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Books > Medicine > General issues > Health systems & services > Hospital administration & management
Wie kann man als Fuhrungskraft arztliche Weiterbildung in der eigenen Abteilung oder Praxis optimieren? Wie lassen sich Arbeits- und Lernbedingungen unter den aktuellen Gegebenheiten so gestalten, dass aus Assistenzarzten fahige und engagierte Facharzte werden? Dieses Essential erlautert pragnant und fundiert drei bewahrte psychologische Theorien, mit deren Hilfe arztliche Fuhrungskrafte Weiterbildung in ihrem direkten Einflussbereich so effektiv wie moeglich gestalten koennen, und gibt hilfreiche Tipps zur praktischen Umsetzung im Berufsalltag.
Blood transfusion is considered a life-saving therapy since ancient times, but, at the same time, a high-risk procedure. Nowadays the common perception is that infection is the greatest risk, even if the blood has never been safer from this point of view. Currently, the residual risk of transfusion must be related mainly to immunological mechanisms underlying to AB0 and minor blood systems, to compatibility of blood transfused and to development of irregular antibodies in transfused patients. "Transfusion Medicine and Patient Safety" aims to provide the basic of immunohematology to readers and to analyze the transfusional process highlighting the most critical points, thus more exposed to errors. Screening on blood and blood components for infectious diseases along with the surveillance action on emerging viruses results in the drastic reduction of post-transfusion infection, together with the potential to further increase the level of security from infection through the inactivation of blood components. The text also describes the major diagnostic systems and organizational models that modern technology provides us with a correct immunohematological diagnosis and an appropriate trasfusional therapy.
Looking at the current turmoil facing contemporary healthcare systems worldwide, resulting from relentless imposition of financially-based performance indicators, the author argues that a return to a values-based approach to healthcare will create positive transformation. Writing from the fresh perspective of social anthropology, the author takes a highly pragmatic approach to practice, emphasizing the importance of values such as compassion, solidarity and social justice. He suggests that without being able clearly to identify the values and goals that unite their members, healthcare organizations are unlikely to be able to meet the demands of the constant and varied pressures they face, and explains how individuals at every level in healthcare can contribute in practical ways to positive change within their organizations. This much-needed and very accessible book will be essential reading for anyone interested in a better approach to healthcare reform, from clinicians and nurses, to managers and policy makers, as well as the interested reader.
Medizinoekonomie ist die Anwendung oekonomischer Methoden auf die Medizin, insbesondere auf die medizinische Versorgung. Ziel ist die Verbesserung der medizinischen Behandlung, denn die erfolgreiche Behandlung gilt in der Medizin wie in der Medizinoekonomie als oberste Maxime professionellen Handelns. Die Komplexitat der medizinischen Versorgung in Deutschland mit ihren zahlreichen Akteuren, unterschiedlichen Zustandigkeitsbereichen und Verflechtungen erfordert viele Regularien und Abstimmungsprozesse, die fur Aussenstehende oft nur schwer zu durchschauen sind. Der wissenschaftliche ebenso wie der praxisbezogene Austausch von Wirtschaft und Medizin gestaltet sich aufgrund der manchmal uneinheitlichen Sicht auf die Dinge schwierig und fuhrt nicht selten zu Missverstandnissen. Namhafte Experten aus den Bereichen OEkonomie und Gesundheitswesen machen in diesem Buch der jeweils anderen Seite die Bedeutung ihrer Disziplin in verstandlicher Weise klar. Als Autoren aus Wissenschaft und Praxis sorgen sie fur eine fachlich abgesicherte und zugleich anwendungsbezogene Darstellung der medizinoekonomisch relevanten Themenfelder aus Wirtschaft, Medizin, Politik, Recht, Verwaltung und (Selbst-)Organisation. Der Leser erhalt einen fundierten UEberblick uber den Status quo und die aktuellen Fragen des deutschen Gesundheitssystems. Die zweite Auflage wurde aktualisiert und um weitere Beitrage erganzt und richtet sich Studierende und Dozenten der Medizin und Gesundheitsoekonomie, an Angehoerige der Heilberufe sowie an Entscheidungstrager im Gesundheitswesen.
This book is a comprehensive guide to leadership in healthcare and the management of complex clinical scenarios in the medical or dental practice. Training in leadership and hospital management is not part of the curriculum and so guidance is often not provided in depth.This book outlines strategies for dealing with the management problems that arise in the healthcare profession, and it prepares the reader for interviews, examinations and the supervision of a team. It opens with an overview of the NHS, its evidence-based practice and healthcare regulations. Subsequent chapters discuss data protection, management of new business cases, formal complaints and inappropriate use of social media. Information is provided on the recruitment of new junior trainees, the management of underperforming allied health professionals, and the handling of injuries sustained at work. This book is ideal for final-year medical and dental undergraduate students, foundation year doctors, core trainees, junior and senior specialists and newly-appointed consultants.
This book is part of a series of titles that are a spin-off of the Shingo Prize-winning book Leveraging Lean in Healthcare: Transforming Your Enterprise into a High Quality Patient Care Delivery System. Each book in the series focuses on a specific aspect of healthcare that has demonstrated significant process and quality improvements after a Lean implementation. Emergency departments have become notorious for long wait times and questionable quality of care. By adopting Lean manufacturing concepts, hospitals can turn the emergency department into a valuable service for the hospital and the community it serves. Leveraging Lean in the Emergency Department: Creating a Cost Effective, Standardized, High Quality, Patient-Focused Operation supplies a functional understanding of Lean emergency department processes and quality improvement techniques. It is ideal for healthcare executives, leaders, process improvement team members, and inquisitive frontline workers who want to implement and leverage Lean. Supplying detailed descriptions of Lean tools and methodologies, the book identifies powerful Lean solutions specific to the needs of the emergency department. The first section provides an overview of Lean concepts, tools, methodologies, and applications. The second section focuses on the application of Lean in the emergency department within the confines of the hospital or clinic. Presenting numerous examples, stories, case studies, and lessons learned, it examines the normal operation of each area in emergency departments and highlights the areas where typical problems occur. Next, the book walks readers through various Lean initiatives and demonstrates how Lean tools and concepts have been used to achieve lasting improvements to processes and quality of care. It also supplies actionable blueprints that readers can duplicate or modify for use in their own institutions. Illustrating leadership's role in achieving departmental goals, this book will provide you with a well-rounded understanding of how Lean can be applied to achieve significant improvements throughout the entire continuum of care.
Dieses Buch bietet Ihnen kompakte Anleitungen und Tipps fur die optimale Praxisfuhrung. Patientenorientierung: patientengerechtes Leistungsspektrum, Patientenbindung, Patienten-Neuakquise. Kommunikations- und Marketingstrategien. Mitarbeiterfuhrung und -motivation. PatientInnen kommen gerne (wieder), wenn sie sich fachlich gut aufgehoben und emotional wohl fuhlen. Der/die heutige PatientIn ist dabei informierter, anspruchsvoller und fordernder denn je. Sie wollen: ein patientengerechtes Leistungsspektrum stimmige Praxisablaufe und eine patientenorientierte Kommunikation Ihre Zukunft: Wie reagieren Sie heute und in Zukunft am besten auf diese vielfaltigen Herausforderungen? Patientenbindung: Wie stellen Sie - mithilfe Ihrer qualifizierten und freundlichen MitarbeiterInnen - Ihre PatientInnen zufrieden? Patienten-Neuakquisition: Wie machen Sie Ihre PatientInnen zu aktiven Botschaftern Ihrer Dienst-Leistungen? Mit Zusatzwissen fur Praxiseinsteiger und -neugrunder zur Burnout-Prophylaxe um Ihre digitalen Praxisablaufe zu optimieren All das zeigt Ihnen ganz konkret dieses Buch. Das Ergebnis: engagierte, treue MitarbeiterInnen, loyale PatientInnen und eine erfolgreiche Praxis, in der Ihre PatientInnen, Ihre MitarbeiterInnen und Sie sich wohl fuhlen. Mit zahlreichen Praxis-Beispielen, Handlungstipps und Checklisten aus dem medizinischen Alltag. Fur alle niedergelassenen AErztInnen und Klinikambulanzen. (Auch als Geschenk fur Ihre Medizinischen Fachangestellten.)
This book provides an update on recent clinical practice and an in-depth view of selected topics relevant to hospital medicine. It is divided into four sections that explore clinical, administrative, systems and ethical issues. Each section places an emphasis on the opportunities, challenges and potential directions of this bourgeoning subspecialty. This new edition expands on topics covered in the previous edition, including the COVID-19 pandemic, racial disparities in healthcare delivery and providers, and pediatric hospital medicine. Other chapters explore worldwide practice patterns and practical application of philosophical tools in daily practice. This up-to-date resource provides hospitalists, advanced nurse practitioners, medical students and administrators with the latest research, trends and issues in hospital medicine.
"Clinical Governance: A Guide to Implementation for Healthcare Professionals "provides a comprehensive overview of what is meant by clinical governance and how it can be implemented in practice. It explores the evolution of clinical governance, its key components, legal implications, the barriers to implementing it, and its impact. "Clinical Governance" provides step-by-step practical advice, facilitating better understanding of the key principles of clinical governance. This third edition has been fully updated throughout to incorporate a more integrated approach to achieving clinical governance, with an additional chapter on education and training. Each chapter includes reflective questions, activities and case studies taken from clinical practice as well as a full list of references and further reading.
This text will act as a quick quality improvement reference and resource for every role within the healthcare system including physicians, nurses, support staff, security, fellows, residents, therapists, managers, directors, chiefs, and board members. It aims to provide a broad overview of quality improvement concepts and how they can be immediately pertinent to one's role. The editors have used a tiered approach, outlining what each role needs to lead a QI project, participate as a team member, set goals and identify resources to drive improvements in care delivery. Each section of the book targets a specific group within the healthcare organization. Pocket Guide to Quality Improvement in Healthcare will guide the individual, as well as the organization to fully engage all staff in QI, creating a safety culture, and ultimately strengthening care delivery.
Budgets of governments and private insurances are limited. Not all drugs and services that appear beneficial to patients or physicians can be covered. Is there a core set of benefits that everyone should be entitled to? If so, how should this set be determined? Are fair decisions just impossible, if we know from the outset than not all needs can be met? While early work in bioethics has focused on clinical issues and a narrow set of principles, in recent years there has been a marked shift towards addressing broader population-level issues, requiring consideration of more demanding theories in philosophy, political science, and economics. At the heart of bioethics new orientation is the goal of clarity on a complex set of questions in rationing and resource allocation. Rationing and Resource Allocation in Healthcare: Essential Readings provides key excerpts from seminal and pertinent texts and case studies about these topics, contextualized by original introductions. The volume is divided into three broad sections: Conceptual Distinctions and Ethical Theory; Rationing; and Resource Allocation. Containing the most important and classic articles surrounding the theoretical and practical issues related to rationing and how to allocate scare medical resources, this collection aims to assist and inform those who wish to be a part of bioethics' 21st century shift including practitioners and policy-makers, and students and scholars in the health sciences, philosophy, law, and medical ethics.
Die Autoren analysieren in diesem essential die nationale Gesundheitspolitik. Sie geben einen UEberblick, in welchen Rechtsvorschriften der Sozialversicherung arbeitnehmerbezogene Gesundheitsfoerderungs- und Praventionsansatze enthalten sind. Die qualitative Forschung umfasst verschiedene Themen praktizierter Gesundheitsfoerderung und Praventionsmoeglichkeiten sowie soziodemografische Parameter. Darauf basierend konnten sie Hauptstossrichtungen fur viele dieser Ansatze identifizieren.
Operations management is increasingly a critical skill needed in today's health care leader. Managing your organization's complex interdisciplinary processes, labor and asset productivity, and operational performance involves quantitative and qualitative skills. Covering a range of topics from quality management to data analyses, Health Care Operations Management: A Systems Approach clearly explains the important concepts and skills necessary to lead a modern health care organization. Logically organized in four parts, Health Care Operations Management: A Systems Approach looks at operations, systems and financial management; methods for improving operations; analytical tools and technology; and health care supply chain. Thoroughly revised, the new Third Edition offers new content on health plan operations, use of information technology in operations management, and analytics - topics often overlooked in most health care operational management texts. Additional noteworthy updates include: * Expanded systems perspective that emphasizes the interconnection between the hospital and the health care system. * 4 new chapters cover health insurance plan operations (4), Six Sigma quality improvement (7), information technology (13) and statistical analysis (12) * Updated and expanded content on information technology including how to leverage existing information technology assets to improve operational performance. * Thoroughly revised chapter on supply chain management * New cases studies and end of chapter discussion questions and calculations challenge reader to apply concepts. * Practical guidance on analyzing operational performance using everyday management tools such as MS Excel.
As the U.S. healthcare industry undergoes sweeping changes to increase efficiency and reduce costs, the healthcare workforce is changing as well. In this new system of care, physicians work alongside health care teams, where nurses, pharmacists, and other professionals must collaborate to provide better, more affordable care to many more patients than ever before. The HEALTHCARE PROFESSIONAL WORKFORCE is the first book to codify the transformations underway across health professions in the U.S. and to situate these changes within a larger context for both healthcare and non-healthcare audiences. This volume provides an important guide to understanding how health professionals fit within the emerging model of healthcare, and serves as a vital resource for readers in health policy management, medicine, public health, and organizational studies. Comprising seven unique chapters alongside commentaries from heads of healthcare organizations and influential physicians, THE HEALTHCARE PROFESSIONAL WORKFORCE provides a theoretical and practical benchmark for understanding the next generation of human capital in one of society's most important labor sectors.
Dieses Buch befasst sich mit den Zusammenhangen zwischen emotionaler Mitarbeiterbindung, Gesundheit der Arbeitnehmer und dem Betriebsergebnis von Organisationen. Es zeigt, welche Bedeutung die Gesundheit fur die Lebensqualitat und Leistungsfahigkeit in der kunftigen Kopfarbeitergesellschaft hat, und beleuchtet den Strukturwandel der Arbeitswelt mit seinen Konsequenzen fur Fuhrung, Unternehmenskultur und Wohlbefinden. Daruber hinaus befassen sich die Autoren mit moeglichen praktischen Konsequenzen, mit Fragen der Gestaltung von Strukturen, Prozessen sowie mit Prinzipien und Standards Betrieblichen Gesundheitsmanagements. Erkenntnisse aus uber 50 Unternehmen, Verwaltungen und Dienstleistungseinrichtungen werden im ersten Teil theoretisch begrundet und zusammenfassend dargestellt. Im zweiten Teil werden zentrale Themen wieder aufgegriffen und vertiefend behandelt, u.a. Prasentismus, Burn-out, Work-Life-Balance und emotionale Mitarbeiterbindung.Ein wichtiges Fachbuch fur alle, die sich mit den Fragen von Arbeit und Gesundheit beschaftigen, insbesondere wenn sie im Rahmen eines Betrieblichen Gesundheitsmanagements gestellt werden.
This book provides practical applications of statistical and mathematical concepts to resolve common issues in hospital management. Each chapter discusses a key component of hospital operations, such as maximizing hospital profitability through pricing optimization, forecasting facility requirements from historical data, and determining optimal patient schedules to fully utilize hospital resources in order to eliminate over-crowding in the emergency department. Structured by the degree of mathematical complexity, this professional book utilizes problem-solving methodologies ranging from basic statistical concepts (means and standard deviations) to more advanced statistics (Poisson distributions and queuing theory). Concluding with computer applications and simulations, the practical examples will help hospital managers to optimally and innovatively make use of linear programming. The book's main goal is to make hospital personnel more aware of the benefits of management science methodologies that are not usually employed in today's hospitals.
Ramona Piller beschaftigt sich mit dem Thema Gesundheit fur Beschaftigte in der Pflege, das mit Blick auf die aktuellen Herausforderungen omniprasent ist. Der Weg, die Belegschaft uber das Betriebliche Gesundheitsmanagement zu schutzen, ist dabei notwendig und unerlasslich. Dennoch sind integrierte Managementsysteme zur Gesundheitsfoerderung noch nicht Alltag in Kranken- und Pflegeeinrichtungen. Gleichwohl erfullen diese aufgrund der vielfaltigen gesetzlichen Anforderungen bereits wesentliche Elemente fur ein Betriebliches Gesundheitsmanagement. Solche Elemente und die damit verbundenen Handlungsspielraume fur Fuhrungskrafte auf Stationsebene aufzuzeigen und mit praktischen Tipps zu untermauern, ist Anliegen dieses essentials.Die Autorin: Ramona Piller ist Krankenschwester und staatlich anerkannte leitende Pflegefachkraft. Sie ist stellvertretende Stationsleitung der Gesamtabteilung Anasthesie und Intensivtherapie am Robert-Koch-Krankenhaus in Apolda.
How can I teach more interactively? What is the best way to use visual aids? Why should I vary my teaching method? How should I prepare for a lecture? When should I use a simulator? Good teaching skills are essential for passing on knowledge so that it will be retained and practised for a lifetime. Thus being able to teach well is vital to patient care. This book is written for the busy clinician to help improve their teaching and pass their skills and learning on to others in the most effective way. The text covers every aspect of teaching, from lesson planning and how to use resources, to evaluating teaching and dealing with difficult situations. A combination of practical advice, step-by-step instructions and sample lesson plans will help and inspire the reader to become the best teacher possible. The text is also written for those who teach others to teach; for those running a course for their department, or running official teacher training courses. The Notes for Trainers section within each chapter gives specific guidance, helpful tips and sample lesson plans to help you run a new course. The authors share their extensive range of clinical and teaching experience in this highly readable book.
Clinical Governance is integral to healthcare and all doctors must
have an understanding of both basic principles, and how to apply
them in daily practice. Within the Clinical Governance framework,
patient safety is the top priority for all healthcare
organisations, with the prevention of avoidable harm a key goal.
Traditionally medical training has concentrated on the acquisition
of knowledge and skills related to diagnostic intervention and
therapeutic procedures. The need to focus on non-technical aspects
of clinical practice, including communication and team working, is
now evident; ensuring tomorrow's staff are competent to function
effectively in any healthcare facility.
This book provides the reader with a comprehensive set of
instructions and examples of how to perform a cost-benefit analysis
(CBA) of a health intervention. Developed out of a course run by
Jordan Louviere at the University of Technology, Sydney, entitled
An Introduction to Stated Preference Discrete Choice Modelling it
has a particular focus on the use of stated preference survey
methods to identify consumer preference data, as well as the use of
recent developments in cost-effectiveness analysis within a CBA
framework. In doing so, the most up to date methodologies for CBA
are compiled in a comprehensive manner with the aim of advancing
the methodology of CBA in healthcare. |
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