...Waleed M. Al‐Shakhaa; Mohammed Zairi The success ofIn recent years, there has been significant interest in the application of continuous quality improvement (CQI) and total quality management (TQM), and patient‐focused care (PFC) in health care organisations around the globe. The hospital industry...

... effectively. The article describes these trends, the impetus for change and identifies practically how such a change was achieved within the largest women’s hospital in the UK. It defines the basis for building a vision for an improved future and the practical use of management and transformational leadership...

... patient welfare, increasing quality of care, and reducing negligence lawsuits, as well as providing treatment and recovery opportunities for those with addictions. © MCB UP Limited 1998 Clinics Doctors Drug abuse Health care Hospitals Rehabilitation Recent surveys by the American...

... the understanding of the item and its relationship to the underlying construct being measured. © MCB UP Limited 1998 Coping Health care Hospitals Organizations Organizational change Stress Workers today constantly face change ‐ in the work they do, how they perform the work, where the work...

... in the Clinical Hematology Laboratory at the Massachusetts General Hospital, Boston, Massachusetts, USA. Technologists were asked how many white blood cell differentials they could perform in an eight‐hour shift. Differential productivity was tracked before and after the survey. Of the respondents, 100 per cent...

... and consultation. A number of other projects which were under way as part of the “normal” management agenda also had aspects of process review. For example, there was a centralization of medical records from a number of hospitals into a purpose‐built single facility. The steering group took responsibility...

...Ching‐Jong Liao; Chien‐Yuan Kao Suggests that with the shortage of nursing personnel, hospital administrators have to pay more attention to the needs of nurses to retain and recruit them. Also asserts that improving nurses’ schedules is one of the most economic ways for the hospital administration...

...John Gatrell; Tony White Views the closure of a hospital in an unusual manner. Questions the role of health workers as “care in the community” comes to the fore. Raises questions about psychiatric hospitals, people with mental health problems and mental health workers. © MCB UP Limited 1997...

...Ian Cunningham; Jeff Hyman In recent years, empowerment of National Health Service (NHS) Trust employees has been given substantial political and managerial support. Examines the extent to which the commitment and morale of staff in two NHS Trust hospitals has altered following the introduction...

...George E. Kempton Describes a major programme of change embarked on by Kingston Hospital NHS Trust, UK in 1992 to deliver care to its patients more effectively and efficiently. Reports on the training strategy which was required to facilitate this important organizational change and establish...

... form of 1990s management. More specifically, illustrates the requirement for women to make the correct self‐presentation as a means of “getting on” and, from a managerial stance, of subordinating them. The use of a hospital case study highlights some of these issues in relation to the changes...

... at the application of a desktop computer simulation package to model part of a hospital subsystem. The simulation package shows how efficiency might be improved by moderating available resources and times taken to complete tasks. Maintains that the principles expounded here are applicable to many different aspects...

...Tim Dunne; Sharon Davis Very little has been published about the effects of hospital closure in terms of the service, financial or management issues of the process. Attempts through a case‐study format to redress the balance and as such represents the reflections of practitioners who have recently...

...‐distant future, ambulatory patients groups are another potential cost‐cutting remedy for current health care providers and that future research into this issue is a must for public policy makers. © MCB UP Limited 1996 Health care Hospitals USA The United States Congress, through...

...Karin Newman; Tanya Pyne; Alan Cowling Uses an empirical investigation based on a survey of junior doctors in five NHS trust hospitals, to examine their attitudes towards both the general principle of clinical involvement in hospital management and the particular prospect of exercising such a role...

...Peter A. Weil To examine hospital leadership team effectiveness, analyses the responses of 540 randomly sampled board chairmen of US hospitals. Reports findings regarding board chairmen′s evaluation of their hospitals′ productive outputs and of the adequacy of their communications with the CEO...

... organizations. The second survey concerns implementation of the Health at Work (HaW) in the NHS initiative in NHS hospital worksites. Discusses structures and processes of HaW implementation. In September 1992 the Health at Work in the NHS (HaW) initiative was launched by the NHS Executive. It is a long‐term...

...John R. Welch; Brian H. Kleiner Changes in the health care environment over the past ten years have prompted changes in the way hospitals are being managed. The rising cost of health care has affected Medicare reimbursement, caused business to be a discerning selector of medical care, and has given...

...Christopher Johns; Stephen Bell A review of practice in a mental health day hospital led to a multidisciplinary quality group being established. Outlines changes implemented leading to service improvements and increases in patient and staff satisfaction. Admission criteria were designed...

... and explores issues of grading, responsibility, working hours, career progression and job satisfaction. Of the E and F grade midwives we spoke to many were concerned that while they felt they were acting as fully independent practitioners,responsible for their own caseload (either in hospital, community...