Improvement of the personnel adaptation system in a medical organization

2021 ◽  
pp. 73-78
Author(s):  
Svetlana Vladimirovna Kropotova
Keyword(s):  
Medical Personnel ◽  
Adaptation Process ◽  
Medical Organization ◽  
High Quality ◽  
Methods Of Analysis ◽  
Quality Adaptation ◽  
The Individual

The purpose of the study is to improve the adaptation system for personnel in a multidisciplinary hospital. Results: the problems of organizing the adaptation process were identified, the methods of analysis and assessment of the management of the adaptation process in a medical organization were adapted, the effectiveness of the existing system of adaptation of medical workers in the organization was assessed. Conclusion: the study proved the need for a more complete and high-quality adaptation process; the process is not static, a creative approach is needed, taking into account the characteristics of the organization (team) and the individual abilities of a specialist; to improve the organization, for the effective adaptation of medical personnel, it is necessary to develop the institution of mentoring.

scholarly journals Optimization of the work of a nutritionist physician using tools of lean technologies in a simulated clinic

2020 ◽  
Vol 15 (4) ◽  
pp. 283-289
Author(s):  
Oleg Lisovskii ◽  
◽  
Alexandr Gostimskii ◽  
Ivan Lisitsa ◽  
Anna Zavyalova ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Personnel ◽  
Medical Organization ◽  
Training Centre ◽  
Saint Petersburg ◽  
Quality Of Medical Care ◽  
The Individual ◽  
Medical University ◽  
Priority Project

The article presents the possibilities of implementing the priority project “New model of medical organization providing primary health care” aimed at increasing the accessibility and satisfaction of patients with the quality of medical care. An example of an outpatient dietary consultation shows the resources for detecting medical losses and ways of optimizing the activities of medical personnel using the tools of lean technologies. The article reflects the experience of the Training Centre for lean technologies in health care of the Saint Petersburg State pediatric medical university, created in 2018 with the aim of training medical workers of different specialties to use tools of economical production in conditions of simulated clinic. The conduct of business games and “The Factories of Processes” makes it possible to reconstruct the work of the individual office or the entire polyclinic. The possibility of standardization of medical processes, use of check-lists in the work and organization of each cabinet, introduction of the system “5S” and identification of medical losses with subsequent optimization of the initial reception is presented. In this work “The Process Factory” “The optimization of the appointment of a doctor-specialist” is presented, allowing to make a detailed analysis of the duration and structure of the reception, to perform the mapping of medical processes and to use visual management, considering the efficiency, Safety and quality of the doctor’s work. The acquired skills in simulated conditions help to implement this methodology and effectively use the tools of lean technologies in practice.

scholarly journals High-quality net shape geometries from additively manufactured parts using closed-loop controlled ablation with ultrashort laser pulses

2020 ◽  
Vol 9 (1-2) ◽  
pp. 101-110 ◽  
Author(s):  
Daniel Holder ◽  
Artur Leis ◽  
Matthias Buser ◽  
Rudolf Weber ◽  
Thomas Graf
Keyword(s):  
Surface Roughness ◽  
Closed Loop ◽  
High Surface ◽  
Laser Pulses ◽  
Ultrashort Laser Pulses ◽  
Minimum Thickness ◽  
High Quality ◽  
Surface Optical ◽  
The Individual ◽  
Ultrashort Laser

AbstractAdditively manufactured parts typically deviate to some extent from the targeted net shape and exhibit high surface roughness due to the size of the powder grains that determines the minimum thickness of the individual slices and due to partially molten powder grains adhering on the surface. Optical coherence tomography (OCT)-based measurements and closed-loop controlled ablation with ultrashort laser pulses were utilized for the precise positioning of the LPBF-generated aluminum parts and for post-processing by selective laser ablation of the excessive material. As a result, high-quality net shape geometries were achieved with surface roughness, and deviation from the targeted net shape geometry reduced by 67% and 63%, respectively.

The impact of medical activity bureaucratization on professional values of personnel: analysis of international research results and data from sociological surveys of Kuzbass Medical Organizations (NII KPSSZ AND GBUZ “KKKD”)

2021 ◽  
Vol 10 (2) ◽  
pp. 15-20
Author(s):  
Ya. V. Danilchenko ◽  
A. N. Popsuyko ◽  
E. A. Batsina ◽  
D. V. Kilizhekova ◽  
D. V. Karas
Keyword(s):  
Comparative Analysis ◽  
Creative Thinking ◽  
International Study ◽  
Medical Personnel ◽  
Professional Values ◽  
Diagnostic Process ◽  
Federal State ◽  
Medical Organization ◽  
Medical Activity ◽  
The Impact

Aim. To assess the correspondence between the results of the European Social Survey (ESS) “The Impact of Medical Activity Bureaucratization on Professional Values of Personnel” and the results of sociological surveys of personnel of medical organizations such as Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases (NII KPSSZ) and Federal State Budgetary Institution “Kuzbass Clinical Cardiology Dispensary named after academician L.S. Barbarash” (GBUZ “KKKD”).Methods. Comparative analysis of the results of ESS (3271 medical workers from 29 countries were questioned) and the results of sociological surveys of the medical personnel at NII KPSSZ (204 respondents in 2017) and at GBUZ “KKKD” (385 respondents in 2021) was carried out.Results. According to the survey data of employees of NII KPSSZ the dominant values are: professionalism and conscientious attitude to work, respectful attitude to colleagues and patients, strict compliance with law and regulatory requirements. Among the main values of GBUZ “KKKD” staff the following were named: discipline and order in fulfilling responsibilities, professionalism and conscientious attitude to work, and respectful attitude to patients.Conclusion. On the basis of the comparative analysis, the authors proved the validity of the conclusions and results of an international study devoted to the problem of the influence of bureaucratization of a medical organization on the structure of personnel values in medical organizations focused only on the treatment and diagnostic process. If an institution functions as a scientific and medical organization, then its employees tend to strive for professional self-development, innovative and creative thinking, which is not consistent with the conclusions of international researchers.

scholarly journals Paradigm shift: cognitive surgery

2017 ◽  
Vol 2 (3) ◽  
pp. 139-143 ◽  
Author(s):  
Hannes G. Kenngott ◽  
Martin Apitz ◽  
Martin Wagner ◽  
Anas A. Preukschas ◽  
Stefanie Speidel ◽  
...  
Keyword(s):  
Intelligent System ◽  
Medical Personnel ◽  
Interdisciplinary Field ◽  
Computer Scientists ◽  
Technical Innovations ◽  
Intelligent Devices ◽  
The Individual ◽  
The Right ◽  
Entire Treatment ◽  
Cognitive Surgery

AbstractIn the last hundred years surgery has experienced a dramatic increase of scientific knowledge and innovation. The need to consider best available evidence and to apply technical innovations, such as minimally invasive approaches, challenges the surgeon both intellectually and manually. In order to overcome this challenge, computer scientists and surgeons within the interdisciplinary field of “cognitive surgery” explore and innovate new ways of data processing and management. This article gives a general overview of the topic and outlines selected pre-, intra- and postoperative applications. It explores the possibilities of new intelligent devices and software across the entire treatment process of patients ending in the consideration of an “Intelligent Hospital” or “Hospital 4.0”, in which the borders between IT infrastructures, medical devices, medical personnel and patients are bridged by technology. Thereby, the “Hospital 4.0” is an intelligent system, which gives the right information, at the right time, at the right place to the individual stakeholder and thereby helps to decrease complications and improve clinical processes as well as patient outcome.

scholarly journals The quality of guidelines in non-pharmacological prevention and management of chemotherapy-induced neuropathy: A review

2018 ◽  
Author(s):  
Shahin Salarvand ◽  
Simin Hemati ◽  
Payman Adibi ◽  
Fariba Taleghani
Keyword(s):  
Methodological Quality ◽  
Stakeholder Involvement ◽  
Common Adverse Effect ◽  
Adaptation Process ◽  
Medical Sciences ◽  
High Quality ◽  
Agree Ii ◽  
Pharmacological Prevention ◽  
Agree Ii Instrument

Chemotherapy-induced peripheral neuropathy is a common adverse effect occurring in patients undergoing neurotoxic chemotherapy. However, there is no FDA-approved treatment option for it. Given the importance of clinical practice guidelines in this area, this study aimed to determine the methodological quality of extant CIPN guidelines. The study was done as part of the adaptation process of CIPN related CPGs at Isfahan University of Medical Sciences, Iran. A systematic search of published CPGs about chemotherapy-induced CIPN in which the AGREE II instrument was applied for appraising CPGs of CIPN was performed. In general, amongst all of the AGREE II Instrument’s domains in the evaluated CPGs, the clarity of presentation and stakeholder involvement domains took favorable scores; and other domains obtained unfavorable and relatively favorable scores. The quality of cancer therapy-induced neuropathy CPGs needs to be improved and designing high-quality CPGs must be considered.

scholarly journals The results of a subjective assessment of the organization of inpatient care for newborn parents and neonatologists

2020 ◽  
Vol 101 (3) ◽  
pp. 412-417
Author(s):  
K E Moiseeva ◽  
E N Berezkina ◽  
V V Kirilenko
Keyword(s):  
Software Package ◽  
Inpatient Care ◽  
Medical Personnel ◽  
Subjective Assessment ◽  
Technical Equipment ◽  
Medical Organization ◽  
Statistical Software ◽  
Financial Costs ◽  
Individual Laboratory ◽  
Mathematical Processing

Aim. To study the opinion of mothers of newborns and neonatologists about the organization of inpatient care for newborns in St. Petersburg. Methods. An anonymous survey of 2123 mothers of newborns and 172 neonatologists of St. Petersburg was conducted. The representativeness of the sample was checked by using the method of Professor A.M. Merkov, with the errors do not exceed 4 and 3%, respectively. Mathematical processing and data analysis were carried out by using the statistical software package PASW STATISTICS. Results. 28.9% of mothers were partially or completely unsatisfied with the organization of inpatient care for newborns, in most cases due to the unfriendly and inattentive attitude by the medical staff (22.4%), the unsatisfactory provision by child care products (12.8%) and poor material and technical equipment of a medical organization (12.5%). On average, the human qualities of neonatologists were rated quite high by mothers at 4.630.09 (out of 5) points, and in mid-level practitioners were significantly lower 3.910.08 points (p 0.05). In general, staying a newborn in a medical organization required financial costs for 37.3% of women, and 13.9% of respondents who received help through compulsory medical insurance paid for individual laboratory and other tests on their own. Mothers rated the organization of inpatient care for newborns on average 4.010.09 points. Compared to mothers, neonatologists rated it higher in the medical organization they work for and lower overall in St. Petersburg (M=4.110.10 points and M=3.780.12 points; p 0.05). According to the doctors, the main disadvantages of organizing inpatient care for newborns are poor material and technical equipment and problems associated with the staffing and qualifications of medical personnel. Conclusion. There is a need to improve the process of providing inpatient care to newborns.

scholarly journals FEATURES OF RESPONSIBILITY OF A MEDICAL ORGANIZATION FOR CAUSING THE PATIENT'S HEALTH

2021 ◽  
Vol 38 (2) ◽  
pp. 73-80
Author(s):  
Yu.N. Slepenok ◽  
◽  
G.V. Stankevich ◽  
L.P. Stepanova ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Causal Relationship ◽  
Civil Liability ◽  
Medical Personnel ◽  
Medical Services ◽  
Medical Organization ◽  
Approximate Order ◽  
Average Sample

The article discusses the particular conditions of holding medical organizations accountable for causing harm to the health of patients. The conditions of civil liability, as well as the degree of responsibility of a medical organization in the provision of medical services, are analyzed. The authors are of the opinion that medical care should be organized in accordance with the procedures, conditions and standards for the provision of such care, however, the standards cannot cover all the options that may arise during the provision of medical care, therefore they are aimed at creating an average “sample”, to determine the approximate order of possible actions carried out by medical personnel. Attention is also paid to the consideration of the features of causing harm to the patient’s health, depending on whether the harm was caused in the provision of medical care or medical services. In conclusion, it was concluded that the conditions for bringing medical organizations to justice should include: unlawful action (inaction), harm, a causal relationship between unlawful action and harm, as well as the fault of the injurer.

scholarly journals The attitude of health workers to vaccination at the present stage

2018 ◽  
Vol 99 (5) ◽  
pp. 812-817 ◽  
Author(s):  
D V Lopushov ◽  
V A Trifonov ◽  
A A Imamov ◽  
F N Sabaeva ◽  
H D Shaykhrazieva ◽  
...  
Keyword(s):  
Adverse Reactions ◽  
Health Workers ◽  
Significant Proportion ◽  
Statistical Processing ◽  
Medical Personnel ◽  
Present Stage ◽  
Medical Organization ◽  
The Republic ◽  
Main Components ◽  
The Right

Aim. Evaluation of the awareness of health workers of vaccine prevention at the present stage. Methods. To achieve the aim, survey of health workers of the Republic of Tatarstan was conducted using the developed questionnaire. The coverage of survey was 3 250 people. Statistical processing of the results was carried out using Microsoft Excel 2010 programs. Results. The conducted study revealed that a significant proportion (95 %) of health workers were positive about vaccine prevention, were vaccinated themselves and vaccinated their children. The most prevalent forms of informing parents of vaccinated children about adverse reactions after vaccination are oral recommendations by the doctor and information sheets about adverse reactions. The majority of interviewed health workers (89.9 %) support the initiative to cancel the right of citizens to refuse vaccination. In the opinion of health workers, the main components of successful organization of vaccine prevention in the medical organization are availability and diversity of vaccines, the level of qualification of medical personnel, and equipment of the vaccination room. Less than half of health workers were trained in specialized training on immunoprevention. The majority of health workers (86.3 %) consider it necessary to expand the national schedule of preventive vaccinations of the Russian Federation. Conclusion. Organizational measures to inform health workers in various areas of vaccine prevention are needed to be taken; promising directions are organizing specialized courses on immunoprevention and discussion of relevant aspects of immunization of the population and adverse reactions in post-vaccination period.

scholarly journals Adaptative Potential Students as Internal Resources Mastery Under Transformation of Society

2017 ◽  
Vol 4 (1) ◽  
pp. 117-125
Author(s):  
Nataliya Zavatska ◽  
Ulyana Mykhaylyshyn
Keyword(s):  
Adaptive Capacity ◽  
Environmental Changes ◽  
Social Systems ◽  
Social Adaptation ◽  
Adjustment Process ◽  
Adaptation Process ◽  
Structural Components ◽  
Mutual Adaptation ◽  
The Social ◽  
The Individual

The article shows that the specificity of a holistic personality adjustment process in social systems is not confined only because of the peculiarities of its elements, such as the personal maturity, changes in the social conditions of the environment, and is determined by the interaction of structural components of the adaptive capacity of the individual. This maladjustment of one of these components will inevitably impact on the integrity of the individual adaptation process. It was determined that based on the analysis of the structural components of adaptation of the person (socially adapted situation, social need for adaptive, adaptive psychological need) there is the need to clarify the role of each of these components in the process of adaptation of the person. In the context of investigations under the holistic process of social adaptation of personality in social systems we mean active mutual adaptation of the individual and the social environment to each other in order to create a harmonious cooperation for the effective functioning of the individual in these social systems. Violation of this process or the implementation of its social disapproved or antisocial ways leads to the violation of the integrity of the adaptation process and it flows in unacceptable forms of society. It is emphasized that social exclusion leads to disruption of the socialization process, reflected in the increasing complexity of learning and the use of social roles, values and attitudes. In accordance with the social work we should pay attention to the replacement of anti-social norms, values and attitudes to prosocial. This process we treat as a social reinsertion - purposefully organized restructuring of the moral and valuable personality and behavioral areas that promotes the formation of social and value orientations and behavior. It was stated that the whole process of social adaptation of the person can provide awareness and reflection of environmental changes in the social systems of the environment; activity of the person in the regulation of adaptive capacity; transformation of adaptive capacity into more complex and sophisticated forms of interaction with the surrounding reality

Incidence of COVID-19 in outpatient healthcare workers

2021 ◽  
Vol 61 (8) ◽  
pp. 540-545
Author(s):  
Sergey A. Suslin ◽  
Maiia L. Sirotko ◽  
Marina N. Bochkareva ◽  
Sergey A. Babanov
Keyword(s):  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Expert Assessment ◽  
Outpatient Basis ◽  
Medical Organization ◽  
Occupational Infection ◽  
Increased Risk ◽  
Need Support ◽  
Coronavirus Infection

Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1-3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. Materials and methods. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact - specialists of the district service: general practitioners (40%), pediatricians (32%), doctors - obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Conclusion. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions.

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