Staffing problems in nephrology.

Problems in staffing of emergency departments.

PREVIOUS speakers have recounted most of the difficulties at present being experienced in the staffing of casualty departments and these have been further amplified in discussion. It would seem more valuable, rather than re-iterating these, to put forward some possible solutions and criticize some of the solutions suggested by others. Before a clear decision can be reached it will be necessary ...

Changes in nurses' pay structure solve staffing and scheduling problems.

Duality in staffing problems: Between holding costs and waiting constraints

There are two alternative ways to capture the tension between capacity expenses and customer-delay costs in staffing problems. The cost paradigm assigns a price tag to customer delay and optimizes the combined costs of staffing and waiting. The constraint paradigm, in contrast, replaces the waiting-time cost with constraints and seeks to minimize staffing costs subject to these constraints. The...

Changing gear: problems of selecting appropriate staffing ratios.

The response of the Government' to the Fourth Report from the Social Services Committee (the Short Report)2 indicates broad acceptance of the recommendations. Two key proposals are to double the number of consultants over the next 15 years and to change the ratio of consultants to juniors from one to 1-8 to 1-8 to one. These are in response to the recommendation that a much higher proportion of...

Latin American nephrology: present state and future concerns. Committee on Nephrology Development and National Problems of the Latin American Society of Nephrology and Hypertension (SLANH).

Latin American nephrology is undergoing major changes as the study of kidney diseases is being transformed into a global discipline, propelled by rapid communication, numerous transportation systems and the subsequent sharing of knowledge. The term "Latin America" refers to the 20 countries in the Western Hemisphere where the predominant spoken language derives from Latin, in this case, Spanish...