This new edition continues to emphasize the use of data envelopment analysis (DEA) to create optimization-based benchmarks within hospitals, physician group practices, health maintenance organizations, nursing homes and other health care delivery organizations. Suitable for graduate students learning DEA applications in health care as well as for practicing administrators, it is divided into two sections covering methods and applications. Section I considers efficiency evaluations using DEA; returns to scale; weight restricted (multiplier) models; non-oriented or slack-based models, including in this edition two versions of non-controllable variable models and categorical variable models; longitudinal (panel) evaluations and the effectiveness dimension of performance evaluation. A new chapter then looks at new and advanced models of DEA, including super-efficiency, congestion DEA, network DEA, and dynamic network models. Mathematical formulations of various DEA models are placed in end-of-chapter appendices. Section II then looks at health care applications within particular settings, chapter-by-chapter, including hospitals, physician practices, nursing homes and health maintenance organizations (HMOs). Other chapters then explore home health care and home health agencies; dialysis centers, community mental health centers, community-based your services, organ procurement organizations, aging agencies and dental providers; DEA models to evaluate provider performance for specific treatments, including stroke, mechanical ventilation and perioperative services. A new chapter then examines international-country-based applications of DEA in health care in 16 different countries, along with OECD and multi-country studies. Most of the existing chapters in this section were expanded with recent applications. Included with the book is online access to a learning version of DEA Solver software, written by Professor Kaoru Tone, which can solve up to 50 DMUs for various DEA models listed in the User's Guide at the end of the book.
This exciting primer on Solar Racing literally starts from the ground up, describing how the interactions of a vehicle with its environment circumscribe its ultimate success, from aerodynamics to resistance and propulsion. By demonstrating how to mathematically model these underlying physical phenomena, the author helps solar racing competitors carefully select key characteristics of the vehicle, such as weight and shape, to produce optimal speed. Energy conversion and demand are given particular attention, followed by chapters devoted to examining solar racers' design, manufacture and testing using a structured problem-solving process to keep projects on track and on schedule. A chapter devoted to energy management strategies provides invaluable tips on maximizing average speed during a race. Complex issues such as ventilation system analysis and performance simulation are covered in dedicated appendices. The financial aspect of project design is not neglected, as both fund-raising and cost estimation are given in-depth consideration.
This book is unique in providing a comprehensive overview of the human factors issues relevant to patient safety during acute care. By elucidating the principles of human behavior and decision-making in critical situations and identifying frequent sources of human error, it will help healthcare professionals provide safer, more effective treatment when dealing with emergencies characterized by uncertainty, high stakes, time pressure, and stress. The third edition has emerged from an ongoing synergistic relationship between clinicians and behavioral scientists on both sides of the Atlantic to update and enhance each chapter -- blending the strengths of the two professions into a readily accessible text. Among other improvements, readers will find sharper articulation of concepts and significantly more information on the organizational impact on individual and team performance. Crisis Management in Acute Care Settings is the required reference for all who are learning about, teaching, or providing acute and emergency healthcare. It will be of high value for undergraduate and graduate medical and nursing program and offer a much-needed resource for those who use high-fidelity healthcare simulation to teach teamwork.
This study discusses the question of whether there is a linguistic difference between classical Attic prose texts intended for public oral delivery and those intended for written circulation and private performance. Identifying such a difference which exclusively reflects these disparities in modes of reception has proven to be a difficult challenge for both literary scholars and cultural historians of the ancient world, with answers not always satisfactory from a methodological and an analytical point of view.
This book studies communication in institutional eldercare. It is based on audio-recorded interactions between residents and staff in a Japanese care facility. The focus is on the morning care routines, which include getting the residents out of bed and ready for the day. Combining quantitative and qualitative methods, the analysis explores the characteristics of care communication as they become manifest in the interactional small print. Topics include the use of terms of address and formal speech, the basic organisation of openings and closings, the difficulties of talking while working-and, at times, working while talking-and tempo differences between residents and staff as they move along between bed and breakfast. The research findings are contextualised with results from previous studies, tracing significant features and explanation for deviant cases.
The author is a trained linguist and certified nursing assistant with first-hand working experience in institutional eldercare.
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