Das mitwirkende Verschulden im Zivilrecht wird gemeinhin als spezielle Auspragung des Grundsatzes von Treu und Glauben verstanden. Die Arbeit versucht, den Normbezug des Mitverschuldens am Beispiel der Arzthaftung nachzuweisen. Ausgehend vom versicherungsrechtlichen Begriff der Obliegenheit werden typische Fallgruppen schadensvermeidenden und schadensmindernden Patientenverhaltens entwickelt.

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.

Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving - or at least protecting - the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives.

Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a 'common language' that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main 'building blocks' of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector

Drawing on the expertise of decision-making professionals, leaders, and managers in health care organizations, Hospitals & Health Care Organizations: Management Strategies, Operational Techniques, Tools, Templates, and Case Studies addresses decreasing revenues, increasing costs, and growing consumer expectations in today's increasingly competitive health care market. Offering practical experience and applied operating vision, the authors integrate Lean managerial applications, and regulatory perspectives with real-world case studies, models, reports, charts, tables, diagrams, and sample contracts. The result is an integration of post PP-ACA market competition insight with Lean management and operational strategies vital to all health care administrators, comptrollers, and physician executives. The text is divided into three sections: Managerial Fundamentals Policy and Procedures Strategies and Execution Using an engaging style, the book is filled with authoritative guidance, practical health care-centered discussions, templates, checklists, and clinical examples to provide you with the tools to build a clinically efficient system. Its wide-ranging coverage includes hard-to-find topics such as hospital inventory management, capital formation, and revenue cycle enhancement. Health care leadership, governance, and compliance practices like OSHA, HIPAA, Sarbanes-Oxley, and emerging ACO model policies are included. Health 2.0 information technologies, EMRs, CPOEs, and social media collaboration are also covered, as are 5S, Six Sigma, and other logistical enhancing flow-through principles. The result is a must-have, "how-to" book for all industry participants.

Strategic Information Management In Hospitals: An Introduction To Hospital Information Systems is a definitive volume written by four authoritative voices in medical informatics. Illustrating the importance of hospital information management in delivering high quality health care at the lowest possible cost, this book provides the essential resources needed by the medical informatics specialist to understand and successfully manage the complex nature of hospital information systems. Author of the book's Foreword, Reed M. Gardner, PhD, Professor and Chair, Department of Medical Informatics, University of Utah and LDS Hospital, Salt Lake City, Utah, applauds the text's focus on the underlying administrative systems that are in place in hospitals throughout the world. He writes, "These administrative systems are fundamental to the development and implementation of the even more challenging systems that acquire, process, and manage the patient's clinical information. Hospital information systems provide a major part of the information needed by those paying for health care." Chapter highlights include: significance of information processing in hospitals; information systems and their components; health information systems; architectures of hospital information systems; and organizational structures for information management.

Awareness of the importance of nutrition and physical activity for good health has given rise to a multitude of projects with different scopes and methodologies. This variety makes it necessary to bring the results of these activities into a coordinated framework. This book aims to summarize the activities carried out by the EU countries to address these determinants of health. Contributors are drawn from Germany, Italy, Sweden, and United Kingdom.

A growing body of research identifies strong links between children's health, social and educational outcomes; it also notes the reciprocal benefits of access to quality education on individual and family health status. In response to these findings, the World Health Organization developed the concept of the Health-Promoting School (HPS), a living catalyst for healthy lives, and for positive changes that students can take home and into the community. Case Studies in Global School Health Promotion provides readers with a theoretical and research base needed to understand the methods used in communities all over the world to put this captivating concept in place.

Case examples from over two dozen countries (representing urban and rural areas in developing and developed nations) outline the strategies taken to implement HPS programs in individual schools, municipalities, and nations. For each program, case study authors explain the problems they tackled, their motivation and supports to respond creatively; and the barriers they faced. In the cases, authors describe the capacities and infrastructure they created and mechanisms for cooperation; as well as the personnel, financial, and time requirements involved. Case studies were drawn from the following regions:

Case Studies in Global School Health Promotion offers a world of insights, ideas, and guidance to those addressing social determinants of health at this formative stage, including: education and health policy makers; professionals and administrators; and researchers in national governments, universities, local schools, community, non-governmental organizations and civil society. The material provides interesting and useful information to those dedicated to these issues within WHO, FRESH Partners and other United Nations agencies. It is also an instructive text for graduate students in public health, education, allied health professions and social sciences.

Help your team excel. Go from being a good practitioner to being an extraordinary leader of healthcare professionals. If you read nothing else on leadership, read these articles. We've combed through hundreds of Harvard Business Review articles and selected the most important ones for healthcare leaders to help you and your team excel, maximize performance, and live into your mission. Leading experts, such as Thomas H. Lee, Daniel Goleman, Peter F. Drucker, John P. Kotter, and Amy C. Edmondson, provide the insights and advice you need to: Understand the difference between managers and leaders Motivate others to excel Create successful cross-functional teams on the fly Maintain your identity and values as a clinician as you move into an organizational leadership role Have an impact not only on your organization but on the surrounding system Work in complex environments where authority is diffuse Lead effectively in times of rapid change This collection of articles includes "What Makes a Leader?," by Daniel Goleman; "What Makes an Effective Executive," by Peter F. Drucker; "What Leaders Really Do," by John P. Kotter; "Level 5 Leadership: The Triumph of Humility and Fierce Resolve," by Jim Collins; "The Work of Leadership," by Ronald A. Heifetz and Donald L. Laurie; "Teamwork on the Fly," by Amy C. Edmondson; "Who Has the D? How Clear Decision Roles Enhance Organizational Performance," by Paul Rogers and Marcia Blenko; "In Praise of the Incomplete Leader," by Deborah Ancona, Thomas W. Malone, Wanda J. Orlikowski, and Peter M. Senge; "Using the Balanced Scorecard as a Strategic Management System," by Robert S. Kaplan and David P. Norton; "Health Care's Service Fanatics," by James I. Merlino and Ananth Raman; and "Engaging Doctors in the Health Care Revolution," by Thomas H. Lee and Toby Cosgrove.

More than any other product on the market, the most successful medical assistants begin their careers with Kinn. Known for more than 60 years for its alignment with national curriculum standards, Kinn's The Administrative Medical Assistant: An Applied Learning Approach, 15th Edition teaches the real-world administrative skills essential for a career in the modern medical office - always with a focus on helping you apply what you've learned. This edition features new and expanded content on insurance, coding, privacy and security, telehealth logistics, and much more. With its easier-to-read format and a full continuum of separately sold adaptive solutions, EHR documentation experience, and HESI remediation and assessment - you will quickly master the leading skills to prepare for certification and a successful career in the dynamic and growing administrative medical assisting profession! Step-by-step, illustrated procedures include rationales and a focus on professionalism. Electronic health record (EHR) coverage provides access to hands-on activities using SimChart (R) for the Medical Office (sold separately). Applied learning approach incorporates threaded case scenarios and critical thinking applications. Patient education and legal and ethical features at the end of each chapter reinforce legal and communications implications within medical assisting practice. Key vocabulary terms and definitions are presented at the beginning of each chapter, highlighted in text discussions, and summarized in a glossary for quick reference. Robust Evolve companion website offers procedure videos, practice quizzes, mock certification exams, and interactive learning exercises. NEW! Content aligns to 2022 Medical Assisting educational competencies. NEW and UPDATED! Comprehensive coverage of all administrative functions complies with accreditation requirements and includes insurance, coding, privacy and security, telehealth logistics, and more. NEW! Artwork familiarizes you with the modern medical office and equipment.

This book presents an extensive collection of high-yield case vignettes with recommendations for a comprehensive approach to cultural psychiatry. Culture is defined from an anthropological perspective, with an emphasis on aspects of culture beyond race, ethnicity, and other traditional demographic categories. The goal of this book is to offer clinical applications of cultural psychiatry via examination of special populations, systems, and settings. With ever-changing geopolitical environments, institutional structures, and sociodynamics, attention and consideration of context is paramount. Theoretical models and specific frameworks for evaluating cultural influence on the manifestation, development, and treatment response of mental health illnesses are presented. The chapters are organized to showcase different ways in which culture plays into everyday clinical practice. Emphasis is placed on the full sum of the care delivery transaction within a larger context, including public and community systems of care. Real-world case examples are discussed in each chapter to help contextualize the dynamic nature that culture plays in practice across inpatient and outpatient settings. Each case presents with relevant academic and historical background and practical operational advice for psychiatrists providing care within these respective communities. The authors address diverse clinical cases related to refugee and asylum seekers, military service members, survivors of human trafficking, incarcerated populations, and more. Training recommendations and best practices are outlined including psychopharmacology, psychosocial treatments, and cultural adaptations to evidence based treatments. Diversity in Action: Case Studies in Cultural Psychiatry is a useful resource for all psychiatrists, psychologists, general practitioners, social workers, nurses, administrators, public policy officials, and all medical professionals working with a culturally diverse subset of patients seeking mental health.

The United States is experiencing a dramatic shift in demographics, with minorities comprising a rapidly growing proportion of the population. It is anticipated that this will likely lead to substantial changes in previously established values, needs, and priorities of the population, including health and mental health for individuals, families, and society at large. This volume focuses on determinants of minority mental health and wellness. This emphasis necessarily raises the question of just who is a minority and how is minority to be defined. The term has been defined in any number of ways. Wirth (1945, p. 347) offered one of the earliest definitions of minority: We may define a minority as a group of people who, because of their physical or cultural characteristics, are singled out from the others in the society in which they live for differential and unequal treatment, and who therefore regard themselves as objects of collective discrimination. The existence of a minority in a society implies the existence of a corresponding dominant group enjoying higher social status and greater privileges.

In Paramedics On and Off the Streets, Michael K. Corman embarks on an institutional ethnography of the complex, mundane, intricate, and exhilarating work of paramedics in Calgary, Alberta. Corman's comprehensive research includes more than 200 hours of participant observation ride-alongs with paramedics over a period of eleven months, more than one hundred first hand interviews with paramedics, and thirty-six interviews with other emergency medical personnel including administrators, call-takers and dispatchers, nurses, and doctors. At the heart of this ethnography are questions about the role of paramedics in urban environments, the role of information and communication technologies in contemporary health care governance, and the organization and accountability of pre-hospital medical services. Paramedics On and Off the Streets is the first institutional ethnography to explore the role and increasing importance of paramedics in our healthcare system. It takes readers on a journey into the everyday lives of EMS personnel and provides an in-depth sociological analysis of the work of pre-hospital health care professionals in the twenty-first century.

The idea of person-centred health systems is widely advocated in political and policy declarations to better address health system challenges. A person-centred approach is advocated on political, ethical and instrumental grounds and believed to benefit service users, health professionals and the health system more broadly. However, there is continuing debate about the strategies that are available and effective to promote and implement 'person-centred' approaches. This book brings together the world's leading experts in the field to present the evidence base and analyse current challenges and issues. It examines 'person-centredness' from the different roles people take in health systems, as individual service users, care managers, taxpayers or active citizens. The evidence presented will not only provide invaluable policy advice to practitioners and policymakers working on the design and implementation of person-centred health systems but will also be an excellent resource for academics and graduate students researching health systems in Europe. This title is available as Open Access on Cambridge Core.

The tech sectors are the least understood portion of the healthcare system, but the ones that supply most of the innovation in healthcare services and generate most revenue. Fully updated for this third edition, The Business of Healthcare Innovation is a wide-ranging analysis of business models and trends in the tech sectors of the healthcare industry. It provides a thorough overview of and introduction to the innovative sectors that fuel improvements in healthcare: pharmaceuticals, biotechnology, life science startups, medical devices and information technology. For each sector, the book examines the trends in scientific innovation, the science behind that innovation, the business and revenue models pursued to commercialize that innovation, the regulatory constraints within which each sector must operate and the growing issues posed by activist payers and consumers. From a combination of academic and industry perspectives, the authors show why healthcare sectors are such an important source of growth in any nation's economy.

In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.

This volume in the series Emerging Infectious Diseases of the 21st Century provides the most up-to-date and comprehensive information available on bioterrorism agents such as:

Anthrax, smallpox, plague, and SARS

Vaccine development

New anti-viral drug development

Treatment and protection

Threat analysis and response

Biological and chemical agents

Compiled by two of the leading experts in the field, Bioterrorism and Infectious Agents provides the specialist and trainee in microbiology, infectious disease, infection control, and epidemiology with a concise, timely, and authoritative review of some of the most problematic infections of the new century. This volume will foster a better understanding of the issues and new ideas for preventing and controlling infectious diseases.

In 1983, the first patient classification system to be used on a national basis, the Diagnosis Relate Groups (DRGs), was adopted as part of the Prospective Payment System in the United States. This system caught the attention of health policy makers in other countries, and a number of them began to implement similar approaches. What motivated them to adopt these systems? What similarities and differences were there among their experiences in implementing these systems? What can we learn about introducing change into national health systems by comparing their experiences? The Globalization of Managerial Innovation in Health Care answers these and other questions by examining patient classification systems in fifteen different countries throughout the world. The result is a remarkable collection of case studies of how change can be introduced effectively into national health systems as well as a careful synthesis of what can be learned from them.

This book discusses the management of various aspects of the professional life of newly qualified urologists as well as more experienced urologists. It features clear, easy-to-read chapters covering various topics, including clinical and surgical patient care, administrative duties, and research despite the increasing constraints on time and resources in today's hectic practice environment. Navigating Organized Urology: A Practical Guide systematically presents a range of practical strategies for a successful transition from trainee to practising urologist, while also offering more experienced urologists a fresh perspective on efficient management and successful adaptation of their practices for the modern age.

Innovation in medical technology generates a remarkable supply of new drugs, devices, and diagnostics that improve health, reduce risks, and extend life. But these technologies are too often used on the wrong patient, in the wrong setting, or at an unaffordable price. The only way to moderate the growth in health care costs without undermining the dynamic of medical innovation is to improve the process of assessing, pricing, prescribing, and using new technologies. Purchasing Medical Innovation analyzes the contemporary revolution in the purchasing of health care technology, with a focus on the roles of the Food and Drug Administration (FDA), Medicare and private health insurers, physicians and hospitals, and consumers themselves. The FDA is more thoroughly assessing product performance under real-world conditions as well as in laboratory settings, accelerating the path to market for breakthroughs while imposing use controls on risky products. Insurers are improving their criteria for coverage and designing payment methods that reward efficiency in the selection of new treatments. Hospitals are aligning adoption of complex supplies and equipment more closely with physicians' preferences for the best treatment for their patients. Consumers are becoming more engaged and financially accountable for their health care choices. This book describes both the strengths and deficiencies of the current system of purchasing and highlights opportunities for buyers, sellers, and users to help improve the value of medical technology: better outcomes at lower cost.

In 1983, the first patient classification system to be used on a national basis, the Diagnosis Relate Groups (DRGs), was adopted as part of the Prospective Payment System in the United States. This system caught the attention of health policy makers in other countries, and a number of them began to implement similar approaches. What motivated them to adopt these systems? What similarities and differences were there among their experiences in implementing these systems? What can we learn about introducing change into national health systems by comparing their experiences? The Globalization of Managerial Innovation in Health Care answers these and other questions by examining patient classification systems in fifteen different countries throughout the world. The result is a remarkable collection of case studies of how change can be introduced effectively into national health systems as well as a careful synthesis of what can be learned from them.

David M. Craig traveled across the United States to assess health care access, delivery and finance in this country. He interviewed religious hospital administrators and interfaith activists, learning how they balance the values of economic efficiency and community accountability. He met with conservatives, liberals, and moderates, reviewing their ideas for market reform or support for the Affordable Care Act. He discovered that health care in the US is not a private good or a public good. Decades of public policy and philanthropic service have made health care a shared social good.

"Health Care as a Social Good: Religious Values and the American Democracy" argues that as escalating health costs absorb more and more of family income and government budgets, we need to take stock of the full range of health care values to create a different and more affordable community-based health care system. Transformation of that system is a national priority but Americans have failed to find a way to work together that bypasses our differences. Craig insists that community engagement around the common religious conviction that healing is a shared responsibility can help us achieve this transformation -- one that will not only help us realize a new and better system, but one that reflects the ideals of American democracy and the common good.

The Handbook of Healthcare Management is a comprehensive examination of key management practices for global healthcare organizations, arguing that insight into and implementation of these practices is essential for success and sustainability. Expert contributors analyze both existing methods and new developments in healthcare management, through topics including healthcare marketing and customer service, managing human resources and organizational stakeholders, strategic and business planning, high-reliability organizations, and health informatics. The result is a well-rounded collection of strategies to enhance healthcare quality, with emphasis on factors that promote organizational excellence. This Handbook will be invaluable to students in both master and doctoral healthcare management programs, as well as faculty and health services researchers, practitioners in both private and public sectors, policy-makers, and public administrators. Contributors: A. Beardsley, J.W. Begun, N. Borkowski, B.K. Breland, K. Darr, C. Deschamp, E.W. Ford, M.D. Fottler, L.H. Friedman, J. Gill, P.K. Howse, T.R.Huerta, J.C. Hyde, R. Kemp, D. Malvey, A.S. McAlearney, N. Menachemi, C. Molinari, H. Nguyen, S.J. O'Connor, P.A. Paustian, A. Raffenaud, S. Rahurkar, S. Ruff, C.J. Sampson, D.J. Slovensky, D.G. Smith, P.L. Spath, W.L. Tarver, M. Thygeson, J.M. Trimm, J.G. Van Matre, C.F. Wainwright, J.H. Willig, T. Yeung, T. Zhang

Mit dem Lehrbuch wird ein grundlegendes Verstandnis fur die Inhalte und Methoden des (umfassenden) Qualitatsmanagements und ihren Anwendungsbezug im Gesundheitswesen vermittelt. Ausgehend von der Vielschichtigkeit des Qualitatsbegriffs im Gesundheitswesen werden grundsatzliche Fragen wertorientierter Unternehmensfuhrung, methodische Ansatze der einrichtungsinternen Qualitatsbestimmung und Qualitatsgestaltung sowie Konzepte professionsbezogener Qualitatsentwicklung und einrichtungsubergreifender Qualitatsvergleiche adressiert. Fur Studierende ist es wichtig, die Prinzipien dieses Themenbereichs zu verstehen und sich mit den unterschiedlichen Konzepten, Standpunkten und Methoden auseinanderzusetzen. Das Lehrbuch legt seinen Schwerpunkt daher gezielt auf die theoretische Fundierung und die Methodenvielfalt dieses Fachs. Der vorlesungsorientierte Aufbau ermoeglicht den Leserinnen und Lesern, sich schrittweise die grundlegenden Kenntnisse und das dazugehoerige Verstandnis zu erarbeiten. Die dritte Auflage wurde umfassend aktualisiert, in einigen Abschnitten uberarbeitet und inhaltlich vertieft. Als Einstiegshilfe und als Nachschlagewerk richtet sich dieses Buch gleichermassen an Studierende und praktisch Tatige, insbesondere an Angehoerige der Gesundheitsberufe und der kaufmannischen Berufe im Gesundheitswesen.

Medical Data Management is a systematic introduction to the basic methodology of professional clinical data management. It emphasizes generic methods of medical documentation applicable to such diverse tasks as the electronic patient record, maintaining a clinical trials database, and building a tumor registry. This book is for all students in medical informatics and health information management, and it is ideal for both the undergraduate and the graduate levels. The book also guides professionals in the design and use of clinical information systems in various health care settings. It is an invaluable resource for all health care professionals involved in designing, assessing, adapting, or using clinical data management systems in hospitals, outpatient clinics, study centers, health plans, etc. The book combines a consistent theoretical foundation of medical documentation methods outlining their practical applicability in real clinical data management systems. Two new chapters detail hospital information systems and clinical trials. There is a focus on the international classification of diseases (ICD-9 and -10) systems, as well as a discussion on the difference between the two codes. All chapters feature exercises, bullet points, and a summary to provide the reader with essential points to remember. New to the Third Edition is a comprehensive section comprised of a combined Thesaurus and Glossary which aims to clarify the unclear and sometimes inconsistent terminology surrounding the topic.