A questionnaire survey conducted on the matter concernmg the centralized management of medical electronic (ME) instruments found that 78% of physicians and nurses were in favor of the proposition. According to this result, our hospital began to manage ventilators and low pressure continuous suction instruments under central control at first, and then 13 types of 142 ME instruments. has also The centralization of ME instruments has made it possible to decrease the number of instruments. It has also enabled clinical engineers to find instrument trouble without delay and repair it in our hospital. It saved 62, 220, 000 yen for new instrument cost and 3, 016, 000 yen a year for repair. We concluded that centralized management of ME instruments was efficient, economical and advantageous in terms of safety.

OBJECTIVE: The aim of this study was to explore the factor structure of a novel, 10-item rating scale, the Targeted Inventory on Problems in Schizophrenia (TIP-Sz). Determining the factor structure will be useful in the brief evaluation of medication and non-medication treatment of the disease. METHODS: An exploratory factor analysis was performed on TIP-Sz scores obtained from 100 patients who met the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for schizophrenia. RESULTS: The factor analysis extracted four factors that were deemed clinically pertinent, which we labeled: disorganization, social cooperativeness, functional capacity, and emotional state. The items exhibited cross-loadings on the first three factors (i.e., some items loaded on more than one factor). In particular, the 'behavioral dyscontrol and disorganization,' 'insight and reality testing,' and 'overall prognostic impression' items had comparable cross-loadings on all of the first three factors. The emotional state factor was distinct from the other factors in that the items loading on it did not cross-load on other factors. CONCLUSION: The TIP-Sz scale comprises factors that are associated with the psychosocial functioning and emotional state of patients, which are important outcome parameters for successful treatment of the disease.
Anomie ; Diagnostic and Statistical Manual of Mental Disorders ; Humans ; Schizophrenia