Editorial

On the first day of a new project, I often discover that many of my colleagues in healthcare haven’t worked with designers before, which is why I’m introduced as “an IT guy.” While I was initially startled to be stereotyped as “IT ”, I have come to realise that IT is exactly the right place for a designer to be. We’ve entered a new age where technology should be defined not by its mere existence, but...

Promoting Management and Leadership in HealthcareImaging EDITOR-IN-CHIEF Prof. Lluís Donoso Bach Hospital Clinic – University of Barcelona, Spain   HONORARY EDITOR-IN-CHIEF   Prof. Iain McCall UK (Retired)   EDITORIAL BOARD MEMBERS   Prof. Stephen Baker Rutgers New Jersey Medical School, U.S.   Prof. Hans Blickman University of Rochester Medical Center, U.S.   Prof. Georg Bonga

Spotlight

Hassen A. Gharbi from Tunisia was recognised at ECR 2016 in Vienna for being “the first paediatric radiologist in northern Africa” receiving the honorary membership exactly 50 years since he graduated from France. In his brief acceptance speech, Dr Gharbi praised members of the European Society of Radiology for their support all these years, in particular former ESR president Dr Guy Frija, and pledged...

In the News

THE HEALTH SECTOR’S CYBER -HYGIENE EPIDEMICNietzsche said, “All great things must first wear terrifying and monstrous masks in order to inscribe themselves on the hearts of humanity”. Unfortunately, for the health sector the issues of ransomware, malware and hackers must worsen before things improve. This is not a sadistic estimation; rather, it is a prediction that the healthcare communities victimised...

Does Changing The Order Of Second Mammograms Reduce Detection?A study in the UK, where two film readers independently evaluate each mammogram for signs of cancer, has found that changing the order of examination between two sets of readings did not result in any significant difference in detecting breast cancer.The study, published in The Journal of The American Medical Association (JAMA), found that...

Every week, HealthManagement.org publishes top healthcare management, leadership and best practice news in dedicated newsletters. We know you’re busy, so we do all the work and pick the best stories to send you. Read on for a variety of topics that piqued record interest recently.   5 Ways to Improve ICU Rounds Based on a survey of practice in 111 Canadian ICUs, the authors of a study published in...

Ultrasound Exam Changed Treatment in 30 of 119 Cases Cardiac nurses in Norway trained in the use of handheld pocket ultrasound devices have improved diuretic dosing in patients by calculating fluid retention both in the pleural cavities (between the two membranes surrounding the lungs) and the inferior vena cava of heart failure patients.  By detecting harmful fluid retention in patients early, th

Management Matters

During the last fifty years, cardiovascular medicine has remarkably advanced by continuously contributing both in the prevention of cardiovascular diseases and their diagnostic and therapeutic management.   Given the increase in the quality of life and survival rate of cardiovascular patients, it has been recognised that to a significant degree, the expectations of financial investments reflecting...

Leadership is a generic term, so when we talk about leaders in the NHS we need to be clear about who and what we are talking about and to avoid making absolute distinctions between leaders and managers.   How should current and future leaders equip themselves to meet the burgeoning challenges facing the NHS?   Accomplished leaders undoubtedly need to have a vision but any view of the future needs

What if you walked into your favourite coffee shop one day and discovered that you couldn't order your usual "customised" coffee? You'd be served caffeinated black coffee or nothing at all. Many industry leaders recognise that their customers are demanding customised experiences; after all, you can customise everything from your computer to your morning cup of coffee. But what about the frontline employees...

Point-of-View

CLEARLY SEE WHAT TO EXPECT DURING AN OPERATIONDr Konstantin Feise, a dermatologist and phlebologist working in aesthetic medicine, provides sclerotherapy, catheter-based laser surgery and diagnostic investigations on venous systems, for patients in and around Stuttgart, Germany. He uses point-of-care ultrasound to help get a firm picture of his patients’ requirements and anatomy before surgery, and...

Unification, Optimisation and Analytics for Service Improvement   The Problem With MRI   Magnetic Resonance Imaging (MRI ) is not only one of the most complex parts of the diagnostic chain, it is also one of the most expensive. Obtaining excellent anatomical and functional images is time consuming and requires high levels of technical expertise. Although vendors are attempting to codify workflows,

Cover Story

Design Council’s founding purpose was to elevate the UK’s industrial design standards in goods manufacturing to support Britain’s economic recovery. Now, after 70 years, much of what we do is centred on how design can help to improve the health and wellbeing of people in the UK and the wider world.   Over the last seven decades, Design Council has made a significant and tangible contribution to so...

You’re much more imaginative than you think, but your workplace — which needs your very best ideas — may be driving the creativity right out of you.   Big businesses can be the worst offenders, demanding a level of predictability and efficiency that is good for today’s bottom line but bad for tomorrow’s. The pressure to grow is relentless, but the battle is often uninspired.   I teach a different

AWARD-WINNING ZULEKHA HOSPITALS OFFERS INSIGHTS INTO SUCCESSFUL PROJECT MANAGEMENT   One of the crucial elements in ensuring building sustainability is a fully developed Operation and Maintenance (O&M) plan. It comprises a set of planned activities that encompass not only technical aspects but also managerial, social, financial and institutional issues. All of them must be directed towards the eli...

COMPUTER MODEL LOOKS AT ER FUNCTIONS, EVEN BEFORE IT’S BUILT   With the cost of building a good hospital estimated at around $1 million per bed, it makes sense to test out new layout ideas before any actual construction gets underway.   As a new hospital is an incredibly expensive endeavour, we used a software programme to test different variables in the efficient functioning of an accident and em

The need to improve the efficiency of the healthcare services has emerged over recent decades and, especially, during the last few years with the economic and financial crisis, developed countries have been suffering   The ageing population, the sector most affected by chronic diseases, is seeking better results when they need the healthcare services and, in particular, hospital services.   Hospit

‘Making It Work’ vs. ‘Making It Fit’   When it comes to design and construction, understanding a hospital’s ongoing needs is “the single most essential piece”. That is why siting imaging equipment often gets left to the last consideration, because the technical criteria have more objective answers. So, although ‘making it fit’ is rarely a problem, the more important goal will always be ‘making it...

  The cardiology team at Sheffield Teaching Hospitals NHS ‏Foundation Trust successfully designed and implemented ‏an outreach service for heart failure patients ‏in non-cardiology wards (National Institute for Health and ‏Care Excellence 2014a). The service was required as cardiologists ‏care for around 18-25 percent of heart failure patients, while ‏75-78 percent are under the care of non-c

THE IMPORTANCE OF CULTURE When Minnesota Heart merged with University of ‏Minnesota Physicians, the cardiovascular service ‏line was branded and redesigned, which involved ‏integration of services across the academic medical centre ‏and community hospitals and clinics. HealthManagement.org spoke to Rebecca Stepan, who was Director for Clinical ‏Quality at the time, about the factors that led to a...

Heart disease is the leading cause of death in Australia. However, people living in rural and remote Australia are 44 percent more likely to die of heart disease than people living in urban areas. (Australian Bureau of Statistics 2011). Brisbane cardiologist, Rolf Gomes, decided to do something about this disparity by equipping a mobile cardiac service to tour rural Queensland. From idea to reality...

Canadian Supply Chain Management Association Offers New Take on Standardising Costs and Processes   Persuading surgeons to recognise the benefits of supply chain management in the operating room is no easy task. But Martin Montanti has done it.   As vice-president for corporate services at Southern Health-Santé Sud, one of Manitoba’s five regional health authorities, Montanti has overseen an ambit

Best Practice

Jorge Muniz is an internal medicine physician assistant, illustrator, and author of Medcomic: The Most Entertaining Way to Study Medicine.   Tell us a little bit about your background. How did you get into illustrating and then connect that to medicine?   Although a career in the arts was something I thought about, when I started college I decided to study science. I obtained a Bachelor’s degree i

A new not-for-profit organisation, the European Institute for Innovation through Health Data (i~HD), held its inaugural conference and public launch in March this year in Paris.   This institute was formed in order to unite efforts to enable better uses of health data for the benefit of learning health systems and clinical research (The European Institute For Innovation Through Health Data, 2015)....

Black Book Market Research recently ‏released insightful figures on attitudes ‏toward IT outsourcing in healthcare. To ‏remain solvent and technologically advanced ‏Black Book said hospital executives realise ‏they need to “evaluate and leverage next ‏generation information and financial systems ‏as an outsourced service” (Black Book, 2015). ‏The company found 73 percent of all ‏surveyed hospitals...

England’s National Health Service (NHS) is facing significant challenges in finding and retaining senior resource. The average tenure of a trust CEO is just 2.5 years and almost one third of all trusts have at least one vacancy or an interim executive board member. So it’s safe to say the NHS isn’t ‘spoilt for choice’ when filling senior vacancies.   Delivering the transformation set out in the Fi...

An update on the EC tender project PiDRL Despite a large number of studies available from European countries, the European DRLs for paediatric patients are only available for some common radiological examinations. There is a need to consolidate what is available and to provide guidance on what actions are needed in using DRLs to further enhance radiation protection of children. The European Commission...

Protocols For Timely And Accurate Assessment   Acute aortic syndrome (AAS) is a life-threatening condition which requires urgent and immediate treatment. AAS can be diagnosed by using computed tomography (CT) imaging, but it is important that key protocols are followed in order to optimise scanning parameters. These recommendations, published by the British Journal of Radiology, provide vital guidance...

Clinical Use of Liver-Specific Contrast Agents   The European Society of Gastrointestinal and Abdominal Radiology (ESGAR) formed a multinational European panel of experts, selected on the basis of a literature review and their leadership in the field of liver magnetic resonance (MR) imaging, to develop a consensus and provide updated recommendations on liver MR imaging and the clinical use of live...

Impact of Dense Breast Tissue On Reliability Of MammogramsThe internet and social media have transformed our‏ lives. They have literally opened up a global connection ‏to those with similar interests and passions. In ‏my focused world of patient advocacy for breast health, ‏I meet innumerable women, fervent in their yearly breast ‏cancer screening, yet diagnosed with a missed, delayed and ‏advanced stage...

Men Lag Behind   In an ideal world, there is no answer to the common question ‏of what we would recommend men of all ages to do ‏or change in their lifestyles to reduce the prospects of ‏prostate cancer. Unfortunately, we don’t know what causes ‏prostate cancer, but what we do know is that a healthy lifestyle ‏(equilibrated food and healthy exercise) is beneficial ‏for many conditions.   If one ad

Clinical Trial to Test If MRI Can Replace Current Standard of CareA team of scientists in Canada has secured funding for a ‏three-year Phase III clinical trial focused on improving ‏the way we biopsy for prostate cancer and whether ‏magnetic resonance imaging (MRI) can replace the current ‏standard of care to diagnose prostate cancer.   The PrECISE project to construct computational models to ‏improve...

Sonoporation with Chemotherapy Increases Porosity of Pancreatic CellsIntroduction   By enhancing the ability of cells to absorb chemotherapeutics, ‏an ultrasound technique has nearly doubled the median ‏patient survival time from diagnosis in a phase I clinical trial. ‏During our research at Haukeland University Hospital in ‏Bergen, Norway, we have combined a laboratory ultrasound ‏technique called...

Compass

An Overview   The Iranian Society of Radiology (ISR ) is the largest in the ‏Middle East and Levant region, with the only other country ‏with more radiologists in this area being Turkey. Presently, ‏there are about 2,400 radiologists practicing in Iran – the ‏Iranian society was founded in 1966 and is now one the ‏largest and best organised medical associations in the ‏country.   Currently, there

Zoom-On

Chief Innovation Officer at NewYork-Presbyterian                                                                                                       &n

Chair of the ESR Education Committee                                                                                                    

Hospitalist,Writer and Professor & Interim Chair of the Department of Medicine at the University of California, San Francisco.                                                                              

Professor and Edith Clemmer Steinbright Chair of Gerontology                                                                                                  


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