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Journal of the Society for Health Systems最新文献

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Bridging the accountability gap. 弥合问责差距。
Journal of the Society for Health Systems Pub Date : 1991-01-01
J E Johnson
{"title":"Bridging the accountability gap.","authors":"J E Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Accountability for patient care is a responsibility shared by nursing and hospital administration. Inherent in professional nursing is the responsibility for the achievement of patient outcomes, while administrators assume more indirect responsibilities related to managerial functions, strategic planning and legal obligations. Historically, the poor communication and conflict between these groups have been a barrier to achieving true institutional accountability for patient care. Collaboration rather than conflict can be promoted in health care institutions by making organizational changes that promote communication and clarify ambiguities in job responsibilities. Such changes include redefining the nurse's job to reflect its scope and purpose; integrating nursing into the hospital environment via regular forums for information exchange and participation in hospital committees; considering that the delegation of patient care is implicit in nursing practice and patient-care management; and strengthening the nursing work force by improving compensation and benefits packages for nurses.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"52-8"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13117680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DSS/EIS systems review. 决策支持系统/环境信息系统审查。
Journal of the Society for Health Systems Pub Date : 1991-01-01
J J Hartai, E H Rollfs
{"title":"DSS/EIS systems review.","authors":"J J Hartai,&nbsp;E H Rollfs","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 1","pages":"4-15"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12936742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estimating employment longevity of nursing personnel. 估计护理人员的就业寿命。
Journal of the Society for Health Systems Pub Date : 1991-01-01
P F Brennan, H Emmons, J B Silvers
{"title":"Estimating employment longevity of nursing personnel.","authors":"P F Brennan,&nbsp;H Emmons,&nbsp;J B Silvers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health-care managers require estimates of employment longevity (time from hire to termination) for use in assessing future pension obligations, costs that are functions of longevity and experience such as fringe benefits, and workforce stability. Existing approaches for obtaining these estimates are problematic, complicated by time-varying data or infeasible data requirements, and may result in biased estimators. Renewal theory is presented as a model for estimating the complete distribution of the longevity of a population when the only data available is censored (i.e., time on the job of current employees). The model's ability to estimate nursing personnel longevity is demonstrated.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 2","pages":"103-11"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12981168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nursing group practices in hospital settings. 护理小组实践在医院设置。
Journal of the Society for Health Systems Pub Date : 1991-01-01
D E Deremo, D R Nerenz, C M Pacini
{"title":"Nursing group practices in hospital settings.","authors":"D E Deremo,&nbsp;D R Nerenz,&nbsp;C M Pacini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As hospitals continue to face problems with nursing shortages and difficulty in retaining experienced nurses, they are forced to examine the environment of nursing practice to determine how that environment can be improved. At Henry Ford Hospital, a planning process is underway to establish a more truly professional practice environment for nursing. This professional practice environment is based on a group practice model for inpatient nursing. The group practice model offers the potential for greater clinical and administrative autonomy and collaborative practice with physicians, but may require significant changes in internal budgeting and accounting systems. Several different inpatient group practice models and their implications are discussed.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 2","pages":"22-32"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12981169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outlines for improvement of clinical care quality. 提高临床护理质量的大纲。
Journal of the Society for Health Systems Pub Date : 1991-01-01
C D Musfeldt, D Engler, T A Collier
{"title":"Outlines for improvement of clinical care quality.","authors":"C D Musfeldt,&nbsp;D Engler,&nbsp;T A Collier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents a set of quality outlines that can be used in the total quality management improvement process for clinical care. The outlines describe problems, potential causes, quality improvement opportunities, and potential methodologies and solutions to improve 15 clinical areas. The necessary improvement steps will depend on the area evaluated, and enhancements can only occur through the commitment of the medical staff and the taking of action steps. When the improvement of quality is given priority, financial gains for the hospital and decreased malpractice risk for the medical staff will follow.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"25-43"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13117677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient care in the year 2000. 2000年的病人护理。
Journal of the Society for Health Systems Pub Date : 1991-01-01
A Ross
{"title":"Patient care in the year 2000.","authors":"A Ross","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper takes a futuristic, crystal-ball look at patient care in the 1990s and 2000. It approaches the future from two perspectives. First, having assumed that the conflicts and frustrations associated with the existing health-care system have come to a boil and in fact a \"revolution\" in health care has occurred, what will the patient experience in the way of personal health services? The second perspective approaches it from the management viewpoint and provides a personal glimpse (and prediction) of what will be required for health-service executives who manage and direct a futuristic health service system.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"82-90"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13116932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing information: the role of decision support systems. 管理信息:决策支持系统的作用。
Journal of the Society for Health Systems Pub Date : 1991-01-01
C Shapleigh
{"title":"Managing information: the role of decision support systems.","authors":"C Shapleigh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper defines the role of a decision support system in managing information within a hospital environment. It discusses the use of such a system as a catalyst for change in the clinical as well as financial management of patient cases. A case study highlights one hospital's use of a decision support system. The paper concludes with a discussion of the patient care uses of a decision support system in measuring quality and clinical outcomes, tracking resource utilization, predicting utilization, and setting standards and protocols.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13117678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leadership for patient care. 领导病人护理。
Journal of the Society for Health Systems Pub Date : 1991-01-01
J G Nackel, S R Shelley
{"title":"Leadership for patient care.","authors":"J G Nackel,&nbsp;S R Shelley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In an era of change in health-care delivery and, particularly, change in patient care, leadership is the cornerstone of change management. The environment of the 1990s will challenge even the most sophisticated and capable health-care executives. This paper discusses key aspects of leadership and models them to the patient-care setting. Leadership will be the differentiating factor as organizations seek competitive advantage.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13117679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Facilitating discharge summary preparation in small hospitals. 促进小医院出院总结编制。
Journal of the Society for Health Systems Pub Date : 1991-01-01
L G Occeña, L J Huang
{"title":"Facilitating discharge summary preparation in small hospitals.","authors":"L G Occeña,&nbsp;L J Huang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents the result of a project to facilitate discharge summary preparation in small hospitals at low cost. Using an eye diseases hospital with twelve beds as an example, an integrated system for discharge summary preparation on a microcomputer platform was developed. The integrated system eliminated redundant data entry by a pull-type approach that automatically retrieved pertinent information from pre-existing records for inclusion in the discharge summary. Abbreviated and full versions of the discharge summary were generated with very little interactive time required of the physician or record clerk. The microcomputer implementation is described in this paper to illustrate the functionality and ease of this integrated system.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 1","pages":"67-90"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12935367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transient behavior of a stochastic process for screening progressive diseases. 筛选进展性疾病的随机过程的瞬态行为。
Journal of the Society for Health Systems Pub Date : 1991-01-01
A Houshyar, F A al-Khayyal
{"title":"Transient behavior of a stochastic process for screening progressive diseases.","authors":"A Houshyar,&nbsp;F A al-Khayyal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper extends a mathematical model developed by the authors for describing the stochastic process underlying the etiology of non-contagious progressive diseases. For a population with no prior history of scheduled screening, the number of undetected and detected diseased individuals in the population under an established screening policy is used to calculate the expected total screening cost at any given time during the transient period of the associated stochastic process. A graphical representation of our model shows the status of different subgroups of a particular age group at any time T, and provides a clear summary of the expected number of individuals whose disease remains undetected.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 1","pages":"92-105"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12935368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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