scholarly journals Lessons from the Inquiry into Obstetrics and Gynaecology Services at King Edward Memorial Hospital 1990-2000

2003 ◽  
Vol 26 (1) ◽  
pp. 12 ◽  
Author(s):  
Jenny Mclean ◽  
Michael Walsh
Keyword(s):  
Health Care ◽  
Clinical Governance ◽  
Memorial Hospital ◽  
Staff Support ◽  
Royal Melbourne Hospital ◽  
Open Disclosure ◽  
Health Care Leaders ◽  
King Edward Memorial Hospital ◽  
Culture Of Inquiry ◽  
Poor Outcomes

The Douglas Inquiry investigated the Obstetrics and Gynaecological services at King Edward Memorial Hospital from 1990-2000.Performance deficiencies were identified at state,board and hospital level contributing to poor outcomes for women,babies and families.The Inquiry raises important issues about clinical governance,leadership and culture, accountability and responsibility, safety and quality systems, staff support and development, and concern for patients and their families.The King Edward,Bristol and Royal Melbourne Hospital inquiries reveal important similarities and key lessons for governments,health care leaders and providers.The health care industry must ensure effective clinical governance supporting a culture of inquiry and open disclosure,and must build rigorous systems to monitor and improve health care safety and quality.

Integrated Practice Units: A Playbook for Health Care Leaders

NEJM Catalyst ◽  
2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Michael E. Porter ◽  
Thomas H. Lee
Keyword(s):  
Health Care ◽  
Health Care Leaders ◽  
Integrated Practice

Power of persuasion: Influence tactics for health care leaders

2006 ◽  
Vol 26 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Barbara J. A. Eiser ◽  
Arnold R. Eiser ◽  
Michael A. Parmer
Keyword(s):  
Health Care ◽  
Influence Tactics ◽  
Health Care Leaders

Transformational Executive Health-Care Leadership: What Makes a Good and Great Health-Care Leader?

2021 ◽  
Vol 27 (2) ◽  
pp. 78-82
Author(s):  
Cyrus Batheja
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Care Organization ◽  
Health Care Leadership ◽  
Health Care Leaders ◽  
Provider Experiences ◽  
Care Systems ◽  
Great Health ◽  
Personal Accounts ◽  
Improve Patient

Health-care leaders work at the highest levels of organizations and face unique challenges in today's health-care systems. This article reports the lived experiences of an executive nurse to better understand their leadership journey and leadership shadow, exploring their professional development of health-care leadership while navigating change and conflict by interpreting critical turning points in their career and triangulating data to identify and analyze central themes. Offering a real-world perspective, the article uses personal reflection aligned to professional inquiry, workplace observations, document reviews, and personal accounts to focus on executive nursing and the construction of a social movement from within a large managed care organization. The purpose of this evaluation is to create deeper understandings of ways in which to improve patient and provider experiences, reduce system waste, and improve population health. The theme of transformational leadership emerged, and new insights were created to inform future thinking.

Public Hospitals in China

2015 ◽  
Vol 4 (1) ◽  
pp. 53-72
Author(s):  
Donghai Wei ◽  
Louis Rubino
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Essential Medicine ◽  
Universal Coverage ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
The Public ◽  
Reform Plan ◽  
Health Care Leaders ◽  
Primary Health Care Facilities

China has had some initial success in its current health care reform efforts. Five areas of reform have been targeted and include providing universal coverage, equitable access to basic health insurance, establishing an essential medicine system, and improving primary health care facilities. The last area, the reform of the public hospitals, remains the most difficult to reform. General guidelines have been established by the national government and movement is being taken to delegate authority to local units for implementation. The aim of this paper is to compare China's formal government sponsored health care reform plan for public hospitals to the acknowledgement and acceptance by a sample of health care leaders in Guangzhou. Challenges are strong and include cost accountability, doctor training, employee empowerment, improprieties, and the influence of private hospitals. Based on this qualitative research, conclusions and recommendations are made by the authors as to what is necessary to have effective pubic hospital reform in China.

The potential for inadvertent adverse consequences of open disclosure in Australia: when good intentions cause further harm

2019 ◽  
Vol 59 (4) ◽  
pp. 265-274 ◽  
Author(s):  
Alice Holmes ◽  
Lyndal Bugeja ◽  
David Ranson ◽  
Debra Griffths ◽  
Joseph Elias Ibrahim
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Legal Protection ◽  
Care Providers ◽  
Health Care Organisation ◽  
Open Disclosure ◽  
Care Organisation ◽  
Family Expectations ◽  
Training And Support

Open disclosure is a valuable process which has the potential to benefit both the patients who receive the open disclosure and the health care professionals (or organisations) who provide it. The benefits from open disclosure will most often be seen when open disclosure is performed in an ‘ideal’ manner. When open disclosure is suboptimal, it can lead to harmful consequences for patients and health care providers alike. Numerous factors may contribute to an inadequate open disclosure including: potentially inadequate legal protection for health care professionals or organisations; failing to meet patient and/or family expectations; health care professionals experiencing a lack of education, training and support from the health care organisation; or a fear of litigation. An inadequate open disclosure may result in inadvertent consequences including: patients/families who are dissatisfied; potentially preventable litigation; legal repercussions for health care professionals and organisations; and patient harm where open disclosure is not implemented. This article seeks to explore these barriers and considers how the implementation of open disclosure could be improved to overcome these barriers. Overcoming these barriers should help to reduce the risk of inadvertent consequences and lead to better outcomes for patients, health care professionals and health care organisations.

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