Editorial

Without risk there is no progress or development. But risk, as with any professional action, needs to be identified and managed if its potential is to be harnessed optimally. A strong position on risk management is essential in today’s rapidly-changing healthcare world to avoid danger; danger in cyber security, danger in staff care and, critically, danger in patient outcomes. In this issue of Heal...

Spotlight

What does radiologist Prof. Paul Sidhu have planned for his tenure as Presidency of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) and what are his thoughts on future trends in imaging?Congratulations on being elected to the Presidency of the European Federation of Societies for Ultrasound in Medicine and Biology. What are the main priorities for your tenure as...

Prof. Gabor Forrai speaks with HealthManagement about the future of the European Society of Breast Imaging (EUSOBI) and the latest guidelines and recommendations for women in mammography   EUSOBI recently updated its recommendations on information for women on mammography. What are the main updates? Also, why is it important to involve consumers, the Europa Donna organisation, in developing the...

Management Matters

Servant leadership offers a fresh approach to meeting the critical leadership challenges of contemporary healthcare organisations, while honouring the humanity of everyone they touch.   The terms of the work world have changed. Employee expectations and organisational mandates have shifted. In order to be successful and relevant in this environment, leaders must learn new ways of leading, throwing off...

For better team cooperation and project success, ‘collaborative thinking’ could be the way to go.   Two heads are better than one”. This couldn't be more accurate. I've always been a fan of working in a collaborative way: involving your team, sharing your thoughts and ideas with as many people as possible and getting different perspectives and inputs. Because it's all about perspectives - and the...

Cover Story: Risk & Danger

How much do clinicians—and patients—really know about the likely outcomes of the decisions they make, and how can we help them know more? Should I start taking statins? Should I go for a breast cancer or prostate cancer screening test? Or even just should I take another ibuprofen for my backache—that headline about them potentially causing an increased risk of a heart attack pops into my mind…    

Developing risk literacy could greatly benefit healthcare   What research is undertaken at the Harding Center for Risk Literacy?   Our goal is to help people in their struggle to understand and assess risks and to facilitate better risk-related decisions. Our primary focus has been on healthcare where transparent risk communication can support patients to make informed decisions about their own he

The Institute of Risk Management is bringing together best international and cross-sector risk management practices to help improve healthcare efficiency and enhance patient outcomes.   The Institute of Risk Management (IRM) has formed a new Health and Care Special Interest Group to help the healthcare sector deal more effectively with risk and opportunities. The Institute is doing this through...

Both infection control and cybersecurity support the whole care process, but why do we treat themso differently? In 1847 the father of infection control, Ignaz Semmelweis, took a position running maternity services in a Vienna hospital. During his time there he observed that women cared for by physicians were more likely to die (13-18%) from infection than women cared for by midwifes (2%). This led...

In healthcare, blockchain is widely regarded as technology that will protect data from costly and credibility-damaging cyberhacking. But there’s a risk; does it align with regulatory bodies’ criteria? Many experts believe blockchain technology will drive innovation in health information and that it has the potential to solve critical healthcare issues, including interoperability, security, records...

How can stakeholders harness the potential of healthcare wearables to revolutionise the care continuum while successfully navigating legislative and technical risks? HealthManagement.org spoke to Global Top 100 Digital Health Influencer, João Bocas for his insights.   Is there a danger of health wearables developers being blinded by technology and losing sight of what a healthcare wearable is fo...

Comparing radiology to living at or near the ocean allows the threats to radiology to be explored via a nautical theme.   Our specialty is heading for a period of uncertainty, disquiet, challenge and perhaps peril, one that will likely manifest itself in the medium term, five to fifteen years hence at the latest. The signs that should engender alarm are already evident, more subdued than clamorous...

Outlines the frequency of adverse effects, prevention and management, and focuses on acute reactions which may occur after intravascular injection of contrast agents, the risk of deterioration in renal function after iodine-based agents, and current anxieties about the long-term safety of gadolinium-based agents.   Contrast agents (or contrast media) are compounds, which are given during radio...

Although healthcare workers have a responsibility to raise concerns about patient safety and unethical or illegal conduct, if they do so they are often treated badly.   Healthcare workers have a responsibility to raise concerns about patient safety and unethical or illegal conduct. Yet those who raise serious concerns are often treated badly by senior colleagues, their employing organisations and the...

Whistleblowers who raise concerns continue to be at risk of losing their jobs. Sharmila Chowdhury speaks the truth behind the life of a whistleblower and the severe consquences she continues to face after being dismissed by the NHS.   I had worked in the UK National Health Service (NHS ) since 1980 and qualified as a radiographer in 1983. I joined Ealing Hospital (London North West Healthcare NHS...

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Winning Practices

What are the steps to take when there is a ransomware attack?   Device systems: What is ransomware?   Ransomware is a form of computer malware used to make data, software, and IT assets unavailable to users. It uses encryption of data to hold systems hostage with an associated ransom demand, often in Bitcoin (a virtual currency that is difficult to trace). This encryption is used to extort mon

A new initiative that will improve medical device security and facilitate sharing of best practice is being rolled out internationally this year.   The Medical Device Innovation, Safety and Security Consortium (MDISS ) has launched the first of what are planned to be more than a dozen international medical device security testing labs and cyber-ranges.   The World Health Information Security Testi

What data analysis tools can healthcare implement to streamline operations and improve efficiency? Data analysis is essential to run many organisations, and even has increased in importance over the last several years. With cheap computer power and storage options it has become possible to analyse vast amounts and types of data to increase business performance. The term “Big Data” was coined and overhyped,...

How can lab automisation improve analysis services and open doors for new business opportunities?   Laboratory testing occurs daily on inpatients and outpatients in both hospital and physician office visit settings. Do you know what happens to the vial of blood that you offer during your inpatient stay or outpatient visit? UAB Medicine recently implemented an automation line that analyses anywhere...

A reminder about who is at the centre of the complex healthcare hierarchy and industry – the patient.   In May I was present at the excellent congress “Responsible Research and Innovation in the Health Industry”, organised among others by the EU Economic and Social Committee. I had the honour of speaking about my ideas on innovation and the obstacles that are connected with it. Of course this in...

The European Society of Cardiology (ESC) on eHealth and how it is disrupting the usual way patients and healthcare professionals interact.   In recent years, the way in which one can access information in healthcare has hugely transformed, particularly for the younger generation. The European Society of Cardiology (ESC) Congress in Barcelona last month paid special attention to this theme and how the...

The time has comeThe latest in CCTA and how the quality and timeliness of diagnosis can be improved.Since the beginning of the 21st century coronary computed tomography angiography (CCTA ) has turned from a research tool with ill-defined indications into the recognised cardiac imaging modality with proven clinical and prognostic values. There is already a myriad of single-centre studies and over a...

New roles for an old actor?   Presents a brief overview of the physics related to different sonographic techniques, indications, new improvements and possible applications in future.   No one in the early days of the ultrasonography (US) era would believe the current clinical role of this imaging modality. As a courageous and innovative application of sonar and radar technology in biological t

Latest treatments   New techniques in ablation and imaging are broadening the options for treating patients with symptomatic and asymptomatic atrial fibrillation.   Atrial fibrillation (AF) is the most common clinical arrhythmia seen in the daily clinic. It has an important impact on the economic health burden, as many patients are affected by this symptomatic heart rhythm disturbance.   AF i

A training initiative that introduces medical students to EHR use early on to mitigate patient care risk is growing in momentum.   Electronic health records (EHR s), or electronic medical records (EMRs) continue to be received with a mixed reception from physicians and nursing staff. While the tool, in theory, enables swift sharing of medical data, in practice, medics have voiced concerns over d...

Colin Wright, Framework Development Manager at Skills for Health, provides guidance and key points for best practice when implementing and using a new Core Skills training framework. In the summer, Skills for Health released a brand-new Core Skills Education and Training Framework called Person- Centred Approaches. The framework aims to distil best practice and to set out core, transferable behavi...

A recent Point of Care Foundation report provides insights into the pressures faced by British healthcare staff and how these can be overcome.   How employers feel at work has been the subject of debate for quite some time, particularly within the healthcare sector. It is widely agreed that staffs’ happiness largely depends on the environment that they work in and thus affects their overall perf...

Compass

To meet the pressing need for affordable, quality and equitable healthcare, the Africa Healthcare Federation (AHF) integrates the private health sector of Africa, and presents a unified platform where the private sector can effectively engage the public sector for best health outcomes.   The African region is experiencing steady economic growth despite many challenges, and predictions for the coming...

I-I-I Blog

Head of Innovation, Salauno, Mexico City, Mexico We cannot solve our problems with the same thinking we used when we created them-Albert Einstein  What would you single out as a career highlight?  I worked as a physician for one year and six months for Partners in Health in the mountains of Chiapas, the poorest state in Mexico, where I understood the connection between effective medicine and

Senior Consultant -University Clinics of Cardiology, SwitzerlandResearch Associate - ARTORG Centre for Biomedical Engineering Research University of Bern Switzerland, Congress Director - European Congress on eCardiology and eHealth Be positive   What would you single out as a career highlight?   I was one of the initiators of the European Association for Cardiovascular Prevention and Rehabili

President (2016-2018)- British Institute of Radiology, UK     Thomas Watson, IB M President 1943 said: “I think there is a world market for maybe5 computers”. Never try to predict what might happen!  What is your top management tip?   Management is different from leadership! Leadership - have a vision that is shared with your team and lead from the front.

Assistant Professor,University of Milano-Bicocc a & IRCCSIO Galeazz i, Milano, Italy  Do not underestimate the effort, costs and time that are necessary to properly train the users of any OAI system, and have these users become committed in making the best use of the system and in contributing to its continuous improvement. In short, consider the most important human factor, which are the huma


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