The shift to ambulatory surgery has taken decades. The history and causation of the move are complex. Key enablers are recounted. The complex interchange of ideas, and physicians, between Belfast and Boston was important in the development of relevant facilitating standards. US and UK governmental and hospital statistics in the increase of ambulatory surgery are presented. The transition of sur...

Psychologists practice in an increasingly diverse range of health care delivery systems. The following guidelines are intended to assist psychologists, other health care providers, administrators in health care delivery systems, and the public to conceptualize the roles and responsibilities of psychologists in these diverse contexts. These guidelines revise and build upon earlier guidelines reg...

The Transition cost accounting system integrates clinical, resource utilization, and financial information and is currently being used by several hospitals in Canada and the United States to calculate the costs of patient care. Our objectives were to review the use of hospital-based cost accounting systems to measure costs of treatment and discuss potential use of the Transition cost accounting...

The emergency department (ED) serves as a primary patient entry point into hospitals, and bottlenecks in the ED cause patient flow problems and increase costs throughout the entire hospital. EDs increasingly employ discrete event simulation as an analytical decision making tool to alleviate these problems. Simulation models quantify complicated emergency care delivery systems and help improve e...

Background and Objectives: Today, management is one of the most important factors in hospital effectiveness and performance. The objective of this study was to assess the management skills of administrators in hospitals of Tehran University of Medical Sciences and to identify how these skills are related to effective management.   Methods: A cross-sectional descriptive study was carried out o...

UNLABELLED The aims of this study were to synthesize the evidence concerning the effect of hourly rounding programs on patient satisfaction with nursing care and discuss implications for nurse administrators. BACKGROUND Patient satisfaction is a key metric that influences both hospital ratings and reimbursement. Studies have suggested that purposeful nursing rounds can improve patient satisfa...

Due to the introduction and the continuous further development of computer systems in the medical field the proper and uninterrupted functionality of these systems is becoming increasingly important. For this purpose it is necessary to capture the availability's current state and improve it by technical means. This work aims at establishing the technical prerequisites at the University Hospital...

As more surgeons and specialists are offered hospital employment, work RVU-based compensation agreements are becoming more sophisticated and complex. In order to have a meaningful conversation with health system administrators and ensure that a compensation agreement addresses all issues pertinent to the physician's practice and specialty, physicians must familiarize themselves with the nuances...

For psychiatric care workers and administrators, physical threat from behaviorally dysregulated patients is an important issue tied to many others, including workers’ job satisfaction, motivation, well-being, and attitude toward patients. Yet, the impact of threats to physical safety may be offset by factors in the clinical environment. The authors tested hypotheses derived from self-determinat...