Staff management

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Article • Avoiding incidents

The digital early warning system

Staff shortages are among the most urgent healthcare problems. While digitisation might offer relief, unfortunately many hospitals lag behind in transforming their processes. As pressure mounts, the chorus is heard: ‘It’s high time for bold changes’. Indeed, this was the motto of the 2019 Western German Health Congress held in Cologne, an event that focuses on health policy and health…

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Article • Time for a revolution?

About the end of medicine, as we know it

Currently many researchers and experts assume that the next great socio-economic revolution will include a completely new definition of health and how we define illnesses and therapies. “Our health system today can no longer be sustained in its existing form. It has become too expensive and too ineffective,” Professor Harald Schmidt, head of the Department of Pharmacology and Personalised…

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Article • Under pressure

Physician burnout cases are rising

Longer hours, more demanding working practices, complex cases and increased administration are taking their toll on physicians as growing numbers, across a range of specialties, report signs of burnout. All this despite technological advances such as artificial intelligence and machine learning to aid diagnosis, read and interpret images, improve workflow and enhance decision-making.

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News • Medical errors

Burnout in doctors has shocking impact on care

Burnout in doctors has devastating consequences on the quality of care they deliver, according to a large-scale systematic review and meta-analysis. The study, by experts at the Universities of Manchester, Keele, Leeds, Birmingham and Westminster, looks at 47 papers which together analyse the responses of 43,000 doctors. It finds that doctors with burnout are twice as likely to make mistakes,…

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Interview • Challenging, but rewarding

Emergency radiology advances – despite shortages and low recognition

Emergency radiology is no longer a babbling field; professionalisation will bring more recognition to this young subspecialty, according to Elizabeth Dick, a London-based consultant, who will coordinate part of the new European Diploma in Emergency Radiology (EDER), the European Society of Radiology’s new tool. We interviewed the radiologist, who spoke of her daily practice and why she loves…

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Article • Education

The nurse’s role in endoscopic procedures

Hygiene is still a leading topic in endoscopy, and education remains crucial in Europe, according to Ulrike Beilenhoff, scientific secretary of the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA). The two subjects took centre stage during the 21st ESGENA Conference, held during UEG Week in Barcelona this October. With around 600 participants, lectures, posters,…

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Article • Profession

The growing role of a hospitalist

New words are consistently spun out in the USA and frequently assimilated into ‘American English’. Take the term ‘hospitalist’ (little used in European English), which was coined by the renowned academic physician Robert M Wachter (University of California, San Francisco) and his colleague Lee Goldman, in an article published in the New England Journal of Medicine in 1996. Lisa Chamoff…

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Article • European diploma

Levelling EU qualifications for radiographers

Radiographers are increasingly central to patient care, but the heterogeneous education and skills across Europe remain challenging. Dr Jonathan McNulty and Håkon Hjemly, of the European Federation of Radiographers Societies (EFRS), explained how they plan to improve radiographers’ visibility and work towards homogenising training across Europe, notably by launching a European Diploma in…

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News • Less is not always more

Nurse numbers strongly linked to patient confidence in hospital care

Patients’ unfavourable views of hospital care in England are strongly linked to insufficient numbers of nurses on duty, rather than uncaring staff, indicates observational research published in the online journal BMJ Open. Increasing the registered nurse headcount may boost satisfaction with the quality of care, conclude the researchers, who base their findings on national survey data from…

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News • Staff management

'Temps' provide equal care

Fueled by physician staffing shortages and shifting employment patterns, temporary substitute physicians, so-called “locum tenens” physicians, become a regular sight in the medical field. But do they provide the same level of care as the doctors they are filling in for? The answer appears to be “yes,” at least when it comes to death rates in the month following treatment, according to…

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News • Study asks neurosurgeons

How old is too old to perform brain surgery?

People sometimes joke that easy tasks are “not brain surgery.” But what happens when it actually is brain surgery? How old is too old to be a neurosurgeon? In a new Mayo Clinic Proceedings study, most neurosurgeons disagreed with an absolute age cutoff, but half favored additional testing for neurosurgeons 65 and older. Some professions, including commercial pilots, FBI agents and air traffic…

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Interview • Management

Digitized OR: accessible data without media discontinuity

Defined processes and competencies are essential in the operating room along with the allocation of staff. Yet the OR-Barometer 2015 that is published every other year by the Frankfurt University of Applied Sciences, reveals that only 47 percent of the surveyed nursing staff in the fields of surgery and anesthesiology are satisfied with the level of organization in operating rooms. In this…

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Article • Neuroradiology

More freedom, more responsibility

She is a neuroradiologist, professor, researcher and now the Medical Director of the Department of Neuroradiology at Dresden University Hospital. Her objectives are ambitious – be it in patient care, research or teaching. Professor Jennifer Linn MD wants to increase the quality of care, drive breakthroughs in research, ignite enthusiasm in students for their future profession and last, but not…

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Article • Management I

Successful TopSharing

In the late 1990s, management consultant Julia K Kuark and Swiss communication consultant Hans Ulrich Locher coined the term ‘TopSharing’ – as in job-sharing but, in this case, to describe splitting a senior management role. In Germany, Dr Ulrike Ley, who coaches female doctors, considers the TopSharing model, expanded over a decade by Kuark, is a valid management model for hospitals.…

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Article • Human resources

A pathology workforce fit for the future

The UK pathology sector faces numerous challenges as it strives to create a future medical laboratory workforce. As in many divisions of the National Health Service (NHS), this area has an ageing population yet must evolve against a backdrop of fast-developing technologies, emerging science, financial constraints and the challenge of working in tandem with the private sector. Report: Mark…

News • Hygiene

Hand washing focus in hospitals leads to more dermatitis

Researchers from the University's Institute of Population Health studied reports voluntarily submitted by dermatologists to a national database which is run by the University (THOR), between 1996 and 2012. Sixty percent of eligible UK dermatologists used this database which is designed to report skin problems caused or aggravated by work.

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Generation Y in hospitals today

Could the widely predicted shortage of qualified staff in German hospitals soon lead to tough competition for members of Generation Y, ultimately resulting in a change in hospital structures and a revolution in the country’s total healthcare system? Perhaps. EH spoke with Professor Christian Schmidt, Medical Director and Head of the Board at Rostock University Hospital, and with consultant…

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How to overcome future staff shortages

The Medica Education Conference has been realigned and also tackles current issues from the worlds of politics and management, amongst others in a symposium on occupational and educational politics. In this context, Professor Ulrich Montgomery, President of the German Medical Association, will speak about the next generation of medical staff under the heading ‘Calling, a profession or a job?’…

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Computer-assisted coding

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

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