This book examines the organizational consequences of the recent international preoccupation with managing patient safety in the clinic. Built on presuppositions about failsafe system-design, risk elimination, and human fallibility, the patient safety programme introduces new problems and safety threats in clinical practice by devaluing practical forms of reasoning and the trained safety dispositions of clinicians. Developing a pragmatic and more situated stance on patient safety, Pedersen offers an alternative vocabulary that refocuses attention towards the importance of conduct, habits and experience-based learning in delivering safe care. This innovative book will be of great interest to scholars and practitioners of organization and risk studies, health, science and technology studies and the wider social and medical sciences.

This book takes a case study approach to explore leadership narratives of women in healthcare and science, paying attention to the intersection of gender, identity, and race in each story. Putting forward a new vision and pathway inclusive of the lived experiences and contributions of women worldwide, this text proposes a strength-based approach to meeting leadership challenges. Key themes discussed include leadership redefined by those not identifying as leaders, the influence of the intersectionality of race and gender on leadership, and the implications for how we teach about leadership in healthcare and science. Grounded in theory that is translated into practice and evidenced by the leadership case studies described, the book draws out useful tools and organizational learnings to support transformation of the landscape of clinical care, education, research and policies healthcare and science. This book is an invaluable reference for leaders at all levels across healthcare and science. It is also of interest to students and academics from gender studies, leadership studies, organization and governance, anthropology, sociology, higher education, public health, social work, nursing and medicine.

This comprehensive text provides information on fundamental principles of clinical practice and how these can be implemented to provide excellent treatment to the patients. The triads of health care delivery include Physicians, Pharmacist and Nurses that have distinct roles and responsibilities of patient care. Effective pharmacy practice requires an understanding of the social context within which pharmacy is practiced, recognizing the particular needs and circumstances of the users of pharmaceutical services and of pharmacy's place within health service provision. This book presents a contemporary view of pharmacy practice research covering theories, methodologies, models and techniques that are applicable. The initial chapters describe the basics of pharmacy profession and what is the key role and responsibilities of Pharmacist in health care delivery. The central part of the book illustrates the community, hospital and ethics regarding drug formulation. The last chapters cover the therapeutic aspect of pharmacy and how these can be employed to improve patient's health care facilities.

This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient's disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process - youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.

This book presents models describing HIV transmission rates at population level, discussing the main statistical methods and analytical interventions. It also assesses the practical applicability of the various modelling techniques, offering readers insights into what methods are available and, more importantly, when they should be used to address HIV transmission at global level. The book includes realistic simulation models fitted to clarify the rate of HIV mother-to-child transmission (HIV MTCT), and substantiates the conclusions that can be drawn as well as the appropriate time for making global-level clinical decisions concerning people living with HIV/AIDS (PLHIVs). Intended for students, academics and researchers, the book offers more than just an introduction to the topic - it also features in-depth, yet easy-to-understand, descriptions of a new mathematical/statistical HIV mother-to-child transmission model, making it a useful resource for clinicians, public health workers and policymakers involved in implementing HIV-prevention programmes at national /global level.

-a short handbook designed for practical use by business owners to ensure they act in a professional, ethical and informed way around cybersecurity -first resource of its kind for coaches and therapists

The implementation of cloud technologies in healthcare is paving the way to more effective patient care and management for medical professionals around the world. As more facilities start to integrate cloud computing into their healthcare systems, it is imperative to examine the emergent trends and innovations in the field. Cloud Computing Systems and Applications in Healthcare features innovative research on the impact that cloud technology has on patient care, disease management, and the efficiency of various medical systems. Highlighting the challenges and difficulties in implementing cloud technology into the healthcare field, this publication is a critical reference source for academicians, technology designers, engineers, professionals, analysts, and graduate students.

This book focuses on the public policy and political/ethical dimensions of ALS/MND across a wide selection of countries and argues for the need of a multidisciplinary and international approach. Policy issues addressed include adequacy of funding for research and care, payment policy and regulatory functions of public and private insurers, long-term services and caregiver support, public health and prevention efforts, access to genetic testing and assisted technologies, ensuring a competent and adequate workforce especially for hands-on caregivers, and the challenging issues of providing palliative and hospice care for ALS/MND patients, advance directives and assisted suicide that face policy makers in all political jurisdictions.

For students and practitioners of gerontology, this indispensable text examines all aspects of administering services to older adults. Jeffrey A. Giordano and Thomas A. Rich, both professors of gerontology with extensive experience in administration, surveyed practicing administrators over a two-year period. The resulting integration of administrative theory and practice is evident throughout this book's 13 chapters, which address everything from leadership styles and management techniques to ethical issues and community relations. In addition, the authors thoroughly examine the most widely encountered facets of the typical gerontologist administrator's career, including communication, organizational structure, the role and function of human resources administration, motivation and productivity, supervisory responsibilities, staff development, financial management, strategic planning, program evaluation, and organizational change.

Both undergraduate and graduate students of gerontology will benefit from using Giordano and Rich's book as a core text for administration courses. Professors of gerontology administration will be relieved at last to have found a work that emphasizes the unique requirements of administrating older adult programs. The authors consider all three service sectors--private, public, and not-for-profit--in addressing those who are now in administration, those who aspire to be administrators, and those who will be surprised someday to be offered administrative responsibilities. Assuming a basic knowledge of gerontology, the text includes a learning experience following each chapter that allows readers to apply their knowledge of the field in a practical manner. Other special features include information on such contemporary challenges as how to use volunteers effectively, how to integrate ethics into programs for older adults, how to involve staff in administrative activities, how to make the most of public relations and fund-raising opportunities, and how to develop special projects.

This book discusses dental healthcare professionals in the European Union and EU policy output and activities in the context of Europeanization and its impact on oral health care. Adopting a framework focused on an institution and its policies allows for discussion from the perspective of multiple actors, both national and international. The research is timely and significant because of the momentous changes that have taken and are taking place in healthcare delivery systems and professions in the Member States of the European Union. In the book, the author constructs a profile of the oral healthcare professions in the Member States; creates an inventory of challenges faced by these professions; illustrates the impact Europeanization and one of its organs, the European Union, have had on oral health care; demonstrates the way in which national traits and institutions exercise a role in the transposition of EU outputs; and catalogues the stages and views of some representatives of the dental team. Topics explored include: The First Stage of Professionalization: Education Dental Care Professionals: Regulation Member States: Healthcare Provision The Workplace The European Union and the Dental Team Readers not only learn the fundamentals of oral health professions, their realities, and healthcare delivery, but also become familiar with the political concepts, institutions, and practice related to the field. The Dental Team in the European Union, having academic and general interest as well as practical value, appeals to diverse audiences. The book is an invaluable resource for researchers and practitioners in the social sciences and the healthcare and dental worlds. It also can be used as required or supplemental reading for students in the healthcare professions, public policy, and political science. Decision-makers at various levels of government and persons affiliated with funding agencies as well as scholarly and professional associations in the United States and abroad also would find this a useful text.

Most Americans-even those with significant disability-want to live in their homes and communities. Unpaid family members or friends often work as "informal" caregivers, helping those who need assistance- and many feel they have no option but to serve. In contrast, paid personal assistance services workers (PAS) provide a lifeline to those consumers with complex needs and limited social networks. However, there is a crisis looming in the increasing needs for paid PAS and the limited available PAS workforce. Making Their Days Happen explores disability, health, and civil rights, along with relevant federal and state labor policies related to personal assistance services. Lisa Iezzoni addresses the legal context of paid PAS as well as financing mechanisms for obtaining home-based personal assistance. She also draws upon interviews she conducted with paid PAS consumers and PAS workers to explore PAS experiences and their perspectives about their work. Offering recommendations for improving future experiences of PAS consumers and providers, Iezzoni emphasizes that people with disabilities want to be a part of society, and PAS workers who do this low-wage work find satisfaction in helping them achieve their goals.

Most Americans-even those with significant disability-want to live in their homes and communities. Unpaid family members or friends often work as "informal" caregivers, helping those who need assistance- and many feel they have no option but to serve. In contrast, paid personal assistance services workers (PAS) provide a lifeline to those consumers with complex needs and limited social networks. However, there is a crisis looming in the increasing needs for paid PAS and the limited available PAS workforce. Making Their Days Happen explores disability, health, and civil rights, along with relevant federal and state labor policies related to personal assistance services. Lisa Iezzoni addresses the legal context of paid PAS as well as financing mechanisms for obtaining home-based personal assistance. She also draws upon interviews she conducted with paid PAS consumers and PAS workers to explore PAS experiences and their perspectives about their work. Offering recommendations for improving future experiences of PAS consumers and providers, Iezzoni emphasizes that people with disabilities want to be a part of society, and PAS workers who do this low-wage work find satisfaction in helping them achieve their goals.

This book offers a new perspective on improving healthcare that draws inspiration from sources as diverse as American healthcare history, Lean Six Sigma, patient experience, employee engagement, clinical microsystems, physician burnout, and industrial design thinking. This work focuses on the three value streams that form the foundation of all healthcare service processes: healthcare-worker value stream, patient value stream, and organizational process. The interaction of patients and healthcare workers in the context of these three value streams creates the meaningful experience that is essential to healing and to the success of healthcare organizations. Meaningful healthcare experience design guides the work of designing these value streams and improving them to promote experiences that are meaningful and healing for both patients and healthcare workers.

This case studies book is a unique, practical, cutting-edge, and indispensable go-to resource for front-line practitioners and educators in medicine. Each case study (chapter) is framed by a set of introductory learning objectives, an evaluation section, thought-provoking discussion questions, and references to further readings. Furthermore, the book is conveniently organized along the continuum of medical care delivery, providing quick access to ad-hoc solutions in safety- and quality-compromised situations, illustrating how skillful communication can be the key to a more effective prevention, intervention, and response to "close calls" and adverse events. The case studies book is unique and innovative in its interdisciplinary integration of the contemporary literature in communication science with current "hot buttons" of patient safety. It manifests a valuable interdisciplinary collaboration by translating the basic tenets of human communication science for practitioners of medicine, providing a conceptual, evidence-based foundation for formulating communication-based practice guidelines to advance patient safety and quality of care. The case studies put communication theory into practice to facilitate experiential learning, granting insights into the breadth and diverse aspects of safe and high quality healthcare delivery. Thought-provoking discussion questions and references for further reading make this book a valuable reference for medical practitioners across the world.

This book uses the case of the National Health Service to examine the management of ambiguity and change. Studies of the implementation of the Griffiths Report have identified a number of unintended consequences, but it is argued that they have not adequately theorised these outcomes in the policy implementation process. It is suggested that the process-sociological approach of Elias, and in particular his game models, enable us to better understand the complex interweaving of planned and unplanned processes which is involved in the management of change.

This book examines the nature of service design and service thinking in healthcare and hospital management. By adopting both a service-based provider perspective and a consumer-oriented perspective, the book highlights various healthcare services, methods and tools that are desirable for customers and effective for healthcare providers. In addition, readers will learn about new research directions, as well as strategies and innovations to develop service solutions that are affordable, sustainable, and consumer-oriented. Lastly, the book discusses policy options to improve the service delivery process and customer satisfaction in the healthcare and hospital sector. The contributors cover various aspects and fields of application of service design and service thinking, including service design processes, tools and methods; service blueprints and service delivery; creation and implementation of services; interaction design and user experience; design of service touchpoints and service interfaces; service excellence and service innovation. The book will appeal to all scholars and practitioners in the hospital and healthcare sector who are interested in organizational development, service business model innovation, customer involvement and perceptions, and service experience.

The healthcare industry is on the cutting edge of voice-user interface (VUI) design and making great progress to improve patient care through developing technologies, literally transforming the voice of the industry. The advantages of VUI extend far beyond simple conveniences for patients or a healthcare employee's saved phone call. VUI has a profound impact on care improvement. Just like a person, a well-designed VUI can use tone of voice, inflection and other elements in conversation to shape behaviors or calm nerves. With VUI, physicians and patients become empowered to make informed decisions about healthcare. The use of voice technology across smart speakers, IoT, clinical and home devices, and wearables for improving the patient experience and clinical outcomes was recently identified as one of most significant emerging technologies in healthcare. Smart speakers are the #1 selling consumer item in the world and major competition is heating up between Amazon Alexa, Apple Siri, Microsoft Cortana, Google Voice Assistant, and a host of other specialty platforms specific to healthcare. From Orbita and Macadamia to voice-enabled robotics from Pillo, Intuitive, Vivify, and RealView Imaging, voice technology is pervasive across the gamut of levels of devices. Voice technology is not just pervasive in smart speakers and smart phones - it is finding its way into wearables, vehicles, homes, and even consumer and clinical medical devices. We even have smart jewelry emerging with health, wellness, and safety features built in. Best of all, this trend spans intergenerational health and wellness that goes beyond clinical care into long term health and wellbeing and the potential for increased patient engagement. In this book, the editors review information from the top thought-leaders in this space and examine real-world case studies of the outcomes and potential of voice technology in healthcare. Topics include a market survey, clinical use cases, home health use cases, health and wellness topics - fitness, nutrition, and wellbeing; next generation fitness facilities; voice and wearables in smart, connected communities; voice technology in social companions/robots; voice technology in the future surgical suites; a roadmap for the future from top technology; standards in voice technology; and the future of voice technology and artificial intelligence.

Cultivating a Digital Culture for Effective Patient Engagement offers a strategic framework for healthcare provider websites in order to support patient engagement and connected health initiatives. Referred to as the Health Empowerment Web Strategy Index (HEWSi), the proposed framework is complemented by a detailed "check list" of health empowerment items organizations should incorporate into their website design. A healthcare provider's website should be an effective resource for empowering the health of patients no matter where patients are in their digital culture evolution. The challenge for many organizations is that patient engagement/connected health initiatives are frequently developed and managed separately from the organization's digital marketing efforts. This book recognizes this disconnect and advocates for a reimaging of healthcare provider websites based on the four domains of the HEWSi strategic framework: (1) orienting; (2) enlightening; (3) aligning; and (4) personalizing. As a framework and toolkit, HEWSi helps breakdown patient engagement silos within healthcare organizations by allowing varied functional teams (marketing; web developers; patient experience staff; clinical leaders; HIM/HIS personnel; etc.) to congregate around a shared pathway for conversing, strategizing, planning, and developing an effective patient empowerment website.

Leading Reliable Healthcare describes 'state of the art' healthcare management systems. The key focus of the publication is 'reliable'; describing how leadership can ensure never less than reliable standards of care for patients and how excellence can be achieved. The focus throughout is on ensuring that patients and their families can depend on a reliable healthcare system for their needs, fulfilling their expectations that hospitals are trustworthy, stable and capable of dealing with their health, from the simplest to the most complex illnesses. Each of the chapters focuses on a different aspect of building a reliable healthcare system, concentrating on the leadership necessary to deliver and manage the different component elements of the healthcare system. The nominated contributors for this book are recognized leaders from various healthcare systems around the globe, including the UK, USA, Canada and South Korea/Singapore. The contributors have been selected to ensure a wide perspective of healthcare management, building on diverse approaches, practices and experiences, and are currently practicing healthcare management in their respective systems. The book aims to focus on the pragmatic rather than theoretical and will provide a series of practical methodologies and case studies to help improve decision making in healthcare management. With contributions by: Sallie J. Weaver, PhD, MHS, Associate Professor, Armstrong Institute for Patient Safety and Quality and Dept. of Anesthesiology & Critical Care Medicine, John Hopkins University School of Medicine Susan Mascitelli, Senior Vice President, Patient Services & Liaison to the Board of Trustees, New York-Presbyterian Hospital Dr. Sandra Fenwick, Chief Executive Officer, Boston Children's Hospital Martin A. Makary, MD, MPH, Professor of Surgery, Johns Hopkins University School of Medicine; Professor of Health Policy and Management, John Hopkins Bloomberg School of Public Health Frank Federico, RPh, Vice President, Institute for Healthcare Improvement Dr. Hanan Edrees, Manager, Quality Management, KAMC-Riyadh Dr. Hee Hwang, CIO and Associate Professor; Seoul National University Bundang Hospital, Department of Pediatrics, Division of pediatric Neurology, Center of Medical Informatics Dr. M. Andrew Padmos, Chief Executive Officer, The Royal College of Physicians and Surgeons of Canada Professor Richard Hobbs, Professor of Primary Care Health Sciences, Director, NIHR English School for Primary Care Research, Nuffield Department of Primary Care Health Sciences, University of Oxford Ms. Jules Martin, Managing Director, Central London Clinical Commissioning Group Dr. Bruno Holthof, Chief Executive Officer, Oxford University Hospitals Tara Donnelly, Chief Executive, Health Innovation Network, South London Goeran Henriks, Chief Executive of Learning and Innovation, Qulturum, County Council of Joenkoeping, Sweden

The vast majority of healthcare is provided safely and effectively. However, just like any high-risk industry, things can and do go wrong. There is a world of advice about how to keep people safe but this delivers little in terms of changed practice. Written by a leading expert in the field with over two decades of experience, Rethinking Patient Safety provides readers with a critical reflection upon what it might take to narrow the implementation gap between the evidence base about patient safety and actual practice. This book provides important examples for the many professionals who work in patient safety but are struggling to narrow the gap and make a difference in their current situation. It provides insights on practical actions that can be immediately implemented to improve the safety of patient care in healthcare and provides readers with a different way of thinking in terms of changing behavior and practices as well as processes and systems. Suzette Woodward shares lessons from the science of implementation, campaigning and social movement methods and offers the reader the story of a discovery. Her team has explored an approach which could profoundly affect the safety culture in healthcare; a methodology to help people talk to each other and their patients and to listen through facilitated safety conversations. This is their story.

The evidence is undeniable. By any measure, the US spends more on healthcare than any other country in the world, yet its health outcomes as measure by longevity are in the bottom half among developed countries, and its health-related quality of life has remained constant or declined since 1998. In addition to high costs and lower than expected outcomes, the healthcare delivery system is plagues by treatment delays as it can take weeks to see a specialist, and many people have limited or no access to care. Part of the challenge is that the healthcare delivery system is a large, complex, and sophisticated value creation chain. Successfully changing this highly interconnected system is difficult and time consuming because the underlying problems are hard to comprehend, the root causes are many, the solution is unclear, and the relationships among problems, causes, and solution are multifaceted. To address these issues, the book carefully explains the underlying problems, examines their root causes using information, data, and logic, and presents a comprehensive and integrated solution that addresses these causes. These three steps are the methodological backbone of this book. A solution depends on understanding and applying the principles of patient-centered care (PCC) and resource management. PCC puts patients, supported by their primary care physicians, back in the role as decision makers and depends on patients being responsible for their health including making good life-style choices. After all, the best way to reduce healthcare costs and increase quality of life is to improve our health and wellness and as a result need less care. In addition, health insurance must be rethought and redesigned so it is less likely to lead to overuse. For many people with health insurance, the out-of-pocket cost of healthcare are small, so healthcare decision making is often biased toward consumption. Effective resource management means that healthcare providers must do a better job of acquiring and using resources in order to provide care quickly, productively, and correctly. This means improving healthcare strategy and management, accelerating the use of information technology, making drug costs affordable and fair, reducing the incidence of malpractice, and rebuilding the provider network. In addition, implementation is difficult because there are many participants in the healthcare delivery value chain, such as physicians, nurses, and medical technicians, as well as many provider organizations, such as hospitals, clinics, physician offices, and labs. Further up the value chain there are pharmaceutical companies, equipment providers, and other suppliers. These participants have diverse and sometimes conflicting goals, but each must be willing to accept change and work in a coordinated manner to improve healthcare. To overcome these problems, strong national leadership is needed to get the attention and support from the people and organizations involved in healthcare and to make the comprehensive changes that will lower healthcare costs, improve healthcare quality, eliminate delays, increase access, and enhance patient satisfaction.

Leadership Development for Interprofessional Education and Collaborative Practice provides historical and current perspectives on leadership in healthcare. Through international examples of how leadership of interprofessional education and practice has developed in various countries, the book builds on the research conducted by the World Health Organisation (2010) and examines how it can make a difference to the care of the patient, client and community. The editors showcase a variety of contexts in which interprofessional education and practice is now taking place and provide guidance for leaders to establish and maintain an environment where everyone involved in the team can 'learn with, from and about each other to improve collaboration and the quality of care'.

Good leadership in medicine is crucial, but unfortunately, often woefully inadequate. Those chosen to lead often have limited experience in leadership themselves, or worse, are appointed because of achievements that have nothing to do with their ability to lead. Serving as a guide for those in, or considering, leadership positions in medicine, this book demonstrates how to play to one's strengths and effectively recognise and overcome weaknesses. Describing how to form a functional team, and align your goals with those of upper leadership, advice is applicable to all disciplines and hierarchy structures. The author, David Greer, is a renowned clinician and educator, and has held department chair positions in several prestigious institutions, positioning him perfectly to educate on the qualities of a successful leader. Readers will learn how to work within a team, manage unforeseen crises and to embrace mistakes as opportunities for growth.

This new edition continues to emphasize the use of data envelopment analysis (DEA) to create optimization-based benchmarks within hospitals, physician group practices, health maintenance organizations, nursing homes and other health care delivery organizations. Suitable for graduate students learning DEA applications in health care as well as for practicing administrators, it is divided into two sections covering methods and applications. Section I considers efficiency evaluations using DEA; returns to scale; weight restricted (multiplier) models; non-oriented or slack-based models, including in this edition two versions of non-controllable variable models and categorical variable models; longitudinal (panel) evaluations and the effectiveness dimension of performance evaluation. A new chapter then looks at new and advanced models of DEA, including super-efficiency, congestion DEA, network DEA, and dynamic network models. Mathematical formulations of various DEA models are placed in end-of-chapter appendices. Section II then looks at health care applications within particular settings, chapter-by-chapter, including hospitals, physician practices, nursing homes and health maintenance organizations (HMOs). Other chapters then explore home health care and home health agencies; dialysis centers, community mental health centers, community-based your services, organ procurement organizations, aging agencies and dental providers; DEA models to evaluate provider performance for specific treatments, including stroke, mechanical ventilation and perioperative services. A new chapter then examines international-country-based applications of DEA in health care in 16 different countries, along with OECD and multi-country studies. Most of the existing chapters in this section were expanded with recent applications. Included with the book is online access to a learning version of DEA Solver software, written by Professor Kaoru Tone, which can solve up to 50 DMUs for various DEA models listed in the User's Guide at the end of the book.