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Iltchev, Petre, Aleksandra Sierocka, Sebastian Gierczyński, and Michał Marczak. "The Knowledge of Medical Professionals from Selected Hospitals in the Lubelskie Province about Diagnosis-Related Groups Systems." Studies in Logic, Grammar and Rhetoric 35, no. 1 (December 1, 2013): 191–201. http://dx.doi.org/10.2478/slgr-2013-0044.
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Abstract Health information technology (IT) in hospitals can be approached as a tool to reduce health care costs and improve hospital efficiency and profitability, increase the quality of healthcare services, and make the transition to patient-centered healthcare. A hospital’s efficiency and profitability depends on linking IT with the knowledge and motivation of medical personnel. It is important to design and execute a knowledge management strategy as a part of the implementation of IT in hospital management. A Diagnosis-Related Groups (DRG) system was introduced in Poland in 2008 as a basis for settlements between hospitals and the National Health Fund (NHF). The importance and role of a DRG system in management of healthcare entities was emphasized based on a survey of medical professionals from two hospitals in the Lubelskie province. The goal of a survey is to assess the knowledge of medical professionals about the DRG system and how the medical personnel uses the DRG system in order to achieve the strategic goals of the organization. A newly developed survey was used to assess the medical personnel’s knowledge of DRG, using 12 closed and 5 open questions. The survey was conducted on 160 medical employees from two hospitals in the Lubelskie province. In conclusion, medical personnel’s DRG knowledge unambiguously contributes to reducing hospital costs and increasing profitability. The DRG related knowledge enables personnel to obtain value from data by applying DRG data-driven decisions.
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Deraman, Suriati, Lee Khai Loon, and Puteri Fadzline Muhamad Tamyez. "HOSPITAL WASTE MANAGEMENT PRACTICES: EXPLANATION FROM MEDICAL PERSONNEL." International Journal of Industrial Management 11 (August 31, 2021): 257–61. http://dx.doi.org/10.15282/ijim.11.1.2021.6419.
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Today, the healthcare industry has become more important with the increasing number of hospitals due to the rise of patients. This signifies the world is facing more critical issues towards hospital waste due to its impact on the environment. The increase of waste generation from the hospital is not only to the environment but to an organisation such as cost of disposal. Current research fails to provide a manager behaviour view on the solution to reduce waste from their organization. Thus, this study explores the current hospital waste practices at the hospital, to examine depth understanding of recycling factor behaviour among medical personnel and the impacts from recycling hospital waste. This study used the semi-structured interview with hospital managers to address The result shows, respondents are willing to recycle hospital waste with factors such as government support, top management involvement through providing training, awareness, knowledge, facilities and incentives. This study will contribute to both bodies of knowledge and practice among hospital managers.
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Reilly, Michael, and David S. Markenson. "Education and Training of Hospital Workers: Who Are Essential Personnel during a Disaster?" Prehospital and Disaster Medicine 24, no. 3 (June 2009): 239–45. http://dx.doi.org/10.1017/s1049023x00006877.
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AbstractHospital plans often vary when it comes to the specific functional roles that are included in emergency and incident management positions.Bioterrorism coordinators and emergency managers for 31 hospitals in a seven-county region outside of a major metropolitan area, with urban, suburban, and rural demographics were surveyed to determine which specific functional roles were considered “essential” to their hospital's emergency operations plans. Furthermore, they were asked to estimate the percentage of their “essential” staff trained to perform the functional roles delineated in the hospital's plan. Responses were entered into a database and descriptive statistical computations were performed. Only three categories of hospital personnel were reported to be “essential” by all hospitals to their emergency preparedness plans: emergency department physicians, nurse, and support staff. Training for overall “essential” staff ranged by hospital 73.6–83.3%. Some hospitals reported that these staff members have received no training in their anticipated role based on the hospital emergency response plan. Allied health professionals and emergency medical technicians/paramedics (that are employed by hospitals) had the least amount of training on their role in the hospital preparedness and response plan, 33.3% and 22.2% respectively.Without improved guidance on benchmarks for preparedness from regulators and professional organizations, hospitals will continue to lack the capacity to effectively respond to disasters and public health emergencies.
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AMIN, RAHEELAH, RUBINA GUL, and AMINA MEHRAB. "HOSPITAL WASTE MANAGEMENT;." Professional Medical Journal 20, no. 06 (December 15, 2013): 988–94. http://dx.doi.org/10.29309/tpmj/2013.20.06.1684.
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Introduction: Hospital waste is a special type of waste which carries high potential of infection and injury. Objectives: Thisstudy was conducted to examine Medical Waste Management Practices in different hospitals of Peshawar. Methodology: Simpleobservational, cross-sectional study. was conducted with a case study approach. Aug-Sep 2011, with selection of 15 hospitals. The datawas collected through a pre-designed questionnaire with a checklist. Results: The study showed that 80% of the hospital personnel knewhospital waste and its management. There was waste management plan present in 30% of hospitals. Although hospitals did not quantifiedwaste amounts but on average the amount of waste generated daily was 0.5-1 kg/bed/day. Segregation into risk and non risk waste wasdone in 93.3% of hospitals. For non risk waste, disposal through Municipal Corporation was conducted in 86.67% of the hospitals, whilein 13.3%, it was burnt. For risk waste, either it was buried or burnt. Proper incineration was carried out in only 33.3% of the hospitals.Discussion: Hospital waste generation, segregation, collection, transportation & disposal practices were not in accordance with standardguidelines. The average waste generation in most of the hospitals was almost equivalent to other under developed countries but less thanthat of developed countries. Conclusions: The hospital waste in the majority of hospitals of Peshawar was mismanaged. No properhospital waste management plan existed except at few hospitals.
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Rutayisire, Erigene, Jean Aime Nsabimana, and Michael Habtu. "Knowledge and Practice for Bio-Medical Waste Management among Healthcare Personnel at Kabgayi District Hospital, Rwanda." Journal of Public Health International 1, no. 4 (September 13, 2019): 36–44. http://dx.doi.org/10.14302/issn.2641-4538.jphi-19-3005.
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Background Globally, about 10 to 25% of the volume of bio-medical waste from hospitals and healthcare institutions presents a serious health risks to patients, healthcare personnel, and anybody who comes in contact with it. The waste management practices in Rwanda healthcare facilities are poor and need improvement. Objectives To assess the knowledge and practices regarding bio-medical waste management among healthcare personnel at Kabgayi district hospital in Southern Province of Rwanda. Materials and Methods A cross-sectional study design was conducted. A total of 200 healthcare personnel were selected randomly out of 400 target population including doctors, nurses, social workers, and cleaners. Structured questionnaire was used to collect data. Descriptive analysis using frequency and proportions were used. Chi-Square test was used to determine the association between the variables and level of significance was set at p ≤ 0.05. Results The study found that about half (49.0%) of healthcare personnel had good knowledge about waste management. We found that the majority of healthcare personel 133(66.5%) had poor practices towards bio-medical waste management. The factors associated with good practice were better knowledge on bio-medical waste management (p=0.013) and older age group (p=0.001). Conclusion/Recommendations The level of in both knowledge and practice towards bio-medical waste management among healthcare personnel was low. Continuing education and training programmes and short courses on bio-medical waste management should be carried out to improve the knowledge and practices towards bio-medical waste management among healthcare personnel.
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Ojo, Adebowale I., and Ruth O. Owolabi. "Health Information Management Personnel Service Quality and Patient Satisfaction in Nigerian Tertiary Hospitals." Global Journal of Health Science 9, no. 10 (August 12, 2017): 25. http://dx.doi.org/10.5539/gjhs.v9n10p25.
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This study assessed the relationship between perceived service quality of health information management personnel and patient satisfaction in selected tertiary hospitals in Nigeria. A cross sectional survey was conducted with 280 patients from three tertiary hospitals in a Nigerian State. A self-administered questionnaire was distributed to outpatients who were literate, willing and attending the clinics for at least a second time. Perceived service quality was measured using a modified version of Service Quality (SERVQUAL) scale. Patient satisfaction was measured on a 4-point Likert-type scale developed by the researchers. Collected data were subjected to statistical analysis using mean, standard deviation and regression analysis. The surveyed patients were moderately satisfied with the services of the health information management personnel. Accordingly, patients’ perception of the health information management personnel service quality was found to be average. In addition, the research has shown that patients’ perception of health information management personnel service quality significantly influence their level of satisfaction in the studied tertiary hospitals (R = .62, F5,274 = 35.95, p = .000). Patient perceptions of service quality determine their overall satisfaction levels with the health information management personnel services. The tangible service quality dimension had more influence on patients’ satisfaction.
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Rajasulochana, S., and Umakant Dash. "Performance of CEmONC Centres in Public Hospitals of Tamil Nadu." Journal of Health Management 20, no. 3 (July 13, 2018): 363–77. http://dx.doi.org/10.1177/0972063418779914.
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This case study examines the performance of public hospitals in Tamil Nadu in delivering emergency obstetric care services over a period of 8 years as well as to investigate from provider’s perspective the issues and constraints that affect performance. A mixed method approach has been adopted, integrating the descriptive analysis of administrative data on performance reports (2006–2007 to 2013–2014) of emergency obstetric and newborn care services in 46 public hospitals, along with primary study comprising of semi-structured interviews of 27 health personnel across selected public hospitals. Examination of trends in selected performance indicators shows that utilization of public hospitals for emergency obstetric and newborn care services has improved; a number of complicated and critical cases revived in the comprehensive emergency obstetric and newborn care (CEmONC) centres of public hospitals have gone up. The capability to treat complicated maternal and neonatal cases, however, is limited by inadequacy of specialist doctors, equipment maintenance issue and lack of hospital management. This case study is of interest to both public hospital administrators and health care policymakers who want to improve and develop strategies for better management in public hospitals. Specifically, there is an urgent need to (a) readdress human resource policy for health care personnel, (b) devise appropriate mechanisms for periodic inspection and preventive maintenance of hospital equipment and (c) develop management capabilities and leadership skills within public health system.
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Banik, Shovon, Md Golam Rubby, Kala Chand Debnath, Farzana Tamanna Ummey Shaon, Farhana Parveen Tanaya, and Chidananda Banik Tuni. "Human Resource Management in Selected District Hospitals of Bangladesh- A Cross Sectional Study." Update Dental College Journal 7, no. 2 (April 1, 2018): 28–32. http://dx.doi.org/10.3329/updcj.v7i2.36210.
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Human resource management (HRM) is fundamental of any organization because of its utility. A cross-sectional was conducted from January to December, 2016 in two district hospitals named Gen- eral Hospital, Munshiganj and 100 Bedded District Hospital, Narsingdi with the objective to assess the status of HRM. Purposively 144 hospital staffs were selected and interviewed by using semi-struc- tured questionnaire and record review. The collected data were processed and analyzed meticulously with the help of SPSS (Version 21) software on the basis of different variables. The study revealed that the mean age was 36.6 ± 1.8 years, 71.5 % were clinical and nursing personnel, other category of respondents were support services and other personnel (22.2%), administrative personnel (6.3 %).Most (96.5 %) of the respondents were recruited by Government, after recruitment 52.1% hospital staffs mentioned scope of training facilities either work-based or instruction based exists in workplace, 63.9 % needed to be trained, 80.6% wished further career plan. Working environment found friendly by 39.6 % hospital staffs, where as average found by 50.0%. The recommendations for further improvement of HRM of their workplace was to increase training facilities by 31.9%, other recommen- dations were to increase manpower, improvement of monitoring and supervision. From this study some effort in the training, increase of manpower , performance appraisal can ensure better quality of service at district hospitals.Update Dent. Coll. j: 2017; 7 (2): 28-32
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Khan, Muhammad Naseem, Ikram Khan, Zia Ul-Haq, Mirwais Khan, Faryal Baddia, Fayaz Ahmad, and Salman Khan. "Managing violence against healthcare personnel in the emergency settings of Pakistan: a mixed methods study." BMJ Open 11, no. 6 (June 2021): e044213. http://dx.doi.org/10.1136/bmjopen-2020-044213.
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ObjectivesThe primary objective of this study was to evaluate the effectiveness of a half-day training on de-escalation of violence against healthcare personnel regarding prevention and management of violence incidents versus a similar tertiary-level hospital with no such training. Secondary objectives were to compare the overall satisfaction, burnout, fear of violence and confidence in coping with patients’ aggression of the healthcare personnel in the two hospitals.DesignMixed method design, with a comparative cross-sectional (quantitative) and focus group discussions (qualitative) components.SettingEmergency departments of the two tertiary care hospitals in district Peshawar over 6 months starting from May 2018.ParticipantsHealthcare personnel in the emergency departments of the two hospitals (trained vs untrained).Outcome measuresViolence exposure (experienced/witnessed) assessed through a previously validated tool in the past 5 months. Burnout, confidence in coping with patient aggression and overall job satisfaction were also assessed through validated tools. The qualitative component explored the perceptions of healthcare personnel regarding the management of violence and the importance of training on de-escalation of violence through focus group discussions in the two hospitals.ResultsThe demographic characteristics of the healthcare personnel within the two hospitals were quite similar. The de-escalation training did not lead to a reduction in the incidences of violence; however, confidence in coping with patient aggression and the overall satisfaction were significantly improved in the intervention hospital. The de-escalation training was lauded by the respondents as led to an improvement in communication skills, and the healthcare personnel suggested for scale-up to all the cadres and hospitals.ConclusionThe study found significant improvements in the confidence of healthcare personnel in coping with patient aggression, along with better job satisfaction and less burnout in the intervention hospital following the de-escalation training.
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Leiba, Adi, Issac Ashkenasi, Guy Nakash, Rami Pelts, Dagan Schwartz, Avishay Goldberg, Brig Gen Yeheskel Levi, and Yaron Bar-Dayan. "Response of Thai Hospitals to the Tsunami Disaster." Prehospital and Disaster Medicine 21, S1 (February 2006): S32—S37. http://dx.doi.org/10.1017/s1049023x00015855.
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AbstractThe disaster caused by the Tsunami of 26 December 2004 was one of the worst that medical systems have faced. The aim of this study was to learn about the medical response of the Thai hospitals to this disaster and to establish guidelines that will help hospitals prepare for future disasters.The Israeli Defense Forces (IDF) Home Front Command (HFC) Medical Department sent a research delegation to Thai hospitals to study: (1) pre-event hospital preparedness; (2) patient evacuation and triage; (3) personnel and equipment reinforcement; (4) modes used for alarm and recruitment of hospital personnel; (5) internal reorganization of hospitals; and (6) admission, discharge, and secondary transfer (forward management) of patients.Thai hospitals were prepared for and drilled for a general mass casualty incident (MCI) involving up to 50 casualties. However, a control system to measure the success of these drills was not identified, and Thai hospitals were not prepared to deal with the unique aspects of a tsunami or to receive thousands of victims.Modes of operation differed between provinces. In Phang Nga and Krabi, many patients were treated in the field. In Phuket, most patients were evacuated early to secondary (district) and tertiary (provincial) hospitals. Hospitals recalled staff rapidly and organized the emergency department for patient triage, treatment, and transfer if needed.Although preparedness was deficient, hospital systems performed well. Disaster management should focus on field-based first aid and triage, and rapid evacuation to secondary hospitals. Additionally, disaster management should reinforce and rely on the existing and well-trusted medical system.
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Johnson, John, Tina Abraham, Monica Sandhu, Brian P. Peppers, Cathy Knorzer, Brooke Lyman, Sydney Lezaic, Marija Rowane, Gennaro Romanello, and Robert Hostoffer. "Failed Knowledge Retention from Educational Intervention on Anaphylaxis Management Among Medical Personnel." Scholar: Pilot and Validation Studies 2, no. 1 (July 1, 2021): 11–16. http://dx.doi.org/10.32778/spvs.71366.2021.16.
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Abstract Background: Anaphylaxis is a life-threatening allergic reaction that is often inadequately treated in the hospital setting, leading to adverse outcomes. We hypothesize that a brief educational intervention will enhance knowledge of community-based medical professionals evaluated by pre- and post-questionnaires, leading to improved recognition and management of anaphylaxis. Methods: An initial questionnaire consisting of eight multiple-choice questions and two fill in response pertaining to anaphylaxis identification, management, and treatment was completed by 189 University Hospitals Regional Hospitals personnel, including faculty, nurses, student, residents, and Emergency Medical Services (EMS). The participants were then offered an educational intervention, including a 10-slide, 20-minute PowerPoint presentation on anaphylaxis, and review of the pre-educational intervention questionnaire responses, followed by a post-educational intervention questionnaire similar to the initial questionnaire. Seventy-seven participants completed the same questionnaire at a six-month follow-up to assess retention. Results: Participant scores improved from 62% to 94%, from the initial questionnaire to the immediate post- educational intervention questionnaire. The six-month post-educational intervention questionnaire revealed a return to near baseline (65%) medical knowledge regarding anaphylaxis Conclusion: Healthcare personnel demonstrate a knowledge deficit of identification and management of anaphylaxis. In the short-term, a brief, educational intervention did improve knowledge of anaphylaxis (p<0.00001). However, in the long-term, this educational intervention did not improve knowledge retention about anaphylaxis (p=0.52218). We received approval for and implemented an anaphylaxis order set in the electronic medical record (EMR) at University Hospitals, in effort to improve patient care.
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Pei, Likun, Pauline Stanton, and David Legge. "Improving human resource management in Chinese healthcare: identifying the obstacles to change." Australian Health Review 27, no. 1 (2004): 124. http://dx.doi.org/10.1071/ah042710124.
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Health sector reform in China has led to increasing responsibility for hospital managers in the management of staff,but constraints continue. New personnel reforms offer new opportunities but face a number of difficulties. Drawingon research in Chinese hospitals in 1997 this paper identifies two major obstacles to improved human resourcemanagement: wage policy and lack of control by local managers over staffing.
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Wang, Na, and Qun Li. "Study on Hospital Medical Information Engineering." ITM Web of Conferences 26 (2019): 02006. http://dx.doi.org/10.1051/itmconf/20192602006.
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On the base of the current status of hospital medical information engineering, this paper analyzes some major problems existing in computer hardware, and puts forward some plans and reform measures in connection with the characteristics of medical information engineering. Because the application of electronic information engineering in hospitals is perfect and comprehensive, and there is no corresponding management training, so that the management personnel do not have the information technology and skills required by the application of electronic information engineering, the training of relevant personnel should be strengthened.
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Ehret, Karen M., Allison T. Chamberlain, Ruth L. Berkelman, and Scott K. Fridkin. "Preventing hospital-acquired Legionnaires’ disease: A snapshot of clinical practices and water management approaches in US acute-care hospitals." Infection Control & Hospital Epidemiology 39, no. 12 (October 8, 2018): 1470–72. http://dx.doi.org/10.1017/ice.2018.240.
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AbstractIn 2017, we surveyed 101 SHEA Research Network hospitals regarding Legionnaires’ disease (LD). Of 29 respondents, 94% have or are developing a water management plan with varying characteristics and personnel engaged. Most LD diagnostic testing is limited to urine antigen testing. Many opportunities to improve LD prevention and diagnosis exist.
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Rajpal, Shweta, Sunil Kumar Garg, Tanveer Bano, and Ganesh Singh. "Biomedical waste management awareness in public and private hospitals in a district of North India." International Journal Of Community Medicine And Public Health 5, no. 4 (March 23, 2018): 1499. http://dx.doi.org/10.18203/2394-6040.ijcmph20181224.
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Background: For proper disposal of bio-medical waste, introduction of laws only is not sufficient enough but the development of healthcare system that creates awareness and promote effective enforcement of existing BMW management guidelines among all healthcare personnel assumes primary importance. This study was planned to assess the biomedical waste management awareness among paramedical and auxiliary personnel in public and private hospitals in Meerut city.Methods: A cross sectional observational study was carried out in 384 paramedical and sanitary staff of three government and three private hospitals of Meerut from November 2015 to October 2016. Information was collected on predesigned and pretested semi structured questionnaire. Scoring was done on the basis of response to each of the question awarding 1 mark to correct response and zero mark to wrong response. Score obtained between 0-5, 6-10 and 11-15 were labelled as poor, average and good knowledge respectively.Results: In the present study 68.7% (264) of studied paramedical and auxiliary staff was untrained in both public and private hospitals. However, the higher percentage of untrained staff was observed in public hospitals as compared to private hospitals for any category of staff. In public hospitals 28.1% nurses, 25.0% technicians, 15.0% ward boys/aaya, 29.7% sweepers had gone through training for Bio medical waste disposal as compared to 37.5%, 41.7%, 30.0% and 39.1% respectively in private hospitals.Conclusions: The overall awareness was found maximum among nurses as compared to technicians, ward boys/aaya and sweepers. On comparing the percentage of correct responses and scoring in public and private hospital workers, the paramedical and auxiliary staff of private hospitals had higher percentage of correct responses for most of questions. Intensive training programme at regular time interval should be done repeatedly to train and retrain all the staff, which may include question raising and problem solving approach.
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Seago, Jean Ann. "Registered Nurses, Unlicensed Assistive Personnel, and Organizational Culture in Hospitals." JONA: The Journal of Nursing Administration 30, no. 5 (May 2000): 278–86. http://dx.doi.org/10.1097/00005110-200005000-00008.
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Buchelt, Beata Irma, Aldona Frączkiewicz-Wronka, and Renata Kaminska. "Key Determinants of Human Resource Management in Hospitals: Stakeholder Perspective." Engineering Management in Production and Services 9, no. 2 (June 27, 2017): 105–15. http://dx.doi.org/10.1515/emj-2017-0020.
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AbstractOver the past decade, theoretical and empirical research on the various aspects of human resources (HR) within the healthcare (HC) sector has grown extensively due to its′ strategic importance in the sector. There is a visible tendency among researchers to pursue an effective human resource management (HRM) strategies, methods, and tools. Countries implement policies which should increase the amount and competences of employees within healthcare. Providers of HC services (i.e. hospitals) tend to enforce modern HRM solutions adapted from business organisations to attract, retain and develop HR. However, these seem not be as effective as they could (Hyde et al., 2013). Because of this, authors approached a researched reality from the point of view of a contextual paradigm, assuming that HRM solutions to be effective should match the reality of HC providers (Pocztowski, 2008). The aim of the research was to detect determinants which might influence the management of medical personnel in hospitals and identify the possible strength of these determinants so a more adjusted organisational and human resource management strategy could be elaborated. The list of possible determinants of hospital operations as the result of meta-analysis was elaborated. The list created the basis for interviews conducted among stakeholders and experts. Respondents were asked to appraise the factors with the usage of numerical scale considering their influence on medical personnel management in hospitals (physicians, nurses and others). In total, there were 28 interviews completed. The general conclusion which can be drawn from the analysis of these data is that hospitals should reorient their HRM practices in such the way that not only the quantitative but also the qualitative aspect of performance would be properly handled. This paper draws from HRM theory (contextual approach), stakeholder theory, and healthcare management theory, adding new insight to each in the context of the HC sector. Identification of most important factors which influence hospitals could allow the providers to elaborate HRM strategy adjusted to external circumstances.
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Maher, Ali, Mohammad Monfared, and Mehrnoosh Jafari. "The relationship between safety management and patient safety culture in Cancer Treatment Centers." Asian Pacific Journal of Environment and Cancer 2, no. 1 (April 24, 2019): 11–16. http://dx.doi.org/10.31557/apjec.2019.2.1.11-16.
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Introduction: Enhancement of patient safety represents a principle objective followed by any health system, and it is necessary to consistently monitor the patient safety culture among nurses. Adopted by health service providers, the patient safety culture is described as the acceptance and maintenance of the patient safety as a common priority and value across the organization, or representation of the common patient safety-related values, beliefs, perceptions, and attitudes among the staff at centers providing health services, as expressed in their behaviors. Given the importance of this topic, the present research investigates the state of safety management in the relationship between safety management and patient safety culture in Cancer Treatment Centers, so as to study the patient safety culture among the personnel at the hospitals.
Methods: The present research plan is an applied study following a descriptive aim via a correlational methodology. Validity of the questionnaires used in this research was confirmed based on opinions of five experts, with the reliability of the results among the observers confirmed by a Cronbach’s alpha of 0.86. The statistical population included three training hospitals in the city of Kermanshah, where different departments such as management, operating rooms, nurses, and the committee of safety and incidents were investigated during 2017-2018.
Results: Based on the findings of the present research, significant direct relationships were observed between the patient safety culture and safety management variables (e.g., operating room standards assessment, the committee of safety and incidents, hospitalization wards assessment, hospital accreditation score, hospital structure, and hospital organization), and an inverse relationship was obtained between the hospital occupancy rate and the patient safety culture.
Conclusion: Determination of safety policies by the management, keeping the personnel well-trained, and continuous reports by the personnel tend to enhance the level of safety across a hospital, thereby adding to the safety culture and productivity of the hospital while reducing potential safety risks. Accordingly, in order to enhance patient safety, it is necessary to adequately invest on the assessment of the safety culture.
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Bumai, O. K. "ORGANIZATION OF MANAGEMENT OF NAVAL HOSPITALS IN THE XIXTH CENTURY." Marine Medicine 5, no. 2 (July 1, 2019): 95–104. http://dx.doi.org/10.22328/2413-5747-2019-5-2-95-104.
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The paper presents the results of analysis of guideline documents that regulate the actions of naval hospitals in the XIXth century. First off, these papers are Regulations developed to control all fields of actions: duties of officials, regulations on reception and discharge of patients, organization of duty shifts, rules of patient conduct, and even fire safety measures. The paper represents principles of the organization of management of naval hospitals, results of the study of subordination of officials in a hospital and to a higher command. The data obtained in the analysis testify the increasing role of medical personnel in the management of the hospital actions throughout. At the same time, it was found that the literature presented a wrong belief about the full subordination of medical officers to a drill command. In particular, the Regulations on essential naval hospitals introduced by order of Emperor Nickolas I were sharply criticized. In further, the matters of hospital management were reflected in the Regulations of naval hospitals of 1858 and 1865. These Regulations defined the statement that the chief doctor was the one director of the hospital, hospital superintendent reported to him directly. The Regulations on naval hospitals of 1887 studied the questions of hospital management as well as common questions of administration of naval medical support. The research rationale is determined by the present work on revising the main guideline documents that regulate the actions of medical support. A historical analysis of such work conducted earlier will allow to except possible errors while attempting to introduce amendments in guideline documents that failed to stand the test of time.
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Prihartono, Nurhayati, Ella N. Hadi, Caroline E. Wuryaningsih, Lintang D. Saraswati, and Yovsyah . "A mixed method study of tuberculosis case management in hospitals of West and Central Java, Indonesia." International Journal Of Community Medicine And Public Health 4, no. 9 (August 23, 2017): 3380. http://dx.doi.org/10.18203/2394-6040.ijcmph20173849.
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Background: Indonesia as the secondlargest contributor of tuberculosis (TB)has adopted the WHOrecommendation through DOTS strategy to reducedisease burden in both government and private hospitals. Effectiveness of DOTS implementation in healthcare centers has been reported. However,few studies found that the TB treatment success rate in hospitals was still low.The objectives of the study were to assess case detection and the implementation of DOTS strategy in hospital. Methods: Study was conducted in 8 hospitalsin West Java and Central Java that had implemented DOTS strategy during a two-year period (2007-2008). Mixed methods were used to obtain data on treatment strategy quantitatively and its exploration qualitatively, particularly the practice performed by hospital staff and the patient’s experience. Results: Hospitals didnot refer many new TB cases to healthcare centers. All patients, treatment observers and the heads of DOTS team of the private hospitals stated that medication was always available at the hospital. Some public hospitals reported lack of stock of OAT due to large patient numbers.Seven out of the 8 hospitals had allocated treatment observers.Public and private hospitals had achieved treatment success rate of 61 to 74% for smear-positive and negative cases. However, there was a high proportion of cases that defaulted from treatment, the majority of which was among smear-negative cases in public hospital (29%). Conclusions: Overall success rate of TB treatment in hospital was low. Strengthening of TB case management in hospital through improved training of health-care personnel is needed to reduce the burden of TB in Indonesia.
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Brown, Jeffrey, Linda Kosnik, and Donald Cox. "Enhancing an Application for Dynamic Management of System Capacity Using Cognitive Assessment Indicators." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 51, no. 11 (October 2007): 607–11. http://dx.doi.org/10.1177/154193120705101101.
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Over the past two decades there has been an escalation in the number of patient admissions to U.S. hospitals while the number of available hospital beds has declined. Concurrently, decreasing reimbursements for patient care services have compelled cost cutting and efficiency measures. Coupled with other factors such as personnel shortages, this has eroded the capacity of hospitals to absorb situational increases in demand. Innovative approaches to monitoring and enhancing capacity management are integral to improving resilience and reliability. This paper describes the Acute Care Operations Management Solution (ACOMS), an application designed to enable dynamic management of demand versus capacity across system scales, and Cognitive Assessment Indicators, a method for evaluating the impact of system design on the cognitive functioning of operators.
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Dwivedi, Garima, Shiv Prakash, Gyan Prakash, Richa Singh, Deepak Anand, and Richa Mishra. "A study on the knowledge, attitude and practice among health care personnel in secondary care hospital of Prayagraj district." International Journal Of Community Medicine And Public Health 8, no. 4 (March 25, 2021): 1950. http://dx.doi.org/10.18203/2394-6040.ijcmph20211260.
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Background: The World Health Organization (WHO) defines medical waste as waste generated by health care activities including a broad range of materials, from used needles and syringes to soiled dressings, body part, diagnostic samples, blood, pharmaceuticals, medical devices and radioactive material. Bio medical waste creates great risk of being injured or infected to medical professionals, if not handled properly. Objective of the study was to assess knowledge, attitude and practice regarding bio-medical management among health-care personnel in secondary care hospitals in Prayagraj district.Methods: A total 615 personnel were listed in urban and 363 in rural secondary care hospitals. Sample size was calculated to be 470. The study subjects were selected from each stratum randomly in proportion to the size of strata in order to complete the sample size from both urban and rural. This was a questionnaire based cross-sectional study.Results: Doctors, nurses and lab technician had satisfactory knowledge, practice and good attitude regarding biomedical waste management. It was observed that in urban hospitals 68.96% doctor, 66.01% nurses, 59.25% lab technicians and 55.12% sanitary staff had complete knowledge while in rural 62.85% doctors, 64.28% nurses, 46.4% lab technician and 42.85% sanitary staff had complete knowledge. Majority of healthcare personnel had positive attitude in both urban and rural hospitals. Regarding practice urban hospitals were doing satisfactory practice as compared to rural hospital.Conclusions: The study revealed that the attitude among health-care personnel was good while knowledge and practice were to the tune of satisfactory.
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Oluwatosin Makanjuola, John, Uyi Idah Ekowmenhenhen, Lillian Lami Enone, Donna Chioma Umesi, Oladunni Mojirayo Ogundana, and Godwin Toyin Arotiba. "Mercury hygiene and biomedical waste management practices among dental health-care personnel in public hospitals in Lagos State, Nigeria." African Health Sciences 21, no. 1 (April 16, 2021): 457–69. http://dx.doi.org/10.4314/ahs.v21i1.56.
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Background: Indiscriminate disposal of hospital wastes including mercury/amalgam wastes pose a serious threat to life and environment. There is a growing concern about biomedical waste (BMW) management among health care workers, however there are limited reports on BMW management by dental personnel in developing countries.
Objectives: This study investigated the level of knowledge of BMW, observance of proper mercury hygiene and BMW management practice among public dental personnel in Lagos State, Nigeria.
Methods: A cross-sectional study regarding BMW management across public hospitals in Lagos State, Nigeria was con- ducted following institutional ethics committee approval. A self-administered questionnaire was utilized to obtain data from different facilities selected by purposive and simple random sampling techniques as applicable. The questionnaires were dis- tributed among 437 respondents by convenience sampling. The resulting data were statistically tested using Chi-square and G-test with p-value < 0.05 indicating significant level.
Results: Amongst 437 respondents, majority were females (62.5%) and the highest proportion fell within the age range of 25–34 years (44.4%). Only 17.2% of the respondents had good knowledge of BMW management/legislation and 4.1% had good BMW practice. Less than half (49.4%) of respondents disposed mercury-contaminated materials inside the trash and majority (92.2%) did not observe proper mercury hygiene. Significantly better mercury hygiene practices were observed in secondary facilities (p=0.040).
Conclusion: A minor proportion of public dental personnel had good knowledge and practice of proper mercury hygiene and BMW management. This shows there is an urgent need for training of health personnel on proper BMW handling and disposal in developing countries like Nigeria.
Keywords: Biomedical waste management; mercury hygiene; dental personnel; Nigeria.
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Ogushi, Y., Y. Okada, M. Kimura, I. Kumamoto, Y. Sekita, and Y. Haruki. "Status and Perspective of Hospital Information Systems in Japan." Methods of Information in Medicine 38, no. 03 (1999): 200–206. http://dx.doi.org/10.1055/s-0038-1634185.
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AbstractQuestionnaire surveys were sent to hospital managers, designed to shape the policy for future hospital information systems in Japan. The answers show that many hospitals use dedicated management systems, especially for patient registration and accounting, and personnel, food control, pharmacy and financial departments. In many hospitals, order-entry systems for laboratory tests and prescriptions are well developed. Half of the hospitals have patient databases used for inquiries of basic patient information, history of outpatient care and hospital care. The most obvious benefit is the reduction of office work, due to effective hospital information system. Many hospital managers want to use the following sub systems in the future for automatic payment, waiting time display, patient records search, automatic prescription verification, drug side-effect monitoring, and graphical display of patient record data.
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Roja, K., G. D. V. Kusuma, and B. Ravi Kumar. "Pragmatic Analysis on Staff Related Issues in Selected Hospitals." International Journal of Business and Management Future 2, no. 2 (September 8, 2018): 6–12. http://dx.doi.org/10.46281/ijbmf.v2i2.121.
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For the efficient management of an organization, it is pertinent that personnel working in different capacities in the different departments make possible friendly relations. Superiors would remain superiors even if they are influenced by ego. The supervisors acting like a superior and behaving like an officer/administrator, the possibilities of degeneration in the relations can’t be overruled. The service of hospitals based on the staff it is essential for all the personnel irrespective of the rank and position they hold make sincere and honest efforts to accomplish the organizational goals. The present study is an attempt to portray the staff related issues in selected hospitals like GEMS, KIMS, RIMS, GMR.
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Lin, Chih-Lung, James K. C. Chen, and Han-Hsi Ho. "BIM for Smart Hospital Management during COVID-19 Using MCDM." Sustainability 13, no. 11 (May 31, 2021): 6181. http://dx.doi.org/10.3390/su13116181.
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In context of the recent COVID-19 pandemic, smart hospitals’ contributions to pre-medical, remote diagnosis, and social distancing has been further vetted. Smart hospital management evolves with new technology and knowledge management, which needs an evaluation system to prioritize its associated criteria and sub-criteria. The global effect of the COVID-19 pandemic further necessitates a comprehensive research of smart hospital management. This paper will utilize Analytical Hierarchy Process (AHP) within Multiple Criteria Decision Making (MCDM) to establish a smart hospital evaluation system with evaluation criteria and sub-criteria, which were then further prioritized and mapped to BIM-related alternatives to inform asset information management (AIM) practices. This context of this study included the expert opinions of six professionals in the smart hospital field and collected 113 responses from hospital-related personnel. The results indicated that functionalities connected to end users are critical, in particular IoT’s Network Core Functionalities, AI’s Deep Learning and CPS’s Special Network Technologies. Furthermore, BIM’s capability to contribute to the lifecycle management of assets can relate and contribute to the asset-intensive physical criteria of smart hospitals, in particular IoT, service technology innovations and their sub-criteria.
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Qu, Yan. "Research on Marketing Website Construction - A Case Study in Hospital." Advanced Materials Research 998-999 (July 2014): 1207–10. http://dx.doi.org/10.4028/www.scientific.net/amr.998-999.1207.
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Construction of hospital information has greatly improved in recent years, but there exist many problems in the website construction, which can not satisfy the information needs of both doctors and patients and future demands of market competition. From the perspective of practice, this article introduce WEB2.0 concept and its main application in hospital information construction, which oriented to general health workers and hospital management personnel to improve the service quality and doctor-patient relationship, improve the effect of website promotion, bring more benefits to hospital, and improve modern management level of Chinese hospital. It is the inevitable way to improve the modernization management of hospitals.
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Maree Grebe, Gerhard Philip. "Managing fraud risk: A study of the private hospital sector of South Africa." Corporate Ownership and Control 14, no. 1 (2016): 330–39. http://dx.doi.org/10.22495/cocv14i1c2p5.
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Ethical and legal decisions are made daily by healthcare professionals and personnel in the performance of their regular duties. However, fraud risk has become a threat to the sustainability of industries and organisations, including the healthcare sector. In the South African healthcare sector, losses due to fraud risk amounted to R13 billion during 2015(Bateman, 2015). The purpose of the study on which this article reports, was to assess whether private hospitals managed fraud risk effectively and in a cohesive manner. Failure to manage fraud risk threatens the sustainability of any hospital. Primary data was collected by means of a survey, which involved management staff at head office level and at hospital level. The findings suggested that South African private hospitals appreciate the significance of the management of fraud, but there is room for improvement. It is recommended that private hospitals follow a decentralised business model and decentralising risk ownership in order to manage fraud risk more effectively. Risk management training should be provided to staff members on a regular basis and a King-type regime should be adopted by private hospitals with regard to the management of risks.
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Cebeci, Hakan. "HASTANELERDE İŞ KAZALARI VE ÇALIŞAN GÜVENLİĞİ: KARABÜK ŞEHİR MERKEZİ ÖRNEĞİ." Business & Management Studies: An International Journal 1, no. 1 (December 26, 2013): 62. http://dx.doi.org/10.15295/bmij.v1i1.17.
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In health sector, health care workers are exposed to a lot of work accidents as a source of the feature of the service. A set of legal arrangements have been made on the subject by the Ministry of Health is working basically assuring the safety of these arrangements, hospitals, hospital management, employee safety committee and a number of employees responsibilities. Evaluation of the work-related accidents which the health care workers are exposed to and safety issues related to working in health care workers and to contribute to the process of searching for solutions, applications, reviews of health care workers and detection of exposure to work-related accidents are important to employee safety. Virtue of this importance, the aim of our research, which threaten the security of working in hospitals and to identify the most common work-related accidents, accidents at work in the formation of this, according to the Service Quality Standards which essentially based on to provide patient and employee safety and to include all the health institutions in the country, hospital management, employee safety committee and responsibilities of employees and so on which provide employees the opportunity to evaluate separately by sections that determine the development of open spaces. Health personnel working in hospitals in the city center of Karabuk scope of the research carried out and the data obtained from questionnaires were applied to various analyzes.Research of health personnel as a result of a work accident rate is quite high exposure, the culture of event notification which does not occur in hospitals, hospitals for the purposes of employee safety committees are activelycommitted to the fore the results. In addition, the participants 'management' obligations relating to employee safety assessment in which the assessment is unfavorable compared.
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Cebeci, Hakan. "HASTANELERDE İŞ KAZALARI VE ÇALIŞAN GÜVENLİĞİ: KARABÜK ŞEHİR MERKEZİ ÖRNEĞİ WORK-RELATED ACCIDENTS AND EMPLOYEE SAFETY IN THE HOSPITALS: AN APPLICATION AT KARABUK CITY CENTRE." Business & Management Studies: An International Journal 1, no. 1 (December 26, 2013): 62. http://dx.doi.org/10.15295/bmij.v1i1.18.
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In health sector, health care workers are exposed to a lot of work accidents as a source of the feature of the service. A set of legal arrangements have been made on the subject by the Ministry of Health is working basically assuring the safety of these arrangements, hospitals, hospital management, employee safety committee and a number of employees responsibilities. Evaluation of the work-related accidents which the health care workers are exposed to and safety issues related to working in health care workers and to contribute to the process of searching for solutions, applications, reviews of health care workers and detection of exposure to work-related accidents are important to employee safety. Virtue of this importance, the aim of our research, which threaten the security of working in hospitals and to identify the most common work-related accidents, accidents at work in the formation of this, according to the Service Quality Standards which essentially based on to provide patient and employee safety and to include all the health institutions in the country, hospital management, employee safety committee and responsibilities of employees and so on which provide employees the opportunity to evaluate separately by sections that determine the development of open spaces. Health personnel working in hospitals in the city center of Karabuk scope of the research carried out and the data obtained from questionnaires were applied to various analyzes.Research of health personnel as a result of a work accident rate is quite high exposure, the culture of event notification which does not occur in hospitals, hospitals for the purposes of employee safety committees are activelycommitted to the fore the results. In addition, the participants 'management' obligations relating to employee safety assessment in which the assessment is unfavorable compared.
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Poulsen, Joo Hanne, Lotte Stig Nørgaard, Peter Dieckmann, and Marianne Hald Clemmensen. "Time spent by hospital personnel on drug changes: A time and motion study from an in-and outpatient hospital setting." PLOS ONE 16, no. 2 (February 25, 2021): e0247499. http://dx.doi.org/10.1371/journal.pone.0247499.
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Introduction Medicines used at Danish public hospitals are purchased through tendering. Together with drug shortage, tendering result in drug changes, known to compromise patient safety, increase medicine errors and to be resource demanding for healthcare personnel. Details on actual resources required in the clinic setting to manage drug changes are unknown. The aim of the study is to explore time spend by hospital personnel in a drug change situation when dispensing medicine to in- and outpatients in a hospital setting in the Capital Region of Denmark. Method A time and motion study, using direct observation combined with time-registration tools, such as eye-tracking, video recording and manual time tracking. Data were obtained from observing nurses and social and health care assistants with dispensing authority while dispensing or extraditing medicine before and after the implementation of drug changes in two clinical setting; a cardiology ward and a rheumatology outpatient clinic. Results Hospital personnel at the cardiology inpatient ward spent 20.5 seconds on dispensing a drug, which was increased up to 28.4 seconds by drug changes. At the rheumatology outpatient clinic, time to extradite medicine increased from 8 minutes and 6 seconds to 15 minutes and 36 seconds by drug changes due to tender. Similarly, drug changes due to drug shortage prolonged the extradition time to 16 minutes and 54 seconds. Statistical analysis reveal that drug changes impose a significant increase in time to dispense a drug for both in- and outpatients. Conclusion Clinical hospital personnel spent significantly longer time on drug change situations in the dispensing of medicine to in- and outpatients in a hospitals. This study emphasizes that implementing drug changes do require extra time, thus, the hospital management should encounter this and ensure that additional time is available for the hospital personnel to ensure a safe drug dispensing process.
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Liu, Steven, Cara Sweeney, Nalinee Srisarajivakul-Klein, Amanda Klinger, Irina Dimitrova, and Verity Schaye. "Evolving oxygenation management reasoning in COVID-19." Diagnosis 7, no. 4 (November 18, 2020): 381–83. http://dx.doi.org/10.1515/dx-2020-0099.
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AbstractThe initial phase of the SARS-CoV-2 pandemic in the United States saw rapidly-rising patient volumes along with shortages in personnel, equipment, and intensive care unit (ICU) beds across many New York City hospitals. As our hospital wards quickly filled with unstable, hypoxemic patients, our hospitalist group was forced to fundamentally rethink the way we triaged and managed cases of hypoxemic respiratory failure. Here, we describe the oxygenation protocol we developed and implemented in response to changing norms for acuity on inpatient wards. By reflecting on lessons learned, we re-evaluate the applicability of these oxygenation strategies in the evolving pandemic. We hope to impart to other providers the insights we gained with the challenges of management reasoning in COVID-19.
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Schentag, Jerome J., Joseph A. Paladino, Mary C. Birmingham, Gabrial Zimmer, James R. Carr, and Stephen C. Hanson. "Use of Benchmarking Techniques to Justify the Evolution of Antibiotic Management Programs in Healthcare Systems." Journal of Pharmacy Technology 11, no. 5 (September 1995): 203–10. http://dx.doi.org/10.1177/875512259501100508.
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Objective: To apply basic benchmarking techniques to hospital antibiotic expenditures and clinical pharmacy personnel and their duties, to identify cost savings strategies for clinical pharmacy services. Design: Prospective survey of 18 hospitals ranging in size from 201 to 942 beds. Each was asked to provide antibiotic expenditures, an overview of their clinical pharmacy services, and to describe the duties of clinical pharmacists involved in antibiotic management activities. Specific information was sought on the use of pharmacokinetic dosing services, antibiotic streamlining, and oral switch in each of the hospitals. Results: Most smaller hospitals (<300 beds) did not employ clinical pharmacists with the specific duties of antibiotic management or streamlining. At these institutions, antibiotic management services consisted of formulary enforcement and aminoglycoside and/or vancomycin dosing services. The larger hospitals we surveyed employed clinical pharmacists designated as antibiotic management specialists, but their usual activities were aminoglycoside and/or vancomycin dosing services and formulary enforcement. In virtually all hospitals, the yearly expenses for antibiotics exceeded those of Millard Fillmore Hospitals by $2,000–3,000 per occupied bed. In a 500-bed hospital, this difference in expenditures would exceed $1.5 million yearly. Millard Fillmore Health System has similar types of patients, but employs clinical pharmacists to perform streamlining and/or switch functions at days 2–4, when cultures come back from the laboratory. Conclusions: The antibiotic streamlining and oral switch duties of clinical pharmacy specialists are associated with the majority of cost savings in hospital antibiotic management programs. The savings are considerable to the extent that most hospitals with 200–300 beds could readily cost-justify a full-time clinical pharmacist to perform these activities on a daily basis. Expenses of the program would be offset entirely by the reduction in the actual pharmacy expenditures on antibiotics.
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Copca, Narcis, and Constanta Mihaescu-Pintia. "Motivating hospital personnel for excellence in a rough environment." Proceedings of the International Conference on Business Excellence 11, no. 1 (July 1, 2017): 368–80. http://dx.doi.org/10.1515/picbe-2017-0040.
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Abstract Work motivation and satisfaction are core performance factors, of a broad complexity in healthcare. In spite of all economic, political, administrative, regulatory or bureaucratic adversities, there are public Romanian hospitals striving to perform at European level. Medical personnel dissatisfaction, and shortage due to migration are significant challenges for managers. Methodology: the main research question is whether motivation is a key factor in a public Romanian hospital oriented to clinical excellence, reflected by retention of medical staff and their professional satisfaction, and also perceived by their patients. Purpose: to analyze importance and level of job satisfaction of hospital personnel in relation with other motivation components given the rough environment of Romanian public healthcare system, and its reflection on patient satisfaction. The paper is based on two studies: professional satisfaction survey conducted among all 350 employees of the Clinical Hospital “St. Maria” Bucharest accredited for liver transplantation and achieving great clinical performance, based on a 21-questions semi-structured questionnaire. Second, a patient satisfaction survey conducted on a sample of 75 patients randomly selected from all 5 hospital departments, out of an average of approximately 230 patients per week, by applying on discharge day a questionnaire of 30 questions. Results: Great majority of our personnel appreciated as appropriate: their working conditions, communication and relationship with hierarchic boss and with hospital management team. 84.6% of medical and 90.5% of nonmedical personnel declared to be professionally very satisfied and satisfied in this hospital. Patient satisfaction analysis indicated that almost all respondents were informed by medical personnel about their conditions and rights, receiving explanations about treatment; 90% considered care received at a very good quality, except for food; 90.2% of respondents rated as very good the personnel kindness, availability, communication, information and care; 67,2% of patients stated as very satisfied and 23% satisfied with the medical care received, and all respondents would choose this hospital again if needed and even would recommend it to others. Conclusion: Anticipating their needs and motivating hospital personnel to achieve high performance is of great importance for managers and employees, by focusing on people and using appropriate tools even when no direct financial incentives are possible. Professional satisfaction has to be periodically measured, correlated with patient surveys and followed by specific actions for improvement and kept high, thus allowing climbing up to the best hospitals in Bucharest, despite significant challenges within Romanian public healthcare system. Our analysis showed the importance of job motivation and satisfaction in public hospitals, despite the rough environment, and reflection of work satisfaction on employees-patients relationship in terms of availability, communication, providing information and feedback, care, and choice/preference for future services. Thus, our research objectives were fulfilled.
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Myroshnychenko, Ganna, and Yuliya Polegenka. "ТЕОРЕТИЧНИЙ БАЗІС ФОРМУВАННЯ СИСТЕМИ УПРАВЛІННЯ ПЕРСОНАЛОМ МЕДИЧНОГО ЗАКЛАДУ." Economical 1, no. 1(22) (2020): 97–105. http://dx.doi.org/10.31474/1680-0044-2020-1(22)-97-105.
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In modern market economy, among the variety of problems associated with the normal and efficient development of enterprises and organizations, one of the main problem is the personnel management. In the near future, the best development will be achieved by those organizations that focus on human resources and their management. Data shows that strategic personnel management in the current context of health care reform will increase the competitiveness of medical institutions. The paper analyzes the state of staffing in the healthcare sector. It was determined that there is a tendency to reduce medical facilities, and the outflow of highly qualified personnel to other sectors of the economy. Thus, since 1990, the number of hospitals has decreased by 43.5%, from 3.6 thousand to 1.1 thousand. Due to this, the number of hospital beds per 10,000 population decreased at the end of 2017, the number of beds decreased by 53.9%. The analysis revealed that in Ukraine there is a problem of layoffs. It is established that in the period from 1990 to 2017 there was a decrease in the number of paramedics in the health care system by a total of 32.1 people per 10,000 population, which is 27.3% of the total number of paramedics in 1990. Research shows that the movement of health workers depends on the movement of labor migration from districts to large cities, and is common in all countries, but in Ukraine there is a tendency to reduce the average number of medical staff at a faster rate than the reduction of doctors. This is due to difficult economic conditions in the country. The analysis of the personnel potential of health care institutions of Ukraine was carried out, which determined a significant reduction of medical staff, especially in the part of paramedical staff. It decreased by 27.3% of the total number of paramedics in 1990. It is determined that the main factors reducing the human resources of health care institutions of Ukraine are the inadequacy of staff training to modern requirements in the field of health care, insufficient material and social security of staff. An effective system of personnel management of a medical institution has been developed, which is based on the formation of human resources and the effective use of the personnel of the medical institution, which includes an analysis of the labor potential of the medical worker; planning and selection of staff depending on the demand for medical services of the institution; development of rules for hiring staff in accordance with labor legislation; application of methods of adaptation of medical staff; application of a transparent method of personnel certification. The characteristics of the functioning of the health care sector, which influence the formation of the personnel management system of medical institutions, have been identified. Directions for improving the personnel management system of medical institutions have been identified, which will ensure high quality of medical services with sufficient material security of medical institution staff and promote the retention of highly qualified personnel in medical institutions, which in turn will increase the efficiency of the health care system as a whole.
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Pramusinto, Handoyo, Daniel Agriva Tamba, Yoyok Subagio, Tommy J. Numberi, Bangun Pramujo, Franklin L. Sinanu, Gheanita Ariasthapuri, Haryo Bismantara, and Andreasta Meliala. "The adjustment of neurosurgical procedures during the COVID-19 pandemic: a case study at Dr. Sardjito General Hospital as a part of an academic health system." Neurosurgical Focus 49, no. 6 (December 2020): E8. http://dx.doi.org/10.3171/2020.9.focus20699.
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OBJECTIVEThe recent COVID-19 outbreak has forced notable adjustments to surgical procedure preparation, including neurosurgical services. However, due to the uniqueness of the recent situation, neurosurgical centers, especially those located in low-resource settings, are facing several challenges such as a lack of coordination, poor equipment, and shortage of medical personnel. Therefore, several guidelines from local authorities and international neurosurgical bodies have been published to help clinicians manage their patients. In addition, the academic health system (AHS), which is an integrated system containing a medical institution, universities, and a teaching hospital, may play some role in the management of patients during COVID-19. The objective of this study was to describe how each hospital in the authors’ network adjusted their neurosurgical practice and how the AHS of the Universitas Gadjah Mada (UGM) played its role in the adaptation process during the pandemic.METHODSThe authors gathered both local and national data about the number of COVID-19 infections from the government’s database. To assess the contribution of the AHS to the efforts of each hospital to address the pandemic, questionnaires were given to 6 neurosurgeons, 1 resident, and 2 general surgeons about the management of neurosurgical cases during the pandemic in their hospitals.RESULTSThe data illustrate various strategies to manage neurosurgical cases by hospitals within the authors’ networks. The hospitals were grouped into three categories based on the transmission risk in each region. Most of these hospitals stated that UGM AHS had a positive impact on the changes in their strategies. In the early phase of the outbreak, some hospitals faced a lack of coordination between hospitals and related stakeholders, inadequate amount of personal protective equipment (PPE), and unclear regulations. As the nation enters a new phase, almost all hospitals had performed routine screening tests, had a sufficient amount of PPE for the medical personnel, and followed both national and international guidelines in caring for their neurosurgical patients.CONCLUSIONSThe management of neurosurgical procedures during the outbreak has been a challenging task and a role of the AHS in improving patient care has been experienced by most hospitals in the authors’ network. In the future, the authors expect to develop a better collaboration for the next possible pandemic.
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Safdar, Komal Aqeel, Ali Emrouznejad, and Prasanta Kumar Dey. "An optimized queue management system to improve patient flow in the absence of appointment system." International Journal of Health Care Quality Assurance 33, no. 7/8 (November 13, 2020): 477–94. http://dx.doi.org/10.1108/ijhcqa-03-2020-0052.
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PurposeThe aim of this research study is to develop a queue assessment model to evaluate the inflow of walk-in outpatients in a busy public hospital of an emerging economy, in the absence of appointment systems, and construct a dynamic framework dedicated towards the practical implementation of the proposed model, for continuous monitoring of the queue system.Design/methodology/approachThe current study utilizes data envelopment analysis (DEA) to develop a combined queuing–DEA model as applied to evaluate the wait times of patients, within different stages of the outpatients' department at the Combined Military Hospital (CMH) in Lahore, Pakistan, over a period of seven weeks (23rd April to 28th May 2014). The number of doctors/personnel and consultation time were considered as outputs, where consultation time was the non-discretionary output. The two inputs were wait time and length of queue. Additionally, VBA programming in Excel has been utilized to develop the dynamic framework for continuous queue monitoring.FindingsThe inadequate availability of personnel was observed as the critical issue for long wait times, along with overcrowding and variable arrival pattern of walk-in patients. The DEA model displayed the “required” number of personnel, corresponding to different wait times, indicating queue build-up.Originality/valueThe current study develops a queue evaluation model for a busy outpatients' department in a public hospital, where “all” patients are walk-in and no appointment systems. This model provides vital information in the form of “required” number of personnel which allows the administrators to control the queue pre-emptively minimizing wait times, with optimal yet dynamic staff allocation. Additionally, the dynamic framework specifically targets practical implementation in resource-poor public hospitals of emerging economies for continuous queue monitoring.
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Farzadkia, Mahdi, Arash Moradi, Mojtaba Shah Mohammadi, and Sahand Jorfi. "Hospital waste management status in Iran: a case study in the teaching hospitals of Iran University of Medical Sciences." Waste Management & Research: The Journal for a Sustainable Circular Economy 27, no. 4 (June 2009): 384–89. http://dx.doi.org/10.1177/0734242x09335703.
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Hospital waste materials pose a wide variety of health and safety hazards for patients and healthcare workers. Many of hospitals in Iran have neither a satisfactory waste disposal system nor a waste management and disposal policy. The main objective of this research was to investigate the solid waste management in the eight teaching hospitals of Iran University of Medical Sciences. In this cross-sectional study, the main stages of hospital waste management including generation, separation, collection, storage, and disposal of waste materials were assessed in these hospitals, located in Tehran city. The measurement was conducted through a questionnaire and direct observation by researchers. The data obtained was converted to a quantitative measure to evaluate the different management components. The results showed that the waste generation rate was 2.5 to 3.01 kg bed—1 day—1, which included 85 to 90% of domestic waste and 10 to 15% of infectious waste. The lack of separation between hazardous and non-hazardous waste, an absence of the necessary rules and regulations applying to the collection of waste from hospital wards and on-site transport to a temporary storage location, a lack of proper waste treatment, and disposal of hospital waste along with municipal garbage, were the main findings. In order to improve the existing conditions, some extensive research to assess the present situation in the hospitals of Iran, the compilation of rules and establishment of standards and effective training for the personnel are actions that are recommended.
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Musa, Fatema, Ayatullah A. Mohamed, and Nagah Selim. "Knowledge and attitude of nurse professionals towards medical waste management at Hamad Medical Corporation in Qatar: a cross-sectional study." International Journal Of Community Medicine And Public Health 7, no. 4 (March 26, 2020): 1228. http://dx.doi.org/10.18203/2394-6040.ijcmph20201424.
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Background: The improper management of wastes generated in health care facilities can severely affect the health of caregivers, patients and members of the community. Medical waste management can be achieved with the cooperation of all workers and patients; however, nursing personnel play a significant role in the whole process. Therefore, this study was done to evaluate the knowledge of nursing professionals regarding waste management in Hamad Medical Corporation (HMC) hospitals in Doha and to assess their attitude towards medical waste management.Methods: Descriptive cross-sectional study conducted at 4 governmental hospitals in Doha city; Hamad General Hospital (HGH), Women's Hospital (WH), Rumiallalh Hospital (RH) and Al-Amal hospital among 420 nurses.Results: The response rate among nurses were 82.3%, most of them are female and non-Qatari. On analyzing data on knowledge about waste management procedures, it was found that the most widely reported procedures was segregation (89.9%) and incineration (84.9%). Almost all nurses (99.4%) believed that training and education regarding medical waste is required for all staff, also 98.8% of the studied nurses agreed that attending medical waste management program is beneficial.Conclusions: Knowledge of most studied nurses regarding medical waste management was found to be high and had positive attitude.
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Thompson, Sandra C., and Maureen Norris. "Hepatitis B Vaccination of Personnel Employed in Victorian Hospitals: Are Those at Risk Adequately Protected?" Infection Control & Hospital Epidemiology 20, no. 01 (January 1999): 51–54. http://dx.doi.org/10.1086/501552.
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AbstractObjective:To examine the policies and practices in hospitals within the state of Victoria, Australia, with respect to vaccination of staff against hepatitis B infection.Design:A written self-administered questionnaire to be completed by the infection control officer (or designated officer for hepatitis B vaccination) within each hospital.Setting:Public (teaching and nonteaching) and private hospitals, including metropolitan and rural institutions in Victoria.Participants:A random sample of 30% of Victorian hospitals were asked to participate in the survey. Of 78 eligible institutions, 69 (88%) completed and returned questionnaires.Results:There was no consistent hepatitis B prevention policy in place across Victoria. Of the 69 responding hospitals, 63 (91%) offered hepatitis B vaccination to staff, and 58 (84%) of these also paid all costs of vaccination. Of the 63 hospitals offering vaccination to staff, 39 offered vaccination to all staff, 23 offered vaccination based on job title, and one offered vaccination based on anticipated exposure. In many institutions, postexposure protocols were recalled more readily than preexposure vaccination guidelines. Numerous respondents indicated a need for clear guidelines on policy and clarification on practical matters of management, such as acceptable immune levels, management of nonresponders to the primary series, and the need for, and timing of, booster doses of vaccine. Eleven (18%) of the 63 hospitals offering hepatitis B vaccination to staff undertook routine prevaccination screening, a practice not generally regarded as cost-effective in Australia. Fifty-five of these hospitals (91%) also undertook postvaccination screening.Conclusions:It is evident from this study that a considerable number of potentially susceptible healthcare personnel in Victorian hospitals remain unprotected against hepatitis B infection. A more reliable and consistent approach to preexposure hepatitis B vaccination is recommended
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Zhang, Yongrui, and Jialin Gao. "Application of Wireless Network in Hospital Information Construction." MATEC Web of Conferences 227 (2018): 02001. http://dx.doi.org/10.1051/matecconf/201822702001.
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The rapid development and wide application of wireless network technology have brought unprecedented opportunities to the reform of medical and health services in China. Many hospitals in China have widely applied wireless network technology to informatization construction of hospitals, mainly including wireless room inspection, wireless infusion, wireless nursing, telemedicine, and warehouse management. This has the advantages of being flexible, convenient, effective, and reliable, which is conducive to the comprehensive integration of hospital data and information, reducing the work pressure of medical personnel, improving medical diagnosis and quality of care, and promoting the development of China’s medical and health services. Wireless networks have made outstanding contributions in controlling medical defects and improving economic efficiency while improving work efficiency and reducing costs. However, there are still certain security risks in wireless networks. Only the safe and rational use of wireless network technology can ensure the hospital’s information security.
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Gardner, MD, Aaron H., Michael R. FitzGerald, PhD, Hamilton P. Schwartz, MD, and Nathan L. Timm, MD. "Evaluation of regional hospitals’ use of children in disaster drills." American Journal of Disaster Medicine 8, no. 2 (April 1, 2013): 137–43. http://dx.doi.org/10.5055/ajdm.2013.0120.
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Objective: Describe the prevalence of pediatric casualties in disaster drills by community hospitals and determine if there is an association between the use of pediatric casualties in disaster drills and the proximity of a community hospital to a tertiary children’s hospital.Design: Survey, descriptive study.Setting: Tertiary children’s hospital and surrounding community hospitals.Participants: Hospital emergency management personnel for 30 general community hospitals in the greater Cincinnati, Ohio region.Interventions: NoneMain Outcome Measure(s): The utilization of pediatric casualties in community hospital disaster drills and its relationship to the distance of those hospitals from a tertiary children’s hospital.Results: Sixteen hospitals reported a total of 57 disaster drills representing 1,309 casualties. The overwhelming majority (82 percent [1,077/1,309]) of simulated patients from all locations were 16 years of age or older. Those hospitals closest to the children’s hospital reported the lowest percentage of pediatric patients (10 percent [35/357]) used in their drills.The hospitals furthest from the children’s hospital reported the highest percentage of pediatric patients (32 percent [71/219]) used during disaster drills.Conclusions: The majority of community hospitals do not incorporate children into their disaster drills, and the closer a community hospital is to a tertiary children’s hospital, the less likely it is to include children in its drills. Focused effort and additional resources should be directed toward preparing community hospitals to care for children in the event of a disaster.
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Ahsan, HM Nazmul, Md Ridwanur Rahman, Robed Amin, and Enamul Hoque Chowdhury. "Knowledge of Snake Bite Management among Health Service Providers at a Rural Community of Bangladesh." Journal of Current and Advance Medical Research 4, no. 1 (April 5, 2018): 17–22. http://dx.doi.org/10.3329/jcamr.v4i1.36170.
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Background: Snake bile is a very common incidence among the rural people.Objective: This study was aimed to assess the pattern of snakebite in rural community through community engagement.Methodology: It uses the methodological triangulation qualitative and quantitative approach as well as a case study design in analyzing data, whereby the exploratory-descriptive design is followed. The findings from survey study on snake bite have been elicited from face to face interview with 243 number of medical professionals/health service providers consisting of 113 number of MBBS doctors, 86 number of nurses and 46 number of other health practitioners. The study area consisted of 5 zilla sadar hospitals and 15 upazilla health complexes. We purposively select the 243 sample(Doctors, Nurses, Paramedics ,Others) from the selected districts and its consisting random upazillas from the govt. sector hospitals keeping in mind gender balance (Male -Female) as a primary total target population. So in total, 5division and itsconsisting random upazilas hospital including union health complex hospital personnel will be interviewed throughout mention areas of Bangladesh. Result: Most of the health professionals (93.8%) stated that the existence of facilities in their respective hospitals is not adequate to manage the treatment of snake bite victims. Of the total number of medical personnel - around 30.0% of the health professionals had the opportunity to manage snake bite in their respective span of service (50.4% of MBBS docs + 11.6% of nurses + 11.4% of other practitioners).The findings show that majority of 87.6% of doctors, 85.0% of nurses and 95.5% of other practitioners mentioned rainy season as the most prevalent time for occurrence of snake bite in rural areas of Bangladesh. As for whether all snake bites are poisonous- around 17.0% of doctors followed by 18.6% of nurses and 16.0% of other practitioners are found to have wrong notion about mentioning that all snake bites are poisonous but in reality this is not true.Conclusion: There is insufficient knowledge, skill and experience of how to treat snake bite victims. Journal of Current and Advance Medical Research 2017;4(1):17-22
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Niraula, Tika Prasad, and Santosh Raj Poudel. "Factors Associated with Clients' Satisfaction on Hospital Service Management of Province 1, Eastern Nepal." Nepal Journal of Multidisciplinary Research 2, no. 2 (November 8, 2019): 7–15. http://dx.doi.org/10.3126/njmr.v2i2.26280.
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Satisfaction is both the internal happiness and sadness which is the major result of the correlation between the desires and expectations of people and also the services received. The direct relation is with the health services provided to the people which are effectively used where the fulfillment of patient is always kept on the list of high priority. This satisfaction of people directly links with the major factors like healthy communication with the staffs of hospitals like doctors, nurses and other personnel, nature of quality services and other facilities provided by the hospital. The study of this is the descriptive and huge study which is currently carried out in province 1 of the eastern Nepal in 10 hospitals in different locations. Based on the random sampling, the hospitals were selected from the province 1 which resulted in 18 government hospitals and 40 private hospitals which are running currently. Among the 18 government hospitals, 6 government hospitals and 40 private hospitals, 4 private hospitals were chosen at random using the simple random sampling method. Client’s perspective and service provider’s perspective are the two perspectives which is the result of both the qualitative and the quantitative analysis. The results of both bivariate and multivariate analysis for the statistical significance of quantitative data have been presented which mainly focuses on the group discussion of it that is also reported. A survey was conducted which mainly involved the patients. The majority of patients were satisfied with the number of doctors available and the result of the diagnosis which ranged from 70.88% to 92.5% of the participants. However, there were patients; almost 30% who were not satisfied for longer period to visit doctors, 26.4% of clients were dissatisfied for the approach of doctors specialist in time.
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Masuku, Mehluli, and Patrick Ngulube. "Managing health records in the Bulawayo and Matabeleland South provinces hospitals, Zimbabwe." Information Development 36, no. 2 (April 9, 2019): 240–56. http://dx.doi.org/10.1177/0266666919840698.
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The purpose of this study was to investigate the management of health records in the Bulawayo and Matabeleland South provinces in Zimbabwe. The objectives of the study were to understand how health records were being managed in the two hospitals, to establish the availability of, and analyse standard procedures and guidelines that informed both the National Archives of Zimbabwe (NAZ) and hospitals in managing health records. The study also sought to establish the level of professional training for health records management staff in hospitals under study. A qualitative case study design was employed and data was gathered through questionnaires, interviews, observation and document analysis. Data was analysed thematically based on the objectives of the study. The study revealed that the strategies for the management of health records in hospitals were inadequate. There were no documented health records management standards to guide the management of these records in hospitals. It was also established that the majority of health records personnel in hospitals did not possess records management qualifications. As a recommendation, the hospitals and NAZ should draft and implement health records management standards to provide guidance on the management of health records. Hospitals should employ staff with the requisite records management qualifications and offer them continuous training.
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Ojo, Adebowale I., and Sunday O. Popoola. "Some Correlates of Electronic Health Information Management System Success in Nigerian Teaching Hospitals." Biomedical Informatics Insights 7 (January 2015): BII.S20229. http://dx.doi.org/10.4137/bii.s20229.
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Nowadays, an electronic health information management system (EHIMS) is crucial for patient care in hospitals. This paper explores the aspects and elements that contribute to the success of EHIMS in Nigerian teaching hospitals. The study adopted a survey research design. The population of study comprised 442 health information management personnel in five teaching hospitals that had implemented EHIMS in Nigeria. A self-developed questionnaire was used as an instrument for data collection. The findings revealed that there is a positive, close relationship between all the identified factors and EHIMS's success: technical factors ( r = 0.564, P < 0.05); social factors ( r = 0.616, P < 0.05); organizational factors ( r = 0.621, P < 0.05); financial factors ( r = 0.705, P < 0.05); and political factors ( r = 0.589, P < 0.05). We conclude that consideration of all the identified factors was highly significant for the success of EHIMS in Nigerian teaching hospitals.
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Bolcato, Matteo, Ivo Beverina, Daniele Rodriguez, Anna Aprile, and Marco Trabucco Aurilio. "Organizational Strategies for the Management of Intravenous Iron Therapy in Non-Hospitalized Settings: A Safe Opportunity to Implement Patient Blood Management in Italy." Healthcare 9, no. 9 (September 16, 2021): 1222. http://dx.doi.org/10.3390/healthcare9091222.
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This article analyzes the recommendations issued by the Emilia Romagna region in July 2020 on “Organizational strategies for the safe management of intravenous iron therapy in patients in non-hospitalized settings”. The objective of these recommendations is to set up safe intravenous iron administration sites outside the hospital environment across the national territory. The document facilitates the organization of methods for intravenous iron infusion that are safe for the patient and correct from a medico-legal perspective. In addition, it opens the way for the widespread use of iron infusion in the field, providing benefits to patient quality of life. This program prevents unnecessary transfusions, reduces costs, prevents overcrowding in hospitals in the event of a pandemic, and enables patient treatment in the field, thus, saving on the use of personnel.
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Srilamart, Supawadee, and Dr Prachak Bouphan. "Drug Management of Health Personnel at Sub-District Health Promoting Hospitals in Khon Kaen Province." Khon Kaen University Journal (Graduate Studies) 13, no. 2 (April 1, 2013): 121–32. http://dx.doi.org/10.5481/kkujgs.2013.13.2.12.
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Kiersnowska, Zofia Maria, Ewelina Lemiech-Mirowska, Katarzyna Semczuk, Michał Michałkiewicz, Aleksandra Sierocka, and Michał Marczak. "Level of Knowledge of Medical Staff on the Basis of the Survey in Terms of Risk Management, Associated with Clostridioides difficile Infections." International Journal of Environmental Research and Public Health 18, no. 13 (July 1, 2021): 7060. http://dx.doi.org/10.3390/ijerph18137060.
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Infections caused by the toxigenic strains of Clostridioides difficile in the hospital environment pose a serious public health problem. The progressive increase in hospital infections in Poland indicates that risk management is a tool that is not used in an effective way and significantly differs from the goals set by the Leading Authorities, the Ministry of Health and its subordinate units. Systematic education of medical personnel constitutes the basic element of rational risk management aimed at reducing the number of infections as it allows for the transfer of knowledge, development of appropriate organizational procedures, and improves internal communication. This paper presents the results of a survey conducted in hospital facilities throughout Poland. The study dealt with what medical personnel know about channels of transmission and prevention of Clostridioides difficile infections in the hospital setting, professional training and risk management in terms of reducing the number of infections. The survey reveals that Clostridioides difficile continues to be a serious problem in the inpatient care system. Procedures and management strategies implemented by hospitals in order to limit the spread of the pathogen are predominantly focused on short-term action, which does not lead to a real improvement in terms of hospitalized patients’ safety. The infection risk management system was assessed at a fairly low level. The obtained research results confirmed the research hypotheses that had been formulated.
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Sakya, Jaswan, Sujit Kumar Sah, Khakindra Bahadur Bhandari, Laxmi Raj Pathak, Santosh Bikram Bhandari, Sudha Ghimire, Bhimsen Devkota, and Jurgen Hussmann. "Perception of Community and Hospital Personnel on Burn Treatment and Outcome in Nepal." Journal of Nepal Medical Association 56, no. 214 (December 31, 2018): 924–30. http://dx.doi.org/10.31729/jnma.3889.
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Introduction: Globally, eleven million people sustain burn injuries every year enough to require medical attention. WHO has estimated Disability associated limited years of 84,000 per year just due to deformities and 2100 people die every year due to burn injuries in Nepal. The overall objective of the study is to explore the effectiveness of burn injuries treatment and management approach of hospitals.Methods: This qualitative study approached to 40 Health Personnel for Key Informants Interviews and 18 Focus Group Discussions with community people at the ten referral hospitals of eight district from May-June 2016. Qualitative data were analyzed using At.Lasti Software. Results: Female burn victims are brought late to the hospital compared to male patients and false reporting about incident is usually done by her attendants. More than three-fourth (80%) of the hospitals and about one-third male and female from FGD reported that the community people seek home remedy first rather than medical treatment. Majority of the medical doctors and nursing chiefs reported that first degree cases accounts for 50% of the total burn cases with a success rate of 80%. Medical and Nursing staff reported that deformities like hypertrophic scar, keloids, joint stiffness and compartment syndrome are mostly observed during the treatment. Hypothermia and sepsis were the major causes of death in most of the burn patients.Conclusions: Usually, people who engaged in house and agriculture works, have visited public health posts/hospitals more frequently due to financial constraints and transportation issues where quality of burn care services are unavailable.