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Administration System (administration + system)

Distribution by Scientific Domains
Medical Sciences85%

Kinds of Administration System

  • drug administration system
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    Selected Abstracts

    Emergency hospital admissions in idiopathic Parkinson's disease

    MOVEMENT DISORDERS, Issue 9 2005
    Henry Woodford BSc
    Abstract Little is known about the hospital inpatient care of patients with idiopathic Parkinson's disease (PD). Here, we describe the features of the emergency hospital admissions of a geographically defined population of PD patients over a 4-year period. Patients with PD were identified from a database for a Parkinson's disease service in a district general hospital with a drainage population of approximately 180,000. All admissions of this patient subgroup to local hospitals were found from the computer administration system. Two clinicians experienced in both general medicine and PD then reviewed the notes to identify reasons for admission. Admission sources and discharge destinations were recorded. Data regarding non-PD patients was compared to PD patients on the same elderly care ward over the same time period. The total number of patients exposed to analysis was 367. There was a total exposure of 775.8 years and a mean duration of 2.11 years per patient. There were 246 emergency admissions to the hospital with a total duration of stay of 4,257 days (mean, 17.3 days). These days were accounted for by 129 patients (mean age, 78 years; 48% male). PD was first diagnosed during 12 (4.9%) of the admissions. The most common reasons for admission were as follows: falls (n = 44, 14%), pneumonia (n = 37, 11%), urinary tract infection (n = 28, 9%), reduced mobility (n = 27, 8%), psychiatric (n = 26, 8%), angina (n = 21, 6%), heart failure (n = 20, 6%), fracture (n = 14, 4%), orthostatic hypotension (n = 13, 4%), surgical (n = 13, 4%), upper gastrointestinal bleed (n = 10, 3%), stroke/transient ischemic attack (n = 8, 2%), and myocardial infarction (n = 7, 2%). The mean length of stay for the PD patients on the care of elderly ward specializing in PD care was 21.3 days compared to 17.8 days for non-PD patients. After hospital admission, there was a reduction in those who returned to their own home from 179 to 163 and there was an increase in those requiring nursing home care from 37 to 52. Infections, cardiovascular diseases, falls, reduced mobility, and psychiatric complications accounted for the majority of admissions. By better understanding the way people with PD use hospital services, we may improve quality of care and perhaps prevent some inpatient stays and care-home placements. © 2005 Movement Disorder Society [source]

    MMPI Profile as an Outcome "Predictor" in the Treatment of Noncancer Pain Patients Utilizing Intraspinal Opioid Therapy

    NEUROMODULATION, Issue 3 2001
    Daniel M. Doleys PhD
    Objective. To evaluate changes in Minnesota Multiphasic Personality Inventory (MMPI) profiles pre- and post-treatment involving intrathecal opioid therapy. Patients and Methods. This study reports on 30 patients that were evaluated pre- and post-intraspinal opioid therapy. Treatment duration was slightly more than four years. Each patient experienced chronic non-cancer pain deemed suitable for trialing and subsequent implantation of a drug administration system (DAS). On average the patients had experienced pain for 8.4 years and had a mean of 3.2 pain-related surgeries. Results. The patients could be divided into "positive change group" and "negative change group" based upon pre- and post-treatment MMPI profiles. Those patients in the negative change group had more "normal profiles" pretreatment. This group evidenced less reduction in pain and was found to be using slightly higher levels of intraspinal opioids. Conclusions. These results would suggest that the MMPI profile may not be a good "predictor" of long-term outcome utilizing intraspinal opioid therapy. Indeed, patients with the more normal profile pretreatment did not fare as well as those with the more elevated profile. A positive change in MMPI profile from pre- to post-treatment was associated with a higher level of pain reduction. Patient selection therefore should be based not on a single test such as the MMPI, but on consistency across multiple sources of information including physical examination, complaints of pain and disability, behavioral observations, and psychological testing. [source]

    Clinical assessment of a new anaesthetic drug administration system: a prospective, controlled, longitudinal incident monitoring study,

    ANAESTHESIA, Issue 5 2010
    C. S. Webster
    Summary A safety-orientated system of delivering parenteral anaesthetic drugs was assessed in a prospective incident monitoring study at two hospitals. Anaesthetists completed an incident form for every anaesthetic, indicating if an incident occurred. Case mix data were collected and the number of drug administrations made during procedures estimated. From February 1998 at Hospital A and from June 1999 at Hospital B, until November 2003, 74 478 anaesthetics were included, for which 59 273 incident forms were returned (a 79.6% response rate). Fewer parenteral drug errors occurred with the new system than with conventional methods (58 errors in an estimated 183 852 drug administrations (0.032%, 95% CI 0.024,0.041%) vs 268 in 550 105 (0.049%, 95% CI 0.043,0.055%) respectively, p = 0.002), a relative reduction of 35% (difference 0.017%, 95% CI 0.006,0.028%). No major adverse outcomes from these errors were reported with the new system while 11 (0.002%) were reported with conventional methods (p = 0.055). We conclude that targeted system re-design can reduce medical error. [source]

    A prospective, randomised clinical evaluation of a new safety-orientated injectable drug administration system in comparison with conventional methods,

    ANAESTHESIA, Issue 1 2004
    C. S. Webster
    Summary Fifteen anaesthetists were observed while providing anaesthesia for 15 pairs of adult cardiac surgical operations, using conventional methods for one of each pair and a new drug administration system designed to reduce error for the other. Aspects of each method were rated by users on 10-cm visual analogue scales (10 being best). The new system was rated more favourably than conventional methods in terms of safety (median [range] = 8.1 [6.8,9.7] vs. 7.1 [2.6,9.3] cm; p = 0.001) and usability (8.5 [5.9,9.4] vs. 7.5 [3.2,9.8] cm; p = 0.027). The new system saved preparation time both before anaesthesia (median [range] = 180 [32,480] vs. 360 [120,600] s; p = 0.013) and during anaesthesia (10 [2,38] vs. 12 [10,60] s; p = 0.009). Prefilled syringes for the new system increased costs by ,23.00 per anaesthetic (p = 0.041), but this increase is likely to be offset by the potential of the new system to decrease costly iatrogenic harm by preventing drug error. [source]

    3236: Corneal grafting assisted by wavelength-optimised ultrashort pulser lasers

    ACTA OPHTHALMOLOGICA, Issue 2010
    TAL MARCIANO
    Purpose We realized an innovative device for ocular surgery by ultrafast pulse laser optimised for corneal grafting. Methods We constructed a demonstrator device that reproduces surgical conditions of corneal transplant. It is thus possible to realize with the help of an easy handling automatised interface all the kinds of already existing corneal transplants. Also, in order to maximize the spatial quality of the beam, a wavefront correction system using a deformable mirror module has been added. The Demonstrator contains an erbium fiber laser emitting at 1,6 microns. This laser delivers a beam of a few Joule with pulse duration of 700 femtoseconds and a repetition rate of 100-200 KHz. It includes deformable mirrors permitting horizontal displacements and a wavefront sensor. It also contains the administration system of the laser beam. Results The experiments carried out with a surgical tunable source confirmed the initial assumptions: the penetration depth is limited to wavelengths close to 1 microns. When increasing the wavelength, the drop of the scattering compensates the absorption and therefore the penetration depth is slowly varying when increasing the wavelength. The laser does not penetrate near the maximum of the water absorption band located at 1,45 microns. However, the use of a wavelength of 1,6 micros enables an important increasing of penetration depth (factor 3) while conserving the same energy of current technologies. Conclusion The use of a laser source with a wavelength corresponding to the window of transparency of the cornea (1,65 microns) permits to increase both the penetration depth of an ultrafast laser source and the cut quality. [source]

    Managerial Quality, Administrative Performance and Trust in Governance: Can We Point to Causality?

    AUSTRALIAN JOURNAL OF PUBLIC ADMINISTRATION, Issue 3 2003
    Eran Vigoda
    The relationship between managerial quality, administrative performance and citizens' trust in government and in public administration systems is a field of study that so far has not received adequate scholarly attention. This article explores some interrelationships between these variables and empirically tests between causality, if it exists, between performance and trust. Applying a technique of structural equation modelling (SEM) with LISREL 8.3 the study examined a sample of 345 Israeli citizens and compared three alternative models. The second model that showed a quality , performance , trust relationship fitted the data best. However, the third model also had some advantages worthy of elaboration. Thus, we concluded that administrative performance may be treated as a precondition to trust in governance rather than trust serving as the precondition to performance. The article ends with further discussion of the findings and their meaning in light of the democratic, bureaucratic and new public management theory. [source]