Gesundheit ist allgegenwärtig. Es vergeht kein Tag an dem in den Medien nicht von bahnbrechenden Fortschritten der Medizin oder von neuen Krankheitsrisiken berichtet wird. Gesundheit betrifft immer mehr Lebensbereiche: von der Ernährung bis zu unserem Verhalten im Alltag wird jede Handlung zu einer Entscheidung für oder gegen Gesundheit. So erstaunt es auch nicht, dass das Thema die Aufmerksamkeit der Bürger genauso auf sich zieht wie diejenige von Investoren und die Gemüter in politischen Debatten bewegt wie kaum ein anderes. Hier setzt dieses Buch an. HACKING HEALTHCARE verfolgt das Ziel einen ganzheitlichen Blick auf die Gegenwart und Zukunft des Gesundheitssystems zu werfen sowie Ideen und Vorschläge zu präsentieren, wie wir den Gesundheitssektor von morgen gestalten können. Während der erste Teil des Buches das Gesundheitssystem anhand von fünf Kernfunktionen analysiert und mit reichhaltigem Datenmaterial grafisch illustriert, widmet sich der zweite Teil dem Blick in die Zukunft und formuliert konkrete Ideen und Handlungsempfehlungen. Ziel ist, die fragmentierte Sichtweise auf das Gesundheitssystem zu durchbrechen. Neben dem Verständnis der heutigen Strukturen gilt es aber auch eine Grundlage zu legen, um das System für die nächste Generation weiter zu denken - und es zu gestalten. Der Begriff ´´Hacking´´ wird bislang mehrheitlich mit der (unerlaubten) Manipulation von Computersoftware verwendet, bedeutet aber im eigentlichen Kontext, die Oberfläche eines Systems aufzubrechen und einzelne Prozesse und Teilsysteme System neu zu gestalten. Mit Beiträgen von Stephan Sigrist, Nicholas Bornstein, Kristiani Lesmono, Andrea Sibylla Dür, Gerd Folkers
APRESENTAÇÃO Este livro tem como principal objetivo desenvolver uma metodologia para implementação da produção enxuta em operações hospitalares. Para tanto, inicialmente foi realizada a análise da literatura relevante nos temas: produção enxuta, operações hospitalares e produção enxuta em operações de serviços (com foco nos serviços de assistência à saúde). Com base na revisão da literatura foram identificadas algumas categorias de análise da produção enxuta em operações hospitalares. A pesquisa foi realizada por meio de estudos de casos múltiplos em três operações hospitalares do estado de São Paulo. Fundamentando-se na literatura e nos estudos de casos foi possível sugerir diretrizes para aplicação das técnicas enxutas, organizando-as de forma a compor a metodologia proposta para implementação da produção enxuta em operações hospitalares. Quanto à avaliação da metodologia, os especialistas a consideraram: passível de ser utilizada na prática, fácil de ser usada e útil.
Ready to take your IT skills to the healthcare industry? This concise book provides a candid assessment of the US healthcare system as it ramps up its use of electronic health records (EHRs) and other forms of IT to comply with the governments Meaningful Use requirements. Its a tremendous opportunity for tens of thousands of IT professionals, but its also a huge challenge: the program requires a complete makeover of archaic records systems, workflows, and other practices now in place.This book points out how hospitals and doctors offices differ from other organizations that use IT, and explains whats necessary to bridge the gap between clinicians and IT staff.Get an overview of EHRs and the differences among medical settingsLearn the variety of ways institutions deal with patients and medical staff, and how workflows varyDiscover healthcares dependence on paper records, and the problems involved in migrating them to digital documentsUnderstand how providers charge for care, and how they get paidExplore how patients can use EHRs to participate in their own careExamine healthcares most pressing problemavoidable errorsand how EHRs can both help and exacerbate it
This book provides a unique first-hand perspective on healthcare leadership and management, from a practitioner, for practitioners. The author is an experienced consultant, highly respected medical director and exceptional leader known for his drive, acumen and commitment to putting patients first. The book´s focus is on compassionate leadership, efficient management, improvement capabilities and transformational skills. The content covers all aspects of leading and managing health services, integrating both the hard and soft skills required. The comprehensive chapters are written in an extremely concise and precise style using fact boxes and bullet format only. Lists of chapter objectives, boxed summaries, numerous graphics and suggestions for further reading provide quick reference and consolidate what the reader has learned. Packed with expert insights and practical tips for problem solving and trouble shooting, this is the ultimate guide to getting ahead and achieving more as a leader and manager in the healthcare world. The book is an excellent resource for aspiring as well as current leaders and managers in healthcare.
This crucial volume provides a concise overview of the conceptual foundations and clinical methods underlying the rapidly emerging subspecialty of integrative mental healthcare. It discusses methods for guiding practitioners to individualized integrative strategies that address unique symptoms and circumstances for each patient and includes practical clinical techniques for developing interventions addressed at wellness, prevention, and treatment. Included among the overview: Meeting the challenges of mental illness through integrative mental health care. Evolving paradigms and their impact on mental health care Models of consciousness: How they shape understandings of normal mental functioning and mental illness Foundations of methodology in integrative mental health care Treatment planning in integrative mental health care The future of mental health care A New Paradigm for Integrative Mental Healthcare is relevant and timely for the increasing numbers of patients seeking integrative and alternative care for depressed mood, anxiety, ADHD, bipolar disorder, schizophrenia, and other mental health problems such as fatigue and chronic pain. ´´Patients are crying out for a more integrative approach, and this exemplary book provides the template for achieving such a vision.´´ -Jerome Sarris, MHSc, PhD, ND ´´For most conventionally trained clinicians the challenge is not ´´does CAM work?´´ but ´´how do I integrate CAM into my clinical practice?´´ Lake´s comprehensive approach answers this central question, enabling the clinician to plan truly integrative and effective care for the mind and body.´´ -Leslie Korn, PhD, MPH
This book provides a condensed but comprehensive up-to-date overview of spirituality and its application to health care. The need for healthcare workers to provide spiritual care or meet patients´ spiritual needs is gaining increasing importance in nursing and midwifery policy at local, national and international level. Internationally, there is a growing belief in spirituality as a valid dimension of care. The book highlights a range of examples and case studies facilitating the practical application of the recommendations discussed. In addition to presenting new psychological perspectives, various activities throughout will encourage readers to form their own opinion on the issues covered. The suggestions for further reading and useful websites will also help readers interested in exploring specific areas in more depth. Combining contributions by authors from various disciplines, the book offers a valuable tool for qualified professional healthcare workers in practice, including nurses, social workers, doctors and chaplains. With its handy format, this practical pocket guide offers a faithful companion for practitioners.
Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women´s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients´ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.
This book is a concise manual on debriefing techniques in a clinical educational context. It presents the most popular debriefing techniques and, hence, can be used as a reference manual by educators to help them achieve their intended debriefing objectives. The overarching objective of debriefing is to promote reflection and improve patient safety awareness at an individual and a team level. This book provides clear explanations of what constitutes a valuable and effective debriefing, and presents the various approaches that can be used and how debriefing differs from feedback. It includes key recommendations on aspects that directly or indirectly impact debriefing with different populations of learners such as students or qualified healthcare professionals of various levels of seniority. This book can also be used as a survival guide for both simulation educators and clinicians during debriefings. It includes several useful sections explaining the different phases of a debriefing session, which help learners develop and consolidate their knowledge, and identify potential knowledge or performance gaps and near misses. The underlying philosophy of this book is to also promote profound respect for the trainee by using a non-offensive debriefing approach. Debriefing facilitators will appreciate the several key sentences that will help them lead and engage their learners in the various phases of expressing their emotions and analyzing their experience and actions.
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 ´´This book will serve as the definitive guide to the past and future of health care in America.´´-Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries-the hospitals, doctors, insurance companies, and drug manufacturers-that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn´t just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
This book offers an in-depth and systematic introduction to improved failure mode and effects analysis (FMEA) methods for proactive healthcare risk analysis. Healthcare risk management has become an increasingly important issue for hospitals and managers. As a prospective reliability analysis technique, FMEA has been widely used for identifying and eliminating known and potential failures in systems, designs, products or services. However, the traditional FMEA has a number of weaknesses when applied to healthcare risk management. This book provides valuable insights into useful FMEA methods and practical examples that can be considered when applying FMEA to enhance the reliability and safety of the healthcare system. This book is very interesting for practitioners and academics working in the fields of healthcare risk management, quality management, operational research, and management science and engineerin. It can be considered as the guiding document for how a healthcare organization proactively identifies, manages and mitigates the risk of patient harm. This book also serves as a valuable reference for postgraduate and senior undergraduate students.