JMRH Vol. 4 No. 2 (April 2018)

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https://demodspace.chitkara.edu.in/handle/123456789/67

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    Antibiofilm Potential of Metal Based Nanoparticles: Synthesis and Mode of Action
    (Chitkara University Publications, 2018-04-02) R Kaur; M Khurana; R K Virk; A Sharma
    Biofilm refers to a group of microbes colonizing together and often adhered to a surface. The adherence is attributed to secretion of polymeric substances comprising of extracellular DNA, proteins, and polysaccharides thereby limiting the access and inhibitory activity of existing antimicrobial agents. Biofilm are a major cause of acute infections and pose immense clinical threat especially in conditions employing the use of invasive devices thus being a major source of mortality and morbidity. Hence there is a dire need to develop alternative treatment against biofilm-related infections. Advances in nanotechnology has opened new horizons. Nanoparticles derived from various metal present promising candidates to ameliorate biofilms owing to their antioxidant potential.
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    Are we not Losing that Human Touch in Healthcare?
    (Chitkara University Publications, 2018-04-02) Jyoti R Munavalli
    Technological innovations in healthcare are bringing a huge change in care and delivery system. Technology has improved accessibility as well as affordability in healthcare. But, does this technology provide the humane emotions that improve the patient experience. This article examines the technology role and humane concerns in healthcare and concludes that technology along with humane touch would help the healthcare industry to provide quality of care, on time.
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    Role of Information Technology in Healthcare Services: Visitor’s Perception
    (Chitkara University Publications, 2018-04-02) Santosh Kumar Sharma; Anil Kumar
    The ageing population, increasing pollution, and lethargic lifestyle of human beings are some of the primary reasons for the growth of healthcare sector. Indian entrepreneurs have observed this growth opportunities and providing healthcare services in multiple ways. However, the literature emphasizes that without integrating information technology in existing healthcare facilities, quality service cannot be rendered to a large number of patients. With this backdrop, the present study is a novel endeavour to explore the role of information technology in Indian healthcare services. It aims to explain the relevance and dimensions of information technology in relation to healthcare services and examines the empirical relationship between identified dimensions and some demographical factors (age, educational qualification, income, and gender). The results of this study can be beneficial to healthcare professionals, service enablers, implementing agencies, and policy makers. Limitations, further research directions and conclusions have been discussed.
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    Service-Profit Chain Analysis in Healthcare Services
    (Chitkara University Publications, 2018-04-02) Pratyush Ranjan; Peeyush Ranjan
    Focus on service-profit chain by organizations in the service sector has been found to be of crucial importance. Companies in varied sectors like banking, airlines, restaurants and healthcare have become industry leaders by focusing on aspects of service-profit chain. This paper presents an analysis of service-profit chain in the healthcare sector. Taking two examples of hospitals from India and one from abroad this paper brings out the importance of focusing on the service-profit chain in this sector. An analysis of the practices in these hospitals, with a major focus on Aravind Eye Hospital, will give a perspective of how these hospitals have focused on the service-profit chain and made them efficient and effective and have enhanced their customers’ satisfaction. Service-profit chain analysis can help healthcare organizations to be customer focused. It can motivate organizations to develop attractive value propositions for customers. It can also provide a warning to organizations that are neglecting the interests of employees. Overall, the service-profit chain provides a useful framework for healthcare organizations in developing their strategy as well as implementing day-to-day operations.
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    Streamlining the Processes Preceding an Operation Using Six Sigma
    (Chitkara University Publications, 2018-04-02) Ankit Singh; Sougrakpam Sushillo Singh; Priya Ravi
    Purpose: The operation theatre is the major cost and revenue centre in a hospital. The operation theatre’s optimum utilization will not only increase the revenue for the hospital but will also have a significant positive impact on customer satisfaction, for both internal and external customers. The present study aims in improving the existing process in an operation theatre suite of a tertiary care private hospital in Siliguri (West Bengal), which suffers from a process related problem, delay in scheduling operations (Sigma level 2.17), as found out in the Pilot Study. The study is carried out to improve the sigma level. Aligning with it, the operation theatre utilization is calculated with the objective of its bench marking, as per industry standards. Design/Methodology/Approach: The study is conducted within the framework of Defining, Measuring, Analysing, Improving, and Controlling (DMAIC) method of Six Sigma. To begin with, the Pilot Study is carried out to identify and define the problem. At the measuring and analysing stage, Pareto analysis technique is employed, aided by the Cause and Effect diagram. After the identification, causes are categorised as controllable and uncontrollable. This is followed by a brainstorming session, which is conducted in order to work out solutions relating to controllable causes. The Time Motion study data of 192 surgery cases is collected for the pre-implementation phase, while that of 236 surgery cases is collected for the post-implementation phase. An independent t test is carried out to find out the difference in the outcomes, both in the pre-implementation and the post-implementation phases, thereby reflecting the effectiveness of the solutions implemented. Findings: The baseline sigma level of 2.17 is improved to reach the 3.0 sigma level, concerning delay of scheduled operations. This is achieved by reducing the time lag that is experienced when shifting the patient from the Ward to the Operation Theatre, as also that relating to the cleaning and setting up of the Operation Theatre, between two surgeries. Practical implications: Reducing the set up and the cleaning time between two procedures helps in reducing the delay in scheduled operations, which can be achieved by the practice of shifting the patient one hour prior to the scheduled surgery. Similarly, when more surgeries need to be performed, their turnaround time can be reduced by deploying an adequate number of housekeeping staff. Thus, more number of surgeries can be done in a day and operation theatre utilization can be optimised.