BACKGROUND In many different countries the Hospital Survey on Patient Safety Culture (HSOPS) is used to assess the safety culture in hospitals. Accordingly, the questionnaire has been translated into Dutch for application in the Netherlands. The aim of this study was to examine the underlying dimensions and psychometric properties of the questionnaire in Dutch hospital settings, and to compare ...

Like most nonprofit hospitals, those of Massachusetts are facing serious financial challenges. Although the immediate issue is the shortfall between revenues and expenses, the author finds that the real problems are systemic, evidenced by at least three structural impediments: uncompensated care, overuse of teaching hospitals, and an increasingly unattractive environment for the practice of med...

Current efforts to detect covert bioterrorist attacks from increases in hospital visit rates are plagued by the unpredictable nature of these rates. Although many current systems evaluate hospital visit data 1 day at a time, we investigate evaluating multiple days at once to lessen the effects of this unpredictability and to improve both the timeliness and sensitivity of detection. To test this...

AIMS 1. To identify the extent of clinical gaps at the context of knowledge, practice and systems. 2. To formulate necessary intervention measures towards bridging the gaps. SETTINGS AND DESIGN Comparative, cross-sectional and non-interventional study. METHODS AND MATERIAL It is retrospective, record-based study conducted upon inpatients (n = 200) of major disciplines of two teaching hospit...

OBJECTIVE To compare hospital indicators before and after implementing an Internal Bed Regulation Committee at a reference hospital. METHODS It is an quantitative, evaluation, exploratory, descriptive and cross-sectional research. The data was gathered from the hospital administrative reports for the period 2008-2013, provided by the Information Technology Center of the Complexo FAMEMA. RES...

One issue of interest to the current review of the Resource Allocation Working Party (RAWP) formula is the extra service costs associated with medical teaching. RAWP intended the medical service increment for teaching (SIFT) to cover these costs. Although it is not possible to assess from the methods used to derive the SIFT rate whether it is or is not overgenerous for its intended purpose, the...

OBJECTIVE To describe and evaluate priority setting in the context of hospital priority setting and more specifically to evaluate the use of an appeals process. DESIGN Qualitative case study and evaluation using the ethical framework 'accountability for reasonableness'. SETTING The University Health Network (UHN), a network of three large urban teaching hospitals affiliated with the Univers...

This is a retrospective quality assurance study of all frozen sections done at The Aga Khan University Hospital during a six year period (1986 to 1991). There were 1,031 frozen sections out of a cumulative total of 42,985 surgical specimens (2.39%). Nine hundred and severity-six (94.66%) were concordant. In 92 (8.9%) fresh specimens were brought from other hospitals of Karachi, in 37 cases (3.5...

This study investigates the relationships among service encounter, service value, patient satisfaction, and word-of-mouth (WOM) intention from the viewpoint of interactive marketing. Data were collected using a questionnaire survey. A total of 372 questionnaires were obtained and 350 of these questionnaires were valid (94.09%), and a structural equation model was used to analyze the data. This ...

Nurses (ACEN), the organization of chief nurse executives of teaching hospitals across Canada, has agreed on this position statement on nursing workload. In a previous issue of the Canadian Journal of Nursing Leadership, Affonso et al. (2003) identified workload as a significant issue for nurses in delivering processes of care in a way that supports patient safety. We cannot underestimate the i...