scholarly journals Errores de conciencia situacional. 200 casos de incidentes críticos en anestesia y cuidados intensivos.

2018 ◽  
Vol 10 (11) ◽  
pp. 4
Author(s):  
Jorge Becerra Astaiza ◽  
Paula Pérez Caballero ◽  
Pilar Argente Navarro
Keyword(s):  
Health Care ◽  
Human Error ◽  
Situational Awareness ◽  
Health Care Systems ◽  
Patient Treatment ◽  
Incident Report ◽  
Care Systems ◽  
Report System

El análisis de la conciencia situacional supone un abordaje prometedor para mejorar nuestro conocimiento sobre el desarrollo de los errores humanos en los sistemas de salud. Una adecuada conciencia situacional forma parte del tratamiento integral y seguro de los pacientes, y los errores derivados de su pérdida, están implicados en la génesis de eventos adversos. El presente estudio analiza la frecuencia de errores de CS en 200 casos reportados en un sistemas de comunicación de incidentes en Alemania. ABSTRACT Situational awareness analysis means a promising developement in order to improve our knowledge about human error among health care systems. A suitable situational awareness is part of comprehensive and safe patient treatment, and errors related to its lost are involved in the genesis of harmful events. This current study analyzes the frecuence of SA errors in 200 reported cases in a german incident report system.    

Organizational Bridges from Research to Practice: Cases in Medical Practice

1996 ◽  
Vol 40 (11) ◽  
pp. 530-532 ◽  
Author(s):  
Barrett S. Caldwell ◽  
John Gosbee ◽  
Harold S. Kaplan ◽  
Bruce R. Thomadsen
Keyword(s):  
Health Care ◽  
Human Factors ◽  
Medical Practice ◽  
Human Error ◽  
Human Performance ◽  
Care Delivery ◽  
Health Care Systems ◽  
Medical Community ◽  
Care Systems ◽  
Key Aspects

Human performance and human error in medicine have emerged as critical health care issues affecting the entire practice of medical treatment and health care delivery. Human factors professionals, particularly members of the HFES, can make major contributions to health care systems, but there is a lack of transition between problem domains. Since the human factors profession has been built on the study and improvement of high-risk systems, the current state of medical practice is clearly an opportune environment in which to operate. This panel will address several practical “ironies” of the current challenges to build improved bridges between key aspects of HFES expertise and the needs of the medical community.

scholarly journals Intensive Treatments in Adolescent Anorexia Nervosa

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1265
Author(s):  
Beate Herpertz-Dahlmann
Keyword(s):  
Health Care ◽  
Anorexia Nervosa ◽  
Intensive Care ◽  
Health Care Systems ◽  
Intensive Treatment ◽  
Stepped Care ◽  
Patient Treatment ◽  
Care Systems ◽  
Treatment Research ◽  
Adolescent Anorexia Nervosa

Approximately one-fifth to one-third of patients with adolescent anorexia nervosa (AN) need intensive care in the course of their illness. This article provides an update and discussion on different levels of intensive care (inpatient treatment (IP), day patient treatment (DP) and home treatment (HoT)) in different health care systems based on recently published literature. Important issues discussed in this article are new recommendations for the refeeding process and the definition of target weight as well as principles of medical stabilization and psychotherapeutic approaches. The pros and cons of longer or shorter hospitalization times are discussed, and the advantages of stepped care and day patient treatment are described. A new promising intensive treatment method involving the patient, their caregivers and the direct home environment is introduced. Parents and caregivers should be included in treatment research to foster collaborative work with the attending clinicians. There is an urgent need to evaluate the mid- to long-term outcomes of various intensive treatment programs to compare their effectiveness and costs across different health care systems. This could help policy makers and other stakeholders, such as public and private insurances, to enhance the quality of eating disorder care.

scholarly journals The Economic Impact of COVID-19 Treatment at a Hospital-level: Investment and Financial Registers of Brazilian Hospitals

2021 ◽  
Vol 8 (1) ◽  
pp. 36-41
Author(s):  
Ana Paula Beck da Silva Etges ◽  
Ricardo Bertoglio Cardoso ◽  
Milena Marcolino ◽  
Karen Brasil Ruschel ◽  
Ana Paula Coutinho ◽  
...  
Keyword(s):  
Health Care ◽  
Economic Impact ◽  
Health Care Systems ◽  
Hospital Costs ◽  
Treatment Strategies ◽  
Medical Officer ◽  
Patient Treatment ◽  
Care Systems ◽  
Acquisition Costs ◽  
The Mean

Background: The economic impact associated with the treatment strategies of coronavirus disease-2019 (COVID-19) patients by hospitals and health-care systems in Brazil is unknown and difficult to estimate. This research describes the investments made to absorb the demand for treatment and the changes in occupation rates and billing in Brazilian hospitals. Methods: This research covers the initial findings of “COVID-19 hospital costs and the proposition of a bundled reimbursement strategy for the health-care system,” which includes 10 hospitals. The chief financial officer, the chief medical officer, and hospital executives of each participating hospital provided information regarding investments attributed to COVID-19 patient treatment. The analysis included variations in occupation rates and billing from 2019 to 2020 observed in each institution, and the investments for medical equipment, individual protection materials and building construction per patient treated. Results: The majority of hospitals registered a decrease in hospitalization rates and revenue from 2019 to 2020. For intensive care units (ICUs), the mean occupancy rate ranged from 88% to 83%, and for wards, it ranged from 85% to 73%. Monthly average revenue decreased by 10%. The mean hospital investment per COVID-19 inpatient was I$6800 (standard deviation 7664), with the purchase of ventilators as the most common investment. For this item, the mean, highest and lowest acquisition cost per ventilator were, respectively, I$31 468, I$48 881 and I$17 777. Conclusion: There was significant variability in acquisition costs and investments by institution for responding to the COVID-19 pandemic. These findings highlight the importance of continuing microeconomic studies for a comprehensive assessment of hospital costs. Only with more detailed analyses, will it be possible to define and drive sustainable strategies to manage and reimburse COVID-19 treatment in health-care systems.

scholarly journals Accuracy of Broad-Panel PCR-Based Bacterial Identification for Blood Cultures in a Pediatric Oncology Population

2021 ◽  
Author(s):  
C. D. Garner ◽  
J. Brazelton de Cardenas ◽  
S. Suganda ◽  
R. T. Hayden
Keyword(s):  
Health Care ◽  
Pediatric Oncology ◽  
Health Care Systems ◽  
Bloodstream Infections ◽  
Rapid Identification ◽  
Blood Cultures ◽  
Patient Treatment ◽  
Bacterial Identification ◽  
Improved Outcomes ◽  
Care Systems

Bloodstream infections are a major cause of morbidity and mortality and result in significant costs to health care systems. Rapid identification of the causative agent of bloodstream infections is critical for patient treatment and improved outcomes.

HUMAN ERROR IN HEALTH CARE SYSTEMS: BIBLIOGRAPHY

2003 ◽  
Vol 10 (01) ◽  
pp. 99-117 ◽  
Author(s):  
B. S. DHILLON ◽  
MUTHURAMAN RAJENDRAN
Keyword(s):  
Health Care ◽  
Human Error ◽  
Health Care Systems ◽  
Paper Briefly ◽  
Comprehensive List ◽  
Care Systems ◽  
The Subject

This paper briefly discusses the subject of human error in health care systems and presents a comprehensive list of references on the said subject.

Strategies for Improving Patient Safety: Linking Task Type to Error Type

2012 ◽  
Vol 32 (1) ◽  
pp. 52-78 ◽  
Author(s):  
Elizabeth Andersson Mattox
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Human Error ◽  
Care Delivery ◽  
Health Care Systems ◽  
Real Life ◽  
Task Type ◽  
Care Providers ◽  
Error Type ◽  
Care Systems

This article reviews the connection between task type (skill based, rule based and knowledge based) and human error. Using real-life examples, each task type and error type is described in detail. Understanding how task type contributes to medical error enhances the ability of nurses to make meaningful changes in health care systems. Through error wisdom, nurses and other health care providers can more successfully navigate health care delivery and ultimately provide safer care to patients.

160: Cost-Effectiveness of Medical Management Strategies of Nephrolithiasis in Different Health Care Systems

2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Medical Management ◽  
Health Care Systems ◽  
Management Strategies ◽  
Care Systems
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