Search results for "servi"

Volume di attività operatoria per medico e tempestività di esecuzione di intervento chirurgico a seguito di frattura del collo del femore nell’anzian…

2013

Introduzione: La valutazione della qualità dell’assistenza rappresenta un ambito di investigazione di primaria importanza. Nell’ambito delle diverse dimensioni che caratterizzano la qualità complessiva dell’assistenza sanitaria, uno degli elementi cruciali è dato dall’efficacia tecnica dei trattamenti. È noto come le misure di efficacia dei trattamenti possano essere costruite relativamente a diversi aspetti tra i quali la dotazione di personale e i volumi di attività. Obiettivo: Il presente studio ha l’obiettivo di analizzare la relazione tra uno degli indicatori di processo ad oggi in uso nell’ambito della regione Sicilia per la valutazione della performance aziendale, qual è la tempestiv…

Le service public de l’efficacité énergétique : une garantie de l’intérêt général des générations futures ? Compte-rendu du séminaire du programme Ap…

2014

Le financement des services de santé dans les pays en développement face au dilemne efficacité-équité

1995

International audience

El "servicio de millones" y la población del reino de Granada en 1591

1961

Managerial decision making for complex service systems Optimization

2021

The present paper deals with managerial decisions for Predictive Maintenance (PrdM) of complex service systems. We propose a Multi-Criteria Decision-Making (MCDM) approach aimed at sorting those failure modes potentially involving critical components into risk classes for interventions prioritisation and maintenance control. In this context, the sorting technique ELimination Et Choix Traduisant la REalité (ELECTRE) TRI is applied to support in finding the root causes that can be eliminated for failure prevention and/or minimization. This methodology presents the advantage to not rely on comparisons (as well as on their transitivity) between pairs of elements, simplifying computations for co…

Consumer Awareness and the Use of Payment Media: Evidence from Young Finnish Consumers

2008

In the market for payment media, some consumers use only one medium when paying for their point-of-sale transactions, while others use many. This pattern reflects the diffusion of new payment media, because a payment method innovation is typically first used simultaneously with the established methods. We study the use of multiple payment media by employing data on young Finnish consumers. We find that the use of multiple payment media is directly related to consumer awareness and that not controlling for the endogeneity of awareness can bias its effect downwards. These results suggest that increasing consumer awareness may have been underlying the rise of debit card use around the world. I…

Multicentre observational study on practice of prehospital management of hypotensive trauma patients: the SPITFIRE study protocol

2022

IntroductionMajor haemorrhage after injury is the leading cause of preventable death for trauma patients. Recent advancements in trauma care suggest damage control resuscitation (DCR) should start in the prehospital phase following major trauma. In Italy, Helicopter Emergency Medical Services (HEMS) assist the most complex injuries and deliver the most advanced interventions including DCR. The effect size of DCR delivered prehospitally on survival remains however unclear.Methods and analysisThis is an investigator-initiated, large, national, prospective, observational cohort study aiming to recruit >500 patients in haemorrhagic shock after major trauma. We aim at describing the current p…

Cardiac arrest and coronavirus disease 2019

2022

The impact of the coronavirus disease 2019 (COVID-19) on the cardiovascular system has been highlighted since the very first weeks after the severe acute respiratory syndrome coronavirus 2 identification. We reviewed the influence of COVID-19 pandemic on cardiac arrest, both considering those occurred out of the hospital (OHCA) and in the hospital (IHCA).An increase in OHCA incidence occurred in different countries, especially in those regions most burdened by the COVID-19, as this seems to be bounded to the pandemic trend. A change of OHCA patients' characteristics, with an increase of the OHCA occurred at home, a decrease in bystander cardiopulmonary resuscitation and automated external d…

What is the impact of rerouting a cancer diagnosis from emergency presentation to GP referral on resource use and survival? Evidence from a populatio…

2018

Background Studies on alternative routes to diagnosis stimulated successful policy interventions reducing the number of emergency diagnoses and associated mortality risk. A dearth of evidence on the costs of such interventions might prevent new policies from achieving more ambitious targets. Methods We conducted a retrospective cohort study on the population of colorectal (88,051), breast (90,387), prostate (96,219), and lung (97,696) cancer patients diagnosed after a GP referral or an emergency presentation and reported in the Cancer Registry of England. Resource use and survival were compared 1 year before and 5 years after diagnosis (3 years for lung), including the costs of GP referrals…

Carbon dioxide levels during pre-hospital active compression–decompression versus standard cardiopulmonary resuscitation

1998

Abstract In a prospective randomised study we investigated end-tidal carbon dioxide levels during standard versus active compression–decompression (ACD) cardiopulmonary resuscitation (CPR) assuming that the end-tital carbon dioxide reflects cardiac output during resuscitation. In each group 60 patients with out-of-hospital cardiac arrest were treated either with the standard or the ACD method. End-tidal CO 2 ( p et CO 2 , mmHg) was assessed with a side-stream capnometer following intubation and then every 2 min up to 10 min or restoration of spontaneous circulation (ROSC). There was no difference in p et CO 2 between both patient groups. However, CO 2 was significantly higher in patients wh…