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Year 2019, Volume: 4 Issue: 2, 111 - 128, 16.09.2019
https://doi.org/10.31201/ijhmt.541904

Abstract

References

  • Berwick D.M. (1996) Taking Action, Leading the Reduction of Error. Presented at Examining Error in Health Care Conference, Rancho Mirage, CA: Oct. 13-15, 1996. In Sentinel Events: Evaluating Cause and Planning Improvement. Joint Commission on Accreditation of Health Care Organizations (1998).
  • Calderwood C. (2017), Realising Realistic Medicine: Chief Medical Officer for Scotland annual report 2015-2016. https://www.gov.scot/publications/chief-medical-officer-scotland-annual-report-2015-16-realising-realistic-9781786526731/ Retrieved 17 January 2019
  • Case K.E., Fair R.C., Oster S.M. Principles of Economics, 9-th edition, 2008, Prentice Hall.
  • Clements N., Williams S. Medico - legal - The internet - informed patient (2011) https://www.gponline.com/medico-legal-internet-informed-patient/article/1086997 Retrieved 21 December 2018
  • Cocchi R. Technology can get patients more involved or alienate them; (2017): Healthcare Business & Technology. http://www.healthcarebusinesstech.com/21785-2/
  • Doiel M.: How Healthcare Facilities Prepare for Hurricanes and Other Natural Disasters, (2017) https://www.beckershospitalreview.com/facilities-management/how-healthcare-facilities-prepare-for-hurricanes-and-other-natural-disasters.html Retrieved 22 December 2018
  • Dumortier D. Digital Transformation and the Rise of Smart Hospitals. Global Healthcarehttps://www.healthcareglobal.com/technology/digital-transformation-and-rise-smart-hospitals November 2017
  • Gamble M; 7 Strategies to Compete Using Analytics iVantage webinar, presented by M Denney LA, Godspeed S. 7 Ways Analytics Can Help Hospitals Gain Competitive Edge in Becker’s Hospital Review, September 2012 https://www.beckershospitalreview.com/strategic-planning/7-ways-analytics-can-help-hospitals-gain-competitive-edge.htmlGimenez F.M.P., Bueno de Camargo W.H., Gomes A.C.B., Nihei T.S., Andrade M.W.M., Se Valverde M.L. de A.F., D’Epiro de Souza Campos L., Grion D.C., Festti J. Grion C.M.C. Analysis of Adverse Events during Intrahospital Transportation of Critically Ill Patients; Critical Care Research and Practice; Volume 2017, Article ID 6847124, https://doi.org/10.1155/2017/6847124
  • Griffith J.R. The Well Managed Healthcare Organization, Fourth edition, AUPHA Press, 1999.
  • Hardwick P., Langmead J. , Khan B. An Introduction to Modern Economics., 5-th edition, Pearson Education, 1999.
  • Health Care Without Harm; Climate and Health https://noharm-global.org/issues/global/climate-and-health Retrieved 21 December 2018
  • Hudelson P., Dominice Dao M., Perneger T., Durieux – Paillard S. A “Migrant Friendly Hospital” Initiative in Geneva, Switzerland: Evaluation of the Effects on Staff Knowledge and Practices in https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0106758 Retrieved 28 December 2018
  • Institute for Responsible Technology; Correlation of Rising Incidence of Diseases and Chronic Health Conditions with GMOs and Glyphosate https://responsibletechnology.org/correlation-of-rising-incidence-of-diseases-and-chronic-health-conditions-with-gmos-and-glyphosate-3/ Retrieved 19 December, 2018
  • Khan H. A., Baik F. K., Mehboob R. (2017) Nosocomial infections: Epidemiology, Prevention, Control and Surveillance; Asia Pacific Journal of Tropical Biomedicine; 7 (5).
  • Koch. G Understanding Healthcare Market Share Changes in a Value-Based Patient Centered Landscape https://www.intellimed.com/understanding-healthcare-market-share-changes-value-based-patient-centered-landscape/ Retrieved 18 December, 2018
  • Leape L.L. (1994) Error in Medicine, JAMA.;272(23):1851-1857.
  • Lenard R. Vulnerability and Chaos in the Hungarian Health System https://www.boell.de/en/2018/05/31/vulnerability-and-chaos-hungarian-healthcare-system; Retrieved 28 December 2018
  • Lingg M., Wyss K., Duran – Arenas L. (2016) Effects of procurement practices on quality of medical device or service received: a qualitative study comparing countries; BMC Health Services Research PMCID: PMC4977867 https://www.ncbi.nlm.nih.gov/pubmed/27501691
  • Lipton W. Can Technology Replace Physician and Patient Interaction? (2014) Physicians Practice; in Modern Medicine Network. http://www.physicianspractice.com/patient-relations/can-technology-replace-physician-and-patient-interaction
  • Loomis D., Guyton K., Grosse Y., El Ghissasi F., Boulevard V., Benbrahim-Tallaa L., Guha N., Mattock H., Straif K. on behalf of International Agency for Cancer Research Monograph Working Group, Lyon, France; (2015) Carcinogenicity of Lindane, DDT, and 2,4-dichlorophenoxyacetic acid. The Lancet Ocology Volume 16
  • Lorenzi N. (2017): Building Control Systems Keep Hospitals in Sync. Health Facilities Management Magazine. November 2017
  • Manyisa Z.M., van Aswegen E. J. (2017): Factors Affecting Working Conditions in Public Hospitals: a Literature Review. International Journal of African Nursing Sciences, Volume 6.
  • Medical Billing Services. Three New Medical Specialties in the Not-so-Distant Future. https://abcsrcm.com/three-new-medical-specialties-in-the-not-so-distant-future/ Retrieved 28 December 2018
  • Merriam – Webster English Dictionary https://www.merriam-webster.com/dictionary/hospital Retrieved 20 November 2018
  • Overby R. Hospitals are vulnerable to security risks, putting patient data, care in danger; Healthcare Business and Technology, (2018) http://www.healthcarebusinesstech.com/hospitals-are-vulnerable-to-security-risks-putting-patient-data-care-in-danger/ . Retrieved 17 December 2018
  • Ozcan S., Hornby P. Determining Hospital Workforce Requirements; a Case Study. (1999) Human Resources for Health Development Journal. Vol.3, No. 3,
  • Phillips D. R. (1994) Epidemiological Transition. Implications for Health and Healthcare Provision. Geografiska Annaler. Series B, Human Geography. Vol. 76, No. 2, The Changing Geography of Disease Distributions
  • Picardo E. Understanding the Indirect Effects of the Exchange Rate https://www.investopedia.com/articles/forex/053115/understand-indirect-effects-exchange-rates.asp; Retrieved 28 December 2018
  • Ponemon Institute. (2013) The Economic and Productivity Impact of IT Security in Health Care, https://healthblawg.com/images/files/imprivata_ponemon-research-report.pdf Retrieved 10 January, 2019
  • Richter D.L., Diduch D.R. (2017): Cost Comparison of Outpatient Versus Inpatient Unicompartmental Knee Arthroplasty. Orthopedic Journal of Sports Medicine; 5(3): 2325967117694352
  • Roberts R.R., Frutos P.W., Ciavarella G.G., Gussow L.M., Mensah E.K., Kampe L.M., Straus H.E., Gnanaraj J., Rydman R.J.(1999): Distribution of Variable vs Fixed Costs of Hospital Care. JAMA. 1999;281(7):644-649.
  • Singer J. A. (2013) How Government I Destroying the Medical Profession Reason, http://reason.com/reasontv/2013/09/07/how-government-is-destroying-the-medical. Retrieved 14 December, 2018
  • Smith D. L. FMEA: Preventing a Failure Before Any Harm is Done. https://www.isixsigma.com/tools-templates/fmea/fmea-preventing-failure-any-harm-done/ ; Retrieved 21 December, 2018
  • Thimbleby H. Technology and the Future of Health Care. (2013) Journal of Public Health Research, 2013; Volume 2: e28
  • Tlustos C1, Sheridan M, O'Sullivan D, Anderson W, Flynn A. (2011) The dioxin contamination incident in Ireland, 2008: analytical results and congener patterns. Food Additives and Contaminants. Part A, Vol. 29
  • Vic Health; Australians attitude towards their health, consuming alcohol,and taking a break from alcohol (2015). https://www.vichealth.vic.gov.au/media-and-resources/publications/australians-attitudes-towards-their-health-consuming-alcohol-and-taking-a-break-from-alcohol Retrieved 28 December 2018
  • WHO. Prevention of hospital-acquired infections. A practical guide 2nd edition. www.WHO/CDS/CSR/EPH/2002.12 Retrieved December 27, 2018
  • WHO; Understanding the BSE Threat. (2002) https://www.who.int/csr/resources/publications/bse/en/BSEthreat.pdf

HOSPITAL VULNERABILITIES IN THE 21-st CENTURY

Year 2019, Volume: 4 Issue: 2, 111 - 128, 16.09.2019
https://doi.org/10.31201/ijhmt.541904

Abstract

 



The purpose of this paper is to raise
awareness about the future vulnerabilities of hospitals. It is based on current
literature on hospital organization and management, open sources, personal
experience and estimations of the author



 



The hospital is defined and a
classification is made based on structure and functionality. Vulnerabilities
vary according to the profile of the hospital, and they can be internal (weaknesses) or
external (threats).
The internal vulnerabilities can be conceptual, structural and functional
weaknesses. The external vulnerabilities can be general or specific threats. Every
vulnerability is described in the context of various types of hospitals, and
possible counter measures are suggested.



 



Hospitals’
weaknesses emerge from their lack of flexibility and competitiveness and from
their structural and functioning flaws. Most frequently, the threats menacing
hospitals derive from epidemiological change and lack of resources, an
unbalance between the demand for and the supply of care. To overcome their
vulnerabilities they need to take specific actions and be supported by the
Ministry of Health.



 



The paper provides
managers and policy-makers estimations regarding hospital vulnerabilities,
suggesting also possible actions to reduce these vulnerabilities or their
effects.



 



Keywords: hospital vulnerabilities,
weaknesses, threats.

References

  • Berwick D.M. (1996) Taking Action, Leading the Reduction of Error. Presented at Examining Error in Health Care Conference, Rancho Mirage, CA: Oct. 13-15, 1996. In Sentinel Events: Evaluating Cause and Planning Improvement. Joint Commission on Accreditation of Health Care Organizations (1998).
  • Calderwood C. (2017), Realising Realistic Medicine: Chief Medical Officer for Scotland annual report 2015-2016. https://www.gov.scot/publications/chief-medical-officer-scotland-annual-report-2015-16-realising-realistic-9781786526731/ Retrieved 17 January 2019
  • Case K.E., Fair R.C., Oster S.M. Principles of Economics, 9-th edition, 2008, Prentice Hall.
  • Clements N., Williams S. Medico - legal - The internet - informed patient (2011) https://www.gponline.com/medico-legal-internet-informed-patient/article/1086997 Retrieved 21 December 2018
  • Cocchi R. Technology can get patients more involved or alienate them; (2017): Healthcare Business & Technology. http://www.healthcarebusinesstech.com/21785-2/
  • Doiel M.: How Healthcare Facilities Prepare for Hurricanes and Other Natural Disasters, (2017) https://www.beckershospitalreview.com/facilities-management/how-healthcare-facilities-prepare-for-hurricanes-and-other-natural-disasters.html Retrieved 22 December 2018
  • Dumortier D. Digital Transformation and the Rise of Smart Hospitals. Global Healthcarehttps://www.healthcareglobal.com/technology/digital-transformation-and-rise-smart-hospitals November 2017
  • Gamble M; 7 Strategies to Compete Using Analytics iVantage webinar, presented by M Denney LA, Godspeed S. 7 Ways Analytics Can Help Hospitals Gain Competitive Edge in Becker’s Hospital Review, September 2012 https://www.beckershospitalreview.com/strategic-planning/7-ways-analytics-can-help-hospitals-gain-competitive-edge.htmlGimenez F.M.P., Bueno de Camargo W.H., Gomes A.C.B., Nihei T.S., Andrade M.W.M., Se Valverde M.L. de A.F., D’Epiro de Souza Campos L., Grion D.C., Festti J. Grion C.M.C. Analysis of Adverse Events during Intrahospital Transportation of Critically Ill Patients; Critical Care Research and Practice; Volume 2017, Article ID 6847124, https://doi.org/10.1155/2017/6847124
  • Griffith J.R. The Well Managed Healthcare Organization, Fourth edition, AUPHA Press, 1999.
  • Hardwick P., Langmead J. , Khan B. An Introduction to Modern Economics., 5-th edition, Pearson Education, 1999.
  • Health Care Without Harm; Climate and Health https://noharm-global.org/issues/global/climate-and-health Retrieved 21 December 2018
  • Hudelson P., Dominice Dao M., Perneger T., Durieux – Paillard S. A “Migrant Friendly Hospital” Initiative in Geneva, Switzerland: Evaluation of the Effects on Staff Knowledge and Practices in https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0106758 Retrieved 28 December 2018
  • Institute for Responsible Technology; Correlation of Rising Incidence of Diseases and Chronic Health Conditions with GMOs and Glyphosate https://responsibletechnology.org/correlation-of-rising-incidence-of-diseases-and-chronic-health-conditions-with-gmos-and-glyphosate-3/ Retrieved 19 December, 2018
  • Khan H. A., Baik F. K., Mehboob R. (2017) Nosocomial infections: Epidemiology, Prevention, Control and Surveillance; Asia Pacific Journal of Tropical Biomedicine; 7 (5).
  • Koch. G Understanding Healthcare Market Share Changes in a Value-Based Patient Centered Landscape https://www.intellimed.com/understanding-healthcare-market-share-changes-value-based-patient-centered-landscape/ Retrieved 18 December, 2018
  • Leape L.L. (1994) Error in Medicine, JAMA.;272(23):1851-1857.
  • Lenard R. Vulnerability and Chaos in the Hungarian Health System https://www.boell.de/en/2018/05/31/vulnerability-and-chaos-hungarian-healthcare-system; Retrieved 28 December 2018
  • Lingg M., Wyss K., Duran – Arenas L. (2016) Effects of procurement practices on quality of medical device or service received: a qualitative study comparing countries; BMC Health Services Research PMCID: PMC4977867 https://www.ncbi.nlm.nih.gov/pubmed/27501691
  • Lipton W. Can Technology Replace Physician and Patient Interaction? (2014) Physicians Practice; in Modern Medicine Network. http://www.physicianspractice.com/patient-relations/can-technology-replace-physician-and-patient-interaction
  • Loomis D., Guyton K., Grosse Y., El Ghissasi F., Boulevard V., Benbrahim-Tallaa L., Guha N., Mattock H., Straif K. on behalf of International Agency for Cancer Research Monograph Working Group, Lyon, France; (2015) Carcinogenicity of Lindane, DDT, and 2,4-dichlorophenoxyacetic acid. The Lancet Ocology Volume 16
  • Lorenzi N. (2017): Building Control Systems Keep Hospitals in Sync. Health Facilities Management Magazine. November 2017
  • Manyisa Z.M., van Aswegen E. J. (2017): Factors Affecting Working Conditions in Public Hospitals: a Literature Review. International Journal of African Nursing Sciences, Volume 6.
  • Medical Billing Services. Three New Medical Specialties in the Not-so-Distant Future. https://abcsrcm.com/three-new-medical-specialties-in-the-not-so-distant-future/ Retrieved 28 December 2018
  • Merriam – Webster English Dictionary https://www.merriam-webster.com/dictionary/hospital Retrieved 20 November 2018
  • Overby R. Hospitals are vulnerable to security risks, putting patient data, care in danger; Healthcare Business and Technology, (2018) http://www.healthcarebusinesstech.com/hospitals-are-vulnerable-to-security-risks-putting-patient-data-care-in-danger/ . Retrieved 17 December 2018
  • Ozcan S., Hornby P. Determining Hospital Workforce Requirements; a Case Study. (1999) Human Resources for Health Development Journal. Vol.3, No. 3,
  • Phillips D. R. (1994) Epidemiological Transition. Implications for Health and Healthcare Provision. Geografiska Annaler. Series B, Human Geography. Vol. 76, No. 2, The Changing Geography of Disease Distributions
  • Picardo E. Understanding the Indirect Effects of the Exchange Rate https://www.investopedia.com/articles/forex/053115/understand-indirect-effects-exchange-rates.asp; Retrieved 28 December 2018
  • Ponemon Institute. (2013) The Economic and Productivity Impact of IT Security in Health Care, https://healthblawg.com/images/files/imprivata_ponemon-research-report.pdf Retrieved 10 January, 2019
  • Richter D.L., Diduch D.R. (2017): Cost Comparison of Outpatient Versus Inpatient Unicompartmental Knee Arthroplasty. Orthopedic Journal of Sports Medicine; 5(3): 2325967117694352
  • Roberts R.R., Frutos P.W., Ciavarella G.G., Gussow L.M., Mensah E.K., Kampe L.M., Straus H.E., Gnanaraj J., Rydman R.J.(1999): Distribution of Variable vs Fixed Costs of Hospital Care. JAMA. 1999;281(7):644-649.
  • Singer J. A. (2013) How Government I Destroying the Medical Profession Reason, http://reason.com/reasontv/2013/09/07/how-government-is-destroying-the-medical. Retrieved 14 December, 2018
  • Smith D. L. FMEA: Preventing a Failure Before Any Harm is Done. https://www.isixsigma.com/tools-templates/fmea/fmea-preventing-failure-any-harm-done/ ; Retrieved 21 December, 2018
  • Thimbleby H. Technology and the Future of Health Care. (2013) Journal of Public Health Research, 2013; Volume 2: e28
  • Tlustos C1, Sheridan M, O'Sullivan D, Anderson W, Flynn A. (2011) The dioxin contamination incident in Ireland, 2008: analytical results and congener patterns. Food Additives and Contaminants. Part A, Vol. 29
  • Vic Health; Australians attitude towards their health, consuming alcohol,and taking a break from alcohol (2015). https://www.vichealth.vic.gov.au/media-and-resources/publications/australians-attitudes-towards-their-health-consuming-alcohol-and-taking-a-break-from-alcohol Retrieved 28 December 2018
  • WHO. Prevention of hospital-acquired infections. A practical guide 2nd edition. www.WHO/CDS/CSR/EPH/2002.12 Retrieved December 27, 2018
  • WHO; Understanding the BSE Threat. (2002) https://www.who.int/csr/resources/publications/bse/en/BSEthreat.pdf
There are 38 citations in total.

Details

Primary Language English
Journal Section Articles
Authors

Dan Sava

Publication Date September 16, 2019
Submission Date March 19, 2019
Acceptance Date September 16, 2019
Published in Issue Year 2019 Volume: 4 Issue: 2

Cite

APA Sava, D. (2019). HOSPITAL VULNERABILITIES IN THE 21-st CENTURY. International Journal of Health Management and Tourism, 4(2), 111-128. https://doi.org/10.31201/ijhmt.541904