Risk management and healthcare safety: Ten years of experience at the Vienna General Hospital

2018 ◽  
Vol 23 (6) ◽  
pp. 265-268 ◽  
Author(s):  
Leopold-Michael Marzi

We should use the word “Health Care Safety” instead of “Patient Safety,” because in cases of malpractice the people who are in charge of treatment of patients can be “second victims.” The typical damage case occurs to an above-average employee in a risk-prone discipline after working in the job for 20 years often between Friday afternoon and Sunday more often in the months of January, March or July due to a preceding communication error and a missing assertiveness of a person who is involved in the case. Very often, health professionals do not know how to react in case of malpractice or emergency from a legal point of view. The patient or his family contact a lawyer immediately, but who helps the health professionals to cope with the case? The Vienna General Hospital (VGH) is one of the biggest in the world. In 1999, the project “Risk Management” was initiated by the Legal Department. The aim at this time was: “Minus 50% concerning cases and more than 50% less costs in the next ten years (2000–2010).” In 2010, the aim was reached and the positive trend is still continuing, but how did it work? The VGH in cooperation with the Vienna Insurance Group created a complete new form of quick help in case of emergency: the so-called “Legal Emergency Kit.” It represents a handy plastic case on which a paragraph is stamped. A special checklist tells what to do in case of legal emergency. The legal practitioner of the VGH can be called at any time via mobile phone. The malpractice cases are analysed in a retrospective damage analysis, which helps to avoid errors and damages in the future.

This study focuses on the risks in banking. Today, commercial banks have a powerful management system, high-level automation tools, a rigid system of external control and developed risk-management. Management of credit risk lately has a special methodological interest. The purpose of the bank is to maximize profit, so it must pay particular attention to possible losses in conducting its operations. Specific types of risks that the bank most often encounters determine its performance. Since the income from lending activities makes up the most share of all revenues in the bank, the article focuses specifically on credit risk. The purpose of the research is to reveal trends in changes of the amount of credit risk of banking institutions and their influence on the stability of the banking system of Ukraine. The research of existing theoretical studies in the field of credit risk of banks, analysis of the current situation in the banking sector and solution of the following tasks: the author’s point of view on the essence of bank credit risk; improvement of the classification of credit risks of bank institutions, presentation and argumentation of the new view that takes into account the interests of both lenders and borrowers; justification of the main features of credit risks; improvement of risk management mechanism of banking institutions in lending operations as well as examination of economic standards of credit risks of Ukrainian banking institutions contributed to reaching the planned objective. The study undertaken allowed drawing a conclusion about the compliance of standards established by the National bank of Ukraine with the requirements and determining a positive trend towards stability and capitalization of the banking system on the whole. Potential directions for further researches were outlined.


2020 ◽  
Vol 17 (4) ◽  
pp. 86-95
Author(s):  
R. M. Kachalov ◽  
Yu. A. Sleptsova

The article considers the manifestations of the phenomenon of economic risk in the socioeconomic ecosystems of industrial enterprises, examines and differentiates the pragmatic and cultural aspects of the concept of "economic risk management". In terms of methodology, the study is based on the operational theory of risk management, and also uses tools to describe the organizational culture of risk management. Pragmatic and cultural differences in the characteristics of economic risk are identified at the level of stable forms of management activity with the involvement of the main provisions of the operational theory of risk management. The phenomenon of risk is considered in the ontological space as an artificial category of activity of industrial enterprises and other economic agents that form a socio-economic ecosystem. This phenomenon is studied as a specific form of social communication associated with the desire to assess the uncertain future in the present time, mainly from the point of view of analysis and management of the level of economic risk in the enterprise.


2019 ◽  
Vol 66 ◽  
pp. 260-275
Author(s):  
Victor V.  Aksyuchits

In the article the author studies the formation process of Russian intelligentsia analyzing its «birth marks», such as nihilism, estrangement from native soil, West orientation, infatuation with radical political ideas, Russophobia. The author examines the causes of political radicalization of Russian intelligentsia that grew swiftly at the end of the 19th and beginning of the 20th centuries and played an important role in the Russian revolution of 1917.


2020 ◽  
Vol 15 (1) ◽  
pp. 39
Author(s):  
С. И. Дудник ◽  
И. Д. Осипов

The article discusses the problems of evolution and the formation of the ideology of an enlightened monarchy in Russia. In this regard, the philosophical and political ideas of Catherine the Great, as well as their theoretical and ideological premises, are analyzed. It is noted that the philosophy of education in Russia was closely connected with the concepts of Voltaire, Didro, Montesquieu, Beccaria, Bentham, their views on natural law and human freedom, humanism and the rule of law. These concepts in the philosophy of Catherine received a specific interpretation, due to the sociocultural conditions of Russia. This was manifested in the famous work of Catherine the Great “The Nakaz”, which recognized Montesquieu's argument in favor of the autocracy, but at the same time, his point of view on the separation of powers was rejected. The specificity of the doctrine of enlightened monarchy lies in the combination of liberal and conservative values, which form eclectic forms. This was the dialectic of the supreme power, the difference between the enlightened monarchy and the ideology of absolutism. The article also notes that education in Russia is associated with fundamental socio-political reforms, processes of secularization of culture. At this time, the natural and human sciences are developing. The changes positively influenced the development of medicine, beautification of towns and public education. Also considered are the views on the autocracy of the opposition nobility intelligentsia: A. N. Radishchev and noted that his criticism of the autocracy was determined by an alternative cultural policy, proceeding from the protection of the interests of the people. The doctrine of enlightened monarchy is characterized by internal worldview inconsistency and political inconsistency, which did not allow solving the pressing social problems of the establishment of legal state, democratization of society and the abolition of serfdom.


Globus ◽  
2020 ◽  
Author(s):  
I. Bagandova ◽  

This study is devoted to the study of the features of the archetype of the Dargins, the formation of which dates back to the times of paganism and, which was imprinted by both religious ideas and historical events that had a significant impact on the worldview and worldview of the people. This work is the first attempt to analyze the archetype of the Dargins from the point of view of its inherent fatalism on the basis of proverbs, sayings and legends of the Dargin people, which represent the wealth of oral folk art and reflect the specifics of the psychological formation of the people that have been taking shape for millennia


2020 ◽  
Vol 10 (1) ◽  
pp. 35-44
Author(s):  
Fausiah Fausiah

The number of inpatient visits in RSU Anutapura Palu, where in 2015 inpatient visits of 5,640, then in 2016 patient visits decreased to 5,451, in 2017 also decreased to 3,999 and in 2018 also decreased Drastic to 1,146 patient visits. This research aims to determine the utilization of health services in patients in general hospitalization in RSU Anutapura Palu. This type of research is quantitative descriptive. Research was conducted from May-June 2019. The population in the study is a visitor (number of hospitalizations) at the General Hospital (RSU) Anutapura Palu. In this case the people who use health services in the General Hospital (RSU) Anutapura Palu recorded as many as 1,146 visitors (patients) in the year 2018. Primary data collection is through questionnaires and secondary data through the study of patient record documents and other supporting documents. The utilization of health services in patients in general hospitalization in RSU Anutapura Palu is well from the aspects of health beliefs, abilities and needs. RSU Anutapura Palu is expected to be able to improve the promotion of health services so that people use the health services provided.  


This volume deals with the possibility of glimpsing pre-modern and early modern Egyptian scribes, the people who actually produced ancient documents, through the ways in which they organized and wrote those documents. Breaking with the traditional conception of variation in scribal texts as ‘free’ or indicative of ‘corruption’, this volume reconceptualizes scribal variation in pre-modern Egypt from the point of view of contemporary historical sociolinguistics, seeing scribes as agents embedded in particular geographical, temporal, and sociocultural environments. This volume comprises a set of studies of scribal variation, beginning from the well-established domain of scribal variation in pre-modern English as a methodological point of departure, and proceeding to studies of scribal variation spanning thousands of years, from Pharaonic to Late Antique and Islamic Egypt. This volume introduces to Egyptology concepts such as scribal communities, networks, and repertoires, and applies them to a variety of phenomena, including features of lexicon, grammar, orthography, palaeography, layout, and format.


Children ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 25
Author(s):  
Dulce Romero-Ayuso ◽  
María Ruiz-Salcedo ◽  
Sabina Barrios-Fernández ◽  
José Triviño-Juárez ◽  
Donald Maciver ◽  
...  

Play is essential in childhood, allowing for a positive trend in development and learning. Health professionals need useful tools to assess it, especially in the case of children with neurodevelopmental disorders. The aim of this study was to validate and cross-culturally adapt the My Child’s Play questionnaire and to find out if this instrument allows us to differentiate the play of children with neurodevelopmental disorders from the play of children with neurotypical development. A total of 594 parents completed the questionnaire. A confirmatory factor analysis was conducted, which showed a similar structure to the English version: (1) executive functions; (2) environmental context; (3) play characteristics; and (4) play preferences and interpersonal interactions. The reliability of the analysis was high, both for the whole questionnaire and for the factors it comprises. The results provide evidence of the potential usefulness of the My Child’s Play questionnaire for determining play needs and difficulties of children; moreover, this tool can also be used to plan intervention programs according to the needs of each child and family.


2021 ◽  
pp. 175114372110254
Author(s):  
Rachel Catlow ◽  
Charlotte Cheeseman ◽  
Helen Newman

Novel coronavirus disease (COVID-19) has resulted in huge numbers of critically ill patients. This study describes the inpatient recovery and rehabilitation needs of patients admitted with COVID-19 to the critical care unit of a 400 bedded general hospital in London, United Kingdom. The rehabilitation needs of our sample were considerable. It is recommended that the increase demand on allied health professionals capacity demonstrated is considered in future COVID-19-related workforce-planning.


2021 ◽  
pp. 174701612110082
Author(s):  
Nicole Podschuweit

This paper aims to bring into the ethical debate on covert research two aspects that are neglected to date: the perspective of the research subjects and the special responsibility of investigators towards their observers. Both aspects are falling behind, especially in quantitative social research. From a methodological point of view, quantitative forms of covert observation involve a great distance between the researcher and the research subjects. When human observers are involved, the focus is usually on the reliable application of the measuring instrument. Therefore, herein, a quantitative study is used as an example to show how the protection needs of both the observed persons and the observers can be met in practice. The study involved 40 student observers who covertly captured everyday conversations in real-world settings (e.g. in cafés or trains) by a highly standardised observation scheme. The study suggests that the anonymity of the research subjects and their trust in the observers are crucial for their subsequent consent. However, many participants showed only little or even no interest in the written information they were provided. Further, this study strongly emphasises how mentally stressful covert observations are to the observers. Almost all observers were worried in advance that the people they were observing would prematurely blow their cover and confront them. Role-playing and in-depth discussions in teams are good strategies to alleviate such and other fears and to prepare student assistants well for their demanding work in the field.


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