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World hospitals and health services : the official journal of the International Hospital Federation最新文献

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Management innovation from HMA. 来自HMA的管理创新。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Eric De Roodenbeke, Alexander S Preker
{"title":"Management innovation from HMA.","authors":"Eric De Roodenbeke, Alexander S Preker","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32430903","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
Provoking "Eureka" moments for effective infection control strategies. 激发有效感染控制策略的“灵光一现”时刻。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Didier Pittet
{"title":"Provoking \"Eureka\" moments for effective infection control strategies.","authors":"Didier Pittet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Safety is now a fundamental principle of patient care and a critical component of quality management. Health care-associated infection prevention strategies need to be constantly revisited and updated to be effective. The \"Geneva hand hygiene model\" is a typical example of a breakthrough innovatory campaign that caught fire and went viral worldwide, thanks to its adoption by the World Health Organization (WHO) as the First Global Patient Safety Challenge. The campaign remains an inspiration for further innovation. To encourage new and disruptive technologies with the potential to improve patient safety through the successful implementation of the WHO multimodal strategy, the University of Geneva Hospitals/WHO Collaborating Centre on Patient Safety, together with the Aesculap Academy, have created a series of \"Hand Hygiene Excellence Awards\" and \"Hand Hygiene Innovation Awards\" worldwide.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 2","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34118479","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 urgent need for infection control programmes in Indian health care. 迫切需要在印度卫生保健中实施感染控制规划。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Nandakumar Jairam, Maheshkumar M Lakhe
{"title":"The urgent need for infection control programmes in Indian health care.","authors":"Nandakumar Jairam,&nbsp;Maheshkumar M Lakhe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The emergence of \"superbugs\" like carbapenem resistant Enterobactericiae with a NDM1 resistance pattern is a serious situation in clinical facilities in present times. The risk of health care-associated infections (HCAI) in emerging countries is two to 20 times higher than in developed countries; in some countries, the proportion can exceed 25% (1). Hospital infection prevention and control is fundamental to improving care, reducing the emergence of multidrug-resistant organisms and ensuring safety. In India constant efforts are taking place in this direction. The Clinical Infectious Diseases Society of India, along with other clinical societies, has come up with the Chennai Declaration in 2012. This has been adopted by Indian Government Health Departments and necessary steps for curtailing indiscriminate antibiotic use have also been taken. Also, it is extending the concept of antimicrobial stewardship to the community. Some novel ideas tried at Columbia Asia Hospitals in India to improve hospital infection control programmes are shared in this article.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 2","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34118905","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 effects of hospital reforms on the management of public hospitals in Tanzania: Challenges and lessons learnt. 医院改革对坦桑尼亚公立医院管理的影响:挑战和吸取的教训。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Byera Shwekerela
{"title":"The effects of hospital reforms on the management of public hospitals in Tanzania: Challenges and lessons learnt.","authors":"Byera Shwekerela","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although hospital reforms are being advocated internationally as part of a solution to hospital management problems in developing countries, studies have shown that they do give rise to some challenges. A study was undertaken that used in-depth interviews, focus group discussion and document review to examine hospital reforms. The article examines the effects of reforms on the management of Level II public hospitals in Tanzania and documents the related challenges and lessons Learnt. It is shown that hospital reforms have mixed effects in resource-strained hospitals, and that hospital reform actions may have replaced the bureaucratic inefficiencies associated with hospitals being managed from the central level (MoHSW) with the equally bureaucratic inefficiencies that characterize the management of these hospitals from a supposedly local level, the office of the Regional Administrative Secretary (RAS). Managing hospitals from this level seems to cause many hospital management problems to be left unattended.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 4","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33188194","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
Hospital accreditation--a foundation for high reliability. 医院认证——高可靠性的基础。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Paula Wilson
{"title":"Hospital accreditation--a foundation for high reliability.","authors":"Paula Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The people who work in health care organizations are committed to providing the best care possible to their patients. In the contemporary health care environment this is a very difficult commitment to keep. Health care has never been more complicated or demanding of the people who work in the industry. This article describes two different but complimentary methods for improving the quality and safety of health care. Accreditation provides a foundation for creating systems of care across many types of health care organizations. High reliability inspires people and organizations to strive for the highest levels of performance. Together, these methods give people working in health care an opportunity to fulfil their commitment to their patients.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 1","pages":"13-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32429804","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
Teamwork and communication: an effective approach to patient safety. 团队合作与沟通:确保患者安全的有效方法。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Sandhya Mujumdar, Diana Santos
{"title":"Teamwork and communication: an effective approach to patient safety.","authors":"Sandhya Mujumdar,&nbsp;Diana Santos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Teamwork and communication failures are leading causes of patient safety incidents in health care. Though health care providers must work in teams, they are not well-trained in teamwork and communication skills. Health care faces the problems of differences in communication styles, communication failures and poor teamwork. There is enough evidence in the literature to show that communication failure is detrimental to patient safety. It is estimated that 80% of serious medical errors worldwide take place because of miscommunication between medical providers. NUH recognizes that effective communication and teamwork are essential in the delivery of high quality safe patient care, especially in a complex organization. NUH is a good example, where there is a rich mix of nationalities and races, in staff and in patients, and there is a rapidly expanding care environment. NUH had to overcome these challenges by adopting a multi-pronged approach. The trials and tribulations of NUH in this journey were worthwhile as the patient safety climate survey scores improved over the years.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32429806","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
Patients as partners for improving safety. 患者是提高安全性的伙伴。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Margrit Leuthold
{"title":"Patients as partners for improving safety.","authors":"Margrit Leuthold","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Safety is a crucial aspect in any medical treatment. The awareness that patients can play an essential role in the prevention of errors and adverse events has increased over the last decade, connected to the movement for patient empowerment. Patients are no longer \"objects\" and \"victims\" of a treatment, but are alert observers and partners and become an active \"last barrier\" for the prevention of errors. This new role is challenging: for the patient as it requires action in a vulnerable period of dependence and the courage to intervene at the right moment; and for the caregivers who are facing a patient who is critical and dares to speak-up.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 3","pages":"20-2"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33315284","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 role of patients: Perspectives from a large, not-for-profit, tertiary care teaching hospital in the developing world. 病人的作用:来自发展中国家一家大型非营利三级保健教学医院的观点。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Salim Hasham, Syed Mairajuddin Shah, Sohail Habib, Rashidaj Merchant, Nasreen Alwani
{"title":"The role of patients: Perspectives from a large, not-for-profit, tertiary care teaching hospital in the developing world.","authors":"Salim Hasham,&nbsp;Syed Mairajuddin Shah,&nbsp;Sohail Habib,&nbsp;Rashidaj Merchant,&nbsp;Nasreen Alwani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent literature and studies show the significant role that patients and families can play during their transition through different points along the continuum of care. To date, our observation is that in our environment, patients and families input and engagement in the health care process has remained passive, with most of the decisions related to patient care being reserved for health care providers. Health care in many parts of the developing world still faces a similar challenge. This paper presents the initiatives of a large, not-for-profit, tertiary care teaching hospital in Karachi, Pakistan, on planning and implementing some best evidence-based practices in re-shaping the role of patients and families with the goal of enhancing the quality of their care. It also points out the effect of local cultures in making the role of the patient and family in their care as beneficial as it can be to improve clinical outcomes and their quality of life. Additionally, factors such as literacy, education, socioeconomic class and the attitude of health care providers in underdeveloped countries requires a significant change for the effective involvement of patients in their own care.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 3","pages":"23-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33315285","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
Assessment of changes in health care needs. 评估保健需求的变化。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2014-01-01
Khuderchuluun Nanjid, Chimedsuren Ochir, Sumberzul Nyamjav, Purevjav Mendsaikhan
{"title":"Assessment of changes in health care needs.","authors":"Khuderchuluun Nanjid,&nbsp;Chimedsuren Ochir,&nbsp;Sumberzul Nyamjav,&nbsp;Purevjav Mendsaikhan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>By 2020, the population of Ulaanbaatar will reach 1,522,400 inhabitants. In addition, estimates show that relative to 2010, there will be 13.1% more outpatient registrations and 11.6% more inpatients by 2020. This study, conducted by descriptive design based on demographic and morbidity data, analyzes whether current health care facilities meet the demands and needs of the Ulaanbaatar population. It also assesses health care needs and accessibilty in Ulaanbaatar by 2020. Both data analysis and qualitative interviews with different sub-groups of the population reveal the neccesity to both reorganize primary level health care facilities and adjust resources in accordance with changing morbidity patterns.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 1","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32431860","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
Disaster resilient hospitals: an essential for all-hazards emergency preparedness. 抗灾医院:所有灾害应急准备的必要条件。
World hospitals and health services : the official journal of the International Hospital Federation Pub Date : 2013-01-01
Gerald Rockenschaub, Kai V Harbou
{"title":"Disaster resilient hospitals: an essential for all-hazards emergency preparedness.","authors":"Gerald Rockenschaub,&nbsp;Kai V Harbou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospitals and health facilities play a crucial role in providing health services for their communities, in particular during crises and emergencies. Well prepared and disaster resilient hospitals are therefore essential to be able to meet the increased demands for life saving services in large scale emergencies, which can quickly overwhelm the surge capacity and functional safety of the hospitals and of the health system at large. The World Health Organization (WHO) has developed tools like the Hospital Safety Index, the WHO Regional Office for Europe's Hospital emergency response checklist and Toolkit for assessing health-system capacity for crisis management to assisst emergency managers to assess the structural and functional safety of health facilities, to enhance emergency preparedness to respond effectively to the most likely disaster scenarios and to strengthen overall health system preparedness with an all-hazards approach through fostering the crisis management capacities of hospitals. This article briefly introduces these WHO tools and provides an overview of their implementation and roll out in Member States of the WHO European Region.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"49 4","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32220233","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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