Editorial

First the financial crisis, now the economic crisis. At this point in time, nobody can possibly predict how long the crisis will continue. Surveys and prognoses are of little help, they increase insecurity and may even aggravate the problem. The development has its roots in the financial sector, it has already reached the real economy, and now it is placing a strain on the global labour market.   So...

News

Hospital GovernanceThe economic crisis and several scandals have recently increased the public’s interest in corporate governance. In healthcare, governance has long been a crucial element in the organisation and management of hospitals. Given the evolution... Read more

The Netherlands “Striving For a Healthy Crisis” The Dutch week of public health took place from the 6th to the 12th of April, coinciding with World Health Day. The motto for this year was "Striving for a Healthy Crisis". An initiative of the Dutch Public Health Federation (NPHF), the aim: to generate broad media attention, putting public health on the agenda. The government has said that to survive...

Healthcare Associated Infections Cost Europe 5.5 Billion Euros per year A round table on patient safety and healthcare associated infections (HCAIs) organised by Health First Europe and cohosted by MEPs Liz Lynne and Amalia Sartori revealed the extent of the burden of HCAIs on Europe’s healthcare systems.   The European Centre for Disease Prevention and Control (ECDC) claims that HCAIs cause 37...

The Political Fight Against TB Political pressure is growing on the European Union and national governments to increase resources in the fight against tuberculosis as new research reveals that 55 people are diagnosed with the disease every hour in Europe.   A cross-party group of members of the European Parliament has tabled a written declaration calling on the European Commission and Member States...

Hygine

Hospital acquired (nosocomial) infections, i.e. infections developing 48 hours or more after admission to hospital, are a global problem. The proportional rise in the ageing population, and consequently of the patient population in hospital, the ever increasing use of prosthetic materials and of intravascular devices, and increasing prescription of immuno - suppressive drugs for various indications are...

Perspectives for Healthcare Staff, Management, and Infection Control Specialists By Veronique M. Boscart, Alexander I. Levchenko, Geoff R. Fernie and Walter P. Wodchis Background Hospital acquired infections (HAI) cause 2 million infections yearly, resulting in 88,000 deaths globally. They are defined as infections occurring 48 hours after being admitted to a healthcare facility and are secondary...

A growing body of evidence shows that hospital design directly impacts the cleanliness of the hospital environment and therefore contributes significantly to the reduction of hospital-associated infections. This paper focuses on some of the key environmental measures that improve the hygiene of the hospital environment (air and inanimate surfaces) and personnel. Air Hygiene Aerial dissemination of...

Hospital food service systems are considered one of the most complicated production processes in the hospitality sector as hospital outbreaks of food-borne diseases affect patients, personnel and visitors. It is commonly believed that most outbreaks result from faulty food handling practices.   Mishandling food can permit the proliferation of microorganisms that cause such illnesses, especially...

Integrated Care

The National Health Service (NHS) in the UK is moving towards vertical integration of its healthcare services as exemplified by the ‘Inte grated Care Pilot Programme’ launched by the Department of Health in October 2008. Vertical integration is where the full range of health providers (hospital and community services, GPs, mental health providers, home health services, social services, etc.) in a...

An Open, Ubiquitous and Adaptive Chronic Disease Management Platform for COPD and Renal Insufficiency Launched in Venice on February 1, 2008, CHRONIOUS is a highly innovative Information and Communication Technology (ICT) research project that aims to implement its vision for ubiquitous health and lifestyle monitoring of people with chronic diseases at a European level. CHRONIOUS is partially funded...

Management

Conflict Resolution Patterns in HospitalIntroduction Workplace conflicts are part of work reality. Research shows that conflicts at work have a negative effect on the employee’s job satisfaction and constitute an important source of stress. However, in recent years it was argued that it might not be the conflict per se that is detrimental to health and health consequences but the way in which conflicts...

Compliance Between Users and Managers Users are often viewed as an obstacle, a problem, within information systems security. One problem often raised is the users’ low awareness of information systems security (ISS) regulations. The purpose of ISS is to, through technical, administrative or managerial means, protect an organisation’s information resources. Having good ISS measures is important in...

Medtech

Asset management and control is an enduring challenge for all hospitals. The scope and scale of hospital ‘assets’ is both vast and heterogeneous. Nevertheless IT has been increasingly deployed, often in imaginative ways, to meet such challenges. This article provides a working example of asset management: the control of an expensive product found in most hospitals, the antidecubitus mattress. Lessons...

Country Focus:Turkey

It is not realistic to allege that health policies are not influenced by global trends. The Turkish healthcare system is in transition towards a more European model. The engine of this transition is doubtless the Government’s Health Transformation Programme. The programme aims to raise the effectiveness of the health services in terms of governance, efficiency and fiscal sustainability. The Health...

French

Combattre La Crise D’abord la crise financière, et puis la crise économique. A l’heure actuelle, personne ne peut prédire la durée de cette crise. Les enquêtes et les pronostics ne sont pas d’une grande aide, ils augmentent seulement l’incertitud... Read more

Governance Hospitaliére La crise économique et plusieurs scandals ont affiné l’intérêt du grand public pour la gouvernance au sein des entreprises. Dans le secteur des soins de santé, la gouvernance est depuis longtemps un élément crucial dans l’organisation et la gestion des hôpitaux. Vu l’évolution des soins de santé et la situation spécifique des hôpitaux, le sujet de la gouvernance hospitalière...

Rentabilité du Contrôle de l’Infection: une Approche Triple Par Ellen E. Stobberingh, Ed E.J. Smeets et Frank H. van Tiel Les infections contractées à l’hôpital sont un problem global qui débouche sur un accroissement de la morbidité nosocomiale et de la mortalité, ainsi que sur une augmentation de la charge financière de l’hôpital et de la société. Un contrôle de l’infection efficace et rentable...

German

Der Krise EntgegenZunächst die Finanzkrise dann die Wirtschaftskrise. Keiner kann zur Zeit voraussagen, wie lange die Krise andauern wird. Umfragen und Prognosen helfen wenig, sie erhöhen die Unsicherheit und verschärfen das Problem sogar. Die Entwicklun... Read more

Die Führung Eines Krankenhauses Die Wirtschaftskrise und verschiedene Skandale haben das öffentliche Interesse an jeglicher Unternehmensführung verstärkt. Im Gesundheitswesen ist die Unternehmens - führung seit jeher ein Schlüsselfaktor für die Organisation und das Management einesKrankenhauses. Angesichts der Evolution des Gesundheitswesens und der speziellen Situation der Krankenhäuser gebührt dem...

Kosteneffektive Infektionskontrolle: Ein Drei-Zangen-Ansatz Von Ellen E. Stobberingh, Ed E.J. Smeets und Frank H. van Tiel Im Krankenhaus erworbene Infektionen sind ein globales Problem, das zu erhöhter nosokomialer Morbidität und sogar Mortalität führt, und die finanzielle Belastung für sowohl das Krankenhaus als auch die Gesellschaft im Allgemeinen verschärft. Zur erfolgreichen, kosteneffektiven...


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