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This was perfect. I'm about to go to a job interview. This was a great refresher for any questions I may be asked. Thank you again! Would love to see more Tutorials form you, more in depth with examples, than the one you made. Vadim, your uploads are really helpful for me as I'm a relative newbie to Excel. I think your style of presenting is perfect for demonstrating Excel and I'm very grateful for the Bonus question at the end as I'm learning financial mathematics.
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English is very good well spoken. Comprehensive knowledge of the subject being taught with multiple strategies to teach. Wow it not only gives you the right answer but also helps you to understand the right answer Thank you so much this helped a lot. I am so happy to have found your channel! Great refresher course I went ahead and bought your practice course.
Thank you so very much! Thank you for the Video. I just aced the assessment. I was a little scared though because only about 5 of the questions from here came but I wouldn't have passed this if not of this video, gracias. Online Training for Everyone This is your best excel video by far! Great tips on business related questions that could be asked during an interview and including new features for excel I want to salute you for your unique way of presenting the video, highly informative, for the first time I can say I found a rea user-friendly educational video format, looking forward to what is more to be shared thanks a lot!
Thank you very much for guiding me on how to approach these questions in the first attempt I failed becoz I thought I was pro in excel but unfortunately I wasn't. But in 2nd I passed excel as well as word wow. Love how you take time to review all the answer choices and teach the material so thoroughly at a pace that's easy to stay up with.
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Skip to content. Very well written, great characters and I loved the setting! Going to look for more books by this author! Justyna A short but with lovely book for fans of both authors, but also a lot of insight into freedom of speach, creativity and the importance of libraries.
Some words to take to heart, some words to live by, some words to get more liberated in the pursuit of artistic endeavours. Definitely a good thing to read. But the under- utilisation of operation theatre profits and over-utilisation of time in operation theatre are major issues constantly popping up in board discussions of a hospital.
This study will help the hospital to identify various problems with the management of operation theatre which come across by the management. This leads to the poor patient satisfaction and lack of patient turnover ratio to the hospital. Even for the insured patients, the majority of queries by the insurance company to the hospital are the high bill amount for over utilisation of operation theatre for a standard procedure compared with the standard time of that procedure. This study will help to find the gap analysis for enhancing operating theatre efficiency through turnaround time.
A, This study provides analytical and valuable information regarding the management of operation theatre process which in turn helps the organisation can take valuable managerial decisions.
This will help them to confirm whether the operation theatre is working as per the set standard operating procedures SOPs or it needs further improvement. If it needs improvement, in which area does it need improvement. Balancing the needs to satisfy surgeons, support staff and meet the patient high expectations and cost benefits in healthcare would require clinical and cost effectiveness and require critical and close monitoring of business management inside the operating theatre to ensure efficient resource supply, guarantee quality safe care provided, and maintain fiscal sustainability.
This not only needs careful assessment from the hospital authorities, but also from support staff of all concerns. It is the overall operational pattern or framework of the project that stipulates what information is to be collected from which sources by what procedures. Testing Hypothesis Transfer of Patient from Ward to Preoperative Room zz H0: Transfer of patient from ward to preoperative room is within the standard time, i.
Hence, null hypothesis may be rejected. Patient Transfer Time from Preoperative Room to Operation Theatre zz H0: Transfer of patient from preoperative ward to operative room is within the standard time, i.
Difference between Actual OT Time and OT Starting Time zz H0: There is a time gap between the start of the operation procedure and after receiving the patient in operating theatre within the standard time, i. Hence, null hypothesis may be accepted. Overall Surgery Time zz H0: The overall surgical procedure is within the standard time. Error Mean Overall Surgery Time 2. So, they forget to inform the registered nurse who is responsible for that particular patient.
So, the OT staff members have to inform the nurse to shift the patient, which leads to delay. They do the work slowly by chitchatting with colleagues or nurses. Especially, the laparoscopic surgery was more delayed. Operation theatre process is one of the critical parts which needs to be standardised and is getting a huge attention in the hospital setup. In this study, it is found that OT is one of the most dissatisfying parameters among the patients.
So, a properly defined OT process needs to be required. Here, operation theatre process starts from OT nurse calling the ward nurse for shifting the patient, receiving at preoperative room, thereafter performing the surgery and transferring to post- operative room and finally shifting to the respective ward.
After collecting the data for one and half month and through data analysis, the following things were concluded: zz OT — 3, which was especially for general, laparoscopic and arthroscopic surgeries is So, we conclude that the maximum amount of utilisation is taken by general, laparoscopic and arthroscopic surgeries.
So, we can conclude that the ophthalmic and joint replacement surgery was not more performed. So, we could say that average 4 or 5 surgeries were performed in a day.
Adonis LF. Evaluation of the Johannesburg Hospital Operating Theatre. Al-Saffar A. Dublin: Royal College of Surgeons in Ireland 3. Audit Commission, V, Xie. X, Perdomo. O, J Orthop Trumatol, vol. Calms, S. Physician Executives, Nov-Dec 8. B, Viapiano. J, Vogl. Dexter, F. Anesth Analg, Dowdall JM. The Use of Operating Theatres.
Northern Ireland Audit Office. DM, Medicine, Money and Mathematics. ACS Bulletin, vol. Gibbs VC. Surgical Clinics of North America; 85 6 Macario, A. Are your Operating Rooms being Run Efficiently? Medscape Anesthesiology Malhorta, V. What should Anesthesiologists know about Operating Room Management? Revista medicacane de anestesiologisia, SS88 McIntosh, C.
International Anaesthesia Research Society, Park, K. Current Opinion Anaesthesiology, Plasters, C. Z, Cancellation of Urology Operations. Clinical Governance, vol. Wachtel, R. Anesth Analg, 1 : G, Van Houdenhoven. M, Hans. W, van Oostrum. M, van der Lans. M, Kazemier. G, Based on Parasuraman et al. Data were collected through field research among patients who are foreign and the Indians working in Saudi Arabia and then the data were analysed using SPSS and Excel.
The research problems find out the service quality gap analysis between private hospitals of India and Saudi Arabia of Medical tourists. Overall the results revealed Indian private hospital sector is performing better in encounter dimension, but specific Encounter-Responsiveness Saudi private sector has lowest score.
The paper adds a new perspective towards understanding how the concept of service quality is adopted in a hospital sector. The author wishes that this study identifies areas of dissatisfaction that can be quickly remedied and ensures improvement in the areas of satisfaction with ongoing notice and importance.
As medical costs accelerate, patients are finding alternatives for low-cost treatment and going abroad to get healthy seems very appealing. Lured by the promise of high quality, reliable medical care at a lower cost, patients are flying across the globe for medical treatment that they otherwise would not have access to easily due to prohibitive costs, long waiting time or unavailability of treatment in their home country.
The promise of medical care and the attraction of exotic places are taking people places for medical care. The process of healthcare tourism is jointly facilitated by the corporate sector involved in medical and healthcare as well as the tourism industry — both private and public.
Medical tourism has become a common form of vacationing, and covers a broad spectrum of medical services. Medical tourism mixes leisure, fun and relaxation together with wellness and health care. There is a growing consensus within the NHS of the significance of obtaining feedback from patients in order to improve the quality of health care; consequently, many patient satisfaction surveys are now undertaken by health care sector.
Against a background of growing consumerism, satisfying patients has become a key task for all healthcare activities. Satisfaction in service provision is increasingly being used as a measure of health system performance. Many hospitals apply modern marketing ideas to serve customer markets in a more efficient and effective way.
An important strategic variable in this respect is service quality. This paper attempts to explore the concept of service quality in a health care setting. Wan Edura Wan Rashid, Hj. Kamaruzaman Jusoff, attempted to explore the concept of service quality in a health care setting. This paper probes the definition of service quality from technical and functional aspects for a better understanding on how consumers evaluate the quality of health care. It adopts the conceptual model of service quality frequently used by the most researchers in the health care sector.
At the end, the researcher concluded that service quality in health care is very complex as compared to other services because this sector highly involves risk.
Oswald and Douglas E. Turner investigated the effects of demographic factors on users and observers of perceived hospital quality and noted that previous research suggests the components of perceived service quality are industry specific, and that calls have been made for academics to integrate their theory into practice. At the end, the researcher found that perceived quality is industry specific, users and observers differ in their perceptions of hospital quality and demographic factors do make a difference in perceived hospital quality.
Ioannis E. Chaniotakis and Constantine Lymperopoulos aimed to study the effect of service quality SQ dimensions on satisfaction and word of mouth WOM for maternities in Greece. Ritu Narang intended to measure the perception of patients towards quality of services in public health care centres in rural India. A item scale that tested well for reliability and construct validity was employed for the study.
Mixed sampling technique was employed to select the sample. Education, gender and income were found to be significantly associated with user perception.
The questionnaires were distributed in primary healthcare clinics that represent all heath care regions in Kuwait. From the survey result, researchers found that the majority 87 per cent of the patients responded that the time for communication between physician and patient was not enough.
Seventy-nine per cent of the surveyed patients said they would go to the emergency room of the hospital in future if needed instead of going to the primary care clinic. Regarding the quality of the communication relationship between physician and patients, most of the patients responded negatively. Raman Sharma, Meenakshi Sharma and R. A cross-sectional study was conducted to assess the patient satisfaction level visiting the hospital with the objectives to know the behaviour and clinical care by the clinicians and paramedical staff and in terms of amenities available.
A pre-designed and pre-tested structured questionnaire was given to the respondents after the patients had undergone consultation with the doctor. From the survey result, researchers found that The Government subsidies, fiscal incentives and tax breaks form a major input for the growth. He suggested the promoted measures to improve infrastructure to support the medical tourism industry. Medical tourism is now far more than just an uninsured patient-based consumer issue. State legislators are also beginning to consider the financial benefits of medical tourism.
Several corporations are also investigating potential benefits of medical outsourcing because of rising health care costs. Many major employers are self-insured, and they are considering medical outsourcing as an option for their employees in order to experience significant cost-savings. The export of patients to international hospitals is primarily based on the significantly lower cost of procedures offered outside the United States; however, the export of patients is just one aspect of this growing medical outsourcing practice.
Content validity wording and meaning was checked carefully by experts. A pre- test was then conducted with a group of patients, and minor changes to the scales were made accordingly to ensure that the questions were not repetitive. The researchers have used 41 structured and paired questions to measure Expectation E and Perception P for service quality of hospitals.
The literature suggests that appearance is important to customers e. Baker, Dhruv and Parasuraman, It has two sub-dimensions and other variations. Patients view reliability as a combination of doing it right and availability of all the information regarding treatment. So, the sub-dimensions of reliability are promises statements 17 to 19 in the scale and information availability statements 20 to 24 in the scale. It has two sub-dimensions — responsiveness statements 25 to 26 in the scale and empathy statements 27 to 33 in the scale.
These sub-dimensions are very closely related and capture how the customer is treated by the employee. Process is critical for the success of any medical service. This dimension does not have any sub-dimension. The instrument could also serve as a diagnostic tool to determine service areas that are weak and that need attention. However, in spite of its wide applicability and rigorous development, the use of the instrument should be properly tested under different contexts in order to determine its validity and reliability.
Encounter: Responsiveness 3. This is an analytical study based on the primary data collected through scientifically developed questionnaire. List-wise deletion based on all variables in the procedure. Ahmedabad and Hail. A literature review was undertaken to identify what parameters to consider in research. The data was collected through questionnaire consisting of 3 parts. In Part I, there were 41 statements measuring the expected service quality from excellent hospitals. In Part II, the same items were measuring the service quality perceptions of private hospitals in Ahmedabad and Gandhinagar region of India and Hail city of Saudi Arabia.
Here, respondents were asked to evaluate the statements with regard to the hospital s. The last part of the questionnaire consisted of demographic questions. A questionnaire was constructed and piloted on 57 patients. The questionnaire was prepared keeping in mind the various outcomes possible.
Care was taken to minimise the possibility of wrong interpretation and biased views. The judgement sampling method is used who were admitted in hospital for minimum two days. In order to collect quantitative data for the study, a total of questionnaires were printed and distributed to respondents.
The researcher selected 3 private hospitals in Saudi Arabia and 5 hospitals in India that include medium-scale clinics in which surgery is carried out were selected for survey.
For all 41 statements of expectation and perception each, weighted arithmetic mean was calculated, and gap score was determined by deducting perception values from expectation values. Dimensions-wise mean score of perception and expectation of private hospitals was determined and comparative analysis was prepared keeping in mind the gap score of each dimension. The lowest Saudi hospital expectation score was obtained from question 15 This hospital provides for proper safety and comfort measures, e.
The lowest Indian hospital expectation score was obtained from question 11 Amenities such as continuous electricity and water supply, housekeeping and sanitation facilities, comfortable conditions such as temperature, ventilation, noise, etc. Out of five dimensions, Indian private hospitals perform better than Saudi private hospitals in 4 dimensions, namely physical aspects, encounter, process and policy, while Saudi private hospitals perform better than Indian private sector only in one dimension, namely reliability.
It should be replicated in other part of countries especially with all major cities. In future, the expectation and perception sections should be separated, although this may create difficulties contacting respondents just before their service and just after the service encounter.
Future studies should also investigate the effects of service quality dimensions on the overall satisfaction, recommending behaviour and loyalty. Replication studies using large diversified samples elsewhere would be useful in order to corroborate our study findings. The current research reinforces the fact that service quality is a complex and multidimensional construct. Our findings have important implications for Indian and Saudi private hospital owners, managers, government officials, academics and other related parties in the hospital services.
Most customers are reluctant Ekiz, to make their needs and expectations explicit, including their complaints, although the opportunity to do so is clearly provided in order to promote healing environment. Kamaruzaman Jusoff. Service Quality in Health Care Setting. Daniel Butler, Sharon L. Oswald, Douglas E. Journal of Management in Medicine ; 8 — 20 3. Chaniotakis, Constantine Lymperopoulos. Managing Service Quality ; 19, — 4. Ritu Narang.
An International Journal ; 16, 35 — 49 5. Raman Sharma, Meenakshi Sharma, R. Leadership in Health Services ; 24, 64 — 73 8. Rust, R. International Journal of Service Industry Management ; 7, Sohail, M.
Managing Service Quality ; 13, Uzun, O. Journal of Nursing Care Quality ; 16, Valdivia, M. Karen L McClean. Trade in Health Services. Bulletin of the World Health Organisation.
The International Journal of Public Health ; 2, — Outsourcing Your Heart. Time Magazine May 21, , accessed May 9, ; at: www. Their initial capital cost is high and their running cost year after year, especially for in-patient services is enormous. The first task of the health services is to reach all the people all the time at the best level of care the country can afford. Hospital provision is only one part of the health service, and the money devoted to it must not impoverish the rest of the service.
At the same time, expenditure on health services, of which hospitals are a part should be regarded as an investment that will pay economic dividends in the form of lessened invalidity, reduced unemployment caused by sickness and increased industrial production.
One of the primary means of attaining this desirable aim is via outreach programmes. In these cases, the aim is to reach out into the community and provide quality health care delivery facilities so that the need to visit a hospital is kept to a minimum.
Outreach programmes cannot work unless there is effective hospital support in terms of material, manpower, money and management. The primary function of the clinical laboratories is to perform laboratory tests, which will provide information to clinicians in arriving at correct diagnosis and in the treatment and prevention of disease. The practice of modern medicine requires more and more laboratory examinations.
A couple of decades ago, laboratory determinants were done manually covering only basic diagnostics tests needed for patient assessment. Most labs are now equipped with, to a varying degree, sophisticated automated instruments such as analysers, which have increased productivity. Tests are performed in a matter of minutes and with the highest degree of accuracy. MSVs specialise in designing and providing Command and Communication Centers and Trailers to law enforcement, fire, military and other agencies.
It is applying its expertise in creating custom- designed multi-functional centres to local, country, state and federal government and first responders. These vehicles can be equipped with environmental defense systems to protect against nuclear, biological and chemical harmfulness. The outreach programme for the lab facilities of a large corporate hospital could be effective and efficiently carried out through a mobile unit.
The Need for such Facility A mobile sample collection unit is an integrated facility offering the state-of-the-art diagnostic facilities. It combines convenience with affordability. The patients need not to come to the hospital.
The lab services come to the patient. It will result in enormous savings in terms of zero travel and accommodation expenditure and reduced wastage of time. This unit offers tremendous flexibility and reach. E Continuous Medical Education programmes. Similar floating units are also seen on the River Godavari in Andhra Pradesh and in the backwaters of Kerala.
Many government and charitable institutions in India have mobile units designed for educational family planning surgeries and ophthalmic procedures. Pandyarajah Ballal charitable trust in Mangalore. It has on board equipment for X-ray and ultrasound. It also has facilities to collect specimen samples that are taken from the peripheries to laboratories located in Mangalore.
This van is also used as a critical care ambulance. It is a foot self-contained vehicle that includes two examination rooms and a work area. The rear examination room also serves as a mammography suite.
The van is capable of providing everything from routine health screening to psychiatric evolutions and alcohol counselling. The first is an occupational medicine unit on which physical examinations, health and wellness education programmes and hearing vision and pulmonary function testing can be done.
The second unit is used to determine which outreach locations would support a fixed rural health clinic. It is currently being equipped for telemedicine. Free cholesterol and blood tests were administered to raise corporate awareness and establish a presence in the outlying areas.
The mobile programme is now concentrating on screening and preventive activities. The standard tests performed include those for diabetic, vision hearing and blood parameters. It also offers some specialised services. The UPMRC staff can make referrals to specialists who accompany the clinic, thereby saving the patient expenditure on travel and accommodation.
Their mission is to reduce the time who accompany the clinic, thereby saving the patient expenditure and travel. The following factors are responsible for the creation of a mobile sample collection unit: i The treatment to the patient depends on the results of diagnostic test, but due to late report delivery, treatment would be delayed.
Delay in report delivery irritates these people and it made lead to switch to other hospital. So, next time they may switch on to some other hospital. General Laboratory Procedures The following are the usual procedures for requesting and handling lab examination: zz Requests for examination should be in writing.
The sample collection comprises the following: i. For blood collection, a separate sample collection has to be provided. Sterile tubes, needles and syringes are provided for blood collection. The specimens at collection are given a unique identification number. The request form should also carry the identification number as that on the specimen.
General Specimen Collection Guidelines The accuracy of any test procedure depends on the quality of the specimen, how and when it was collected, the care given to its preservation, and how soon it reaches the laboratory. The common site of infection is often contaminated with indigenous flora, so precautions must be taken to obtain a valid specimen.
Before specimens are bagged for pickup, they should be checked to be sure that all laboratory forms are completely filled out and each specimen is tightly sealed and properly packaged for safe delivery. It is the responsibility of the clinic to ensure that laboratory specimens are not a hazard to transport personnel or to laboratory personnel that handle specimens.
Laboratory personnel will be available at the laboratory for Sunday morning delivery by special arrangement. Sample Preparation and Storage The following should be noted in sample preparation and storage: i It is mandatory to carry out sample preparation activity as early as possible for efficiency and for maintenance of sample integrity. However, clinical trial samples are stored as per the requirement given by the sponsor. All gel packs should be frozen for at least 24 hours and less than zero0C prior to use.
Use separate transport boxes for each of the temperature ranges, e. The number of samples collected in the morning is and the number of samples collected in the afternoon is Save Wake Up! Managing Your Government Career.
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