Medical Staff in Need of Change
ثبت نشده
چکیده
The initial Standards by the JCAH (now the Joint Commission on Accreditation of Healthcare Organizations, or JCAHO) required accredited hospitals to have organized medical staffs. The medical staff was responsible for overseeing the clinical practice and quality of care provided by physicians at the hospital. While recognizing the ultimate responsibility for patient care in a hospital is vested in the governing board, a de facto delegation of most of these functions to the medical staff exists in hospitals. External regulation of hospital medical staff functions was very limited until the advent of the federal government payment programs in the 1960s. Additional regulation stemmed from judicial decisions establishing the doctrine of corporate liability of hospitals for the professional negligence of independently practicing physicians providing care at the hospital. The Darling v Charleston Memorial Hospital 2 and Johnson v. Misericordia Hospital 3 cases clearly established that hospitals have liability responsibility for patient injuries caused by acts or omissions of physicians on the medical staff. MEDICAL STAFF ROOTS date back to initial quality improvement efforts of physician leaders such as Ernest A. Codman, a surgeon who led in the initiation of review of the quality of surgical care in the early 1900’s. Paul Starr noted in The Social Transformation of American Medicine 1 that the American College of Surgeons first took a formalized approach to hospital surgical review in 1919, establishing a voluntary standard that ACS-approved hospitals must affiliate physicians into a “definite medical staff.” In addition to dealing with the intense financial and competitive elements then dividing organized medicine, the surgeons recognized a need for an organized quality evaluation of surgical services that required a more formal organization of surgeons at hospitals. These concepts matured to create the Joint Commission on Accreditation of Hospitals (JCAH) in 1951. The historical development of hospitals from charities sponsored by wealthy patrons to today’s medical centers was not an easy road. Three centers of authority and power emerged:
منابع مشابه
The Causes of Resistance to Change and Solutions to Overcome It: A Review of Literature
Introduction: Technological advances as well as science and information explosion necessitate the change in students’ educational needs and in the education system. Researchers consider resistance to change as one of the major causes of the failure of changes. Therefore, the purpose of this review study was to identify the causes of resistance to change and provide solutions to overcome it. Met...
متن کاملInvestigating the Attention to Components of Change in Health Development Plan from the Viewpoint of staff in two Hospitals of Isfahan and Kerman in 2015
Introduction: The health system development plan is currently one of the most fundamental changes in Iran. The purpose of this study was to determine the amount of attention to the components of change in health Development plan from the Viewpoint of staff in Al-Zahra hospital in Isfahan and Afzalipour hospital in Kerman in 2015. Methods: In this quasi-experimental study , the staff of Al-Zahra...
متن کاملAssessing the Need to Pay Attention to the Ethical Considerations of Medical Staff in Dealing with Patients with Covid-19
In recent decades, on the one hand, we have faced atmospheric phenomena and environmental changes, and on the other hand, with the emergence of new diseases called emerging diseases. Managing emerging diseases requires an ethical approach to control and care for them. Ethical problems raising from new diagnostic and therapeutic advances in medical science have increased the need to address medi...
متن کاملExamining the role of management succession planning (MSP) in talent identification and empowerment of human capital in Hormozgan University of Medical Sciences
Introduction: Quality and knowledge-based human resources are the most important competitive advantage and the scarcest source in today's knowledge-based economy. Hence, the development of the capabilities, expertise, and commitment of well-trained employees is considered the most important management challenge in our time. The present study was conducted to investigate the role of Management S...
متن کاملExploring Nursing Students’ Experiences of Privacy in Pediatrics Ward: A Qualitative Study
Background and Objectives: Respecting privacy means respecting individuals, their dignity and independence. It is mandatory to observe privacy in health-care systems. Therefore, this study was carried out with the aim of expressing nursing students’ experience of privacy in pediatrics ward. Methods: This qualitative study was done inductively using content analysis method. The participant...
متن کامل