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[PMID]:29377847
[Au] Autor:Maurer M; Canacari E; Eng K; Foley J; Phelan C; Sulmonte K; Wandel J
[Ad] Endereço:Author Affiliations: Senior Vice President for Patient Care Services and Chief Nursing Officer (Ms Maurer), Associate Chief Nurses (Mss Canacari, Foley, Phelan, and Sulmonte), and Program Director (Ms Wandel), Beth Israel Deaconess Medical Center, Boston; and Business Transformation Advisor (Ms Eng), Lynn Community Health Center, Lynn, Massachusetts.
[Ti] Título:Building a Culture of Continuous Improvement and Employee Engagement Using a Daily Management System Part 1: Overview.
[So] Source:J Nurs Adm;48(3):127-131, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A daily management system (DMS) can be used to implement continuous quality improvement and advance employee engagement. It can empower staff to identify problems in the care environment that impact quality or workflow and to address them on a daily basis. Through DMS, improvement becomes the work of everyone, every day. The authors of this 2-part series describe their work to develop a DMS. Part 1 describes the background and organizing framework of the program.
[Mh] Termos MeSH primário: Cultura Organizacional
Administração de Recursos Humanos em Hospitais/normas
Melhoria de Qualidade/organização & administração
Engajamento no Trabalho
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos/organização & administração
Boston
Seres Humanos
Estudos de Casos Organizacionais
Administração de Recursos Humanos em Hospitais/métodos
Melhoria de Qualidade/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180130
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000593


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[PMID]:28437376
[Au] Autor:Estenssoro E; Alegría L; Murias G; Friedman G; Castro R; Nin Vaeza N; Loudet C; Bruhn A; Jibaja M; Ospina-Tascon G; Ríos F; Machado FR; Biasi Cavalcanti A; Dubin A; Hurtado FJ; Briva A; Romero C; Bugedo G; Bakker J; Cecconi M; Azevedo L; Hernandez G; Latin-American Intensive Care Network (LIVEN)
[Ad] Endereço:1Servicio de Terapia Intensiva, Hospital Interzonal de Agudos General San Martin de La Plata, Buenos Aires, Argentina.2Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.3Clinica Bazterrica and Clinica Santa Isabel, Ciudad Autónoma de Buenos Aires, Argentina.4Departamento de Medicina Interna, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.5Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.6Hospital Español, Montevideo, Uruguay.7ANII, Montevideo, Uruguay.8Unidad de Cuidados Intensivos, Hospital Eugenio Espejo, Quito, Ecuador.9Escuela de Medicina, Universidad Internacional del Ecuador, Quito, Ecuador.10Department of Intensive Care Medicine, Fundación Valle del Lili, Universidad ICESI, Cali, Colombia.11Servicio de Terapia Intensiva, Hospital Alejandro Posadas, El Palomar, Buenos Aires, Argentina.12Anesthesiology, Pain and Intensive Care Department, Federal University of São Paulo, São Paulo, Brazil.13Research Institute HCor, Hospital do Coração, São Paulo, Brazil.14Servicio de Terapia Intensiva, Sanatorio Otamendi y Miroli, Ciudad Autónoma de Buenos Aires, Argentina.15Catedra de Farmacología Aplicada, Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Buenos Aires, Argentina.16Hospital Español, ASSE, Montevideo, Uruguay.17Department of Pathophysiology School of Medicine, Universidad de la República, Montevideo, Uruguay.18Área de Investigación Respiratoria, Catedra de Medicina Intensiva, Hospital de Clinicas, UdelaR, Montevideo, Uruguay.19Unidad de Pacientes Críticos, Hospital Clínico Universidad de Chile, Santiago, Chile.20Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Medical Center, New York, NY.21St George's University Hospitals NHS Foundation Trust, London, United Kingdom.22Hospital Sirio-Libanes, São Paulo, Brazil.23Emergency Medicine Department, University of Sao Paulo, São Paulo, Brazil.
[Ti] Título:Organizational Issues, Structure, and Processes of Care in 257 ICUs in Latin America: A Study From the Latin America Intensive Care Network.
[So] Source:Crit Care Med;45(8):1325-1336, 2017 Aug.
[Is] ISSN:1530-0293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Latin America bears an important burden of critical care disease, yet the information about it is scarce. Our objective was to describe structure, organization, processes of care, and research activities in Latin-American ICUs. DESIGN: Web-based survey submitted to ICU directors. SETTINGS: ICUs located in nine Latin-American countries. SUBJECTS: Individual ICUs. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Two hundred fifty-seven of 498 (52%) of submitted surveys responded: 51% from Brazil, 17% Chile, 13% Argentina, 6% Ecuador, 5% Uruguay, 3% Colombia, and 5% between Mexico, Peru, and Paraguay. Seventy-nine percent of participating hospitals had less than 500 beds; most were public (59%) and academic (66%). ICUs were mainly medical-surgical (75%); number of beds was evenly distributed in the entire cohort; 77% had 24/7 intensivists; 46% had a physician-to-patient ratio between 1:4 and 7; and 69% had a nurse-to-patient ratio of 1 ≥ 2.1. The 24/7 presence of other specialists was deficient. Protocols in use averaged 9 ± 3. Brazil (vs the rest) had larger hospitals and ICUs and more quality, surveillance, and prevention committees, but fewer 24/7 intensivists and poorer nurse-to-patient ratio. Although standard monitoring, laboratory, and imaging practices were almost universal, more complex measurements and treatments and portable equipment were scarce after standard working hours, and in public hospitals. Mortality was 17.8%, without differences between countries. CONCLUSIONS: This multinational study shows major concerns in the delivery of critical care across Latin America, particularly in human resources. Technology was suboptimal, especially in public hospitals. A 24/7 availability of supporting specialists and of key procedures was inadequate. Mortality was high in comparison to high-income countries.
[Mh] Termos MeSH primário: Unidades de Terapia Intensiva/organização & administração
[Mh] Termos MeSH secundário: Protocolos Clínicos/normas
Estudos Transversais
Técnicas e Procedimentos Diagnósticos/instrumentação
Técnicas e Procedimentos Diagnósticos/estatística & dados numéricos
Número de Leitos em Hospital
Seres Humanos
Unidades de Terapia Intensiva/normas
América Latina
Avaliação de Processos e Resultados (Cuidados de Saúde)
Propriedade
Administração de Recursos Humanos em Hospitais/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170425
[St] Status:MEDLINE
[do] DOI:10.1097/CCM.0000000000002413


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[PMID]:28338157
[Au] Autor:Ye J; Liu B; Tong W
[Ti] Título:[Enhanced recovery after surgery in the west China: problems, strategy and future].
[So] Source:Zhonghua Wei Chang Wai Ke Za Zhi;20(3):263-265, 2017 Mar 25.
[Is] ISSN:1671-0274
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Enhanced recovery after surgery (ERAS) has been widely used in the world for near 20 years, which should be considered as the milestone of modern medicine advancement, changing the routine perioperative principle, accelerating the recovery speed following operation, minimizing the postoperative pain, and saving the medical resources. Despite the remarkable advance, the quality and application of ERAS in the west China needs further improvement if compared with international level or even some domestic hospitals. The postoperative hospital stay in west China is much longer than the reported 3 to 5 days according to published references. Several suggestions can be help: (1) Based on the published consensus and the successful experiences of ERAS in colorectal surgery, the medical institution should make great effort to extend this technique to change the profound traditional idea in medical staffs and patients. (2) The medical administrations should take the application of ERAS as a key performance index and annual work plan in hospital. (3) Multiple disciplinary team including anesthetist, surgeon, dietitian, and nurses is essential for hospital to promote the quality of ERAS. Undoubtedly, ERAS is going to be the conventional medical care in the western area of China. We may look forward to seeing more researches from western China to update the ERAS consensus.
[Mh] Termos MeSH primário: Equipe de Assistência ao Paciente/normas
Equipe de Assistência ao Paciente/tendências
Cuidados Pós-Operatórios/métodos
Cuidados Pós-Operatórios/normas
Qualidade da Assistência à Saúde/normas
Qualidade da Assistência à Saúde/tendências
[Mh] Termos MeSH secundário: China
Competência Clínica
Cirurgia Colorretal/reabilitação
Consenso
Procedimentos Cirúrgicos do Sistema Digestório/reabilitação
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Tempo de Internação/estatística & dados numéricos
Equipe de Assistência ao Paciente/utilização
Administração de Recursos Humanos em Hospitais/métodos
Cuidados Pós-Operatórios/psicologia
Período Pós-Operatório
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE


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[PMID]:28271463
[Au] Autor:Soh KW; Walker C; O'Sullivan M
[Ad] Endereço:Department of Engineering Science, University of Auckland, 70 Symonds Street, Auckland, New Zealand. skia593@aucklanduni.ac.nz.
[Ti] Título:A Literature Review on Validated Simulations of the Surgical Services.
[So] Source:J Med Syst;41(4):61, 2017 Apr.
[Is] ISSN:1573-689X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The surgical department is a critical unit that oversees multiple surgical-based clinical pathways and works with various other units in a hospital. This department faces numerous challenges relating to variability in demand and management of resources. The aim of this article is to review the application of validated simulation models on hospital-wide surgical services. Each of these models is broadly classified by (i) simulation method and (ii) level of detail given to the management of "patient pathways" and "staff workflows". We remark that very few studies have given attention to the management of staff workflows in their validated simulation models.
[Mh] Termos MeSH primário: Simulação por Computador
Modelos Teóricos
Centro Cirúrgico Hospitalar/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Administração de Recursos Humanos em Hospitais
Fluxo de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1007/s10916-017-0711-x


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[PMID]:28137347
[Au] Autor:Sweigart E
[Ti] Título:Compassion Fatigue, Burnout, and Neonatal Abstinence Syndrome.
[So] Source:Neonatal Netw;36(1):7-11, 2017 Jan 01.
[Is] ISSN:1539-2880
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:NICU nurses have seen a dramatic increase in cases of neonatal abstinence syndrome (NAS). The care needs of infants with NAS are highly demanding and can lead to feelings of frustration and emotional exhaustion among NICU nurses. Although studies have examined the experiences of nurses caring for NAS patients, none have specifically addressed the risk for compassion fatigue and burnout. Nurses need practical strategies to reduce their risk for compassion fatigue and burnout when caring for these patients. Improved education and implementation of self-care measures can help nurses more effectively manage stress and positively impact care of these infants and their families.
[Mh] Termos MeSH primário: Esgotamento Profissional
Fadiga por Compaixão
Síndrome de Abstinência Neonatal
Enfermeiras Neonatologistas/psicologia
Gestão de Riscos/organização & administração
[Mh] Termos MeSH secundário: Esgotamento Profissional/etiologia
Esgotamento Profissional/prevenção & controle
Esgotamento Profissional/psicologia
Fadiga por Compaixão/etiologia
Fadiga por Compaixão/prevenção & controle
Fadiga por Compaixão/psicologia
Seres Humanos
Síndrome de Abstinência Neonatal/psicologia
Síndrome de Abstinência Neonatal/terapia
Administração de Recursos Humanos em Hospitais/métodos
Administração de Recursos Humanos em Hospitais/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170201
[St] Status:MEDLINE
[do] DOI:10.1891/0730-0832.36.1.7


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[PMID]:28086876
[Au] Autor:Trybou J; Gemmel P; Desmidt S; Annemans L
[Ad] Endereço:Ghent University, Ghent, Belgium. Jeroen.Trybou@ugent.be.
[Ti] Título:Fulfillment of administrative and professional obligations of hospitals and mission motivation of physicians.
[So] Source:BMC Health Serv Res;17(1):28, 2017 Jan 13.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To be successful, hospitals must increasingly collaborate with their medical staff. One strategic tool that plays an important role is the mission statement of hospitals. The goal of this research was to study the relationship between the fulfillment of administrative and professional obligations of hospitals on physicians' motivation to contribute to the mission of the hospital. Furthermore the mediating role of the physicians' emotional attachment to the hospital and moderation effect of the exchange with the head physicians were considered. METHODS: Self-employed physicians of six hospitals participated in a survey. Descriptive analyses and linear regression were used to analyse the data. RESULTS: The results indicate that affective commitment mediated the relationship between psychological contract fulfillment and mission statement motivation. In addition, the quality of exchange with the Chief Medical Officer moderated the relationship between the fulfillment of administrative obligations and affective commitment positively. CONCLUSION: This study extends our understanding of social exchange processes and mission statement motivation of physicians. We showed that when physicians perceive a high level of fulfillment of their psychological contract they are more committed and more motivated to contribute to the mission statement. A high quality relationship between physician and Chief Medical Officer can enhance this reciprocity dynamic.
[Mh] Termos MeSH primário: Relações Hospital-Médico
Hospitais/estatística & dados numéricos
Corpo Clínico Hospitalar/psicologia
Motivação
Prática Profissional
[Mh] Termos MeSH secundário: Bélgica
Contratos
Comportamento Cooperativo
Emprego/estatística & dados numéricos
Feminino
Seres Humanos
Relações Interprofissionais
Liderança
Masculino
Meia-Idade
Administração de Recursos Humanos em Hospitais
Comportamento Social
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170115
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-1990-0


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[PMID]:28034390
[Ti] Título:Not-So-Therapeutic Tap.
[So] Source:AORN J;105(1):132-105, 2017 Jan.
[Is] ISSN:1878-0369
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ascite/terapia
Hemorragia/etiologia
Internato e Residência
Omento/irrigação sanguínea
Paracentese/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Ascite/diagnóstico por imagem
Feminino
Hemorragia/terapia
Seres Humanos
Administração de Recursos Humanos em Hospitais
Aderências Teciduais/complicações
Ultrassonografia de Intervenção
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:161231
[St] Status:MEDLINE


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[PMID]:27814834
[Au] Autor:Lexa FJ; Fessell D
[Ad] Endereço:Global Consulting Practicum and the Department of Marketing, The Wharton School, Philadelphia, Pennsylvania; and the Radiology Leadership Institute and Commission on Leadership and Practice Development, American College of Radiology, Reston, Virginia.
[Ti] Título:Overstaffing.
[So] Source:J Am Coll Radiol;13(11):1383-1384, 2016 Nov.
[Is] ISSN:1558-349X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Administração de Recursos Humanos em Hospitais
Admissão e Escalonamento de Pessoal
Serviço Hospitalar de Radiologia/recursos humanos
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161106
[St] Status:MEDLINE


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[PMID]:27350504
[Au] Autor:Benslimane N; Khalifa M
[Ad] Endereço:King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
[Ti] Título:Evaluating Pharmacists' Motivation and Job Satisfaction Factors in Saudi Hospitals.
[So] Source:Stud Health Technol Inform;226:201-4, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:High turnover rate among healthcare professionals is a very expensive price that healthcare organizations might pay if they don't have the proper strategies for motivating and satisfying their employees. Healthcare organizations should be able to identify areas that require more attention. Many studies discussed the vital link that bonds job satisfaction with motivation, which has a major impact on productivity, innovation, and overall organizational performance. Our study explored the level of job satisfaction and factors that motivate pharmacists in Saudi hospitals using mixed quantitative and qualitative methods. From pharmacy managers' point of view; financial rewards are more important than non-financial incentives and benefits. This contradicts with pharmacists' opinions; who ranked recognition, promotion, job satisfaction, job feedback, autonomy and task significance among the most influential motivators to pharmacists. These results show that managers need to revise their plans and provide further attention to ensure that effective motivation and retention strategies are put in place.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Satisfação no Emprego
Motivação
Farmacêuticos/psicologia
Serviço de Farmácia Hospitalar/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Relações Interpessoais
Administração de Recursos Humanos em Hospitais
Salários e Benefícios
Arábia Saudita
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170509
[Lr] Data última revisão:
170509
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160629
[St] Status:MEDLINE


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[PMID]:27332164
[Au] Autor:Verma N; Xavier T; Agrawal D
[Ad] Endereço:All India Institute of Medical Sciences, New Delhi, India.
[Ti] Título:Biometric Attendance and Big Data Analysis for Optimizing Work Processes.
[So] Source:Stud Health Technol Inform;225:68-72, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Although biometric attendance management is available, large healthcare organizations have difficulty in big data analysis for optimization of work processes. The aim of this project was to assess the implementation of a biometric attendance system and its utility following big data analysis. In this prospective study the implementation of biometric system was evaluated over 3 month period at our institution. Software integration with other existing systems for data analysis was also evaluated. Implementation of the biometric system could be successfully done over a two month period with enrollment of 10,000 employees into the system. However generating reports and taking action this large number of staff was a challenge. For this purpose software was made for capturing the duty roster of each employee and integrating it with the biometric system and adding an SMS gateway. This helped in automating the process of sending SMSs to each employee who had not signed in. Standalone biometric systems have limited functionality in large organizations unless it is meshed with employee duty roster.
[Mh] Termos MeSH primário: Absenteísmo
Biometria/métodos
Conjuntos de Dados como Assunto
Admissão e Escalonamento de Pessoal/estatística & dados numéricos
Registros como Assunto/estatística & dados numéricos
Fluxo de Trabalho
[Mh] Termos MeSH secundário: Índia
Administração de Recursos Humanos em Hospitais/métodos
Melhoria de Qualidade
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170414
[Lr] Data última revisão:
170414
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160623
[St] Status:MEDLINE



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