scholarly journals Critical Care Fellowship Sunnybrook Health Science Centre University of Toronto

1998 ◽  
Vol 45 (11) ◽  
pp. N3-N3 ◽  
Keyword(s):  
Critical Care ◽  
Health Science ◽  
Sunnybrook Health ◽  
University Of Toronto ◽  
Science Centre

New Management Structures at Sunnybrook Health Science Centre: Identifying Patient Groupings

1995 ◽  
Vol 8 (2) ◽  
pp. 29-31 ◽  
Author(s):  
Marilyn MacTavish ◽  
Peter Norton ◽  
Sholom Glouberman
Keyword(s):  
Health Science ◽  
Engineering Project ◽  
Sunnybrook Health ◽  
Science Centre ◽  
Process Oriented ◽  
Oriented Approach

An important step in re-engineering to achieve patient focused care is to define operational units of patients with like needs. This paper describes one process-oriented approach for this task. The approach allowed early and significant involvement of the staff in the re-engineering project.

Revolutionary versus Evolutionary Change: The Experience of a University Hospital Department of Psychiatry

1996 ◽  
Vol 9 (4) ◽  
pp. 53-55
Author(s):  
Marilyn Rook ◽  
Kenneth I. Shulman
Keyword(s):  
Change Process ◽  
Radical Change ◽  
Evolutionary Change ◽  
Health Science ◽  
University Hospital ◽  
Revolutionary Change ◽  
Hospital Department ◽  
University Of Toronto ◽  
Science Centre ◽  
The University

In the spring of 1991, the Department of Psychiatry at Sunnybrook Health Science Centre chose to undergo a major reorganization in an attempt to better meet the needs of patients as well as the academic and research requirements of the University of Toronto. This brief report describes the circumstances leading up to the decision to make a “revolutionary” change, the department's experiences during the period of radical change and the impacts of the change process.

An Assessment of the Introduction of a Multi-Skilled Worker into an Acute Care Setting

1996 ◽  
Vol 9 (3) ◽  
pp. 43-48
Author(s):  
Barbara Trerise ◽  
Louise Lemieux-Charles
Keyword(s):  
Work Environment ◽  
Acute Care ◽  
Care Setting ◽  
Health Science ◽  
Work Role ◽  
Acute Care Setting ◽  
New Work ◽  
Skilled Worker ◽  
Sunnybrook Health ◽  
Science Centre

The first reengineering project undertaken by the Sunnybrook Health Science Centre after adopting a philosophy of patient-focused care was the introduction of a new category of worker: the multi-skilled service assistant. This article describes the experiences of the first two cohorts of service assistants and assesses the changes made to the work itself and the integration of the new workers into the work environment. It concludes by sharing recommendations for introducing a new work role.

Re-Engineering: A Prescription for Hospitals

1994 ◽  
Vol 7 (2) ◽  
pp. 51-55 ◽  
Author(s):  
Cindy Bolton ◽  
John R.M. Gordon
Keyword(s):  
Private Sector ◽  
Process Design ◽  
Employee Involvement ◽  
Health Science ◽  
Sunnybrook Health ◽  
Science Centre

Previously applied mostly in large, private sector corporations, “re-engineering” is fast becoming a tool that hospitals can use to break away from the old to find a new and better way of doing things. Re-engineering, however, first requires strong leadership which is committed to employee involvement and re-inventing the process design to meet the needs of the customers. Once the transition has been completed, the processes and the organization must continue to be managed differently. This article reviews the processes involved in re-engineering, and discusses the implementation of the initiative at the Sunnybrook Health Science Centre in Toronto.

Multiskilling — Re-Engineering Work Process

1995 ◽  
Vol 8 (2) ◽  
pp. 32-36 ◽  
Author(s):  
Kerry Marshall
Keyword(s):  
Health Care ◽  
Health Science ◽  
Work Process ◽  
Service Workers ◽  
Sunnybrook Health ◽  
Science Centre ◽  
Engineering Work ◽  
Engineering Strategy ◽  
Engineering Projects ◽  
Health Care Aide

Many North American companies have recognized the need to re-engineer their core processes to achieve breakthrough improvements in cost, service and efficiency. In fact, it is estimated that U.S. companies alone will spend millions on business re-engineering projects this year. But change experts say that most re-engineering is in name only, cautiously tackling only one process or department at a time. Even fewer hospitals have attempted this magnitude of change. Toronto's Sunnybrook Health Science Centre is the first institution of its size in Canada to embark on a multifaceted re-engineering strategy toward a model of patient focused care. The following is an overview of Sunnybrook's experience with the first of these strategies: multiskilling service workers. The concept of multiskilling provides for a focus on redesigning job classifications to broaden the scope of responsibility. For Sunnybrook, this entailed the amalgamation of six service positions — unit aide, health care aide, dietary aide, orderly, porter, housekeeper and attendant into one service assistant position.

Anticoagulant therapy in practice

2012 ◽  
Vol 153 (19) ◽  
pp. 732-736
Author(s):  
Gergely Hofgárt ◽  
Csilla Vér ◽  
László Csiba
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Acute Stroke ◽  
Anticoagulant Therapy ◽  
Oral Anticoagulants ◽  
Health Science ◽  
Science Centre ◽  
Improper Use ◽  
Current Guidelines

Atrial fibrillation is a risk factor for ischemic stroke. To prevent stroke oral anticoagulants can be administered. Old and new types of anticoagulants are available. Nowadays, old type, acenocumarol based anticoagulants are used preferentially in Hungary. Aim: The advantages and the disadvantages of anticoagulants are well known, but anticoagulants are underused in many cases. Method: The authors retrospectively examined how frequent atrial fibrillation was and whether the usage of anticoagulants in practice was in accordance with current guidelines among acute stroke cases admitted to the Department of Neurology, Medical and Health Science Centre of Debrecen University in 2009. Results: Of the 461 acute stroke cases, 96 patients had known and 22 patients had newly discovered atrial fibrillation. Half of the patients did not receive proper anticoagulation. Only 8.4% of them had their INR levels within the therapeutic range. Conclusions: The findings are similar to those reported in other studies. Many factors may contribute to the high proportion of improper use of anticoagulants, and further investigations are needed to determine these factors. In any case, elimination of these factors leading to a failure of anticoagulation may decrease the incidence of stroke. Orv. Hetil., 2012, 153, 732–736.

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