scholarly journals Consultants and clinical team management

1996 ◽  
Vol 2 (5) ◽  
pp. 226-231 ◽  
Author(s):  
John Oldham
Keyword(s):  
Clinical Care ◽  
Major Influence ◽  
Healthcare Budget ◽  
Department Of Health ◽  
Administrative Culture ◽  
Doctors In Management ◽  
Consensus Decision Making ◽  
Incremental Planning ◽  
Local Healthcare ◽  
Consensus Decision

Over the past 10 years or so, management has gained greater significance as a career choice for doctors. They see enormous opportunities to improve clinical care by having a greater say in setting the agenda of their organisation and directing the deployment of the local healthcare budget. While doctors have always enjoyed a position of major influence over the direction of the health service, real opportunities to operate as managers only became available in the mid 1980s with the implementation of the Griffiths Report (Department of Health and Social Security, 1983). Although mental illness hospitals had Medical Superintendents until the 1970s, professional hierarchies and consensus decision making, combined with incremental planning and an administrative culture, resulted in few opportunities for meaningful involvement of doctors in management.

scholarly journals Innovative Strategies to Facilitate Patient-Centered Research in Multiple Chronic Conditions

2021 ◽  
Vol 10 (10) ◽  
pp. 2112
Author(s):  
Tullika Garg ◽  
Courtney A. Polenick ◽  
Nancy Schoenborn ◽  
Jane Jih ◽  
Alexandra Hajduk ◽  
...  
Keyword(s):  
Chronic Conditions ◽  
Clinical Care ◽  
Intervention Development ◽  
Healthcare Services ◽  
Multiple Chronic Conditions ◽  
Patient Centered ◽  
Older Americans ◽  
Innovative Strategies ◽  
Department Of Health ◽  
Innovative Methods

Multiple chronic conditions (MCC) are one of today’s most pressing healthcare concerns, affecting 25% of all Americans and 75% of older Americans. Clinical care for individuals with MCC is often complex, condition-centric, and poorly coordinated across multiple specialties and healthcare services. There is an urgent need for innovative patient-centered research and intervention development to address the unique needs of the growing population of individuals with MCC. In this commentary, we describe innovative methods and strategies to conduct patient-centered MCC research guided by the goals and objectives in the Department of Health and Human Services MCC Strategic Framework. We describe methods to (1) increase the external validity of trials for individuals with MCC; (2) study MCC epidemiology; (3) engage clinicians, communities, and patients into MCC research; and (4) address health equity to eliminate disparities.

scholarly journals Consensus Decision Making by Fish

2008 ◽  
Vol 18 (22) ◽  
pp. 1773-1777 ◽  
Author(s):  
David J.T. Sumpter ◽  
Jens Krause ◽  
Richard James ◽  
Iain D. Couzin ◽  
Ashley J.W. Ward
Keyword(s):  
Decision Making ◽  
Consensus Decision Making ◽  
Consensus Decision

scholarly journals PERAN PERAWAT DALAM MENGANALISIS BUDAYA ORGANISASI DAN BUDAYA KESELAMATAN PASIEN DI RUMAH SAKIT

2019 ◽  
Author(s):  
Muhaini Atmayana Purba
Keyword(s):  
Decision Making ◽  
Consensus Decision Making ◽  
Consensus Decision

Latar belakang : Membangun budaya keselamatan pasien merupakan langkah awal dalam pengembangan keselamatan pasien. Budaya keselamatan pasien di rumah sakit merupakan bagian dari budaya organisasi, sehingga pengkajian tentang budaya organisasi diperlukan untuk menjadi panduan dalam mengembangkan keselamatan pasien. Tujuan : Tujuan penulisan ini yaitu mengidenifikasi peran perawat dalam menganalisis budaya organisasi dan budaya keselamatan pasien di rumah sakit. Metode : Metode yang digunakan merupakan literatur review atau suatu perbandingan atau analisis antara satu jurnal dengan jurnal lainnya dari berbagai sumber seperti referensi jurnal, buku teks dan e-book. Hasil : Tipe budaya Clan didapatkan sebagai tipe budaya organisasi yang dominan sekaligus kuat dan menjadi panduan untuk melakukan perubahan dalam organisasi khususnya dalam pengembangan keselamatan pasien. Rencana tindak lanjut dibuat dan disepakati dalam Consensus Decision Making Group (CDMG) untuk mengartikulasikan unsur keselamatan pasien dalam visi dan misi organisasi serta penguatan budaya keselamatan melalui pelatihan keselamatan pasien bagi seluruh staf. Kesimpulan : . Rencana dalam tindak lanjut dibuat dan disepakati dalam Consensus Decision Making Group (CDMG) untuk mengartikulasikan unsur keselamatan pasien dalam visi dan misi organisasi serta penguatan budaya keselamatan melalui pelatihan keselamatan pasien bagi seluruh staf dan juga perawat.

Control (Part II): Effective Freedom and Collective Autonomy

2020 ◽  
pp. 81-100
Author(s):  
Thomas Swann
Keyword(s):  
The Political ◽  
Democratic Practice ◽  
Political Theories ◽  
Functional Autonomy ◽  
Viable System ◽  
Consensus Decision Making ◽  
Consensus Decision ◽  
Shed Light ◽  
Control Part ◽  
Different Parts

Chapter Five builds focuses on the tactical autonomy the different parts of an anarchist cybernetic organisation have and the strategic constraints on that autonomy. Drawing on how autonomy is understood in cybernetics and in anarchism and related radical political theories, the chapter defines two linked forms of autonomy: Functional Autonomy (central to cybernetics) and Collective Autonomy (vital to anarchist politics). The chapter argues that a balance between individualism and centralisation is crucial to explaining how organisation can both be effective and meet the political demands of anarchism. Linking this discussion to the Viable System Model and to the distinction between strategy and tactics, the chapter explores Consensus Decision Making as a key democratic practice that helps achieve the Functional Autonomy and the Collective Autonomy that anarchist cybernetics helps shed light on.

scholarly journals Communication speeds up but impairs the consensus decision in a dyadic colour estimation task

2020 ◽  
Vol 7 (7) ◽  
pp. 191974
Author(s):  
Liutao Yu ◽  
Chundi Wang ◽  
Si Wu ◽  
Da-Hui Wang
Keyword(s):  
Decision Making ◽  
Group Decision ◽  
Daily Life ◽  
Consensus Formation ◽  
Exact Role ◽  
Estimation Task ◽  
Consensus Decision Making ◽  
Consensus Decision ◽  
Better Than

Communication plays an important role in consensus decision-making which pervades our daily life. However, the exact role of communication in consensus formation is not clear. Here, to study the effects of communication on consensus formation, we designed a dyadic colour estimation task, where a pair of isolated participants repeatedly estimated the colours of discs until they reached a consensus or completed eight estimations, either with or without communication. We show that participants’ estimates gradually approach each other, reaching towards a consensus, and these are enhanced with communication. We also show that dyadic consensus estimation is on average better than individual estimation. Surprisingly, consensus estimation without communication generally outperforms that with communication, indicating that communication impairs the improvement of consensus estimation. However, without communication, it takes longer to reach a consensus. Moreover, participants who partially cooperate with each other tend to result in better overall consensus. Taken together, we have identified the effect of communication on the dynamics of consensus formation, and the results may have implications on group decision-making in general.

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