scholarly journals Quality junior doctor training, improved workforce outcomes and patient safety

2007 ◽  
Vol 31 (5) ◽  
pp. 106 ◽  
Author(s):  
Louis I Landau
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Health Service ◽  
Health Services ◽  
Junior Doctor ◽  
Service Needs ◽  
Critical Part

The intern year is a critical part of medical education and pivotal in provision of health services, especially in tertiary facilities. Training must be integrated with health service needs, as our health service is not well served if junior doctor training creates confidence without competence.

Assessing Health Service Needs: Tools for Health Planning

1996 ◽  
Vol 9 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Kevin Brazil ◽  
Malcolm Anderson
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Geographic Information Systems ◽  
Health Service ◽  
Health Services ◽  
Survey Methods ◽  
Health Planning ◽  
Service Needs ◽  
Needs Assessments ◽  
Structured Groups

As fiscal pressures mount, health-planning and decision-making at smaller geographics scales must be more effective. Involving local constituents in needs assessments, it is believed, would lead to better identification and serving of regional demands and needs for health services. This article examines needs assessment as a tool to determine a community's service needs and establish priorities for the creation of programs. Various approaches used in needs assessments are described, including survey methods, structured groups and geographic information systems.

scholarly journals A Value-Based Steering Model for Healthcare

2021 ◽  
Vol 1 ◽  
Author(s):  
Laura J. Pitkänen ◽  
Riikka-Leena Leskelä ◽  
Helena Tolkki ◽  
Paulus Torkki
Keyword(s):  
Health Service ◽  
Health Services ◽  
Healthcare System ◽  
Public Service ◽  
Service Provider ◽  
Service System ◽  
Design Science ◽  
Service Needs ◽  
Science Study ◽  
A Value

This article aims to answer how a commissioning body can steer health services based on value in an environment where the commissioner is responsible for the health services of a population with varying health service needs. In this design science study, we constructed a value-based steering model consisting of three parts: (1) the principles of steering; (2) the steering process; and (3) Value Steering Canvas, a concrete tool for steering. The study is based on Finland, a tax-funded healthcare system, where healthcare is a public service. The results can be applied in any system where there is a commissioner and a service provider, whether they are two separate organizations or not. We conclude that steering can be done based on value. The commissioning body can start using value-based steering without changes in legislation or in the present service system. Further research is needed to test the model in practice.

scholarly journals TINJAUAN PENERAPAN NINE LIFE SAVING PATIENT SAFETY SOLUTIONS (STUDI KASUS DI RS PKU MUHAMMADIYAH BANTUL)

2015 ◽  
Vol 2 (1) ◽  
pp. 28
Author(s):  
Kusuma Arbianti ◽  
Aris Suparman ◽  
Qurrotul Aini
Keyword(s):  
Patient Safety ◽  
Health Service ◽  
Health Services ◽  
Health Workers ◽  
Safety Program ◽  
Legal Proceedings ◽  
Medical Disputes ◽  
Life Saving ◽  
The Subject

Background: Patient safety already a high priority in the health service aspect in the hospital and has become demands of the needs in the health services, as it will hopefully minimize the risk of unexpected occurrences. Reducing the conflict between health workers and patients, reducing the incidence of medical disputes, reducing the demands and legal proceedings and administrative charges of malpractice accusation are getting more and more against hospital. WHO Collaborating Centre for Patient Safety has published Nine Life Saving Patient Safety Solutions. The purpose of this research was to review and analyze the application of nine life saving patient safety solutions in RS PKU Muhammadiyah Bantul.Method: This case study was qualitative to review nine life saving safety patient solutions in RS PKU Muhammadiyah Bantul. The data has been collected with interview, observation, and analysis of documents in RS PKU Muhammadiyah Bantul. The research was held in RS PKU Muhammadiyah Bantul in October 2011. The object of this research is RS PKU Muhammadiyah Bantul. While the subject of this research is the chairman of the patient safety team, Assistant Manager of Pharmacy, Assistant Manager of ICU, Assistant Manager of surgery room, Assistant Manager of Emergency room, Assistant Manager of nursing, head of the ward hall Al Kahfi, head of the ward hall Al A€™raf, and the head of the ward hall Ar Rahman. Result: This study shows that the patient safety program in PKU Muhammadiyah Bantul was still initiated and built, whereas the implementation of nine life saving patient safety solutions program is not yet specific and detailed. However there are a few items from these items are already implemented and can become input in the implementation of the nine life saving patient safety solutions program.Summary: The implementation of nine life saving patient safety solutions program is not yet specific. However there are a few items from these items are already implemented and can become input in the implementation of the nine life saving patient safety solutions program.

scholarly journals Provider and consumer perceptions of allied health service needs

1998 ◽  
Vol 21 (1) ◽  
pp. 88
Author(s):  
Sue Rowan
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Focus Groups ◽  
Allied Health ◽  
Social Issues ◽  
Consumer Perceptions ◽  
Service Needs ◽  
Health Services Access

The study reported in this paper compared data from 20 separate focus groups,representing providers and consumers of health services in the Grampians region,Victoria, on their perceptions of the allied health service issues in that region. Theresults of the study indicated that providers and consumers raised many similar issuesin regard to allied health services ? access to allied health services, service delivery,social and rural issues ? but discussed the issues from different perspectives. Theprovider discussion was concerned with service delivery issues and the consumerdiscussion was focused on broader social issues which affect health.

scholarly journals Health service for diabetic foot ulcer patients during covid-19 pandemic

2021 ◽  
Vol 4 (4) ◽  
pp. 311
Author(s):  
Hermawati Hermawati ◽  
Yulius Tiranda ◽  
Sukron Sukron
Keyword(s):  
Health Service ◽  
Health Services ◽  
Diabetic Foot ◽  
Wound Care ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Service Needs ◽  
Online Consultation ◽  
Risk Of Exposure ◽  
Hospital Visits

In early 2020, the whole world was shocked by the COVID-19 pandemic, which impacted all aspects of life. One was changes in the service system and health care for patients with diabetic foot ulcers (DFU). Wound care in DFU patients should be routine but while minimizing hospital visits to reduce the risk of exposure to COVID-19. The objective of this study was to explore the health services provided to DFU patients during the COVID-19 pandemic at the hospital. This study used a literature review approach with six electronic databases, namely National Library, PubMed, Science Direct, ProQuest, Springer Nature, and Wiley, in 2019-2021. The keyword used were health service, diabetic foot ulcer and COVID-19. around 669 articles identified, 12 articles met the inclusion. The articles reviewed were obtained from the result of discussion and validations between researcher and supervisors following the Prisma Guideline. Health services for DFU patients during the COVID-19 pandemic may be conducted through several stages including a) online consultation or telemedicine as the first stage, b) continued with triage process, and c) screening for individual patients needs. Health services for DFU patients during the COVID-19 pandemic have changed according to the following conditions. The first procedure was to conduct an online consultation (telemedicine) to assess the client’s condition related to complaints, then proceed with the triage process to prioritize care and service needs. The health of each patient and screening to check for symptoms of COVID-19 as well as carried out additional screening, CT Thorax and Swab if the patient had to go to the hospital.

10. Designing an online curriculum supporting risk management and patient safety

2007 ◽  
Vol 30 (4) ◽  
pp. 33
Author(s):  
T. Gondocz ◽  
G. Wallace
Keyword(s):  
Risk Management ◽  
Medical Education ◽  
Patient Safety ◽  
Online Learning ◽  
Online Courses ◽  
Learning System ◽  
Online Curriculum ◽  
For Profit ◽  
Not For Profit ◽  
Managing Risk

The Canadian Medical Protective Association (CMPA) is a not for profit mutual defence organization with a mandate to provide medico-legal assistance to physician members and to educate health professionals on managing risk and enhancing patient safety. To expand the outreach to its 72,000 member physicians, the CMPA built an online learning curriculum of risk management and patient safety materials in 2006. These activities are mapped to the real needs of members ensuring the activities are relevant. Eight major categories were developed containing both online courses and articles. Each course and article is mapped to the RCPSC's CanMEDS roles and the CFPC's Four Principles. This poster shares the CMPA’s experience in designing an online patient safety curriculum within the context of medico-legal risk management and provides an inventory of materials linked to the CanMEDS roles. Our formula for creation of an online curriculum included basing the educational content on real needs of member physicians; using case studies to teach concepts; and, monitoring and evaluating process and outcomes. The objectives are to explain the benefits of curricular approach for course planning across the continuum in medical education; outline the utility of the CanMEDS roles in organizing the risk management and patient safety medical education curriculum; describe the progress of CMPA's online learning system; and, outline the potential for moving the curriculum of online learning materials and resources into medical schools.

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

scholarly journals Higher Rates of Untreated Distress in Older Versus Younger Adults With Indolent Lymphoma

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 466-466
Author(s):  
Kelly Trevino ◽  
Peter Martin ◽  
John Leonard
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Younger Adults

Abstract Indolent lymphomas are incurable but slow-growing cancers, resulting in a large number of older adults living with these diseases. Patients typically live with their illness for years with the knowledge that disease progression is likely. Yet, little is known about psychological distress in this population. This study examined rates of and the relationship between distress and mental health service use in older and younger adults with indolent lymphomas. Adult patients diagnosed with an indolent lymphoma (e.g., follicular lymphoma, marginal zone lymphoma) within the past six months completed self-report surveys of distress (Hospital Anxiety and Depression Scale; HADS) and mental health service use since the cancer diagnosis (yes/no). Descriptive statistics, t-tests, and chi-square analyses were used to examine study questions. The sample (n=84) included 35 patients 65 years or older. Across the entire sample, 21.4% screened positive for distress on the HADS; 58.8% of these patients did not receive mental health services. Older adults reported lower distress levels than younger adults (17.1% v. 24.5%; p=.038). Among younger adults, 50% of distressed patients received mental health services; only 20% of distressed older adults received mental health services. Distress was associated with mental health service use in younger adults (p=.004) but not in older adults (p=.17). Older adults with indolent lymphomas have higher levels of untreated distress than younger adults. Research on the mechanisms underlying these age differences (e.g., stigma toward mental health services, ageism) would inform interventions to increase rates of mental health service use and reduce care disparities due to age.

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