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Öğe The effects of a nursing care plan incorporated with a decision support system on ventilator associated pneumonia: A case study(SciTePress, 2020) Bolat, Özgür; Gülenç, Nalan; Özkan, Elife; Aydın, Nuran; Köse, İlkerThe risk of pneumonia is high in patients who are ventilated in intensive care units (ICUs). Without proper and adequate care, this risk and the mortality rate increases. In a study conducted by the infection committee of our hospital (tzmir Tire State Hospital, the first digital (Stage 7) hospital in Turkey in 2016), it was found that the rate of ventilator-associated pneumonia (VAP) cases increased had increased over three years (2015-17) and was well above the national average. In this study, VAP prevalence in our ICU and the associated extra medication costs were calculated. Furthermore, nursing care plans related to VAP were reviewed and improvements were made according to international standards. The care plan was triggered by criteria defined in a clinical decision support system (CDSS) on the hospital information management system (HIS), and monitorization was conducted to ensure that nurses implement the care plan in a comprehensive and timely manner. As a result of the change, the rate of VAP cases. which had risen to 4.5% in 2017, was reduced to 0.5% in 2018. Similarly, we achieved cost reductions of 90.87% for VAP-based extra medications. Based on these results, it can be suggested that CDSS-supported nursing care can significantly reduce the risk of VAP and increase patient safety in the ICU.Öğe A case study of the extended interactive innovation management model in insurance company(Academic Conferences and Publishing International Limited, 2018) Köse, İlker; Güner, Şeyma; İşgüzerer, Bahadır; Sisli, Muzaffer EkinDue to increasing competition, what companies need to do is as important as how they do business. For this reason, companies are focusing on getting better ideas ahead of their competitors and passing them on quickly. Models developed for innovation management, such as technology push, market pull, coupling, interactive and network are being applied and developed in different sectors with different add-ons. The aim of this study is to propose and apply the innovation management framework in an international insurance company and evaluate its results. This framework includes interactive model as the innovation management approach; brainstorming as the creative thinking method, and Delphi as group decision-making method. The volunteers selected from employees of the company among those who are more closely related to the customers. Although 37 of 510 employees are applied to the program, only 22 of them are approved. The volunteers were provided with detailed information on technological trends and trained in innovation management and creative thinking methods. Later, 328 innovation ideas were produced by using brainstorming method. These ideas were presented and consolidated into 62 different ideas, and then the participating volunteers were requested to score the ideas in terms of 5 criteria. The scored ideas were ultimately evaluated by a couple of joint meetings and the 6 ideas are decided by using Delphi method to be offered to the executive's of the company with the detailed feasibility reports and project proposals and those who find sponsors from the executives will be initiated in a program. In this study, the interactive innovation management model was extended to the insurance sector in a novel approach by combining a set of well known methods in an order for different steps. According to the literature, this study is the first in the insurance sector in Turkey, and a subject of study in the world is also increasing. The results obtained in this study are considered to be a guide for researchers working on this field. For further research, it is suggested to consider of granting individual mentorship to employees who are volunteers throughout the innovation management process.
