Science topics: EconHealth EconomicsHospital Administration
Hospital Administration - Science topic
Managerial personnel responsible for implementing policy and directing the activities of hospitals.
Questions related to Hospital Administration
How can I validate a questionnaire for a small sample of hospitals' senior executive managers?
-I performed a systematic review for the strategic KPIs that are most used and important worldwide.
-Then, I developed a questionnaire in which I asked the senior managers at 15 hospitals to rate these items based on their importance and their performance at that hospital on a scale of 0-10 (Quantitative data).
-The sample size is 30 because the population is small (however, it is an important one to my research).
-How can I perform construct validation for the items which are 46 items, especially that EFA and CFA will not be suitable for such a small sample.
-These 45 items can be classified into 6 components based on literature (such as the financial, the managerial, the customer, etc..)
-Bootstrapping in validation was not recommended.
-I found a good article with a close idea but they only performed face and content validity:
Ravaghi H, Heidarpour P, Mohseni M, Rafiei S. Senior managers’ viewpoints toward challenges of implementing clinical governance: a national study in Iran. International Journal of Health Policy and Management 2013; 1: 295–299.
-Do you recommend using EFA for each component separately which will contain around 5- 9 items to consider each as a separate scale and to define its sub-components (i tried this option and it gave good results and sample adequacy), but am not sure if this is acceptable to do. If you can think of other options I will be thankful if you can enlighten me.
I wish to collect data from frontline workers in hospitals. Each time I read a published paper on the hospital industry, it includes an approval number for human participation.
I too working on an idea that will require me to collect data from frontline doctors and that's quite obvious that during the submission process in a journal, the journal will require me to submit an ethics statement. Therefore, kindly share your understanding of this query and guide me to deal with this matter.
Note: My participants belong to Pakistan's public and private hospitals and the study relies on a questionnaire survey (quantitative/time-lagged cross-sectional). Besides, no personal information will be revealed to anyone.
I am analysing the relation between productivity and quality in hospitals, using performance indicators. The number of hospitals is not big, below 45 per year. Is it possible to broad research on multiple years using same hospitals more than one time? Certiainly, that will harm assumtion on independent observations. However, I am sure that that there is no (systemati or planning) intervention in order to change hospital performances.
What do you think about my approach?
My study aims to find what factors that lead to nurse stress are most significantly associated with nurse absenteeism. So the questionnaire will ask about these factors through a Likert scale (6-point scale) and their frequency of absenteeism, and I aim to analyze the data to find any significant association between the factors and nurse absenteeism.
What data analysis method should I use?
Good day Scholars. Kindly suggest ways to resolving UNDUE RETENTION of patients' health records in a paper-based environment?
It is common to paper-based environments that users would want to hold onto patients' health records after clinical consultation and after formal inpatient discharge. Ethically, such records are to be returned to the Department of Health Records for better handling and storage. All needs, aside the primary use, which is direct patient's care, are to be formally applied for. Most users defy the rules and follow the backdoor with excuses like, for review; for research; for,,....and so on.This attitudes generates a whole lot of problems to the managers of the records, causes delay in waiting time of patients during followup; slows the pace of users (causer) clinical attention and create unnecessary bottleneck to hospital administration.
NOTE please, electronic health records is not one of the expected suggestive solutions here as it is stated PAPER-BASED SYSTEM.
HOW DO WE SOLVE THIS PROBLEM?
Has anyone known any public online data source that contains deidentified full records of death certificates that contain narrative text of causes of death? The data source is for analysis.
Does your hospital have an Airway Lead? Do they standardize and support your hospitals selection of airway management guidelines, airway management equipment, airway data and airway management education?
Who pays for their work? If your hospital does not have an Airway Lead what are the barriers to establishing the position?
I think no other person knows a surgeon better than an anaesthesiologist as a professional especially about the surgical skill and quality. (because they closely observe different surgeons of same and different specialty). Many a time even a highly qualified surgeon is very poor in skill and delivers very poor for the patient. (The same may be true for anaesthesiologist too). This in turn leads to unwanted morbidity and even mortality. Anaesthesiologist is equally or may be more responsible for the well being of the patient during perioperative and especially intraoperative period. So, if the anaesthesiologist knows that the surgeon supposed to do the case is not good enough for the proposed surgery, can anaesthesiologist refuse to give (anaesthetize) the case?
Is there an agreed up on, comprehensive conceptual framework in the accounting literature for evaluating effectiveness of the budgeting system at a meso (organizational) level in case of hospitals ?
I could not find any early mobilisation prtocol for patients with EVD and ICP fluctuations.
The Hospitals seeks to protect, restore, and enhance health.it is important to adopt an approach to design, construction, and operations and maintenance
I am currently in 4th year of Product Design and Technology at the University of Limerick for my Final Year Project I intend to investigate the current admissions system to A&E, making it more user focused for patients and more efficient for staff.
My project is a user experience based study. Currently I intend to gain a full understanding of the healthcare process upon entering hospitals, so any additional literature regarding triage or hospital administration would be beneficial.
In order to gain an understanding of what people go through, particularly parents and patients, when they visit A&E it would be greatly helpful if you could identify experiences when you have found visiting A&E distressing and arduous.
Examples of what you found most annoying or aggravating would be extremely beneficial to my study, even minor issues are often the most important so any feedback is extremely valuable.
Thank you very much for your help !
The UMC provide a Guidelines for setting up and running a pharmacovigilance centre, is it enough in resource-limited country hospital setting? Are there others considerations? I am looking for your opinion about it and documented experience if it is possible?
There is plenty of research indicating the role of recorded music in reduction of anxiety and as a positive distraction in emergency departments However, I need to turn the theory into practice in the hospital where I work...
Rather than reinvent the wheel and create our own, we are keen to use a well tested product or programme of recorded music/relaxing visuals to create a therapeutic atmosphere in our hospital ED. Thank you
I need some information about smart solutions that help healthcare organizations for:
Improving quality of care
Reducing the cost of services
Providing secure & compliant solutions
Green technology is becoming more relevant across the board during these economic slowdowns. What is being done to improve its usage in medical sciences ?
Are there studies and what instruments or data gathering methods do they use in determining if there is a relationship between medical house call programs and Emergency Room visits or hospital admissions and re-admissions?
Hello respected people, i have got one question today. I am looking for information about the budget preparation process in hospitals. As i read from many books, many hospitals follow bottom- up approach. This is to say that various clinical unit heads present their departmental budget requests to the finance department of the organization, which compiles the various components in to the master budget. Then the finance department present the budget request to the budget committee/ the top management . And once all budget negotiation and revisions have been completed between department heads and top managers the budget finally will get approved. But what i want to know is that the extent to which clinicians / medical professionals such as doctors and nurses participate in budgeting process in hospitals. Do clinicians (clinician managers ) in hospitals really have budget responsibility ( in addition to clinical responsibilities) in managing their unit? Of course it may vary from one hospital to another depending on the place/ context but i want to know the practice in which the majority of hospitals follow in different places. Thank you.
Any supporting literature from industrialized and developing nations for comparison?
What are the operational standards applied through health services (including Hospitals) to insure effective and efficient good standard of patient care and a performance/productivity acceptable reference? This should be specified for various functional areas within a health operation set-up.
Failure to rescue is shorthand for failure to rescue (i.e., prevent a clinically important deterioration, such as death or permanent disability) from a complication of an underlying illness (e.g., cardiac arrest in a patient with acute myocardial infarction) or a complication of medical care. Failure to rescue rates used for both research purposes and as quality indicators are typically derived from hospital administrative databases. However, it is not clear how identify it, so what are the best indicators to measure it?
I am interested in postoperative area. So how can I find this tool
. Does it really help, in patient management ,to know the cost of cardiac surgery complications and if so, what is the most expensive and the cheapest complication of cardiac surgery
Descriptive case study design on impact of electronic charting on nurses' worklaod.
How can we reduce the length of stay of patients through these 2 factors? Patients can be classified under any category but mostly "long stay patients" and their benefits.
I'm working on developing a safety initiative with critical response checklists for the operating room. This will include power outage, OR fire, loss of pipeline oxygen and anesthesia gases, etc. The checklist will identify immediate action items and tasks. Does anyone have a similar document in place in their ORs? Any and all input or suggestions would be appreciated, with references please. Thanks!
Ratios, in addition to frontier analysis, is one of the statistical/mathematical methods used for measuring efficiency.
Please give me information about evaluated interoperability..
The key issue in successful management of outsourcing contract is to measure the performance of outsourcing service provider’s, to ensure that all the agreed outcomes are achieved.
ALS: Average Length of Stay
BOR: Bed Occupancy Rate
BTO: Bed turnover
I want to write a proposal about crowded problem in emergencies or pre-hospital, if you have a useful articles, information or you are working on this topic I would be pleased for your valuable information
I work on Inpatient Acute Rehab in a large urban hospital, and we do get telephone report from acute units when receiving/admitting a patient, but communication needs to be improved. Suggestions to make that happen?
I putting together a triage sieve study and want to track participants over a period of time, hence allocation by surname, but have been asked to think about different methods of allocation. I want something that is easy to reproduce across a number of groups and over a number of years hence the surname allocation. Allocation will be post an educational intervention with and without supporting documentation.
Is it a safer option than just 'warehousing' patients in an ED? In comparison, what are some limitations?
When demands for urgent and emergent care continue to mount and no Emergency Department (ED) care spaces are available for these emergent and urgent patients and all usual actions for rapid admissions to inpatient beds have been maximized, the Over Capacity Protocol should be initiated. This protocol is intended to ensure systematic actions are undertaken to ensure admitted patients being cared for in the ED will be appropriately admitted to an inpatient unit. The protocol may be extended to other areas of the hospital, for example critical care, as required. (Fraser Health).
Risk assessment is gaining importance in modern day hospitals, and the question is how much the clinicians are benefited in the busy set-up.
Are they effectively communicating with all the stakeholders for preventing the errors?
I know waiting time is important for outpatient and inpatient and time is very important in hospitals, but I want to know other quality parameters that relate to hospital environments. Can you share your experiences?
A growing number of academic employers - especially in the medical field - demands the completion of management courses (f.e. MBA in health care management) for their faculties in the framework of their tenure-track models.
How do you see this development?
I am trying to figure out how ALOS, BOR & TOI should be calculated and reported for a state and a country.
Should I take the average of these indicators by each hospital within a state/country (i.e. summing each hospital's BOR and divide it by the number of hospital within that population) or should it be represented by taking a state or a country as a unit, i.e. Summing Total Length of Stay (TLOS) of all hospitals within a state(or a country) and divides by the sum of all admission ?
When I refer to the OECD iLibrary for reporting Healthcare Statistics (link provided), I can't seems to find the details of how it was calculated.
Can anyone shed some light or offer some resources?
I have a 4th year medical undergraduate who is going to be spending 11 weeks with me and wants to explore spiritual care in acute hospitals. Note, this is not just religious / chaplaincy care, but all aspects of spiritual and existential care.
Does anyone have any thoughts of gaps in our knowledge or in the research in this area? Our literature search is still being done, but it thought it might be useful to ask opinions.
Can any scholar suggest the easiest ways of monitoring and measuring Quality Performance of hospitals through some major/easy Key performance Indicators, without deep involving or bothering the busy hospital administration?
Healthcare-acquired infections (HAIs) affect the well-being of the patients. To prevent, monitor, and control the HAIs in a time-saving manner, Infection Preventionists need advanced and integrated software for surveillance.
I am sure time varies, but is there an accepted norm regarding this time bracket.
How controlled is the laundry, handling, transport and storage process in Healthcare Institutions? Is there evidence of good practice?