scholarly journals The feasibility of implementing an electronic prescribing decision support system: a case study of an Australian public hospital

2006 ◽  
Vol 30 (3) ◽  
pp. 380 ◽  
Author(s):  
David Bomba ◽  
Tim Land
Keyword(s):  
Decision Support ◽  
Public Hospital ◽  
Improve Patient Safety ◽  
Public Hospitals ◽  
Electronic Prescribing ◽  
System A ◽  
South Wales ◽  
Area Health ◽  
Improve Patient

Medication errors are common in public hospitals, with the majority at the prescribing stage of the medication pathway. Electronic prescribing decision support (EPDS) is a rules-based computer system that can be used by clinicians to warn against such errors to improve patient safety and support staff workflows. Despite its apparent advantages, this technology has not been widely adopted in Australian public hospitals for inpatient prescribing. A case study using Sauer?s (1993) Triangle of Dependencies Model was conducted in 2003 into the feasibility of implementing an EPDS system at an Australian public hospital in New South Wales. It was found not feasible to implement an EPDS at the hospital studied due to the legacy patient administration system, low availability of information technology on the wards, differing stakeholder views, legislation, and the Independent Pricing and Regulatory Tribunal of NSW report recommendations. A statewide standard was preferred, with an agreed specification framework identifying basic core data items and functions that an EPDS must meet which can then be used by area health services to: (i) choose a solution which best meets their contextual needs; and (ii) engage vendors to tender for building an open source (non-proprietary) system based on the specification framework.

Investing Trust Relationships in a Healthcare Network

2010 ◽  
pp. 205-220
Author(s):  
Stefanie Kethers ◽  
Guenter Gans ◽  
Dominik Schmitz ◽  
David Sier
Keyword(s):  
Social Networks ◽  
Public Hospitals ◽  
Trust Relationships ◽  
Handover Process ◽  
Increasing Demand ◽  
Hospital Wards ◽  
Patient Handover ◽  
Improve Patient ◽  
Soft Factors

Public hospitals currently face an ever increasing demand on their resources, and there are many attempts at streamlining processes and patient flows. However, in many cases, optimizing processes is not enough, as ‘soft’ factors such as the relationships between hospital wards influence how efficiently the resources needed to treat patients are utilized. These factors are often ignored when attempting to improve patient flows. In this chapter, the authors describe a case study investigating the relationships between an acute stroke ward and a specialist stroke rehabilitation ward of a large metropolitan health service. The motivation for this study was the hospital management’s interest in improving communication and collaboration across wards as a means to optimize hospital processes, and thus, patient care. To assess the relationships between the two wards, the authors examined the patient handover process that links the wards’ activities and applied the Trust-Confidence-Distrust (TCD) framework of Gans et al. (2003), which was developed to model trust relationships in social networks, to examine the trust relationships between the wards.

A heuristic job scheduling decision support system A case study

1996 ◽  
Vol 18 (2) ◽  
pp. 159-166 ◽  
Author(s):  
Marc J. Schniederjans ◽  
Donald A. Carpenter
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Job Scheduling ◽  
System A

scholarly journals Pelayanan Jasa Keperawatan: Tingkat Kepuasan Pasien pada Unit Rawat Inap Rumah Sakit Umum “dr. Slamet” Garut

2019 ◽  
Vol 1 (2) ◽  
pp. 93-97
Author(s):  
Lindayani Lindayani
Keyword(s):  
Patient Satisfaction ◽  
Regular Education ◽  
Public Hospital ◽  
Improve Patient Safety ◽  
Medical Personnel ◽  
Diagnostic Tools ◽  
Nursing Service ◽  
Descriptive Approach ◽  
Improve Patient ◽  
And Training

The present study looks at in-patient nursing service at Garut Regional Public Hospital dr. Slamet and patient satisfaction as viewed from the gap between service performance and patient expectations. Using a descriptive approach, the influence of in-patient nursing service on patient satisfaction was analyzed. Research data were collected through observation and questionnaires addressed to the patients. The results of the study lead to a conclusion that patients were satisfied with the in-patient nursing care they received. It is suggested that the hospital improve their responsiveness to patient complaints, provide information in simple and easy to understand language, improve the skills of medical personnel by providing regular education and training, improve patient safety and trust, improve service personnel skills such as knowledge in using disease diagnostic tools, hospitality skills, and communication skills.

scholarly journals Assessing Productivity Development of Public Hospitals: A Case Study of Shanghai, China

2020 ◽  
Vol 17 (18) ◽  
pp. 6763
Author(s):  
Juan Du ◽  
Shuhong Cui ◽  
Hong Gao
Keyword(s):  
Public Hospital ◽  
Public Hospitals ◽  
Productivity Improvement ◽  
Medical Reform ◽  
Tertiary Hospitals ◽  
Overall Performance ◽  
Implementation Effect ◽  
The Government ◽  
Public Hospital Reform

As the main provider of medical services for the general public, the productivity changes of public hospitals directly reflect the development of the healthcare system and the implementation effect of medical reform policies. Using the dataset of 126 public hospitals in China from 2013 to 2018, this paper improves the existing literature in both index selection and model formulation, and examines public hospitals’ total factor productivity (TFP) growth. Empirical results not only demonstrate the trend of productivity development but also point out the directions in how to improve the current running status. Our study demonstrates that there were no obvious productivity fluctuations in public hospitals during the recent observing years, indicating that the performance of China’s public health system was generally acceptable in coping with fast-growing medical demand. However, the effect of public hospital reform has not been remarkably shown; thus, no significant productivity improvement was observed in most hospitals. Tertiary hospitals witnessed a slight declining trend in TFP, while secondary hospitals showed signs of rising TFP. To effectively enhance the overall performance of public hospitals in China, practical suggestions are proposed from the government and hospital levels to further promote the graded medical treatment system.

A framework for learning and embedding multi-sensor forecasting models into a decision support system: A case study of methane concentration in coal mines

2018 ◽  
Vol 451-452 ◽  
pp. 112-133 ◽  
Author(s):  
Dominik Ślęzak ◽  
Marek Grzegorowski ◽  
Andrzej Janusz ◽  
Michał Kozielski ◽  
Sinh Hoa Nguyen ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Methane Concentration ◽  
Coal Mines ◽  
Forecasting Models ◽  
System A
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