scholarly journals The personal crisis in the selected hospital and impact to the safety

2019 ◽  
Vol 292 ◽  
pp. 01046
Author(s):  
Eva Hoke ◽  
Romana Heinzová ◽  
Jiří Konečný

The contribution focuses on the current economic situation, especially on low unemployment, which has an impact on the labor market situation in the Czech Republic. Generally, low unemployment is a positive phenomenon in the economy, but what if unemployment is so low that organizations and businesses cannot find high-quality employees? Today, it is already proven that effective using of human capital within economic operators significantly improves their economic performance and, as far as public sector organizations are concerned, it improves public services. Well educated and motivated employees who are not overloaded can become the "brand" of individual healthcare facilities and a human factor as the source of the wealth and prosperity of state and non-state healthcare facilities. Our attention is therefore focused on selected health care organization, where there has been an acute shortage of medical and non-medical staff. The paper deals with the analysis of low unemployment, which is called the personal capacities crisis, its causes and its consequences as well. How to solve this critical shortage of health care staff? So far, the quality of Czech health care has been very high, but if this situation is maintained, the quality of patient care can be fundamentally endangered. The conclusion of the paper contains suggestions and recommendations on how to make this area more effective.

Author(s):  
María Carmen Carnero

The support services of health care organizations, such as maintenance, have not traditionally been considered important from the perspective of care quality. Nevertheless, the degree of excellence in maintenance significantly influences availability, maintenance costs and safety of facilities, medical equipment, patients and care staff. Thus, it would be of great importance for health care organizations to apply benchmarking to their maintenance processes, as do other processing companies, in order to determine the quality of maintenance provided, and compare it to other, similar, organizations. This would also allow all the continuous improvement processes to be controlled, and actions for radical improvement to be carried out by comparing performance with that of companies in other sectors. This chapter describes a multicriteria model integrating a fuzzy Analytic Hierarchy Process with utility theory to obtain a valuation for the Maintenance Service of a Health Care Organization over time.


Mathematics ◽  
2020 ◽  
Vol 8 (8) ◽  
pp. 1375 ◽  
Author(s):  
María Carmen Carnero

Segregation is an important step in health care waste management. If done incorrectly, the risk of preventable infections, toxic effects, and injuries to care and non-care staff, waste handlers, patients, visitors, and the community at large, is increased. It also increases the risk of environmental pollution and prevents recyclable waste from being recovered. Despite its importance, it is acknowledged that poor waste segregation occurs in most health care organizations. This study therefore intends to produce, for the first time, a classification of failure modes related to segregation in the Nuclear Medicine Department of a health care organization. This will be done using Failure Mode and Effects Analysis (FMEA), by combining an intuitionistic fuzzy hybrid weighted Euclidean distance operator, and the multicriteria method Potentially All Pairwise RanKings of all possible Alternatives (PAPRIKA). Subjective and objective weights of risk factors were considered simultaneously. The failure modes identified in the top three positions are: improper storage of waste (placing items in the wrong bins), improper labeling of containers, and bad waste management (inappropriate collection periods and bin set-up).


2009 ◽  
Vol 15 (4) ◽  
pp. 212-218 ◽  
Author(s):  
Mark Spigt ◽  
Caroline Stefens ◽  
Danique Passage ◽  
Ludovic Van Amelsvoort ◽  
Paul Zwietering

2019 ◽  
Vol 48 (4) ◽  
pp. 716-737 ◽  
Author(s):  
Kim C. Brimhall

Nonprofit leaders and managers are recognizing the benefits of creating inclusive organizations in which everyone feels valued and appreciated, yet little is known about how leaders can foster workplace inclusion. This study examined the relationships among leader engagement, inclusion, innovation, job satisfaction, and perceived quality of care in a diverse nonprofit health care organization. Data were collected at three points in 6-month intervals from a U.S. nonprofit hospital. Multilevel path analysis indicated significant direct associations between leader engagement, inclusion, and innovation. Innovation was directly linked to improved job satisfaction and perceived quality of care. Significant indirect effects were found from leader engagement to increased job satisfaction and perceived quality of care through increased climates for inclusion and innovation. Findings suggest that nonprofit leaders who engage others in critical organizational processes can help foster an inclusive climate that leads to increased innovation, employee job satisfaction, and perceived quality of care.


Author(s):  
Rebecca J. Schwei ◽  
Natalie Guerrero ◽  
Alissa L. Small ◽  
Elizabeth A. Jacobs

AbstractPurposeThe purpose of this study is to understand different roles that interpreters play in a pediatric, limited English proficient (LEP) health care encounter and to describe what factors within each role inform physicians’ assessment of the overall quality of interpretation.BackgroundLanguage barriers contribute to lower quality of care in LEP pediatric patients compared to their English-speaking counterparts. Use of professional medical interpreters has been shown to improve communication and decrease medical errors in pediatric LEP patients. In addition, in many pediatric encounters, interpreters take on roles beyond that of a pure language conduit.MethodsWe conducted 11 semi-structured interviews with pediatricians and family medicine physicians in one health system. Transcripts were audio-recorded and transcribed verbatim. We analyzed our data using directed content analysis. Two study team members coded all transcripts, reviewed agreement, and resolved discrepancies.FindingsPhysicians described four different interpreter roles: language conduit, flow manager, relationship builder, and cultural insider. Within each role, physicians described components of quality that informed their assessment of the overall quality of interpretation during a pediatric encounter. We found that for many physicians, a high-quality interpreted encounter involves multiple roles beyond language transmission. It is important for health care systems to understand how health care staff conceptualize these relationships so that they can develop appropriate expectations and trainings for medical interpreters in order to improve health outcomes in pediatric LEP patients.


2012 ◽  
Vol 14 (1) ◽  
pp. 27-41 ◽  
Author(s):  
Sunil C. D’Souza ◽  
A.H. Sequeira

In today’s highly competitive environment, health care organizations are increasingly realizing the need to focus on service quality as a measure to improve their competitive position. While there has been a plethora of conceptual and empirical research regarding the many complexities involved in services marketing, few endeavours have been directed towards integrating the customer’s assessment into models to improve overall service quality. This article examines service quality through a case study of a health care organization in Mangalore, Karnataka, India with a tertiary health provision. The population consisted of patients aged 18–65 years and 45 patients were considered through a purposive sampling technique. The study basically started off using the grounded theory for patient of service quality and this exploration was enabled to formulate a hypothesis; to test the specific hypothesis, the descriptive approach was used. The grounded theory indentified service quality dimensions through open coding, axial coding and selective coding. The analysis was done for the assessment of overall service quality by ‘doctors’, ‘quality of care,’ ‘nursing quality of care’ and ‘operative quality of care’ and the proportion of statistically significant variance. The service quality in which operative quality of care yielded 79 per cent; doctor quality of care yielded 45.6 per cent; and nursing quality of care yielded 63.8 per cent of explanatory power.The results also indicated there is need to improve doctors’ care in the case of this organization. Service attributes related to this dimension requires management attention to improve the doctors’ care of quality. The article concludes by highlighting the dearth in services marketing research for service quality measurement through patient perspective in health care organizations.


2019 ◽  
Vol 27 (2) ◽  
pp. 100-104
Author(s):  
Małgorzata Nadziakiewicz ◽  
Alina Mikolajczyk

Abstract This article presents the quality, safety and assessment system as the important tools to supervise the health care organization. Quality is the sum of the properties and characteristics of a product, process or service that is appropriate to meet the complex requirements. In the case of health care is difficult to valuate quality, the universal indicators become useful tool. The development of quality indicators requires collecting of data and their proper processing. The high quality of medical services requires continuous improvement and adaptation to patients’ needs. The quality indicators, for example, refer directly to the effects of therapy and are used to measure the success or failure of the applied therapeutic methods. Measuring the results of activities indicates only the level of quality of the services provided. The data helps to analyze information and improve the quality and safety of health care services.


2020 ◽  
Vol 7 (1) ◽  
pp. 19-22
Author(s):  
Li-Yuan Xing ◽  
Jing-Hui Song ◽  
Fan Yan

AbstractObjectiveThis study focuses on how leadership could influence the quality of care in a health-care organization.MethodsThe concept of leadership and quality are analyzed. In addition, issues concerning how leadership can influence quality of care through the effect on the organizational culture and the engagement of both nurses and patients are discussed.ResultsLeadership is the pivotal factor in the improvement of quality through the effect on the organizational culture and the engagement of both nurses and patients.ConclusionsLeadership can influence the quality of care directly and indirectly. The organization and the leaders should know the importance of effective leadership to a better work environment, facilitate the implementation of the new mode of nursing, and provide best services to the patients.


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