Suchergebnisse

The purpose of this article was to analyse how power relations drive hospital managers to resign in conjunction with three university hospital mergers in Sweden. Interviews were carried out with leading politicians and managers during two studies of mergers. In a third study, a paraphrased text from a previous study was used. Discourse analysis of the interviews revealed power struggles between politicians and managers, leading to situations of distrust. As the merger processes were additionally perceived to entail negative consequences for the patients and staff in the mass media the managers' positions were undermined and they were in all the cases forced to resign by politicians. By using the notions of power relations and subjectification this power mechanism worked was analysed. Three themes emerged from the analysis; collision between values, displacement of responsibility and the resign of the manager. When leading politicians built alliances with leading professions in criticizing the hospital manager publicly, the manager lost trust.

This paper examines current advances in hospital-based patient education, and delineates the role of the hospital librarian in these programs. Recently, programs of planned patient education have been recognized by health care personnel and the public as being an integral part of health care delivery. Various key elements, including legislative action, the advent of audiovisual technology, and rising health care costs have contributed to the development of patient education programs in hospitals. As responsible members of the hospital organization, hospital librarians should contribute their expertise to patient education programs. They are uniquely trained with skills in providing information on other health education programs; in assembling, cataloging, and managing collections of patient education materials; and in providing documentation of their use. In order to demonstrate the full range of their skills and to contribute to patient care, education, and research, hospital librarians should actively participate in programs of planned patient education.

The purpose of this article was to analyse how power relations drive hospital managers to resign in conjunction with three university hospital mergers in Sweden. Interviews were carried out with leading politicians and managers during two studies of mergers. In a third study, a paraphrased text from a previous study was used. Discourse analysis of the interviews revealed power struggles between politicians and managers, leading to situations of distrust. As the merger processes were additionally perceived to entail negative consequences for the patients and staff in the mass media the managers' positions were undermined and they were in all the cases forced to resign by politicians. By using the notions of power relations and subjectification this power mechanism worked was analysed. Three themes emerged from the analysis; collision between values, displacement of responsibility and the resign of the manager. When leading politicians built alliances with leading professions in criticizing the hospital manager publicly, the manager lost trust.

Objectives COVID-19 presents challenges to the emergency care system that could lead to emergency department (ED) crowding. The Huddinge site at the Karolinska university hospital (KH) responded through a rapid transformation of inpatient care capacity together with changing working methods in the ED. The aim is to describe the KH response to the COVID-19 crisis, and how ED crowding, and important input, throughput and output factors for ED crowding developed at KH during a 30-day baseline period followed by the first 60 days of the COVID-19 outbreak in Stockholm Region. Methods Different phases in the development of the crisis were described and identified retrospectively based on major events that changed the conditions for the ED. Results were presented for each phase separately. The outcome ED length of stay (ED LOS) was calculated with mean and 95% confidence intervals. Input, throughput, output and demographic factors were described using distributions, proportions and means. Pearson correlation between ED LOS and emergency ward occupancy by phase was estimated with 95% confidence interval. Results As new working methods were introduced between phase 2 and 3, ED LOS declined from mean (95% CI) 386 (373-399) minutes to 307 (297-317). Imaging proportion was reduced from 29 to 18% and admission rate increased from 34 to 43%. Correlation (95% CI) between emergency ward occupancy and ED LOS by phase was 0.94 (0.55-0.99). Conclusions It is possible to avoid ED crowding, even during extreme and quickly changing conditions by leveraging previously known input, throughput and output factors. One key factor was the change in working methods in the ED with higher competence, less diagnostics and increased focus on rapid clinical admission decisions. Another important factor was the reduction in bed occupancy in emergency wards that enabled a timely admission to inpatient care. A key limitation was the retrospective study design. ; Funding Agencies|Karolinska InstituteKarolinska Institutet

Objectives: to understand the indicators of quality of care for intravenous therapy in the neonatal intensive care unit of a university hospital. Method: a non-experimental descriptive study with a quantitative approach in the NICU of a university hospital, through a systematic survey on the protocol of intravenous care: peripheral venous access, PICC and central venous catheter. Excel and presented in tables - statistical treatment, where the data were pooled and processed in Microsoft Office program was conducted. The study was approved by the CEP HUAP/UFF under Protocol 01660412.9.0000.5243 . Results: in the data analysis, the results showed a greater need for technical training and maintenance of venous access catheter peripheral, PICC, and umbilical catheter. Conclusion: so, the health professional should facilitate and promote patient safety for the sake of your well being and quality of life, avoiding the risks and adverse effects.

The treatment of war wounds has been an ancient art, constantly refined and adapted to reflect improvements in warfare strategies, weapons technology, transportation and damage control surgical practices. Throughout history, more soldiers died from disease than combat wounds, and misconceptions regarding the best timing and mode of treatment for injuries often resulted in more harm than good. Since the 19th century, mortality from war wounds steadily decreased as surgeons developed systems for rapidly moving the wounded from the battlefield to frontline hospitals. This article reviews the trends in military trauma management including triage, evacuation and field hospital setup in the Armed Forces.

The Health of Staff in Hospitals.

Before 1948 19% of the hospital beds in GB depended on voluntary action. Under the Nat Health Service the Exchequer meets all ordinary expenditure, including capital expenditure. Leagues of hospital Friends have spread rapidly, esp in the South of England. Their main emphasis is on personal service, such as visiting patients. Over 16,000 members engage in some form of personal service compared with 10,000 members of Boards & Committees of management under the Ministry of Health. The Leagues have become a recognized recruiting ground for the Boards & Committees. They are largely Mc led & operate mostly in Mc areas, offsetting in a small way the public policy of nat uniformity. The Ministry has welcomed their voluntary support from the outset & has increased its encouragement. The Leagues have helped maintain a lively local interest in each hosp's work. They have not much criticized the hospital Service. A League with well-developed visiting arrangements might usefully be invited by the management Committee to submit a report on patients' opinions of the Hosp. IPSA.