In this paper we study the application of simulation as a method to support information system and process design in complex organizational transitions. We apply a combined use of a collaborative workshop approach with the use of a detailed and accurate graphical simulation model in a hospital that is in a major transition. The simulation represents the future situation of the hospital and enab...

As part of the Clinical Support Systems Program, the Monash University Consortium conducted a project to identify factors influencing the implementation of clinical evidence into routine hospital practice, Australia. Training was required in the process of clinical practice improvement (CPI) and the nature of evidence. One of the most helpful instruments for change was to point to active models...

The introduction of electronic health records will entail substantial organisational changes to the clinical and administrative staff in hospitals. Hospital owners in Denmark have predicted that these changes will render up to half of medical secretaries redundant. The present study however shows that medical secretaries have a great variety of duties, and often act as the organisational "glue"...

BACKGROUND The outbreak of severe acute respiratory syndrome (SARS) in Toronto, which began on Mar. 7, 2003, resulted in extraordinary public health and infection control measures. We aimed to describe the psychological and occupational impact of this event within a large hospital in the first 4 weeks of the outbreak and the subsequent administrative and mental health response. METHODS Two pr...

PURPOSE The Faroe Islands are formally part of the Kingdom of Denmark, but the islands enjoy extensive autonomy as home ruled. In Denmark, extensive quality management initiatives have been implemented throughout hospitals, this was not the case in the Faroese Islands in 2013. The purpose of this study is to investigate the patient safety culture in the National Hospital of the Faroe Islands pr...

article history: received date: 28 august, 2016 review date: 7 october 2016 accepted date:25 october 2016 printed online:1 september purpose: the initiation of anti-bullying movements in school’s dates back to nearly three decades ago in some countries. despite the importance of such a movement and its grave implications for education systems, no particular program or action has been organized ...

A victory for physicians and patients If you are like me, the recent Minnesota Supreme Court ruling on the Avera Marshall case made you smile. You felt a small thrill of victory upon hearing that the high court sided with physicians by holding that medical staffs are legal entities and that medical staff bylaws constitute a contract between physicians and hospitals. I hope you celebrated this v...

background and objectives: needle stick and sharp injuries (nsis) has remained as a persisting occupational hazard among the healthcare workers. this study aimed to provide updated information on the intensity and potential causes of the problem in iran, by surveying a sample from major hospitals affiliated with tehran university of medical sciences.   methods: of 3312 healthcare workers with t...

BACKGROUND Understanding the interactive relationships between demographics and work-related variables, job stress, job stress coping strategies, and job satisfaction for operating room (OR) nurses is important. PURPOSE The purpose of this study was to determine the stressors, the stress coping strategies, and the job satisfaction of nursing staff who worked in the OR and to evaluate influenc...

OBJECTIVE To determine the ability of administrative data in predicting in-hospital mortality for patients undergoing coronary artery bypass graft surgery. METHODS Patient data were obtained from the administrative databases on hospital discharge abstracts of the Italian region Emilia Romagna for the years 2000-2001. We used a multivariate logistic regression analysis to compare an ICD-9-CM r...