scholarly journals LEAN HEALTHCARE: RESULTS OF MULTICENTER SURVEY OF CZECH MEDICAL STAFF

2016 ◽  
Author(s):  
Veronika Vavrušová ◽  
Edita Vitásková
Keyword(s):  
Medical Staff ◽  
Multicenter Survey ◽  
Lean Healthcare

scholarly journals Implementation of the PADIS 2018 Guidelines: a National Multicenter Survey in the Adults Intensive Care Units in Mainland China

2021 ◽  
Author(s):  
Fangxiao Zhang ◽  
Xin Li ◽  
Xianyao Wan ◽  
Jian Yu ◽  
Hongliang Wang ◽  
...  
Keyword(s):  
Medical Staff ◽  
Physical Restraint ◽  
Family Care ◽  
Final Analysis ◽  
Sleep Disruption ◽  
Clinical Trial Registry ◽  
Regular Treatment ◽  
Family Empowerment ◽  
Multicenter Survey ◽  
Better Than

Abstract Backgroud: In the diagnosis and treatment of critical ill patients, the management of sedation, analgesia and delirium is an indispensable part. Many guidelines provide relevant suggestion, but there is still a lack of evaluation on the compliance of medical staff. This was a national multicenter survey to assess the training frequency, the familiarity of the guidelines, prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in the ICU. Methods: This survey used a self-administered questionnaire online to provide data for evaluating the compliance with the PADIS guidelines. We grouped the answers that were similar in degree in order to analysis, and only complete questionnaires were included in the final analysis.Results: The respondents from 758 hospitals across 270 cities were distributed 5763 questionnaires.The response rate was 95%. Two thirds of the respondents were trained in the relevant content but only half of them had sufficient knowledge of the PADIS guidelines. The assessment frequency of pain and sedation was better than that of delirium. 83% of the respondents used physical restraint without deep sedation, 63% underwent regular treatment to improve sleep, and only 32% had opted for out-of-bed rehabilitation. Only 50% had increased family communication and early family care. The doctors provided better responses than nurses in most items, while nurses performed better in immobility, sleep disruption, and family empowerment. Also, most of the items showed better responses by University-affiliated hospitals than others, and the implementation in “large” cities with larger populations was better than that in “medium” or “small” cities.Conclusions: Most of the Chinese medical staff complied with PADIS guidelines satisfactorily, but immobility, sleep disruption, and family empowerment could be improved further. Trial registration: The survey was open and anonymous, and it was registered in the Chinese Clinical Trial Registry (Registration Number: NCT04217915. Registered 6 January 2020)

Endoscopic treatment of antral vascular ectasia – nationwide multicenter survey. APC or ligation?

2011 ◽  
Vol 49 (05) ◽  
Author(s):  
T Gyökeres ◽  
M Dobra ◽  
L Czakó ◽  
Z Kalló ◽  
N Dancs ◽  
...  
Keyword(s):  
Endoscopic Treatment ◽  
Vascular Ectasia ◽  
Multicenter Survey

Reha-Kliniken müssen kämpfen: Lean Healthcare als Chance im Wettbewerb?

2018 ◽  
Vol 23 (01/02) ◽  
pp. 67-69
Author(s):  
Stefan Beyer
Keyword(s):  
Lean Management ◽  
Lean Healthcare

Prozesse in einer Reha-Klinik können natürlich auch ohne Lean Management oder ein Prozesscontrolling ablaufen. Die Lean Philosophie kann aber dabei helfen, die Wettbewerbsfaktoren Zeit, Kosten und Qualität zu optimieren, um sich gegenüber den Wettbewerbern und im Reha-Markt langfristig zu behaupten.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Sign in / Sign up

Export Citation Format

Share Document