WorldWideScience

Sample records for implementing hospital library

  1. Implementing RFID in a hospital library: a scoping study.

    Science.gov (United States)

    Norwood, Joseph; Skinner, Ben

    2012-06-01

    This article discusses a scoping study on implementing radio frequency identification device (RFID) in a hospital library context, conducted by Joseph Norwood for his MA dissertation at the University of Brighton. The study was carried out during the summer of 2011 to support possible RFID implementation at the Brighton and Sussex University Hospitals (BSUH) Trust, and the library staff were able to use the findings to good effect to create a business plan. This article also acts as the template for the new Dissertations into Practice feature, which was introduced in the March issue (Marshall, A. Health Information and Libraries Journal 2012, 29, 72). The dissertation highlighted here is very practical in nature and had immediate and quantifiable benefits for the Trust library. Future feature articles are likely to reflect the range of health-related dissertation topics which students choose and will include studies on user information behaviour, information services related to mental health and well-being, as well as the impact of technology on health-related library or information services.AM.

  2. Implementing PDA technology in a medical library: experiences in a hospital library and an academic medical center library.

    Science.gov (United States)

    Morgen, Evelyn Breck

    2003-01-01

    Personal digital assistants (PDAs) have grown from being a novelty in the late 1990s to an essential tool for healthcare professionals in the 2000s. This paper describes the experiences of a librarian who implemented PDA technology first in a hospital library, and then at an academic medical center library. It focuses on the role of the library in supporting PDA technology and resources. Included are programmatic issues such as training for library staff and clinicians, and technical issues such as Palm and Windows operating systems. This model could be used in either a hospital or academic health sciences library.

  3. Implementation of an Open Source Library Management System: Experiences with Koha 3.0 at the Royal London Homoeopathic Hospital

    Science.gov (United States)

    Bissels, Gerhard

    2008-01-01

    Purpose: The purpose of this paper is to describe the selection process and criteria that led to the implementation of the Koha 3.0 library management system (LMS) at the Complementary and Alternative Medicine Library and Information Service (CAMLIS), Royal London Homoeopathic Hospital. Design/methodology/approach: The paper is a report based on…

  4. Marketing the hospital library.

    Science.gov (United States)

    Bridges, Jane

    2005-01-01

    Many librarians do not see themselves as marketers, but marketing is an essential role for hospital librarians. Library work involves education, and there are parallels between marketing and education as described in this article. It is incumbent upon hospital librarians actively to pursue ways of reminding their customers about library services. This article reinforces the idea that marketing is an element in many of the things that librarians already do, and includes a list of suggested marketing strategies intended to remind administrators, physicians, and other customers that they have libraries in their organizations.

  5. Controlling hospital library theft.

    Science.gov (United States)

    Cuddy, Theresa M; Marchok, Catherine

    2003-04-01

    At Capital Health System/Fuld Campus (formerly Helene Fuld Medical Center), the Health Sciences Library lost many books and videocassettes. These materials were listed in the catalog but were missing when staff went to the shelves. The hospital had experienced a downsizing of staff, a reorganization, and a merger. When the library staff did an inventory, $10,000 worth of materials were found to be missing. We corrected the situation through a series of steps that we believe will help other libraries control their theft. Through regularly scheduling inventories, monitoring items, advertising, and using specific security measures, we have successfully controlled the library theft. The January 2002 inventory resulted in meeting our goal of zero missing books and videocassettes. We work to maintain that goal.

  6. Controlling hospital library theft

    OpenAIRE

    Cuddy, Theresa M.; Marchok, Catherine

    2003-01-01

    At Capital Health System/Fuld Campus (formerly Helene Fuld Medical Center), the Health Sciences Library lost many books and videocassettes. These materials were listed in the catalog but were missing when staff went to the shelves. The hospital had experienced a downsizing of staff, a reorganization, and a merger. When the library staff did an inventory, $10,000 worth of materials were found to be missing. We corrected the situation through a series of steps that we believe will help other li...

  7. Library Hospitality: Some Preliminary Considerations

    Science.gov (United States)

    Johnson, Eric D. M.; Kazmer, Michelle M.

    2011-01-01

    Library scholars and practitioners have frequently reflected on the various factors that in combination make up a hospitable library, but there has been little theoretical synthesis of the notion of the library as a place of hospitality. The hospitality industry provides a rich vein of theoretical material from which to draw definitions of…

  8. Relationship marketing in a hospital library.

    Science.gov (United States)

    Enyeart, Amanda L; Weaver, Debbie

    2005-01-01

    This article explores relationship marketing as adopted by staff of the Forbes Medical Library at The Children's Hospital in Denver. It provides a broad overview of relationship marketing along with its applications in libraries, and a description of how the library staff has used specific relationships with different hospital groups to enhance library service. The examples illustrate the importance of persistence, patience, and flexibility when consciously developing relationships between a library and individuals or groups.

  9. Implementing RDA at the Library of Congress

    Directory of Open Access Journals (Sweden)

    Susan R. Morris

    2016-05-01

    Full Text Available The process of implementation of RDA by Library of Congress, National Agricultural Library, and National Library of Medicine is presented. Each phase of development, test, decision, preparation for implementation of RDA and training about RDA is fully and accurately described and discussed. Benefits from implementation of RDA for the Library of Congress are identified and highlighted: more flexibility in cataloguing decisions, easier international sharing of cataloguing data, clearer linking among related works; closer cooperation with other libraries in the North American community, production of an online learning platform in order to deliver RDA training on a large scale in real time to catalogers.

  10. Hospital libraries: stand up and be counted!

    LENUS (Irish Health Repository)

    Bennett, Breda

    2011-01-01

    Hospital librarians must ensure they are contributing positively to the organization\\'s goals and are proactive in meeting user needs while making the best use of scarce resources. Therefore, effective communication with library clients is essential. Client audits are useful tools, but response rates are often poor as the audit can get lost in the overwhelming amount of unsolicited mail received by clinical practitioners, who quickly become expert at selecting and culling. This column shares lessons learned through conducting the audit, highlights key findings from the audit itself, and examines ways to use the audit process to promote and develop a library\\'s services.

  11. Lessons premier hospitals learned about implementing electronic health records.

    Science.gov (United States)

    DeVore, Susan D; Figlioli, Keith

    2010-04-01

    Implementing health information technology (IT) is a major strategic objective for providers. To pinpoint considerations that tie to success, the Premier health care alliance surveyed hospitals to develop an electronic health record best-practices library. Compiled from diverse health care organizations, the library outlines considerations to support "meaningful use" in the areas of computerized physician order entry, medication management, clinical documentation, reporting of measures, privacy, information exchange, management of populations' health, and personal health records. Best practices also uncovered strategies for securing executive leadership, culture change, communication, and support for clinicians. This paper summarizes lessons from the library, providing recommendations to speed up health IT implementation.

  12. Toward Chemical Implementation of Encoded Combinatorial Libraries

    DEFF Research Database (Denmark)

    Nielsen, John; Janda, Kim D.

    1994-01-01

    by existing methodologies. Here we detail the synthesis of several matrices and the necessary chemistry to implement the conceptual scheme. In addition, we disclose how this novel technology permits a controlled ′dendritic" display of the chemical libraries. © 1994 Academic Press. All rights reserved.......The recent application of "combinatorial libraries" to supplement existing drug screening processes might simplify and accelerate the search for new lead compounds or drugs. Recently, a scheme for encoded combinatorial chemistry was put forward to surmount a number of the limitations possessed...

  13. From closet to library in the community hospital: remodeling a hospital medical library.

    Science.gov (United States)

    Duva, A M

    1971-01-01

    Halifax District Hospital's Medical Library, Daytona Beach, Florida was altered from two dingy rooms to a modern, well-equipped Medical Library twice its former size by its maintenance men in six months time, with the help of the librarian's sketches and an architect student from the junior college to draw the plans.A complete renovation was done, eighteen-inch walls between rooms being demolished, plumbing, ceiling, and windows removed. These were all replaced with walnut-paneled walls, special 125 candle-power lighted ceiling, retractable shelves, more shelves for periodicals and books, wall-to-wall carpeting and fashionable decor. New furniture, tape recorders, and TWX were made possible by a Medical Library Resource Grant. The official opening was six months from the first day of renovation, with ribbon cutting, guests, hospital personnel, and a reporter from the newspaper to take pictures for an article about the most modern medical library in Volusia County. The new Medical Library is in the "core" of the Medical Education Department with space for five years growth.

  14. Incorporating Concepts of Hospitality into Theological Library Assessment

    Directory of Open Access Journals (Sweden)

    Jenifer Gundry

    2015-01-01

    Full Text Available Following the completion of a year-long library space utilization study, the Princeton Theological Seminary Library sought new ways of shaping questions about library space and library assessment overall. The concept of “hospitality,” as it has been so interestingly articulated in the literature of theological librarianship, provided the library with a challenging conceptual foothold in shaping new assessment questions. This essay reflects on the “hospitality” concept in relation to three assessment areas of interest to theological libraries: information literacy, scholarly impact, and the library as workplace.

  15. Design and Implementation of Iraqi Virtual Library

    Directory of Open Access Journals (Sweden)

    Jalal B. Raouf

    2010-01-01

    Full Text Available In developing countries, individual students and researchers are not able to afford the high price of the subscription to the international publishers, like JSTOR, ELSEVIER,…; therefore the governments and/or universities of those countries aim to purchase one global subscription to the international publishers to provide their educational resources at a cheaper price, or even freely, to all students and researchers of those institutions. For realizing this concept, we must build a system that sits between the publishers and the users (students or researchers and act as a gatekeeper and a director of information: this system must register its users and must have an adequate security to ensure that only the affiliated students are able to access its services. It also needs to have security and trust mechanisms built-in for commercial partners to accept their connections. This paper describes the work done on the design and implementation of the IVL (Iraqi Virtual Library.

  16. RFID Technology Implementation in Two Libraries in New Delhi

    Science.gov (United States)

    Madhusudhan, Margam

    2010-01-01

    Purpose: The purpose of this paper is to examine the use and implementation of RFID technology at the Indian Law Institute Library and National Social Science Documentation Centre Library, New Delhi. Design/methodology/approach: A survey was conducted at the two libraries, using a structured questionnaire comprising 20 questions. Findings: It was…

  17. RFID Technology Implementation in Two Libraries in New Delhi

    Science.gov (United States)

    Madhusudhan, Margam

    2010-01-01

    Purpose: The purpose of this paper is to examine the use and implementation of RFID technology at the Indian Law Institute Library and National Social Science Documentation Centre Library, New Delhi. Design/methodology/approach: A survey was conducted at the two libraries, using a structured questionnaire comprising 20 questions. Findings: It was…

  18. Profile: toy libraries, school, hospital and home.

    Science.gov (United States)

    Turner, P

    1975-01-01

    Toy libraries are now a well-established component of the services available to the parents of handicapped children. Difficulties of varying kinds have inevitably arisen in the 5 years' history of the toy library movement, some of which could be resolved by linking developments of new libraries with existing institutions. The advantages of a toy library/institution link accrue to both elements of such a union and it is the purpose of this article to argue the case for an increase in the number of such developments.

  19. ERP implementation in hospitals: a case study.

    Science.gov (United States)

    Agarwal, Divya; Garg, Poonam

    2012-01-01

    In a competitive healthcare sector, hospitals have to focus on their processes in order to deliver high-quality care while at the same time reducing costs. Many hospitals have decided to adopt one or another Enterprise Resource Planning (ERP) system to improve their businesses, but implementing an ERP system can be a demanding endeavour. The systems are so difficult to implement that some are successful; many have failed, causing multimillion dollar losses. The challenge of ERP solutions lie in implementation because they are complex, time consuming and expensive too. This paper describes the various process workflows and phases of ERP implementation at Fortis Hospital Cunningham Road, Bangalore, India. This knowledge will provide valuable insights for the researchers and practitioners to understand the different process workflows and to make informed decisions when implementing ERP in any hospital.

  20. [The libraries of the public hospitals in Spain. An economic analysis. The Research Group on Libraries].

    Science.gov (United States)

    Sánchez Gómez, C; Lázaro y de Mercado, P; Poza Sanz, M A; Estrada Lorenzo, J M

    1999-01-01

    The continuous increase in scientific knowledge in the health field, the development of new technologies and the rising cost of publications means that libraries are essential for patient care, medical education and research. In Spain some deficiencies have been seen in hospital libraries, and their cost is unknown. To analyze the cost of public hospital libraries in Spain and to estimate the cost of adapting them to international standards. Cross-sectional survey of public hospitals larger than 100 beds, or smaller public hospitals with teaching accreditation. Information on the variables of interest was collected by questionnaire mailed to the libraries and followed up by telephone. Data collection was completed in 1996. The information on costs is for 1994. A sensitivity analysis was done to examine the effects of imprecise estimates and assumptions. Of the 314 hospitals identified, 211 (67.2%) had libraries. The 1994 cost of the of the 211 libraries was 3,060 million pesetas (mean cost: 14.5 million pesetas). Personnel costs were the most important item (38% of the total), followed by the cost of subscriptions (29%). The cost of hospital libraries represented 0.08% of national public expenditures on health. The cost of correcting inadequacies in accordance with international standards would increase spending by about 400 million pesetas the first year (0.01% of public spending on health). The cost of hospital libraries represents only a small fraction of public spending on health. Correction of the observed deficiencies and the importance of libraries in the health system would require increasing spending to about 0.1% of public spending on health.

  1. Implementing Patient Safety Initiatives in Rural Hospitals

    Science.gov (United States)

    Klingner, Jill; Moscovice, Ira; Tupper, Judith; Coburn, Andrew; Wakefield, Mary

    2009-01-01

    Implementation of patient safety initiatives can be costly in time and energy. Because of small volumes and limited resources, rural hospitals often are not included in nationally driven patient safety initiatives. This article describes the Tennessee Rural Hospital Patient Safety Demonstration project, whose goal was to strengthen capacity for…

  2. Implementing Twitter in a health sciences library.

    Science.gov (United States)

    Cuddy, Colleen; Graham, Jamie; Morton-Owens, Emily G

    2010-10-01

    The NYU Health Sciences Libraries created an account on Twitter, a microblogging service, as a new outreach tool marketed to students, faculty, and staff. The team used Twitter to promote resources, events, and news. Twitter is a part of a pipeline of information that also includes the library's Web site and Facebook. Although it is difficult to measure the effectiveness of a social networking tool, the overhead of using Twitter is so low that it merits consideration.

  3. Modeling and Implementing ISO 13584-based Part Library

    Institute of Scientific and Technical Information of China (English)

    杨东; 肖丽雯; 何援军; 张申生

    2004-01-01

    ISO 13584 (I.e. PLIB) is an international standard for the representation and exchange of CAD part libraries. It aims to provide an application-independent mechanism to enable the share of part library information between applications. In this paper, the approach of modeling part library conforming to ISO 13584 is presented. Also, a prototype of part library management system, I.e. BYL-PLIB, whose implementation is in agreement with ISO 13854 is developed to demonstrate the usefulness of proposed approach.

  4. The Design and Implementation of Parallel Digital Library Management System

    Directory of Open Access Journals (Sweden)

    Yang Yan

    2005-01-01

    Full Text Available As the number of documents in digital library grows, it becomes increasingly difficult to store, manage the large amount of documents and finding requested relevant documents by users. Parallel Digital Library management System (PDLS is used for this purpose. PDLS is a general tool for building and managing digital libraries of all kinds of documents to meet user needs. It implements system management and query processing in parallel. The functions of PDLS include data collection, format standardization, information extraction, automatic classification, data loading, data maintenance, query processing, external data entering, personalized recommendation etc. This study introduces the design and implementation of PDLS.

  5. Stage implementation of RFID in hospitals.

    Science.gov (United States)

    Kumar, Sameer; Livermont, Gregory; McKewan, Gregory

    2010-01-01

    The use of radio frequency identification device (RFID) technology within the healthcare industry was researched and specific instances of implementation of this technology in the hospital environment were examined. The study primarily makes use of ideas from operations and supply chain management, such as work flow diagrams, value stream mapping, and poka-yokes (mistake proofing measures) for investigations of processes, failures, and solutions. This study presents a step-by-step approach of how to implement the use of RFID tracking systems within the entire hospital. A number of poka-yokes were also devised for improving the safety of the patient and cost effectiveness of the hospital to insure the success of the hospital health care delivery system. Many players in the hospital environment may be impacted. This includes patients, doctors, nurses, technicians, administrators, and other hospital personnel. Insurance and government agencies may be impacted as well. Different levels of training of hospital personnel will be required based on the degree of interaction with the RFID system. References to costs, Return On Investment, change management, ethical and legal considerations are also made to help the reader understand the benefits and implications of the technology in the hospital environment.

  6. Proposed standards for professional health sciences library services in hospitals of New York State.

    Science.gov (United States)

    Hutchinson, A P; O'Connell, M; Richards, B B; Thompson, J L; Wheeler, R A

    1981-07-01

    Hospital libraries are considered to be the basic unit of the medical information system. A major statewide effort was begun in 1978 to introduce and support legislation in the New York State Legislature which would encourage hospitals to establish and maintain libraries that meet minimum services standards. Included in this legislation is the concept that the Commissioner of Education in consultation with the Commissioner of Health shall have the power to establish standards for hospital libraries. The Ad Hoc Committee for the Promotion of Hospital Library Services, Western New York Library Resources Council, proposes The Standards for Professional Health Sciences Library Services in Hospitals of New York State to clarify and to strengthen existing hospital library standards. These standards differ specifically from the Joint Commission on Accreditation of Hospitals standards in that they place equal and specific emphasis on eleven points: administration, qualifications of library staff, continuing education of library staff, requirement for a library advisory committee, required library services, required library resources, library space requirements, library budget, library network and consortium membership, documentation of library policy, and continued evaluation of the needs of the hospital for library service. Detailed interpretations are provided. An appendix describes the qualifications of a hospital library consultant.

  7. Health science library and information services in the hospital.

    Science.gov (United States)

    Wakeley, P J; Marshall, S B; Foster, E C

    1985-01-01

    In an increasingly information-based society, hospitals need a variety of information for multiple purposes--direct patient care, staff development and training, continuing education, patient and community education, and administrative decision support. Health science library and information services play a key role in providing broad-based information support within the hospital. This guide identifies resources that will help administrators plan information services that are appropriate to their needs.

  8. Implementation of RFID Technology in University of Pune Library

    Science.gov (United States)

    Bansode, Sadanand Y.; Desale, Sanjay K.

    2009-01-01

    Purpose: The purpose of this paper is to describe the implementation of a radio frequency identification (RFID) system in Pune University Library. Design/methodology/approach: The paper provides a brief overview of background of the project, barriers faced and changes that have been experienced after the implementation of the technology. Findings:…

  9. Implementation of RFID Technology in University of Pune Library

    Science.gov (United States)

    Bansode, Sadanand Y.; Desale, Sanjay K.

    2009-01-01

    Purpose: The purpose of this paper is to describe the implementation of a radio frequency identification (RFID) system in Pune University Library. Design/methodology/approach: The paper provides a brief overview of background of the project, barriers faced and changes that have been experienced after the implementation of the technology. Findings:…

  10. Internet connectivity for hospitals and hospital libraries: strategies.

    Science.gov (United States)

    Fuller, S S

    1995-01-01

    Access to Internet resources and communications has rapidly become a necessity in many hospitals nationally. The results of a Pacific Northwest pilot Intenet connections project provides important evidence of the value of librarians in establishing such connections in their institutions The pilot project has resulted in a wealth of information regarding approaches to promoting the utility of the Internet to health professionals in hospitals. Roles that librarians are playing in support of such connections include facilitator, negotiator, provider, publisher, integrator, and educator.

  11. Internet connectivity for hospitals and hospital libraries: strategies.

    OpenAIRE

    Fuller, S S

    1995-01-01

    Access to Internet resources and communications has rapidly become a necessity in many hospitals nationally. The results of a Pacific Northwest pilot Intenet connections project provides important evidence of the value of librarians in establishing such connections in their institutions The pilot project has resulted in a wealth of information regarding approaches to promoting the utility of the Internet to health professionals in hospitals. Roles that librarians are playing in support of suc...

  12. Implementing Medical Teaching Policy in University Hospitals

    Science.gov (United States)

    Engbers, Rik; Fluit, Cornelia Cornelia R. M. G.; Bolhuis, Sanneke; de Visser, Marieke; Laan, Roland F. J. M.

    2017-01-01

    Within the unique and complex settings of university hospitals, it is difficult to implement policy initiatives aimed at developing careers in and improving the quality of academic medical teaching because of the competing domains of medical research and patient care. Factors that influence faculty in making use of teaching policy incentives have…

  13. Implementing medical teaching policy in university hospitals.

    Science.gov (United States)

    Engbers, Rik; Fluit, Cornelia R M G; Bolhuis, Sanneke; de Visser, Marieke; Laan, Roland F J M

    2016-11-16

    Within the unique and complex settings of university hospitals, it is difficult to implement policy initiatives aimed at developing careers in and improving the quality of academic medical teaching because of the competing domains of medical research and patient care. Factors that influence faculty in making use of teaching policy incentives have remained underexplored. Knowledge of these factors is needed to develop theory on the successful implementation of medical teaching policy in university hospitals. To explore factors that influence faculty in making use of teaching policy incentives and to develop a conceptual model for implementation of medical teaching policy in university hospitals. We used the grounded theory methodology. We applied constant comparative analysis to qualitative data obtained from 12 semi-structured interviews conducted at the Radboud University Medical Center. We used a constructivist approach, in which data and theories are co-created through interaction between the researcher and the field and its participants. We constructed a model for the implementation of medical teaching policy in university hospitals, including five factors that were perceived to promote or inhibit faculty in a university hospital to make use of teaching policy incentives: Executive Board Strategy, Departmental Strategy, Departmental Structure, Departmental Culture, and Individual Strategy. Most factors we found to affect individual teachers' strategies and their use of medical teaching policy lie at the departmental level. If an individual teacher's strategy is focused on medical teaching and a medical teaching career, and the departmental context offers support and opportunity for his/her development, this promotes faculty's use of teaching policy incentives.

  14. Graphic filter library implemented in CUDA language

    OpenAIRE

    Peroutková, Hedvika

    2009-01-01

    This thesis deals with the problem of reducing computation time of raster image processing by parallel computing on graphics processing unit. Raster image processing thereby refers to the application of graphic filters, which can be applied in sequence with different settings. This thesis evaluates the suitability of using parallelization on graphic card for raster image adjustments based on multicriterial choice. Filters are implemented for graphics processing unit in CUDA language. Opacity ...

  15. The contribution of hospital library information services to clinical care: a study in eight hospitals.

    Science.gov (United States)

    King, D N

    1987-10-01

    Hospital health sciences libraries represent, for the vast majority of health professionals, the most accessible source for library information and services. Most health professionals do not have available the specialized services of a clinical medical librarian, and rely instead upon general information services for their case-related information needs. The ability of the hospital library to meet these needs and the impact of the information on quality patient care have not been previously examined. A study was conducted in eight hospitals in the Chicago area as a quality assurance project. A total of 176 physicians, nurses, and other health professionals requested information from their hospital libraries related to a current case or clinical situation. They then assessed the quality of information received, its cognitive value, its contribution to patient care, and its impact on case management. Nearly two-thirds of the respondents asserted that they would definitely or probably handle their cases differently as a result of the information provided by the library. Almost all rated the libraries' performance and response highly. An overview of the context and purpose of the study, its methods, selected results, limitations, and conclusions are presented here, as is a review of selected earlier research.

  16. The Virtual Hospital: experiences in creating and sustaining a digital library.

    Science.gov (United States)

    D'Alessandro, M P; Galvin, J R; Erkonen, W E; Choi, T A; Lacey, D L; Colbert, S I

    1998-10-01

    A university and its faculty encompass a wealth of content, which is often freely supplied to commercial publishers who profit from it. Emerging digital library technology holds promise for allowing the creation of digital libraries and digital presses that can allow faculty and universities to bypass commercial publishers, retain control of their content, and distribute it directly to users, allowing the university and faculty to better serve their constituencies. The purpose of this paper is to show how this can be done. A methodology for overcoming the technical, social, political, and economic barriers involved in creating, distributing and organizing a digital library was developed, implemented, and refined over seven years. Over the seven years, 120 textbooks and booklets were placed in the Virtual Hospital digital library, from 159 authors in twenty-nine departments and four colleges at The University of Iowa. The digital library received extensive use by individuals around the world. A new paradigm for academic publishing was created, involving a university and faculty owned peer reviewed digital press implemented using digital library technology. The concept has been embraced by The University of Iowa, and it has pledged to sustain the digital press in order to allow. The University of Iowa to fulfill its mission of creating, organizing, and disseminating information better.

  17. New roles: professional staff sharing between a hospital and an academic library.

    Science.gov (United States)

    Just, Melissa L

    2003-01-01

    Childrens Hospital Los Angeles is a pediatric hospital and research institute affiliated with the Keck School of Medicine of the University of Southern California (USC). Historically, the library at Childrens Hospital was staffed by a hospital-employed librarian. In 1999, the library position was outsourced to USC's Norris Medical Library. The new position is staffed by a librarian who divides her time equally between two locations: the Childrens Hospital Library and the Norris Medical Library. This staff sharing arrangement has three primary goals: increase the collaboration between the libraries; improve access to resources and library staff expertise; and provide faster document delivery service to the Childrens Hospital library. This paper presents the details of the position, and addresses the pros and cons for both libraries and the librarian.

  18. How to implement entrepreneurship in Library and Information Science Education

    DEFF Research Database (Denmark)

    Kristiansson, Michael Rene; Jochumsen, Henrik

    2016-01-01

    The present article intends to illustrate how entrepreneurship-centered teaching and learning can be implemented in a LIS-specific context while at the same time thematizing the challenges of implementing entrepreneurship in a general university context. The paper presents a concept of teaching a......, the article presents particular experiences, results and achievements obtained in seminars and course units at the Royal School of Library and Information Science, where the concept was developed....

  19. OCLC for the hospital library: the justification plan for hospital administration.

    Science.gov (United States)

    Allen, C W; Branson, J R

    1982-07-01

    This paper delineates the necessary steps to provide hospital administrators with the information needed to evaluate an automated system, OCLC, for addition to the medical library. Based on experience at the Norton-Children's Hospitals, included are: (1) cost analyses of present technical processing systems and cost comparisons with OCLC; (2) delineation of start-up costs for installing OCLC; (3) budgetary requirements for 1981; (4) the impact of automation on library systems, personnel, and services; (5) potential as a shared service; and (6) preparation of the proposal for administrative review.

  20. Impressions of an old master: hospital libraries and librarians, 1970-2014.

    Science.gov (United States)

    Taylor, Mary Virginia

    2015-01-01

    This article is a retrospective look at the changes in hospital libraries from 1970 to 2014 based on the author's experience and a survey of the literature related to hospital libraries indexed in PubMed from 1970 to the present. New roles for librarians and methods for conveying the value of libraries to administrators are described.

  1. Workforce cultural factors in TQM/CQI implementation in hospitals.

    Science.gov (United States)

    Huq, Z; Martin, T N

    2000-01-01

    One of the major obstacles to successful implementation of TQM/CQI in hospitals has been management's failure to consider the workforce cultural situation. This quasi-qualitative study investigates eight workforce cultural factors in seven midwestern hospitals. Results reveal only one of the seven hospitals successfully implementing TQM/CQI.

  2. Implementing electronic health records in hospitals : a systematic literature review

    NARCIS (Netherlands)

    Boonstra, A.; Versluis, Arie; Vos, J.F.J.

    2014-01-01

    Background: The literature on implementing Electronic Health Records (EHR) in hospitals is very diverse. The objective of this study is to create an overview of the existing literature on EHR implementation in hospitals and to identify generally applicable findings and lessons for implementers. Meth

  3. Implementing electronic health records in hospitals : a systematic literature review

    NARCIS (Netherlands)

    Boonstra, A.; Versluis, Arie; Vos, J.F.J.

    2014-01-01

    Background: The literature on implementing Electronic Health Records (EHR) in hospitals is very diverse. The objective of this study is to create an overview of the existing literature on EHR implementation in hospitals and to identify generally applicable findings and lessons for implementers.

  4. Implementing electronic health records in hospitals : a systematic literature review

    NARCIS (Netherlands)

    Boonstra, A.; Versluis, Arie; Vos, J.F.J.

    2014-01-01

    Background: The literature on implementing Electronic Health Records (EHR) in hospitals is very diverse. The objective of this study is to create an overview of the existing literature on EHR implementation in hospitals and to identify generally applicable findings and lessons for implementers. Meth

  5. Promoting and tracking the use of hospital library web services by outside entities.

    Science.gov (United States)

    Leman, Hope

    2010-04-01

    This column describes a process that can be used to market a hospital library Web service for use by external entities and monitor its use by the worldwide audience (e.g., medical, academic and public libraries, offices of research administration). Included are concrete suggestions to help hospital librarians in their efforts to encourage adoption of their Web service by other institutions.

  6. Total quality management (TQM) in a hospital library: identifying service benchmarks.

    Science.gov (United States)

    Fischer, W W; Reel, L B

    1992-10-01

    Hospitals are turning to total quality management (TQM) to lower costs of providing care. A hospital library in a TQM environment needs to embrace corporate goals while maintaining its accountability as a contributor to quality patient care. Alliant Health System (AHS) Library at Norton Hospital and Kosair Children's Hospital in Louisville, Kentucky, conducted a study to establish TQM benchmarks and to examine the significance of its role in clinical care. Using a methodology designed to allow both library user and nonuser to respond, 2,091 surveys were distributed to physicians and nursing and allied health personnel. Areas surveyed included frequency of library use, impact of information received on clinical judgments, cognitive value of the information, and satisfaction with library products and services. Results confirm that the library has a substantial clinical role. Eighty-eight percent of reporting physicians agreed that information from the library contributed to higher quality care. Nursing and allied health were less convinced of the importance of the library's clinical role. Sixty-nine percent of nursing personnel and 58% of allied health personnel agreed that the library contributed to higher quality care. Nursing and allied health personnel also used the library less frequently than physicians. With these results as benchmarks, improving the clinical role of the library will take commitment to the TQM process and a willingness to change.

  7. Migration to an electronic journal collection in a hospital library: implications for reference service.

    Science.gov (United States)

    Bardyn, Tania P; Young, Caroline S

    2007-01-01

    This article provides a perspective on the migration to an electronic-only journal collection in a hospital library and its effect on reference services, information-seeking, and library use patterns. Bellevue Hospital Center in New York, NY is one of the first major teaching hospitals in the United States to begin a fundamental shift to a current, electronic-only journal collection. This article describes the process and develops a model for use by other hospital libraries, with commentary on the impact on reference services to library users. Key findings are that physicians, residents, and nurses have come to expect electronic journal collections and use the Internet in the hospital library to access electronic journals. Similar to many academic health sciences libraries, the reference desk in a hospital library has become more like a technical support desk. Users who contact the library have questions about access to the library's electronic resources or about searching techniques. In the future, medical reference librarians will continue to assist searchers who cannot find what they are looking for and will assist those who repeatedly get results that do not match their information needs.

  8. Migration to the Horizon Integrated Library System at the Parke-Davis Pharmaceutical Research Library: Project Implementation and System Overview.

    Science.gov (United States)

    Zorn, Peggy; And Others

    1995-01-01

    Reports how the Parke-Davis Pharmaceutical Research Library migrated to the Horizon integrated library system. Discusses migration processes including project planning and implementation, client/server issues, data migration, and staff/end-user training. Reviews system modules including acquisitions, cataloging, serials control, public access, and…

  9. Implementation of hospital governing boards: views from the field

    OpenAIRE

    McNatt, Zahirah; Thompson, Jennifer W.; Mengistu, Abraham; Tatek, Dawit; Linnander, Erika; Ageze, Leulseged; Lawson, Ruth; Berhanu, Negalign; Elizabeth H Bradley

    2014-01-01

    Background Decentralization through the establishment of hospital governing boards has been touted as an effective way to improve the quality and efficiency of hospitals in low-income countries. Although several studies have examined the process of decentralization, few have quantitatively assessed the implementation of hospital governing boards and their impact on hospital performance. Therefore, we sought to describe the functioning of governing boards and to determine the association betwe...

  10. Hospital Patients and Handicapped Readers Section and Round Table of Libraries for the Blind. Libraries Serving the General Public Division. Papers.

    Science.gov (United States)

    International Federation of Library Associations, The Hague (Netherlands).

    Papers on hospital and health libraries and library services to the blind and deaf which were presented at the 1982 International Federation of Library Associations conference include: (1) "Leisure Pursuits of the Blind" by Antun Lastric (Yugoslavia); (2) "Library Services for the Handicapped in Canada: An Overview" by…

  11. The hospital library as a "magnet force" for a research and evidence-based nursing culture: A case study of two magnet hospitals in one health system.

    Science.gov (United States)

    Rourke, Diane Ream

    2007-01-01

    When Baptist Hospital of Miami, then South Miami Hospital, became Magnet award-winning hospitals, their libraries' challenges increased. Could their librarians ease the transition of research and evidence-based practice into the "real world" of nursing? Did library services have a role in the ongoing Magnet re-credentialing process? This case study defines hospital library magnet force strategies that worked in the quest for this prestigious award for nursing excellence at two hospitals at Baptist Health South Florida.

  12. Reconstruction and implementation of information management system of library based on MARC

    Institute of Scientific and Technical Information of China (English)

    CHEN Feng-yan; TANG Zhen-yu; BU Zhao-jun

    2005-01-01

    The limitations of MARC and the advantages of applying XML in the library are analyzed. We also have made partial reconstruction to the existing Information Management System of the HIT library and implementation of the prototype system. This research work will significantly influence the coordination of international library resource databases and the achievement of global information sharing.

  13. How Implementation of Bibliometric Practice Affects the Role of Academic Libraries

    Science.gov (United States)

    Åström, Fredrik; Hansson, Joacim

    2013-01-01

    This article discusses potential consequences of implementing bibliometrics as an institutionalized practice in academic libraries. Results are reported from a survey among libraries in Sweden with organized bibliometric activities. Incorporating bibliometric activities is one way of redefining and widening the role of the library. Implementation…

  14. Key Performance Indicators in Irish Hospital Libraries: Developing Outcome-Based Metrics

    Directory of Open Access Journals (Sweden)

    Michelle Dalton

    2012-12-01

    Full Text Available Objective – To develop a set of generic outcome-based performance measures for Irishhospital libraries.Methods – Various models and frameworks of performance measurement were used as atheoretical paradigm to link the impact of library services directly with measurablehealthcare objectives and outcomes. Strategic objectives were identified, mapped toperformance indicators, and finally translated into response choices to a single-questiononline survey for distribution via email.Results – The set of performance indicators represents an impact assessment tool whichis easy to administer across a variety of healthcare settings. In using a model directlyaligned with the mission and goals of the organization, and linked to core activities andoperations in an accountable way, the indicators can also be used as a channel throughwhich to implement action, change, and improvement.Conclusion – The indicators can be adopted at a local and potentially a national level, asboth a tool for advocacy and to assess and improve service delivery at a macro level. Toovercome the constraints posed by necessary simplifications, substantial further research is needed by hospital libraries to develop more sophisticated and meaningful measures of impact to further aid decision making at a micro level.

  15. Quality Management Systems Implementation Compared With Organizational Maturity in Hospital.

    Science.gov (United States)

    Moradi, Tayebeh; Jafari, Mehdi; Maleki, Mohammad Reza; Naghdi, Seyran; Ghiasvand, Hesam

    2015-07-27

    A quality management system can provide a framework for continuous improvement in order to increase the probability of customers and other stakeholders' satisfaction. The test maturity model helps organizations to assess the degree of maturity in implementing effective and sustained quality management systems; plan based on the current realities of the organization and prioritize their improvement programs. We aim to investigate and compare the level of organizational maturity in hospitals with the status of quality management systems implementation. This analytical cross sectional study was conducted among hospital administrators and quality experts working in hospitals with over 200 beds located in Tehran. In the first step, 32 hospitals were selected and then 96 employees working in the selected hospitals were studied. The data were gathered using the implementation checklist of quality management systems and the organization maturity questionnaire derived from ISO 10014. The content validity was calculated using Lawshe method and the reliability was estimated using test - retest method and calculation of Cronbach's alpha coefficient. The descriptive and inferential statistics were used to analyze the data using SPSS 18 software. According to the table, the mean score of organizational maturity among hospitals in the first stage of quality management systems implementation was equal to those in the third stage and hypothesis was rejected (p-value = 0.093). In general, there is no significant difference in the organizational maturity between the first and third level hospitals (in terms of implementation of quality management systems). Overall, the findings of the study show that there is no significant difference in the organizational maturity between the hospitals in different levels of the quality management systems implementation and in fact, the maturity of the organizations cannot be attributed to the implementation of such systems. As a result, hospitals

  16. TQM implementation strategies in hospitals: an empirical perspective.

    Science.gov (United States)

    Bringelson, L S; Basappa, L S

    1998-01-01

    This article reports an analysis of the effectiveness of Total Quality Management (TQM) programs. The objective of the study was gain a better understanding of how hospitals implement TQM and quality improvement initiatives. Results show that some hospital staffs have not realized that they are implementing TQM, even though they report to be using the strategies for quality improvement. On the other hand, some hospitals said that they were involved in quality programs, though not practically implementing TQM strategies. These results suggest two major conclusions about the implementation of TQM programs. First, data indicate that TQM programs may not be as effective as promised, due to a lack of understanding about TQM by the people within the organization. Second, implementation strategies that are statistically correlated are identified. These conclusions may be helpful for successful TQM implementation in from healthcare organizations as well as other service industries.

  17. Keys for successful implementation of total quality management in hospitals.

    Science.gov (United States)

    Carman, James M; Shortell, Stephen M; Foster, Richard W; Hughes, Edward F X; Boerstler, Heidi; O' Brien, James L; O'Connor, Edward J

    2010-01-01

    Editor's Note: This article reports the findings of an analysis of the implementation of continuous quality improvement (CQI) or total quality management (TQM) programs in 10 hospitals. This analysis is the result of a 2-year study designed to identify and assess the ingredients that lead to the successful implementation of CQI programs in acute care hospitals. This article first appeared in Health Care Management Review 21(1), 48-60. Copyright © 1996 Aspen Publishers, Inc. (Lippincott Williams & Wilkins).

  18. NCore: Architecture and Implementation of a Flexible, Collaborative Digital Library

    CERN Document Server

    Krafft, Dean B; Cramer, Ellen J

    2008-01-01

    NCore is an open source architecture and software platform for creating flexible, collaborative digital libraries. NCore was developed by the National Science Digital Library (NSDL) project, and it serves as the central technical infrastructure for NSDL. NCore consists of a central Fedora-based digital repository, a specific data model, an API, and a set of backend services and frontend tools that create a new model for collaborative, contributory digital libraries. This paper describes NCore, presents and analyzes its architecture, tools and services; and reports on the experience of NSDL in building and operating a major digital library on it over the past year and the experience of the Digital Library for Earth Systems Education in porting their existing digital library and tools to the NCore platform.

  19. Marketing: Realistic Tips for Planning and Implementation in Special Libraries.

    Science.gov (United States)

    Kassel, Amelia

    2002-01-01

    Discusses the need for special libraries to have a marketing plan in order to increase support and plan for the future. Topics include finding the time; budgets and marketing; promoting library services; the use of outside consultants; making market planning a continuous process; and marketing efforts at product shows. (LRW)

  20. Marketing: Realistic Tips for Planning and Implementation in Special Libraries.

    Science.gov (United States)

    Kassel, Amelia

    2002-01-01

    Discusses the need for special libraries to have a marketing plan in order to increase support and plan for the future. Topics include finding the time; budgets and marketing; promoting library services; the use of outside consultants; making market planning a continuous process; and marketing efforts at product shows. (LRW)

  1. The Virtual Naval Hospital: the digital library as knowledge management tool for nomadic patrons*

    Science.gov (United States)

    D'Alessandro, Michael P.; D'Alessandro, Donna M.; Bakalar, Richard S.; Ashley, Denis E.; Hendrix, Mary J. C.

    2005-01-01

    Objective: To meet the information needs of isolated primary care providers and their patients in the US Navy, a digital health sciences library, the Virtual Naval Hospital, was created through a unique partnership between academia and government. Methods: The creation of the digital library was heavily influenced by the principles of user-centered design and made allowances for the nomadic nature of the digital library's patrons and the heterogeneous access they have to Internet bandwidth. Results: The result is a digital library that has been in operation since 1997, continues to expand in size, is heavily used, and is highly regarded by its patrons. Conclusions: The digital library is dedicated to delivering the right information at the right time to the right person so the right decision can be made, and therefore the Virtual Naval Hospital functions as a knowledge-management system for the US Navy Bureau of Medicine and Surgery. PMID:15685269

  2. Comparing Academic Library Spending with Public Libraries, Public K-12 Schools, Higher Education Public Institutions, and Public Hospitals between 1998-2008

    Science.gov (United States)

    Regazzi, John J.

    2012-01-01

    This study compares the overall spending trends and patterns of growth of Academic Libraries with Public Libraries, K-12 schools, higher education institutions, and hospitals in the period of 1998 to 2008. Academic Libraries, while showing a growth of 13% over inflation for the period, far underperformed the growth of the other public institutions…

  3. Comparing Academic Library Spending with Public Libraries, Public K-12 Schools, Higher Education Public Institutions, and Public Hospitals between 1998-2008

    Science.gov (United States)

    Regazzi, John J.

    2012-01-01

    This study compares the overall spending trends and patterns of growth of Academic Libraries with Public Libraries, K-12 schools, higher education institutions, and hospitals in the period of 1998 to 2008. Academic Libraries, while showing a growth of 13% over inflation for the period, far underperformed the growth of the other public institutions…

  4. Information Technology Assessment on Hospital Information System Implementation: Case Study A Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Putu Wuri Handayani

    2013-04-01

    Full Text Available Currently, hospitals are required to improve their quality of health services to meet the higher standards. This improvement is supported by Ministry of Health which has launched electronic health (e-health program. Under this program, hospitals are required to have Hospital Information System (HIS or Enterprise Resource Planning (ERP for healthcare. However, to date only a few hospitals have implemented an integrated HIS. The purpose of this research is to asses the Information Technology (IT maturity of a teaching hospital in implementing HIS. This IT assessment observes from four layers namely business process, Information System (IS, Information Technology (IT and IS/IT management and organization. The result of this research is that teaching hospitals should prepare a plan to restructure their network with adequate infrastructure, create IT blue print and policy, IT organization restructuring, IT staff competency development and build integrated HIS.

  5. The Implementation of Web 2.0 Technology for Information Literacy Instruction in Thai University Libraries

    Science.gov (United States)

    Sawetrattanasatian, Oranuch

    2014-01-01

    Web 2.0 technology has drawn much attention recently as a fascinating tool for Information Literacy Instruction (ILI), especially in academic libraries. This research was aimed to investigate the implementation of Web 2.0 technology for ILI in Thai university libraries, in terms of information literacy skills being taught, types of Web 2.0…

  6. Implementing a New Cloud Computing Library Management Service: A Symbiotic Approach

    Science.gov (United States)

    Dula, Michael; Jacobsen, Lynne; Ferguson, Tyler; Ross, Rob

    2012-01-01

    This article presents the story of how Pepperdine University migrated its library management functions to the cloud using what is now known as OCLC's WorldShare Management Services (WMS). The story of implementing this new service is told from two vantage points: (1) that of the library; and (2) that of the service provider. The authors were the…

  7. Implementing a New Cloud Computing Library Management Service: A Symbiotic Approach

    Science.gov (United States)

    Dula, Michael; Jacobsen, Lynne; Ferguson, Tyler; Ross, Rob

    2012-01-01

    This article presents the story of how Pepperdine University migrated its library management functions to the cloud using what is now known as OCLC's WorldShare Management Services (WMS). The story of implementing this new service is told from two vantage points: (1) that of the library; and (2) that of the service provider. The authors were the…

  8. Critical Success Factors for Integrated Library System Implementation in Academic Libraries: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Shea-Tinn Yeh

    2016-09-01

    Full Text Available Integrated library system (ILS supports the entire business operations of an academic library from acquiring and processing library resources to making them available to user communities and preserving them for future use. As libraries’ needs evolve, there is a pressing demand for libraries to migrate from one generation of ILS to the next. This complex migration process is often the single largest investment in both budget and personnel involvement, but its success is by no means guaranteed. We draw upon enterprise resource planning (ERP and critical success factors (CSFs literature to identify the most salient CSFs for ILS migration success through a qualitative study with four cases. We identified that top management involvement, vendor support, user involvement, selection process, project team competence, project management and tracking, interdepartmental communication, data analysis and conversion, user education and training, and user emotion management are the CSFs that determine a migration project success.  Keywords: Integrated library systems, information systems, library automation, critical success factors, and academic libraries.

  9. Implementing Kuhlthau: A New Model for Library and Reference Instruction.

    Science.gov (United States)

    Isbell, Dennis; Kammerlocher, Lisa

    1998-01-01

    Summarizes Carol Kuhlthau's research on the information search process. Discusses how Kuhlthau's model of students' information search process (ISP) has been integrated into a course at Arizona State University and is being used experimentally as a training tool in the library's reference services. Selected student responses to research process…

  10. Determinants of quality management systems implementation in hospitals

    NARCIS (Netherlands)

    Wardhani, Viera; Utarini, Adi; van Dijk, Jitse Pieter; Post, Doeke; Groothoff, Johan Willem

    2009-01-01

    Objective: To identify the problems and facilitating factors in the implementation of quality management system (QMS) in hospitals through a systematic review. Method: A search strategy was pet-formed on the Medline database for articles written in English published between 1992 and early 2006. Usin

  11. Implementing Clinical governance in Iranian hospitals: purpose, process and pitfalls.

    Science.gov (United States)

    Mohaghegh, Bahram; Ravaghi, Hamid; Mannion, Russell; Heidarpoor, Peigham; Sajadi, Haniye Sadat

    2016-01-01

    Clinical governance as an approach to improving the quality and safety of clinical care has been run in all Iranian hospitals since 2009. This study aimed to provide a comprehensive overview of the processes and challenges faced in implementing clinical governance (CG) in acute-care hospitals in Iran. We conducted an in-depth, qualitative, multi-case study using semi-structured interviews with a range of key stakeholders and review of relevant documents. This study was conducted in 2011-2012 in six governmental hospitals affiliated with Tehran University of Medical Sciences. The data were analyzed using framework analysis. The interviewees, predominantly senior managers and nurses, expressed generally positive attitudes towards the benefits of CG. Four out of the six hospitals had a formal strategic plan to implement and execute CG. The emergent barriers to the implementation of CG included insufficient resources, the absence of clear supporting structures, a lack of supportive cultures, and inadequate support from senior management. The main facilitating factors were the reverse of the barriers noted above in addition to developing good relationships with key stakeholders, raising the awareness of CG among staff, and well-designed incentives. There is a positive sense towards CG, but its successful implementation in Iran will require raising the awareness of CG among staff and key stakeholders and the successful collaboration of internal staff and external agencies.

  12. Implementing TQM/CQI at rehabilitation hospitals: a survey.

    Science.gov (United States)

    Carefoote, R

    1994-01-01

    The quality movement in healthcare is here to stay. Total quality management (TQM) and continuous quality improvement (CQI) approaches are no longer considered fads or transitory trends; they are being woven into the very fabric of hospital operations. What has been unclear, however, is the extent to which the underlying TQM/CQI philosophy, tools, and techniques are being implemented and whether hospitals are noticeably changing as a result of TQM/CQI programs. The results of a study of 14 rehabilitation hospitals indicate that the rehabilitation setting is a natural one for TQM/CQI but that these settings are just beginning to implement the needed structures and processes and to use the relevant tools and techniques.

  13. Implementing a 3D printing service in a biomedical library

    Science.gov (United States)

    Walker, Verma

    2017-01-01

    Three-dimensional (3D) printing is opening new opportunities in biomedicine by enabling creative problem solving, faster prototyping of ideas, advances in tissue engineering, and customized patient solutions. The National Institutes of Health (NIH) Library purchased a Makerbot Replicator 2 3D printer to give scientists a chance to try out this technology. To launch the service, the library offered training, conducted a survey on service model preferences, and tracked usage and class attendance. 3D printing was very popular, with new lab equipment prototypes being the most common model type. Most survey respondents indicated they would use the service again and be willing to pay for models. There was high interest in training for 3D modeling, which has a steep learning curve. 3D printers also require significant care and repairs. NIH scientists are using 3D printing to improve their research, and it is opening new avenues for problem solving in labs. Several scientists found the 3D printer so helpful they bought one for their labs. Having a printer in a central and open location like a library can help scientists, doctors, and students learn how to use this technology in their work. PMID:28096747

  14. Implementing a 3D printing service in a biomedical library.

    Science.gov (United States)

    Walker, Verma

    2017-01-01

    Three-dimensional (3D) printing is opening new opportunities in biomedicine by enabling creative problem solving, faster prototyping of ideas, advances in tissue engineering, and customized patient solutions. The National Institutes of Health (NIH) Library purchased a Makerbot Replicator 2 3D printer to give scientists a chance to try out this technology. To launch the service, the library offered training, conducted a survey on service model preferences, and tracked usage and class attendance. 3D printing was very popular, with new lab equipment prototypes being the most common model type. Most survey respondents indicated they would use the service again and be willing to pay for models. There was high interest in training for 3D modeling, which has a steep learning curve. 3D printers also require significant care and repairs. NIH scientists are using 3D printing to improve their research, and it is opening new avenues for problem solving in labs. Several scientists found the 3D printer so helpful they bought one for their labs. Having a printer in a central and open location like a library can help scientists, doctors, and students learn how to use this technology in their work.

  15. Implementing a 3D printing service in a biomedical library

    Directory of Open Access Journals (Sweden)

    Verma Walker, MLIS

    2017-01-01

    Full Text Available Three-dimensional (3D printing is opening new opportunities in biomedicine by enabling creative problem solving, faster prototyping of ideas, advances in tissue engineering, and customized patient solutions. The National Institutes of Health (NIH Library purchased a Makerbot Replicator 2 3D printer to give scientists a chance to try out this technology. To launch the service, the library offered training, conducted a survey on service model preferences, and tracked usage and class attendance. 3D printing was very popular, with new lab equipment prototypes being the most common model type. Most survey respondents indicated they would use the service again and be willing to pay for models. There was high interest in training for 3D modeling, which has a steep learning curve. 3D printers also require significant care and repairs. NIH scientists are using 3D printing to improve their research, and it is opening new avenues for problem solving in labs. Several scientists found the 3D printer so helpful they bought one for their labs. Having a printer in a central and open location like a library can help scientists, doctors, and students learn how to use this technology in their work.

  16. Implementation of an Integrated Information Management System at the National Library of Wales: A Case Study

    Science.gov (United States)

    Evans, Manon Foster; Thomas, Sian

    2007-01-01

    Purpose: This paper aims to describe the experiences of the National Library of Wales in implementing an integrated information management system. Design/methodology/approach: Discusses the stages involved in the procurement process, data migration and general system implementation. Findings: Emphasises the need for a well-prepared yet flexible…

  17. HIT implementation in critical access hospitals: extent of implementation and business strategies supporting IT use.

    Science.gov (United States)

    Bahensky, James A; Ward, Marcia M; Nyarko, Kwame; Li, Pengxiang

    2011-08-01

    Small rural hospitals face considerable financial and personnel resource shortages which hinder their efforts to implement complex health information technology (HIT) systems. A survey on the use of HIT was completed by 85% of Iowa's 82 Critical Access Hospitals (CAH). Analyses indicate that low IT staffing in CAHs is a barrier to implementing HIT solutions. CAHs with fewer staff tend to employ alternative business strategies. There is a clear relationship between having IT staff at a CAH and the types of technologies used. Many CAHs report having difficulty expanding upon HIT functionalities due to the challenges of finding IT staff with healthcare expertise. Most CAHs are in the transition point of planning for or beginning implementation of complex clinical information systems. Strategies for addressing these challenges will need to evolve as the HIT investments by rural hospitals race to keep pace with the goals for the nation.

  18. CONTRIBUTIONS IN PROJECT IMPLEMENTATION MANAGEMENT OFFICE (PMO) IN HOSPITAL MANAGEMENT

    OpenAIRE

    Rafaela Fernanda Fracarolli Vila; Antônio Carlos Pacagnella Jr; Fernando Rodrigues de Amorim; Leonardo Augusto Amaral Terra

    2016-01-01

    In a global environment, companies are finding the need to be increasingly agile and organized, seeking to formalize and improve the conduct of their projects. This article aims to investigate the contributions to the implementation of the PMO in Hospital Management through a strategic approach. The methodology was developed from multicases study by an exploratory research. Under analysis, many benefits were identified, such as increased efficiency and effective, serving as a ...

  19. Implementation of a Prototype Generalized Network Technology for Hospitals *

    OpenAIRE

    Tolchin, S. G.; Stewart, R. L.; Kahn, S. A.; Bergan, E. S.; Gafke, G. P.; Simborg, D.W.; Whiting-O'Keefe, Q. E.; Chadwick, M. G.; McCue, G. E.

    1981-01-01

    A demonstration implementation of a distributed data processing hospital information system using an intelligent local area communications network (LACN) technology is described. This system is operational at the UCSF Medical Center and integrates four heterogeneous, stand-alone minicomputers. The applications systems are PID/Registration, Outpatient Pharmacy, Clinical Laboratory and Radiology/Medical Records. Functional autonomy of these systems has been maintained, and no operating system c...

  20. Book clubs--outreach opportunities for hospital libraries.

    Science.gov (United States)

    Stephenson, Priscilla L; Clever, Shannon; Coady, Teresa R; Ender, Deniz; Heyd, Michael; Peth, Sara

    2014-01-01

    Book clubs and discussion groups provide opportunities for hospital librarians to reach out to staff from all areas of their facilities while introducing them to literature reflecting participants' personal and professional interests. Librarians presenting these case studies have coordinated local book clubs where topics ranged from titles about the nature of healing, to leadership development, and patient-centered care. Some also included contemporary novels of interest to participants. No matter the setting or scope of material discussed, each group has provided unique networking opportunities for staff to meet others working in various departments of their facilities.

  1. Implementing TQM in a military hospital in Saudi Arabia.

    Science.gov (United States)

    Hoskins, E J; Abdul al-Hamid Noor, F; Ghasib, S H

    1994-08-01

    Health care services in the Kingdom of Saudi Arabia are unique not only in the varied patient population served and multinational staff recruited to provide services, but also because they are not driven by financial or medicolegal constraints. As part of a five-year plan (carried out in four phases) to improve the quality of health care provided in the Kingdom, the North West Armed Forces Hospitals (NWAFH) in Tabuk became the first health care facility in the Kingdom to implement total quality management (TQM). This was not an implementation de novo, but a well-coordinated transition from quality assurance (QA) to TQM. The hospital leadership believe that TQM is best implemented when there is a strong foundation of QA to provide a pre-existing process for data collection and performance measurement. Using the eight-step model for implementing TQM adapted from Joint Commission standards and The Health Care Manager's Guide to Continuous Quality Improvement, the QA staff identified the customers of the QA department, their needs, and professional requirements; implemented changes to meet these needs; identified internal monitors to evaluate the effectiveness of the operational changes and monitor performance; reported results and identified opportunities for improvement; and problem solved with FOCUS-PDCA. These efforts yielded a customer satisfaction survey in the form of a report card. In addition, three case studies launched by the QA department to address abstract data accuracy and completion, nosocomial infection rates in cesarean-section patients, and receipt of hospital laboratory reports by peripheral clinics are described in detail. The NWAFH Program leadership believes that TQM is a pancultural concept and that these first successful efforts can provide a model for the expansion of TQM not only in Saudi Arabia but throughout the rest of the Middle East.

  2. Author! author!: creating a digital archive of publications in a hospital library setting.

    Science.gov (United States)

    Rourke, Diane; Samsundar, Devica Ramjit; Shalini, Channapatna

    2005-01-01

    Baptist Hospital of Miami has been honoring its staff authors annually during National Library Week since 1979, at the time the library was relocated. Upon "doing the math" and realizing that twenty-five years had passed, a special event was planned to celebrate the occasion in 2004. A merger of four hospitals in 1995 to form Baptist Health South Florida, and an addition of a fifth hospital in 2003 added into the complexity of these publications. Organizing the event led to the conclusion that there had to be a "better way" to manage the publication archive. This paper will include a look back at the event's past, present efforts to develop an archival database, and future plans to make articles available electronically to users, copyright permitting.

  3. Implementation of a Web Portal for Diabetes Patients Using Open Source Data Visualization Libraries.

    Science.gov (United States)

    Kopanitsa, Georgy; Karpov, Anatoly; Lakovenko, Georgy; Laskovenko, Andrey

    2016-01-01

    To provide a better doctor-patient communication and to better involve patients into a diagnostic and treatment process we implemented a web portal for diabetes patients using open source libraries to present medical data. The medical data was "archetyped" according to the ISO 13606 standard. Visualization properties were defined using visual medical concepts (VMC) in XML format. JQuery libraries were used to build static and dynamic diagrams. To implement user requirements' based interfaces we conducted interviews with doctors and patient focus groups. To test the usability of the portal we conducted usability testing interviews from January to February 2015.

  4. Medizinbibliotheken: Innovativ denken, strategisch planen, praktisch umsetzen / Medical libraries: think innovative, plan strategically, implement in practice

    Directory of Open Access Journals (Sweden)

    Bauer, Bruno

    2011-12-01

    Full Text Available The focus of the current issue 3/2011 of GMS Medizin – Bibliothek – Information is the annual conference 2011 of the German Medical Libraries Association in Cologne. The motto of the conference was “Think innovative, plan strategically, implement in practice”. Focal points of the meeting were innovation management, marketing and new applications in medical libraries.The authors in this issue are Bruno Bauer, Daniel Formanek & Helmut Dollfuß (E-Books at medical libraries: They came to stay, Ursula Georgy (Systematic innovation management, Maurizio Grilli (New library portal at Province College for Health-Care Professions Claudiana, Bozen, Sabine Köhrer-Weisser (Marketing in One Person Libraries, Roland Mumenthaler (Innovation Management at ETH-Bibliothek, Markus Schmiel (Performance-related bonuses at Hannover Medical School: practical experience report of the library, Guus van den Brekel (Mobile Computing & Semantic Web in Health & Medicine, Iris Reimann & Sonja Fräntz (Think innovative, plan strategically, implement in practice – Annual Meeting 2011 of the German MLA, 19th to 21th September in Cologne and Eike Hentschel (Aus der AGMB.

  5. The Implementation of TTG Book Service Done By Community Library in Rural Area

    Directory of Open Access Journals (Sweden)

    Pawit Muhammad Yusup

    2016-06-01

    Full Text Available The problem of poverty in rural areas cannot be separated from the following aspects: poverty, lack of education facilities, low level of entrepreneurial skills, health, lack of learning facilities, population distribution, infrastructure and facilities are inadequate, access to information, and other aspects that are still limited. The Village Library and Community Library as part of the affordable infrastructure and learning facilities are, not yet available in every village. This study tried to introduce pilot models Appropriate Technology Implementation Services Book through Rural Libraries and the community library to a number of poor people in the village. The result could contribute in improving the skills of a number of rural poor in entrepreneurship-based reading. This service models can be applied in other similar villages.

  6. Implementation of quality management systems: the role of hospital (management) boards.

    NARCIS (Netherlands)

    Botje, D.; Klazinga, N.S.; Suñol, R.; Wagner, C.

    2013-01-01

    Objectives: Hospitals are putting tremendous efforts in implementing evidence-based management systems and organisational innovations for patient-centred care. Having a hospital quality management system is a prerequisite to successfully implement these innovations. Previous studies showed that the

  7. Implementing WHO hospital guidelines improves quality of paediatric care in central hospitals in Lao PDR.

    Science.gov (United States)

    Gray, Amy Zigrida; Soukaloun, Douangdao; Soumphonphakdy, Bandith; Duke, Trevor

    2015-04-01

    To evaluate the impact of implementing a multifaceted intervention based on the WHO Pocketbook of Hospital Care for Children on the quality of case management of common childhood illnesses in hospitals in Lao PDR. The quality of case management of four sentinel conditions was assessed in three central hospitals before and after the implementation of the WHO Pocketbook as part of a broader mixed-methods study. Data on performance of key steps in case management in more than 600 admissions were collected by medical record abstraction pre- and post-intervention, and change was measured according to the proportion of cases which key steps were performed as well as an overall score of case management for each condition. Improvements in mean case management scores were observed post-intervention for three of the four conditions, with the greatest change in pneumonia (53-91%), followed by diarrhoea and low birthweight. Rational drug prescribing, appropriate use of IV fluids and appropriate monitoring all occurred more frequently post-intervention. Non-recommended practices such as prescription of antitussives became less frequent. A multifaceted intervention based on the WHO Pocketbook of Hospital Care for children led to better paediatric care in central Lao hospitals. The degree of improvement was dependent on the condition assessed. © 2014 John Wiley & Sons Ltd.

  8. Die Fachbibliothek Medizin (FBMed am Universitätsklinikum Essen / The Medical Branch Library at the University Hospital Essen

    Directory of Open Access Journals (Sweden)

    Wibker, Katrin

    2009-09-01

    Full Text Available The branch library ‘Medizin’ provides the faculty of medicine and the university hospital (about 943 professors and scientific assistants; about 1665 medical students with literature and information and fulfils important tasks regarding research, teaching and patient care.Along with matters of use of the library (lending, advice, interlibrary loan, reserved semester collections, training courses, there is also certain work concerning the processing of literature (for example acquisition and binding of journals that is carried out on the spot. Furthermore the branch library ‘Medizin’ looks after and advises several libraries in various institutes of the university hospital.

  9. [Marketing in hospitals and practices: from theory to implementation].

    Science.gov (United States)

    Mattmüller, R; Gebauer, J

    2011-12-01

    Although hospitals and medical practices are typical service providers from a marketing perspective, only very few engage in topics relevant to marketing. Best practice examples do, however, show how important and meaningful the implementation of marketing tools can be for medical service providers. This article thus deals with the question of how the service of hospitals and practices may be improved by marketing initiatives. As a first step, the particular challenges these service providers face need to be analyzed. A significant focus will therefore be put on the examination of service-related quality and will then be applied to medical services. Thus it becomes evident that the path to success is based on adapting to patients' needs. Possibilities to minimize the uncertainties and risks experienced by the patients need to be identified. At the same time, the perceived service quality needs to be maximized.

  10. Development and implementation of an electronic library tour for the NASA Langley Technical Library. M.S. Thesis, North Carolina Univ., Jul. 1994

    Science.gov (United States)

    Rinker, Nancy A.

    1994-01-01

    The role of librarians today is drastically influenced by the changing nature of information and library services. The museum-like libraries of yesterday are a thing of the past: today's libraries are bustling with life, activity, and the sounds of new technologies. Libraries are replacing their paper card catalogs with state-of-the-art online systems, which provide faster and more comprehensive search capabilities. Even the resources themselves are changing. New formats for information, such as CD-ROM's, are becoming popular for all types of publications, from bibliographic tools to encyclopedias to electronic journals, even replacing print materials completely in some cases. Today it is almost impossible to walk into a library and find the information you need without coming into contact with at least one computer system. Librarians are not only struggling to keep up with the technological advancements of the day, but they are becoming information intermediaries: they must teach library users how to use all of the new systems and electronic resources. Not surprisingly, bibliographic instruction itself has taken on a new look and feel in these electronically advanced libraries. Many libraries are experimenting with the development of expert systems and other computer aided instruction interfaces for teaching patrons how to use the library and its resources. One popular type of interface in library instruction programs is hypertext, which utilizes 'stacks' or linked pages of information. Hypertext stacks can incorporate color graphics along with text to provide a more interesting interface and entice users into trying out the system. Another advantage of hypertext is that it is generally easy to use, even for those unfamiliar with computers. As such, it lends itself well to application in libraries, which often serve a broad range of clientele. This paper will discuss the design, development, and implementation of a hypertext library tour in a special library

  11. Strategic Model for Implementing Knowledge Management in Libraries and Information Services

    Directory of Open Access Journals (Sweden)

    Octavia-Luciana Porumbeanu

    2009-01-01

    Full Text Available In most fields of activity one can notice the trend towards knowledge-based organizations and towards flexible organizations that encourage innovation and change. In this context, knowledge management has become a fundamental process for all types of organizations in society. Libraries and information services are integral part of the knowledge system, these organizations being one of the forms that contribute to knowledge development. This article presents a strategic model for implementing knowledge management in libraries and information services, created on the basis of the results from theoretical researches and practical applications of this process in organizations from different countries and different fields of activity and keeping in mind the specific characteristics of libraries and information services. The model is based on five fundamental elements from which one should begin implementation of a knowledge management function in the organizations engaged in information transfer.

  12. Innovation on hospital library human resources management%医院图书馆人力资源管理创新

    Institute of Scientific and Technical Information of China (English)

    王玉双

    2014-01-01

    Based on the problems which can described as backward management of human resources, librarian quality, brain drain and irrational human resources structure of human resources management in hospital library, new concept of hospital library human resources management is presented. Suggestions such as implementing scientific human resources management and training, post appointment and performance system and making human resources management policy are also discussed.%结合制约医院图书馆发展中人力资源管理的管理相对滞后、馆员本身的问题、人才流失严重、人才结构不合理等因素,提出了医院图书馆人力资源管理的新理念,阐述了实施科学人才管理、人才培训、队伍建设以及建立绩效考核制度、岗位聘用制度、人才政策体系等建议。

  13. CONTRIBUTIONS IN PROJECT IMPLEMENTATION MANAGEMENT OFFICE (PMO IN HOSPITAL MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Rafaela Fernanda Fracarolli Vila

    2016-11-01

    Full Text Available In a global environment, companies are finding the need to be increasingly agile and organized, seeking to formalize and improve the conduct of their projects. This article aims to investigate the contributions to the implementation of the PMO in Hospital Management through a strategic approach. The methodology was developed from multicases study by an exploratory research. Under analysis, many benefits were identified, such as increased efficiency and effective, serving as a benchmark for other projects within the organization, adding a systemic view of all tactical processes management through the performance of the company's manageability

  14. Recommendations for health information technology implementation in rural hospitals.

    Science.gov (United States)

    Huang, Yuan-Han; Gramopadhye, Anand K

    2016-05-09

    Purpose - The purpose of this paper is to investigate violations against work standards associated with using a new health information technology (HIT) system. Relevant recommendations for implementing HIT in rural hospitals are provided and discussed to achieve meaningful use. Design/methodology/approach - An observational study is conducted to map medication administration process while using a HIT system in a rural hospital. Follow-up focus groups are held to determine and verify potential adverse factors related to using the HIT system while passing drugs to patients. Findings - A detailed task analysis demonstrated several violations, such as only relying on the barcode scanning system to match up with patient and drugs could potentially result in the medical staff forgetting to provide drug information verbally before administering drugs. There was also a lack of regulated and clear work procedure in using the new HIT system. In addition, the computer system controls and displays could not be adjusted so as to satisfy the users' expectations. Nurses prepared medications and documentation in an environment that was prone to interruptions. Originality/value - Recommendations for implementing a HIT system in rural healthcare facilities can be categorized into five areas: people, tasks, tools, environment, and organization. Detailed remedial measures are provided for achieving continuous process improvements at resource-limited healthcare facilities in rural areas.

  15. [Organizational change: the implementation of children-friendly hospitals].

    Science.gov (United States)

    Sekyia, Shigeru Ricardo; Luz, Talita Ribeiro da

    2010-06-01

    Empirical evidences have pointed out the relevant role of breastfeeding to diminish infantile mortality. Children-friendly Hospitals (IHAC) is a worldwide action developed by the United Nations Children's Fund - UNICEF and by the World Health Organization, aiming to promote, protect and support breastfeeding and also prevent precocious weaning. The aim of the present study is to identify the main organizational changes which occurred in two hospitals, located in the State of Minas Gerais, Brazil that implemented IHAC. The organizational analysis carried out was based upon six perspectives, according to Motta's analytical chart that includes: strategic, structural, cultural, human, technological and political perspectives. A qualitative research was carried out, by using as a data gathering method the semi-structured interview, applied in all hierarchical levels. In order to interpret data, it was adopted the content analysis. In both cases, it could be concluded that the implementation of IHAC resulted in changes and improvement in the management of the organizations, due to the establishment of procedural patterns and staff training. It was verified that the cultural and technological changes occurred in a more intense manner and that the least perceived were the political and strategic changes.

  16. One Law with Two Outcomes: Comparing the Implementation of CIPA in Public Libraries and Schools

    Directory of Open Access Journals (Sweden)

    Paul T. Jaeger

    2009-03-01

    Full Text Available Though the Children’s Internet Protection Act (CIPA established requirements for both public libraries and public schools to adopt filters on all of their computers when they receive certain federal funding, it has not attracted a great amount of research into the effects on libraries and schools and the users of these social institutions. This paper explores the implications of CIPA in terms of its effects on public libraries and public schools, individually and in tandem. Drawing from both library and education research, the paper examines the legal background and basis of CIPA, the current state of Internet access and levels of filtering in public libraries and public schools, the perceived value of CIPA, the perceived consequences of CIPA, the differences in levels of implementation of CIPA in public libraries and public schools, and the reasons for those dramatic differences. After an analysis of these issues within the greater policy context, the paper suggests research questions to help provide more data about the challenges and questions revealed in this analysis.

  17. The KwaZulu-Natal School Library Policy and its feasibility for implementation

    Directory of Open Access Journals (Sweden)

    Mariana Du Toit

    2013-03-01

    Full Text Available The research took into account accepted standards of good policy formulation to provide perspective and contextualise the study, and delineated educational challenges for the sector.The following theoretical frameworks guided the study: a constructivist approach in interpreting and  evaluating the role of school libraries within an education system based in constructivist principles, the traditional policy model to evaluate policy formulation and design, and a social constructionist view of policy in the interpreting of policy development and implementation. The epistemological basis for the main   methodology, the Delphi technique, was social constructivism.The research design comprised two phases.  Qualitative data collected from the Delphi panel's expert opinion was interpreted to analyse the policy document critically and assess its implementation strategy.  Quantitative data from an analysis of existing surveys and reports provided an overview of the current state of school  library provisioning in KwaZulu-Natal.  School library models already being implemented in the province were evaluated against this background.The research results provide guidelines for reviewing and refining the provincial policy intervention and  brought to the fore several issues that need to be resolved to facilitate school library development in South Africa.

  18. A method for implementation of nutritional therapy in hospitals

    DEFF Research Database (Denmark)

    Rasmussen, Henrik Højgaard; Kondrup, Jens; Staun, Michael;

    2006-01-01

    Background & aims: Many barriers make implementation of nutritional therapy difficult in hospitals. In this study we investigated whether, a targeted plan made by the staff in different departments could improve nutritional treatment within selected quality goals based on the ESPEN screening...... guidelines. Methods: The project was carried out as a continuous quality improvement project. Four different specialities participated in the study with a nutrition team of both doctors, nurses, and a dietician, and included the following methods: (1) Premeasurement: assessment of quality goals prior...... to study including the use of screening of nutritional risk (NRS-2002), whether a nutrition plan was made, and monitoring was documented in the records. (2) Intervention: multidisciplinary meeting for the ward staff using a PC-based meeting system for detecting barriers in the department concerning...

  19. A method for implementation of nutritional therapy in hospitals

    DEFF Research Database (Denmark)

    Rasmussen, Henrik Højgaard; Kondrup, Jens; Staun, Michael

    2006-01-01

    guidelines. Methods: The project was carried out as a continuous quality improvement project. Four different specialities participated in the study with a nutrition team of both doctors, nurses, and a dietician, and included the following methods: (1) Premeasurement: assessment of quality goals prior......Background & aims: Many barriers make implementation of nutritional therapy difficult in hospitals. In this study we investigated whether, a targeted plan made by the staff in different departments could improve nutritional treatment within selected quality goals based on the ESPEN screening...... to study including the use of screening of nutritional risk (NRS-2002), whether a nutrition plan was made, and monitoring was documented in the records. (2) Intervention: multidisciplinary meeting for the ward staff using a PC-based meeting system for detecting barriers in the department concerning...

  20. Implementing and revitalizing the Baby-Friendly Hospital Initiative.

    Science.gov (United States)

    Saadeh, Randa; Casanovas, Carmen

    2009-06-01

    The Baby-Friendly Hospital Initiative (BFHI) was launched in the 1990s by the World Health Organization (WHO) and UNICEF as a global effort with hospitals, health services, and parents to ensure babies are breastfed for the best start in life. It is one of the Operational Targets of the Global Strategy for Infant and Young Child Feeding endorsed in 2002 by the Fifty-Fifth World Health Assembly and the UNICEF Executive Board. After about 18 years, great progress has been made, and most countries have breastfeeding authorities or BFHI coordinating groups. The BFHI has led to increased rates of exclusive breastfeeding, which are reflected in improved health and survival. Based on this progress, the Initiative was streamlined according to the experience of the countries and materials were revised. The new package consolidated all WHO and UNICEF materials into one package, reflected new research and experience, revisited the criteria used for the BFHI in light of HIV/ AIDS, reinforced the International Code of Marketing of Breast-Milk Substitutes, provided modules for mother-friendly care, and gave more guidance for monitoring and reassessment. WHO and partners will continue to give support to BFHI implementation as one essential effort contributing to achievement of the Millennium Development Goals.

  1. HOSPITAL KANBAN SYSTEM IMPLEMENTATION: EVALUATING SATISFACTION OF NURSING PERSONNEL

    Directory of Open Access Journals (Sweden)

    Aguilar-Escobar, Víctor G.

    2015-09-01

    Full Text Available Literature on healthcare supply chain management has shown that the kanban system can provide significant benefits. However, very few benefits have been empirically demonstrated and the extent of each remains unknown. This study aims to measure nurses’ satisfaction with kanban systems in logistics of medical consumables and assesses possible advantages and differences among user groups through an anonymous survey at Hospital Universitario Virgen Macarena of Seville, Spain. Treatment of responses included an exploratory factor analysis, and a CAPTCA analysis. The results showed a high level of satisfaction for each aspect of the kanban system. Moreover, it highlighted the differences of opinion between groups of individuals according to workplace, nursing units, job category, seniority, age and kanban training. The exploratory factor analysis revealed that two factors underlie the collected assessments: the inherent advantages of a kanban system, and the logistics system performance as a whole. Thus, hospital managers should promote the implementation of kanban systems, since it increases nurses’ satisfaction and provides significant benefits.

  2. Design and Implementation of an Extended Collectives Library for Unified Parallel C

    Institute of Scientific and Technical Information of China (English)

    Carlos Teijeiro; Guillermo L.Taboada; Juan Touri(n)o; Ramón Doallo; José C.Mouri(n)o; Damián A.Mallón; Brian Wibecan

    2013-01-01

    Unified Parallel C (UPC) is a parallel extension of ANSI C based on the Partitioned Global Address Space (PGAS) programming model,which provides a shared memory view that simplifies code development while it can take advantage of the scalability of distributed memory architectures.Therefore,UPC allows programmers to write parallel applications on hybrid shared/distributed memory architectures,such as multi-core clusters,in a more productive way,accessing remote memory by means of different high-level language constructs,such as assignments to shared variables or collective primitives.However,the standard UPC collectives library includes a reduced set of eight basic primitives with quite limited functionality.This work presents the design and implementation of extended UPC collective functions that overcome the limitations of the standard collectives library,allowing,for example,the use of a specific source and destination thread or defining the amount of data transferred by each particular thread.This library fulfills the demands made by the UPC developers community and implements portable algorithms,independent of the specific UPC compiler/runtime being used.The use of a representative set of these extended collectives has been evaluated using two applications and four kernels as case studies.The results obtained confirm the suitability of the new library to provide easier programming without trading off performance,thus achieving high productivity in parallel programming to harness the performance of hybrid shared/distributed memory architectures in high performance computing.

  3. QUESTIONS ABOUT THE ACTIVITIES OF LIBRARY ASSOCIATIONS AT THE FIRST NATIONAL CONGRESS OF LIBRARY WORKERS (1926: DECISION AND IMPLEMENTATION DIFFICULTIES (THE 90TH ANNIVERSARY OF CONGRESS

    Directory of Open Access Journals (Sweden)

    В. Ю. Соколов

    2017-02-01

    meaning and essence of the presentations and discussions, the issue of development of library associations in Ukraine at the First National Congress of library workers in 1926 and studies their influence on the development of libraries in Ukraine in the second half of the 1920 years overall. In his scientific work by extensive use of  historical-comparative, historical and genetic, statistical, chronological, biographical research methods, the method of diachronic analysis. The article describes the social and cultural conditions of the library associations main stages of development and features of their operation; disclosed value of their work in coordinating the work of libraries; analyzed the characteristic shape and features of these socio-professional organizations training and retraining of library staff. The author found that the success of a development and library associations have sought to consolidate and promote professional scatter libraries in the country were limited initially counteraction on the part of trade unions, and in the future and the governing bodies of political education. The author analyzed and proved that the library association worked out and implemented in practice various forms of organizational work, a variety of means and methods of solution and implementation of professional tasks, using a rich arsenal of democratic mechanisms and raising many issues of library building that was positively evaluated by delegates from 'ride. The main areas of library associations were: formation and development of professional skills of librarians; improving the efficiency of urban libraries through the organization and coordination of their activities; establishing a system of methodological assistance to libraries of different types and species, particularly rural libraries; promotion of scientific research, cultural, and educational activities libraries. However, in the late 1920 years Party and Soviet government bureaucracy gradually

  4. Pharmacist Staffing, Technology Use, and Implementation of Medication Safety Practices in Rural Hospitals

    Science.gov (United States)

    Casey, Michelle M.; Moscovice, Ira S.; Davidson, Gestur

    2006-01-01

    Context: Medication safety is clearly an important quality issue for rural hospitals. However, rural hospitals face special challenges implementing medication safety practices in terms of their staffing and financial and technical resources. Purpose: This study assessed the capacity of small rural hospitals to implement medication safety…

  5. Design and Implementation of PACS at Georgetown University Hospital

    Science.gov (United States)

    Mun, S. K.; Benson, H.. R.; Choyke, P.; Fahey, F. H.; Wang, P. C.; Zeman, R. K...; Elliott, L. P.

    1985-09-01

    During the preparation and planning phase of the PACS project at Georgetown University Hospital it was realized that PACS requires truly the state of the art technology in data communication, image processing and man machine interfacing. It was also realized that un-like many other technology intensive devices used in radiology, PACS cannot be seen as an independent system that will provide well defined services. PACS will be the backbone of the department operation in clinical, educational and managerial functions. It will indeed be the nerve center of the radiologic services affecting every aspect of the department. PACS will have to be designed to perform in a cost-effective manner to widely varying needs within the radiology departments. The integration of ever changing complex technology that will impact every aspect of a radiology service is not a trivial matter. This transition period going from current manual film based PACS to Digital PACS can be long, expansive and disruptive unless careful planning preceeds the implementation. PACS is still an emerging technology at its infancy. Performance monitoring and evaluation of diversified functions have to be also established so that improvement to the system can be efficiently implemented. Thus the evaluation criteria should be also established as early as possible.

  6. Step by Step Implementation of Knowledge Sharing for Library In Indonesian

    Directory of Open Access Journals (Sweden)

    Nove E. Variant Anna

    2017-01-01

    Full Text Available Abstrak. Knowledge sharing banyak diyakini sebagai kegiatan yang mampu mendorong kreativitas dan terciptanya inovasi bagi sebuah organisasi. Banyak organisasi yang memiliki inisiatif menerapkan knowledge sharing demi terciptanya inovasi. Paper ini ingin memberikan wacana bagi perpustakaan yang ingin mengimplementasikan knowledge sharing di perpustakaan. Paper ini terdiri dari pemaparan dan analisis kondisi perpustakaan dan implementasi knowledge sharig di perpustakaan, teknologi yang mendukung knowledge sharing. Langkah-langkah yang bisa diimplementasikan dalam knowledge sharing antara lain dengan menciptakan leader dan champion, menciptakan budaya sharing dan trust antar pegawai, menciptakan office layout yang mendorong terjadinya kolaborasi, dan memberikan motivasi bagi para pegawai agar mau berpartisipasi dalam knowledge sharing. Metode yang digunakan pada paper ini adalah studi pustaka dengan menelusur sumber informasi baik dari jurnal, artikel, berita, studi kasus, dan standar terkait knowledge sharing.   Kata kunci: knowledge sharing, knowledge sharing di perpustakaan, perpustakaan, strategi knowledge sharing   Abstract. Knowledge sharing is believed to be an activity that is able to encourage creativity and create innovation in an organization. Many organizations have the initiative to implement knowledge sharing in order to create innovations. This paper proposes a discourse for libraries that want to implement knowledge sharing. This paper explains and analyzes the condition of the library and the implementation of knowledge sharing in the library and the technology that supports knowledge sharing. The steps that can be implemented in knowledge sharing include creating leaders and champions, creating sharing culture and trust among employees, creating office layout which encourage collaboration and motivating the employees to participate in knowledge sharing. This paper used literature study to search sources of information from

  7. SERVQUAL MODEL IMPLEMENTATION FOR EVALUATING QUALITY SERVICE OF THE LIBRARY OF HIGHER EDUCATIONINSTITUTION IN BOTUCATU REGION

    OpenAIRE

    2014-01-01

    Currently technology colleges are growing and gaining market share. So, it is of paramount importance a careful evaluation of the most important components in an institution of higher education, the library, which is fundamental for the development of future professionals. Therefore, the implementation of a tool to measure and compare results through user satisfaction in relation to services provided to a particular service is required. SERVQUAL is a measurement tool, used in t...

  8. 医院电子图书馆的建设%Construction of Electronic Library in Hospital

    Institute of Scientific and Technical Information of China (English)

    陈祖林; 石兵; 邹宏

    2012-01-01

    阐述电子图书馆的内涵和医院建立电子图书馆的优势,以武警江西省总队医院为例介绍电子图书馆建设情况,阐述规划医院电子图书馆建设方案应重点考虑的问题。%The paper elaborates the connotation of electronic library and the advantages of hospital constructing electronic library. Taking Jiangxi Province Hospital of Chinese Armed Police Force as an example, it analyzes the construction status of electronic library, e- laborates the problems which should be well-considered in planning hospital electronic library construction.

  9. The 'market' for medical and health information in transition: the case of the Hong Kong Hospital Authority libraries.

    Science.gov (United States)

    Cheng, G

    1996-06-01

    The last few years have been a period of transition not only for hospitals and their governance but also for post-graduate medical education in Hong Kong. Both trends have a direct impact on the information market place. This article starts by studying the provision of medical and health-related information in Hong Kong. The two university medical and dental libraries, together with the hospital and health sciences libraries in government hospitals and the Department of Health, house the major collections on medicine and health care. The demand for medical and health care information is increasingly felt with the takeover of 39 hospitals by the statutory Hong Kong Hospital Authority in 1991. The major problems and issues in planning for library information services are the historically uneven development of libraries, discrepancies in funding, the changes in organizational and management structure, and the competition with higher development priorities within the organization. In view of current technology and the availability of rich external resources, the adopted strategies tend towards the formation of 10 library service networks, development of integrated library information systems on the Health Authority-wide area network, and the devolution of management responsibilities. The future challenges in store for the information professional are examined.

  10. Implementing a Real-Time Suggestion Service in a Library Discovery Layer

    Directory of Open Access Journals (Sweden)

    Benjamin Pennell

    2010-06-01

    Full Text Available As part of an effort to improve user interactions with authority data in its online catalog, the UNC Chapel Hill Libraries have developed and implemented a system for providing real-time query suggestions from records found within its catalog. The system takes user input as it is typed to predict likely title, author, or subject matches in a manner functionally similar to the systems found on commercial websites such as google.com or amazon.com. This paper discusses the technologies, decisions and methodologies that went into the implementation of this feature, as well as analysis of its impact on user search behaviors.

  11. Addressing Library Anxiety (LA) in student nurses: a study in an NHS Foundation Trust Hospital library and information service.

    Science.gov (United States)

    Still, Madeleine

    2015-12-01

    Library anxiety is a concept which has been recognised in academic library circles since the early 1990s. It can result in students actively avoiding the library for the duration of their studies. Madeleine Still is Trust Librarian at North Tees & Hartlepool NHS Foundation Trust and while studying for an MSc, recognised that some student nurses were exhibiting signs of library anxiety. She decided to make it the focus of her MSc dissertation, and this article discusses her research project as well as highlighting the measures she has taken to address the issues she uncovered. Madeleine graduated in July 2013 with an MSc in Information & Library Studies from Robert Gordon University.

  12. Integrating CD-ROM Medline with electronic mail: first step in implementing new strategy for online reference library.

    Science.gov (United States)

    Ribitzky, R.

    1991-01-01

    Simultaneous ACCESS to and DISSEMINATION of electronically available PROFESSIONAL KNOWLEDGE, in a productive, Cost-of-Ownership effective, and affordable manner are now achievable. Emerging MANAGEMENT-OF-INFORMATION and SYSTEMS-INTEGRATION disciplines are essential contributing factors to devising and implementing NEW STRATEGIES for ONLINE REFERENCE LIBRARIES. Bringing integrated information closer to the ultimate user and RESHAPING the electronic databases and full-text management systems MARKETPLACE are the most significant outcomes. Key technology attributes are advancements in CD-ROM, Networking, and office automation. We have proven this concept by developing an INTERFACE between MEDLINE from COMPACT CAMBRIDGE and ALL-IN-1 from DIGITAL EQUIPMENT CORPORATION. Saved search results are automatically routed to the individual's ALL-IN-1 account where further DOCUMENT MANAGEMENT and electronic mail functions may be performed. A 486Ware system from Logicraft and a five-members VAX-Cluster (respectively), are linked in a DECNet environment that is the foundation of Children's Integrated Hospital Information System. In phase one of the project up to 8 SIMULTANEOUS USERS may access the 8 RECENT YEARS, from any one of 1500 ACCESS POINTS (local and remote), and utilize any one of 150 NETWORKED PRINTERS. Opportunities are now within reach to expand the electronic library services while utilizing progressive methods and taking advantage of the best available technologies. PMID:1807668

  13. Application of Ubiquitous Library Theory in the Hospital Library%泛在图书馆理论在医院图书馆中的应用

    Institute of Scientific and Technical Information of China (English)

    李燕

    2011-01-01

    The paper introduces the conceptions of ubiquitous information and ubiquitous library,discusses the application of ubiquitous library theory in service,teaching,and researching in hospital libraries,clarifies the channels for perfecting ubiquitous library,including perfection of devices and service contents,improvement of information capability of librarians,etc.%介绍信息泛在化和泛在图书馆的概念,探讨泛在图书馆理论在医院图书馆服务、教学、科研中的应用,阐述完善泛在图书馆的途径,包括设备与服务内容的完善、提高图书馆员信息能力等方面。

  14. Implementation of Advanced Warehouses in a Hospital Environment - Case study

    Science.gov (United States)

    Costa, J.; Sameiro Carvalho, M.; Nobre, A.

    2015-05-01

    In Portugal, there is an increase of costs in the healthcare sector due to several factors such as the aging of the population, the increased demand for health care services and the increasing investment in new technologies. Thus, there is a need to reduce costs, by presenting the effective and efficient management of logistics supply systems with enormous potential to achieve savings in health care organizations without compromising the quality of the provided service, which is a critical factor, in this type of sector. In this research project the implementation of Advanced Warehouses has been studied, in the Hospital de Braga patient care units, based in a mix of replenishment systems approaches: the par level system, the two bin system and the consignment model. The logistics supply process is supported by information technology (IT), allowing a proactive replacement of products, based on the hospital services consumption records. The case study was developed in two patient care units, in order to study the impact of the operation of the three replenishment systems. Results showed that an important inventory holding costs reduction can be achieved in the patient care unit warehouses while increasing the service level and increasing control of incoming and stored materials with less human resources. The main conclusion of this work illustrates the possibility of operating multiple replenishment models, according to the types of materials that healthcare organizations deal with, so that they are able to provide quality health care services at a reduced cost and economically sustainable. The adoption of adequate IT has been shown critical for the success of the project.

  15. Design and Implementation of a Library and Information Science Open Access Journal Union Catalogue System

    Directory of Open Access Journals (Sweden)

    Sinn-Cheng Lin

    2017-03-01

    Full Text Available Open access is a mode of academic communication that has been on the rise in recent years, but open access academic resources are widely dispersed across the internet, making it occasionally inconvenient in terms of its use. This research is focused on library and information science, using the OAIS reference model as the system framework, two open access platform, DOAJ and E-LIS as the data sources, and through system implementation develop a “library and information science open access journal union catalogue” system. Using the OAI-PMH protocol as the data interoperability standard, and LAMP as the development environment, four major functionalities: injest, archiving, management and access of information were designed, developed, and integrated into system build. Actual testing and verification showed this system is able to successfully collect data from DOAJ and E-LIS open journal resources related to library and information science. The system is now active and functional, and can be used by researchers in the library and science information field.

  16. Design Innovations and Implementation Challenges - A Case of Smart Textiles in Future Hospital Interiors

    DEFF Research Database (Denmark)

    Mogensen, Jeppe; Jørgensen, Poul-Erik; Poulsen, Søren Bolvig

    2014-01-01

    Concerned with the overall challenges of implementing design innovations, this paper relates to the specific case of applying smart textiles in future hospital interiors. The methodological approach is inspired by design thinking and implementation processes, and through the scope of a developed...... strategic framework, the implementation challenges will be discussed from a holistic integrative design perspective. With this explorative initiative, our aim is to present specific approaches to progress the design innovation of smart textiles, and the implementation climate of future hospitals....

  17. A survey on the status of nutrition care process implementation in korean hospitals.

    Science.gov (United States)

    Kim, Eun Mi; Baek, Hee Joon

    2013-07-01

    The Nutrition Care Process (NCP), developed by the American Dietetic Association, is a significant issue to dietetic professionals in many countries and there are rising needs for NCP implementation in Korea. We surveyed clinical nutrition managers of Korean general hospitals regarding the perception of NCP, the status of NCP implementation, and the opinions on NCP. The questionnaire was collected from 35 hospitals. Most clinical nutrition managers perceived NCP, but NCP implementation in hospital was at early stage. NCP was implemented in a fourth of the surveyed hospitals and many clinical nutrition managers responded that the lack of knowledge and the concern on increasing working time were major barriers to implementing NCP. To successfully implement NCP in Korean hospital, ongoing education and training programs should be developed to provide adequate knowledge and help dietitians to cope with the barriers.

  18. Evaluation of early implementations of antibiotic stewardship program initiatives in nine Dutch hospitals

    NARCIS (Netherlands)

    van Limburg, Maarten; Sinha, Bhanu; Lo-Ten-Foe, Jerome R; van Gemert-Pijnen, Julia Ewc

    2014-01-01

    BACKGROUND: Antibiotic resistance is a global threat to patient safety and care. In response, hospitals start antibiotic stewardship programs to optimise antibiotic use. Expert-based guidelines recommend strategies to implement such programs, but local implementations may differ per hospital. Earlie

  19. Evaluation of early implementations of antibiotic stewardship program initiatives in nine Dutch hospitals

    NARCIS (Netherlands)

    Limburg, van Maarten; Sinha, Bhanu; Lo-Ten-Foe, Jerome R.; Gemert-Pijnen, van Julia E.W.C.

    2014-01-01

    Background Antibiotic resistance is a global threat to patient safety and care. In response, hospitals start antibiotic stewardship programs to optimise antibiotic use. Expert-based guidelines recommend strategies to implement such programs, but local implementations may differ per hospital. Earlier

  20. Evaluation of early implementations of antibiotic stewardship program initiatives in nine Dutch hospitals

    NARCIS (Netherlands)

    van Limburg, Maarten; Sinha, Bhanu; Lo-Ten-Foe, Jerome R; van Gemert-Pijnen, Julia Ewc

    2014-01-01

    BACKGROUND: Antibiotic resistance is a global threat to patient safety and care. In response, hospitals start antibiotic stewardship programs to optimise antibiotic use. Expert-based guidelines recommend strategies to implement such programs, but local implementations may differ per hospital. Earlie

  1. Implementation of Online Veterinary Hospital on Cloud Platform.

    Science.gov (United States)

    Chen, Tzer-Shyong; Chen, Tzer-Long; Chung, Yu-Fang; Huang, Yao-Min; Chen, Tao-Chieh; Wang, Huihui; Wei, Wei

    2016-06-01

    Pet markets involve in great commercial possibilities, which boost thriving development of veterinary hospital businesses. The service tends to intensive competition and diversified channel environment. Information technology is integrated for developing the veterinary hospital cloud service platform. The platform contains not only pet medical services but veterinary hospital management and services. In the study, QR Code andcloud technology are applied to establish the veterinary hospital cloud service platform for pet search by labeling a pet's identification with QR Code. This technology can break the restriction on veterinary hospital inspection in different areas and allows veterinary hospitals receiving the medical records and information through the exclusive QR Code for more effective inspection. As an interactive platform, the veterinary hospital cloud service platform allows pet owners gaining the knowledge of pet diseases and healthcare. Moreover, pet owners can enquire and communicate with veterinarians through the platform. Also, veterinary hospitals can periodically send reminders of relevant points and introduce exclusive marketing information with the platform for promoting the service items and establishing individualized marketing. Consequently, veterinary hospitals can increase the profits by information share and create the best solution in such a competitive veterinary market with industry alliance.

  2. Does implementation of ISO standards in hospitals improve patient satisfaction?

    Directory of Open Access Journals (Sweden)

    Vahid Keshtkar

    2017-01-01

    Full Text Available Introduction: Around the world, a large number of projects have been developed with the aim of assessing patient satisfaction especially in hospitals. As an important indicator of the quality of health care system, Patients’ perception of health care has been the center of attention over the recent 20 years. Method: 402 patients who were hospitalized in teaching hospitals affiliated to the Shiraz University of Medical Sciences were investigated. Patients’ satisfactions of the health care services were assessed using the translated and modified version of the KQCAH consisted of 44 questions divided to7 categories of Respect and Caring, Effectiveness and Continuity, Appropriateness, Information, Efficiency, Meals, First Impression, Staff Diversity. All of the patients were asked to fill out the questionnaire (with written informed consents at the time of discharge from the hospitals. Results: Regarding total score of patient satisfaction the ISO-certified hospitals did not show advantages over the uncertified hospitals. The total score of patients’ satisfaction ranged from 66.5 to 77.5 in. Overall, only in one ISO-certified hospital the total score of patient satisfaction representing all dimensions, was significantly higher comparing to other hospitals included in the study. Conclusion: It seems that solitary application of ISO standards could not improve patient satisfaction in hospitals affiliated to Shiraz University of Medical Sciences.

  3. The Measurement, Analysis and Implementation of a Corporate Image Program: The Case of a Psychiatric Hospital.

    Science.gov (United States)

    Elbeck, Matt A.; Buchanan, Gary W.

    1987-01-01

    Measured a psychiatric hospital's image, using qualitative and quantitative methods. Used data from the consumer public to illustrate the development and implementation of an image program stressing multi-public awareness, preference and utilization of the hospital's services vis-a-vis the hospital's mission statement. This study demonstrated…

  4. A Comparison of PETSC Library and HPF Implementations of an Archetypal PDE Computation

    Science.gov (United States)

    Hayder, M. Ehtesham; Keyes, David E.; Mehrotra, Piyush

    1997-01-01

    Two paradigms for distributed-memory parallel computation that free the application programmer from the details of message passing are compared for an archetypal structured scientific computation a nonlinear, structured-grid partial differential equation boundary value problem using the same algorithm on the same hardware. Both paradigms, parallel libraries represented by Argonne's PETSC, and parallel languages represented by the Portland Group's HPF, are found to be easy to use for this problem class, and both are reasonably effective in exploiting concurrency after a short learning curve. The level of involvement required by the application programmer under either paradigm includes specification of the data partitioning (corresponding to a geometrically simple decomposition of the domain of the PDE). Programming in SPAM style for the PETSC library requires writing the routines that discretize the PDE and its Jacobian, managing subdomain-to-processor mappings (affine global- to-local index mappings), and interfacing to library solver routines. Programming for HPF requires a complete sequential implementation of the same algorithm, introducing concurrency through subdomain blocking (an effort similar to the index mapping), and modest experimentation with rewriting loops to elucidate to the compiler the latent concurrency. Correctness and scalability are cross-validated on up to 32 nodes of an IBM SP2.

  5. Implementing and optimising an Electronic Library of Health Care in Belgium: results of a pilot study.

    Science.gov (United States)

    Hannes, K; Vander Stichele, R H; Simons, E; Geens, S; Goedhuys, J; Aertgeerts, B

    2007-01-01

    Health care practitioners are expected to incorporate results from the best available, scientific information into their daily clinical decision-making process. Useful formats of evidence for practitioners include selected reviews, abstracts in which research results are discussed, "quick answer", evidence-based website including for example diagnostic and therapeutic algorithms, drugs prescription and non-drug therapy. An increasing amount of practitioners has access to the World Wide Web, either at home or at the office. However, easy and cheap access to objective and high quality research results is limited. Many practitioners lack the skills to efficiently navigate complicated medical databases. In 2003 an 'Electronic Library of Health Care' was introduced in Belgium. The main goal of the electronic library is to provide a gateway to scientific evidence to Belgian health care practitioners from different disciplines. This paper presents the results of a pilot project to implement the library in the field. It also describes recent developments and adjustments that increased the efficacy of this gateway to evidence.

  6. OCLC book interlibrary loan in a basic-unit hospital library: one year's experience.

    Science.gov (United States)

    Landwirth, T K

    1983-04-01

    Methodist Medical Center of Illinois Medical Library, a "basic-unit" medical library (i.e., not a resource library) in the Regional Medical Library Program recently completed one year of borrowing and lending books using OCLC. Of the books successfully borrowed through OCLC, 79% were obtained from nonmedical libraries. Forming cost-sharing OCLC clusters among basic units makes OCLC an affordable alternative to borrowing books from overburdened medical resource libraries.

  7. Design and implementation of picture archiving and communication system in Huadong Hospital

    Science.gov (United States)

    Zhang, Jianguo; Zhou, Zheng; Zhuang, Jun; Han, Ruolin; Zhang, Guozhen; Feng, Jie; Wang, Mingpeng; Wang, Chuanfu

    2001-08-01

    Huadong hospital in Shanghai with 700 beds provides health care services for inpatients and outpatients, as well as special senior and VIP patients. In order to move to digital imaging based radiology practice, and also provide better intra-hospital clinical services for senior and VIP patients, we started designing and planning PACS implementation from September of 1999. Based on the radiology service model and current workflow in Huadong hospital, we implemented PACS in three steps.

  8. CONSIDERATIONS REGARDING THE IMPLEMENTATION OF A PERFORMANCE MANAGEMENT SYSTEM IN PRIVATE HOSPITALS

    Directory of Open Access Journals (Sweden)

    Marian TAICU

    2013-09-01

    Full Text Available Obtaining performance in private hospitals require a proper management of costs and implementing a situation for performance monitoring. The implementation of a cost calculation method in hospitals is a complex process that must take into account the particularities of the activity in health care system. This paper presents a comparative analysis of four costing methods and a model of performance monitoring situation, adapted to the specific of the hospitals.

  9. 国外医院图书馆知识服务发展初探%A Primary Study on Knowledge Services in Overseas Hospital Libraries

    Institute of Scientific and Technical Information of China (English)

    王璞; 邓婉昕; 刘芳; 周力虹

    2016-01-01

    It is urgent for hospital libraries to change the traditional service mode with the emergence of the new medical model and the implementation of the concept of evidence-based medicine. Therefore, it is necessary to build a library that is knowledge-based and can satisfy the demand of different users. In order to identify the latest research trends in the recent decade on the knowledge services pro-vided by the libraries in overseas hospitals. Three major international databases were employed and systematically searched. The re-trieved articles were analysed using qualitative analysis approach. It was expected that this paper can provide useful indications to the theoretical development and the library practices in Chinese hospitals.%随着新型医学模式的出现和循证医学理念的推行与实践,医院图书馆迫切需要改变传统的基于文献和以文本资源为单元的服务模式,构建新型的以知识资源为基础、面向不同用户具体需求的图书馆知识管理和服务体系.文章采用质性主题分析法总结和归纳了2006年以来国外研究机构和学者对医院图书馆知识服务的发展与研究前沿及热点,以期对我国相关理论研究和实践工作提供借鉴.

  10. Design and implementation of a hospital information system for the Palestine Red Crescent Society in Lebanon.

    Science.gov (United States)

    Rossi, L; Materia, E; Hourani, A; Yousef, H; Racalbuto, V; Venier, C; Osman, M

    2009-01-01

    A case-mix hospital information system was designed and implemented in Palestine Red Crescent Society hospitals in order to support the network of Palestinian hospitals in Lebanon and to improve the health of refugees in the country. The system is based on routine collection of essential administrative and clinical data for each episode of hospitalization, relying on internationally accepted diagnostic codes. It is a computerized, user-friendly information system that is a stepping-stone towards better hospital management and evaluation of quality of care. It is also a useful model for the development of hospital information systems in Lebanon and in the Near East.

  11. [Design and implementation of EMR information system in hospitals].

    Science.gov (United States)

    Lu, Weijia; Yan, Zhuangzhi; Yao, Dengfu

    2011-11-01

    With the electronic medical records information system as the core of hospital information platform design, this paper introduces the design of the system which is structured for electronic medical records, and the advantage and effectiveness is also introduced. From the aspects of the concept, system framework, data integration, right frame and safety control, identity index and a clinical pathway, etc, the paper introduces the basic idea and process of the hospital information platform design, with the hospital recording electronic medical records as the core.

  12. Hospital kanban system implementation: Evaluating satisfaction of nursing personnel

    National Research Council Canada - National Science Library

    Aguilar-Escobar, Víctor G; Bourque, Sarah; Godino-Gallego, Nicolás

    2015-01-01

    .... This study aims to measure nurses’ satisfaction with kanban systems in logistics of medical consumables and assesses possible advantages and differences among user groups through an anonymous survey at Hospital Universitario Virgen...

  13. The Implementation of Smart Textiles in Humanistic Hospital Design

    DEFF Research Database (Denmark)

    Mogensen, Jeppe; Fisker, Anna Marie

    2012-01-01

    With the construction of new modern hospitals, the humanistic design principle of healing architecture is introduced to create health promoting synergies representing the vision of improving hospitalised patients’ healing process, supported by enriching design solutions...

  14. The Implementation of Smart Textiles in Humanistic Hospital Design

    DEFF Research Database (Denmark)

    Mogensen, Jeppe; Fisker, Anna Marie

    2012-01-01

    With the construction of new modern hospitals, the humanistic design principle of healing architecture is introduced to create health promoting synergies representing the vision of improving hospitalised patients’ healing process, supported by enriching design solutions......With the construction of new modern hospitals, the humanistic design principle of healing architecture is introduced to create health promoting synergies representing the vision of improving hospitalised patients’ healing process, supported by enriching design solutions...

  15. Hospital implementation of health information technology and quality of care: are they related?

    Directory of Open Access Journals (Sweden)

    Restuccia Joseph D

    2012-09-01

    Full Text Available Abstract Background Recently, there has been considerable effort to promote the use of health information technology (HIT in order to improve health care quality. However, relatively little is known about the extent to which HIT implementation is associated with hospital patient care quality. We undertook this study to determine the association of various HITs with: hospital quality improvement (QI practices and strategies; adherence to process of care measures; risk-adjusted inpatient mortality; patient satisfaction; and assessment of patient care quality by hospital quality managers and front-line clinicians. Methods We conducted surveys of quality managers and front-line clinicians (physicians and nurses in 470 short-term, general hospitals to obtain data on hospitals’ extent of HIT implementation, QI practices and strategies, assessments of quality performance, commitment to quality, and sufficiency of resources for QI. Of the 470 hospitals, 401 submitted complete data necessary for analysis. We also developed measures of hospital performance from several publicly data available sources: Hospital Compare adherence to process of care measures; Medicare Provider Analysis and Review (MEDPAR file; and Hospital Consumer Assessment of Healthcare Providers and Systems HCAHPS® survey. We used Poisson regression analysis to examine the association between HIT implementation and QI practices and strategies, and general linear models to examine the relationship between HIT implementation and hospital performance measures. Results Controlling for potential confounders, we found that hospitals with high levels of HIT implementation engaged in a statistically significant greater number of QI practices and strategies, and had significantly better performance on mortality rates, patient satisfaction measures, and assessments of patient care quality by hospital quality managers; there was weaker evidence of higher assessments of patient care quality by

  16. A classification framework for clinical information system implementation in hospitals.

    NARCIS (Netherlands)

    Meulendijks, A.; Batenburg, R.; Wetering, R. van de

    2012-01-01

    In the last decade, many information system (IS) implementations took place in the healthcare organisations. Mainstream reasons for this evolvement are the increase of quality and safety of care, and reducing costs. As in many other sectors IS implementations in healthcare are complex, and confronte

  17. Implementation of Hierarchical Authorization For A Web-Based Digital Library

    Directory of Open Access Journals (Sweden)

    Andreas Geyer-Schulz

    2007-04-01

    Full Text Available Access control mechanisms are needed in almost every system nowadays to control what kind of access each user has to which resources and when. On the one hand access control systems need to be flexible to allow the definition of the access rules that are actually needed. But they must also be easy to administrate to prevent rules from being in place without the administrator realizing it. This is particularly difficult for systems such as a digital library that requires fine-grained access rules specifying access control at a document level. We present the implementation and architecture of a system that allows definition of access rights down to the single document and user level. We use hierarchies on users and roles, hierachies on access rights and hierarchies on documents and document groups. These hierarchies allow a maximum of flexibility and still keep the system easy enough to administrate. Our access control system supports positive as well as negative permissions.

  18. Implementing healthier foodservice guidelines in hospital and federal worksite cafeterias: barriers, facilitators and keys to success.

    Science.gov (United States)

    Jilcott Pitts, S B; Graham, J; Mojica, A; Stewart, L; Walter, M; Schille, C; McGinty, J; Pearsall, M; Whitt, O; Mihas, P; Bradley, A; Simon, C

    2016-12-01

    Healthy foodservice guidelines are being implemented in worksites and healthcare facilities to increase access to healthy foods by employees and public populations. However, little is known about the barriers to and facilitators of implementation. The present study aimed to examine barriers to and facilitators of implementation of healthy foodservice guidelines in federal worksite and hospital cafeterias. Using a mixed-methods approach, including a quantitative survey followed by a qualitative, in-depth interview, we examined: (i) barriers to and facilitators of implementation; (ii) behavioural design strategies used to promote healthier foods and beverages; and (iii) how implementation of healthy foodservice guidelines influenced costs and profitability. We used a purposive sample of five hospital and four federal worksite foodservice operators who recently implemented one of two foodservice guidelines: the United States Department of Health and Human Services/General Services Administration Health and Sustainability Guidelines ('Guidelines') in federal worksites or the Partnership for a Healthier America Hospital Healthier Food Initiative ('Initiative') in hospitals. Descriptive statistics were used to analyse quantitative survey data. Qualitative data were analysed using a deductive approach. Implementation facilitators included leadership support, adequate vendor selections and having dietitians assist with implementation. Implementation barriers included inadequate selections from vendors, customer complaints and additional expertise required for menu labelling. Behavioural design strategies used most frequently included icons denoting healthier options, marketing using social media and placement of healthier options in prime locations. Lessons learned can guide subsequent steps for future healthy foodservice guideline implementation in similar settings. © 2016 The British Dietetic Association Ltd.

  19. A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

    Science.gov (United States)

    Wakefield, Douglas S; Ward, Marcia M; Loes, Jean L; O'Brien, John

    2010-01-01

    We report how seven independent critical access hospitals collaborated with a rural referral hospital to standardize workflow policies and procedures while jointly implementing the same health information technologies (HITs) to enhance medication care processes. The study hospitals implemented the same electronic health record, computerized provider order entry, pharmacy information systems, automated dispensing cabinets (ADC), and barcode medication administration systems. We conducted interviews and examined project documents to explore factors underlying the successful implementation of ADC and barcode medication administration across the network hospitals. These included a shared culture of collaboration; strategic sequencing of HIT component implementation; interface among HIT components; strategic placement of ADCs; disciplined use and sharing of workflow analyses linked with HIT applications; planning for workflow efficiencies; acquisition of adequate supply of HIT-related devices; and establishing metrics to monitor HIT use and outcomes.

  20. Readiness of Shiraz teaching hospitals to implement Electronic Medical Record (EMR

    Directory of Open Access Journals (Sweden)

    Ali Garavand

    2016-07-01

    Full Text Available Introduction: Due to the importance of Electronic Medical Record (EMR in the quality of health care services, checking the readiness of hospitals to implement it is a vital step to define success or failure of the Electronic Medical Record in the first place. The aim of this study was to evaluate the readiness of Shiraz teaching hospitals to implement Electronic Medical Record. Method: This study was a cross-sectional descriptive study done in 2015. The study population included Health Information Management (HIM staff of Shiraz teaching hospitals. Five hospitals from a total of 14 hospitals were selected as Single-stage cluster sampling with a population of 79 health information management staff. Data collection was performed by using a validated questionnaire. The questionnaire consisted of three main dimensions including technical, organizational and legal requirements. For data analysis, SPSS software version 16 and one way Analysis of Variance (ANOVA for comparisons between five hospitals were used. Results:The results showed that Shiraz teaching hospitals have high readiness (3.66 out of 5 to implement Electronic Medical Record. Shiraz teaching hospitals are better prepared in terms of legal requirements. Also, a significant difference was not observed among the hospitals in any of the technical, organizational and legal aspects (P > 0.05. Conclusion: Due to the importance of the technical, organizational and legal aspects in the implementation of Electronic Medical Record, it is recommended that the authorities consider these aspects in implementation of Electronic Medical Record. Also, according to the high readiness of Shiraz teaching hospitals to implement Electronic Medical Record, it is recommended that authorities should take necessary measures, including financial support in order to run it.

  1. PATIENT SAFETY CULTURE AND PATIENT SAFETY IMPLEMENTATION IN STELLA MARIS HOSPITAL DURING NATIONAL HEALTH INSURANCE ERA

    OpenAIRE

    Rivai, Fridawaty

    2017-01-01

    Implementation of patient safety in hospital is influenced by several factors such as culture of patient safety. The aim of the research was to analyze the effect of patient safety culture on the implementation of patient safety in Stella Maris Hospital in 2016. The research was a quantitative studyusinganalytic operationaldesign withcross-sectional approach. The samples consisted of 234people selected using proportional stratified random sampling technique. The results of the research ...

  2. Relationships between the implementation of quality management strategies and clinical outcomes in European hospitals.

    NARCIS (Netherlands)

    Suñol, R.; Arah, O.A.; Wagner, C.; Groene, O.

    2013-01-01

    Objectives: Considerable resources are spent on implementing hospital and departmental quality management strategies. Yet, the evidence on the factors associated with the uptake of hospitals of quality management and the impact of quality management systems on clinical outcomes is limited. We

  3. Factors influencing long-term adherence to two previously implemented hospital guidelines

    NARCIS (Netherlands)

    A.M. Knops; M.N. Storm-Versloot; A.P.M. Mank; D.T. Ubbink; H. Vermeulen; P.M.M. Bossuyt; A. Goossens

    2010-01-01

    After successful implementation, adherence to hospital guidelines should be sustained. Long-term adherence to two hospital guidelines was audited. The overall aim was to explore factors accounting for their long-term adherence or non-adherence. A fluid balance guideline (FBG) and body temperature gu

  4. Charting a Course through CORAL: Texas A&M University Libraries' Experience Implementing an Open-Source Electronic Resources Management System

    Science.gov (United States)

    Hartnett, Eric; Beh, Eugenia; Resnick, Taryn; Ugaz, Ana; Tabacaru, Simona

    2013-01-01

    In 2010, after two previous unsuccessful attempts at electronic resources management system (ERMS) implementation, Texas A&M University (TAMU) Libraries set out once again to find an ERMS that would fit its needs. After surveying the field, TAMU Libraries selected the University of Notre Dame Hesburgh Libraries-developed, open-source ERMS,…

  5. Understanding ERP system implementation in a hospital by analysing stakeholders

    NARCIS (Netherlands)

    Boonstra, A.; Govers, M.

    2009-01-01

    Implementing enterprise resource planning (ERP) systems requires significant organisational, as well as technical, changes. These will affect stakeholders with varying perspectives and interests in the system. This is particularly the case in health care, as a feature of this sector is that responsi

  6. Understanding ERP system implementation in a hospital by analysing stakeholders

    NARCIS (Netherlands)

    Boonstra, A.; Govers, M.

    Implementing enterprise resource planning (ERP) systems requires significant organisational, as well as technical, changes. These will affect stakeholders with varying perspectives and interests in the system. This is particularly the case in health care, as a feature of this sector is that

  7. Resource utilization after implementing a hospital-wide standardized feeding tube placement pathway.

    Science.gov (United States)

    Richards, Morgan K; Li, Christopher I; Foti, Jeffrey L; Leu, Michael G; Wahbeh, Ghassan T; Shaw, Dennis; Libby, Arlene K; Melzer, Lilah; Goldin, Adam B

    2016-10-01

    Children requiring gastrostomy/gastrojejunostomy tubes (GT/GJ) are heterogeneous and medically complex patients with high resource utilization. We created and implemented a hospital-wide standardized pathway for feeding device placement. This study compares hospital resource utilization before and after pathway implementation. We performed a retrospective cohort study comparing outcomes through one year of follow-up for consecutive groups of children undergoing GT/GJ placement prepathway (n=298, 1/1/2010-12/31/2011) and postpathway (n=140, 6/1/2013-7/31/2014) implementation. We determined the change in the rate of hospital resource utilization events and time to first event. Prior to implementation, 145 (48.7%) devices were placed surgically, 113 (37.9%) endoscopically and 40 (13.4%) using image guidance. After implementation, 102 (72.9%) were placed surgically, 23 (16.4%) endoscopically and 15 (10.7%) using image guidance. Prior to implementation, 174/298 (58.4%) patients required additional hospital resource utilization compared to 60/143 (42.0%) corresponding to a multivariate adjusted 38% reduced risk of a subsequent feeding tube related event. Care of tube-feeding dependent patients is spread among multiple specialists leading to variability in the preoperative workup, intraoperative technique and postoperative care. Our study shows an association between implementation of a standardized pathway and a decrease in hospital resource utilization. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

    Science.gov (United States)

    Simon, Steven R; Keohane, Carol A; Amato, Mary; Coffey, Michael; Cadet, Bismarck; Zimlichman, Eyal; Bates, David W

    2013-06-24

    Computerized Provider Order Entry (CPOE) can improve patient safety, quality and efficiency, but hospitals face a host of barriers to adopting CPOE, ranging from resistance among physicians to the cost of the systems. In response to the incentives for meaningful use of health information technology and other market forces, hospitals in the United States are increasingly moving toward the adoption of CPOE. The purpose of this study was to characterize the experiences of hospitals that have successfully implemented CPOE. We used a qualitative approach to observe clinical activities and capture the experiences of physicians, nurses, pharmacists and administrators at five community hospitals in Massachusetts (USA) that adopted CPOE in the past few years. We conducted formal, structured observations of care processes in diverse inpatient settings within each of the hospitals and completed in-depth, semi-structured interviews with clinicians and staff by telephone. After transcribing the audiorecorded interviews, we analyzed the content of the transcripts iteratively, guided by principles of the Immersion and Crystallization analytic approach. Our objective was to identify attitudes, behaviors and experiences that would constitute useful lessons for other hospitals embarking on CPOE implementation. Analysis of observations and interviews resulted in findings about the CPOE implementation process in five domains: governance, preparation, support, perceptions and consequences. Successful institutions implemented clear organizational decision-making mechanisms that involved clinicians (governance). They anticipated the need for education and training of a wide range of users (preparation). These hospitals deployed ample human resources for live, in-person training and support during implementation. Successful implementation hinged on the ability of clinical leaders to address and manage perceptions and the fear of change. Implementation proceeded smoothly when institutions

  9. Study on the Implementation of the Main-branch Library System Based Management Mode in Public Library%公共图书馆实行总分馆制管理模式研究

    Institute of Scientific and Technical Information of China (English)

    郭旭

    2015-01-01

    探讨了公共图书馆实行总分馆制的现实意义和总分馆制的特点,分析了我国公共图书馆总分馆制的几种管理模式,提出了公共图书馆实行总分馆制度的建议.%This paper probes into the realistic significance of implementing the main-branch library system in public library and the features of the main-branch library system, analyzes the several modes of the main-branch library system of public library in China, and puts forward some suggestions on implementing the main-branch library system in public library.

  10. Implementing root cause analysis in Iranian hospitals: challenges and benefits.

    Science.gov (United States)

    Abdi, Zhaleh; Ravaghi, Hamid

    2017-04-01

    Root cause analysis (RCA) has been widely used for retrospective investigations of patient safety incidents. To increase patient safety competencies, RCA has recently been introduced in Iranian hospitals. The aims of the current study were to explore team members' experiences and perceptions of RCA and to identify the challenges and benefits of using it in Iranian hospitals from their perspective. A qualitative study was conducted consisting of 32 semi-structured interviews with health professionals who participated in the national training programme and were involved in RCA investigations. Data were analysed using the thematic analysis method. The participants encountered a range of obstacles while conducting RCA, including time constraints, a lack of resources, the blame culture and unsupportive colleagues. They stressed the need for further leadership support and cultural change within the Iranian healthcare system to facilitate the application of RCA. RCA was perceived as a beneficial analytical tool that improved patient care, fostered teamwork and communication among staff and promoted safety culture. This study concluded that applying RCA in the Iranian healthcare setting has had a significant impact on improving commitment to safety. However, the general adoption of this method is hindered by the lack of workplace and system supports. To maximize profits from RCA, clinical leaders must assign a high priority to RCA investigations and support RCA team efforts. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  11. Design Innovations and Implementation Challenges - A Case of Smart Textiles in Future Hospital Interiors

    DEFF Research Database (Denmark)

    Mogensen, Jeppe; Jørgensen, Poul-Erik; Poulsen, Søren Bolvig

    2014-01-01

    Concerned with the overall challenges of implementing design innovations, this paper relates to the specific case of applying smart textiles in future hospital interiors. The methodological approach is inspired by design thinking and implementation processes, and through the scope of a developed...

  12. Risk analysis and user satisfaction after implementation of computerized physician order entry in Dutch hospitals

    NARCIS (Netherlands)

    van der Veen, Willem; de Gier, Han J. J.; van der Schaaf, Tjerk; Taxis, Katja; van den Bemt, Patricia M. L. A.

    2013-01-01

    Background Computerized physician order entry (CPOE) in hospitals is widely considered to be important for patient safety, but implementation is lagging behind and user satisfaction is often low. Risk analysis methods may improve the implementation process and thus user satisfaction. Objective The a

  13. Total Quality Management Implementation and Guest Satisfaction in Hospitality

    Directory of Open Access Journals (Sweden)

    Miroslav Knežević

    2017-02-01

    Full Text Available Total quality management (TQM has become a modern system of constant improvement of the quality of all company activities. The purpose of this study is to measure the expectations and satisfaction of the guests concerning the attribute quality of the hotel product. Furthermore obtained results were compared in such a way as to analyse particularly the reviews of hotels which have implemented TQM and have the ISO 9001 certificates with reviews from hotels which have not implemented TQM and do not have the ISO 9001 certificates. The conducted analysis included 55 hotels in Serbia belonging to the 4- and 5-star categories, i.e. 1308 guests who have stayed in them. The results show that between the observed groups of guests there are fewer differences in expectations than in perception, and that generally speaking guests who have stayed in the hotels that have implemented TQM are more satisfied. The biggest difference concerning the guest satisfaction with the quality of service in the observed hotels is noticeable in relation to the employees and the value-for-money.

  14. Coupled Physics Environment (CouPE) library - Design, Implementation, and Release

    Energy Technology Data Exchange (ETDEWEB)

    Mahadevan, Vijay S. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2014-09-30

    Over several years, high fidelity, validated mono-­physics solvers with proven scalability on peta-­scale architectures have been developed independently. Based on a unified component-­based architecture, these existing codes can be coupled with a unified mesh-­data backplane and a flexible coupling-­strategy-­based driver suite to produce a viable tool for analysts. In this report, we present details on the design decisions and developments on CouPE, an acronym that stands for Coupled Physics Environment that orchestrates a coupled physics solver through the interfaces exposed by MOAB array-­based unstructured mesh, both of which are part of SIGMA (Scalable Interfaces for Geometry and Mesh-­Based Applications) toolkit. The SIGMA toolkit contains libraries that enable scalable geometry and unstructured mesh creation and handling in a memory and computationally efficient implementation. The CouPE version being prepared for a full open-­source release along with updated documentation will contain several useful examples that will enable users to start developing their applications natively using the native MOAB mesh and couple their models to existing physics applications to analyze and solve real world problems of interest. An integrated multi-­physics simulation capability for the design and analysis of current and future nuclear reactor models is also being investigated as part of the NEAMS RPL, to tightly couple neutron transport, thermal-­hydraulics and structural mechanics physics under the SHARP framework. This report summarizes the efforts that have been invested in CouPE to bring together several existing physics applications namely PROTEUS (neutron transport code), Nek5000 (computational fluid-dynamics code) and Diablo (structural mechanics code). The goal of the SHARP framework is to perform fully resolved coupled physics analysis of a reactor on heterogeneous geometry, in order to reduce the overall numerical uncertainty while leveraging

  15. Implementing portal functionality at Wageningen UR Library : combining the old with the new

    NARCIS (Netherlands)

    Loman, M.E.; Gerritsma, W.

    2003-01-01

    Library Wageningen UR is a relatively small, but highly specialized academic library serving a population of about 5900 researchers and 4700 students in the life sciences. To better serve the needs of our users portal functionality has been introduced gradually to our Desktop Library. A beginning wa

  16. Managerial attitude to the implementation of quality management systems in Lithuanian support treatment and nursing hospitals

    Directory of Open Access Journals (Sweden)

    Lydeka Zigmas

    2006-09-01

    Full Text Available Abstract Background The regulations of the Quality Management System (QMS implementation in health care organizations were approved by the Lithuanian Ministry of Health in 1998. Following the above regulations, general managers of health care organizations had to initiate the QMS implementation in hospitals. As no research on the QMS implementation has been carried out in Lithuanian support treatment and nursing hospitals since, the objective of this study is to assess its current stage from a managerial perspective. Methods A questionnaire survey of general managers of Lithuanian support treatment and nursing hospitals was carried out in the period of January through March 2005. Majority of the items included in the questionnaire were measured on a seven-point Likert scale. During the survey, a total of 72 questionnaires was distributed, out of which 58 filled-in ones were returned (response rate 80.6 per cent; standard sampling error 0.029 at 95 per cent level of confidence. Results Quality Management Systems were found operating in 39.7 per cent of support treatment and nursing hospitals and currently under implementation in 46.6 per cent of hospitals (13.7% still do not have it. The mean of the respondents' perceived QMS significance is 5.8 (on a seven-point scale. The most critical issues related to the QMS implementation include procedure development (5.5, lack of financial resources (5.4 and information (5.1, and development of work guidelines (4.6, while improved responsibility and power sharing (5.2, better service quality (5.1 and higher patient satisfaction (5.1 were perceived by the respondents as the key QMS benefits. The level of satisfaction with the QMS among the management of the surveyed hospitals is mediocre (3.6. However it was found to be higher among respondents who were more competent in quality management, were familiar with ISO 9000 standards, and had higher numbers of employees trained in quality management. Conclusion

  17. Hospital IT adoption strategies associated with implementation success: implications for achieving meaningful use.

    Science.gov (United States)

    Ford, Eric W; Menachemi, Nir; Huerta, Timothy R; Yu, Feliciano

    2010-01-01

    Health systems are facing significant pressure to either implement health information technology (HIT) systems that have "certified" electronic health record applications and that fulfill the federal government's definition of "meaningful use" or risk substantial financial penalties in the near future. To this end, hospitals have adopted one of three strategies, described as "best of breed," "best of suite," and "single vendor," to meet organizational and regulatory demands. The single-vendor strategy is used by the simple majority of U.S. hospitals, but is it the most effective mode for achieving full implementation? Moreover, what are the implications of adopting this strategy for achieving meaningful use? The simple answer to the first question is that the hospitals using the hybrid best of suite strategy had fully implemented HIT systems in significantly greater proportions than did hospitals employing either of the other strategies. Nonprofit and system-affiliated hospitals were more likely to have fully implemented their HIT systems. In addition, increased health maintenance organization market penetration rates were positively correlated with complete implementation rates. These results have ongoing implications for achieving meaningful use in the near term. The federal government's rewards and incentives program related to the meaningful use of HIT in hospitals has created an organizational imperative to implement such systems. For hospitals that have not begun systemwide implementation, pursuing a best of suite strategy may provide the greatest chance for achieving all or some of the meaningful use targets in the near term or at least avoiding future penalties scheduled to begin in 2015.

  18. Types of internal facilitation activities in hospitals implementing evidence-based interventions.

    Science.gov (United States)

    Baloh, Jure; Zhu, Xi; Ward, Marcia M

    2017-01-25

    Implementation models, frameworks, and theories recognize the importance of activities that facilitate implementation success. However, little is known about internal facilitation activities that hospital personnel engage in during implementation efforts. The aim of the study was to examine internal facilitation activities at 10 critical access hospitals in rural Iowa during their implementation of TeamSTEPPS, a patient safety intervention, and to identify characteristics that distinguish different types of facilitation activities. We followed 10 critical access hospitals for 2 years after the onset of implementation, conducting quarterly interviews with key informants. On the basis of the transcripts from the first two quarters, a coding template was developed using inductive analyses. The template was then applied deductively to code all interview transcripts. Using comparative analysis, we examined the characteristics that distinguish between the facilitation types. We identified four types of facilitation activities-Leadership, Buy-in, Customization, and Accountability. Individuals and teams engaged in different types of facilitation activities, both in a planned and an ad hoc manner. These activities targeted at both people and practices and exhibited varying temporal patterns (start and peak time). There are four types of facilitation activities that hospitals engage in while implementing evidence-based practices, offering a parsimonious way to characterize facilitation activities. New theoretical and empirical research opportunities are discussed. Understanding the types of facilitation activities and their distinguishing characteristics can assist managers in planning and executing implementations of evidence-based interventions.

  19. Developing a Marketing Orientation in Hospital Library Services: A Case Report.

    Science.gov (United States)

    Delawska-Elliott, Basia; Grinstead, Carrie; Martin, Heather J

    2015-01-01

    When the four Providence Health & Services libraries in Oregon regionalized services and resources, the transition, which was originally met with apprehension from some library users, turned out to be a resounding success. Despite a loss of two-thirds of the professional staff and a decreased budget, the new regionalized library experienced an increase in business and recognition. While many factors contributed to the success, a creative marketing and outreach campaign was a key component. This column describes the steps taken to promote regionalized library reference services and online resources.

  20. [Intervention programs in hospital nutrition: actions, design, components and implementation].

    Science.gov (United States)

    Santana Porben, S; Barreto Penié, J

    2005-01-01

    Metabolic, Nutrient and Feeding Intervention Programs must become the methodological tool for dealing with the health problem posed by disease-associated-malnutrition on one side, and the "Bad Practices" affecting the nutritional status of the patient, on the other one. Programs like these ones should prescribe clear policies and actions in the three domains of contemporary medical practice: assistance, research and education. The fullfillment of these Program's objectives, and the relization of the implicit benefits, will only be possible if a methodological platform that armonically integrates elements of Continuous Education, Cost Analysis, Recording and Documentation, and Quality Control and Assurance, is created. The experience acumulated after the inception and conduction of the Intervention Program at the Clinical-Surgical "Hermanos Ameijeiras" Hospital (Havana City, Cuba) has served to demostrate that it is feasible not only to create a theoretical and practical body to satisfy the aforementioned goals, but, also, to export it to another institutions of the country, in view of the fact that minimal investments for adquiring the resources needed to deploy such Program, as well as for training and capacitation of medic and paramedic personel in the corresponding Recording & Documentation and Feeding & Nutrition Good Practices might result in short-term economical and medical care benefits.

  1. Design and implementation of a hospital wide waveform capture system.

    Science.gov (United States)

    Blum, James M; Joo, Heyon; Lee, Henry; Saeed, Mohammed

    2015-06-01

    The use of telemetry and invasive monitoring is exceptionally common in modern healthcare. To date the vast majority of this information is not stored for more than a brief duration on the local monitor. This prohibits extensive investigation into waveform data. We describe a system to collect such data in a quaternary care facility. Using standardized "packet sniffing" technology along with routine manual documentation, we reverse engineered the Unity network protocol used to transmit waveform data across the University of Michigan mission critical monitor network. Data was subsequently captured using a proprietary piece of software writing waveform data to local disks. Nightly, this data is post-processed using data from the admit-discharge-transfer system into individual patient waveforms for the day regardless of location. Over a 10 month period, over 2,785 individual patients had a total of 65,112 waveforms captured 15,978 from the operating rooms and 49,134 from the ICUs. The average OR case collected over 11 MB of data. The average single day data collection consisted of 8.6 GB of data. Entire hospital waveform data collection is possible using internally developed software enabling research on waveform data with minimal technical burden. Further research is required to determine the long-term storage and processing of such data.

  2. An exploratory analysis for Lean and Six Sigma implementation in hospitals: Together is better?

    Science.gov (United States)

    Lee, Jung Young; McFadden, Kathleen L; Gowen, Charles R

    2016-12-22

    Despite the increasing interest for Lean and Six Sigma implementations in hospitals, there has been little empirical evidence that goes beyond descriptive case studies to address the current status and the effectiveness of the implementations. The aim of this study was to explore existing patterns of Lean and Six Sigma implementation in U.S. hospitals and compare the performance of the different patterns. We collected data from 215 U.S. hospitals via a survey that includes measurement items developed from related literature. Using the cross-sectional data, we conducted a cluster analysis, followed by t tests, chi-square tests, and regression analyses for cluster verification. The cluster analysis identifies two clusters, a Moderate Six Sigma group and a Lean Six Sigma group. Results show that the Lean Six Sigma group outperforms the Moderate Six Sigma group across many performance dimensions: responsiveness capability, patient safety, and possibly cost saving. In addition, the Lean Six Sigma group tends to be composed of larger, private teaching hospitals located in more urban areas, and they employ more resources for quality improvement. Our research contributes to the quality management literature by supporting the possible complementary relationship between Lean and Six Sigma in hospitals. Our study encourages practitioners and managers to pay more attention to Lean implementation. Although Lean seems to be conducted in a limited fashion in many hospitals, it should be expanded and combined with Six Sigma for better results.

  3. Implementation of an FTIR spectral library of 486 filamentous fungi strains for rapid identification of molds.

    Science.gov (United States)

    Lecellier, A; Gaydou, V; Mounier, J; Hermet, A; Castrec, L; Barbier, G; Ablain, W; Manfait, M; Toubas, D; Sockalingum, G D

    2015-02-01

    Filamentous fungi may cause food and feed spoilage and produce harmful metabolites to human and animal health such as mycotoxins. Identification of fungi using conventional phenotypic methods is time-consuming and molecular methods are still quite expensive and require specific laboratory skills. In the last two decades, it has been shown that Fourier transform infrared (FTIR) spectroscopy was an efficient tool for microorganism identification. The aims of this study were to use a simple protocol for the identification of filamentous fungi using FTIR spectroscopy coupled with a partial least squares discriminant analysis (PLS-DA), to implement a procedure to validate the obtained results, and to assess the transferability of the method and database. FTIR spectra of 486 strains (43 genera and 140 species) were recorded. An IR spectral database built with 288 strains was used to identify 105 different strains. It was found that 99.17% and 92.3% of spectra derived from these strains were correctly assigned at the genus and species levels, respectively. The establishment of a score and a threshold permitted to validate 80.79% of the results obtained. A standardization function (SF) was also implemented and tested on FTIR data from another instrument on a different site and permitted to increase the percentage of well predicted spectra for this set from 72.15% to 89.13%. This study confirms the good performance of high throughput FTIR spectroscopy for fungal identification using a spectral library of molds of industrial relevance. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. A finite element implementation of surface elasticity at finite strains using the deal.II library

    CERN Document Server

    McBride, Andrew; Steinmann, Paul; Reddy, B Daya

    2015-01-01

    The potentially significant role of the surface of an elastic body in the overall response of the continuum can be described using the mature theory of surface elasticity. The objective of this contribution is to detail the finite element approximation of the underlying governing equations (both in the volume and on its surface) and their solution using the open-source finite element library deal.II. The fully-nonlinear (geometric and material) setting is considered. The nonlinear problem is solved using a Newton--Raphson procedure wherein the tangent contributions from the volume and surface are computed exactly. The finite element formulation is implemented within the total Lagrangian framework and a Bubnov-Galerkin spatial discretization of the volume and the surface employed. The surface is assumed material. A map between the degrees of freedom on the surface and on the boundary of the volume is used to allocate the contribution from the surface to the global system matrix and residual vector. The deal.II...

  5. [Practical aspects of implementation quality management system ISO 9001:2000 by hospital infection control team].

    Science.gov (United States)

    Kuziemski, Arkadiusz; Czerniak, Beata; Frankowska, Krystyna; Gonia, Ewa; Salińska, Teresa; Motuk, Andrzej; Sobociński, Zbigniew

    2009-01-01

    In 2006 the Board of the Jan Biziel Hospital in Bydgoszcz decided to include procedures of health services in the implementation process within the confines of ISO 9001:2000 certification. The hospital infection control team that has operated in the hospital since 1989 performed the analysis of the forms of activities to date and on that basis the team prepared original plan of quality management. In April 2007, this plan was successfully accepted by the certifying team. The aim of this study is to present the aforementioned plan which is the result of 18 years experience of the team. At the same time, I hope that this study will be very helpful for all professionals interested in hospital epidemiology, especially in the context of implementing quality management systems.

  6. Strategic planning, implementation, and evaluation processes in hospital systems: a survey from Iran.

    Science.gov (United States)

    Sadeghifar, Jamil; Jafari, Mehdi; Tofighi, Shahram; Ravaghi, Hamid; Maleki, Mohammad Reza

    2014-09-28

    Strategic planning has been presented as an important management practice. However, evidence of its deployment in healthcare systems in low-income and middle-income countries (LMICs) is limited. This study investigated the strategic management process in Iranian hospitals. The present study was accomplished in 24 teaching hospitals in Tehran, Iran from September 2012 to March 2013. The data collection instrument was a questionnaire including 130 items. This questionnaire measured the situation of formulation, implementation, and evaluation of strategic plan as well as the requirements, facilitators, and its benefits in the studied hospitals. All the investigated hospitals had a strategic plan. The obtained percentages for the items "the rate of the compliance to requirements" and "the quantity of planning facilitators" (68.75%), attention to the stakeholder participation in the planning (55.74%), attention to the planning components (62.22%), the status of evaluating strategic plan (59.94%) and the benefits of strategic planning for hospitals (65.15%) were in the medium limit. However, the status of implementation of the strategic plan (53.71%) was found to be weak. Significant statistical correlations were observed between the incentive for developing strategic plan and status of evaluating phase (P=0.04), and between status of implementation phase and having a documented strategic plan (P=0.03). According to the results, it seems that absence of appropriate internal incentive for formulating and implementing strategies led more hospitals to start formulation strategic planning in accordance with the legal requirements of Ministry of Health. Consequently, even though all the investigated hospital had the documented strategic plan, the plan has not been implemented efficiently and valid evaluation of results is yet to be achieved.

  7. Strategic Planning, Implementation, and Evaluation Processes in Hospital Systems: A Survey From Iran

    Science.gov (United States)

    Sadeghifar, Jamil; Jafari, Mehdi; Tofighi, Shahram; Ravaghi, Hamid; Maleki, Mohammad Reza

    2015-01-01

    Aim & Background: Strategic planning has been presented as an important management practice. However, evidence of its deployment in healthcare systems in low-income and middle-income countries (LMICs) is limited. This study investigated the strategic management process in Iranian hospitals. Methods: The present study was accomplished in 24 teaching hospitals in Tehran, Iran from September 2012 to March 2013. The data collection instrument was a questionnaire including 130 items. This questionnaire measured the situation of formulation, implementation, and evaluation of strategic plan as well as the requirements, facilitators, and its benefits in the studied hospitals. Results: All the investigated hospitals had a strategic plan. The obtained percentages for the items “the rate of the compliance to requirements” and “the quantity of planning facilitators” (68.75%), attention to the stakeholder participation in the planning (55.74%), attention to the planning components (62.22%), the status of evaluating strategic plan (59.94%) and the benefits of strategic planning for hospitals (65.15%) were in the medium limit. However, the status of implementation of the strategic plan (53.71%) was found to be weak. Significant statistical correlations were observed between the incentive for developing strategic plan and status of evaluating phase (P=0.04), and between status of implementation phase and having a documented strategic plan (P=0.03). Conclusion: According to the results, it seems that absence of appropriate internal incentive for formulating and implementing strategies led more hospitals to start formulation strategic planning in accordance with the legal requirements of Ministry of Health. Consequently, even though all the investigated hospital had the documented strategic plan, the plan has not been implemented efficiently and valid evaluation of results is yet to be achieved. PMID:25716385

  8. Barriers to the implementation of advanced clinical pharmacy services at Portuguese hospitals.

    Science.gov (United States)

    Brazinha, Isabel; Fernandez-Llimos, Fernando

    2014-10-01

    In some countries, such as Portugal, clinical pharmacy services in the hospital setting may be implemented to a lower extent than desirable. Several studies have analysed the perceived barriers to pharmacy service implementation in community pharmacy. To identify the barriers towards the implementation of advanced clinical pharmacy services at a hospital level in Portugal, using medication follow-up as an example. Hospital pharmacies in Portugal. A qualitative study based on 20 face-to-face semi-structured interviews of strategists and hospital pharmacists. The interview guide was based on two theoretical frameworks, the Borum's theory of organisational change and the Social Network Theory, and then adapted for the Portuguese reality and hospital environments. A constant comparison process with previously analysed interviews, using an inductive approach, was carried out to allow themes to emerge. Themes were organised following the Leavitt's Organizational Model: functions and objectives; hospital pharmacist; structure of pharmacy services; environment; technology; and medication follow-up based on the study topic. Barriers towards practice change. Medication follow-up appeared not to be a well-known service in Portuguese hospital pharmacies. The major barriers at the pharmacist level were their mind-set, resistance to change, and lack of readiness. Lack of time, excessive bureaucratic and administrative workload, reduced workforce, and lack of support from the head of the service and other colleagues were identified as structural barriers. Lack of access to patients' clinical records and cumbersome procedures to implement medication follow-up were recognised as technological barriers. Poor communication with other healthcare professionals, and lack of support from professional associations were the major environmental barriers. Few of the barriers identified by Portuguese hospital pharmacists were consistent with previous reports from community pharmacy. The mind

  9. Survey of the Information-Seeking Behaviour of Hospital Professionals at a Public Cancer Hospital in Greece Proves the Value of Hospital Libraries. A Review of: Kostagiolas, P. A., Ziavrou, K., Alexias, G., & Niakas, D. (2012. Studying the information-seeking behavior of hospital professionals: The case of METAXA Cancer Hospital in Greece. Journal of Hospital Librarianship, 12(1, 33-45.

    Directory of Open Access Journals (Sweden)

    Antonio DeRosa

    2013-06-01

    Full Text Available Objective – To study the information-seeking practices of hospital staff and weigh the impact of hospital libraries on effective information-seeking.Design – Survey questionnaire.Setting – Large public cancer hospital in Greece.Subjects – The authors surveyed 49 physicians, 43 nursing staff members, 25 administrative staff members, 23 paramedical staff members, and 5 technical staff members, totaling 145 health professionals.Methods – Participants were given a questionnaire comprised of five parts: general information (including gender, age, education, position, and professional experience; questions on computer and Internet accessibility; questions regarding individual information needs; questions on information-seeking obstacles; and a question regarding the satisfaction with the current degree of information availability in the hospital. The last question was ranked using a 5-point Likert scale. Each questionnaire was distributed with a cover letter explaining the anonymity and consent of the respondent. Hospital members were randomly selected using a number generator and respondents returned completed surveys to the hospital personnel office in a sealed envelope within a specified time frame. The sampled group was representative of the overall population of the hospital.Main Results – The authors discuss demographic data of respondents: 65.7% were women; 56.7% were over 40 years old; 29.0% were graduates of higher technological institutes; 28.3% were university graduates; 9.7% held a postgraduate degree; 8.3% had a PhD; and 1.4% had only secondary education. As for the remainder of the survey questions: 64% of respondents had access to the Internet both at home and at work, while only 8.2% had no access to the Internet at all; most respondents noted using the Internet for seeking scientific information (83.0% and e-mail communication (65.3%; the main obstacle respondents noted experiencing when seeking information was the lack of

  10. A crisis management quality improvement initiative in a children's psychiatric hospital: design, implementation, and outcome.

    Science.gov (United States)

    Paccione-Dyszlewski, Margaret R; Conelea, Christine A; Heisler, Walter C; Vilardi, Jodie C; Sachs, Henry T

    2012-07-01

    Behavioral crisis management, including the use of seclusion and restraint, is the most high risk process in the psychiatric care of children and adolescents. The authors describe hospital-wide programmatic changes implemented at a children's psychiatric hospital that aimed to improve the quality of crisis management services. Pre/post quantitative and qualitative data suggest reduced restraint and seclusion use, reduced patient and staff injury related to crisis management, and increased patient satisfaction during the post-program period. Factors deemed beneficial in program implementation are discussed.

  11. Planning and Implementing a 3D Printing Service in an Academic Library

    Science.gov (United States)

    Gonzalez, Sara Russell; Bennett, Denise Beaubien

    2014-01-01

    Initiating a 3D printing service in an academic library goes beyond justification of its value and gaining the necessary library and administrative support. Additional aspects such as policies, environmental safety, training, publicizing, maintenance, and scope of service must be considered. This article provides a guide to developing a 3D print…

  12. Planning and Implementing a 3D Printing Service in an Academic Library

    Science.gov (United States)

    Gonzalez, Sara Russell; Bennett, Denise Beaubien

    2014-01-01

    Initiating a 3D printing service in an academic library goes beyond justification of its value and gaining the necessary library and administrative support. Additional aspects such as policies, environmental safety, training, publicizing, maintenance, and scope of service must be considered. This article provides a guide to developing a 3D print…

  13. An Approach of Crisis Management in Hospital Libraries%医院图书馆危机管理初探

    Institute of Scientific and Technical Information of China (English)

    孙晶; 齐卫东; 解放军

    2011-01-01

    Nowadays hospital library may face so many crises in the process of information development. By trying to list the most common library crisis and analysis their underlying causes so as to pride some advice of precaution masseurs. In this article, conception of library crisis management was emphasized, and we advised prevention means and emergency plan must be enhanced and carried out in the library routine management to raised abilities of dealing with risks such as sudden events.%新信息环境下医院图书馆面临各种危机.通过分析医院图书馆危机类型及面对危机时采取的应急预警措施,强调把危机管理纳入日常工作的议事日程,及时预防和发现各种危机,提高危机管理的能力和水平,不断增强医院图书馆的核心竞争力.

  14. The experiences of Massachusetts hospitals as statewide health insurance reform was implemented.

    Science.gov (United States)

    Bazzoli, Gloria J; Clement, Jan P

    2014-02-01

    Hospitals treat many uninsured patients and shoulder substantial amounts of uncompensated care. Health reform as implemented in Massachusetts, then, would be expected to bode well for hospitals as many people obtain coverage from private and public programs. We examined changes in Massachusetts hospital payer mix, unreimbursed costs of care for the uninsured and those in means-tested public programs, and overall financial condition for the period 2004 to 2010. Despite increases in coverage, unreimbursed costs for the uninsured and those in means-tested government programs did not decrease appreciably for Massachusetts hospitals over the study period. Major safety-net hospitals, which play a substantial role in serving the uninsured and Medicaid, had some initial easing of this burden but their financial situation weakened through 2010. The U.S. economic recession and Massachusetts budget pressures, which in part resulted from reform implementation, likely offset advantages hospitals experienced from reductions in the uninsured. Our analysis suggests that state actions in Massachusetts to change payment programs that the two major safety net hospitals relied on to support indigent care contributed to their financial difficulties.

  15. Implementation of ICD-10 in Canada: how has it impacted coded hospital discharge data?

    Directory of Open Access Journals (Sweden)

    Walker Robin L

    2012-06-01

    Full Text Available Abstract Background The purpose of this study was to assess whether or not the change in coding classification had an impact on diagnosis and comorbidity coding in hospital discharge data across Canadian provinces. Methods This study examined eight years (fiscal years 1998 to 2005 of hospital records from the Hospital Person-Oriented Information database (HPOI derived from the Canadian national Discharge Abstract Database. The average number of coded diagnoses per hospital visit was examined from 1998 to 2005 for provinces that switched from International Classifications of Disease 9th version (ICD-9-CM to ICD-10-CA during this period. The average numbers of type 2 and 3 diagnoses were also described. The prevalence of the Charlson comorbidities and distribution of the Charlson score one year before and one year after ICD-10 implementation for each of the 9 provinces was examined. The prevalence of at least one of the seventeen Charlson comorbidities one year before and one year after ICD-10 implementation were described by hospital characteristics (teaching/non-teaching, urban/rural, volume of patients. Results Nine Canadian provinces switched from ICD-9-CM to ICD-I0-CA over a 6 year period starting in 2001. The average number of diagnoses coded per hospital visit for all code types over the study period was 2.58. After implementation of ICD-10-CA a decrease in the number of diagnoses coded was found in four provinces whereas the number of diagnoses coded in the other five provinces remained similar. The prevalence of at least one of the seventeen Charlson conditions remained relatively stable after ICD-10 was implemented, as did the distribution of the Charlson score. When stratified by hospital characteristics, the prevalence of at least one Charlson condition decreased after ICD-10-CA implementation, particularly for low volume hospitals. Conclusion In conclusion, implementation of ICD-10-CA in Canadian provinces did not substantially

  16. The Maine electronic document delivery project: a cooperative project of Maine hospital libraries and the NN/LM New England Region.

    Science.gov (United States)

    Goldstein, Mark; Sibley, Debbie

    2003-01-01

    The article discusses an Ariel document delivery project with seven Maine hospital libraries, the University of Massachusetts Medical School Library (UMass), and the New England Regional office of the National Network of Libraries of Medicine. Funding was awarded to six network members to purchase equipment or Ariel software. UMass served as a document provider. During the test, libraries received documents from UMass via Ariel or via the Web as a PDF document. This form of document delivery was faster than standard service with better quality of delivered articles. The column describes the project and outlines possible future steps.

  17. Co-construction and Sharing of Collection Resources among Medical University and Local Hospital Libraries%高等医学院校与地方医院馆藏资源的共建共享

    Institute of Scientific and Technical Information of China (English)

    赵旦

    2009-01-01

    The paper discusses the necessity and the feasibility of co - construction and sharing of collection resources among medical university and local hospital libraries, proposes concrete measures of its implementing, including cultivating overall situation awareness, strengthening resources construction and highlighting the characteristics of collections and implementing unified library card.%论述高等医学院校与地方医院图书馆资源共建共享的必要性和可行性,提出具体实施措施,包括树立大局意识、加强资源建设突出特色馆藏、实施通用借书证等.

  18. How to implement process-oriented care: a case study on the implementation of process-oriented in-hospital stroke care.

    NARCIS (Netherlands)

    Vos, L.; Oostenbrugge, R.J. van; Limburg, M.; Merode, G.G. van; Groothuis, S.

    2009-01-01

    Dutch hospitals are in the midst of a transition towards process-oriented organisation to realise optimal and undisturbed care processes. Between 2004 and 2007, the University Hospital of Maastricht conducted a case study implementing process-oriented in-hospital stroke unit care. The case study

  19. 浅析移动终端APP在医院图书馆的应用%Analysis on the Application of Mobile Termination APP in Hospital Library

    Institute of Scientific and Technical Information of China (English)

    冯蕾

    2015-01-01

    将移动终端APP应用于医院图书馆,能够拓宽和延伸图书馆的服务方式,为临床医护人员提供了不受时间空间限制的图书馆个性化服务。详细介绍了医院图书馆移动终端APP的服务功能,阐述了移动终端APP在医院图书馆的应用。%Applying the mobile termination APP in hospital library, which can broaden and extend library's service mode, provides the personalized services for clinical medical staffs anytime and anywhere. This paper introduces in detail the service functions of the mobile termination APP in hospital library, and expounds the application of the mobile termination APP in hospital library.

  20. Implementing RFID in Libraries for Process Automation - Experiences from over Twenty Current Installations

    Directory of Open Access Journals (Sweden)

    Christian Kern

    2004-06-01

    Full Text Available In recent years libraries enhanced their offer from books to materials like videos, music cassettes and most important CDs and DVDs. These items are quite expensive to buy and therefore have a high demand by the library users. Many libraries also try to offer some kind of social meeting point and incorporate a café or an attractive reading room. This all contributes to the positive new image of libraries. The extension of the collection and the increased demand lead to an increased amount of work and requires more staff. However, it is difficult to get additional budget for continuous costs. It is easier to do one-time investments in order to shift the repetitive work away from the desk and to automatic self service stations. Radio Frequency Identification (RFID is an established technology (since 2001 to take over the repetitive tasks: check out, return of items, sorting and inventory control. RFID-Systems have a maximum effect if there is also a good room planning which supports their function and the frequency of their use (Kern, 2002, 2004; Wampfler, 2003. In this paper two approaches for the allocation of functional units in a library are compared: · the traditional central allocation of the functional units at the counter (used by the staff; · the decentral allocation of functional units, used by the library visitor. After this theoretical view some practical recommendations for the library and the architectural planner are given. These are derived from experiences of RFID installations in over 20 libraries (Bibliotheca RFID Library Systems AG.

  1. Implementation of a trauma registry in a Brazilian public hospital: the first 1,000 patients.

    Science.gov (United States)

    Carreiro, Paulo Roberto Lima; Drumond, Domingos André Fernandes; Starling, Sizenando Vieira; Moritz, Mônica; Ladeira, Roberto Marini

    2014-01-01

    Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database. Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais) and analysis of the initial results of the first 1,000 patients. The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS) could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7%) and the importance of aggression as a cause of injuries in our environment (47.5%), surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%. Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.

  2. Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients

    Directory of Open Access Journals (Sweden)

    Paulo Roberto Lima Carreiro

    Full Text Available OBJECTIVE: Show the steps of a Trauma Registry (TR implementation in a Brazilian public hospital and evaluate the initial data from the database.METHODS: Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais and analysis of the initial results of the first 1,000 patients.RESULTS: The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7% and the importance of aggression as a cause of injuries in our environment (47.5%, surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%.CONCLUSION: Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.

  3. A before-after implementation trial of smoking cessation guidelines in hospitalized veterans

    Directory of Open Access Journals (Sweden)

    Reisinger Heather

    2009-09-01

    Full Text Available Abstract Background Although most hospitalized smokers receive some form of cessation counseling during hospitalization, few receive outpatient cessation counseling and/or pharmacotherapy following discharge, which are key factors associated with long-term cessation. US Department of Veterans Affairs (VA hospitals are challenged to find resources to implement and maintain the kind of high intensity cessation programs that have been shown to be effective in research studies. Few studies have applied the Chronic Care Model (CCM to improve inpatient smoking cessation. Specific objectives The primary objective of this protocol is to determine the effect of a nurse-initiated intervention, which couples low-intensity inpatient counseling with sustained proactive telephone counseling, on smoking abstinence in hospitalized patients. Key secondary aims are to determine the impact of the intervention on staff nurses' attitudes toward providing smoking cessation counseling; to identify barriers and facilitators to implementation of smoking cessation guidelines in VA hospitals; and to determine the short-term cost-effectiveness of implementing the intervention. Design Pre-post study design in four VA hospitals Participants Hospitalized patients, aged 18 or older, who smoke at least one cigarette per day. Intervention The intervention will include: nurse training in delivery of bedside cessation counseling, electronic medical record tools (to streamline nursing assessment and documentation, to facilitate prescription of pharmacotherapy, computerized referral of motivated inpatients for proactive telephone counseling, and use of internal nursing facilitators to provide coaching to staff nurses practicing in non-critical care inpatient units. Outcomes The primary endpoint is seven-day point prevalence abstinence at six months following hospital admission and prolonged abstinence after a one-month grace period. To compare abstinence rates during the

  4. [Changes in hospitality workers' expectations and attitudes after the implementation of the Spanish smoking law].

    Science.gov (United States)

    Martínez-Sánchez, Jose M; Fenández, Esteve; Fu, Marcela; Pérez-Ríos, Mónica; Schiaffino, Anna; López, María J; Alonso, Begoña; Saltó, Esteve; Nebot, Manel; Borràs, Josep M

    2010-01-01

    To assess changes in hospitality workers' expectations and attitudes towards the Spanish smoking law before and 2 years after the smoking ban. We performed a longitudinal study of a cohort (n=431) of hospitality workers in five regions in Spain before the law came into effect and 24 months later. Expectations and attitudes towards the ban and knowledge about the effect of second-hand smoke on health were compared before and after the ban. We recruited 431 hospitality workers in the baseline survey and 219 were followed-up 24 months later (overall follow-up rate of 50.8%). The percentage of hospitality workers who knew the law was 79.0% before it was passed and was 94.1% 24 months later (phospitality workers increased 2 years after the implementation of the ban. Copyright 2009 SESPAS. Published by Elsevier Espana. All rights reserved.

  5. Implementation of nutrition care service development plan at Banning Memorial Hospital: a case study.

    Science.gov (United States)

    Ben Oumlil, A; Rao, C P

    1992-01-01

    Health care service markets in general and hospital care service markets in particular are characterized by many competitive developments. Hence, hospital marketing managers are forced to respond to these emerging competitive pressures. However, in formulating appropriate marketing management strategies, hospital managers need to have detailed knowledge about consumers and their behaviors in the marketplace. This paper focuses on the Nutrition Care division of the Department of Nutrition Service at a hospital and its venture into new service development. This case study is intended to emphasize the significance of acquiring adequate knowledge of customers in the health care services industry. It particularly emphasizes the critical role that this type of information concerning customer behavior plays in the development and implementation of an appropriate business expansion strategy. Furthermore, the aim of this case study is to help the reader to relate the acquired marketing information to the problem at hand, and make the appropriate marketing management decision.

  6. Implementation of quality of care indicators for third-level public hospitals in Mexico

    Directory of Open Access Journals (Sweden)

    Pedro Jesús Saturno-Hernández

    2017-05-01

    Full Text Available Objective. To select, pilot test and implement a set of indi­cators for tertiary public hospitals. Materials and meth­ods. Quali-quantitative study in four stages: identification of indicators used internationally; selection and prioritization by utility, feasibility and reliability; exploration of the quality of sources of information in six hospitals; pilot feasibility and reliability, and follow-up measurement. Results. From 143 indicators, 64 were selected and eight were prioritized. The scan revealed sources of information deficient. In the pilot, three indicators were feasible with reliability limited. Has conducted workshops to improve records and sources of information; nine hospitals reported measurements of a quarter. Conclusions. Eight priority indicators could not be measured immediately due to limitations in the data sources for its construction. It is necessary to improve mechanisms of registration and processing of data in this group of hospital.

  7. Understanding the context of balanced scorecard implementation: a hospital-based case study in pakistan

    Directory of Open Access Journals (Sweden)

    Ajmal Agha

    2011-03-01

    Full Text Available Abstract Background As a response to a changing operating environment, healthcare administrators are implementing modern management tools in their organizations. The balanced scorecard (BSC is considered a viable tool in high-income countries to improve hospital performance. The BSC has not been applied to hospital settings in low-income countries nor has the context for implementation been examined. This study explored contextual perspectives in relation to BSC implementation in a Pakistani hospital. Methods Four clinical units of this hospital were involved in the BSC implementation based on their willingness to participate. Implementation included sensitization of units towards the BSC, developing specialty specific BSCs and reporting of performance based on the BSC during administrative meetings. Pettigrew and Whipp's context (why, process (how and content (what framework of strategic change was used to guide data collection and analysis. Data collection methods included quantitative tools (a validated culture assessment questionnaire and qualitative approaches including key informant interviews and participant observation. Results Method triangulation provided common and contrasting results between the four units. A participatory culture, supportive leadership, financial and non-financial incentives, the presentation of clear direction by integrating support for the BSC in policies, resources, and routine activities emerged as desirable attributes for BSC implementation. The two units that lagged behind were more involved in direct inpatient care and carried a considerable clinical workload. Role clarification and consensus about the purpose and benefits of the BSC were noted as key strategies for overcoming implementation challenges in two clinical units that were relatively ahead in BSC implementation. It was noted that, rather than seeking to replace existing information systems, initiatives such as the BSC could be readily adopted if

  8. Implementation of multidimensional knowledge translation strategies to improve procedural pain in hospitalized children.

    Science.gov (United States)

    Stevens, Bonnie J; Yamada, Janet; Promislow, Sara; Stinson, Jennifer; Harrison, Denise; Victor, J Charles

    2014-11-25

    Despite extensive research, institutional policies, and practice guidelines, procedural pain remains undertreated in hospitalized children. Knowledge translation (KT) strategies have been employed to bridge the research to practice gap with varying success. The most effective single or combination of KT strategies has not been found. A multifaceted KT intervention, Evidence-based Practice for Improving Quality (EPIQ), that included tailored KT strategies was effective in improving pain practices and clinical outcomes at the unit level in a prospective comparative cohort study in 32 hospital units (16 EPIQ intervention and 16 Standard Care), in eight pediatric hospitals in Canada. In a study of the 16 EPIQ units (two at each hospital) only, the objectives were to: determine the effectiveness of evidence-based KT strategies implemented to achieve unit aims; describe the KT strategies implemented and their influence on pain assessment and management across unit types; and identify facilitators and barriers to their implementation. Data were collected from each EPIQ intervention unit on targeted pain practices and KT strategies implemented, through chart review and a process evaluation checklist, following four intervention cycles over a 15-month period. Following the completion of the four cycle intervention, 78% of 23 targeted pain practice aims across units were achieved within 80% of the stated aims. A statistically significant improvement was found in the proportion of children receiving pain assessment and management, regardless of pre-determined aims (p effective in improving pain assessment and management outcomes. Tailoring KT strategies to unit context, support from unit leadership, staff engagement, and dedicated time and resources were identified as facilitating effective implementation of the strategies. Further research is required to better understand implementation outcomes, such as feasibility and fidelity, how context influences the effectiveness of

  9. CogChamps - a model of implementing evidence-based care in hospitals: study protocol.

    Science.gov (United States)

    Travers, Catherine; Graham, Frederick; Henderson, Amanda; Beattie, Elizabeth

    2017-03-14

    Delirium and dementia (cognitive impairment; CI), are common in older hospital patients, and both are associated with serious adverse outcomes. Despite delirium often being preventable, it is frequently not recognized in hospital settings, which may be because hospital nurses have not received adequate education or training in recognizing or caring for those with CI. However, the most effective way of increasing nurses' awareness about delirium and dementia, and initiating regular patient screening and monitoring to guide best practices for these patients in hospital settings is not known. Hence this current project, conducted in 2015-2017, aims to redress this situation by implementing a multi-component non-pharmacological evidence-based intervention for patients with CI, through educating and mentoring hospital nurses to change their practice. The development of the practice change component is informed by recent findings from implementation science that focuses on facilitation as the active ingredient in knowledge uptake and utilization. This component focuses on educating and empowering experienced nurses to become Cognition Champions (CogChamps) across six wards in a large Australian tertiary referral hospital. The CogChamps will, in turn, educate other nursing team members to more effectively care for patients with CI. The hospital leadership team are supportive of the project and are directly involved in selecting the CogChamps. CogChamps will be provided with comprehensive education in evidence-based delirium assessment, prevention and management, and practice change management skills. They will receive continuing support from research and education staff about raising awareness, upskilling other staff in delirium assessment and in the adoption of best practices for preventing and managing delirium. Both qualitative and quantitative data are being collected at multiple time-points to evaluate process, impact and outcome, and to provide clarity regarding the

  10. Longitudinal analysis on utilization of medical document management system in a hospital with EPR implementation.

    Science.gov (United States)

    Kuwata, Shigeki; Yamada, Hitomi; Park, Keunsik

    2011-01-01

    Document management systems (DMS) have widespread in major hospitals in Japan as a platform to digitize the paper-based records being out of coverage by EPR. This study aimed to examine longitudinal trends of actual use of DMS in a hospital in which EPR had been in operation, which would be conducive to planning the further information management system in the hospital. Degrees of utilization of electronic documents and templates with DMS were analyzed based on data extracted from a university-affiliated hospital with EPR. As a result, it was found that the number of electronic documents as well as scanned documents circulating at the hospital tended to increase. The result indicated that replacement of paper-based documents with electronic documents did not occur. Therefore it was anticipated that the need for DMS would continue to increase in the hospital. The methods used this study to analyze the trend of DMS utilization would be applicable to other hospitals with with a variety of DMS implementation, such as electronic storage by scanning documents or paper preservation that is compatible with EPR.

  11. Investigating Implementation Methods and Perceived Learning Outcomes of Children’s Library Instruction Programs: A Case of Parent-child Doctors’ Mailbox in National Library

    Directory of Open Access Journals (Sweden)

    Yu-Hua Chang

    2017-06-01

    Full Text Available This study aimed to investigate the implementation methods, process and perceived learning outcomes of children’s library instruction programs. This study adopted a qualitative approach with the Parent-child Doctors’ Mailbox program in National Library of Public Information. Observation (including thinking aloud, interviews and documents were used for data collection in order to elicit perspectives of 31 children, 26 parents and 3 librarians. Main findings derived from this study can be summarized as follows: (1 Parent-child Doctors’ Mailbox integrated play (e.g., prize quizzes and reading guides into the program design, which was based upon the development of different age groups. Children needed to go to the circulation desk in person in order to get designated books and answer sheets. Children earned points to redeem for prizes by answering questions correctly. (2 Motivations for children’s participation in the program were categorized as external (e.g., prizes, recommendations from friends and serendipity and internal (e.g., cultivating habits of reading and writing, and siblings’ company. (3 Children’s perceived learning outcomes of participation in the program included improving children’s attention span, the positive influence of messages delivered by books on children, and the positive progress of children’s reading, writing, logical thinking and interpersonal skills. (4 Parents’ roles in children’s participation in the program included accompanying children and providing reactive assistance. Roles of librarians involved administrative work, encouragement and befriending children. [Article content in Chinese

  12. 医院图书馆实施岗位轮换制的探讨%Discussion on job rotation in hospital library

    Institute of Scientific and Technical Information of China (English)

    陈彬; 齐新; 孟东

    2012-01-01

    Job rotation in hospital library is an important measure to improve staff's total capacity, rational allocation human resources and implement hospital personnel reform. Job rotation needs considering staffs capacity and being in line with reality.%医院图书馆实施工作人员轮岗制,是提高图书馆工作人员整体素质,培养一专多能复合型馆员的有力措施,也是实现合理配置人力资源,深化人事管理制度改革的一项重要措施.指出应根据不同人员的特点实施岗位轮换制,并提出岗位轮换应注意正确理解一专多能、岗位轮换工作的长期性、岗位轮换的安排要切合实际等问题.

  13. The process, logistics and challenges of implementing clinical supervision in a generalist tertiary referral hospital.

    Science.gov (United States)

    Brunero, Scott; Lamont, Scott

    2012-03-01

    Clinical supervision (CS) has been identified within nursing as a process for improving clinical practice and reducing the emotional burden of nursing practice. Little is known about its implementation across large tertiary referral hospitals. The purpose of this study is to evaluate the implementation of clinical supervision across several different nursing specialities at a teaching hospital in Sydney, Australia. Using a model of nursing implementation science, a process was developed at the study site that facilitated the development, implementation and evaluation of the project. After a 6-month study period, the CS groups were postevaluated using a survey tool developed for the project. A total of nine CS groups were in operation over the 6-month study period. A predominant focus within the sessions was one of the collegial support and developing standards of practice. The process was able to achieve wide hospital-based support for the role of CS from the senior nurse executives to junior nurses. Whilst there was overall positive support for the CS groups, logistical and resource challenges remain, in the effective roll out of CS to large numbers of nurses. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

  14. On Implementation of a Safer C Library, ISO/IEC TR 24731

    CERN Document Server

    Laverdière, Marc-André; Benredjem, Djamel

    2009-01-01

    The functions standardized as part of ISO C 1999 and their addendums improved very little the security options from the previously available library. The largest flaw remained that no function asked for the buffer size of destination buffers for any function copying data into a user-supplied buffer. According to earlier research we performed, we know that error condition handling was the first solution to security vulnerabilities, followed by precondition validation. The standard C functions typically perform little precondition validation and error handling, allowing for a wide range of security issues to be introduced in their use. ISO/IEC TR 24731, titled as "TR 24731: Safer C library functions", defines 41 new library functions for memory copying, string handling (both for normal and wide character strings), time printing, sorting, searching etc. Another innovation it brings is a constraint handling architecture, forcing error handling when certain security-related preconditions are violated when the func...

  15. Implementation of PACS and informatics in a community-sized hospital: making real-time radiology a reality

    Science.gov (United States)

    Liu, Brent J.; Sarti, Dennis A.; Westmacott, Jean

    2001-08-01

    This paper describes the implementation experience in a community hospital setting to provide medical information at the point of decision instantaneously using digital and communication technologies. A unique partnership has been formed between the provider, the Saint John's Health Center, and the vendor to develop, design, and implement a hospital- wide PACS using a multi-phased approach.

  16. Implementation of computerized physician order entry in National Guard hospitals: Assessment of critical success factors

    Directory of Open Access Journals (Sweden)

    Majid M Altuwaijri

    2011-01-01

    Full Text Available Objective: The purpose of this study is to describe the needs, process and experience of implementing a computerized physician order entry (CPOE system in a leading healthcare organization in Saudi Arabia. Materials and Methods: The National Guard Health Affairs (NGHA deployed the CPOE in a pilot department, which was the intensive care unit (ICU in order to assess its benefits and risks and to test the system. After the CPOE was implemented in the ICU area, a survey was sent to the ICU clinicians to assess their perception on the importance of 32 critical success factors (CSFs that was acquired from the literature. The project team also had several meetings to gather lessons learned from the pilot project in order to utilize them for the expansion of the project to other NGHA clinics and hospitals. Results: The results of the survey indicated that the selected CSFs, even though they were developed with regard to international settings, are very much applicable for the pilot area. The top three CSFs rated by the survey respondents were: The "before go-live" training, the adequate clinical resources during implementation, and the ordering time. After the assessment of the survey and the lessons learned from the pilot project, NGHA decided that the potential benefits of the CPOE are expected to be greater the risks expected. The project was then expanded to cover all NGHA clinics and hospitals in a phased approach. Currently, the project is in its final stages and expected to be completed by the end of 2011. Conclusion: The role of CPOE systems is very important in hospitals in order to reduce medication errors and to improve the quality of care. In spite of their great benefits, many studies suggest that a high percentage of these projects fail. In order to increase the chances of success and due to the fact that CPOE is a clinical system, NGHA implemented the system first in a pilot area in order to test the system without putting patients at

  17. The Theory and Implementation for Metadata in Digital Library/Museum

    Directory of Open Access Journals (Sweden)

    Hsueh-hua Chen

    1998-12-01

    Full Text Available Digital Libraries and Museums (DL/M have become one of the important research issues of Library and Information Science as well as other related fields. This paper describes the basic concepts of DL/M and briefly introduces the development of Taiwan Digital Museum Project. Based on the features of various collections, wediscuss how to maintain, to manage and to exchange metadata, especially from the viewpoint of users. We propose the draft of metadata, MICI (Metadata Interchange for Chinese Information , developed by ROSS (Resources Organization and SearchingSpecification team. Finally, current problems and future development of metadata will be touched.[Article content in Chinese

  18. INTEGRATIVE PROPERTIES OF LIBRARY FUNCTIONS: IMPLEMENTATION IN THE EDUCATIONAL ELECTRONIC ENVIRONMENT

    Directory of Open Access Journals (Sweden)

    Т. Л. Бірюкова

    2017-02-01

    In our opinion, the use of distance education programs primarily to build interaction of educational and library establishments in the electronic environment. To achieve this goal, through the interaction of the system Library Education created and signed to the practice of teaching subjects at the Documentation and information activities department Odessa National Polytechnic University methodological development, there are student groups whose work promotes the assimilation of theoretical material in practice, just in the information institution, adapting to the professional environment, provided the possibility of passing the full production and pre-diploma practice.

  19. Major Differences in Implementation Strategies of the European Resuscitation Council Guidelines 2015 in Danish Hospitals - A Nationwide Study

    DEFF Research Database (Denmark)

    Stærk, Mathilde; Glerup Lauridsen, Kasper; Mygind-Klausen, Troels

    2016-01-01

    Introduction: Implementation of guidelines into clinical practice is important to provide quality of care. Implementation of clinical guidelines is known to be poor. This study aimed to investigate awareness, expected time frame and strategy for implementation of the European Resuscitation Council...... (ERC) Guidelines 2015 in Danish hospitals.Methods: All public, somatic hospitals with a cardiac arrest team in Denmark were included. A questionnaire was sent to hospital resuscitation committees one week after guideline publication. The questionnaire included questions on awareness of ERC Guidelines...... 2015 and time frame and strategy for implementation.Results: In total, 41 hospitals replied (response rate: 87%) between October 22nd and December 22nd 2015. Overall, 37% of hospital resuscitation committees were unaware of the content of the guidelines. The majority of hospitals (80%) expected...

  20. How organizational escalation prevention potential affects success of implementation of innovations: electronic medical records in hospitals.

    Science.gov (United States)

    Lambooij, Mattijs S; Koster, Ferry

    2016-05-20

    Escalation of commitment is the tendency that (innovation) projects continue, even if it is clear that they will not be successful and/or become extremely costly. Escalation prevention potential (EPP), the capability of an organization to stop or steer implementation processes that do not meet their expectations, may prevent an organization of losing time and money on unsuccessful projects. EPP consists of a set of checks and balances incorporated in managerial practices that safeguard management against irrational (but very human) decisions and may limit the escalation of implementation projects. We study whether successful implementation of electronic medical records (EMRs) relates to EPP and investigate the organizational factors accounting for this relationship. Structural equation modelling (SEM), using questionnaire data of 427 doctors and 631 nurses who had experience with implementation and use of EMRs in hospitals, was applied to study whether formal governance and organizational culture mediate the relationship between EPP and the perceived added value of EMRs. Doctors and nurses in hospitals with more EPP report more successful implementation of EMR (in terms of perceived added value of the EMR). Formal governance mediates the relation between EPP and implementation success. We found no evidence that open or innovative culture explains the relationship between EPP and implementation success. There is a positive relationship between the level of EPP and perceived added value of EMRs. This relationship is explained by formal governance mechanisms of organizations. This means that management has a set of tangible tools to positively affect the success of innovation processes. However, it also means that management needs to be able to critically reflect on its (previous) actions and decisions and is willing to change plans if elements of EPP signal that the implementation process is hampered.

  1. New implementation of high-level correlated methods using a general block tensor library for high-performance electronic structure calculations.

    Science.gov (United States)

    Epifanovsky, Evgeny; Wormit, Michael; Kuś, Tomasz; Landau, Arie; Zuev, Dmitry; Khistyaev, Kirill; Manohar, Prashant; Kaliman, Ilya; Dreuw, Andreas; Krylov, Anna I

    2013-10-05

    This article presents an open-source object-oriented C++ library of classes and routines to perform tensor algebra.The primary purpose of the library is to enable post-Hartree–Fock electronic structure methods; however, the code is general enough to be applicable in other areas of physical and computational sciences. The library supports tensors of arbitrary order (dimensionality), size, and symmetry. Implemented data structures and algorithms operate on large tensors by splitting them into smaller blocks, storing them both in core memory and in files on disk, and applying divide-and-conquer-type parallel algorithms to perform tensor algebra. The library offers a set of general tensor symmetry algorithms and a full implementation of tensor symmetries typically found in electronic structure theory: permutational, spin, and molecular point group symmetry. The Q-Chem electronic structure software uses this library to drive coupled-cluster, equation-of-motion, and algebraic-diagrammatic construction methods.

  2. Implementation of a risk management plan in a hospital operating room

    Directory of Open Access Journals (Sweden)

    Li Guo

    2015-12-01

    Full Text Available A risk management program based on AS–NZS4360 risk management standards was developed and implemented in the operating room of Peking University Third Hospital. To accomplish this task, we developed a risk quantification matrix and a risk register form to identify potential risks in the operating room, and then implemented operating room policies designed to reduce or eliminate those risks. We also established a consultation mechanism and risk monitoring system designed to minimize risks to operation room nurses. Finally, we continuously seek to improve our operating room risk management capabilities, so we can continue to improve the quality of service provided and guarantee the safety of surgical patients.

  3. Implementation, monitoring and utilization of an integrated Hospital Information System--lessons from a case study.

    Science.gov (United States)

    Cruz-Correia, Ricardo João

    2010-01-01

    In most hospitals several heterogeneous Information Systems (IS) store parts of a still scattered patient record. Virtual Patient Records (VPR) are systems that aggregate known data elements about the patient from different IS in real-time. This papers aims to present the main lessons learned from the implementation and the usage during 6 years of a VPR system. Ten major lessons were divided in recommendations for software developers, information managers and institutional policy makers. Implementing and using a VPR is a difficult journey but can generate great value for the institution if most of these recommendations are taken in consideration.

  4. Assessing Factors Affecting Implementation of Information Technology Infrastructure Library Process Measurements

    Science.gov (United States)

    Peterson, Kristy

    2010-01-01

    The capability of organizations to operate on the Information Technology Infrastructure Library (ITIL) framework is reliant on ITIL process measurements. Appropriate ITIL process measurements help ensure desired outcomes, enable corrective actions to take place prior to process failure, and direct process activities towards continuous improvement.…

  5. Effectiveness of Information Technology Infrastructure Library Process Implementations by Information Technology Departments within United States Organizations

    Science.gov (United States)

    Persinger, Jon F.

    2010-01-01

    This research study examined whether the overall effectiveness of the Information Technology Infrastructure Library (ITIL) could be predicted by measuring multiple independent variables. The primary variables studied included the number of ITIL process modules adopted and the overall ITIL "maturity level." An online survey was used to…

  6. The design and implementation of an infrastructure for multimedia digital libraries

    NARCIS (Netherlands)

    Vries, de A.P.; Eberman, B.; Kovalcin, D.E.

    1998-01-01

    We develop an infrastructure for managing, indexing and serving multimedia content in digital libraries. This infrastructure follows the model of the Web, and thereby is distributed in nature. We discuss the design of the Librarian, the component that manages meta data about the content. The managem

  7. Assessing Factors Affecting Implementation of Information Technology Infrastructure Library Process Measurements

    Science.gov (United States)

    Peterson, Kristy

    2010-01-01

    The capability of organizations to operate on the Information Technology Infrastructure Library (ITIL) framework is reliant on ITIL process measurements. Appropriate ITIL process measurements help ensure desired outcomes, enable corrective actions to take place prior to process failure, and direct process activities towards continuous improvement.…

  8. Effectiveness of Information Technology Infrastructure Library Process Implementations by Information Technology Departments within United States Organizations

    Science.gov (United States)

    Persinger, Jon F.

    2010-01-01

    This research study examined whether the overall effectiveness of the Information Technology Infrastructure Library (ITIL) could be predicted by measuring multiple independent variables. The primary variables studied included the number of ITIL process modules adopted and the overall ITIL "maturity level." An online survey was used to…

  9. From Assessment to Implementation: Using Qualitative Interviews to Inform Distance Learning Library Services

    Science.gov (United States)

    Wharton, Lindsey N.

    2017-01-01

    While broad assessment projects are often used to steer library strategic planning initiatives, this article will present the benefits of qualitative interviews with distance learning constituents as a framework for developing a focused vision and targeted services. This article will describe the planning and execution of an assessment project…

  10. Implementation of the Toy Lending Library in the State of Utah. Summary Report, 1971-72.

    Science.gov (United States)

    Utah State Board of Education, Salt Lake City.

    The Toy Library program trains parents to use a limited number of educational toys to teach specific skills, fundamental concepts, and problem solving behaviors to their own three- and four-year-old children. The program is designed to fill the educational needs of the many three- and four-year-old children who are not participants in some other…

  11. Vocabulary Matching for Book Indexing Suggestion in Linked Libraries - A Prototype Implementation and Evaluation

    Science.gov (United States)

    Isaac, Antoine; Kramer, Dirk; van der Meij, Lourens; Wang, Shenghui; Schlobach, Stefan; Stapel, Johan

    In this paper, we report on a technology-transfer effort on using the Semantic Web (SW) technologies, esp. ontology matching, for solving a real-life library problem: book subject indexing. Our purpose is to streamline one library's book description process by suggesting new subjects based on descriptions created by other institutions, even when the vocabularies used are different. The case at hand concerns the National Library of the Netherlands (KB) and the network of Dutch local public libraries. We present a prototype subject suggestion tool, which is directly connected to the KB production cataloguing environment. We also report on the results of a user study and evaluation to assess the feasibility of exploiting state-of-the art techniques in such a real-life application. Our prototype demonstrates that SW components can be seamlessly plugged into the KB production environment, which potentially brings a higher level of flexibility and openness to networked Cultural Heritage (CH) institutions. Technical hurdles can be tackled and the suggested subjects are often relevant, opening up exciting new perspectives on the daily work of the KB. However, the general performance level should be made higher to warrant seamless embedding in the production environment—notably by considering more contextual metadata for the suggestion process.

  12. Technical and organisational aspects in enterprise resource planning systems implementation: lessons from a Spanish public hospital

    Science.gov (United States)

    Escobar-Rodriguez, Tomas; Escobar-Pérez, Bernabe; Monge-Lozano, Pedro

    2014-09-01

    Public resources should always be managed efficiently, more so in times of crisis. Due to the specific characteristics of the healthcare sector, there is a need for special attention, especially in regards to hospitals. Administrators need useful tools to be able to efficiently manage available resources, such as enterprise resource planning (ERP) systems. Therefore, an analysis of the effects of their implementation and use in hospitals is valuable. This study has two purposes. One is to analyse the role ERP systems play in aiding the integration of hospital data, with focus on user satisfaction as well as possible resistance to change. The other purpose is to analyse the effects of implanting and using ERP systems in the hospital environment and identifying how certain variables influence the process, especially the existence of different organisational cultures. Results indicate that clinical information has become notably more integrated, despite the lack of flow in the economic-financial area. The heterogeneous nature of the different groups, clinical (Medical, Nursing) and non-clinical (Economic-Financial, Accounting), had a negative influence on the implementation process, and limited the integration of information as well as the system's performance.

  13. Information Technology Service Management (ITSM) Implementation Methodology Based on Information Technology Infrastructure Library Ver.3 (ITIL V3)

    OpenAIRE

    Mostafa Mohamed AlShamy; Essam Elfakharany; Mostafa Abd ElAziem

    2012-01-01

    This paper is intended to cover the concept of IT Infrastructure Library Version 3 (ITIL) v3 andhow to implement it in order to increase the efficiency of any Egyptian IT corporate and to helpthe corporate employees to do their work easily and its clients to feel the quality of servicesprovided to them. ITIL is considered now as the de facto standard framework for IT ServiceManagement (ITSM) in organizations which operate their business which is based on ITinfrastructure and services.ITIL v3 ...

  14. [Implementing a “Health Promoting Workplace”: compatible organizational practices in university hospital].

    Science.gov (United States)

    Bilterys, Robert; Dedobbeleer, Nicole

    2016-01-01

    In 2006, a University Hospital in Quebec decided to implement the Health Promoting Hospital project (HPH). A study was conducted on the internal context of the HPH Project implementation, and more particularly on one of its dimensions, the “health promoting workplace”. Compatibility is an important factor of the internal context, but has been rarely studied. The objective of this paper is to examine whether there are any organizational practices compatible with those of a health promoting workplace for nurses. A questionnaire was administered, interviews were conducted with strategic actors and a document analysis was performed.The results show various levels of compatibility with the criteria of a health promoting workplace. Thus, compatibility was very high for criteria related to the development of a learning and efficient organization, the strategies to ensure a healthy and safe workplace, and healthy lifestyles. However, poor compatibility was observed for criteria related to the adoption of a health promotion policy and no compatibility was observed for nurses’ participation in the decision-making process.The study identified strengths and weaknesses in the “Health Promoting Workplace” Subproject implementation process. It also emphasized the importance of the adaptation of tools to local conditions. In this case, it is the WHO assessment tool for hospitals wishing to assess their health promotion practices and to stimulate their development.

  15. 医院药品库的科学化管理探究%Hospital drug library of scientific management to explore

    Institute of Scientific and Technical Information of China (English)

    张立志

    2015-01-01

    医院药品库属于药品供应部门,药品库管理工作是医院药房管理中需注意的重要环节,但目前临床用药时仍然存在药品包装破损、片剂裂片或者内包装空盒、空粒等问题,严重影响治疗工作并危及患者生命安全,因而医院各科室以及药品库工作人员均应当认识到医院药品库改革与发展的趋势,并运用科学化、现代化的管理方法加强对医院药品库的相关管理,以便在符合我国药品管理法律法规的基础上,完成保证药品质量的任务。本文主要从药品采购、药品入库、在库药品以及出库药品这四个方面,对医院药品库的科学化管理方法及其注意事项进行探究,以期提升医院药品库管理水平,保证药品药效、减少药品资源浪费并节约医院经济成本。%Hospital drug library belongs to the drug supply department, drug library management hospital pharmacy management should pay attention to the important part, but there are still drug packaging is damaged, tablets lobes or empty packaging boxes, empty seeds and other problems in clinical medicine, seriously affecting treatment work and endanger the lives of patients, and thus drug library hospital departments and staff members shall recognize the trend of reform and development of drug library hospital, and the use of scientific and modern management methods to strengthen the hospital’s drug library related management in order to basis consistent with our laws and regulations on drug administration, drug quality assurance tasks to complete. This article from the drug procurement, drug storage, drug library and a library of drugs these four aspects of scientific management methods and precautions hospital drug library were explored in order to enhance the hospital drug library management level, to ensure drug efficacy reduce drug wastage of resources and economic cost savings to the hospital.

  16. Research on Human Resource Status of Hospital Libraries in Shandong Province%山东省医院图书馆人力资源现状研究

    Institute of Scientific and Technical Information of China (English)

    王今民; 沈小尉; 孙燕

    2009-01-01

    人力资源是医院图书馆赖以生存并可持续发展的主要因素.分析山东省医院图书馆人力资源现状,找出影响医院图书馆人力资源建设的因素,提出医院图书馆应隶属信息科管理、图书馆领导要树立以人为本的人力资源建设理念、确立本馆人力资源建设发展的定位与方向.%Human resources are the principle factor for survival and sustainable development of hospital libraries, the paper analyzes the status of human resources of hospital libraries in Shandong province where it could reveal the factors that effect human resources construction in hospital libraries, and then puts forward that hospital libraries should be under the management of information department,the leader of library should establish people-oriented concept for human resources construction and the developing trends of human resources construction should be established.

  17. Practical use and implementation of PET in children in a hospital PET centre

    Energy Technology Data Exchange (ETDEWEB)

    Borgwardt, Lise; Larsen, Helle Jung; Pedersen, Kate; Hoejgaard, Liselotte [Department of Clinical Physiology, Nuclear Medicine and PET, University Hospital of Copenhagen, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen (Denmark)

    2003-10-01

    Children are not just small adults - they differ in their psychology, normal physiology and pathophysiology, and various aspects should be considered when planning a positron emission tomography (PET) scan in a child. PET in children is a growing area, and this article describes the practical use and implementation of PET in children in a hospital PET centre. It is intended to be of use to nuclear medicine departments implementing or starting to implement PET scans in children. Topics covered are: dealing with children, dosimetry, organisation within the department and relations with other departments, preparation of the child (provision of information to the child and parents and the fasting procedure), the imaging procedure (resting, tracer injection, positioning, sedation and bladder emptying) and pitfalls in the interpretation of PET scans in children, including experiences with telemedicine. (orig.)

  18. Practical use and implementation of PET in children in a hospital PET centre

    DEFF Research Database (Denmark)

    Borgwardt, Lise; Larsen, Helle Jung; Pedersen, Kate

    2003-01-01

    Children are not just small adults-they differ in their psychology, normal physiology and pathophysiology, and various aspects should be considered when planning a positron emission tomography (PET) scan in a child. PET in children is a growing area, and this article describes the practical use...... and implementation of PET in children in a hospital PET centre. It is intended to be of use to nuclear medicine departments implementing or starting to implement PET scans in children. Topics covered are: dealing with children, dosimetry, organisation within the department and relations with other departments......, preparation of the child (provision of information to the child and parents and the fasting procedure), the imaging procedure (resting, tracer injection, positioning, sedation and bladder emptying) and pitfalls in the interpretation of PET scans in children, including experiences with telemedicine....

  19. 通用线程库的设计与实现%Design and Implementation of the Common Thread Library

    Institute of Scientific and Technical Information of China (English)

    洪承煜; 许自龙; 亢永敢; 杨尚琴

    2012-01-01

    With the development of the integration of seismic exploration software in the acquisition, processing, explaining, builds cloud computing platform of a cross-hardware, operating system that becomes necessary; and in cloud comp g platforms, the common thread library becomes the key to the development of a large amount of computation algorithm of seismic software. In the paper, the analysis of the threading model and synchronization mechanisms, sorting out the property of the thread, thread control, thread flow and synchronization properties and operation; finally, on the basis of these common components, to package a variety of local thread library, so that implement cross-platform common thread library on basis of any native threads library.%随着采集、处理、解释一体化地震勘探软件的发展,构建跨硬件、操作系统的云计算平台成为必要;而云计算平台中,通用线程库成为开发有大计算量算法的地震勘探软件的关键.通过对线程模型和同步机制的分析,分类整理出线程的属性、线程的控制、线程执行流的构建和同步的属性及操作;最后在这些通用的组件基础上,通过对各种本地线程库的封装,实现基于任意本地线程库的跨平台通用线程库.

  20. MapReduce implementation of a hybrid spectral library-database search method for large-scale peptide identification.

    Science.gov (United States)

    Kalyanaraman, Ananth; Cannon, William R; Latt, Benjamin; Baxter, Douglas J

    2011-11-01

    A MapReduce-based implementation called MR-MSPolygraph for parallelizing peptide identification from mass spectrometry data is presented. The underlying serial method, MSPolygraph, uses a novel hybrid approach to match an experimental spectrum against a combination of a protein sequence database and a spectral library. Our MapReduce implementation can run on any Hadoop cluster environment. Experimental results demonstrate that, relative to the serial version, MR-MSPolygraph reduces the time to solution from weeks to hours, for processing tens of thousands of experimental spectra. Speedup and other related performance studies are also reported on a 400-core Hadoop cluster using spectral datasets from environmental microbial communities as inputs. The source code along with user documentation are available on http://compbio.eecs.wsu.edu/MR-MSPolygraph. ananth@eecs.wsu.edu; william.cannon@pnnl.gov. Supplementary data are available at Bioinformatics online.

  1. Economic analysis of cloud-based desktop virtualization implementation at a hospital

    Directory of Open Access Journals (Sweden)

    Yoo Sooyoung

    2012-10-01

    Full Text Available Abstract Background Cloud-based desktop virtualization infrastructure (VDI is known as providing simplified management of application and desktop, efficient management of physical resources, and rapid service deployment, as well as connection to the computer environment at anytime, anywhere with anydevice. However, the economic validity of investing in the adoption of the system at a hospital has not been established. Methods This study computed the actual investment cost of the hospital-wide VDI implementation at the 910-bed Seoul National University Bundang Hospital in Korea and the resulting effects (i.e., reductions in PC errors and difficulties, application and operating system update time, and account management time. Return on investment (ROI, net present value (NPV, and internal rate of return (IRR indexes used for corporate investment decision-making were used for the economic analysis of VDI implementation. Results The results of five-year cost-benefit analysis given for 400 Virtual Machines (VMs; i.e., 1,100 users in the case of SNUBH showed that the break-even point was reached in the fourth year of the investment. At that point, the ROI was 122.6%, the NPV was approximately US$192,000, and the IRR showed an investment validity of 10.8%. From our sensitivity analysis to changing the number of VMs (in terms of number of users, the greater the number of adopted VMs was the more investable the system was. Conclusions This study confirms that the emerging VDI can have an economic impact on hospital information system (HIS operation and utilization in a tertiary hospital setting.

  2. Reforming reimbursement of public hospitals in Greece during the economic crisis: Implementation of a DRG system.

    Science.gov (United States)

    Polyzos, Nikolaos; Karanikas, Haralampos; Thireos, Eleftherios; Kastanioti, Catherine; Kontodimopoulos, Nick

    2013-01-01

    Until recently, in-patient NHS hospital care in Greece was reimbursed via an anachronistic and under-priced retrospective per diem system, which has been held primarily responsible for continuous budget deficits. The purpose of this paper is to present the efforts of the Ministry of Health (MoH) to implement a new DRG-based payment system. As in many countries, the decision was to adopt a patient classification from abroad and to refine it for use in Greece with national data. Pricing was achieved with a combination of activity-based costing with data from selected Greek hospitals, and "imported" cost weights. Data collection, IT support and monitoring are provided via ESY.net, a web-based facility developed and implemented by the MoH. After an initial pilot testing of the classification in 20 hospitals, complete DRG reimbursement data was reported by 113 hospitals (85% of total) for the fourth quarter of 2011. The recorded monthly increase in patient discharges billed with the new system and in revenue implies increasing adaptability by the hospitals. However, the unfavorable inlier vs. outlier distribution of discharges and revenue observed in some health regions signifies the need for corrective actions. The importance of this reimbursement reform is discussed in light of the current crisis faced by the Greek economy. There is yet much to be done and many projects are currently in progress to support this effort; however the first cost containment results are encouraging. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  3. Medication supply chain management through implementation of a hospital pharmacy computerized inventory program in Haiti

    Directory of Open Access Journals (Sweden)

    Michelle R. Holm

    2015-01-01

    Full Text Available Background: In the aftermath of the 2010 earthquake in Haiti, St. Luke Hospital was built to help manage the mass casualties and subsequent cholera epidemic. A major problem faced by the hospital system was the lack of an available and sustainable supply of medications. Long-term viability of the hospital system depended largely on developing an uninterrupted medication supply chain. Objective: We hypothesized that the implementation of a new Pharmacy Computerized Inventory Program (PCIP would optimize medication availability and decrease medication shortages. Design: We conducted the research by examining how medications were being utilized and distributed before and after the implementation of PCIP. We measured the number of documented medication transactions in both Phase 1 and Phase 2 as well as user logins to determine if a computerized inventory system would be beneficial in providing a sustainable, long-term solution to their medication management needs. Results: The PCIP incorporated drug ordering, filling the drug requests, distribution, and dispensing of the medications in multiple settings; inventory of currently shelved medications; and graphic reporting of ‘real-time’ medication usage. During the PCIP initiation and establishment periods, the number of medication transactions increased from 219.6 to 359.5 (p=0.055, respectively, and the mean logins per day increased from 24.3 to 31.5, p<0.0001, respectively. The PCIP allows the hospital staff to identify and order medications with a critically low supply as well as track usage for future medication needs. The pharmacy and nursing staff found the PCIP to be efficient and a significant improvement in their medication utilization. Conclusions: An efficient, customizable, and cost-sensitive PCIP can improve drug inventory management in a simplified and sustainable manner within a resource-constrained hospital.

  4. Effects of Implemented Initiatives on Patient Safety Culture in Fateme Al-zahra Hospital in Najafabad

    Directory of Open Access Journals (Sweden)

    Ahmadreza Izadi

    2015-01-01

    Full Text Available Introduction: Patient safety improvement requires ongoing culture. This cultural change is the most important challenge that managers are faced with in creation of a safe system. This study aims to show the results of initiatives to improvement in patient safety culture in Fateme Al-zahra hospital. Method: In the quasi-experimental research, patient safety culture was measured using the Persian questionnaire on adaptation of the hospital survey on patient safety culture in 12 dimensions. The research was conducted before (January 2010 and after (September 2012 the improvement initiatives. In this study, all units were determined and no sampling method was used. Reliability of the questionnaire was tested by Alpha Chronbakh (0.83. Data were analyzed using descriptive statistics indices and Independent T-Test by SPSS Software (version 18. Results: 350 questionnaires were distributed in each phaseand overall response rate was 58 and 56 percent, respectively. According to Independent T-test, Management expectations and actions, Organizational learning, Management support, Feedback and communication about error, Communication openness, Overall Perceptions of Safety, Non-punitive Response to Error, Frequency of Event Reporting, and Patient safety culture showed significant differences (P-value0.05. The mean score of Patient safety culture was 2.27 (from 5 and it was increased to 2.46 after initiatives that showed a significant difference (P-value<0.05. Conclusion: Although, improvement in patient safety culture needs teamwork and continuous attempts, the study showed that initiatives implemented in the case hospital had been effective in some dimensions. However, Teamwork within hospital units, Teamwork across units, Hospital handoffs and transitions, and Staffing dimensions were recognized for further intervention. Hospital could improve the patient safety culture with planning and measures in these dimensions.

  5. Exploring the clinical information system implementation readiness activities to support nursing in hospital settings.

    Science.gov (United States)

    Piscotty, Ronald J; Tzeng, Huey-Ming

    2011-11-01

    The implementation of clinical information systems can have a profound impact on nurses and their productivity. Poorly implemented systems can lead to unintended consequences that may have a negative impact on clinical processes and patient outcomes. Executives must have adequate knowledge to address nurses' concerns related to implementation. This study explored the clinical information system implementation readiness activities adopted by chief nurse executivesin hospital settings. A descriptive qualitative design was used, including interviews with six chief nurse executives, held from December 2003 through March 2004. The constant comparative method was used to analyze the interviews to extract readiness activity themes and compare these to the literature. The synthesized themes showed that the executives were knowledgeable about and engaged in several key areas, but not all, of the implementation readiness process. The majority of responses were classified into the thematic areas of champion support, staff preparation for change, training, organizational alignment, planning, and vendor support. The theme of a lack of vendor support was not identified in previous studies but was clear in the responses of the chief nurse executives interviewed.

  6. Success Factors Associated with Health Information Systems Implementation: A study of an Australian Regional Hospital

    Directory of Open Access Journals (Sweden)

    Carmine Sellitto

    2014-09-01

    Full Text Available This paper identifies five factors from the literature that are important for the successful implementation of health information systems (HIS. The HIS factors identified include stakeholder engagement, the support of management and local champions, understanding HIS imposed change, user training and the impact of government incentives. The paper further explored the introduction of a commonly used HIS (Medical Director® in a regional Australian hospital and used the implementation factors as a guide for reporting stakeholder perceptions of the system. The implementation of the HIS in view of the systems users was a failure with all factors except the training issues poorly addressed. The study also reports the practicalities encountered with the system’s introduction and documents several new operational factors that were found to be associated with HIS implementation. Overall, the factors provided a sound criterion on which to judge the implementation performance (success or otherwise of the HIS. The factors identified have the potential to be used as a guide by others who are engaged with information systems in the health area.

  7. Clinical pharmacist-led program on medication reconciliation implementation at hospital admission: experience of a single university hospital in Croatia

    Science.gov (United States)

    Marinović, Ivana; Marušić, Srećko; Mucalo, Iva; Mesarić, Jasna; Bačić Vrca, Vesna

    2016-01-01

    Aim To evaluate the clinical pharmacist-led medication reconciliation process in clinical practice by quantifying and analyzing unintentional medication discrepancies at hospital admission. Methods An observational prospective study was conducted at the Clinical Department of Internal Medicine, University Hospital Dubrava, during a 1-year period (October 2014 – September 2015) as a part of the implementation of Safe Clinical Practice, Medication Reconciliation of the European Network for Patient Safety and Quality of Care Joint Action (PASQ JA) project. Patients older than 18 years taking at least one regular prescription medication were eligible for inclusion. Discrepancies between pharmacists' Best Possible Medication History (BPMH) and physicians' admission orders were detected and communicated directly to the physicians to clarify whether the observed changes in therapy were intentional or unintentional. All discrepancies were discussed by an expert panel and classified according to their potential to cause harm. Results In 411 patients included in the study, 1200 medication discrepancies were identified, with 202 (16.8%) being unintentional. One or more unintentional medication discrepancy was found in 148 (35%) patients. The most frequent type of unintentional medication discrepancy was drug omission (63.9%) followed by an incorrect dose (24.2%). More than half (59.9%) of the identified unintentional medication discrepancies had the potential to cause moderate to severe discomfort or clinical deterioration in the patient. Conclusion Around 60% of medication errors were assessed as having the potential to threaten the patient safety. Clinical pharmacist-led medication reconciliation was shown to be an important tool in detecting medication discrepancies and preventing adverse patient outcomes. This standardized medication reconciliation process may be widely applicable to other health care organizations and clinical settings. PMID:28051282

  8. Implementation of integrated heterogeneous electronic electrocardiography data into Maharaj Nakorn Chiang Mai Hospital Information System.

    Science.gov (United States)

    Khumrin, Piyapong; Chumpoo, Pitupoom

    2016-03-01

    Electrocardiography is one of the most important non-invasive diagnostic tools for diagnosing coronary heart disease. The electrocardiography information system in Maharaj Nakorn Chiang Mai Hospital required a massive manual labor effort. In this article, we propose an approach toward the integration of heterogeneous electrocardiography data and the implementation of an integrated electrocardiography information system into the existing Hospital Information System. The system integrates different electrocardiography formats into a consistent electrocardiography rendering by using Java software. The interface acts as middleware to seamlessly integrate different electrocardiography formats. Instead of using a common electrocardiography protocol, we applied a central format based on Java classes for mapping different electrocardiography formats which contains a specific parser for each electrocardiography format to acquire the same information. Our observations showed that the new system improved the effectiveness of data management, work flow, and data quality; increased the availability of information; and finally improved quality of care.

  9. An informatics approach to assess pediatric pharmacotherapy: design and implementation of a hospital drug utilization system.

    Science.gov (United States)

    Zuppa, Athena; Vijayakumar, Sundararajan; Jayaraman, Bhuvana; Patel, Dimple; Narayan, Mahesh; Vijayakumar, Kalpana; Mondick, John T; Barrett, Jeffrey S

    2007-09-01

    Drug utilization in the inpatient setting can provide a mechanism to assess drug prescribing trends, efficiency, and cost-effectiveness of hospital formularies and examine subpopulations for which prescribing habits may be different. Such data can be used to correlate trends with time-dependent or seasonal changes in clinical event rates or the introduction of new pharmaceuticals. It is now possible to provide a robust, dynamic analysis of drug utilization in a large pediatric inpatient setting through the creation of a Web-based hospital drug utilization system that retrieves source data from our accounting database. The production implementation provides a dynamic and historical account of drug utilization at the authors' institution. The existing application can easily be extended to accommodate a multi-institution environment. The creation of a national or even global drug utilization network would facilitate the examination of geographical and/or socioeconomic influences in drug utilization and prescribing practices in general.

  10. Implementing and evaluating e-communication to improve intersectoral cooperation between hospitals and local communities

    DEFF Research Database (Denmark)

    Nicolaisen, Anne; Qvist, Peter

    2015-01-01

    Background: There has been an increased focus on how to improve the quality of care to patients, which receives services from more than one provider in the health care system. An important factor is rapid and timely exchange of communication between hospitals and municipalities that provides...... services for the patient. The Region of Southern Denmark has implemented e-communication to improve the cooperation across health care sectors. Communities and hospitals in the Region of Southern Denmark agreed to comply to specified quality standards for the content and timeliness of information exchange...... in-between the two health care sectors. The initiative was initiated in 2009 and the quality standards are continuously revised. Aim: To evaluate to which degree the specified quality standards have been complied. Method: An explicit audit performed in all local municipalities and at selected...

  11. Implementation of a titrated oxygen protocol in the out-of-hospital setting.

    Science.gov (United States)

    Bosson, Nichole; Gausche-Hill, Marianne; Koenig, William

    2014-08-01

    Oxygen is one of the most frequently-used therapeutic agents in medicine and the most commonly administered drug by prehospital personnel. There is increasing evidence of harm with too much supplemental oxygen in certain conditions, including stroke, chronic obstructive pulmonary disease (COPD), neonatal resuscitations, and in postresuscitation care. Recent guidelines published by the British Thoracic Society (BTS) advocate titrated oxygen therapy, but these guidelines have not been widely adapted in the out-of-hospital setting where high-flow oxygen is the standard. This report is a description of the implementation of a titrated oxygen protocol in a large urban-suburban Emergency Medical Services (EMS) system and a discussion of the practical application of this out-of-hospital protocol.

  12. Decreasing avoidable hospital admissions with the implementation of an emergency department case management program.

    Science.gov (United States)

    Sharieff, Ghazala Q; Cantonis, Matt; Tressler, Michelle; Whitehead, Mary; Russe, Jamie; Lovell, Eric

    2014-01-01

    With the passage of the Affordable Care Act, increased emphasis has been placed on optimizing quality and reducing expenditures. The use of an emergency department case manager (EDCM) is reemerging as an important initiative in the quest to provide high-quality care and decrease unnecessary hospital admissions. A pilot study of the use of EDCMs was conducted in one of the authors' EDs during a 6-month trial period. By using evidence-based criteria, the EDCM helped in real time to verify admission criteria, assisted with inpatient versus outpatient designation, found community alternatives to hospital admission, and initiated discharge planning for patients who required admission and were at high risk for readmission. EDCMs also worked with pharmacists to assist with medication management for patients who required assistance with obtaining prescriptions. Because of the pilot study's success, the authors' health care system will be implementing EDCMs throughout the organization.

  13. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study

    Science.gov (United States)

    Edrees, Hanan; Connors, Cheryl; Paine, Lori; Norvell, Matt; Taylor, Henry; Wu, Albert W

    2016-01-01

    Background Second victims are healthcare workers who experience emotional distress following patient adverse events. Studies indicate the need to develop organisational support programmes for these workers. The RISE (Resilience In Stressful Events) programme was developed at the Johns Hopkins Hospital to provide this support. Objective To describe the development of RISE and evaluate its initial feasibility and subsequent implementation. Programme phases included (1) developing the RISE programme, (2) recruiting and training peer responders, (3) pilot launch in the Department of Paediatrics and (4) hospital-wide implementation. Methods Mixed-methods study, including frequency counts of encounters, staff surveys and evaluations by RISE peer responders. Descriptive statistics were used to summarise demographic characteristics and proportions of responses to categorical, Likert and ordinal scales. Qualitative analysis and coding were used to analyse open-ended responses from questionnaires and focus groups. Results A baseline staff survey found that most staff had experienced an unanticipated adverse event, and most would prefer peer support. A total of 119 calls, involving ∼500 individuals, were received in the first 52 months. The majority of calls were from nurses, and very few were related to medical errors (4%). Peer responders reported that the encounters were successful in 88% of cases and 83.3% reported meeting the caller's needs. Low awareness of the programme was a barrier to hospital-wide expansion. However, over the 4 years, the rate of calls increased from ∼1–4 calls per month. The programme evolved to accommodate requests for group support. Conclusions Hospital staff identified the need for a multidisciplinary peer support programme for second victims. Peer responders reported success in responding to calls, the majority of which were for adverse events rather than for medical errors. The low initial volume of calls emphasises the importance of

  14. [Design, implementation and evaluation of a management model of patient safety in hospitals in Catalonia, Spain].

    Science.gov (United States)

    Saura, Rosa Maria; Moreno, Pilar; Vallejo, Paula; Oliva, Glòria; Alava, Fernando; Esquerra, Miquel; Davins, Josep; Vallès, Roser; Bañeres, Joaquim

    2014-07-01

    Since its inception in 2006, the Alliance for Patient Safety in Catalonia has played a major role in promoting and shaping a series of projects related to the strategy of the Ministry of Health, Social Services and Equality, for improving patient safety. One such project was the creation of functional units or committees of safety in hospitals in order to facilitate the management of patient safety. The strategy has been implemented in hospitals in Catalonia which were selected based on criteria of representativeness. The intervention was based on two lines of action, one to develop the model framework and the other for its development. Firstly the strategy for safety management based on EFQM (European Foundation for Quality Management) was defined with the development of standards, targets and indicators to implement security while the second part involved the introduction of tools, methodologies and knowledge to the management support of patient safety and risk prevention. The project was developed in four hospital areas considered higher risk, each assuming six goals for safety management. Some of these targets such as the security control panel or system of adverse event reporting were shared. 23 hospitals joined the project in Catalonia. Despite the different situations in each centre, high compliance was achieved in the development of the objectives. In each of the participating areas the security control panel was developed. Stable structures for safety management were established or strengthened. Training in patient safety played and important role, 1415 professionals participated. Through these kind of projects not only have been introduced programs of proven effectiveness in reducing risks, but they also provide to the facilities a work system that allows autonomy in diagnosis and analysis of the different risk situations or centre specific safety issues. Copyright © 2014. Published by Elsevier Espana.

  15. Medication supply chain management through implementation of a hospital pharmacy computerized inventory program in Haiti.

    Science.gov (United States)

    Holm, Michelle R; Rudis, Maria I; Wilson, John W

    2015-01-01

    Background In the aftermath of the 2010 earthquake in Haiti, St. Luke Hospital was built to help manage the mass casualties and subsequent cholera epidemic. A major problem faced by the hospital system was the lack of an available and sustainable supply of medications. Long-term viability of the hospital system depended largely on developing an uninterrupted medication supply chain. Objective We hypothesized that the implementation of a new Pharmacy Computerized Inventory Program (PCIP) would optimize medication availability and decrease medication shortages. Design We conducted the research by examining how medications were being utilized and distributed before and after the implementation of PCIP. We measured the number of documented medication transactions in both Phase 1 and Phase 2 as well as user logins to determine if a computerized inventory system would be beneficial in providing a sustainable, long-term solution to their medication management needs. Results The PCIP incorporated drug ordering, filling the drug requests, distribution, and dispensing of the medications in multiple settings; inventory of currently shelved medications; and graphic reporting of 'real-time' medication usage. During the PCIP initiation and establishment periods, the number of medication transactions increased from 219.6 to 359.5 (p=0.055), respectively, and the mean logins per day increased from 24.3 to 31.5, psupply as well as track usage for future medication needs. The pharmacy and nursing staff found the PCIP to be efficient and a significant improvement in their medication utilization. Conclusions An efficient, customizable, and cost-sensitive PCIP can improve drug inventory management in a simplified and sustainable manner within a resource-constrained hospital.

  16. Medication supply chain management through implementation of a hospital pharmacy computerized inventory program in Haiti.

    Science.gov (United States)

    Holm, Michelle R; Rudis, Maria I; Wilson, John W

    2015-01-01

    In the aftermath of the 2010 earthquake in Haiti, St. Luke Hospital was built to help manage the mass casualties and subsequent cholera epidemic. A major problem faced by the hospital system was the lack of an available and sustainable supply of medications. Long-term viability of the hospital system depended largely on developing an uninterrupted medication supply chain. We hypothesized that the implementation of a new Pharmacy Computerized Inventory Program (PCIP) would optimize medication availability and decrease medication shortages. We conducted the research by examining how medications were being utilized and distributed before and after the implementation of PCIP. We measured the number of documented medication transactions in both Phase 1 and Phase 2 as well as user logins to determine if a computerized inventory system would be beneficial in providing a sustainable, long-term solution to their medication management needs. The PCIP incorporated drug ordering, filling the drug requests, distribution, and dispensing of the medications in multiple settings; inventory of currently shelved medications; and graphic reporting of 'real-time' medication usage. During the PCIP initiation and establishment periods, the number of medication transactions increased from 219.6 to 359.5 (p=0.055), respectively, and the mean logins per day increased from 24.3 to 31.5, psupply as well as track usage for future medication needs. The pharmacy and nursing staff found the PCIP to be efficient and a significant improvement in their medication utilization. An efficient, customizable, and cost-sensitive PCIP can improve drug inventory management in a simplified and sustainable manner within a resource-constrained hospital.

  17. Experience of implementing a quality management system in an Ontario hospital laboratory.

    Science.gov (United States)

    Ho, Daniel K H

    2005-11-29

    This article describes the process of building and implementing a quality management system in the Department of Laboratory Medicine at St. Michael's Hospital in Toronto. This was done in part to fulfill the requirements of the Ontario Laboratory Accreditation program. During the process, we revised and created new procedure manuals and documents through the use of focus groups and inter-departmental committees. The entire project took approximately two-and-a-half years to complete and required teamwork, personal commitment, and professional sacrifices by key personnel.

  18. Understanding the Determinants of Australian Hospital Nurses' Hand Hygiene Decisions Following the Implementation of a National Hand Hygiene Initiative

    Science.gov (United States)

    White, Katherine M.; Starfelt, Louise C.; Jimmieson, Nerina L.; Campbell, Megan; Graves, Nicholas; Barnett, Adrian G.; Cockshaw, Wendell; Gee, Phillip; Page, Katie; Martin, Elizabeth; Brain, David; Paterson, David

    2015-01-01

    Hand hygiene is the primary measure in hospitals to reduce the spread of infections, with nurses experiencing the greatest frequency of patient contact. The "5 critical moments" of hand hygiene initiative has been implemented in hospitals across Australia, accompanied by awareness-raising, staff training and auditing. The aim of this…

  19. Understanding the Determinants of Australian Hospital Nurses' Hand Hygiene Decisions Following the Implementation of a National Hand Hygiene Initiative

    Science.gov (United States)

    White, Katherine M.; Starfelt, Louise C.; Jimmieson, Nerina L.; Campbell, Megan; Graves, Nicholas; Barnett, Adrian G.; Cockshaw, Wendell; Gee, Phillip; Page, Katie; Martin, Elizabeth; Brain, David; Paterson, David

    2015-01-01

    Hand hygiene is the primary measure in hospitals to reduce the spread of infections, with nurses experiencing the greatest frequency of patient contact. The "5 critical moments" of hand hygiene initiative has been implemented in hospitals across Australia, accompanied by awareness-raising, staff training and auditing. The aim of this…

  20. A Case Study of the Implementation of a Competency-based Curriculum in a Caribbean Teaching Hospital

    NARCIS (Netherlands)

    Koeijers, J. J.; Busari, J. O.; Duits, A. J.

    2012-01-01

    Objective: Several teaching hospitals are currently modifying their curriculum to comply with the changing demands in medical education. As a result, we decided to evaluate whether a competency-based curriculum implemented in a Caribbean teaching hospital fulfilled the requirements as defined by the

  1. An implementation of the NiftyRec medical imaging library for PIXE-tomography reconstruction

    Science.gov (United States)

    Michelet, C.; Barberet, P.; Desbarats, P.; Giovannelli, J.-F.; Schou, C.; Chebil, I.; Delville, M.-H.; Gordillo, N.; Beasley, D. G.; Devès, G.; Moretto, P.; Seznec, H.

    2017-08-01

    A new development of the TomoRebuild software package is presented, including ;thick sample; correction for non linear X-ray production (NLXP) and X-ray absorption (XA). As in the previous versions, C++ programming with standard libraries was used for easier portability. Data reduction requires different steps which may be run either from a command line instruction or via a user friendly interface, developed as a portable Java plugin in ImageJ. All experimental and reconstruction parameters can be easily modified, either directly in the ASCII parameter files or via the ImageJ interface. A detailed user guide in English is provided. Sinograms and final reconstructed images are generated in usual binary formats that can be read by most public domain graphic softwares. New MLEM and OSEM methods are proposed, using optimized methods from the NiftyRec medical imaging library. An overview of the different medical imaging methods that have been used for ion beam microtomography applications is presented. In TomoRebuild, PIXET data reduction is performed for each chemical element independently and separately from STIMT, except for two steps where the fusion of STIMT and PIXET data is required: the calculation of the correction matrix and the normalization of PIXET data to obtain mass fraction distributions. Correction matrices for NLXP and XA are calculated using procedures extracted from the DISRA code, taking into account a large X-ray detection solid angle. For this, the 3D STIMT mass density distribution is used, considering a homogeneous global composition. A first example of PIXET experiment using two detectors is presented. Reconstruction results are compared and found in good agreement between different codes: FBP, NiftyRec MLEM and OSEM of the TomoRebuild software package, the original DISRA, its accelerated version provided in JPIXET and the accelerated MLEM version of JPIXET, with or without correction.

  2. 医院等级评审对图书馆管理的作用%The Effect of Hospital Grade Assessment on Library Service Management

    Institute of Scientific and Technical Information of China (English)

    刘会婷; 姚西侠

    2014-01-01

    医院等级评审是全面评价医院综合实力的客观手段,并且对医院图书馆管理提出明确的评审要求。为了适应医院的快速发展并顺利通过等级评审,我院运用PDCA法对图书馆的物理环境、服务内容、服务模式、规章制度方面进行全面质量管理,获得较好效果。同时,医院评审对图书馆的建设与发展起到积极的推动作用。%The hospital grade assessment, an objective way to comprehensively assess the overall capacity of hospitals, sets specific evaluation requirements for library management in hospital. In order to adapt to the fast development of hospital and pass the assessment successfully, The First Affiliated Hospital of Xi'an Jiaotong University used the PDCA to conduct comprehensive quality management in the physical environment, the library service content, service mode, rules and regulations. In addition to the achievement in the quality management, the assessment also played a positive role in the construction and development of the library.

  3. Experiences from implementing value-based healthcare at a Swedish University Hospital - an longitudinal interview study.

    Science.gov (United States)

    Nilsson, Kerstin; Bååthe, Fredrik; Andersson, Annette Erichsen; Wikström, Ewa; Sandoff, Mette

    2017-02-28

    Implementing the value-based healthcare concept (VBHC) is a growing management trend in Swedish healthcare organizations. The aim of this study is to explore how representatives of four pilot project teams experienced implementing VBHC in a large Swedish University Hospital over a period of 2 years. The project teams started their work in October 2013. An explorative and qualitative design was used, with interviews as the data collection method. All the participants in the four pilot project teams were individually interviewed three times, with interviews starting in March 2014 and ending in November 2015. All the interviews were transcribed and analyzed using qualitative analysis. Value for the patients was experienced as the fundamental drive for implementing VBHC. However, multiple understandings of what value for patients' means existed in parallel. The teams received guidance from consultants during the first 3 months. There were pros and cons to the consultant's guidance. This period included intensive work identifying outcome measurements based on patients' and professionals' perspectives, with less interest devoted to measuring costs. The implementation process, which both gave and took energy, developed over time and included interventions. In due course it provided insights to the teams about the complexity of healthcare. The necessity of coordination, cooperation and working together inter-departmentally was critical. Healthcare organizations implementing VBHC will benefit from emphasizing value for patients, in line with the intrinsic drive in healthcare, as well as managing the process of implementation on the basis of understanding the complexities of healthcare. Paying attention to the patients' voice is a most important concern and is also a key towards increased engagement from physicians and care providers for improvement work.

  4. Implementing the Ten Steps for Successful Breastfeeding in hospitals serving low-wealth patients.

    Science.gov (United States)

    Taylor, Emily C; Nickel, Nathan C; Labbok, Miriam H

    2012-12-01

    The Ten Steps to Successful Breastfeeding is a proven approach to support breastfeeding in maternity settings; however, scant literature exists on the relative impact and interpretation of each step on breastfeeding. We assessed the Ten Steps and their relationship with in-hospital breastfeeding rates at facilities serving low-wealth populations and explored the outcomes to identify step-specific actions. We present descriptive and nonparametric comparisons and qualitative findings to examine the relationship between the Ten Steps and breastfeeding rates from each hospital using baseline data collection. Some steps (1--policy, 2--training, 4--skin-to-skin, 6--no supplements, and 9--no artificial nipples, followed by 3--prenatal counseling, 7--rooming-in) reflected differences in relative baseline breastfeeding rates between settings. Key informant interviews revealed misunderstanding of some steps. Self-appraisal may be less valid when not all elements of the criteria for evaluating Step implementation may be fully understood. Limited exposure and understanding may lead to self-appraisal errors, resulting in scores that are not reflective of actual practices. Nonetheless, the indication that breastfeeding rates may be better mirrored by a defined subset of steps may provide some constructive insight toward prioritizing implementation activities and simplifying assessment. These issues will be further explored in the next phase of this study.

  5. FACTORS AFFECTING IMPLEMENTATION OF EVIDENCE BASED PRACTICE AMONG PHYSIOTHERAPISTS IN MOI TEACHING REFFERAL HOSPITAL KENYA

    Directory of Open Access Journals (Sweden)

    Naomi Wanjiru

    2016-06-01

    Full Text Available Background: The application of the concept of Evidenced Based Practice into clinical decision-making and practicehas outstanding benefits both to clinicians and the patient. However, the utilization of this concept has not been copiously utilized in most health facilities by the physiotherapists in Kenya. Therefore, the objectives for this study was to determine the level of awareness of evidence based practice among Physiotherapist, establish the availability of resource for Evidence Based Practice and to assess the challenges encountered by physiotherapist in engaging in evidence based practice at Moi Teaching and Referral Hospital. Methods: All physiotherapists working in Moi Teaching and Referral Hospital (42 took part in a cross-sectional descriptive survey. Questionnaires were used for data collection and analyzed by SPSS version 22. Results: there was high level of awareness on Evidence Based Practice (95 % and confidence in EBP (72.5 %. However, lack of information resources, poor skills to implement EBP, poor organization support 90%, insufficient authority to induct change in the practice setting 85%, inadequate facilities 74% and lack of time were identified as the major challenges in implementation of EBP Conclusion: Strategies should be developed to provide PTs with EBP resources, such as access to databases or links to guidelines, and continuous education regarding specific topics. Professional organizations and Associations should aim at changing the current practice to ensure full utilization of EBP.

  6. Creating Open Digital Library Using XML Implementation of OAi-PMH Protocol at CERN

    CERN Document Server

    Vesely, M; Le Meur, Jean-Yves; Simko, Tibor

    2002-01-01

    This article describes the implementation of the OAi-PMH protocol within the CERN Document Server (CDS). In terms of the protocol, CERN acts both as a data provider and service provider and the two core applications are described. The application of XML Schema and XSLT technology is emphasized.

  7. The feature service of hospital library%医院图书馆特色服务

    Institute of Scientific and Technical Information of China (English)

    张园

    2014-01-01

    Developing feature service is a way for library improving service quality and special collections is the basic for carrying out feature service. Feature service team has been established by discipline librarian system. Practice of developing feature service are introduced in aspects of topic selection, extending information service, consulting service, special information navigation service, literature review training and discipline information service. It shows that the trends on developing feature service are mobile information service, resources allocation and sharing and developing IP distance visit system.%医院图书馆发展特色服务是图书馆提高服务质量的路径抉择,而特色馆藏建设是开展特色服务的基础,通过建立学科馆员制度,打造特色服务团队。笔者从开展定题服务、依托科技查新工作拓展信息服务、参考咨询服务、特色化的信息导航服务、文献检索培训、学科化信息服务等方面阐述了医院图书馆特色信息服务实践,指出医院图书馆特色服务的发展方向是移动信息服务、加强馆藏资源整合及区域间医院图书馆文献资源共建共享、开通IP通远程访问系统。

  8. Comparing the Current Situation versus Desirable Perspective of Academic Libraries in Yazd University in Implementation of Total Quality Management

    Directory of Open Access Journals (Sweden)

    Fathemeh Makkizadeh

    2012-02-01

    Full Text Available : Implementation of total quality management plays an important role as a progressive phenomenon in educational and cultural organizations. The main objective of this study is to compare the current situation versus desirable perspective of academic libraries in Yazd University in implementation of total quality management evaluated by managers and staff of the libraries. Independent t-test results suggested the managers have estimated the situation (M= 3.33. The independent t-test results to assess the difference in employees' attitudes about the desirable situation, was obtained as 4.33, compared with that of the managers which was 4.22. Apparently, the employees have higher expectations over the desirable situation rather than the managers. The dependent t-test results to assess the difference in managers’ attitudes about the current versus desirable situation, showed a meaningful difference of (p<0.01. The employees’ attitude towards the desirable situation (s= 0.39, M= 4.15 had a meaningful difference with their attitudes towards the current situation (s= 0.65, M= 3.04. People’s attitudes towards the current and desirable situation, had a high meaningfulness among all the eleven principles of quality management (p< 0.01. Meaningful differences were observed in multivariate analysis of variance aiming at assessing the effects of position and qualifications on the current eleven principles (p< 0.05. The results of multivariate analysis of variance to assess the effects of position and qualifications on the current eleven principles suggested that the effect of position on the components of desirable situation was not meaningful. Meanwhile, the results in effects of qualification suggested that individuals with different qualifications and university degrees had diverse attitudes towards the principles regarding the desirable situation.

  9. Implementation and first-year results of an antimicrobial stewardship program at a community hospital.

    Science.gov (United States)

    Bartlett, James M; Siola, Patricia L

    2014-06-01

    The implementation of an antimicrobial stewardship program (ASP) at a small community hospital affiliated with an accountable care organization (ACO) is described, including a report on first-year program outcomes. With no infectious diseases (ID)-trained pharmacists on staff, a 155-bed hospital formed an ASP by restructuring its clinical pharmacy services. One full-time pharmacist led the program; nine full- or part-time pharmacists-none of whom had residency training-shared ASP responsibilities on a weekly rotation. Under a contract with a private medical group, an ID physician reviewed cases with ASP pharmacists for up to two hours each weekday. ASP interventions and tracking and reporting of outcomes were done primarily by pharmacists. Monitoring of pharmacy purchases in the first year of the program indicated an annualized 26% decrease in overall antimicrobial expenditures from prior-year spending, with a nearly 18% decrease in defined daily doses per 1000 patient-days. Total first-year direct cost savings attributed to the ASP were estimated at $145,353. Pharmacist-initiated conversions of patients from i.v. to oral antimicrobial therapy increased by 688% (p < 0.0001). Overall, the rate of ID physician acceptance of ASP-recommended interventions (mainly streamlining of therapy, limiting the duration of therapy to a specific stop date, and discontinuation of nonindicated drugs) was 74%. An ASP was implemented at a small ACO-affiliated community hospital by a team of pharmacists without specialized ID training. During the first year of the program, antimicrobial expenditures were reduced and there was a significant increase in pharmacist-initiated i.v.-to-oral conversions. Copyright © 2014 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  10. Implementation of an Ultra-short-stay Program After Breast Cancer Surgery in Four Hospitals : Perceived Barriers and Facilitators

    NARCIS (Netherlands)

    Kok, M de; Weijden, T.T. van der; Kessels, A.; Dirksen, C.; Velde, C van de; Roukema, J.; Ent, F van der; Bell, A.; Meyenfeldt, M von

    2008-01-01

    BACKGROUND: The objective of this study was to identify barriers and facilitators that professionals see when implementing a program incorporating ultra-short hospital admission in the treatment of breast cancer. Such an intervention is an essential step when designing a strategy for implementation

  11. Cost-Effectiveness Analysis of an Automated Medication System Implemented in a Danish Hospital Setting.

    Science.gov (United States)

    Risør, Bettina Wulff; Lisby, Marianne; Sørensen, Jan

    To evaluate the cost-effectiveness of an automated medication system (AMS) implemented in a Danish hospital setting. An economic evaluation was performed alongside a controlled before-and-after effectiveness study with one control ward and one intervention ward. The primary outcome measure was the number of errors in the medication administration process observed prospectively before and after implementation. To determine the difference in proportion of errors after implementation of the AMS, logistic regression was applied with the presence of error(s) as the dependent variable. Time, group, and interaction between time and group were the independent variables. The cost analysis used the hospital perspective with a short-term incremental costing approach. The total 6-month costs with and without the AMS were calculated as well as the incremental costs. The number of avoided administration errors was related to the incremental costs to obtain the cost-effectiveness ratio expressed as the cost per avoided administration error. The AMS resulted in a statistically significant reduction in the proportion of errors in the intervention ward compared with the control ward. The cost analysis showed that the AMS increased the ward's 6-month cost by €16,843. The cost-effectiveness ratio was estimated at €2.01 per avoided administration error, €2.91 per avoided procedural error, and €19.38 per avoided clinical error. The AMS was effective in reducing errors in the medication administration process at a higher overall cost. The cost-effectiveness analysis showed that the AMS was associated with affordable cost-effectiveness rates. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  12. Results of a survey on the implementation of diagnostic reference levels for X-rays among Dutch hospitals.

    Science.gov (United States)

    Bijwaard, Harmen; Valk, Doreth; de Waard-Schalkx, Ischa

    2015-04-01

    Diagnostic reference levels (DRLs) for medical x-ray procedures are being implemented currently in the Netherlands. By order of the Dutch Healthcare Inspectorate, a survey has been conducted among 20 Dutch hospitals to investigate the level of implementation of the Dutch DRLs in current radiological practice. It turns out that hospitals are either well underway in implementing the DRLs or have already done so. However, the DRLs have usually not yet been incorporated in the QA system of the department nor in the treatment protocols. It was shown that the amount of radiation used, as far as it was indicated by the hospitals, usually remains below the DRLs. A procedure for comparing dose levels to the DRLs has been prescribed but is not always followed in practice. This is especially difficult in the case of children, as most general hospitals receive few children.

  13. Testing the Andrews Framework of Strategy Formulation and Implementation: Case Study of the University of Cape Coast Digital Library in Ghana

    Directory of Open Access Journals (Sweden)

    Nesba Yaa Anima Adzobu

    2014-12-01

    Full Text Available This paper investigates how strategy formulation and implementation processes used by the University of Cape Coast (UCC in building its digital collections compare with the Andrew’s strategic formulation and implementation theoretical framework. Theory-testing case study methodology was used. The data collection instruments were the key informant interview technique and document reviews. During the formulation phase, two aspects (resources and aspirations of senior management were emergent. During the implementation phase, five aspects (achieving results, processes and behaviour, standards, motivation, personal were emergent. All other elements of building the UCC digital collections were planned during both the formulation and implementation phases. Although the emphasis on students and learning is laudable and apt, there seems to be lack of focus on research support beyond digital collection building, despite the fact that research excellence is one of the UCC’s key priorities. Opportunities exist for improving feedback mechanisms between the users, digital library staff and the university management; and inclusion of social media tools in the digital library project. Since only the experience of a single institution of higher learning is considered, it cannot be definitively stated that strategy formulation and implementation will be similar in every institutional context. However, the results provide a basis for academic digital libraries to draw lessons from this case. In African public universities, there is little earlier research on strategy formulation and implementation in digital library management. Strategy formulation and implementation is a critical issue for higher education academic libraries especially in developing countries like Ghana, due to limited financial resources and the rapid change in the information environment during the last several decades.

  14. Implementing a Parallel Matrix Factorization Library on the Cell Broadband Engine

    Directory of Open Access Journals (Sweden)

    B.C. Vishwas

    2009-01-01

    Full Text Available Matrix factorization (or often called decomposition is a frequently used kernel in a large number of applications ranging from linear solvers to data clustering and machine learning. The central contribution of this paper is a thorough performance study of four popular matrix factorization techniques, namely, LU, Cholesky, QR and SVD on the STI Cell broadband engine. The paper explores algorithmic as well as implementation challenges related to the Cell chip-multiprocessor and explains how we achieve near-linear speedup on most of the factorization techniques for a range of matrix sizes. For each of the factorization routines, we identify the bottleneck kernels and explain how we have attempted to resolve the bottleneck and to what extent we have been successful. Our implementations, for the largest data sets that we use, running on a two-node 3.2 GHz Cell BladeCenter (exercising a total of sixteen SPEs, on average, deliver 203.9, 284.6, 81.5, 243.9 and 54.0 GFLOPS for dense LU, dense Cholesky, sparse Cholesky, QR and SVD, respectively. The implementations achieve speedup of 11.2, 12.8, 10.6, 13.0 and 6.2, respectively for dense LU, dense Cholesky, sparse Cholesky, QR and SVD, when running on sixteen SPEs. We discuss the interesting interactions that result from parallelization of the factorization routines on a two-node non-uniform memory access (NUMA Cell Blade cluster.

  15. New management systems, new skills for librarians: implementing a process-oriented management system at the Library of the University of Almeria (Spain

    Directory of Open Access Journals (Sweden)

    Encarna Fuentes Melero

    2013-06-01

    Full Text Available In recent years, European Universities have been immersed in the search for formulas that meet the requirements of new management systems, based on the rationalization and assessment of both economic and human resources. Nowadays, the adaptation to these goals is a constant in the implementation of different management models, contributing to suit the patrons’ needs to the new environment: continuous analysis of working procedures, updating of librarian competencies and adjustment of new organizational structures to new methodologies. This paper presents a reflection about the changes that have taken place during the last decade at the Library of the University of Almeria (Spain, since the adoption of a process-oriented management system and the definition of the continuous assessment of working procedures. Concurrently, the abilities of the staff have been adjusted to the new situation, on the basis of the definition of the skills needed for the achievement of the library goals. It is described how new library services have been implemented through the analysis of the patrons’ needs: the Research Support service, or the Services and Resources Assessment service, have been set up in order to make the library budget more effective and rational. Librarians’ skills needed for these activities are analyzed, so the library staff can be appropriately trained, with the main objective of adjusting the Library goals, the librarian capabilities and the University needs through the performance evaluation of each position in this Service.

  16. Readiness and capacity of librarians in public libraries to implement a breast cancer outreach and screening campaign in medically underserved communities.

    Science.gov (United States)

    Goytia, Elliott J; Rapkin, Bruce; Weiss, Elisa S; Golub, David; Guzman, Vivian; O'Connor, Maureen

    2005-11-01

    Community-based partnerships are an important means of addressing cancer health disparities in medically underserved communities. Public libraries may be ideal partners in this effort. To assess the readiness and capacity of a public library system to implement cancer recruitment and outreach campaigns, 58 librarians in the Queens Borough Public Library System in New York completed self-administered questionnaires before and after a training on breast health, cancer, and screening. Results indicate that they are interested in participating in a cancer outreach campaign and feel it is a critical need in their community. Many librarians lacked the knowledge about cancer and cancer information resources needed to participate optimally. Nevertheless, librarians provide a cultural bridge to medically underserved communities. Partnering with a public library system to improve access to care has great potential, yet a number of challenges need to be overcome.

  17. Approaches to implementation of collaborative innovation service in libraries%图书馆协同创新服务的实现途径

    Institute of Scientific and Technical Information of China (English)

    夏晓玲

    2014-01-01

    介绍了协同创新服务的内涵,分析了图书馆协同创新服务面临的利益分配不均衡、认识存在差异、“龙头馆”作用难发挥等困境,提出了图书馆协同创新服务的实现途径。%After the connotation of collaborative innovation service was described, the difficulties for libraries to carry out collaborative innovation service were analyzed, including the unbalanced distribution of benefits, difference in its understanding , difficulties for the"leading library"to play its role, and the approaches were put forward for libraries to implement their collaborative innovation service in libraries.

  18. Tobacco control policies in hospitals before and after the implementation of a national smoking ban in Catalonia, Spain

    Directory of Open Access Journals (Sweden)

    Puig Montse

    2009-05-01

    Full Text Available Abstract Background Diverse projects and guidelines to assist hospitals towards the attainment of comprehensive smoke-free policies have been developed. In 2006, Spain government passed a new smoking ban that reinforce tobacco control policies and banned completely smoking in hospitals. This study assesses the progression of tobacco control policies in the Catalan Network of Smoke-free Hospitals before and after a comprehensive national smoking ban. Methods We used the Self-Audit Questionnaire of the European Network for Smoke-free Hospitals to score the compliance of 9 policy standards (global score = 102. We used two cross-sectional surveys to evaluate tobacco control policies before (2005 and after the implementation of a national smoking ban (2007 in 32 hospitals of Catalonia, Spain. We compared the means of the overall score in 2005 and 2007 according to the type of hospital, the number of beds, the prevalence of tobacco consumption, and the number of years as a smoke-free hospital. Results The mean of the implementation score of tobacco control policies was 52.4 (95% CI: 45.4–59.5 in 2005 and 71.6 (95% CI: 67.0–76.2 in 2007 with an increase of 36.7% (p 300 beds (41.1% increase; p Conclusion The national smoking ban appears to increase tobacco control activities in hospitals combined with other non-bylaw initiatives such as the Smoke-free Hospital Network.

  19. Perceived Barriers to the Implementation of Pharmaceutical Care among Pharmacists in Private and Government Hospitals in Metro Manila

    Directory of Open Access Journals (Sweden)

    C.C. AGACETA

    2014-08-01

    Full Text Available This study determined the private and government hospital pharmacists’ perceived major barriers to the implementation of the pharmaceutical care practice in the Philippines. It employed a cross-sectional, descriptive research design using self-administered survey as data collection method. The weighted mean scores from the results of the Likert scale were used to determine the perceived major barriers in the provision of pharmaceutical care. A total of 194 pharmacists from private and government hospitals in Metro Manila participated in the study. The perceived major barrier to the implementation of pharmaceutical care among hospital pharmacist was the lack of support from other health professionals. This result has been consistent with the observation across different countries. However, pharmacists practicing in private hospitals identify the lack of economic incentives for delivering pharmaceutical care as the greater barrier towards pharmaceutical care practice in the Philippines as compared to their counterpart in the government hospitals. This may be attributed to the lower salary and compensation in these types of hospitals as compared to those in the government hospital in the Philippines. Comparison of the responses also revealed that government hospital pharmacist on the other hand perceive insufficient physical space as another major barrier towards their provision of pharmaceutical care, which was less likely considered to be a barrier by their private hospital counterparts. Other perceived major barriers identified were related to documentation, time and lack of guidelines.

  20. Application of Management Tools in Building Wechat Service Platform of Hospital Libraries%管理工具在搭建医院图书馆微信服务平台中的应用

    Institute of Scientific and Technical Information of China (English)

    马桂平; 王乐

    2015-01-01

    目的 利用各类常用管理工具搭建医院图书馆微信服务平台,以补充医院图书馆泛在服务范围.方法 使用甘特图、鱼骨图、趋势图等管理工具,分析、构想、搭建医院图书馆微信服务平台,并分析其中的不足和解决方案,整合提炼泛在图书馆知识创新服务方式.结果 不同阶段灵活运用相关管理工具使微信服务平台的搭建过程有条不紊,可按计划开展工作,定期检查总结计划执行情况,及时发现问题,提高效率.结论 管理工具是图书馆创新服务的翅膀,在整体架构、时间管理、内容运营与传播推广等方面,利用管理工具搭建微信服务平台都具有十分重要的意义.%Objective To apply various kinds of commonly used management tools in building Wechat service platform of hospital libraries; To broaden the service coverage of hospital libraries.Methods Wechat service platform of hospital libraries was analyzed, conceived and built by using Fishbone diagram, Gantt chart, trend chart and other management tools, which were also used to analyze the shortcomings and solutions and integrate and refine service modes for knowledge innovation in libraries.Results Flexibly using relevant management tools in different stages enables the building process of Wechat service platform to be in a systematic and smooth way, which can be carried out according to the plan. Condition of plan implementation was summarized regularly to identify problems timely and improve efficiency.Conclusion Management tools are the wings of the innovation of library service. No matter in the overall framework, time management or the content dissemination and promotion, management tools can create significance on building Wechat service platform.

  1. Implementation of a large-scale hospital information infrastructure for multi-unit health-care services.

    Science.gov (United States)

    Yoo, Sun K; Kim, Dong Keun; Kim, Jung C; Park, Youn Jung; Chang, Byung Chul

    2008-01-01

    With the increase in demand for high quality medical services, the need for an innovative hospital information system has become essential. An improved system has been implemented in all hospital units of the Yonsei University Health System. Interoperability between multi-units required appropriate hardware infrastructure and software architecture. This large-scale hospital information system encompassed PACS (Picture Archiving and Communications Systems), EMR (Electronic Medical Records) and ERP (Enterprise Resource Planning). It involved two tertiary hospitals and 50 community hospitals. The monthly data production rate by the integrated hospital information system is about 1.8 TByte and the total quantity of data produced so far is about 60 TByte. Large scale information exchange and sharing will be particularly useful for telemedicine applications.

  2. Implementing the Customer Contact Center: An Opportunity to Create a Valid Measurement System for Assessing and Improving a Library's Telephone Services

    Science.gov (United States)

    Murphy, Sarah Anne; Cerqua, Judith

    2012-01-01

    A customer contact center offers academic libraries the ability to consistently improve their telephone, e-mail, and IM services. This paper discusses the establishment of a contact center and the benefits of implementing the contact center model at this institution. It then introduces a practical methodology for developing a valid measurement…

  3. Implementing the Customer Contact Center: An Opportunity to Create a Valid Measurement System for Assessing and Improving a Library's Telephone Services

    Science.gov (United States)

    Murphy, Sarah Anne; Cerqua, Judith

    2012-01-01

    A customer contact center offers academic libraries the ability to consistently improve their telephone, e-mail, and IM services. This paper discusses the establishment of a contact center and the benefits of implementing the contact center model at this institution. It then introduces a practical methodology for developing a valid measurement…

  4. Readiness of hospitals affiliated with Shiraz university of medical sciences for implementation of radio frequency identification technology

    Directory of Open Access Journals (Sweden)

    Saeid Ebrahimi

    2015-10-01

    Full Text Available Introduction: Applying information technology in healthcare system is one of the most important criteria of the World Health Organization for evaluating the quality of healthcare systems of different countries. Moreover, applying this technology in different parts of health care system can create great potentials for improving the quality of healthcare services. In this regard, Radio Frequency Identification (RFID technology is one of the most practical technologies in identifying and collecting data. The present study aimed to compare the readiness of Shiraz University of medical sciences hospitals for implementation of RFID system in 2014. Method: This was a cross-sectional study conducted in 2014. The research population consisted of 110 senior and middle managers. Due to the limited research population, census method was used. The research tool was a questionnaire prepared by the researcher to investigate the hospitals’ readiness for implementation of RFID technology. Face and content validity of the questionnaire were approved by the experts. Cronbach’s alpha test was run to determine the reliability of the questionnaire (data were considered significant at p <0.05. Also, the data were analyzed in SPSS software using descriptive statistics (mean, standard deviation, and percentage and inferential statistics (one-way ANOVA. Results: The study showed that the readiness level of the hospitals was moderate. Comparing the mean of the total readiness level in the hospitals under the study revealed that there was a statistically significant difference between hospital M and other hospitals (P=0.003. However, the total readiness of hospital I was higher than others. Conclusion: Among 13 hospitals under the study, the hospitals I and A were moderately ready and others were not ready for implementation of RFID technology. Thus, considering various applications and advantages of RFID technology, it is suggested that the hospitals should prepare

  5. Implementation of product-line management in a hospital pharmacy department.

    Science.gov (United States)

    Del Vecchio-Feinberg, G J; Sheinman, C H

    1990-09-01

    The development and implementation of product-line management (PLM) in a pharmacy department is reviewed. The PLM system of hospital organization shifts the emphasis from function to product. The pharmacy department at a 737-bed nonprofit hospital adopted PLM in an effort to reach more directly the physician and patient markets, enhance the image of pharmacy, and help meet requirements of the Joint Commission on Accreditation of Healthcare Organizations. The department surveyed physicians and administrators to identify their product and service needs and surveyed pharmacy staff members to identify the perceived benefits and risks of a PLM system. A strategic-planning session was held to decide how best to match the pharmacy department's product lines with market needs. The team leaders were renamed clinical supervisors and were no longer responsible for defined physical areas but rather for clinical matters relating to patients in the product line assigned. Pharmacy's chosen product lines were oncology services, neuropsychiatry, maternal and child care, cardiovascular, operating room-anesthesia-pain clinic, and general medical. The transition is being accomplished one product line at a time; interested team leaders transfer into clinical supervisor positions by achieving clinical expertise within the relevant product lines. Despite some initial confusion, PLM contributed to job satisfaction and morale and allowed the pharmacy department to provide increased clinical consultation and intervention services. PLM enhanced the clinical pharmacy program and focused clinical services on the physician and ultimately the patient.

  6. Libraries in Connecticut: MedlinePlus

    Science.gov (United States)

    ... LibraryLibraries in Connecticut URL of this page: https://medlineplus.gov/libraries/connecticut.html Libraries in Connecticut ... 977 Bristol, CT 06011-0977 860-585-3239 http://www.bristolhospital.org Derby Griffin Hospital Community Health ...

  7. Libraries in Saskatchewan: MedlinePlus

    Science.gov (United States)

    ... this page: https://medlineplus.gov/libraries/saskatchewan.html Libraries in Saskatchewan To use the sharing features on this page, please enable JavaScript. Prince Albert PAPHR Library Library, Victoria Hospital 1200 - 24th Street West Prince ...

  8. The Consolidated Framework for Implementation Research (CFIR): a useful theoretical framework for guiding and evaluating a guideline implementation process in a hospital-based nursing practice.

    Science.gov (United States)

    Breimaier, Helga E; Heckemann, Birgit; Halfens, Ruud J G; Lohrmann, Christa

    2015-01-01

    Implementing clinical practice guidelines (CPGs) in healthcare settings is a complex intervention involving both independent and interdependent components. Although the Consolidated Framework for Implementation Research (CFIR) has never been evaluated in a practical context, it appeared to be a suitable theoretical framework to guide an implementation process. The aim of this study was to evaluate the comprehensiveness, applicability and usefulness of the CFIR in the implementation of a fall-prevention CPG in nursing practice to improve patient care in an Austrian university teaching hospital setting. The evaluation of the CFIR was based on (1) team-meeting minutes, (2) the main investigator's research diary, containing a record of a before-and-after, mixed-methods study design embedded in a participatory action research (PAR) approach for guideline implementation, and (3) an analysis of qualitative and quantitative data collected from graduate and assistant nurses in two Austrian university teaching hospital departments. The CFIR was used to organise data per and across time point(s) and assess their influence on the implementation process, resulting in implementation and service outcomes. Overall, the CFIR could be demonstrated to be a comprehensive framework for the implementation of a guideline into a hospital-based nursing practice. However, the CFIR did not account for some crucial factors during the planning phase of an implementation process, such as consideration of stakeholder aims and wishes/needs when implementing an innovation, pre-established measures related to the intended innovation and pre-established strategies for implementing an innovation. For the CFIR constructs reflecting & evaluating and engaging, a more specific definition is recommended. The framework and its supplements could easily be used by researchers, and their scope was appropriate for the complexity of a prospective CPG-implementation project. The CFIR facilitated qualitative data

  9. Implementing chronic disease management in the public healthcare sector in Singapore: the role of hospitals.

    Science.gov (United States)

    Cheah, J; Heng, B H

    2001-01-01

    The public health care delivery system in Singapore faces the challenges of a rapidly ageing population, an increasing chronic disease burden, increasing healthcare cost, rising expectations and demand for better health services, and shortage of resources. It is also fragmented, resulting in duplication and lack of coordination between institutions. A disease management approach has been adopted by the National Healthcare Group (NHG) as a critical strategy to provide holistic, cost-effective, seamless and well-coordinated care across the continuum. The framework in the development of the disease management plan included identifying the diseases and defining the target population, organizing a multi-disciplinary team lead by a clinician champion, defining the core components, treatment protocols and evaluation methods, defining the goals, and measuring and managing the outcomes. As disease management and case management for chronic diseases are new approaches adopted in the healthcare delivery system, there is a lack of understanding by healthcare professionals. The leadership and participation of hospital physicians was sought in the planning, design and outcomes monitoring to ensure their 'buy-in' and the successful implementation and effectiveness of the program. The episodic diagnosis related group (DRG)-based framework of funding and subvention for healthcare, and the shortage of step-care care facilities, have been recognized by the Ministry of Health as an impediments to the implementation, and these are currently being addressed.

  10. Implementation of clinical governance in hospitals: challenges and the keys for success.

    Directory of Open Access Journals (Sweden)

    Seyed Mohammad Hadi Mousavi

    2014-07-01

    Full Text Available There is a number of models and strategies for improving the quality of care such as total quality management, continuous quality improvement and clinical governance. The policy of clinical governance is part of the governments overall strategy for monitoring, assuring and improving in the national health services organization. Clinical governance has been introduced as a bridge between managerial and clinical approaches to quality. For successful implementing of clinical governance, it is necessary to pay attention to firm foundations of the structure, including equipment, staffing arrangement, supporting specialties, and staff training. Therefore, as clinical governance improves safety and quality in health care services, the current situation in hospitals should be evaluated before any intervention while barriers and blocks on structure and process should be determined to select a method for changing them. Considering these points could guarantee success in implementation of clinical governance; otherwise there would be a little chance to achieve the desired results despite consumption of plenty of time and huge paper works.

  11. Proposal for the Implementation of Quality Standards in a Medical Unit Through Integration to the Hospital Information System.

    Science.gov (United States)

    Karampela, Irene; Tzortzis, Evangelos; Kefala, Ioanna; Zygoura, Eleutheria; Mantzana, Vasiliki; Armaganidis, Apostolos

    2017-01-01

    Quality standards (QS) support and enhance health care services provided to patients and citizens, especially in sophisticated medical departments, such as Intensive Care Units (ICU). However, ICU staff lag behind in the adoption and compliance of QS protocols. In this paper, QS protocols implemented in the Intensive Care Unit of the Attiko University Hospital, a tertiary teaching hospital of the University of Athens, will be discussed. In this hospital, standardized procedures are implemented through the HIS, facilitating routine administration and services. We are aiming to facilitate educational processes and enhance staff compliance with the protocols by utilizing the Hospital Information System (HIS). In doing this, we propose the application of pop-up windows on the different user (medical or nursing) interfaces of the HIS, inter-connecting every electronic process with the corresponding QS protocol that has been developed in the ICU. This application may prove a valuable educational tool and may reinforce staff training and enhance compliance with the QS protocols.

  12. The "Integrated Library System."

    Science.gov (United States)

    Dowlin, Kenneth E.

    1985-01-01

    Reviews internal and external dimensions of library environment that must be taken into account by library managers when choosing an integrated library system. The selection, acquisition, and implementation stages of Maggie III--a computerized library system sensitive to the internal and external organizational environment--are described. (MBR)

  13. Teleporting the library?

    DEFF Research Database (Denmark)

    Heilesen, Simon

    2009-01-01

    In 2007, six Danish public libraries established a virtual library, Info Island DK, in Second Life. This article discusses the library project in terms of design. The design processes include the planning and implementation of the virtual library structure and its equipment, as well as the organi...

  14. Local Area Networks (LAN) in the Special Library.

    Science.gov (United States)

    Angier, Jennifer J.; Hoehl, Susan B.

    1986-01-01

    Presents a planning model for the automation of operations in a large hospital library and specifically describes the design and implementation of a local area network. Part 1 deals with the evolution of the idea, system planning, and design, and Part 2 addresses installation and implementation issues. (EM)

  15. Meeting the challenge in performance management: the diffusion and implementation of the balanced scorecard in Chinese hospitals.

    Science.gov (United States)

    Gao, Tian; Gurd, Bruce

    2015-03-01

    The bonus system used in Chinese hospitals has been criticized for eroding doctors' professional ethics and aggravating patient expense. This research article focuses on one system to improve hospital performance, the balanced scorecard (BSC). We use three data sources to examine the diffusion and implementation of the BSC in China: a questionnaire survey in Shandong Province, a print-media indicators and content analysis of the published BSC papers and semi-structured interviews with managers of Chinese hospitals that use the BSC. The research evidence shows that bonus systems are important, partially because of the poor pay of hospital professionals, and the BSC is perceived as providing a fair system to award such bonuses. This helps explain the relative endurance of the BSC in Chinese hospitals. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  16. A new implementation of high-throughput five-dimensional clone pooling strategy for BAC library screening

    Directory of Open Access Journals (Sweden)

    Deal Karin R

    2010-12-01

    Full Text Available Abstract Background A five-dimensional (5-D clone pooling strategy for screening of bacterial artificial chromosome (BAC clones with molecular markers utilizing highly-parallel Illumina GoldenGate assays and PCR facilitates high-throughput BAC clone and BAC contig anchoring on a genetic map. However, this strategy occasionally needs manual PCR to deconvolute pools and identify truly positive clones. Results A new implementation is reported here for our previously reported clone pooling strategy. Row and column pools of BAC clones are divided into sub-pools with 1~2× genome coverage. All BAC pools are screened with Illumina's GoldenGate assay and the BAC pools are deconvoluted to identify individual positive clones. Putative positive BAC clones are then further analyzed to find positive clones on the basis of them being neighbours in a contig. An exhaustive search or brute force algorithm was designed for this deconvolution and integrated into a newly developed software tool, FPCBrowser, for analyzing clone pooling data. This algorithm was used with empirical data for 55 Illumina GoldenGate SNP assays detecting SNP markers mapped on Aegilops tauschii chromosome 2D and Ae. tauschii contig maps. Clones in single contigs were successfully assigned to 48 (87% specific SNP markers on the map with 91% precision. Conclusion A new implementation of 5-D BAC clone pooling strategy employing both GoldenGate assay screening and assembled BAC contigs is shown here to be a high-throughput, low cost, rapid, and feasible approach to screening BAC libraries and anchoring BAC clones and contigs on genetic maps. The software FPCBrowser with the integrated clone deconvolution algorithm has been developed and is downloadable at http://avena.pw.usda.gov/wheatD/fpcbrowser.shtml.

  17. The Experience of Implementing the Board of Trustees’ Policy in Teaching Hospitals in Iran: An Example of Health System Decentralization

    Directory of Open Access Journals (Sweden)

    Leila Doshmangir

    2015-04-01

    Full Text Available Background In 2004, the health system in Iran initiated an organizational reform aiming to increase the autonomy of teaching hospitals and make them more decentralized. The policy led to the formation of a board of trustees in each hospital and significant modifications in hospitals’ financing. Since the reform aimed to improve its predecessor policy (implementation of hospital autonomy began in 1995, it expected to increase user satisfaction, as well as enhance effectiveness and efficiency of healthcare services in targeted hospitals. However, such expectations were never realized. In this research, we explored the perceptions and views of expert stakeholders as to why the board of trustees’ policy did not achieve its perceived objectives. Methods We conducted 47 semi-structured face-to-face interviews and two focus group discussions (involving 8 and 10 participants, respectively with experts at high, middle, and low levels of Iran’s health system, using purposive and snowball sampling. We also collected a comprehensive set of relevant documents. Interviews were transcribed verbatim and analyzed thematically, following a mixed inductive-deductive approach. Results Three main themes emerged from the analysis. The implementation approach (including the processes, views about the policy and the links between the policy components, using research evidence about the policy (local and global, and policy context (health system structure, health insurers capacity, hospitals’ organization and capacity and actors’ interrelationships affected the policy outcomes. Overall, the implementation of hospital decentralization policies in Iran did not seem to achieve their intended targets as a result of assumed failure to take full consideration of the above factors in policy implementation into account. Conclusion The implementation of the board of trustees’ policy did not achieve its desired goals in teaching hospitals in Iran. Similar

  18. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  19. Implementation of the WHO multimodal Hand Hygiene Improvement Strategy in a University Hospital in Central Ethiopia

    Directory of Open Access Journals (Sweden)

    Frieder Pfäfflin

    2017-01-01

    Full Text Available Abstract Background The burden of health-care associated infections in low-income countries is high. Adequate hand hygiene is considered the most effective measure to reduce the transmission of nosocomial pathogens. We aimed to assess compliance with hand hygiene and perception and knowledge about hand hygiene before and after the implementation of a multimodal hand hygiene campaign designed by the World Health Organization. Methods The study was carried out at Asella Teaching Hospital, a university hospital and referral centre for a population of about 3.5 million in Arsi Zone, Central Ethiopia. Compliance with hand hygiene during routine patient care was measured by direct observation before and starting from six weeks after the intervention, which consisted of a four day workshop accompanied by training sessions and the provision of locally produced alcohol-based handrub and posters emphasizing the importance of hand hygiene. A second follow up was conducted three months after handing over project responsibility to the Ethiopian partners. Health-care workers’ perception and knowledge about hand hygiene were assessed before and after the intervention. Results At baseline, first, and second follow up we observed a total of 2888, 2865, and 2244 hand hygiene opportunities, respectively. Compliance with hand hygiene was 1.4% at baseline and increased to 11.7% and 13.1% in the first and second follow up, respectively (p < 0.001. The increase in compliance with hand hygiene was consistent across professional categories and all participating wards and was independently associated with the intervention (adjusted odds ratio, 9.18; 95% confidence interval 6.61-12.76; p < 0.001. After the training, locally produced alcohol-based handrub was used in 98.4% of all hand hygiene actions. The median hand hygiene knowledge score overall was 13 (interquartile range 11–15 at baseline and increased to 17 (15–18 after training (p < 0.001. Health

  20. A workflow-oriented framework-driven implementation and local adaptation of clinical information systems: a case study of nursing documentation system implementation at a tertiary rehabilitation hospital.

    Science.gov (United States)

    Choi, Jeeyae; Kim, Hyeoneui

    2012-08-01

    Health information systems are often designed and developed without integrating users' specific needs and preferences. This decreases the users' productivity, satisfaction, and acceptance of the system and increases the necessity for a local adaptation process to reduce the unwanted outcomes after implementation. A workflow-oriented framework developed in a previous study indicates that users' needs and preferences could be incorporated into the system when implementation follows the steps of the framework, eventually increasing satisfaction with and usefulness of the system. The overall goal of this study was to demonstrate application of the workflow-oriented framework to the implementation of a nursing documentation system at Spaulding Rehabilitation Hospital. In this case study, we present specific steps of implementing and adapting a health information system at a local site and raise critical questions that need to be answered in each step based on the workflow-oriented framework.

  1. Barriers and enablers to the implementation of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomised controlled trial.

    Science.gov (United States)

    Ayton, Darshini R; Barker, Anna L; Morello, Renata T; Brand, Caroline A; Talevski, Jason; Landgren, Fiona S; Melhem, Mayer M; Bian, Evelyn; Brauer, Sandra G; Hill, Keith D; Livingston, Patricia M; Botti, Mari

    2017-01-01

    Evidence for effective falls prevention interventions in acute wards is limited. One reason for this may be suboptimal program implementation. This study aimed to identify perceived barriers and enablers of the implementation of the 6-PACK falls prevention program to inform the implementation in a randomised controlled trial. Strategies to optimise successful implementation of 6-PACK were also sought. A mixed-methods approach was applied in 24 acute wards from 6 Australian hospitals. Participants were nurses working on participating wards and senior hospital staff including Nurse Unit Managers; senior physicians; Directors of Nursing; and senior personnel involved in quality and safety or falls prevention. Information on barriers and enablers of 6-PACK implementation was obtained through surveys, focus groups and interviews. Questions reflected the COM-B framework that includes three behaviour change constructs of: capability, opportunity and motivation. Focus group and interview data were analysed thematically, and survey data descriptively. The survey response rate was 60% (420/702), and 12 focus groups (n = 96 nurses) and 24 interviews with senior staff were conducted. Capability barriers included beliefs that falls could not be prevented; and limited knowledge on falls prevention in patients with complex care needs (e.g. cognitive impairment). Capability enablers included education and training, particularly face to face case study based approaches. Lack of resources was identified as an opportunity barrier. Leadership, champions and using data to drive practice change were recognised as opportunity enablers. Motivation barriers included complacency and lack of ownership in falls prevention efforts. Motivation enablers included senior staff articulating clear goals and a commitment to falls prevention; and use of reminders, audits and feedback. The information gained from this study suggests that regular practical face-to-face education and training for nurses

  2. Barriers and enablers to the implementation of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomised controlled trial

    Science.gov (United States)

    Brand, Caroline A.; Landgren, Fiona S.; Melhem, Mayer M.; Bian, Evelyn; Brauer, Sandra G.; Hill, Keith D.; Livingston, Patricia M.

    2017-01-01

    Evidence for effective falls prevention interventions in acute wards is limited. One reason for this may be suboptimal program implementation. This study aimed to identify perceived barriers and enablers of the implementation of the 6-PACK falls prevention program to inform the implementation in a randomised controlled trial. Strategies to optimise successful implementation of 6-PACK were also sought. A mixed-methods approach was applied in 24 acute wards from 6 Australian hospitals. Participants were nurses working on participating wards and senior hospital staff including Nurse Unit Managers; senior physicians; Directors of Nursing; and senior personnel involved in quality and safety or falls prevention. Information on barriers and enablers of 6-PACK implementation was obtained through surveys, focus groups and interviews. Questions reflected the COM-B framework that includes three behaviour change constructs of: capability, opportunity and motivation. Focus group and interview data were analysed thematically, and survey data descriptively. The survey response rate was 60% (420/702), and 12 focus groups (n = 96 nurses) and 24 interviews with senior staff were conducted. Capability barriers included beliefs that falls could not be prevented; and limited knowledge on falls prevention in patients with complex care needs (e.g. cognitive impairment). Capability enablers included education and training, particularly face to face case study based approaches. Lack of resources was identified as an opportunity barrier. Leadership, champions and using data to drive practice change were recognised as opportunity enablers. Motivation barriers included complacency and lack of ownership in falls prevention efforts. Motivation enablers included senior staff articulating clear goals and a commitment to falls prevention; and use of reminders, audits and feedback. The information gained from this study suggests that regular practical face-to-face education and training for nurses

  3. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay

    Science.gov (United States)

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael

    2012-01-01

    Background Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Methods Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. Results A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40–65 years and older than 65 years. Conclusions The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI. PMID:22337557

  4. Reutilizing Existing Library Space.

    Science.gov (United States)

    Davis, Marlys Cresap

    1987-01-01

    This discussion of the reutilization of existing library space reviews the decision process and considerations for implementation. Two case studies of small public libraries which reassigned space to better use are provided, including floor plans. (1 reference) (MES)

  5. Improvements in Pain Outcomes in a Canadian Pediatric Teaching Hospital Following Implementation of a Multifaceted, Knowledge Translation Initiative

    Directory of Open Access Journals (Sweden)

    Lisa M Zhu

    2012-01-01

    Full Text Available BACKGROUND: A previous audit performed at a tertiary/quaternary pediatric hospital in Toronto, Ontario, demonstrated suboptimal assessment and treatment of children’s pain. Knowledge translation (KT initiatives (education, reminders, audit and feedback were implemented to address identified care gaps; however, the impact is unknown.

  6. Implementation of Endovenous Laser Ablation for Varicose Veins in a Large Community Hospital : The First 400 Procedures

    NARCIS (Netherlands)

    van den Bremer, J.; Joosten, P. Ph. A. Hedeman; Hamming, J. F.; Moll, F. L.

    2009-01-01

    Endovenous Laser ablation (ELA) has become a standard treatment of the incompetent great saphenous vein (GSV). Our prospective audit examines the implementation of this new method in a large community hospital with special attention to obstacles, technical results, pain scores, failures and our lear

  7. Analysis on Western Medicine Hospital Library of Medicine Management Method%关于医院西药库药品管理的方法分析

    Institute of Scientific and Technical Information of China (English)

    郭荭

    2016-01-01

    Objective To study and to explore the hospital medicine management methods of western medicine library, in order to improve the management quality of hospital library western medicine drugs to provide reference basis. Methods From January 2014 to December, the period from the western medicine library using ABC classification management in the process of drug administration management;In January 2015, our hospital library medicine western medicine management of ABC classification management is optimized and improved, the introduction of the CVA classification management, take CVA classification management to manage library medicine, western medicine to collect data from January 2015 to Decem-ber. Contrast two phases in purchasing drug types, safety inventory cycle, year purchase amount, purchase, purchase cycle, inventory, inventory turnover, inventory average workload, rate of out of stock. Results Compared with from January 2014 to December, from January 2015 to December of the year purchasing drug species increased significantly (P< 0.05), the safety stock cycle, purchasing cycle were significantly reduced(P< 0.05), the annual purchase amount, in the mean number of pro-curement, inventory, inventory workload were significantly reduced(P<0.05), obviously improve the inventory turnover ratio, out of stock rate significantly decreased(P< 0.05). Conclusion Western medicine library of medicine management in hospi-tal, can manage to take CVA classification management, to improve hospital medicine library inventory turns, decrease the rate of out of stock, enhances the working efficiency of the western medicine library in an all-round way.%目的:研究并探讨医院西药库药品管理的方法,为提高医院西药库药品管理质量提供借鉴依据。方法于2014年1—12月,该阶段内该院西药库药品管理过程中采用ABC分类管理法进行管理;2015年1月起,该院西药库药品管理方面对ABC分类管理法进行了优化和改进,引

  8. [Implementation strategy of the HAS French surgical check-list in a university hospital].

    Science.gov (United States)

    Cunat, C; Flatin, V; Viale, J-P

    2011-06-01

    The check-list (CL) "Safety in Operating Room" has been introduced in our teaching hospital since 2009, associated to a "Quality and Prevention of Risks" program. This introduction was carried out over two distinct phases. The first one was a pilot start including five OR, allowing us to draw firm recommendations on the best way to perform the introduction, followed by a generalization to the other operating room (OR). The recommendations were the followings: a pilot committee including all the professionals should be constituted before the onset of introduction, a dedicated communication should focus on the actual concerns and benefits, and finally, the person questioning other care givers and filling the form should be clearly identified and supported in the OR. Meanwhile a guide on the utilization of the CL in each surgical speciality was written, and a dedicated manager was in charge of the whole procedure. This experience raised several remarks. This implementation of the CL proved to be a cause of self-interrogation on our medical practices, and the opportunity to improve communication among the professionals of the OR. Indeed, the 10 items of the OR should be thought as the last check before the no-return point, which should be shared by anyone in the OR. If these conditions were fulfilled, the CL could be viewed as an actual improvement of safety in the OR. Otherwise, CL is just a supplementary form.

  9. THE IMPLEMENTATION OF THE SYSTEMATIZATION OF NURSING ICU - NEONATAL HOSPITAL REGIONAL DE CÁCERES-MT

    Directory of Open Access Journals (Sweden)

    Eliene de Souza Porto

    2013-01-01

    Full Text Available The study aimed to analyze the implementation of the Nursing Care System (NCS in the ICU - Neonatal Hospital Regional de Cáceres Dr. Anthony Fontes - HRCAF. This is an exploratory qualitative approach with descriptive profile of the case study. Data were collected through interviews with five nurses from ICU - Neonatal, using as research instrument, a questionnaire containing open and closed questions and analyzing a chart. The results showed that nurses know and realize the importance of NCS as a methodological tool that guides the practice of care and as professional recognition, although not held by all. The analysis of the records showed that there Systematization of Nursing Care at this clinic. Of the 707 days analyzed records there were only 30 (4.25% Nursing Research, none (0.0% record Diagnosis and Planning, 57 (8.26% days with record Deployment, Assessment and 23 record (3.24% in which its registered nursing care, assistance totaling 15.55% recorded in medical records. With the completion of this study, it was noted that the SAE often becomes impossible in practice of nursing because of various difficulties such as lack of time, lack of human resources, work overload, and the generic form organizational structure.

  10. Adaptation and implementation of standardized order sets in a network of multi-hospital corporations in rural Ontario.

    Science.gov (United States)

    Meleskie, Jessica; Eby, Don

    2009-01-01

    Standardized, preprinted or computer-generated physician orders are an attractive project for organizations that wish to improve the quality of patient care. The successful development and maintenance of order sets is a major undertaking. This article recounts the collaborative experience of the Grey Bruce Health Network in adapting and implementing an existing set of physician orders for use in its three hospital corporations. An Order Set Committee composed of primarily front-line staff was given authority over the order set development, approval and implementation processes. This arrangement bypassed the traditional approval process and facilitated the rapid implementation of a large number of order sets in a short time period.

  11. Three-year follow-up of implementation of evidence-based transfusion practice in a tertiary hospital

    DEFF Research Database (Denmark)

    Nørgaard, Astrid; Stensballe, J; de Lichtenberg, T H

    2017-01-01

    BACKGROUND AND OBJECTIVES: Traditionally, Denmark has had a high rate of allogeneic red blood cell transfusion caused by a liberal transfusion practice despite the existence of restrictive guidelines. We established a Patient Blood Management programme in a tertiary hospital and report the results...... of the implementation of evidence-based transfusion practice. MATERIALS AND METHODS: Red blood cell transfusion quality indicators were compared with the evidence-based guideline at hospital and department level. Based on this evaluation, wards were selected for interventions targeting doctors and nurses....... The implementation process was monitored by transfusion quality and utilization data over a 3-year period with totally 166 341 admissions in 98 960 mixed, adult medical and surgical patients. RESULTS: At the hospital level, transfusion above the upper guideline limit decreased from 23 to 10% (P

  12. Implementation and adoption of mechanical patient lift equipment in the hospital setting: The importance of organizational and cultural factors.

    Science.gov (United States)

    Schoenfisch, Ashley L; Myers, Douglas J; Pompeii, Lisa A; Lipscomb, Hester J

    2011-12-01

    Work focused on understanding implementation and adoption of interventions designed to prevent patient-handling injuries in the hospital setting is lacking in the injury literature and may be more insightful than more traditional evaluation measures. Data from focus groups with health care workers were used to describe barriers and promoters of the adoption of patient lift equipment and a shift to a "minimal-manual lift environment" at two affiliated hospitals. Several factors influencing the adoption of the lift equipment and patient-handling policy were noted: time, knowledge/ability, staffing, patient characteristics, and organizational and cultural aspects of work. The adoption process was complex, and considerable variability by hospital and across units was observed. The use of qualitative data can enhance the understanding of factors that influence implementation and adoption of interventions designed to prevent patient-handling injuries among health care workers. Copyright © 2011 Wiley Periodicals, Inc.

  13. The Customer Comes First: Implementing a Customer Service Program at the University of Minnesota, Twin Cities Libraries

    Science.gov (United States)

    Bayer, Jerrie; Llewellyn, Steven

    2011-01-01

    Library customers have more remote information choices than ever before, so we must ensure that when they do come to the library, they experience a welcoming environment, a high standard of service, and receive equitable levels of service across campus. Developing a customer service program was a logical next step to reinforce the ongoing…

  14. All for one, one for all: collaboration between NHS and Higher Education in establishing provision of a multi-disciplinary, hospital-based library and information services.

    Science.gov (United States)

    Black, Coral; Bury, Rachel

    2004-06-01

    Developing multi-disciplinary library and information services is high on the agenda for many NHS trusts and this brings with it a climate of change for both those who manage and work in services today. The development of such new services needs to be carefully managed and developed, and this presents a challenge for librarians and service managers. In the UK during 1999 and 2000, Aintree Hospital Trust, in conjunction with Edge Hill College of Higher Education, established a truly multi-disciplinary service based at its hospital site and managed by Edge Hill. This paper outlines the key stages in the development of the Library and Information Service with the focus on the management of change, collaboration and the development of a unique partnership between Higher Education and an NHS trust. The case study example will provide an outline of strategic and project planning, with insights into staff management and development, delivering user expectations and developing stakeholder relationships in the health library setting.

  15. Integration of Library Services in the System of Digital Libraries

    Science.gov (United States)

    Bezdushnyj, A. N.; Kalenov, N. E.; Kouriv, P. M.; Serebryakov, V. A.

    The article is devoted to the functional extension of the Integrated System of Information Resources of RAS (ISIR RAS - RFBR 99-07-90139 project). This extension (Library Subsystem) provides integration of library services in ISIR RAS electronic libraries system. Library Subsystem implements standard library services such as information about free and ordered copies of editions, creation of the library orders for edition etc. The Library Subsystem is an integrated solution; it's based on ISIR data model and technologies.

  16. 三维智慧图书馆的设计和实现--以宝山图书馆为例%The Design and Implementation of Three Dimensional Smart Library---Taking Baoshan Library as Example

    Institute of Scientific and Technical Information of China (English)

    曹轶

    2016-01-01

    Much attention has been paid to data management, privacy protection, data analysis, data sharing and openness recently, which led to absolutely critical roles of the technologies such as RFID, CSS, face recognition and so on for public libraries during innovation and development. Three dimensional smart library has become a mainstream trend as a result of applying information technologies to a strategic level. Firstly, the article introduces the concepts of smart library. Secondly, it describes the characteris-tics of structure, some design ideas and the system framework of three dimensional BSSL smart library. Finally, it puts forward some problems that were met during implementation.%随着对数据管理、隐私保护、数据分析、开放共享的重视,RFID、CSS、人脸识别等信息技术对图书馆的创新驱动及转型发展起到了至关重要的作用,打造新时代三维智慧图书馆已成为主流趋势。本文介绍了智慧图书馆的相关概念,以宝山图书馆为例提出了三维智慧图书馆的结构特点、设计思路和系统框架,并提出了实施过程中遇到的问题。

  17. Improvement of teamwork and safety climate following implementation of the WHO surgical safety checklist at a university hospital in Japan.

    Science.gov (United States)

    Kawano, Takashi; Taniwaki, Miki; Ogata, Kimiyo; Sakamoto, Miwa; Yokoyama, Masataka

    2014-06-01

    With the aim to optimize surgical safety, the World Health Organization (WHO) introduced the Surgical Safety Checklist (SSCL) in 2008. The SSCL has been piloted in many countries worldwide and shown to improve both safety attitudes within surgical teams and patient outcomes. In the study reported here we investigated whether implementation of the SSCL improved the teamwork and safety climate at a single university hospital in Japan. All surgical teams at the hospital implemented the SSCL in all surgical procedures with strict adherence to the SSCL implementation manual developed by WHO. Changes in safety attitudes were evaluated using the modified operating-room version of the Safety Attitudes Questionnaire (SAQ). A before and after design was used, with the questionnaire administered before and 3 months after SSCL implementation. Our analysis revealed that the mean scores on the SAQ had significantly improved 3 months after implementation of the SSCL compared to those before implementation. This finding implies that effective implementation of the SSCL could improve patient outcomes in Japan, similar to the findings of the WHO pilot study.

  18. Assessing the planning and implementation strategies for the ICD-10-CM/PCS coding transition in Alabama hospitals.

    Science.gov (United States)

    Houser, Shannon H; Morgan, Darius; Clements, Kay; Hart-Hester, Susan

    2013-01-01

    Health information management (HIM) professionals play a significant role in transitioning from ICD-9-CM to ICD-10-CM/PCS. ICD-10-CM/PCS coding will impact many operational aspects of healthcare facilities, such as physicians' documentation in health records, coders' process for review of clinical information, the billing process, and the payers' reimbursement to the healthcare facilities. This article examines the level of readiness and planning for ICD-10-CM/PCS implementation among hospitals in Alabama, identifies training methods/approaches to be used by the hospitals, and discusses the challenges to the ICD-10-CM/PCS coding transition. A 16-question survey was distributed to 116 Alabama hospital HIM directors in December 2011 with follow-up through February 2012. Fifty-three percent of respondent hospitals began the planning process in 2011, and most facilities were halfway or less than halfway to completion of specific implementation tasks. Hospital coders will be or are being trained using in-house training, through seminars/webinars, or by consultants. The impact of ICD-10-CM/PCS implementation can be minimized by training coders in advance, hiring new coders, and adjusting coders' productivity measures. Three major challenges to the transition were identified: the need to interact with physicians and other providers more often to obtain information needed to code in ICD-10-CM/PCS systems, education and training of coders and other ICD-10-CM/PCS users, and dependence on vendors for major technology upgrades for ICD-10-CM/PCS systems. Survey results provide beneficial information for HIM professionals and other users of coded data to assist in establishing sound practice standards for ICD-10-CM/PCS coding implementation. Adequate planning and preparation will be essential to the successful implementation of ICD-10-CM/PCS.

  19. A qualitative exploration of workarounds related to the implementation of national electronic health records in early adopter mental health hospitals.

    Directory of Open Access Journals (Sweden)

    Gloria Ser

    Full Text Available AIMS: To investigate the perceptions and reported practices of mental health hospital staff using national hospital electronic health records (EHRs in order to inform future implementations, particularly in acute mental health settings. METHODS: Thematic analysis of interviews with a wide range of clinical, information technology (IT, managerial and other staff at two early adopter mental health National Health Service (NHS hospitals in London, UK, implementing national EHRs. RESULTS: We analysed 33 interviews. We first sought out examples of workarounds, such as delayed data entry, entering data in wrong places and individuals using the EHR while logged in as a colleague, then identified possible reasons for the reported workarounds. Our analysis identified four main categories of factors contributing to workarounds (i.e., operational, cultural, organisational and technical. Operational factors included poor system integration with existing workflows and the system not meeting users' perceived needs. Cultural factors involved users' competence with IT and resistance to change. Organisational factors referred to insufficient organisational resources and training, while technical factors included inadequate local technical infrastructure. Many of these factors, such as integrating the EHR system with day-to-day operational processes, staff training and adequate local IT infrastructure, were likely to apply to system implementations in various settings, but we also identified factors that related particularly to implementing EHRs in mental health hospitals, for example: EHR system incompatibility with IT systems used by mental health-related sectors, notably social services; the EHR system lacking specific, mental health functionalities and options; and clinicians feeling unable to use computers while attending to distressed psychiatric patients. CONCLUSIONS: A better conceptual model of reasons for workarounds should help with designing, and

  20. A qualitative exploration of workarounds related to the implementation of national electronic health records in early adopter mental health hospitals.

    Science.gov (United States)

    Ser, Gloria; Robertson, Ann; Sheikh, Aziz

    2014-01-01

    To investigate the perceptions and reported practices of mental health hospital staff using national hospital electronic health records (EHRs) in order to inform future implementations, particularly in acute mental health settings. Thematic analysis of interviews with a wide range of clinical, information technology (IT), managerial and other staff at two early adopter mental health National Health Service (NHS) hospitals in London, UK, implementing national EHRs. We analysed 33 interviews. We first sought out examples of workarounds, such as delayed data entry, entering data in wrong places and individuals using the EHR while logged in as a colleague, then identified possible reasons for the reported workarounds. Our analysis identified four main categories of factors contributing to workarounds (i.e., operational, cultural, organisational and technical). Operational factors included poor system integration with existing workflows and the system not meeting users' perceived needs. Cultural factors involved users' competence with IT and resistance to change. Organisational factors referred to insufficient organisational resources and training, while technical factors included inadequate local technical infrastructure. Many of these factors, such as integrating the EHR system with day-to-day operational processes, staff training and adequate local IT infrastructure, were likely to apply to system implementations in various settings, but we also identified factors that related particularly to implementing EHRs in mental health hospitals, for example: EHR system incompatibility with IT systems used by mental health-related sectors, notably social services; the EHR system lacking specific, mental health functionalities and options; and clinicians feeling unable to use computers while attending to distressed psychiatric patients. A better conceptual model of reasons for workarounds should help with designing, and supporting the implementation and adoption of, EHRs for

  1. Local Area Network Implementation: Moving toward Phase III.

    Science.gov (United States)

    Hoehl, Susan B.

    1989-01-01

    Describes a LAN (local area network)-based automation project which has neared completion of the first phase of implementation at the Health Sciences Library of Allegheny General Hospital (Pittsburgh, PA). Changes in the library and its objectives with increased technological experience are examined. Diagrams of the current LAN configuration and…

  2. Perceptions and experiences of the implementation, management, use and optimisation of electronic prescribing systems in hospital settings: protocol for a systematic review of qualitative studies

    Science.gov (United States)

    Farre, Albert; Bem, Danai; Heath, Gemma; Shaw, Karen; Cummins, Carole

    2016-01-01

    Introduction There is increasing evidence that electronic prescribing (ePrescribing) or computerised provider/physician order entry (CPOE) systems can improve the quality and safety of healthcare services. However, it has also become clear that their implementation is not straightforward and may create unintended or undesired consequences once in use. In this context, qualitative approaches have been particularly useful and their interpretative synthesis could make an important and timely contribution to the field. This review will aim to identify, appraise and synthesise qualitative studies on ePrescribing/CPOE in hospital settings, with or without clinical decision support. Methods and analysis Data sources will include the following bibliographic databases: MEDLINE, MEDLINE In Process, EMBASE, PsycINFO, Social Policy and Practice via Ovid, CINAHL via EBSCO, The Cochrane Library (CDSR, DARE and CENTRAL databases), Nursing and Allied Health Sources, Applied Social Sciences Index and Abstracts via ProQuest and SCOPUS. In addition, other sources will be searched for ongoing studies (ClinicalTrials.gov) and grey literature: Healthcare Management Information Consortium, Conference Proceedings Citation Index (Web of Science) and Sociological abstracts. Studies will be independently screened for eligibility by 2 reviewers. Qualitative studies, either standalone or in the context of mixed-methods designs, reporting the perspectives of any actors involved in the implementation, management and use of ePrescribing/CPOE systems in hospital-based care settings will be included. Data extraction will be conducted by 2 reviewers using a piloted form. Quality appraisal will be based on criteria from the Critical Appraisal Skills Programme checklist and Standards for Reporting Qualitative Research. Studies will not be excluded based on quality assessment. A postsynthesis sensitivity analysis will be undertaken. Data analysis will follow the thematic synthesis method. Ethics and

  3. Systematic implementation of clinical risk management in a large university hospital: the impact of risk managers.

    Science.gov (United States)

    Sendlhofer, Gerald; Brunner, Gernot; Tax, Christa; Falzberger, Gebhard; Smolle, Josef; Leitgeb, Karina; Kober, Brigitte; Kamolz, Lars Peter

    2015-01-01

    For health care systems in recent years, patient safety has increasingly become a priority issue. National and international strategies have been considered to attempt to overcome the most prominent hazards while patients are receiving health care. Thereby, clinical risk management (CRM) plays a dominant role in enabling the identification, analysis, and management of potential risks. CRM implementation into routine procedures within complex hospital organizations is challenging, as in the past, organizational change strategies using a top-down approach have often failed. Therefore, one of our main objectives was to educate a certain number of risk managers in facilitating CRM using a bottom-up approach. To achieve our primary purpose, five project strands were developed, and consequently followed, introducing CRM: corporate governance, risk management (RM) training, CRM process, information, and involvement. The core part of the CRM process involved the education of risk managers within each organizational unit. To account for the size of the existing organization, we assumed that a minimum of 1 % of the workforce had to be trained in RM to disseminate the continuous improvement of quality and safety. Following a roll-out plan, CRM was introduced in each unit and potential risks were identified. Alongside the changes in the corporate governance, a hospital-wide CRM process was introduced resulting in 158 trained risk managers correlating to 2.0 % of the total workforce. Currently, risk managers are present in every unit and have identified 360 operational risks. Among those, 176 risks were scored as strategic and clustered together into top risks. Effective meeting structures and opportunities to share information and knowledge were introduced. Thus far, 31 units have been externally audited in CRM. The CRM approach is unique with respect to its dimension; members of all health care professions were trained to be able to identify potential risks. A network of risk

  4. Implementing hospital innovation in Taiwan: the perspectives of institutional theory and social capital.

    Science.gov (United States)

    Yang, Chen-Wei

    2015-01-01

    The main purpose of this study is to develop an innovation model for hospital organisations. For this purpose, this study explores and examines the determinants, capabilities and performance in the hospital sector. First, this discusses three categories of determinants that affect hospitals' innovative capability studies: (1) knowledge stock; (2) social ties; and (3) institutional pressures. Then, this study examines the idea of innovative hospital capabilities, defined as the ability of the hospital organisation to innovate their knowledge. Finally, the hospital evaluation rating, which identifies performance in the hospital sector, was examined. This study empirically tested the theoretical model at the organisation level. The findings suggest that a hospital's innovative capabilities are influenced by its knowledge stock, social ties, institutional pressures and the impact of hospital performance. However, in attempts to keep hospitals aligned with their highly institutionalised environments, it may prove necessary for hospital administrators to pay more attention to both existing knowledge stock and the process of innovation if the institutions are to survive. Finally, implications for theory and practitioners complete this study. Copyright © 2014 John Wiley & Sons, Ltd.

  5. OpenCL-library-based implementation of SCLSU algorithm for remotely sensed hyperspectral data exploitation: clMAGMA versus viennaCL

    Science.gov (United States)

    Bernabé, Sergio; Botella, Guillermo; Orueta, Carlos; Navarro, José M. R.; Prieto-Matías, Manuel; Plaza, Antonio

    2016-10-01

    In the last decade, hyperspectral spectral unmixing (HSU) analysis have been applied in many remote sensing applications. For this process, the linear mixture model (LMM) has been the most popular tool used to find pure spectral constituents or endmembers and their fractional abundance in each pixel of the data set. The unmixing process consists of three stages: (i) estimation of the number of pure spectral signatures or endmembers, (ii) automatic identification of the estimated endmembers, and (iii) estimation of the fractional abundance of each endmember in each pixel of the scene. However, unmixing algorithms can be very expensive computationally, a fact that compromises their use in applications under real-time constraints. This is, mainly, due to the last two stages in the unmixing process, which are the most consuming ones. In this work, we propose parallel opencl-library- based implementations of the sum-to-one constrained least squares unmixing (P-SCLSU) algorithm to estimate the per-pixel fractional abundances by using mathematical libraries such as clMAGMA or ViennaCL. To the best of our knowledge, this kind of analysis using OpenCL libraries have not been previously conducted in the hyperspectral imaging processing literature, and in our opinion it is very important in order to achieve efficient implementations using parallel routines. The efficacy of our proposed implementations is demonstrated through Monte Carlo simulations for real data experiments and using high performance computing (HPC) platforms such as commodity graphics processing units (GPUs).

  6. A Preliminary Discussion on Information Resources Integration in Hospital Libraries%医院图书馆信息资源整合初探

    Institute of Scientific and Technical Information of China (English)

    唐莉

    2012-01-01

    分析医院图书馆在医院信息化建设中面临的功能萎缩、人员整体素质不高及孤立分离3个方面的困境,指出全面整合信息资源是提高医院医疗质量、服务水平及管理决策的有效途径,探讨医院图书馆在信息资源整合中的发展方向。%The paper analyzes the library problems existed in hospital informatization construction process,including functional atrophy, deficiency of staff's overall quality,isolation separation,etc.It points out that information resources comprehensive integration is an effective way to improve medical care quality,service level and management decision in hospitals,discusses the development direction of hospital library in information it sources integration.

  7. Pre-implementation studies of a workforce planning tool for nurse staffing and human resource management in university hospitals.

    Science.gov (United States)

    van Oostveen, Catharina J; Ubbink, Dirk T; Mens, Marian A; Pompe, Edwin A; Vermeulen, Hester

    2016-03-01

    To investigate the reliability, validity and feasibility of the RAFAELA workforce planning system (including the Oulu patient classification system - OPCq), before deciding on implementation in Dutch hospitals. The complexity of care, budgetary restraints and demand for high-quality patient care have ignited the need for transparent hospital workforce planning. Nurses from 12 wards of two university hospitals were trained to test the reliability of the OPCq by investigating the absolute agreement of nursing care intensity (NCI) measurements among nurses. Validity was tested by assessing whether optimal NCI/nurse ratio, as calculated by a regression analysis in RAFAELA, was realistic. System feasibility was investigated through a questionnaire among all nurses involved. Almost 67 000 NCI measurements were performed between December 2013 and June 2014. Agreement using the OPCq varied between 38% and 91%. For only 1 in 12 wards was the optimal NCI area calculated judged as valid. Although the majority of respondents was positive about the applicability and user-friendliness, RAFAELA was not accepted as useful workforce planning system. Nurses' performance using the RAFAELA system did not warrant its implementation. Hospital managers should first focus on enlarging the readiness of nurses regarding the implementation of a workforce planning system. © 2015 John Wiley & Sons Ltd.

  8. Knowledge and Readiness for Implementation of Electronic Nursing Record (ENR in the Andi Makkasau Hospital, Pare-Pare

    Directory of Open Access Journals (Sweden)

    Vonny Polopadang

    2016-06-01

    Full Text Available Electronic Nursing Record (ENR is an application that will be developed to provide facilities for nurses to perform nursing care documentation via the computer software that will allow nurses, provide advantages in terms of effectiveness and increasing the time nurses visit patients. From the preliminary study in several hospitals in general are still using paper format provided by the hospital and some of the results of research in hospitals in Indonesia stated that nursing documentations are still many unfilled, for various reasons, among others, the workload, limited time not kala important is the knowledge of nurses in documentation. Therefore in this study before the development model of nursing care documentation that is technology-based Electronic Nursing Record (ENR, the researchers conducted the initial assessment (assessment phase regarding the analysis of knowledge and preparedness of nurses in the implementation of Electronic Nursing Record (ENR. This research is descriptive analytic research with cross sectional approach. Sampling was done by purposive sampling to nurses in hospitals Andi Makkasau Parepare of 118 people. Data were collected using questionnaires knowledge and readiness. The results showed that the knowledge of nurses about nursing care documentation majority have a good category (97.5% and the readiness of nurses towards the implementation of Nursing Eletronic Record (ENR are largely in good keategori (58.5%, this shows that nurses in Andi Makkasau Hospital Parepare have big capital and the conditions are ready for nursing care documentation based technology that is Eletronic nursing Record (ENR.

  9. A Generic Quality Assurance Model (GQAM) for successful e-health implementation in rural hospitals in South Africa.

    Science.gov (United States)

    Ruxwana, Nkqubela; Herselman, Marlien; Pottas, Dalenca

    2014-01-01

    Although e-health can potentially facilitate the management of scarce resources and improve the quality of healthcare services, implementation of e-health programs continues to fail or not fulfil expectations. A key contributor to the failure of e-health implementation in rural hospitals is poor quality management of projects. Based on a survey 35 participants from five rural hospitals in the Eastern Cape Province of South Africa, and using a qualitative case study research methodology, this article attempted to answer the question: does the adoption of quality assurance (QA) models add value and help to ensure success of information technology projects, especially in rural health settings? The study identified several weaknesses in the application of QA in these hospitals; however, findings also showed that the QA methods used, in spite of not being formally applied in a standardised manner, did nonetheless contribute to the success of some projects. The authors outline a generic quality assurance model (GQAM), developed to enhance the potential for successful acquisition of e-health solutions in rural hospitals, in order to improve the quality of care and service delivery in these hospitals.

  10. An Investigation on the Status of Implementation of Communications and Information Management System (MCI) in Khorasan Razavi Hospitals

    Science.gov (United States)

    Shojaei, Saeed; Farzianpour, Fereshteh; Arab, Mohammad; Foroushani, Abbas Rahimi

    2016-01-01

    Background and Objectives: The aim of this investigation is to determine the mean scores of the possibility of implementing the MCI standards in Khorasan Razavi hospitals, from the perspective of Managers, in order to provide a suitable model for evaluating and promoting the system. Methods: This was a Research and method (R&D) and Survey Research method, which is of the type of Cross- Sectional, descriptive-analytic Studies conducted in two steps in hospitals of Khorasan Razavi from July to December 2014. This study was approved by the Ethical Committee of Tehran University of Medical Sciences (TUMS) in 2013/6/10. About the nature and purpose of the study was explained to the participants. Were used to apply functional assessment, based on Accreditation Model. In order to collect data, two questionnaires were used, all of which were taken from the standards of MCI. The reliability and validity of the questionnaires were approved by experts. Cronbach’s alphas for the questionnaires were obtained to be (0.95, 0.86), respectively. In order to analyze information, statistical analyses, including one way ANOVA, and Independent sample t-test were used. Results: The mean scores of the possibility of implementing the MCI standards in Khorasan Razavi hospitals, were (51.6 and 12.27), respectively. Conclusions: According to half (43.8%) of managers, the MCI standards are applicable in hospitals of Khorasan Razavi; however, their application requires greater efforts by the hospitals. PMID:26652087

  11. Satisfaction survey in general hospital personnel involved in blood transfusion: implementation of the ISO 9001: 2000 standard.

    Science.gov (United States)

    Chord-Auger, S; Tron de Bouchony, E; Moll, M C; Boudart, D; Folléa, G

    2004-10-01

    As part of its policy of constant quality improvement, Etablissement francais du sang (EFS) des pays de la Loire (Pays de la Loire Regional Blood Transfusion Centre) carried out a satisfaction survey among the hospital personnel involved in prescribing and using immunohaematological tests and labile blood products (LBP). The polling tool selected by agreement between the Saint Nazaire's hospital management and Quality Assurance (QA) Department was a questionnaire that permitted item rating and free commentary. It addressed the personnel's perception of the quality of erythrocyte immunohaematological (EIH) testing and of the products administered, as well as their perception of the quality of communications with the local EFS. The questionnaire was sent to 26 physicians and 32 senior nurses in 15 hospital departments. The reply rate was 60% and expressed an 85% overall satisfaction level. Dissatisfaction causes were more specifically analysed, the main one involving LBP distribution in emergency situations. A joint undertaking by the EFS and the hospital led to the implementation of corrective measures, including the writing and implementation of a common standard operating procedure for emergency transfusion management. The results obtained demonstrated the feasibility of this type of survey and the interest, to a blood transfusion centre and the hospital personnel involved in transfusion, of assessing their very own perception of service quality.

  12. [Satisfaction survey in general hospital personnel involved in blood transfusion: implementation of the ISO 9001: 2000 standard].

    Science.gov (United States)

    Chord-Auger, S; de Bouchony, E Tron; Moll, M-C; Boudart, D; Folléa, G

    2004-07-01

    As part of its policy of constant quality improvement, Etablissement Français du Sang (EFS) des Pays de la Loire (Pays de la Loire Regional blood transfusion institution) carried out a satisfaction survey among the hospital personnel involved in prescribing and using immuno-hematological tests and labile blood products. The polling tool selected by agreement between the hospital management and quality assurance department was a questionnaire that permitted item rating and free commentary. It addressed the personnel's perception of the quality of erythrocyte immuno-hematological (EIH) testing and of the products administered, as well as their perception of the quality of communications with the local EFS. The questionnaire was sent to 26 physicians and 32 senior nurses in 15 hospital departments. The reply rate was 60% and expressed a 85% overall satisfaction level. Dissatisfaction causes were more specifically analysed, the main one involving labile blood product distribution in emergency situations. A joint undertaking by the EFS and the hospital led to the implementation of corrective measures, including the writing and implementation of a common standard operating procedure for emergency transfusion management. The results obtained demonstrated the feasibility of this type of survey and the interest, to a blood transfusion centre and the hospital personnel involved in transfusion, of assessing their very own perception of service quality.

  13. Web-scale discovery in an academic health sciences library: development and implementation of the EBSCO Discovery Service.

    Science.gov (United States)

    Thompson, Jolinda L; Obrig, Kathe S; Abate, Laura E

    2013-01-01

    Funds made available at the close of the 2010-11 fiscal year allowed purchase of the EBSCO Discovery Service (EDS) for a year-long trial. The appeal of this web-scale discovery product that offers a Google-like interface to library resources was counter-balanced by concerns about quality of search results in an academic health science setting and the challenge of configuring an interface that serves the needs of a diverse group of library users. After initial configuration, usability testing with library users revealed the need for further work before general release. Of greatest concern were continuing issues with the relevance of items retrieved, appropriateness of system-supplied facet terms, and user difficulties with navigating the interface. EBSCO has worked with the library to better understand and identify problems and solutions. External roll-out to users occurred in June 2012.

  14. Implementation of procedures of radiological protection in the section of Radiology of the emergency Hospital of Porto Alegre-Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Lorenzini, F.; Rizzati, M.R. [Emergency Hospital of Porto Alegre, HPS (Brazil)

    1998-12-31

    The Emergency Hospital of Porto Alegre (HPS) is one of the main reference centers for the population in the attendance of medical emergencies/urgencies. The Section of Radiology, which informs the patients clinical conditions based on radiological images, is the most demanded section of the hospital (81.43 % of the medical cases request radiological exams) in the aid of the diagnosis, in which excels for the search of the quality in the health branch. In this work are presented the procedures to have been implemented about radiological protection according to effective norm, methods, ways and conditions to satisfy the radiation workers and the internal and external patients. (Author)

  15. The Influence Of Policy Implementation From The Change Of Institutional Status Toward Quality Of Patient Service In Hospital

    Directory of Open Access Journals (Sweden)

    Dadang Kusnadi

    2015-08-01

    Full Text Available Abstract Fenomenon and comunity problem in goverment hospital management not aware to wont and need public. Silent safety and consumen satisfaction is fenomenon lack quallity care. Goal this research goal for analysis about influence of policy implementation of hospital change institution status to the quality of patien service in Hospital. Kind of reserch is the quantity desain on approach the eksplanatory survey research analysis regresi linier multipel with analysis method validitas product moment pearson exam and reliability exam is alpha cronbach technique to hypotesis exam is path analysis and statistic exam t. Datum transformation is Skala Likert with measurement the method succesive interval. The population one thausand seventh two person with sample technique stratified random sampling the instrument research is quesioner and interview patien on caunter imforman. The result of assuming research that it is anticipated that implementation of change policy of institution status of hospital X there is significant influence to quality of service of patient Y is 66.31 and the other factor e is 33.69. In the implementation factor is significant to positif influence to quality service is communication X1 is 049 human resources X2 is 025 disposition X3 is 032 and structure birocratic X4 is 033. The conculsion from four factor independen variable X is the implementation of policy to quality service patient Y to influence and can receive in knowledge. To concept the development in implementation of policy need culture job factor because every product policy to contac direct with the community as to basic public policy.

  16. Comparative effectiveness of implementation of a nursing-driven protocol in reducing bronchodilator utilization for hospitalized children with bronchiolitis.

    Science.gov (United States)

    Pinto, Jamie M; Schairer, Janet L; Petrova, Anna

    2014-06-01

    The goal of our study was to determine whether the administration of bronchodilators is affected by implementation of a nursing-driven protocol in the care of children hospitalized with bronchiolitis. We included children less than 2 years old, hospitalized with bronchiolitis, but without chronic lung problems, immunodeficiencies or congenital heart disease in the 1-year periods before, during and after implementation of a nursing-driven bronchiolitis protocol. The protocol is based on nursing assessments of respiratory status prior to initiation and continuation of bronchodilator therapy. Utilization rates of bronchodilators were compared with respect to implementation of the nursing-driven protocol using Chi-square, analysis of variance, and regression analysis that is presented as adjusted odds ratio (OR) and 95% confidence interval (95% CI) of the OR. Among the 80 children who were hospitalized before, 63 during and 89 after the implementation of the nursing-driven bronchiolitis protocol, 70.0, 60.3, and 29.2%, respectively, received treatment with bronchodilators (P bronchiolitis protocol was also observed after controlling for the child's age and evidence of pneumonia (OR 0.68, 95% CI 0.61-0.79). The mean number of bronchodilator doses administered among patients in the three groups who received at least one treatment was comparable. Implementation of a nursing-driven bronchiolitis protocol was associated with significant reduction in initiation of bronchodilator treatments, which suggests a benefit from nursing involvement in the promotion of evidence-based recommendations in the management of children hospitalized with bronchiolitis. © 2014 John Wiley & Sons, Ltd.

  17. [The challenges and opportunities of implementing outsourcing in private and public hospitals in Israel].

    Science.gov (United States)

    Rahimi, Benny; Mizrahi, Ronit; Magnezi, Racheli

    2011-01-01

    Outsourcing is a method that enables an organization to focus on its expertise by transferring its other services to professionals who can fulfill them. In recent years, research has repeatedly shown that health services use a variety of outsourcing companies. To describe the experience acquired using outsourcing in public and private hospitals in Israel, and to present the factors, budgetary parameters, opportunities and problems affecting outsourcing. The questionnaire was sent to 36 hospitals in Israel, constituting 88.2% of all hospitals in Israel--private, public, H.M.O ("Clalit") and governmental. The response to the questionnaire reached 97.2% and revealed the following: 94% of the hospitals use outsourcing services in the following fields: security, cleaning, Laundry service, cafeterias, and I.T.; 42% of the hospitals assign 0-5% of their annual budget for outsourcing contracts. Private hospitals use more outsourcing services than public hospitals. The factors driving outsourcing are: cost restrictions (82.8%), operational flexibility (77%), and focus on the core business (74.2%). The potential advantages of outsourcing are: improvement in services 180.5%), customer satisfaction (72.2%), and cost reduction (69.4%). Difficulties affecting outsourcing are: dependence on external resources (83.3%] and internal organizational resistance (69.4%). The results of the outsourcing are lower costs, reduced number of personnel by 1-10% and high level of satisfaction. It seems that in recent years outsourcing is being used in hospitals and is central to the areas of infrastructure and logistics, as well as legal and medical services. Using outsourcing in hospitals provides opportunities for improved customer satisfaction, better focus for the hospital on its core activities and cost reduction. HospitaLs that succeed in synergetically integrating the external and the internal service providers will flourish. INNOVATION/VALUE: This research exposes, for the first time

  18. The principles for the implementation of information literacy at the universities in Slovenia : the role of libraries in an information literate university

    Directory of Open Access Journals (Sweden)

    Karmen Stopar

    2008-01-01

    Full Text Available Over the many years an information literate student has been one of the main goals of the universities’ educational endeavours around the world. Information literacy,being the foundation of lifelong learning, is becoming increasingly important with the Bologna process. Libraries have always played a significant role in the process of more efficient and effective use of information. The Librarianship Act in Slovenia stipulates that libraries support and carry out educational and information literacy tasks. In accordance with their capabilities and the level of development of the information environment, the libraries have performed library-pedagogical tasks and have trained their users for efficient and effective use of information. Nevertheless, there is a greater need for more intensive and more comprehensive information literacy activities. The requirements of the education process through all the years of the university education should lead to better information literacy among students. All subjects, institutions and individuals, who are responsible for the realization of information literacy programmes, should join in order to implement the information literacy programmes.

  19. On Library Collaborative Knowledge Management and Its Implementation Strategies%论图书馆协同知识管理及其实施策略

    Institute of Scientific and Technical Information of China (English)

    穆颖丽

    2012-01-01

    This paper analyzes the necessity and influencing factors of library collaborative knowledge management,and promotes the implementation of library collaborative knowledge management from the perspective of organizational structure,learning mechanism,human resources,knowledge navigation capacity,incentive mechanism of knowledge sharing and innovation,interactive platform and library consortium so as to meet the user demand and perform the library service function,educational function,social function and economic function practically.%分析图书馆实施协同知识管理的必要性及影响因素,从组织结构、学习机制、人力资源、知识导航能力、知识共享与创新激励机制、互动平台、图书馆联盟等方面促进图书馆协同知识管理的实施,以满足用户需求,切实履行图书馆的服务职能、教育职能、社会职能与经济职能。

  20. Numerical implementation and oceanographic application of the thermodynamic potentials of water, vapour, ice, seawater and air – Part 2: The library routines

    Directory of Open Access Journals (Sweden)

    D. G. Wright

    2010-03-01

    Full Text Available The SCOR/IAPSO1 Working Group 127 on Thermodynamics and Equation of State of Seawater has prepared recommendations for new methods and algorithms for numerical estimation of the thermophysical properties of seawater. As an outcome of this work, a new International Thermodynamic Equation of Seawater (TEOS-10 was endorsed by IOC/UNESCO2 in June 2009 as the official replacement and extension of the 1980 International Equation of State, EOS-80. As part of this new standard a source code package has been prepared that is now made freely available to users via the World Wide Web. This package includes two libraries referred to as the SIA (Sea-Ice-Air library and the GSW (Gibbs SeaWater library. Information on the GSW library may be found on the TEOS-10 web site (http://www.TEOS-10.org. This publication provides an introduction to the SIA library which contains routines to calculate various thermodynamic properties as discussed in the companion paper. The SIA library is very comprehensive, including routines to deal with fluid water, ice, seawater and humid air as well as equilibrium states involving various combinations of these, with equivalent code developed in different languages. The code is hierachically structured in modules that support (i almost unlimited extension with respect to additional properties or relations, (ii an extraction of self-contained sub-libraries, (iii separate updating of the empirical thermodynamic potentials, and (iv code verification on different platforms and between different languages. Error trapping is implemented to identify when one or more of the primary routines are accessed significantly beyond their established range of validity. The initial version of the SIA library is available in Visual Basic and FORTRAN as a supplement to this publication and updates will be maintained on the TEOS-10 web site.

    1 SCOR

  1. Numerical implementation and oceanographic application of the thermodynamic potentials of liquid water, water vapour, ice, seawater and humid air – Part 2: The library routines

    Directory of Open Access Journals (Sweden)

    D. G. Wright

    2010-07-01

    Full Text Available The SCOR/IAPSO1 Working Group 127 on Thermodynamics and Equation of State of Seawater has prepared recommendations for new methods and algorithms for numerical estimation of the the thermophysical properties of seawater. As an outcome of this work, a new International Thermodynamic Equation of Seawater (TEOS–10 was endorsed by IOC/UNESCO2 in June 2009 as the official replacement and extension of the 1980 International Equation of State, EOS-80. As part of this new standard a source code package has been prepared that is now made freely available to users via the World Wide Web. This package includes two libraries referred to as the SIA (Sea-Ice-Air library and the GSW (Gibbs SeaWater library. Information on the GSW library may be found on the TEOS-10 web site (http://www.TEOS-10.org. This publication provides an introduction to the SIA library which contains routines to calculate various thermodynamic properties as discussed in the companion paper. The SIA library is very comprehensive, including routines to deal with fluid water, ice, seawater and humid air as well as equilibrium states involving various combinations of these, with equivalent code developed in different languages. The code is hierachically structured in modules that support (i almost unlimited extension with respect to additional properties or relations, (ii an extraction of self-contained sub-libraries, (iii separate updating of the empirical thermodynamic potentials, and (iv code verification on different platforms and between different languages. Error trapping is implemented to identify when one or more of the primary routines are accessed significantly beyond their established range of validity. The initial version of the SIA library is available in Visual Basic and FORTRAN as a supplement to this publication and updates will be maintained on the TEOS-10 web site.

    1

  2. Numerical implementation and oceanographic application of the thermodynamic potentials of water, vapour, ice, seawater and air - Part 2: The library routines

    Science.gov (United States)

    Wright, D. G.; Feistel, R.; Reissmann, J. H.; Miyagawa, K.; Jackett, D. R.; Wagner, W.; Overhoff, U.; Guder, C.; Feistel, A.; Marion, G. M.

    2010-03-01

    The SCOR/IAPSO1 Working Group 127 on Thermodynamics and Equation of State of Seawater has prepared recommendations for new methods and algorithms for numerical estimation of the thermophysical properties of seawater. As an outcome of this work, a new International Thermodynamic Equation of Seawater (TEOS-10) was endorsed by IOC/UNESCO2 in June 2009 as the official replacement and extension of the 1980 International Equation of State, EOS-80. As part of this new standard a source code package has been prepared that is now made freely available to users via the World Wide Web. This package includes two libraries referred to as the SIA (Sea-Ice-Air) library and the GSW (Gibbs SeaWater) library. Information on the GSW library may be found on the TEOS-10 web site (http://www.TEOS-10.org). This publication provides an introduction to the SIA library which contains routines to calculate various thermodynamic properties as discussed in the companion paper. The SIA library is very comprehensive, including routines to deal with fluid water, ice, seawater and humid air as well as equilibrium states involving various combinations of these, with equivalent code developed in different languages. The code is hierachically structured in modules that support (i) almost unlimited extension with respect to additional properties or relations, (ii) an extraction of self-contained sub-libraries, (iii) separate updating of the empirical thermodynamic potentials, and (iv) code verification on different platforms and between different languages. Error trapping is implemented to identify when one or more of the primary routines are accessed significantly beyond their established range of validity. The initial version of the SIA library is available in Visual Basic and FORTRAN as a supplement to this publication and updates will be maintained on the TEOS-10 web site. 1 SCOR/IAPSO: Scientific Committee on Oceanic Research/International Association for the Physical Sciences of the Oceans 2 IOC

  3. Numerical implementation and oceanographic application of the thermodynamic potentials of liquid water, water vapour, ice, seawater and humid air - Part 2: The library routines

    Science.gov (United States)

    Wright, D. G.; Feistel, R.; Reissmann, J. H.; Miyagawa, K.; Jackett, D. R.; Wagner, W.; Overhoff, U.; Guder, C.; Feistel, A.; Marion, G. M.

    2010-07-01

    The SCOR/IAPSO1 Working Group 127 on Thermodynamics and Equation of State of Seawater has prepared recommendations for new methods and algorithms for numerical estimation of the the thermophysical properties of seawater. As an outcome of this work, a new International Thermodynamic Equation of Seawater (TEOS-10) was endorsed by IOC/UNESCO2 in June 2009 as the official replacement and extension of the 1980 International Equation of State, EOS-80. As part of this new standard a source code package has been prepared that is now made freely available to users via the World Wide Web. This package includes two libraries referred to as the SIA (Sea-Ice-Air) library and the GSW (Gibbs SeaWater) library. Information on the GSW library may be found on the TEOS-10 web site (http://www.TEOS-10.org). This publication provides an introduction to the SIA library which contains routines to calculate various thermodynamic properties as discussed in the companion paper. The SIA library is very comprehensive, including routines to deal with fluid water, ice, seawater and humid air as well as equilibrium states involving various combinations of these, with equivalent code developed in different languages. The code is hierachically structured in modules that support (i) almost unlimited extension with respect to additional properties or relations, (ii) an extraction of self-contained sub-libraries, (iii) separate updating of the empirical thermodynamic potentials, and (iv) code verification on different platforms and between different languages. Error trapping is implemented to identify when one or more of the primary routines are accessed significantly beyond their established range of validity. The initial version of the SIA library is available in Visual Basic and FORTRAN as a supplement to this publication and updates will be maintained on the TEOS-10 web site. 1SCOR/IAPSO: Scientific Committee on Oceanic Research/International Association for the Physical Sciences of the Oceans 2

  4. Implementation of the updated 2015 Commission for Hospital Hygiene and Infection Prevention (KRINKO) recommendations “Prevention and control of catheter-associated urinary tract infections” in the hospitals in Frankfurt/Main, Germany

    OpenAIRE

    Heudorf, Ursel; Grünewald, Miriam; Otto, Ulla

    2016-01-01

    Aim: The Commission for Hospital Hygiene and Infection Prevention (KRINKO) updated the recommendations for the prevention of catheter-associated urinary tract infections in 2015. This article will describe the implementation of these recommendations in Frankfurt's hospitals in autumn, 2015.Material and methods : In two non-ICU wards of each of Frankfurt's 17 hospitals, inspections were performed using a checklist based on the new KRINKO recommendations. In one large hospital, a total of 5 wa...

  5. Making Sense of Policy Implementation Process in Pakistan: The Case of Hospital Autonomy Reforms

    NARCIS (Netherlands)

    Saeed, Aamir

    2012-01-01

    Hospital Autonomy Reforms were initiated in the 90s by the Government in the 17 teaching hospitals of the Province of Punjab, Pakistan with the claimed objectives of bringing efficiency and better services to the patients. A host of administrative, structural and financial changes were introduced in

  6. An Implementation of Outpatient Online Registration Information System of Mutiara Bunda Hospital

    Directory of Open Access Journals (Sweden)

    Masniah

    2015-12-01

    Full Text Available Outpatient care is one of the medical services in Mutiara Bunda hospital. The management of outpatient registration of Mutiara Bunda Hospital used conventional way. Within 1 hour serving, 5 patients were enrolled with an average time of 13 minutes per patient. This caused the registration queue to get outpatient services. The study was conducted with the aim to produce outpatient online registration information system design of Mutiara Bunda Hospital in order to increase outpatient registration service and to manage data in getting medical care. The patients register on Outpatient Online Registration Information System without having to come first to the hospital and get a queue number, so they can estimate the waiting time in the hospital to get medical care at Mutiara Bunda Hospital; while the patients who come to the hospital are served directly by the registrar. From the results of the research, it can be concluded that the application of Outpatient Online Registration Information System help in managing and processing data of patient registration to be able to get medical care immediately at Mutiara Bunda Hospital.

  7. hospital

    African Journals Online (AJOL)

    Pattern of congenital orthopaedic malformations in an African teaching hospital ... malformation in this environment while congenital hip dislocation (CDH) is rare when .... malformations of radial dysplasia and other congenital malformations.

  8. Improving quality and outcomes of stroke care in hospitals: Protocol and statistical analysis plan for the Stroke123 implementation study.

    Science.gov (United States)

    Cadilhac, Dominique A; Andrew, Nadine E; Kilkenny, Monique F; Hill, Kelvin; Grabsch, Brenda; Lannin, Natasha A; Thrift, Amanda G; Anderson, Craig S; Donnan, Geoffrey A; Middleton, Sandy; Grimley, Rohan

    2017-01-01

    Rationale The effectiveness of clinician-focused interventions to improve stroke care is uncertain. Aims To determine whether an organizational intervention can improve the quality of stroke care over usual care. Sample size estimates To detect an absolute 10% difference in overall performance (composite outcome), a minimum of 21 hospitals and 843 patients per group was determined. Methods and design Before and after controlled design in hospitals in Queensland, Australia. Intervention Externally facilitated program (StrokeLink) using outreach workshops incorporating clinical performance feedback, patient outcomes (survival, quality of life at 90-180 days), local barrier assessments to best practice care, action planning, and ongoing support. Descriptive and multivariable analyses adjusted for patient correlations by hospital (intention-to-treat method). Context Concurrent implementation of financial incentives to increase stroke unit access and use of the Australian Stroke Clinical Registry for performance monitoring. Study outcome(s) Primary outcome: net change in composite score (i.e. total number of process indicators achieved divided by the sum of eligible indicators for each cohort). change in individual indicators, change in composite score comparing hospitals that did or did not develop action plans (per-protocol analysis), impact on 90-180-day health outcomes. Sensitivity analyses: hospital self-rated status, alternate cross-sectional audit data (Stroke Foundation). To account for temporal effects, comparison of Queensland hospital performance relative to other Australian hospitals will also be undertaken. Discussion Twenty-one hospitals were recruited; however, one was unable to participate within the study time frame. Workshops were held between 11 March 2014 and 7 November 2014. Data are ready for analysis.

  9. Organizational culture and the implementation of person centered care: results from a change process in Swedish hospital care.

    Science.gov (United States)

    Alharbi, Tariq Saleem J; Ekman, Inger; Olsson, Lars-Eric; Dudas, Kerstin; Carlström, Eric

    2012-12-01

    Sweden has one of the oldest, most coherent and stable healthcare systems in the world. The culture has been described as conservative, mechanistic and increasingly standardized. In order to provide a care adjusted to the patient, person centered care (PCC) has been developed and implemented into some parts of the health care industry. The model has proven to decrease patient uncertainty. However, the impact of PCC has been limited in some clinics and hospital wards. An assumption is that organizational culture has an impact on desired outcomes of PCC, such as patient uncertainty. Therefore, in this study we identify the impact of organizational culture on patient uncertainty in five hospital wards during the implementation of PCC. Data from 220 hospitalized patients who completed the uncertainty cardiovascular population scale (UCPS) and 117 nurses who completed the organizational values questionnaire (OVQ) were investigated with regression analysis. The results seemed to indicate that in hospitals where the culture promotes stability, control and goal setting, patient uncertainty is reduced. In contrast to previous studies suggesting that a culture of flexibility, cohesion and trust is positive, a culture of stability can better sustain a desired outcome of reform or implementation of new care models such as person centered care. It is essential for health managers to be aware of what characterizes their organizational culture before attempting to implement any sort of new healthcare model. The organizational values questionnaire has the potential to be used as a tool to aid health managers in reaching that understanding. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  10. Comparing the satisfaction of patients before and after the implementation of the healthcare reform in hospitals of Qazvin, 2015

    Directory of Open Access Journals (Sweden)

    Sahar Ali Asghari

    2016-07-01

    Full Text Available Preservation and promotion of health, which is an important asset, should be considered as the most important efforts of everyday life. The main goal of healthcare reform is to create health equity. This study aimed to compare the satisfaction of patients before and after the implementation the healthcare reform in hospitals of Qazvin . This study is a descriptive-comparative study conducted by evaluating the results of questionnaires completed by 204 patients admitted to hospitals affiliated to Qazvin University of Medical Sciences. The patients had to be admitted to the hospitals before the plan. The questionnaire was self-administered. In order to determine the scientific validity and reliability, test-retest method was used. The results were analyzed by statistical software SPSS20 and descriptive statistics (mean and standard deviation. In this study, data from 204 surveys were reviewed. After the implementation of the healthcare reform plan compared to before the implementation, satisfaction with admission unit (p=0.001, satisfaction with nursing service (p=0.001, physician (p=0.00, services (p=0.002, hoteling equipment (p=0.005, preparation of medicines and medical supplies (p=0.00, radiology (p=0.01, laboratory (p=0.001, satisfaction with discharge unit (p=0.00, and the cost of treatment (p=0.00 have increased. Given the echocardiography unit and patients with supplementary insurance, satisfaction with the cost of treatment did not change after the plan . According to the study, the implementation of healthcare reform increases patient satisfaction in the selected hospitals of Qazvin.

  11. Imperfect implementation of an early warning scoring system in a Danish teaching hospital: a cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Mark Niegsch

    Full Text Available BACKGROUND: In 2007, the initiation of a patient safety campaign led to the introduction of Ward Observational Charts (WOC and Medical Early Warning Score (MEWS at Naestved Regional Hospital. This included systematic measuring of vital signs of all patients in order to prevent patient deterioration and assure timely and correct initiation of treatment. The aim of this study was to assess to what degree WOC guidelines being followed by ward staff. DESIGN AND SETTING: A 7-day prospective, observational, randomised, cross-sectional, point prevalence study of WOC guideline compliance in hospitalised patients on twelve wards at Naestved Hospital. RESULTS: The study included 132 patients. Of these, 58% had been observed and managed correctly according to WOC guidelines. 77% had all MEWS elements recorded by staff. One patient had no MEWS elements recorded. Only 38% of patients with abnormal MEWS were correctly escalated by nursing staff. Staff was aware of the abnormal MEWS observed by investigator in 60% of the patients. Each element of WOC was on average recorded by staff in 90% of the patients. CONCLUSION: At the time of our study, the long-term implementation of WOC guidelines has not been completed satisfactorily. The lacking component in the implementation of MEWS and WOC is the documentation of action taken upon finding an abnormal value. Unsuccessful implementation could result in incorrect results from evaluation of an early warning system. We suggest a redesign of the training programme to educate staff in recognising and caring for critically ill patients at Naestved Hospital.

  12. New normal service in hospital library%医院图书馆的新常态服务

    Institute of Scientific and Technical Information of China (English)

    谢凡

    2015-01-01

    泛在图书馆与泛在服务是图书馆未来发展的趋势。本文介绍了医院图书馆在数字环境下的延伸传统服务及开展的多维个性化、深层次信息服务,如学科化服务、专题导航服务、学术会议信息服务、外文新书编译服务、专题情报服务等,使用户不受时间和空间限制,随时随地利用图书馆,享受真正的“无处不在的图书馆”。%Ubiquitous library and ubiquitous service are the future trend of library.Described in this paper are thus the extended traditional service and multidimensional personal and deepened information service such as sub-ject service, academic conference information service, special subject navigation service, new foreign book transla-tion service, special subject information service, in order to let the readers use the library at any time and at any place and enjoy the library everywhere .

  13. Implementation of innovative pulsed xenon ultraviolet (PX-UV) environmental cleaning in an acute care hospital.

    Science.gov (United States)

    Fornwalt, Lori; Riddell, Brad

    2014-01-01

    It is widely acknowledged that the hospital environment is an important reservoir for many of the pathogenic microbes associated with health care-associated infections (HAIs). Environmental cleaning plays an important role in the prevention and containment of HAIs, in patient safety, and the overall experience of health care facilities. New technologies, such as pulsed xenon ultraviolet (PX-UV) light systems are an innovative development for enhanced cleaning and decontamination of hospital environments. A portable PX-UV disinfection device delivers pulsed UV light to destroy microbial pathogens and spores, and can be used in conjunction with manual environmental cleaning. In addition, this technology facilitates thorough disinfection of hospital rooms in 10-15 minutes. The current study was conducted to evaluate whether the introduction of the PX-UV device had a positive impact on patient satisfaction. Satisfaction was measured using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. In 2011, prior to the introduction of the PX-UV system, patient HCAHPS scores for cleanliness averaged 75.75%. In the first full quarter after enhanced cleaning of the facility was introduced, this improved to 83%. Overall scores for the hospital rose from 76% (first quarter, 2011) to 87.6% (fourth quarter, 2012). As a result of this improvement, the hospital received 1% of at-risk reimbursement from the inpatient prospective payment system as well as additional funding. Cleanliness of the hospital environment is one of the questions included in the HCAHPS survey and one measure of patient satisfaction. After the introduction of the PX-UV system, the score for cleanliness and the overall rating of the hospital rose from below the fiftieth to the ninety-ninth percentile. This improvement in the patient experience was associated with financial benefits to the hospital.

  14. Enacting Change: A Study of the Implementation of e-Readers and an Online Library in two Canadian High School Classrooms

    Directory of Open Access Journals (Sweden)

    Serina Patterson

    2010-08-01

    Full Text Available In this paper the authors discuss their interdisciplinary pilot project entitled ‘Teaching for the 21st Century: A Pilot Project on E-Reading with SD62’ that engaged in the development and implementation of a customized and purpose-specific online library for two selected high school classrooms at a time when such systems did not exist for this purpose. This project combined (1 information literacy issues, (2 pedagogy and e-pedagogy, and (3 computational modeling activities founded on a productive confluence of these perspectives all situated at the intersection of pertinent theories and practices pertaining to each. The result of the research project was a functional online library environment that worked in the classrooms to support born-digital students' engagement with e-readers and findings of the way in which these both worked in the context of multiliteracies classrooms.

  15. Construction and Implementation of Subject Librarian Mechanism in Medical Libraries%医学图书馆学科馆员制度的建设及实施

    Institute of Scientific and Technical Information of China (English)

    李斯

    2012-01-01

    介绍国内外学科馆员制度的发展状况,提出医学图书馆学科馆员的工作职责和素质要求,分析医学图书馆应如何选拔和培养学科馆员、规范考评制度,以保证学科馆员制度的顺利建设和实施,进而提高图书馆信息服务质量。%The paper introduces the development status of subject librarian mechanism both in China and abroad, proposes working responsibilities and quality requirements of subject librarians in medical libraries, analyzes how to choose and cultivate subject librarians and standardize the evaluation system, in order to ensure the smooth construction and implementation of subject librarian mechanism and improve the information service quality of libraries.

  16. Challenges of implementing national guidelines for the control and prevention of methicillin-resistant Staphylococcus aureus colonization or infection in acute care hospitals in the Republic of Ireland.

    LENUS (Irish Health Repository)

    Fitzpatrick, Fidelma

    2009-03-01

    Of the 49 acute care hospitals in Ireland that responded to the survey questionnaire drafted by the Infection Control Subcommittee of the Health Protection Surveillance Centre\\'s Strategy for the Control of Antimicrobial Resistance in Ireland, 43 reported barriers to the full implementation of national guidelines for the control and prevention of methicillin-resistant Staphylococcus aureus infection; these barriers included poor infrastructure (42 hospitals), inadequate laboratory resources (40 hospitals), inadequate staffing (39 hospitals), and inadequate numbers of isolation rooms and beds (40 hospitals). Four of the hospitals did not have an educational program on hand hygiene, and only 17 had an antibiotic stewardship program.

  17. Implementation of an enterprise risk-management program in a community teaching hospital.

    Science.gov (United States)

    Behamdouni, Genefer; Millar, Kathy

    2010-01-01

    As the complexity of healthcare and expectations of comprehensive and transparent public accountability heighten, so too must a hospital's approach to assessing and managing risk. Over a period of two years, the area of patient safety and risk at our hospital has moved from a traditional focus on clinical risk management to an enterprise-wide risk management approach. One of the first community hospitals to embrace enterprise risk management (ERM), St. Joseph's Health Centre, in Toronto, Ontario, has seen early benefits in this transformational journey. This article discusses our approach to the development of an ERM program, tools used and lessons learned.

  18. Implementation experience during an eighteen month intervention to improve paediatric and newborn care in Kenyan district hospitals

    Directory of Open Access Journals (Sweden)

    Wamae Annah

    2009-07-01

    Full Text Available Abstract Background We have conducted an intervention study aiming to improve hospital care for children and newborns in Kenya. In judging whether an intervention achieves its aims, an understanding of how it is delivered is essential. Here, we describe how the implementation team delivered the intervention over 18 months and provide some insight into how health workers, the primary targets of the intervention, received it. Methods We used two approaches. First, a description of the intervention is based on an analysis of records of training, supervisory and feedback visits to hospitals, and brief logs of key topics discussed during telephone calls with local hospital facilitators. Record keeping was established at the start of the study for this purpose with analyses conducted at the end of the intervention period. Second, we planned a qualitative study nested within the intervention project and used in-depth interviews and small group discussions to explore health worker and facilitators' perceptions of implementation. After thematic analysis of all interview data, findings were presented, discussed, and revised with the help of hospital facilitators. Results Four hospitals received the full intervention including guidelines, training and two to three monthly support supervision and six monthly performance feedback visits. Supervisor visits, as well as providing an opportunity for interaction with administrators, health workers, and facilitators, were often used for impromptu, limited refresher training or orientation of new staff. The personal links that evolved with senior staff seemed to encourage local commitment to the aims of the intervention. Feedback seemed best provided as open meetings and discussions with administrators and staff. Supervision, although sometimes perceived as fault finding, helped local facilitators become the focal point of much activity including key roles in liaison, local monitoring and feedback, problem solving

  19. [Development and implementation of Animals-Assisted Therapy in a university hospital].

    Science.gov (United States)

    Kobayashi, Cassia Tiemi; Ushiyama, Sílvia Tiemi; Fakih, Flávio Trevisan; Robles, Roseli A M; Carneiro, Ieda Aparecida; Carmagnani, Maria Isabel Sampaio

    2009-01-01

    This report refers to the experience of the Board of Nursing of Hospital São Paulo, Universidade de São Paulo, in the development and implantation of Animal-Assisted Therapy, as one of its projects humanization of hospital: 'Projeto Amicão'. Aiming to offer patients a positive experience that differs from the routine of the hospital environment, some units of the Hospiral São Paulo received the visit of an animal for sessions of Animal-Assisted Therapy. The results achieved among patients and its companions and health professionals were positive, in addition to arouse the attention and the interest of other health institutions and the media. It is thus evidenced the importance of reporting the experience of 'Projeto Amicão' in the hospital.

  20. [Analysis of the implementation of a mobile pre-hospital treatment system in five Brazilian state capitals].

    Science.gov (United States)

    Minayo, Maria Cecília de Souza; Deslandes, Suely Ferreira

    2008-08-01

    The article presents a description and analysis of the implementation of a pre-hospital treatment system (SAMU) as part of the research project Diagnostic Analysis of the Implementation of a National Policy for the Reduction of Violence and Accidents. Implementation and organization of the SAMU service, together with the related materials, human resources, and equipment, was studied in five Brazilian State capitals with high morbidity and mortality rates from external causes: Curitiba (Paraná), Recife (Pernambuco), Brasília (Federal District), Rio de Janeiro, and Manaus (Amazonas). The study involved four phases, each developing exploratory and analytical cycles, combined with fieldwork, triangulating quantitative and qualitative data. Implementation of the pre-hospital treatment system is now a key health sector asset. Further necessary steps include: comprehensive legislation covering vehicles, personnel, and equipment; closer networking between mobile units and healthcare facilities; focus on information generated in this sub-system, thus facilitating planning; and maintaining and upgrading high qualifications for SAMU crews. The service is officially establishing, standardizing, and regulating a sub-system that is crucial for saving lives.

  1. Libraries in Washington: MedlinePlus

    Science.gov (United States)

    ... this page: https://medlineplus.gov/libraries/washington.html Libraries in Washington To use the sharing features on ... enable JavaScript. Bellevue Overlake Hospital Medical Center Medical Library 1035 116th Avenue NE Bellevue, WA 98004 425- ...

  2. Libraries in Missouri: MedlinePlus

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    ... this page: https://medlineplus.gov/libraries/missouri.html Libraries in Missouri To use the sharing features on ... of Missouri-Columbia J.Otto Lottes Health Sciences Library 1 Hospital Drive Columbia, MO 65212 573-882- ...

  3. Libraries in Rhode Island: MedlinePlus

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    ... this page: https://medlineplus.gov/libraries/rhodeisland.html Libraries in Rhode Island To use the sharing features ... Island Hospital / a Lifespan Partner Peters Health Sciences Library 593 Eddy Street Providence, RI 02903-4971 401- ...

  4. Libraries in Oklahoma: MedlinePlus

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    ... this page: https://medlineplus.gov/libraries/oklahoma.html Libraries in Oklahoma To use the sharing features on ... please enable JavaScript. Ada MERCY HOSPITAL ADA MEDICAL LIBRARY ILL 430 NORTH MONTE VISTA ADA, OK 74820 ...

  5. Libraries in Utah: MedlinePlus

    Science.gov (United States)

    ... this page: https://medlineplus.gov/libraries/utah.html Libraries in Utah To use the sharing features on ... please enable JavaScript. Provo Utah Valley Hospital Medical Library ILL 1134 North 500 West Provo, UT 84604- ...

  6. Libraries in Quebec: MedlinePlus

    Science.gov (United States)

    ... this page: https://medlineplus.gov/libraries/quebec.html Libraries in Quebec To use the sharing features on ... ext. 82052 Montreal Jewish General Hospital Health Sciences Library (QMJG) 3755 Cote St. Catherine Road Pav. A- ...

  7. Libraries in West Virginia: MedlinePlus

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    ... this page: https://medlineplus.gov/libraries/westvirginia.html Libraries in West Virginia To use the sharing features ... enable JavaScript. Bridgeport United Hospital Center Health Sciences Library 327 Medical Park Dr Bridgeport, WV 26330 681- ...

  8. Libraries in British Columbia: MedlinePlus

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    ... this page: https://medlineplus.gov/libraries/britishcolumbia.html Libraries in British Columbia To use the sharing features ... George University Hospital of Northern BC Northern Health Library Services / ILL Learning & Development Centre 1475 Edmonton Street ...

  9. Libraries in Indiana: MedlinePlus

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    ... this page: https://medlineplus.gov/libraries/indiana.html Libraries in Indiana To use the sharing features on ... please enable JavaScript. Evansville Deaconess Hospital Health Science Library 600 Mary Street Evansville, IN 47747 812-450- ...

  10. Libraries in Kansas: MedlinePlus

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    ... this page: https://medlineplus.gov/libraries/kansas.html Libraries in Kansas To use the sharing features on ... JavaScript. Fort Riley IRWIN ARMY COMMUNITY HOSPITAL MEDICAL LIBRARY 650 Huebner Road FORT RILEY, KS 66442-5037 ...

  11. Libraries in Massachusetts: MedlinePlus

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    ... this page: https://medlineplus.gov/libraries/massachusetts.html Libraries in Massachusetts To use the sharing features on ... please enable JavaScript. Boston Boston Children's Hospital Medical Library BCH3044 300 Longwood Ave. Boston, MA 02115 617- ...

  12. Success Rate of Pre-hospital Emergency Medical Service Personnel in Implementing Pre Hospital Trauma Life Support Guidelines on Traffic Accident Victims.

    Science.gov (United States)

    Gholipour, Changiz; Vahdati, Samad Shams; Notash, Mehdi; Miri, Seyed Hassan; Ghafouri, Rouzbeh Rajaei

    2014-06-01

    Road traffic injuries are responsible for a vast number of trauma-related deaths in middle- and low-income countries. Pre-hospital emergency medical service (PHEMS) provides care and transports the injured patients from the scene of accident to the destined hospital. The PHEMS providers and paramedics were recently trained in the Pre Hospital Trauma Life Support (PHTLS) guidelines to improve the outcome of trauma patients in developing countries. We decided to carry out a study on the success rate of PHEMS personnel in implementing PHTLS guidelines at the scene of trauma. Severe trauma patients who had been transferred to the emergency department were included in the study. Evaluations included transfer time, airway management, spinal immobilization, external bleeding management, intravenous (IV) line access, and fluid therapy. All evaluations were performed by an expert emergency physician in the emergency department. The mean response time was 17.87±9.1 minutes. The PHEMS personnel immobilized cervical spine in 60.4% of patients, out of whom 16.7% were not properly immobilized. Out of 99 (98%) cases of established IV line access by the PHEMS providers, 57% were satisfactory. Fluid therapy, which was carried out in 99 (98%) patients by the PHEMS personnel, was appropriate in 92% of the cases. PHEMS personnel need more education and supervising to provide services according to PHTLS guidelines.

  13. Analysis of readmission rates to the intensive care unit after implementation of a rapid response team in a University Hospital.

    Science.gov (United States)

    Bergamasco E Paula, R; Tanita, M T; Festti, J; Queiroz Cardoso, L T; Carvalho Grion, C M

    2017-01-07

    To compare readmission rates to the intensive care unit (ICU) before and after the implementation of a rapid response team (RRT), and to identify risk factors for readmission. A quasi-experimental before-after study was carried out. A University Hospital. All patients discharged from the ICU from January to December 2008 (control group) and from January 2010 to December 2012 (intervention group). Implementation of an RRT. The data included demographic parameters, diagnoses upon admission, ICU readmission, APACHE II, SOFA, and TISS 28 scores, and routine daily assessment by an RRT of patients discharged from the ICU. During the study interval, 380 patients were analyzed in the period prior to the implementation of the RRT and 1361 after implementation. There was a tendency toward decreased readmission rates one year after RRT implementation. The APACHE II score and SOFA score at ICU discharge were independent factors associated to readmission, as well as clinical referral to the ICU. The RRT intervention resulted in a sustained decrease in readmission rates one year after implementation of this service. The use of a specialized team in health institutions can be recommended for ICU survivors. Copyright © 2016 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  14. Insights about the process and impact of implementing nursing guidelines on delivery of care in hospitals and community settings

    Directory of Open Access Journals (Sweden)

    Ploeg Jenny

    2008-02-01

    Full Text Available Abstract Background Little is known about the impact of implementing nursing-oriented best practice guidelines on the delivery of patient care in either hospital or community settings. Methods A naturalistic study with a prospective, before and after design documented the implementation of six newly developed nursing best practice guidelines (asthma, breastfeeding, delirium-dementia-depression (DDD, foot complications in diabetes, smoking cessation and venous leg ulcers. Eleven health care organisations were selected for a one-year project. At each site, clinical resource nurses (CRNs worked with managers and a multidisciplinary steering committee to conduct an environmental scan and develop an action plan of activities (i.e. education sessions, policy review. Process and patient outcomes were assessed by chart audit (n = 681 pre-implementation, 592 post-implementation. Outcomes were also assessed for four of six topics by in-hospital/home interviews (n = 261 pre-implementation, 232 post-implementation and follow-up telephone interviews (n = 152 pre, 121 post. Interviews were conducted with 83/95 (87% CRN's, nurses and administrators to describe recommendations selected, strategies used and participants' perceived facilitators and barriers to guideline implementation. Results While statistically significant improvements in 5% to 83% of indicators were observed in each organization, more than 80% of indicators for breastfeeding, DDD and smoking cessation did not change. Statistically significant improvements were found in > 50% of indicators for asthma (52%, diabetes foot care (83% and venous leg ulcers (60%. Organizations with > 50% improvements reported two unique implementation strategies which included hands-on skill practice sessions for nurses and the development of new patient education materials. Key facilitators for all organizations included education sessions as well as support from champions and managers while key barriers were lack

  15. The implementation of quality management systems in hospitals: a comparison between three countries.

    NARCIS (Netherlands)

    Wagner, C.; Gulácsi, L.; Takacs, E.; Outinen, M.

    2006-01-01

    Is the implementation of Quality Management (QM) in health care proceeding satisfactorily and can national health care policies influence the implementation process? Policymakers and researchers in a country need to know the answer to this question. Cross country comparisons can reveal whether suffi

  16. Hybrid practices as a means to implement quality improvement: A comparative qualitative study in a Dutch and Swedish hospital.

    Science.gov (United States)

    Quartz-Topp, Julia; Sanne, Johan M; Pöstges, Heide

    2016-11-15

    Managers and scholars commonly perceive resistance from professionals as hampering the implementation of quality improvement (QI) and refer to the incompatibility of clinical and managerial approaches to QI as a reason. Yet a growing body of research indicates that, in practice, these two approaches rather blend into hybrid practices that embody different types of QI-related knowledge and values. This opens up a new perspective on implementation challenges that moves attention away from resistance against managerial QI toward difficulties for clinicians to draw together different types of knowledge and values within their clinical work. So far, little is known about how managers can support clinicians to generate hybrid QI practices. The aim of this study was to deepen our understanding of how managers can support the generation of hybrid practices that help clinicians to integrate QI into their everyday work. We draw on comparative qualitative research including 21 semistructured interviews, documentary analysis, and participant observation that we conducted in one Dutch and one Swedish hospital over a period of 8 months in 2011/2012. Hospital managers designed hybrid forums, tools, and professional roles in order to facilitate the integration of different QI practices, knowledge, and values. This integration generated new hybrid practices and an infrastructure for QI that has potential to support clinicians in their efforts to align different demands. New opportunities to implement QI emerge when we change the implementation problem from clinical resistance to the need of support for clinicians to develop hybrid QI practices. Hospital managers then have to intentionally organize for the generation of hybrid practices by designing, for example, hybrid forums, tools, and professional roles that integrate different knowledge and values in a nonhierarchical way.

  17. Exploring Barriers to Implementation of Smoking Policies:A Qualitative Study on Health Professionals from Three County-Level Hospitals

    Institute of Scientific and Technical Information of China (English)

    JUN-FANG WANG; SHAO-JUN MA; CUI-ZHU MEI; XUE-FANG XU; CHUN-PING WANG; GONG-HUAN YANG

    2008-01-01

    Objective This study was to identify factors limiting the implementation of smoking policies in county-level hospitals. Methods We conducted qualitative interviews (17 focus groups discussions and 6 one-to-one in depth interviews)involving 103 health professionals from three target county-level hospitals. A combination of purposive and convenience sampling was used to recruit subjects and gain a broad range of perspectives on issues emerging from ongoing data-analysis until data saturation occurred. The transcripts were analyzed for themes and key points. Results The main themes that emerged suggested that both smokers and non-smokers viewed smoking very negatively. However, it was clear that, underlying this acceptance of the health risks of smoking, there was a wide range of beliefs. Most of the health professionals pointed out that, as smoking was legal, addictive, and influenced by social norms, currently it was almost unrealistic to expect all smokers to give up smoking or not to smoke in the hospitals. Furthermore, they were concerned about the potentially detrimental effects of providing counseling advice to all smokers on the interpersonal relationship among colleagues or between doctors and patients. In addition, low level of employee participation influenced the sustainable implementation of smoking policies. Conclusions Simply being aware of the health risks about smoking did not necessarily result in successful implementation of the smoking policies. Application of comprehensive intervention strategies such as implementing smoking policies in public places at the county level, creating supportive environments, promoting community participation,and conducting health education, may be more effective.

  18. Implementation of innovative pulsed xenon ultraviolet (PX-UV environmental cleaning in an acute care hospital

    Directory of Open Access Journals (Sweden)

    Fornwalt L

    2014-01-01

    Full Text Available Lori Fornwalt,1 Brad Riddell1,2 1Departments of Infection Prevention and Environmental Services, Trinity Medical Centre, Birmingham, AL, 2Environmental Services, Medical University of South Carolina, Charleston, SC, USA Abstract: It is widely acknowledged that the hospital environment is an important reservoir for many of the pathogenic microbes associated with health care-associated infections (HAIs. Environmental cleaning plays an important role in the prevention and containment of HAIs, in patient safety, and the overall experience of health care facilities. New technologies, such as pulsed xenon ultraviolet (PX-UV light systems are an innovative development for enhanced cleaning and decontamination of hospital environments. A portable PX-UV disinfection device delivers pulsed UV light to destroy microbial pathogens and spores, and can be used in conjunction with manual environmental cleaning. In addition, this technology facilitates thorough disinfection of hospital rooms in 10–15 minutes. The current study was conducted to evaluate whether the introduction of the PX-UV device had a positive impact on patient satisfaction. Satisfaction was measured using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS survey. In 2011, prior to the introduction of the PX-UV system, patient HCAHPS scores for cleanliness averaged 75.75%. In the first full quarter after enhanced cleaning of the facility was introduced, this improved to 83%. Overall scores for the hospital rose from 76% (first quarter, 2011 to 87.6% (fourth quarter, 2012. As a result of this improvement, the hospital received 1% of at-risk reimbursement from the inpatient prospective payment system as well as additional funding. Cleanliness of the hospital environment is one of the questions included in the HCAHPS survey and one measure of patient satisfaction. After the introduction of the PX-UV system, the score for cleanliness and the overall rating of the

  19. National Hospital Management Portal (NHMP): a framework for e-health implementation.

    Science.gov (United States)

    Adetiba, E; Eleanya, M; Fatumo, S A; Matthews, V O

    2009-01-01

    Health information represents the main basis for health decision-making process and there have been some efforts to increase access to health information in developing countries. However, most of these efforts are based on the internet which has minimal penetration especially in the rural and sub-urban part of developing countries. In this work, a platform for medical record acquisition via the ubiquitous 2.5G/3G wireless communications technologies is presented. The National Hospital Management Portal (NHMP) platform has a central database at each specific country's national hospital which could be updated/accessed from hosts at health centres, clinics, medical laboratories, teaching hospitals, private hospitals and specialist hospitals across the country. With this, doctors can have access to patients' medical records more easily, get immediate access to test results from laboratories, deliver prescription directly to pharmacists. If a particular treatment can be provided to a patient more effectively in another country, NHMP makes it simpler to organise and carry out such treatment abroad.

  20. Implementation of the 2011 Therapeutic Activity Act: will commercialization improve the financial performance of Polish hospitals?

    Science.gov (United States)

    Sagan, Anna; Sobczak, Alicja

    2014-11-01

    The Therapeutic Activity Act that came into force on 1 July 2011 was aimed at achieving a large-scale transformation of public hospitals into Commercial Code companies. The change of the legal form, from a public entity to a for-profit company, was expected to improve the poor economic efficiency of the public hospital sector. However, the mere change of the legal form does not guarantee a better financial performance of hospitals and thus the success of the Act. In many cases, deep internal changes are needed to achieve improvements in the financial performance of particular hospitals. In addition, a set of other measures at the national and regional levels, such as the mapping of health needs of the population, have to accompany the legal transformations in order to improve the efficiency of the hospital sector. The recent slowdown in the rate of the transformations is another factor that renders the success of the Act uncertain. Copyright © 2014. Published by Elsevier Ireland Ltd.

  1. Phase 1 implementation of nutrition screening in a Dublin acute teaching hospital

    LENUS (Irish Health Repository)

    2014-01-01

    Nutrition Screening Week results from 2010 and 2011 indicated that one in three to four patients admitted to Irish Hospitals are at risk of disease-related malnutrition, 74-75% of whom are at high risk1. Nutrition screening tools are used to screen for malnutrition risk. One such tool, the Malnutrition Universal Screening Tool (MUST)2 is a practical, easy to use tool that often takes ≤5 minutes to complete. MUST has been validated across care settings and across patient populations, and has been recommended for use in Irish Hospitals by the Department of Health and Children as part of standard care3. The National Institute for Health and Clinical Excellence in the UK has demonstrated significant financial savings associated with the use of routine nutrition screening, in part due to reduced length of hospital stay4. The Irish Society for Clinical Nutrition and Metabolism (IrSPEN) has also demonstrated this5

  2. Musculoskeletal injuries among hospital patient care staff before and after implementation of patient lift and transfer equipment.

    Science.gov (United States)

    Schoenfisch, Ashley L; Lipscomb, Hester J; Pompeii, Lisa A; Myers, Douglas J; Dement, John M

    2013-01-01

    Using an observational research design and robust surveillance data, we evaluated rates of musculoskeletal (MS) injuries, days away from work, and restricted work days among patient care staff at a medical center and community hospital in the United States over 13 years, during which time a "minimal manual lift" policy and mechanical lift equipment were implemented. Workers' compensation claims data were linked to human resources data to define outcomes of interest and person-time at risk to calculate rates. Poisson and negative binomial regression with lagging were used to compare outcome rates in different windows of time surrounding the intervention. Patterns of MS injuries associated with patient-handling were contrasted to patterns of other MS injuries that would not be affected by the use of mechanical lift equipment. At the medical center, no change in the patient-handling MS injury rate followed the intervention. A 44% decrease was observed at the community hospital. At both hospitals, the rate of days away declined immediately - before it was reasonable for the intervention to have been adopted. Institutional-level changes at the time of the intervention likely influenced observed results with findings only partially consistent with an intervention effect. Observational studies can be useful in assessing effectiveness of safety interventions in complex work environments. Such studies should consider the process of intervention implementation, the time needed for intervention adoption, and the dynamic nature of work environments.

  3. Improvement of the Response Time in an Open Source Audioconference Architecture Based on SIP Multicast Implemented with JainSIP, JainSDP and JGAP Libraries

    Directory of Open Access Journals (Sweden)

    Carlos M. Moreno

    2014-06-01

    Full Text Available Group services like the audioconference require a minimum level of quality of service for multicast sessions. This work proposes a new overlay multicast architecture based on SIP extensions and a genetic algorithm. The architecture consists of a SIP Extender client (SE, a Multicast Gateway Agent (MGA and a Multicast Manager (MM. The SE receives information about the most adequate MGA for it determined by a genetic algorithm inside the MM, then connects the chosen MGA and maintains connection with the MM itself. The genetic algorithm is implemented with JGAP(Java Genetic Algorithm Package libraries. The SE and MGA are programmed with JainSIP and JainSDP libraries which contain Java structures associated with the SIP protocol and session description. Some experiments over UTP wired and WiFi IEEE802.11n network were performed. Partial results with static and dynamic MGA selection show that, if we compare the joining and leaving time measured inside a station containing SE client programmed with JainSIP and JainSDP libraries versus SJphone proprietary client, the software engineering may have more influence than the medium access method in the response time for a potential group member. Even more, the genetic algorithm at the MM minimizes the response time at great scale.

  4. Changing patterns of in-hospital deaths following implementation of damage control resuscitation practices in US forward military treatment facilities.

    Science.gov (United States)

    Langan, Nicholas R; Eckert, Matthew; Martin, Matthew J

    2014-09-01

    Analysis of combat deaths provides invaluable epidemiologic and quality-improvement data for trauma centers and is particularly important under rapidly evolving battlefield conditions. To analyze the evolution of injury patterns, early care, and resuscitation among patients who subsequently died in the hospital, before and after implementation of damage control resuscitation (DCR) policies. In a review of the Joint Theater Trauma Registry (2002-2011) of US forward combat hospitals, cohorts of patients with vital signs at presentation and subsequent in-hospital death were grouped into 2 time periods: pre-DCR (before 2006) and DCR (2006-2011). Injury types and Injury Severity Scores (ISSs), timing and location of death, and initial (24-hour) and total volume of blood products and fluid administered. Of 57,179 soldiers admitted to a forward combat hospital, 2565 (4.5%) subsequently died in the hospital. The majority of patients (74%) were severely injured (ISS > 15), and 80% died within 24 hours of admission. Damage control resuscitation policies were widely implemented by 2006 and resulted in a decrease in mean 24-hour crystalloid infusion volume (6.1-3.2 L) and increased fresh frozen plasma use (3.2-10.1 U) (both P < .05) in this population. The mean packed red blood cells to fresh frozen plasma ratio changed from 2.6:1 during the pre-DCR period to 1.4:1 during the DCR period (P < .01). There was a significant increase in mean ISS between cohorts (pre-DCR ISS = 23 vs DCR ISS = 27; P < .05) and a marked shift in injury patterns favoring more severe head trauma in the DCR cohort. There has been a significant shift in resuscitation practices in forward combat hospitals indicating widespread military adoption of DCR. Patients who died in a hospital during the DCR period were more likely to be severely injured and have a severe brain injury, consistent with a decrease in deaths among potentially salvageable patients.

  5. Implementing hospital-based surveillance for severe acute respiratory infections caused by influenza and other respiratory pathogens in New Zealand

    Directory of Open Access Journals (Sweden)

    Q Sue Huang

    2014-05-01

    Full Text Available Background: Recent experience with pandemic influenza A(H1N1pdm09 highlighted the importance of global surveillance for severe respiratory disease to support pandemic preparedness and seasonal influenza control. Improved surveillance in the southern hemisphere is needed to provide critical data on influenza epidemiology, disease burden, circulating strains and effectiveness of influenza prevention and control measures. Hospital-based surveillance for severe acute respiratory infection (SARI cases was established in New Zealand on 30 April 2012. The aims were to measure incidence, prevalence, risk factors, clinical spectrum and outcomes for SARI and associated influenza and other respiratory pathogen cases as well as to understand influenza contribution to patients not meeting SARI case definition. Methods/Design: All inpatients with suspected respiratory infections who were admitted overnight to the study hospitals were screened daily. If a patient met the World Health Organization’s SARI case definition, a respiratory specimen was tested for influenza and other respiratory pathogens. A case report form captured demographics, history of presenting illness, co-morbidities, disease course and outcome and risk factors. These data were supplemented from electronic clinical records and other linked data sources. Discussion: Hospital-based SARI surveillance has been implemented and is fully functioning in New Zealand. Active, prospective, continuous, hospital-based SARI surveillance is useful in supporting pandemic preparedness for emerging influenza A(H7N9 virus infections and seasonal influenza prevention and control.

  6. Challenges of information systems strategy implementation in public hospitals: a South African experience

    CSIR Research Space (South Africa)

    Hwabamungu, B

    2015-05-01

    Full Text Available Information Systems (IS) strategizing research conducted mostly in the private sector setting indicates that there are many challenges to the implementation of Information Systems strategy and that there is need for further research...

  7. Implementation of a children's hospital-wide central venous catheter insertion and maintenance bundle

    NARCIS (Netherlands)

    K. Helder MScN (Onno); R.F. Kornelisse (René); C. van der Starre (Cynthia); D. Tibboel (Dick); C.W.N. Looman (Caspar); R.M.H. Wijnen (René); M.J. Poley (Marten); E. Ista (Erwin)

    2013-01-01

    textabstractBackground: Central venous catheter-associated bloodstream infections in children are an increasingly recognized serious safety problem worldwide, but are often preventable. Central venous catheter bundles have proved effective to prevent such infections. Successful implementation requir

  8. Decision making and senior management: the implementation of change projects covering clinical management in SUS hospitals.

    Science.gov (United States)

    Pacheco, José Márcio da Cunha; Gomes, Romeu

    2016-08-01

    This paper analyses the decision making process for senior management in public hospitals that are a part of the National Health Service in Brazil (hereafter SUS) in relation to projects aimed at changing clinical management. The methodological design of this study is qualitative in nature taking a hermeneutics-dialectics perspective in terms of results. Hospital directors noted that clinical management projects changed the state of hospitals through: improving their organizations, mobilizing their staff in order to increase a sense of order and systemizing actions and available resources. Technical rationality was the principal basis used in the decision making process for managers. Due to the reality of many hospitals having fragmented organizations, this fact impeded the use of aspects related to rationality, such as economic and financial factors in the decision making process. The incremental model and general politics also play a role in this area. We concluded that the decision making process embraces a large array of factors including rational aspects such as the use of management techniques and the ability to analyze, interpret and summarize. It also incorporates subjective elements such as how to select values and dealing with people's working experiences. We recognized that management problems are wide in scope, ambiguous, complex and do not come with a lot of structure in practice.

  9. Imperfect implementation of an early warning scoring system in a Danish teaching hospital

    DEFF Research Database (Denmark)

    Niegsch, Mark; Fabritius, Maria Louise; Anhøj, Jacob

    2013-01-01

    In 2007, the initiation of a patient safety campaign led to the introduction of Ward Observational Charts (WOC) and Medical Early Warning Score (MEWS) at Naestved Regional Hospital. This included systematic measuring of vital signs of all patients in order to prevent patient deterioration and ass...

  10. Evaluating the implementation and effects of a multilevel quality collaborative in hospital care: a research strategy.

    NARCIS (Netherlands)

    Dückers, M.; Wagner, C.; Groenewegen, P.

    2008-01-01

    Phase of the research when this was written: in the middle of the process. Before the data collection of the final part of the study, but after reviewing the literature and collection and anlysis first data. Main research question: How does the participation by hospitals in a multilivel quality

  11. Survival and development strategy of the hospital library in the environment of the healthcare reform%医改环境下医院图书馆生存与发展策略

    Institute of Scientific and Technical Information of China (English)

    陈小忠; 尹东宁; 陈励和; 陈春英; 张园; 杨继玉

    2013-01-01

    Objectives:To discuss the survival and development strategy of hospital library under the background of the healthcare reform. Methods:By using the questionnaire and case study, the experience in library services of hospital libraries in China were summarized. By studying the practices of public libraries, university libraries and combining with the situation of hospital library, ways that suit for hospital libraries were explored. Results:The large-scale hospital library staff structure is relatively more reasonable and the professional quality is relatively high. They have a certain scale of the electronic reading room and foreign electronic resources database. Hospital libraries are combined with its own resources and the needs of readers to carry out a wide variety of information services and have had good reputation. Conclusions:Highly educated librarians are the key resources of library services. Plenty of books funding is the foundation to carry out the library service. Excellent hospital library provides the reader service project is similar. Build the library boutique service for this unit case to provide literature support for leadership decision-making and hospital development. Grasp the mainstream of medical staff needs and participate in regional library consortium.%  目的:在医改背景下,探讨医院图书馆生存、发展的策略。方法:应用问卷调查法与案例分析法,总结国内大型医院图书馆的图书情报服务经验,探讨其他医院图书馆复制的可能性;研究公共图书馆、高校图书馆的先进经验,结合医院图书馆的实际情况,探索适合医院图书馆可持续发展的道路。结果:大型医院图书馆人员结构比较合理、专业素质比较高,具有一定规模的电子阅览室及中外文电子资源数据库。各馆都在结合自身的资源优势和读者的需求开展多种多样的信息服务且获得了读者的认可和好评。结论:高学历

  12. Barriers to Implementation of Evidence Based Practice in Zahedan Teaching Hospitals, Iran, 2014

    Directory of Open Access Journals (Sweden)

    Mohammad Khammarnia

    2015-01-01

    Full Text Available This study aimed to determine the barriers to implementation of EBP among nurses. This cross-sectional study was conducted in Zahedan City, South East of Iran, in 2014. The questionnaire of barriers to implementation of EBP consists of 27 statements which was distributed among 280 nurses. More than half of the participants agreed that 56% and 57% of barriers to implementation of evidence based practice are related to organizational and individual aspects, respectively. Participants identified barriers at organizational level included the lack of human resources (78.3%, lack of internet access at work (72.2%, and heavy workload (70.0%. Barrier at individual level included lack of time to read literature (83.7%, lack of ability to work with computer (68.8%, and insufficient proficiency in English language (62.0%. Age, educational level, job experience, and employment status were associated with organizational barriers to implementation of EBP. At the individual level only education was associated with barriers to implementation of EBP. Barriers to implementation of EBP occur at both individual and organizational levels. The indicator of quality in nursing practice is EBP. Hence, familiarity with EBP is recommended for Iranian nurses. In addition, knowledge of barriers will help health care system and policy makers to provide a culture of EBP.

  13. Documenting the experiences of health workers expected to implement guidelines during an intervention study in Kenyan hospitals

    Directory of Open Access Journals (Sweden)

    Warira Ann

    2009-07-01

    Full Text Available Abstract Background Although considerable efforts are directed at developing international guidelines to improve clinical management in low-income settings they appear to influence practice rarely. This study aimed to explore barriers to guideline implementation in the early phase of an intervention study in four district hospitals in Kenya. Methods We developed a simple interview guide based on a simple characterisation of the intervention informed by review of major theories on barriers to uptake of guidelines. In-depth interviews, non-participatory observation, and informal discussions were then used to explore perceived barriers to guideline introduction and general improvements in paediatric and newborn care. Data were collected four to five months after in-service training in the hospitals. Data were transcribed, themes explored, and revised in two rounds of coding and analysis using NVivo 7 software, subjected to a layered analysis, reviewed, and revised after discussion with four hospital staff who acted as within-hospital facilitators. Results A total of 29 health workers were interviewed. Ten major themes preventing guideline uptake were identified: incomplete training coverage; inadequacies in local standard setting and leadership; lack of recognition and appreciation of good work; poor communication and teamwork; organizational constraints and limited resources; counterproductive health worker norms; absence of perceived benefits linked to adoption of new practices; difficulties accepting change; lack of motivation; and conflicting attitudes and beliefs. Conclusion While the barriers identified are broadly similar in theme to those reported from high-income settings, their specific nature often differs. For example, at an institutional level there is an almost complete lack of systems to introduce or reinforce guidelines, poor teamwork across different cadres of health worker, and failure to confront poor practice. At an individual

  14. 医院图书馆信息环境对读者信息行为的影响%Impact of information environment of hospital library on readers' information behaviors

    Institute of Scientific and Technical Information of China (English)

    尚武

    2011-01-01

    从医院图书馆地理位置和馆舍条件、文献信息资源及其组织、检索方式、网络信息环境、馆员素质和馆读关系、图书馆服务相关的规章制度、读者自身信息素质等方面探讨了医院图书馆信息环境对读者信息行为的影响,提出医院图书馆完善信息环境的对策,包括营造和谐的信息环境、加强馆员与读者的沟通,不断完善信息服务制度、建立科学的馆藏信息体系和现代化的网络系统以及开展读者信息教育等.%Impact of hospital library information environment on reader' s information behavior in aspects of hospital library ' s setting, library environment, information resources and its organization and search function. internet information environment, library staff ' s capacity, relationship of library and reader, relative systems and reader' s information gain capacity. Suggestions on promoting hospital library information environment such as building harmonious library and reader relationship, improving information service system, establishing scientific library information svstem and developing information education for reader are discussed.

  15. Organisational culture and trust as influences over the implementation of equity-oriented policy in two South African case study hospitals.

    Science.gov (United States)

    Erasmus, Ermin; Gilson, Lucy; Govender, Veloshnee; Nkosi, Moremi

    2017-09-15

    This paper uses the concepts of organisational culture and organisational trust to explore the implementation of equity-oriented policies - the Uniform Patient Fee Schedule (UPFS) and Patients' Rights Charter (PRC) - in two South African district hospitals. It contributes to the small literatures on organisational culture and trust in low- and middle-income country health systems, and broader work on health systems' people-centeredness and "software". The research entailed semi-structured interviews (Hospital A n = 115, Hospital B n = 80) with provincial, regional, district and hospital managers, as well as clinical and non-clinical hospital staff, hospital board members, and patients; observations of policy implementation, organisational functioning, staff interactions and patient-provider interactions; and structured surveys operationalising the Competing Values Framework for measuring organisational culture (Hospital A n = 155, Hospital B n = 77) and Organisational Trust Inventory (Hospital A n = 185, Hospital B n = 92) for assessing staff-manager trust. Regarding the UPFS, the hospitals' implementation approaches were similar in that both primarily understood it to be about revenue generation, granting fee exemptions was not a major focus, and considerable activity, facility management support, and provincial support was mobilised behind the UPFS. The hospitals' PRC paths diverged quite significantly, as Hospital A was more explicit in communicating and implementing the PRC, while the policy also enjoyed stronger managerial support in Hospital A than Hospital B. Beneath these experiences lie differences in how people's values, decisions and relationships influence health system functioning and in how the nature of policies, culture, trust and power dynamics can combine to create enabling or disabling micro-level implementation environments. Achieving equity in practice requires managers to take account of "unseen" but important factors such as

  16. End-user searching: impetus for an expanding information management and technology role for the hospital librarian.

    OpenAIRE

    1997-01-01

    Using the results of the 1993 Medical Library Association (MLA) Hospital Libraries Section survey of hospital-based end-user search services, this article describes how end-user search services can become an impetus for an expanded information management and technology role for the hospital librarian. An end-user services implementation plan is presented that focuses on software, hardware, finances, policies, staff allocations and responsibilities, educational program design, and program eval...

  17. Discussion on Literature Resource Construction of Hospital Libraries%医院图书馆文献资源建设探讨

    Institute of Scientific and Technical Information of China (English)

    蔺艺红; 赵雯; 王敏; 郭华; 安鹏

    2011-01-01

    The construction of literature resource is the fondation of hospital libraries' every work, the quality of the construction of literature resource affects the service of the libraries directly.In order to do well the construction of literature resource, we need to correctly handle four relationshipes such as the relationship between paper documents and electronic documents, the relationship between featured collection and general collection,the relationship between reality collection and virtual collection, and the relationship between possession and access.%文献资源建设是医院图书馆开展一切工作的基础,文献资源建设的好坏直接影响图书馆的服务质量.要做好文献资源建设首先应该正确处理好 (1)纸质文献和电子文献的关系;(2)特色馆藏与一般馆藏的关系;(3)现实馆藏与虚拟馆藏的关系;(4)拥有与存取的关系.

  18. Organizational learning in the implementation and adoption of national electronic health records: case studies of two hospitals participating in the National Programme for Information Technology in England.

    Science.gov (United States)

    Takian, Amirhossein; Sheikh, Aziz; Barber, Nicholas

    2014-09-01

    To explore the role of organizational learning in enabling implementation and supporting adoption of electronic health record systems into two English hospitals. In the course of conducting our prospective and sociotechnical evaluation of the implementation and adoption of electronic health record into 12 "early adopter" hospitals across England, we identified two hospitals implementing virtually identical versions of the same "off-the-shelf" software (Millennium) within a comparable timeframe. We undertook a longitudinal qualitative case study-based analysis of these two hospitals (referred to hereafter as Alpha and Omega) and their implementation experiences. Data included the following: 63 in-depth interviews with various groups of internal and external stakeholders; 41-h on-site observation; and content analysis of 218 documents of various types. Analysis was both inductive and deductive, the latter being informed by the "sociotechnical changing" theoretical perspective. Although Alpha and Omega shared a number of contextual similarities, our evaluation revealed fundamental differences in visions of electronic health record and the implementation strategy between the hospitals, which resulted in distinct local consequences of electronic health record implementation and impacted adoption. Both hospitals did not, during our evaluation, see the hoped-for benefits to the organization as a result of the introduction of electronic health record, such as speeding-up tasks. Nonetheless, the Millennium software worked out to be easier to use at Omega. Interorganizational learning was at the heart of this difference. Despite the turbulent overall national "roll out" of electronic health record systems into the English hospitals, considerable opportunities for organizational learning were offered by sequential delivery of the electronic health record software into "early adopter" hospitals. We argue that understanding the process of organizational learning and its

  19. Implementing DRGs at Silas B. Hays Army Community Hospital: Enhancement of Utilization Review

    Science.gov (United States)

    1990-12-01

    DEFINITION T1 Newborn, Preterm (37 weeks or less gestation) T2 Newborn, Term (38 through 41 weeks gestation) T3 Newborn, Post- term (42 weeks or more...116 16. SUPPLEMENTARY NOTATION 17. COSATI CODES 18. SUBJECT TERMS (Continue on reverse if necessary and identify by block number) FIELD GROUP SUB-GROUP...patients falling into the top three clinic services noted has occurred over the past ten years at Silas B. Hays Hospital. An active midwifery program

  20. Implementation of a pharmacy automation system (robotics) to ensure medication safety at Norwalk hospital.

    Science.gov (United States)

    Bepko, Robert J; Moore, John R; Coleman, John R

    2009-01-01

    This article reports an intervention to improve the quality and safety of hospital patient care by introducing the use of pharmacy robotics into the medication distribution process. Medication safety is vitally important. The integration of pharmacy robotics with computerized practitioner order entry and bedside medication bar coding produces a significant reduction in medication errors. The creation of a safe medication-from initial ordering to bedside administration-provides enormous benefits to patients, to health care providers, and to the organization as well.

  1. A lean case study in an oncological hospital: implementation of a telephone triage system in the emergency service.

    Science.gov (United States)

    de Carvalho, José Crespo; Ramos, Madalena; Paixão, Carina

    2013-01-01

    Lean practices and thinking have increased substantially in the last few years. Applications of lean practices to health care are found worldwide. Despite that, new contributions are required because the application of lean thinking to hospitals has a long way to go. Lean practices and thinking do not include, in the literature or practice programs, any references to triage systems in health care units. The common triage systems require physical presence, but there are alternative methods to avoid the need to move patients: these alternative triage systems, given their characteristics, may be included in the spectrum of lean practices. Currently, patients that are already known to suffer from cancer are encouraged to go to hospital (public or private, with an oncological focus) when facing side effects from chemotherapy or radiation treatments; they are then submitted to a triage system (present themselves to the hospital for examination). The authors of this paper propose the introduction of telephone or email triage for impaired patients as a valid substitute for moving them physically, thereby often avoiding several unnecessary moves. This approach has, in fact, characteristics similar to a lean practice in that it reduces costs and maintains, if done properly, the overall service offered. The proposed 'remote' triage emerged from the results of a large survey sent to patients and also as the outcome of a set of semistructured interviews conducted with hospital nurses. With the results they obtained, the authors felt comfortable proposing this approach both to public and private hospitals, because the study was conducted in the most important, largest, and best-known oncological unit in Spain. As a final result, the health care unit studied is now taking the first steps to implement a remote triage system by telephone, and has begun to reduce the previously necessary movement of impaired patients.

  2. Implementing an intensified antibiotic stewardship programme targeting cephalosporin and fluoroquinolone use in a 200-bed community hospital in Germany.

    Science.gov (United States)

    Borde, J P; Litterst, S; Ruhnke, M; Feik, R; Hübner, J; deWith, K; Kaier, K; Kern, W V

    2015-02-01

    Prescription of third-generation cephalosporins and fluoroquinolones has been linked to an increasing incidence of gram-negative bacteria producing extended-spectrum beta-lactamases, methicillin-resistant Staphylococcus aureus and nosocomial infection with Clostridium difficile. Antibiotic stewardship (ABS) programmes offer evidence-based tools to control antibiotic prescription rates and thereby influence the incidence of nosocomial infection and contain the development of multidrug-resistant bacteria, but there is limited experience with such programmes at community hospitals. We implemented an ABS programme at a 200-bed community hospital and aimed at a > 30 % reduction of cephalosporin and fluoroquinolone consumption within 1 year. Pharmacy data were obtained to estimate hospital-wide drug use density expressed in WHO-ATC-defined daily doses (DDD) or hospital-adapted recommended daily doses (RDD) per 1,000 patient days. The effect of the ABS intervention on drug use density was analysed using interrupted time-series analysis for the periods between January 2011 and March 2013 as pre-intervention, and between April 2013 and March 2014 as post-intervention period. The CDI incidence was calculated based on microbiology laboratory data. Cephalosporin use (measured in RDD/1,000 patient days) decreased by 33 %, and fluoroquinolone use decreased by 31 %, respectively. Interrupted time-series analysis confirmed significant changes in the drug use density trends for both cephalosporins and fluoroquinolones after the intervention as well as for total antibiotic use that decreased by 11 % while no significant effect was noted for CDI incidence rates. ABS programmes can be effective in community hospitals and may help establish ecologically advantageous antibiotic strategies when needed.

  3. Library Benchmarking

    Directory of Open Access Journals (Sweden)

    Wiji Suwarno

    2017-02-01

    Full Text Available The term benchmarking has been encountered in the implementation of total quality (TQM or in Indonesian termed holistic quality management because benchmarking is a tool to look for ideas or learn from the library. Benchmarking is a processof measuring and comparing for continuous business process of systematic and continuous measurement, the process of measuring and comparing for continuous business process of an organization to get information that can help these organization improve their performance efforts.

  4. Improving hospital discharge time: a successful implementation of Six Sigma methodology.

    Science.gov (United States)

    El-Eid, Ghada R; Kaddoum, Roland; Tamim, Hani; Hitti, Eveline A

    2015-03-01

    Delays in discharging patients can impact hospital and emergency department (ED) throughput. The discharge process is complex and involves setting specific challenges that limit generalizability of solutions. The aim of this study was to assess the effectiveness of using Six Sigma methods to improve the patient discharge process. This is a quantitative pre and post-intervention study. Three hundred and eighty-six bed tertiary care hospital. A series of Six Sigma driven interventions over a 10-month period. The primary outcome was discharge time (time from discharge order to patient leaving the room). Secondary outcome measures included percent of patients whose discharge order was written before noon, percent of patients leaving the room by noon, hospital length of stay (LOS), and LOS of admitted ED patients. Discharge time decreased by 22.7% from 2.2 hours during the preintervention period to 1.7 hours post-intervention (P Six Sigma methodology can be an effective change management tool to improve discharge time. The focus of institutions aspiring to tackle delays in the discharge process should be on adopting the core principles of Six Sigma rather than specific interventions that may be institution-specific.

  5. [Best practice agreement: implementation of best practice guidelines in HCL hospitals in Lyon, France].

    Science.gov (United States)

    Hédoux, S; Armoiry, X; Dode, X; Stamm, C; Chamouard, V; Pivot, C; Souquet, P-J; Aulagner, G

    2010-05-01

    Since 2004, the Hospices Civils de Lyon (HCL) hospitals are committed to comply with best practice guidelines for healthcare products that are reimbursed in addition to diagnosis related groups' (DRGs) tariffs in France, and that, even before the publication of the law concerning best practice agreement. It has been necessary to adapt national drugs best practice guidelines to every-day practice. A working group, COPIL RBU, has been created in HCL hospitals to manage the best practice guidelines locally. This group has two main activities: it conducts a scientific and regulatory information watch and follows up emerging indications at HCL. The group's best practice guidelines contain a classification of indications into three categories: approved indications (market authorization and temporary protocol of treatment), currently-assessed indications and contra-indications. Our best practice guidelines are more than a rewriting of national guidelines since they include emerging indications validated by prescribing physicians at HCL hospitals. A scientific argumentation is made for each emerging indication that is classified in our guidelines, based on the level of scientific evidence available. The practical use of our best practice guidelines is made through a best practice prescription that enables the traceability of drugs from the prescription to the administration to the patient. These prescriptions are accompanied with best practice guidelines made by medical and pharmaceutical professional groups. Audits will then be conducted to assess the indications' conformity to our guidelines and to have a better knowledge of current medical practice.

  6. Implementing clinical ethics in German hospitals: content, didactics and evaluation of a nationwide postgraduate training programme.

    Science.gov (United States)

    Dörries, Andrea; Simon, Alfred; Neitzke, Gerald; Vollmann, Jochen

    2010-12-01

    The Hannover qualifying programme 'ethics consultation in hospitals', conducted by a four-institution cooperation partnership, is an interdisciplinary, scientifically based programme for healthcare professionals interested in ethics consultation services and is widely acknowledged by hospital managements and healthcare professionals. It is unique concerning its content, scope and teaching format. With its basic and advanced modules it has provided training and education for 367 healthcare professionals with 570 participations since 2003 (until February 2010). One characteristic feature is its attractiveness for health professionals from different backgrounds. Internationally, the Hannover programme is one of the few schedules with both academics and non-academics as target groups and a high participation rate of physicians. The concept of the Hannover programme is in great demand, and its schedule is continuously optimised through evaluation. The goals of enabling healthcare professionals from different professional backgrounds to define and reflect ethical problems, to facilitate and support the process of decision-making and to work out structures for their own institutions seem to have been achieved. However, in order to obtain effective and sustainable results, participation in the programme should be supplemented regularly by in-house training sessions or individual expert consultations. Future challenges include new thematic courses and providing a network for former participants, especially when they come from non-academic hospitals. The network is a reasonable platform to discuss participants' experiences, successes and pitfalls. A further task will be research on how the programme's concept can support the sustainability of ethics structures in the various institutions.

  7. Success rate evaluation of clinical governance implementation in teaching hospitals in Kerman (Iran) based on nine steps of Karsh's model.

    Science.gov (United States)

    Vali, Leila; Mastaneh, Zahra; Mouseli, Ali; Kardanmoghadam, Vida; Kamali, Sodabeh

    2017-07-01

    One of the ways to improve the quality of services in the health system is through clinical governance. This method aims to create a framework for clinical services providers to be accountable in return for continuing improvement of quality and maintaining standards of services. To evaluate the success rate of clinical governance implementation in Kerman teaching hospitals based on 9 steps of Karsh's Model. This cross-sectional study was conducted in 2015 on 94 people including chief executive officers (CEOs), nursing managers, clinical governance managers and experts, head nurses and nurses. The required data were collected through a researcher-made questionnaire containing 38 questions with three-point Likert Scale (good, moderate, and weak). The Karsh's Model consists of nine steps including top management commitment to change, accountability for change, creating a structured approach for change, training, pilot implementation, communication, feedback, simulation, and end-user participation. Data analysis using descriptive statistics and Mann-Whitney-Wilcoxon test was done by SPSS software version 16. About 81.9 % of respondents were female and 74.5 have a Bachelor of Nursing (BN) degree. In general, the status of clinical governance implementation in studied hospitals based on 9 steps of the model was 44 % (moderate). A significant relationship was observed among accountability and organizational position (p=0.0012) and field of study (p=0.000). Also, there were significant relationships between structure-based approach and organizational position (p=0.007), communication and demographic characteristics (p=0.000), and end-user participation with organizational position (p=0.03). Clinical governance should be implemented by correct needs assessment and participation of all stakeholders, to ensure its enforcement in practice, and to enhance the quality of services.

  8. Implementing the HDF-EOS5 software library for data products in the UNAVCO InSAR archive

    Science.gov (United States)

    Baker, Scott; Meertens, Charles; Crosby, Christopher

    2017-04-01

    UNAVCO is a non-profit university-governed consortium that operates the U.S. National Science Foundation (NSF) Geodesy Advancing Geosciences and EarthScope (GAGE) facility and provides operational support to the Western North America InSAR Consortium (WInSAR). The seamless synthetic aperture radar archive (SSARA) is a seamless distributed access system for SAR data and higher-level data products. Under the NASA-funded SSARA project, a user-contributed InSAR archive for interferograms, time series, and other derived data products was developed at UNAVCO. The InSAR archive development has led to the adoption of the HDF-EOS5 data model, file format, and library. The HDF-EOS software library was designed to support NASA Earth Observation System (EOS) science data products and provides data structures for radar geometry (Swath) and geocoded (Grid) data based on the HDF5 data model and file format provided by the HDF Group. HDF-EOS5 inherits the benefits of HDF5 (open-source software support, internal compression, portability, support for structural data, self-describing file metadata enhanced performance, and xml support) and provides a way to standardize InSAR data products. Instrument- and datatype-independent services, such as subsetting, can be applied to files across a wide variety of data products through the same library interface. The library allows integration with GIS software packages such as ArcGIS and GDAL, conversion to other data formats like NetCDF and GeoTIFF, and is extensible with new data structures to support future requirements. UNAVCO maintains a GitHub repository that provides example software for creating data products from popular InSAR processing software packages like GMT5SAR and ISCE as well as examples for reading and converting the data products into other formats. Digital object identifiers (DOI) have been incorporated into the InSAR archive allowing users to assign a permanent location for their processed result and easily reference the

  9. Do implementation strategies increase adherence to pain assessment in hospitals? A systematic review

    NARCIS (Netherlands)

    Ista, E.; Dijk, M. van; Achterberg, T. van

    2013-01-01

    OBJECTIVES: Pain assessment and reassessment is an essential part of the treatment of hospitalised patients and must be integrated in pain management protocols. Yet nurses' adherence to pain assessment recommendations is problematic. We sought to review the comparative evidence for implementation st

  10. Implementation of supported conversation for communication between nursing staff and in-hospital patients with aphasia

    DEFF Research Database (Denmark)

    Jensen, Lise Randrup; Løvholt, Annelise P.; Sørensen, Inger

    2015-01-01

    access has prompted speech-language therapists to direct intervention at contextual factors, including communication partner training (Simmons-Mackie, Raymer, Armstrong, Holland, & Cherney, 2010). Aims: An implementation project is described in which supported conversation for adults with aphasia (SCA...

  11. A Boiler Room in a 600-Bed Hospital Complex: Study, Analysis, and Implementation of Energy Efficiency Improvements

    Directory of Open Access Journals (Sweden)

    Juan-Carlos Fraile

    2014-05-01

    Full Text Available The aim of energy efficiency is to use less energy to provide the same service. In hospitals, energy efficiency offers a powerful and cost-effective tool to reduce greenhouse gas emissions, fuel consumption, and also running costs. Over a six-month period, the six gas-fired boilers that provide both a hospital’s heat and hot water were monitored. Analysis of the data obtained led to several actions being implemented in the hospital boiler room control system to improve the efficiency of the heat production system. Comparative studies were conducted, during similar weather periods, of the performance of the hospital’s hot water production system before and after the controls were implemented. Results indicate that the control actions applied proved to be effective. Finally; the paper offers a financial; primary energy saving and CO2 reduction analysis that points to a 3,434.00 €/week savings in natural gas consumption; and a cut in CO2 emissions of 20.3 tons/week; as compared to the reference facility.

  12. The implementation of the UHC/AACN new graduate nurse residency program in a community hospital.

    Science.gov (United States)

    Maxwell, Karen L

    2011-03-01

    Transition into the workforce for the new graduate nurse is affected by many factors. New graduate nurses can benefit from support provided through participation in the UHC/AACN Residency Program. The retention of even one graduate nurse saves the employing institution up to an estimated $80,000 annually. St Joseph's Hospital has improved the retention of new graduate nurses from approximately 40% to 100% with the addition of the UHC/AACN Residency Program alongside other system changes. Data are being monitored at St Joseph's and on a national level through this multisite collaborative aimed at improving patient care and increasing nurse retention.

  13. [Quality management systems in radiology: implementation in hospital and radiology practice].

    Science.gov (United States)

    Teichgräber, U; de Bucourt, M

    2010-11-01

    The concept of quality and the principle of continuous quality improvement are implemented by quality management systems. Quality management systems surpass mere quality control. These systems account for patient and employee needs, the management style and the structure of an enterprise. Many of these quality management systems are used in the health care industry. Some of these systems and their form of application in radiology are introduced here. © Georg Thieme Verlag KG Stuttgart · New York.

  14. The implementation of the South African Triage Score (SATS in an urban teaching hospital, Ghana

    Directory of Open Access Journals (Sweden)

    Sarah Rominski

    2014-06-01

    Conclusion: Under-triage is a concern to patient care and safety, and while the under-triage rate of 5.7% in this sample falls within the 5–10% range considered unavoidable by the American College of Surgeons Committee on Trauma, concentrated efforts to regularly train triage nurses to ensure no patients are under-triaged have been undertaken. Overall though, SATS has been implemented successfully in the EC at KATH by triage nurses.

  15. Implementing moral case deliberation in a psychiatric hospital: process and outcome.

    Science.gov (United States)

    Molewijk, Bert; Verkerk, Maarten; Milius, Henk; Widdershoven, Guy

    2008-03-01

    Clinical moral case deliberation consists of the systematic reflection on a concrete moral case by health care professionals. This paper presents the study of a 4-year moral deliberation project. The objectives of this paper are to: (a) describe the practice and the theoretical background of moral deliberation, (b) describe the moral deliberation project, (c) present the outcomes of the evaluation of the moral case deliberation sessions, and (d) present the implementation process. The implementation process is both monitored and supported by an interactive responsive evaluation design with: (a) in-depth interviews, (b) Maastricht evaluation questionnaires, (c) evaluation survey, and (d) ethnographic participant observation. In accordance with the theory of responsive evaluation, researchers acted both as evaluators and moderators (i.e. ethicists). Both qualitative and quantitative results showed that the moral case deliberations, the role of the ethics facilitator, and the train-the-facilitator program were regarded as useful and were evaluated as (very) positive. Health care professionals reported that they improved their moral competencies (i.e. knowledge, attitude and skills). However, the new trained facilitators lacked a clear organisational structure and felt overburdened with the implementation process. The paper ends with both practical and research suggestions for future moral deliberation projects.

  16. [Barriers and facilitators to the implementation of computerized decision support systems in Italian hospitals: a grounded theory study].

    Science.gov (United States)

    Liberati, Elisa Giulia; Galuppo, Laura; Gorli, Mara; Maraldi, Marco; Ruggiero, Francesca; Capobussi, Matteo; Banzi, Rita; Kwag, Koren; Scaratti, Giuseppe; Nanni, Oriana; Ruggieri, Pietro; Polo Friz, Hernan; Cimminiello, Claudio; Bosio, Marco; Mangia, Massimo; Moja, Lorenzo

    2015-04-01

    Computerized Decision Support Systems (CDSSs) connect health care professionals with high-quality, evidence-based information at the point-of-care to guide clinical decision-making. Current research shows the potential of CDSSs to improve the efficiency and quality of patient care. The mere provision of the technology, however, does not guarantee its uptake. This qualitative study aims to explore the barriers and facilitators to the use of CDSSs as identified by health providers. The study was performed in three Italian hospitals, each characterized by a different level of familiarity with the CDSS technology. We interviewed frontline physicians, nurses, information technology staff, and members of the hospital board of directors (n=24). A grounded theory approach informed our sampling criteria as well as the data collection and analysis. The adoption of CDSSs by health care professionals can be represented as a process that consists of six "positionings," each corresponding to an individual's use and perceived mastery of the technology. In conditions of low mastery, the CDSS is perceived as an object of threat, an unfamiliar tool that is difficult to control. On the other hand, individuals in conditions of high mastery view the CDSS as a helpful tool that can be locally adapted and integrated with clinicians' competences to fulfil their needs. In the first positionings, the uptake of CDSSs is hindered by representational obstacles. The last positionings, alternatively, featured technical obstacles to CDSS uptake. Our model of CDSS adoption can guide hospital administrators interested in the future integration of CDSSs to evaluate their organizational contexts, identify potential challenges to the implementation of the technology, and develop an effective strategy to address them. Our findings also allow reflections concerning the misalignment between most Italian hospitals and the current innovation trends toward the uptake of computerized decision support

  17. PRINCIPLES OF DESIGNING AND IMPLEMENTATION OF MIDP LIBRARY%MIDP类库的设计和实现原则

    Institute of Scientific and Technical Information of China (English)

    徐中礼; 谢丹铭; 高传善

    2006-01-01

    ORP(Open Runtime Platform)是一个高性能的MRTE(Managed Runtime Environment)软件开发环境,MIDP(Mobile Information Device Profile)是我们作为ORL(Open Runtime Library)的一部分在该环境中开发的类库.在开发该类库的时候要充分考虑类库的整体设计和性能.我们在编写的过程中,总结出了一些关于如何设计和实现有关MIDP类库的经验,并给出了具体实例来阐述其中需要注意的一些原则.

  18. Design and implementation of a library-based information service in molecular biology and genetics at the University of Pittsburgh

    Science.gov (United States)

    Chattopadhyay, Ansuman; Tannery, Nancy Hrinya; Silverman, Deborah A. L.; Bergen, Phillip; Epstein, Barbara A.

    2006-01-01

    Setting: In summer 2002, the Health Sciences Library System (HSLS) at the University of Pittsburgh initiated an information service in molecular biology and genetics to assist researchers with identifying and utilizing bioinformatics tools. Program Components: This novel information service comprises hands-on training workshops and consultation on the use of bioinformatics tools. The HSLS also provides an electronic portal and networked access to public and commercial molecular biology databases and software packages. Evaluation Mechanisms: Researcher feedback gathered during the first three years of workshops and individual consultation indicate that the information service is meeting user needs. Next Steps/Future Directions: The service's workshop offerings will expand to include emerging bioinformatics topics. A frequently asked questions database is also being developed to reuse advice on complex bioinformatics questions. PMID:16888665

  19. 圖書館應用無線射頻識別技術之實務性研究 RFID Implementation and Application in Library

    Directory of Open Access Journals (Sweden)

    Shien-Chiang Yu

    2006-09-01

    Full Text Available RFID具有條碼無法提供的整批讀取、可讀寫資料、即時性反應的特性,包括讀者與館藏的資料均可結合RFID的混合應用方式,提供圖書館內各種非接觸式的管理。近年來圖書館的應用是利用RFID取代條碼識別的功能,再配合RFID快速反應與非接觸的特性提高作業效率與精確度,但服務型態本質則並未改變。本文主要描述世新大學圖書館實驗RFID於館藏資料的定位與取閱率計量的創新應用模式。透過實作過程的說明,分析標籤頻率與型式的選定,多重收發器建置,結合TCP/IP網路橋接等解決方案,並提出實際技術標準與設備可靠度仍未完備的現況,提供圖書館導入的參考。RFID applications that provide batch access, mass data storage and reprogramming are better than barcodes. Applying RFID can promote operational efficiency and precision. The data of patrons and collections can all utilize the RFID application to achieve various contactless managements. Although RFID has improved the efficiency of libraries, the essence of library service has not changed. This paper discusses with the processes and issues under implementing these innovation application models such as collection tracking and statistics of utility rate in Shih-Hsin University library.

  20. Implementing ward based clinical pharmacy services in an Ethiopian University Hospital

    Directory of Open Access Journals (Sweden)

    Mekonnen AB

    2013-03-01

    Full Text Available Background: Clinical pharmacy practice has developed internationally to expand the role of a pharmacist well beyond the traditional roles of compounding, dispensing and supplying drugs to roles more directly in caring for patients. Studies on the activities of the clinical pharmacist in an inpatient ward in resource constrained settings are scarce, however.Objective: To assess ward based clinical pharmacy services in an internal medicine ward of Jimma University Specialized Hospital. Methods: The study was carried out in the internal medicine ward from March to April, 2011 at Jimma University Specialized Hospital. The study design was a prospective observational study where pharmaceutical care services provided by clinical pharmacists for inpatients were documented over a period of two months. Interventions like optimization of rational drug use and physician acceptance of these recommendations were documented. Clinical significance of interventions was evaluated by an independent team (1 internist, 1 clinical pharmacologist using a standardized method for categorizing drug related problems (DRPs. Results: A total of 149 drug related interventions conducted for 48 patients were documented; among which 133(89.3% were clinical pharmacists initiated interventions and 16(10.7% interventions were initiated by other health care professionals. The most frequent DRPs underlying interventions were unnecessary drug therapy, 36(24.2%; needs additional drug therapy, 34(22.8% and noncompliance, 29(19.5%. The most frequent intervention type was change of dosage/instruction for use, 23(15.4%. Acceptance rate by physicians was 68.4%. Among the interventions that were rated as clinically significant, 46(48.9% and 25(26.6% had major and moderate clinical importance respectively. Conclusion: Involving trained clinical pharmacists in the healthcare team leads to clinically relevant and well accepted optimization of medicine use in a resource limited settings. This

  1. Notifications of hospital events to outpatient clinicians using health information exchange: a post-implementation survey

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    Richard Altman

    2013-09-01

    Full Text Available Background The trend towards hospitalist medicine can lead to disjointed patient care. Outpatient clinicians may be unaware of patients’ encounters with a disparate healthcare system. Electronic notifications to outpatient clinicians of patients’ emergency department (ED visits and inpatient admissions and discharges using health information exchange can inform outpatient clinicians of patients’ hospital-based events.Objective Assess outpatient clinicians’ impressions of a new, secure messaging-based, patient event notification system.Methods Twenty outpatient clinicians receiving notifications of hospital-based events were recruited and 14 agreed to participate. Using a semi-structured interview, clinicians were asked about their use of notifications and the impact on their practices.Results Nine of 14 interviewed clinicians (64% thought that without notifications, they would have heard about fewer than 10% of ED visits before the patient’s next visit. Nine clinicians (64% thought that without notifications, they would have heard about fewer than 25% of inpatient admissions and discharges before the patient’s next visit. Six clinicians (43% reported that they call the inpatient team more often because of notifications. Eight users (57% thought that notifications improved patient safety by increasing their awareness of the patients’ clinical events and their medication changes. Key themes identified were the importance of workflow integration and a desire for more clinical information in notifications.Conclusions The notification system is perceived by clinicians to be of value. These findings should instigate further message-oriented use of health information exchange and point to refinements that can lead to even greater benefits.

  2. Performance of Implementing Guideline Driven Cervical Cancer Screening Measures in an Inner City Hospital System

    Science.gov (United States)

    Wieland, Daryl L.; Reimers, Laura L.; Wu, Eijean; Nathan, Lisa M.; Gruenberg, Tammy; Abadi, Maria; Einstein, Mark H.

    2013-01-01

    Objective In 2006, the American Society for Colposcopy and Cervical Pathology (ASCCP) updated evidence based guidelines recommending screening intervals for women with abnormal cervical cytology. In our low-income inner city population, we sought to improve performance by uniformly applying the guidelines to all patients. We report the prospective performance of a comprehensive tracking, evidence-based algorithmically driven call-back and appointment scheduling system for cervical cancer screening in a resource-limited inner city population. Materials and Methods Outreach efforts were formalized with algorithm-based protocols for triage to colposcopy, with universal adherence to evidence-based guidelines. During implementation from August 2006 through July 2008, we prospectively tracked performance using the electronic medical record with administrative and pathology reports to determine performance variables such as the total number of Pap tests, colposcopy visits, and the distribution of abnormal cytology and histology results, including all CIN 2,3 diagnoses. Results 86,257 gynecologic visits and 41,527 Pap tests were performed system-wide during this period of widespread and uniform implementation of standard cervical cancer screening guidelines. The number of Pap tests performed per month varied little. The incidence of CIN 1 significantly decreased from 117/171 (68.4%) the first tracked month to 52/95 (54.7%) the last tracked month (p=0.04). The monthly incidence rate of CIN 2,3, including incident cervical cancers did not change. The total number of colposcopy visits declined, resulting in a 50% decrease in costs related to colposcopy services and approximately a 12% decrease in costs related to excisional biopsies. Conclusions Adherence to cervical cancer screening guidelines reduced the number of unnecessary colposcopies without increasing numbers of potentially missed CIN 2,3 lesions, including cervical cancer. Uniform implementation of administrative

  3. Implementation of a Nursing Peer-Review Program in the Hospital Setting.

    Science.gov (United States)

    Garner, Jessica K

    2015-01-01

    Nursing peer review (NPR), a formal process by which nurses are referred for peer evaluation when patient care problems are identified, has gained acceptance as a method to improve nursing quality and safety. This article describes the development of a formal NPR program for acute care nurses, intended to validate and improve nursing practice. Nursing peer review is a systematic process of assessing and evaluating nursing care by peers against professional practice standards. The purpose of an NPR program is to provide a pathway whereby peers hold one another accountable for practice. Accountability is an important demonstrator of professionalism. Because nursing is a trusted profession, it is imperative that it demonstrate accountability. The NPR program was developed and implemented by a clinical nurse specialist. A literature review was conducted to assist program development including the processes of building an NPR committee and nurses for review. To trigger referrals to the NPR system, nursing indicators were identified. To diminish fear among nurses, education for staff members focused on the purpose and importance of the NPR process and the intent to strengthen practice. Nursing peer review committee members were also educated in the use of NPR principles including just culture, appreciative inquiry, and confidentiality. Upon implementation, nearly 200 referrals were received within the first 14 months; 85% met criteria for review. Nursing practice was identified as appropriate (ie, nursing actions were consistent with good practice) in 66% of the reviews. Trends in individual and system processes were identified for improvement. The clinical nurse specialist's role as NPR program coordinator provided an innovative way to impact nursing and organizational spheres of influence through program development and implementation. Future goals include sustaining/improving nursing awareness of the NPR process and identification of additional indicators to trigger

  4. Library resources on the Internet

    Science.gov (United States)

    Buchanan, Nancy L.

    1995-07-01

    Library resources are prevalent on the Internet. Library catalogs, electronic books, electronic periodicals, periodical indexes, reference sources, and U.S. Government documents are available by telnet, Gopher, World Wide Web, and FTP. Comparatively few copyrighted library resources are available freely on the Internet. Internet implementations of library resources can add useful features, such as full-text searching. There are discussion lists, Gophers, and World Wide Web pages to help users keep up with new resources and changes to existing ones. The future will bring more library resources, more types of library resources, and more integrated implementations of such resources to the Internet.

  5. Assessment and management of burn pain at the Komfo Anokye Teaching Hospital: a best practice implementation project.

    Science.gov (United States)

    Bayuo, Jonathan; Munn, Zachary; Campbell, Jared

    2017-09-01

    Pain management is a significant issue in health facilities in Ghana. For burn patients, this is even more challenging as burn pain has varied facets. Despite the existence of pharmacological agents for pain management, complaints of pain still persist. The aim of this project was to identify pain management practices in the burns units of Komfo Anokye Teaching Hospital, compare these approaches to best practice, and implement strategies to enhance compliance to standards. Ten evidence-based audit criteria were developed from evidence summaries. Using the Joanna Briggs Institute Practical Application of Clinical Evidence Software (PACES), a baseline audit was undertaken on a convenience sample of ten patients from the day of admission to the seventh day. Thereafter, the Getting Research into Practice (GRiP) component of PACES was used to identify barriers, strategies, resources and outcomes. After implementation of the strategies, a follow-up audit was undertaken using the same sample size and audit criteria. The baseline results showed poor adherence to best practice. However, following implementation of strategies, including ongoing professional education and provision of assessment tools and protocols, compliance rates improved significantly. Atlhough the success of this project was almost disrupted by an industrial action, collaboration with external bodies enabled the successful completion of the project. Pain management practices in the burns unit improved at the end of the project which reflects the importance of an audit process, education, providing feedback, group efforts and effective collaboration.

  6. Newborn car bed testing in a community hospital: implementing the American Academy of Pediatrics recommendations.

    Science.gov (United States)

    Wilker, Richard E; Cotoni, Brenda J; Mirando, Carolyn S; Bass, Joel L

    2014-09-01

    This study was designed to describe our experience in implementing the American Academy of Pediatrics (AAP) recommendation to test infants in a car bed if they fail a car seat challenge test. Car seat challenge testing was performed for 90 minutes or the anticipated duration of the trip home, whichever was longer. Based on the pulse oximetry saturation values (90-92% or bed. Testing took place in both the normal newborn nursery (NBN) and special care nursery (SCN). NBN babies who failed in the car bed were transferred to our SCN for additional assessment and management. A total of 197 infants were tested in car seats out of which 177 (89.8%) passed the test. Of the 20 infants who failed, 16 passed the car bed challenge test on the first attempt and were discharged in those devices. All infants who failed the car bed challenge were NBN patients. Using 93% as the acceptable lower limit of oxygenation we successfully implemented the AAP recommendations for car bed challenge testing in our nursery. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  7. RDA Implementation and Training Issues across United States Academic Libraries: An In-Depth E-Mail Interview Study

    Science.gov (United States)

    Park, Jung-ran; Tosaka, Yuji

    2015-01-01

    This study aims at providing in-depth perspectives on the ways in which cataloging and metadata professionals have coped with RDA training and implementation through an e-mail interview method. Results show that the performance-based, "learn-as-you-go," peer learning method is found by practitioners to be most effective in acquiring and…

  8. Implementation of supported conversation for communication between nursing staff and in-hospital patients with aphasia

    DEFF Research Database (Denmark)

    Jensen, Lise Randrup; Løvholt, Annelise P.; Sørensen, Inger

    2015-01-01

    access has prompted speech-language therapists to direct intervention at contextual factors, including communication partner training (Simmons-Mackie, Raymer, Armstrong, Holland, & Cherney, 2010). Aims: An implementation project is described in which supported conversation for adults with aphasia (SCA......-methods design (Clarke, 2009) was used to measure changes pre- and post-training for nursing staff, including assessment of quantitative and qualitative outcomes. All nurses and nursing assistants received a questionnaire before and after their participation in an SCA workshop, and seven members from the nursing...... staff also participated in individual semi-structured interviews about their experiences with using the SCA method. Outcomes and Results: Questionnaires from 31 nursing staff members showed that they rated their understanding of aphasia higher after the workshop and they perceived communication...

  9. A comprehensive palliative care center implementation in S.B. Ulus State Hospital

    Directory of Open Access Journals (Sweden)

    Ayla Kabalak

    2012-06-01

    Every people wants to best care and to die painless in their end-stage of life. This is a human right. Therefore, end-of-life care is considered an indicator of health quality all over the world. The ultimate goal of palliative care is to relieve the suffering of patients and their families by the comprehensive assessment and treatment of physical, psychosocial, and spiritual symptoms experienced by patients. After the patient\\s death, palliative care focuses primarily on bereavement of the family. T.C. Ministry of Health to find a solution of this important issue as a first step, the preparations for the establishment of palliative care centers and units, training of health personnel started. S.B. Ulus State Hospital as a team we have set out to open a comprehensive palliative care center. Our goal is to contribute on take place of palliative care organization in health system and to the spread across the country. [J Contemp Med 2012; 2(2.000: 122-126

  10. THE EXPECTANCIES OF THE HEALTH SECTOR FROM ACCOUNTING EDUCATION AND THE IMPLEMENTATION OF ANKARA PUBLIC HOSPITALS

    Directory of Open Access Journals (Sweden)

    Seyhan ÇİL KOÇYİĞİT

    2016-01-01

    Full Text Available Health sector requires qualified accounting personnel and demands qualified accounting personnel who knows the sector and who has the vocational knowledge and the ability. Education and training activities designed to meet the expectencies and the requirements of the sector are very important. These requirements can be met by the good quality of accounting education designed by the demands of the health sector. In this research, a survey has been administered to the managers of Ankara public hospitals in order to reveal the expectencies of the health sector from accounting education. The results of the survey show the follwings; accounting education should include practical information, The Uniform Chart Of Accounts should be developed in order to meet the expectencies of the health sector, there should be an internship opportunity at the health sector for accounting students, the content of the accounting courses should be determined by a cooperation between the sector and the academia and the demands of the health sector should be taken into consideration more.

  11. Nursing clinical handover improvement practices among acute inpatients in a tertiary hospital in Sydney: a best practice implementation project.

    Science.gov (United States)

    Wainwright, Craig; Wright, Kylie M

    2016-10-01

    The nursing handover normally occurs at the beginning of a nurse's shift and is considered essential for continuity of care. Nursing handovers have the potential to communicate accurate information about a patient's condition, treatment and anticipated needs but also to be ineffective or even harmful if information is incomplete or omitted. The Australian Commission on Safety and Quality in Health Care has recognized clinical handover as a National Standard, thus reinforcing its importance. This project aimed to conduct an audit of nursing clinical handover practices to implement evidence-based best practice recommendations to assess the effectiveness of these strategies to maximize the effectiveness of clinical handover across 11 units in a large tertiary hospital. The project used the Joanna Briggs Institute's Practical Application of Clinical Evidence System and Getting Research into Practice audit tool for promoting change in healthcare practice. A baseline audit of 330 observations of nursing clinical handover was conducted and measured against seven best practice recommendations, followed by the implementation of targeted strategies and a follow-up audit. The baseline audit revealed significant deficits between current practice and best practice in all but one criterion. Barriers for implementation of nursing clinical handover best practice criteria were identified by the project team, and a bundled education strategy was implemented. There were significantly improved outcomes across all best practice criteria in the follow-up audit. The findings showed how audits may be used to promote best practice in healthcare and that focused education and provision of relevant resources can have an immediate and positive impact on clinical practice. Some of the measured criteria improved to a moderate degree, leaving room for improvement; however, by the end of the project attitudes toward nursing clinical handover had been "transformed" from a passive routine "must do

  12. A lean case study in an oncological hospital: implementation of a telephone triage system in the emergency service

    Directory of Open Access Journals (Sweden)

    Crespo de Carvalho J

    2013-12-01

    Full Text Available José Crespo de Carvalho,1 Madalena Ramos,1 Carina Paixão2 1Business School, University Institute of Lisbon, Lisbon, Portugal; 2Instituto Português de Oncologia, Lisbon, Portugal Abstract: Lean practices and thinking have increased substantially in the last few years. Applications of lean practices to health care are found worldwide. Despite that, new contributions are required because the application of lean thinking to hospitals has a long way to go. Lean practices and thinking do not include, in the literature or practice programs, any references to triage systems in health care units. The common triage systems require physical presence, but there are alternative methods to avoid the need to move patients: these alternative triage systems, given their characteristics, may be included in the spectrum of lean practices. Currently, patients that are already known to suffer from cancer are encouraged to go to hospital (public or private, with an oncological focus when facing side effects from chemotherapy or radiation treatments; they are then submitted to a triage system (present themselves to the hospital for examination. The authors of this paper propose the introduction of telephone or email triage for impaired patients as a valid substitute for moving them physically, thereby often avoiding several unnecessary moves. This approach has, in fact, characteristics similar to a lean practice in that it reduces costs and maintains, if done properly, the overall service offered. The proposed 'remote' triage emerged from the results of a large survey sent to patients and also as the outcome of a set of semistructured interviews conducted with hospital nurses. With the results they obtained, the authors felt comfortable proposing this approach both to public and private hospitals, because the study was conducted in the most important, largest, and best-known oncological unit in Spain. As a final result, the health care unit studied is now taking

  13. Health Professionals' readiness to implement electronic medical record system at three hospitals in Ethiopia: a cross sectional study.

    Science.gov (United States)

    Biruk, Senafekesh; Yilma, Tesfahun; Andualem, Mulusew; Tilahun, Binyam

    2014-12-12

    Electronic medical record systems are being implemented in many countries to support healthcare services. However, its adoption rate remains low, especially in developing countries due to technological, financial, and organizational factors. There is lack of solid evidence and empirical research regarding the pre implementation readiness of healthcare providers. The aim of this study is to assess health professionals' readiness and to identify factors that affect the acceptance and use of electronic medical recording system in the pre implementation phase at hospitals of North Gondar Zone, Ethiopia. An institution based cross-sectional quantitative study was conducted on 606 study participants from January to July 2013 at 3 hospitals in northwest Ethiopia. A pretested self-administered questionnaire was used to collect the required data. The data were entered using the Epi-Info version 3.5.1 software and analyzed using SPSS version 16 software. Descriptive statistics, bi-variate, and multi-variate logistic regression analyses were used to describe the study objectives and assess the determinants of health professionals' readiness for the system. Odds ratio at 95% CI was used to describe the association between the study and the outcome variables. Out of 606 study participants only 328 (54.1%) were found ready to use the electronic medical recording system according to our criteria assessment. The majority of the study participants, 432 (71.3%) and 331(54.6%) had good knowledge and attitude for EMR system, respectively. Gender (AOR = 1.87, 95% CI: [1.26, 2.78]), attitude (AOR = 1.56, 95% CI: [1.03, 2.49]), knowledge (AOR = 2.12, 95% CI: [1.32, 3.56]), and computer literacy (AOR =1.64, 95% CI: [0.99, 2.68]) were significantly associated with the readiness for EMR system. In this study, the overall health professionals' readiness for electronic medical record system and utilization was 54.1% and 46.5%, respectively. Gender, knowledge, attitude, and

  14. Treatment of ischemic stroke with r-tPA: implementation challenges in a tertiary hospital in Brazil

    Directory of Open Access Journals (Sweden)

    Elza Dias Tosta

    2014-05-01

    Full Text Available Purpose: This paper presents the initial experience with thrombolysis for acute ischaemic stroke at Hospital de Base do Distrito Federal (HBDF, Brazil, and the difficulties associated with the implementation of this treatment. Method: A retrospective study was performed using the medical records of all patients with acute stroke who were treated with intravenous alteplase in our department, between May 2011 and April 2012. Results: The thrombolytic therapy was administered to 32 patients. The mean time between the ictus and the start of stroke therapy start was 195 (60-270 minutes. Sixteen patients demonstrated a significant clinical improvement (decrease in National Institute Health Stroke Scale [NIHSS] score≥4 points in 24 hours; 6 patients were discharged with an NIHSS score of 0 and 2 demonstrated haemorrhagic transformation. Conclusions: The results of our study are similar to those reported in the literature, although we have been dealing with difficulties, such as the lack of a stroke unit.

  15. Mudança organizacional: implantação da Iniciativa Hospital Amigo da Criança Organizational change: the implementation of children-friendly hospitals

    Directory of Open Access Journals (Sweden)

    Shigeru Ricardo Sekyia

    2010-06-01

    Full Text Available Evidências empíricas apontam o relevante papel do aleitamento materno para a redução da mortalidade infantil. A Iniciativa Hospital Amigo da Criança (IHAC é uma ação mundial, idealizada pelo Fundo das Nações Unidas para a Infância (UNICEF e pela Organização Mundial da Saúde (OMS, que visa promover, proteger e apoiar a prática do aleitamento materno e a prevenção do desmame precoce. O objetivo deste artigo é identificar as principais mudanças organizacionais ocorridas em duas instituições hospitalares, localizadas em Minas Gerais, que implementaram a IHAC. A análise realizada baseou-se em seis perspectivas, tomando como base o quadro analítico de Motta: estratégica, estrutural, cultural, humana, tecnológica e política. Realizou-se uma pesquisa qualitativa, utilizando-se como método de coleta de dados a entrevista semiestruturada, aplicada em todos os níveis hierárquicos. Para a interpretação dos dados, adotou-se a análise de conteúdo. Nos casos estudados, concluiu-se que a implantação da IHAC implicou mudanças e melhorias na gestão, principalmente pelo estabelecimento de padronização de procedimentos e de treinamento de pessoal. Verificou-se que as mudanças culturais e tecnológicas ocorreram de forma mais intensa e que as menos percebidas foram as mudanças políticas e as estratégicas.Empirical evidences have pointed out the relevant role of breastfeeding to diminish infantile mortality. Children-friendly Hospitals (IHAC is a worldwide action developed by the United Nations Children's Fund - UNICEF and by the World Health Organization, aiming to promote, protect and support breastfeeding and also prevent precocious weaning. The aim of the present study is to identify the main organizational changes which occurred in two hospitals, located in the State of Minas Gerais, Brazil that implemented IHAC. The organizational analysis carried out was based upon six perspectives, according to Motta's analytical

  16. Implementation hurdles of an interactive, integrated, point-of-care computerised decision support system for hospital antibiotic prescription.

    Science.gov (United States)

    Chow, A L; Ang, A; Chow, C Z; Ng, T M; Teng, C; Ling, L M; Ang, B S; Lye, D C

    2016-02-01

    Antimicrobial stewardship is used to combat antimicrobial resistance. In Singapore, a tertiary hospital has integrated a computerised decision support system, called Antibiotic Resistance Utilisation and Surveillance-Control (ARUSC), into the electronic inpatient prescribing system. ARUSC is launched either by the physician to seek guidance for an infectious disease condition or via auto-trigger when restricted antibiotics are prescribed. This paper describes the implementation of ARUSC over three phases from 1 May 2011 to 30 April 2013, compared factors between ARUSC launches via auto-trigger and for guidance, examined factors associated with acceptance of ARUSC recommendations, and assessed user acceptability. During the study period, a monthly average of 9072 antibiotic prescriptions was made, of which 2370 (26.1%) involved ARUSC launches. Launches via auto-trigger comprised 48.1% of ARUSC launches. In phase 1, 23% of ARUSC launches were completed. This rose to 38% in phase 2, then 87% in phase 3, as escapes from the ARUSC programme were sequentially disabled. Amongst completed launches for guidance, 89% of ARUSC recommendations were accepted versus 40% amongst completed launches via auto-trigger. Amongst ARUSC launches for guidance, being from a medical department [adjusted odds ratio (aOR)=1.20, 95% confidence interval (CI) 1.04-1.37] and ARUSC launch during on-call (aOR=1.81, 95% CI 1.61-2.05) were independently associated with acceptance of ARUSC recommendations. Junior physicians found ARUSC useful. Senior physicians found ARUSC reliable but admitted to having preferences for antibiotics that may conflict with ARUSC. Hospital-wide implementation of ARUSC encountered hurdles from physicians. With modifications, the completion rate improved.

  17. [THE EVALUATION OF THE EFFECTIVENESS OF THE IMPLEMENTATION OF INFORMATION SYSTEM 1C: ENTERPRISE IN THE HOSPITAL].

    Science.gov (United States)

    Baimagambetova, A; Kulov, D; Tsay, A; Kairbekova, K; Sakenova, M

    2017-03-01

    The aim of research was to assess the impact of the introduction of information system 1C: Enterprise on the work of medical staff. It was evaluated staff satisfaction in terms of quality and speed of their duties, as well as sociological changes after the introduction in the work the information system 1C: Enterprise from 2010. The research involved 138 employees of the hospital, including 48 doctors and 90 nurses with experience of at least 5 years. The average age of respondents was 45 years. The study was conducted through questionnaires, including questions relating to life expectancy, changing the speed and quality of execution of tasks, also attended to questions about the change in the frequency of conflict situations and wages. Separately, it was included open-ended question about the change in the level of motivation before and after the implementation of the information system. Respondents gave the evaluation and describe the specific changes they have noticed. Objective assessment of the effectiveness was evaluated according to the official statistics on the number of people served, the time spent on one patient, the level of qualification of medical personnel. 76% of employees have noted positive changes in the work after the implementation of the information system 1C: Enterprise in the work, there is a change of diagnosis rate, the quality of treatment, 72.3% of physicians and 48% of nurses have noted a decrease in time spent on paperwork. 13.6% of physicians and 23.0% of nurses did not notice any difference. Other members expressed dissatisfaction, because of the necessity of learning of a computer program. After the number of the served population program of work increased by 6.8%, decreased the number of days of hospitalization by 12%. The use of modern information systems increases the level of health services and health workers, increasing productivity.

  18. Readiness of Health Centers and Primary Hospitals for the Implementation of Proposed Health Insurance Schemes in Southwest Ethiopia.

    Science.gov (United States)

    Abazinab, Sabit; Woldie, Mirkuzie; Alaro, Tesfamichael

    2016-09-01

    In response to the 2005 World Health Assembly, many low income countries developed different healthcare financing mechanisms with risk pooling stategy to ensure universal coverage of health services. Accordingly, service availability and readiness of the health system to bear the responsibility of providing service have critical importance. The objective of this study was to assess service availability and readiness of health centers and primary hospitals to bear the responsibility of providing service for the members of health insurance schemes. A facility based cross sectional study design with quantitative data collection methods was employed. Of the total 18 districts in Jimma Zone, 6(33.3%) districts were selected randomly. In the selected districts, there were 21 functional public health facilities (health centers and primary hospitals) which were included in the study. Data were collected by interviewer administered questionnaire. Descriptive statistics were calculated by using SPSS version 20.0. Prior to data collection, ethical clearance was obtained. Among the total 21 public health facilities surveyed, only 38.1% had all the categories of health professionals as compared to the national standards. The majority, 85.2%, of the facilities fulfilled the criteria for basic equipment, but 47.7% of the facilities did not fulfill the criteria for infection prevention supplies. Moreover, only two facilities fulfilled the criteria for laboratory services, and 95.2% of the facilities had no units/departmenst to coordinate the health insurance schemes. More than nine out of ten facilities did not fulfill the criteria for providing healthcare services for insurance beneficiaries and are not ready to provide general services according to the standard. Hence, policy makers and implementers should devise strategies to fill the identified gaps for successful and sustainable implementation of the proposed insurance scheme.

  19. Leveraging on information technology to enhance patient care: a doctor's perspective of implementation in a Singapore academic hospital.

    Science.gov (United States)

    Ong, B K C

    2002-11-01

    Information technology (IT) can improve the safety of patient care by minimising prescribing errors and organising patient-specific information from diverse databases. Apart from legibility, prescribing safety is enhanced as online access to databases carrying patient drug history, scientific drug information and guideline reference, and patient-specific information is available to the physician. Such specific information includes discharge summaries, surgical procedure summaries, laboratory data and investigation reports. In addition, decision support and prompts can be built in to catch errant orders. For such system implementations to work, the IT backbone must be fast, reliable and simple to use. End-user involvement and ownership of all aspects of development are key to a usable system. However, the hospital leadership must also have the will to mandate and support these development efforts. With such support, the design and implementation team can then map out a strategy where the greatest impact is achieved in both safety and enhanced information flow. The system should not be considered a finished work, but a continual work in progress. The National University Hospital's continuously updated Computerised Patient Support System (CPSS) is an example of an IT system designed to manage information and facilitate prescribing. It is a client-server based, one-point ordering and information access portal for doctors that has widespread adoption for drug prescription at outpatient and discharge medication usage areas. This system has built in safety prompts and rudimentary decision support. It has also become the choice means of accessing patient-related databases that impact on diagnoses and management.

  20. SU-E-T-241: Design and Implement of An Information Management System for Radiation Workers in a Hospital

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Q; Wu, M [Beijing Hospital, Beijing (China)

    2015-06-15

    Purpose: To meet the special needs of Medical Administration Division, an information management system for radiation workers in a hospital(IMSRWH) has been developed. Methods: There are about 200 radiation workers in 20 departments, such as department of radiology, department of radiation oncology, department of nuclear medicine, and so on. An IMSRWH server was used to run a database and web service of Apache+PHP+MySQL. The IMSRWH web service could be accessed with Internet Explorer(IE) to input, search, count, and print the radiation workers’ data. Every worker’s data information includes the following tables: registration, personal dose monitoring records, personnel certificate, training certificate, personnel license, medical examination, etc, and each table includes more optional detail information. Results: In the past year, the IMSRWH has been successfully developed and implemented in the hospital. According to the needs, the user rights are divided into: the system administrator, office manager, department manager and radiation worker. The different users have the different interfaces, and the appropriate authority permissions mean corresponding operations. The administrator and office manager could manage all personnel information, department manager could manage the staff information of his department, and the workers could view or modify their own information. Because information updates, involving hundreds of each entry and modification are complicated, each table information of all workers can be batch import from or export to a Microsoft Excel CSV format file, to update all together. However, it has only Chinese version now. Conclusion: It was demonstrated to be user-friendly and was proven to significantly improve the efficiency of the hospital management. Since it is an in-house developed system, more functions can be added or modified to further enhance its potentials in research and clinical practice.

  1. Comprehensive computerized medical imaging at Victoria General Hospital: final implementation plan

    Science.gov (United States)

    Fisher, Paul D.; Brauer, Gerhard W.; Nosil, Josip; Scobie, Duncan L.; Clark, R. P.; Ritchie, Gordon W.; Weigl, Wilhelm J.

    1990-08-01

    A plan for the installation and implementation of a comprehensive computer-based system for the management and communication of digital radiographic images and diagnostic information is described. The paper is based on the authors' experience with, and evaluation of, prototype equipment and systems over the past 5 years. The final configuration will be realized in 1992 at the completion of a 3-phase installation plan. The system will address the clinical, data management, and administrative needs of the different types of users within the department, as well as the requirement to distribute radiographic information and images to locations outside of the department. In order to be considered successful, the system described herein will need to bring about a 90% reduction in both paper- and film-based communication of images and information. The British Columbia Ministry of Health is funding this phase of the project in order to obtain information on which to base decisions regarding installation of similar systems at other sites within the Province and predict with some confidence the cost effectiveness of such decisions.

  2. Antecedents and characteristics of lean thinking implementation in a Swedish hospital: a case study.

    Science.gov (United States)

    Ulhassan, Waqar; Sandahl, Christer; Westerlund, Hugo; Henriksson, Peter; Bennermo, Marie; von Thiele Schwarz, Ulrica; Thor, Johan

    2013-01-01

    Despite the reported success of Lean in health care settings, it is unclear why and how organizations adopt Lean and how Lean transforms work design and, in turn, affects employees' work. This study investigated a cardiology department's journey to adopt and adapt Lean. The investigation was focused on the rationale and evolution of the Lean adoption to illuminate how a department with a long quality improvement history arrived at the decision to introduce Lean, and how Lean influenced employees' daily work. This is an explanatory single case study based on semistructured interviews, nonparticipant observations, and document studies. Guided by a Lean model, we undertook manifest content analysis of the data. We found that previous improvement efforts may facilitate the introduction of Lean but may be less important when forecasting whether Lean will be sustained over time. Contextual factors seemed to influence both what Lean tools were implemented and how well the changes were sustained. For example, adoption of Lean varied with the degree to which staff saw a need for change. Work redesign and teamwork were found helpful to improve patient care whereas problem solving was found helpful in keeping the staff engaged and sustaining the results over time.

  3. Do electronic health records standards help implementing patient bill of rights in hospitals?

    Science.gov (United States)

    Abbasi, Shirin; Ferdosi, Masoud

    2013-03-01

    Patient bill of rights (PBR) calls for equal rights to access health services for all patients. It makes a foundation for preserving good relationships between patients, doctors and other healthcare staffs. Third Edition of national PBR was published in Iran in 2009. On the other hand, developing national wide Electronic Health Records (EHR) is now one of the strategic goals of Iran Ministry of Health and Medical Education. EHR as a basic repository for all related information provides access to the necessary data to organize, store and manage them. It also makes an additional support to the legal aspects of healthcare services, increases staff information about patient rights, and raises them to respect these rights. This article reviews how EHR standards can help to institutionalize the PBR. To do that, we have collected some important topics of PBR in Iran. Then we used some valid references on Electronic health record standards like ASTM, ISO, HL7 and CEN to review existing standards. The Main issues regarding patient rights derived from these standards were: privacy, confidentiality, and secrecy, access levels to patient information, medical care in emergency situations, patient autonomy and authentication (electronic signature). In each topic, the most relevant standard phrases are marked. Developing EHR creates an opportunity to establish patient rights in its structure. To internalize them, there are some reliable EHR standards like ASTM and ISO 13606-1 that implementing them could be very fruitful.

  4. Correlates among cognitive beliefs, EBP implementation, organizational culture, cohesion and job satisfaction in evidence-based practice mentors from a community hospital system.

    Science.gov (United States)

    Melnyk, Bernadette Mazurek; Fineout-Overholt, Ellen; Giggleman, Martha; Cruz, Ron

    2010-01-01

    Evidence from research and outcomes management projects strongly supports the use of evidence-based practice (EBP) in improving quality of health care and patient outcomes as well as reducing hospital costs. In addition, published anecdotal reports have indicated that clinicians who use an evidence-based approach to care and practice in cultures that support EBP feel more empowered and satisfied in their roles. However, research is lacking that has specifically examined the relationships among beliefs about and implementation of EBP by hospital staff, organizational culture for EBP, group cohesion and job satisfaction. Therefore, the purpose of this descriptive correlational study was to examine the relationships among these variables in 58 health professionals, prior to their participation in a 12-month EBP mentorship program as part of implementing the Advancing Research and Clinical practice through close Collaboration (ARCC) Model in a community hospital system. Findings indicated that participants' EBP beliefs were significantly correlated with perceived organizational culture for EBP, the extent to which they implemented EBP, group cohesion, and job satisfaction. Organizational culture for EBP was significantly and positively related to EBP beliefs and EBP implementation. Findings support the need for hospitals to establish cultures that support EBP and to implement strategies to strengthen individuals' cognitive beliefs about the value of EBP and their ability to implement it for the ultimate purpose of improving quality of care and enhancing job satisfaction.

  5. Managing between the agendas: implementing health care reform policy in an acute care hospital.

    Science.gov (United States)

    Sorensen, Roslyn; Paull, Glenn; Magann, Linda; Davis, JanMaree

    2013-01-01

    This paper aims to assess administrative and clinical manager stances on health system reform. Understanding these stances will help to identify cultural differences and competing agendas between these two key health service stakeholders and contribute to developing strategies to improve organisational performance. A qualitative methodology was used comprising in-depth open-ended interviews conducted in 2007 with 26 administrative and clinical managers who managed clinical units. This paper provides empirical insights into the ways that administrative and clinical mangers conceive of their managerial roles in relation to health care reform and performance improvement in health services. The findings suggest that developing a hybrid clinical manager culture as a means to bridge the gap between administrative and clinical manager stances on reform objectives, while possible, is not yet being realised. The research has relevance for health services that are experiencing organisational transformation. However, its location in one health service limits the generalisability of findings to other sites. Further research is needed to assess the opportunities for a hybrid culture to emerge as well as its effect. While attention is predominantly directed to clinician groups as a key stakeholder in implementing health reform policies, this paper has implications for how administrative managers also structure their roles and responsibilities to create an organisational climate conducive to change. This will include strategies to support clinical managers to make the transition from a predominantly clinical, to a clinical managerial, orientation. This paper addresses a significant problem in health service governance, namely the divide between the value stances of dual hierarchies. This problem is only now gaining prominence as a significant barrier to health reform.

  6. How to reach library users who cannot reach libraries?

    Directory of Open Access Journals (Sweden)

    Dragana Ljuić

    2002-01-01

    Full Text Available The article discusses the ways of getting library activities closer to the individuals or groups of users who have difficulties to or cannot visit the library themselves. The author presents the services offered by the Maribor Public Library and discusses how one of the basic human rights – the right to the access of cultural goods, knowledge and information - is exercised also through library activities. By enabling access to library material and information, public libraries help to fulfill basic human rights and thus raise the quality of living in a social environment. The following forms of library activities are presented in the article: »distance library« – borrowing books at home, in hospital, station for the bibliobus for disabled users, »mobile collections« in the institutions where users, due to their age or illness, have difficulties in accessing or even cannot reach library materials and information by themselves.

  7. Investigation of Application Status of WeChat Public Platform in Hospital Libraries%微信公众平台在医院图书馆的应用现状调查

    Institute of Scientific and Technical Information of China (English)

    冯留燕; 冯双燕; 刘青

    2016-01-01

    Objective To investigate the application status of WeChat public platform in domestic hospital libraries; To provide references for applicaton and perfection of WeChat public platform in hospital libraries. Methods Web Survey method was applied to investigate the status of information services offered by WeChat public platform used by domestic hospital libraries. The service mode and service features were studied as the focus. Existing problems were found and suggestions were provided.Results Only 22 hospital libraries had their WeChat public platform, with their unique features. Announcements and activity reports were the main ways for propaganda of hospital libraries.Conclusion Hospital libraries should fully make use of WeChat public platform, and expand the content and mode of information service.%目的:调查微信公众平台在国内医院图书馆的应用现状,为微信公众平台在医院图书馆的应用和完善提供借鉴。方法利用网络调查法,调查我国医院图书馆利用微信公众平台开展信息服务的现状,重点研究了微信公众平台的服务模式、服务特点,发现存在问题,并提出建议。结果全国仅有22个医院图书馆建立微信公众号,但独具特点,通知公告和活动报道是医院图书馆进行宣传的重要方式。结论医院图书馆应充分开发利用微信公众平台,拓展信息服务内容和方式。

  8. Electronically implemented clinical indicators based on a data warehouse in a tertiary hospital: its clinical benefit and effectiveness.

    Science.gov (United States)

    Yoo, Sooyoung; Kim, Seok; Lee, Kee-Hyuck; Jeong, Chang Wook; Youn, Sang Woong; Park, Kyoung Un; Moon, So Young; Hwang, Hee

    2014-07-01

    Assessing and monitoring care and service using clinical indicators (CIs) can allow the measurement of and lead to improvements in the quality of care. However, the management and maintenance of CI data has been shown to be difficult because the data are usually collected and provided manually. In this study, for the purpose of efficient managing quality indicators, a data warehouse (DW)-based CI monitoring system was developed. The clinical effectiveness and efficiency of a DW-based CI monitoring was investigated through several case studies of the system's operation at a tertiary hospital. This study analyzed the CIs that have been developed over the past 8 years at a 1340-bed tertiary general university hospital in South Korea to improve and monitor the quality of care and patient safety. The hospital was opened as a fully digital hospital in 2003, and the CIs were computerized in 2005 by implementing a DW-based CI monitoring system. We classified the computerized CIs and evaluated the monitoring results for several representative CIs, such as the optimal prescribing of preventive antibiotics, the average length of stay, the mortality rate, and the rehospitalization rate. During the development of the system in 2005, 12 of 19 CIs were computerized, and this number gradually increased until 299 of 335 CIs were computerized by 2012. In addition, among the CIs built computationally through the CI task force team, focal CIs subject to monitoring were selected annually, and the results of this monitoring were shared with all of the staff or the related department and its staff. By providing some examples of our CI monitoring results, we showed the feasibility of improving the quality of care, and maintaining the optimum level of patient care with less labor. The results of this study provide evidence regarding the clinical effectiveness and efficiency as well as the systems operation experience of a DW-based CI monitoring system. These findings may aid medical

  9. 实施新医院财会制度的困惑与思考%THE IMPLEMENTATION OF NEW HOSPITAL FINANCIAL AND ACCOUNTING PRINCIPLE IN THE HOSPITAL FINANCIAL MANAGEMENT AND ACCOUNTING PRACTICE

    Institute of Scientific and Technical Information of China (English)

    冯欣

    2014-01-01

    从医院财务管理和会计实务出发,分析了执行新医院财务、会计制度的疑点和难点,以期为完善医院财会制度建设提供一些参考。%The article analyzes the implementation of the new hospital financial and accounting principle in the hospi-tal financial management and accounting practice, in order to provide some reference for perfecting hospital accounting system construction.

  10. Implementing hospital guidelines improves warfarin use in non-valvular atrial fibrillation: a before-after study

    Directory of Open Access Journals (Sweden)

    Piobbici Marina

    2007-08-01

    Full Text Available Abstract Background The use of oral anticoagulant therapy (OAT to prevent non-valvular atrial fibrillation (NVAF related-strokes is often sub-optimal. We aimed to evaluate whether implementing guidelines on antithrombotic therapy (AT by a multifaceted strategy may improve appropriateness of its prescription in NVAF-patients discharged from a large tertiary-care hospital. Methods A survey was conducted on all consecutive NVAF patients discharged before (1st January–30th June 2000, n = 313 and after (1st January–30th June 2004, n = 388 guideline development and implementation. Results When strongly recommended, OAT use increased from 56.6% (60/106 in 2000 to 81.9% (86/105 in 2004, with an absolute difference of +25.3% (95%CI: 15% 35%. In patients for whom the choice OAT/acetylsalicylic acid should be individualised, those discharged without any AT were 33.7% (34/101 in 2000 and 16.9% (21/124 in 2004 (-16.7%;95%CI: -26.2% -7.2%. In a logistic regression model, OAT prescription in 2004 was increased by 2.11 times (95%CI: 1.47 3.04, after accounting for stroke risk, presence of contraindications (OR = 0.18; 0.13 0.27, older age (OR = 0.30; 0.21 0.45, prophylaxis at admission (OR = 3.03; 2.08 4.43. OAT was positively associated with the stroke risk in the 2004 sample only. Conclusion The guideline implementation has substantially improved the appropriateness of OAT at discharge, through a better evaluation at patient's individual level of the benefit-to-risk ratio.

  11. Caring for people with dementia in hospital: findings from a survey to identify barriers and facilitators to implementing best practice dementia care.

    Science.gov (United States)

    Tropea, Joanne; LoGiudice, Dina; Liew, Danny; Roberts, Carol; Brand, Caroline

    2017-03-01

    Best practice dementia care is not always provided in the hospital setting. Knowledge, attitudes and motivation, practitioner behavior, and external factors can influence uptake of best practice and quality care. The aim of this study was to determine hospital staff perceived barriers and enablers to implementing best practice dementia care. A 17-item survey was administered at two Australian hospitals between July and September 2014. Multidisciplinary staff working in the emergency departments and general medical wards were invited to participate in the survey. The survey collected data about the respondents' current role, work area, and years of experience, their perceived level of confidence and knowledge in dementia care and common symptoms of dementia, barriers and enablers to implementing best practice dementia care, job satisfaction in caring for people with dementia, and to rate the hospital's capacity and available resources to support best practice dementia care. A total of 112 survey responses were received. The environment, inadequate staffing levels and workload, time, and staff knowledge and skills were identified as barriers to implementing best practice dementia care. Most respondents rated their knowledge of dementia care and common symptoms of dementia, and confidence in recognizing whether a person has dementia, as moderate or high dementia. Approximately, half the respondents rated access to training and equipment as low or very low. The survey findings highlighted hospital staff perceived barriers to implementing best practice dementia care that can be used to inform locally tailored improvement interventions.

  12. Implementing the Emergency Triage, Assessment and Treatment plus admission care (ETAT+) clinical practice guidelines to improve quality of hospital care in Rwandan district hospitals: healthcare workers' perspectives on relevance and challenges.

    Science.gov (United States)

    Hategeka, Celestin; Mwai, Leah; Tuyisenge, Lisine

    2017-04-07

    An emergency triage, assessment and treatment plus admission care (ETAT+) intervention was implemented in Rwandan district hospitals to improve hospital care for severely ill infants and children. Many interventions are rarely implemented with perfect fidelity under real-world conditions. Thus, evaluations of the real-world experiences of implementing ETAT+ are important in terms of identifying potential barriers to successful implementation. This study explored the perspectives of Rwandan healthcare workers (HCWs) on the relevance of ETAT+ and documented potential barriers to its successful implementation. HCWs enrolled in the ETAT+ training were asked, immediately after the training, their perspective regarding (i) relevance of the ETAT+ training to Rwandan district hospitals; (ii) if attending the training would bring about change in their work; and (iii) challenges that they encountered during the training, as well as those they anticipated to hamper their ability to translate the knowledge and skills learned in the ETAT+ training into practice in order to improve care for severely ill infants and children in their hospitals. They wrote their perspectives in French, Kinyarwanda, or English and sometimes a mixture of all these languages that are official in the post-genocide Rwanda. Their notes were translated to (if not already in) English and transcribed, and transcripts were analyzed using thematic content analysis. One hundred seventy-one HCWs were included in our analysis. Nearly all these HCWs stated that the training was highly relevant to the district hospitals and that it aligned with their work expectation. However, some midwives believed that the "neonatal resuscitation and feeding" components of the training were more relevant to them than other components. Many HCWs anticipated to change practice by initiating a triage system in their hospital and by using job aids including guidelines for prescription and feeding. Most of the challenges stemmed

  13. 现代医院管理新思维下的战略与执行%Strategy and Implementation of Modern Hospital Management Under New Thought

    Institute of Scientific and Technical Information of China (English)

    汪圣高; 李传平

    2014-01-01

    Strategies and implementation of hospital management under new trend of thought are explored. On the basis of summary and analysis of innovative experience of a hospital, it is proposed that hospital can achieve all-round development by planning prospect with strategic thought, determining hospital development objectives, undertaking reform with scientific decisions, designing new management route and innovating hospital management mechanism.%探讨医院管理新思维下的战略决策与执行。总结分析某医院管理创新经验,提出用战略思维规划远景,确定医院发展新目标,以科学决策推动变革,布设医院管理新路线,创新医院管理机制,使医院各方面取得新成果。

  14. Emotion in the library workplace

    CERN Document Server

    Matteson, Miriam; Hines, Samantha Schmehl

    2017-01-01

    Authors explore application of the study of emotion in the library workplace and look at future trends in the area. Library managers will take away knowledge about how the library workplace can and should operate with consideration toward emotion, and will glean ideas for implementation with their own staff and services.

  15. Factors associated with the implementation of quality and safety requirements for cross-border care in acute myocardial infarction: Results from 315 hospitals in four countries.

    Science.gov (United States)

    Groene, Oliver; Suñol, Rosa

    2010-12-01

    Cross-border patients have specific quality and safety requirements for hospital care. Little is known to what extent hospitals meet these requirements. We aim to assess their current level, and the factors associated with their implementation. A cross-sectional survey of 315 hospitals and cardiology departments in the Czech Republic, France, Poland and Spain. Employing bi-variate statistics and logistic regression analysis, we assess quality and safety requirements for cross-border patients and their association with hospital characteristics, cross-border care arrangements, proximity to EU borders, the hospital's quality improvement system, and country. Certain quality and safety requirements are frequently met (administrative support or informed consent using forms in various EU languages) while others are widely absent (case-managers, contacts to patients' general practitioners). Due to communication problems, it is often not possible to inform patients about their condition and treatment. Discharge summaries are rarely available in other than the vernacular languages, and medication upon discharge and arranging back-transfer occur occasionally only. Logistic regression analysis suggests a strong effect of country-level covariates (followed by type of hospital, hospital size and hospital's quality improvement system), but covariates are not consistently associated with higher rates of implementation. Hospitals with existing cross-border care collaboration do not differ substantially from hospitals without such arrangements. Cross-border patients have specific quality and safety requirements that are not always met. Various factors are associated with these requirements; however, the trend is not systematic and the underlying mechanisms need to be studied further to inform policy decisions. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  16. Success Rate of Pre-hospital Emergency Medical Service Personnel in Implementing Pre Hospital Trauma Life Support Guidelines on Traffic Accident Victims

    OpenAIRE

    Gholipour, Changiz; Vahdati, Samad Shams; NOTASH, Mehdi; MIRI, Seyed Hassan; Ghafouri, Rouzbeh Rajaei

    2016-01-01

    SUMMARY Objectives Road traffic injuries are responsible for a vast number of trauma-related deaths in middle- and low-income countries. Pre-hospital emergency medical service (PHEMS) provides care and transports the injured patients from the scene of accident to the destined hospital. The PHEMS providers and paramedics were recently trained in the Pre Hospital Trauma Life Support (PHTLS) guidelines to improve the outcome of trauma patients in developing countries. We decided to carry out a s...

  17. Success Rate of Pre-hospital Emergency Medical Service Personnel in Implementing Pre Hospital Trauma Life Support Guidelines on Traffic Accident Victims

    OpenAIRE

    Gholipour, Changiz; Vahdati, Samad Shams; NOTASH, Mehdi; MIRI, Seyed Hassan; Ghafouri, Rouzbeh Rajaei

    2016-01-01

    SUMMARY Objectives Road traffic injuries are responsible for a vast number of trauma-related deaths in middle- and low-income countries. Pre-hospital emergency medical service (PHEMS) provides care and transports the injured patients from the scene of accident to the destined hospital. The PHEMS providers and paramedics were recently trained in the Pre Hospital Trauma Life Support (PHTLS) guidelines to improve the outcome of trauma patients in developing countries. We decided to carry out a s...

  18. SCHOOL COMMUNITY PERCEPTION OF LIBRARY APPS AGAINTS LIBRARY EMPOWERMENT

    Directory of Open Access Journals (Sweden)

    Achmad Riyadi Alberto

    2017-07-01

    Full Text Available Abstract. This research is motivated by the development of information and communication technology (ICT in the library world so rapidly that allows libraries in the present to develop its services into digital-based services. This study aims to find out the school community’s perception of library apps developed by Riche Cynthia Johan, Hana Silvana, and Holin Sulistyo and its influence on library empowerment at the library of SD Laboratorium Percontohan UPI Bandung. Library apps in this research belong to the context of m-libraries, which is a library that meets the needs of its users by using mobile platforms such as smartphones,computers, and other mobile devices. Empowerment of library is the utilization of all aspects of the implementation of libraries to the best in order to achieve the expected goals. An analysis of the schoolcommunity’s perception of library apps using the Technology Acceptance Model (TAM includes: ease of use, usefulness, usability, usage trends, and real-use conditions. While the empowerment of the library includes aspects: information empowerment, empowerment of learning resources, empowerment of human resources, empowerment of library facilities, and library promotion. The research method used in this research is descriptive method with quantitative approach. Population and sample in this research is school community at SD Laboratorium Percontohan UPI Bandung. Determination of sample criteria by using disproportionate stratified random sampling with the number of samples of 83 respondents. Data analysis using simple linear regression to measure the influence of school community perception about library apps to library empowerment. The result of data analysis shows that there is influence between school community perception about library apps to library empowerment at library of SD Laboratorium Percontohan UPI Bandung which is proved by library acceptance level and library empowerment improvement.

  19. 浅谈信息时代医院图书馆如何更好地为临床服务%How the Hospital Library to Provide Better Clinical Services in the Information Age

    Institute of Scientific and Technical Information of China (English)

    刘清

    2015-01-01

    This paper discusses the importance of hospital library' providing better clinical service in the information age, and from aspects of Professional ethics, specialized quality, service mode, information technology, and characteristic collection, etc., probes into the strategies for hospital library to provide better clinical services in the information age.%阐述了信息时代医院图书馆更好地为临床服务的重要性,从职业道德、专业素质、服务模式、信息手段、特色馆藏等方面,探讨了信息时代医院图书馆更好地为临床服务的策略.

  20. Research on Implementation of University Library Value Based on University Library Culture%基于大学图书馆文化的图书馆价值实现研究

    Institute of Scientific and Technical Information of China (English)

    何宜强

    2016-01-01

    论文通过对文化和大学图书馆文化内涵的了解,阐述大学图书馆文化视角下的图书馆价值,以及大学图书馆文化与大学图书馆价值之间的关系,提出大学图书馆通过营造文化氛围,以多种途径实现大学图书馆的文化价值、社会价值和服务价值。图书馆文化与图书馆价值的关系表明,图书馆价值的实现必须立足于图书馆文化建设,图书馆文化是图书馆价值实现的基础与前提。%Through the understanding of culture and the cultural connotation of university library, this paper elaborates the library value from the perspective of the university library culture and the relationship between university library culture and the value of university library, and puts forward to create a cultural atmosphere to achieve university library’s cultural value, social value and service value in a variety of ways. The relationship of library culture and the value of library indicates that the library value is based on the construction of library culture and library culture is the basis and premise to realize the value of library.

  1. Involvement of patients or their representatives in quality management functions in EU hospitals: implementation and impact on patient-centred care strategies

    Science.gov (United States)

    Groene, Oliver; Sunol, Rosa; Klazinga, Niek S.; Wang, Aolin; Dersarkissian, Maral; Thompson, Caroline A.; Thompson, Andrew; Arah, Onyebuchi A.; Klazinga, N; Kringos, DS; Lombarts, MJMH; Plochg, T; Lopez, MA; Secanell, M; Sunol, R; Vallejo, P; Bartels, P; Kristensen, S; Michel, P; Saillour-Glenisson, F; Vlcek, F; Car, M; Jones, S; Klaus, E; Bottaro, S; Garel, P; Saluvan, M; Bruneau, C; Depaigne-Loth, A; Shaw, C; Hammer, A; Ommen, O; Pfaff, H; Groene, O; Botje, D; Wagner, C; Kutaj-Wasikowska, H; Kutryba, B; Escoval, A; Lívio, A; Eiras, M; Franca, M; Leite, I; Almeman, F; Kus, H; Ozturk, K; Mannion, R; Arah, OA; DerSarkissian, M; Thompson, CA; Wang, A; Thompson, A

    2014-01-01

    Objective The objective of this study was to describe the involvement of patients or their representatives in quality management (QM) functions and to assess associations between levels of involvement and the implementation of patient-centred care strategies. Design A cross-sectional, multilevel study design that surveyed quality managers and department heads and data from an organizational audit. Setting Randomly selected hospitals (n = 74) from seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey). Participants Hospital quality managers (n = 74) and heads of clinical departments (n = 262) in charge of four patient pathways (acute myocardial infarction, stroke, hip fracture and deliveries) participated in the data collection between May 2011 and February 2012. Main Outcome Measures Four items reflecting essential patient-centred care strategies based on an on-site hospital visit: (1) formal survey seeking views of patients and carers, (2) written policies on patients' rights, (3) patient information literature including guidelines and (4) fact sheets for post-discharge care. The main predictors were patient involvement in QM at the (i) hospital level and (ii) pathway level. Results Current levels of involving patients and their representatives in QM functions in European hospitals are low at hospital level (mean score 1.6 on a scale of 0 to 5, SD 0.7), but even lower at departmental level (mean 0.6, SD 0.7). We did not detect associations between levels of involving patients and their representatives in QM functions and the implementation of patient-centred care strategies; however, the smallest hospitals were more likely to have implemented patient-centred care strategies. Conclusions There is insufficient evidence that involving patients and their representatives in QM leads to establishing or implementing strategies and procedures that facilitate patient-centred care; however, lack of evidence should not be

  2. Involvement of patients or their representatives in quality management functions in EU hospitals: implementation and impact on patient-centred care strategies.

    Science.gov (United States)

    Groene, Oliver; Sunol, Rosa; Klazinga, Niek S; Wang, Aolin; Dersarkissian, Maral; Thompson, Caroline A; Thompson, Andrew; Arah, Onyebuchi A

    2014-04-01

    The objective of this study was to describe the involvement of patients or their representatives in quality management (QM) functions and to assess associations between levels of involvement and the implementation of patient-centred care strategies. A cross-sectional, multilevel that surveyed quality managers and department heads and data from an organizational audit. Randomly selected hospitals (n = 74) from seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey). Hospital quality managers (n = 74) and heads of clinical departments (n = 262) in charge of four patient pathways (acute myocardial infarction, stroke, hip fracture and deliveries) participated in the data collection between May 2011 and February 2012. Four items reflecting essential patient-centred care strategies based on an on-site hospital visit: (1) formal survey seeking views of patients and carers, (2) written policies on patients' rights, (3) patient information literature including guidelines and (4) fact sheets for post-discharge care. The main predictors were patient involvement in QM at the (i) hospital level and (ii) pathway level. Current levels of involving patients and their representatives in QM functions in European hospitals are low at hospital level (mean score 1.6 on a scale of 0 to 5, SD 0.7), but even lower at departmental level (mean 0.6, SD 0.7). We did not detect associations between levels of involving patients and their representatives in QM functions and the implementation of patient-centred care strategies; however, the smallest hospitals were more likely to have implemented patient-centred care strategies. There is insufficient evidence that involving patients and their representatives in QM leads to establishing or implementing strategies and procedures that facilitate patient-centred care; however, lack of evidence should not be interpreted as evidence of no effect.

  3. 美国《医院(综合)评审标准》中医院图书馆评审细则的沿革与启示%History of detailed rules and regulations for hospital library accreditation in USA Standards for Hospital Accreditation and its inspirations

    Institute of Scientific and Technical Information of China (English)

    张艳芬

    2014-01-01

    从1953年美国《医院(综合)评审标准》第一版标准把医院图书馆的工作列入评审内容以来,随着医学、信息技术以及医疗环境的变化,相关评审标准随之改变,更注重医院图书馆提供知识性信息的功能性。本文详细介绍了该标准有关医院图书馆评审的沿革及其启示。%The USA Standards for Hospital Accreditation have been changed with greater importance attached to the function of hospital library in providing knowledge information service due to the changed medical,information tech-nology and medical treatment environment since its first edition in 1953 with standards for hospital library accreditation included. The history of hospital library accreditation in USA Standards for Hospital Accreditation and its inspira-tions were described in detail in this paper.

  4. [Antibiotic consumption surveillance - state of implementation in Munich hospitals : Latest survey by the Munich public health department on the implementation of § 23 Infection protection act].

    Science.gov (United States)

    Otto, Cornelia; Hirl, Bertrand; Schweitzer, Stefan; Gleich, Sabine

    2016-12-01

    On 4 August 2011 a modification of the infection protection act became law, meaning that antibiotic consumption surveillance and evaluation of data on the local resistance situation became obligatory for hospitals. Four years after the modification of the infection protection act became law, the Munich public health department aimed to evaluate the state of implementation of antibiotic consumption surveillance in Munich hospitals and to ascertain which antibiotic stewardship (ABS) structures have already been established. A questionnaire was sent to Munich hospitals about their antibiotic management structural data and state of implementation of legal requirements. Only 32 % of the hospitals have qualified ABS-experts available. In 76 % of the hospitals persons responsible for antibiotic consumption surveillance are appointed, while in 12 % persons responsible for antibiotic consumption surveillance are at least partly released from their normal work for this activity. Twenty-one hospitals (21 %) conduct antibiotic consumption surveillance taking into account all antiinfective agents mentioned in the Robert Koch-Institute (RKI) guidelines. Of these, 19 (76 %) did this on basis of World Health Organizations ATC/DDD-system (anatomical therapeutic chemical [ATC] classification system which uses defined daily doses [DDD]). The data on antibiotic consumption is evaluated in 72 % of the hospitals, 68 % take account of the local resistance situation. In 96 %, in-house lists of antiinfectives are available; in 80 %, in-house guidelines for antibiotic treatment are available. Fourty-four percent of the hospitals take part in a national surveillance. For the first time data were collected on implementation of antibiotic consumption surveillance in hospitals, which has been required by law since 2011. An incomplete implementation of legal requirements was demonstrated. It was found that structural and personnel prerequisites are often missing, that

  5. Implementation of departmental quality strategies is positively associated with clinical practice: results of a multicenter study in 73 hospitals in 7 European countries.

    NARCIS (Netherlands)

    Suñol, R.; Wagner, C.; Arah, O.A.; Kristensen, S.; Pfaff, H.; Klazinga, N.; Thompson, C.A.; Wang, A.; DerSarkissian, M.; Bartels, P.; Michel, P.; Groene, O.

    2015-01-01

    Background: Given the amount of time and resources invested in implementing quality programs in hospitals, few studies have investigated their clinical impact and what strategies could be recommended to enhance its effectiveness. Objective: To assess variations in clinical practice and explore

  6. [THE OPINION OF MEDICAL PERSONNEL ABOUT EFFECTIVENESS OF IMPLEMENTATION OF THE PROGRAM OF HEALTH CARE MODERNIZATION AT THE LEVEL OF MULTIFIELD HOSPITAL].

    Science.gov (United States)

    Badma-Gariaev, M S

    2015-01-01

    The article presents results of analysis of opinion of physicians of Moscow large multifield hospital concerning issues of effectiveness of implementation of the Program of health care modernization and development of its material technical equipment. The issues of increasing of quality of medical care were also touched upon.

  7. Is having quality as an item on the executive board associated with the implementation of quality management systems in European hospitals: a quantitative analysis.

    NARCIS (Netherlands)

    Botje, D.; Klazinga, N.S.; Suñol, R.; Groene, O.; Pfaff, H.; Mannion, R.; Depaigne-Loth, A.; Arah, O.A.; DerSarkissian, M.; Wagner, C.

    2014-01-01

    Objective:To assess whether there is a relationship between having quality as an item on the board’s agenda, perceived external pressure (PEP) and the implementation of quality management in European hospitals. Design: A quantitative, mixed method, cross-sectional study in seven European countries i

  8. [How the information system can contribute to the implementation of a risk management program in a hospital?].

    Science.gov (United States)

    Staccini, P; Quaranta, J F; Staccini-Myx, A; Veyres, P; Jambou, P

    2003-09-01

    Nowadays, information system is recognised as one of the key points of the management strategy. An information system is regarded conceptualised as a mean to link 3 aspects of a firm (structure, organisation rules and staff). Its design and implementation have to meet the objectives of medical and economical evaluation, especially risk management objectives. In order to identify, analyse, reduce and prevent the occurrence of adverse events, and also to measure the efficacy and efficiency of the production of care services, the design of information systems should be based on a process analysis in order to describe and classify all the working practices within the hospital. According to various methodologies (usually top-down analysis), each process can be divided into activities. Each activity (especially each care activity) can be described according to its potential risks and expected results. For care professionals performing a task, the access to official or internal guidelines and the adverse events reporting forms has also to be defined. Putting together all the elements of such a process analysis will contribute to integrate, into daily practice, the management of risks, supported by the information system.

  9. Implementation of a radiological safety management system in a hospital of Mexico City; Implementacion de un sistema de gestion de seguridad radiologica en un hospital de la Ciudad de Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Martinez V, D.; Rivera M, T. [CICATA-IPN, 11500 Mexico D.F. (Mexico); Velez D, V. [INER, 14000 Mexico D.F. (Mexico)

    2007-07-01

    Full text: The reflection of this work is based in some radiological accidents that its have happened in some hospital centers or of research. The over exposure of some people is due to the pursuit of the procedures, the lack of quality assurance of the equipment or the inappropriate actions of the technicians. In Mexico one has seen in several hospitals the lack of existence of a Quality Assurance Program to prevent the accidents, the execution of the same ones and those good practices and the lack of Safety Culture makes that the hospital radiological safety it is faulty. The objective of the present work is the implementation of a radiological safety management in a hospital of Mexico City. (Author)

  10. The Existing Barriers and Infrastructures to Implement Accreditation from the Perspective of Hospitals’ Managers in East Azerbaijan Hospitals: A Mixed Method Study

    Directory of Open Access Journals (Sweden)

    Saber Azami-Aghdash

    2015-08-01

    Full Text Available ​Background and Objectives : The aim of this study was to assess the infrastructures and barriers of effective accreditation in East Azerbaijan hospitals. Material and Methods : In this triangulation (qualitative-quantitative study, all the managers of 43 hospitals in East Azerbaijan were selected. The authors developed an 8-item questionnaire for   quantitative section of the study which its validity was improved by experts’ comments and its reliability was assessed by half-structure methods (9. =α. In addition, two open-ended questions were used in qualitative section of the study. Quantitative data were analyzed using descriptive statistics, t-test, and ANOVA test using SPSS version 20 statistical software packages. Qualitative content analysis was used to analyze the responses to the two open-ended questions. Results : Seventy-six percent of the managers agreed to implementation of accreditation in hospitals and believed that accreditation could improve the health services and increase the patient and staff satisfaction. Fifty percent of the participants had lack of required knowledge about the accreditation and they declared that the hospitals managed by them were not prepared to implement accreditation with respect to resources, manager’s commitment, staff skills and knowledge. In Tabriz hospitals, resources and infrastructures were mentioned to exist in a significantly higher proportion than other cities (P Conclusion : Considering the barriers and lack of infrastructures in the hospitals of East Azerbaijan to achieve an effective accreditation, it is essential to eliminate the existing barriers and provide appropriate infrastructures.

  11. Implementation of quality control performance criteria and approved guidelines for upgrading of clinical chemistry laboratory procedures in Alexandria University hospitals.

    Science.gov (United States)

    Rizk, Mohamed Moustafa M; el-Badawi, Nashwa A; Moez, Pacint E; Khattab, Azza A

    2009-03-01

    The aim of the present work was to assess the quality of work in Clinical Pathology Department, Alexandria Main University Hospital, Egypt; as regards the pre-analytical and analytical phases of testing; for later accreditation. This evaluation was performed using inspection sheets that were designed according to the CAP 2006 recommendations. All checklist questions that could not be answered "yes" were considered deficiencies and had to be corrected before being accredited. The questions were classified into ten groups; each group contained a number of questions concerning one of the pre-analytical and analytical assessment activities. We ranked our results into 4 categories according to the degree of fulfillment. The total number of questions that were answered "no" at the start and the end of the study accounted for 64/101 (63.4%) and 34/101 (33.7%) questions respectively. Most of the deficiencies were detected in the pre-analytical phase of the testing process; the first two checklists were used for the evaluation of this phase. At the start of the study, the degree of requirements fulfillment in checklist I and II were 0% and 21.1% respectively. By the end of the study the degree of fulfillment became, 85.7% and 63.2% respectively. Average number of sample rejection due to different causes was evaluated before and after implementing CAP recommendations; these causes include haemolysis, clotted serum, quantity not sufficient, and lost samples; the percentage of rejected samples before implementing CAP recommendations was 15.8%, 1.81%, 0.70%, and 0.51% respectively, while after implementing CAP recommendations it was 7%, 0.77%, 0.08%, and 0.05%, respectively. We concluded that the presence of standardized protocol for the pre-analytical activities had improved the quality of samples received by the lab, and we also concluded that accreditation allows laboratories to evaluate their performance, their compliance with the requirements of the accrediting association

  12. 医院船图书馆网站的建设与应用%Establish and appficafion of library website in hospital ship

    Institute of Scientific and Technical Information of China (English)

    冯博; 徐世侠; 罗晶; 于东方

    2012-01-01

    Objective to establish the library website in hospital ship based on local area network during the period of medical service Mission Harmony-2011 , analysis of the application and evaluate the system stability of software and hardware. Methods Dynamic homepage developing techniques such as JSP and ASP was used to make the website, which based on SQL Server 2000 as the database server. The hits of the database and the webpage response time were analyzed. Results The design of website structure was reasonable and the running was stable. The number of download article was 77 486, and exchange data volume was about 5 000Gb during this period. Conclusions The website of hospital ship plays a vital role in international medical services and academic exchanges. The key point of our future work include strengthen digital resources construction and building hardware suit for long navigation conditions%目的 在拉美四国医疗服务期间,通过建立基于局域网的医院图书馆网站为医护人员提供文献服务,并分析网站使用情况,评价网站软、硬件系统稳定性.方法 采用ASP、JSP等动态网页制作技术建立网站,后台使用SQL数据库,统计分析各数据库、软件的访问量及网页相应时间.结果 网站结构设计合理,运行较为稳定.运行期间下载文献77 486篇,数据交互约5 000Gb.结论 医院船网站在对外医疗服务和学术交流中发挥了重要作用,数字资源建设和适应长航条件的硬件投入是下一步工作的重点.

  13. 参数化零部件库建库技术研究与实践%Research and Implementation of Parametric Parts and Components Library

    Institute of Scientific and Technical Information of China (English)

    杨显刚; 何玉林; 杜静; 金鑫; 李成武

    2013-01-01

    On the basis of describing the relationship between features, tabular layout of article characteristics, design with features and parametric design, the paper proposes an insight into how to parameterize parts/components on general CAD systems. Based on the research of customized development on Inventor, the methodology of building parametric parts/components library and developing key implementation code on Inventor is put forward. Instance of case study is performed and demonstrates the feasibility of the methodology.%在论述特征、事物特征表、特征造型与参数化设计的相互关系的基础上,提出了基于通用CAD系统的参数化零部件设计思路.在研究Inventor平台二次开发的基础上,提出了基于Inventor的参数化零部件库的构建方法和关键的实现代码,并通过实例验证了该方法的可行性.

  14. Research on the Application of MAS Technology in the Construction of Digital Library of Hospital%MAS技术在医院数字图书馆建设中的应用研究

    Institute of Scientific and Technical Information of China (English)

    叶蓉; 罗静

    2015-01-01

    随着互联网、移动通讯技术的飞速发展,各类手机及智能互联网终端越来越普及,如何帮助医务人员通过各类移动终端登录数字图书馆,从而享受更加完善的医学信息检索服务成为现代化医院数字图书馆亟待解决的问题。结合目前医院数字图书馆的整体情况,研究如何应用MAS技术通过互联网、移动通讯网络,采用短彩信、PUSHMAIL、WAP以及智能终端APP等形式实现医院数字图书馆向手机、平板电脑等各终端的延伸,让医务人员在任何时间、任何地点都可以享受医学信息检索服务。旨在研究提升医院数字图书馆信息化水平及服务能力,同时也希望这种通过整合移动通讯网、互联网相关新技术的思路能对医院提升信息化建设有所帮助。%With the rapidly developing of Internet and mobile communication technology, mobile phones and smart internet terminals are more and more popular now. How to help medical personnel log in digital library and enjoy more perfect medical information retrieval service through all kinds of mobile terminals are becoming an urgent problem of modern hospital digital libraries. In consideration of the overall hospital digital library situation in China, the author studied the extension from hospital digital library to mobile phone, tablet PC and other mobile terminals. By use of the application of MAS technology, the medical personnel can use medical information service anytime and anywhere through Short MMS, PUSHMAIL WAP and other intelligent terminal applications. This scheme aims to promote hospital digital library informationization level and service ability. And at the same time, to help hospitals improve informationization construction through the idea of integration of mobile network and Internet related new technologies.

  15. 医院职能部门绩效考核方法探索%Implementation of the Performance Appraisal in Hospital Functional Departments

    Institute of Scientific and Technical Information of China (English)

    殷晓红; 李萍; 沈正善; 高俊杰

    2012-01-01

    绩效考核是实现医院战略目标的有效手段.分析了三次考核指标的制定与实施情况,指出职能部门绩效考核难度较大,应持续改进并充分体现人性化.%The implementation of performance management is an effective mean to achieve hospital strategic goals. However, in reality, the performance appraisal in the hospital functional departments is difficult to implement. In practice, we carried out three times of the formulation and implementation of the performance indicators for functional departments, which was from the failure to come to comparative effective, but this method is not the most effective. The paper pointed out that the fully humanization is very importance in the performance appraisal.

  16. Cost Accounting and Analysis for University Libraries.

    Science.gov (United States)

    Leimkuhler, Ferdinand F.; Cooper, Michael D.

    The approach to library planning studied in this report is the use of accounting models to measure library costs and implement program budgets. A cost-flow model for a university library is developed and listed with historical data from the Berkeley General Library. Various comparisons of an exploratory nature are made of the unit costs for…

  17. Library Instruction and Information Literacy-2001.

    Science.gov (United States)

    Johnson, Anna Marie; Rader, Hannelore B.

    2002-01-01

    Presents a bibliography of literature published during 2001 relating to library instruction and information literacy, the majority of which dealt with the implementation of the Association of College and Research Libraries (ACRL) standards for information literacy in higher education. Also includes school libraries, public libraries, special…

  18. Research on Related Problems Of the Implementation of the Strategical Planning of University Libraries%高校图书馆战略规划实施的相关问题研究

    Institute of Scientific and Technical Information of China (English)

    邵军辉

    2012-01-01

    战略规划实施是高校图书馆战略管理的关键环节,直接决定着图书馆战略管理的成败。高校图书馆的战略规划实施是将图书馆战略目标转化为战略实际活动。高校图书馆在战略实施过程中应考虑建立图书馆战略规划实施专门组织;分解战略目标,制定行动措施;根据战略目标适时调整、优化或变革图书馆组织结构。%The implementation of the strategical planning is the key link of strategic management for university librarJes, which directly determines the success or failure of IJbrary strategic management. The implementation of the strategical planning of university libraries could transform the strategic target to strategic actual activities. In the process of the strategy implementation, university libraries should consider three important issues, including setting up the specific organization for the implementation of the strategical planning, decomposing strategic targets and making action measures, changing and pefecting the organizational structure of libraries according to strategic targets.

  19. Library Automation

    OpenAIRE

    Dhakne, B. N.; Giri, V. V.; Waghmode, S. S.

    2010-01-01

    New technologies library provides several new materials, media and mode of storing and communicating the information. Library Automation reduces the drudgery of repeated manual efforts in library routine. By use of library automation collection, Storage, Administration, Processing, Preservation and communication etc.

  20. 先诊疗后付费在我院实施的效果及体会%Analysis Effect of the Implementation in Our Hospital after Pay Measures for Implementing the First Diagnosis and Treatment

    Institute of Scientific and Technical Information of China (English)

    胡忠莲

    2015-01-01

    Reviews my courtyard from March 1, 2014 since the implementation of"first diagnosis and treatment for"service mode, in hospitalized patients from hospital deposit, only need to provide health insurance card or farm to the hospital closed card, and signed the"first for diagnosis and treatment of hospitalized set lement agreement"can be directly hospital treatment and hospital. Through the first half for diagnosis and treatment mode of operation, simplify the payment process during hospitalization, eliminates the set lement procedure of reimbursement after hospital discharge for patients, opened Easy Access life for patients, the real solution to the actual problem patients see a doctor dif icult, expensive, to safeguard people's health benefits, reduce nursing disputes patients and their families, improve satisfaction with hospitals.%介绍了我院从2014年3月1日起实施"先诊疗后付费"的服务模式,患者住院时免交住院押金,只需向医院提供医保卡或农合卡,并与医院签署《先诊疗后付费住院结算协议》就可以直接住院治疗。通过半年先诊疗后付费模式的运行,简化了住院过程中的付费流程,为患者免去了出院结算后的报销程序,为患者开辟了生命的绿色通道,真正解决了患者看病难、看病贵的实际问题,全力维护群众的健康利益,减少了护患纠纷,提高了患者及家属对医院的满意度。

  1. Architectural Optimization of Digital Libraries

    Science.gov (United States)

    Biser, Aileen O.

    1998-01-01

    This work investigates performance and scaling issues relevant to large scale distributed digital libraries. Presently, performance and scaling studies focus on specific implementations of production or prototype digital libraries. Although useful information is gained to aid these designers and other researchers with insights to performance and scaling issues, the broader issues relevant to very large scale distributed libraries are not addressed. Specifically, no current studies look at the extreme or worst case possibilities in digital library implementations. A survey of digital library research issues is presented. Scaling and performance issues are mentioned frequently in the digital library literature but are generally not the focus of much of the current research. In this thesis a model for a Generic Distributed Digital Library (GDDL) and nine cases of typical user activities are defined. This model is used to facilitate some basic analysis of scaling issues. Specifically, the calculation of Internet traffic generated for different configurations of the study parameters and an estimate of the future bandwidth needed for a large scale distributed digital library implementation. This analysis demonstrates the potential impact a future distributed digital library implementation would have on the Internet traffic load and raises questions concerning the architecture decisions being made for future distributed digital library designs.

  2. Practice & Investigation in Digital Information Service of the Small and Medium Military Hospital Libraries%军队中小型医院图书馆数字信息服务的实践与探讨

    Institute of Scientific and Technical Information of China (English)

    张优琴; 曹宏伟; 江有琴; 邱景; 彭东亮

    2011-01-01

    本文从数据库建设、依托军字一号建立信息服务栏目、利用地域优势建立馆际协作三个方面,介绍了医院图书馆开展数字信息服务的具体做法.建议军队中小型医院图书馆应加大电子文献收藏比例、注重军事医学特色数字资源建设、充分利用医院局域网络、建立因特网电子阅览室,并提出配置的馆员要适应数字信息服务模式.%This article is mainly about the digital information construction on hospital libraries in three aspects, i.e. the construction of database, No. 1 Military Medical Project and cooperation between libraries by exploiting the region advantage. It is suggested that the ratio of electronic information from the military libraries of all levels should be enhanced; special digital resources should be lay stress on construction with military characteristics, hospital local area net should made full use and internet electronic reading rooms should be found, as well as the librarians should be qualified with digital information service model.

  3. Design Practice of a Library Management System for Small and Medium Military Hospitals under LAMP Environment%LAMP环境下开发部队中小型医院图书馆系统的设计实践

    Institute of Scientific and Technical Information of China (English)

    周宏宇; 任慧朋

    2015-01-01

    This paper described the application status and advantages of LAMP (Linux+ApacheHTTP+MySQL+PHP) environment. And the design and development of a library management system under LAMP environment for small and medium military hospitals was detailed. The system was constructed with the B/S (Browser/Server) architecture and compiled with PHP language. After six months of running and debugging, the Web-based library management system reflected the great advantages in the military hospital, which veriifed the feasibility of application of three-tier architecture for B/S mode in development of the library management system.%本文介绍了LAMP(Linux+ApacheHTTP+MySQL+PHP)环境的应用现状和优势,并详细介绍了在LAMP系统环境下开发部署Web方式的军队中小型医院图书管理系统的全过程。系统采用B/S构架,以PHP语言编译,经过半年的运行调试,Web方式的图书管理系统在军队医院体现出极大的优势,验证了利用三层架构的B/S模式开发医院图书管理系统的可行性。

  4. 图书馆网上虚拟书架的设计与实现%Design and Implementation of the Online Virtual Bookshelf System of the Library

    Institute of Scientific and Technical Information of China (English)

    李镇伟

    2012-01-01

    Analyzes the problems of low recall and low precision because of reader's own ability in the process of use the library,designs and realizes the online virtual bookshelf system.The virtual bookshelf system finds similar collection of books by the reader query results.According to the order of the physical shelves,and get the book's cover by the Douban API calls,this can give a way to scroll through more related books that reader interested in.Taking the case study of the SulcmisIII's OPAC,gives an integration and implementation case of the system and OPAC retrieval system.%通过分析读者在利用图书馆的过程中,因自身的检索能力而造成文献查全率和查准不高的问题,设计实现图书馆网上虚拟书架系统,该虚拟书架系统通过读者查询结果,挖掘同类馆藏图书,按物理书架的排列顺序,同时利用豆瓣API调用的方式获取图书封面,以更加形象的方式滚动显示读者感兴趣相关图书。同时以SulcimsIII的OPAC为例,给出本系统与OPAC检索系统的集成和实现案例。

  5. 医院图书馆为患者服务的意义及方法的探讨%Research on the significance and methods of hospital library service for patients

    Institute of Scientific and Technical Information of China (English)

    刘桂荣

    2011-01-01

    随着医学模式的转变,医疗市场的竞争越来越激烈,改善医患关系也成为各医疗机构争取患者的重要举措,医院图书馆为患者提供服务也是提高医院服务质量的内容之一.必须把医院图书馆只局限于内部职工的服务工作向患者扩展和延伸,使患者在医院诊治的整个过程中,更加安心,更加信任医院.为患者提供温馨的医疗环境及医学普及教育的场所,丰富患者的文化生活,有助于患者的康复治疗,能够增强患者战胜疾病的勇气和信心,使馆藏文献得到充分的开发和利用.医院图书馆直接为患者服务已经是一个崭新的新课题.这项服务的开展也将成为医院图书馆服务创新和业务发展的新的增长点.%With the development of medical model, the competition from healthcare market is becoming more and more severe. Recently, a variety of measures have been taken to improve the relationships between doctors and patients. The main purpose is to attract more patients to be admitted to hospitals. To improve the quality of hospital services, hospital li -braries provides service not only to the faculty but also to the patients. The measure makes patients trust doctors during the entire treatment, and hospitals also gain patients' confidence. Making full use of library resource may provide patients with good medical environments and warm places for universal medical education, which enriches the cultural life of the patient, helps the patient rehabilitate. Besides, patients can enhance the courage and confidence to overcome difficulties and fight for diseases. On the other hand, the collections in libraries are fully developed and utilized, because libraries are open to patients. The library service for patients will play an important role in the development of hospitals.

  6. Digital library usability studies

    CERN Document Server

    Eden, Bradford Lee

    2005-01-01

    Each summer, circulation staff in my library inventories a section of the stacks andbrings collection issues to the attention of appropriate bibliographers. Since I amresponsible for the economics collection, I see an array of government documents thathave managed to elude the cataloging process. Many of these titles are decades old,having squatted in the library undisturbed and uncirculated since our online catalogwas implemented in 1990.

  7. Implantação de um mini-pacs (sistema de arquivamento e distribuição de imagens em hospital universitário Mini-PACS (picture archiving and communication system implementation at a university hospital

    Directory of Open Access Journals (Sweden)

    Paulo Mazzoncini de Azevedo-Marques

    2001-08-01

    Full Text Available Este trabalho apresenta a implementação de um mini-PACS (sistema de arquivamento e comunicação de imagens que está sendo estruturado junto ao Serviço de Radiodiagnóstico do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, como parte do projeto de um serviço de radiologia digital ("filmless".This paper describes the implementation of a mini-PACS (picture archiving and communication system at a university hospital ("Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo", as a component of a project for a filmless radiology facility.

  8. Learning Commons in Academic Libraries

    Directory of Open Access Journals (Sweden)

    Larisa González Martínez

    2015-01-01

    Full Text Available Like all human creations, institutions transform and evolve over time. Libraries also have changed to respond the needs of its users. Academic libraries physical spaces are one of the turned aspects, an example are the Learning Commons (spaces for collaborative work in academic libraries. The main purpose of this paper is to expose the characteristics of the Learning Commons model with a brief account of the history of planning and construction of academic libraries. This paper also aims to present the manner in which a Learning Commons has been implemented at the library of Instituto Tecnológico y de Estudios Superiores de Monterrey (ITESM, Campus Monterrey in Mexico.

  9. Implementation of a pre-hospital decision rule in general practice. Triage of patients with suspected myocardial infarction

    NARCIS (Netherlands)

    E.W.M. Grijseels (Els); J.W. Deckers (Jaap); A.W. Hoes (Arno); H. Boersma (Eric); J.A.M. Hartman; E. van der Does (Emiel); M.L. Simoons (Maarten)

    1996-01-01

    textabstractOBJECTIVE: To improve pre-hospital triage of patients with suspected acute cardiac disease. DESIGN: Prospective study. SUBJECTS. Patients with symptoms suggestive of acute cardiac pathology, who were seen by a general practitioner, for whom acute admission into hospital was requested, an

  10. Lower incidence of unexpected in-hospital death after interprofessional implementation of a bedside track-and-trigger system

    DEFF Research Database (Denmark)

    Bunkenborg, Gitte; Samuelson, Karin Samuelsonkarin; Poulsen, Ingrid

    2014-01-01

    In-hospital patients may suffer unexpected death because of suboptimal monitoring. Early recognition of deviating physiological parameters may enable staff to prevent unexpected in-hospital death. The aim of this study was to evaluate short- and long-term effects of systematic interprofessional u...

  11. Thoughts on new hospital finance and accounting system implementation%新医院财务、会计制度执行思考

    Institute of Scientific and Technical Information of China (English)

    狄海涛

    2013-01-01

      新医院财务、会计制度的实施对严格医院预算管理、加强医院财务监督以及维护医疗卫生机构公益性具有十分重要的意义。新制度虽然弥补了旧制度的诸多不足之处,但在实施过程中仍发现一些问题,需要进一步完善和改进。%The implementation of new hospital finance and accounting system plays very important roles on strengthening hospital budget management and financial control, maintaining the nature of public interest. The new system has filled in gaps of the old system, but there are still problems in implementing the new system and need to be improved.

  12. Libraries in Kentucky: MedlinePlus

    Science.gov (United States)

    ... 859-301-2248 http://www.stelizabeth.com Elizabethtown Hardin Memorial Hospital William R. Handley Health Sciences Library ... Avenue Elizabethtown, KY 42701 270-706-1688 http://hardin.staywellsolutionsonline.com/ Henderson METHODIST HOSPITAL Organizational Developmenet 1305 ...

  13. The academic library network

    Directory of Open Access Journals (Sweden)

    Jacek Wojciechowski

    2012-01-01

    Full Text Available The efficiency of libraries, academic libraries in particular, necessitates organizational changes facilitating or even imposing co-operation. Any structure of any university has to have an integrated network of libraries, with an appropriate division of work, and one that is consolidated as much as it is possible into medium-size or large libraries. Within thus created network, a chance arises to centralize the main library processes based on appropriate procedures in the main library, highly specialized, more effective and therefore cheaper in operation, including a co-ordination of all more important endeavours and tasks. Hierarchically subordinated libraries can be thus more focused on performing their routine service, more and more frequently providing for the whole of the university, and being able to adjust to changeable requirements and demands of patrons and of new tasks resulting from the new model of the university operation. Another necessary change seems to be a universal implementation of an ov rall programme framework that would include all services in the university’s library networks.

  14. Obstacles and Measures for Implementing Medical Ethics Appraisal in Our Hospital%我院医德考评实务操作的难点与对策

    Institute of Scientific and Technical Information of China (English)

    施小红; 楼斌

    2013-01-01

    The article analyzes the obstacles for implementing medical ethics appraisal in our hospital in the past three years and puts forward suggestions and measures on the improvement of medical ethics appraisal.%本文分析了我院三年来医德考评中存在的难点问题,对如何进一步做好医德考评提出了建议和对策。

  15. Evaluation of implementation, compliance and acceptance of partial smoking bans among hospitality workers before and after the Swiss Tobacco Control Act.

    Science.gov (United States)

    Rajkumar, Sarah; Hoffmann, Susanne; Röösli, Martin; Bauer, Georg F

    2015-03-01

    The World Health Organization recommends uniform comprehensive smoking bans in public places. In Switzerland, regulations differ between various areas and are mostly incomplete for hospitality venues. As ambiguous regulations offer more leeway for implementation, we evaluated the Swiss regulations with respect to their effects on implementation, acceptance and compliance among hospitality workers. In our longitudinal study, a standardized, self-administered questionnaire was mailed to a sample of 185 hospitality workers before and 4-6 month after the smoking ban came into effect. The matched longitudinal sample comprised 71 participants (repeated response rate 38.4%). We developed a seven-item acceptance scale. Logistic regressions were performed to explore the factors associated with acceptance. Acceptance of smoking bans was influenced by smoking status and perceived annoyance with second-hand smoke in private. Although not statistically significant (P = 0.09), we found some indications that post-ban acceptance increased in an area with strict regulations, whereas it decreased in two areas with less stringent regulations. Tobacco bans in Swiss hospitality venues are still in a period of consolidation. The incomplete nature of the law may also have had a negative impact on the development of greater acceptance. © The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. Factors affecting implementation of accreditation programmes and the impact of the accreditation process on quality improvement in hospitals: a SWOT analysis.

    Science.gov (United States)

    Ng, G K B; Leung, G K K; Johnston, J M; Cowling, B J

    2013-10-01

    The objectives of this review were to identify factors that influence implementation of hospital accreditation programmes and to assess the impact of the accreditation process on quality improvement in public hospitals. Two electronic databases, Medline (OvidSP) and PubMed, were systematically searched. "Public hospital", "hospital accreditation", and "quality improvement" were used as the search terms. A total of 348 citations were initially identified. After critical appraisal and study selection, 26 articles were included in the review. The data were extracted and analysed using a SWOT (strengths, weaknesses, opportunities, threats) analysis. Increased staff engagement and communication, multidisciplinary team building, positive changes in organisational culture, and enhanced leadership and staff awareness of continuous quality improvement were identified as strengths. Weaknesses included organisational resistance to change, increased staff workload, lack of awareness about continuous quality improvement, insufficient staff training and support for continuous quality improvement, lack of applicable accreditation standards for local use, and lack of performance outcome measures. Opportunities included identification of improvement areas, enhanced patient safety, additional funding, public recognition, and market advantage. Threats included opportunistic behaviours, funding cuts, lack of incentives for participation, and a regulatory approach to mandatory participation. By relating the findings to the operational issues of accreditation, this review discussed the implications for successful implementation and how accreditation may drive quality improvement. These findings have implications for various stakeholders (government, the public, patients and health care providers), when it comes to embarking on accreditation exercises.

  17. "Wind of change": the role of human centered healthcare factors in the implementation of clinical governance in an Italian University teaching hospital.

    Science.gov (United States)

    Specchia, Maria Lucia; de Belvis, Antonio Giulio; Parente, Paolo; Avolio, Maria; Ricciardi, Walter; Damiani, Gianfranco

    2016-01-01

    Clinical governance (CG) is an approach to quality improvement in healthcare aimed at achieving a patient-centered health care system. The main objective of this study was to highlight human centered healthcare latent factors underlying the results of a CG assessment performed in the teaching hospital "A. Gemelli" of Rome, Italy. CG implementation levels were assessed through OPTIGOV© (OPTimizing healthcare GOVernance), a CG scorecard methodology. In order to identify the variables generating latent factors that can influence the governance of the Hospital, the multiple correspondence analysis (MCA) was applied. The application of OPTIGOV© showed a good CG implementation level in the Gemelli Hospital. By applying MCA, the variables aggregated so as to define 3 latent factors (F1: assessment for people oriented improvement strategy; F2: assessment for people targeted management; F3: tracking for timely accountable people) explaining as a whole 82.68% of the total variance and respectively 48.09% (F1), 24.95% (F2) and 9.64% (F3). The heuristic interpretation of the three latent factors could bring back to the concept of humanization in healthcare. This study shows that in the teaching hospital "A. Gemelli" humanization in healthcare is the driver of health care quality improvement.

  18. THE INFLUENCE OF LEADERSHIP IN THE CONDUCT OF THE IMPLEMENTATION PROCESS OF STRATEGIC PLANNING: A CASE STUDY AT THE UNIVERSITY HOSPITAL OF THE UNIVERSITY OF ST CATHERINE

    Directory of Open Access Journals (Sweden)

    Giselly Rizzatti

    2012-09-01

    Full Text Available Teaching hospitals are undergoing profound and fast changes, especially resulting from the implementation of new policies for health. To achieve their goals and remain competitive, these organizations have been forced to adopt more effective management tools, among which are the elaboration of a strategic plan. The goal of this study is to analyze the influence of leadership in driving the implementation process of strategic planning in a teaching hospital. The study was conducted in the university hospital Prof. Polydoro Ernani de São Thiago from Federal University of Santa Catarina - HU / UFSC, where a semi-structured interview was conducted with the coordinator of the Strategic Planning Team HU / UFSC. Authors Hersey et al (1986, Northouse (2004, Schein (1997 Senge (1999, among others, were grounded theoretically in the theme of leadership. The theory of strategic planning was primarily based on works by authors Ansoff (l991, Hrebiniak (2006 and Pereira (2010. With the research results, we can conclude the great influence that leadership plays in driving the implementation process of strategic planning.

  19. Implementation of a guideline for physical therapy in the postoperative period of upper abdominal surgery reduces the incidence of atelectasis and length of hospital stay.

    Science.gov (United States)

    Souza Possa, S; Braga Amador, C; Meira Costa, A; Takahama Sakamoto, E; Seiko Kondo, C; Maida Vasconcellos, A L; Moran de Brito, C M; Pereira Yamaguti, W

    2014-01-01

    The aim of this study was to evaluate the effectiveness of implementing a physical therapy guideline for patients undergoing upper abdominal surgery (UAS) in reducing the incidence of atelectasis and length of hospital stay in the postoperative period. A "before and after" study design with historical control was used. The "before" period included consecutive patients who underwent UAS before guideline implementation (intervention). The "after" period included consecutive patients after guideline implementation. Patients in the pre-intervention period were submitted to a program of physical therapy in which the treatment planning was based on the individual experience of each professional. On the other hand, patients who were included in the post-intervention period underwent a standardized program of physical therapy with a focus on the use of additional strategies (EPAP, incentive spirometry and early mobilization). There was a significant increase in the use of incentive spirometry and positive expiratory airway pressure after guideline implementation. Moreover, it was observed that early ambulation occurred in all patients in the post-intervention period. No patient who adhered totally to the guideline in the post-intervention period developed atelectasis. Individuals in the post-intervention period presented a shorter length of hospital stay (9.2±4.1 days) compared to patients in the pre-intervention period (12.1±8.3 days) (p<0.05). The implementation of a physical therapy guideline for patients undergoing UAS resulted in reduced incidence of atelectasis and reduction in length of hospital stay in the postoperative period. Copyright © 2013 Sociedade Portuguesa de Pneumologia. Published by Elsevier España. All rights reserved.

  20. Books, children, dogs, artists: library programs for the entire family.

    Science.gov (United States)

    Haver, Mary Katherine

    2014-01-01

    The promotion of library resources and services is a continuous process for all libraries, especially hospital family resource center libraries. Like public libraries, a family resource center can utilize programs as a pathway for connecting with and developing awareness of library resources and services available to patient families. This column describes the programs currently offered for All Children's Hospital Johns Hopkins Medicine patient families, marketing initiatives to promote these programs, and utilization of grant funding to supplement a program.

  1. Libraries in Manitoba: MedlinePlus

    Science.gov (United States)

    ... this page: https://medlineplus.gov/libraries/manitoba.html Libraries in Manitoba To use the sharing features on this page, please enable JavaScript. Winnipeg Grace Hospital Library 300 Booth Drive Winnipeg, MB R3J 3M7 CANADA ...

  2. Organizational barriers associated with the implementation of national essential medicines policy: A cross-sectional study of township hospitals in China.

    Science.gov (United States)

    Yang, Lianping; Liu, Chaojie; Ferrier, J Adamm; Zhang, Xinping

    2015-11-01

    This study identifies potential organizational barriers associated with the implementation of the Chinese National Essential Medicines Policy (NEMP) in rural primary health care institutions. We used a multistage sampling strategy to select 90 township hospitals from six provinces, two from each of eastern, middle, and western China. Data relating to eight core NEMP indicators and institutional characteristics were collected from January to September 2011, using a questionnaire. Prescription-associated indicators were calculated from 9000 outpatient prescriptions selected at random. We categorized the eight NEMP indicators using an exploratory factor analysis, and performed linear regressions to determine the association between the factor scores and institution-level characteristics. The results identified three main factors. Overall, low levels of expenditure of medicines (F1) and poor performance in rational use of medicines (F2) were evident. The availability of medicines (F3) varied significantly across both hospitals and regions. Factor scores had no significant relationship with hospital size (in terms of number of beds and health workers); however, they were associated with revenue and structure of the hospital, patient service load, and support for health workers. Regression analyses showed that public finance per health worker was negatively associated with the availability of medicines (p public finance from local governments may reduce medicine stock lines of township hospitals and lead them to seek alternative sources of income, jeopardizing their capacity to meet the needs of local consumers.

  3. Library Computing

    Science.gov (United States)

    Library Computing, 1985

    1985-01-01

    Special supplement to "Library Journal" and "School Library Journal" covers topics of interest to school, public, academic, and special libraries planning for automation: microcomputer use, readings in automation, online searching, databases of microcomputer software, public access to microcomputers, circulation, creating a…

  4. Digital Libraries

    CERN Document Server

    Papy, Fabrice

    2008-01-01

    Of vital interest to all librarians and information specialists, this book presents all aspects of the effects of digitization of today's and tomorrow's libraries. From social to technical issues, Digital Libraries includes chapters on the growth of the role of librarian, the reader experience, cataloging, search engines, OPAC, law, ergonomic studies, and the future of libraries.

  5. Biomedical Libraries

    Science.gov (United States)

    Pizer, Irwin H.

    1978-01-01

    Biomedical libraries are discussed as a distinct and specialized group of special libraries and their unique services and user interactions are described. The move toward professional standards, as evidenced by the Medical Library Association's new certification program, and the current state of development for a new section of IFLA established…

  6. 圖書館導入無線射頻識別應用之研究 Study on RFID Implement and Application in Library

    Directory of Open Access Journals (Sweden)

    Shien-Chiang Yu

    2005-06-01

    Full Text Available RFID具有條碼無法提供的整批讀取、可讀寫大量資料、可程式化的特性,包括讀者與館藏資料均可結合RFID擴大許多應用。圖書館內部作業僅以RFID取 代條碼、磁條即可達到讀者自助借還書、防盜偵測、快速盤點作業、尋找錯置圖書等優點。提供圖書館進行館藏精確的管理,以及擴充更多的即時服務功能。但是系 統的可靠度不足、易受雜訊干擾、成本等問題,加上尚未有殺手級應用軟體的出現,因此在圖書館方面的應用大多僅止於少數圖書館實驗性的館藏管理層面。本文主 要是介紹RFID的結構與應用原理,探討導入圖書館的應用模式以及可能遭遇的問題。RFID provided with these characters of hatch access, storage mass data, and reprogram that were barcode can not archive. Integrate both parent and holding with functions of RFID to extend various application. Just replace barcode and magnetic strip then archive these advantages of self chick-in/out, steal detection, rapid inventory and find out shelf-incorrect materials. Not only realize precise holding management, but also attain real-time services. Due to the issues about reliability insufficient, interfere with noise, cost and without killer application, therefore major library only experiment with RFID for holding management. This paper introduce the structure and application theorem of the RFID system, discuss application models and issues when implement the RFID system.

  7. 医用高值耗材二级库条形码的管理方法与效果%Management Methods and Effects of the Secondary Library Barcodes for Hospital Medical Consumables

    Institute of Scientific and Technical Information of China (English)

    廉维; 商弘; 殷树宏; 田江晖; 马宏龙

    2013-01-01

    主要阐述医用高值耗材二级库条形码的管理方法,规范高值耗材的采购入库、出库、使用、结算和追溯等流程;简介医用高值耗材的使用现状,以及二级库管理可降低医院运行风险,减少医院运行成本,达到高值耗材管理信息的可视化等一系列效果.%Secondary library barcodes for hospital medical consumables are explicated,and the processes of the supplies of high value procurement are standardized.The status quo of high-value consumables usage is introduced.The second database management can reduce hospital operation risk,and reach the visualization of consumables management information.

  8. Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in “early adopter” hospitals

    Science.gov (United States)

    Cornford, Tony; Barber, Nicholas; Avery, Anthony; Takian, Amirhossein; Lichtner, Valentina; Petrakaki, Dimitra; Crowe, Sarah; Marsden, Kate; Robertson, Ann; Morrison, Zoe; Klecun, Ela; Prescott, Robin; Quinn, Casey; Jani, Yogini; Ficociello, Maryam; Voutsina, Katerina; Paton, James; Fernando, Bernard; Jacklin, Ann; Cresswell, Kathrin

    2011-01-01

    Objectives To evaluate the implementation and adoption of the NHS detailed care records service in “early adopter” hospitals in England. Design Theoretically informed, longitudinal qualitative evaluation based on case studies. Setting 12 “early adopter” NHS acute hospitals and specialist care settings studied over two and a half years. Data sources Data were collected through in depth interviews, observations, and relevant documents relating directly to case study sites and to wider national developments that were perceived to impact on the implementation strategy. Data were thematically analysed, initially within and then across cases. The dataset consisted of 431 semistructured interviews with key stakeholders, including hospital staff, developers, and governmental stakeholders; 590 hours of observations of strategic meetings and use of the software in context; 334 sets of notes from observations, researchers’ field notes, and notes from national conferences; 809 NHS documents; and 58 regional and national documents. Results Implementation has proceeded more slowly, with a narrower scope and substantially less clinical functionality than was originally planned. The national strategy had considerable local consequences (summarised under five key themes), and wider national developments impacted heavily on implementation and adoption. More specifically, delays related to unrealistic expectations about the capabilities of systems; the time needed to build, configure, and customise the software; the work needed to ensure that systems were supporting provision of care; and the needs of end users for training and support. Other factors hampering progress included the changing milieu of NHS policy and priorities; repeatedly renegotiated national contracts; different stages of development of diverse NHS care records service systems; and a complex communication process between different stakeholders, along with contractual arrangements that largely excluded NHS

  9. [Results following the implementation of a clinical pathway in the process of care to elderly patients with osteoporotic hip fracture in a second level hospital].

    Science.gov (United States)

    Sánchez-Hernández, N; Sáez-López, P; Paniagua-Tejo, S; Valverde-García, J A

    2016-01-01

    To evaluate the efficiency of a clinical pathway in the management of elderly patients with fragility hip fracture in a second level hospital in terms of length of stay time to surgery, morbidity, hospital mortality, and improved functional outcome. A comparative and prospective study was carried out between two groups of patients with hip fracture aged 75 and older prior to 2010 (n=216), and after a quality improvement intervention in 2013 (n=196). A clinical pathway based on recent scientific evidence was implemented. The degree of compliance with the implemented measures was quantified. The characteristics of the patients in both groups were similar in age, gender, functional status (Barthel Index) and comorbidity (Charlson Index). Median length of stay was reduced by more than 45% in 2013 (16.61 vs. 9.08 days, p=.000). Also, time to surgery decreased 29.4% in the multidisciplinary intervention group (6.23 vs. 4.4 days, p=.000). Patients assigned to the clinical pathway group showed higher medical complications rate (delirium, malnutrition, anaemia and electrolyte disorders), but a lower hospital mortality (5.10 vs. 2.87%, p>.005). The incidence of surgical wound infection (p=.031) and functional efficiency (p=.001) also improved in 2013. An increased number of patients started treatment for osteoporosis (14.80 vs. 76.09%, p=.001) after implementing the clinical pathway. The implementation of a clinical pathway in the care process of elderly patients with hip fracture reduced length of stay and time to surgery, without a negative impact on associated clinical and functional outcomes. Copyright © 2015 SECOT. Published by Elsevier Espana. All rights reserved.

  10. A multifaceted intervention to implement guidelines and improve admission paediatric care in Kenyan district hospitals: a cluster randomised trial.

    Directory of Open Access Journals (Sweden)

    Philip Ayieko

    2011-04-01

    Full Text Available BACKGROUND: In developing countries referral of severely ill children from primary care to district hospitals is common, but hospital care is often of poor quality. However, strategies to change multiple paediatric care practices in rural hospitals have rarely been evaluated. METHODS AND FINDINGS: This cluster randomized trial was conducted in eight rural Kenyan district hospitals, four of which were randomly assigned to a full intervention aimed at improving quality of clinical care (evidence-based guidelines, training, job aides, local facilitation, supervision, and face-to-face feedback; n  =  4 and the remaining four to control intervention (guidelines, didactic training, job aides, and written feedback; n  =  4. Prespecified structure, process, and outcome indicators were measured at baseline and during three and five 6-monthly surveys in control and intervention hospitals, respectively. Primary outcomes were process of care measures, assessed at 18 months postbaseline. In both groups performance improved from baseline. Completion of admission assessment tasks was higher in intervention sites at 18 months (mean  =  0.94 versus 0.65, adjusted difference 0.54 [95% confidence interval 0.05-0.29]. Uptake of guideline recommended therapeutic practices was also higher within intervention hospitals: adoption of once daily gentamicin (89.2% versus 74.4%; 17.1% [8.04%-26.1%]; loading dose quinine (91.9% versus 66.7%, 26.3% [-3.66% to 56.3%]; and adequate prescriptions of intravenous fluids for severe dehydration (67.2% versus 40.6%; 29.9% [10.9%-48.9%]. The proportion of children receiving inappropriate doses of drugs in intervention hospitals was lower (quinine dose >40 mg/kg/day; 1.0% versus 7.5%; -6.5% [-12.9% to 0.20%], and inadequate gentamicin dose (2.2% versus 9.0%; -6.8% [-11.9% to -1.6%]. CONCLUSIONS: Specific efforts are needed to improve hospital care in developing countries. A full, multifaceted intervention was associated

  11. Sustainable Library Development Training Package

    Science.gov (United States)

    Peace Corps, 2012

    2012-01-01

    This Sustainable Library Development Training Package supports Peace Corps' Focus In/Train Up strategy, which was implemented following the 2010 Comprehensive Agency Assessment. Sustainable Library Development is a technical training package in Peace Corps programming within the Education sector. The training package addresses the Volunteer…

  12. Ethical Thinking on Personalized Information Service of Hospital Library%医院图书馆个性化信息服务的伦理学思考

    Institute of Scientific and Technical Information of China (English)

    徐静; 苏春萍; 张晓文; 张甦源

    2013-01-01

    Providing personalized service for readers is the professional ethics requirements for library staff.To the research readers,the library provides them with comprehensive,new and systemic network information,helping them to become scientific research leaders; To the readers who are thirst for kinds of knowledge,the library helps them search relevant literature in order to improve their knowledge level and ability; To the readers with skills,the library helps them change the idea of clinical nursing work,make they become composite innovative clinical research staff.Individualized service of library has the following requirements for staff:continuously strengthening learning,improving professional business skills; developing information ethics education.%为读者提供个性化服务,是图书馆工作人员的职业伦理要求.针对研究型读者,图书馆为其提供全面、系统、新颖的网络信息资源,帮助他们成为科研课题和知识创新的学科带头人;针对求知欲型的读者,帮助其查阅相关的文献资料以提高他们的知识水平和业务能力.针对技能型的读者,帮助其转变以往的应付临床护理工作的思想,使他们成为复合创新型的临床科研护理人员.个性化服务下对图书馆工作者提出了以下要求:不断加强学习,提高专业业务技能;深入开展信息伦理教育工作.

  13. Hospital Staff Perceptions of Institutional Readiness for Implementation of Innovations in the Health Sector, Specifically Diagnostic Related Groups (DRG)

    OpenAIRE

    Gorbanev, Iouri; Pontificia Universidad Javeriana; Cortés, Ariel; Pontificia Universidad Javeriana; Agudelo, Sandra; Pontificia Universidad Javeriana; Torres, Sergio; Pontificia Universidad Javeriana; Yepes, Francisco J.; Pontificia Universidad Javeriana

    2012-01-01

    Objectives: To characterize the state of the innovative culture and attitude of hospital staff towards Diagnosis Related Groups (DRG) like an innovation for the Colombian health care.Methods: A case study through convenience sampling among clinical and administrative staff who determine the success of the DRG. Statistical analysis was performed using descriptive statistics, regression and correspondence analysis.Results: The state of innovative culture in the Hospital is favorable for the inn...

  14. Developing a drug library for smart pumps in a pediatric intensive care unit.

    Science.gov (United States)

    Manrique-Rodríguez, Silvia; Sánchez-Galindo, Amelia; Fernández-Llamazares, Cecilia M; López-Herce, Jesús; García-López, Isabel; Carrillo-Álvarez, Angel; Sanjuro-Sáez, María

    2012-03-01

    The most serious medication errors occur during intravenous administration. The potential consequences are more serious the more critical and younger the patient. Smart pumps can help to prevent infusion-related programming errors, thanks to associated dose-limiting software known as "drug library". Drug libraries alert the user if pre-determined high dosage limits are exceeded or if entry is below pre-determined low dosage limits. To describe the process for developing a specific drug library for a pediatric intensive care unit (PICU) and the key factors for preventing programming errors. The study was performed by a multidisciplinary team consisting of a clinical pharmacist, a PICU pediatrician, and the chief nurse of the unit. The process of developing the drug library lasted seven months. A literature review was carried out to determine standard concentrations and accurate limits for intravenous administration of high-risk drugs. Alaris(®) syringe pumps and Guardrails(®) CQI v4.1 Event Reporter software were used. Several manufacturers offer smart pump technology. Users should be aware of differences in features, such as definition of parameters and associations between them, definition of safety limits, organization of the drug library, and data use. Our infusion pump technology covered 108 drugs. Compliance with the drug library was 85% and nurses' acceptance of the drug library was high as 94% would recommend implementation of this technology in other units. After nine months of implementation, several potentially harmful infusion-related programming errors were intercepted. Drug libraries are specifically designed for a particular hospital unit, and may condition the success in implementing this technology. Implementation of smart pumps proved effective in intercepting infusion-related programming errors after nine months of implementation in a PICU. Copyright © 2011 Elsevier B.V. All rights reserved.

  15. Implementation of the updated 2015 Commission for Hospital Hygiene and Infection Prevention (KRINKO recommendations “Prevention and control of catheter-associated urinary tract infections” in the hospitals in Frankfurt/Main, Germany

    Directory of Open Access Journals (Sweden)

    Heudorf, Ursel

    2016-06-01

    Full Text Available Aim: The Commission for Hospital Hygiene and Infection Prevention (KRINKO updated the recommendations for the prevention of catheter-associated urinary tract infections in 2015. This article will describe the implementation of these recommendations in Frankfurt’s hospitals in autumn, 2015.Material and methods: In two non-ICU wards of each of Frankfurt’s , inspections were performed using a checklist based on the new KRINKO recommendations. In one large hospital, a total of were inspected. The inspections covered the structure and process quality (operating instructions, training, indication, the placement and maintenance of catheters and the demonstration of the preparation for insertion of a catheter using an empty bed and an imaginary patient, or insertion in a model.Results: Operating instructions were available in all hospital wards; approximately half of the wards regularly performed training sessions. The indications were largely in line with the recommendations of the KRINKO. Alternatives to urinary tract catheters were available and were used more often than the urinary tract catheters themselves (15.9% vs. 13.5%. In accordance with the recommendations, catheters were placed without antibiotic prophylaxis or the instillation of antiseptic or antimicrobial substances or catheter flushing solutions. The demonstration of catheter placement was conscientiously performed. Need for improvement was seen in the daily documentation and the regular verification of continuing indication for a urinary catheter, as well as the omission of regular catheter change.Conclusion: Overall, the recommendations of the KRINKO on the prevention of catheter-associated urinary tract infections were adequately implemented. However, it cannot be ruled out that in situations with time pressure and staff shortage, the handling of urinary tract catheters may be of lower quality than that observed during the inspections, when catheter insertion was done by two

  16. The Toronto General Hospital Transitional Pain Service: development and implementation of a multidisciplinary program to prevent chronic postsurgical pain

    Directory of Open Access Journals (Sweden)

    Katz J

    2015-10-01

    Full Text Available Joel Katz,1–3 Aliza Weinrib,1,2 Samantha R Fashler,2 Rita Katznelzon,1,3 Bansi R Shah,1 Salima SJ Ladak,1 Jiao Jiang,1 Qing Li,1 Kayla McMillan,1 Daniel Santa Mina,5,6 Kirsten Wentlandt,7 Karen McRae,1,3 Diana Tamir,1,3 Sheldon Lyn,1,3 Marc de Perrot,8 Vivek Rao,9 David Grant,10 Graham Roche-Nagle,11 Sean P Cleary,12 Stefan OP Hofer,13 Ralph Gilbert,14 Duminda Wijeysundera,1,3 Paul Ritvo,15 Tahir Janmohamed,16 Gerald O’Leary,1,3 Hance Clarke1,3 1Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, 2Department of Psychology, York University, 3Department of Anesthesia, University of Toronto, 4Palliative Care, University Health Network, University of Toronto, 5Princess Margaret Cancer Centre, University Health Network, University of Toronto, 6Faculty of Kinesiology and Physical Education, University of Toronto, 7Department of Family and Community Medicine, University of Toronto, 8Division of Thoracic Surgery, Toronto General Hospital, 9Division of Cardiovascular Surgery, Toronto General Hospital, 10Multiorgan Transplant Program, Toronto General Hospital, 11Division of Vascular Surgery, Toronto General Hospital, 12Division of General Surgery, Toronto General Hospital, 13Division of Plastic Surgery, Toronto General Hospital, 14Division of Otolaryngology – Head and Neck Surgery, Toronto General Hospital, 15Department of Kinesiology and Health Science, York University, 16ManagingLife, Toronto, ON, CanadaAbstract: Chronic postsurgical pain (CPSP, an often unanticipated result of necessary and even life-saving procedures, develops in 5–10% of patients one-year after major surgery. Substantial advances have been made in identifying patients at elevated risk of developing CPSP based on perioperative pain, opioid use, and negative affect, including depression, anxiety, pain catastrophizing, and posttraumatic stress disorder-like symptoms. The Transitional Pain Service (TPS at

  17. DOLIB: Distributed Object Library

    Energy Technology Data Exchange (ETDEWEB)

    D`Azevedo, E.F.; Romine, C.H.

    1994-10-01

    This report describes the use and implementation of DOLIB (Distributed Object Library), a library of routines that emulates global or virtual shared memory on Intel multiprocessor systems. Access to a distributed global array is through explicit calls to gather and scatter. Advantages of using DOLIB include: dynamic allocation and freeing of huge (gigabyte) distributed arrays, both C and FORTRAN callable interfaces, and the ability to mix shared-memory and message-passing programming models for ease of use and optimal performance. DOLIB is independent of language and compiler extensions and requires no special operating system support. DOLIB also supports automatic caching of read-only data for high performance. The virtual shared memory support provided in DOLIB is well suited for implementing Lagrangian particle tracking techniques. We have also used DOLIB to create DONIO (Distributed Object Network I/O Library), which obtains over a 10-fold improvement in disk I/O performance on the Intel Paragon.

  18. Hospital bed occupancy for rotavirus and all cause acute gastroenteritis in two Finnish hospitals before and after the implementation of the national rotavirus vaccination program with RotaTeq®.

    Science.gov (United States)

    Hartwig, Susanne; Uhari, Matti; Renko, Marjo; Bertet, Perrine; Hemming, Maria; Vesikari, Timo

    2014-12-11

    Vaccination-impact studies of the live-attenuated pentavalent oral vaccine Rotateq® have demonstrated that the burden of rotavirus gastroenteritis has been reduced significantly after the introduction of RotaTeq® vaccination, but less is known about the benefit of this vaccination on hospital overcrowding. As part of an observational surveillance conducted during the RV seasons 2000/2001 to 2011/2012, we analysed hospital discharge data collected retrospectively from two Finnish hospitals (Oulu and Tampere), concerning ICD 10 codes A00-09 (acute gastroenteritis, AGE) and A08.0 (rotaviral acute gastroenteritis RV AGE). We estimated the reduction in the number of beds occupied and analysed the bed occupancy rate, for RV AGE and all cause AGE, among 0-16 year-old children, before and after the implementation of the RV immunisation program. The rate of bed days occupied for RV AGE was reduced by 86% (95% CI 66%-94%) in Tampere and 79% (95% CI 47%-92%) in Oulu after RV vaccination implementation. For all cause AGE, reduction was 50% (95% CI 29% to 65%) in Tampere and 70% (95% CI 58% to 79%) in Oulu. Results were similar among 0-2 year-old children. This effect was also observed on overcrowding in both hospitals, with a bed occupancy rate for all cause AGE >25% in only 1% of the time in Tampere and 9% in Oulu after the implementation of the immunisation program, compared to 13% and 48% in the pre-vaccination period respectively. After extrapolation to the whole country, the annual number of prevented hospitalizations for all cause AGE in the post-vaccination period in Finland was estimated at 1,646 and 2,303 admissions for 0-2 and 0-16 year-old children respectively. This study demonstrated that universal RV vaccination is associated with a clear decrease in the number of bed days and occupancy rates for RV AGE and all cause AGE. Positive consequences include increase in quality of care and a better healthcare management during winter epidemics.

  19. The Implementation of QC activity in the Construction of Level hospital%浅谈等级医院创建中QC活动的开展

    Institute of Scientific and Technical Information of China (English)

    李乃萍

    2015-01-01

    The QC activity is centered around the quality of medical care and medical technology, which is the foundation and pillar of the implementation of overall quality management. In the process of upgrading the level of the hospital, QC activities and the QC team's role can fully tap the potential to improve the quality of workers, so as to make the quality of medical management from coarse to fine, from the general to the specific, in order to better improve and strengthen the hospital management,to improve hospital management level, and to promote upgrading the level of the hospital.%医院QC活动是围绕医疗质量、医疗技术开展的活动,是推行全面质量管理的基础和支柱。在等级医院创建过程中,开展QC活动,发挥QC小组作用,可以充分挖掘职工潜能,提高职工素质,使医疗质量管理由粗到细,由笼统到精细,更好地改善和加强医院管理工作,提高医院管理水平,推进等级医院的创建进程。

  20. Research on hospital leadership power inherence awareness and implementation in public hospital in Beijing%北京市公立医院集体领导力的内涵认知与运行研究

    Institute of Scientific and Technical Information of China (English)

    宋林子; 吴宇彤; 张建

    2015-01-01

    Objectives: To explore hospital leadership power inherence awareness and implementation in public hospital in Beijing. Methods: 5 good social reputation public hospitals in Beijing were selected to have a questionnaire survey. The individual leadership power and leadership group power were analyzed to find the influence factors of leadership power and its implementation. Results: The top 6 factors of leadership power composition are forecasting, cohesiveness, decision making, innovation, implementation and communication. 15 factors such as the general authority, emergency and great event solution, the capacity of dealing with hospital related information and staff care are the main factors influencing leadership power. Conclusions: The implementation of leadership power can divided into start, communication and running stages. During the 3 stages, some factors will influence leadership power.%目的:探索北京市公立医院集体领导力的内涵认知与运行情况.方法:以北京地区5所社会公信力较好的公立医院为研究对象,采取问卷调查的方式对集体领导力中的领导个体和领导集体进行多维度的调查分析,综合研究公立医院集体领导力形成的相关影响因素及医院领导班子的运行情况.结果:公立医院集体领导力应包含的要素选择,排在前6位的分别是前瞻力、凝聚力、决策力、创新力、执行力和沟通力.领导班子的整体威信、对于重大事件的处理状况、处理与医院相关信息的能力、询问员工工作中困难的情况等15个因素对公立医院集体领导力具有影响.结论:公立医院集体领导力的运行分为启动、传播和运行3个阶段,这3个阶段中均会有一些影响因素让医院的员工对集体领导力产生不同的感受.