Every hospital does it, but how accurately and consistently coding is done has a major effect on the quality of treatment and also on the bottom line. Traditionally so-called ‘coders’ determine which code to apply for a specific medical service.‘ Report: Cornelia Wels-Maug
Keyword: staff management
The medical departments of Danish hospitals routinely function at 100 percent in-patient bed capacity. Is this situation a factor of productivity and efficiency or a situation to be concerned about? Is there any clinical impact on patients admitted to such a crowded hospital? Report: Cynthia E Keen
The Ebola epidemic in West Africa, war in Syria, typhoon in the Philippines – over and over, German doctors are among those deployed to help. We interviewed Dr Johannes Schad, Medical Director of the Foundation of the German Institute for Disaster Medicine, about his direct experiences on the ground at the worst of times. Interview: Sascha Keutel
Violence from patients or their relatives is no longer unusual in hospitals, with A&E doctors and nurses particularly affected, as confirmed in the recent study Violence against Staff in the A&E Department.
A receptionist threatened with a butcher’s knife in Bourgoin-Jallieu (Isère); gunshots in an emergency unit in Delafontaine, at Saint-Denis, near Paris; a nurse wounded with a knife in a Marseille hospital – three separate incidents in just one week last August brought into sharpe focus what has become a worrying phenomenon.
UK retail ‘star’ to examine the healthcare sector. Sweet Valentine’s Day, when the government’s Health Secretary Jeremy Hunt described Sir Stuart Rose, former Executive Chairman (2004-2011) of the British fashion, food and furnishings chain stores Marks & Spencer (M&S) as ‘…one of the country’s most inspirational leaders’.
However, investments in equipment and advanced training are attracting medical students, John Brosky reports
Until recently, hospitals were constructed the way they had been built through centuries. Today, however, hospital design is shifting towards patient logistics, opening up very new perspectives.
In the country’s first scientific study to correlate the demographic changes and frequency of tumorous diseases, demographic changes have led scientists to forecast a significant increase in the number of cancerous diseases in coming years.
After acknowledging that too many patients were developing hospital-acquired decubitus ulcers (also known as pressure ulcers or bedsores), staff at England’s Royal Liverpool and Broadgreen University Hospitals NHS Trust adopted a zero tolerance approach and prioritised action against bedsore development, which has resulted in a dramatic decrease in cases.
Multidisciplinary tumour boards (MDTs) are widespread in the Netherlands, and ‘they tend to be proliferating lately,’ according to Professor Folkert van Kemenade, Chair of the Pathology department at the VU University Medical Centre in Amsterdam.
From January 2008 till the end of 2012 around 400,000 Spaniards decided to emigrate to find work, Eduardo de la Sota reports
Focus: Healthcare Mobility
The number of medical practitioners in France is 216,000, among which 17,835 were trained elsewhere, representing almost 10% of the total, according to the Centre National de l’Ordre des Médecins (CNOM), which registers doctors in practice.
Focus: Healthcare Mobility
Professional mobility has always been high on the EU agenda. But what are the impacts on the medical sector, if physicians and nurses leave their countries en masse? Daniela Zimmermann asked Günter Danner, Associate Director of the European Representation of the German Social Insurance in Brussels
About 20 years ago the first tumour boards were set up in Germany. Initiated and led by surgeons, they not only invited oncologists, radiotherapists and radiologists to conferences but also, increasingly often, pathologists.
While German medics leave the country in search of better conditions, foreigners fill the gaps. Spain, with its troubled economy, provides a major source.
Aggression and violence towards hospital staff by patients and their relatives and visitors alike is an under-reported and an under-discussed issue. A French webside wants to inform employees how they can prevent and react on aggressions.
A 2012 study analysing the care of cancer patients in the USA in 138 Veterans’ Administration hospitals (pub: Journal of the National Cancer Institute) questions the effectiveness of tumour board review. The study measured effectiveness by comparing the presence of tumour review boards with stage-specific quality of care and patient outcomes.
The motive was clear. Lowering Germany’s comparatively high nosocomial infection rate – the reason for an amendment to the Hygiene Act passed in 2011 – called for improved hygiene management within the hospitals.
Massive and increasing cost pressure urges many hospitals to look for alternatives to expensive in-patient surgery.
Radiologists work in dark, strange places often hidden in the basement of hospitals. Few doctors or medical staff visit these labyrinths, and for good reason.
There are too many loopholes that allow bad or fraudulent physicians to beat the system.
Although not yet suitable for primary readings, tablet technology does offer potential for second opinions, sharing information with patients and clinicians, and seeking expert support, according to radiologist Dr Erik Ranschaert from the Jeroen Bosch Hospital, Den Bosch, The Netherlands
Whether it was a constitution of sorts writ on cavernous rock at the dawn of mankind no one knows. What is clear is that since the inception of the first rudimentary societies the male always expected to rule and the female to follow and obey.
Patients with a migration background can create underestimated difficulties in healthcare systems in Western countries.