Training and certification for hospital medicine programs support the essential role of hospitalists for complex multi-morbid patients in acute care

2021 ◽  
Vol 7 (3) ◽  
pp. 125-131
Author(s):  
Vandad Yousefi ◽  
William Coke ◽  
James Eisner
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Essential Role ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Quality Care ◽  
Hospital Medicine ◽  
High Quality ◽  
The World

The current COVID-19 pandemic has resulted in significant strain on acute care delivery in Canada and around the world. It has highlighted the importance of hospitals rapidly increasing their resources to meet the capacity demands brought on by a disruptive change. Hospital medicine teams have become central to many acute care sites, caring for increasingly complex hospitalized patients. We believe that the ongoing implementation of hospitalist teams of generalist physicians is critical in ensuring that health care organizations are well positioned to provide high-quality care in uncertain times. We also highlight the need for adequate training and certification for physicians who aim to work as part of such programs.

Anaesthetics

2016 ◽  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Professional Practice ◽  
Health Care Organizations ◽  
Quality Care ◽  
Technical Skills ◽  
High Quality ◽  
Ventilatory Assistance ◽  
Applied Physiology

Current anaesthetic practice is provided using a combination of many different available techniques and drugs, with the primary aim of ensuring patient safety and high-quality care are provided for patients. Anaesthesia today is extremely safe, with mortality less than one death in 250 000 directly related to anaesthetic intervention alone. This is due to a continued focus on the principles of patient safety and quality of care, underpinned by continued innovation in pharmacology, applied physiology, physics, and engineering. These have yielded improved techniques and technologies to enhance airway management, provide ventilatory assistance and haemodynamic support, and monitor physiological parameters. Modern professional practice is continually seeking to improve by emphasizing the importance of individual non-technical skills in educational curricula and the workplace. In addition, anaesthetists are heavily involved in the integration of human factors science into health-care organizations.

Mobilizing Knowledge in Health Care

2016 ◽  
Author(s):  
Huw Davies ◽  
Alison Powell ◽  
Sandra Nutley
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Knowledge Flow ◽  
Evidence Based ◽  
Knowledge Mobilization ◽  
Policy And Practice ◽  
Per Se

This chapter uses “knowledge mobilization” as an umbrella term to cover activities aimed at collating and communicating research-based knowledge within the health care system and within health care organizations. It explores the nature, use and flow of knowledge, focusing in particular on the role of research-based knowledge and its interactions with other forms of knowing, and on the organizational and management arrangements for health care delivery rather than on evidence-based practice per se. The chapter is underpinned by the premise that knowledge flow in health care is often slow, intermittent and uncertain. Specific, active, knowledge mobilization strategies that take account of context, politics and the individuals and groups involved are therefore needed to help ensure that research-based knowledge informs policy and practice.

Fulfilling Institutional Responsibilities in Health Care: Organizational Ethics and the Role of Mission Discernment

2002 ◽  
Vol 12 (4) ◽  
pp. 433-450 ◽  
Author(s):  
John A. Gallagher ◽  
Jerry Goodstein
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Organizational Ethics ◽  
Health Care Ethics ◽  
The Core ◽  
Turbulent Environments ◽  
Integrated Health Care System ◽  
Core Mission

Abstract:In this paper we highlight the emergence of organizational ethics issues in health care as an important outcome of the changing structure of health care delivery. We emphasize three core themes related to business ethics and health care ethics: integrity, responsibility, and choice. These themes are brought together in a discussion of the process of Mission Discernment as it has been developed and implemented within an integrated health care system. Through this discussion we highlight how processes of institutional reflection, such as Mission Discernment, can help health care organizations, as well as corporations, make critical choices in turbulent environments that further the core mission and values and fulfill institutional responsibilities to a broad range of stakeholders.

Collective leadership for cultures of high quality health care

2014 ◽  
Vol 1 (3) ◽  
pp. 240-260 ◽  
Author(s):  
Michael A. West ◽  
Joanne Lyubovnikova ◽  
Regina Eckert ◽  
Jean-Louis Denis
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Quality Care ◽  
Quality And Safety ◽  
Healthcare Organizations ◽  
Collective Leadership ◽  
High Quality ◽  
Quality Health Care ◽  
Content Type ◽  
High Quality Care

Purpose – The purpose of this paper is to examine the challenges that health care organizations face in nurturing and sustaining cultures that ensure the delivery of continually improving, high quality and compassionate care for patients and other service users. Design/methodology/approach – Based on an extensive review of the literature, the authors examine the current and very challenging context of health care and highlight the core cultural elements needed to enable health care organizations to respond effectively to the challenges identified. Findings – The role of leadership is found to be critical for nurturing high-quality care cultures. In particular, the authors focus on the construct of collective leadership and examine how this type of leadership style ensures that all staff take responsibility for ensuring high-quality care for patients. Practical implications – Climates for quality and safety can be accomplished by the development of strategies that ensure leaders, leadership skills and leadership cultures are appropriate to meet the challenges health care organizations face in delivering continually improving, high quality, safe and compassionate patient care. Originality/value – This paper provides a comprehensive integration of research findings on how to foster quality and safety climates in healthcare organizations, synthesizing insights from academic literature, practitioner reports and policy documents to propose clear, timely and much needed practical guidelines for healthcare organizations both nationally and internationally.

Issues in pharmaceutical care and quality assurance

1995 ◽  
Vol 1 (1_suppl) ◽  
pp. 13-17
Author(s):  
Judith M. Bingham
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Pharmaceutical Care ◽  
Patient Outcomes ◽  
Care Delivery ◽  
Pharmacy Practice ◽  
Fourth International Symposium ◽  
Continuous Quality ◽  
The World

Pharmaceutical care and quality assurance were discussed during several of the sessions at the Fourth International Symposium on Oncology Pharmacy Practice. Representatives from through out the world presented models of pharmaceuti cal care for oncology practices in their regions. Models included those relevant to the institutional and home care settings. The concepts of quality accountability, continuous quality improvement, the effect of health care on patient outcomes, and quality assurance were also discussed. The role of pharmacists in influencing outcomes and in developing policies to ensure quality in health care delivery were additional topics addressed.

Embodied Spatial Practices and the Power to Care

2019 ◽  
pp. 360-377
Author(s):  
Elise Paradis ◽  
Warren Mark Liew ◽  
Myles Leslie
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Ethnographic Study ◽  
Spatial Practices ◽  
Critical Care Units ◽  
Interprofessional Care ◽  
The Social

Drawing on an ethnographic study of teamwork in critical care units (CCUs), this chapter applies Henri Lefebvre’s ([1974] 1991) theoretical insights to an analysis of clinicians’ and patients’ embodied spatial practices. Lefebvre’s triadic framework of conceived, lived, and perceived spaces draws attention to the role of bodies in the production and negotiation of power relations among nurses, physicians, and patients within the CCU. Three ethnographic vignettes—“The Fight,” “The Parade,” and “The Plan”—explore how embodied spatial practices underlie the complexities of health care delivery, making visible the hidden narratives of conformity and resistance that characterize interprofessional care hierarchies. The social orderings of bodies in space are consequential: seeing them is the first step in redressing them.

scholarly journals Depression among health care students in the time of COVID-19: the mediating role of resilience in the hopelessness–depression relationship

2021 ◽  
pp. 008124632199445
Author(s):  
Tammy-lee Pretorius
Keyword(s):  
Health Care ◽  
Traumatic Event ◽  
National Level ◽  
Depression Scale ◽  
Health Care Students ◽  
Mediating Role ◽  
First Case ◽  
Hopelessness Depression ◽  
The World

COVID-19 spread rapidly across the world, and by March 2020, the first case of COVID-19 was identified in South Africa. Lockdown-related measures such as restricted movement and isolation were implemented to contain the virus. Combined with these measures, factors such as economic decline, job losses, and food shortages can cause numerous mental health sequelae such as depression. Feelings of hopelessness and helplessness as well as cases of suicide have been reported around the world due to the pandemic and the associated feelings of anxiety and depression. The aims of this study were to investigate levels of hopelessness and depression in a sample of health care students. A random sample of students ( N = 174) enrolled in a health sciences programme at the University of the Western Cape completed the Beck Hopelessness Scale, the Center for Epidemiological Studies Depression Scale, and a three-item Resilience Scale. The results revealed high levels of hopelessness and depression compared to previously reported normative data for these scales. In addition, the indirect effects of hopelessness on depression were significant, demonstrating the mediating role of resilience in the hopelessness–depression relationship. These results highlight a call for universities to take proactive measures in providing students with free and easily accessible resources to help them cope and manage stress during a traumatic event. More importantly, at a national level, preventive measures should be implemented to strengthen resilience in young adults.

Integrated Coastal Management: The Role of Law and Lawyers

1999 ◽  
Vol 14 (4) ◽  
pp. 491-522
Author(s):  
Brady Coleman ◽  
Robert Beckman
Keyword(s):  
Coastal Management ◽  
Essential Role ◽  
Management Programme ◽  
Integrated Coastal Management ◽  
Policy Makers ◽  
Coastal Resource ◽  
The World ◽  
Critical Understanding

AbstractIntegrated coastal management (ICM) programmes are being planned, formulated and implemented in coastal States all over the world. To date, however, ICM has been seen as more in the realm of policy-makers, managers, scientists, coastal resource economists, and others, rather than in the realm of lawyers. This article reveals how law and lawyers should play an absolutely essential role at all stages of the ICM process. Ideally, ICM legal consultants will have a broad range of knowledge and experience in both international legal treaties as well as in certain fundamental national law principles, so that coastal zone policies will be designed and carried out with a critical understanding of the laws and institutions needed for the long-term success of an integrated coastal management programme.

Further steps to define and deliver high quality care for care clusters: the mental health care clusters and pathways website

2013 ◽  
Vol 18 (1) ◽  
pp. 4-13
Author(s):  
Michael Clark ◽  
Clare Hilton ◽  
Wendy Shiels ◽  
Carole Green ◽  
Christina Walters ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Quality Care ◽  
High Quality ◽  
High Quality Care

Health system characteristics of quality care delivery: A comparative case study examination of palliative care for cancer patients in four regions in Ontario, Canada

2011 ◽  
Vol 26 (4) ◽  
pp. 322-335 ◽  
Author(s):  
Jonathan Sussman ◽  
Lisa Barbera ◽  
Daryl Bainbridge ◽  
Doris Howell ◽  
Jinghao Yang ◽  
...  
Keyword(s):  
Palliative Care ◽  
Health System ◽  
Acute Care ◽  
Pattern Analysis ◽  
Care Delivery ◽  
Quality Care ◽  
Structural Features ◽  
Comparative Case Study ◽  
Care Utilization

Background: A number of palliative care delivery models have been proposed to address the structural and process gaps in this care. However, the specific elements required to form competent systems are often vaguely described. Aim: The purpose of this study was to explore whether a set of modifiable health system factors could be identified that are associated with population palliative care outcomes, including less acute care use and more home deaths. Design: A comparative case study evaluation was conducted of ‘palliative care’ in four health regions in Ontario, Canada. Regions were selected as exemplars of high and low acute care utilization patterns, representing both urban and rural settings. A theory-based approach to data collection was taken using the System Competency Model, comprised of structural features known to be essential indicators of palliative care system performance. Key informants in each region completed study instruments. Data were summarized using qualitative techniques and an exploratory factor pattern analysis was completed. Results: 43 participants (10+ from each region) were recruited, representing clinical and administrative perspectives. Pattern analysis revealed six factors that discriminated between regions: overall palliative care planning and needs assessment; a common chart; standardized patient assessments; 24/7 palliative care team access; advanced practice nursing presence; and designated roles for the provision of palliative care services. Conclusions: The four palliative care regional ‘systems’ examined using our model were found to be in different stages of development. This research further informs health system planners on important features to incorporate into evolving palliative care systems.

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