Journal (Academy of Hospital Administration (India))最新文献

Drug utilization in the indoor patients of ANC ward of Govt. Medical College Hospital, Nagpur was studied in 42 patients. The prescriptions of these patients were audited to find number of drugs per prescription; prescribing trends and category-wise drug consumption. In most of the prescriptions drugs were prescribed by generic names (68.53%), Dosage form was mentioned, Frequency given, but duration was not mentioned. Dose in recommended units was not mentioned in 69.93% of prescriptions. Even though prescription of drugs was found to be rational, prescription writing was far from desired. The enquiry reveals these findings.

There is a wide variety of equipment, used in the practice of Physical Medicine and Rehabilitation (PMR). These equipment may be classified as Diagnostic and Therapeutic. In this paper, the basic essential equipment to run a PMR department in a community/district level hospital are presented. The basic equipment are discussed vis-a-vis benefits, obtained from the modern high-tech equipment by way of cost-benefit studies. It was found that some equipment are desirable at a teaching/referral hospital level, but most of the equipment simply add to the glamour rather than serving any useful purposes when compared to the exorbitant cost. Most of the equipment e.g. LASER, IFT, some diathermies. Combnation units do not show any appreciable therapeutic benefits when compared to placebos. The question arises, whether these equipment are essential, when accepting such equipment, do we have any authentic studies showing their significant benefits or we are simply playing puppets in the hands of manufacturers and vendors. In conclusion, barring a few basic essentials and some precise evaluation equipment, most of the equipment these days are marketed in the name of therapeutic PMR equipment have a questionable cost to benefit profile as compared to therapy given manually by a therapist with (in some cases 0 a little help of the so called out dated conventional equipment e.g. exercise table, weights & pulleys, hot packs etc. The Dictum: "A tablet of aspirin to kill pain is always beneficial to any electrotherapy or thermo therapy," should always be kept in mind while prescribing a therapeutic modality to the patient or ordering an equipment for the PMR department.

All healthcare facilities must have a plan for the protection of all persons on their premises and for their evacuation from the building in case of fire. Written copies of this plan must be available to all supervisory personnel. All employees must periodically trained and informed of their duties in implementing the plan. All beds must be easily movable should evacuation be necessary. Emphasis should be placed on moving patients who are in he room of fire origin and others who are directly exposed to the fire, and on maintaing in their rooms the patients who are not immediately threatened during the fire. Fire exist drills must include actual transmission of a fire alarm signal alongwith a simulation of a fire alarm signal alongwith a simulation of a fire alarm signal alongwith a simulation of a fire condition. Quarterly drills on all shifts are required. All personnel including administrative staff, maintenance personnel and internal must be trained, as well as the nurses on duty each shift. A minimum of 12 drills must behold each year. All employees must be instructed in life safety procedures and use of devices.

An attempt has been made to identify the main factors involved in the costing of a Cardiac Catheterisation Procedure (CCP). The technique of historical costing was used. The cost of a CCP worked out to Rs. 4265.21. The direct costs contributed 62%, the indirect costs 2.6% and expenses contributed 35% to the total cost. All these factors were found to be sensitive to the volume and duration of CCP, hence administrators must assist the staff of cardiac catheterisation laboratory (CCL) in controlling these two factors for the cost-effectiveness and efficient utilisation of the CCL.