scholarly journals Measuring instruments metrological monitoring in a medical organization based on a process approach

2020 ◽  
Vol 22 (2) ◽  
pp. 138-141
Author(s):  
S. A. Mendel
Keyword(s):  
Process Approach ◽  
Internal Quality ◽  
Measuring Instruments ◽  
Control Methods ◽  
Medical Organization ◽  
Target Indicator ◽  
Metrological Control ◽  
To Receive ◽  
Metrological Monitoring

A model of the process of metrological control of measuring instruments is presented. The model includes 6 or9 stages, depending on the results of metrological control. Based on the list of measuring instruments, a contract is concludedfor metrological control. After the conclusion of the contract, the collection of documents necessary for verification iscollected. Further, the measuring instruments are transferred to an accredited organization. An accredited organization carriesout verification. If, according to the results of verification, the tool is deemed suitable for use, then the stage of obtainingconfirmation of the verification is carried out. The output at this stage will be a verification certificate. If, according to theresults of verification, the measuring instrument is not suitable for operation, then the stage of canceling the verificationcertificate is carried out. The next steps in this case are to receive notice of unsuitability for use and write-off of the measuringinstrument. At this process is considered complete. The target indicators (indicators) of the process are: the measurementerror of specific measuring instruments within the established limits. Monitoring (control) of the process is carried out bya metrology engineer of a medical organization. Control methods are: control of the calibration intervals of measuringinstruments. The model is recommended as a model for use in medical organizations. The use of this model in the presenceof a target indicator (indicator) of the process of metrological control will ensure the necessary quality of metrological workin a medical organization within the framework of the internal quality control system.

Increase Pressure and Homogeneity of Die Castings from EN AC 47100 Alloy

2015 ◽  
Vol 729 ◽  
pp. 108-113
Author(s):  
Stefan Gaspar ◽  
Jan Pasko
Keyword(s):  
Die Casting ◽  
Casting Process ◽  
Internal Quality ◽  
Control Methods ◽  
Technological Factors ◽  
Great Reliability ◽  
Die Casting Process ◽  
Die Castings ◽  
Pressure Die Casting

In the pressure die casting process, a great attention is paid to a die castings quality improvement. This quality has to be ensured with a great reliability and, at the same time, it is necessary to apply control methods to a technological process which provide a complete picture of a die casting process as well as internal quality of the produced die castings. It requires control of the present technological factors of a pressure die casting process. The contribution deals with the effect of die casting plunger velocity inside a filling chamber on mechanical properties of a die casting product from EN AC 47100 alloy.

Improving rural health care through business process management

2020 ◽  
pp. 20-26
Author(s):  
E. A. Bakirova ◽  
◽  
E. N. Mingazova ◽  
◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Rural Population ◽  
Business Processes ◽  
Public Health Problem ◽  
Process Approach ◽  
Medical Services ◽  
Specific Situation ◽  
Medical Organization

Meeting the needs of the rural population in all types of primary health care (pre-medical and general medical care), as well as specialized medical care, improving the quality of medical care for the rural population is an important public health problem that is difficult to solve and is of particular concern to government structures at all levels of government. The article presents an analysis of the literature on the use of business processes in modern healthcare, the main tasks of which are the creation and development of effective models for the provision of medical care that increase not only its accessibility and quality, but also the satisfaction of the population. As part of the activities of the modernization program for the implementation of information technology in healthcare, it is planned to create information resources and services that would allow, using this system tool, to move to a qualitatively new level of organization of industry management. It is noted that at present, at the level of management of the medical organization as a whole, and in the management of individual areas of its activity, the application of the process approach is becoming relevant, in which the medical organization can be considered as a separate business system, which is a related set of business processes, the ultimate goal which, undoubtedly, is the provision of quality medical services. It is shown that the development and modeling of business processes will increase the relevance of management information, will make it possible to focus on rationalizing cross-functional processes to significantly reduce time and / or costs, increase revenue, improve service quality and reduce risks, the information system allows you to simulate processes and carry them out further optimization. The analyzed works examine the experience of process-oriented management in medical organizations and its role in ensuring the improvement of the quality of medical services provided. In addition, the introduction of a process approach will allow the application of certain managerial decisions necessary in each specific situation, including in the field of medical services for the rural population.

scholarly journals QUALITY CONTROL OF THE PERFORMANCE OF WORKS ON FIREPROOF TREATMENT OF WOOD BY DSA-1 AND DSA-2 SOLUTIONS

2019 ◽  
pp. 671-676
Author(s):  
S. Lesiv
Keyword(s):  
Fire Protection ◽  
Fire Retardant ◽  
Control Methods ◽  
Structural Elements ◽  
Practical Application ◽  
Timely Manner ◽  
Quality Of Work ◽  
Regulatory Documents ◽  
To Receive

Recently, expert institutions have begun to receive more and more procedural documents on the appointment of construction and technical types of examinations for the solution of which concerns issues to determine the quality of the work carried out on the fire protection of wooden structural elements. And this is not surprising, given the fact that considerable amount of money is spent on this type of work based on the analysis of reporting documentation, and the quality of such work as practice shows does not always meet the requirements of regulatory documents. The main tasks that constructive fire protection performs are a significant increase in the fire resistance of a building material, prevention of its deformation, and also an obstacle to the further spread of the resulting fire. All this will help to preserve the safety of the building quickly and in a timely manner, as well as to carry out a full evacuation without any loss. The article is devoted to the consideration of the main methods that can be used to determine the quality of work performed on the fire retardant treatment of wood with DSA-1 and DSA-2 solutions. In turn, the effectiveness of each method was tested in practice by the author of this article at various research sites, in turn, based on their practical application, it is possible to conclude that these methods are quite effective and can be fully used by forensic experts in conducting such studies. Key words: fire protection, solutions, control, methods.

scholarly journals Quality of medical services: problems, evaluation and regulation

2015 ◽  
Vol 16 (3) ◽  
pp. 243-251
Author(s):  
Farida Yerdavletova ◽  
Temirkhan Mukhambetov
Keyword(s):  
Quality Management ◽  
Customer Service ◽  
Process Model ◽  
Process Approach ◽  
Medical Services ◽  
Medical Organization ◽  
Factors Affecting ◽  
Development Approach ◽  
Definition Of

One of the most acute problems in the healthcare industry – the problem of the quality of medical services. In this area, there is no established definition of medical services or approaches to quality management. The aim of the article is to analyze the existing definitions of “quality of medical services,” as well as development approach to managing medical organization. At the same time the management of the medical organization should be focused on ensuring the quality as the most important criterion for the organization. Methodology of the study is based on analysis and grouping of existing definitions of medical services, the factorial approach to evaluating the quality and organization of the process approach to management of the medical organization. Noting the versatility and diversity concepts of quality of care the authors suggest grouping of direct and indirect factors affecting the quality of medical services. However, it is important, according to the authors, to move from functional management to management based on the process approach, which provides better control over the processes of customer service. Is given process model of quality management of health services and highlights the main groups of processes in the medical organization.

Lesson Study dan Implikasinya Terhadap Pembelajaran Berbasis Kurikulum Tingkat Satuan Pendidikan

2016 ◽  
Vol 1 ◽  
pp. 189-196
Author(s):  
Vian Harsution
Keyword(s):  
Learning Environment ◽  
Learning Process ◽  
Lesson Study ◽  
Learning Difficulties ◽  
Learning Needs ◽  
Democratic Leadership ◽  
Entrepreneurial Spirit ◽  
To Receive

Lesson study is a systematic, collaborative, and sustainable method of improving the quality of learning. Lesson study emphasizes the exploration of students’ learning needs; teacher openness towards learning difficulties encountered; the willingness of teachers to receive and provide advice and solutions to the difficulties encountered; and the consistency of the various parties to follow up the suggestions and solutions. Implementation of lesson study involving teachers, principals, and experts in the field of education. Kurikulum tingkat satuan pendidikan or abbreviated KTSP is operational curriculum formulated and implemented by each educational unit. KTSP has the characteristics, namely: giving broad autonomy to the educational unit, involving the community and parent participation, involving the democratic leadership of the principal, and require the support of a working team that is synergistic and transparent. KTSP based on the learning process, needs to be supported by a conducive learning environment and fun to be created by teachers.Teachers and principals in a professional, systematic and collaborative create an atmosphere that fosters independence, tenacity, entrepreneurial spirit, adaptive and proactive nature of the learning process. Thus, the learning needs of students who fulfilled optimally and professional ability of teacher who have increased on an ongoing basis, may usher in success – based learning KTSP. It means that the lesson study provides positive implications for the KTSP – based learning.

System of quality and safety management in medical organization. Modern state

2019 ◽  
Vol 2019 (6) ◽  
pp. 15-23 ◽  
Author(s):  
Игорь Иванов ◽  
Igor' Ivanov
Keyword(s):  
Medical Care ◽  
Internal Control ◽  
Safety Management ◽  
Internal Quality ◽  
Modern State ◽  
Quality And Safety ◽  
Main Attention ◽  
Medical Organization ◽  
Safety Control

The article presents main approaches to provision of quality and safety of medical organization’s activities. The main attention is focused on the issues of implementation of the Suggestions (recommended practice) of Roszdravnadzor on organization of the internal quality and safety control of medical activities, as well as particular points of the Order of June 7, 2019 No. 381n “On Approval of Requirements for organization and conduction internal control of the quality and safety of medical care in hospitals”.

EVALUATING THE EFFECTIVENESS OF USING FINANCIAL RESOURCES OF MEDICAL ORGANIZATIONS

2020 ◽  
Vol 2 (7) ◽  
pp. 32-38
Author(s):  
S. S. BUDARIN ◽  
◽  
Yu. V. EL’BEK ◽  
V. O. VATOLIN ◽  
◽  
...  
Keyword(s):  
Resource Management ◽  
Medical Care ◽  
Healthcare Reform ◽  
Health Sector ◽  
Financial Resources ◽  
Medical Organization ◽  
Resources Management ◽  
Material Resources ◽  
Public Resources

In the context of the Moscow healthcare reform that has been carried out in recent years, the issues of evaluating the effectiveness of financing the healthcare system and the performance of medical organizations in providing medical care to the population are particularly relevant. Given the limited public resources allocated to the health sector, the quality of management of available financial, human and material resources is becoming more important. The article considers the application of the method of assessing the quality of resource management, introduced in Moscow since 2016, and its results in terms of evaluating the effectiveness of financial resources. It is revealed that the effectiveness of financial resources management is influenced by certain indicators that characterize the organization of management of the main activities of a medical organization.

Nondestructive Quality Evaluation of Tomatoes

HortScience ◽  
1998 ◽  
Vol 33 (3) ◽  
pp. 544c-544
Author(s):  
A. Hakim ◽  
A. Purvis ◽  
E. Pehu ◽  
I. Voipio ◽  
E. Kaukovirta
Keyword(s):  
Quality Evaluation ◽  
Tomato Fruit ◽  
Quality Attributes ◽  
Internal Quality ◽  
Attractive Alternative ◽  
Fluorescence Techniques ◽  
Nondestructive Quality ◽  
Alternative Techniques ◽  
Evaluation Techniques

Both external and internal quality of fruits such as tomatoes can be evaluated by different methods, but all most all of the methods are destructive. For this reason, there is a need to reassess some of the alternative techniques. Nondestructive quality evaluation is an attractive alternative. The principles of different nondestructive quality evaluation techniques such as optical, physical, and fluorescence techniques applied to tomato fruit is explained. Successful application of these techniques that could be used for evaluation of different quality attributes are illustrated. The advantages of nondestructive quality evaluation techniques are that they are very fast, easy, labor- and time-intensive, and inexpensive. These techniques could also be useful to evaluate the quality of other vegetables.

The Microbial Quality of a Wetland Reclamation Facility Used to Produce an Effluent for Unrestricted non-Potable Reuse

1999 ◽  
Vol 40 (4-5) ◽  
pp. 369-374 ◽  
Author(s):  
R. S. Fujioka ◽  
A. J. Bonilla ◽  
G. K. Rijal
Keyword(s):  
Fecal Coliform ◽  
Heterotrophic Bacteria ◽  
Fecal Indicator ◽  
Potable Reuse ◽  
Wetland Reclamation ◽  
Treated Sewage ◽  
Influent Water ◽  
Human Viruses ◽  
To Receive

An auxiliary Wetland Reclamation Facility (WRF) was constructed to receive stabilization pond treated sewage and further treat it with water hyacinth ponds, chemical flocculation, filtration and ultraviolet light disinfection. This was the first facility in Hawaii which was approved to produce the highest quality reclaimed water using alternative treatment schemes. We assessed the effectiveness of the WRF by monitoring water samples after each of the WRF treatment schemes for five genetically different groups of sewage borne microorganisms (fecal coliform, enterococci, C. perfringens, FRNA phage, total heterotrophic bacteria). The concentrations of all fecal indicator microoganisms, especially FRNA phase were low in the influent water to the WRF indicating that extended pond treatment may be especially effective in removing human viruses from sewage. The WRF treatment scheme was calculated to be able to reduce >99.99% of fecal coliform and therefore was able to produce an effluent meeting the non-potable, unrestricted reuse standard of a geometric means of <1 fecal coliform/100 ml.

Prospective Randomized Trial Comparing Mitomycin, Cisplatin, and Protracted Venous-Infusion Fluorouracil (PVI 5-FU) With Epirubicin, Cisplatin, and PVI 5-FU in Advanced Esophagogastric Cancer

2002 ◽  
Vol 20 (8) ◽  
pp. 1996-2004 ◽  
Author(s):  
P. Ross ◽  
M. Nicolson ◽  
D. Cunningham ◽  
J. Valle ◽  
M. Seymour ◽  
...  
Keyword(s):  
Randomized Study ◽  
Squamous Carcinoma ◽  
Undifferentiated Carcinoma ◽  
Palmar Erythema ◽  
Esophagogastric Cancer ◽  
Equivalent Efficacy ◽  
Venous Infusion ◽  
Grade 3 ◽  
To Receive

PURPOSE: We report the results of a prospectively randomized study that compared the combination of epirubicin, cisplatin, and protracted venous-infusion fluorouracil (PVI 5-FU) (ECF) with the combination of mitomycin, cisplatin, and PVI 5-FU (MCF) in previously untreated patients with advanced esophagogastric cancer. PATIENTS AND METHODS: Five hundred eighty patients with adenocarcinoma, squamous carcinoma, or undifferentiated carcinoma were randomized to receive either ECF (epirubicin 50 mg/m2 every 3 weeks, cisplatin 60 mg/m2 every 3 weeks and PVI 5-FU 200 mg/m2/d) or MCF (mitomycin 7 mg/m2 every 6 weeks, cisplatin 60 mg/m2 every 3 weeks, and PVI 5-FU 300 mg/m2/d) and analyzed for survival, response, toxicity, and quality of life (QOL). RESULTS: The overall response rate was 42.4% (95% confidence interval [CI], 37% to 48%) with ECF and 44.1% (95% CI, 38% to 50%) with MCF (P = .692). Toxicity was tolerable, and there were only two toxic deaths. ECF resulted in more grade 3/4 neutropenia and grade 2 alopecia, but MCF caused more thrombocytopenia and plantar-palmar erythema. Median survival was 9.4 months with ECF and 8.7 months with MCF (P = .315); at 1 year, 40.2% (95% CI, 34% to 46%) of ECF and 32.7% (95% CI, 27% to 38%) of MCF patients were alive. Median failure-free survival was 7 months with both regimens. Global QOL scores were better with ECF at 3 and 6 months. CONCLUSION: This study confirms response, survival, and QOL benefits of ECF observed in a previous randomized study. The equivalent efficacy of MCF was demonstrated, but QOL was superior with ECF. ECF remains one of the reference treatments for advanced esophagogastric cancer.

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