{"title":"Day care urology in a hospital based setting.","authors":"A Seth, S N Wadhwa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From January 1, 1991 to December 31, 1992, 3078 operations were performed on day care basis and 1185 operations on in-patient basis. Surgery performed on day care basis included ureteric stone basketing, ureteroenoscopic stone retrieval, JJ stenting, cystolithotripsy, TUR-BT, TUR-P and internal urethrotomy. Failure of complication rate was 0.97%. Most of the complications (26/29) could be detected early and managed by conversion of short admission into a regular one. Only 3 patients (0.1%) were admitted later on through the emergency. There was no mortality. In conclusion, we recommend urologic operative procedures on carefully selected patients on day-care basis to achieve two of the government's primary goals a) the provision of high quality services and b) the reduction of health care costs. Simultaneously a word of caution that it is unique challenge to be handled with care.</p>","PeriodicalId":79654,"journal":{"name":"Journal (Academy of Hospital Administration (India))","volume":"5 2","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21044432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Planning and organisation of AIDS unit in hospital.","authors":"P K Singh, S I Singh, P C Choubey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79654,"journal":{"name":"Journal (Academy of Hospital Administration (India))","volume":"5 2","pages":"33-9"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of counselling in hospital administration.","authors":"R C Goyal","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79654,"journal":{"name":"Journal (Academy of Hospital Administration (India))","volume":"5 2","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comprehensive review of medicolegal procedures in service hospitals.","authors":"H H Richharia, R S Verma, P C Choubey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medicologal service is one of the vital component of hospital services which helps in providing justice to the victim and strengthen the public relations. Any shortcomings in the form of disrespect, negligence and inadvertant delay on the part of hospital staff towards the patient masks the image of the hospital. Some events such as expert evidence, methods of proff, assesment of disability, the work of the medical examiner, Blood groupings, organ transplantation and effectiveness of other tests have great practical importance in providing justice. Steps to deal with medicologal cases effectively and minimising legal complications are enumerated.</p>","PeriodicalId":79654,"journal":{"name":"Journal (Academy of Hospital Administration (India))","volume":"5 2","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality circles--a revolution in the health sector.","authors":"A Prakash","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79654,"journal":{"name":"Journal (Academy of Hospital Administration (India))","volume":"5 2","pages":"41-7"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21011940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On a probabilistic set covering model for diagnosing psychiatric disorders.","authors":"S K Kohri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Correct diagnosis and treatment of the patients attending a hospital is the foremost requirement if that hospital is to be a profitable proposition. F.T. DeDombal achieved 70% reduction in unwanted surgeries and almost 100% reduction in delayed surgeries in cases of acute abdomen through computer-aided diagnosis. Similarly, R. Boom et al proved an increase in the professional efficiency of internees in diagnosing cases of jaundice, acute abdominal pain & upper G.I. bleeding after they started using computer. N.G. Rao reported diagnostic accuracy of 94% for various types of anemias with the use of expert system developed by him. Johri & Guha showed an enhancement of performance of non-expert clinician in tackling psychiatric disorders from 64% to 86%. Many developed countries have developed data bases for studying the epidemiological patterns of various diseases for future health planning and combating strategy. Another advantage of computer based diagnosis is that it will provide uniformity for defining diseases, symptoms & signs which is very important for pursuing medical research. A very simple methodology is described in this paper which can provide data driven as well as heuristic driven approach to medical decision making. To start with, this approach has been used to analyse psychiatric disorders but can be implemented elsewhere with the same efficiency.</p>","PeriodicalId":79654,"journal":{"name":"Journal (Academy of Hospital Administration (India))","volume":"5 1","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A study of disposal of hospital wastes in a rural teaching hospital.","authors":"V Sharma, A Sharma, R K Bansal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present study was carried out in order to observe and analyse the waste disposal patterns in a 500 bedded, multidisciplinary hospital located in a rural area. The hospital under study is a teaching hospital attached to a Medical college and has been functioning for over ten years. Data were collected by means of pre-structured interviews and on-the-spot observations of the various stages in the waste disposal chain. It was observed that the hospital does not have a documented wastes management and disposal policy. The disposal of wastes is not properly supervised and is exclusively entrusted to the junior most staff from the house keeping department. The disposal of all categories of hospital wastes, in general, leaves much to be desired and even pathological wastes were observed to be disposed off, on the open ground with scant regard to aesthetic considerations. Both the internal as well as external transportation of hospital wastes were found to be far from satisfactory.</p>","PeriodicalId":79654,"journal":{"name":"Journal (Academy of Hospital Administration (India))","volume":"5 1","pages":"43-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}