How One Healthcare Organization Is Creating a True System

2021 ◽  
Vol 37 (4) ◽  
pp. 4-16
Author(s):  
Aimee Daily
2019 ◽  
Vol 2019 (6) ◽  
pp. 30-35
Author(s):  
Алан Карсанов ◽  
Alan Karsanov ◽  
Наталья Полунина ◽  
Natal'ya Polunina

The combined nature of the factors that threaten the patient and the complex subordination of many clinical risks are the basis of the authors' perception of the safety of medical activity (SMA) as a complex problem, the solution of which should be sought in improving managerial measures of a systemic nature. As structural components of an integrated approach to providing SMA, measures should be implemented aimed at increasing staff motivation, at increasing the level of medical communications, at introducing modern diagnostic and medical technologies, at improving the control and administrative component based on the industrial model of healthcare organization.


2015 ◽  
Vol 29 (7) ◽  
pp. 1080-1097
Author(s):  
Annemiek Stoopendaal

Purpose – Dichotomous “gap” thinking about professionals and managers has important limits. The purpose of this paper is to study the specific ontology of “the gap” in which different forms of distances are defined. Design/methodology/approach – In order to deepen the knowledge of the actual day-to-day tasks of Dutch healthcare executives an ethnographic study of the daily work of Dutch healthcare executives and an ontological exploration of the concept “gap” was provided. The study empirically investigates the meaning given to the concept of “distance” in healthcare governance practices. Findings – The study reveals that healthcare executives have to fulfil a dual role of maintaining distance and creating proximity. Coping with different forms of distances seems to be an integral part of their work. They make use of four potential mechanisms to cope with distance in their healthcare organization practices. Originality/value – The relationship between managers and professionals is often defined as a dichotomous gap. The findings in this research suggest a more dynamic picture of the relationship between managers and professionals than is currently present in literature. This study moves “beyond” the gap and investigates processes of distancing in-depth.


2013 ◽  
Vol 26 (1) ◽  
Author(s):  
Gemma M.C. van Ruitenbeek ◽  
Marike J.G.P. Mulder ◽  
Fred R.H. Zijlstra ◽  
Frans J.N. Nijhuis ◽  
Henny P.G. Mulders

An alternative approach for work redesign: experiences with the method ‘Inclusive Redesign of Work Processes’ (Dutch abbreviation: IHW) An alternative approach for work redesign: experiences with the method ‘Inclusive Redesign of Work Processes’ (Dutch abbreviation: IHW) This article introduces an alternative approach to work redesign: the method ‘Inclusive Redesign of Work Processes’ (Dutch abbreviation: IHW-method), aimed to make it possible to participate in the labour market for people with a large distance to the labour market. The IHW-method is based on an analysis and redesign of work processes which subsequently allows organizing work processes in such a way that jobs can be created for people with limited capabilities. The underlying principle is task differentiation from the perspective of worker’s capabilities, allowing organizations to make optimal use of all the existing work capacity and talent in the labour market. This article presents the underlying ideas and background for the development of the method IHW. The redesign principles of the method IHW and the first experiences with this method in a healthcare organization are discussed. The method turned out to be effective for the creation of suitable work for a large group of people with disabilities in this organization.


Author(s):  
Aniruddha Choudhary ◽  
Ian T. Voyles ◽  
Christopher J. Roy ◽  
William L. Oberkampf ◽  
Mayuresh Patil

Our approach to the Sandia Verification and Validation Challenge Problem is to use probability bounds analysis (PBA) based on probabilistic representation for aleatory uncertainties and interval representation for (most) epistemic uncertainties. The nondeterministic model predictions thus take the form of p-boxes, or bounding cumulative distribution functions (CDFs) that contain all possible families of CDFs that could exist within the uncertainty bounds. The scarcity of experimental data provides little support for treatment of all uncertain inputs as purely aleatory uncertainties and also precludes significant calibration of the models. We instead seek to estimate the model form uncertainty at conditions where the experimental data are available, then extrapolate this uncertainty to conditions where no data exist. The modified area validation metric (MAVM) is employed to estimate the model form uncertainty which is important because the model involves significant simplifications (both geometric and physical nature) of the true system. The results of verification and validation processes are treated as additional interval-based uncertainties applied to the nondeterministic model predictions based on which the failure prediction is made. Based on the method employed, we estimate the probability of failure to be as large as 0.0034, concluding that the tanks are unsafe.


2016 ◽  
Vol 25 (01) ◽  
pp. 70-72 ◽  
Author(s):  
A. Almerares ◽  
D. Luna ◽  
A. Marcelo ◽  
M. Househ ◽  
H. Mandirola ◽  
...  

SummaryBackground: Patient safety concerns every healthcare organization. Adoption of Health information technology (HIT) appears to have the potential to address this issue, however unanticipated and undesirable consequences from implementing HIT could lead to new and more complex hazards. This could be particularly problematic in developing countries, where regulations, policies and implementations are few, less standandarized and in some cases almost non-existing.Methods: Based on the available information and our own experience, we conducted a review of unintended consequences of HIT implementations, as they affect patient safety in developing countries.Results: We found that user dependency on the system, alert fatigue, less communications among healthcare actors and workarounds topics should be prioritize. Institution should consider existing knowledge, learn from other experiences and model their implementations to avoid known consequences. We also recommend that they monitor and communicate their own efforts to expand knowledge in the region.


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