...electronic health records streamline office workflow and helps provide patients a more efficient and cost effective experience. EMR is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. CPOE Computerized Physician Order Entry or CPOE is the process of capturing a physician's instructions for a patient's care electronically to improve the efficiency of care delivery. Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional...
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...A STUDY ON RADIATION PROTECTION AMONG PATIENTS AND STAFF IN THE IMAGING DEPARTMENT AT KENYATTA NATIONAL HOSPITAL. RESEARCH DONE BY: DENIS NOVENA MUNG’AHU COLLEGE NUMBER: D/MIS/10007/191 RESEARCH PROPOSAL SUBMITTED TO THE DEPARTMENT OF MEDICAL IMAGING SCIENCES-NYERI CAMPUS IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE STUDY. JANUARY 2013 KENYA MEDICAL TRAINING COLLEGE P.O BOX 466 NYERI. Contents DECLARATION 1 DEDICATION 3 List of abbreviation 4 Operational definition 5 Chapter 1 6 1.0 Introduction 6 1.1 Broad objective 6 1.2 Specific Objectives 6 1.3 Problem Statement 6 1.4 Research Question 7 1.6 Study Justification 8 Chapter 2 9 Literature review 9 2.0: Introduction 9 2.1: Practice of radiation protection principles by the radiographers 10 2.1.1: Beam collimation by the radiographer 10 2.2.2: Beam Limiting Devices 11 2.2.2: Technique Selection 12 2.2.3: Patient identification 12 2.2: The practice of the radiation protection principles 13 The principle of limiting time 13 2.2.2 The principle of distance 14 2.2.3 The principle of applying shielding 15 2.3 To determine patients' level of knowledge 15 2.4 Conclusion 16 Chapter 3 16 Methodology 16 3.0 Background information 16 3.1 Position and size 16 3.2 Topography, climate and temperature 17 3.3 Population 17 3.5 Design 18 3.6 Study area 18 3.7 Sampling size determination 18 3.8 Ethical consideration 19 CHAPTER 4 19 APPENDIX I...
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...Six Sigma Six Sigma Introduction Six Sigma is a quality improvement method that is being used more frequently in healthcare. This tool was developed and used in industry since around 1980 and began to be used in healthcare in the 1990's (Powell, Rushmer, & Davies, 2009). According to Lighter (2011) "This lean process management system provides quality improvement professionals with the ability to remove non-value added work and improve process efficiency" (p. 287). The healthcare industry needs to find a way to get rid of errors. Today's society demands a lot from the healthcare providers and will not tolerate unnecessary errors, no matter how small they may seem. Six Sigma works to recognize errors as soon as they occur so they will be corrected before the error is carried out. If the process is fully reliable, appropriate healthcare will be delivered in the same way to all patients every time. If the care is evidence-based, then every patient receives optimal care regardless of who actually delivers the care, when it is delivered or where it is delivered (Powell, Rushmer, & Davies, 2009). Six Sigma uses the DMAIC (Define, Measure, Analyze, Improve, Control) approach. This approach first defines the problem, measures the defects, analyzes the cause of the defects, improves the process to remove the defects, and controls the process to ensure that the defects do not recur (Powell, Rushmer, & Davies, 2009). These steps need to take place to avoid variations...
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...Astrophysics: the study of the physics of the universe Bacteriology: the study of bacteria in relation to disease Biochemistry: the study of the organic chemistry of compounds and processes occurring in organisms Biophysics: the application of theories and methods of the physical sciences to questions of biology Biology: the science that studies living organisms Botany: the scientific study of plant life Chemical Engineering: the application of science, mathematics, and economics to the process of converting raw materials or chemicals into more useful or valuable forms Chemistry: the science of matter and its interactions with energy and itself Climatology: the study of climates and investigations of its phenomena and causes Computer Science: the systematic study of computing systems and computation Ecology: the study of how organisms interact with each other and their environment Electronics: science and technology of electronic phenomena Engineering: the practical application of science to commerce or industry Entomology: the study of insects Environmental Science: the science of the interactions between the physical, chemical, and biological components of the environment Forestry: the science of studying and managing forests and plantations, and related natural resources Genetics: the science of genes, heredity, and the variation of organisms Geology: the science of the Earth, its structure, and history ...
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...Final Paper PBHE540 The Fukushima Nuclear Disaster Name American Public University System Abstract On March 11, 2011, a large earthquake and a powerful tsunami struck the eastern region of Japan, leading to a death toll of more than 15,700 people. Thousands more were injured or went missing, and widespread destruction ensued. Additionally, the Great East Japan Disaster fatally damaged the Fukushima Dai-ichi nuclear power station. It eradicated all power, severely affected communications, and caused a loss of cooling to some vital reactor cores. Significant quantities of radioactive materials were released, an isolated “no mans land” was created around the crippled reactors, and thousands of people had to be evacuated from the surrounding area. With concern of radiological emergency management, medicine development, and healthcare implementation, it is important to assess this disaster with intention of learning better methods of execution to apply in future scenarios. The purpose of this assessment is to summarize, observe, and evaluate the emergency responses implemented as a result of the disaster, specifically focusing on the chronology of healthcare implementation, and the many long-term challenges associated with this tragic event. In preparing for the challenges of tomorrow, it is critically important that adaptations are made in lieu of such tragedies, and newer, more advanced understandings of these issues are brought into fruition...
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...13 CASE Emanuel Medical Center: Crisis in the Health Care Industry The Haley Eckman Story On Friday, four-year-old Haley Eckman stayed home from school because of a slight fever. She complained that she was feeling very tired. That night, Haley’s temperature increased to 104°F. At 3:15 A.M., Mr. and Mrs. Eckman took Haley to the emergency department (ED) of Emanuel Medical Center (EMC) in Turlock, California. They registered at the admissions desk and waited for someone to see them. After what seemed like forever to the Eckmans, a triage nurse came out to evaluate Haley. He asked several questions, but failed to take her temperature – a routine procedure in that situation. He then disappeared, leaving the Eckmans to wait yet again. While they waited, Haley vomited. She said she felt very weak. The family asked if Haley could lie down in a bed while they waited to see a doctor. A staff member told them that there were no available This case study was prepared by Randall Harris, Kevin Vogt, and Armand Gilinsky as a basis for class discussion rather than to illustrate either effective or ineffective handling of an administrative situation. © 2004 by Randall Harris, Kevin Vogt, and Armand Gilinsky. Used with permission from Randy Harris. both13.indd 670 11/11/08 12:04:27 PM MORE PROBLEMS THAN THE ED 671 beds, and that they would have to wait. The Eckmans saw several empty beds across the hall from where they sat as the staff member said...
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...country's economy. For purpose of finance and management, the health care industry is typically divided into several areas. As a basic framework for defining the sector, the United Nations International Standard Industrial Classification (ISIC) categorizes the health care industry as generally consisting of: 1. Hospital activities 2. Medical and dental practice activities 3. "Other human health activities". This third class involves activities of, or under the supervision of, nurses, midwives, physiotherapists, scientific or diagnostic laboratories, pathology clinics, residential health facilities, or other allied health professions, e.g. in the field of optometry, hydrotherapy, medical massage, yoga therapy, music therapy, occupational therapy, speech therapy, chiropody, homeopathy, chiropractic, acupuncture, etc. The Global Industry Classification Standard and the Industry Classification Benchmark further distinguish the industry as two main groups: 1. Health care equipment and services, and...
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...RUNNING HEAD: BUSINESS CONTINUITY PLAN Mercy Hospital Business Continuity Plan Susan Drago Jacksonville, Florida Western Governors University 1 RUNNING HEAD: BUSINESS CONTINUITY PLAN 2 Mercy Hospital Business Continuity Plan The number one priority for hospitals is to provide continuous, superior care to patients, regardless of circumstance. This principle results in the need to invest time and resources in preparing for disruptive events. Hospitals are required to invest in preparedness measures by external agencies, such as The Joint Commission and other accreditation bodies. This requires hospitals to have an emergency preparedness program. Six critical areas that a hospital plan must address include: Communication; Resources and Assets; Safety and Security; Staff Responsibilities; Utilities Management and Patient Clinical and support activities (JCAHO, 2012). Government regulations such as the Health Information Portability and Accountability Act (HIPAA) also require hospitals to protect all medical information, including electronic medical records (EMR), which requires a robust information security program. Business continuity refers to an integrated set of plans, procedures and resources that may be used to maintain and recover essential functions impacted from any event causing an interruption of healthcare delivery services. The key elements of a hospital business continuity plan are: Governance-Define and align with executive priorities...
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...periodic warnings in the last two centuries that automation and new technology were going to wipe out large numbers of middle class jobs. The best-known early example is the Luddite movement of the early 19th century, in which a group of English textile artisans protested the automation of textile production by seeking to destroy some of the machines. A lesser-known but more recent example is the concern over “The Automation Jobless,” as they were called in the title of a TIME magazine story of February 24, 1961: The number of jobs lost to more efficient machines is only part of the problem. What worries many job experts more is that automation may prevent the economy from creating enough new jobs. . . . Throughout industry, the trend has been to bigger production with a smaller work force. . . . Many of the losses in factory jobs have been countered by an increase in the service industries or in office jobs. But automation is beginning to move in and eliminate office jobs too. . . . In the past, new industries hired far more people than those they put out of business. But this is not true of many of today’s new industries. . . . Today’s new industries have comparatively few jobs for the unskilled or semiskilled, just the class of workers whose jobs are being eliminated by automation. Concerns over automation and joblessness during the 1950s and early 1960s were strong enough that in 1964, President Lyndon B. Johnson empaneled a ■ David H. Autor is Professor...
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...little is known about the impact of these technologies on clinical workflow practices and interprofessional collaboration. In order to better understand this, we have conducted a focused literature review, with the aim of providing policymakers, administrators, and healthcare professionals with an evidence-based foundation for decision-making. A total of 397 articles focused on videoconferencing in clinical contexts were retrieved, with 225 used to produce this literature review. Literature in the fields of medicine (including general and family practitioners and specialists in neurology, dermatology, radiology, orthopedics, rheumatology, surgery, cardiology, pediatrics, pathology, renal care, genetics, and psychiatry), nursing (including hospital-based, community-based, nursing homes, and home-based care), pharmacy, the rehabilitation sciences (including occupational and physical...
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...difficulties facing rural residents in a rapidly urbanizing Nation. According to the 1990 census, there were over 61 million people living in rural areas. That equals a population greater than that of the UK, Spain, France or Italy in 1996. Rural America touches almost every state. A large number of the Western states have a majority of land which is defined as rural. Generally, non-metropolitan populations have higher poverty rates, higher unemployment rates, and lower educational backgrounds than those individuals living in metropolitan communities. These same residents in non-metropolitan areas are afflicted with a poorer health status. There are higher rates of chronic disease, infant mortality, accidental farming-related injuries, occupational hazards, and trauma mortality in rural areas when compared to those living in metropolitan areas. A compounding factor affecting these already poor indicators is the significant lack of access to health care in these rural communities. The barriers to access are due to a variety of factors. Many of the residents of rural America have limited financial resources to pay for their medical care. In addition to poor finances, the residents must travel great distances to reach a health care practitioner. Often, these residents have difficulty obtaining transportation to get to the health care facility. (Merwin, Snyder, & Katz, 2006, 187) The lack of health care practitioners only intensifies the problems faced by rural Americans in...
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...Identifying and Reducing High Staff Turnover Introduction The Information Technology Department (IT) at ABC Hospital is comprised of the following Teams: Radiology IT, Radiation Oncology IT, Lab IT, Cardiology IT & Peri-operative IT Teams. The focus of the IT Department is to provide IT Support for the clinical applications utilized by the respective departments that they support. The IT department focuses on application support, incident management, project management, and a strong focus on customer service. Customers include Physicians, Radiologists, Technicians, Nurses, Clerical Staff, Billing staff, and Administrative Staff. The IT Staff is customer facing, they are required to interact with stakeholders on a daily basis. IT also serves as a liaison between the clinical departments and the technical IT Departments within ABC Hospital. IT focuses on understanding the IT needs of each department and verbalizes this in technical terms to the technical IT Department. IT department is staffed with eleven staff members and is managed by one Manager. Each IT sub department has a Team Lead who is directly responsible for each team meeting all IT & Clinical Department goals & objectives. Brady Consulting Services has been hired by ABC Hospital to provide an analysis and recommendations on the cause for high staff turnover within the IT Department. Over the past 2 years the IT Team has seen a high volume of staff turnover within the Lab IT, Radiation...
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...Abu Dhabi University College of Business Administration Master of Business Administration Program Master of Human Resource Management Program Fall Term B Semester AY2013-2014 Course Name: Organizational Behavior Course Code: MGT514 Instructor’s Name: Dr. Mohamed Behery Done by: Asma Al Darmaki 1039949 Aysha Al Dhaheri 1031700 Noura Al Alawi 1031350 Aysha Al Shamisi 1012981 Najla Al Otaibi 1038068 LEADERSHIP AND WOMEN CAREER SUCCESS: THE GLASS CEILING EFFECT WITHIN THE UAE CEDARS - Jebel Ali International Hospital TABLE OF CONTENTS INTRODUCTION 3 Problem statement 3 Significance of the study 3 STUDY ORGANZIATION: CEDARS - Jebel Ali International Hospital 5 LITERATURE REVIEW 5 An introduction to Leadership: 5 DIFFERENT STYLES OF LEADERSHIP 6 Authoritarian Type of Leadership: 6 Democratic Leadership style: 7 Laissez-Faire Leadership : 8 The underlying concept of Glass Ceiling Effect : 9 Women Leadership Styles and Female Career Advancement 12 Relationship between Leadership Style and Glass Ceiling Effect in connection with women career 14 RESEARCH METHODOLGY AND SAMPLING TECHNIQUE 16 ANALYSIS AND FINDINGS OF THE RESEARCH: 17 Section 1: Leadership Style 17 Section 2: Perceived Glass Ceiling Effect in context of CEDARS 20 Section3: Women Career Pathways 24 CONCLUSIONS AND RECOMMENDATIONS 29 REFERENCES 31 TABLE OF FIGURES Figure 1: Authoritarian Leadership style 16 Figure 2: Democratic Leadership style questionnaire...
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...APPENDIX Checklists A Checklist A-1 Reviewing a Budget 1. Is this budget static (not adjusted for volume) or flexible (adjusted for volume during the year)? 2. Are the figures designated as fixed or variable? 3. Is the budget for a defined unit of authority? 4. Are the line items within the budget all expenses (and revenues, if applicable) that are controllable by the manager? 5. Is the format of the budget comparable with that of previous periods so that several reports over time can be compared if so desired? 6. Are actual and budget for the same period? 7. Are the figures annualized? 8. Test one line-item calculation. Is the math for the dollar difference computed correctly? Is the percentage properly computed based on a percentage of the budget figure? 333 334 APPENDIX A Checklists Checklist A-2 Building a Budget 1. What is the proposed volume for the new budget period? 2. What is the appropriate inflow (revenues) and outflow (cost of services delivered) relationship? 3. What will the appropriate dollar cost be? (Note: this question requires a series of assumptions about the nature of the operation for the new budget period.) 3a. Forecast service-related workload. 3b. Forecast non–service-related workload. 3c. Forecast special project workload if applicable. 3d. Coordinate assumptions for proportionate share of interdepartmental projects. 4. Will additional resources be available? 5. Will this budget accomplish the appropriate managerial objectives for...
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...Annals of Internal Medicine Clinical Guidelines Screening Mammography in Women 40 to 49 Years of Age: A Systematic Review for the American College of Physicians Katrina Armstrong, MD, MSCE; Elizabeth Moye, BA; Sankey Williams, MD; Jesse A. Berlin, ScD; and Eileen E. Reynolds, MD Background: The risks and benefits of mammography screening among women 40 to 49 years of age remain an important issue for clinical practice. Purpose: To evaluate the evidence about the risks and benefits of mammography screening for women 40 to 49 years of age. Data Sources: English-language publications in MEDLINE (1966 – 2005), Pre-MEDLINE, and the Cochrane Central Register of Controlled Trials and references of selected studies through May 2005. Study Selection: Previous systematic reviews; randomized, controlled trials; and observational studies. Data Extraction: Two independent reviewers. Data Synthesis: In addition to publications from the original mammography trials, 117 studies were included in the review. Metaanalyses of randomized, controlled trials demonstrate a 7% to 23% reduction in breast cancer mortality rates with screening mammography in women 40 to 49 years of age. Screening mammography is associated with an increased risk for mastectomy but a decreased risk for adjuvant chemotherapy and hormone therapy. The risk for death due to breast cancer from the radiation exposure involved in mammography screening is small and is outweighed by a reduction in breast cancer mortality...
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