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

{"title":"Nosocomial infections: Aligning strategy and action from mission to outcomes.","authors":"Adolfo Llinás,&nbsp;Blanca Stella Vanegas,&nbsp;Adriana Merchan,&nbsp;Guillermo Prada,&nbsp;Henry Gallardo,&nbsp;Juan Pablo Uribe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Outstanding health care institutions around the world lead, in effect, by setting an example and keeping hospital-acquired infections to a minimum. Behind the apparent simplicity of an indicator hides an enormous complexity. We believe that the difficulty in achieving seemingly simple benchmarks stems from the necessity to perform optimally at different levels of the organization consistently. This challenge can be summarized in a word: alignment. Institutional alignment starts with the mission and must be ubiquitous. Achieving the benchmark illustrates the elusive trait of institutional coherence. We will describe the dimensions and levels at our institution that influence our ability to strive for better indicators in the prevention of nosocomial infections, examine some of the difficulties and provide a few examples of success.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 2","pages":"24-9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34118904","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}

{"title":"Environmental pollution: An enormous and invisible burden on health systems in low- and middle-income counties.","authors":"Philip J Landrigan,&nbsp;Richard Fuller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Background. Environmental pollution has become the leading risk factor for death in low- and middle-income countries (LMICs). The World Health Organization and others calculate that exposures to polluted air - indoor and outdoor, water and soil resulted in 8.4 million deaths in LMICs in 2012. By comparison, HIV/AIDS causes 1.5 million deaths per year, and malaria and tuberculosis Less than 1 million each. The diseases caused by pollution include the traditional scourges of pneumonia and diarrhea, but increasingly they also include chronic, non-communicable diseases (NCDs) such as such as heart disease, stroke and cancer. Method. We review the diseases caused by pollution and the multiple economic and human burdens that these diseases impose on health systems in countries with already limited resources. Results. We find that diseases caused by pollution increase health care costs, especially for high-cost NCDs. They impose an unnecessary load on health care delivery systems by increasing hospital staffing needs and thus diverting resources from essential prevention programmes such as childhood immunizations, infection control and maternal and child health. They undermine the development of poor countries by reducing the health, intelligence and economic productivity of entire generations. Pollution is highly preventable and pollution prevention is highly cost-effective. Yet despite their high economic and human costs and amenability to prevention, the diseases caused by pollution have not received the attention that they deserve in policy planning or in the international development agenda. Conclusion. Pollution is not inevitable. It is a problem that can be solved in our lifetime. Given the great impact of pollution on health and health care resources and the high cost-benefit ratio of pollution prevention, efforts to mitigate pollution should become a key strategic priority for international funders and for governments of LMICs. Recommendation. Assisting LMICs to prioritize disease prevention through the management of pollution is a highly cost-effective strategy for enhancing population health, reducing the burden on limited health resources and advancing national development.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 4","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33188197","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}

{"title":"Hong Kong - The Hong Kong Alliance of Patients' Organizations: Working constructively to increase hospital openness and accountability.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Hong Kong Alliance of Patients' Organizations (HI(APO) comprises 44 affiliated patient groups who advocate across the region, improving patient experiences and increasing advocacy and awareness. Initially established to increase accountability to patients and representation in a changing health system, the Alliance has worked to expand patient input on local and territorial decision-making by partnering with individual hospitals and increasing links with the Hospital Authority Board. Patients are now represented on most committees affecting patient care and the delivery of health services, and more widely in health care policy decision-making. The Alliance advocates for patients as active and constructive consumers rather than passive recipients of services and lobbies for better representation and involvement in treatment decisions. It has also increased media exposure which has helped to grow representation so that patients are now present on all 11 Authority Committees and are asked for their views. The patient ambassadors programme offers training for patients to be representatives at ward level and within the local hospital committee; and by building constructive relationships over time with hospital partners, HKAPO affiliate organizations have been able to start making improvements in the training of professionals in hospitals and informing staff about patient engagement, advocating for new clinical interventions and a more patient-centred approach.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 3","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33313315","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}

{"title":"Dutch hospitals provide reliable \"one click\" patient information using a Quality Window.","authors":"Yvonne Van Rooy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2014, the Dutch Association of Hospitals (Nederlandse Vereniging van Ziekenhuizen, NVZ) launched the \"Quality Window\" at general hospitals across the Netherlands. The Quality Window is an online platform for patients which shares a hospital's current and previous scores on ten quality indicators, from patient experience to employee satisfaction. The Quality Window therefore responds to the growing demand for information and transparency when it comes to hospital care and performance. Not only can patients access helpful information about a hospital's quality through the Quality Window, they can also compare results with other hospitals, the national average, and more. Many hospitals also take the opportunity to expand on how indicators work in practice and the actions being taken towards improvement. The Quality Window was developed with the help of hospitals and patients. Over the coming years it will be expanded to university hospitals across the country. General hospitals will also begin developing Quality Windows for specific patient groups, such as cancer patients.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 3","pages":"26-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33315286","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}

{"title":"Breast centre certification in Europe.","authors":"Luigi Cataliotti,&nbsp;Lorenza Marotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Certification procedures help to improve the quality process by modifying organizational and clinical attitudes to the benefits of increased quality in the standards of care. It provides a critical attitude towards daily work and requests to dedicate sufficient time to multidisciplinary analysis on breast centre organization activity and performance. Breast Centres Certification (BCCERT) is a nonprofit association, operating in compliance with international standards on certification, which carries out voluntary certification of breast centres based on the requirements of the European Society of Breast Cancer Specialists (EUSOMA) and aims to improve and standardize the Level of patient care throughout Europe.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 4","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33315288","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}

{"title":"The rehaVital Stroke Network: An integrated, post-discharge, patient care model initiated by durable medical equipment specialists.","authors":"Juergen Froehlich,&nbsp;Karen Harbeck,&nbsp;Detlef Roeseler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Outpatient care for patients with chronic illnesses in Germany (e.g., stroke patients) is currently fragmented, with little interconnectivity among the different care providers. After being cared for in a highly structured inpatient environment, patients are often discharged alone with limited supportive care at home. With the goal of accompanying patients on their way back to autonomous mobility and social participation, rehaVital members developed an integrated care model. In this model, patients' perspectives and needs are recognized as central determinants in their post-discharge care. Further key features include structured interconnectivity among the various care providers with transparent treatment goals and progress demonstrated by quality indicators.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 4","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33315289","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}

{"title":"The willingness of and barriers to Korean health care providers participating in a humanitarian assistance field hospital responding to an urgent global health crisis.","authors":"Juhwan Oh,&nbsp;Young Sun Ro,&nbsp;Jong-koo Lee,&nbsp;Min Jung Kim,&nbsp;Sang Do Shin,&nbsp;Jason Ahn,&nbsp;S V Subramanian","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>As the number of disaster and humanitarian crisis increases, there is an emphasis on the prompt dispatching of humanitarian assistance field hospitals (HAFHs) in order to relieve a disaster-stricken society as soon as possible. The participants' individual motivation constitutes one of the most important factors in achieving successful HAFH activities. The aims of this study are to evaluate health care providers' willingness to participate in HAFHs when there is an urgent global health need and to examine their motives, perceived barriers, and concerns using a simulated global disaster scenario.</p><p><strong>Results: </strong>Seventy health care providers completed a survey which asked about their willingness to join a HAFH that was being dispatched immediately. Forty-five of the 70 respondents (64.3%) answered that they were willing to join an HAFH, which departed within 24 hours of a hypothetical earthquake. The major perceived barriers to participation in an HAFH included \"pre- scheduled work commitments in home institutions,\" \"insufficient support from home institutions,\" and \"insufficient field safety and security\".</p><p><strong>Conclusion: </strong>Policy-makers need to proactively establish support from the institutions that employ disaster-related health care providers, in order to secure their participation in HAFHs and to ensure optimal preparedness for global disaster relief activities.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 4","pages":"10-6"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33315290","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}

{"title":"Hospital productivity: how to KILL or create a productive hospital environment.","authors":"Michael Podolinsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Productivity is NOT the same as quality. Productivity is about the value-add we bring to work, to each job, to each day. To create a productive hospital environment, it is so much more than buying the right equipment or hiring the right mix of people. Productivity comes from investing in our people and giving them the tools and authority to do their jobs effectively. Adding more \"quality programmes\" can actually kill productivity by taking people away from their core jobs. Adding a tick-list in the operating theatre can cut mortality rates in half by eliminating the smallest of mistakes. This article is a guide to help you focus on the key elements of productivity and not to get distracted by the hype and confusion from media. Its bottom-line focus and \"how-to\" tools and ideas make it useful and practical.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 1","pages":"16-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32429805","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}

{"title":"United States - The Leukemia & Lymphoma Society: Working with patients, carers and hospital professionals to improve awareness, treatment and patient choice.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>By working locally with patients and carers from diagnosis and treatment through to aftercare, helping professionals to improve their knowledge and awareness about blood cancers and best practice treatment, while also advocating at the national level, the Leukemia & Lymphoma Society (LLS) is working to strengthen coordination between patients, carers and professionals along the whole care pathway. By helping patients to become more engaged and empowered to make informed choices, improve treatment for blood cancers through education, LLS is working to enhance patient-centred care in a largely privatized and fragmented health services system in the United States. By providing web-based resources and a free national helpline, alongside a face to face local support network, LLS is helping patients to learn more about their condition, treatment choices and the care pathways they can access. Free professional development and education seminars are also offered to nurses, oncologists and social workers in hospitals, highlighting new approaches to treatment and care with a patient-centred approach.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 3","pages":"13-4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33315282","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}

{"title":"Business process re-engineering a cardiology department.","authors":"Syed Murtuza Hussain Bakshi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The health care sector is the world's third largest industry and is facing several problems such as excessive waiting times for patients, lack of access to information, high costs of delivery and medical errors. Health care managers seek the help of process re-engineering methods to discover the best processes and to re-engineer existing processes to optimize productivity without compromising on quality. Business process re-engineering refers to the fundamental rethinking and radical redesign of business processes to achieve dramatic improvements in critical, contemporary measures of performance, such as cost, quality and speed. The present study is carried out at a tertiary care corporate hospital with 1000-plus-bed facility. A descriptive study and case study method is used with intensive, careful and complete observation of patient flow, delays, short comings in patient movement and workflow. Data is collected through observations, informal interviews and analyzed by matrix analysis. Flowcharts were drawn for the various work activities of the cardiology department including workflow of the admission process, workflow in the ward and ICCU, workflow of the patient for catheterization laboratory procedure, and in the billing and discharge process. The problems of the existing system were studied and necessary suggestions were recommended to cardiology department module with an illustrated flowchart.</p>","PeriodicalId":80252,"journal":{"name":"World hospitals and health services : the official journal of the International Hospital Federation","volume":"50 2","pages":"40-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34118907","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}