Designing the total supply system.
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The electrical distribution system is the lifeline of a hospital. Redundancy, flexibility and reliability are key components to keep in mind during design.
How does Support Services maintain user confidence while moving the laundry and central supply departments offsite? That challenge faced The Mont Sinai Medical Center, a 1112-bed Manhattan hospital and medical school, as it prepared for a 5-year, $488 million major modernization program, set to begin in the summer of 1985. Users were openly mistrustful of relocating two departments which had provided responsive on-site services to the hospital and the Mount Sinai School of Medicine since their incorporation in 1852 and 1963, respectively. Yet, the transition to temporary offsite facilities was structured, and generated sufficient user confidence to facilitate a planned move to permanent, state-of-the-art facilities and systems.
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Pneumatic tube systems play an important material handling role in many hospitals. These systems are costly and complex to design and operate, yet little exists in the way of analytical methodologies for them. We present a decision support framework based on defining relevant system performance metrics, traffic analysis reporting, as well as discrete event simulation modeling. We have used this approach to analyze numerous pneumatic tubes systems in the United States and present a representative case study from a large tertiary care hospital. Our general approach can be generalized to other computer controlled hospital operational systems such as elevators, track vehicles, automatic guided vehicles, workflow enabled processes, and laboratory automation systems.
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This paper launches a 12-part series of articles on managing computer systems for the hospital pharmacy department. The series will concentrate on the evaluation, purchase, and implementation of commercial computer systems. Computer hardware and software capabilities will be reviewed, a systematic approach toward the selection of a vendor will be outlined, advice on how to justify a system wil be offered, and important considerations in implementing and managing a computer system will be discussed.
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