Search results

1 – 10 of over 18000
To view the access options for this content please click here
Article
Publication date: 20 February 2020

Haiming Liang, Xiao Zhang, Fang Fang and Xi Chen

The aim of this paper is to propose an optimization method for determining the emergency action, in which the compatibility between emergency alternatives and the…

Abstract

Purpose

The aim of this paper is to propose an optimization method for determining the emergency action, in which the compatibility between emergency alternatives and the collaborative relationship between departments are considered.

Design/methodology/approach

The individual emergency cost and individual emergency effect of each emergency alternative are calculated. And the collaborative emergency cost and collaborative emergency effect associated with a pair of emergency alternatives are calculated. Then, a bi-objective programming model maximizing the total emergency effect and minimizing the total emergency cost is constructed. A novel nondominated sorting genetic algorithm II (NNSGA II) is designed to solve the constructed model, subsequently. Finally, an example is given to illustrate the use of the proposed method, and the performance of NNSGA II is evaluated through a simulation experiment.

Findings

This paper proposes an effective method to manage complex emergency events that requires the coordinations of multiple departments. Also, this paper provides a new algorithm to determine an appropriate emergency action that performs well in managing both the emergency cost and emergency effect.

Originality/value

The findings contribute to the current methods in the field of emergency management. The method is used for dealing with the individual information of emergency alternatives and the collaborative information associated with a pair of alternatives.

To view the access options for this content please click here
Article
Publication date: 2 May 2008

Joseph S. Guarisco and Stefoni A. Bavin

The purpose of this paper is to provide a case study testing the Primary Provider Theory proposed by Aragon that states that: disproportionate to any other variables…

Downloads
1405

Abstract

Purpose

The purpose of this paper is to provide a case study testing the Primary Provider Theory proposed by Aragon that states that: disproportionate to any other variables, patient satisfaction is distinctly and primarily linked to physician behaviors and secondarily to waiting times.

Design/methodology/approach

The case study began by creating incentives motivating physicians to reflect and improve behaviors (patient interactions) and practice patterns (workflow efficiency). The Press Ganey Emergency Department Survey was then utilized to track the impact of the incentive programs and to ascertain any relationship between patient satisfaction with the provider and global patient satisfaction with emergency department visits by measuring patient satisfaction over an eight quarter period.

Findings

The findings were two‐fold: firstly, the concept of “pay for performance” as a tool for physician motivation was valid; and secondly, the impact on global patient satisfaction by increases in patient satisfaction with the primary provider was significant and highly correlated, as proposed by Aragon.

Practical implications

These findings can encourage hospitals and physician groups to place a high value on the performance of primary providers of patient care, provide incentives for appropriate provider behaviors through “pay for performance” programs and promote physician understanding of the links between global patient satisfaction with physician behaviors and business growth, malpractice reduction, and other key measures of business success.

Originality/value

There are no other case studies prior to this project validating the Primary Provider Theory in an urban medical center; this project adds to the validity and credibility of the theory in this setting.

Details

Leadership in Health Services, vol. 21 no. 2
Type: Research Article
ISSN: 1751-1879

Keywords

To view the access options for this content please click here
Article
Publication date: 14 May 2018

Gayle Linda Prybutok

The purpose of this paper is to present a case study of a successful quality improvement project in an acute care hospital focused on reducing the time of the total…

Downloads
3207

Abstract

Purpose

The purpose of this paper is to present a case study of a successful quality improvement project in an acute care hospital focused on reducing the time of the total patient visit in the emergency department.

Design/methodology/approach

A multidisciplinary quality improvement team, using the PDSA (Plan, Do, Study, Act) Cycle, analyzed the emergency department care delivery process and sequentially made process improvements that contributed to project success.

Findings

The average turnaround time goal of 90 minutes or less per visit was achieved in four months, and the organization enjoyed significant collateral benefits both internal to the organization and for its customers.

Practical implications

This successful PDSA process can be duplicated by healthcare organizations of all sizes seeking to improve a process related to timely, high-quality patient care delivery.

Originality/value

Extended wait time in hospital emergency departments is a universal problem in the USA that reduces the quality of the customer experience and that delays necessary patient care. This case study demonstrates that a structured quality improvement process implemented by a multidisciplinary team with the authority to make necessary process changes can successfully redefine the norm.

Details

International Journal of Health Care Quality Assurance, vol. 31 no. 4
Type: Research Article
ISSN: 0952-6862

Keywords

To view the access options for this content please click here
Article
Publication date: 13 July 2015

Hong Qin, Gayle L. Prybutok, Victor R. Prybutok and Bin Wang

The purpose of this paper is to develop, validate, and use a survey instrument to measure and compare the perceived quality of three types of US urgent care (UC) service…

Downloads
3295

Abstract

Purpose

The purpose of this paper is to develop, validate, and use a survey instrument to measure and compare the perceived quality of three types of US urgent care (UC) service providers: hospital emergency rooms, urgent care centres (UCC), and primary care physician offices.

Design/methodology/approach

This study develops, validates, and uses a survey instrument to measure/compare differences in perceived service quality among three types of UC service providers. Six dimensions measured the components of service quality: tangibles, professionalism, interaction, accessibility, efficiency, and technical quality.

Findings

Primary care physicians’ offices scored higher for service quality and perceived value, followed by UCC. Hospital emergency rooms scored lower in both quality and perceived value. No significant difference was identified between UCC and primary care physicians across all the perspectives, except for interactions.

Research limitations/implications

The homogenous nature of the sample population (college students), and the fact that the respondents were recruited from a single university limits the generalizability of the findings.

Practical implications

The patient’s choice of a health care provider influences not only the continuity of the care that he or she receives, but compliance with a medical regime, and the evolution of the health care landscape.

Social implications

This work contributes to the understanding of how to provide cost effective and efficient UC services.

Originality/value

This study developed and validated a survey instrument to measure/compare six dimensions of service quality for three types of UC service providers. The authors provide valuable data for UC service providers seeking to improve patient perceptions of service quality.

Details

International Journal of Health Care Quality Assurance, vol. 28 no. 6
Type: Research Article
ISSN: 0952-6862

Keywords

To view the access options for this content please click here
Article
Publication date: 1 December 2002

David A. McEntire

Utilizes the March 28, 2000, Fort Worth tornado as a case study to examine how organisations collaborate in their attempt to perform multiple response and recovery…

Downloads
3201

Abstract

Utilizes the March 28, 2000, Fort Worth tornado as a case study to examine how organisations collaborate in their attempt to perform multiple response and recovery functions. Identifies factors that inhibit and facilitate coordination among disaster‐related organisations. Concludes with implications for improving disaster response operations and management.

Details

Disaster Prevention and Management: An International Journal, vol. 11 no. 5
Type: Research Article
ISSN: 0965-3562

Keywords

To view the access options for this content please click here
Article
Publication date: 1 December 1996

Keller Mark McGue and Tom Barker

Examines a questionnaire returned by 188 Alabama police and sheriffs’ departments with regard to pursuit issues. Considers variables such as department size, current…

Downloads
539

Abstract

Examines a questionnaire returned by 188 Alabama police and sheriffs’ departments with regard to pursuit issues. Considers variables such as department size, current policy, officer judgment, forcible stop techniques and training. Finds that 80 per cent of these departments had an emergency response policy. Clearly shows that a majority of the respondents think their department’s policy is somewhat restrictive. Cautions that policy may not always be followed in practice. Finds that there is a comprehensive effort to promote safety for officers and all involved, notably in the fact that only 44 per cent of the responding departments allow the use of forcible stop techniques.

Details

American Journal of Police, vol. 15 no. 4
Type: Research Article
ISSN: 0735-8547

Keywords

To view the access options for this content please click here
Article
Publication date: 1 July 2006

Kent V. Rondeau, Louis H. Francescutti and Garnet E. Cummings

The purpose of this paper is to report on gender differences in emergency physicians with respect to their attitudes, knowledge, and practices concerning health promotion…

Downloads
937

Abstract

Purpose

The purpose of this paper is to report on gender differences in emergency physicians with respect to their attitudes, knowledge, and practices concerning health promotion and disease prevention.

Design/methodology/approach

A mail survey of 325 male and 97 female Canadian emergency physicians.

Findings

Results suggest female emergency physicians report having greater knowledge of health promotion topics, spend more time with each of their patients in the emergency setting, and engage in more health promotion counseling in the emergency setting than do their male counterparts.

Originality/value

The paper argues that in the future, educating and socializing emergency physicians, both male and female, in the practice of health promotion will enhance the potential of the emergency department to be a more effective resource for their community.

Details

Journal of Health Organization and Management, vol. 20 no. 4
Type: Research Article
ISSN: 1477-7266

Keywords

To view the access options for this content please click here
Article
Publication date: 19 July 2011

Jeffrey P. Harrison and Emily D. Ferguson

Emergency services are critical for high‐quality healthcare service provision to support acute illness, trauma and disaster response. The greater availability of emergency

Downloads
1345

Abstract

Purpose

Emergency services are critical for high‐quality healthcare service provision to support acute illness, trauma and disaster response. The greater availability of emergency services decreases waiting time, improves clinical outcomes and enhances local community well being. This study aims to assess United States (US) acute care hospital staff's ability to provide emergency medical services by evaluating the number of emergency departments and trauma centers.

Design/methodology/approach

Data were obtained from the 2003 and 2007 American Hospital Association (AHA) annual surveys, which included over 5,000 US hospitals and provided extensive information on their infrastructure and healthcare capabilities.

Findings

US acute care hospital numbers decreased by 59 or 1.1 percent from 2003 to 2007. Similarly, US emergency rooms and trauma centers declined by 125, or 3 percent. The results indicate that US hospital staff's ability to respond to traumatic injury and disasters has declined. Therefore, US hospital managers need to increase their investment in emergency department beds as well as provide state‐of‐the‐art clinical technology to improve emergency service quality. These investments, when linked to other clinical information systems and the electronic medical record, support further healthcare quality improvement.

Research limitations/implications

This research uses the AHA annual surveys, which represent self‐reported data by individual hospital staff. However, the AHA expends significant resources to validate reported information and the annual survey data are widely used for hospital research.

Practical implications

The declining US emergency rooms and trauma centers have negative implications for patients needing emergency services. More importantly, this research has significant policy implications because it documents a decline in the US emergency healthcare service infrastructure.

Originality/value

This article has important information on US emergency service availability in the hospital industry.

Details

International Journal of Health Care Quality Assurance, vol. 24 no. 6
Type: Research Article
ISSN: 0952-6862

Keywords

To view the access options for this content please click here
Article
Publication date: 1 April 2014

Xie Kefan and Liu Jia

There have been plenty of emergencies occurred in tourism all over the world in recent years. These events and disasters have brought the tourists and relevant…

Downloads
1155

Abstract

Purpose

There have been plenty of emergencies occurred in tourism all over the world in recent years. These events and disasters have brought the tourists and relevant organizations enormous loss of life and property. The main reasons are the lack of holistic coordination among different departments and response for social responsibility. In the process of prevention and response of tourism emergency, the local governments need to take synergic action. Meanwhile, the positive participation in the tourism emergency rescue is one of the ways to share social responsibility. This paper aims to examine the early-warning management of regional tourism emergencies, in order to minimize the loss on both tourists' life and money, from the perspective of systematic thinking.

Design/methodology/approach

The paper establishes a regional tourism emergency response model based on holistic assessment approach and Bayesian network technology. It analyzes most critical factors of regional tourism emergency and the mutual influence among them. Thereafter, it employs the Bayesian network technology to assess the influence of several factors on the final magnitude of casualties holistically. Based on this, the paper proposes the response principle and the response process to regional tourism emergency.

Findings

This paper constructs the “FRES” principle about the holistic response to regional tourism emergency, including “fulfillment of social responsibility”, “rapid action”, “experience accumulation” and “synergic response”. Based on this principle, the paper suggests a general process on the holistic response to regional tourism emergency. Finally, the paper takes the mudslides emergency in Taiwan on October 23, 2010 as an example to conduct an empirical analysis. The paper gives an optimal holistic solution to the responding process of this event in the light of the “FRES” principle.

Originality/value

This paper explains the social responsibility related to the regional tourism emergencies and employs the Bayesian network technology to analyze the systematical responding process to tourism emergency. It proposes originally a “FRES” principle and a general process on the response to regional tourism emergency which are proven to be effective in systematical response to regional tourism events. The research results can facilitate the various local governments to jointly fulfill their social responsibilities and optimize the management of regional tourism emergencies in a holistic way.

Details

Kybernetes, vol. 43 no. 3/4
Type: Research Article
ISSN: 0368-492X

Keywords

To view the access options for this content please click here
Article
Publication date: 14 June 2021

Rimantas Stašys, Gintautas Virketis and Daiva Labanauskaitė

The purpose of this study/paper is to identify the importance of the partnership between the public and private health-care institutions to improve interhospital patient…

Abstract

Purpose

The purpose of this study/paper is to identify the importance of the partnership between the public and private health-care institutions to improve interhospital patient transfers. Scientific research and statistical data show the increased number of interhospital transportation services; therefore, timely and qualified patient transportation between different health-care institutions must be considered, the activity that directly and significantly impacts the patient’s health status and overall quality of the health-care services. The successful patient transportation from the smaller hospitals to the health-care institutions with advanced intensive care or urgent care units can be enhanced through the partnership between private and public health-care institutions.

Design/methodology/approach

The methodology included quantitative method, statistical data analysis and theoretical data generalization. Both primary and secondary data were collected and analyzed during the research. Expert quantification was performed using the survey research method. The survey was conducted in Lithuania. The respondents were selected to be the general managers of the health-care and urgent care institutions, the chief doctors of the reanimation and intensive care department also the chief doctors of the emergency department.

Findings

Because of the centralization and regionalization of health-care services, the number of patients transferred between hospitals by the emergency medical services (EMS) and personal health-care institutions has increased. University hospitals are not sufficiently prepared to accept an increasing flow of patients in accordance with the Ministry of Health orders. Not all regional or district hospitals have the right to provide such assistance, which increases transportation time and costs as well as requires additional human resources. The five EMS categories could be used to improve the patient transfer between different levels of health-care institutions. To increase partnership between private and public health-care organizations, incentives should be provided for the development of private health-care organizations, as well as encouraging actions should be taken to increase the demand for private health-care services by Lithuanian patients.

Practical implications

Five EMS categories identified in this paper could be used to ensure a smooth mechanism for the patient transfer between different levels of the personal health-care institutions. The proposed categories should also be used in the pre-stationary emergency phase (for reducing the interhospital patient transportation amount).

Social implications

Properly organized secondary and tertiary interhospital patient transfers influence the availability and quality of the EMS and reduce inequalities in the provided services and social exclusion.

Originality/value

This paper presents the classification of the interhospital transfer issues, determines the main reasons for the patient interhospital transfer, creates the model for the EMS patient process flows and defines five EMS categories for the assessment of patient conditions. Therefore, the research conducted and the results obtained have both theoretical and social-practical value.

Details

International Journal of Organizational Analysis, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1934-8835

Keywords

1 – 10 of over 18000