Hospital medication errors are costly and contribute to patient mortality, morbidity, decreased health care quality. Errors result from poor systems design more commonly than healthcare st...

BACKGROUND AND AIMS Patients admitted to the ICU with a traumatic brain injury (TBI) are at risk of muscle wasting but this has not been quantified. Our aims were to describe longitudinal changes in anthropometrical data, compare the accuracy of non-invasive methodologies to the validated dual-energy x-ray absorptiometry (DXA), and assess the relationships between anthropometrical data and self...

forty growing ram lambs (lori-bakhtiari breed) averaging 28 kg (±1.5) were allocated in this study to evaluate the optimal dietary energy density in a lamb fattening enterprise in iran. the feed intake (fi), body weight (bw), gain to feed ratio (g:f) and carcass characteristics were studied. four treatments differed in metabolizable energy content (me) as follow; 2, 2.3, 2.6 and 2.9 mcal/kg for...

undoubtedly, more attention is being made in the word service and industries that can be learnt from manufacturing for improving its production out puts and their associated quality and cost. these include such lean production, jit, tqm, and the relationship between buyer, supplier and finally the customer satisfaction. the main purpose of this paper is to explore the relationship between three...

    Strategic programming, Complex supply chain, Lean, Production programming, Suppliers selection,   ELECTRE This paper represents a model of strategic programming with limited resources in a complex supply chain. The main goal of the proposed model is to increase efficiency and effectiveness of the supply chain with respect to income increases and cost decreases. Using special objective funct...

Background: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women reproductive age group. PCOS has been frequently associated with insulin resistance and obesity. Although cases are obese or overweight, a significant proportion patients have normal body mass index (BMI≤25 kg/m2) that makes diagnostic work up therapeutic approach more difficult. These referred t...

Lean principles and statistical analysis have been successfully implemented to hospitals and healthcare systems. These principles among other process improvement principles aim to detect and eliminate wastes in the system and its processes. In this paper, lean and statistical analysis were applied to systematically investigate the causes of low operating room (OR) block utilization and recommen...

By maintaining a focus on managers in driving the implementation of management concepts, with meaning-making ‘trickling down’ the organization, translation perspectives have provided little detail about translation across intra-organizational boundaries. This study focuses on the boundary-spanning practices of intermediate agents championing the implementation of Lean in a hospital setting. Bas...