prevention is the growing movement to provide teenagers with easy access to contraceptives. † Most Americans believe that giving teenagers birthcontrol pills and/or condoms is the same as telling them that early sex is allowed. Some studies that were conducted in Europe show that some clinics in Europe that distribute contraceptives to teenagers have the same sexual activity rate as in the United States. However, in these European studies, it is apparent that teen pregnancy, childbirth, and abortion rates are Teenage pregnancy does cause many problems for the mother, child, and economy. There are, however, some incidences where the mother overcomes this down-hill trend and makes a successful life for her and her child. The outcome of teenage pregnancy turns out better if the mother goes back to school after she has given birth. (Berk 190) Staying in school may help to prevent teenage mothers from having a second pregnancy. (Planned Parenthood 2) The outcome is also better if the mother continues to live with her parents so that they can help to raise the child. Young, teen mothers need health care for themselves as well as their children. An adolescent mother also needs a great deal of encouragement to get her to remain in school. Single teenage mothers also need job training so that they can get a good job to support themselves and their children. Teen mothers need to be taught parenting and life-management skills and also need high quality and affordable daycare for their children. Schools that provide daycare centers on campus reduce the incidence of teenagers dropping out of school. These school programs also ecrease the likelihood that the teen mother will have more children. Berk 189) Because the government has begun to take action in preventing teen pregnancies, the rate has continued to decline. The large numbers of young people in America–as well as the values, health, education, skills they gain–will greatly affect the future of society. Therefore, increased attention should be given to the well-being of adolescents. Since greater care is being given to the young people, improvements are already occuring. The level of education that young people receive is much higher than that of their parents, and he â€Å"expectation that young people should obtain at least some secondary schooling† is growing. The numbers of women who have a child during their teen years is declining, and recognizing the impact of childbearing on education, parents and communities are continuing to discourage sexual activity, marriage, and motherhood at a young age. (Tunick 13) These recent trends, if continued, will more than likely educate the adolescent population about the risks and consequences of teenage pregnancy and reduce the incicence of teen pregnancy and childbirth altogether. How to cite Realities on Teen Pregnancy in America, Essay examples

Monday, May 4, 2020

Accusations free essay sample

The paper discusses some of the root causes of the September 11th attacks. The paper discusses some of the specific root causes for the September 11th attacks in the U.S. Two of the causes discussed are the use of American power and the ignorance of Osama Bin Ladens followers. The paper shows that due to the fact that the United States was so unprepared for September 11th, the root causes of the terrorist attacks are still debated by millions of people worldwide. It shows that several theories being debated are clash of civilizations, poverty of Arab lands, American policy, religious conflicts, simple jealousy and rage- all of these seem logical reasons to some and completely illogical to others. World peace is far from being a reality. With the thousands of issues that affect international conflict, it is nearly impossible to isolate one sole cause of any given problem. The tragedy of September 11th is one such occurrence. We will write a custom essay sample on Accusations or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Discussion after discussion has been had in an attempt to determine the exact cause of the attacks. The majority of suggestions of the root cause have been dismissed. Poverty of the individuals who committed crimes was quickly dismissed because of simplicity. Those people who hijacked American planes were not poverty-stricken. Most were educated, middle-class citizens. Also ruled out by simplicity is the theory of envy, hate, and rage. We know that Bin Laden and his followers hate us, but would this cause them to terrorize our country? The concept is too superficial to be the root cause itself, but most definitely lies under the true cause. Some political scientists pointed to a clash of civilizations as being the culprit. Even this suggestion goes back to envy of the enemy civilization. After analyzing all these miniscule causes of September 11th, two specific root causes are apparent. The two most logical explanations to the terrorist attacks are the use of American po wer and the ignorance of the Osama Bin Ladens followers.