Navegando por Autor "Castro, Wilkson Ricardo Silva"
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Artigo Application of QFD methodology as a planning tool for quality management on a clinical engineering sector at HUOL / UFRN(Scientific Research Platform (SRP) - Seychelles, 2020-02) Galdino Júnior, Jurandir Barreto; Hékis, Hélio Roberto; Florentino, Davidson Rogério de Medeiros; Viana, Danylo de Araujo; Barreto, Tiago de Oliveira; Braga, Ícaro Fernando Fonsêca; Aniceto, Gyuliano Rufino; Castro, Wilkson Ricardo Silva; Cabral, Eric Lucas Dos SantosIn a complex hospital environment, where in many cases the demands for a quality in Clinical Engineering are high and resources are low, it is important to apply tools that can assist at improving services provided by clinical engineering’s professionals. Thus, this paper aims to apply the QFD methodology as an aid tool in planning the quality of service provided by the clinical engineering team of Onofre Lopes University Hospital, with the intention of proposing improvements to be included in future planning. Initially, this research aims to discover the main needs of healthcare professionals that use services provided by the clinical engineering team, by reviewing articles on quality at hospitals environments. The target sectors of this research were chosen using as criteria the highest number of work orders (OS) generated and criticality of equipment. It is also object of study to analyze the level of satisfaction and importance that the employees of the studied sectors attribute to the clinical engineering sector. This study was conducted through semi-structured interviews, which were granted by the heads and coordinators of each sector. After completing the previous step, the quality house was built starting with translating users' needs into design requirements, and then correlating existing design requirements with finding out which design requirement is of highest relevance to meet customer needs. In the end, it will be possible to generate data that can be interpreted efficiently by the clinical engineering team, thus identify which points are working as expected and which need to be analyzed more closely in future strategic planningArtigo Control of payment of suppliers in a public hospital: case study of Onofre Lopes University Hospital – Brazil(Scientific Research Platform (SRP) - Seychelles, 2019-01) Soares, Adolfo Rebouças; Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Pedrosa, Felipe Martins; Costa Junior, João Florêncio da; Florentino, Davidson Rogério de Medeiros; Souza, Ricardo Pires de; Viana, Danylo de Araújo; Assis, Amanda Gomes de; Barreto, Jurandir; Hékis, Hélio Roberto; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiThroughout the last decades, the discussion about the quality in the health service has gained global importance, mainly due to the difficulty in reaching a thorough measurement for the performance of health services based on objective criteria. Thus, the purpose of the present study is to evaluate through Control Charts whether the supplier payment process in a public hospital is being completed within the time frames specified by internal corporate administrative resolutions. Initially followed the Montgomery methodology for non-self-correlated phenomena from which the application of individual control charts and moving range was utilized. Following the charts analysis, it became necessary to verify the conformity of the data in relation to the distribution. Hence, the Kolmogorov-Smirnov and Chi-Square tests were performed, in which it was verified that the Weibull distribution is better suited to the data, and control charts were applied for the Weibull distribution and Capability study. The results of the applications indicated variability in the process, which can be minimized by identifying the bottlenecks inherent to the formalities in the payment process; evaluating the time a given invoice remains with the purchasing coordinator; defining a timeframe necessary to comply with the process verification before validating the invoice and send it to the contract unity; determining the specific time requirements for each stage of the process as to optimize the flow; and establishing key performance indicators in order to attain an in depth understanding of the internal proceduresArtigo Fibrin rich in leukocytes and platelets (L-PRF) and bisphosphonate-induced osteonecrosis: we need to advertise now(International Journal of Trend in Scientific Research and Development, 2019) Faria, Maria de Fátima; Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Florentino, Davidson Rogério de Medeiros; Costa Junior, João Florêncio da; Souza, Ricardo Pires de; Guzen, Fausto Pierdoná; Pinheiro, Francisco Irochima; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiThe American Association of Oral and Maxillofacial Surgeons (AAOMS) reported in 2004 a new pathology that causes osteonecrosis in the Maxillomandibular complex. The condition was named Bisphosphonate-related osteonecrosis of the jaw (BRONJ), and later renamed by medication related to jaw osteonecrosis due to the appearance of severe alveolar bone loss in the Maxillomandibular complex resulting from the use of different drugs other than Bisphosphonates. Odontology, especially oral surgery, a field concerned with newbiotechnologies, has been introducing innovations in tissue engineering. Oro-maxillofacial reconstruction is of great interest to current oral and maxillofacial surgeons, as part of the search for strategies in bioengineering and biomaterials, a major promoter of bio-dental research in our times. In order to verify the scientific evidences to analyse the effectiveness of leukocyte and platelet rich fibrin (L-PRF) on bone neoformation inMaxillomandibular complex’s surgical procedures, a search for qualified articles was conducted in the Medline (PubMed), Embase and Cochrane Central Register of Controlled Trials databases. The works analysed were published from 2013 to 2018. This review concludes that the use of platelet rich fibrin (L-PRF) is significant in the complete healing of the lesion in short postoperative periods and in the resolution of the treatments, reducing the need for postoperative re-interventions, resulting in lower morbidity for the patientsArtigo Minnesota innovation survey at the Brazilian Hospital services company(European Journal of Scientific Research, 2018) Medeiros, Helder Pacheco de; Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Pedrosa, Felipe Martins; Florentino, Davidson Rogério de Medeiros; Gurgel, Júlia Lorena Marques; Hékis, Hélio Roberto; Valentim, Ricardo Alexsandro de Medeiros; Guerra Neto, Custódio Leopoldino de Brito; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiPromoting innovation is bringing to the field of organizations (public or private) a strategic bias recommended for decision-making. Knowing their determinants factors is one of the essential tasks that managers face due to the high level of complexity involved. The purpose of this study was to present, through the Minnesota Innovation Survey (MIS) method developed by the Minnesota Innovation Research Program (MIRP) of the University of Minnesota in the United States. The characteristics favorable to the innovation environment in University Hospitals agreed to the Brazilian Company of Hospital Services (EBSERH), considered one of the largest public company of public character in health services in Brazil. Seventeen hospitals (43.59%) from a total of 39 branches were surveyed in all regions of the country, through a structured electronic questionnaire containing 83 questions related to the 29 dimensions directed to the development of health innovations. With this, it was sought to determine the main variables related to change in this context. As a result, the characterization of eleven dimensions favorable to innovation in these hospital organizations was verified, with a strong correlation between them, determinants for an innovative environment in public health policies. In terms of contributions, the research developed an essential method for management, control and innovation of health care service providers, which can be used in a wide range of contexts, highlighting the main factors favorable to organizational environments focused on innovative processes, creating a theoretical basis pleasant practice for new research to be carried out using the methodology usedDissertação Modelo multicritério de apoio a decisão para o problema de contratação de fornecedores de equipamentos médicos: uma aplicação no Hospital Universitário Onofre Lopes (HUOL)(Universidade Federal do Rio Grande do Norte, 2020-09-01) Castro, Wilkson Ricardo Silva; Souza, Ricardo Pires de; ; http://lattes.cnpq.br/6380923718767667; ; http://lattes.cnpq.br/1931068626931656; Frej, Eduarda Asfora; ; http://lattes.cnpq.br/8127974515737466; Costa, Jose Alfredo Ferreira; ; http://lattes.cnpq.br/9745845064013172O fornecimento de serviços de saúde com qualidade a população vem demandando novas maneiras de otimizar a utilização de recursos. Como reflexo disto, a Organização Mundial da Saúde estipulou como meta proporcionar acesso universal a 1 bilhão de pessoas até 2023. Além disso, em reunião da Organização das Nações Unidas de 2015, em Nova York, foi assinado acordo estabelecendo o acesso universal à saúde como uma das metas para o alcance do desenvolvimento sustentável. Para atingir tais objetivos e metas existe a necessidade de realizar investimentos, de modo que, frequentemente, as populações carentes não possuem aporte financeiro para efetuar esses investimentos em sua totalidade. Esse fato torna indispensável sistemas para prestação de serviços de cuidados com a saúde eficientes, eliminando todos os custos desnecessários. Dentre esses investimentos está incluso a aquisição de equipamentos médicos que auxiliam no tratamento e diagnóstico de patologias. No Brasil, o Ministério da Saúde investiu, em 2018, cerca de R$ 584 milhões na aquisição de equipamentos e materiais médicos permanentes no Sistema Único de Saúde (SUS). Nesse sentido, o presente estudo tem como objetivo propor e desenvolver modelo de apoio a decisão multicritério aplicado ao processo de contratação de fornecedores de equipamentos médico hospitalares no cenário de organizações públicas. Dessa forma, o objeto de estudo foi o Hospital Universitário Onofre Lopes (HUOL). O desenvolvimento dessa pesquisa seguiu 5 etapas: etapa preliminar, estruturação do problema, modelagem de preferencias e agregação de desempenho, investigação e desenvolvimento da recomendação e etapa de validação do estudo. Sob a perspectiva dos decisores, o modelo de decisão foi considerado valido, de modo que, se obteve o ranking dos fornecedores participantes em três cenários diferentes. O modelo desenvolvido também forneceu um processo estruturado, formal e transparente que permite a compreensão e exteriorização das preferências dos decisores, auxiliando a tomada de decisão com eficiência na utilização de recursos para aquisição futura de bens e serviços através de processos licitatórios.Artigo Optimization model for the installation of SAMU bases: application in Natal-RN(Universidade Estadual Paulista (UNESP), 2019) Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Francisco, Claudia Aparecida Cavalheiro; Souza, Ricardo Pires deA Medical Emergency Service is responsible for providing pre-hospital acute care and has the key role of providing good services to people, especially in urban areas. In Brazil, the Emergency Medical Assistance Service (SAMU) operates in several cities and aims to reach the victim early after an injury to his health has occurred, by sending vehicles manned by trained personnel. The objective of this study was the application of a mathematical model aiming to designate neighborhoods for the installation of new SAMU bases that minimize the distance traveled by the ambulances in the city of Natal / RN. After data collection, it was found that the average service response time of the SAMU was over 40 minutes for calls classified as red code. The average number of calls in 2015 was 1,930 per month, in this city with a population of 800,000. The application of the model allowed for the simulation of scenarios with the installation of 3 to 8 fixed bases. There was a significant reduction in the distance traveled by the ambulances which reached 48%, after the installation of eight bases. In other words, there was a reduction of 6,560 kilometers traveled per month by ambulances. The new SAMU bases are being installed in containers to minimize installation costs and easy relocation in the near futureArtigo Quality evaluation under the perception of satisfaction of the users of different age groups in a Public Hospital in Natal - Brazil(Scientific Research Platform (SRP) - Seychelles, 2018-09) Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Pedrosa, Felipe Martins; Costa Junior, João Florêncio da; Florentino, Davidson Rogério de Medeiros; Souza, Ricardo Pires de; Hékis, Hélio Roberto; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiThe present article endeavors to describe the levels of satisfaction of users of medical services at the University Hospital Onofre Lopes (UHOL) in different age groups and to study the association between users' satisfaction and the different types of services provided by this public health institution. The study is based on the Annual Satisfaction Survey conducted by the UHOL Ombudsman's office, which evaluates this information for health policy subsidy in this hospital. A total of 4,290 users were consulted between 2015 and 2017 divided into three age groups: adolescents, adults and the elderly. The dependent variable was patient satisfaction after medical consultation at the hospital, evaluated on a four-level Likert scale. The independent variables were Gender of respondents (G); Comfort at the reception hall (CRH); Hygiene, cleanliness and organization of the hospital (HCO); Comfort of facilities at the medical care area (CFMC); Reception Service (RS); Health team attendance (HTA); Attendance waiting time (AWT); Education Level (EL), Age (A) and Evaluation of General Satisfaction on Hospital Services (GS). The multiple linear regression and logistic regression analysis was completed, respectively, for the data in general and separately for each age bracket. Very few participants declared to be dissatisfied or very dissatisfied (4%). In the crude model, general satisfaction was associated with CRH and HCO in the adolescent group, CFMC and RS in the CRH, HCO, RS and HTA groups in the elderly group. Adolescents showed greater dissatisfaction with hospital services because they presented specific demands concomitant with their age groupArtigo Response time in the emergency services. Systematic review(Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 2018-12) Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Florentino, Davidson Rogério de Medeiros; Viana, Danylo de Araújo; Costa Junior, João Florêncio da; Souza, Ricardo Pires de; Rêgo, Amália Cinthia Meneses; Araújo Filho, Irami; Medeiros, Aldo CunhaThe growth of the urban population raises concern about municipal public managers in the sense of providing emergency medical services (EMS) that are aligned with the needs of prehospital emergency medical care demanded by the population. The literature review aims at presenting the response time of emergency medical services in several parts of the world and discussing some factors that interfere in the result of this indicator such as GDP (Gross Domestic Product) percentage spent on health and life expectancy of countries. The study will also show that in some of the consulted articles, authors suggest to EMS recommendations for ecreasing the response time using simulations, heuristics and metaheuristics. Response time is a basic indicator of emergency medical services, in such a way that researchers use the descriptive statistics to evaluate this parameter. Europe and the USA outstand in the publication of studies that present this information. Some articles use stochastic and mathematical methods to suggest models that simulate scenarios of response time reduction and suggest such proposals to the local EMS. Countries in which the response time was identified have a high index of human development and life expectancy between 74.7 and 83.7 years