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Journal of the Society for Health Systems最新文献

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Realizing the benefits of executive information systems. 实现执行信息系统的好处。
Journal of the Society for Health Systems Pub Date : 1991-01-01
W D Carswell, R M Zieserl
{"title":"Realizing the benefits of executive information systems.","authors":"W D Carswell,&nbsp;R M Zieserl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over the last several years, the literature on EISs (executive information systems) in all business sectors--including health care--has been focused on the design and implementation of these new systems. However, little attention has been given to identifying the wide range of direct and indirect benefits that occur after an EIS is successfully installed. This paper discusses in qualitative terms these tangible and intangible benefits and the factors that impact their realization and maximization. The paper is based on findings the authors have gained as a result of installing EISs in the past two years.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 1","pages":"35-45"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12936740","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
An integrated nurse scheduling model. 综合护士调度模型。
Journal of the Society for Health Systems Pub Date : 1991-01-01
I Ozkarahan
{"title":"An integrated nurse scheduling model.","authors":"I Ozkarahan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospitals provide continuous service, including during holidays. This requirement causes discontent among hospital personnel, including nurses, and is often cited as one cause of the nurse shortage. This discontent and the pressure on hospitals to limit costs highlight the importance of nurse scheduling. This paper describes an integrated scheduling model that satisfies the interests of both hospitals and nurses. The model accommodates flexible work patterns by incorporating time-of-day and day-of-week scheduling problems. Testing of the model is also presented.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 2","pages":"79-101"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979515","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 transitions and the impact on patient care. 领导过渡和对病人护理的影响。
Journal of the Society for Health Systems Pub Date : 1991-01-01
T N Gilmore
{"title":"Leadership transitions and the impact on patient care.","authors":"T N Gilmore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Leadership transitions are increasing dramatically in hospitals, both at the very top and in top roles such as nursing, operations, finance, medical staff, and so on. Increasingly, new leaders will articulate the importance of \"customer orientations\" as one of their strategic themes because of the importance of being more market-driven in today's environment. This article explores the strengths and potential pitfalls in both articulating a theme about becoming more patient-centered and implementing that theme in a complex organization so that it actually shapes transactions between front-line staff and patients. The article closes with a discussion of the dilemmas of sustaining a complex initiative across time when many of the key leaders in an organization will inevitably be changing during that time.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 3","pages":"59-72"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13116930","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
Computerized clinic scheduling system at the University of Michigan Medical Center. 密歇根大学医学中心计算机门诊调度系统。
Journal of the Society for Health Systems Pub Date : 1991-01-01
R J Coffey, B J Harrison, D S Bedrosian, M M Mueller, A M Steele
{"title":"Computerized clinic scheduling system at the University of Michigan Medical Center.","authors":"R J Coffey,&nbsp;B J Harrison,&nbsp;D S Bedrosian,&nbsp;M M Mueller,&nbsp;A M Steele","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The University of Michigan Medical Center has a flexible computerized clinic scheduling system that handles approximately 750,000 visits per year at the main hospital and satellite locations. The system includes a wide variety of fully integrated functions, including appointment booking, multiple and series scheduling, wait and reschedule lists, routine reminder notices, routine requests for medical records and radiology reports, no-show follow-up, and managerial reporting at multiple levels of detail. The system is extremely flexible, and allows separate scheduling specifications for every physician and all other resources within the system. The system is available at any of the approximately 1,800 computer terminals throughout the Medical Center, and is regularly used at approximately 400 terminals.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 2","pages":"81-9"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12922962","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
The Patient-Focused Hospital: a patient care concept. 以患者为中心的医院:一种患者护理理念。
Journal of the Society for Health Systems Pub Date : 1991-01-01
J P Lathrop, G E Seufert, R J MacDonald, S B Martin
{"title":"The Patient-Focused Hospital: a patient care concept.","authors":"J P Lathrop,&nbsp;G E Seufert,&nbsp;R J MacDonald,&nbsp;S B Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Steadily rising costs, increased competition, and employee and customer dissatisfaction have prompted hospitals to turn to a variety of traditional approaches to improving operations and performance. Extensive diagnostic analyses conducted in several hospitals have led Booz, Allen to conclude that these traditional approaches fall significantly short of providing lasting, substantial operations and performance improvement. As a result of these analyses, Booz, Allen has developed a new operational strategy known as the Patient-Focused Hospital. Implementation of this strategy at pilot sites has proven that it can improve significantly service performance as well as customer and employee satisfaction and reduce hospital operating costs. This article identifies the circumstance that gave birth to the Patient-Focused Hospital concept and describes how it works. The article also discusses the implications of patient-focused operations within the hospital industry and predicts that hospitals that adopt this strategy now will be the leaders of the future.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 2","pages":"33-50"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979511","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
Centralized telemetry monitoring: implementation and management. 集中遥测监测:实施和管理。
Journal of the Society for Health Systems Pub Date : 1991-01-01
J H Ford, P T Spears, R A Leemis, C L Woods
{"title":"Centralized telemetry monitoring: implementation and management.","authors":"J H Ford,&nbsp;P T Spears,&nbsp;R A Leemis,&nbsp;C L Woods","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Baptist Memorial Hospital in Memphis, Tennessee has implemented a newly designed cardiac arrhythmia monitoring system. Management engineers worked closely with nurses and physicians in the design process which led to development and implementation of a centralized telemetry monitoring system. Changes in the work distribution, improvement of the work environment, efficient use of nursing personnel and upgrades of monitoring equipment are several of the objectives addressed by this new centralized monitoring system. The backbone of the centralized telemetry monitoring system is an effective communication system that fully addresses staff needs during emergency situations. This paper presents the communication system features as well as the operational, functional and technical considerations necessary to support a centralized telemetry monitoring system. Some topics covered in detail include communication system selection, staff scheduling, selection, training, and supervision of staff members, ergonomic workstation design parameters and centralized telemetry monitoring system benefits. One benefit observed was that an additional 35 minutes per nurse per shift was made available to provide additional patient care activities.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 2","pages":"52-68"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979513","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
Strengthening hospital nursing: innovations for the improvement of patient care. 加强医院护理:创新提高病人护理水平。
Journal of the Society for Health Systems Pub Date : 1991-01-01
P F Brennan, S H Taft, E Kahana, J B Silvers, T L Zurakowski, B Bolek, H Emmons, P K Jones
{"title":"Strengthening hospital nursing: innovations for the improvement of patient care.","authors":"P F Brennan,&nbsp;S H Taft,&nbsp;E Kahana,&nbsp;J B Silvers,&nbsp;T L Zurakowski,&nbsp;B Bolek,&nbsp;H Emmons,&nbsp;P K Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospital services account for over 40% of the total U.S. expenditure on health care. A key to the provision of effective and efficient hospital services rests on an adequate number of qualified nursing staff. The demand for qualified nurses continues to outstrip the existing and anticipated supply. In addition, hospitals face a growing public accountability for quality patient care. To meet these challenges, hospitals must develop innovative strategies to strengthen hospital nursing and improve patient care. A major challenge to the industrial engineer/health systems engineer is how to best design the hospital system of the future. The purpose of this paper is to enumerate common problems experienced in hospitals and to describe the innovative solutions to these problems proposed by hospitals across the nation.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 2","pages":"5-21"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979512","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
Bedside technology: seven keys to success. 床边技术:成功的七个关键。
Journal of the Society for Health Systems Pub Date : 1991-01-01
C J Bolster, D Herring
{"title":"Bedside technology: seven keys to success.","authors":"C J Bolster,&nbsp;D Herring","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bedside technology offers a unique opportunity to enhance patient care and improve labor resource utilization. Achieving success with bedside technology in this environment is a difficult proposition with considerable risk. Based on the experience of the authors, there are seven keys to success which reduce the risk and drive the long-term usefulness of bedside technology.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"3 2","pages":"69-77"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12979514","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
Automated nurse scheduling. 自动护士调度。
Journal of the Society for Health Systems Pub Date : 1991-01-01
M Warner, B J Keller, S H Martel
{"title":"Automated nurse scheduling.","authors":"M Warner,&nbsp;B J Keller,&nbsp;S H Martel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article attempts (1) to define the several aspects of scheduling nursing personnel within the general context of nursing management, (2) to briefly review the history of the application of operations research and computers to scheduling nurses, (3) to describe what nursing administration is looking for in an automated scheduling system, (4) to review a typical system, and then (5) to discuss issues of implementation from the viewpoint of nursing administration, including realizable benefits.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 2","pages":"66-80"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12922960","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
Resource and appointment scheduling: closing the information loop. 资源和预约调度:关闭信息循环。
Journal of the Society for Health Systems Pub Date : 1991-01-01
B M Megliola
{"title":"Resource and appointment scheduling: closing the information loop.","authors":"B M Megliola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospital-wide preparation is currently underway for a new patient care information system at Baystate Medical Center in Springfield, Massachusetts. Integral to this new system are two new products recently developed by the TDS Healthcare Systems Corporation: a permanent patient record system and a resource and appointment scheduling application. The new patient care information system can maintain up to 16 million records on-line and can be used throughout the medical center. This article will focus on the resource and appointment scheduling application and how it can be used to track resource utilization and close the information loop related to patient appointment activities.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"2 2","pages":"91-102"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12922963","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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