The facility layout problem is one of the fundamental production system management problems. It has a significant impact on overall efficiency. This paper introduces new that allows for choosing from multiple variants each facility. need most suitable selection while at same time optimizing other quality indicators represents optimization challenge. We build our previous work where single- and ...

OBJECTIVE To compare methodology used to assign cause of and factors contributing to maternal death. DESIGN Reproductive Age Mortality Study. SETTING Malawi. POPULATION Maternal deaths among women of reproductive age. METHODS We compared cause of death as assigned by a facility-based maternal death review team, an expert panel using the International Classification of Disease, 10th revi...

It is widely accepted that substantial reductions in maternal mortality and severe morbidity are impossible to achieve without an effective referral system for complicated cases. Early detection and referral to higher levels of care might also substantially reduce neonatal deaths due to the complications of childbirth. The general goal of such a referral system is that patients are dealt with i...

A medical record review of patients hospitalized for medical conditions in Winnipeg, Canada during 1998/99 was completed using InterQual utilization review instruments. On admission, 95% of patients required the services provided in an acute care facility. Fifty-eight percent of days in hospital following the day of admission required an acute care setting, and 42% required an alternate level o...

OBJECTIVE This study investigates the process of aging in place in assisted living facilities (ALFs) and seeks to gain an in-depth understanding of the factors influencing this phenomenon in a variety of ALF contexts. METHODS Qualitative methods were used to study five ALFs for 1 year. Data collection methods included participant observation; informal and in-depth interviewing of providers, r...