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Hospital 4.0: Schlanke, digital-unterstützte Logistikprozesse in Krankenhäusern

Die medizinischen und pflegerischen Kernprozesse eines Krankenhauses werden durch zahlreiche Logistikprozesse unterstützt, die hohe Anforderungen an Qualität, Individualisierung, Echtzeitreaktionsfähigkeit und Kosteneffizienz stellen. Dennoch trifft man häufig auf Verschwendungen von wichtigen Ressourcen, wie Material, Fläche oder Arbeit. Schlanke Logistikprozesse sind leider eher selten. Um Logistikprozesse auf die Kernprozesse auszurichten, fokussiert sich dieses Buch auf die Weiterentwicklung von innovativen Logistiksystemen in Krankenhäusern. Hier liegt Potenzial, das durch die Digitalisierung der Logistikprozesse gehoben werden kann.Im Detail werden zwei Referenzmodelle zur „Materiallogistik“ und der „Bettenlogistik“, vorgestellt, die ein Konzept für digital-unterstützte, verschwendungsarme Logistikprozesse in Kliniken aufzeigen. Darüber hinaus werden Methoden zur Anwendung der Referenzmodelle erläutert. Diese Erkenntnisse stammen aus einem angewandten Forschungsprojekt mit zwei Krankenhäusern der maximalen Versorgungsstufe in Süddeutschland.

The Hospital Always Wins: A Memoir

Issa Ibrahim's memoir details in searing prose his development of severe mental illness leading to the accidental killing of his mother, his acquittal by reason of insanity, and his subsequent commission to a mental hospital for nearly 20 years. Raised in an idyllic creative environment, mom and dad cultivating his talent, Issa watches his family's descent into chaos in the drug-crazed late 1980s. Following his father's death, Issa, grief-stricken and vulnerable, develops a drug habit. Within two years he is addicted, psychosis prompting his belief that his mother is possessed and he must exorcise her. Issa receives the insanity plea and is committed to an insane asylum with no release date. But that is only the beginning of his odyssey. Institutional and sexual sins cause further punishments, culminating in a heated legal battle for freedom. Written with great verve and immediacy, The Hospital Always Wins paints a detailed picture of a broken mental health system, but also reveals the power of art, when nurtured in a benign environment, to provide a resource for recovery. Ultimately this is a story about survival and atonement through creativity and courage against almost insurmountable odds.

Hospital and Haven: The Life and Work of Grafton and Clara Burke in Northern Alaska

Hospital and Haven tells the story of an Episcopal missionary couple who lived their entire married life, from 1910 to 1938, among the Gwich&’in peoples of northern Alaska, devoting themselves to the peoples&’ physical, social, and spiritual well-being. The era was marked by great social disruption within Alaska Native communities and high disease and death rates, owing to the influx of non-Natives in the region, inadequate sanitation and hygiene, minimal law enforcement, and insufficient government funding for Alaska Native health care. Hospital and Haven reveals the sometimes contentious yet promising relationship between missionaries, Alaska Natives, other migrants, and Progressive Era medicine. St. Stephen&’s Mission stood at the center of community life and formed a bulwark against the forces that threatened the Native peoples&’ lifeways and lives. Dr. Grafton (Happy or Hap) Burke directed the Hudson Stuck Memorial Hospital, the only hospital to serve Alaska Natives within a several-hundred-mile radius. Clara Burke focused on orphaned, needy, and convalescing children, raising hundreds in St. Stephen&’s Mission Home. The Gwich&’in in turn embraced and engaged in the church and hospital work, making them community institutions. Bishop Peter Trimble Rowe came to recognize the hospital and orphanage work at Fort Yukon as the church&’s most important work in Alaska.

Hospital And Healthcare Security (Sixth Edition)

Building on the foundation of the previous five editions, Hospital and Healthcare Security, 6th Edition includes new and updated chapters to reflect the current state of healthcare security, particularly in data security and patient privacy, patient-generated violence, and emergency preparedness and management. The recognized leading text in the healthcare security industry, Hospital and Healthcare Security, 6th Edition explains the basics as well as higher expertise concerns, such as the roles of design, emergency management, and policy. Conveying a wide spectrum of topics in an easy to comprehend format, Hospital and Healthcare Security, 6th Edition provides a fresh perspective for healthcare security professionals to better prepare for security issue before they occur.

The Hospital Autopsy: A Manual of Fundamental Autopsy Practice, Third Edition

Now in full colour, this new and revised edition of The Hospital Autopsy presents a clear and systematic approach to safe and effective modern autopsy practice for pathologists. It begins by discussing issues such as legislation governing autopsies, religious attitudes and ensuring safety, before covering the procedures of external examination, evi

Hospital-Based Dermatopathology: An Illustrated Diagnostic Guide

This book provides a concise reference of the histologic and clinical findings of dermatologic conditions encountered in the inpatient setting. The text is divided into twenty chapters. Histopathologic images and corresponding clinical photographs facilitate clinical pathologic correlation of the conditions discussed in each chapter. Bulleted summaries for quick easy-to-read reference and diagnostic pearls are provided for each of the discussed entities. Each chapter ends with several case studies in which clinical presentation, histologic interpretation and work-up of these challenging scenarios are outlined. This book represents an international collaboration and a wealth of clinical expertise and years of experience of authors from Africa, Asia, Europe, North and South America.Hospital-Based Dermatopathology is a useful diagnostic guide for general pathologists, pathology and dermatology trainees, medical students, dermatopathologists, as well as dermatologists, hospitalists, and inpatient clinicians. It also serves as a useful guide in rendering histologic diagnosis for hospital-based or inpatient skin biopsies.

Hospital-Based Emergency Care: At the Breaking Point

Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: *The role and impact of the emergency department within the larger hospital and health care system. *Patient flow and information technology. *Workforce issues across multiple disciplines. *Patient safety and the quality and efficiency of emergency care services. *Basic, clinical, and health services research relevant to emergency care. *Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Hospital-Based Health Technology Assessment

A timely work describing how localized hospital-based health technology assessment (HB-HTA) complements general, 'arms-length' HTA agency efforts, and what has been the collective global impact of HB-HTA across the globe. While HB-HTA has gained significant momentum over the past few years, expertise in the field, and information on the operation and organization of HB-HTA, has been scattered. This book serves to bring this information together to inform those who are currently working in the field of HTA at the hospital, regional, national or global level. In addition, this book is intended for decision-makers and policy-makers with a stake in determining the uptake and decommissioning of new and established technologies in the hospital setting. HTA has traditionally been performed at the National/Regional level by HTA Agencies, typically linked to governments. Yet hospitals are the main entry door for most health technologies (HTs). Hospital decision-makers must undertake multiple high stakes investment and disinvestment decisions annually for innovative HTs, usually without adequate information. Despite the existence of arms-length HTA Agencies, inadequate information is available to hospital decision-makers either because relevant HTA reports are not yet released at the time of entry of new technologies to the field, or because even when the report exists, the information contained is insufficient to clarify the contextualized informational needs of hospital decision makers. Therefore, there has recently been a rising trend toward hospital-based HTA units and programs. These units/programs complement the work of National/Regional HTA Agencies by providing the key and relevant evidence needed by hospital decision makers in their specific hospital context, and within required decision-making timelines. The emergence of HB-HTA is creating a comprehensive HTA ecosystem across health care levels, which creates better bridges for knowledge translation through relevance and timeliness.

Hospital-based Injury and Violence Prevention Programs: The Trauma Center Guide for all Healthcare Professionals

This book offers the first comprehensive insight into hospital-based injury and violence prevention programs and describes a public health approach for the integration of population-based injury prevention into trauma centers. This book meets the need for a public health informed approach, as a majority of hospital-based injury and violence prevention programs are positioned within hospital systems driven by patient-centered, acute care models. Significant variability in administration, staffing and reimbursement structures across trauma centers has historically hindered standardization of injury prevention program structure and the role of the injury prevention professional.Topics in the book include the history and development of hospital-based programs, the need and process for developing data-driven and evidence-based injury prevention interventions, building trauma center capacity for outreach through partnerships, developing prevention efforts using trauma-informed care approach, community based research and program evaluation, and the role of advocacy in injury and violence prevention. The multidisciplinary team of authors offers a collaborative approach to the implementation and development of Hospital-based Injury and Violence Prevention Programs which will serve acute care nurses, trauma program managers, hospital administrators, trauma surgeons, hospital-based injury prevention professionals, and local public health professionals.

Hospital-Based Integrative Medicine

This study tracks the establishment of a single hospital-based integrative medicine center. Although some factors clearly worked in favor of the center, the hospital had few models to guide it and no experience in creating such a clinic. Thus, it made many decisions in the areas of administration, finance, and legal issues that created barriers to the center's success, and the center was ultimately closed.

Hospital-Based Palliative Medicine

The first comprehensive, clinically focused guide to help hospitalists and other hospital-based clinicians provide quality palliative care in the inpatient setting.Written for practicing clinicians by a team of experts in the field of palliative care and hospital care, Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach offers:Comprehensive content over three domains of inpatient palliative care: symptom management, communication and decision making, and practical skills,Detailed information on assessment and management of symptoms commonly experienced by seriously ill patients,Advise on the use of specific communication techniques to address sensitive topics such as prognosis, goals of care, code status, advance care planning, and family meetings in a patient- and family-centered manner,Targeted content for specific scenarios, including palliative care emergencies, care at the end of life, and an overview of post-hospital palliative care options,Self-care strategies for resilience and clinician wellness which can be used to help maintain an empathic, engaged, workforce and high quality patient care,A consistent chapter format with highlighted clinical pearls and pitfalls, ensuring the material is easily accessible to the busy hospitalist and associated hospital staff.This title will be of use to all hospital clinicians who care for seriously ill patients and their families. Specialist-trained palliative care clinicians will also find this title useful by outlining a framework for the delivery of palliative care by the patient's front-line hospital providers. Also available in the in the Hospital-Based Medicine: Current Concepts series:Inpatient AnticoagulationMargaret C. Fang, Editor, 2011Hospital Images: A Clinical AtlasPaul B. Aronowitz, Editor, 2012Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to Know Ary L. Goldberger and Zachary D. Goldberger, Editors, 2012Perioperative Medicine: Medical Consultation and Co-ManagementAmir K. Jaffer and Paul J. Grant, Editors, 2012Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013Inpatient Cardiovascular Medicine Brahmajee K. Nallamothu and Timir S. Baman, Editors 2013

Hospital Capacity Management: Insights and Strategies

Hospital Capacity Management: Insights and Strategies details many of the key processes, procedures, and administrative realities that make up the healthcare system we all encounter when we visit the ED or the hospital. It walks through, in detail, how these systems work, how they came to be this way, why they are set up as they are, and then, in many cases, why and how they should be improved right now. Many examples pulled from the lifelong experiences of the authors, published studies, and well-documented case studies are provided, both to illustrate and support arguments for change. First and foremost, it is necessary to remember that the mission of our healthcare system is to take care of patients. This has been forgotten at times, causing many of the issues the authors discuss in the book including hospital capacity management. This facet of healthcare management is absolutely central to the success or failure of a hospital, both in terms of its delivery of care and its ability to survive as an institution. Poor hospital capacity management is a root cause of long wait times, overcrowding, higher error rates, poor communication, low satisfaction, and a host of other commonly experienced problems. It is important enough that when it is done well, it can completely transform an entire hospital system. Hospital capacity management can be described as optimizing a hospital’s bed availability to provide enough capacity for efficient, error-free patient evaluation, treatment, and transfer to meet daily demand. A hospital that excels at capacity management is easy to spot: no lines of people waiting and no patients in hallways or sitting around in chairs. These hospitals don’t divert incoming ambulances to other hospitals; they have excellent patient safety records and efficiently move patients through their organization. They exist but are sadly in the minority of American hospitals. The vast majority are instead forced to constantly react to their own poor performance. This often results in the building of bigger and bigger institutions, which, instead of managing capacity, simply create more space in which to mismanage it. These institutions are failing to resolve the true stumbling blocks to excellent patient care, many of which you may have experienced firsthand in your own visit to your hospital. It is the hope of the authors that this book will provide a better understanding of the healthcare delivery system.

Hospital City, Health Care Nation: Race, Capital, and the Costs of American Health Care (Politics and Culture in Modern America)

Hospital City, Health Care Nation recasts the story of the U.S. health care system by emphasizing its economic, social, and medical importance in American communities. Focusing on urban hospitals and academic medical centers, the book argues that the country’s high level of health care spending has allowed such institutions to become vital, if often problematic, economic anchors for communities. Yet that spending has also constrained possibilities for comprehensive health care reform over many decades, even after the passage of the Affordable Care Act in 2010. At the same time, the role of hospitals in urban renewal, in community health provision, and as employers of low-wage workers has contributed directly to racial health disparities.Guian A. McKee explores these issues through a detailed historical case study of Baltimore’s Johns Hopkins Hospital while also tracing their connections across governmental scales—local, state, and federal. He shows that health care spending and its consequences, rather than insurance coverage alone, are core issues in the decades-long struggle over the American health care system. In particular, Hospital City, Health Care Nation points to the increased role of financial capital after the 1960s in shaping not only hospital growth but also the underlying character of these vital institutions. The book shows how hospitals’ quest for capital has interacted with structural racism and inequality to shape and constrain the U.S. health care system. Building on this reassessment of the hospital system, its politics, and its financing, Hospital City, Health Care Nation offers ideas for the next steps in health care reform.

Hospital Economics: A Primer on Resource Allocation to Improve Productivity & Sustainability

The biggest issue of economics in a hospital are the resource issues. A resource issue in hospitals creates many problems such as the excessive number of patients, poor service quality, lack of diagnostic tools and equipment, dirty and worn out facilities, long queues at the outpatient clinic, lack of drugs and other medical supplies, low employee morale, and so on. Hospital economics mention three main resource issues in as problems including; (1) Resource allocation issue, (2) Resource management issue, and (3) Generation resources issue. The main economic problem of resource allocation in hospitals are production and cost function. These two functions related to issues of equality and effectiveness of the hospital. This book specifically discusses on the aspect of hospital resource allocation by highlighting the productivity, competitiveness, cost components, economic burden of disease, and economic aspects of infectious diseases originating from the hospital. The resource management issue is related to the use of existing resources in terms of input and output. The main important economic concept is efficiency, both technical efficiency, economical, and scale, as well as the relationship between these concepts. The resource management issue highlight the economic scale, human resource development, quality development, and lean implementation. The issue of generation resources, includes how the hospital is able to get the resources to run operations without having to cover the access of stratum of community thus violating the principle of equality. This book will highlight the issue of generation resources by including a discussion of the revenue components of the hospital and the impact of DRGs.

Hospital for Special Surgery's Illustrated Tips and Tricks in Foot and Ankle Surgery

Looking for real-world surgical advice traditional textbooks often leave out? This heavily illustrated first volume of a brand-new series is a compendium of surgical wisdom from veteran attending surgeons passed on to fellows, residents, and students. Guidance is contextualized to the contributor’s surgical field and facility or hospital, and chapters cover injuries (including sports injuries), deformities, chronic conditions, and more. A concise package of hints for surgical success!

Hospital, Heal Thyself: One Brilliant Mathematician's Proven Plan for Saving Hospitals, Many Lives, and Billions of Dollars

Proven solutions to transform a healthcare system in crisis Part biography and part clear-eyed examination of a healthcare system in crisis, Hospital, Heal Thyself: One Brilliant Mathematician's Proven Plan for Saving Hospital, Many Lives. and Billions of Dollars tells the story of enigmatic healthcare visionary Eugene Litvak, whose research and strategies have already been implemented at many top 12-ranked hospitals to save hundreds of millions of dollars and countless thousands of patient lives. While U.S. healthcare costs continue to skyrocket, Litvak's program described in this book offers tested, effective methods to trim those costs while simultaneously improving patient outcomes. Written by veteran prize-winning healthcare journalist Mark Taylor, this book includes compelling discussion on: How hospital and emergency room overcrowding has harmful and potentially deadly effects on patients and staff How Litvak's algorithms and complex mathematical theories help hospitals staff appropriately to safely manage patient flow How applying Litvak's unique patient flow interventions improves nurse retention in an era of mass nurse exodus Litvak's methods have been proven to work in the best hospitals in America and the world. Studies in the top medical journals confirm their success in reducing medical errors; hospital and emergency room overcrowding; nurse and physician burnout and stress and patient mortality rates. They've saved millions of dollars for each hospital adopting them, while improving patient satisfaction and outcomes, nurse retention, hospital efficiency and addressing healthcare disparities and inequities. Distilling complex ideas into accessible language, Hospital, Heal Thyself: A Mathematician's Proven Plan for Saving American Hospitals Many Lives and Billions of Dollars is a timely, essential read for all medical practitioners and healthcare administrators and staff who want to play their part in transforming modern healthcare, and the world, for the better.

Hospital Images

This gorgeous, full-color atlas and case-book presents more than sixty cases with over one hundred associated, super high-quality clinical images that a physician needs to be able to rapidly recognize and know for accurate, expedient diagnosis and treatment. The images are presented with the patient's brief medical history, followed by the diagnosis, brief discussion of the diagnosis, and the patient's clinical course and treatment. These miniature case studies encompass photos and descriptions of patients, supporting physical findings, X-rays, CT scans, electrocardiograms, blood smears, gross pathologic specimens, and microscopic pathology slides.

Hospital Infection Prevention

The art of medicine becomes science when supported by evidence. The recommended practices of infection prevention are based on scientific and epidemiologic evidence. However, most health care professionals see them as mandates and fail to incorporate them into their routine patient care activities. The core goal of this publication is to link the practices to the principles they are based on. The expectation is that understanding of the principles will change the practices from mandates to "should do" in the minds of health care professionals. This will lead to improvement in health care by preventing unintended harm to patients, co-workers and the communities at large. At the same time, the text provides a comprehensive, thorough and up to date information on all aspects of infection prevention in a reader-friendly manner and therefore, will serve as a valuable reference.

Hospital Medicine

​This practical resource provides hospitalists of all levels a comprehensive foundation for understanding the critical elements of hospital medicine. Beginning with an overview of the healthcare system, chapters provide relevant insights on management, regulations, evidence-based approaches, an awareness of safety and economic concerns and professional development skills. Perspectives on how hospitalist and hospital medicine teams can effectively engage this system to provide cost-effective, high-quality care are offered throughout this volume. With real-world guidance on the major tenets of hospital medicine, Hospital Medicine will serve as the definitive guide to a successful career in this rapidly evolving specialty.

Hospital Policy in the United Kingdom: Its Development, Its Future

Harrison and Prentice aim to provide a source of reference and reflection for those who are concerned with the planning of hospitals themselves or who are concerned with the health care delivery system as a whole. The authors set out a detailed framework for analyzing hospital services in relation to other providers, based on clinical quality, costs of provision, and access. The book also contains a series of recommendations for action.

Hospital Quality: Implementing, Managing, and Sustaining an Effective Quality Management System

In healthcare, quality management refers to the administration of systems design, policies, and processes that minimize, if not eliminate, harm while optimizing patient care and outcomes. Whether you are a hospital with 1,000 beds or 25, the fact remain that every hospital must navigate and manage the many complexities associated with a quality management system. Why is quality management important in healthcare? There are numerous reasons why it is important to improve quality of healthcare, including enhancing the accountability of health practitioners and managers, resource efficiency, identifying, and minimizing medical errors while maximizing the use of effective care and improving outcomes, and aligning care to what users and patients want in addition to what they need. Hospital Quality: Implementing, Managing, and Sustaining an Effective Quality Management System demonstrates a practical approach to managing and improving quality. Whether you agree with the premise that these activities are complex, this book will outline a standardized approach that any organization can adopt to meet their needs while accommodating the foundational concepts of quality improvement by accreditation agencies. It also outlines how to set-up and manage a quality management program as a part of continuous process improvement initiative, as well as the purpose and managing of a patient safety organization. The purpose of this book is twofold. If you’re a senior healthcare manager or director tasked with setting up a quality management system, this book will provide tools and techniques you can immediately apply. If you’re a healthcare professional preparing for the CPHQ certification exam, this book will take you beyond study guides by explaining what you need to know and the why behind each concept.

Hospital Sketches

Hospital Supply Chain: Challenges and Opportunities for Improving Healthcare (Integrated Science #27)

This book provides a comprehensive and essential resource for healthcare professionals, researchers and students interested in the field of hospital logistics. Hospital logistics is a complex process encompassing a wide range of design, planning, and execution activities, providing essential support for the production of healthcare services in all their forms. It is at once strategic, tactical and operational. Its scope ranges from the design and implementation of care units and healthcare facility networks, to the procurement of expensive drugs and medical equipment, the planning of human and material resources (beds, operating theaters, transport, etc.), and the management of stocks of drugs, blood and other health products. The role of hospital logistics is essential in guaranteeing the accessibility, quality and efficiency of care. It helps to optimize care production processes, reduce costs and improve workflow management. It offers an in-depth exploration of the key issues, best practices and technological advances in this critical field.

Hospital Time

Hospital Time is a memoir about friendship, family, and caregiving in the age of AIDS. Amy Hoffman, a writer, lesbian activist, and former editor of Gay Community News, chronicles with fury and unflinching honesty her experience serving as primary caretaker for her friend and colleague, Mike Riegle, who died from AIDS-related complications in 1992. Hoffman neither idealizes nor deifies Riegle, whom she portrays as a brilliant man, devoted prison rights activist, and very difficult friend. Hoffman became central to Riegle's caregiving when he asked her to be his health-care proxy, and although she willingly chose to do this, she explores her conflicting feelings about herself in this role and about her involvement with Riegle and his grueling struggle with hospitalization, illness, and, finally, death. She tells of the waves of grief that echoed throughout her life, awakening memories of other losses, entering her dreams and fantasies, and altering her relationships with friends, family, and even total strangers. Hoffman's memoir gives voice to the psychological and emotional havoc AIDS creates for those in the difficult role of caring for the terminally ill and it gives recognition to the role that lesbians continue to play in the AIDS emergency. A foreword by Urvashi Vaid, former executive director of the National Gay and Lesbian Task Force, offers a meditation on the politics of AIDS and the role of family in the lives of lesbians and gay men.

Hospital Transformation: From Failure to Success and Beyond

This book discusses the factors that contribute to the success of hospitals from a theoretical, practical and operational perspective to allow hospital managers both clinical and non-clinical at all levels to achieve success via a turnaround process where necessary. A robust performance management framework is detailed to make this success sustainable. Case studies where appropriate support the relevant chapters. Chapters can be read sequentially or as a stand-alone chapter. Hospital Transformation: From Failure to Success and Beyond enables readers to develop their hospital management skills. Issues of patient care, resource allocation, staff management, leadership, risk management, infection control, and financial sustainability are all covered. This book is relevant to hospital administrators, clinicians involved in hospital management, independent consultants, and healthcare providers responsible for day to day operations of healthcare facilities.