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.

In Memoriam: John William Lorimer

2015 ◽  
Vol 37 (4) ◽  
Keyword(s):  
Nova Scotia ◽  
The Netherlands ◽  
Research Council ◽  
National Research Council ◽  
University Hospital ◽  
Chemistry Department ◽  
University Of Toronto ◽  
In Memoriam ◽  
The University

John (Jack) William Lorimer passed away peacefully at the age of 86 at University Hospital on Sunday, 1 February 2015. Born in Oshawa, Ontario, Jack attended the University of Toronto, where he obtained his Ph.D. in Chemistry. After positions in Leiden, The Netherlands, and with the National Research Council in Halifax, Nova Scotia, Jack joined the University of Western Ontario, where he taught and did research in the Chemistry Department until his retirement.

scholarly journals Primitive Ocular Cancers in the University Hospital of Brazzaville

2019 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Young Adults ◽  
Cell Carcinoma ◽  
Developed Countries ◽  
Sebaceous Carcinoma ◽  
Health Science ◽  
University Hospital ◽  
East African ◽  
Black Africa ◽  
Uveal Tract ◽  
The University

Introduction: With the exception of retinoblastoma and melanoma of the uveal tract, primitive ocular cancers originate from the accessory structures of the eye, especially the eyelids and the conjunctiva. While in developed countries these cancers are mostly encountered after 60 years, in black Africa their prevalence has increased in young adults. Objective: To determine the epidemiological, clinical and histological profile of these tumors in the University Hospital of Brazzaville. Methodology: Mini analysis of nine (9) of our publications, published between 2015 and 2017, in the journals: East African Medical Journal, Health Science and Diseases, EC Ophthalmology, and Revue de Médecine et de Pharmacie. HIV serology has been systematically requested except for cases of retinoblastoma. Histological evidence was made in all cases. Results: 86 patients had been seen. Average age 31.2 years (2 years - 75 years), sex ratio equal to 1.08. Reasons for consultation: exophthalmia (44), mass (35%), leucocoria (20%) and palpebral wounds (1%). Affected structures: conjunctiva (38%), retina (35%) and eyelid (27%). Histological types: squamous cell carcinoma (55.5%), retinoblastoma (25.9%), basal cell carcinoma (8.5%), sebaceous carcinoma (5.5%), Kaposia’s sarcoma (3.5%) and acral melanoma lentiginous (1.1%). HIV serology was positive in 38% overall, but in 100% of conjunctival cancers. Conclusion: Primitive ocular cancers are dominated in children by retinoblastoma. In young adults, these are essentially opportunistic cancers in the context of HIV / AIDS.

scholarly journals CSCI and the future of clinical health science research in Canada

2018 ◽  
Vol 41 ◽  
pp. 38-40
Author(s):  
Stuart M MacLeod
Keyword(s):  
Clinical Investigation ◽  
Science Research ◽  
Health Science ◽  
Professor Emeritus ◽  
Rare Disorders ◽  
University Of Toronto ◽  
Health Science Research ◽  
University Of British Columbia ◽  
Sick Children ◽  
The University

In 2003, Dr. MacLeod became Professor (emeritus since 2014) in the Department of Pediatrics, University of British Columbia and Director of the BC Children’s Hospital Research Institute. Previously, he had spent 14 years as a clinical pharmacologist at the University of Toronto and The Hospital for Sick Children and was Dean of the Faculty of Health Sciences, McMaster University 1987–1992. His research interests include pediatric clinical pharmacology, treatments for rare disorders, global health and medical education. From 1984–85, he was President of the Canadian Society for Clinical Investigation.

Applicability of Lewin´s Change Management Model in a Hospital Setting

2009 ◽  
Vol 48 (05) ◽  
pp. 419-428 ◽  
Author(s):  
H.-U. Prokosch ◽  
T. Ganslandt ◽  
J. Šuc
Keyword(s):  
Change Management ◽  
Data Warehouse ◽  
Group Dynamics ◽  
Change Process ◽  
Health Informatics ◽  
Hospital Setting ◽  
University Hospital ◽  
Cost Structures ◽  
Economic Developments ◽  
The University

Summary Objectives: Today’s socio-economic developments in the healthcare area require continued optimization of processes and cost structures at hospitals, often associated with process changes for different occupational groups in the hospital. Formal methods for managing change have been established in other industries. The goal of this study was to assess the applicability of Kurt Lewin’s change management method to a health informatics-related project at a German university hospital. Methods: A project at the University Hospital Erlangen introducing changed requirements in the documentation of costly material in the surgical area was conducted following the concept of Lewin’s approach based on field theory, group dynamics, action research and the three steps of change. A data warehouse contributed information to several steps in the change process. Results: The model was successfully applied to the change project. Socio-dynamic forces relevant to the project goals were identified and considered in the design of the new documentation concept. The achieved documentation level met the new requirements and in some areas even exceeded them. Conclusions: Based on the project experiences, we consider Kurt Lewin’s approach applicable to change management projects in the hospital sector without a requirement for substantial additional resources, however, specific hospital characteristics need to be taken into account. The data warehouse played an important role by providing essential contributions throughout the entire change process.

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