Hospital management

Recently, the pesticide company experienced two accidents. The first accident was a small fire of a mixture of liquid pressurised gas and liquid pesticide, which resulted in some material damage. The second accident was an instantaneous release of pesticide powder, which resulted in a number of operators requiring treatment for respiratory problems in a local hospital. Management recognised that safety problems had to be addressed. Additionally, a major concern for the company was the high financial penalties which resulted from late deliveries. Both the safety and the reliability of the operational process had to be improved. The management thought that operator errors were the cause of almost all the problems in the process. 

Department of Surgery, Institute for Surgical Research and Hospital Management, University of Basel, Basel, Switzerland... 

Factors critical to success include clear objectives a firm mandate support by the senior hospital management transparency wide representation technical competence a multi-disciplinary approach and sufficient resources to implement the DTC s decisions. 

Manoguerra AS, Cobaugh DJ and members of consensus panel. Guideline on the use of ipecac syrup in the out-of-hospital management of ingested poisons. J Toxicol Clin Toxicol 2005 43(1) 1-10. 

Manoguerra AS, Erdman AR, Booze LL, Christianson G, Wax PM, Scharman EJ et al. Iron ingestion an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol 2005 43 553-70. 

To Maternity Ward Nurses F rom John Smith, Director Hospital Management Date August 15, 2001 Subject New Car Seat Laws... 

Lien LF, Angelyn Bethel M, Feinglos MN. In-hospital management of type 2 diabetes mellitus. Medical Clinics of North America 2004, 88, 1085-1105. 

What would be your advice to a hospital manager wanting to eliminate MRSA from the... 

Table 3.4 Treatment of nerve agent exposure hospital management CDC Recommendations for nerve agent therapy in the emergency department...

Baker DJ (1999). The pre-hospital management of injury following mass toxic release a comparison of military and civil approaches. Resuscitation, 42, 155-159. 

Another example noted in some PGDs is that working practices may not be in line with Summary of Product Characteristics for that medicinal product (www.medicines.org.uk/). For example some PGDs have indicated that the amount of Omnipaque (an X-ray contrast agent) to be administered can exceed that outlined on the product information sheet. The only evidence used to support this is that some peers do this in other Trusts. Not only does this practice fall short of minimizing risk but it might also fail one component of the Bolam test (Bolam v Friern Hospital Management Committee, 1957 and Bolitho v City and Hackney Health Authority, 1997). 

Bolam V Friern Hospital Management Committee (1957) All England Law Reports 2, 118. 

Although 1 have cited the opinions mainly of physicians and hospital managers, it would be false to believe that theirs were the sophisticated insights of a scientific avant-garde. On the contrary. These ideas about madness and madhouses were commonplace. For example, it was obvious to John Stuart Mill that people were committed to insane asylums to punish them for deviance, not to treat them for illness "... the man and still more the woman, who can be accused either of doing what nobody does, or of not... 

Chemical profiles including a description of the chemical, health effects, pre-hospital management, emergency department management and a patient information sheet hOpJAmm. atsdr.cdc.gov/mmg56.pdf. 

Smalley, H. E. (1982), Hospital Management Engineering, Prentice Hrill, Englewood Qiffs, NJ. Steinwelds, B., and Sloan, F. (1981) Regulatory Approvals to Hospiteil Cost Contmnment A Synthesis of the Empirical Evidence, in A New Approach to the Economics of Health Care, M. Olsin, Ed., American Enterprise Institute, Washington, DC., pp. 274-308. 

Hospitality industry Continued) with travel charts, 831, 832 life-cycle costing in, 834—835 value engineering in, 834 Hospital Management Systems Society (HMSS), 739... 

Manoguerra, A.S., A.R. Erdman, P.M. Wax, et al. 2006. Camphor poisoning An evidence-based practice guideline for out-of-hospital management. Clin. Toxicol. 44(4) 357-370. 

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